Journal of Postgraduate Medicine, Education and Research

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2013 | July-September | Volume 47 | Issue 3

EDITORIAL

Siddhartha Sharma

SMARTPHONES IN MODERN MEDICINE: THE SMART WAY AHEAD

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/jpmer-47-3-v  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Smita Sinha

Adolescent Health-Tackling Menstrual Hygiene Issue through Social Marketing of Sanitary Napkins Scheme: An Evaluation Study from Haryana

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:4] [Pages No:127 - 130]

PDF  |  DOI: 10.5005/jp-journals-10028-1069  |  Open Access |  How to cite  | 

Abstract

Background and objectives

Menstrual hygiene is far from satisfactory among a large proportion of Indian women. To overcome the barriers for using sanitary napkins among rural women in Haryana, a social marketing scheme was launched. As the program is in nascent stage of implementation the factors influencing it need to be evaluated. Therefore, this study aimed to analyze the stakeholder's perspectives and factors influencing this scheme.

Materials and methods

We carried out a qualitative study during April’ 2011 in Lalpur, Naraingarh, Ambala, Northern India. The experience and opinion of rural girls, women, ANM, ASHA and Sakshar Mahila Samooh (SMS) members were elicited during 10 in-depth interviews and four FGDs.

Results

Majority of women were motivated to use sanitary napkins. They perceived that use of sanitary napkin was beneficial for them. The grass root workers involved in production work of sanitary napkins were disappointed with irregular flow of funds. The other stakeholders in the community were not actively involved in the implementation of this scheme.

Conclusion

To conclude, there is a huge marketing potential of low cost sanitary napkins in this rural area of Haryana. The program needs to actively involve various stakeholders and to ensure regular flow of fund.

How to cite this article

Sinha S, Singh A. Adolescent Health-Tackling Menstrual Hygiene Issue through Social Marketing of Sanitary Napkins Scheme: An Evaluation study from Haryana J Postgrad Med Edu Res 2013;47(3):127-130.

RESEARCH ARTICLE

Pankaj Malhotra, Navneet Singla, Durga Prasad Bendapudi, Rajesh Chhabra, Sunil Kumar Gupta

A Prospective Randomized Controlled Study of the Role of Heparin in Preventing Deep Venous Thrombosis in Postoperative Craniotomy Patients

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:7] [Pages No:131 - 137]

PDF  |  DOI: 10.5005/jp-journals-10028-1070  |  Open Access |  How to cite  | 

Abstract

Background

Patients undergoing surgery for intracranial tumors are at significant risk of developing deep venous thrombosis (DVT) due to postoperative immobilization. The role of heparin prophylaxis in preventing this complication and the risk of intracranial hemorrhagic complications due to anticoagulation is not well established. The present study was designed to address this issue.

Materials and methods

A prospective randomized study was conducted to include 100 patients who were undergoing surgery for intracranial tumors. Patients who were immobilized in bed for more than 48 hours after surgery were included. The patients were categorized into two groups depending upon whether they received heparin prophylaxis or not. Further each group was subdivided into two based upon the duration of surgery: Less than or more than 3 hours. The incidence of DVT and of postoperative hemorrhagic complications was studied in all the groups. Various demographic as well as risk factors were analyzed to assess their impact on the incidence of DVT.

Results

Overall incidence of DVT was 17%. Incidence of DVT was 12% in patients who received heparin as compared to 22% who did not. However, this difference did not reach statistical significance. The incidence was almost double when the duration of surgery was more than 3 hours. Patients with 2 or more risk factors had an increased frequency of DVT. One patient in the heparin positive group died as a result of postoperative hemorrhagic complication.

Conclusion

The incidence of DVT was found to be numerically lower in patients who received postoperative heparin as well as in patients in whom the duration of surgery was less than 3 hours.

How to cite this article

Singla N, Bendapudi DP, Chhabra R, Malhotra P, Prakash M, Gupta SK. A Prospective Randomized Controlled Study of the Role of Heparin in Preventing Deep Venous Thrombosis in Postoperative Craniotomy Patients. J Postgrad Med Edu Res 2013;47(3):131-137.

RESEARCH ARTICLE

Sukhpal Kaur, Upasana Sharma

Knowledge, Beliefs and Practices of Caregivers Regarding Home Based Bedsore Care in Chandigarh, North India

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:6] [Pages No:138 - 143]

PDF  |  DOI: 10.5005/jp-journals-10028-1071  |  Open Access |  How to cite  | 

Abstract

Background

Bedsores are quite frequent in bedridden cases. Caregivers have an important role in the management of such cases.

Objectives

To assess the knowledge, beliefs and practices of caregivers regarding bedsore care practices and management.

Materials and methods

A cross-sectional study was conducted in Chandigarh from September to November 2011. Caregivers were interviewed about the knowledge, attitude and practice regarding care of bedridden patients and their problems like bedsores.

Results

Data was collected from 42 bedridden cases (22 males and 20 females). Age was 18 to 90 years. Bedsores were found in 10 bedridden cases. Most common underlying diagnosis was neurological disease in 24 cases. Twenty-nine patients consulted government hospitals. Earlier episode of bedsore was experienced in about 14 cases. In 24 cases bed sheet was changed daily. In 11 cases, for more than two times patient had to wait for more than half an hour if urine/stools were passed in bed. In six cases unqualified practitioners were also consulted. Thirty-seven of them complied with the physician's advice. Seventeen of the caregivers were aware of the warning signs of development of bedsores. Exercises were not performed in 26 cases. Different dressing regimes were reported viz til oil, desi ghee, platelet ointment, paraffin wax, etc.

Conclusion

Quality of care of bedridden was not good. There is a need for formal training for the caregivers as most of them were untrained. Evaluation of various dressing regimes for bedsores is needed.

How to cite this article

Sharma U, Kaur S, Singh A. Knowledge, Beliefs and Practices of Caregivers Regarding Home Based Bedsore Care in Chandigarh, North India. J Postgrad Med Edu Res 2013;47(3):138-143.

RESEARCH ARTICLE

Nidhi Bhatnagar, Puja Dudeja, Ashok Jindal

Preference for Male Child in Two Semiurban Communities of Pune

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:4] [Pages No:144 - 147]

PDF  |  DOI: 10.5005/jp-journals-10028-1072  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Dudeja P, Singh A, Jindal A, Bhatnagar N. Preference for Male Child in Two Semiurban Communities of Pune. J Postgrad Med Edu Res 2013;47(3):144-147.

RESEARCH ARTICLE

Soundappan Kathirvel

Divergent Approaches to Health-related Behavior Change: Pampering under NACP vs Persecution under RCH II

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:2] [Pages No:148 - 149]

PDF  |  DOI: 10.5005/jp-journals-10028-1073  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Jeyashree K, Kathirvel S, Singh A. Divergent Approaches to Health-related Behavior Change: Pampering under NACP vs Persecution under RCH II J Postgrad Med Edu Res 2013;47(3):148-149.

RESEARCH ARTICLE

Gurpreet Singh

Reversal of Hartmann's Procedure in Patients with Very Short Rectal Stump: A New Technique

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:3] [Pages No:150 - 152]

PDF  |  DOI: 10.5005/jp-journals-10028-1074  |  Open Access |  How to cite  | 

Abstract

Objective

Reversal of Hartmann's procedure is a difficult surgical exercise with significant morbidity and mortality. One of the difficulties encountered during surgery is the presence of a very short rectal stump.

Materials and methods

We present two cases where the patients underwent a Hartmann's procedure for abortion induced colonic injury and a subsequent failed attempt at reversal. The distal stump was mobilized from the sacrum (virgin field). An end to side anastomosis was performed between the distal end of colon and the posterior surface of the rectal stump using an end to end circular stapler.

Results

The patients had a complete recovery with good functional results.

Conclusion

This is a novel technique which when applied in such situations will prove technically easy and functionally adequate.

How to cite this article

Singh G, Gupta V. Reversal of Hartmann's Procedure in Patients with Very Short Rectal Stump: A New Technique. J Postgrad Med Edu Res 2013;47(3):150-152.

CASE REPORT

Surinder Singh, Ritesh Kohli, Ashwani K Gupta, Prithpal Singh Matreja

A Case Report of Signet-Ring Cell Carcinoma Colon

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:3] [Pages No:153 - 155]

PDF  |  DOI: 10.5005/jp-journals-10028-1075  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kohli R, Singh S, Gupta AK, Matreja PS. A Case Report of Signet-Ring Cell Carcinoma Colon. J Postgrad Med Edu Res 2013;47(3):153-155.

CASE REPORT

Vikas Bachhal, Kishan Bhagwat, Kamal Bali

Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:3] [Pages No:156 - 158]

PDF  |  DOI: 10.5005/jp-journals-10028-1076  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Bhagwat K, Bachhal V, Bali K, Dhillon MS. Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature. J Postgrad Med Edu Res 2013;47(3):156-158.

CASE REPORT

Mandeep Kang, Rajesh Gupta, Divyesh Mahajan

Hydatid Cyst of Liver: A Rare Cause of Secondary Budd-Chiari Syndrome

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:3] [Pages No:159 - 161]

PDF  |  DOI: 10.5005/jp-journals-10028-1077  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mahajan D, Kang M, Gupta R, Khandelwal N. Hydatid Cyst of Liver: A Rare Cause of Secondary Budd-Chiari Syndrome. J Postgrad Med Edu Res 2013;47(3): 159-161.

CASE REPORT

Akshay Kudpaje, Sumit Gupta, Sudhir Naik, Rajshekar Halkud, Siddharth Biswas, Ashok M Shenoy, Purshottam Chavan, Mahesh Kalloli

Carcinoma Expleomorphic Adenoma of the Submandibular Gland

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:5] [Pages No:162 - 166]

PDF  |  DOI: 10.5005/jp-journals-10028-1078  |  Open Access |  How to cite  | 

Abstract

Background and objectives

Carcinoma expleomorphic adenoma (CXPA) is a rare neoplasm of the salivary gland which arises in the epithelial component of a pleomorphic adenoma. It is not automatically a high-grade tumor as is traditionally suggested and should be further qualified as to type, grade of carcinoma and extent, since intracapsular and minimally invasive tumors behave favorably.

Setting

Department of Head and Neck oncosurgery, Kidwai Memorial Institute of Oncology, Bengaluru.

Case Report

A 38-year-old female was referred to our outpatient clinic with history of a painless swelling in the left side of the neck since 8 years. Fine needle aspiration revealed carcinoma of the submandibular gland. Contrast enhanced CT revealed a large heterogeneously enhancing mass lesion in the submandibular fossa with the gland not seen separately. Lymph nodes in level Ib and II were enlarged. Excision of the tumor revealed CXPA with foci of high grade mucoepidermoid carcinoma.

Conclusion

CXPA should no longer be considered a specific diagnosis but a category in which the carcinoma should be typed, graded and quantitated to impart more prognostically and therapeutically relevant data for efficient management.

How to cite this article

Naik SM, Shenoy AM, Chavan P, Halkud R, Biswas S, Kalloli M, Gupta S, kudpaje A. Carcinoma Expleomorphic Adenoma of the Submandibular Gland. J Postgrad Med Edu Res 2013;47(3):162-166.

RESEARCH ARTICLE

Manphool Singhal, Kushaljit Singh Sodhi, Milli Dutta, Akshay Kumar Saxena

Tulip Bulb Sign

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:2] [Pages No:167 - 168]

PDF  |  DOI: 10.5005/jp-journals-10028-1079  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sodhi KS, Dutta M, Saxena AK, Singhal M, Khandelwal N. Tulip Bulb Sign. J Postgrad Med Edu Res 2013;47(3):167-168.

RESEARCH ARTICLE

Sameer Vyas, Vinay Sakhuja, BD Radotra, Nandita Kakkar, Manoj Kumar Goyal

Granulomatous Amoebic Meningoencephalitis: A Diagnostic Dilemma

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:7] [Pages No:169 - 175]

PDF  |  DOI: 10.5005/jp-journals-10028-1080  |  Open Access |  How to cite  | 

Book Review

Meenu Singh, Madhu Sharma

Therapeutic Pediatric Nutrition

[Year:2013] [Month:July-September] [Volume:47] [Number:3] [Pages:1] [Pages No:176 - 176]

PDF  |  DOI: 10.5005/jp-journals-10028-1081  |  Open Access |  How to cite  | 

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