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   2016| September-October  | Volume 29 | Issue 5  
    Online since January 6, 2017

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The point system of the Dental Council of India for publications by faculty
Thorakkal Shamim
September-October 2016, 29(5):312-312
  24,188 2,930 -
Knowledge, attitude and behaviour of the general population towards organ donation: An Indian perspective
Poreddi Vijayalakshmi, TS Sunitha, Sailaxmi Gandhi, Rohini Thimmaiah, Suresh Bada Math
September-October 2016, 29(5):257-261
Background. The rate of organ donation in India is low and research on organ donation among the general population is limited. We assessed the knowledge, attitude and willingness to donate organs among the general population. Methods. We carried out a cross-sectional descriptive study among 193 randomly selected relatives of patients (not of those seeking organ donation) attending the outpatient department at a tertiary care centre. We used a structured questionnaire to collect data through face-to-face interviews. Results. We found that 52.8% of the participants had adequate knowledge and 67% had a positive attitude towards organ donation. While 181 (93.8%) participants were aware of and 147 (76.2%) supported organ donation, only 120 (62.2%) were willing to donate organs after death. Further, there were significant associations between age, gender, education, economic status and background of the participants with their intention to donate organs. Conclusion. Our study advocates for public education programmes to increase awareness among the general population about the legislation related to organ donation.
  9,613 1,429 -
Access to healthcare among the Empowered Action Group (EAG) states of India: Current status and impeding factors
Virendra Kumar, Pushpendra Singh
September-October 2016, 29(5):267-273
Background. Access to healthcare is crucial for meeting the health needs of Indians. We explored factors impeding access to public sources of healthcare among the Empowered Action Group (EAG) states of India. We also examined the extent to which Indians depend on public and private sources of healthcare in the EAG states. Methods. Our study is based on the unit-level records of 9988 ailing persons, who were surveyed among the EAG states in the 71st round of the National Sample Survey (NSS), conducted during January-June 2014 on the theme 'Social consumption: Health'. To analyse the socioeconomic factors, we did logistic regression using STATA version 12.0. Results. Despite a vast public health infrastructure in the EAG states, around three-fourths of inpatients are dependent on private sources of healthcare in both rural (70%) and urban (78%) areas. Poor quality and long waiting time in accessing healthcare from public health facilities remain big concerns for inpatients of the EAG states. Conclusion. To make public health services more accessible, there is a need to improve the quality of services, enlarge infrastructure to reduce waiting time, and enhance the physical reach to inpatients in the EAG states of India. Public health services will then be able to compete with those in the private sector.
  6,153 909 -
Occupational health profile of workers employed in the manufacturing sector of India
Shivali Suri, Ranjan Das
September-October 2016, 29(5):277-281
Background. The occupational health scenario of workers engaged in the manufacturing sector in India deserves attention for their safety and increasing productivity. We reviewed the status of the manufacturing sector, identified hazards faced by workers, and assessed the existing legislations and healthcare delivery mechanisms. Methods. From October 2014 to March 2015, we did a literature review by manual search of pre-identified journals, general electronic search, electronic search of dedicated websites/databases and personal communication with experts of occupational health. Results. An estimated 115 million workers are engaged in the manufacturing sector, though the Labour Bureau takes into account only one-tenth of them who work in factories registered with the government. Most reports do not mention the human capital employed neither their quality of life, nor occupational health services available. The incidence of accidents were documented till 2011, and industry-wise break up of data is not available. Occupational hazards reported include hypertension, stress, liver disease, diabetes, tuberculosis, eye/ hearing problems, cancers, etc. We found no studies for manufacturing industries in glass, tobacco, computer and allied products, etc. The incidence of accidents is decreasing but the proportion of fatalities is increasing. Multiple legislations exist which cover occupational health, but most of these are old and have not been amended adequately to reflect the present situation. There is a shortage of manpower and occupational health statistics for dealing with surveillance, prevention and regulation in this sector. Conclusion. There is an urgent need of a modern occupational health legislation and an effective machinery to enforce it, preferably through intersectoral coordination between the Employees' State Insurance Corporation, factories and state governments. Occupational health should be integrated with the general health services.
  4,454 864 -
Hyperthermic intraperitoneal chemotherapy for peritoneal surface malignancies: A single institution Indian experience
SP Somashekhar, G Prasanna, Rajshekhar Jaka, Amit Rauthan, HS Murthy, Sunil Karanth
September-October 2016, 29(5):262-266
Background. Cytoreductive surgery followed by hyper- thermic intraperitoneal chemotherapy (HIPEC) has shown better oncological outcomes in peritoneal surface malignancies (PSM). We assessed the feasibility and perioperative outcomes of this procedure in Indian patients. Methods. In this prospective observational study from February 2013 to April 2015, we included 56 patients (41 females, 73.2%) with PSM. They had a good performance status, were either treatment-naïve or previously treated by surgery and systemic chemotherapy. They underwent cytoreductive surgery followed by HIPEC using a hyperthermia pump, with the temperature at 42 °C for 30-90 minutes. The chemotherapy regimen was based on the primary malignancy. Perioperative outcome data were collected and analysed. We also analysed the short-term oncological outcomes. Results. Our patients included those with peritoneum confined ovarian carcinoma (32, 57.1%), colorectal carcinoma (9, 16.1%), pseudomyxoma peritonei (7, 12.5%), meso- thelioma (2, 3.6%), gastric carcinoma (2, 3.6%) and others (4, 7.1%). The median duration of surgery including HIPEC was 9 hours and the median hospital stay was 12 days. The median time for gastrointestinal recovery was 5 days. One-fifth of patients (11, 19.7%) required an extended stay in the inten- sive care unit. The most common grades 3 and 4 complications were hypocalcaemia 32.1%, hypokalaemia 32.1%, anaemia 21.4% and thrombocytopenia 7.1%. Major morbidity requiring surgical intervention occurred in 8.9% of patients. The 60-day operative mortality was 1.8%. At a median follow-up of 16 months, 7.1% developed peritoneal recurrence, 8.9% had systemic recurrence and 7.1% succumbed to the disease. Patients with platinum-resistant ovarian carcinomas had more peritoneal recurrence (3.6%). Conclusion. In patients with PSM, surgical cytoreduction and HIPEC is feasible and potentially beneficial. It can be done with low mortality and acceptable morbidity. It requires a dedicated team of surgeons, anaesthetists and intensivists and proper infrastructure.
  2,479 753 -
Is tobacco use increasing among medical students of Bengaluru city, India? Evidence from two cross-sectional studies
Prem K Mony
September-October 2016, 29(5):274-276
Background. Studies investigating secular changes in tobacco use are rare in India. We estimated self-reported prevalence of tobacco use, across a 5-year interval, among medical students in Bengaluru, India. Methods. We did two cross-sectional studies during 2007 and 2013 among third year undergraduate medical students of four medical colleges in Bengaluru. A self-administered questionnaire was used to elicit information on tobacco smoking and chewing. Results. The participation rates were 82% (323/395) in 2007 and 78% (253/324) in 2013 (p=0.2). Among males, there was no statistically significant change in prevalence of current smoking (3.5% [6/172] in 2007 to 8.9% [12/135] in 2013 [p=0.053]); experimental use of tobacco had however increased from 24% (41/172) in 2007 to 42% (56/135) in 2013 (p=0.001). Similarly among females, experimental use was reported by 3.3% (5/151) in 2007 and 11.2% (13/116) in 2013 (p=0.01). Current smoking among female students was <1 % in both the study years. Reported current chewing levels remained unchanged among males, 1.8% (2/171) and 3.7% (5/135) (p=0.2) and fell from 4% (6/146) in 2007 to 0% in 2013 among females (p=0.04). Conclusion. There was no increase in current smoking or chewing of tobacco but there was an increase in experimental smoking among male and female medical students in this southern Indian city. Schools and colleges must include tobacco control education in their curriculum.
  1,715 377 -
Experience of a faculty development workshop in mentoring at an Indian medical college
Jagdish R Varma, Anusha Prabhakaran, Suman Singh, Praveen Singh, Jaishree Ganjiwale, Himanshu Pandya
September-October 2016, 29(5):286-289
Background. Our medical college is running a mentoring programme for undergraduate medical students since 2009. The academic leadership of the college identified the need to change the focus of the programme from mere problem- solving to professional and personal development of mentees. Methods. A core group of faculty designed and implemented a workshop on mentoring for 28 mentors. The workshop included reflections on the participantsí previous experiences about mentoring, discussion on perceptions of mentees about the existing mentoring programme, self-analysis of mentoring skills, overview of the Surrendering, Accepting, Gifting and Extending (SAGE) model and demonstration of effective mentoring skills using role plays and a film. We collected written anonymous feedback from participants at the end of the workshop to elicit their responses regarding various aspects of the programme, change in their views about mentoring and suggestions for future workshops. Results. A majority of the participants (17, 60.7%) said that role plays and reflection on role plays were the most valuable part of workshop as they provided clarity on the concepts about mentoring. The most frequently identified take-home messages were: building trust with the mentee (7, 25%), balance in life and approach towards the mentee (6, 21.4%), and understanding that mentoring is a process geared towards personal and professional development of the mentee (6, 21.4%). Conclusion. The participants' reaction to the workshop was positive. The responses of participants suggested that the workshop was successful in changing their views regarding the purpose of the mentoring programme.
  1,544 433 -
Hirayama disease
Balakrishnan Valliyot, KK Sarosh Kumar, Khadeeja Beevi, SM Sarin, AP Shibeesh
September-October 2016, 29(5):311-311
  1,224 557 -
Movement for Global Mental Health: The crusade and its critique
KS Jacob
September-October 2016, 29(5):290-292
  1,380 310 -
Salt Reduction at a Population Level: To do or not to do?
AP Jose, D Prabhakaran
September-October 2016, 29(5):253-256
  1,228 364 -
Doyle and the Edalji Case
Ullattil Manmadhan
September-October 2016, 29(5):298-301
  1,353 184 -
Haemoglobin H disease: All in the family
Jayashree D Kulkarni
September-October 2016, 29(5):310-310
  1,154 256 -
Genomic classification of acute myeloid leukaemia: An incessantly evolving concept
Ritu Gupta
September-October 2016, 29(5):283-285
  1,148 248 -
Letter from Mumbai
Sunil K Pandya
September-October 2016, 29(5):302-303
  1,127 168 -
Building research capacity in resource-poor settings: Triumphs and challenges
Lois J Armstrong, Philip Finny
September-October 2016, 29(5):295-297
  955 200 -
Vaccination against malaria: A dream too distant?
Mohammad Ali, Vivek Arya
September-October 2016, 29(5):282-283
  858 247 -
Letter from Ganiyari
Yogesh Jain, Priya Jain, Mamta Bhushan Singh, Victor Patterson
September-October 2016, 29(5):304-305
  843 173 -
Specialization and the Indian healthcare scenario: Have we got it right?
H Ramesh
September-October 2016, 29(5):293-294
  805 178 -
Book Reviews

September-October 2016, 29(5):306-309
  762 148 -
News from here and there

September-October 2016, 29(5):313-314
  770 134 -
Vivek Arya
September-October 2016, 29(5):315-316
  625 150 -