Wednesday, October 24, 2012
Tuesday, October 23, 2012
Saturday, September 15, 2012
Sunday, August 26, 2012
· Comprehensive, broad and holistic in nature and much more cost effective approach to deliver healthcare to people
· Focus is more on dealing with Social and psychological Determinants of health
· It is a science and art of preventing disease, prolonging life, and promote health through organizing committee efforts handling all possible determinants of health of the people.
Wednesday, August 15, 2012
Friday, June 15, 2012
Sunday, May 27, 2012
Background: Benign Prostatic Hyperplasia is a widely prevalent condition
affecting elderly men throughout the world. With increasing
life expectancy, there has been a rise in the percentage of
elderly men and so for this disease across the globe. There is
lack of information about health seeking behaviour of patients
with Benign Prostatic Hyperplasia. Therefore the study was
designed with the objectives of assessing health-seeking
behaviour and the effect of literacy on it among adult and
older subjects suffering from Benign Prostatic Hyperplasia
attending a tertiary care hospital.
Method: A series of 81 patients suffering from Benign Prostatic
Hyperplasia above the age of 50 years, attending surgical Out
Patient Department of a tertiary care hospital in Delhi, were
assessed for their health seeking behaviour using a pre-tested
and a modified questionnaire designed for assessing health
Positive health seeking behaviour of patients was observed in
44%, who reported to a doctor within a month of noticing
their problem. A greater proportion of the literates was aware
about the symptoms suggestive of enlarged prostate and
consulted a qualified health care practitioner as their first
action. More literates approached the higher level of health
care facility on being referred and had maximum faith in
allopathic system of medicine. Also, lesser number of literates
had performed pooja (Hindi word for worship) or other
traditional rituals for relief of their problems.
Conclusion: We concluded that majority of subjects suffering from
Benign Prostatic Hypertrophy were not aware of their
disease and their health-seeking behaviour was poor and
could be related to literacy. Our data highlights the need
for public awareness program targeting the younger male
population so that early detection and treatment can be
Key Words: Benign Prostatic Hyperplasia, Health Seeking Behaviour,
RECOMMENDATIONS OF THE BRAINSTORMING CONFERENCE
ON MANAGEMENT OF WATER, AIR, NOISE, SOLID WASTES AND PLASTIC WASTE DURING COMMONWEALTH GAMES 2010 TO BE HELD AT DELHI
1. Public information
The Conference is duly informed of the overall planning and certain micro-planning exercises conducted by various organizations belonging to Municipal Corporation of Delhi, the Delhi Development Authority, the Government of National Capital Territory and the Central Government. Much of the information was not known to most of the participants. It is recommended that a vigorous campaign be made by a designated coordinating agency to inform the general public through various media so as to generate confidence in the public that care for environment is part of the efforts being made to hold a successful and green Commonwealth Games at Delhi.
2. Air quality management
The Olympics held in China in 2008 owe part of the success to certain bold decisions, such as closing down polluting industries one month before the event. Likewise, a large number of public offices were closed one week before the Olympics. The strong democracy that we are may not accept such arrangement. However, potential polluters need to be identified and sternly warned to keep pollution under control failing which immediate action to shut them down would be taken. Such units may be in Delhi or near its border in Sahibabad, Ghaziabad and Faridabad. In any case, coal-based thermal power stations of Delhi and near its border will need to be shut down two weeks before the Games are held. The diesel generating sets, which number more than 2 lakh in Delhi, can remain out of operation if uninterrupted power supply is assured. It is recommended that a close scrutiny be made as to which polluting industrial units should be so warned and which thermal power stations should be shut down. It may also be assessed as to which offices can be closed for four weeks without significant interruption in public service. The manpower thus made idle may be utilized for assisting in the organizing the Games. Uninterrupted power supply should be arranged for Delhi for the period of the Games. It is further recommended that as a mitigative measure, greenery should be increased near the sporting arena.
3. Air quality monitoring
Delhi is noted by the World Health Organisation among the major cities that have poor environmental conditions. While poor quality of water can be countered by bottled drinking water, there is no such alternative to poor quality of air. Athletes are particularly sensitive to air quality because heavy breathing during running and other exercise sports can cause serious injury to their pulmonary and cardiovascular systems. It is therefore recommended that air quality is monitored regularly and accurately right from now to get baseline data, obtain actual trend of results of measures implemented to improve air quality and predict with confidence the anticipated air quality during October 2010, when the Commonwealth Games will be held.
4. Prediction of air quality
In the last decade, introduction of CNG-run public transport vehicles, manufacture of fuel-efficient automobile engines and production of lead-free petrol and low-sulphur diesel did cause a remarkable improvement of air quality of Delhi. The advantage is wearing out on account of a phenomenal increase in the number of automobiles on the road in spite of the recently established Delhi Metro system and an improved fleet of buses. Traffic jams are becoming more frequent and more intense with time. Emission of certain pollutants, such as ozone and fine particulate matter, has tended to increase with the aforesaid changes in fuel and engines. In the euphoria of gains noticed earlier, the new threats are overlooked. While data on concentration of ozone is scanty, a lot of data is available on the precursors of ozone, which are the hydrocarbons, oxides of nitrogen and sunlight. It is recommended that careful observations need to be made to assess the concentration of ozone and fine particulate matter and to relate such observations to the doze-effect on health of the affected population. In particular, it is recommended that concentration of ground level ozone is observed and estimated by modelling, and its trend be analysed to provide authentic information for the athletes who can be at threat if it rises above a certain level.
5. River quality
River Yamuna will be viewed by a large number of athletes, visitors, journalists and commentators during the Commonwealth Games. The view is appalling. The adverse publicity of the care given to this major water body, which is included among the holy rivers according to faith of the majority of population of the country, will reflect adversely on the responsiveness and effectiveness of our administration. By now several authorities have conceded that hardly anything is possible to upgrade the river water quality to an acceptable level. This myth can be blown away with the application of bio-remediation, i.e., by dosing selected bacteria into a body of water, which quickly multiply, decompose organic pollutants and mitigate odour. Thus, the drains of Delhi can be made to clean the Yamuna. It is recommended that bioremediation be applied on the tributary drains, the river and poorly performing sewage treatment plants in Delhi.
6. Solid wastes management
Packaging and containers are likely to be discarded in large quantities during the Commonwealth Games. To regard them as wastes is to increase the burden of their handling and disposal. To regard them as resource is an approach to get wealth and energy from waste. Biodegradable packaging is technically possible. Most of the containers have the possibility of reuse by segregating them according to the possibility of their reuse. It is, therefore, recommended that bio-degradable packaging is prescribed for certain items carefully selected for the purpose and arrangements are made to segregate the containers according to the potential of their reuse.
7. Household garbage disposal
The sweepings from the dwellings and kitchen wastes make an excellent combination to be treated by vermiculture process at the household level. Residents that have small garden or large enough terraces can adopt this technique to produce and utilise compost from the wastes generated in their own homes and thereby significantly reduce the quantity of garbage that need to be handled and disposed of by a municipal service. It is recommended that domestic vermiculture units may be vigorously promoted including technical and financial support for the manufacture and use of the bins required in the process.
8. Mock drill
Whatever services and regulatory controls are planned for the duration of the Commonwealth Games should be rehearsed in order that the deficiencies in the plan are noticed and rectified. Such mock drills are also greatly helpful in generating awareness and co-operation of the people and in the assessment of net benefits of the plan. It is recommended that at least two mock drills may be held before the Commonwealth Games to practice and validate planned services and regulatory controls.
Sunday, May 20, 2012
Tuesday, March 6, 2012
Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract
Purpose. To compare the feasibility of cataract surgery with implantation of endocapsular supporting devices and intraocular lens (IOL) in subluxated cataract in phacoemulsification and manual small incision cataract surgery (MSICS). Design. Prospective randomized intervention case series consisting of 60 eyes with visually significant subluxated cataract. Method. The patients were randomly distributed between the two groups equally. The main outcome measure was implantation of in-the-bag IOL, requirement of additional procedure and complications, if any. Results. Capsular bag retention in subluxated lenses is possible in 90% cases in phacoemulsification versus 76.67% cases in MSICS (P = 0.16). Both groups, achieved similar best corrected visual acuity (P = 0.73), although additional procedures, intraoperative, and postoperative complications weremore common inMSICS. Conclusions. Achieving intact capsulorhexis and nuclear rotation in MSICS may be difficult in cases with large nucleus size and severe subluxation, but subluxated cataracts can be effectively managed by both phacoemuslification and MSICS.
Authors: Ruchi Goel, Saurabh Kamal, Sushil Kumar, Jugal Kishore, K. P. S.Malik, Sonam Angmo Bodh, Smriti Bansal, and Madhu Singh
Thursday, February 16, 2012
Malaria is a mosquito borne public health problem in some ninety countries worldwide affecting at least 300 million people. It imposes economic burden on families, businesses, health systems, government budgets and is associated with poverty, poor health and malnutrition among children. Among various methods of mosquito control, mosquito nets specially when they are treated with insecticides provide safest, cheapest, effective, free of side effects, environmental friendly and easy to use method which provide both individual and community benefits. Other methods of personal protection like mosquito coils, mats, repellents, liquid vaporisers and insecticides like DDT are associated with hazards to human health or environment. Therefore strategies like social marketing are required to promote the large scale use of insecticide treated bednets.
Key words: Malaria, insecticide treated bednets (ITN), hazards, mosquito repellents
Insecticide-treated Bednets Use as an Environment Friendly Method for
Malaria Control. Authiors: Charu Kohli, Jugal Kishore
Wednesday, February 15, 2012
Tuesday, January 17, 2012
Knowledge, Attitude and Practice for tobacco control among dental professionals in the city of Delhi
Authors: Neha Gupta, P Jain, Jugal Kishore. Research & Review: A Journal of Health Professionals 2011; 2-3(1): 16-23.
Monday, January 16, 2012
Objectives: To assess the perceptions, myths and beliefs about mental disorders and health seeking behavior in the
Available from: http://www.indianjpsychiatry.