The Prevalence Of: Neglected Musculoskeletal Injuries, In Bareilly Region.

Background: Musculoskeletal injuries needing urgent care are often amongst the commonest conditions at the first referral health facilities. They are initially being treated by non-specialist doctors, nurses and paramedics. By the time the patients reach a specialized tertiary care centre they have malunited or ununited limb bone fractures or established infected non unions or non-unions with broken implant or mal positioned implants. Objective: to find the prevalence of neglected musculoskeletal injuries in the region. Methods: A retrospective study was done at one of the tertiary care hospital in Bareilly Uttar Pradesh. The records of all the patients above 18 years who had musculoskeletal injury of more than one month duration and the patients below 18 years who had musculoskeletal injury more than three weeks duration during the period of year 2013were retrieved. The necessary information was collected on semi structured schedule. Data Analysis was done with help of SPSS version 10.0 Statistical Software. Results: Total number of neglected musculoskeletal injuries received was 197 out of which males were 79 % and females 21 %.There were 62% patients from rural background and remaining 38% from urban. On evaluation of monthly data it was found that the maximum numbers of neglected musculoskeletal injury cases, 29 were admitted in the month of July, and minimum 2 in the month of September. Age wise maximum number of cases was in the age group of below eighteen 51 cases, followed by age group between forty and forty nine, 39 cases and the least in age group above seventy, 6 cases .In the extremities lower limb was more involved as the score reached 109 cases, while upper limb had 68 and spine 20.Conclusion: There is an urgent need to address the issue of neglected musculoskeletal injuries for which a manifold approach is needed at all levels.

Overview of benign and malignant tumours of female genital tract.

Female genital tract is most common site for tumours in females. The most common type of female genital tract cancers are – cervical, ovarian and endometrial carcinoma. There are other less common tumours including tumours of vagina, vulva and fallopian tubes. The Uterine corpus represents the second most common site for malignancy of the female genital systems. Cervical carcinoma is the second most common cancer in women worldwide. Tumours of the ovary represent about 30% of all cancers of female genital tract. Cancer of the vagina is relatively rare, accounting for about 1%- 2% of gynaecological malignancies. Tumours of the fallopian tube are much less common than the corresponding ovarian neoplasms. In view of major importance of the subject, this review study was undertaken to understand the topic in a better prospective.

Humor as a learning aid in medical education.

Attention span in a lecture is roughly 15 minutes. After this has been seen that no. of students paying attention begins to drop dramatically leading to loss in retention of lecture material. Objective of present study was to examine the effectiveness of humor when used as an intervention. The present Interventional, Randomized control trial study was carried out on medical students of fourth Semester, of RMCH, Bareilly, which has total ninety students. Class was divided into two groups, Group A and Group B by simple random sampling using lottery method, consisting of 45 students each. For both groups four lectures each were delivered on same topic, with a difference that in group A no intervention used while in group B humor was used as an intervention. Record of class attendance was maintained in both the groups and post lecture tests were conducted. Chi-Square test was applied for statistical analysis. In group B not only the attendance of students increased from class 1 to class 4 but was also more as compared to group A in each class and the difference was found to be statistically significant . Post lecture test scores showed that in group A there was no significant difference in marks obtained by students in class 1 and class 4, however in group B in which humor was used it was observed that in class 4 percentage of students getting marks above 50% increased as compared to class 1. We concluded that humor not only increases interest but also promotes learning.

Lymphatic filariasis.

Lymphatic Filariasis / Elephantiasis is a disfiguring illness causing swelling: a chronic disease in which parasitic worms obstruct the lymphatic system, causing enlargement of parts of the body, e.g. the legs. We recently came across a young lady with an advanced stage of disease. Her agony and horrifying look of right leg propelled us to report her case in order to highlight the prevalence of disease and increase the awareness, so that necessary preventive measures can be taken up at an early stage for better community health.

Efficacy of imidacloprid and fipronil gels over synthetic pyrethroid and propoxur aerosols in control of German cockroaches (Dictyoptera: Blatellidae).

Background & objectives: Resistance amongst cockroaches has been reported to most of the spray insecticides apart from the problem of food contamination and inconvenience. Gel baits which can be selectively applied have been found effective in control of cockroaches in laboratory studies but very few field studies are available. This trial was planned to evaluate the efficacy of fipronil (0.01%) and imidacloprid (2.15%) gels over synthetic pyrethroid (0.02% deltamethrin + 0.13% allethrin) and propoxur (2%) aerosols in control of cockroaches in the field. Methods: Survey was done to find out pre-treatment density in catering establishments and houses by visual count and sticky trap methods. A total of 10 catering establishments and 10 houses having high cockroach infestation were selected by sampling (two catering establishments and houses for each insecticidal treatment and two for control). Propoxur and synthetic pyrethroid aerosols were used for spraying the infested sites once only. Single application of fipronil and imidacloprid gels was used as crack and crevice treatment. Visual count method gave better indications of cockroach infestation as compared to sticky trap method, hence, the same was followed for post-treatment evaluation every week up to 12 weeks. Results: Synthetic pyrethroid could not bring about the desired reduction in cockroach infestation in the present study. Single application of fipronil gel was able to reduce cockroach infestation up to 96.8% at the end of 12 weeks whereas imidacloprid application resulted in 90.9% reduction and propoxur resulted in 77.5%. However, propoxur was more effective in reducing the cockroach density by first week in comparison to imidacloprid and fipronil gels but its efficacy started declining after 8th week. Difference was found statistically significant by Kruskal-Wallis H-test. Conclusion: The study reports the efficacy of propoxur aerosol, imidacloprid gel and fipronil gel baits for control of cockroaches.