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Background: With evolving and advancing civilization, man-made water recreational environments such as swimming pools, not only offer health promotions and social benefits but are also accompanied with health risks. It is necessary to properly manage and consistently monitor swimming pool to make sure about water treatment methods and health, to protect health of the users. This study aimed to assess the health related behaviours in swimming pool users and to study sanitary condition of swimming pool.Methods: A cross-sectional study done in Hubballi city among swimming pool users. A semi-structured pre-tested self-administered questionnaire applied to 200 participants of 3 swimming pools. Data collected regarding socio-demographic details, swimming pool regulations, health related events and health benefits and sanitary conditions of swimming pool.Results: Among 200 participants, 65% were males and 35% were females. 78.5% of the participants had knowledge about swimming pool regulation. 68% had unhealthy habits in swimming pool, among these 62% had at least one reported symptom. 73% of males had unhealthy habits and 57% had at least one reported symptom (p<0.05 significant). As the experience in swimming increases, unhealthy habits decreases (p<0.05 significant) and symptoms will be decreased (p<0.05 significant).Conclusions: In our study majority of the participants had unhealthy habits and knowledge about swimming pool regulations. All swimming pools were chlorinated and pH was maintained within WHO recommended guidelines.
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Introduction: Antimicrobial-resistant HAI (Healthcare associated infection) are a global challenge due to their impact on patient outcome. Implementation of antimicrobial stewardship programmes (AMSP) is needed at institutional and national levels. Assessment of core capacities for AMSP is an important starting point to initiate nationwide AMSP. We conducted an assessment of the core capacities for AMSP in a network of Indian hospitals, which are part of the Global Health Security Agenda-funded work on capacity building for AMR-HAIs. Subjects and Methods: The Centers for Disease Control and Prevention's core assessment checklist was modified as per inputs received from the Indian network. The assessment tool was filled by twenty hospitals as a self-administered questionnaire. The results were entered into a database. The cumulative score for each question was generated as average percentage. The scores generated by the database were then used for analysis. Results and Conclusion: The hospitals included a mix of public and private sector hospitals. The network average of positive responses for leadership support was 45%, for accountability; the score was 53% and for key support for AMSP, 58%. Policies to support optimal antibiotic use were present in 59% of respondents, policies for procurement were present in 79% and broad interventions to improve antibiotic use were scored as 33%. A score of 52% was generated for prescription-specific interventions to improve antibiotic use. Written policies for antibiotic use for hospitalised patients and outpatients were present on an average in 72% and 48% conditions, respectively. Presence of process measures and outcome measures was scored at 40% and 49%, respectively, and feedback and education got a score of 53% and 40%, respectively. Thus, Indian hospitals can start with low-hanging fruits such as developing prescription policies, restricting the usage of high antibiotics, enforcing education and ultimately providing the much-needed leadership support.
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Background: Problems related to sleep and poor sleep quality are important issues for medical students. Poor sleep quality is a stressing and worrying condition that can contribute to the risk factors of medical errors being made, adverse events and attention failure which has an impact on individual’s health, hence the objective of this study was to assess the sleep hygiene among post graduate medical students of KIMS, Hubballi.Methods: A cross sectional study consisting of 260 post graduates of all departments of 1st, 2nd and 3rd year were chosen by convenient sampling method. A semi-structured questionnaire which included socio-demographic data, data to assess sleep quality by Pittsburgh sleep quality index, attention performance by EPSS scale, psychological health by self reported questionnaire 20 and data regarding factors affecting sleep. Data were entered in MS excel and analysed using SPSS software version 21.0 and suitable statistical tests were applied.Results: Our study included 122 male and 138 female post graduates, it was found that sleep quality was better among males. Excessive daytime sleepiness indicating sleep loss, was assessed by using EPSS questionnaire, which showed that in our study that 63.1% have normal attention performance. Score >17 on EPSS was 4.2% which shows that it has a negative impact on sleep hygiene.Conclusions: Poor sleep hygiene may be associated with poor sleep quality and excessive day time sleepiness. Stress and regular exercise were highly associated with sleep quality, the junior post graduates have significantly poor sleep quality than the senior post graduates.
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Back ground: It is human tendency to obey doctor’s advice to get relief from suffering, however once the symptoms subside they don’t follow instructions. In case of chronic diseases such as diabetes, hypertension, cerebrovascular disease the treatment is lifelong and for a quality life the patients suffering with chronic problem should adhere to the treatment guidelines in strict compliance. Unless patient understands the importance of adherence to treatment guidelines it is very difficult to prevent various complications due to diabetes. Objectives: To find out factors responsible for non adherence to treatment and dietary guidelines among type 2 diabetes patients. Materials and methods: 200 known diabetic patients attending diabetic clinic in a teaching hospital were subjected to a pre tested questionnaire and information was collected by interviewing the patients. Results: A total of 200 (101 male and 99 female) patients were studied and assessment of adherence to dietary guidelines and treatment regimen in terms of demographic, anthropometric, nutrition survey, treatment and preventive and personal care was done. Adherence to dietary and treatment guidelines was significantly high in literate group to that of illiterate group, with ‘p’ value < 0.0005. Strong family history in male sex with chi square value after Yates correction 19.49 and ‘p’ value was <0.00001. Gundala S, V.V. Sastry, T. Manmohan, V. Geeta. A study on adherence to dietary guidelines, treatment and preventive care among diabetic patients. IAIM, 2016; 3(5): 166-173. Page 167 Conclusion: Compliance or adherence problems are common in diabetes management. Many factors are potentially related to these problems, including demographic, psychological, social, health care provider and medical system, and disease- and treatment-related factors. Literacy is showing a positive impact as higher the literacy, higher is the adherence for treatment guidelines.
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Acute promyelocytic leukemia (APL) is a subtype of acute myeloid leukemia (AML) in which abnormal promyelocytes predominate. APL is rare in children (approximately 10% of childhood AML) and is characterized by a higher incidence of hyperleukocytosis, an increased incidence of microgranular morphology, the presence of balanced t(15;17)(q22;q11.2-12) translocation, and more frequent occurrence of the PML-RARα isoforms bcr 2 and bcr 3 compared to adults. The cytomorphology of microgranular variant blasts is obviously different from AML M3 blasts; these cells have a nongranular or hypogranular cytoplasm or contain fine dust-like cytoplasmic azurophil granules that may not be apparent by light microscopy. This case report emphasizes the importance of a high index of suspicion for the diagnosis of APL, the hypogranular variant in particular. They are responsive to differentiation therapy with all trans-retinoic acid and complete remission in seen in >80% cases.
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Child , Humans , Leukemia, Promyelocytic, Acute/epidemiology , Leukemia, Promyelocytic, Acute/geneticsABSTRACT
Del(5)(q) is a common chromosomal abnormality with favourable prognosis in Myelodysplastic Syndrome (MDS) and Acute myeloid leukemia (AML). However, del(5)(q) is also seen rarely in Acute lymphoblastic leukemia (ALL) and its significance remains poorly understood. We present here, a case report of diagnosis of an adult 75 year old patient of ALL with a cytogenetic abnormality of del(5)(q32). His clinical features, morphology and immunophenotyping findings were suggestive of T-ALL. Relevant literature has been reviewed and discussed.
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A 55-year-old lady presented with a large skin colored growth on her vulva since the age of 15 years, which gradually increased to the present state, with the development of a new lesion on her left thigh. There were no systemic symptoms. Biopsy followed by immunohistochemistry showed features consistent with a granular cell tumor.