RÉSUMÉ
Background: In the textile industry, male migrant workers from other Indian states predominate. Workers are more vulnerable to occupational hazards due to poor working conditions, such as long hours and workplace annoyances. These include noise, high temperatures, humidity, chemical fumes, and cotton or synthetic dust, which harm their health. This study investigated the morbidity patterns of textile migrant workers in Surat. Methods: From April to November 2017, cross-sectional research was conducted in three blocks, utilizing multistage stratified cluster sampling to survey 348 TMWs. A pre-tested and pre-designed structured questionnaire was developed to collect data on three types of textile units: yarn, weaving, and processing. A bivariate and binary logistic regression examined the relationship between the self-reported prevalence of occupational morbidities (outcome variables) and occupation-related factors (predictor variables). Results: Occupational morbidities affect 95% of workers. Self-reported morbidities include musculoskeletal morbidities (72.7%), respiratory morbidities (21.9%), ophthalmic morbidities (27.6%), skin morbidities (23.9%), and ENT problems (18.4%). Those working in weaving manufacturing units are 10% more likely to have ocular disorders (P<0.05). Those who engage in printing and dyeing processing units have a 27% higher chance of developing respiratory morbidities (P<0.05). Conclusions: The prevalence of occupational morbidity is significantly higher among textile workers. The hazardous risk factors responsible for these morbidities can be mitigated by improving working conditions and implementing suitable protective measures for textile workers. Intervention initiatives are required to address textile workers’ health concerns.
RÉSUMÉ
Purpose: The aim of this diagnostic observational study was to assess the spread and biological behavior of gallbladder cancer using 64-slice computerized tomography (CT) scanner in this particular geographic belt (eastern Uttar Pradesh, western Bihar, and northern Madhya Pradesh provinces of North India). Indians are ethnically and culturally different from their Western counterparts among whom the incidence of this disease is comparatively low. Subjects and Methods: After systemic examination, all patients (87) were subjected to ultrasonographic examination. All cases were histopathologically proven. Confirmed cases were subjected to volumetric CT examination of abdomen and pelvis, plain, post contrast and delayed phase. Results: Majority of the cases were adenocarcinoma. There was female preponderance with majority belonging to fifth and sixth decades. Commonest presentation was diffuse, irregular, enhancing wall thickening in 49.4%. Majority had invasion of liver parenchyma (74.7%). Cholelithiasis was seen in 48.3% cases. Invasion of biliary radicals was high (13.8-18.4%). Eleven cases had invasion of portal vein and tumor thrombus, with hepatic artery invasion in one case. In two cases, both hepatic artery and portal vein invasion was seen. Portal and peripancreatic nodal metastasis was seen in 58.5%. Distant metastasis was reported. Conclusion: Few studies involving the Indian population have attempted to use multi-row detector CT to define the biological behavior of carcinoma gallbladder. The opinion whether the pathology is operable or non-operable can reasonably be given. This large-scale, single-center study gives insight about the epidemiology and biological behavior of carcinoma gallbladder.