Effect of saphenous vein space packing in conventional varicose vein surgery

Background: Varicose veins are common. The prevalence has been variously reported from as little as 2% to over 20% in population studies. Management of varicose vein disease has changed drastically over the past decades. Since its introduction, surgery has gone through several stages of evolution until the method of ligation with stripping eventually became and remained the standard for a long time. The objective was to study the effect on Saphenous vein space packing in conventional varicose vein surgery on intra-operative bleeding and post-operative patient recovery.Methods: A prospective comparative study was conducted in JSS Hospital, Mysuru from August 2016 to October 2018. A total of 60 patients were selected for the purpose of the study based on the inclusion and exclusion criteria. The patient was passed on post operative day 2, 4, 7 and 30. The study population was divided into 2 groups, Group 1: 30 patients undergoing varicose vein surgery with packing and Group 2: 30 patients undergoing traditional varicose vein surgery without packing.Results: On pre-operative evaluation of GSV diameter, the mean diameter was found to be 8.20±2.3 mm in the conventional group and 7.30±1.82 mm in vein packing technique. The pain was found to be more in conventional group than Saphenous vein packing technique and score was found to statistically significant between the two groups on day 2 and 4.Conclusions: Saphenous vein space packing is an easy, economical and effective way of reducing post-operative pain in conventional varicose vein surgery.

Impact of gender and mother education status on the immunization status of children in rural areas of Bijapur district, Karnataka, India.

Background: Every child has the right to know and be cared for by his or her parents. The responsibility for the child‟s well-being relies on both parents and the society. Since the ancient times, it is the gender that determines the position of a child in the Indian society. Gender is a common term whereas gender discrimination is meant for women, because females are more often the victims. Objectives of the study were to assess the impact of gender and mother education status on the immunization status of children in the rural areas of Bijapur district. Methods: A community based cross-sectional study was conducted in the rural areas of Bijapur district from the 1st December 2013 to 30th November 2014. A total of 207 children in the age group of 12-23 months from the villages across the district were included in the study as per the immunization coverage guidelines. The data was collected in pretested, semi-structured questionnaire and analyzed using SPSS version-21. Results: Overall 63.3% (68.8% male & 57.2% female) of children was fully immunized and the association between male and female was not statistically significant. The dropout rate for all the individual vaccines was high in the female children. Mother‟s education had significant difference for getting male children fully immunized. The prevalence of gender bias among fully immunized children was 11.6% favoring towards the male children. Conclusions: Though the vaccination coverage of Bijapur district has improved over the years, the coverage is still lagging behind the state average as well as universal immunization programme target of 85% coverage. Gender of the child is one of the factors for the overall lesser coverage of immunization as more number of males was fully immunized than female children.

A study to evaluate the knowledge of ASHA workers on antenatal and postnatal care in Bijapur district.

Background: The discourse on the ASHA’s role centres around three typologies - ASHA as an activist, ASHA as a link worker or facilitator, and ASHA as a community level health care provider. She will counsel women on birth preparedness, importance of safe delivery, breastfeeding and complementary feeding, immunization, contraception and prevention of common infections including reproductive tract infection/sexually transmitted infection (RTIs/STIs) and care of the young child. Hence this study was conducted to evaluate the knowledge of antenatal and postnatal care of ASHA workers. Methods: A cross sectional study was done on 132 ASHA workers selected from 5 random PHCs in Bijapur taluk. Data was collected in a prestructured proforma using interview technique from June to October, 2012. Results: Most of the ASHA (68.1%) considered minimum of 3 postnatal visits after the normal vaginal delivery. Around 73.4% were aware that the new born child is to be wrapped up in the cloth soon after birth to prevent hypothermia. Majority (735.%) were aware about the duration of exclusive breastfeeding to be practiced by the lactating mother. 69.7% of the respondents said the duration of breastfeeding should be between 18-24 months. Conclusions: Self-explanatory, specific financial guidelines should be made available within time to the programme managers. Under the cascade model of training to the ASHA, trainings should provide complete knowledge and skills to the trainees within the stipulated time. Quality of training should be enhanced and refresher trainings should be planned regularly.

Assesment of Roles and Responsibilities of ASHA workers in Bijapur taluk of Karnataka .

The discourse on the ASHA’s role centres around three typologies - ASHA as an activist, ASHA as a link worker or facilitator, and ASHA as a community level health care provider. She will counsel women on birth preparedness, importance of safe delivery, breastfeeding and complementary feeding, immunization, contraception and prevention of common infections including Reproductive Tract Infection/Sexually Transmitted Infection (RTIs/STIs) and care of the young child. A cross sectional study was done on 132 ASHA workers selected from 5 random PHCs in Bijapur taluk. Data was collected in a prestructured proforma using interview technique from June to October, 2012. Most of the ASHA workers were not aware about the newer roles and responsibilities been implied on them under various national programmes including the immunization guidelines and schedule. All the ASHA workers were aware about the performance based incentive for the their work in the community and its their right to claim that incentive. Under the cascade model of training to the ASHA, trainings should provide complete knowledge and skills to the trainees within the stipulated time. Quality of training should be enhanced and refresher trainings should be planned regularly.

Coverage And Compliance Of Mass Drug Administration For Elimination Of Lymphatic Filariasis In Endemic Areas Of Bagalkot District, Karnataka.

Abstracts: Backround:Mass d-rug administration (MDA), for control of filariasis was launched by government of India in 1996. Under this programme, all the beneficiaries in the age group of 2 to 60 years (excluding pregnant mothers, people above 60 and having other illness), will be administered. Filariasis being endemic in the District Methodology: The MDA was carried out in the district in the month of May 2014. This study was conducted To assess the coverage and compliance of MDA in Bagalkot district in the year 2014. After visiting the selected cluster ( 3 rural and 1 urban) the information was collected from the 30 houses in each cluster randomly.Results : Out of 720 population surveyed 353 (49.02%) were males and 367 (50.98%) were female ,3.1% of geriatric population were given the drugs . 406 (56.4%) had taken full course, 58 (8.1%) had partially taken the drugs while 256 (35.5%) had either not received the drugs or had not taken the tablet. Though the coverage was high, the compliance was only 56.4 %, which is much below the target of 85%. Main reason for noncompliance was lack of adequate information .Conclusion :Effective drug delivery strategies such as proper area demarcation, repeat house visits have to be done to improve coverage. Training of drug distributors to improve interpersonal communication & effective IEC activities are to be emphasized to improve compliance & achieve elimination of filariasis.

Establishment of social clubs as a potential tool to educate adolescents living in urban field practice area of Shri BM Patil Medical college, Bijapur.

Introduction: Globally half of the new HIV/AIDS cases are among the age group of 15 to 24 years and the greatest hope for changing the course of epidemic lies with the same agegroup. Within this age group, adolescents are more vulnerable to HIV infection as they do not have access to appropriate information or awareness of the dangers of high risk behavior. Objectives: Utilization and Impact of Social Clubs on imparting Knowledge to the Adolescents regarding HIV/ AIDS. Methodology: The study was conducted from Dec 2012 to Nov 2013. Assuming a 30 per cent prevalence of knowledge on HIV/AIDS, 95 per cent confidence interval and 15 per cent allowable error and 10 % dropout rate the calculated sample size was 438 adolescents Results: Out of 438 enrolled adolescents in the social club, 64 per cent participated in vocational training courses (62% girls and 38% boys) and also they participated in recreational activities and AIDS education sessions. The remaining (36%) participated only in recreational activities.88 per cent of adolescents attended more than 75 per cent of educational sessions held while 10 Per cent attended only 50 to 75 per cent of AIDS awareness sessions. Conclusion: The social clubs seem to have potentials to improve HIV/AIDS awareness among adolescents to adopt a healthy lifestyle and can be utilized to address various issues related to adolescents.