ABSTRACT
OBJECTIVE: To determine whether interactional group discussions could reduce prescriptions of injections by physicians. STUDY DESIGN: Randomized controlled trial. SETTING: Rural public health care facilities, North 24 Parganas district, West Bengal, India. SUBJECTS: 72 medical officers, 36 each in intervention and control groups. INTERVENTION: Interactional group discussions. OUTCOME MEASURE: Proportion of prescriptions including at least one injection. RESULTS: In the intervention group, 249 of 1,080 prescriptions (23%) included at least one injection compared with 79 of 1,080 prescriptions (7%) before and after the intervention, respectively. (RR: 0.32, 95% CI: 0.25-0.40). In the control group, 231 of 1,080 prescriptions (21%) included at least one injection before the intervention vs 178 of 1,080 prescriptions (16%) after the intervention (RR 0.77, 95% CI: 0.65-0.92). CONCLUSION: Interactional group discussions reduce prescription of injections.
Subject(s)
Education, Medical, Continuing , Injections , Adult , Female , Health Knowledge, Attitudes, Practice , Humans , India , Injections/statistics & numerical data , Male , PhysiciansABSTRACT
A 39-year-old male presented with a mass arising from the nasal columella for last 8 months. The mass was lobulated, dark red in colour, firm in consistency and approximately 3 cm in diameter. It was attached to the columella of the nose by a narrow stalk. The mass was excised completely under general anaesthesia and histopathological examination suggested it to be a case of capillary haemangioma.
