Pattern of patients attending COVID 19 screening clinic: SWOT analysis of a salutogenic endeavour in North Bengal Medical College, Darjeeling district, West Bengal.

Background: COVID-19 pandemic is a unique public health challenge causing unprecedented disruptions in normalcy. Low-and-middle-income countries need more context-relevant approaches since a majority of the world population lives here. Pandemic response in India was graded, and routine healthcare came to a screeching halt. COVID 19 Screening clinic was initiated with the intent to screen suspects and provide needful care after required consultation. It imparted preventive health education and addressed relevant queries, alleviating stress in the process. The second wave hit hard despite vaccination. Objectives: To determine the pattern of patients attending, to conduct SWOT analysis for an insight into clinic functioning and to generate a database for further simulation were primary objectives. Methods: Descriptive cross-sectional hospital-based secondary data analysis was conducted in North Bengal medical college and hospital (NBMCH) for three months with the help of preformed proforma, interview guide and available records. An exit interview was conducted. Willing participants were enrolled. Verbal consent and Institutional Ethics Clearance were taken. Results: An induction program was held every two months by the Department of Medicine, NBMCH. The clinic recorded 60,427 cases from 23rd March 2020 to 28th February 2021. The majority were males, Hindus and from rural areas of the Darjeeling district. 60.4% were symptomatic. Total cases quarantined, tested and admitted were 39.8%, 74.9% and 34.7%, respectively. However, unlike before, from September, 80.1% of the cases were symptomatic, and the majority came only for testing as national lockdown had ceased. SWOT Analysis revealed Strength as being able to operate 24*7 with coordination among all tiers of health care workers. Select seniors helped in its smooth conduction. The Weakness identified was clinic location beside the emergency, creating confusion.

Study on intimate partner violence against rural tribal women of reproductive age group in siliguri subdivision of Darjeeling District, West Bengal.

Background: Since the early 1990s, several milestone international declarations have recognized violence against women as a violation of human rights. Intimate partner violence (IPV), often used synonymously with domestic abuse or domestic violence against women, is a big burden to our society which manifests itself in many forms and it has its existence in every corner of the world irrespective of all the boundaries. Objectives: The objective of this study was to find out the prevalence of IPV against reproductive age group tribal women in Siliguri subdivision of Darjeeling district. Methodology: A cross-sectional study was carried out among 360 tribal women aged between 15 and 49 years residing at selected villages across Siliguri subdivision. Data regarding IPV were collected using the Indian Family Violence and Control Scale questionnaire. The data were analyzed using SPSS version 20 and multi-variable logistic regression was done to find out factors associated with domestic violence. Results: The study revealed that 70.3% of women had experienced domestic violence in any form in their lifetime. Logistic regression revealed that IPV was significantly associated with: age between 30 and 49 years, education above primary school, unskilled occupation, ₹ 2500 and above per-capita monthly income, and participants who are separated/broken up. Among the factors related to the male partner, literacy above primary school level was associated with experience to domestic violence. Conclusion: Domestic violence in all its manifestations was found to be present in the study population. The report may offer policymakers fresh perspectives on how to allocate funds for the complete elimination of domestic violence against women.

Trend and pattern of various types of cancer with special reference to gall bladder cancer in north bengal medical college, west bengal, India: a 3 years record based study.

BACKGROUND: Global burden of cancer is on rise and trends and pattern of cancers are rapidly changing different geographic and population groups. Gall bladder cancers are emerging with increasing proportion among select areas and groups and understanding these variations are important for appropriate strategies and interventions. However, absence of a well-developed universal cancer registry system in India, institution based secondary data analysis can generate useful information. The present study was conducted to determine the trend and pattern of cancer cases (with special reference to gall bladder cancer) treated in a tertiary care hospital in northern part of West Bengal. METHODS: Record based cross-sectional study was conducted in Department of Radiotherapy, North Bengal Medical College and Hospital. All newly registered cases between (2010 and 2012) were reviewed. RESULTS: A total of 2058 cancer cases were recorded during the 3-year period. Of these, major types of cancers were oro-pharynx (16.1%), breast (15.4%), cervix (13.2%), lung (12.7%), gall bladder (6.5%) stomach cancer (6.4%), etc., Increasing proportions was observed for breast and gall bladder cancers. The proportion of gallbladder cancer cases in 2010, 2011, and 2012 were 3.8%, 7.3% and 7.8%, respectively. Among 134 gall bladder cancer cases, 93.3% were females, 85.1% alcoholics, 57.4% had a history of fatty liver, 94% had adeno/adenosquamous carcinomas, and 65.7% were metastatic in nature. CONCLUSIONS: Increasing trend is observed in gall bladder cancer cases emphasizing the need for further large scale studies.