OJS

January-March 2022 Issue

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Cervical Cancer screening in a Tertiary care Hospital in Rajnandgaon, Chhattisgarh: Barriers and Challenges in Rural scenario

Meena Armo1Chandrashekhar Indoria2Ekata Thakur1
1- Department of Obstetrics & Gynecology, BRLSABVM Government Medical College Rajnandgaon, Chhattisgarh, India
2- 2- Department of Pathology, BRLSABVM Government Medical College Rajnandgaon, Chhattisgarh, India

Abstract

Background:

Cervical cancer is a potentially preventable cancer, although it is a major cause of morbidity and mortality in resource-poor settings. This study was therefore undertaken to assess the knowledge and practice among rural women regarding cervical cancer screening and its prevention, to find out barriers influence the utilization of screening tests and HPV vaccination. Attempt was also made to identify the risk factors for cervical cancer, to do cytological screening and to detect premalignant, malignant lesions in the study population.

Methods:

It was a cross-sectional questionnaire-based study, conducted from January 2018 to December 2019 in the Department of Obstetrics and Gynecology at Government Medical College & Hospital Rajnandgaon, the only tertiary care center in the district which provides cervical cancer screening facility. A total of 897 women, aged 21-65 years were screened and assessed. Qualitative data were presented as frequencies and percentages by using SPSS version 21.

Results:

Of the total, 6.8% (61) had heard about cervical cancer screening while only 0.6 % (6) women gave history of uptake of some cytological screening in the past. None of them were ever heard of Pap test, HPV DNA test & HPV vaccination. However, 7% (35) out of 506 HPV DNA samples and 8.4% (33) out of 391Pap samples came positive in the study group.

Conclusions:

Effective health education is needed to cross the barrier of ignorance among health care givers and seekers. Strengthening of existing health system, qualitative research, clinical audits in facilities and monitoring are also mandatory.

A CLINICAL STUDY ON VISUAL OUTCOME AND COMPLICATIONS OF PENETRATING KERATOPLASTY

M. L. Garg1, Sushil Sachdeo2, Pratik Brhamane3
1- Director Professor, Department of Ophthalmology JNM Medical College, Raipur
2-Eye specialist, Department of Ophthalmology JNM Medical College, Raipur
3-Senior Resident, Department of Ophthalmology JNM Medical College, Raipur

ABSTRACT

Purpose:

To evaluate visual outcome and complications of Penetrating Keratoplasty.

Methods:

This was a prospective observational case study performed in the Department of Ophthalmology, Pt. J. N. M. Medical College & Dr B. R. A. M. Hospital, Raipur (C. G.) from January 2019 to December 2019. We studied 50 consecutive patients who underwent Penetrating keratoplasty according to inclusion and exclusion criteria.

Results:

Most of the patients in our study belonged to age group of 51-60 years. Mean age was 44.02 ± 8.46. Present study showed female preponderance (52%) in patients who underwent penetrating keratoplasty. Corneal ulcer (48%) was most common indication for penetrating keratoplasty. Most common type of keratoplasty done in our study was therapeutic keratoplasty i.e. 50%. Maximum patients had pre-operative vision of Counting fingers close to face (CFCF) Counting fingers 3 meters i.e. 19 (38%). Maximum patients on 1st post-operative day had visual acuity of Counting fingers close to face (CFCF.)Counting fingers 3 meters in 20 patients (40%). After 1 month, 15 patients (30%) were observed to have visual acuity of Counting fingers close to face (CFCF. Counting fingers 3 meters and on 6th month follow up maximum patients had visual acuity of Counting fingers close to face (CFCF) Counting fingers 3 meters in 13 patients (26%) and Hand movement (HM) in 13 patients (26%). Visual outcome improved at 1 month and 6-month follow-ups in 29 patients.

Most common Complication on first post-operative day in patients who underwent penetrating keratoplasty was found to be graft oedema in 32 patients (64%) while, at one month follow up it was epithelial defect in 18 patients (36%) and at 6th month follow up it was graft oedema, stromal haze, and graft rejection in 11 patients (22%). 39 patients (78%) had clear grafts while 11 patients (22%) had opaque grafts at the end of 6 months.

Conclusion:

PKP has huge success rate and can bring back light into the lives of many patients who have corneal blindness. Majority of patients who have undergone keratoplasty in our study were indoor patients. Most of the patients who were registered for PKP were not reachable or lost to follow up when cornea was available. A better communication process through proper channel of primary health workers, counsellors and institutes can assure regular follow up and guidance of these registered patients to undergo PKP as and when cornea is available.

Neuro myelitis Optica without visual loss in an adolescent boy: A case report

Sunil Jondhale, Associate Professor, Anjali Rachel, Junior Resident, Triply Naik, Assistant
Professor, Tushar Jagzape, Additional Professor, Anil Kumar Goel, Professor Paediatrics
Department of Paediatrics, All India Institute of Medical Sciences, Raipur

ABSTRACT

Neuro myelitis Optica (Devic disease) is a chronic, uncommon demyelinating disorder in children, characterized by recurrent episodes of acute or sub-acute optic neuritis and myelitis and occasionally relapsing course. We report a report a case of an adolescent boy, 11year old with multiphasic Neuro myelitis Optica (NMO) without visual loss along with positive CSF oligoclonal bands and positive NMO- IgG antibody. The child had responded to very well to high dose methyl prednisolone and Rituximab therapy.

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