JMRH Vol. 3 No. 1 (October 2016)
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Item The prevalence and spectrum of atypical glandular cells in Dubai hospital: A local experience(Chitkara University Publications, 2016-10-03) Ravirani Samuel; Manal M.M. Abdulrazzaq; Badr Abdullgaffar; Hassan y. Hotait; Mouza Al-SharhanObjective : This study was undertaken to analyze the prevalence and spectrum of atypical glandular cells to investigate its clinical significance in our population. Study design : A 5 year retrospective review of atypical glandular cells diagnosed on ThinPrep pap test was performed. AGC were reported in 40 patients, who underwent colposcopy- directed biopsy, endocervical curettage and endometrial curettage to determine the cytological and histological correlations of AGC. Results : The prevalence of AGC was 0.2% out of 19836 patients. The patients age ranged from 29 to 81 years (mean age 49.4 years). Significant lesions were defined as Squamous Intraepithelial lesion (SIL), adenocarcinoma in situ (AIS) or invasive carcinoma. This included 2 invasive squamous cell carcinoma of the cervix, 2 high grade squamous intraepithelial lesions, 2 AIS, 5 adenocarcinoma of the cervix, two of which had low grade and high grade squamous intraepithelial lesions one of which was consistent with metastastic colonic carcinoma and 5 endometrial adenocarcinoma, one of which was suspicious of breast carcinoma. The chi-square value was significant at 99% confidence interval. Conclusion : AGC were associated with clinically significant lesions in 40% of our cases.. Significant endocervical glandular lesions occurred in younger women whereas the older women had endometrial lesions.. Patients with AGC should be followed up for a substantial period despite initial negative histological findings.Item Spectacle Compliance in Slum Population of Mumbai: Pilot(Chitkara University Publications, 2016-10-03) Prema Chande; Tupti Khaladkar; Sweta Patel; Vinit ShahBackground Mumbai Eye Care campaign was a mega refractive error project implemented for the slum population of Mumbai from 2009-15. The project was supported by Standard Chartered Bank’s CSR activity Seeing is Believing through Sightsavers. The project design and service delivery was implemented by Lotus College of Optometry. During the first 3 years of the project, spectacles were distributed free of cost to adults by only collecting case paper charge of Rs.10/-/ Hence a questionnaire based study was conducted to assess the spectacle compliance among this population. Methodology Spectacle Compliance questionnaire was designed, validated by Optometry faculty and the same was administered by an Optometry intern. The spectacle compliance and reasons for non compliance was analysed for 200 respondents. Results: Spectacle compliance was found to be 73.48%. Conclusion: Spectacle compliance was found to be high in this study and was single vision near spectacle design showed better compliance.Item Evolution of Responsiveness of Health System(Chitkara University Publications, 2016-10-03) Meenakshi Sood; Preethi PradhanResponsiveness is concerned with meeting the legitimate non health expectations of patients. The paper tries to explain the concept, domains and evolution of responsiveness. WHO concept of responsiveness has been criticized for using a single composite score for comparing responsiveness between countries. In spite of recognizing these issues and after much debate, no empirical research has been undertaken. Hence there is a need to recognize what constituents of responsiveness need to be reorganized, which other elements need to be added to existing WHO proposed elements of responsiveness in culturally, socially, politically different society. The paper through extensive study on responsiveness concludes the need to tailor responsiveness domains according to citizen’s priority in a particular background.Item “Perceived Job Transition Readiness” of Physical Therapy Students in Abha, Saudi Arabia(Chitkara University Publications, 2016-10-03) Khalid A AlahmariStudents gaining professional education in physical therapy and other related health care professions often have high stress associated with a fear of practice. This study tries to examine the “perceived job transition readiness” of physical therapy students in a single cross-sectional study. An ANOVA details the different perceptions among first year students and final year students of physical therapy education. The study points out that, final level students lack role identity in their chosen profession and, they have less confidence about their professional readiness to practice physical therapy than the junior students. The study provides an in depth understanding for the graduates to be that such stress they experience is only momentary and that it is a positive stress that would help them to excel in future.Item Assessing the Knowledge Regarding Breast Self Examination Among Nursing Students in Rayat Bahra University(Chitkara University Publications, 2016-10-03) Jaspreet Kaur Dullat; Aanchal; Amritpal Kaur; Atinderpal Kaur; Bhupinder Kaur; ChanderkantaIn India, the incidence of breast cancer is increasing at an alarming rate and Breast Self Examination is an important method to identify it its earliest stage. Therefore, a study to assess the knowledge of Nursing students regarding Breast Self- Examination was conducted in Rayat Bahra University, Mohali, Punjab. Quantitative research approach was used in the study and using purposive sampling technique, data was collected from the sample of 95 students using structured multiple choice questionnaire. The present study exhibited that most of the students had inadequate knowledge and do not perform Breast Self Examination as a routine. Therefore, there is need to encourage the students to practice it as a routine so that the breast cancer can be detected at an early stage.Item A Survey on Availability and Utilization of School Health Services Among Junior Secondary Schools in Funtua Zone Katsina State, Nigeria(Chitkara University Publications, 2016-10-3) Abdulmalik Sabitu; Magaji Yunusa Matazu; Ibrahim Sukola TambayaThe study investigated the utilization of available school health services among secondary school in Funtua Education Zone, Katsina State- Nigeria. The study adopted a survey research design using a sample of Fifteen (15) junior secondary schools randomly drawn from a population of twentytwo schools in the study area. Three research questions were formulated for the study. School Health Services Availability and Utilization Questionnaire (SHSAUQ) was used for data collection. The instrument was duly validated by experts and a reliability coefficient of 0.85 was established using split half method. The data was analyzed using frequency and percentage count. Results revealed that, School Health Services are available in majority (86.70%) of the schools under study, but there was no enough qualified health personnel for effective utilization of school health services in the study area. It was recommended among others that Katsina State Government through ministry of education should deploy qualified health personnel such as nurses, community health workers in all the school clinics in the state.