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Search Results: 1 - 10 of 145669 matches for " Deepak B Phalke "
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Shubhada S. Avachat,Vaishali D. Phalke,Deepak B. Phalke
Pravara Medical Review , 2009,
Abstract: Prevalence of malnutrition is very high in India; especially in rural area. A cross sectional study was done in randomly selected six villages to estimate the prevalence and demographic and socioeconomicfactors associated with malnutrition. The prevalence of malnutrition among the under five children was 50.46%.Children from lower socioeconomic status, with low birth weight were significantly malnourished.
Jayant D Deshpande,Deepak B Phalke,Vaishali D Phalke
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i3.368
Abstract: Background: Cervical cancer caused by infection with a sexually transmitted agent human papillomavirus (HPV), can be readily prevented by identifying and treating women with HPV-induced precancerous lesions of the cervix. Objective: To study the profile of cervical smear cytology in rural women in western Maharashtra. Methods: The study was designed to look at the previous reports of the Pap smear present at the health center Pravaranagar in rural area of Western Maharashtra. The reports of 186 smears were analyzed. Results: Maximum numbers of the women (70.43%) were less than 40 years of age. Majority of the women were from lower socio-economic status. There were 29.03 % Pap smears, negative for intraepithelial lesion. Intraepithelial neoplasia of various grade and invasive cervical carcinoma were diagnosed in some cases. Other infections were also detected on Pap smear like bacterial vaginosis, candidial infection and trichomonas vaginalis infestation. Conclusion: An Awareness and education program needs to be implemented to target women about cervical cancer and Pap smear screening. The goal of any screening programme should be to pick up majority of the precursor lesions and not frank cancers; it is desirable to initiate Pap smear screening in women from lower socio-economic status before the 40 years of age.
The Sanitary Condition of Food Establishments and Health Status and Personal Hygiene among Food Handlers in a Rural Area of Western Maharashtra, India
Jayant D Deshpande, Deepak B Phalke
Asian Journal of Medical Sciences , 2013, DOI: 10.3126/ajms.v4i2.7895
Abstract: Background: Foodborne disease occurs in mass catering establishment that is not complying with sanitary and hygienic food handling and preparation. Objective: Objective of the present study was to explore the status of sanitary condition of food establishments and to assess hygienic practices among food handlers. Material and Method: A cross-sectional study design was used to assess the sanitary condition of food establishments and personal hygiene of food handlers. Data was collected with the help of structured and pre-tested questionnaires. The questionnaire also allowed the interviewers to record their observations. All the data obtained was entered into Microsoft Excel and analyzed using the software StatistiXL version 1.8. Result: Separate kitchen and Onsite solid waste storage containers/receptacles were available in 4(16%) establishments. Provision for heating devices for cooked food was available in 5(20%) establishments. Wash basin present with soap were available in 10 (40%) of the food establishments. Sweeping and washing floor with water and disinfectant was done in 8(32%) food establishments. Male and female food handlers’ have equal percentage of morbidity and this difference was not statistically significant (χ2=0.0329, p=0.84), but anaemia was significantly higher among female food handlers (χ2=6.30, p=0.01). Poor hygienic practices were significantly associated with presence of infectious diseases like ARI, diarrhoea, dysentery and skin infections. (χ2=5.71, p=0.017). Conclusion : Food establishments in the study area were found to have poor sanitation and were not maintained well. The health status and the level of personal hygiene of the food handlers in the eating establishments were found to be unsatisfactory . There is need of enforcement of sanitary provisions and educating the food handlers about personal hygiene. DOI: http://dx.doi.org/10.3126/ajms.v4i2.7895 Asian Journal of Medical Sciences 4(2013) 23-29
A cross-sectional study of socio-demographic determinants of recurrent diarrhoea among children under five of rural area of Western Maharashtra, India
Shubhada S Avachat,Vaishali D Phalke,Deepak B Phalke,Syed M M Aarif
Australasian Medical Journal , 2011,
Abstract: BackgroundAbout 2 million episodes of diarrhoea occur each year inIndia. Of the 6.6 million deaths among children aged 28days to 5 year; deaths from diarrhoea are estimated toaccount for 1.87 million. An average Indian child less than 5years of age can have 2-3 episodes of diarrhoea. Mother'sliteracy, family income, feeding practices, environmentalconditions are important determinants of the commonchildhood infection like diarrhoea. The present study wasundertaken to study these important determinants ofrecurrent diarrhoea among children under five in a ruralarea of western Maharashtra, India.MethodA cross-sectional study was conducted in six randomlyselected villages of Ahmednagar district in westernMaharashtra, India. Three villages from two primary healthcentres and 652 children under five from these villageswere chosen by a simple random sampling technique (everyfifth child enrolled in Anganwadi). House-to-house surveywas done and data was collected by interviewing themothers of these children. Nutritional status was assessedby measuring the weight and mid-arm circumference of thechild. Statistical analysis was done with Microsoft Excel andStatistiXL 1.8 using percentage, proportions and chi-squaretest wherever applicable.ResultsThe prevalence of recurrent diarrhoea was 9.81%.Recurrent diarrhoea was more common in the age group of13 - 24 months (29.6%) and 25 – 36 months (23.4%) andchildren belonging to lower socioeconomic class (64%).Malnutrition was significantly associated with recurrentdiarrhoea and 21% of malnourished children had the same.Recurrent diarrhoea was significantly more common(39.1%) among children with introduction of top-up feedsbefore four to six months.ConclusionLow socioeconomic status, bad sanitary practices,nutritional status and weaning practices significantlyinfluence the prevalence of recurrent diarrhoea.Word count: 1667Tables: 3
Prescription writing practices in a rural tertiary care hospital in Western Maharashtra, India
Vaishali D Phalke,Deepak B Phalke,Syed M M Aarif,Anjeney Mishra
Australasian Medical Journal , 2011,
Abstract: BackgroundPrescription is a written order from physician to pharmacistwhich contains name of drug, its dose and its method ofdispensing and advice over consuming it. The frequency ofdrug prescription errors is high. Prescribing errorcontributes significantly towards adverse drug events. Thepresent study was undertaken to understand the currentprescription writing practices and to detect the commonerrors in them at a tertiary health care centre situated in arural area of Western Maharashtra, India.MethodA cross sectional study was conducted at a tertiary levelhospital located at a rural area of Maharashtra state, Indiaduring October 2009-March 2010. 499 prescriptions comingto medical store during period of one month wereconsidered for data analysis. Important informationregarding the patient, doctor, drug and the generaldescription of the prescription were obtained.ResultsAll the prescriptions were on the hospital pad. A significantnumber of the prescriptions (n=88, 17.6%) were written inillegible handwriting and not easily readable. The name, ageand sex of the patient were mentioned is majority of theprescriptions. All the prescriptions (100%) failed todemonstrate the presence of address, height and weight ofthe patient. Only the brand name of the drugs wasmentioned in all the prescriptions with none of them havingthe generic name. The strength, quantity and route ofadministration of the drug were found on 73.1%, 65.3% and75.2% prescriptions.ConclusionThere are widespread errors in prescription writing by thedoctors. Educational intervention programs and use ofcomputer can substantially contribute in the lowering ofsuch errors. A short course on prescription writing beforethe medical student enters the clinical field and strictmonitoring by the administrative authorities may also helpalleviate the problem.Word count: 2980Tables: 2
Jayant D Deshpande,Padmakar K Baviskar,Deepak B Phalke
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i4.424
Abstract: Background: Burns represent one of the major health problems in India.Objective: To study some of the important epidemiological factors in relation to burn cases. Methods: Present study was retrospective study of all burn injury cases admitted hospital situated in rural area. The information obtained was tabulated analyzed using the software GraphPad Instat. Results: Overall female burn patients were significantly higher than male. Majority of female patients had total burn surface area more than 35% whereas 48.70% of the male patients had a total burn surface area more than 35% ( 2= 7.99, p = 0.005). Thermal burn was the commonest cause of burn followed by scalds. In majority of the patients (91.8%) burns were caused by flame occurred at home.Conclusion: Public education on safer first-aid practices and availability of good burn care facilities is necessary.
Profile of Cancer Cases at a Tertiary Care Level Teaching Hospital in Rural Western Maharashtra, India
Jayant D Deshpande , Kailash K Singh , Deepak B Phalke
National Journal of Community Medicine , 2012,
Abstract: Background: Cancer is one of the major public health problems worldwide. Prevalence and pattern of cancer is known to vary from region to region. Epidemiological information on cancer including the pattern is an important basis for determining the priorities for cancer control in any population group. Objective: Present work is an attempt to study magnitude, profile and some epidemiological aspects in relation to cancer cases at a tertiary care level teaching hospital in rural area. Method: All records were studied and analyzed. A total of 1106 patients were treated during the period studied. A proforma was used to collect data such as age, sex, place of residence, type of cancers and treatment given. The data collected were entered into MS-Excel sheets and analysis was carried out. The information obtained was tabulated analyzed using the software GraphPad Instat demo version. Results: A total of 1106 cancer patients were treated during the January 2010 to December 2010. Among these, 626(56.60) were females and 480(43.39) were females. In males, the common cancers were oral cavity cancers, lung cancers and GIT cancers. The most common cancers among females were the cervical carcinomas, which constituted 32.10% of the total number of cancers cases followed by cancers of breast. Almost 2/3rd of cases occurred in the age group of 41 to 70 years. Maximum frequency was observed in 51–60 year age group in both sexes. Maximum numbers (74.59%) of the cases were from rural area. The main methods of cancer treatment were surgery, chemotherapy and radiotherapy, used alone or in combination. Conclusion: Tobacco and alcohol related cancers predominated in males. In females, cervical cancer predominated over breast cancer. Human behavior is a major determinant in the successful control of cancer. Understanding cancer magnitude, risk and trends will be of help in cancer control.
Pattern of oral cancer registered at a tertiary care teaching hospital in rural Western Maharashtra
Purushottam A. Giri,Kailash K. Singh,Deepak B. Phalke
International Journal of Research in Medical Sciences , 2013, DOI: 10.5455/2320-6012.ijrms20130801
Abstract: Non-communicable diseases including cancer are emerging as major public health problems in India. Cancer usually means malignancy, has become one of the ten leading cause of death in India. The leading sites of cancer vary from country to country. Oral cancer ranks in the top three of all cancers in India, accounting for over 30% of all cancers reported in the country and its control is quickly becoming a global health priority. The present study was conducted to find out the contribution of different type of oral cancer in a tertiary care teaching hospital of western Maharashtra, India. A retrospective hospital record based study was carried out for the period of 2007-2011 in the department of Radiotherapy of Pravara Rural Hospital, Loni, Maharashtra, India. A total of 5879 patients who were diagnosed with cancer, of them 633 (10.76%) patients had oral cancer. Data was collected on the basis of the patient s record in the hospital and analyzed in the form of percentage and proportions whenever appropriate. A total of 633 oral cancer patients were screened, of which 411 (64.93%) were males and 222 (35.07%) were females. Among oral cancer, buccal mucosa was highest (37.12%); followed by tongue (36.80%), oropharynx (4.74%) and lip and palate (3.15%). Oral cancer is one of the common malignancies in developing countries like India. It is common in males compared to females and is usually seen after middle age. [Int J Res Med Sci 2013; 1(3.000): 233-236]
Study of Tuberculosis cases under RNTCP attending Designated Microscopy Centre at Pravara Rural Hospital, Loni
Phalke Deepak Baburao,Palve Sachin Bhaskar,Phalke Vaishali Deepak,Sharma Y V
Pravara Medical Review , 2009,
Abstract: Pulmonary Tuberculosis is most common form of tuberculosis (TB). The present study was conducted to study the TB cases attending DMC cum DOTS centre at PRH, Loni. It is a retrospective record based study. TB patients information was collected from the record registers at DOTS centre. Out of 611 patients diagnosed, 188 (30%) are from the age group 0- 10 years. Extrapulmonary TB patients were more 222(36%). New smear positive TB cases were 196 (32%). Total 61% patients were categorized in CAT- I, 9% in CAT-II & 30% in CAT III. Treatment completion rate was 93.69%. In view of the high success of DOTS strategy, the same is recommended to be continued. For transferred cases, a better system of follow up may be explored for monitoring all these cases.
Nadeem Ahmad,D.B.Phalke
Pravara Medical Review , 2009,
Abstract: The mental health of the child affects his physical health and the learning process. The present study was conducted to study the health status and etiological factors among 58 mentally challenged children in school for mentally challenged at Sangamner. Majority of mentally challenged children (68.0%) were in 5-9 years age group. Most of them had moderate retardation. (43.0%) In majority of children (70.68%)no clinical syndrome was present. Most common clinical syndrome was Down’s syndrome (17.23%),followed by Fragile X syndrome (6.89%). More than sixty percent children were off springs of consanguineous marriages. Idiopathic causes (63.8%) followed by genetic causes (29.31%) were common etiological factor responsible for mental retardation. Mental handicap can be prevented by genetic counseling.
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