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The unmet needs of breast cancer survivors are not being addressed as the number of survivors continues to climb. Aim and Objective: To determine the prevalence of post-treatment unmet needs and association between unmet needs of breast cancer survivors with selected demographic variables. A descriptive research study was conducted in a tertiary care hospital's oncology outpatient clinic and wards. Materials and Methods: Data was gathered in two sections: I – baseline data, and section II – Modified needs assessment questionnaire. 35 needs were categorized as physical, emotional, family, spiritual, practical routine, and sexual relationship needs, with ‘Yes’ scored as ‘1’ and ‘No’ scored as ‘0’. Data was collected for one month. Data tabulation and analysis was done. Results: The majority of BCS had a monthly income of Rs.3000- 10000/- (50.8%) and menopause had occurred in 54 (45%) of the women under the age of 45. Majority 65 (78%) did not have health insurance, whereas 42 (35%) had it. Majority 108 (90.33%) breast cancer survivors had high level of needs, whereas 12 (10%) had moderate level of needs. High physical needs reported by 87 (72.50 %) and 32 (26.67%) moderate physical needs. All 100% BCS reported high emotional need. Whereas 2(1.67%) less need, 14(11.67%) moderate, 56 (46.67%) high needs and 48 (40%) very high reported family and spiritual need and 39 (32.5 %) BCS reported moderate level of practical needs. Participants 14(11.67%) less needs, 39 (32.50%) moderate, 22(18.33%) high and very high 8(6.67%) reported practical needs. 100% of breast cancer survivors (BCS) reported physical includes Hot flashes, a change in appetite or eating pattern. High emotional needs followed by physical needs. Family and spiritual requirements of BCS were found to be strongly related to age, P 0.036. Age, education, occupation, income, stage of cancer, and health insurance are not associated with the overall and physical needs of breast cancer survivors (p > 0.05). Conclusion: Breast cancer survivors' needs are more prevalent and have an impact on quality of life, prognosis, and recovery of clients. Real, appropriate assessment of breast cancer survivors needs is an important steps in development of need base intervention to improve quality of life. As a result, health care providers should address the needs of BCS patients as soon as possible in order to make better use of scarce health resources.

Background: Almost a quarter of India's population comprises of girls below 20 years and dysmenorrhea is a common problem among them. The magnitude of this problem is not clearly known in India. Objective:To estimate the prevalence and impact of dysmenorrhea and its associated symptoms among adolescent girls residing in slum areas of Vadodara city, Gujarat. Materials and Methods:A cross-sectional study, a part of field training of third-year medical students where adolescent girls (14-19 years) who experienced menarche for minimum of 1 year at the time of the study, residing in slum areas of Vadodara city were selected purposively and enrolled a sample of 100 adolescent girls. For compiling data, pretested oral questionnaire was used after obtaining written consent from the participants.Result: Prevalence of dysmenorrhea was 75%, which is significantly higher among the girls with family history of dysmenorrhea. School absenteeism in 65%, decreased school performance in 56%, adverse effect on daily routine in 73%, and affected social relations in 64%. Prevalence of associated menstrual symptoms 57% in which most common physical and psychological symptom was lower abdominal pain (42%), and emotional instability (46%), respectively. For relief, only 5% girls consulted the doctor, 28% girls resorted to self-medications whereas almost 65% girls resorted to self-help techniques such as rest and home remedies (e.g., hot fomentation and eating fenugreek). Conclusion:Considering higher prevalence of dysmenorrhea, education on reproductive organs and reproduction to the young girls in their important phase of life is needed to prevent unnecessary suffering and interruptions in their education and daily life.

Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice.

Background: Catastrophic potential of the pandemic of AIDS may still not have been fully apprehended in 21st century, even though disease was exploded since 1981. Lack of public health awareness is only identifiable factor that is responsible for disastrous effect of HIV/AIDS. It is more even danger if future doctors unaware of diseases dynamics of HIV infection or AIDS diseases. So, the current study was planned to know level of awareness regarding of HIV/AIDS among medical and paramedical students of Sumandeep Vidhyapeeth University.Methods: Two hundred and eighty five students of Sumandeep Vidhyapeeth University were interviewed with the help of pre-designed questionnaire to know the awareness of HIV/AIDS among students.Results: The students were knowledgeable about causative agent and modality of diagnosis. However, only half of students were agreed with the fact that, the treatment is available for AIDS. On contrary, 24.60% students had wrong belief that the vaccine against HIV/AIDS is available. A very few number of students had the misconceptions about modes of transmission. Knowledge of prevention of HIV infection was good among students. Media and doctor/ health worker were the most frequently reported sources of information as reported by 56.49%% and 34.39% of the students respectively.Conclusions: The students had a satisfactory knowledge on many aspects of HIV/AIDS, but also along with some misconception about transmission of disease.

Background: Absenteeism is defined as a habit of staying away from the regular classes without providing a genuine or any reason for not attending classes. If Medical student is unable to attend the classes, it is not only loss for him or her family but also to the whole society. Materials and Methods: It was a Cross sectional study conducted among medical undergraduates at Private Medical College of central Gujarat during April to September 2018. Total 238 students having attendance less than 75% were approached from all batches. Number of responses was taken as a denominator to calculate the percentages. Results: 73% of students joined MBBS by self-motivation followed by Parents' wish (21%). The main reasons for less attendance were Classroom related (non-functioning Air conditioner (57%), audiovisual aids (15%), ventilation & hygiene (17%), Colleague related (peer pressure (12%), Faculty related (non-interactive lectures (27%), subject related (boring subject (23%), subject hard to understand (16%). Students spent time on leisure activities (29.2%), sleeping (17.3%) and going home (7.2%) while not attending lectures. 35% students studied the missed topic by self, 41% preferred books and internet and 13% asked classmates. 62% suggested improving the quality of teaching with interactive sessions. Conclusion: Absenteeism was highly prevalent among medical undergraduates. More student friendly infrastructure of classrooms and more interactive teaching with quality presentation might promote students to attend the lectures. Early communication of Attendance to the students as well as parents can be one of the remedial measures.

The rising incidence rate of breast cancer at a younger age is an alarming sign that future              mothers will need to be empowered to recognise breast cancer warning symptoms at an early stage. Aim and Objectives: To assess the knowledge and practice breast cancer and its screening methods, to determine the relationship between knowledge and practice, and its association with demographic variables among engineering girls. Method: Quantitative research approach with cross sectional study conducted at engineering College of Ahmednagar, 100 engineering girls of various branches participated in the study. Responses were recorded on a pretested questionnaire and self-reported practices through online mode and participants were agreed to participate in the study. Knowledge aspects consisted general information of breast cancer, risk factors and signs and symptoms, whereas self-reported practice for breast self-examination, clinical breast examination and mammography. Data was analysed with mean, SD, Chi Square test and Karl Pearson Co-efficient correlation. Result: Mean age of participants was 21 years. Maximum girls from 34% Information and Technology and 25% Electronics and Telecommunication. Maximum engineering girls had good 62%   to average 22% and 16 % poor knowledge. Majority 63% had poor and 36 % average breast cancer screening practices measures. Poor practices for breast self-examination followed by clinical breast examination and mammography. Knowledge was directly associated with education of mothers and Source of information is associated with practises with a significance level of p < 0.05. Knowledge and practises had a positive correlation of “r” =.270. Conclusion: engineering girls had average knowledge and poor practices of breast cancer screening measures.  Knowledge was directly associated with education of mothers and source of information were significantly associated with practices. Future mothers should be empowered through hands on training for breast self-examination and enhanced BSE and CBE will help for early detection for breast cancer among younger girls in future.