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.
Introduction: Leprosy is a chronic infectious disease caused by Mycobacterium leprae and widely prevalent in India. Deformities are the common complications of leprosy. Plantar ulceration is the commonest serious disability in leprosy and they occur in about 10-20% of leprosy patients. Objectives: This study was planned to know the pattern and complications of leprosy and to ascertain the socio-demographic profile of Leprosy cases. Methods: A record based cross-sectional study was conducted for 3 months in 2019. All the registered cases of Leprosy patients at the Leprosy Clinic, Jesu Ashram, Siliguri, West Bengal, during last 3 years (2016 -2018 were included in the study, and their relevant records were reviewed using predesigned schedule. Collected data were analyzed using appropriate statistical measures. Results: There were total 884 cases. Male to female ratio was 2.14:1. Total 1.4% were children. 162 (19.2%) patients gave family history of leprosy, 531 (62.9%) were from rural area. The most common type was Multi-bacillary leprosy 659 (78.1%). Total 695 (82.3%) of the patients had Plantar ulcer deformity and 819 (97%) of the cases had absent nerve sensation. Conclusion: Majority of patients had plantar ulcer deformity. It indicates that the patients were not aware of it & not sought the consultation for the same at the earliest. Cases of Multi-bacillary (MB) leprosy are predominant. There is a need of strong follow-up system for defaulters in order to reduce the deformities.
Background: Lymphatic filariasis, commonly known as elephantiasis, is a neglected tropical disease. Evaluation of mass drug administration (MDA) is done internally by the health authorities and externally by independent agencies. This paper reports the findings of evaluation of MDA conducted in Malda district of West Bengal state in May-June 2015. Objectives: To assess the Coverage & Compliance rates of MDA against lymphatic filariasis and to study the factors influencing non-coverage and non-compliance in Malda district. Materials & Methods: A Community based cross-sectional study was conducted in three selected rural blocks and one municipality. Family was the unit of sampling in the current MDA coverage survey. 30 families in each of four clusters were taken as samples. Cluster sampling technique was adopted. The data was collected in a pre-designed semi-structured proforma from 120 households. Results: 564 eligible population 120 families were studied and 50.53% of them were males. Predominant respondents were male (92%) with average age 40.7 years. The Diethylcarbamazine citrate plus Albendazole coverage rate was 95% and the compliance rate was 71.6%. The major reason for non–compliance was due to fear of side effects amounting to 58%. Only 4 persons reported adverse effects after drug consumption. Conclusion: Though distribution was high, many people were not consuming drugs. Consumption was not properly supervised and there was misconception prevailed among workers about time of consumption. A high level of motivation and commitment from the drug distributors with adequate training is required for ensuring a high coverage and compliance rates. Supervision should be strengthened to improve consumption and misconception should be eliminated through training.
INTRODUCTION: With the increasing trend of nuclear families in the society, the care of older persons in the families gets difcult and they are forced to shift to old age homes. There are lack of close family ties and reduced connections with their culture of origin, which leads to high risk of depression among olders. OBJECTIVE:Determine the Prevalence of depression among the inmates of old-age home and identify associated factors METHODS: Study type and design: 7 Observational study, Cross sectional design Study setting:The study was conducted in Aapnaghar old-age home of Siliguri, West Bengal (The old age home was chosen by lottery method). Study population:In-mates of Aapnaghar old-age home Study period: 2 months Sample size: All inmates of Aapnaghar old-age home was included by complete enumeration method; total 75 participants DISCUSSION:In Mild mood disturbance to borderline clinical depression, 28 (54.9%) patients were Male and 9 (37.5%) patients were Female. In Moderate to severe depression, 15 (29.4%) patients were Male and 15 (62.5%) patients were Female. Association of Gender vs Normal, Mild mood disturbance to borderline clinical depression and Moderate to severe depression was statistically signicant (p<0.0001). In Normal, 6 (42.9%) patients were married, 1 (4.2%) patients were unmarried and 1 (2.7%) patients were others. In Mild mood disturbance to borderline clinical depression, 7 (50%) patients were married, 19 (79.2%) patients were unmarried and 11 (29.7%) patients were others. CONCLUSION: In the current study, the BDI has been utilized to detect the prevalence of depression. Although it is not designed for diagnostic purposes, its epidemiologic utility has been evaluated in several studies. Depression was a common nding among the elderly in old-age home. These results could help to clarify the attributes of target populations for depression and provide insight to prevent depression among elderly
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