Objective: Despite several government initiatives aimed at improving public healthcare services, private-sector has been a dominant player in most of the Indian states. Limited evidence is available on factors that influence choice using or private health which assume significance present context, when willing to purchase care from providers. This subject further explored paper by 71st round National Sample Survey, ‘Key Indicators Social consumption India Health’, 2014.Data sources/study...

Carotid body tumors (CBTs) are rare neuroendocrine neoplasms originating from chemoreceptive paraganglia at the carotid bifurcation. While most CBTs benign and slow-growing, recurrence after surgical resection can present significant clinical challenges due to altered anatomy neurovascular involvement. This case report details management of a 31-year-old woman with left sided recurrent tumour (rCBT) – Shamblin III type. Preoperative imaging, including ultrasound, cerebral angiography,...

Although tobacco deaths rarely make headlines, kills one person every six seconds. Tobacco a third to half of all people who use it, on average 15 years prematurely.

Health promotion is an integral part of routine clinical practice. The physicians' role in improving the health status general population, through effective understanding and delivery practice, evident throughout international literature. Data from India suggest that physicians have limited skills delivering specific services. However, data available on this scarce. This study was planned to document current knowledge, perception practices local primary care Odisha.

"Non-communicable diseases (NCDs) are the raging reality of today's world and have moved up priority list most countries worldwide including India. The government India has launched programs such as National Programme for Prevention Control Cancer, Diabetes, Cardiovascular disease, Stroke, but little is known about preparedness health system to address NCDs.A qualitative study was conducted in states Odisha Kerala document stakeholder perspectives NCDs.The revealed that both a NCD structure...

Chronic venous insufficiency (CVI) is a common clinical problem among obese patients. This study was conducted to evaluate the impact of body mass index (BMI) and associated morbidities such as diabetes, hypertension hypothyroidism on disease scores per Clinical, Etiological, Anatomical, Pathological (CEAP) classification.In this study, adult patients with BMI more than 30 kg/m2 signs CVI were evaluated clinically by using Duplex ultrasonography system. The C0, C1, C2, C3 C4, C5, C6 in CEAP...

Introduction: Patient satisfaction is as important the care itself. When patient has a disease like cancer it becomes even more important. A not only suffers from but also undergoes substantial mental trauma, agony, stress, uncertainty, and apprehension. There are limited studies in India eliciting patient's views on quality of being received by patients. Methodology: cross-sectional triangulation data transformation model mixed method design (Quant + Qual) was used to conduct study between...

HIV/AIDS-related stigma and discrimination together have long been recognized as one of the main obstacles in prevention, care, treatment HIV AIDS. Yet, little has done on a large scale to combat them. Stigma still precludes many need care for people living with HIV/AIDS (PLHIV). The purpose this study was assess social among PLHIV factors influencing it.This hospital-based cross-sectional conducted four hundred attending antiretroviral therapy (ART) center tertiary institute Haryana, India,...

To investigate patients' preference for extraction or preservation toothache and hypothetical anterior tooth pain along with the specific reason their choice.

India remains home to nearly one-third of the world's children with severe and acute malnutrition (SAM). The present study looks at function implementation a Community Management Severe Acute Malnutrition programme for treatment SAM in Odisha, an Indian state. A cross-sectional design using qualitative techniques direct observation process infrastructure was adopted explore views stakeholders on implementation. focuses Kandhamal, one poorest districts conducted during June-August, 2015. Of...

Background: There are limited data available on how the problem of alcohol use is detected in primary care setting India. Particularly Odisha, it has not been investigated yet. This study was conducted to determine prevalence drinking, drinking patterns, and quitting behavior among male patients visiting a health-care facility district Odisha. Methodology: A cross-sectional attending community health center (CHC), Buguda state India, from December 1, 2014, February 31, 2015. Patients above...

Introduction: Cancer continues to be a major menace our Indian society notwithstanding significant progress in diagnosis and treatment. In India cancer mortality rates women are high compared other countries, despite efforts improve survival through the development of effective detection techniques increased numbers viable treatment options. women’s advanced stage disease at is largely attributable delay seeking The present qualitative inquiry was conducted with aim capturing experiences...

In the dermatology department of a tertiary care centre patients were scrutinized for adverse cutaneous drug reaction and 100 cases certain probable causality assessment studied type their causative agent. Most common morphological pattern observed was maculopapular (23%), followed by fixed eruption urticaria 14% 13% each respectively. Stevens-johnson toxic epidermal necrolysis accounted 25%. Pityriasiform, lupus erythematosus like eruption, acute generalized exanthematous pustulosis dapsone...

The age of an individual can be assessed by a plethora widely available tooth-based techniques, among which radiological methods prevail. Demirjian's technique assessment based on tooth development stages has been extensively investigated in different populations the world.The present study is to assess applicability modified 8-teeth estimation population East India (Odisha), utilizing Acharya's Indian-specific cubic functions.One hundred and six pretreatment orthodontic radiographs patients...

Background: To test the change in knowledge of study participants following a Blended Training and Learning Approach (BTLA). Secondly, paper also tries to discuss use this method over classical classroom based trainings. Frontline health functionaries are backbone almost all goals. It is therefore essential ensure proper training cadre workers for optimum service delivery. The present an effective new pedagogy Methods: A cross-sectional was conducted from August 2013 April 2014 districts...

Over the years, national and sub-national governments have introduced several initiatives to improve access maternal child health services in India. However, financial barriers posed major constraints. Based upon data of National Family Health Survey (NFHS) round 4 for Odisha state, our paper examines out-of-pocket expenditure (OOPE) borne by households accessing healthcare a low resource setting We interpreted results NFHS-4 drawing inferences from literature understanding rising OOPE...

A 35-year-old farmer presented with complaints of pain in the right upper limb for 1 month and bluish discoloration right-hand finger tips tingling numbness. He sustained injury to while lifting a heavy object mo previously. There was an ovoid swelling 4 × 2 cm on medial aspect arm, 12 above epicondyle at level armpit visible pulsations. distal neurovascular deficit. Duplex scan arterial system revealed pseudoaneurysm proximal brachial artery, dampened monophasic flow ulnar artery no radial...

Background: Venous thrombosis is a common life-threatening disorder and significant source of morbidity mortality in hospitalized patients. This study aims to evaluate soluble P-selectin (sP-Sel) correlate with D-dimer C-reactive protein (CRP) venous Subjects Methods: cross-sectional includes 144 subjects, cases (100) as duplex scan positive, Control A (22) age matched no signs inflammation, B inflammation negative. The severity assessed by Well’s score. statistical analysis was performed...

Tobacco cessation is the most important, cost-effective preventive maintenance that clinicians can offer study participants who use tobacco. There lack of preparedness among primary care physicians in delivering interventions. are also limited studies which record effectiveness interventions Indian context. This designed to evaluate brief and intensive tobacco delivered by trained providers two states India.A quasi-experimental design has been adopted for with around 20 practices, selected...

Background: Out of several causes small bowel perforations, Typhoid is the commonest cause in tropical countries claiming a higher morbidity and mortality profile. In Spite conducting good clinical examination battery investigatory procedures, etiology perforation still remains obscure number cases. This retrospective case control study was conducted with an objective to evaluate compare surgical procedures outcomes patients typhoid non-typhoid perforations.Methods: based on hospital records...