Sharad Gedam - Academia.edu (original) (raw)

Papers by Sharad Gedam

Research paper thumbnail of Universal Vaccination Guidelines and status during the Corona Era

Public health review : international journal of public health research, Jun 30, 2020

As COVID-19 continues to spread around the world, people in all countries are being encouraged to... more As COVID-19 continues to spread around the world, people in all countries are being encouraged to take preventive measuress to prevent transmission, including in many countries by staying at home and physical distancing. But a pandemic does not erase other diseases and their impact. While many services, including some health services, are being scaled back, the risk of further outbreaks of infectious diseases grows. The healthcare disruptions caused by COVID-19 could have a devastating impact on child mortality.

Research paper thumbnail of Biomarkers of Birth Asphyxia in Neonates

Birth asphyxia is a common cause of neonatal mortality. Identification of severity of asphyxia is... more Birth asphyxia is a common cause of neonatal mortality. Identification of severity of asphyxia is vital for prompt management. Biomarkers can be used for timely diagnosis of asphyxia and also helps in prognosis. Serum, CSF, urine, cord blood & magnetic resonance biomarkers for asphyxia in neonates have been studied. Cytokines like IL-6 in CSF, NSE in CSF, Protein S-100b in serum, urine & cord blood, LDH in serum and saliva, CK in serum and urine, cord BDNF, Urinary UA/Cr ratio, GFAP, Glutamate in CSF, PGE2, AST, ALT, Activin A have been studied with varied diagnostic accuracy and feasibility. Research directed towards newer biomarkers like NPBI, Hypoxanthine, total hydroperoxides, AOPP, UCHL-1 & pNFH-1 for early identification of severe asphyxia have shown promising results. Cardiac biomarkers like Troponin T & I, BNP, CK-MB may aid in longterm outcome. NRBC count still remains as the oldest and best-described biomarker of asphyxia. Use of Proton & Nuclear Magnetic Resonance Spectroscopy on day 1 apart from conventional MRI have opened a new era of MR Biomarkers in neonatal asphyxia. Early identification of severity of asphyxia with judicious use of biomarkers can make a huge difference in the management and outcome of birth asphyxia.

Research paper thumbnail of Plummer-Vinson Syndrome: A Case Report

Journal of Nepal Paediatric Society, Sep 20, 2011

Plummer-Vinson also known as sideropenic dysphagia is a disease that is characterized by classica... more Plummer-Vinson also known as sideropenic dysphagia is a disease that is characterized by classical triad of iron deficiency anemia, dysphagia and esophageal web. It is known to mostly affect white female mainly, but cases have been reported from other ethnic group in the literature. Treatment is very promising especially when it is not associated with carcinoma. Fig 1: Barium Swallow showing the indentations (arrows) of the proximal esophagus indicating webs. How to cite this article ?

Research paper thumbnail of Peptic Esophageal Stricture in children: A Case report & review of literature

Pediatric Review: International Journal of Pediatric Research, Jun 30, 2014

Peptic esophageal stricture is a common complication of gastroesophageal reflux disease (GERD). T... more Peptic esophageal stricture is a common complication of gastroesophageal reflux disease (GERD). Though thought to be common in childhood but often go undetected in developing country like India due to lack of awareness and limited resources. We are presenting this case because radiologically it was looking like a case of Achalasia cardia but after endoscopy it turned out to be a case of esophageal strictures.

Research paper thumbnail of Bubble CPAP for Respiratory distress in Neonate

Pediatric Review: International Journal of Pediatric Research, 2016

Respiratory Distress Syndrome is a major contributor towards Neonatal Mortality Rate. Effective v... more Respiratory Distress Syndrome is a major contributor towards Neonatal Mortality Rate. Effective ventilation strategies which are safe, effective and low cost are required to manage neonates with Respiratory Distress Syndrome in resource limited low and middle income countries. Bubble Continuous Positive Airway Pressure has emerged recently as one such alternative.

Research paper thumbnail of Recent updates in the therapeutic management of patients with co-infection of COVID-19 with other seasonal epidemics prone disease

Public Health Review : International Journal of Public Health Research, 2020

COVID 19 Pandemic is most significant disease in last 100 years. It is now becoming challenging t... more COVID 19 Pandemic is most significant disease in last 100 years. It is now becoming challenging tocontrol the Pandemic in different part of world. Some countries are facing 2nd & 3rd wave of severedisease with no evidences of herd immunity in most of European and North American countries. Itbecome more challenging to treat the already co-existing morbidities, seasonal diseases along withCOVID 19.

Research paper thumbnail of Therapeutic Hypothermia in Perinatal Asphyxia

Pediatric Review: International Journal of Pediatric Research, Feb 29, 2016

Therapeutic hypothermia for infants with perinatal asphyxia has been studied in several randomise... more Therapeutic hypothermia for infants with perinatal asphyxia has been studied in several randomised controlled trials. There is convincing evidence that moderate therapeutic hypothermia (33-34°C for 72 h), when initiated within 6 h after birth among term & near-term infants (≥35 weeks) with moderate to severe HIE reduces the risk of death or major disability & increases the rate of disability-free survival at 6-7 years of age

Research paper thumbnail of Labour Analgesia

International Journal of Medical Research and Review, 2017

Regional anaesthesia is nowadays commonly practised universally. It provides superior pain relief... more Regional anaesthesia is nowadays commonly practised universally. It provides superior pain relief in first & second stages of labour, anesthesia for episiotomy & instrumental delivery.

Research paper thumbnail of Anemia: Increasing prevalence in general population: why?

International Journal of Medical Research and Review, 2015

In India, various surveys showed that over 70 % of preschool children, pregnant women and adolesc... more In India, various surveys showed that over 70 % of preschool children, pregnant women and adolescent girls are anaemic. Inspite of various government run nutritional supplements programe we are having very high prevalence of Anemia.

Research paper thumbnail of Role of Zinc in Pediatric diseases: Evidence based Guidelines

International Journal of Medical Research and Review, 2013

Role of zinc in human health including growth, development, immune status and acute diarrhea is i... more Role of zinc in human health including growth, development, immune status and acute diarrhea is indisputable. Zinc deficiency is well known because of poor dietary habits, increased secretion and poor absorption of zinc during diarrhea. Present review will demonstrate role of zinc in various pediatric disorders and newer update. We have tried to include recent review on role of zinc in childhood diseases as per evidences available on electronic databases.

Research paper thumbnail of Self medication: Rising trends

Public Health Review: International Journal of Public Health Research, 2015

Self-medication is rapidly evolving major public health concern. Pharmacists or pharmacy attendan... more Self-medication is rapidly evolving major public health concern. Pharmacists or pharmacy attendants play an important role in fostering self-medication among the public and this is supported with the increasing consultation cost.

Research paper thumbnail of Malignant Ascites

International Journal of Medical Research and Review, 2016

Increased vascular permeability, decerse plasma oncotic pressure & lymphatic obstructions are com... more Increased vascular permeability, decerse plasma oncotic pressure & lymphatic obstructions are common causes.

Research paper thumbnail of Neonatal ECMO

Pediatric Review: International Journal of Pediatric Research, Mar 31, 2016

ECMO is a technique of providing cardiac & respiratory support to sustain life. Nowadays it is be... more ECMO is a technique of providing cardiac & respiratory support to sustain life. Nowadays it is being increasingly used in newborns. Respiratory ECMO is used for severe respiratory distress syndrome, pneumonia & meconium aspiration syndrome. Cardiac ECMO is used after open heart surgery, myocarditis or myopathy. There are two types of ECMO, Veno-Venous (V-V) bypass & Arterio-Venous (A-V) bypass. ECMOcan be used to bridge patients with heart failure as they await heart transplantation & as an adjunct to cardiopulmonary resuscitation. ECMO should be used in reversible diseases only after analysing various factors. Qualifying criteria for ECMO are applied only when the infant has reached maximal ventilatory support. Only babies with gestational Age > 34 weeks, Birth Weight > 2,000 grams, without major coagulopathy, with mechanical ventilation < 14 days & reversible lung disease are eligible for ECMO. Absolute contraindications include Grade 3 or 4 IVH, irreversible brain injury, lethal malformations, non-treatable congenital heart disease & significant coagulopathy. The ECMO circuit consists of a cannula to drain deoxygenated blood from the patient, a pump, an artificial lung to provide oxygenation & ventilation, heat exchanger, a second cannula to return oxygenated blood back to the patient Management during ECMO includes Oxygenation, Inotropic support, Rest Ventilation & Sedation. Complications include Bleeding, Infection, myocardial stun, neurodevelopmental problems, Pneumothorax, pulmonary haemorrhage, bronchial asthma, Sensorineural disabilities,acute tubular necrosis, Feeding difficulty, metabolic derangements, Psychosocial morbidity & Neuromotor deficits .Early initiation of ECMO, monitoring & prompt management of expected complications will improve survivalwithout severe disability.

Research paper thumbnail of Zika Pandemic - Recent threat to mankind

Pathology update, Jul 31, 2015

Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indi... more Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indicating rapid geographic expansion of Zika virus.

Research paper thumbnail of Stress and burnout among doctors

Bhopal, Dec 31, 2015

Occupational stress is increasingly faced by doctors. Upto some extent, stress improves performan... more Occupational stress is increasingly faced by doctors. Upto some extent, stress improves performance but when excessive, it becomes harmful. Doctors have more stress related mental health problems than general population. Burnout is inability to cope with emotional stress at work. It consists of 3 domains; emotional exhaustion, depersonalization & lack of personal accomplishment. Various models like demand-control imbalance, effort-reward imbalance & support model explain evolution of work related stress. Common causes of stress are related to patient care, decision making, taking responsibility, increasing use of technology, continuing rises in health care costs, turbulence within work environment, long working hours & overworking. Stress causes physical symptoms, mental derangements, emotional & behavioural disturbances. Research suggests that high stress levels may impair immune system with increased risk of cardiovascular disease & cancer. Stress can be modified by appropriate stress management skills like avoiding cynicism, reading, joining a support group, attending a wellness conference, strengthening communication skills, addressing to spiritual needs, meditation & decreasing caffeine. Burnout prevention should be done both on both personal & organizational levels. Appropriate interventions like improving inter-professional relationships, changes in work environment, modifying off duty time & streamlining decision making should be done to mitigate the effect of stress on doctors.

Research paper thumbnail of Adolescent obesity – rising trends

Public health review : international journal of public health research, Feb 29, 2016

Background: Anganwadi centers are the focal units for the implementation of the Integrated Child ... more Background: Anganwadi centers are the focal units for the implementation of the Integrated Child Development Services projects in each block. Anganwadi centres cater to the children up to the age of 6 years, pregnant and lactating mothers, adolescent girls and women in the reproductive age group. There are 32 anganwadi centres in the Mullerkad-Jyothinagar urban field practice area of Father Muller Medical College, Mangalore. Under the public private partnership model our institution provides immunization, health education, health checkup and referral services to these anganwadi centres. Objective: To assess the infrastructural facilities of the anganwadis and quality of services provided. Methodology: Study design: Cross Sectional; Study area: Field practice area of UTHC Mullerkad-Jyothinagar, Father Muller Medical College, Mangalore; Sample size: 24; Study duration: March 2013-June 2013; Data collection tool: Interview schedule cum observation checklist. Results: 9 of anganwadi workers were educated up to SSLC. Most of the anganwadi workers were residing within 15 minutes distance of the respective anganwadi centres. Registers were maintained properly and kept updated in all the anganwadis. 10 anganwadi were not having separate space of storage and 3 did not have even toilet facility available. Cooking area was separate in most of the anganwadis 14. Conclusion: Basic amenities like space for storage, kitchen and toilet and playing area for the children should be there in all the anganwadis. Pregnant and lactating mothers should be followed up to confirm whether they have been registered at any health centre and have received the requisite number of IFA and TT doses.

Research paper thumbnail of Carrier status of Acinetobacter among healthcare personnel and prevalence of the same in the environment

Tropical journal of ophthalmology and otolaryngology of Siddharth health research and social welfare society, Dec 31, 2017

Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with... more Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with multidrug and pandrug resistant strains, mainly in intensive care units (ICUs), being responsible for different types of nosocomial infections. Objectives: The objective was to determine prevalence of carriers of Acinetobacter Spp. and predisposing risk factors among healthcare workers (HCWs) in ICUs and their role as source in nosocomial infection. Materials and Methods: Specimens from nose, throat, axilla and hands of all HCWs (55 (40 staff nurses, 15 attenders)) from ICUs and 30 HCWs from general wards were collected and processed by standard laboratory procedures. Results: Prevalance of A.baumanii carriers was 18.18%. Higher carrier rate was observed in male than female HCWs (12.72% Vs 5.5%). carrier rate was 22.2% and 18.75% in SICU and PICU respectively with none from general wards. Carrier rate was 7.3% at axilla and hands.Conclusion:Health care workers are responsible for colonization of hands by various hospital organism followed by spread to other contacts.

Research paper thumbnail of Childhood Tuberculosis: Current Scenario in India

Pediatric Review: International Journal of Pediatric Research, Jun 30, 2014

Almost one third of Indian population is having tubercular infection. Children always get infecti... more Almost one third of Indian population is having tubercular infection. Children always get infection from open cases of Tuberculosis. Associated malnutrition further increases intensity of tuberculosis. In this editorial we have discussed about current scenario of tuberculosis in India with special emphasis on children.

Research paper thumbnail of Zika Pandemic - Recent threat to mankind

Tropical Journal of Pathology and Microbiology, 2015

Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indi... more Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indicating rapid geographic expansion of Zika virus.

Research paper thumbnail of Carrier status of Acinetobacter among healthcare personnel and prevalence of the same in the environment

Tropical Journal of Ophthalmology and Otolaryngology, 2017

Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with... more Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with multidrug and pandrug resistant strains, mainly in intensive care units (ICUs), being responsible for different types of nosocomial infections. Objectives: The objective was to determine prevalence of carriers of Acinetobacter Spp. and predisposing risk factors among healthcare workers (HCWs) in ICUs and their role as source in nosocomial infection. Materials and Methods: Specimens from nose, throat, axilla and hands of all HCWs (55 (40 staff nurses, 15 attenders)) from ICUs and 30 HCWs from general wards were collected and processed by standard laboratory procedures. Results: Prevalance of A.baumanii carriers was 18.18%. Higher carrier rate was observed in male than female HCWs (12.72% Vs 5.5%). carrier rate was 22.2% and 18.75% in SICU and PICU respectively with none from general wards. Carrier rate was 7.3% at axilla and hands.Conclusion:Health care workers are responsible for colonization of hands by various hospital organism followed by spread to other contacts.

Research paper thumbnail of Universal Vaccination Guidelines and status during the Corona Era

Public health review : international journal of public health research, Jun 30, 2020

As COVID-19 continues to spread around the world, people in all countries are being encouraged to... more As COVID-19 continues to spread around the world, people in all countries are being encouraged to take preventive measuress to prevent transmission, including in many countries by staying at home and physical distancing. But a pandemic does not erase other diseases and their impact. While many services, including some health services, are being scaled back, the risk of further outbreaks of infectious diseases grows. The healthcare disruptions caused by COVID-19 could have a devastating impact on child mortality.

Research paper thumbnail of Biomarkers of Birth Asphyxia in Neonates

Birth asphyxia is a common cause of neonatal mortality. Identification of severity of asphyxia is... more Birth asphyxia is a common cause of neonatal mortality. Identification of severity of asphyxia is vital for prompt management. Biomarkers can be used for timely diagnosis of asphyxia and also helps in prognosis. Serum, CSF, urine, cord blood & magnetic resonance biomarkers for asphyxia in neonates have been studied. Cytokines like IL-6 in CSF, NSE in CSF, Protein S-100b in serum, urine & cord blood, LDH in serum and saliva, CK in serum and urine, cord BDNF, Urinary UA/Cr ratio, GFAP, Glutamate in CSF, PGE2, AST, ALT, Activin A have been studied with varied diagnostic accuracy and feasibility. Research directed towards newer biomarkers like NPBI, Hypoxanthine, total hydroperoxides, AOPP, UCHL-1 & pNFH-1 for early identification of severe asphyxia have shown promising results. Cardiac biomarkers like Troponin T & I, BNP, CK-MB may aid in longterm outcome. NRBC count still remains as the oldest and best-described biomarker of asphyxia. Use of Proton & Nuclear Magnetic Resonance Spectroscopy on day 1 apart from conventional MRI have opened a new era of MR Biomarkers in neonatal asphyxia. Early identification of severity of asphyxia with judicious use of biomarkers can make a huge difference in the management and outcome of birth asphyxia.

Research paper thumbnail of Plummer-Vinson Syndrome: A Case Report

Journal of Nepal Paediatric Society, Sep 20, 2011

Plummer-Vinson also known as sideropenic dysphagia is a disease that is characterized by classica... more Plummer-Vinson also known as sideropenic dysphagia is a disease that is characterized by classical triad of iron deficiency anemia, dysphagia and esophageal web. It is known to mostly affect white female mainly, but cases have been reported from other ethnic group in the literature. Treatment is very promising especially when it is not associated with carcinoma. Fig 1: Barium Swallow showing the indentations (arrows) of the proximal esophagus indicating webs. How to cite this article ?

Research paper thumbnail of Peptic Esophageal Stricture in children: A Case report & review of literature

Pediatric Review: International Journal of Pediatric Research, Jun 30, 2014

Peptic esophageal stricture is a common complication of gastroesophageal reflux disease (GERD). T... more Peptic esophageal stricture is a common complication of gastroesophageal reflux disease (GERD). Though thought to be common in childhood but often go undetected in developing country like India due to lack of awareness and limited resources. We are presenting this case because radiologically it was looking like a case of Achalasia cardia but after endoscopy it turned out to be a case of esophageal strictures.

Research paper thumbnail of Bubble CPAP for Respiratory distress in Neonate

Pediatric Review: International Journal of Pediatric Research, 2016

Respiratory Distress Syndrome is a major contributor towards Neonatal Mortality Rate. Effective v... more Respiratory Distress Syndrome is a major contributor towards Neonatal Mortality Rate. Effective ventilation strategies which are safe, effective and low cost are required to manage neonates with Respiratory Distress Syndrome in resource limited low and middle income countries. Bubble Continuous Positive Airway Pressure has emerged recently as one such alternative.

Research paper thumbnail of Recent updates in the therapeutic management of patients with co-infection of COVID-19 with other seasonal epidemics prone disease

Public Health Review : International Journal of Public Health Research, 2020

COVID 19 Pandemic is most significant disease in last 100 years. It is now becoming challenging t... more COVID 19 Pandemic is most significant disease in last 100 years. It is now becoming challenging tocontrol the Pandemic in different part of world. Some countries are facing 2nd & 3rd wave of severedisease with no evidences of herd immunity in most of European and North American countries. Itbecome more challenging to treat the already co-existing morbidities, seasonal diseases along withCOVID 19.

Research paper thumbnail of Therapeutic Hypothermia in Perinatal Asphyxia

Pediatric Review: International Journal of Pediatric Research, Feb 29, 2016

Therapeutic hypothermia for infants with perinatal asphyxia has been studied in several randomise... more Therapeutic hypothermia for infants with perinatal asphyxia has been studied in several randomised controlled trials. There is convincing evidence that moderate therapeutic hypothermia (33-34°C for 72 h), when initiated within 6 h after birth among term & near-term infants (≥35 weeks) with moderate to severe HIE reduces the risk of death or major disability & increases the rate of disability-free survival at 6-7 years of age

Research paper thumbnail of Labour Analgesia

International Journal of Medical Research and Review, 2017

Regional anaesthesia is nowadays commonly practised universally. It provides superior pain relief... more Regional anaesthesia is nowadays commonly practised universally. It provides superior pain relief in first & second stages of labour, anesthesia for episiotomy & instrumental delivery.

Research paper thumbnail of Anemia: Increasing prevalence in general population: why?

International Journal of Medical Research and Review, 2015

In India, various surveys showed that over 70 % of preschool children, pregnant women and adolesc... more In India, various surveys showed that over 70 % of preschool children, pregnant women and adolescent girls are anaemic. Inspite of various government run nutritional supplements programe we are having very high prevalence of Anemia.

Research paper thumbnail of Role of Zinc in Pediatric diseases: Evidence based Guidelines

International Journal of Medical Research and Review, 2013

Role of zinc in human health including growth, development, immune status and acute diarrhea is i... more Role of zinc in human health including growth, development, immune status and acute diarrhea is indisputable. Zinc deficiency is well known because of poor dietary habits, increased secretion and poor absorption of zinc during diarrhea. Present review will demonstrate role of zinc in various pediatric disorders and newer update. We have tried to include recent review on role of zinc in childhood diseases as per evidences available on electronic databases.

Research paper thumbnail of Self medication: Rising trends

Public Health Review: International Journal of Public Health Research, 2015

Self-medication is rapidly evolving major public health concern. Pharmacists or pharmacy attendan... more Self-medication is rapidly evolving major public health concern. Pharmacists or pharmacy attendants play an important role in fostering self-medication among the public and this is supported with the increasing consultation cost.

Research paper thumbnail of Malignant Ascites

International Journal of Medical Research and Review, 2016

Increased vascular permeability, decerse plasma oncotic pressure & lymphatic obstructions are com... more Increased vascular permeability, decerse plasma oncotic pressure & lymphatic obstructions are common causes.

Research paper thumbnail of Neonatal ECMO

Pediatric Review: International Journal of Pediatric Research, Mar 31, 2016

ECMO is a technique of providing cardiac & respiratory support to sustain life. Nowadays it is be... more ECMO is a technique of providing cardiac & respiratory support to sustain life. Nowadays it is being increasingly used in newborns. Respiratory ECMO is used for severe respiratory distress syndrome, pneumonia & meconium aspiration syndrome. Cardiac ECMO is used after open heart surgery, myocarditis or myopathy. There are two types of ECMO, Veno-Venous (V-V) bypass & Arterio-Venous (A-V) bypass. ECMOcan be used to bridge patients with heart failure as they await heart transplantation & as an adjunct to cardiopulmonary resuscitation. ECMO should be used in reversible diseases only after analysing various factors. Qualifying criteria for ECMO are applied only when the infant has reached maximal ventilatory support. Only babies with gestational Age > 34 weeks, Birth Weight > 2,000 grams, without major coagulopathy, with mechanical ventilation < 14 days & reversible lung disease are eligible for ECMO. Absolute contraindications include Grade 3 or 4 IVH, irreversible brain injury, lethal malformations, non-treatable congenital heart disease & significant coagulopathy. The ECMO circuit consists of a cannula to drain deoxygenated blood from the patient, a pump, an artificial lung to provide oxygenation & ventilation, heat exchanger, a second cannula to return oxygenated blood back to the patient Management during ECMO includes Oxygenation, Inotropic support, Rest Ventilation & Sedation. Complications include Bleeding, Infection, myocardial stun, neurodevelopmental problems, Pneumothorax, pulmonary haemorrhage, bronchial asthma, Sensorineural disabilities,acute tubular necrosis, Feeding difficulty, metabolic derangements, Psychosocial morbidity & Neuromotor deficits .Early initiation of ECMO, monitoring & prompt management of expected complications will improve survivalwithout severe disability.

Research paper thumbnail of Zika Pandemic - Recent threat to mankind

Pathology update, Jul 31, 2015

Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indi... more Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indicating rapid geographic expansion of Zika virus.

Research paper thumbnail of Stress and burnout among doctors

Bhopal, Dec 31, 2015

Occupational stress is increasingly faced by doctors. Upto some extent, stress improves performan... more Occupational stress is increasingly faced by doctors. Upto some extent, stress improves performance but when excessive, it becomes harmful. Doctors have more stress related mental health problems than general population. Burnout is inability to cope with emotional stress at work. It consists of 3 domains; emotional exhaustion, depersonalization & lack of personal accomplishment. Various models like demand-control imbalance, effort-reward imbalance & support model explain evolution of work related stress. Common causes of stress are related to patient care, decision making, taking responsibility, increasing use of technology, continuing rises in health care costs, turbulence within work environment, long working hours & overworking. Stress causes physical symptoms, mental derangements, emotional & behavioural disturbances. Research suggests that high stress levels may impair immune system with increased risk of cardiovascular disease & cancer. Stress can be modified by appropriate stress management skills like avoiding cynicism, reading, joining a support group, attending a wellness conference, strengthening communication skills, addressing to spiritual needs, meditation & decreasing caffeine. Burnout prevention should be done both on both personal & organizational levels. Appropriate interventions like improving inter-professional relationships, changes in work environment, modifying off duty time & streamlining decision making should be done to mitigate the effect of stress on doctors.

Research paper thumbnail of Adolescent obesity – rising trends

Public health review : international journal of public health research, Feb 29, 2016

Background: Anganwadi centers are the focal units for the implementation of the Integrated Child ... more Background: Anganwadi centers are the focal units for the implementation of the Integrated Child Development Services projects in each block. Anganwadi centres cater to the children up to the age of 6 years, pregnant and lactating mothers, adolescent girls and women in the reproductive age group. There are 32 anganwadi centres in the Mullerkad-Jyothinagar urban field practice area of Father Muller Medical College, Mangalore. Under the public private partnership model our institution provides immunization, health education, health checkup and referral services to these anganwadi centres. Objective: To assess the infrastructural facilities of the anganwadis and quality of services provided. Methodology: Study design: Cross Sectional; Study area: Field practice area of UTHC Mullerkad-Jyothinagar, Father Muller Medical College, Mangalore; Sample size: 24; Study duration: March 2013-June 2013; Data collection tool: Interview schedule cum observation checklist. Results: 9 of anganwadi workers were educated up to SSLC. Most of the anganwadi workers were residing within 15 minutes distance of the respective anganwadi centres. Registers were maintained properly and kept updated in all the anganwadis. 10 anganwadi were not having separate space of storage and 3 did not have even toilet facility available. Cooking area was separate in most of the anganwadis 14. Conclusion: Basic amenities like space for storage, kitchen and toilet and playing area for the children should be there in all the anganwadis. Pregnant and lactating mothers should be followed up to confirm whether they have been registered at any health centre and have received the requisite number of IFA and TT doses.

Research paper thumbnail of Carrier status of Acinetobacter among healthcare personnel and prevalence of the same in the environment

Tropical journal of ophthalmology and otolaryngology of Siddharth health research and social welfare society, Dec 31, 2017

Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with... more Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with multidrug and pandrug resistant strains, mainly in intensive care units (ICUs), being responsible for different types of nosocomial infections. Objectives: The objective was to determine prevalence of carriers of Acinetobacter Spp. and predisposing risk factors among healthcare workers (HCWs) in ICUs and their role as source in nosocomial infection. Materials and Methods: Specimens from nose, throat, axilla and hands of all HCWs (55 (40 staff nurses, 15 attenders)) from ICUs and 30 HCWs from general wards were collected and processed by standard laboratory procedures. Results: Prevalance of A.baumanii carriers was 18.18%. Higher carrier rate was observed in male than female HCWs (12.72% Vs 5.5%). carrier rate was 22.2% and 18.75% in SICU and PICU respectively with none from general wards. Carrier rate was 7.3% at axilla and hands.Conclusion:Health care workers are responsible for colonization of hands by various hospital organism followed by spread to other contacts.

Research paper thumbnail of Childhood Tuberculosis: Current Scenario in India

Pediatric Review: International Journal of Pediatric Research, Jun 30, 2014

Almost one third of Indian population is having tubercular infection. Children always get infecti... more Almost one third of Indian population is having tubercular infection. Children always get infection from open cases of Tuberculosis. Associated malnutrition further increases intensity of tuberculosis. In this editorial we have discussed about current scenario of tuberculosis in India with special emphasis on children.

Research paper thumbnail of Zika Pandemic - Recent threat to mankind

Tropical Journal of Pathology and Microbiology, 2015

Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indi... more Recently more than 13 countries in the Americas have reported sporadic Zika virus infections indicating rapid geographic expansion of Zika virus.

Research paper thumbnail of Carrier status of Acinetobacter among healthcare personnel and prevalence of the same in the environment

Tropical Journal of Ophthalmology and Otolaryngology, 2017

Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with... more Background: Acinetobacter baumanii is an increasingly troublesome nosocomial pathogen, often with multidrug and pandrug resistant strains, mainly in intensive care units (ICUs), being responsible for different types of nosocomial infections. Objectives: The objective was to determine prevalence of carriers of Acinetobacter Spp. and predisposing risk factors among healthcare workers (HCWs) in ICUs and their role as source in nosocomial infection. Materials and Methods: Specimens from nose, throat, axilla and hands of all HCWs (55 (40 staff nurses, 15 attenders)) from ICUs and 30 HCWs from general wards were collected and processed by standard laboratory procedures. Results: Prevalance of A.baumanii carriers was 18.18%. Higher carrier rate was observed in male than female HCWs (12.72% Vs 5.5%). carrier rate was 22.2% and 18.75% in SICU and PICU respectively with none from general wards. Carrier rate was 7.3% at axilla and hands.Conclusion:Health care workers are responsible for colonization of hands by various hospital organism followed by spread to other contacts.