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Reports of Child Abuse in India from Scientific Journals and Newspapers - An Exploratory Study
No full textBackground: Child abuse is a state of emotional, physical, economic and sexual maltreatment meted out to a person below the age of eighteen and is a globally prevalent phenomenon. A total of 33,098 cases of crimes against children were reported in India during 2011 as compared to 26,694 cases during 2010, suggesting a recent increase of 24 percent. Objectives: To explore the contents of the published articles/reports on child abuse in India from scientific journals and newspapers identifying areas and gaps for further research and program development. Material and Methods: Published articles in scientific journals during the years 2007-2012 with free access and online versions of English newspapers (2007-2012) in India were searched using the search engines such as ‘PubMed’ and ‘Google’. The key words used were ‘child abuse in (on, about) India. First two researchers independently reviewed the content of articles/newspaper reports and decided the categories emerging from the articles and reports. Later on, the quantification of these categories was done by identifying the number of times it was reported in the reports. Results: The nature and extent of reporting child abuse in scientific journal is different from that of newspapers. In Journals, our search provided us with 9 articles, of which prevalence studies were predominant (4) followed by case reports (3) and Knowledge, Attitude, Practice studies (2). The studies were mostly conducted in the hospital setting. We obtained 38 reports from newspapers. Child abuse was found more among girls. Among type of abuse, sexual abuse was more common (84.2%). About 52.6% of the abusers were members known to the victim. The maximum cases were reported from West India especially in Goa, followed by South region. Most reports reported legal action on accused. Little was reported on what happened to a victim, indicators of abuse and settings of the abuse. The motives and consequences of the abuses were not mentioned explicitly. Conclusions: The articles were more focused on prevalence of child abuse in hospital settings. As per newspaper reports, female child abuse (sexual abuse) by a known person to family was reported more. It was found more in West part of India. Recommendations: More research/reporting is required to study the extent of problem in different settings of India, settings of abuse, quality of life of victims, parental/community education on indicators of abuse and development of support program to victim
Scrub Typhus Presenting as Acute Mastoiditis.
No full textScrub typhus, a zoonosis, is known to present with varied clinical presentation. We present a case of acute mastoiditis who did not respond to conventional antibiotic therapy. The detailed repeat clinical examination revealed lymphadenopathy with eschar and IgM antibodies for scrub typhus by ELISA were positive. Patient had dramatic response to doxycycline therapy
Spontaneous Evisceration of an Incisional Hernia Presenting One Year After Primary Surgery
No full textSpontaneous evisceration is a rare complication associated with incisional hernia which demands an emergency surgery. A few cases have been reported on this. We report a spontaneous evisceration of bowel with strangulation which was managed by bowel resection and anastomosis and anatomical repair of incisional hernia
How Does Seating Arrangement Matter While Teaching in Small Groups?
No full textA circular seating arrangement is best suited for small group discussions
Locating Working Memory in Word Free Recall and Estimating its Capacity at Less Than 3.1 +/- 0.2 Words
No full textThe evidence for limited capacity is strong yet there is a controversy as to whether this limited capacity can be seen in word free recall data. After five decades since the first word free recall experiments, I present clear direct evidence for a dual store model in word free recall. I show that there is a discontinuity in the item probability during the first recall, the recall that is the most likely to originate in working memory. This discontinuity indicates a separation between the items that are initially in working memory and the items which are retrieved from elsewhere at a later time, presumably via an association with one or more working memory items. The items that are not initially in working memory are those that are the least likely to be recalled overall. Assuming that the first recall is an accurate statistical representation of working memory, and that the probability of an item in working memory cannot exceed the overall probability of recalling that item, I arrive at an upper limit on the working memory capacity of 3.1 +/- 0.2 words
Analysis of minimal complex systems and complex problem solving require different forms of causal cognition
No full textIn the last 20 years, a stream of research emerged under the label of „complex problem solving“ (CPS). This research was intended to describe the way people deal with complex, dynamic, and intransparent situations. Complex computer-simulated scenarios were as stimulus material in psychological experiments. This line of research lead to subtle insights into the way how people deal with complexity and uncertainty. Besides these knowledge-rich, realistic, intransparent, complex, dynamic scenarios with many variables, a second line of research used more simple, knowledge-lean scenarios with a low number of variables („minimal complex systems“, MCS) that have been proposed recently in problem-solving research for the purpose of educational assessment. In both cases, the idea behind the use of microworlds is to increase validity of problem solving tasks by presenting interactive environments that can be explored and controlled by participants while pursuing certain action goals. The main argument presented here is: both types of systems - CPS and MCS – can only be dealt with successfully if causal dependencies between input and output variables are identified and used for system control. System knowledge is necessary for control and intervention. But CPS and MCS differ in their way of how causal dependencies are identified and how the mental model is constructed; therefore, they cannot be compared directly to each other with respect to the cognitive processes that are necessary for solving the tasks. Knowledge-poor MCS tasks address only a small fraction of the cognitive processes and structures needed for knowledge-rich CPS situations
Assessment of Functioning of Village Health and Sanitation Committees (VHSCs) of Indore District
No full textBackground: The NRHM framework of implementation mentions provision of Village Health and Sanitation Committee (VHSC) in each revenue village that has to be formed within the overall framework of Panchayati Raj Institution (PRI). Objective: To review the current status of formation, training and functioning of VHSCs in Indore district and mechanism of utilization of united funds in these VHSCs. Materials and Methods: A cross sectional study was carried out in 32 villages, of four blocks of Indore district. Different stakeholders of VHSCs of these 32 villages were included purposively as study subjects. Data was collected using predesigned, pretested semi structured questionnaires and checklist. Total of 133 interviews of different stakeholders and 32 record reviews were carried out. The quantitative data collected by interviews and record reviews was analyzed by SPSS software and qualitative data was analyzed manually using qualifier. Results: Significant association between knowledge and awareness about any aspect of VHSC and type of stakeholder has been observed. PRI members and Self Help Group (SHG) members have been found to be totally ignorant about many aspects of VHSC. No formal training has ever been imparted to the members of VHSCs regarding functioning of VHSC at village level. None of the functionaries were found to be aware of village health plan. Conclusion: The efficiency and impact of VHSCs have been found to be very limited
A Cross-Sectional Study of Hemoglobin Disorders in Pregnant Women Attending Two Urban Hospitals in Eastern Coast of Odisha, India.
No full textPregnant women are an important segment of the society. They bear the children and provide nourishment to them during the period of gestation of nine months. The health of a mother reflects the health of a child. No such study of prevalence of hemoglobinopathy in pregnant women from India is available. The study objectives were: to find the prevalence (genetic burden) of hemoglobin disorders in pregnant women belonging to urban setting; identify the communities at risk, and to determine the hematological profile of native pregnant women of coastal Odisha. A cross-sectional study of pregnant women visiting for antenatal care at two urban hospitals, Bhubaneswar and Berhampur in Coastal Odisha was investigated. A total of 178 pregnant women attending antenatal care check up at two urban hospitals in coastal Odisha were studied. Appropriate statistical tools were used for analysis of data. High prevalence of 13.5% for hemoglobin disorders was observed in urban pregnant women visiting two major hospitals in coastal Odisha. Mild to moderate anemia was recorded. Reduced values of hematological indices in women afflicted with hemoglobin disorders than the normal controls were noted. Major hemoglobinopathies detected were: β-thalassemia trait (5.6%), sickle cell trait (5.6%), hemoglobin E trait (1.1%), sickle cell-E-disease (0.6%), and hemoglobin H disease (0.6%). Mandatory awareness, comprehensive clinical management, and genetic/marriage counseling are highly essential to ameliorate the sufferings of afflicted pregnant women of coastal Odisha
Prallethrin Poisoning Presenting as Status Epilepticus
No full textMosquito repellents contain pyrethroid derivatives, as the active ingredient. Data regarding human toxicity following oral intake is limited. This is a case report of an individual who presented with neurotoxicity following oral ingestion of prallethrin (2.4% w/w) of a higher concentration present in formulations commercially available than previously. A 22 year old male presented to the emergency Room (ER) in status epilepticus. He was managed in the Intensive Care Unit (ICU). No cause for his status could be determined after all laboratory investigations. A review of history with the patient revealed that he had ingested a bottle of liquid mosquito repellent (45 ml). The patient has had no further symptoms on follow up and has been off anti epileptics. Pyrethroid containing mosquito repellents act on neuronal sodium channels causing hyperexcitiability. With no known specific antidotes, symptomatic treatment is the main stay of management