A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Rekha,
- A Study of Fine Needle Aspiration Cytology as an Evaluation Tool in Head and Neck Masses
Authors
1 Dept. of Pathology, Navodaya Medical College and Research Hospital, Raichur, Karnataka
2 Dept. of ENT, Vydehi Institute of Medical Sciences, Bangalore
3 Greenview Hospital, Bangalore
4 Vydehi Institute of Medical Sciences, Bangalore
Source
Indian Journal of Public Health Research & Development, Vol 4, No 2 (2013), Pagination: 57-62Abstract
Background and objectives: Masses in head and neck region are a common clinical problem. The clinical evaluation of head and neck masses can be difficult because of anatomical peculiarities, proximity of tissues of various types and wide range of primary and metastatic neoplasm of these areas. The aim of pre-operative and pretreatment investigation is to arrive at a precise and whenever possible type specific diagnosis.
The conventional surgical histopathological examination is considered as confirmatory test. So arise the need for a technique which is less invasive and with less complication, so that treatment can be directed early.
Materials and method: A prospective study was done in department of Pathology from Feb 2008 to Aug 2010. The patients presenting to ENT OPD were subjected to FNAC, whenever possible, these patients were subjected to histopathological study by biopsy. Only those cases, which were subjected to, FNAC and Biopsy, were taken for the study. All cases were examined in detail regarding site, size, and consistency of swelling. Acute inflammatory conditions like neck abscesses and nasal masses like polyps were excluded from the study.
Results: Fifty cases were studied and data were analysed. 27 patients were females and 23 were males. Of the 50 cases 5 (10%) were seen in nasal cavity, 2 (4%) cases were seen in maxillary sinus, 12 (24%) cases were in oral cavity, 11 (22%) in salivary glands i.e. in parotid 6 (12%), 5 (10%) in Submandibular gland, 10 (20%) were in thyroid, 10 (20%) in neck i.e. including both lymph nodes and soft tissue swellings.
Conclusion: Fine needle aspiration cytology (FNAC) is a rapid, cost effective and simple out patient procedure which can be performed safely. It has high accuracy rate for head and neck masses. FNAC is the first step of pathological examination in all head and neck masses. In primary diagnosis, accuracy varies with site of lesions, the tissue of origin and the nature of the process. Clinically FNAC should only be used as a guide for preliminary diagnosis, especially in malignant pathologies. Final treatment decision should not be made according to the results of FNAC and tissue biopsy should be obtained before definitive treatment.
Keywords
FNAC, Head and Neck, Biopsy
References
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- Assessment of Improvement in Subcenter Performance with Appointment of a Second Health Worker (Female)
Authors
1 Dept of Pharmacology, MVJMC and RH, Bangalore, IN
2 MLCU, Anekal, IN
3 Biocon, Bangalore, IN
4 Hassan, IN
5 Dept of Pharmacology, MVJMC and RH, IN
Source
Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 49-53Abstract
Background: Health workers have been increasingly recognized as the most important inputs in a health system. The World Health Report 2000 notes "performance (quality and efficiency) of a health system depends ultimately on the knowledge, skills and motivation of the people responsible for delivering services". Recognizing the importance of Health Workers (Female) for the delivery of health care delivery, Government of India decided to appoint a second HW (F) in every subcenter under NRHM, which was launched in India in 2006. The present study was undertaken to assess if the performance of subcenters improved after introduction of a second health worker.
Method: The present study was conducted in twenty subcenters from seven PHCs in Wardha from March 2010 to April 2010 using both quantitative and qualitative methods.
Results: The findings of the in-depth interviews showed that there is an improvement in field visits and reporting of vital events especially in subcenters with more population The improvement was also observed in pregnancy registration, institutional deliveries and subcenter deliveries. The improvement in subcenter functioning, both in terms of quality&quantity were not as expected after doubling of manpower at subcenter.
Conclusion: Our assessment suggested there ia a improvement in subcenter performance with appointment of a second Health Worker (Female).