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1

Long term visibility needs for pre-defined ‘World Health Priorities’

100%
Gumashta R., Gumashta J.
Progress in Health Sciences
|
2012
|
vol. 2
|
issue 2
214-218
EN
World Health Day being celebrated with much fanfare from year 1950 with an ever-changing focus on a spectrum of areas related primarily to the health promotion and prevention issues has not yielded the desired results as is evidenced by repeat of the same focus areas after a decade or so. Despite unfruitful results around the world, especially in developing countries, the mere symbolic observance of World Health Day raises serious unanswered questions. Thus, there is a need to evaluate the existing aspects related to low and short term visibility of the worldwide goals towards achievement of internationally defined and generally accepted ‘World Health Priorities’ being reflected through the instruments of change such as ‘Millennium Development Goals’ and ‘Observance of special days such as World Health Day’. It sustained concerted efforts and focused approach with high level commitments shall yield much desired results in terms of human development, welfare and happiness.
2

Need based resource utilization: The key to successful syndromic management of sexually transmitted diseases in developing countries

100%
Gumashta R., Gumashta J.
Progress in Health Sciences
|
2013
|
vol. 3
|
issue 2
94-99
EN
Syndromic management approach for treatment of Sexually Transmitted Diseases (STDs), although being an excellent tool, has been observed to have its own intrinsic limitations of scientific basis, applicability in the field level health care settings and thus derived ultimate benefits in terms of noticeable minimization of the STD events in the high risk groups including commercial sex workers, homosexuals, intravenous drug users and other vulnerable populations viz. migrant workers, truck drivers and casual laborers. The presence of widely scattered high risk population and their partners has a visible, although relatively delayed, impact on the prevalence and incidence of the STDs in the general population and therefore addressing the thus generated challenges is the need of the hour for existing health systems at the levels of government, semi government, private care providers and inter-sectoral partners. As a result, need based resource mobilization for appropriate, justified and correct use of trained manpower directed towards syndromic management based health care service delivery mechanisms linked with specialized resources is the key to achieving long desired dream of having a sexually transmitted disease free healthy society in developing countries. Such efforts shall reap rich dividends in the form of prevention and control of sexually transmitted infections as well as in non observance of related complications among the cases and their contacts thereby facilitating increased productivity among work force for ensuring achievement of the developmental targets of the country including socio-economic well being.
3

Discrepancies, deficiencies and suggested amendments in ‘Guidelines for Diagnosis and Treatment of Malaria in India 2011’

100%
Gumashta R., Gumashta J.
Progress in Health Sciences
|
2012
|
vol. 2
|
issue 2
144-152
EN
Introduction: ‘Guidelines for Diagnosis and Treatment of Malaria in India 2011’ and its earlier edition have highlighted clinical issues pertaining to conceptual, practical and challenging scenarios in diagnosis cum treatment of common malaria parasites. Purpose: To critically analyze ‘Guidelines for Diagnosis and Treatment of Malaria in India 2011’ and its edition of year 2009 for their contents, quality, comparison, drug dosage schedules, discrepancies, guiding principles and deficiencies for suggestive timely remedial measures. Materials and methods: Steps included statistical analysis of each recommended antimalarial tablet against its universally accepted drug dosage, comparative study of ‘guideline 2011’ with ‘guideline 2009’, development of new user friendly simplified tables for suggested inclusion in new/revised edition of ‘guideline 2011’ and making specific recommendations for evidence based corrective measures cum policy initiatives. Results: Critical scientific analysis of these guidelines illustrate greater need of efforts for learning, expertise, experience, research and shared knowledge based amendments thereby enabling those entrusted to deal with routine and critical care of malaria patients as well as prevention among those likely to be exposed to such infections. Conclusion: Study has underlined (a) avoidable discrepancies in therein applied principles of drug dosage and related recommended scheduling for various age groups; (b) deficiencies in the guidelines; and (c) study based recommendations for observing consensus based approach and inclusion of agreed necessary changes in amended ‘guidelines 2011’ or its new edition for better clinical decision making in the larger interest of malaria patients in India after due consideration and rigorous examination of the points of concern and suggested amendments through multidisciplinary consultative process
4

From ‘Air India’ to ‘Hunger Free India’: turning the tide in the interest of ‘Millennium Development Goals’

100%
Gumashta R., Gumashta J.
Progress in Health Sciences
|
2012
|
vol. 2
|
issue 2
211-213
EN
Despite careful formulation of the health care policies, national programme plans and implementation mechanisms, in accordance with the international commitments made and local needs of India, the potential of raising additional funds towards ensuring ‘Hunger Free India’ can only be achieved through austerity measures at all levels with appropriate adjustments of the funds. These funds presently seem to be wasted by non-performing assets like ‘Air India’, rather than with the Universal Health Care (UHC) model based strategic approaches, insightful preferences and decisive commitments. Such reformist approaches shall pave the way to achievement of ‘Millennium Development Goals’ targeted for the year 2015.
5

Walking through the lanes of disgust, pain and suffering in the black corridors of sexual exploitation

100%
Upadhyaya V., Gumashta R.
Progress in Health Sciences
|
2012
|
vol. 2
|
issue 2
219-221
EN
The authors of this article have seen varied circumstances, situations and scenarios related to the sexual exploitation of young females (generally in the presence of their restricted, prohibited or adverse conditions), which drive an innocent girl towards the grave, painful and ever unfolded but mostly undesirably sustained realities of human life. There are threats, violence, deception, fraud, coercion and all forms of female exploitation within and outside the established and accepted framework of societal norms, structure and functioning. These instances are tip of the iceberg and represent much sought after need of taking serious cognizance of the unwelcome phenomenon occurring all around us. Only careful watch, personalized attention and timely action may be required for the wide spectrum of self motivated as well as pre-identified interventionists to be able to deal with the scenario, sometimes beyond human imagination, which may well be avoided in favor of the exploited for their long term rehabilitation, merging into their own society and economic self dependence. This study highlights some important issues in and around the complex scenario of sexual exploitation of women and young girls underlining the need for a positive change.
6

Delayed diagnosis of ‘Bancroftian filarial pleural effusion’

81%
Akhtar S., Gumashta R., Gumashta J.
Progress in Health Sciences
|
2012
|
vol. 2
|
issue 2
207-210
EN
The authors report an unusual case of 60 year old male, who got admitted in a tertiary health care institute in Maharashtra (India) for chest pain and breathlessness and was provisionally diagnosed as ‘pleural effusion with suspicion of malignancy’. However, the pleural fluid cytology, conducted later, assisted in diagnosing this case as ‘Pleural Effusion due to Bancroftian Filariasis’. The patient responded well with oral medication of diethyl carbamazine within a couple of days. The patient could not be followed up as he left the hospital against medical advice
7

Cytodiagnosis of filarial infection on a non healing ulcer: an unusual presentation and review of literature

71%
Akhtar S., Gumashta R., Pande S., Maimoon S., Mahore S.
Progress in Health Sciences
|
2012
|
vol. 2
|
issue 2
195-199
EN
The authors report an unusual case of a 33-year-old Indian male adult, who sought treatment for skin infection, skin ulcer and oedema of leg for two years, but got no relief until he was incidentally diagnosed by scrape cytology for presence of microfilaria in leg ulcer, blood and pleural fluid. The patient was fully cured after receiving complete treatment for filariasis
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