Background: Mesh repair (Lichtenstein and Laparoscopic) for inguinal hernia is the most frequently performed operation round the world. In recent years inguinal hernia surgery has undergone numerous advances. Among them, Desarda technique provides a new concept of hernia repair based on physiological principle using an undetached strip of external oblique aponeurosis. Worldwide, day case inguinal hernia surgery has been markedly increased irrespective of technique. Due to benefit of cost effectiveness and freeing of mesh related complication, Desarda technique needs to be considered as day case hernia surgery. Objectives: To evaluate outcome of day case inguinal hernia surgery in terms of immediate and early postoperative complications, rate and reasons of unanticipated admission after surgery, time of return to basic activities and recurrence rate in our setup. Methods: This observational study was carried out at the department of surgery, Mugda Medical College Hospital included 50 male patients with uncomplicated inguinal hernia during August 2019 to July 2021. Data was collected by researcher himself with using a prepared structured questionnaires & checklist and analyzed on Statistical Packages for Social Science (SPSS) 22. Results: Among 50 male patients 60% belong to low-income status, mean age was 44.09 ±10.93 years. The mean operative time was 46.31 ±12.27 mins. In the first postoperative day 22 patients reported mild pain and on third postoperative day majority (42) reported no pain. The mean duration of hospital stay was 18.16 ±11.24 hours and only 6 (12%) patients needed unanticipated admission. No severe postoperative complication, one recurrence has been reported. The mean time of return to basic activities 2.3 ±1.33 days. Conclusion: The results of the present study demonstrate that Desarda technique can be safely offered as day case hernia surgery in our country. Further study is needed for better outcome.
Food is one of the basic human needs and access to safe food is vital for a healthy population.The incidence of foodborne disease outbreaks is raising global concern.Meat is a nutrient-dense food, provides all essential nutrients required for microbial growth.Post-slaughter processing activities can be a major source of contamination if proper precautions are not taken.Hence, implementing Good Agricultural Practices (GAP), Good Manufacturing Practices (GMP), Good Hygienic Practices (GHP), and Hazard Analysis and Critical Control Point (HACCP) during production and processing is the 'need of the hour' to minimize the risk of contamination.The food producers are ought to follow certain regulatory practices to ensure the safety of food produced.Moreover, the implementation of proper safety regulatory checks during food production ensures the confidence of consumers regarding the quality of the produce.Food safety demands continuous efforts and is essential from farm to fork.Ensuring food safety is a collective responsibility and hence requires the involvement of all personnel in the food value chain.In India, the Food Safety and Standards Authority of India (FSSAI) is shouldering the responsibility of the food sector.The strict implementation and compliance of FSSAI guidelines are bringing transformation in the Indian food sector.Honest food producers must be encouraged while offenders must be punished.The importance of a food safety management system in the meat value chain, and ways and means for the improvement of meat food safety have been discussed in the present article.
Menstrual hygiene practices are somewhat poor among pre-menstrual aged rural women, and thereby, they are likely to be affected by menstrual and gynaecological morbidities. Hence, an attempt is made to comprehend the magnitude of menstrual hygiene practices through an index among rural women and identify its principal determinants.Adopting a community-based cross-sectional study design, the required data was collected (through a semi-structured interview schedule) from 780 married pre-menopausal women (aged 35-49 years) from 30 villages of the Puducherry district during January-April 2021. Descriptive and inferential statistics and multiple linear regression techniques were employed.56% of the present study respondents have exhibited good menstrual hygienic practices (pooled scores 9-15; Median score = 9). Findings from the multiple linear regression model revealed that women's education (β = 0.235; P < 0.001), occupational hierarchy (β = 0.110; P < 0.001) and mass media exposure (β = 0.095; P < 0.01) as the critical predictors of menstrual hygiene practices. Such positive net effects were also exhibited by the family monthly income (β = 0.84; P < 0.05) and women's access to economic resources (β = 0.071; P < 0.05), whereas family size demonstrated a significant adverse effect (β = -0.080; P < 0.05).Overall, menstrual hygiene practices among women are moderately high among better socio-economic status. Efforts may be taken to improve the socio-economic conditions and propagate the correct menstrual hygienic practices among rural women, which may enhance hygiene practices during menstruation.
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