During umbilicoplasty, when each anterior superior iliac spine is taken as a center, and arcs are drawn with a radius 0.6 times that of the inter-anterior superior iliac spine distance, the point of intersection of these arcs is the approximate location of the umbilicus around the midline plane, which should match the ratio of 1.6:1 (i.e., the ratio of the distance from the umbilicus to the xiphisternum and the distance from umbilicus to the pubic symphysis). An effort is made to find and establish the body proportions and symmetry and to determine the critical ratios so as to help the reconstructive surgeon to plan an aesthetically pleasing umbilicus.
Background:Among the emerging diseases, Zika virus (ZIKV) disease, a vector-borne health problem, has recently become a major VBD of international concern in low and middle income countries. In India, the first four proven cases of ZIKV were reported in 2017 followed by major outbreaks in the States of Rajasthan and Madhya Pradesh. This study was conducted to assess the knowledge and awareness of Resident doctors in Goa towards managing ZVD in a tertiary care hospital in Goa. Methods:The present hospital-based cross-sectional study was conducted among Resident doctors of Goa Medical College and Hospital. A total of 188 Resident doctors from various Departments were interviewed to obtain details regarding personal characteristics and their knowledge regarding the Zika virus disease. Result:A high number i.e. 139 (73.9%) of the Resident doctors were aware of the mosquito vector that transmits Zika disease.Only 23 (12.4%) of theResident doctors were aware of the common symptoms and signs seen in cases of Zika virus disease. A majority of the Resident doctors i.e. 154 (81.9%) were aware of the most common adverse outcome of maternal Zika virus infection. A high number i.e. 183 (97.3%) Resident doctors correctly said that Zika virus disease can be prevented and 180 (95.7%) of the Resident doctors were aware of the preventive measures for Zika virus infection. Conclusion:The knowledge of Resident doctors in Goa regarding the Zika virus disease is low especially regarding the modes of transmission, signs and symptoms and diagnosis of the Zika infection. It is necessary that basic knowledge and training regarding the Zika virus disease should be included in the current medical curriculum. Regular CME programs on ZVD for the training of the Resident doctors and trainee medical doctors must be conducted.
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