Objectives:To evaluate prospectively the relative usefulness of color Doppler and gray scale sonography in differentiating benign from malignant ovarian masses and evaluation of scoring systems Sassone and Alcazar for differentiating benign from malignant ovarian masses.Methods:Study was conducted during the period of Jan 2006 to Oct 2007 in department of obstetrics and gynaecology, New civil Hospital, Surat. The study was conducted mainly with the help of department of radio-diagnosis. The study include 100 patient clinically suspected to have ovarian neoplasm and referred to department of radio-diagnosis where evaluation with Ultrasonography and Doppler was done. The efficacy of scoring systems were evaluated by histopathological examination of mass or fine needle aspiration cytology or presence of malignant cells in ascetic fluid.Results:Sassone's scoring system was able to identify 72 out of 78 benign masses and 18 out of 22 malignant masses.where as Alcazar system with use of colour Doppler was able to identify 75 out of 78 benign and 21 out of 22 malignant ovarian masses. Sensitivity and specificity of sassone is 81.8%,92.3% respectively, where as that of Alcazar is 95.5%, 96.2% respectively.Conclusion:Using both gray scale and colour Doppler in differentiating benign from malignant ovariam masses is giving results with more accuracy and Alcazar system is better performing than sassone's scoring systems.

Background:Surat city is vulnerable to transmission of sexually transmitted infections (STIs)/HIV due to its huge migratory population in diamond and textile industries. Females working in textile industries were not receiving focused intervention although they were at high risk of acquiring STIs/HIV.Objective:The present study was conducted to know the prevalence of various STIs and HIV among the group of female textile workers in Surat city. The findings of the study will be helpful for policy decision makers to address the issues of a specific vulnerable group.Materials and Methods:A total 257 female workers in various textile markets were enrolled in the present study. Data were collected by the help of a pre-tested questionnaire and analysis was done by using Microsoft Excel and the EPI Info software.Result:Overall prevalence of various STIs/RTIs (reproductive tract infections) was 16.73%, whereas HIV positivity was 1.17%. Bacterial vaginosis and candidiasis were the most common infections.Conclusion:Groups such as female textile workers need to be taken care of especially to enhance the HIV prevention and control activities in Surat city, which would help in breaking the chain of transmission.

Background:Outbreak of syphilis, i.e., 16 cases of rapid plasma reagin (RPR) reactive cases of syphilis was reported in Community Based Organization (CBO) Sahyog of Surat, India, from April to August 2014. The aim of the study was to find risk factors and take immediate actions to prevent spread.Materials and Methods:Outbreak investigation of 16 Female Sex Workers of CBO Sahyog in Surat who were found Rapid Plasma Reagin (RPR) and Treponema Pallidum Hemagglutination Assay (TPHA) positive from April to August 2014; was carried out. Clinico-epidemiological and laboratory-based evidence for different sexually transmitted infections (STIs) conducted at Government Medical College, New Civil Hospital, Surat. Root cause analysis (RCA) of index case was carried out.Results:Desk review for the past 3 years data of STI revealed total STI cases as 88 (2011), 95 (2012), and 130 (2013), of which 4, 2, and 2 found RPR reactive, respectively. Data from April to August 2014 revealed 16 RPR reactive cases and confirmed by TPHA. On examination, one had ulcerative cervical lesion, rest did not have any symptoms of syphilis. Eleven had vaginal/cervical discharge, 11 had lower abdominal pain. A total of 11 had unprotected sex, 7 encountered condom tear in the past 6 months, and 5 reported sexual violence. Seven had sexual activity under influence of alcohol. Laboratory investigation revealed two as HIV-positive. RPR reactivity reported highest (9 out of 16) from same area of hotspot. RCA of probable index case revealed factors responsible as violence and nonuse of condoms.Conclusions:Outbreak investigation revealed one probable index case. All 16 treated with injection Penidure. Violence or condom tear is responsible for the spread. Crisis management team should be strengthened.

The rupture of uterus in first and second trimester is very rare and mostly associated with uterine anomalies or cornual pregnancy. Bicornuate uterus (BU) is a uterine anomaly results from incomplete fusion of the two Mullerian ducts during embryogenesis. Here we are presenting a case of primigravida in the second trimester (20 weeks) as ruptured ectopic pregnancy in emergency. Laparotomy showed BU with twin pregnancy in the ruptured non communicating right horn. Right horn excision was done. This case highlights the twin pregnancy in non-communicating horn of uterus and its rupture in early pregnancy. Cases with non-communicating horn are reported but twin pregnancy in noncommunicating horn is a rare one. In asymptomatic women, the presence of bicornuate uterus may not be detected until during pregnancy or delivery. In case of pregnancy in rudimentary horn, early sonographic diagnosis has a major contribution in evaluation and management. Treatment usually involved is resection of the ruptured horn. Since the scar is present on the uterus, it is important to avoid pregnancy for at least 1 year.

Objectives The study of health status of grass-root level health care providers may help us understand the delivery gaps from the programmatic point of view. Methods A detailed interview of 313 Anganwadi workers (AWW) was taken in a predesigned, pretested questionnaire, and their clinical examination and Pap smear study were arranged at New Civil Hospital, Surat during November 2007-April 2008. All AWWs were accompanied for follow up and examination. Data were analyzed using Epi-Info Software. Results Mean age of menarche and menopause was 14.3 and 44 years, respectively. Among 73 women having menopause, 53 (72. 6%) had natural menopause. On taking history, only 9.5 % gave positive findings, while 42.3 % had positive clinical signs on examination. Inflammation was reported in 43.4 % Pap smear, while 2.8 % had cervical dysplasia of varying grades. Conclusions All women should be advised to undergo complete pelvic examination including Pap Smear for the detection of gynecological morbidity.