Background: As orthopaedic implants are being increasingly used, managing the implantassociated infections has become a challenge. The aim of this study was to evaluate the bacteriological profile with antibiotic susceptibility patterns and biofilm detection in orthopaedic implant-associated infections. Study Design: Cross-sectional prospective. Place and Duration of Study:The study was conducted in the department of Microbiology and Orthopaedics, Sher-i-Kashmir Institute of Medical Sciences (J&K) India, a tertiary care institute from August 2014 to February 2016. Methods: The study was conducted on 100 patients having orthopaedic implant infections.

Background: A multipurpose health worker (MPHW) is the pivotal functionary and the first point of contact in health care sector. This study explores the work-related activity of MPHWs in the different domains and also assesses their time utilization pattern. Methods: A time and motion study was conducted among 12 multipurpose health care workers (MPHWs) from 10 different Subcenters of block Hazratbal. Participants self-reported their daily activities on a time measurement sheet for 6 days. Data were entered in Microsoft Excel and analyzed using SPSS v25.0. Calculations are based on a total of 544.5 person-hours of observation by ANMs. Results: Time utilization pattern revealed that ANMs spent one-fourth of their time on maintaining registers. Observations on self-reporting were comparable with that of observations made by external observers. Conclusions: This study reflects the workload in different domains of MPHWs’ activities and nature of their work, relevance of their job responsibilities in the context to Indian public health standards for their job.

Background: Elderly population aged 60 years and above in the world will reach 1.2 billion by the year 2025, the majority of whom will be in developing countries. Major health problems which are faced in this age group are hypertension, CAD, atherosclerosis, strokes, DM, obesity, cancers, cataracts, osteoarthritis, osteoporosis, chronic obstructive airway disease, benign hyperplasia of prostate, Alzheimer's disease, Parkinson's disease, senile Dementia and depression.Objective: To estimate the prevalence of depression among geriatric population in block Hazratbal, district Srinagar. Methodology:The 496 elderly subjects were interviewed in their local/Urdu language and they were examined by using a pre-tested, pre-structured study questionnaire. The questionnaire was divided into two parts. The first part comprised of the socio-demographic information which covered a diverse set of parameters such as age, sex, marital status, education, socio-economic status, Non-communicable diseases, living conditions, economic dependency and the dependency for the activities of daily living, impact of turmoil caused due to conflict in the state. In second part Geriatric Depression Scale (GDS 30-item) was used to measure depression in geriatric population in the selected sample population. Results:In the present study, it was found that 31.5% of elderly were suffering from depression. 27.2% of elderly had Mild depression, whereas only 4.2% had severe depression as males (31.5%) p<0.001. Both the categories of depression were found to be more in elderly females. Prevalence of severe depression in elderly females (7.1%). Conclusion:Overall prevalence of depression was fairly high among the elderly subjects in this part of the world. Depression was more common in females as compared to males. Advanced age, illiteracy, occupations, marital status, socio-economic class, family pattern, economic dependence, dependence for activities of daily living, children dependency, expected care givers, relationship with spouse are the strong predictors on the prevalence of depression in the elderly.

Background: Pregnancy is a normal physiological state which a woman experiences at some point of her life. During pregnancy a woman may develop complications which pose a risk to both maternal and fetal health. Caesarean section is a surgical procedure in which incision is made through a mother’s abdomen and uterus to deliver one or more babies. The aim and objective of the study was to describe feto-maternal outcome among the study population in block Hazratbal, Srinagar.Methods: A community based longitudinal study was conducted in block Hazratbal (District Srinagar) for a period of 18 months. All the pregnant females attending the antenatal clinic at the subcenters and PHCs were included in the study and assessed for eligibility. The pregnant women enrolled in the study were examined again around 30 weeks, 37 weeks and once in postnatal period. Results: Only 2.6% were home deliveries. More than two-thirds (71.7%) of the study subjects delivered by LSCS and less than 2% of the study subjects delivered twins. Out of 391 children born 2 were born dead and 55.2% were of male gender. The mean gestational age at delivery was 38.56 weeks and the mean birth weight of neonates was 2.731 kg with only 4.9% LBW neonates. Conclusions: The percentage of institutional deliveries was good (97.4%) and the proportion of twins and male babies were within expected limits. The prevalence of LBW babies was only 4.9 against the national average of 28%. But the 71.7% caesarean section rate is too high and needs immediate attention by policy makers. Moreover both healthcare professional as well as general population need to be educated about the disadvantages of unnecessary caesarian sections.

Background: Medical implants are devices that are placed inside or on the surface of the body for functional, cosmetic or therapeutic purposes. Orthopaedic implants are usually associated with infections which lead to devastating complications for the patients. The study was conducted to evaluate the association of various factors considered to affect orthopaedic implant infections.Methods: The 100 patients with orthopaedic implant infections were included. Various patient parameters including risk factors, intervention form and type of onset of infection were recorded. Microbiological workup was done by standard techniques along with biofilm detection.Results: Early onset of infection was prevalent in cases with open fractures. Smoking and tissue destruction were the major risk factors. Longer duration of surgery was associated with early onset and polymicrobial infections. 15.5% of the isolates were strong biofilm producers. Staphylococcus aureus was the predominant biofilm producer. More biofilm producing organisms were recovered from stainless steel implants.Conclusions: Orthopaedic device-related infections lead to extreme morbidity in patients and puts a great encumberance on hospital resources. Various factors affect the outcome of orthopaedic implants. Appropriate infection control and institution specific interventions will help in reducing the magnitude of the problem.