Medical profession is directly associated with the lives of human beings. A little mistake can take life of an individual during diagnosis, treatment or rehabilitation. That is why a doctor must be professional in his/ her dealing with human beings. (S)he should be adequately trained with high standards before and afterward (s)he deals with human beings. The need for continuous learning as part of a doctor’s professional career is evident.

Germ-cell tumorsthat are derived from one or more of the three germ-cell layers and composed of multiple cell types constitute the teratomas. They are classified into three groups: mature (cystic/ solid, benign), immature (malignant), and monodermal (highly specialized, e.g., struma ovarii, carcinoid tumors, neural tumors). Most commonly, these teratomas commonly arise in the gonads. However, they are also found in the anterior mediastinum, retroperitoneum and gastrointestinal tract and are usually less than 10 cm size

Introduction: The traditional family is generally consisting of three generations having strong bondage among the family members and such bondage has been hypothesized to have a significant role in the desire of sex of the next child. Objective: To study the desired level of next child sex among the family members of traditional Indian families. Materials and Methods: A cross sectional retrospective information was collected from 1296 married women during April-November, 2011 in rural areas of four valley districts of Manipur, a state of Indian border with Myanmar using cluster sampling technique. The agreement analysis and odds ratio with Kappa statistics are applied to measure the level of desire of next child sex. The three generations including the child-bearing age couples are considered as the family members. Results: The level of desire about son by wife (4.73) is found to be higher (P<0.01) than that of her husband (3.42). Conclusions: The women’s child-bearing period exposes for high pregnancy rate to fulfill the specific desire of all family members. As the behavioral pattern influences the balance of sex, son preference may also be reduced to achieve the balance of sex in the population

Background: Dexmedetomidine is a highly selective a2 agonist with dose-dependent sedative, sympatholytic and analgesic properties and hence, it has combined anesthetic and analgesic sparing effect, making it an ideal anesthetic adjuvant. The aim of this study was to evaluate the effect of two different doses of dexmedetomidine infusion on hemodynamic response to critical incidences such as laryngoscopy, endotracheal intubation, creation of pneumoperitoneum and extubation in patients undergoing laparoscopic cholecystectomy. Methods: Sixty patients of American Society of Anesthesiologists (ASA) physical grades I and II undergoing laparoscopic cholecystectomy were randomly allocated into three groups of 20 patients each. Group NS patients received normal saline, group Dex 0.3 and group Dex 0.6 patients received loading dexmedetomidine infusion at 0.5 mcg/kg for 15 min before induction, followed by maintenance infusion at a rate of 0.3 mcg/kg/hr and 0.6 mcg/kg/hr respectively, continued till the end of surgery. Heart rate and mean arterial pressure (MAP) were noted preoperative, after bolus drug administration, 1 min after induction, 1 min after intubation, and after pneumoperitoneum at 15 min interval till the end of pneumoperitoneum and postoperative period. SPSS 17.0 version software was used for statistical analysis.

Introduction: Nurses are the backbone of the healthcare system, and an attempt can be made to improve the quality of care if every individual is empowered with leadership skills. While several leadership workshops and seminars have been conducted to sensitize doctors in India, there have hardly been any for nurses. A two-day workshop for orientation on leadership for nurses was conducted using multimedia presentations, talks by accomplished speakers and activities like role plays. Objective: The current study was undertaken to determine the impact of the workshop on the self-reported competence of nurses; with a secondary objective of evaluating the workshop and suggesting modifications for the future. Methodology: A pre- and post-workshop questionnaire (Crohnbach’s alpha: 0.874) was used to assess the impact of the workshop in self-reported competence. Self-administered structured questionnaires were used to evaluate the relevance of each session and suggestions for improvement. Paired t-test was used to assess difference in pre- and postworkshop competence. Weighted scores were used to rank sessions, and responses of qualitative data were grouped in suitable themes. Results: A total of 29 nurses participated in the workshop. There was a significant rise in knowledge in all the domains of the competence (p-value <0.05). The greatest increase in knowledge was in understanding the relevance of interpersonal skills. Maximum number of participants learnt the importance of effective communication (38%). Almost all the sessions were marked as relevant, and “conflict management” was the highest-ranking session, while the session on “planning and evaluation” was the least favored. The most popular suggested theme for further training was on stress management.

Technology is the making, usage and knowledge of tools, machines, techniques, crafts, systems or methods or organization in order to solve a problem or perform a specific function.1 Information technology (IT) concerned with the use of technology to acquire information and health information technology means the comprehensive management of health information across computerized systems and its secure exchange of information between consumers, providers, government and others.1 Health information technology (HIT) is considered as the most promising tool for improving the overall quality, efficiency and safety of the health care delivery system