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ABSTRACT
“A Quasi experimental study to assess the effectiveness of structured teaching programe on knowledge regarding Breast Cancer among selected students of Rajkiya Kanya Mahavidyalaya College, Shimla, Himachal Pradesh.”
Introduction: - Breast cancer is one of the most common Second types of cancer in India. In 2024, the estimated number of Breast cancer cases in Himachal Pradesh is 9,566. Breast Cancer is the second most common cancer among women in Himachal Pradesh also. The Indira Gandhi Medical College (IGMC) in Shimla reports an estimated 220 and 250 new Breast Cancer cases each year. The Theog region has the highest number of breast cancer cases across all age groups, especially for those aged 38 and older. The Rampur, Jubbal, and Kotkhai regions also have high incidences of breast cancer, particularly in the middle to older age groups.
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Methodology: - A Quantitative research approach with Quasi-experimental study (one group pre-test post-test design only) used for the study. The sample size will be 126 for final study and its 10% i.e.12 for pilot study. Purposive sampling technique will be used to select the sample. Pilot study will be done in Centre of Excellence Government College Sanjauli, Shimla-6, Himachal Pradesh and final study will be conducted in Rajkiya Kanya Mahavidyalaya College, Shimla, Himachal Pradesh. Data analysis will be planned with descriptive and inferential statistics.
Key Words: - Assess, Effectiveness, Structured Teaching Programme, Knowledge, Breast Cancer, Students, Rajkiya Kanya Mahavidyalaya College Shimla.
NEED
As per research early detection can save patient life. If this cannot be identified earlier, then this may cause serious illness or even death. Students must be necessary that they should have knowledge regarding Breast cancer. That’s why researcher want to conduct the study on college students to improve the knowledge related to Breast Cancer.
By going through all the review of literature related to knowledge regarding Breast cancer that the students having inadequate knowledge regarding Breast cancer. Further no study was found on knowledge regarding Breast cancer among college students in Shimla Himachal Pradesh.
So, the researcher wants to conduct research on it to enhance the knowledge of students to achieve an optimum level for patient’s quality of life.
CONCEPTUAL FRAMEWORK
Godfrey Hochbaum and Irwin Rosenstock (1950): - Hochbaum and Rosenstock are notable researchers who contributed to the development of the Health Belief Model (HBM).
The present study aims to assess the effectiveness of structured teaching programme on knowledge regarding Breast Cancer among students, of RKMV College, Shimla, Himachal Pradesh.
The proposed sample size will be 126 college students.
G Power Formula will be used in the study..................Public-Private Partnerships in Healthcare_ A Sustainable Model for African Na...
Public-Private Partnerships in Healthcare_ A Sustainable Model for African Na...oliverwanyama96
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Across Africa, healthcare systems are under increasing pressure from rising populations, chronic underfunding, and infrastructure gaps that limit access to quality care. In response, Public-Private Partnerships (PPPs) are gaining momentum as a sustainable model to deliver healthcare infrastructure, services, and innovation.
Revision Total Hip Replacement (THR): Surgical Principles, Techniques, and Bo...
Revision Total Hip Replacement (THR): Surgical Principles, Techniques, and Bo...Dr. Prabhat Pandey
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Revision Total Hip Replacement (THR) is among the most demanding procedures in orthopedic surgery. Unlike primary THR, it involves addressing pre-existing complications such as implant failure, dislocation, bone loss, or infection, often in the presence of compromised soft tissues and bone quality. While primary THR offers high success rates and reproducible outcomes, revision THR requires greater surgical expertise, meticulous planning, and personalized execution to restore function and minimize complications.
This presentation by Dr. Prabhat Pandey is designed as a comprehensive resource for orthopedic surgeons, residents, and joint reconstruction teams who seek to understand and master the essential principles, decision-making algorithms, and advanced techniques used in revision THR.
Revision hip arthroplasty is associated with:
Increased operative time and blood loss
Higher complication rates: infection, dislocation, thromboembolism, nerve injury, and periprosthetic fracture
The need to manage weakened bone stock and soft tissue envelope
Difficulty in removing failed implants, including intramedullary components.
Revision surgery is warranted in cases of:
Prosthetic dislocation or instability
Mechanical loosening of components
Implant wear or breakage
Periprosthetic fracture
Deep infection
Osteolysis or bone resorption
Painful loosening without overt signs of mechanical failure
Each case demands tailored intervention based on the severity and combination of these factors.
3. Principles of Successful Revision THR
Safe removal of loose or failed components
Preservation of host bone and soft tissue integrity
Effective reconstruction of bone defects using bone grafts or metal augments
Achieving stability of the revision components
Restoration of biomechanics, particularly the anatomical center of rotation.
Dislocation rates:
0.3–10% in primary THR
Up to 28% in revision THR
Influencing Factors:
Surgical approach
Abductor muscle function
Component malpositioning
Patient compliance
Prosthesis longevity
Underlying diagnosis (e.g., hip fracture, neuromuscular disorder
Revision Total Hip Replacement is not merely a technical endeavor—it is a test of surgical judgment, experience, and adaptability. Successful outcomes hinge on:
Thorough preoperative assessment
Judicious use of classification systems like Paprosky
Proficiency in implant removal
Skillful reconstruction of defects
Meticulous postoperative care
This presentation distills the complex decision-making process into an organized, practical guide for any surgeon facing the challenge of revision THR.
Understanding Surgical Approaches and Their Risks
Dislocation Types and Management
Preoperative Planning Essentials
Surgical Options for Instability and Revision
Operative Exposure and Implant Removal
Techniques for Removing Cemented Implants
Cementless Implant Removal
Managing Bone Deficiency in the Acetabulum
Paprosky Classification: Detailed Breakdown
Improving access to appropriately fitted equipment to support mothers express...
Improving access to appropriately fitted equipment to support mothers express...Health Innovation Wessex
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