Indian Cancer Society

Various gynecological conditions, including bacterial vaginosis, urinary tract infection, genitourinary syndrome of menopause, polycystic ovarian syndrome, and vulvovaginal candidiasis, imposea significant global burden, including among the Indian population. This expert opinion emphasizes the importance of oral probiotic supplementation in managing these conditions. A physical meeting with 14 experts was conducted on June 29-30, 2024, during which they highlighted that probiotics, particularlyLactobacillus species, have beneficial effects on restoring and maintaining healthy vaginal microbiota. Probiotics also promote vaginal health and aid in treating conditions such as bacterial vaginosis, vulvovaginal candidiasis, polycystic ovarian syndrome, and genitourinary syndrome of menopause. Probiotics are proveneffective in managing bacterial vaginosis by enhancing beneficial bacteria and reducing harmful ones. Theyhelp prevent and treat recurrent urinary tract infections by increasing lactobacilli levels, inhibiting Candida growth, and maintaining vaginal pH to prevent vulvovaginal candidiasis. Symptoms of genitourinary syndrome of menopause, such as vaginal dryness, itching, and recurrent urinary tract infections, can be alleviated through a combination of Lactobacillus-based probiotics and estrogen therapy. Experts also recommended probiotic supplementation for women with polycystic ovarian syndrome to improve both chemical and clinical pregnancy rates. Probiotics help modulate gut microbiota; improveblood glucose levels, insulin resistance, cholesterol, and androgen levels; restore the LH/FSH ratio; and enhance reproductive health. This expert opinion underscores the key role ofLactobacillus species in treating and preventing various gynecological disorders such as bacterial vaginosis, vulvovaginal candidiasis, genitourinary syndrome of menopause, urinary tract infection,and polycystic ovarian syndrome by restoring and maintaining vaginal microbiota, thussupporting overall feminine health.

It gives me great pleasure to acknowledge the exemplary efforts of the Clinical Practice Guidelines (CPG) Committee of the Indian Psychiatric Society (IPS) in developing the comprehensive Clinical Practice Guidelines on Cognition in Neuropsychiatric Disorders and Management of Long Stay Psychiatric and Substance Use Disorder Patients. The creation of these guidelines is the result of an extensive consultative process, involving experienced clinicians and experts from across the country. These guidelines cover critical aspects of cognitive impairments across various neuropsychiatric conditions and provide much-needed direction for the management of long-stay patients with psychiatric and substance use disorders. The dedication and diligence demonstrated by the CPG Committee reflect the Society’s commitment to advancing clinical standards and addressing the unique challenges faced by mental health professionals. These guidelines will serve as an invaluable resource, guiding psychiatrists in both public and private settings to deliver evidence-based, patient-centered care. On behalf of the Indian Psychiatric Society, I extend my sincere appreciation to the CPG Committee for this outstanding achievement. I am confident that these guidelines will contribute significantly to improving mental healthcare outcomes across the country. With warm regards, Dr M. Aleem Siddiqui Hon. Treasurer, Indian Psychiatric Society Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.

Wanita Pekerja Seksual Tidak Langsung yaitu wanita yang beroperasi secara terselubung sebagai penjaja seks komersial, yang biasanya bekerja pada bidangbidang pekerjaan tertentu atau mempunyai pekerjaan utama lain dan secara tidak langsung menjajakan seks di tempat-tempat hiburan seperti pramupijat, pramuria bar / karaoke. Mereka termasuk dalam kelompok resiko tinggi dalam penyebaran kasus IMS dan HIV&AIDS. Tujuan penelitian adalah mendiskripsikan perilaku Wanita Pekerja Seksual Tidak Langsung dalam pencegahan IMS, HIV dan AIDS di pub&karaoke, cafe, dan diskotek Kota Semarang. Penelitian ini berjenis studi kualitatif dengan rancangan penelitian studi kasus. Pemilihan subjek penelitian dilakukan secara purpose sampling. Subjek dari penelitian ini adalah Wanita Pekerja Seksual Tidak Langsung di Kota Semarang khususnya di pub&karaoke, cafe, dan diskotek pada tahun 2008-2009, dengan kriteria inklusi sudah pernah melayani minimal 2 (dua) orang klien di tempat hiburan malam Kota Semarang. Jumlah yang diambil adalah 6 (enam) subjek yang berumur 17-24 tahun pada saat pengambilan data dari sekitar minimal 60 (enam puluh) orang Wanita Pekerja Seksual Tidak Langsung di beberapa lokasi penelitian. Hasil penelitian menunjukkan bahwa sebagian besar WPS Tidak Langsung mengakui bahwa mereka termasuk dalam kelompok resiko tinggi akan tetapi pengetahuan, dan praktik mereka terhadap upaya pencegahan IMS dan HIV&AIDS masih kurang. Walaupun mereka setuju dengan pemakaian kondom sebagai upaya pencegahan yang baik, akan tetapi dalam prakteknya ketika beraktivitas seksual tidak selalu kondom mereka gunakan. Posisi tawar mereka masih rendah dalam negosiasi pemakaian kondom dengan klien. Mitos-mitos seputar IMS dan HIV/AIDS pun masih dipegang. Sedangkan dukungan dari keluarga dan teman sebaya lemah dalam upaya pencegahan IMS dan HIV&AIDS. Untuk itu perlu kerjasama lintas sektoral Dinas Kesehatan, masyarakat khususnya lembaga swadaya, dan perguruan tinggi untuk mengintervensi komunitas Wanita Pekerja Seksual Tidak Langsung ini sehingga kasus IMS dan HIV&AIDS di Kota Semarang dapat ditekan. Kata kunci: Wanita Pekerja Seksual Tidak Langsung, perilaku, IMS dan HI&AIDS, pub&karaoke, cafe, dan diskotek, Semarang Kepustakaan: 45, 1987-2008 Indirect Sex Workers is girls who work an illegal as sexual workers, usually have main job but also make sexual transaction in night clubs. They are including of high risk group in spreading Sexual Transmitted Infection and HIV&AIDS cases. Purpose of the research is to describe Indirect Sex Workers behavior in order to prevent sexual transmitted infection and HIV&AIDS at pub&karaoke, cafe, and discoutiq in Semarang City. The method of this research is qualitative study with case study design by purposive sampling for choosing the subject. The subject is Indirect Sex Workers in Semarang City especially at 1 pub&karaoke, 1 cafe, and 2 discoutiq in 2008-2009 with the inclusion criteria is she has experiences in sexual transaction with the client at night clubs in Semarang City for at least 2 person. Researcher use 6 subjects between 17-24 years old from around 60 Indirect Sex Workers in several locations. The result of research show that the perceived of susceptibility of them regarding to vulnerability of IMS and HIV&AIDS is good. On the other hand, knowledge and practical in order to prevent Sexual Transmitted Infection and HIV&AIDS still low. Although they are agree with condom use as a good thing in order to prevent, but the fact is they are rare in using condom during every sexual activity. They have low bargain position for condom use negotiation. Also they still believe some myths about STI and HIV&AIDS. Meanwhile, support from peer group is a weak factor. Based on the result above, in depth cooperation among Non Government Organization (NGO), Health City Official, and University needs to intervene this community, as a result STI and HIV&AIDS cases in Semarang City can be reduce. Keywords: Indirect Sex Workers, behavior, STI and HIV&AIDS, pub&karaoke, cafe, and diskotek, Semarang Bibliography: 45, 1987-2008

Background & objectives:Lack of awareness is one of the major reasons for the high morbidity and mortality associated with cancers. The present study was aimed to evaluate the awareness of prevalent cancers among the rural population in a district of north India and its association specifically with mobile phone usage.Methods:Using a stratified random sampling technique, households in three villages of Gautam Buddh Nagar district of India were selected. A house-to-house survey on cancer awareness was conducted among adults in selected households and data were analyzed to check for the association of such an awareness with sociodemographic factors and internet usage.Results:The study included 59 males and 145 females, with majority (115) being in the age group of 18-30 yr. Although most (96.5%) of the participants were aware of cancer, the common risk factors and warning signs of cancer were known to only a few. Specific risk factors for cervical and breast cancers were, however, not known to a majority (79.9% and 72.2%). A significant association between the awareness of general risk factors and warning signs as well as specific aspects including risk factors for breast, cervical and oral cancer, HPV vaccine and the education level of the participants (P<0.05 for all). Knowledge of risk factors, warning signs and cancer prevention modalities was higher among mobile phone users who accessed internet for health information. There was no significant association between age group and cancer risk factor awareness, though females were more aware of the risk factors for breast cancer (P=0.002).Interpretation & conclusions:The findings of this study highlight the existing low level of awareness of cervical and breast cancers among the rural population. The association of cancer awareness with education level and mobile phone-based internet usage suggests the potential utility of internet-based platforms such as m-health programmes for cancer prevention activities.

Dear Friends, It is a matter of pleasure and privilege to pen a few lines for the Clinical Practice Guidelines on Forensic and Legal Issues in Psychiatry. It is heartening that the subcommittee of Clinical Practice Guidelines under the scholarly guidance of Prof. Shiv Gautam is bringing out practical guidelines with recent advances in many specialties of Psychiatry. The knowledge of legal issues is paramount in practicing Psychiatry, and the practice guidelines will be very handy to make it systematic and trouble-free. Many changes have occurred in the way medical practice is organized over the years due to the changes in the policies of the Government, making health more of business and less of service. Thorough knowledge of existing laws is mandatory for any practitioner and more so for a practicing psychiatrist. It is heartening to note that many current experts in legal psychiatry are at hand to help our colleagues. I congratulate the authors who must have spent sleepless nights to bring out the changes that occurred over a period in forensic and legal Psychiatry. Long Live IPS!

Abstract Introduction: Population based survival provides a measure of the efficacy of cancer control in a defined geographical area. The Mumbai Cancer Registry (MCR), India’s oldest population based cancer registry (PBCR), was established by the Indian Cancer Society (ICS) in 1963. It covers 603 sq. km. of Greater Mumbai with a population of 146, 51,584 (2015) and over half a century it has consistently provided cancer statistics from its coverage area. Breast cancer is the commonest cancer in women in Mumbai constituting 30% of all female cancers, and is now the most common cancer in women in India (1, 62,468 in 2018), constituting 27.66% of all female cancers. There have been few reports on breast cancer survival from India, and in this study, we report the survival rate of women diagnosed with breast cancer in Greater Mumbai during the years 2009-13. Patients and Methods: Breast cancer cases registered during the years 2009-13 with the MCR were followed for outcome till 31 Dec 2018. Social investigators visited hospitals, nursing homes, clinics, hospices and laboratory centers for documenting cancer cases. Mortality data was collected from the Vital Statistics Division of the Municipal Corporation. Data and was verified and duplicate cases were deleted. Follow up was conducted with repeated scrutiny of medical records, death certificates issued by the Municipal Corporation, postal and telephone enquiries, house visits and linkage with electoral database. Observed survival was calculated by the Kaplan Meir (1958) method. Expected survival was calculated using the national life-table of India for (Maharashtra) based on Census of India, 2011. Using observed and expected survival, relative survival was calculated by Ederer (1961) method using STATA 12.0. The survival rate was compared to that from other regions of India and with developed countries. Results: Of the 9707 breast cancer cases registered during the period 2009-13, 8031 (83%) cases were included in this study. 1676 (17%) cases were excluded as 469 (5%) had only Death Certificate Information and 1207 (12%) were lost to follow up. The median follow up was 5.1 years (range 8 months - 9 years). The median age was 55 years (range 18 -96 years) with 2725(34%) ≤ 50 years and 5306 (66%) &amp;gt; 50 years. The overall observed survival rates at 1, 3, 5 years were 82.5%, 72.8% and 67.0% respectively and the corresponding figures for relative survival were 83.5%, 75.4%, and 70.9%. Increasing age had an inverse relationship with breast cancer survival. The highest 5-year relative survival was shown by ≤29 age group (74%) and lowest by &amp;gt;70 age group (60%). Those with localised disease at diagnosis had a higher 5-year relative survival rate (84%) compared to 79.7% for direct extension and 20.8% for distant metastasis. The clinical extent of disease and education were significant risk factors affecting survival (p &amp;lt; 0.001). Conclusion:The 5-year population-based survival of patients treated in Greater Mumbai during the period 2009-2013, is 70%. This compares favourably with previously reported 5-year survival from Mumbai (51-55.7%) and other Indian registry data (33-55%), but is inferior to that reported in the developed world (84-88 %). The association of survival with educational status and stage at diagnosis highlights the importance of awareness and early detection. Enhanced awareness and detection coupled with easy access to adequate and affordable treatment could help improve breast cancer outcomes. Citation Format: Vinay Deshmane, Shravani Koyande, Shweta Jadhav. Population based survival of breast cancer in Greater Mumbai, India [abstract]. In: Proceedings of the 2020 San Antonio Breast Cancer Virtual Symposium; 2020 Dec 8-11; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2021;81(4 Suppl):Abstract nr PS7-85.