Rationalising health care in india : Challenges & strategies

An overview of health care delivery in India is essential, if we are to plan and to improve health care delivery and the indices of health in the coming decades. The health sector in India is a mix of private and government services. While some health care indices appear dismal, several others, including life expectancy are heartening. A balance between regulation and free enterprise is possibly the best option. In this paper we provide a glimpse of health and health related statistics & a n overview of the public health care delivery systems. In the end, we offer suggestion on rationalisation of health care delivery to provide maximum services for the majority of our population within the budget of an optimal health care system outla

Glioblastoma multiforme : A study of 22 patients and an analysis of the effect of gross total resection on quality of life and recurrence free survival

We present a series of 22 cases of Glioblastoma Multiforme (GBM) managed at our centre. Patients underwent surgical decompression followed by radio chemotherapy. Intraoperative ultrasound was used as an aid to surgery. Ultrasonic and later CT confirmation of extent of tumor resection was obtained. Outcomeswere evaluated with respect to tumor progression. In our study patients in whom a gross total resection was achieved had better outcomes