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Validity of point-of-care device for diagnosing anemia in workers exposed to lead 护理点设备诊断铅作业工人贫血的有效性
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.023
Ankit Viramgami, Soundarya Soundarajan, Ankit M. Sheth, Kuldip Upadhyay
Detecting anemia in occupational health settings is critical in a high-risk population for anemia like the lead-exposed. Whether the point-of-care devices are sensitive to detect anemia in individuals with high levels of lead exposure is unknown. We compared hemoglobin (Hb) levels from HemoCue® Hb 301 System and standard analyzer, Mindrey-BC 5300, in individuals (n=58) exposed to lead (mean levels = 44.9 ?g/dL) for a chronic period (mean duration of exposure = 105 months). We observed high sensitivity (0.95), specificity(0.95) in detecting anemia by hemocue, and high agreement between the methods. The significant difference in Hb values between the methods (0.171g/dL, p=0.018) was clinically minimal. We conclude that hemocue is a good method for rapidly detecting anemia and estimating Hb levels among the lead-exposed in resource-limited settings.
在职业健康环境中检测贫血对于接触铅等贫血的高危人群至关重要。护理点设备是否对检测高铅暴露人群的贫血敏感尚不清楚。我们比较了HemoCue®Hb 301系统和标准分析仪Mindrey BC 5300在长期暴露于铅(平均水平=44.9?g/dL)的个体(n=58)中的血红蛋白(Hb)水平(平均暴露时间=105个月)。我们观察到通过血液线索检测贫血的高灵敏度(0.95)和特异性(0.95),并且两种方法之间高度一致。两种方法之间Hb值的显著差异(0.171g/dL,p=0.018)在临床上是最小的。我们得出的结论是,在资源有限的环境中,血液线索是快速检测贫血和估计铅暴露人群Hb水平的好方法。
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引用次数: 0
A study of knowledge, attitude and practices regarding biomedical waste management among health care providers in a tertiary care Institute in Punjab 旁遮普省一所三级医疗机构医疗保健提供者对生物医学废物管理的知识、态度和做法的研究
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.015
Harjot Singh, M. Nagpal, Paramjot Bindra, Harinder Singh, Ankush Garg
The biomedical waste, if not properly managed, can harm the surrounding environment, cause various infections and injuries to the healthcare workers, patients, their attendants. Methods: This cross-sectional study was conducted to assess the knowledge, attitude and practices among different cadres of health care providers in a tertiary care institute. Expecting that 50% of the study population had precise knowledge about the rules and legislation of biomedical waste management, with an allowable error of 10%, at 95% confidence interval, and accounting for the finite population correction for 1700 participants, a minimum sample size of 426 was taken. Data analysis was done by using Microsoft excel and SPSS. Results: Out of 426 subjects, 138 (32.4%) were nurses, 35 (8.2%) were lab technicians and 253 (59.4%) were housekeeping staff. Knowledge, attitude and practices regarding biomedical waste management and handling were significantly (p<0.05) higher among the nurses as compared to other health care providers. Conclusions: Knowledge, attitude and practices regarding the collection, segregation, rules, and disposal of biomedical waste management was more among nursing staff compared to other health care workers. Hence, emphasis on adequate training is required among other health care workers for the safe handling and disposal of biomedical waste management.
如果管理不当,生物医学废物可能损害周围环境,对卫生保健工作者、患者及其护理人员造成各种感染和伤害。方法:采用横断面研究的方法,对某三级医疗机构不同干部卫生服务人员的知识、态度和行为进行评估。假设研究人群中有50%的人对生物医学废物管理的规则和立法有准确的了解,在95%的置信区间允许误差为10%,并考虑到1700名参与者的有限总体校正,取最小样本量为426。数据分析采用Microsoft excel和SPSS软件。结果:426名调查对象中,护士138人(32.4%),实验室技术人员35人(8.2%),家政人员253人(59.4%)。护士对生物医学废物管理和处理的知识、态度和做法显著高于其他医护人员(p<0.05)。结论:与其他医护人员相比,护理人员对生物医学废物收集、分类、规则和处置管理的知识、态度和做法更多。因此,必须强调对其他卫生保健工作者进行适当的培训,以便安全处理和处置生物医学废物管理。
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引用次数: 0
The compelling necessity for improvement in cancer screening in India in this decade 在这十年里,改善印度癌症筛查的迫切必要性
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.024
Y. Khan, Avani Verma, Anila Varghese, S. Mishra
In 2020, cancers of the breast, lip and oral cavity and cervix were the three most common cancers in India.(1) The national programme for prevention and control of cancer, diabetes, cardiovascular diseases and stroke (NPCDCS) recommends a population-based screening for identifying pre-cancerous lesions and early detection of these three cancers by front line health workers.(2) Data about cancer screening has been included in the latest National Family Health Survey (NFHS-5).(3) We have tried to understand the current status of cervical, breast and oral cancer screening in India.
2020年,乳腺癌、口腔癌和宫颈癌是印度最常见的三种癌症。(1)预防和控制癌症、糖尿病、(2)最新的国家家庭健康调查(NFHS-5)纳入了癌症筛查的数据。(3)我们试图了解印度宫颈癌、乳腺癌和口腔癌筛查的现状。
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引用次数: 0
Drug adherence to anti-tubercular treatment during COVID-19 lockdown in Haldwani block of Nainital district Nainital地区Haldwani街区COVID-19封锁期间抗结核治疗的依从性
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.016
M. Maroof, Gaihemlung Pamei, M. Bhatt, S. Awasthi, Subhash Chandra Bahuguna, Pankaj Singh
Background: India saw one of the stringent lockdowns during the COVID-19 pandemic. In the wake of this period, the normal functioning of medical services was affected. People were reluctant to seek medical attention and notification of Tuberculosis dipped. The aim of the study was to estimate the proportion of non-adherence to anti-tubercular treatment and to identify the factors affecting the non-adherence to treatment. Methods: A retrospective community-based study was conducted among 284 tuberculosis patients. They were interviewed using a pre-designed questionnaire consisting of WHO dimensions of non-adherence and lockdown related questions. Results: The proportion of non-adherence to treatment was found to be 5.3%. Factors like chronic diseases, depression, without knowledge on how the disease is transmitted and that medication can be discontinued once the symptoms subsided, alcohol consumption, and trouble accessing medicine were found to be the determining factors in non-adherence to the treatment. Conclusions: Non-adherence to anti-tuberculosis treatment in our study was low but the various dimensions of adherence along with lockdown related factors had significant impact on it. To further minimize non-adherence during emergency like the lockdown due to COVID-19 pandemic, corrective measures must be explored and implemented.
背景:在新冠肺炎大流行期间,印度经历了最严格的封锁之一。在这一时期之后,医疗服务的正常运作受到了影响。人们不愿寻求医疗救助,结核病的通知也有所减少。本研究的目的是估计不坚持抗结核治疗的比例,并确定影响不坚持治疗的因素。方法:对284例肺结核患者进行回顾性社区研究。他们使用预先设计的问卷进行了采访,问卷由世界卫生组织非依从性和封锁相关问题组成。结果:不坚持治疗的比例为5.3%。慢性病、抑郁症、不知道疾病是如何传播的、症状消退后可以停止服药、饮酒和难以获得药物等因素被发现是不遵守治疗的决定因素。结论:在我们的研究中,抗结核治疗的不依从性较低,但依从性的各个维度以及封锁相关因素对其有显著影响。为了进一步减少新冠肺炎大流行导致的封锁等紧急情况下的不依从,必须探索并实施纠正措施。
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引用次数: 0
Predictors of Practice of breast self-examination among women in District Ambala (Haryana) 哈里亚纳邦安巴拉区妇女乳房自我检查行为的预测因素
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.009
Shilpi Gupta, A. Bhardwaj, Anuradha Nadda, A. Mittal, Khajan Singh
Background: Breast cancer is the most common cancer among women and its early detection is critical to improve survival. Breast self-examination is a cheap, basic and non-intellectual method to detect breast cancer. Aims and objectives: 1To determine the knowledge, attitude and practices regarding breast self-examination2. To explain the various factors which affect the practice of BSE Material and Methods: The present study was carried out among 300 women residing in rural and urban areas of district Ambala using a self-designed pretested semi-structured questionnaire. Results: In this study 127 (42.3%) of the participants had heard of BSE and 107 (35.7%) of the participants knew how to perform BSE.  Overall, 47.7%, 30.3%, and 22% of the study participants had poor (<50%), medium (50–75%), and good knowledge (>75) on BSE, respectively. Educational qualification, knowing the three positions to perform BSE, knowing how often should BSE be done, taught how to do BSE, BSE is a useful tool to detect breast cancer were seen to be significantly associated   with practice of BSE. Conclusion: This study elucidates that the knowledge as well as practice of BSE was significantly low in the population. This study provides insights into the various factors which affect the practice of BSE .
背景:癌症是癌症中最常见的女性,其早期发现对提高生存率至关重要。乳腺自检是检测癌症的一种廉价、基本、非智力的方法。目的和目的:1确定关于乳房自我清洁的知识、态度和实践2。为了解释影响BSE实践的各种因素材料和方法:本研究采用自行设计的预测试半结构化问卷,对安巴拉区300名城乡妇女进行了调查。结果:在这项研究中,127名(42.3%)参与者听说过BSE,107名(35.7%)参与者知道如何进行BSE。总体而言,47.7%、30.3%和22%的研究参与者的BSE较差(75)。教育资格,知道进行BSE的三个位置,知道应该多久进行一次BSE,教如何进行BSE,BSE是检测乳腺癌症的有用工具,被视为与BSE实践显著相关。结论:本研究表明,人群对疯牛病的认识和实践水平明显较低。这项研究提供了对影响疯牛病实践的各种因素的见解。
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引用次数: 0
Antenatal depression and its correlates - a cross-sectional study in an urban resettlement colony of Delhi 产前抑郁症及其相关因素——德里城市安置区的横断面研究
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.23
B. Gupta, Abha Mangal, A. Thakur, J. F. Vaghela, Amita Sharma
Background- Antenatal depression is affecting 10% pregnant women worldwide with higher prevalence in developing countries. This causes poor maternal and foetal outcome and also affects cognitive development of the child. Aim and objective: To estimate magnitude of antenatal depression and its risk factors. Methodology- A cross-sectional survey was done at the antenatal clinic of community health department catering to an urban resettlement colony, East Delhi. Estimated sample size was 216 (including 10% non-response rate). Pregnant women attending the ANC clinic from October 2019 to February 2020 were enrolled. EPDS questionnaire was used to assess depression during pregnancy. Results-The antenatal depression was found in 11.8% subjects as per EPDS score. Working female and belonging to Muslim religion, past history of abortion, complications in previous pregnancy, financial debt, physical violence and substance use in family showed significant association with antenatal depression. Conclusion –Depression was prevalent among antenatal women and was found to be associated with various risk factors.
背景-产前抑郁症影响着全球10%的孕妇,发展中国家的患病率更高。这会导致母亲和胎儿的不良结局,也会影响孩子的认知发展。目的和目的:估计产前抑郁的程度及其危险因素。方法——在东德里一个城市安置点的社区卫生部门产前诊所进行了一项横断面调查。估计样本量为216(包括10%的无应答率)。2019年10月至2020年2月在非国大诊所就诊的孕妇被纳入。EPDS问卷用于评估妊娠期抑郁症。结果按EPDS评分,11.8%的受试者存在产前抑郁。工作女性和属于穆斯林宗教、既往堕胎史、既往妊娠并发症、经济债务、身体暴力和家庭药物使用与产前抑郁症有显著关联。结论-抑郁症在产前妇女中普遍存在,并被发现与各种危险因素有关。
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引用次数: 0
COVID-19 Vaccination status among Health care workers diagnosed with COVID-19 in a tertiary care institute of Uttarakhand: A Cross-sectional Study 北阿坎德邦三级保健机构中诊断为COVID-19的卫生保健工作者的COVID-19疫苗接种状况:一项横断面研究
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.012
Mahendra Singh, R. Katre, P. Aggarwal, Y. Bahurupi, Gaurika Saxena, Pallavi Singh, V. Saxena
Background: Vaccines are considered as the one of the main pillars in halting and ending the presently on-going coronavirus disease (COVID-19 disease) pandemic which has spread globally since it was first detected in Wuhan, China in December 2019. In the absence of specific therapy, infection prevention practices and mass vaccination remains the mainstay in controlling the disease. Objectives: Objective of the study was to assess COVID-19 vaccination status, socio-demographic and clinical profile among healthcare workers diagnosed with COVID-19. Methodology: A cross-sectional survey from 1st March 2021 to 30th June 2021 among healthcare workers who were diagnosed with COVID-19 in a tertiary care institute of Uttarakhand, India was conducted, and universal sampling was used. Institutional Ethics Committee approved this study. Results: Total 662 healthcare workers were diagnosed with COVID-19. 429 (64.8%) of these COVID-19 diagnosed healthcare workers had received either single (129,30%) or both dose (300,70%) of COVID-19 vaccine while remaining 233 (35.2%) belonged to non-vaccinated group. History of exposure to COVID-19 positive patients was higher in vaccinated (66.4%) than in non-vaccinated group (55%) (p = 0.004). Hospitalisation was found to be higher among non-vaccinated (5.6%) than vaccinated group (2.3%) (p = 0.029). Conclusions: This study concludes that being vaccinated against COVID-19 disease provides protection against severe infection and reduces the need for hospitalization.
背景:疫苗被认为是阻止和结束目前正在进行的冠状病毒疾病(新冠肺炎)大流行的主要支柱之一,该疾病自2019年12月在中国武汉首次发现以来已在全球传播。在缺乏特定治疗的情况下,预防感染和大规模疫苗接种仍然是控制疾病的支柱。目的:本研究旨在评估诊断为新冠肺炎的医护人员的新冠肺炎疫苗接种状况、社会形态和临床特征。方法:2021年3月1日至2021年6月30日,对印度北阿坎德邦一家三级护理机构诊断为新冠肺炎的医护人员进行了横断面调查,并采用了普遍抽样。机构伦理委员会批准了这项研究。结果:共有662名医护人员被诊断为新冠肺炎。在这些新冠肺炎确诊的医护人员中,429人(64.8%)接种了单剂(129,30%)或双剂(300,70%)新冠肺炎疫苗,其余233人(35.2%)属于未接种组。接种疫苗的新冠肺炎阳性患者的接触史(66.4%)高于未接种疫苗的组(55%)(p=0.004)。未接种疫苗(5.6%)的住院率高于接种疫苗组(2.3%)(p=0.029)住院治疗。
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引用次数: 0
A comparative study on treatment seeking behaviour of geriatric population in rural and urban areas of district Kanpur, Uttar Pradesh 北方邦坎普尔地区农村和城市老年人口求医行为的比较研究
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.011
Shiv Ratan, S. Nigam, T. Midha, Sachin Chaudhary
Background: Aging is a complex and universal life process. Treatment seeking behaviour in elderly is affected by socio-economic factors and by affordability, availability and accessibility of healthcare. Objectives: To study treatment-seeking behaviour of the study subjects. To compare treatment seeking behaviour among rural and urban study subjects. Methods: This was a cross-sectional study conducted in the Kanpur district. Selection of villages in rural and mohallas in urban areas was done using a multistage random sampling technique. A total of 600 subjects were studied, including 400 from urban areas and 200 from rural areas. Elderly persons>60 years of age, both males and females were included in the study. Results: Overall, out of 600 study subjects, 59.8% were taking treatment in rural areas and in urban areas 77.6% were taking treatment. In urban areas, more females availed treatment compared to rural areas. Majority of study subjects (56.5%) sought treatment from a government hospital. Only 36% subjects had health insurance. Conclusion: In Urban areas more subjects availed treatment as compared to rural areas. Majority of subjects sought treatment from government health facilities. Lack of financial support and long waiting time were major reasons for not availing health care.
背景:衰老是一个复杂而普遍的生命过程。老年人寻求治疗的行为受到社会经济因素以及医疗保健的可负担性、可获得性和可及性的影响。目的:了解研究对象的寻求治疗行为。比较城乡研究对象的求医行为。方法:这是在坎普尔地区进行的横断面研究。采用多阶段随机抽样技术对农村和城市地区的莫哈拉村进行了选择。研究对象共600人,其中城市400人,农村200人。研究对象为年龄在60岁至60岁之间的老年人,包括男性和女性。结果:总体而言,600名研究对象中,农村接受治疗的比例为59.8%,城市接受治疗的比例为77.6%。在城市地区,与农村地区相比,获得治疗的女性更多。大多数研究对象(56.5%)在公立医院就诊。只有36%的研究对象有医疗保险。结论:与农村地区相比,城市地区有更多的受试者接受治疗。大多数受试者向政府卫生设施寻求治疗。缺乏财政支持和等待时间过长是得不到保健服务的主要原因。
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引用次数: 0
Effect of Prenatal Dietary Pattern on Maternal Anemia and Low Birth Weight in Rural Areas of Kanpur 坎普尔农村地区产前饮食模式对产妇贫血和低出生体重的影响
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.010
Ahmad Arif Siddiqui, S. Nigam, Saif Anees, T. Midha
Background: In India, the dietary pattern of women from low socioeconomic status are almost same during pre-pregnant, pregnant and lactating periods. Additional foods are required to improve weight gain in pregnancy and birth weight of infants. Aim & Objective: To identify the impact of prenatal dietary pattern on maternal anemia and low birth weight in rural areas of Kanpur Nagar. Methods: This study was a cross sectional study conducted amongst mothers who recently delivered (RDW) in rural blocks of District Kanpur Nagar. Data was collected by interviewing study subjects using a semi-structured interview schedule after applying multistage random sampling technique. Results: Out of 102 women studied, 39.2% women had consumed >90 IFA tablets, 49.1% of mothers had practiced MMF and 47.1% of women practiced MDD during their prenatal period and 40.1% babies of current pregnancy were born as LBW. IFA consumption during pregnancy was significantly associated with maternal anemia. MMF during pregnancy was significantly associated with LBW. Conclusions: In our study it was found that IFA consumption, MMF and MDD during antenatal is a key preventive measure to reduce anemia status in pregnant females and birth weight of baby during prenatal period.
背景:在印度,社会经济地位低下的妇女在孕前、怀孕和哺乳期的饮食模式几乎相同。需要额外的食物来改善妊娠期的体重增加和婴儿的出生体重。目的:了解坎普尔-纳加尔农村地区产前饮食模式对母亲贫血和低出生体重的影响。方法:这项研究是在坎普尔-纳加尔区农村地区最近分娩的母亲中进行的横断面研究。采用多阶段随机抽样技术,采用半结构化访谈表对研究对象进行访谈,收集数据。结果:在102名研究妇女中,39.2%的妇女在产前服用了>90片IFA,49.1%的母亲服用了MMF,47.1%的妇女服用了MDD,40.1%的妊娠期婴儿出生时为LBW。妊娠期食用IFA与母体贫血显著相关。妊娠期MMF与LBW显著相关。结论:在我们的研究中发现,产前食用IFA、MMF和MDD是降低孕妇贫血状况和产前婴儿出生体重的关键预防措施。
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引用次数: 0
Assessment of Selfie addiction among undergraduate medical Students 医大学生自拍成瘾状况评估
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.007
S. Nath, Rajesh Kumar, Manjusha Nath
Background: Selfie’ means “A photograph that one has taken of oneself or a self portrait photograph typically taken with a smart phone or digital camera and shared via social media”. Considering the dependency on Internet and selfie taking behavior among professional students, the study was undertaken. Aims and Objective- to determine the demographic profile of selfie users and different variables related to selfie taking and posting and its association with risky dangerous selfie. Material and Methods: A cross-sectional study conducted among 220 undergraduate medical students were using smartphone. Data was collected and analyzed using SPSS version 21. Results: Male students of middle class family of urban areas were more involved in taking selfie. Females were comparatively spending more time (2-3 hrs) on Internet (X2 =19.494 and p = .001).Total 14% students were taking 3-5 selfie and posted on social media(Statistically significant,X2 =7.882,p =0.019). 19(8.63%) participants admitted of taking dangerous selfie of which male 13(14.0%) more than female 06(8.4%).  Conclusion: Age and gender affects the number of selfies one clicks. This is developing a new mental disorder ‘selfitis’ as well as desire to take dangerous selfie. There is need of health awareness programme, IEC regarding importance of healthy life style.
背景:“自拍”指的是“用智能手机或数码相机拍摄并通过社交媒体分享的自拍照或自拍照”。考虑到专业学生对网络的依赖和自拍行为,进行本研究。目的和目标-确定自拍用户的人口统计资料和与自拍和发布相关的不同变量及其与危险自拍的关联。材料与方法:对220名使用智能手机的医科本科生进行横断面研究。数据收集和分析使用SPSS 21版。结果:城市中产阶级家庭男生自拍参与率较高。女性上网时间较多(2 ~ 3小时)(X2 =19.494, p = .001)。有14%的学生自拍3-5次并上传社交媒体(X2 =7.882,p =0.019)。19名(8.63%)参与者承认有过危险自拍,其中男性13名(14.0%)比女性06名(8.4%)多。结论:年龄和性别影响一次点击自拍次数。这引发了一种新的精神障碍“自拍症”,以及危险自拍的欲望。有必要开展关于健康生活方式重要性的卫生宣传方案。
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引用次数: 0
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Indian Journal of Community Health
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