Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19765
Background: Common mental disorders are severe and frequent co-morbid psychiatric illnesses with epilepsy.Different study findings across the world showed that patients with epilepsy have a higher burden of mentaldisorders than the general population. However, these issues in patients with epilepsy have been consistentlyundiagnosed.Objectives: The study aimed to screen common mental disorders and the determinants among patients withepilepsy.Methods: An institutional-based cross-sectional study was conducted among patients with Epilepsy from March10 to May 15, 2021. Patients were assessed for the risk of common mental disorders using a pretested, structured,self-reporting questionnaire (SRQ-20). The collected data were entered into Epi-data version 3.1 software andanalyzed using R version 4.0 software. Descriptive statistics were computed using frequency, percent, mean,and standard deviations. A simple logistic regression model was fit to identify the association and strength ofexploratory variables and common mental disorders at a 95% confidence interval and p-value < 0.05.Results: The study included 202 patients diagnosed with epilepsy and yielded a response of 91.4%. About 53%of the patients were males. The magnitude of common mental disorders among patients with epilepsy was 57.9%(95% CI: 44.56, 71.24). Being more than one substance user (AOR = 5.7; 95%CI: 1.6, 20.7) and Not having socialsupport (AOR = 4.3; 95%CI: 1.5, 11.9) were the identified determinants of common mental disorders.Conclusion: The magnitude of common mental disorders among patients with epilepsy were high. Not havingsocial support and khat chewing were the identified risk factors significantly associated with common mentaldisorders. Early screening and treatments are the key interventions to prevent complications and deaths fromcommon mental disorders.
{"title":"Prevalence and Predictors of Psychiatric Disorders in Patients with Epilepsy in a Tertiary Level Care Hospital","authors":"","doi":"10.37506/ijphrd.v14i4.19765","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19765","url":null,"abstract":"Background: Common mental disorders are severe and frequent co-morbid psychiatric illnesses with epilepsy.Different study findings across the world showed that patients with epilepsy have a higher burden of mentaldisorders than the general population. However, these issues in patients with epilepsy have been consistentlyundiagnosed.Objectives: The study aimed to screen common mental disorders and the determinants among patients withepilepsy.Methods: An institutional-based cross-sectional study was conducted among patients with Epilepsy from March10 to May 15, 2021. Patients were assessed for the risk of common mental disorders using a pretested, structured,self-reporting questionnaire (SRQ-20). The collected data were entered into Epi-data version 3.1 software andanalyzed using R version 4.0 software. Descriptive statistics were computed using frequency, percent, mean,and standard deviations. A simple logistic regression model was fit to identify the association and strength ofexploratory variables and common mental disorders at a 95% confidence interval and p-value < 0.05.Results: The study included 202 patients diagnosed with epilepsy and yielded a response of 91.4%. About 53%of the patients were males. The magnitude of common mental disorders among patients with epilepsy was 57.9%(95% CI: 44.56, 71.24). Being more than one substance user (AOR = 5.7; 95%CI: 1.6, 20.7) and Not having socialsupport (AOR = 4.3; 95%CI: 1.5, 11.9) were the identified determinants of common mental disorders.Conclusion: The magnitude of common mental disorders among patients with epilepsy were high. Not havingsocial support and khat chewing were the identified risk factors significantly associated with common mentaldisorders. Early screening and treatments are the key interventions to prevent complications and deaths fromcommon mental disorders.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135749692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19818
Objective: To predict fetal growth restriction using transcerebellar diameter and abdominal circumference ratio(TCD/AC) in women with clinically diagnosed FGR.Materials and Methods: A prospective observational cohort study was conducted on women >28 weeks of gestationwith clinically diagnosed fetal growth restriction, at the Tertiary care centre. Total 120 women were enrolled ,overa period of 18 months ,from December 2020 to July 2022 .Biometry was performed using ultrasonography andtranscerebellar diameter and abdominal circumference ratio (TCD/AC) and head circumference and abdominalcircumference ratio (HC/AC) were calculated. All women were followed up till delivery and fetomaternaloutcome was recorded. After birth height, weight and ponderal index of the newborn were also noted. TCD/ACratio was correlated with birth weight and ponderal index, for predicting FGR. TCD/AC ratio was also comparedwith routinely used HC/AC ratio for predicting FGR.Statistical Analysis: The final analysis was done with the use of Statistical Package for Social Sciences (SPSS)software, IBM manufacturer, Chicago, USA, version 21.0®.Results: A cut off value of TCD/AC >0.14 was found to have a sensitivity, specificity, PPV and NPV of 87.36%,75.76%, 90.5% and 69.4% respectively with a diagnostic accuracy of 84.17%, in diagnosing FGR. There was a significantnegative correlation between TCD/AC ratio with birth weight and ponderal index, with a correlation coefficientof 0.463 and 0.501 respectively. (p value < 0.001) TCD/AC was better predictor of fetal growth restriction with adiagnostic accuracy of 84.17% versus 40.83% with HC/AC. Significant positive correlation was observed betweenperiod of gestation (weeks) with transcerebellar diameter (mm),with correlation coefficient of 0.497 (p<0.001).Conclusions: TCD/AC ratio is an effective gestational age independent parameter to predict FGR onultrasonography, with better diagnostic accuracy than routinely used HC/AC. Hence it should be performed forall antenatal women clinically suspected to have FGR.
{"title":"Prediction of Fetal Growth Restriction using Transcerebellar Diameter and Abdominal Circumference Ratio","authors":"","doi":"10.37506/ijphrd.v14i4.19818","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19818","url":null,"abstract":"Objective: To predict fetal growth restriction using transcerebellar diameter and abdominal circumference ratio(TCD/AC) in women with clinically diagnosed FGR.Materials and Methods: A prospective observational cohort study was conducted on women >28 weeks of gestationwith clinically diagnosed fetal growth restriction, at the Tertiary care centre. Total 120 women were enrolled ,overa period of 18 months ,from December 2020 to July 2022 .Biometry was performed using ultrasonography andtranscerebellar diameter and abdominal circumference ratio (TCD/AC) and head circumference and abdominalcircumference ratio (HC/AC) were calculated. All women were followed up till delivery and fetomaternaloutcome was recorded. After birth height, weight and ponderal index of the newborn were also noted. TCD/ACratio was correlated with birth weight and ponderal index, for predicting FGR. TCD/AC ratio was also comparedwith routinely used HC/AC ratio for predicting FGR.Statistical Analysis: The final analysis was done with the use of Statistical Package for Social Sciences (SPSS)software, IBM manufacturer, Chicago, USA, version 21.0®.Results: A cut off value of TCD/AC >0.14 was found to have a sensitivity, specificity, PPV and NPV of 87.36%,75.76%, 90.5% and 69.4% respectively with a diagnostic accuracy of 84.17%, in diagnosing FGR. There was a significantnegative correlation between TCD/AC ratio with birth weight and ponderal index, with a correlation coefficientof 0.463 and 0.501 respectively. (p value < 0.001) TCD/AC was better predictor of fetal growth restriction with adiagnostic accuracy of 84.17% versus 40.83% with HC/AC. Significant positive correlation was observed betweenperiod of gestation (weeks) with transcerebellar diameter (mm),with correlation coefficient of 0.497 (p<0.001).Conclusions: TCD/AC ratio is an effective gestational age independent parameter to predict FGR onultrasonography, with better diagnostic accuracy than routinely used HC/AC. Hence it should be performed forall antenatal women clinically suspected to have FGR.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19795
Background: Hemoglobin disorders are the leading health concern in the World including India. Effective screeningprograms, awareness campaign and proper prenatal diagnosis are the only ways to eradicate the disease. Verysparse data are available on the spectrum of haemoglobinopathies in the central part of Gujarat state. Hence, thisstudy was undertaken to find out the prevalence of haemoglobinopathies among the students of Anand People’sMedicare Society, Anand District, Gujarat, India.Methods: In this prospective study, total 2195 students were screened for haemoglobinopathies after takingclinical and familial history. A complete hemogram report was obtained by an automated hematology counterand hemoglobin variants were quantitated by performing HPLC on Bio-Rad Variant II. The prevalence ofhemoglobinopathies was 7.06%, which includes β-thalassemia trait (2.73 %), sickle cell trait (3.82%), homozygoussickle cell disease (0.09%), Hb D trait (0.22%), Hb E (0.09%) trait and other haemoglobinopathies (0.08%).Conclusion: Population groups with high gene frequency of haemoglobinopathies requires a routine premaritalscreening program, awareness and education for identification, prevention of high-risk marriages and birth ofthalassemic homozygotes.
{"title":"Prevalence of Haemoglobinopathy among Young College Students in Anand-Gujarat: A Premarital Screening Program for Carrier Detection of Hemoglobin Disorders","authors":"","doi":"10.37506/ijphrd.v14i4.19795","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19795","url":null,"abstract":"Background: Hemoglobin disorders are the leading health concern in the World including India. Effective screeningprograms, awareness campaign and proper prenatal diagnosis are the only ways to eradicate the disease. Verysparse data are available on the spectrum of haemoglobinopathies in the central part of Gujarat state. Hence, thisstudy was undertaken to find out the prevalence of haemoglobinopathies among the students of Anand People’sMedicare Society, Anand District, Gujarat, India.Methods: In this prospective study, total 2195 students were screened for haemoglobinopathies after takingclinical and familial history. A complete hemogram report was obtained by an automated hematology counterand hemoglobin variants were quantitated by performing HPLC on Bio-Rad Variant II. The prevalence ofhemoglobinopathies was 7.06%, which includes β-thalassemia trait (2.73 %), sickle cell trait (3.82%), homozygoussickle cell disease (0.09%), Hb D trait (0.22%), Hb E (0.09%) trait and other haemoglobinopathies (0.08%).Conclusion: Population groups with high gene frequency of haemoglobinopathies requires a routine premaritalscreening program, awareness and education for identification, prevention of high-risk marriages and birth ofthalassemic homozygotes.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135754365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19766
A descriptive study on surgical case profile related to socio demographic and clinical aspects was conductedin a tertiary care teaching hospital Hyderabad, Telangana. This was a retrospective and record based study. Atotal of 885 case sheets were collected from Medical record department among which 488 were males and 397were females. In-patient surgical case sheets were collected from 1st July 2021 to 30th June 2022 for a period ofone year after obtaining permission from the Institutional Ethics Committee. Absolute professional secrecy wasmaintained. All inpatient case sheets from department of Surgery were collected from the medical records andconsidered for this study. The study results were evaluated and analyzed by SPSS software.We found that highest number of patients admitted was in the age group of 31 to 50 years. Co- morbid conditionslike hypertension and diabetes (23.9%) was associated with surgical conditions. Majority of patients were fromurban locality (62.7%). Pain abdomen (36.3%) followed by swelling both inflammatory and tumor (35.5%) werethe common clinical presentations at the time of admission. Highest cases of surgical conditions in our study wereinflammatory swellings (17.9%), followed by benign tumors (17%), hernias(12.4%), appendicitis 9.2%, cholecystitisand cholelithiasis (9%), acid peptic diseases (7.2%) and renal calculi contributing 6.3%. Of the malignant conditions(3.16%) noticed, carcinoma of breast was common in females and oral cancers were commonest in males. Inguinalhernias were common in males and incisional hernias were common in females. Highest number of cholecystitisand cholelithiasis were observed in female population. Mean hospital stay was 6 days in our study. Most of thecases were reported in rainy season and treated conservatively (50.7%), very least genetic predisposition (0.4%)was observed in the study population. Study results were similar when compared with other studies conductedin India and abroad.
{"title":"A Socio-demographic and Clinical Study on Surgical Cases in a Tertiary Care Teaching Hospital, Suraram, Hyderabad","authors":"","doi":"10.37506/ijphrd.v14i4.19766","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19766","url":null,"abstract":"A descriptive study on surgical case profile related to socio demographic and clinical aspects was conductedin a tertiary care teaching hospital Hyderabad, Telangana. This was a retrospective and record based study. Atotal of 885 case sheets were collected from Medical record department among which 488 were males and 397were females. In-patient surgical case sheets were collected from 1st July 2021 to 30th June 2022 for a period ofone year after obtaining permission from the Institutional Ethics Committee. Absolute professional secrecy wasmaintained. All inpatient case sheets from department of Surgery were collected from the medical records andconsidered for this study. The study results were evaluated and analyzed by SPSS software.We found that highest number of patients admitted was in the age group of 31 to 50 years. Co- morbid conditionslike hypertension and diabetes (23.9%) was associated with surgical conditions. Majority of patients were fromurban locality (62.7%). Pain abdomen (36.3%) followed by swelling both inflammatory and tumor (35.5%) werethe common clinical presentations at the time of admission. Highest cases of surgical conditions in our study wereinflammatory swellings (17.9%), followed by benign tumors (17%), hernias(12.4%), appendicitis 9.2%, cholecystitisand cholelithiasis (9%), acid peptic diseases (7.2%) and renal calculi contributing 6.3%. Of the malignant conditions(3.16%) noticed, carcinoma of breast was common in females and oral cancers were commonest in males. Inguinalhernias were common in males and incisional hernias were common in females. Highest number of cholecystitisand cholelithiasis were observed in female population. Mean hospital stay was 6 days in our study. Most of thecases were reported in rainy season and treated conservatively (50.7%), very least genetic predisposition (0.4%)was observed in the study population. Study results were similar when compared with other studies conductedin India and abroad.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135754614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19771
Background: Adolescent is very crucial period of life for growth and development of body and mind. Nutritioninfluences growth and development throughout infancy, childhood and adolescents.Aims: To find out the prevalence of nutritional deficiency disorders and dietary assessment among adolescent agegroup.Materials and Methods: Community based descriptive cross- sectional study was conducted among 6 ruralschools of Bankura-I community development block in Bankura district from February to May 2014. With the helpof pre-designed, pre-tested, semi-structured schedule total 600 adolescent students were interviewed and clinicalexaminations were done.Results: Mean age of study population was 13.2± 2.19 years. 7.0% of pupils were vegetarian and 93.0% was nonvegetarian.More than one fourth students consumed fast food /junk foods ≥ 3 serving/ week in this study. Total442 students were eligible for mid-day meal. Out of that 5.7% student did not take mid-day meal from their school.Iron folic acid (IFA) tablet was given only to girl students. 55.6% girls consumed IFA tab but rest did not consumeIFA tablets. Pallor was detected clinically in 33.5% of adolescents.Conclusions: School based as well as Community-based adolescent-friendly health and nutrition education andservices and economic development may improve the overall health and nutritional knowledge and status ofadolescents.
{"title":"Assessment of the Nutritional Disorders among School Going Adolescents in Rural Bankura District of West Bengal: A Cross-Sessional Study","authors":"","doi":"10.37506/ijphrd.v14i4.19771","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19771","url":null,"abstract":"Background: Adolescent is very crucial period of life for growth and development of body and mind. Nutritioninfluences growth and development throughout infancy, childhood and adolescents.Aims: To find out the prevalence of nutritional deficiency disorders and dietary assessment among adolescent agegroup.Materials and Methods: Community based descriptive cross- sectional study was conducted among 6 ruralschools of Bankura-I community development block in Bankura district from February to May 2014. With the helpof pre-designed, pre-tested, semi-structured schedule total 600 adolescent students were interviewed and clinicalexaminations were done.Results: Mean age of study population was 13.2± 2.19 years. 7.0% of pupils were vegetarian and 93.0% was nonvegetarian.More than one fourth students consumed fast food /junk foods ≥ 3 serving/ week in this study. Total442 students were eligible for mid-day meal. Out of that 5.7% student did not take mid-day meal from their school.Iron folic acid (IFA) tablet was given only to girl students. 55.6% girls consumed IFA tab but rest did not consumeIFA tablets. Pallor was detected clinically in 33.5% of adolescents.Conclusions: School based as well as Community-based adolescent-friendly health and nutrition education andservices and economic development may improve the overall health and nutritional knowledge and status ofadolescents.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135754829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19764
Background: Coronavirus disease 2019 (COVID-19), the pandemic that invaded the world in 2020, caused morethan 70 million cases and exceeded a million and a half deaths worldwide by the end of the year. Age and sex havebeen identified as two of the prominent risk factors in COVID-19 deaths. Early epidemiological studies conductedin China, India, and Iran revealed that fewer females were infected by SARS-CoV2(4-9).It is imperative for national governments to identify which population members are at high risk of becoming illor more likely to die. This analysis emphasizes the early epidemiological features of COVID-19 cases in the OPDin order to guide to policy decisions on the health, commercial, social, and economic fronts in case of any futuresurge in Covid cases.Methods: The data collected during contact tracing (urban and rural ) and hospital admissions during the periods:February 2020 to October 2020 (first wave) and April 2021 to June 2021 (second wave) and December 2021 toFebruary 2022 (Third wave) were analyzed for demographics and other characteristics.Present study shows that frequency of positive case is more in rural people in age group II (15-50 years) than urbanpeople. Male case is higher in rural areas and female cases are higher in urban areas, hospital admission and ICUadmission were higher in rural people while death was reported higher in urban areas.Better targeting of interventions may help to limit expensive interventions such as intensive care admissions andavoid deaths. To create an efficient, equitable response to the pandemic, especially in countries where resourcesare limited awareness of the roles of gender, age and geography in the outbreak are imperative.
{"title":"Study of the Characteristics of Positive Contacts and Hospitalized Cases in Multiple Waves of the Covid -19 Pandemic in Pali District of Western Rajasthan: A Secondary Data Analysis","authors":"","doi":"10.37506/ijphrd.v14i4.19764","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19764","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19), the pandemic that invaded the world in 2020, caused morethan 70 million cases and exceeded a million and a half deaths worldwide by the end of the year. Age and sex havebeen identified as two of the prominent risk factors in COVID-19 deaths. Early epidemiological studies conductedin China, India, and Iran revealed that fewer females were infected by SARS-CoV2(4-9).It is imperative for national governments to identify which population members are at high risk of becoming illor more likely to die. This analysis emphasizes the early epidemiological features of COVID-19 cases in the OPDin order to guide to policy decisions on the health, commercial, social, and economic fronts in case of any futuresurge in Covid cases.Methods: The data collected during contact tracing (urban and rural ) and hospital admissions during the periods:February 2020 to October 2020 (first wave) and April 2021 to June 2021 (second wave) and December 2021 toFebruary 2022 (Third wave) were analyzed for demographics and other characteristics.Present study shows that frequency of positive case is more in rural people in age group II (15-50 years) than urbanpeople. Male case is higher in rural areas and female cases are higher in urban areas, hospital admission and ICUadmission were higher in rural people while death was reported higher in urban areas.Better targeting of interventions may help to limit expensive interventions such as intensive care admissions andavoid deaths. To create an efficient, equitable response to the pandemic, especially in countries where resourcesare limited awareness of the roles of gender, age and geography in the outbreak are imperative.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135749914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19801
Background: Allergic rhinitis and asthma are both chronic heterogeneous disorders, with an overlappingepidemiology of prevalence, health care and social costs in quality of life. Both are inflammatory disorders with asimilar pathophysiology and vitamin D has a significant role in the pathogenesis of the disease.Aims and Objective: The objective of this study was to evaluate the role of serum vitamin D in patients withsymptomatic allergic rhinitis and active asthma during the allergy season and observe the effect of montelukast10 mg daily as treatment.Materials and methods: This study included 130 asthmatic and seasonal allergic rhinitis patients following asingle-blind, placebo run-in period of 3 days–5 days, patients were randomized to oral montelukast 10 mg (n = 68)or placebo (n = 62) daily during the 2-week, double-blind, active-treatment period. The serum vitamin D was alsoevaluated in both the groups.Results: The serum vitamin D levels were found to be higher in patients taking monteleukast compared to placeboafter 2 weeks (p< 0.001). Montelukast reduced the Total Nasal symptoms score which includes Daytime nasalsymptoms and Nighttime symptoms compared to placebo after 2 weeks (p < 0.001). Conclusion: Montelukastprovides significant relief from symptoms of seasonal allergic rhinitis, while also conferring a benefit for asthma,in patients with both allergic rhinitis and asthma. Further, it has a beneficial role in improving vitamin D levels.
{"title":"Role of Montelukast on Vitamin D Levels in Asthma and Seasonal Allergic Rhinitis in Eastern India","authors":"","doi":"10.37506/ijphrd.v14i4.19801","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19801","url":null,"abstract":"Background: Allergic rhinitis and asthma are both chronic heterogeneous disorders, with an overlappingepidemiology of prevalence, health care and social costs in quality of life. Both are inflammatory disorders with asimilar pathophysiology and vitamin D has a significant role in the pathogenesis of the disease.Aims and Objective: The objective of this study was to evaluate the role of serum vitamin D in patients withsymptomatic allergic rhinitis and active asthma during the allergy season and observe the effect of montelukast10 mg daily as treatment.Materials and methods: This study included 130 asthmatic and seasonal allergic rhinitis patients following asingle-blind, placebo run-in period of 3 days–5 days, patients were randomized to oral montelukast 10 mg (n = 68)or placebo (n = 62) daily during the 2-week, double-blind, active-treatment period. The serum vitamin D was alsoevaluated in both the groups.Results: The serum vitamin D levels were found to be higher in patients taking monteleukast compared to placeboafter 2 weeks (p< 0.001). Montelukast reduced the Total Nasal symptoms score which includes Daytime nasalsymptoms and Nighttime symptoms compared to placebo after 2 weeks (p < 0.001). Conclusion: Montelukastprovides significant relief from symptoms of seasonal allergic rhinitis, while also conferring a benefit for asthma,in patients with both allergic rhinitis and asthma. Further, it has a beneficial role in improving vitamin D levels.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135748614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19788
Introduction: Menstruation is a part of women’s healthy well-being. The objective of this study was to assess themenstrual hygiene practises among female medical students in a tertiary care teaching hospital in Central Kerala.Methods: An institution-based cross-sectional study was conducted in 2021 among 225 female undergraduateMBBS students aged 18–25 years in a tertiary health care facility in Kerala. The data was collected using an expertvalidated semi-structured questionnaire after obtaining informed consent from the participants via Google Forms.The universal sampling technique was used, and the data was analysed with SPSS version 20.0.Results: The mean age of the study participants was 21.65 ± 1.34 years and 91.1% were from the APL socioeconomiccategory. 95.5% of participants were using disposable sanitary pads. The frequency of washing external genitaliaand changing sanitary products were adequate in 69.4% and 33.8% respectively. The common mode of disposal ofmenstrual products were burning(50.2%), incineration(34.7%) and discarded into general waste(8.9%). 66.7% werenot allowed to do religious activities during menstruation.Conclusion: Most of participants used disposable sanitary pads. The frequency of changing sanitary products andtheir disposal was found to be inadequate. Menstruation related myths were common among participants.
{"title":"Menstrual Practices among Medical Students in a Tertiary Care Teaching Hospital in Central Kerala","authors":"","doi":"10.37506/ijphrd.v14i4.19788","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19788","url":null,"abstract":"Introduction: Menstruation is a part of women’s healthy well-being. The objective of this study was to assess themenstrual hygiene practises among female medical students in a tertiary care teaching hospital in Central Kerala.Methods: An institution-based cross-sectional study was conducted in 2021 among 225 female undergraduateMBBS students aged 18–25 years in a tertiary health care facility in Kerala. The data was collected using an expertvalidated semi-structured questionnaire after obtaining informed consent from the participants via Google Forms.The universal sampling technique was used, and the data was analysed with SPSS version 20.0.Results: The mean age of the study participants was 21.65 ± 1.34 years and 91.1% were from the APL socioeconomiccategory. 95.5% of participants were using disposable sanitary pads. The frequency of washing external genitaliaand changing sanitary products were adequate in 69.4% and 33.8% respectively. The common mode of disposal ofmenstrual products were burning(50.2%), incineration(34.7%) and discarded into general waste(8.9%). 66.7% werenot allowed to do religious activities during menstruation.Conclusion: Most of participants used disposable sanitary pads. The frequency of changing sanitary products andtheir disposal was found to be inadequate. Menstruation related myths were common among participants.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19798
Introduction: Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulinor when the body cannot effectively use its insulin. According to the World Health Organization report, India todayheads the world with over 32 million diabetic patients, and this number is projected to increase to 79.4 million bythe year 2030. Recent surveys indicate that diabetes now affects a staggering 16% of the urban population and 5-8%of the rural population in India.Objectives: To study the diabetic profile & to assess knowledge about Diabetes mellitus among diabetic patientsof Rural field practice areas.Methodology: A cross-sectional survey was conducted at the Rural health Training Centre, Ukkali, under thedepartment of Community Medicine, among the diabetic patients attending the Diabetic clinic for a period of sixmonths. A Pre-designed, pre-tested questionnaire was used to assess the socio-demographic profile of patients,profile of diabetes & knowledge about diabetes mellitus.Results: A total of 110 diabetic patients with a mean age of 66yrs ± 6 (M 52%, F 48%) showed irregularity intreatment due to the cost of treatment & frequent changing of treatment providers (40%). The majority of patientsthink that eating excess sugar causes diabetes (72%), it runs in the family (48%) & around 60% are not having anyidea about hypoglycemia. Overall knowledge found was poor.Conclusion: There is a need to increase awareness about chronic diseases like diabetes mellitus among peopleby strengthening the IEC activities in PHCs, RHTCs & Private hospitals because this will reduce the suffering ofpeople not only physically but also economically.
{"title":"To Assess the Knowledge & Practice about Diabetes Mellitus among Diabetic Patients of Rural Field Practice Area, North Karnataka: A Cross-Sectional Survey","authors":"","doi":"10.37506/ijphrd.v14i4.19798","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19798","url":null,"abstract":"Introduction: Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulinor when the body cannot effectively use its insulin. According to the World Health Organization report, India todayheads the world with over 32 million diabetic patients, and this number is projected to increase to 79.4 million bythe year 2030. Recent surveys indicate that diabetes now affects a staggering 16% of the urban population and 5-8%of the rural population in India.Objectives: To study the diabetic profile & to assess knowledge about Diabetes mellitus among diabetic patientsof Rural field practice areas.Methodology: A cross-sectional survey was conducted at the Rural health Training Centre, Ukkali, under thedepartment of Community Medicine, among the diabetic patients attending the Diabetic clinic for a period of sixmonths. A Pre-designed, pre-tested questionnaire was used to assess the socio-demographic profile of patients,profile of diabetes & knowledge about diabetes mellitus.Results: A total of 110 diabetic patients with a mean age of 66yrs ± 6 (M 52%, F 48%) showed irregularity intreatment due to the cost of treatment & frequent changing of treatment providers (40%). The majority of patientsthink that eating excess sugar causes diabetes (72%), it runs in the family (48%) & around 60% are not having anyidea about hypoglycemia. Overall knowledge found was poor.Conclusion: There is a need to increase awareness about chronic diseases like diabetes mellitus among peopleby strengthening the IEC activities in PHCs, RHTCs & Private hospitals because this will reduce the suffering ofpeople not only physically but also economically.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19769
According to the Merriam-Webster dictionary, feedback is the transmission of evaluative or corrective information about an action, event, or process to the original or controlling source, or the return to a portion of a machine, system, or process’s output. Feedback is an essential component of the learning and development process for students. Among the most important forms of teacher-learner interaction is feedback. Medical educators have identified feedback as one of the primary catalysts needed to improve performance. Feedback on effectiveness should be provided immediately after students have observed performance behavior. Feedback is at the heart of medical education in the promotion of learning and the achievement of objectives. This paper investigates the significance of feedback in the learning experience, as well as feedback obstacles andpractical feedback guidelines.
{"title":"Clinical Based Feedback","authors":"","doi":"10.37506/ijphrd.v14i4.19769","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19769","url":null,"abstract":"According to the Merriam-Webster dictionary, feedback is the transmission of evaluative or corrective information about an action, event, or process to the original or controlling source, or the return to a portion of a machine, system, or process’s output. Feedback is an essential component of the learning and development process for students. Among the most important forms of teacher-learner interaction is feedback. Medical educators have identified feedback as one of the primary catalysts needed to improve performance. Feedback on effectiveness should be provided immediately after students have observed performance behavior. Feedback is at the heart of medical education in the promotion of learning and the achievement of objectives. This paper investigates the significance of feedback in the learning experience, as well as feedback obstacles andpractical feedback guidelines.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135754606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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