Pub Date : 2020-01-01DOI: 10.5455/ijmsph.2020.1235205012020
Abdul Saeed
Background: Vitiligo is a common acquired depigmentary skin disease that affects 0.5–1% of the world population. Patient’s thought about vitiligo can result in positive and/or adverse implications for the management of their disease. Objective: This study sought to explore the knowledge and beliefs held by vitiligo patients attending Najran University Hospital and to explore the potential factors that might influence such believes. Materials and Methods: A cross-sectional study among patients with vitiligo was carried out between May 2018 and November 2019 included 60 patients aged over 12 years. The illness perception questionnaire in Arabic form administered to vitiligo patients and illness details was obtained. Results: In total, 60 (36 females, and 24 males) patients were included in the study, it was believed that fate, and evil eyes were the cause of vitiligo by 88% and 33% of the respondents, respectively. About 45%, 30%, and 20% believed in stress, hereditary, and altered immunity as a cause of their illness, respectively. About 50% believed that their illness had a major effect on their lives and 58% believed that vitiligo had strongly affected the way others see them; this was more common in female patients. About 90% believed that their illness was not contagious, 58% believed that they do understand their illness. About 75% and 45% reported feeling stress depressed, respectively, because of their disease; this was more common in females and independent on the educational level. Conclusions: Our results show that misunderstanding and negative attitudes are common among vitiligo patients which led to physiological stress, anxiety, and depression.
{"title":"Beliefs, knowledge, and perceptions of Najrani vitiligo patients regarding their illness","authors":"Abdul Saeed","doi":"10.5455/ijmsph.2020.1235205012020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.1235205012020","url":null,"abstract":"Background: Vitiligo is a common acquired depigmentary skin disease that affects 0.5–1% of the world population. Patient’s thought about vitiligo can result in positive and/or adverse implications for the management of their disease. Objective: This study sought to explore the knowledge and beliefs held by vitiligo patients attending Najran University Hospital and to explore the potential factors that might influence such believes. Materials and Methods: A cross-sectional study among patients with vitiligo was carried out between May 2018 and November 2019 included 60 patients aged over 12 years. The illness perception questionnaire in Arabic form administered to vitiligo patients and illness details was obtained. Results: In total, 60 (36 females, and 24 males) patients were included in the study, it was believed that fate, and evil eyes were the cause of vitiligo by 88% and 33% of the respondents, respectively. About 45%, 30%, and 20% believed in stress, hereditary, and altered immunity as a cause of their illness, respectively. About 50% believed that their illness had a major effect on their lives and 58% believed that vitiligo had strongly affected the way others see them; this was more common in female patients. About 90% believed that their illness was not contagious, 58% believed that they do understand their illness. About 75% and 45% reported feeling stress depressed, respectively, because of their disease; this was more common in females and independent on the educational level. Conclusions: Our results show that misunderstanding and negative attitudes are common among vitiligo patients which led to physiological stress, anxiety, and depression.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"1 1","pages":"189-193"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82913326","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.02036202011032020
Amany Omar, Nisreen Osman
Background: Skin adnexal tumors (SATs) are uncommon and may cause diagnostic problems. Objective: The aim of this study is to determine the frequency of SATs with respect to their clinicopathological features over a period of 4 years. Materials and Methods: It was a retrospective, descriptive study. Formalin-fixed, paraffin-embedded sections were stained with hematoxylin and eosin for histopathological analysis and with special stains as Alcian blue/periodic acidSchiff stain for confirmation. Results: A total number of cases that were diagnosed as SATs were 18; benign tumors were 17 (94.4%) and one malignant tumor (5.6%). Most tumors were of sweat gland origin (61.1%) followed by hair follicle origin (33.3%) then by sebaceous gland origin (5.6%). The age ranged from 3 to 51 years and male: female ratio was 1.57:1. The head-and-neck region was the most common location (44.4%). Hidradenoma (35.3%) was the most common benign tumor followed by pilomatrixoma (23.5%) and spiradenoma (17.6%) while sebaceous carcinoma was the only malignant tumor detected. Conclusion: The overall incidence of SATs was found to be very low. Benign SATs were more as compared with the malignant tumors. A careful histopathological assessment is essential for accurate diagnosis.
{"title":"Four years retrospective study of skin adnexal tumors: Histomorphology and special stain study","authors":"Amany Omar, Nisreen Osman","doi":"10.5455/ijmsph.2020.02036202011032020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.02036202011032020","url":null,"abstract":"Background: Skin adnexal tumors (SATs) are uncommon and may cause diagnostic problems. Objective: The aim of this study is to determine the frequency of SATs with respect to their clinicopathological features over a period of 4 years. Materials and Methods: It was a retrospective, descriptive study. Formalin-fixed, paraffin-embedded sections were stained with hematoxylin and eosin for histopathological analysis and with special stains as Alcian blue/periodic acidSchiff stain for confirmation. Results: A total number of cases that were diagnosed as SATs were 18; benign tumors were 17 (94.4%) and one malignant tumor (5.6%). Most tumors were of sweat gland origin (61.1%) followed by hair follicle origin (33.3%) then by sebaceous gland origin (5.6%). The age ranged from 3 to 51 years and male: female ratio was 1.57:1. The head-and-neck region was the most common location (44.4%). Hidradenoma (35.3%) was the most common benign tumor followed by pilomatrixoma (23.5%) and spiradenoma (17.6%) while sebaceous carcinoma was the only malignant tumor detected. Conclusion: The overall incidence of SATs was found to be very low. Benign SATs were more as compared with the malignant tumors. A careful histopathological assessment is essential for accurate diagnosis.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"14 1","pages":"273-279"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81033646","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.09152202004122020
A. Dixit, D. Meena
{"title":"Cost variation study of different bands of psychiatric drugs available in Indian market with reference to Indian drug price control order","authors":"A. Dixit, D. Meena","doi":"10.5455/ijmsph.2020.09152202004122020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.09152202004122020","url":null,"abstract":"","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88776008","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.03042202022042020
S. Patnaik, P. Srivastava
Background: Indian health care is experiencing a significant shift in terms of requirement of resources and changing demographic pattern. The customer-oriented and quality conscious competitive environment has intensified the need for healthcare organizations to attain higher levels of organizational performance. Competencies of health-care leaders play a pivotal role in deciding the organizational development and strategic growth. A cross-sectional study of select health-care leaders� of India was done from various hospitals and other health delivery agencies to identify and analyze the gaps in competencies. Objectives: The study objectives were to identify the existing leadership competencies of private and public health-care executives, assess and compare these competencies against standardized leadership models, and recommend key competencies for Indian leaders. Materials and Methods: A cross-sectional study was carried out amidst health-care leaders of India so as to assess their leadership competencies. Health-care leaders of India were identified after focused group discussion and senior health-care leaders such as Directors, Deans, CEOs, and Principals were shortlisted for this study. Two structured questionnaires were administered to health-care leaders of various hospitals in India. The ratings in the questionnaire were on a Likert scale ranging from very poor to excellent. Respondents were asked to self-evaluate various competencies and the same was analyzed using the SPSS statistical software. Interpretation of results of data analysis was done. Ethics Committee Clearance was taken from the institute where the study was done. Results: A total of 300 questionnaires were sent of which 106 questionnaires were completed and returned back by select health-care leaders, 78 were doctors and 28 were nursing executives. The study has been able to identify deficiencies in the perceived �existing competency� and �required competency� levels in the selected competencies amidst public and private sector health executives. Conclusion: The findings of this study suggest that there is deficiency in perceived �existing competency� and �required competency� levels in the selected competencies of health-care leaders both from private and public sectors. Indian health-care leaders are operating at operational level and have not graded themselves highly in transformational roles. There is a need for training to bridge the competency gap of Indian health-care leaders both in public and private sectors.
{"title":"Evaluation of skill gaps of health-care leaders in Indian public and private sectors","authors":"S. Patnaik, P. Srivastava","doi":"10.5455/ijmsph.2020.03042202022042020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.03042202022042020","url":null,"abstract":"Background: Indian health care is experiencing a significant shift in terms of requirement of resources and changing demographic pattern. The customer-oriented and quality conscious competitive environment has intensified the need for healthcare organizations to attain higher levels of organizational performance. Competencies of health-care leaders play a pivotal role in deciding the organizational development and strategic growth. A cross-sectional study of select health-care leaders� of India was done from various hospitals and other health delivery agencies to identify and analyze the gaps in competencies. Objectives: The study objectives were to identify the existing leadership competencies of private and public health-care executives, assess and compare these competencies against standardized leadership models, and recommend key competencies for Indian leaders. Materials and Methods: A cross-sectional study was carried out amidst health-care leaders of India so as to assess their leadership competencies. Health-care leaders of India were identified after focused group discussion and senior health-care leaders such as Directors, Deans, CEOs, and Principals were shortlisted for this study. Two structured questionnaires were administered to health-care leaders of various hospitals in India. The ratings in the questionnaire were on a Likert scale ranging from very poor to excellent. Respondents were asked to self-evaluate various competencies and the same was analyzed using the SPSS statistical software. Interpretation of results of data analysis was done. Ethics Committee Clearance was taken from the institute where the study was done. Results: A total of 300 questionnaires were sent of which 106 questionnaires were completed and returned back by select health-care leaders, 78 were doctors and 28 were nursing executives. The study has been able to identify deficiencies in the perceived �existing competency� and �required competency� levels in the selected competencies amidst public and private sector health executives. Conclusion: The findings of this study suggest that there is deficiency in perceived �existing competency� and �required competency� levels in the selected competencies of health-care leaders both from private and public sectors. Indian health-care leaders are operating at operational level and have not graded themselves highly in transformational roles. There is a need for training to bridge the competency gap of Indian health-care leaders both in public and private sectors.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"1 1","pages":"287-293"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75045839","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.05080202003062020
V. Veeramani, Athira P Muraleedharan
Background: Study of prescription patterns is an important to determine rationality of drug therapy and to maximize the utilization of resources. Objective: This prospective, multicenter, cross-sectional observational study was conducted at three selected tertiary care hospitals in South India to assess the drug utilization pattern (DUP) of cardiovascular drugs in outpatient department (OPD). Materials and Methods: A total of 1026 prescriptions of the patients attending cardiology OPD over a period of 1 year were randomly identified then critically analyzed for World Health Organization (WHO) core prescribing indicators. Results: The average number of drugs prescribed was five and medicines prescribed by its generic name were 2.33%, encounters with an injection prescribed (14.52%), medicines prescribed from National List of Essential Medicine (NLEM) were 89.27%, apart from above some other class of drugs also prescribed for patients with different comorbidities. Majority of drugs were prescribed as single drugs (86.78%) whereas 13.21% as fixed-dose combinations (FDCs). The most commonly prescribed single drug was aspirin (59.93%) and FDC were Aspirin + Clopidogrel (40.24%). Most of drugs were prescribed from the recent NLEM of India which indicates the implementation and adoption of national drug policy by the hospitals and cardiologists. Conclusion: Antiplatelets dominated the prescribing pattern in the cardiology OPD and expected to overtake anti-cholesterol agents as the sales leader. Updated knowledge about the banned drugs, irrational FDCs, deleted drugs, and recent NLEM are very important to both practitioners and pharmacists, also pharmacists have to encourage the prescribers to prescribe the cardiovascular drugs by its generic name.
{"title":"Study on drug utilization pattern in cardiology outpatient department at tertiary care hospitals in South India: A prospective multicenter cross-sectional observational study","authors":"V. Veeramani, Athira P Muraleedharan","doi":"10.5455/ijmsph.2020.05080202003062020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.05080202003062020","url":null,"abstract":"Background: Study of prescription patterns is an important to determine rationality of drug therapy and to maximize the utilization of resources. Objective: This prospective, multicenter, cross-sectional observational study was conducted at three selected tertiary care hospitals in South India to assess the drug utilization pattern (DUP) of cardiovascular drugs in outpatient department (OPD). Materials and Methods: A total of 1026 prescriptions of the patients attending cardiology OPD over a period of 1 year were randomly identified then critically analyzed for World Health Organization (WHO) core prescribing indicators. Results: The average number of drugs prescribed was five and medicines prescribed by its generic name were 2.33%, encounters with an injection prescribed (14.52%), medicines prescribed from National List of Essential Medicine (NLEM) were 89.27%, apart from above some other class of drugs also prescribed for patients with different comorbidities. Majority of drugs were prescribed as single drugs (86.78%) whereas 13.21% as fixed-dose combinations (FDCs). The most commonly prescribed single drug was aspirin (59.93%) and FDC were Aspirin + Clopidogrel (40.24%). Most of drugs were prescribed from the recent NLEM of India which indicates the implementation and adoption of national drug policy by the hospitals and cardiologists. Conclusion: Antiplatelets dominated the prescribing pattern in the cardiology OPD and expected to overtake anti-cholesterol agents as the sales leader. Updated knowledge about the banned drugs, irrational FDCs, deleted drugs, and recent NLEM are very important to both practitioners and pharmacists, also pharmacists have to encourage the prescribers to prescribe the cardiovascular drugs by its generic name.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"278 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72863142","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.06102202004072020
D. Sharma, U. Shah, D. Bhanderi
The current article is about the background knowledge of corona, various epidemiological definitions and different strategies adopted to prevent and control corona infection. How the preventive measures are applied and what is epidemiological basis behind these measures is the core of the article. The article also mentioned the variations in mortality pattern and goes on defining important indicators as case-fatality ratio, deaths/1 lakh population and the relevance of both in the current situation of corona infection. In the article, important terms such as different types of cases in corona infection, basic reproduction number, effective reproduction number, and their epidemiological significance in corona infection, herd immunity, and herd immunity threshold are discussed. The importance of lockdown as a preventive measure, enforcement of epidemic disease act 1897 and its amendment, disaster management act 2005, social distancing, cough etiquette, and others are highlighted.
{"title":"Understanding the COVID-19 prevention and control strategies and their appropriate applicability through the basics of epidemiology","authors":"D. Sharma, U. Shah, D. Bhanderi","doi":"10.5455/ijmsph.2020.06102202004072020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.06102202004072020","url":null,"abstract":"The current article is about the background knowledge of corona, various epidemiological definitions and different strategies adopted to prevent and control corona infection. How the preventive measures are applied and what is epidemiological basis behind these measures is the core of the article. The article also mentioned the variations in mortality pattern and goes on defining important indicators as case-fatality ratio, deaths/1 lakh population and the relevance of both in the current situation of corona infection. In the article, important terms such as different types of cases in corona infection, basic reproduction number, effective reproduction number, and their epidemiological significance in corona infection, herd immunity, and herd immunity threshold are discussed. The importance of lockdown as a preventive measure, enforcement of epidemic disease act 1897 and its amendment, disaster management act 2005, social distancing, cough etiquette, and others are highlighted.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"11 1","pages":"338-344"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81871967","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.12351201908012020
R. Bansal, G. Sidhu
Primary omental gangrene is a very rare but important cause of an acute abdomen. We came across a case of an acute abdomen which was taken up for emergency laparoscopic appendicectomy. On laparoscopy, torsion of the free part of the omentum, leading to distal gangrene, was found. Intraoperative diagnosis of primary omental gangrene was made. Preoperative diagnosis of this condition is difficult. Through our case report, we want to highlight about this rare cause of pain abdomen as knowledge of this pathology is important to the surgeon because it mimics the other common causes of the acute surgical abdomen.
{"title":"Primary omental gangrene presenting as acute abdomen","authors":"R. Bansal, G. Sidhu","doi":"10.5455/ijmsph.2020.12351201908012020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.12351201908012020","url":null,"abstract":"Primary omental gangrene is a very rare but important cause of an acute abdomen. We came across a case of an acute abdomen which was taken up for emergency laparoscopic appendicectomy. On laparoscopy, torsion of the free part of the omentum, leading to distal gangrene, was found. Intraoperative diagnosis of primary omental gangrene was made. Preoperative diagnosis of this condition is difficult. Through our case report, we want to highlight about this rare cause of pain abdomen as knowledge of this pathology is important to the surgeon because it mimics the other common causes of the acute surgical abdomen.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"65 1","pages":"240-241"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75867449","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.0202118022020
Kanmani Karthikkeyan, N. Nirmala, S. ThirumalaiKolundhu, Charumathi, Santhosini
Background: The term adolescence involves the period of various changes in the body of both males and females, which includes physical, mental, cognitive, developmental, and socio-behavioral changes. The period of adolescence starts from the age of 10 years and it lasts until the age of 19 years. The age at menarche in girls usually ranges between 14 and 16 years. Objective: This study was aimed to assess the various pattern of the menstrual cycle in adolescent girls and to compare the menstrual cycle pattern among rural and urban girls. Materials and Methods: It was a cross-sectional study conducted among 868 adolescent girls after obtaining Ethical Committee Clearance. After obtaining informed written consent, a questionnaire was explained to them in their native language for easy understanding. The questionnaire was structured to obtain information relating to the age at menarche, duration of bleeding, severity of bleeding, awareness of menstruation, source of information about menstruation, cultural practices during menstrual cycles, regarding various menstrual problems, and treatment practices among the study population. The data thus obtained were tabulated and analyzed statistically using SPSS software. Results: There was a statistically significant (P ≤ 0.05) difference present between rural and urban girls menstrual cycle pattern with respect to dysmenorrhea, premenstrual symptoms, and problems related to menstrual flow and menstrual practices such as diaper usage, home culture, and food habits. Conclusion: The menstrual cycle pattern differs significantly between rural and urban girls. This analysis shows decreased awareness of the menstrual cycle in rural girls than urban girls. Hence, proper health education can be given to improve their knowledge.
{"title":"Menstrual cycle pattern in adolescent girls among urban and rural regions - A comparative cross-sectional study","authors":"Kanmani Karthikkeyan, N. Nirmala, S. ThirumalaiKolundhu, Charumathi, Santhosini","doi":"10.5455/ijmsph.2020.0202118022020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.0202118022020","url":null,"abstract":"Background: The term adolescence involves the period of various changes in the body of both males and females, which includes physical, mental, cognitive, developmental, and socio-behavioral changes. The period of adolescence starts from the age of 10 years and it lasts until the age of 19 years. The age at menarche in girls usually ranges between 14 and 16 years. Objective: This study was aimed to assess the various pattern of the menstrual cycle in adolescent girls and to compare the menstrual cycle pattern among rural and urban girls. Materials and Methods: It was a cross-sectional study conducted among 868 adolescent girls after obtaining Ethical Committee Clearance. After obtaining informed written consent, a questionnaire was explained to them in their native language for easy understanding. The questionnaire was structured to obtain information relating to the age at menarche, duration of bleeding, severity of bleeding, awareness of menstruation, source of information about menstruation, cultural practices during menstrual cycles, regarding various menstrual problems, and treatment practices among the study population. The data thus obtained were tabulated and analyzed statistically using SPSS software. Results: There was a statistically significant (P ≤ 0.05) difference present between rural and urban girls menstrual cycle pattern with respect to dysmenorrhea, premenstrual symptoms, and problems related to menstrual flow and menstrual practices such as diaper usage, home culture, and food habits. Conclusion: The menstrual cycle pattern differs significantly between rural and urban girls. This analysis shows decreased awareness of the menstrual cycle in rural girls than urban girls. Hence, proper health education can be given to improve their knowledge.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"22 1","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82494642","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.12349201910012020
T. Das, P. Das
Background: The first-line treatment for locally advanced squamous cell carcinoma of head-and-neck cancer is concurrent chemoradiation, which is the standard of care. Concurrent chemoradiation improved locoregional control but little impact on distance metastases. Induction chemotherapy (IC) can reduce local disease and distance metastases. Objectives: The purpose of our study is to compare the outcome of disease and toxicity between IC followed by concurrent chemo-radiation and only concurrent chemoradiation in patients of locally advanced unresectable head-and-neck cancer. Materials and Methods: A total of 37 patients were included in IC followed by concurrent chemoradiotherapy group. IC was administered with injection paclitaxel, injection carboplatin, and injection 5-fluorouracil for three cycles. Thirty-six patients were included in Arm B, concurrent chemoradiation group. The total dose of radiation was given in both the Arms 66 Gy in 33 fractions, five fractions per week for 6.3 weeks with concurrent chemotherapy injection cisplatin 40 mg/m2 weekly. Results: Grade 4 skin reaction was 2 (7%) in Arm A and 1 (3.3%) in Arm B. Grade 3 febrile neutropenia was 1 (3.4%) in Arm A and no Grade 3 febrile neutropenia was seen in Arm B. Grade 3 thrombocytopenia was 1 (3.4%) in Arm A and 2 (6.6%) in Arm B. Complete response of disease after 6 months of completion of treatment was 19 (65.5%) in Arm A and 18 (60%) in Arm B. Conclusion: Our study showed no significant difference in disease response regarding locoregional disease control between two groups but distance recurrence can be reduced with IC with manageable toxicity.
{"title":"A prospective study of response and toxicity of induction chemotherapy followed by concurrent chemoradiation versus only concurrent chemoradiation in patients with locoregionally advanced unresectable head-and-neck cancer","authors":"T. Das, P. Das","doi":"10.5455/ijmsph.2020.12349201910012020","DOIUrl":"https://doi.org/10.5455/ijmsph.2020.12349201910012020","url":null,"abstract":"Background: The first-line treatment for locally advanced squamous cell carcinoma of head-and-neck cancer is concurrent chemoradiation, which is the standard of care. Concurrent chemoradiation improved locoregional control but little impact on distance metastases. Induction chemotherapy (IC) can reduce local disease and distance metastases. Objectives: The purpose of our study is to compare the outcome of disease and toxicity between IC followed by concurrent chemo-radiation and only concurrent chemoradiation in patients of locally advanced unresectable head-and-neck cancer. Materials and Methods: A total of 37 patients were included in IC followed by concurrent chemoradiotherapy group. IC was administered with injection paclitaxel, injection carboplatin, and injection 5-fluorouracil for three cycles. Thirty-six patients were included in Arm B, concurrent chemoradiation group. The total dose of radiation was given in both the Arms 66 Gy in 33 fractions, five fractions per week for 6.3 weeks with concurrent chemotherapy injection cisplatin 40 mg/m2 weekly. Results: Grade 4 skin reaction was 2 (7%) in Arm A and 1 (3.3%) in Arm B. Grade 3 febrile neutropenia was 1 (3.4%) in Arm A and no Grade 3 febrile neutropenia was seen in Arm B. Grade 3 thrombocytopenia was 1 (3.4%) in Arm A and 2 (6.6%) in Arm B. Complete response of disease after 6 months of completion of treatment was 19 (65.5%) in Arm A and 18 (60%) in Arm B. Conclusion: Our study showed no significant difference in disease response regarding locoregional disease control between two groups but distance recurrence can be reduced with IC with manageable toxicity.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"6 1","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82533715","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 : 2020-01-01DOI: 10.5455/ijmsph.2020.06084222022062020
P. Priya, Mayur S. Sherkhane
Background: Coronavirus disease officially called as COVID-19, which was noticed during December 2019 (Wuhan) China, later became a major public health problem leading to pandemic affecting worldwide and causing morbidity and mortality, despite various control measures. This research was undertaken to assess the level of awareness of coronavirus disease (COVID-19) among interns of a tertiary care hospital. Objective: The objective of the study was to assess awareness of coronavirus (COVID-19) among interns of a tertiary care hospital. Materials and Methods: A cross-sectional observational study was conducted among 97 interns of a tertiary care hospital in Dharwad district, Karnataka, India. An online pre-designed and pre-tested questionnaire was developed using Google forms, with a consent form attached to it for voluntary participation, through which data were collected and the distributions of responses were presented as frequencies and percentages. Results: Awareness regarding coronavirus among 97 interns were assessed. Of which 41 (42.3%) were male and 56 (57.7%) were female. Newspaper and television were the primary reliable source of information about coronavirus. Cough (95.87%) and fever (90.72%) were the most common symptoms. The majority of the interns (90%) agreed that coronavirus could lead to pneumonia, respiratory failure, and renal failure. About 90% considered that it can be prevented by handwashing, wearing masks, and by maintaining distance. However, with respect to curability of the disease, the awareness was on a dismal note. Conclusion: Awareness of acquiring and transmitting coronavirus was found to be adequate, except for the curability aspects. Thus, it is the need of the hour to have timely updates about the disease and newer guidelines to restraint the ongoing pandemic of COVID-19.
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