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Google Classroom sessions as a modern e-learning tool for the second year undergraduate dental students - A questionnaire feedback study 谷歌课堂课程作为一种现代电子学习工具为二年级本科牙科学生-问卷反馈研究
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.06104202008072020
Mohammad Mukhit Kazi, A. Shidhore
Background: With the advent of newer technologies in academic teachings, usage of e-sessions has increased to a larger extent. One such commonly used internet-based teaching forum is Google Classroom. It has certain distinctive features which makes its operation efficient for the students as well as teachers. It acts as a frontline for educative workflow and simple communication method for students. It facilitates enhanced learning along with teaching process, with being most advantageous to the students. However, there is a need to understand and evaluate the robustness and pitfalls of such methods. Objectives: The objectives of the study were to assess feedback of the 2nd year undergraduate dental students regarding sessions of Google Classroom as a modern e-learning tool. Materials and Methods: A feedback questionnaire consisting of 22 items was self-administered to perceive the opinions of undergraduate dental students regarding Google Classroom, through online medium. Considering P < 0.05 as statistically significant and at 95% confidence intervals, data were sorted and analyzed. Results: There were three domains derived – general domain, student-specific domain, and overall experience domain, wherein 90.5% of the students agree that Google Classroom can be considered relevant; as a new e-learning, 64.3% of the students rated their completeness of assignment submissions on Google Classroom as good and 72.2% of students responded that the knowledge gained from the Google Classroom sessions can be retained/ reproduced easily. Conclusion: The present study concludes that the undergraduate 2nd year dental students consider Google Classroom as a productive, efficient, and helpful modern e-learning tool for substantial studying and tackling exams in coronavirus disease-19 scenario.
背景:随着学术教学中新技术的出现,电子会议的使用在更大程度上增加了。其中一个常用的基于互联网的教学论坛是谷歌课堂。它具有一定的特色,使其对学生和教师的操作效率。它是教育工作流程的一线,也是学生简单的沟通方式。它有助于在教学过程中加强学习,对学生最有利。然而,有必要了解和评估这些方法的健壮性和缺陷。目的:本研究的目的是评估二年级本科牙科学生对谷歌课堂作为现代电子学习工具的反馈。材料与方法:采用自填问卷法,通过网络媒体了解牙科本科学生对谷歌课堂的看法,问卷共包含22个项目。以P < 0.05为有统计学意义,且在95%置信区间内,对数据进行整理和分析。结果:导出了三个领域——一般领域、学生特定领域和整体体验领域,其中90.5%的学生认为谷歌课堂可以被认为是相关的;作为一种新的电子学习方式,64.3%的学生认为他们在谷歌课堂上提交的作业的完整性是好的,72.2%的学生认为从谷歌课堂上获得的知识可以很容易地保留/复制。结论:本研究得出结论,牙科本科二年级学生认为谷歌课堂是一种高效、高效、有用的现代电子学习工具,可以在冠状病毒-19的情况下进行大量学习和应对考试。
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引用次数: 2
Food hygiene practice among mothers and its association with occurrence of diarrhea in under-five children in selected rural community area 在选定的农村社区地区,母亲的食品卫生习惯及其与五岁以下儿童腹泻发生的关系
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.1233929122019
R. Joshi, Atul Kumar, Shobha Masih
Background: Diarrhea is the condition of having at least three loose or liquid bowel movements each day. Diarrhea is the main cause of death among under-five children in India. It often lasts for a few days and can result in dehydration due to fluid loss. Mother’s basic knowledge of diarrhea depends on various factors such as educational status, prior experience of managing the disease, and food hygiene. Diarrheal diseases remain an important cause of mortality and morbidity among children, particularly in low- and middle-income countries. Objective: The main aim is to measure the food hygiene practice among mothers and occurrence of diarrhea in under-five children. Materials and Methods: A non-experimental descriptive research design was conducted among 186 under-five children, mothers were selected using convenient sampling technique who fulfill inclusion criteria from the rural area of Doiwala block. Information was collected with the help of structure questionnaire on child feeding hygiene practice and practice checklist on food hygiene. Ethical permission and written consent were taken from the ethical committee of university and participants. Results: The research finding highlights that less than half of mothers (44.6%) use bowel spoon for feeding to their child. Majority of mothers (84.9%) wash his child hand with soap. Most of the mothers (74.2%) were not wash vegetables after cutting. Only 63% had check expiry of the food material before giving it to the child. Most of mothers (97.3%) wash hand of child before eating food. Nearby 38.2% of children had diarrhea in the past 6 months due to the unhygienic food practice. Conclusion: The investigator observed that there is a need to improved food hygiene practice among under 5-year children mothers because diarrhea is directly related to unhygienic food condition. The under-five children are totally depend on the mothers. If mothers will not improve food hygiene practice, then children will suffer from the diarrhea disease again and again.
背景:腹泻是指每天至少有三次大便松散或液体。腹泻是印度五岁以下儿童死亡的主要原因。它通常会持续几天,并可能因体液流失而导致脱水。母亲对腹泻的基本知识取决于各种因素,如教育状况、以前处理疾病的经验和食品卫生。腹泻病仍然是儿童死亡和发病的一个重要原因,特别是在低收入和中等收入国家。目的:了解母亲的食品卫生习惯及五岁以下儿童腹泻的发生情况。材料与方法:采用非实验描述性研究设计,对186名5岁以下儿童进行调查,采用方便抽样方法从多伊瓦拉地区农村地区选取符合纳入标准的母亲。采用儿童喂养卫生习惯结构问卷和食品卫生习惯检查表收集资料。获得了学校伦理委员会和参与者的伦理许可和书面同意。结果:研究结果强调,不到一半的母亲(44.6%)使用肠勺给孩子喂食。大多数母亲(84.9%)用肥皂给孩子洗手。大部分母亲(74.2%)切菜后不清洗。只有63%的人在给孩子吃之前检查过食物的有效期。大多数母亲(97.3%)在吃东西前给孩子洗手。近38.2%的儿童在过去6个月内因不卫生的饮食习惯而腹泻。结论:研究者观察到有必要改善5岁以下儿童母亲的食品卫生习惯,因为腹泻与不卫生的食品条件直接相关。五岁以下的孩子完全依靠母亲。如果妈妈们不改善饮食卫生习惯,那么孩子们就会一次又一次地患上腹泻病。
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引用次数: 5
Single-blind placebo-controlled clinical study to evaluate the efficacy of Sida cordifolia Linn. in treatment of semen disorders (Sukra Kshaya) using semen and hormonal analysis 单盲安慰剂对照临床研究评价思达堇叶的疗效。使用精液和激素分析来治疗精液紊乱(Sukra Kshaya)
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.04054202004082020
M. Gupta, A. Mondal
Background: Sida cordifolia Linn. is a well-known medicinal plant which exhibits anti-inflammatory, antioxidant, and sexual properties. It shows good promise in the treatment of male sexual disorders during its pre-clinical studies. Objective: The objective of the study was to assess the spermatogenesis action of aqueous extract of roots of S. cordifolia Linn. in clinical trials. Materials and Methods: The study uses qualitative criteria such as primary and secondary symptoms, and quantitative investigations such as hematological investigations, hormonal analysis, and semen analysis for assessing the therapeutic efficacy of research formulation through placebo-controlled clinical trials on 50 males having lack of sexual desire and non-satisfactory sexual life. Results: Very high inhibition was noticed in respect of primary symptoms such as lack of libido, difficulty in ejaculation or little amount of semen, as well as secondary symptoms such as nausea, body ache, headache, indigestion, loss of appetite, and general weakness in the research group. Lack of any adverse changes in hematological parameters (blood sugar, hemoglobin, ESR, RBC, and WBC) and biochemical parameters (bilirubin, protein, SGPT, SGOT, and ALP) indicates the non-toxic nature of research formulation. The hormonal levels registered a significant increase during the clinical study in research group, especially the testosterone level (8.53%). Semen quality evaluated through sperm count, motility, and morphology showed a significant improvement in research group, suggesting that administration of research drug in cases of stress-related sexual problems protected healthy cells by reduced generation of ROS and helped maintain quality parameters of spermatozoa during spermatogenesis. Conclusion: The research formulation made from roots of S. cordifolia Linn. shows good and significant (P < 0.05) therapeutic efficacy through inhibition of primary and secondary symptoms and enhancement in hormonal and seminal parameters, validating its spermatogenesis effect without any toxic or adverse effects.
背景:Sida cordifolia Linn。是一种著名的药用植物,具有抗炎、抗氧化和性特性。在临床前研究中显示出治疗男性性功能障碍的良好前景。目的:研究菖蒲根水提物的生精作用。在临床试验中。材料与方法:本研究采用原发、继发症状等定性标准,血液学调查、激素分析、精液分析等定量调查,通过安慰剂对照临床试验,对50名性欲不足、性生活不满意的男性进行研究配方的疗效评估。结果:研究组在性欲减退、射精困难或精液少等主要症状以及恶心、体痛、头痛、消化不良、食欲不振、全身乏力等继发症状方面均有很高的抑制作用。血液学参数(血糖、血红蛋白、ESR、RBC和WBC)和生化参数(胆红素、蛋白质、SGPT、SGOT和ALP)没有任何不良变化,表明研究制剂是无毒的。研究组在临床研究过程中激素水平显著升高,其中睾酮水平升高幅度最大(8.53%)。通过精子数量、活力和形态评估的精液质量在研究组中显示出显著的改善,这表明在与压力相关的性问题中给予研究药物通过减少ROS的产生来保护健康细胞,并有助于维持精子在精子发生过程中的质量参数。结论:以堇青花根为原料制备复方。通过抑制原发性和继发性症状,提高激素和精液参数,显示出良好且显著(P < 0.05)的治疗效果,验证了其生精作用,无任何毒副作用。
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引用次数: 1
Explanatory factors with knowledge, attitude, and practice of voluntary blood donation 无偿献血知识、态度和行为的影响因素
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.02037202026062020
O. Odunlade, M. Akinlosotu, P. Osho, T. Ogundele, Abiola Oboh, F. Akinkunmi
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引用次数: 0
The prevalence of sleep problems among mothers of children with autism spectrum disorder: A case-control study 自闭症谱系障碍儿童的母亲普遍存在睡眠问题:一项病例对照研究
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.10161202002112020
A. Janahi, A. Ansari, H. Jahrami
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引用次数: 0
Consequential exposure to hypothermia in gestational diabetic rats induces oxidative changes in the brain of offspring 妊娠期糖尿病大鼠暴露于低温会引起后代大脑的氧化变化
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.07116202023072020
Rizwan Sharief, Afreen Mahaboob, P. MahaboobBasha
Background: Prenatal stress is unique due to range of problems and can affect the embryo/fetus beginning with conception. Gestational diabetes mellitus is the concern for expectant-mothers wherein glucose intolerance with consistent hyperglycemia is a threatening factor during pregnancy. Objectives: In the event of multiple stressors posing their effects on intrauterine life and placenta being the target of increased sympathetic tone during gestation, there is a possibility of functional vulnerabilities that may contribute to the pathogenesis in post-natal life. Studying brain regional discrepancies in offspring might help to know the prenatal stress-induced variation in the antioxidant barrier and promoted oxidative stress. Materials and Methods: The changes occurring in oxidative stress indices in discrete brain regions of rat offspring born as a consequential exposure to gestational diabetes (streptozotocin induction) and cold stress (15 and 20°C) are assessed in this study. Results: The findings specify the involvement of cold-stress provoked induction of higher degree oxidative stress within brain compartments as evidenced by a decrease in antioxidant enzymes, namely, superoxide dismutase, catalase, glutathione peroxidase, glutathione S-transferase, and GSH as well as increase in the concentration of malondialdehyde. Results highlight the synergistic actions of stressors due to the increased generation of free radicals. Cold stress at 15°C found to cause exacerbatory actions by depleting antioxidant enzymes in diabetic subjects than the exposures made at 20°C. Conclusion: The findings prove that cold stress is a crucial stimulus to a fetus during gestation and acts as a trigger of oxidative stress especially in diabetic subjects and can pose an adverse impact. These changes could partly explain the increased vulnerability of prenatally stressed subjects to functional disorders including deficits in memory and cognitive processes in later life.
背景:产前压力是独特的,由于一系列的问题,可以影响胚胎/胎儿从受孕开始。妊娠期糖尿病是孕妇关注的问题,其中葡萄糖耐受不良伴持续高血糖是妊娠期的威胁因素。目的:如果多种应激源对宫内生活造成影响,而胎盘在妊娠期间成为交感神经张力增加的目标,则可能存在功能脆弱性,这可能有助于产后生活的发病机制。研究后代大脑区域差异可能有助于了解产前应激诱导的抗氧化屏障变化和促进氧化应激。材料和方法:本研究评估了暴露于妊娠糖尿病(链脲佐菌素诱导)和冷应激(15°C和20°C)的大鼠后代离散脑区氧化应激指数的变化。结果:研究结果明确了冷应激在脑隔间内引起更高程度氧化应激的参与,如抗氧化酶的减少,即超氧化物歧化酶、过氧化氢酶、谷胱甘肽过氧化物酶、谷胱甘肽s -转移酶和谷胱甘肽,以及丙二醛浓度的增加。结果强调,由于自由基的产生增加,应激源的协同作用。与20°C的暴露相比,15°C的冷应激通过消耗糖尿病受试者的抗氧化酶而引起加重作用。结论:研究结果证明冷应激对妊娠期胎儿是一个重要的刺激,并可触发氧化应激,尤其是糖尿病患者,并可能造成不利影响。这些变化在一定程度上解释了产前压力受试者更容易出现功能障碍,包括记忆和认知过程的缺陷。
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引用次数: 0
Superadded bacterial and fungal infections in oral and genital herpes simplex lesions 口腔和生殖器单纯疱疹病变中细菌和真菌感染的增加
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.08135202027082020
M. Jayaraman, K. V. Leela, E. Rajalakshmi
Background: Two types of herpes simplex virus (HSV) HSV type 1 (HSV-1) and HSV type 2 (HSV-2) can cause oral and genital infections, respectively. Superadded bacterial and fungal infections of HSV lesions are one of the complications seen in herpes simplex infections. Objective: The study aims to identify the super added bacterial and fungal infections in oral and genital herpes simplex infections. Materials and Methods: This is an observational study carried out at SRM Medical College Hospital and Research Centre, Tamil Nadu, India, from February 2019 to February 2020 after the Institutional Ethical committee approval. Patients with clinically suspected oral and genital herpes infections in all age groups are included in the study excluding neonates and infants. Under aseptic precautions vesicular fluid, blood and wound swabs were collected. Vesicular fluid examined by Tzanck smear for multinucleated giant cells, and Immunoglobulin M enzyme-linked immunosorbent assay performed in positive cases. Superadded bacterial and fungal infections identified using conventional culture and identification methods. Results: In this observational study, a total of 75 patients were screened for oral and genital herpes infection. Thirty-five (46.6%) were clinically positive. Out of the positive cases, Tzanck smear was positive in 17 (48.6%), superadded bacterial and fungal infections are seen in 18 (51.4%). The most common super added infections are Candida albicans 9 (50%), Candida non-albicans 4 (22.2%), Escherichia coli 2 (11%), Staphylococcus 1 (5.6%), Enterococcus 1 (5.6%), and Proteus mirabilis 1 (5.6%). Conclusion: Most common superadded infections associated with oral and genital herpes simplex infections are with Candida species, E. coli, and Staphylococcus.
背景:两种类型的单纯疱疹病毒(HSV) HSV 1型(HSV-1)和HSV 2型(HSV-2)分别可引起口腔和生殖器感染。单纯疱疹病毒病变的附加细菌和真菌感染是单纯疱疹感染的并发症之一。目的:研究口腔和生殖器单纯疱疹感染中细菌和真菌的超添加性感染。材料和方法:这是一项观察性研究,经机构伦理委员会批准,于2019年2月至2020年2月在印度泰米尔纳德邦SRM医学院医院和研究中心进行。所有年龄组临床疑似口腔和生殖器疱疹感染的患者均纳入研究,但新生儿和婴儿除外。在无菌注意事项下收集囊泡液、血液和伤口拭子。用Tzanck涂片检查多核巨细胞的囊泡液,阳性病例用免疫球蛋白M酶联免疫吸附试验。使用常规培养和鉴定方法鉴定附加细菌和真菌感染。结果:在这项观察性研究中,共有75名患者接受了口腔和生殖器疱疹感染筛查。临床阳性35例(46.6%)。阳性病例中,Tzanck涂片阳性17例(48.6%),并发细菌和真菌感染18例(51.4%)。最常见的超添加感染是白色念珠菌9(50%)、非白色念珠菌4(22.2%)、大肠杆菌2(11%)、葡萄球菌1(5.6%)、肠球菌1(5.6%)和神奇变形杆菌1(5.6%)。结论:口腔和生殖器单纯疱疹感染最常见的附加感染是念珠菌、大肠杆菌和葡萄球菌。
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引用次数: 0
Yoga-asanas and pranayama: Is it helpful in management non-insulin-dependent diabetes mellitus 瑜伽体式和调息法:对治疗非胰岛素依赖型糖尿病有帮助吗
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.09156202010102020
Dipen R. Damor, Mina D Varlekar, Hardika R Upaqdhyay, Mukesh S. Suvera, Nilay Thakore
Background: Deficiency of insulin generally causes diabetes mellitus (DM), a metabolic disorder with elevated blood glucose levels. Practicing yoga and pranayama affects the secretion of insulin and glucagon through neurohormonal modulation. Objectives: The objectives of the study were to see 16 weeks yoga-asanas and pranayamas helpful in non-insulin-dependent DM (NIDDM) (Type II DM) management. Materials and Methods: A total of 50 participants of both gender between 35 and 60 years of age with NIDDM (Type II DM) subjects of at least 12 months duration, those on antidiabetic diet and oral hypoglycemic medicine were included in the study. After recording the baseline parameters (pre-intervention values), yoga and pranayama was practiced by all the participants once in a day, daily for 16 weeks. Blood sample for fasting blood sugar (FBS), post-prandial blood sugar (PPBS), glycosylated hemoglobin A1C (HbA1C), and hemoglobin (Hb) was estimated at day 1 and at the end of each of the 4 months of the study period. After 16 weeks values were compared and analyzed. Results: Decreased FBS and PPBS values from 139.2 ± 16.6 and 174.1 ± 7.9 mg/dl to 96.8 ± 15.9 and 134.7 ± 8.4 mg/dl, respectively. HbA1C value decreased from 9.3 ± 1.0 to 6.9 ± 0.7. Hb value increased from 10.2 ± 1.3 to 12.6 ± 1.6. Conclusion: Our study provides yoga-asanas and pranayamas helpful in the NIDDM (Type II DM) management.
背景:胰岛素缺乏通常会导致糖尿病(DM),一种血糖水平升高的代谢性疾病。练习瑜伽和调息可以通过调节神经激素影响胰岛素和胰高血糖素的分泌。目的:本研究的目的是观察16周瑜伽体式和调息法对非胰岛素依赖型糖尿病(NIDDM) (II型糖尿病)治疗的帮助。材料与方法:研究对象为年龄在35 ~ 60岁的NIDDM (II型DM)患者,男女各50例,病程至少12个月,采用降糖饮食和口服降糖药治疗。在记录基线参数(干预前值)后,所有参与者每天练习一次瑜伽和调息,持续16周。空腹血糖(FBS)、餐后血糖(PPBS)、糖化血红蛋白A1C (HbA1C)和血红蛋白(Hb)在第1天和4个月研究期结束时进行评估。16周后进行比较和分析。结果:FBS和PPBS值分别从139.2±16.6和174.1±7.9 mg/dl降至96.8±15.9和134.7±8.4 mg/dl。HbA1C由9.3±1.0降至6.9±0.7。Hb值由10.2±1.3升高到12.6±1.6。结论:我们的研究提供了瑜伽体式和调息法有助于NIDDM (II型DM)的治疗。
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引用次数: 0
The pathological features of cystic fibrosis and the diagnostic techniques and treatments involved 囊性纤维化的病理特点、诊断方法及治疗方法
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.08132202024082020
Paphapin Pairojtanachai
Cystic fibrosis is a disease found predominantly in Caucasians. It is caused by an autosomal recessive mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. The mutation(s) lead to defective CFTR proteins, or transmembrane cyclic adenosine monophosphate (cAMP)-dependent chloride channels found on the surface of epithelial cells. The respiratory system is most impacted by this abnormal phenotype, and lung disease can bring about the majority of the various issues that a cystic fibrosis patient has to deal with. Even so, due to the excess amount of mucus that is secreted, individuals diagnosed with cystic fibrosis experience complications in other organs as well. Today, newborn screening is widely used as a means of early diagnosis of cystic fibrosis, and there are also multiple other novel technologies that aim for accurate diagnosis and prevention of the disease. In addition, while traditional treatment programs are based on curing the symptoms that the patients exhibit, new regimens are directed at correcting the error that occurred at the molecular level. With improvements made in the medical field, cystic fibrosis patients are able to live longer and have a better quality of life. This review article serves as a compilation of the current knowledge on the causes of cystic fibrosis, the physiological processes associated with the disease, the techniques for diagnosis of the disease, and finally the recent and upcoming therapeutics for the disease.
囊性纤维化是一种常见于白种人的疾病。它是由囊性纤维化跨膜传导调节(CFTR)基因的常染色体隐性突变引起的。突变导致CFTR蛋白缺陷,或在上皮细胞表面发现的跨膜环腺苷单磷酸(cAMP)依赖的氯离子通道。呼吸系统受这种异常表型的影响最大,肺部疾病可以带来囊性纤维化患者必须处理的大部分各种问题。即便如此,由于分泌的粘液过多,被诊断为囊性纤维化的患者在其他器官也会出现并发症。如今,新生儿筛查被广泛用作囊性纤维化的早期诊断手段,并且还有许多其他新技术旨在准确诊断和预防该疾病。此外,传统的治疗方案是基于治愈患者表现出的症状,而新的治疗方案是针对纠正发生在分子水平上的错误。随着医疗领域的进步,囊性纤维化患者能够活得更长,生活质量更好。本文综述了囊性纤维化的病因、与疾病相关的生理过程、疾病的诊断技术以及最近和即将到来的治疗方法。
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引用次数: 0
Coconstructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study 构建鱼骨图以了解卡纳塔克邦迈苏尔市城市社区免疫障碍:一项定性研究的简要报告
Pub Date : 2020-01-01 DOI: 10.5455/ijmsph.2020.06086202021082020
M. Narendran, C SmithaM, J. Thomas, P. Kulkarni, R NarayanaMurthyM
Background: Despite improvements in immunization coverage during the 1990s, full immunization coverage for 12–23 months according to National Family Health Survey 4 still remains low. To change the quality of care outcome within a system, quality improvement initiatives must first understand the causes contributing to the outcome and accordingly can administer the changes. Objectives: The objective of this study were as follows: (1) To understand the barriers to Routine Immunization among Caregivers and health personnel through participatory group discussions and (2) cocreation of a fishbone diagram illustrating the barriers, in an Urban Primary Health Center in Mysuru, Karnataka. Materials and Methods: The barriers to immunization were unveiled by participatory focus group discussions conducted among caregivers and health workers in an urban primary health center in Mysuru. A fishbone diagram depicting the root causes of delayed immunization/drop-outs was constructed with the participants. Results: The barriers include social factors, individual/family factors, barriers associated with private clinics, and problems in the public health system. The major cause was information system which did not reach the parents periodically by health workers, carelessness by the parents for delaying or skipping, migrating population, and non-accounting of child immunization in private clinics. Conclusion: Lack of timely administration and drop-outs of key childhood vaccines and improper functioning of the health system remains a major challenge in this area. An effective, regular, and universal monitoring of the sessions are necessary for appropriate action which is very much essential.
背景:尽管1990年代免疫覆盖率有所提高,但根据全国家庭健康调查4,12 - 23个月的全面免疫覆盖率仍然很低。要改变系统内的护理质量结果,质量改进计划必须首先了解导致结果的原因,并相应地可以管理更改。目的:本研究的目的如下:(1)通过参与性小组讨论了解护理人员和卫生人员进行常规免疫接种的障碍;(2)在卡纳塔克邦迈苏尔市的一个城市初级卫生中心共同绘制鱼骨图,说明这些障碍。材料和方法:在Mysuru的一个城市初级卫生中心,在护理人员和卫生工作者之间进行的参与性焦点小组讨论揭示了免疫障碍。与参与者一起构建了一个鱼骨图,描绘了延迟免疫/辍学的根本原因。结果:障碍包括社会因素、个人/家庭因素、私人诊所相关障碍和公共卫生系统存在的问题。主要原因是卫生工作者的信息系统不定期到达父母,父母的疏忽,延迟或跳过,人口流动,以及私人诊所对儿童免疫接种的不统计。结论:缺乏及时的接种和关键儿童疫苗的退出以及卫生系统的不适当运作仍然是该领域的主要挑战。对会议进行有效、定期和普遍的监测是采取适当行动的必要条件,这是非常必要的。
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International Journal of Medical Science and Public Health
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