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Sociodemographic status of elderly & pattern of health care utilization for respiratory diseases in NCR 中华人民共和国老年人社会人口状况与呼吸系统疾病医疗保健利用模式
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.009
Sonisha Gupta, S. Asthana, Atul Kumar Gupta
Elderly population is increasing progressively all over the world. Diseases of respiratory system are important cause of morbidity & mortality in elderly. Health-care utilization is an important element of health care.Cross-sectional study of elderly aged 60yrs & above was conducted in urban & rural area of NCR & Ghaziabad district of Uttar Pradesh. First part included socio-demographic characteristics and self-reported co-morbidities. This first part screened out suspected respiratory cases and they were asked questionnaire regarding health care utilization. In urban 282/1522(18.5%) & in rural. 298/1503 (19.8%) were found to be suffering actually from respiratory illness. For chronic respiratory illness allopathic services were used by 91.8% (259/282) urban & 75.5% (225/298) rural elderly. Urban area were utilizing services of private health care providers most commonly. In our study 36.6% (109/298) & 20.5% (61/298) rural elderly were taking over the counter treatment from medical stores or going to a quack for acute & chronic respiratory illness respectively. During acute illness 60.7% (181/298) rural elderly choose health care service due to belief but during chronic illness only 51.3% (153/298) elderly stated it as a reason for choosing health care service. Affordability as a reason for selection of particular health service increased from 23.2% (69/298) in acute illness to 36.9% (110/298) in chronic illness.Majority of elderly are illiterate & dependent on family for support. Private health care services are preferred especially by urban elderly. Public healthcare services are used more for chronic illness than acute illness.
世界各地的老年人口正在逐步增加。呼吸系统疾病是老年人发病和死亡的重要原因。保健利用是保健的一个重要组成部分。在北方邦NCR和Ghaziabad地区的城市和农村地区进行了60岁及以上老年人的横断面研究。第一部分包括社会人口特征和自我报告的合并症。第一部分筛选疑似呼吸道病例,并询问他们关于医疗保健利用的问卷。城镇282/1522(18.5%),农村282/1522(18.5%)。298/1503(19.8%)被发现实际上患有呼吸道疾病。91.8%(259/282)的城市老年人和75.5%(225/298)的农村老年人使用对抗疗法治疗慢性呼吸系统疾病。城市地区最常利用私人保健提供者的服务。我国农村老年人急慢性呼吸系统疾病患者分别有36.6%(109/298)和20.5%(61/298)在药店接受非处方治疗或去庸医就诊。在急性疾病期间,60.7%(181/298)的农村老年人出于信仰选择卫生保健服务,而在慢性疾病期间,只有51.3%(153/298)的老年人将其作为选择卫生保健服务的原因。可负担性作为选择特定保健服务的原因,从急性疾病的23.2%(69/298)增加到慢性疾病的36.9%(110/298)。大多数老年人是文盲,依靠家人的支持。私人保健服务尤其受到城市老年人的青睐。公共卫生保健服务更多地用于慢性病而非急性病。
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引用次数: 0
Current scenario of tuberculosis in India 印度结核病的现状
Pub Date : 2022-01-15 DOI: 10.18231/j.jchm.2021.034
A. Tiwari, J. K. Mishra
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引用次数: 0
Study of COVID-19 impact on teaching community in border area of India 新冠肺炎疫情对印度边境地区教学社区的影响研究
Pub Date : 2022-01-15 DOI: 10.18231/j.jchm.2021.041
V. Mahajan, Shailly Mahajan
The COVID-19 pandemic has made the biggest disturbance of education frameworks in mankind's set of experiences, influencing almost 1.6 billion students in excess of 200 nations. Terminations of schools, Colleges and other learning institutions have affected over 94% of the world's understudy populace. This has brought sweeping changes in all parts of our lives. Social separating and prohibitive development strategies have fundamentally upset conventional instructive practices. Returning of schools after unwinding of limitation is one more test with numerous new standard working methodology set up. Inside a limited ability to focus the COVID-19 pandemic, numerous scientists have shared their chips away at educating and learning in an unexpected way. A few schools, universities and colleges have stopped up close and personal lessons. There is a dread of losing 2020 scholastic year or considerably more in the coming future. The need of great importance is to enhance and carry out elective instructive framework and appraisal procedures. The COVID-19 pandemic has furnished us with a chance to make ready for presenting advanced learning. This article expects to give an exhaustive report on the effect of the COVID-19 pandemic on internet educating and learning of different papers and show the way forward.
2019冠状病毒病大流行对人类历史上的教育框架造成了最大的干扰,影响了200多个国家的近16亿学生。学校、学院和其他学习机构的终止影响了全球94%以上的学生。这给我们生活的各个方面带来了翻天覆地的变化。社会隔离和禁止性发展战略从根本上颠覆了传统的教育实践。限制解除后的返校是又一项考验,建立了许多新的标准工作方法。在专注于COVID-19大流行的有限能力范围内,许多科学家以一种意想不到的方式分享了他们在教育和学习方面的经验。一些学校、大学和学院已经停止了近距离的个人课程。人们担心在未来失去2020学年或更多学年。当务之急是加强和落实选修课的指导框架和评价程序。2019冠状病毒病大流行为我们提供了一个机会,为介绍高级学习做好准备。本文希望对新冠肺炎疫情对不同论文的互联网教育和学习的影响进行详尽的报告,并指出未来的发展方向。
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引用次数: 0
Discovering Nano-Nutraceutical concepts, existing knowledge and future perceptions 发现纳米营养保健品的概念,现有的知识和未来的看法
Pub Date : 2021-10-15 DOI: 10.18231/j.jchm.2021.024
Aijaz Ahmed, S. Akhtar, Uzma Gul
Nanotechnology is a vital progressive technology facilitating role, progress, and viable effect on food, treatment, medicine, cultivation and farming sector. A nutraceutical is characterized as an ingredient that is related to food and gives medical compensations to the human being, including the prevention and healing of illness. The well-being and health of people are to a great extent, directed by the utilization of nutritious diets. Further numerous investigations have connected good diets as supportive in fighting various deteriorating communicable and non-communicable diseases. There are various studies that explore the relationship between health promotion and various plant and animal food. Although, a considerable number of naturally arising health-promotion constituents are the source of plants, there are various physiologically dynamic parts in animal items that have worth considering for their possible function in ideal well-being. Moreover, the utilization of naturally active constituents in leafy foods and fruits has been connected to fighting various illnesses, such as malignant growth, cardiovascular illnesses, weight, and gastrointestinal problems.
纳米技术是一项重要的进步技术,促进了食品、治疗、医药、种植和农业部门的作用、进步和可行效果。营养保健品的特征是一种与食物有关的成分,它为人类提供医疗补偿,包括预防和治疗疾病。人们的福祉和健康在很大程度上取决于营养饮食的利用。此外,许多调查表明,良好的饮食有助于防治各种日益恶化的传染病和非传染性疾病。有各种各样的研究探讨了健康促进与各种植物和动物食品之间的关系。虽然相当多的自然产生的促进健康的成分是植物的来源,但在动物物品中有各种生理动态部分值得考虑,因为它们可能在理想健康中发挥作用。此外,叶类食物和水果中天然活性成分的利用与对抗各种疾病有关,如恶性生长、心血管疾病、体重和胃肠道问题。
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引用次数: 0
Household’s perception on COVID-19 vaccination in India 印度家庭对COVID-19疫苗接种的看法
Pub Date : 2021-10-15 DOI: 10.18231/j.jchm.2021.029
S. Jatav, Sanatan Nayak
An attempt was made to assess the households’ perception on Covid-19 and vaccination. By using multistage sampling technique, 400 samples were collected during June 15 to July 15 2021. Further, descriptive statistics were used to analyse data. Households are well-aware of Covid-19 symptoms and their preventive measures i.e., quarantine period, social distancing, hand-wash and vaccination. Results also highlight that social hierarchies and rumours about vaccine are responsible for low vaccination in the sample villages. A grass-root awareness programme is prerequisite for complete vaccination and to avoid third-wave of Covid-19 in India.
试图评估家庭对Covid-19和疫苗接种的看法。采用多阶段抽样技术,于2021年6月15日至7月15日采集样本400份。进一步,采用描述性统计对数据进行分析。家庭对Covid-19的症状以及隔离期、保持社交距离、洗手和接种疫苗等预防措施非常了解。结果还强调,社会等级和关于疫苗的谣言是样本村庄疫苗接种率低的原因。开展基层宣传规划是在印度全面接种疫苗和避免第三波Covid-19的先决条件。
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引用次数: 0
Unfolding the COVID-19 second wave in India 2019冠状病毒病第二波疫情在印度爆发
Pub Date : 2021-10-15 DOI: 10.18231/j.jchm.2021.022
S. Saleem
Early efforts to vaccinate the Indian population were started on 16th January 2021. With this, a ray of hope came as people again starting their livelihoods, roads looked busy again, playgrounds were again full of children. Everything seems back to normal, while the Government was allowing all other activities with the option to follow the COVID appropriate behavior (CAB) keeping a blind eye to whether or not someone follows it. The immediate consequence of this laxity was that people were not following the CAB in particular, and by the end of January 2021, the situation was back to normal, as if there were no pandemics anywhere. While the rate of vaccination was slowly taking pace, the majority population believed that the vaccination may be necessary later, leading to the vaccine hesitancy. The second wave which started in the last quarter of March 2021 and spreader much faster than the first wave, is believed to be fueled by the additional strains of the coronavirus, as stated by many health experts. New coronavirus strains are thought to be more infectious home ground variants found in 61% of samples of genomes sequenced in many states in India. Even such news was reported by media rapidly, the laxity in the CAB and preventive measures, coupled with the presence of new variants, has resulted in a nationwide crisis. What caught the attention of the globe was despite the ongoing pandemic, the Indian Government allowed State assembly elections in the Eastern part of the country, which could have been delayed at this point. The prime Minster led Government faced this Critic from the opposition while the “Maha Kumbh Mela” organized at Haridwar attended by lacs of devotees who believed to bathe in a ritual river to pure themselves for their mistakes of past was also allowed by the Government. It was reported by media that about 7 million devotees attended the event and 1700 tested positive for covid-19 over 5 days period because no such social distancing measures or masks were used during the Maha Kumbh Mela by the attendees. Most of the public health agencies tried their best to dispel the myths and supported the campaigns associated with covid-19 vaccines but turned a blind eye and acted as a muted spectator for the election rallies and Maha Kumbh Mela. Following COB during election rallies and Maha Kumbh Mela will never go easy hand in hand, so the best is to follow the no man’s rule. What we believe the public health professionals of the country followed in deep agony and pressure. As India is engulfed in the second wave of covid-19, the current situation is deteriorated by the presence of counterfeit drugs, lack of human resources, medical supplies, and equipment. There are unique scientific, technical, and logistic challenges which we face in covid-19, we need to take definite steps for fights against this pandemic.
为印度人口接种疫苗的早期工作于2021年1月16日开始。有了这一点,人们重新开始了他们的生计,道路看起来又很繁忙,操场上又挤满了孩子,希望之光出现了。一切似乎都恢复正常,而政府允许所有其他活动选择遵循COVID适当行为(CAB),对是否有人遵循它视而不见。这种松懈的直接后果是,人们没有特别遵守CAB,到2021年1月底,情况恢复正常,就好像任何地方都没有发生大流行一样。虽然疫苗接种率缓慢上升,但大多数人口认为以后可能需要接种疫苗,导致疫苗犹豫。正如许多卫生专家所说,第二波始于2021年3月最后一个季度,传播速度比第一波快得多,据信是由冠状病毒的额外菌株推动的。新的冠状病毒株被认为是更具传染性的本土变异,在印度许多邦61%的基因组测序样本中发现。即使这样的消息被媒体迅速报道,CAB和预防措施的松懈,加上新变种的存在,导致了全国性的危机。引起全球注意的是,尽管大流行病仍在继续,印度政府仍允许在该国东部举行邦议会选举,而这本来是可以推迟的。总理领导的政府面对反对派的批评,而在哈里瓦尔组织的“大空节”也得到了政府的允许,许多信徒相信在一条仪式河里沐浴以净化自己过去的错误。据媒体报道,由于在大壶节期间没有采取社交距离措施或佩戴口罩,约有700万名信徒参加了此次活动,在5天内有1700人被检测出新冠病毒阳性。大多数公共卫生机构尽最大努力消除误解,支持与covid-19疫苗相关的运动,但对选举集会和大空节视而不见,充当沉默的旁观者。在选举集会和大壶节期间跟随COB是不容易的,所以最好是遵循无人制。我们相信,该国的公共卫生专业人员在深深的痛苦和压力中紧随其后。随着印度陷入第二波新冠肺炎疫情,假药的存在、人力资源、医疗用品和设备的缺乏,目前的情况正在恶化。我们面临着独特的科学、技术和后勤挑战,我们需要采取明确的措施来抗击这一流行病。
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引用次数: 0
Impact of COVID- 19 on continuity of essential health services in various health care institutions in district Amritsar, Punjab, India 2019冠状病毒病对印度旁遮普邦阿姆利则地区各卫生保健机构基本卫生服务连续性的影响
Pub Date : 2021-10-15 DOI: 10.18231/j.jchm.2021.028
P. Devgun, S. Devgan, Harjot Singh, Sukhpal Singh, Amanbir Singh
From a point in time where the human race declared itself the master of the universe to this point in time where it is facing an existential threat from the contagion- Covid 19 pandemic has exposed the vulnerability of the human race to a wipeout. The disruption of physical, mental, social, emotional and financial health and health systems is unprecedented. Study the impact of Covid 19 on continuity of essential health services in various health care institutions in district Amritsar, Punjab.: Online survey was conducted through google forms using questionnaire adapted from the World Health Organization-Pulse Survey on Continuity of Essential Health Services during Covid 19 pandemic. Respondents were personnel working at public and Ayushman Bharat empaneled private health care institutions. Response rate was 60% (55 out of 92 health care institutions personnel responded) A highly significant difference was observed between the public and the private health care sector in provision of antenatal care (Mann Whitney U statistic= 78.00, p=.004) and imaging and radio diagnosing services (Mann Whitney U statistic= 48.00, p=.000) while a significant difference was observed in provision of service of institutional delivery (Mann Whitney U statistic= 112.00, p=.046). All the other essential health services were similarly affected in the public and private health sector institutes. Financial difficulties faced during the lockdown was the single most common reason stated for disruption of essential health services. There was a significant difference in level of satisfaction experienced by health care personnel from public and private sector (Mann Whitney U statistic= 94.00, p=.02). Thematic analysis of the data on improving preparedness to minimize disruption in essential health services yielded the themes pertaining to creating a robust public health care infrastructure including use of e-health technology in the district and recruitment of adequate health care man power according to set norms.
从人类宣称自己是宇宙的主人的时间点,到面临传染病的生存威胁的时间点,Covid - 19大流行暴露了人类面临灭绝的脆弱性。身体、精神、社会、情感和财务健康以及卫生系统受到前所未有的破坏。研究2019冠状病毒病对旁遮普阿姆利则地区各卫生保健机构基本卫生服务连续性的影响。:通过谷歌表格进行在线调查,使用的问卷改编自世界卫生组织《2019冠状病毒病大流行期间基本卫生服务连续性脉动调查》。受访者是在公共和Ayushman Bharat雇佣的私人医疗机构工作的人员。92家卫生保健机构人员中有55人应答,应答率为60%。公立和私营卫生保健部门在提供产前保健服务(Mann Whitney U统计值= 78.00,p= 0.004)、影像学和放射诊断服务(Mann Whitney U统计值= 48.00,p= 0.00000)和提供机构分娩服务(Mann Whitney U统计值= 112.00,p= 0.046)方面存在极显著差异。公共和私营保健机构的所有其他基本保健服务也同样受到影响。封锁期间面临的财政困难是导致基本卫生服务中断的最常见原因。公立和私营卫生保健人员的满意度差异有统计学意义(Mann Whitney U统计值= 94.00,p= 0.02)。对改善准备工作以尽量减少对基本保健服务的干扰的数据进行专题分析,得出了与建立健全的公共保健基础设施有关的主题,包括在该地区使用电子保健技术和根据既定规范征聘适当的保健人力。
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引用次数: 0
Should philosophy find a place in research in health sciences? 哲学应该在健康科学的研究中占有一席之地吗?
Pub Date : 2021-10-15 DOI: 10.18231/j.jchm.2021.023
B. Adkoli
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引用次数: 0
Evaluation of microalbumin, cystatin c, creatinine and uric acid levels in HIV patients in Nnamdi Azikiwe University Teaching Hospital, Nnewi Nnamdi Azikiwe大学教学医院HIV患者微量白蛋白、胱抑素c、肌酐和尿酸水平的评估
Pub Date : 2021-10-15 DOI: 10.18231/j.jchm.2021.030
Ezeugwunne Ifeoma Priscilla, Amaifeobu Clement, M. Chukwuemeka, Analike Rosemary Adamma, N. J. Chinonso, Oguaka Victor Nwabunwanne, Izuchukwu Emeka Callistus Onyeka, D. NwangumaEberechi, Nduka Nonso Samuel, Aikpitanyi Iduitua Ga
This study evaluated the microalbumin, cystatin C, creatinine and uric acid levels in HIV patients in Nnamdi Azikiwe University Teaching Hospital, Nnewi (NAUTH). A total of one hundred (100) male and female HIV positive and control participants who were aged between 18 and 60 years attending the voluntary counseling and testing unit (VCT) and antiretroviral therapy unit (ART) of NAUTH were randomly recruited for the study and grouped thus: Group A (HIV positive symptomatic participants on long term ART (HPSPLTART) (n= 25); Group B (HIV positive symptomatic participants on short term ART (HPSPSTART) (n= 25); Group C: Asymptomatic HIV positive participants NOT on ART (AHPPNART) (n=25) and Group D: control (n=25).6mls of blood sample and 10mls of freshly voided urine samples were collected from each of the participants for the evaluation of biochemical parameters using standard laboratory methods. Results showed significantly higher BMI and SBP in HPSPSTART than in control (p=0.04; 0.02). SBP was significantly higher in HPSPLTART than in AHPPNART and Control (p=0.00). DBP was significantly higher in HPSPLTART than in HPSPSTART and control respectively (p=0.00). There were significantly higher plasma creatinine and Cys-C levels in both male HIV positives and male HIV positive participants on ART than in both females respectively (p0.00; 0.02). Also, BMI, creatinine, uric acid and Cystatin C levels were significantly higher in male HIV negative participants than in female HIV negative participants (p=0.00; 0.04; 0.02; 0.01). This study has revealed greater risk for renal disease among the HIV participants studied.
本研究评估了Nnamdi Azikiwe大学教学医院Nnewi (NAUTH) HIV患者的微量白蛋白、胱抑素C、肌酐和尿酸水平。共有100名年龄在18至60岁之间的男性和女性HIV阳性和对照参与者参加了NAUTH的自愿咨询和测试单元(VCT)和抗逆转录病毒治疗单元(ART),并被随机招募到研究中,并分为以下几组:A组(长期ART治疗的HIV阳性症状参与者(HPSPLTART) (n= 25);B组(接受短期抗逆转录病毒治疗(HPSPSTART)的HIV阳性症状参与者)(n= 25);C组:未接受抗逆转录病毒治疗(AHPPNART)的无症状HIV阳性参与者(n=25), D组:对照组(n=25)。每位受试者采集血样6ml,新排尿10ml,采用标准实验室方法评估生化参数。结果HPSPSTART组BMI和收缩压明显高于对照组(p=0.04;0.02)。hpsplstart组收缩压明显高于AHPPNART组和对照组(p=0.00)。HPSPLTART组DBP显著高于HPSPSTART组和对照组(p=0.00)。接受抗逆转录病毒治疗的男性HIV阳性和男性HIV阳性受试者的血浆肌酐和Cys-C水平均显著高于女性(p < 0.05;0.02)。此外,男性HIV阴性参与者的BMI、肌酐、尿酸和胱抑素C水平显著高于女性HIV阴性参与者(p=0.00;0.04;0.02;0.01)。这项研究揭示了HIV参与者患肾脏疾病的风险更高。
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引用次数: 0
Time management in Health record (Leadership view — Personality empowerment) 健康档案中的时间管理(领导视角-个性授权)
Pub Date : 2021-10-15 DOI: 10.18231/j.jchm.2021.032
Eben Jeya Roy
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引用次数: 0
期刊
The Journal of Community Health Management
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