{"title":"A study of the various environmental factors associated with pulmonary tuberculosis at tertiary health care center","authors":"S. Reddy","doi":"10.26611/1011822","DOIUrl":"https://doi.org/10.26611/1011822","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126076422","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}
{"title":"Men’s participation in utilization of antenatal and intranatal services by women: Community based cross-sectional study","authors":"T. Swetha, S. ShivaswamyM, Srisanthanakrishnan","doi":"10.26611/10111122","DOIUrl":"https://doi.org/10.26611/10111122","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125365368","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}
Background: Children face the highest risk of dying in their first 28 days of life (neonatal period). Simple interventions have been tested and found to be effective in reducing the neonatal mortality. Facility Based Newborn Care (FBNC) has a significant potential for improving newborn survival. SNCU is a neonatal unit in the vicinity of labor room which is to provide special care (all care except assisted ventilation and major surgery) for sick newborns. Aims and objectives: To study the trend of neonatal admissions and their outcomes over a period of 7 years i.e. from the year (2013) of establishment to current year (2019) at SNCU in a district level hospital in Maharashtra. Materials and method: The present descriptive observational study with longitudinal design was conducted in the Government supported SNCU of District Hospital of Jalgaon District of Maharashtra which included all the neonates admitted in SNCUs from January 2013 to December 2019.The SNCU monthly report which is in a predefined format from Ministry of Health and Family Welfare, Government of India, which includes data on admission information, reasons of admission, course of admission, and mortality reasons (if any) with treatment outcomes was used for data collection. Result: It was seen that during the study period (i.e. from January 2013 to December 2019) total 16489 neonates were admitted to the SNCU. During the first year (2013) total 1182 neonates were admitted which went on increasing in subsequent years as 2494, 2916, 2944, 2525, 2078 and 2350 neonates were admitted in the year 2014,2015, 2016, 2017, 2018 and 2019. Yearwise data shows proportions of males and females were approximately similar with male preponderance in each year. Proportion of outborn neonates went on steadily increasing (26.90% in 2013 to 46.26% in 2019) and that of inborn neonates went on decreasing (73.10% in 2013 to 53.74% in 2019). Yearwise trend shows that more and more (54.65% in 2013 to 68.13% in 2019) LBWs were admitted as compared to NBWs neonates (45.35% in 2013 to 68.13% in 2019). Decreasing trend in the mortality was observed from 2013 to 2019 as neonatal mortality rate went on decreasing. It was recorded 18.75% in 2013, 12.43% in 2014, 11.48% in 2015, 12.59% in 2016, 10.54% in 2017, 4.75% in 2018, and 5.77% in 2019. Conclusion: Over a period of 7 years from 2013 to 2019 neonatal mortality went on decreasing including decrease in LBW. and preterm neonates.
{"title":"An assessment of admission and outcome trends among neonates admitted in special newborn care unit (SNCU) of Jalgaon, Maharashtra","authors":"V. Malkar","doi":"10.26611/10111822","DOIUrl":"https://doi.org/10.26611/10111822","url":null,"abstract":"Background: Children face the highest risk of dying in their first 28 days of life (neonatal period). Simple interventions have been tested and found to be effective in reducing the neonatal mortality. Facility Based Newborn Care (FBNC) has a significant potential for improving newborn survival. SNCU is a neonatal unit in the vicinity of labor room which is to provide special care (all care except assisted ventilation and major surgery) for sick newborns. Aims and objectives: To study the trend of neonatal admissions and their outcomes over a period of 7 years i.e. from the year (2013) of establishment to current year (2019) at SNCU in a district level hospital in Maharashtra. Materials and method: The present descriptive observational study with longitudinal design was conducted in the Government supported SNCU of District Hospital of Jalgaon District of Maharashtra which included all the neonates admitted in SNCUs from January 2013 to December 2019.The SNCU monthly report which is in a predefined format from Ministry of Health and Family Welfare, Government of India, which includes data on admission information, reasons of admission, course of admission, and mortality reasons (if any) with treatment outcomes was used for data collection. Result: It was seen that during the study period (i.e. from January 2013 to December 2019) total 16489 neonates were admitted to the SNCU. During the first year (2013) total 1182 neonates were admitted which went on increasing in subsequent years as 2494, 2916, 2944, 2525, 2078 and 2350 neonates were admitted in the year 2014,2015, 2016, 2017, 2018 and 2019. Yearwise data shows proportions of males and females were approximately similar with male preponderance in each year. Proportion of outborn neonates went on steadily increasing (26.90% in 2013 to 46.26% in 2019) and that of inborn neonates went on decreasing (73.10% in 2013 to 53.74% in 2019). Yearwise trend shows that more and more (54.65% in 2013 to 68.13% in 2019) LBWs were admitted as compared to NBWs neonates (45.35% in 2013 to 68.13% in 2019). Decreasing trend in the mortality was observed from 2013 to 2019 as neonatal mortality rate went on decreasing. It was recorded 18.75% in 2013, 12.43% in 2014, 11.48% in 2015, 12.59% in 2016, 10.54% in 2017, 4.75% in 2018, and 5.77% in 2019. Conclusion: Over a period of 7 years from 2013 to 2019 neonatal mortality went on decreasing including decrease in LBW. and preterm neonates.","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128346655","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}
{"title":"Study of unmet need of family planning among the married women of reproductive age","authors":"Hinatai Sheshrao Salam","doi":"10.26611/10112022","DOIUrl":"https://doi.org/10.26611/10112022","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129357819","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}
{"title":"Knowledge, perception and practices towards COVID-19 pandemic among epidemiologists of India during period of the COVID-19 Pandemic: Online cross-sectional survey","authors":"Karan B Nagpurkar","doi":"10.26611/10111811","DOIUrl":"https://doi.org/10.26611/10111811","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129739036","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}
{"title":"A study of the various factors associated with non-communicable diseases at field practice area of UHTC of a tertiary health care centre","authors":"S. Reddy","doi":"10.26611/1011824","DOIUrl":"https://doi.org/10.26611/1011824","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"49 3-10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123396045","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}
{"title":"Study of risk factors associated with the prevalence of urinary incontinence in women of an urban slum in Mumbai","authors":"A. Dehmubed, Jyoti S. Mandge","doi":"10.26611/10111111","DOIUrl":"https://doi.org/10.26611/10111111","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114226533","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}
Introduction: Tuberculosis (TB) remains one of the top killers in the developing world. This is especially true in India, where each year approximately two million new cases and 500,000 TB related deaths occur. To combat this overwhelming problem, the Government of India piloted and then expanded a strategy of directly observed treatment short-course (DOTS) under the Revised National Tuberculosis Control Programme (RNTCP). Piloted in 1993 and expanded nationally in 1997, DOTS now covers over 1 billion people, almost entire country. Through the help of DOTS programme, RNTCP has achieved improved cure rates and reduction in unfavorable outcomes. Default is one of the unfavorable outcomes for patients on DOTS ]. the default rates are relatively higher in Multidrug resistant tuberculosis. Treatment for MDR-TB uses second-line drugs that are less effective than those used for first-line treatment and which often have significant side-effects. It is also lengthy, complex and expensive. As a result, treatment outcomes for patients with MDR-TB are worse than for drug-sensitive TB, with low success rates and high rates of treatment failure and default. While some analyses of MDR-TB treatment cohorts have reported factors associated with negative outcomes of treatment (death, failure and default). Aims & Objective: The preesent study was undertaken to carry out the default rates, the co-morbidity profile of MDR-TB patients, and the role of comorbidities in the treatment course of MDR-TB under DOTS regimen among MDR-TB patients availing the DOTS facility Materials And Methods: The present study was carried out to study the defaulter rates of pulmonary Tuberculosis patients along with the risk of co-morbidities of patients in D.O.T.S. sites of Hapur & S.I.M.S. . For this purpose, a total of 100 MDR-TB patients were enrolled in the study and were prospectively followed up. Patients with pulmonary TB diagnosed 2016-17 were of either sex, aged ≥18 years diagnosed with smear positive pulmonary TB (both newly diagnosed and previously treated patients were included in the study. The statistical analysis was done using SPSS Version 20 statistical analysis software. The values were represetend in number (%) and mean±Sd and 2 value. RESULT: During the period of study, 100 patients of pulmonary tuberculosis were enrolled in the study, out of which 27 (27.0%) defaulted during their treatment while 73 (73.0%) completed their treatment successfully. Rate of default in DOTS treatment by patients of pulmonary tuberculosis was 27.0% in the present set up.Age of patients enrolled ranged between 18 & 76 years and majority were male (77.0%), occupied as labourers (79.0%). Age, Gender and Occupation of defaulter and non-defaulter patients were comparable.Most common reason of default was Intolerance of treatment (92.59%), followed by hepatic insufficiency (66.67%), Renal insufficiency (29.63%) and Diabetes (7.41%). CONCLUSION: The findings of present study provided useful inf
结核病(TB)仍然是发展中国家的头号杀手之一。在印度尤其如此，那里每年大约发生200万新病例和50万与结核病有关的死亡。为了应对这一压倒性的问题，印度政府在修订的国家结核病控制规划下试行并随后扩大了直接观察短程治疗(DOTS)战略。直接督导下的短程化疗于1993年试行，1997年在全国推广，现在覆盖了10亿多人，几乎覆盖了整个国家。通过DOTS规划的帮助，RNTCP提高了治愈率，减少了不良后果。违约是直接督导下短程化疗患者的不利结果之一。耐多药结核病的违约率相对较高。耐多药结核病的治疗使用的二线药物效果不如一线治疗药物，而且往往有明显的副作用。它也冗长、复杂和昂贵。因此，耐多药结核病患者的治疗结果比药物敏感性结核病患者差，成功率低，治疗失败和违约率高。虽然对耐多药结核病治疗队列的一些分析报告了与治疗的负面结果(死亡、失败和违约)相关的因素。目的与目的:本研究旨在了解利用DOTS设施的耐多药结核病患者在DOTS方案治疗过程中的缺席率、共病概况以及共病在耐多药结核病治疗过程中的作用。材料与方法:本研究旨在研究Hapur和S.I.M.S. D.O.T.S.站点肺结核患者的缺席率以及患者共病的风险。为此，共有100名耐多药结核病患者纳入研究，并进行了前瞻性随访。2016- 2017年诊断为肺结核的患者不分性别，年龄≥18岁，诊断为涂阳肺结核(包括新诊断和既往治疗的患者)。采用SPSS Version 20统计分析软件进行统计分析。数值以数字(%)、平均值±Sd和2值表示。结果:研究期间共纳入100例肺结核患者，其中27例(27.0%)患者在治疗期间违约，73例(73.0%)患者成功完成治疗。本组肺结核患者DOTS治疗缺医率为27.0%。入组患者年龄在18 ~ 76岁之间，以男性(77.0%)为主，以劳动者(79.0%)为主。违约患者和非违约患者的年龄、性别和职业具有可比性。最常见的原因是治疗不耐受(92.59%)，其次是肝功能不全(66.67%)、肾功能不全(29.63%)和糖尿病(7.41%)。结论:本研究结果为耐多药结核病患者的人口学和临床特征及其DOTS治疗的失诊率提供了有用的信息。研究结果表明，在低资源环境下，主要面向低社会经济阶层，违约率中等偏高，在大多数情况下，药物不良反应是违约的原因。因此，建议对患者进行适当的咨询，了解药物可能的副作用及其补救措施。此外，应将提供全面保健纳入直接督导下的短程化疗方案，以确保绝对遵守，并处理与多药耐药结核病患者直接督导下的短程化疗有关的各种副作用。
{"title":"A study on defaulter rates of pulmonary tuberculosis patients along with the risk of comorbidities among MDR-TB patients availing the dots facility in Hapur district","authors":"Shreetesh Mishra","doi":"10.26611/10111121","DOIUrl":"https://doi.org/10.26611/10111121","url":null,"abstract":"Introduction: Tuberculosis (TB) remains one of the top killers in the developing world. This is especially true in India, where each year approximately two million new cases and 500,000 TB related deaths occur. To combat this overwhelming problem, the Government of India piloted and then expanded a strategy of directly observed treatment short-course (DOTS) under the Revised National Tuberculosis Control Programme (RNTCP). Piloted in 1993 and expanded nationally in 1997, DOTS now covers over 1 billion people, almost entire country. Through the help of DOTS programme, RNTCP has achieved improved cure rates and reduction in unfavorable outcomes. Default is one of the unfavorable outcomes for patients on DOTS ]. the default rates are relatively higher in Multidrug resistant tuberculosis. Treatment for MDR-TB uses second-line drugs that are less effective than those used for first-line treatment and which often have significant side-effects. It is also lengthy, complex and expensive. As a result, treatment outcomes for patients with MDR-TB are worse than for drug-sensitive TB, with low success rates and high rates of treatment failure and default. While some analyses of MDR-TB treatment cohorts have reported factors associated with negative outcomes of treatment (death, failure and default). Aims & Objective: The preesent study was undertaken to carry out the default rates, the co-morbidity profile of MDR-TB patients, and the role of comorbidities in the treatment course of MDR-TB under DOTS regimen among MDR-TB patients availing the DOTS facility Materials And Methods: The present study was carried out to study the defaulter rates of pulmonary Tuberculosis patients along with the risk of co-morbidities of patients in D.O.T.S. sites of Hapur & S.I.M.S. . For this purpose, a total of 100 MDR-TB patients were enrolled in the study and were prospectively followed up. Patients with pulmonary TB diagnosed 2016-17 were of either sex, aged ≥18 years diagnosed with smear positive pulmonary TB (both newly diagnosed and previously treated patients were included in the study. The statistical analysis was done using SPSS Version 20 statistical analysis software. The values were represetend in number (%) and mean±Sd and 2 value. RESULT: During the period of study, 100 patients of pulmonary tuberculosis were enrolled in the study, out of which 27 (27.0%) defaulted during their treatment while 73 (73.0%) completed their treatment successfully. Rate of default in DOTS treatment by patients of pulmonary tuberculosis was 27.0% in the present set up.Age of patients enrolled ranged between 18 & 76 years and majority were male (77.0%), occupied as labourers (79.0%). Age, Gender and Occupation of defaulter and non-defaulter patients were comparable.Most common reason of default was Intolerance of treatment (92.59%), followed by hepatic insufficiency (66.67%), Renal insufficiency (29.63%) and Diabetes (7.41%). CONCLUSION: The findings of present study provided useful inf","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132556783","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}
{"title":"A cross-sectional study on knowledge and practices regarding prevention of COVID-19 among hospital personnel in a tertiary care hospital of Karimnagar, Telangana","authors":"Suman Nama","doi":"10.26611/10111812","DOIUrl":"https://doi.org/10.26611/10111812","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134196200","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}
{"title":"A cross-sectional study on knowledge, and practice during COVID-19 and psychological impact of lockdown among work from home employees of Bengaluru","authors":"S. Usha","doi":"10.26611/10111821","DOIUrl":"https://doi.org/10.26611/10111821","url":null,"abstract":"","PeriodicalId":230986,"journal":{"name":"MedPulse International Journal of Community Medicine","volume":"270 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130929400","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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