Pub Date : 2023-06-30DOI: 10.51957/healthline_495_2023
O. Prakash, Bhavin Solanki, Sanket S. Patel, Dhiren Patel, J. Sheth, Paresh Chaudhary, Jayshree Modi
ntroduction: To effectively contain the disease and controlling the progression of the COVID19 pandemic, Ahmedabad Municipal Corporation (AMC) implemented a unique policy to screen symptomatic individuals with negative diagnostic tests using the High-Resolution Computed Tomography (HRCT) scan. Objective: To analyse the findings of the HRCT screening policy during the COVID19 pandemic situation. Method: During the period of HRCT Screening policy, i.e., 23rd July 2020 to 31st December 2020, a total of 41034 scan record from 25 CT scan centers were available. A retrospective analysis of these secondary data available with the health department of AMC was carried out after due permission from the local authority. Results: A total of 11337 [27.63%, 95% Confidence Interval (CI) 27.20-28.06] were reported as COVID positive. Males reported higher positivity (27.87%) than females (27.17%), however the difference was statistically not significant (Z=1.512, p=0.131). Age wise positivity shows increasing trend, while zone wise comparison shows positivity in line with the cases from respective zone. Analysis of CT severity score shows that 66.15% had Mild, 26.07% had moderate and 7.78% had severe lung involvement. Conclusion: HRCT screening policy identified additional cases of COVID19 and helped in isolation/admission of a large number of suspected cases which helped immensely in better control of the pandemic. HRCT, when used in combination with other diagnostic tests, plays a crucial role in controlling the pandemic situation.
{"title":"Assessing Role of HRCT Screening Policy among COVID-19 Test-Negative Symptomatic Patients in Ahmedabad, India","authors":"O. Prakash, Bhavin Solanki, Sanket S. Patel, Dhiren Patel, J. Sheth, Paresh Chaudhary, Jayshree Modi","doi":"10.51957/healthline_495_2023","DOIUrl":"https://doi.org/10.51957/healthline_495_2023","url":null,"abstract":"ntroduction: To effectively contain the disease and controlling the progression of the COVID19 pandemic, Ahmedabad Municipal Corporation (AMC) implemented a unique policy to screen symptomatic individuals with negative diagnostic tests using the High-Resolution Computed Tomography (HRCT) scan. Objective: To analyse the findings of the HRCT screening policy during the COVID19 pandemic situation. Method: During the period of HRCT Screening policy, i.e., 23rd July 2020 to 31st December 2020, a total of 41034 scan record from 25 CT scan centers were available. A retrospective analysis of these secondary data available with the health department of AMC was carried out after due permission from the local authority. Results: A total of 11337 [27.63%, 95% Confidence Interval (CI) 27.20-28.06] were reported as COVID positive. Males reported higher positivity (27.87%) than females (27.17%), however the difference was statistically not significant (Z=1.512, p=0.131). Age wise positivity shows increasing trend, while zone wise comparison shows positivity in line with the cases from respective zone. Analysis of CT severity score shows that 66.15% had Mild, 26.07% had moderate and 7.78% had severe lung involvement. Conclusion: HRCT screening policy identified additional cases of COVID19 and helped in isolation/admission of a large number of suspected cases which helped immensely in better control of the pandemic. HRCT, when used in combination with other diagnostic tests, plays a crucial role in controlling the pandemic situation.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43817300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.51957/healthline_526_2023
Chirasree Sarkar, Madhumita Bhattacharya, Lina Bandyopadhyay, Debarati Routh, Noor Islam Bag, Ankush Banerjee
Introduction: Urinary incontinence (UI) is a chronic debilitating disease affecting a significant proportion of elderly women. However, due to its social and hygienic issues, it often remains underreported in rural areas of India. It has the potential to significantly impact an individual's quality of life, thus highlighting its public health importance. Objective: To find out proportion of rural women having UI and its associated risk factors. Method: A cross-sectional study was conducted in a rural area of Singur among 120 elderly women aged ≥60 years selected by cluster sampling technique. A pre-designed questionnaire was utilized for data collection which included QUID questionnaire for assessing UI. Data were analysed with SPSS version 16.0.Chi-square test and logistic regression analysis was applied to find out any association between variables. Results: Around 42(35%) out of 120 women were found having UI among which the most prevalent type of UI was stress UI 22(18.3%), followed by mixed UI 13(10.8%) and urge UI 7(5.8%). Multivariable logistic regression analysis showed hypertension (AOR = 2.15, 95%CI=1.13–4.75), chronic cough (AOR= 4.50, 95%CI=1.24–16.30), constipation (AOR= 8.58, 95%CI=2.06–35.65), physical activity (AOR= 4.35, 95% CI=1.30–15.35), mental stress (AOR= 8.50, 95% CI=2.07–35.60)were factors significantly associated with presence of UI among the study participants. Only 25(59.5%) had sought healthcare for their issues. Conclusion: This study revealed that a significant proportion of rural older women are suffering from UI. Proper medical management of the risk factors associated with UI will help to decrease the burden of UI and improve health status of rural elderly women.
{"title":"A Cross-sectional Study on Urinary Incontinence and Associated Factors among Elderly Females in a Rural area of Singur, West Bengal","authors":"Chirasree Sarkar, Madhumita Bhattacharya, Lina Bandyopadhyay, Debarati Routh, Noor Islam Bag, Ankush Banerjee","doi":"10.51957/healthline_526_2023","DOIUrl":"https://doi.org/10.51957/healthline_526_2023","url":null,"abstract":"Introduction: Urinary incontinence (UI) is a chronic debilitating disease affecting a significant proportion of elderly women. However, due to its social and hygienic issues, it often remains underreported in rural areas of India. It has the potential to significantly impact an individual's quality of life, thus highlighting its public health importance. Objective: To find out proportion of rural women having UI and its associated risk factors. Method: A cross-sectional study was conducted in a rural area of Singur among 120 elderly women aged ≥60 years selected by cluster sampling technique. A pre-designed questionnaire was utilized for data collection which included QUID questionnaire for assessing UI. Data were analysed with SPSS version 16.0.Chi-square test and logistic regression analysis was applied to find out any association between variables. Results: Around 42(35%) out of 120 women were found having UI among which the most prevalent type of UI was stress UI 22(18.3%), followed by mixed UI 13(10.8%) and urge UI 7(5.8%). Multivariable logistic regression analysis showed hypertension (AOR = 2.15, 95%CI=1.13–4.75), chronic cough (AOR= 4.50, 95%CI=1.24–16.30), constipation (AOR= 8.58, 95%CI=2.06–35.65), physical activity (AOR= 4.35, 95% CI=1.30–15.35), mental stress (AOR= 8.50, 95% CI=2.07–35.60)were factors significantly associated with presence of UI among the study participants. Only 25(59.5%) had sought healthcare for their issues. Conclusion: This study revealed that a significant proportion of rural older women are suffering from UI. Proper medical management of the risk factors associated with UI will help to decrease the burden of UI and improve health status of rural elderly women.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136368345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.51957/healthline_491_2023
H. Chauhan, N. Khokhar, Parul C Patel, Gaurishanker P. Shrimali, K. Patel, Neha Makwana
Introduction: Neonatal sepsis is a leading cause of morbidity & mortality in developing countries especially like India. As per involvement of different organisms, mortality rates differ among neonates. So, early detection of causing organism along with the identification of risk factors helps to prevent mortality among Neonates in India. Objectives: To study the risk factors associated with neonatal septicemia and its bacteriological profile at one of the tertiary care hospital of Gujarat. Method: The study was prospective observational research study in which purposive sampling technique was used to identify the 106 neonates blood culture positive to sepsis admitted in NICU of one of the tertiary care hospital in Gujarat in time period of 1 year from Nov 2021 to Oct 2022. Results: Out of 106 neonates, common factors associated with neonatal septicemia were gender, prematurity, law birth weight, gestational age & onset of septicemia. Meconium stained liquor, Pregnancy induced hypertension & Oligohydramnios were the commonest maternal risk factor associated with neonatal sepsis. Blood culture proven sepsis in neonatal septicemia was predominantly caused by Gram negative organism Klebsiella pneumonia. Conclusion: Neonatal septicemia is more common in preterm & low birth weight neonates. Early onset septicemia is more common which can be curtailed by clean vaginal deliveries. Prematurity and low birth remains the major presentation for admission in NICU followed by respiratory distress syndrome. Maternal risk factors like meconium stained liquor, pregnancy induced hypertension oligohydramnios, & leaking per -vaginal are associated With increase in the incidence of neonatal septicemia.
{"title":"Study of Risk Factors Associated with Neonatal Septicemia and Its Bacteriological Profile at one of the Tertiary Care Hospitals of Gujarat, India","authors":"H. Chauhan, N. Khokhar, Parul C Patel, Gaurishanker P. Shrimali, K. Patel, Neha Makwana","doi":"10.51957/healthline_491_2023","DOIUrl":"https://doi.org/10.51957/healthline_491_2023","url":null,"abstract":"Introduction: Neonatal sepsis is a leading cause of morbidity & mortality in developing countries especially like India. As per involvement of different organisms, mortality rates differ among neonates. So, early detection of causing organism along with the identification of risk factors helps to prevent mortality among Neonates in India. Objectives: To study the risk factors associated with neonatal septicemia and its bacteriological profile at one of the tertiary care hospital of Gujarat. Method: The study was prospective observational research study in which purposive sampling technique was used to identify the 106 neonates blood culture positive to sepsis admitted in NICU of one of the tertiary care hospital in Gujarat in time period of 1 year from Nov 2021 to Oct 2022. Results: Out of 106 neonates, common factors associated with neonatal septicemia were gender, prematurity, law birth weight, gestational age & onset of septicemia. Meconium stained liquor, Pregnancy induced hypertension & Oligohydramnios were the commonest maternal risk factor associated with neonatal sepsis. Blood culture proven sepsis in neonatal septicemia was predominantly caused by Gram negative organism Klebsiella pneumonia. Conclusion: Neonatal septicemia is more common in preterm & low birth weight neonates. Early onset septicemia is more common which can be curtailed by clean vaginal deliveries. Prematurity and low birth remains the major presentation for admission in NICU followed by respiratory distress syndrome. Maternal risk factors like meconium stained liquor, pregnancy induced hypertension oligohydramnios, & leaking per -vaginal are associated With increase in the incidence of neonatal septicemia.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48491226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.51957/healthline_508_2023
Sahila Nabi, Mudasir Majeed, Nazia Zahoor, S M Salim Khan
Introduction: Drug abuse has been defined as an extreme desire to obtain and use increasing amounts of one or more substances. The risk factors for developing drug abuse problems include peer pressure, curiosity, and conflict in personal relations. Objective: 1. To assess awareness of young adults of Kashmir towards drug abuse. 2. To assess the perspectives of the participants regarding factors responsible for drug abuse. Method: An online cross-sectional study was conducted among 300 young adults of Kashmir, North India in month of September 2022.Details regarding the socio-demographic characteristics and awareness about the drug abuse were collected using semi-structured questionnaire. Results: Almost all of the participants (96.6%) had heard about drug abuse and about (63.3%) reported mass media as the main source of information. Half of participants knew that sedatives, painkillers, opiod derivates (like charas, heroine and cocaine) cause addiction. Conclusion: The present study showed that young adults of Kashmir had good level awareness regarding substance abuse, which helped in analyzing youth awareness of substance abuse and associated harm from their use.
{"title":"Awareness towards Drug Abuse and its Associated Factors in Young Adults of Kashmir, North India: A Cross Sectional Study","authors":"Sahila Nabi, Mudasir Majeed, Nazia Zahoor, S M Salim Khan","doi":"10.51957/healthline_508_2023","DOIUrl":"https://doi.org/10.51957/healthline_508_2023","url":null,"abstract":"Introduction: Drug abuse has been defined as an extreme desire to obtain and use increasing amounts of one or more substances. The risk factors for developing drug abuse problems include peer pressure, curiosity, and conflict in personal relations. Objective: 1. To assess awareness of young adults of Kashmir towards drug abuse. 2. To assess the perspectives of the participants regarding factors responsible for drug abuse. Method: An online cross-sectional study was conducted among 300 young adults of Kashmir, North India in month of September 2022.Details regarding the socio-demographic characteristics and awareness about the drug abuse were collected using semi-structured questionnaire. Results: Almost all of the participants (96.6%) had heard about drug abuse and about (63.3%) reported mass media as the main source of information. Half of participants knew that sedatives, painkillers, opiod derivates (like charas, heroine and cocaine) cause addiction. Conclusion: The present study showed that young adults of Kashmir had good level awareness regarding substance abuse, which helped in analyzing youth awareness of substance abuse and associated harm from their use.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136368342","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 : 2022-12-31DOI: 10.51957/healthline_411_2022
Tanmay Khindri, S. Narwane, Anup Kharde
Introduction: Myocardial infarction (MI) is one of the leading causes of mortality in India. The associated risk factors vary with respect to geographical and cultural difference in patients of MI. Objective: To study the association between known risk factors and MI in patients visiting tertiary rural health care center. Method: The study design was Unmatched Case Control type. Patients of age 18 or above diagnosed of AMI were included as cases. Patients of age 18 or above without prior history of heart disease were included as controls. Pregnant women and patients with coexisting cardiogenic shock, any significant chronic medical illness was excluded. The history of hypertension, Diabetes, family history of CHD, stress in past 1 year, history of alcohol intake, History of tobacco addiction, type of activity at work were recorded. The comparison of case and controls were done using Chi squared test, Fisher's Exact Test and Odds ratio, wherever applicable. A one sided “p” value of <0.05 was considered significant. Results: Of the 230 study participants included in the study, 100(43.5 %) were cases and 130 (56.5%) were Control, respectively. Except for history of stress, there was no statistical difference between number of cases and controls. Conclusion: The known risk factors of MI were not found associated with the disease. There is a need for conduct of study with larger sample size for confirmation of the study results.
{"title":"Study of Risk Factors for Acute Myocardial Infarction in Western Maharashtra: A Case-Control Study","authors":"Tanmay Khindri, S. Narwane, Anup Kharde","doi":"10.51957/healthline_411_2022","DOIUrl":"https://doi.org/10.51957/healthline_411_2022","url":null,"abstract":"Introduction: Myocardial infarction (MI) is one of the leading causes of mortality in India. The associated risk factors vary with respect to geographical and cultural difference in patients of MI. Objective: To study the association between known risk factors and MI in patients visiting tertiary rural health care center. Method: The study design was Unmatched Case Control type. Patients of age 18 or above diagnosed of AMI were included as cases. Patients of age 18 or above without prior history of heart disease were included as controls. Pregnant women and patients with coexisting cardiogenic shock, any significant chronic medical illness was excluded. The history of hypertension, Diabetes, family history of CHD, stress in past 1 year, history of alcohol intake, History of tobacco addiction, type of activity at work were recorded. The comparison of case and controls were done using Chi squared test, Fisher's Exact Test and Odds ratio, wherever applicable. A one sided “p” value of <0.05 was considered significant. Results: Of the 230 study participants included in the study, 100(43.5 %) were cases and 130 (56.5%) were Control, respectively. Except for history of stress, there was no statistical difference between number of cases and controls. Conclusion: The known risk factors of MI were not found associated with the disease. There is a need for conduct of study with larger sample size for confirmation of the study results.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48155217","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 : 2022-12-31DOI: 10.51957/healthline_462_202
Chirasree Sarkar, L. Bandyopadhyay, Ranjan Das, Ankush Banerjee, N. I. Bag, Satyabrata Maity
Introduction: Cardiovascular disease (CVD) has become the leading cause of mortality in the world, more so in the perimenopausal age group due to decreased levels of estrogen and diminished ovarian function because of ageing.Objective:To find out the magnitude of CVD risk amongperimenopausal women residing in rural Bengal and its associated determinants.Method: A cross-sectional study was conducted in a rural area of Barasat block I during April-July 2021 on 150 peri-menopausal women selected by cluster sampling. A pre-designed pretested questionnaire was used for data collection and a 10-year probability of CVD risk was assessed using Framingham Risk Score. Logistic regression analysis was done to find out the associated factors.Results: Intermediate & high CVDrisk was present in 28 (18.7%) and 63 (42%) participants respectively. Among 150 participants, 62% were hypertensive, 44.7% were diabetic, 51.3% with borderline high total cholesterol and 76% had low HDL cholesterol. Factors significantly associated with intermediate to high CVD risk were high mental stress [AOR=6.96, 95%CI=2.17-22.31], family history of chronic illness [AOR=14.46, 95% CI=4.26-49.06] and presence of chronic morbidities [AOR=6.84, 95%CI=1.93-24.22].Conclusion: A significant proportion of perimenopausal women were at risk of developing CVD. Thus, awareness campaigns in the community would help in empowering women in maintaining their health through regular screening and timely intervention when deemed necessary.
{"title":"Assessment of Cardiovascular Disease Risk among Perimenopausal Women: A Cross-sectional Study in a Rural Area of West Bengal","authors":"Chirasree Sarkar, L. Bandyopadhyay, Ranjan Das, Ankush Banerjee, N. I. Bag, Satyabrata Maity","doi":"10.51957/healthline_462_202","DOIUrl":"https://doi.org/10.51957/healthline_462_202","url":null,"abstract":"Introduction: Cardiovascular disease (CVD) has become the leading cause of mortality in the world, more so in the perimenopausal age group due to decreased levels of estrogen and diminished ovarian function because of ageing.Objective:To find out the magnitude of CVD risk amongperimenopausal women residing in rural Bengal and its associated determinants.Method: A cross-sectional study was conducted in a rural area of Barasat block I during April-July 2021 on 150 peri-menopausal women selected by cluster sampling. A pre-designed pretested questionnaire was used for data collection and a 10-year probability of CVD risk was assessed using Framingham Risk Score. Logistic regression analysis was done to find out the associated factors.Results: Intermediate & high CVDrisk was present in 28 (18.7%) and 63 (42%) participants respectively. Among 150 participants, 62% were hypertensive, 44.7% were diabetic, 51.3% with borderline high total cholesterol and 76% had low HDL cholesterol. Factors significantly associated with intermediate to high CVD risk were high mental stress [AOR=6.96, 95%CI=2.17-22.31], family history of chronic illness [AOR=14.46, 95% CI=4.26-49.06] and presence of chronic morbidities [AOR=6.84, 95%CI=1.93-24.22].Conclusion: A significant proportion of perimenopausal women were at risk of developing CVD. Thus, awareness campaigns in the community would help in empowering women in maintaining their health through regular screening and timely intervention when deemed necessary.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44214584","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 : 2022-12-31DOI: 10.51957/healthline_466_2022
Dharmik Gadhavi, H. Bhavsar, Darshana Rathod, Roshni Khepatwal, V. Desai, S. Saha, A. Qureshi, A. Ratnu
Introduction: Severe Acute Malnutrition (SAM) is a major public health concern that is linked to a high mortality rate in children under the age of five. Government of Gujarat has expanded treatment network from government facilities to private institutions and non-governmental organizations through various initiative in an effort to address the issue of SAM. Objective: To assess the treatment outcome among SAM children (0-5 years) admitted at Niramay Bal Poshan Kendra, Jam Khambhalia, Devbhumi Dwarka District of Gujarat. Method: A longitudinal study was conducted among SAM children admitted at The Niramay Bal Poshan Kendra (Public Private Partnership model under Bal Poshan Yojana) which is a day care center providing treatment to SAM children for 14 days according to the protocol of NRC (Nutrition Rehabilitation Centre). Under Bal Poshan Yojana, RBSK medical officers screened children for SAM and referred them for treatment at empanelled NGO/Private institution. Total 1557 under five children were screened by them between 6th September 2021 and 5th February 2022. Out of them 121 SAM children were identified, 95 children could be mobilized at the study site (Niramay Bal Poshan Kendra). Out of 95 children, 76 SAM children completed the treatment along with all three follow up at the study site. The data of these 76 Children was analyzed. Results: Among 76 children, average weight gain was 566 grams at the time of discharge and 1000 grams at the time of third follow-up. An average weight gain for the cohort is 5.2 gram/kg/day. At the end of treatment, 92% children moved out of the SAM category at the completion of three follow-up, 55% moved to Moderate Acute Malnutrition and 37% to normal weight category. Conclusion: An average weight gain among the study population was satisfactory. Day care treatment model provides advantage of improved treatment completion rate and higher follow-up completion. Similar models of SAM treatment can help in effectively tackling menace of malnutrition in Gujarat.
严重急性营养不良(SAM)是一个主要的公共卫生问题，与5岁以下儿童的高死亡率有关。古吉拉特邦政府通过各种举措，将治疗网络从政府设施扩大到私营机构和非政府组织，以努力解决SAM问题。目的:评价古吉拉特邦Devbhumi Dwarka区jamkhambhalia Niramay Bal Poshan Kendra收治的SAM儿童(0-5岁)的治疗效果。方法:对在Niramay Bal Poshan Kendra (Bal Poshan Yojana下的公私合作模式)入院的SAM儿童进行了纵向研究，该中心是一家日托中心，根据NRC(营养康复中心)的协议为SAM儿童提供14天的治疗。在Bal Poshan Yojana的领导下，RBSK医务人员对儿童进行了SAM筛查，并将他们转介到配备人员的非政府组织/私人机构接受治疗。他们在2021年9月6日至2022年2月5日期间对1557名5岁以下儿童进行了筛查。其中121名SAM儿童被确定，95名儿童可以被动员到研究现场(Niramay Bal Poshan Kendra)。在95名儿童中，76名SAM儿童完成了治疗，并在研究现场进行了所有三个随访。对76例患儿的资料进行分析。结果:76例患儿出院时体重平均增加566克，第三次随访时体重平均增加1000克。该队列的平均体重增加为5.2克/公斤/天。在治疗结束时，92%的儿童在完成三次随访后脱离了急性营养不良类别，55%的儿童进入中度急性营养不良类别，37%的儿童进入正常体重类别。结论:研究人群的平均体重增加是令人满意的。日托治疗模式具有治疗完成率高、随访完成率高等优点。类似的SAM治疗模式可以帮助有效解决古吉拉特邦的营养不良威胁。
{"title":"Management of Severe Acute Malnutrition in Day Care Settings: Findings from Innovative Public Private Partnership at Devbhumi Dwarka District, Gujarat","authors":"Dharmik Gadhavi, H. Bhavsar, Darshana Rathod, Roshni Khepatwal, V. Desai, S. Saha, A. Qureshi, A. Ratnu","doi":"10.51957/healthline_466_2022","DOIUrl":"https://doi.org/10.51957/healthline_466_2022","url":null,"abstract":"Introduction: Severe Acute Malnutrition (SAM) is a major public health concern that is linked to a high mortality rate in children under the age of five. Government of Gujarat has expanded treatment network from government facilities to private institutions and non-governmental organizations through various initiative in an effort to address the issue of SAM. Objective: To assess the treatment outcome among SAM children (0-5 years) admitted at Niramay Bal Poshan Kendra, Jam Khambhalia, Devbhumi Dwarka District of Gujarat. Method: A longitudinal study was conducted among SAM children admitted at The Niramay Bal Poshan Kendra (Public Private Partnership model under Bal Poshan Yojana) which is a day care center providing treatment to SAM children for 14 days according to the protocol of NRC (Nutrition Rehabilitation Centre). Under Bal Poshan Yojana, RBSK medical officers screened children for SAM and referred them for treatment at empanelled NGO/Private institution. Total 1557 under five children were screened by them between 6th September 2021 and 5th February 2022. Out of them 121 SAM children were identified, 95 children could be mobilized at the study site (Niramay Bal Poshan Kendra). Out of 95 children, 76 SAM children completed the treatment along with all three follow up at the study site. The data of these 76 Children was analyzed. Results: Among 76 children, average weight gain was 566 grams at the time of discharge and 1000 grams at the time of third follow-up. An average weight gain for the cohort is 5.2 gram/kg/day. At the end of treatment, 92% children moved out of the SAM category at the completion of three follow-up, 55% moved to Moderate Acute Malnutrition and 37% to normal weight category. Conclusion: An average weight gain among the study population was satisfactory. Day care treatment model provides advantage of improved treatment completion rate and higher follow-up completion. Similar models of SAM treatment can help in effectively tackling menace of malnutrition in Gujarat.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41482030","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 : 2022-12-31DOI: 10.51957/healthline_424_2022
K. Kumar, Deepmala Deepmala Kamboj, A. Mittal, Anil Ahuja, Soorveer Gurjar, Shilpi Gupta
Introduction: Since 1990, internet usage is increasing day by day and availability of smart mobile phones and electronic gazettes like tablet, laptop etc. has given it an exponential rise. During COVID-19 lockdown period, internet usage pattern has changed a lot as per behaviour of students studying in schools, colleges, educational and coaching institutes etc. Objective: Tostudy the prevalence of internet addiction and the effect of internet usage on lifestyle of college students of Haryana. Method: Total 1035 students, of various educational streams in various colleges of Haryana state were included in the study and data was collected by pretested self-designed questionnaire and young’s internet addiction test questionnaire was used to assess its effect on life style.Results: Out of 1035 students, 436(42%) participants were below average users of internet, followed by 369(36%) average users and 230(22%) excessive users of internet. Average of total score of young internet addiction questionnaire was 27.72. Various life style factors like feeling stressed while working, neglects other activities, miss a diet, checks internet many times, obsessed with phone and internet usage per day were found significantly associated with internet addiction(p<0.05).Conclusions: Excessive internet usage during COVID-19 pandemic may lead to various abnormal behavior changes which cause negative effect on various aspects of students like emotional, hyperactivity, depression, sleeping disorder etc.
{"title":"Prevalence of Internet Addiction and the Effect of Internet Usage on Lifestyle of College Students of Haryana during COVID 19 lockdown period","authors":"K. Kumar, Deepmala Deepmala Kamboj, A. Mittal, Anil Ahuja, Soorveer Gurjar, Shilpi Gupta","doi":"10.51957/healthline_424_2022","DOIUrl":"https://doi.org/10.51957/healthline_424_2022","url":null,"abstract":"Introduction: Since 1990, internet usage is increasing day by day and availability of smart mobile phones and electronic gazettes like tablet, laptop etc. has given it an exponential rise. During COVID-19 lockdown period, internet usage pattern has changed a lot as per behaviour of students studying in schools, colleges, educational and coaching institutes etc. Objective: Tostudy the prevalence of internet addiction and the effect of internet usage on lifestyle of college students of Haryana. Method: Total 1035 students, of various educational streams in various colleges of Haryana state were included in the study and data was collected by pretested self-designed questionnaire and young’s internet addiction test questionnaire was used to assess its effect on life style.Results: Out of 1035 students, 436(42%) participants were below average users of internet, followed by 369(36%) average users and 230(22%) excessive users of internet. Average of total score of young internet addiction questionnaire was 27.72. Various life style factors like feeling stressed while working, neglects other activities, miss a diet, checks internet many times, obsessed with phone and internet usage per day were found significantly associated with internet addiction(p<0.05).Conclusions: Excessive internet usage during COVID-19 pandemic may lead to various abnormal behavior changes which cause negative effect on various aspects of students like emotional, hyperactivity, depression, sleeping disorder etc.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45143669","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 : 2022-12-31DOI: 10.51957/healthline_450_2022;
A. Shah, Y. B. Chavan, Nived G Sudarson, S. Sontakke
Introduction: Coronavirus disease 2019(COVID-19) saw an overhaul in the biomedical waste management (BMWM) practices. Waste handlers were at the brunt of these changes. If the challenges pertaining to BMWM at the ground level are better understood, more effective measures to overcome them can be formulated. Objectives: 1. To identify myths and concerns regarding BMWM in the context of COVID-19 pandemic. 2. To explore the challenges faced in BMWM amidst the COVID-19 pandemic. 3.To explore opportunities and future perspectives of BMWM. Method: In-depth interviews were conducted among 17 purposively selected Class IV health care workers during August to November 2021 in a tertiary care institute in Mumbai. Data was reported using thematic analysis. Results: Three major themes - challenges and concerns faced by BMW handlers, enablers/ motivators, opportunities and future practices were generated from the transcripts. Various challenges faced by waste handlers were- difficulties in segregation and transport of BMW, exhaustion from PPE usage and fear of acquiring and spreading COVID-19 from work, stigma faced from public, and handling COVID-19 deaths. Support from family and colleagues, incentives and a positive change in public perception enabled them to work. Forming redressal committees, addressing job security concerns and timely provision of good quality equipment can improve hospital waste management measures in the future. Conclusion: It is of utmost importance to address challenges faced by waste handlers in BMWM. Onus should also be on periodic training in BMW
{"title":"Challenges Faced in Biomedical Waste Management by Waste Handlers amidst the COVID-19 Pandemic in a Tertiary Care Hospital: A Qualitative Study","authors":"A. Shah, Y. B. Chavan, Nived G Sudarson, S. Sontakke","doi":"10.51957/healthline_450_2022;","DOIUrl":"https://doi.org/10.51957/healthline_450_2022;","url":null,"abstract":"Introduction: Coronavirus disease 2019(COVID-19) saw an overhaul in the biomedical waste management (BMWM) practices. Waste handlers were at the brunt of these changes. If the challenges pertaining to BMWM at the ground level are better understood, more effective measures to overcome them can be formulated. Objectives: 1. To identify myths and concerns regarding BMWM in the context of COVID-19 pandemic. 2. To explore the challenges faced in BMWM amidst the COVID-19 pandemic. 3.To explore opportunities and future perspectives of BMWM. Method: In-depth interviews were conducted among 17 purposively selected Class IV health care workers during August to November 2021 in a tertiary care institute in Mumbai. Data was reported using thematic analysis. Results: Three major themes - challenges and concerns faced by BMW handlers, enablers/ motivators, opportunities and future practices were generated from the transcripts. Various challenges faced by waste handlers were- difficulties in segregation and transport of BMW, exhaustion from PPE usage and fear of acquiring and spreading COVID-19 from work, stigma faced from public, and handling COVID-19 deaths. Support from family and colleagues, incentives and a positive change in public perception enabled them to work. Forming redressal committees, addressing job security concerns and timely provision of good quality equipment can improve hospital waste management measures in the future. Conclusion: It is of utmost importance to address challenges faced by waste handlers in BMWM. Onus should also be on periodic training in BMW","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46425607","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 : 2022-12-31DOI: 10.51957/healthline_423_2022
R. Hadaye, Shilpa Nellikka
Introduction:The most important lesson COVID-19 pandemic thought is basic hygiene practices. It is important to understand hygiene practices among patients during first wave, when meager knowledge about the management of COVID-19 was available. Objective: To assess the adopted behavioral practices and predictors for COVID-19 infection among screened individuals during the 1st wave. Method: A cross-sectional study included COVID-19 screened individuals attending COVID -19 screening OPD at Mumbai. Total 950 participants were interviewed telephonically using convenient sampling method. Logistic regression nanalysis was performed. Results: A total 950 respondents participated, with median age of36 years (range:18yrs to 83 years). Respondents,RTPCR positive or quarantined were 36%. Analysis concludes that practices of having seen or read about hand hygiene, face hygiene, maintaining social distancing, cough etiquettes and enforcement ofstrict lockdown were significantly associated with lower risk of COVID-19 infection (p value <0.05). Conclusion: Hygiene Practices were followed correctly by more than 50% of this cohort however few individuals were able to answer knowledge related questions correctly. Simple hygiene practices like face hygiene, cough etiquettes, social distancing, strict following of lockdown and having seen or read information on hand washing were predictors of COVID-19 infection. The study highlights the need for quick and rigorous attempts to educate people during a state of a health emergency.
{"title":"Hygiene Predictors among COVID-19 Screened Individuals during the First Wave In Mumbai: A Cross-Sectional Survey","authors":"R. Hadaye, Shilpa Nellikka","doi":"10.51957/healthline_423_2022","DOIUrl":"https://doi.org/10.51957/healthline_423_2022","url":null,"abstract":"Introduction:The most important lesson COVID-19 pandemic thought is basic hygiene practices. It is important to understand hygiene practices among patients during first wave, when meager knowledge about the management of COVID-19 was available. Objective: To assess the adopted behavioral practices and predictors for COVID-19 infection among screened individuals during the 1st wave. Method: A cross-sectional study included COVID-19 screened individuals attending COVID -19 screening OPD at Mumbai. Total 950 participants were interviewed telephonically using convenient sampling method. Logistic regression nanalysis was performed. Results: A total 950 respondents participated, with median age of36 years (range:18yrs to 83 years). Respondents,RTPCR positive or quarantined were 36%. Analysis concludes that practices of having seen or read about hand hygiene, face hygiene, maintaining social distancing, cough etiquettes and enforcement ofstrict lockdown were significantly associated with lower risk of COVID-19 infection (p value <0.05). Conclusion: Hygiene Practices were followed correctly by more than 50% of this cohort however few individuals were able to answer knowledge related questions correctly. Simple hygiene practices like face hygiene, cough etiquettes, social distancing, strict following of lockdown and having seen or read information on hand washing were predictors of COVID-19 infection. The study highlights the need for quick and rigorous attempts to educate people during a state of a health emergency.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42645076","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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