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A Community Directed Interventional Approach to Promote Breast Self-Examination Through BEHENA Among Women Residing in Rural Villages of Hingna, Nagpur District 通过 BEHENA 在居住在那格浦尔区兴纳农村的妇女中推广乳房自我检查的社区指导干预方法
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243892
S. Shrivastava, Prithvi B. Petkar, Sonali Borkar, H. Mendhe, Gulshan R. Bandre
Introduction: The practice of breast self-examination (BSE) does not adopt a community-directed approach, and hence lack the influence of community dynamics. Community-directed strategy to promote BSE through Breast Examination Health Education Network Advocator (BEHENA) acknowledges the impact of collective support. Objectives: To increase the knowledge and empower women aged ≥20 years with the help of BEHENA in correctly performing BSE and to identify the perception and challenges encountered by BEHENA in promoting BSE.Methods: A mixed-methods study design will be employed, wherein in the first phase, local women satisfying eligibility criteria will be selected as BEHENA and trained in BSE. In the second phase, these BEHENA workers will sensitize and train the study participants in BSE. In the third phase, the participants will be periodically monitored to monitor BSE sustenance practice. Finally, focus group discussions will be conducted to identify their perceptions and challenges encountered in promoting BSE.Results: An improvement in awareness levels and empowerment of rural women with the skills necessary to perform accurate and effective BSE.Conclusion: Upon the completion of the project, the best practices and lessons learned during the entire duration of implementation will be documented. The findings of the study will be shared with all the concerned stakeholders.
导言:乳房自我检查(BSE)的做法并不是以社区为导向的,因此缺乏社区动力的影响。通过 "乳房检查健康教育网络倡导者"(BEHENA)来推广 BSE 的社区导向策略承认了集体支持的影响力。目标:在 BEHENA 的帮助下,增加年龄≥20 岁妇女正确进行 BSE 的知识并增强其能力,同时确定 BEHENA 在推广 BSE 过程中的看法和遇到的挑战:将采用混合方法研究设计,其中第一阶段将选择符合资格标准的当地妇女作为 BEHENA,并对其进行 BSE 培训。第二阶段,这些 BEHENA 工作人员将对研究参与者进行 BSE 宣传和培训。在第三阶段,将对参与者进行定期监测,以监督 BSE 的实施情况。最后,将开展焦点小组讨论,以确定他们在推广 BSE 过程中的看法和遇到的挑战:结果:提高了农村妇女的认识水平,使她们掌握了进行准确有效的 BSE 所需的技能:结论:项目完成后,将记录整个实施期间的最佳做法和经验教训。研究结果将与所有相关利益攸关方共享。
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引用次数: 0
Stress Among Working Women: A Silent Serpent 职业女性的压力:无声的毒蛇
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243895
Sadhana Lakhute, Rahul Mohanrao Band, Praveen Kumar Rajasekaran
Stress among females is double fold than males in developing countries like India. Stress of working women not only impacts the mother but also the family as a whole. Stressors arise in women from the workplace and from their own homes. Stress can be caused by stressors in the home such as unexpected guests and family relations.In countries like Spain have started 4 day per week work hours in pilot basis to reduce stress and improve productivity.. This should be done universally to tackle the stress among working population predominantly females..Stress is unavoidable nowadays and the ways to tackle them is only by whole hearted connection with family and friends outside the working hours..A less stressed life of a women will bring more prosperity to the family as a whole..This is the reason stress among working women is called SILENT SERPENT.
在印度等发展中国家,女性的压力是男性的两倍。职业女性的压力不仅会影响母亲,还会影响整个家庭。妇女的压力来自工作场所和家庭。在西班牙等国,已经开始试行每周 4 天工作时间,以减少压力和提高生产率。如今,压力是不可避免的,而解决压力的方法只能是在工作时间之外全心全意地与家人和朋友联系。
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引用次数: 0
The Psychological Effects of Hormonal Treatment on Women Under IVF Treatment: A Comprehensive Review 激素治疗对试管婴儿妇女的心理影响:全面回顾
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243829
Sri Raghavi Vasudevan, Mohanraj Bhuvaneswari
This comprehensive review delves into the intricate world of assisted reproductive technologies (ART) and hormonal treatments, exploring their profound psychological effects on women undergoing IVF treatment. The psychological distress of infertility, combined with the demanding nature of ART, has been widely acknowledged, yet a comprehensive examination of the psychological impacts has remained elusive. This study examined the psychological repercussions of hormonal medications used in IVF, addressing the complex interplay of hormones and their effects in each stage of the IVF process. This review followed PRISMA guidelines and included studies from PubMed, Google Scholar, and ScienceDirect. A total of nine papers were collected. The findings of this study identified that depression, anxiety, mood swings, irritability, sleep disturbances, and cognitive changes were the most commonly seen medically induced psychological effects among the IVF patients. This review offers a holistic understanding of the psychological intricacies of IVF treatment, highlighting the imperative need for a more comprehensive approach to address the emotional wellbeing of individuals undergoing fertility procedures.
这篇综合评论深入探讨了辅助生殖技术(ART)和激素治疗的复杂世界,探讨了它们对接受试管婴儿治疗的妇女产生的深远心理影响。不孕症带来的心理困扰,再加上辅助生殖技术的苛刻要求,已经得到了广泛的认可,但对其心理影响的全面研究却一直未见踪迹。本研究探讨了试管婴儿过程中使用的激素药物的心理影响,涉及试管婴儿过程各阶段中激素的复杂相互作用及其影响。本综述遵循PRISMA指南,收录了PubMed、Google Scholar和ScienceDirect上的研究。共收集到九篇论文。研究结果表明,抑郁、焦虑、情绪波动、易怒、睡眠障碍和认知变化是试管婴儿患者中最常见的由药物引起的心理影响。这篇综述对试管婴儿治疗中错综复杂的心理问题提供了一个全面的认识,强调了采用更全面的方法来解决接受生育程序的个人情绪健康问题的迫切需要。
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引用次数: 0
Psychological Stress in Parents of Children with Autism Spectrum Disorder 自闭症谱系障碍儿童家长的心理压力
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243909
Chinh Thi Minh Ha, Huong Thi Nguyen, Anh Hoang Vu Nguyen, Gia Phuoc Tran Thien
Purpose: This study investigated the relationship between parents' educational level, child's birth order within the family, and family size with psychological stress in parents of children with Autism Spectrum Disorder (ASD).Methods: A cross-sectional study was conducted in Ho Chi Minh City, Vietnam. Parents of children with ASD were recruited through convenience sampling at Hospital (n = 230). The Perceived Stress Scale (PSS) assessed psychological stress. Independent-sample t-tests and one-way ANOVA were used to analyze the data.Results: The average score for the PSS among parents with children diagnosed with ASD was 19.83±6.13. Parents with higher educational attainment reported lower psychological stress compared to those with lower degrees. Parents of firstborn children diagnosed with ASD experienced greater stress than parents of children diagnosed later. Parents with one child with ASD reported higher stress compared to parents with two or three children. No significant difference in stress levels was observed between mothers and fathers.Conclusion: This study highlights the influence of educational level, child's birth order, and family size on parental stress in families with ASD children. These findings inform the development of targeted support strategies to create a more supportive environment for families coping with ASD.
目的:本研究调查了自闭症谱系障碍(ASD)儿童父母的教育水平、孩子在家庭中的出生顺序以及家庭规模与心理压力之间的关系:方法:在越南胡志明市开展了一项横断面研究。自闭症谱系障碍(ASD)儿童的父母通过方便抽样在医院被招募(n = 230)。感知压力量表(PSS)评估心理压力。数据分析采用独立样本 t 检验和单因素方差分析:被诊断为 ASD 患儿的家长的 PSS 平均得分为 19.83±6.13。与学历较低的家长相比,学历较高的家长心理压力较小。头胎确诊为 ASD 患儿的家长比后来确诊为 ASD 患儿的家长承受的压力更大。与有两个或三个孩子的家长相比,有一个孩子患有自闭症的家长所承受的压力更大。母亲和父亲的压力水平没有明显差异:本研究强调了教育水平、孩子的出生顺序和家庭规模对 ASD 儿童家庭中父母压力的影响。这些发现为制定有针对性的支持策略提供了信息,从而为应对自闭症的家庭创造一个更有利的环境。
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引用次数: 0
Marketing Technique in Healthcare Services: A Narrative Review 医疗保健服务中的营销技巧:叙述性评论
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243671
Monika Zade, Yugeshwari Tiwade, Shivani Shahu, Gulshan R. Bandre, Sanket Surkar
The marketing strategy used in tertiary care hospital medical services uses a variety of tactics to attract, keep, and engage patients. The primary objective is to provide patients with excellent medical care and positive practice. The methods are intended to increase the confidence and trustworthiness while giving them a unique and memorable experience. Digital marketing is one of the most critical marketing strategies for healthcare services. Social media, Search Engine Optimisation (SEO), and other powerful techniques are required to attract new patients and keep them interested in the hospital. Another strategy to encourage current patients to tell their friends about the hospital is to use patient referral programmes and word-of-mouth advertising. Implementing patient-centred services and individualized treatment is another tactical approach.
三级医院医疗服务中使用的营销战略采用多种策略来吸引、留住和吸引患者。首要目标是为患者提供优质的医疗服务和积极的实践。这些方法旨在增强患者的信心和可信度,同时给他们带来独特而难忘的体验。数字营销是医疗服务最关键的营销策略之一。需要社交媒体、搜索引擎优化(SEO)和其他强大的技术来吸引新患者并保持他们对医院的兴趣。另一种鼓励现有患者向朋友介绍医院的策略是利用患者推荐计划和口碑广告。实施以病人为中心的服务和个性化治疗是另一种策略方法。
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引用次数: 0
Efficacy of Medical Adherence on Quality of Life Among Cardiac Patients 坚持治疗对心脏病患者生活质量的影响
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243799
Ashutosh Vijay Chavhan, Ranjana Verma, Mamta Verma, Priyanshi Dixit
Background: Nonadherence is linked to poor outcomes and impaired QOL. The objective is to find out the efficacy of medical adherence on quality of life among CAD Patients.Methodology: A descriptive cross-sectional study was conducted among 130 cardiac patients, who were coming in OPD of various urban centres of Bhopal. Data collection was done from September to October 2022 using a purposive sampling framework. Medical adherence and quality of life were assessed using self-administered MAS-CAD and WHOQOL-BREF respectively. Statistical analysis: Chi-squared test, Fisher's exact test, Kruskal Wallis and Mann Whitney test were used. The correlation between medication adherence and quality of life was analysed using the Spearman rank correlation coefficient.Results: The majority of the participants reported high (58.0%) medical adherence and were significantly correlated with variables like gender, occupational status, level of physical activity, and surgical history. Qol (<0.001), and its domains (physical, psychological and environmental) were also significantly correlated with medical adherence.Conclusion: Better Medical adherence was associated with a high quality of life among CAD patients. Males and Homemakers or unemployed had better medical adherence. A better understanding of the factors affecting medical adherence and quality of life is necessary.
背景:不坚持治疗与不良预后和生活质量受损有关。本研究的目的是了解坚持治疗对心血管疾病患者生活质量的影响:在博帕尔各城市中心的手术室就诊的 130 名心脏病患者中开展了一项描述性横断面研究。数据收集工作于 2022 年 9 月至 10 月进行,采用了目的性抽样框架。分别使用自填式 MAS-CAD 和 WHOQOL-BREF 对医疗依从性和生活质量进行了评估。统计分析:采用卡方检验(Chi-squared test)、费雪精确检验(Fisher's exact test)、克鲁斯卡尔-沃利斯检验(Kruskal Wallis)和曼-惠特尼检验(Mann Whitney test)。使用斯皮尔曼等级相关系数分析了服药依从性与生活质量之间的相关性:大多数参与者的服药依从性较高(58.0%),且与性别、职业状况、体力活动水平和手术史等变量显著相关。Qol(<0.001)及其领域(身体、心理和环境)也与医疗依从性明显相关:结论:CAD 患者较好的医疗依从性与较高的生活质量有关。男性、家庭主妇或失业者的医疗依从性更好。有必要更好地了解影响医疗依从性和生活质量的因素。
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引用次数: 0
Sample Size Estimation in Clinical Trials 临床试验中的样本量估算
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243815
Divyangkumar Patel
Sample size estimation remains as a cornerstone in the meticulous planning and execution of clinical trials, pivotal for ensuring studies possess the requisite statistical power to discern meaningful treatment effects. Insufficient sample sizes compromise the robustness of findings, whereas excessively large samples inflate costs and compromise data integrity. This article meticulously explains the multifaceted factors that outline sample size determination, encompassing various factors such as research design, types of hypotheses, error thresholds, effect size considerations, validity and precision. It investigates into the scope of methodologies available for sample size computation, spanning from intricate statistical formulas to pragmatic tabular approaches. Moreover, it underscores the significance of post-hoc power analysis in retrospectively evaluating completed studies, shedding light on their statistical robustness. This literature review furnishes a nuanced understanding of the sample size estimation landscape in clinical trials, delineating their strengths, limitations, and real-world applications. Anticipating participant attrition assumes paramount importance for proactively adjusting sample sizes, ensuring studies remain methodologically sound. Equipped with a profound grasp of these principles, researchers are empowered to conduct scientifically rigorous and impactful clinical trials, furnishing compelling evidence to inform judicious decision-making in healthcare interventions.
样本量估算仍然是临床试验精心策划和执行的基石,是确保研究具有必要的统计能力以发现有意义的治疗效果的关键。样本量不足会影响研究结果的稳健性,而样本量过大则会增加成本并影响数据的完整性。本文详细解释了确定样本量的多方面因素,包括研究设计、假设类型、误差临界值、效应大小考虑、有效性和精确性等各种因素。文章探讨了样本量计算的方法范围,从复杂的统计公式到实用的表格方法,不一而足。此外,它还强调了在回顾性评估已完成的研究时进行事后功率分析的重要性,并揭示了这些研究的统计稳健性。这篇文献综述提供了对临床试验样本量估计方法的细微理解,描述了它们的优势、局限性和在现实世界中的应用。预测参与者的流失对于主动调整样本量、确保研究在方法上的合理性至关重要。掌握了这些原则,研究人员就有能力开展科学严谨、影响深远的临床试验,为医疗保健干预措施的明智决策提供有力证据。
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引用次数: 0
Impact of Lamaze Breathing on Childbirth- Comparison Between Primigravid and Multigravid Women 拉玛泽呼吸法对分娩的影响--初产妇与多产妇的比较
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243901
Sushmitha R Karkada, Judith A Noronha, S. Bhat
Introduction: The most basic function of life, breathing promotes awareness, attentiveness, alertness, and focus in women. The Lamaze technique's goals are to promote, maintain, and protect a healthy pregnancy and a safe delivery. In this study, primigravid and multigravida women were compared with respect to the effects of the Lamaze technique on duration of labor and neonatal outcomes.Methodology: Primigravid and multigravid women who met the eligibility criteria were randomized into intervention and standard care groups in a parallel group randomized controlled study. After 36 weeks of pregnancy, the researcher introduced the women in the experimental groups the Lamaze techniques. The length of labor and neonatal outcomes between the primigravid and multigravid women in the intervention group and the standard care group were used to measure the result.Results: The mean duration of labor was shorter in the intervention groups. The Mann-Whitney U test indicated a statistically significant difference in the duration of labor between women who practiced Lamaze breathing during pregnancy and those who did not (U = 5742, p < 0.05).Conclusion: The present study concludes that Lamaze techniques during the antenatal period shortens labor duration and accelerates labor progress, hence facilitating natural childbirth.
简介呼吸是生命最基本的功能,它能促进女性的意识、注意力、警觉性和专注力。拉玛泽技术的目标是促进、维持和保护健康的妊娠和安全分娩。在这项研究中,初产妇和多产妇比较了拉玛泽技术对产程和新生儿预后的影响:方法:在一项平行组随机对照研究中,符合资格标准的初产妇和多产妇被随机分为干预组和标准护理组。怀孕 36 周后,研究人员向实验组产妇介绍拉玛泽技术。结果显示,干预组和标准护理组的初产妇和多产妇的产程时间和新生儿预后均优于标准护理组:结果:干预组的平均产程较短。曼-惠特尼 U 检验表明,在孕期练习拉玛泽呼吸法的产妇与未练习的产妇在产程时间上存在显著差异(U = 5742,P < 0.05):本研究得出结论,产前使用拉玛泽呼吸法可缩短产程,加快分娩进程,从而促进自然分娩。
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引用次数: 0
Overview, Trends and Mapping of The Scientific Production on Childhood Tuberculosis: A Scientometric Study 儿童结核病科学成果的概述、趋势和分布图:科学计量学研究
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243885
Fran Espinoza-Carhuancho, Julia Medina, Cesar Mauricio-Vilchez, Diego Galarza-Valencia, Franco Mauricio, C. Quispe-Vicuña, Frank Mayta-Tovalino
Background: Tuberculosis in children is highly prevalent and is considered community transmission by an infected adult. This study analyzed childhood tuberculosis literature from 2018 to 2023 on Scopus.Methodology: The study was an observational, retrospective design with a bibliometric approach focusing on the scientific production on childhood tuberculosis. A trend analysis and mapping of the literature published in Scopus was performed. The following selection criteria were applied: All types of papers published in Scopus during the study period were included. Papers published between 2018 and 2023 were included. Papers had to be focused on childhood tuberculosis. Results: Antoni Diez Noguera-Julián from SJD Barcelona Children’s Hospital had a field-weighted citation impact of 10.89. Anneke Catharina Hesseling and James Alexander Seddon had the highest output. The University of Melbourne and the University of Barcelona had high field-weighted citation impacts. Despite the United States’ high production, Spain and Australia showed significant influence. The “International Journal of Tuberculosis and Lung Disease” led in production.Conclusions: A bibliometric study on childhood tuberculosis literature from 2018-2023 highlighted Antoni Diez Noguera-Julián’s significant citation impact and the high output of Anneke Catharina Hesseling and James Alexander Seddon. Despite the U.S.'s high production, Spain and Australia showed significant influence.
背景:儿童结核病的发病率很高,被认为是由受感染的成年人进行的社区传播。本研究分析了2018年至2023年Scopus.Methodology上的儿童结核病文献:本研究采用观察性、回顾性设计,采用文献计量学方法,重点关注儿童结核病的科研成果。对Scopus上发表的文献进行了趋势分析和绘图。选择标准如下纳入研究期间在 Scopus 上发表的所有类型的论文。纳入2018年至2023年期间发表的论文。论文必须关注儿童结核病。研究结果来自SJD巴塞罗那儿童医院的Antoni Diez Noguera-Julián的领域加权引用影响力为10.89。Anneke Catharina Hesseling 和 James Alexander Seddon 的产出最高。墨尔本大学和巴塞罗那大学的领域加权引用影响力也很高。尽管美国的产出很高,但西班牙和澳大利亚的影响也很大。国际肺结核和肺部疾病杂志》的产量居首位:一项关于2018-2023年儿童结核病文献的文献计量学研究强调了Antoni Diez Noguera-Julián的重要引文影响以及Anneke Catharina Hesseling和James Alexander Seddon的高产出。尽管美国的产量很高,但西班牙和澳大利亚也表现出了显著的影响力。
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引用次数: 0
Post-Exposure Rabies Vaccine Compliance and Reasons for Non-Adherence - A Mixed Method Study in Puducherry 暴露后狂犬病疫苗依从性和不依从的原因--普杜切里混合方法研究
Pub Date : 2024-06-01 DOI: 10.55489/njcm.150620243792
Sowbarnika Vaishnavi, Aswathy Raveendran, M. Arulmozhi, Dr. K. Aswathy Raveendran
Background: Among the people who die annually of rabies worldwide, the majority either did not receive post-exposure prophylaxis (PEP), or received PEP after substantial delays or were administered PEP according to schedules that deviated from WHO recommendations. This study focuses on post-exposure rabies vaccine compliance and on the reasons for non-adherence.Methods: A mixed-method study was done among people exposed to animal bite who visited a PHC during January to December 2022.The participant list was taken from the register maintained at PHC and the data was collected by semi-structured questionnaire followed by in-depth interview.Results: The major cause for noncompliance with the ARV vaccination was failure to remember ARV schedule (52.4%), followed by lack of awareness of animal bite (19.6%) poor knowledge of ARV completion (16.2%), lack of time and access (9.4%) and choice of native treatment (2.4%). On multivariate analysis of the factors influencing rabies vaccine compliance, age, area of residence and socio-economic status were found to be statistically significant.Conclusion: The study results highlight the importance of imparting health education to increase vaccine compliance to prevent rabies.
背景:在全世界每年死于狂犬病的人中,大多数人要么没有接种暴露后预防疫苗(PEP),要么在严重拖延后才接种PEP疫苗,要么接种PEP疫苗的时间安排与世界卫生组织的建议不符。本研究的重点是暴露后狂犬病疫苗接种的依从性以及不依从的原因:参与者名单来自初级保健中心的登记册,数据收集采用半结构式问卷调查,然后进行深入访谈:结果:未按规定接种抗逆转录病毒疫苗的主要原因是未记住抗逆转录病毒疫苗接种计划(52.4%),其次是缺乏对动物咬伤的认识(19.6%)、对完成抗逆转录病毒疫苗接种知之甚少(16.2%)、缺乏时间和途径(9.4%)以及选择本地治疗(2.4%)。在对狂犬病疫苗接种依从性的影响因素进行多变量分析时,发现年龄、居住地区和社会经济地位在统计学上具有重要意义:研究结果凸显了开展健康教育以提高狂犬病疫苗依从性的重要性。
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引用次数: 0
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National Journal of Community Medicine
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