Pub Date : 2023-05-01DOI: 10.55489/njcm.140520232743
Uma Phalswal, Neeraja VK, Priyanhi Dixit, Ashok Kumar Bishnoi
In today’s scenario accelerating cost of health significantly impact the health of people and the populace creating a monetary burden on poor households. One of the key concerns while tackling healthcare disparities is out-of-pocket expenses (OOPE). Providing financial safety and provide universal coverage to the entire populace are the main goal of health schemes. Health policies in India are based on equity prioritising the needs of the poor and underprivileged. Likewise, there is a discrepancy in the consistency of information and knowledge regarding the scheme among the beneficiaries. A review was created to help medical and nursing professionals to gain comprehensive knowledge of various health schemes. We tried to give an overview of various health schemes including Ayushman Bharat Yojana, Aam Aadmi Bima Yojana (AABY), Pradhan Mantri Suraksha Bima Yojana (PMSBY), Rashtriya Swasthya BimaYojana (RSBY), Central Government Health Scheme (CGHS), Employees State Insurance Scheme (ESIC), Employee Health Scheme and various state-level health schemes. include, Yeshasvini Health Insurance Scheme, Mahatma Jyotiba Phule Jan Arogya Yojana, Chief Minister Comprehensive Health Insurance Scheme, Mukhyamantri Amrutum Yojana, Karunya Health Scheme, Awaz Health Insurance Scheme, Telangana State Govt Employees and Journalist Health Scheme, Dr Ysr Aarogyastri Health Care Trust, Mukhyamantri Chiranjeevi Yojana, Rajasthan Government Health Scheme (RGHS), and Aarogya Raksha.
{"title":"Government Health Insurance Schemes and Their Benefits to The Indian Population: An Overview","authors":"Uma Phalswal, Neeraja VK, Priyanhi Dixit, Ashok Kumar Bishnoi","doi":"10.55489/njcm.140520232743","DOIUrl":"https://doi.org/10.55489/njcm.140520232743","url":null,"abstract":"In today’s scenario accelerating cost of health significantly impact the health of people and the populace creating a monetary burden on poor households. One of the key concerns while tackling healthcare disparities is out-of-pocket expenses (OOPE). Providing financial safety and provide universal coverage to the entire populace are the main goal of health schemes. Health policies in India are based on equity prioritising the needs of the poor and underprivileged. Likewise, there is a discrepancy in the consistency of information and knowledge regarding the scheme among the beneficiaries. A review was created to help medical and nursing professionals to gain comprehensive knowledge of various health schemes. We tried to give an overview of various health schemes including Ayushman Bharat Yojana, Aam Aadmi Bima Yojana (AABY), Pradhan Mantri Suraksha Bima Yojana (PMSBY), Rashtriya Swasthya BimaYojana (RSBY), Central Government Health Scheme (CGHS), Employees State Insurance Scheme (ESIC), Employee Health Scheme and various state-level health schemes. include, Yeshasvini Health Insurance Scheme, Mahatma Jyotiba Phule Jan Arogya Yojana, Chief Minister Comprehensive Health Insurance Scheme, Mukhyamantri Amrutum Yojana, Karunya Health Scheme, Awaz Health Insurance Scheme, Telangana State Govt Employees and Journalist Health Scheme, Dr Ysr Aarogyastri Health Care Trust, Mukhyamantri Chiranjeevi Yojana, Rajasthan Government Health Scheme (RGHS), and Aarogya Raksha.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129087390","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 : 2023-05-01DOI: 10.55489/njcm.140520232855
P. Patel, Jill Zalavadia, Ayushi Prajapati, Disha Jeram Pavasiya, Swati Patel, N. Sharma, P. Naik
Introduction: During the different wave of pandemic, due to various reasons self-medication practices among the public increased. Medical students are prone to such practices due to relevant background knowledge, and access to drugs. This study assessed the self-medication practice among the medial students during the different waves of pandemic of south Gujarat. Material and Methods: This descriptive study was conducted during May to June 2022 through self-administered form among medical students of south Gujarat, India. Study questionnaire included general demography; most frequently practice of self-medication. drug and the reason behind it. Result: Out of total 512 respondents, 381 (74.4%) did self-medication during the pandemic. 358 individuals (94.0%) did self-medication at least one drug since the start of pandemic. The most commonly utilizing medicines as prophylactic was Ayurvedic preparation, Multivitamins, Zinc and Vitamin C. For treatment of symptoms during the pandemic paracetamol (650 mg) was frequently used specially for body ache and fever. The main source of information of self-medication was internet. Conclusion: This study depicted common self-medication practices among medical students during the pandemic. It is a significant health issue especially during the pandemic times, with high consumption reported as a prevention or treating symptoms of COVID-19.
{"title":"Self-Medication Among Medical Students During the COVID19 Pandemic","authors":"P. Patel, Jill Zalavadia, Ayushi Prajapati, Disha Jeram Pavasiya, Swati Patel, N. Sharma, P. Naik","doi":"10.55489/njcm.140520232855","DOIUrl":"https://doi.org/10.55489/njcm.140520232855","url":null,"abstract":"Introduction: During the different wave of pandemic, due to various reasons self-medication practices among the public increased. Medical students are prone to such practices due to relevant background knowledge, and access to drugs. This study assessed the self-medication practice among the medial students during the different waves of pandemic of south Gujarat.\u0000Material and Methods: This descriptive study was conducted during May to June 2022 through self-administered form among medical students of south Gujarat, India. Study questionnaire included general demography; most frequently practice of self-medication. drug and the reason behind it.\u0000Result: Out of total 512 respondents, 381 (74.4%) did self-medication during the pandemic. 358 individuals (94.0%) did self-medication at least one drug since the start of pandemic. The most commonly utilizing medicines as prophylactic was Ayurvedic preparation, Multivitamins, Zinc and Vitamin C. For treatment of symptoms during the pandemic paracetamol (650 mg) was frequently used specially for body ache and fever. The main source of information of self-medication was internet.\u0000Conclusion: This study depicted common self-medication practices among medical students during the pandemic. It is a significant health issue especially during the pandemic times, with high consumption reported as a prevention or treating symptoms of COVID-19.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127651088","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 : 2023-05-01DOI: 10.55489/njcm.140520232737
V. Rajendran, A. Saikia, M. D. Bharali
Objective: To determine the correlation between BMI and age with MCI and after stratifying for BMI and socio-demographic characteristics. Methods: This cross-sectional study was conducted among 576 elderly (≥60 years) in Guwahati city using a multi-stage sampling technique. Hindi Mini-Mental State Examination tool was used for screening for dementia and MCI. Data were collected using a pre-designed and pre-tested schedule and SPSS was used for analysis. Results: HMMSE scores were not significantly correlated with BMI (r =0.07). However, when stratified, a significantly negative correlation of BMI with HMMSE scores was seen for illiterates (r =-0.21), primary school education (r =-0.48) and unskilled workers (r =-0.49). There was a significant negative correlation between age and cognition for elderly belonging to OBC, (r =-0.21), Lower middle (III), (r =-0.39), Upper Lower (r =-0.17), Lower (V), (r =-0.26), Graduate, Post Graduate,(r = -0.23), Middle School, (r =-0.36), Illiterate, (r =-0.34), Clerical, (r =-0.60), Semi Professional, (r =-0.62), skilled worker (r=-0.68), Unemployed, (r =-0.15) and Obese, (r =-0.30). Conclusion: Various factors like age, category, socioeconomic status, and Body Mass Index (BMI) were found to be predictors of cognition among the elderly.Further studies are needed to evaluate the correlations between age, BMI, and cognitive decline.
{"title":"Correlation of Body Mass Index and age with Mild Cognitive Impairment (MCI) in elderly of Guwahati City, Assam","authors":"V. Rajendran, A. Saikia, M. D. Bharali","doi":"10.55489/njcm.140520232737","DOIUrl":"https://doi.org/10.55489/njcm.140520232737","url":null,"abstract":"Objective: To determine the correlation between BMI and age with MCI and after stratifying for BMI and socio-demographic characteristics. \u0000Methods: This cross-sectional study was conducted among 576 elderly (≥60 years) in Guwahati city using a multi-stage sampling technique. Hindi Mini-Mental State Examination tool was used for screening for dementia and MCI. Data were collected using a pre-designed and pre-tested schedule and SPSS was used for analysis. \u0000Results: HMMSE scores were not significantly correlated with BMI (r =0.07). However, when stratified, a significantly negative correlation of BMI with HMMSE scores was seen for illiterates (r =-0.21), primary school education (r =-0.48) and unskilled workers (r =-0.49). There was a significant negative correlation between age and cognition for elderly belonging to OBC, (r =-0.21), Lower middle (III), (r =-0.39), Upper Lower (r =-0.17), Lower (V), (r =-0.26), Graduate, Post Graduate,(r = -0.23), Middle School, (r =-0.36), Illiterate, (r =-0.34), Clerical, (r =-0.60), Semi Professional, (r =-0.62), skilled worker (r=-0.68), Unemployed, (r =-0.15) and Obese, (r =-0.30). \u0000Conclusion: Various factors like age, category, socioeconomic status, and Body Mass Index (BMI) were found to be predictors of cognition among the elderly.Further studies are needed to evaluate the correlations between age, BMI, and cognitive decline.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123066188","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 : 2023-05-01DOI: 10.55489/njcm.140520232607
S. Majgi, H. Suresh, Prashanth Nuggehalli Srinivas, Mansoor Ahmed
Hypertension is an important worldwide public-health challenge and it is accountable for 7% of Disability Adjusted Life Years (DALY) loss, and by the end of 2025 about 29% of world’s population is likely to suffer from hypertension. Tribal population constitute about 8% of the total population in India. Among tribal population, study on hypertension will provide an interesting outcome because studies across the world have shown a lower prevalence. The objective of the study was to estimate the pooled prevalence of hypertension among adult tribal populations in India and also to analyse the possible sources of heterogeneity in the estimate. A systematic search was performed in PubMed, Google scholar, Scopus, Embase MEDLINE, and journals for articles published between 2001 and 2020. This is a systematic review and meta-analysis done on hypertension among tribal populations of India. Three authors independently reviewed the articles, performed quality assessment and data was extracted. Pooled estimate of hypertension was calculated. Subgroup analyses was performed. A total of 26 articles with a total number of subjects of 75,543 were included in the study. The pooled estimate of hypertension prevalence was 25.1% (95% CI: 24.7, 25.4). There was significant heterogeneity among the studies (I2 = 98.2 and Q = 1289.37). It is essential to conduct larger cohort studies and randomised controlled trials to determine the causes of the increased prevalence of hypertension among the tribal population. The prevalence of hypertension among tribal population are essential as a source of primary information and for rational planning of health services and will help public-health policy-makers to assign sufficient priority and resources for its management and prevention.
{"title":"Prevalence of Hypertension Among Tribal Population in India: A Systematic Review and Meta-Analysis","authors":"S. Majgi, H. Suresh, Prashanth Nuggehalli Srinivas, Mansoor Ahmed","doi":"10.55489/njcm.140520232607","DOIUrl":"https://doi.org/10.55489/njcm.140520232607","url":null,"abstract":"Hypertension is an important worldwide public-health challenge and it is accountable for 7% of Disability Adjusted Life Years (DALY) loss, and by the end of 2025 about 29% of world’s population is likely to suffer from hypertension. Tribal population constitute about 8% of the total population in India. Among tribal population, study on hypertension will provide an interesting outcome because studies across the world have shown a lower prevalence. The objective of the study was to estimate the pooled prevalence of hypertension among adult tribal populations in India and also to analyse the possible sources of heterogeneity in the estimate. A systematic search was performed in PubMed, Google scholar, Scopus, Embase MEDLINE, and journals for articles published between 2001 and 2020. This is a systematic review and meta-analysis done on hypertension among tribal populations of India. Three authors independently reviewed the articles, performed quality assessment and data was extracted. Pooled estimate of hypertension was calculated. Subgroup analyses was performed. A total of 26 articles with a total number of subjects of 75,543 were included in the study. The pooled estimate of hypertension prevalence was 25.1% (95% CI: 24.7, 25.4). There was significant heterogeneity among the studies (I2 = 98.2 and Q = 1289.37). It is essential to conduct larger cohort studies and randomised controlled trials to determine the causes of the increased prevalence of hypertension among the tribal population. The prevalence of hypertension among tribal population are essential as a source of primary information and for rational planning of health services and will help public-health policy-makers to assign sufficient priority and resources for its management and prevention.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132870977","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 : 2023-05-01DOI: 10.55489/njcm.140520232907
Syed Ahmed Mohiuddin, Vemulapalli Meghana, Surson Varshit Reddy
Background: The expenses that the patient or the family pays directly to the health care provider, without a third-party (insurer or State) is known as 'Out of Pocket Expenditure' (OOPE). These expenses could be medical and non-medical. About 150 million people face financial catastrophe every year due to health care payments and cancer is one of the leading causes of high OOPE. Objectives: This study was conducted to estimate the OOPE among cancer patients and to determine the OOPE in relation to type of cancer and treatment modality. Methodology: A cross sectional study was conducted at a tertiary care centre in Hyderabad during August and September,2022 with a total study population of 400 cancer patients. After consenting the participants, data was collected via face-to-face interview using a semi structured questionnaire. Results: The mean OOPE per patient was found to be $1032.65 (₹84,643.20). This includes the medical and non-medical costs. Leukaemia was found to have the highest OOPE amongst all cancers followed by colon cancer. Similarly, radiotherapy + surgery was found to have the highest OOPE followed by chemotherapy + radiotherapy + surgery. Conclusion And Interpretation- This study is unique in its way that no other study has considered OOPE for different cancers in single research. We would like to highlight the quantification of OOPE among various types of cancers and its variation based on treatment modality used. It is necessary that future government initiatives consider the importance of mitigating the OOPE along with provision of cancer care.
{"title":"Out of Pocket Expenditure among Cancer Patients Availing Treatment at A Tertiary Care Centre in Hyderabad, India","authors":"Syed Ahmed Mohiuddin, Vemulapalli Meghana, Surson Varshit Reddy","doi":"10.55489/njcm.140520232907","DOIUrl":"https://doi.org/10.55489/njcm.140520232907","url":null,"abstract":"Background: The expenses that the patient or the family pays directly to the health care provider, without a third-party (insurer or State) is known as 'Out of Pocket Expenditure' (OOPE). These expenses could be medical and non-medical. About 150 million people face financial catastrophe every year due to health care payments and cancer is one of the leading causes of high OOPE.\u0000Objectives: This study was conducted to estimate the OOPE among cancer patients and to determine the OOPE in relation to type of cancer and treatment modality.\u0000Methodology: A cross sectional study was conducted at a tertiary care centre in Hyderabad during August and September,2022 with a total study population of 400 cancer patients. After consenting the participants, data was collected via face-to-face interview using a semi structured questionnaire.\u0000Results: The mean OOPE per patient was found to be $1032.65 (₹84,643.20). This includes the medical and non-medical costs. Leukaemia was found to have the highest OOPE amongst all cancers followed by colon cancer. Similarly, radiotherapy + surgery was found to have the highest OOPE followed by chemotherapy + radiotherapy + surgery.\u0000Conclusion And Interpretation- This study is unique in its way that no other study has considered OOPE for different cancers in single research. We would like to highlight the quantification of OOPE among various types of cancers and its variation based on treatment modality used. It is necessary that future government initiatives consider the importance of mitigating the OOPE along with provision of cancer care.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121229489","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 : 2023-05-01DOI: 10.55489/njcm.140520232875
I. M. D. Mertha Adnyana, B. Utomo, L. Dewanti, S. Fauziyah, D. S. Eljatin, Muhamad Frendy Setyawan, Lesty Helda Marsel Sumah, Citra Al Karina
The community uses incense (bakhour) through ceremonies, traditional health practices, and aromatherapy. Nevertheless, evidence from experiments and studies of populations suggests that a habit of burning incense makes the lungs work less well. The study investigated the relationship between exposure to incense smoke and impaired lung function and respiratory diseases. Data tracing was carried out systematically following PRISMA guidelines from January to April 2022 and registered in the PROSPERO database. The articles selected in this review were cross-sectional, cohort, observational, and experimental studies based on the criteria: (1) animals or humans exposed to incense smoke; (2) exposure to incense smoke which was carried out indoors or outdoors; (3) the selected articles which were included in the original type of article; (4) the publication year between 2016-2021 and the selected articles entered into reputable journals (Scopus and Web of Science). JBI guidelines and synthesis guidelines without meta-analysis (SWiM) to determine the level of evidence and minimize bias and interpretation of results. This study describes respiratory symptoms or diseases, home use of incense, and lung function measurement. Six articles were included; 6 (100%) reported using incense indoors, and 5 (83%) reported using incense outside the home. Respiratory symptoms and diseases caused by exposure to incense sticks are 5 (83%) shortness of breath, 6 (100%) wheezing, asthma, and inflammation of the lungs, 2 (33%) chronic obstructive pulmonary disease, and 4 (67%) allergic rhinitis. Incense smoke particles decrease lung function based on FVC, FEV, PEFR, and FEF values of 25-75%. The results indicate that smoking incense adversely affects lung function and leads to respiratory diseases. The community and related parties can minimize and conduct education and prevention related to simultaneous incense exposure in the community to reduce the burden of diseases and disorders due to respiratory incense smoke in areas that use it daily.
这个社区通过仪式、传统的健康实践和芳香疗法使用香(bakhour)。然而，从对人群的实验和研究中得出的证据表明，烧香的习惯会使肺部的功能变差。该研究调查了接触熏香与肺功能受损和呼吸系统疾病之间的关系。从2022年1月至4月，按照PRISMA指南系统地进行了数据跟踪，并在PROSPERO数据库中进行了登记。本综述选取的文章为横断面、队列、观察性和实验性研究，标准如下:(1)动物或人类暴露于熏香烟雾;(二)在室内或者室外接触熏香烟雾的;(三)列入原物品类别的选定物品;(4)发表年份为2016-2021年，入选文章进入知名期刊(Scopus和Web of Science)。JBI指南和综合指南没有荟萃分析(SWiM)来确定证据水平并最小化偏倚和结果解释。本研究描述呼吸道症状或疾病、家庭使用香和肺功能测量。包括6篇文章;6人(100%)报告在室内使用熏香，5人(83%)报告在室外使用熏香。接触香薰引起的呼吸道症状和疾病有5种(83%)呼吸短促，6种(100%)喘息、哮喘和肺部炎症，2种(33%)慢性阻塞性肺病，4种(67%)过敏性鼻炎。在25-75%的FVC、FEV、PEFR和FEF值下，熏烟颗粒降低肺功能。结果表明，吸烟会对肺功能产生不利影响，并导致呼吸系统疾病。社区和相关方可尽量减少并开展与社区内同时接触熏香有关的教育和预防，以减轻日常使用地区因呼吸熏香烟雾引起的疾病和失调的负担。
{"title":"Effects of Exposure to Incense Smoke Associated with Impaired Lung Function and Respiratory Disease: A Systematic Review","authors":"I. M. D. Mertha Adnyana, B. Utomo, L. Dewanti, S. Fauziyah, D. S. Eljatin, Muhamad Frendy Setyawan, Lesty Helda Marsel Sumah, Citra Al Karina","doi":"10.55489/njcm.140520232875","DOIUrl":"https://doi.org/10.55489/njcm.140520232875","url":null,"abstract":"The community uses incense (bakhour) through ceremonies, traditional health practices, and aromatherapy. Nevertheless, evidence from experiments and studies of populations suggests that a habit of burning incense makes the lungs work less well. The study investigated the relationship between exposure to incense smoke and impaired lung function and respiratory diseases. Data tracing was carried out systematically following PRISMA guidelines from January to April 2022 and registered in the PROSPERO database. The articles selected in this review were cross-sectional, cohort, observational, and experimental studies based on the criteria: (1) animals or humans exposed to incense smoke; (2) exposure to incense smoke which was carried out indoors or outdoors; (3) the selected articles which were included in the original type of article; (4) the publication year between 2016-2021 and the selected articles entered into reputable journals (Scopus and Web of Science). JBI guidelines and synthesis guidelines without meta-analysis (SWiM) to determine the level of evidence and minimize bias and interpretation of results. This study describes respiratory symptoms or diseases, home use of incense, and lung function measurement. Six articles were included; 6 (100%) reported using incense indoors, and 5 (83%) reported using incense outside the home. Respiratory symptoms and diseases caused by exposure to incense sticks are 5 (83%) shortness of breath, 6 (100%) wheezing, asthma, and inflammation of the lungs, 2 (33%) chronic obstructive pulmonary disease, and 4 (67%) allergic rhinitis. Incense smoke particles decrease lung function based on FVC, FEV, PEFR, and FEF values of 25-75%. The results indicate that smoking incense adversely affects lung function and leads to respiratory diseases. The community and related parties can minimize and conduct education and prevention related to simultaneous incense exposure in the community to reduce the burden of diseases and disorders due to respiratory incense smoke in areas that use it daily.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128980370","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: Quality of Life (QOL) is an important indicator of treatment outcome for cancer therapies. QOL researches help us to explore about the impairment caused by treatment and disease on one’s social life, day to day activities and psychological conditions. The objective is to assess the health related QOL in patients suffering from oral cavity and throat cancer and to find out factors associated with QOL. Methodology: Facility based cross sectional study design with consecutive sampling was used to achieve a sample size of 90 patients with oral cavity and throat cancer. Result: 71(78.88%) of study participants were independent and 19(21.11%) were partially dependent, none were completely dependent. Majority of the study population perceived a poor overall QOL as revelled by the findings that only 24.4% had best scoring in overall QOL domain. Weak Positive Correlation (R2=0.224) was seen between physical and socio- emotional component of QOL (p value <0.001). Education and cancer site were significantly associated with physical component while employment and Activity of Daily Living were associated with social component of QOL. Conclusion: There is a need to focus on ambulatory and vocational rehabilitation along with pain management for oral & throat CA patients as the study show an association of these factors with social component of QOL.
{"title":"Vocation and Mobility as Significant Modifiable Determinants For Quality Of Life Among Oral And Throat Cancer Patients - A Hospital Based Study From Southern India","authors":"Smriti Jain, Susila T, Senthil Arasi Duraisamy, Krithiga Sivakumar, Sameeya Furmeen Salam, Punithakumary P, Seenivasan P","doi":"10.55489/njcm.140420232724","DOIUrl":"https://doi.org/10.55489/njcm.140420232724","url":null,"abstract":"Background: Quality of Life (QOL) is an important indicator of treatment outcome for cancer therapies. QOL researches help us to explore about the impairment caused by treatment and disease on one’s social life, day to day activities and psychological conditions. The objective is to assess the health related QOL in patients suffering from oral cavity and throat cancer and to find out factors associated with QOL.\u0000Methodology: Facility based cross sectional study design with consecutive sampling was used to achieve a sample size of 90 patients with oral cavity and throat cancer.\u0000Result: 71(78.88%) of study participants were independent and 19(21.11%) were partially dependent, none were completely dependent. Majority of the study population perceived a poor overall QOL as revelled by the findings that only 24.4% had best scoring in overall QOL domain. Weak Positive Correlation (R2=0.224) was seen between physical and socio- emotional component of QOL (p value <0.001). Education and cancer site were significantly associated with physical component while employment and Activity of Daily Living were associated with social component of QOL.\u0000Conclusion: There is a need to focus on ambulatory and vocational rehabilitation along with pain management for oral & throat CA patients as the study show an association of these factors with social component of QOL.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131570662","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 : 2023-04-01DOI: 10.55489/njcm.140420232880
Anisha Sarkar, Md Samsuzzaman, Rupali Thakur, P. Taraphdar
Introduction: During menopause, women experience various psychological or physical changes which need adequate attention. Moreover, women don’t seek help for these problems due to their hesitancy, lack of awareness, socio-cultural, financial constraints or as they feel this is a natural-phenomenon. The study aims to explore the postmenopausal experiences faced by women during menopause and to elicit the constraints faced by them in seeking health-care services. Methodology: This was a qualitative study with phenomenological approach conducted among post-menopausal women (≥45 years) from Oct 2022-Jan 2023 with the help of In-Depth-Interview guide in four villages of Bhatar Block, Purba-Bardhaman District. Considering the availability of the study participants, they were selected purposively from the list prepared by ASHA of each village and recruitment done till the point of data-saturation. Inductive thematic-analysis was used to identify codes and themes. Results: During menopause, women experienced physical and psychological changes in the body, changes in social life and for these changes they had to adjust to cope-up. They felt various needs like empathy from husbands, children, peers. On the other hand, they did not seek help from health-care services due to their knowledge gap, dissatisfaction from previous-visit, cost-issue and unavailability of resources in health-care delivery system. Conclusion: Majority of the post-menopausal women faced various problems associated with menopause, but very few had sought help. So, health care providers have an important role to generate awareness among post-menopausal women regarding physical and mental changes during this phase.
{"title":"Postmenopausal Experiences and Constraints in Seeking Health Care in A Rural Area of West Bengal, India","authors":"Anisha Sarkar, Md Samsuzzaman, Rupali Thakur, P. Taraphdar","doi":"10.55489/njcm.140420232880","DOIUrl":"https://doi.org/10.55489/njcm.140420232880","url":null,"abstract":"Introduction: During menopause, women experience various psychological or physical changes which need adequate attention. Moreover, women don’t seek help for these problems due to their hesitancy, lack of awareness, socio-cultural, financial constraints or as they feel this is a natural-phenomenon. The study aims to explore the postmenopausal experiences faced by women during menopause and to elicit the constraints faced by them in seeking health-care services.\u0000Methodology: This was a qualitative study with phenomenological approach conducted among post-menopausal women (≥45 years) from Oct 2022-Jan 2023 with the help of In-Depth-Interview guide in four villages of Bhatar Block, Purba-Bardhaman District. Considering the availability of the study participants, they were selected purposively from the list prepared by ASHA of each village and recruitment done till the point of data-saturation. Inductive thematic-analysis was used to identify codes and themes.\u0000Results: During menopause, women experienced physical and psychological changes in the body, changes in social life and for these changes they had to adjust to cope-up. They felt various needs like empathy from husbands, children, peers. On the other hand, they did not seek help from health-care services due to their knowledge gap, dissatisfaction from previous-visit, cost-issue and unavailability of resources in health-care delivery system.\u0000Conclusion: Majority of the post-menopausal women faced various problems associated with menopause, but very few had sought help. So, health care providers have an important role to generate awareness among post-menopausal women regarding physical and mental changes during this phase.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133458764","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 : 2023-04-01DOI: 10.55489/njcm.140420232926
P. Patel
{"title":"Plagiarism and Duplicate Publication","authors":"P. Patel","doi":"10.55489/njcm.140420232926","DOIUrl":"https://doi.org/10.55489/njcm.140420232926","url":null,"abstract":"","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":" 82","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133020612","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: Millions around the globe were directly or indirectly affected by COVID-19 pandemic. The COVID-19 epidemic has harmed the lives of children with special needs in many ways, whether directly or indirectly. Few studies have evaluated the Impact of covid-19 lockdown among children with disability. However, the Impact of COVID on parents dealing with special children was scarcely studied in detail. Investigating parental stress, worries, and morbidity during the lockdown is particularly important for assisting these parents during further outbreaks. The aim is to assess the Impact of covid-19 lockdown among parents handling disabled children, parenting stress, their concerns, and morbidity during the COVID-19 lockdown. Materials And Method: The study was done among the parents of disabled children attending special schools in Chennai, using a cross-sectional study design. Parents with any recent trauma, mental disorders, or major diseases and undergoing treatment for themselves were excluded. After obtaining ethics approval, a semi-structured questionnaire was used to assess the Impact of the covid-19 lockdown. Collected data were analyzed using SPSS v.21. Results: The study includes 305 parents, predominantly mothers (58%) and the mean age was 38.9+8.2 years. We observed that the COVID-19 lockdown impacted 149 parents (48.9%). The significant predictors for the Impact of COVID-19 lockdown were being a single parent [AOR-2.91(95%CI- 1.05-8.08)] and having a part-time job [AOR-0.36(95%CI- 0.14-0.93)]. Conclusion: The COVID-19 outbreak and lockdown significantly impacted the parents of disabled children. It is high time we give importance to these parents of children with special needs during this pandemic to help them during similar occasions in the future.
{"title":"The Impact Of COVID-19 Lockdown on Parents Handling Children with Disability in Chennai, India","authors":"Pragadeesh Palaniappan, Rashmi Patel, K. B, Umadevi Ramachandran, BN Surya, Supraja Nagarathinam","doi":"10.55489/njcm.140420232800","DOIUrl":"https://doi.org/10.55489/njcm.140420232800","url":null,"abstract":"Introduction: Millions around the globe were directly or indirectly affected by COVID-19 pandemic. The COVID-19 epidemic has harmed the lives of children with special needs in many ways, whether directly or indirectly. Few studies have evaluated the Impact of covid-19 lockdown among children with disability. However, the Impact of COVID on parents dealing with special children was scarcely studied in detail. Investigating parental stress, worries, and morbidity during the lockdown is particularly important for assisting these parents during further outbreaks. The aim is to assess the Impact of covid-19 lockdown among parents handling disabled children, parenting stress, their concerns, and morbidity during the COVID-19 lockdown.\u0000Materials And Method: The study was done among the parents of disabled children attending special schools in Chennai, using a cross-sectional study design. Parents with any recent trauma, mental disorders, or major diseases and undergoing treatment for themselves were excluded. After obtaining ethics approval, a semi-structured questionnaire was used to assess the Impact of the covid-19 lockdown. Collected data were analyzed using SPSS v.21.\u0000Results: The study includes 305 parents, predominantly mothers (58%) and the mean age was 38.9+8.2 years. We observed that the COVID-19 lockdown impacted 149 parents (48.9%). The significant predictors for the Impact of COVID-19 lockdown were being a single parent [AOR-2.91(95%CI- 1.05-8.08)] and having a part-time job [AOR-0.36(95%CI- 0.14-0.93)].\u0000Conclusion: The COVID-19 outbreak and lockdown significantly impacted the parents of disabled children. It is high time we give importance to these parents of children with special needs during this pandemic to help them during similar occasions in the future.","PeriodicalId":430059,"journal":{"name":"National Journal of Community Medicine","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121504869","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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