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Influence of Packed Food Labeling on Shopping Practices: A Cross-Sectional Study 包装食品标签对购物习惯的影响:横断面研究
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_977_22
Prerna Verma, Hetal Rathod, S. Johnson, Deepu Palal, Gracia Sohkhlet, Vallari Jadav, N. Borah, Sandeep Nallapu, Shweta Gangurde, Kavita Vishwakarma, Anil Mahajan, Sudhir L. Jadhav, Shubham Joon
The basic product information, health, safety, and nutritional details, as well as food marketing, advertising, and promotion, are all provided on a packed food label. This study was carried out to assess the knowledge, attitude, and practices of the shoppers regarding food labels as there are few studies done in India and none in Pune. A cross-sectional study was carried out among 226 participants using a validated semi-structured questionnaire, which consisted of sociodemographic details and questions on their knowledge, attitude, and practice regarding food labels while purchasing a packed food item. Quantitative data are presented in the form of mean, standard deviation, 95% confidence interval (CI) of mean, median, and interquartile range (IQR). Qualitative data are in terms of number (N), percentages (%), and 95% CI of percentage. Of the 226 participants, 163 (72.12) were aware of the label on packaged foods. One hundred seventy-seven (78.32%) participants in all read the label on the packaged food. The maximum retail price (MRP) and expiration date were the most frequent labels sought. Although 17.7% of consumers did not consider nutrient composition when making a purchase, energy and protein were the most often considered nutrients. The majority (70.35%) falsely believed that juice was healthy. The packed food label’s tiny font made it difficult to read for 30.38% of the customers. Despite the increased awareness about packed food labeling, a fraction of shoppers were not concerned about nutritional information. In contrast to the prevailing knowledge, the majority believes packed food has a positive effect on health.
产品的基本信息、健康、安全和营养细节,以及食品营销、广告和促销,都会在包装好的食品标签上提供。这项研究旨在评估购物者对食品标签的认识、态度和做法,因为在印度进行的研究很少,在浦那也没有。 这项横断面研究采用经过验证的半结构式调查问卷,对 226 名参与者进行了调查,问卷内容包括社会人口学方面的详细信息,以及他们在购买包装食品时对食品标签的了解、态度和做法等问题。定量数据以平均值、标准差、平均值的 95%置信区间、中位数和四分位数间距(IQR)的形式表示。定性数据以人数(N)、百分比(%)和百分比的 95% 置信区间(CI)表示。 在 226 名参与者中,163 人(72.12%)知道包装食品上的标签。有 177 人(78.32%)阅读了包装食品上的标签。最常看的标签是最高零售价和保质期。虽然有 17.7%的消费者在购买时没有考虑营养成分,但能量和蛋白质是最常考虑的营养成分。大多数消费者(70.35%)错误地认为果汁是健康的。30.38%的消费者由于包装食品标签的字体太小而难以阅读。 尽管对包装食品标签的认识有所提高,但仍有一小部分购物者并不关注营养信息。与普遍认知相反,大多数人认为包装食品对健康有积极影响。
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引用次数: 0
A Pilot Study to Show Longitudinal Trends in Health-Related Quality of Life (HRQOL) in a Cohort of Breast Cancer Patients Under Treatment at a Tertiary Healthcare Facility in Bhubaneswar, India 显示印度布巴内斯瓦尔一家三级医疗机构中接受治疗的乳腺癌患者健康相关生活质量 (HRQOL) 纵向趋势的试点研究
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_390_23
Sonali Kar, Varsha Shrivastava, J. K. Meena, Ipsa Mohapatra, S. Sahoo, Madhabananda Kar
Breast cancer incidence has overtaken that of cervical cancer among women in India according to the Globacon 2020 reports. Cancer management is also being streamlined at the Center and district levels, such that comprehensive integrated management is offered to cases to optimize the best results. In breast cancer, there are two modes of surgery namely Breast Conservation Surgery(BCS) and Modified Radical Mastectomy (MRM) now over 2 decades, with recommended Chemo radiation depending on the extent of the disease. HRQOL (Health-related Quality of Life) studies have been done in these groups of patients, due to their added relevance in terms of the loss of a vital organ like the breast. EORTC 30 and BR23 are standardized and detailed tools that have been seen to estimate QOL, keeping in mind a whole array of domains that are affected by the disease. To evaluate the “Body Image” and “Quality of life” (QOL) in operated breast cancer patients using BR -23 and EORTC – QLQ- questionnaire at 1month (after surgery) and then 3 to 4 months after surgery. This article attempts to draw a comparison among of EORTC30 and BR 23 scores calculated for 46 breast cancer patients operated during the pandemic time in one center and consenting to repeat the measures at pre-decided three time periods during the course of management. No significant differences are noted in the mean scores for EORTC 30 and BR23 for the two types of surgeries. Visit 1 scores for both modes of surgery are over 75 and by Visit 3 become less than 55 for EORTC. BR 23 (which measures the symptoms core to Breast cancer) at all 3 visits are between 45 to 55. Friedman’s test shows that the scores are not significant for age groups, the number of living children, or lifestyle factors like alcohol or tobacco chewing, though quadratic graphs depict the distinct variations in the scores at the 3 times reinforcing the need for follow-up of mental health in these subjects at intervals. The study largely brings out a strong need for repeated follow-up and counseling at regular and short intervals, post-surgery in breast cancer patients. EORTC 30 and BR 23 tools are excellent to use to essay information on the mental health of patients with breast cancer.
根据 Globacon 2020 报告,印度妇女的乳腺癌发病率已超过宫颈癌。中心和地区一级也正在简化癌症管理,以便为病例提供全面的综合管理,优化最佳效果。在乳腺癌方面,目前有两种手术方式,即乳房保护手术(BCS)和改良根治性乳房切除术(MRM),这两种手术方式已使用了 20 多年,并根据病情推荐化疗和放射治疗。对这些患者群体进行了 HRQOL(与健康相关的生活质量)研究,因为他们失去了乳房这样的重要器官。EORTC 30 和 BR23 是标准化的详细工具,可用于评估 QOL,同时考虑到受疾病影响的一系列领域。 使用 BR23 和 EORTC - QLQ- 问卷对乳腺癌手术患者的 "身体形象 "和 "生活质量"(QOL)进行评估,评估时间为术后 1 个月和术后 3 至 4 个月。 本文试图比较 EORTC30 和 BR 23 对 46 名乳腺癌患者的评分,这些患者在大流行时期在一家中心接受了手术,并同意在治疗过程中预先确定的三个时间段重复测量。 两种手术方式的 EORTC 30 和 BR23 平均得分没有明显差异。在第 1 次就诊时,两种手术方式的得分均超过 75 分,而在第 3 次就诊时,EORTC 的得分均低于 55 分。BR 23(测量乳腺癌的核心症状)在所有 3 次就诊中的得分都在 45 到 55 之间。弗里德曼检验表明,得分与年龄组、在世子女人数或酗酒或嗜烟等生活方式因素的关系并不显著,但二次曲线图显示了 3 次就诊时得分的明显变化,这进一步说明有必要对这些受试者的心理健康状况进行定期随访。这项研究在很大程度上表明,乳腺癌患者在手术后很有必要进行定期和短期的反复随访和咨询。EORTC 30 和 BR 23 工具是撰写乳腺癌患者心理健康信息的绝佳工具。
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引用次数: 0
Erratum: Incidence of Sudden Cardiac Death in Low- and Middle-Income Countries: A Systematic Review of Cohort Studies. 勘误:中低收入国家的心脏性猝死发生率:队列研究的系统回顾。
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-01 Epub Date: 2024-05-24 DOI: 10.4103/IJCM.IJCM_266_24

[This corrects the article on p. 279 in vol. 49, PMID: 38665450.].

[此处更正了第 49 卷第 279 页的文章,PMID:38665450]。
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引用次数: 0
Simplified Sample Size Formulas for Detecting a Medically Important Effect. 检测重要医学效应的简化样本量公式。
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-01 Epub Date: 2024-05-24 DOI: 10.4103/ijcm.ijcm_787_23
Abhaya Indrayan, Aman Mishra, Binukumar Bhaskarapillai

The sample size is just about the most common question in the minds of many medical researchers. This size determines the reliability of the results and helps to detect a medically important effect when present. Some studies miss an important effect due to inappropriate sample size. Many postgraduate students and established researchers often contact a statistician to help them determine an appropriate sample size for their study. More than 80 formulas are available to calculate sample size for different settings and the choice requires some expertise. Their use is even more difficult because most exact formulas are quite complex. An added difficulty is that different books, software, and websites use different formulas for the same problem. Such discrepancy in the published formulas confounds a biostatistician also. The objective of this communication is to present uniformly looking formulas for many situations together at one place in their simple but correct form, along with the setting where they are applicable. This will help in choosing an appropriate formula for the kind of research one is proposing to do and use it with confidence. This communication is restricted to the sample size required to detect a medically important effect when present - known to the statisticians as the test of hypothesis situation. Such a collection is not available anywhere, not even in any book. The sample size formulas for estimation are different and not discussed here.

样本量是许多医学研究人员心中最常见的问题。样本量决定了研究结果的可靠性,并有助于发现医学上的重要效应。有些研究由于样本量不当而错过了重要效应。许多研究生和资深研究人员经常会联系统计学家,请他们帮助自己确定研究的适当样本量。目前有 80 多个公式可用于计算不同环境下的样本量,选择这些公式需要一定的专业知识。由于大多数精确公式都相当复杂,因此使用起来更加困难。此外,不同的书籍、软件和网站对同一问题使用不同的公式,这也增加了使用的难度。已出版公式中的这种差异也让生物统计学家感到困惑。这篇通讯的目的是以简单而正确的形式,将多种情况下的统一公式集中在一起,并附上适用的环境。这将有助于人们根据自己打算进行的研究类型选择合适的公式并放心使用。本次交流仅限于检测医学上的重要效应所需的样本量--统计学家称之为假设检验情况。任何地方,甚至任何书籍中都没有这样的数据集。用于估算的样本量公式与此不同,在此不做讨论。
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引用次数: 0
Epidemiological Trends of Dengue in One of the Western Hilly Areas of Himachal Pradesh 喜马偕尔邦西部丘陵地区登革热的流行趋势
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_5_23
Ekta Sharma, Tarun Sood, Gurmeet Katoch, Rajesh Guleri
Dengue is one of the neglected tropical diseases, with a wide spectrum of diseases, ranging from acute febrile illness dengue fever to life-threatening dengue hemorrhagic fever or dengue shock syndrome. In recent years, it has become a major public health concern in many nonendemic areas as well. A secondary data analysis of records available with district Integrated Disease Surveillance Programme cell was conducted to study distribution (time, place, and person) of dengue from 2017 to 2022 in Kangra, a sub-Himalayan district of Himachal Pradesh (HP). In the evaluated period (2017–2022), a total of 6008 cases suspected of dengue were tested and test positivity of 7% (441) with male gender predominance was found. Mean age of the diagnosed cases was 37.7 ± 16.8 years. A seasonal trend was observed starting from late August to November in all study years. Dengue is still a neglected disease, but it has shown its presence especially in this part of HP, indicating the need for better preparation and sensitization of vector-borne disease control program activities, especially in post-monsoon, to prevent future epidemics.
登革热是被忽视的热带疾病之一,其发病范围很广,从急性发热性疾病登革热到危及生命的登革出血热或登革休克综合征。近年来,登革热在许多非流行地区也已成为主要的公共卫生问题。 为了研究喜马偕尔邦(Himachal Pradesh,HP)次喜马拉雅地区康格拉(Kangra)从 2017 年到 2022 年登革热的分布情况(时间、地点和人员),我们对地区综合疾病监测计划小组的现有记录进行了二次数据分析。 在评估期间(2017-2022 年),共检测了 6008 例登革热疑似病例,发现阳性率为 7%(441 例),男性占多数。确诊病例的平均年龄为(37.7 ± 16.8)岁。在所有研究年份中,从八月下旬到十一月都有季节性趋势。 登革热仍然是一种被忽视的疾病,但它已经显示出其存在,尤其是在惠普公司的这一地区,这表明有必要更好地准备病媒传播疾病控制计划活动并提高其敏感性,尤其是在季风过后,以防止未来的流行病。
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引用次数: 0
Prevalence of Smartphone Addiction and its Relationship with Obesity among Young Adults: A Cross-sectional Study from Delhi, India 年轻人沉迷智能手机及其与肥胖的关系:印度德里横断面研究
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_288_23
Priyosmita Das, K. Saraswathy, Vineeta Chaudhary
Smartphone addiction (SA) has emerged as an important health concern worldwide. Recent studies have recognized SA as one of the factors that promote sedentarism and can contribute to obesity. However, the relationship between SA and obesity among Indian young adults remains understudied. The present study aims to estimate the prevalence of SA and explore its association with general and central obesity among young adults in Delhi, India. This cross-sectional study was conducted among 246 young adults (aged 18–30 years) of either sex (60.16% females) from Delhi. Screening for SA was done using the Smartphone Addiction Scale–Short Version. Somatometric measurements (height, weight, waist circumference, and hip circumference) were taken to determine general and central obesity. SA was prevalent among 25.2% of the participants. The prevalence of SA was higher among males and undergraduate students than among females and postgraduate/MPhil/PhD students, respectively. Further, SA was not associated with any of the obesity variables. Interestingly, smartphone addicts were found to have a 2.5-fold increased risk of being underweight. Though SA was not associated with obesity, it was found to be associated with being underweight, indicating a relationship between smartphone use and nutritional status among young adults.
智能手机成瘾(SA)已成为全球关注的一个重要健康问题。最近的研究发现,智能手机成瘾是导致久坐不动和肥胖的因素之一。然而,有关印度年轻人使用智能手机成瘾与肥胖之间关系的研究仍然不足。本研究旨在估算久坐不动的流行率,并探讨其与印度德里年轻人的全身性肥胖和中心性肥胖之间的关系。这项横断面研究的对象是德里的 246 名青壮年(18-30 岁),男女不限(女性占 60.16%)。使用智能手机成瘾量表简易版进行了SA筛查。通过测量身高、体重、腰围和臀围来确定全身性肥胖和中心性肥胖。25.2%的参与者普遍患有智能手机成瘾症。男生和本科生的 SA 患病率分别高于女生和研究生/哲学博士/博士生。此外,SA 与任何肥胖变量都没有关联。有趣的是,智能手机成瘾者体重不足的风险增加了 2.5 倍。虽然SA与肥胖无关,但却与体重不足有关,这表明智能手机的使用与年轻人的营养状况之间存在关系。
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引用次数: 0
Malnutrition and Anemia Among Particularly Vulnerable Tribal Groups of Odisha, India: Needs for Context-Specific Intervention 印度奥迪沙特别弱势部落群体的营养不良和贫血问题:根据具体情况采取干预措施的必要性
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_452_23
Arundhuti Das, Jyoti Ghosal, Hemant Kumar Khuntia, Sujata Dixit, Sanghmitra Pati, Harpreet Kaur, Akhil Bihari Ota, Madhusmita Bal, Manoranjan R. Ranjit
As undernutrition and anemia persist to be prevalent in India, the socioeconomically disadvantaged groups continue to take the greater brunt. Odisha is home to the largest number of particularly vulnerable tribal groups (PVTGs) in India. The study aimed to provide a comprehensive report on the undernutrition and anemia status of all the PVTGs of Odisha. A community-based cross-sectional study was conducted among (N = 1461, 683 males and 779 females) 13 PVTGs spread across 12 districts of Odisha from August 2018 to February 2019. Among the under-five children, the prevalence of underweight was observed in 75.26%, stunting in 55.42%, and wasting in 60.00% and all forms of undernutrition were higher among girls. Among children and adolescents belonging to the age group of 5 to 19 years, the prevalence of thinness was 46.7%. In individuals above the age of 20, the prevalence of underweight among males was 37.7% and females was 44.3% and severe anemia was present in 36.5% of females and 35.8% of males. Women in the reproductive age have a higher prevalence of anemia. The study shows that undernutrition and anemia remain high in the PVTGs, especially among the under-five children and women in the reproductive age. As the country heads toward fulfilling Sustainable Development Goals (SDG) by 2030, national and state health policies need to be designed and implemented, giving special focus to these vulnerable groups.
由于营养不良和贫血在印度持续普遍存在,社会经济弱势群体仍然首当其冲。奥迪沙邦是印度特别弱势部落群体(PVTGs)人数最多的地方。这项研究旨在全面报告奥迪沙所有特别弱势部落群体的营养不良和贫血状况。 2018 年 8 月至 2019 年 2 月期间,对分布在奥迪沙邦 12 个县的 13 个 PVTGs(N = 1461,男性 683 人,女性 779 人)进行了基于社区的横断面研究。 在五岁以下儿童中,体重不足的发生率为 75.26%,发育迟缓的发生率为 55.42%,消瘦的发生率为 60.00%,所有形式的营养不良在女孩中均较高。在 5 至 19 岁的儿童和青少年中,消瘦的比例为 46.7%。在 20 岁以上的人群中,体重不足的发生率男性为 37.7%,女性为 44.3%,严重贫血的发生率女性为 36.5%,男性为 35.8%。育龄妇女的贫血患病率较高。 研究结果表明,PVTGs 中营养不良和贫血的比例仍然很高,尤其是五岁以下儿童和育龄妇女。随着国家朝着到 2030 年实现可持续发展目标(SDG)的方向迈进,需要制定和实施国家和各州的卫生政策,特别关注这些弱势群体。
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引用次数: 0
Traumatic Dental Injuries and their Association with Demographics and Other Predisposing Risk Factors in School Children Aged between 8-13 Years: A Descriptive, Cross-Sectional Study 8-13 岁学龄儿童牙外伤及其与人口统计学和其他诱发风险因素的关系:一项描述性横断面研究
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_423_23
Pavani Bellamkonda, Eby Varghese, Asim Nasser Alasabi, Nasser Mohammed Alshehri, S. Bhandary, Ramesh Krishnan, Suresh J Babu, C. Swarnalatha, A. Nayyar
Traumatic dental injuries are most commonly seen in school age children. This not only affects physical, but, also, the psychological and social well-being of a child. The aim of the present study was to assess the prevalence of traumatic dental injuries in school children aged between 8 and 13 years and their association with the demographics and other predisposing risk factors. The present study was conducted as a cross-sectional study design on 1500 school children aged between 8 and 13 years. Apart from clinical examination, all the participants were asked to complete a questionnaire related to the injuries sustained. Statistical analysis was conducted using Statistical Package for Social Sciences (SPSS) version 21.0 (IBM, Chicago). Pearson’s Chi-square (Χ²) test was used for categorical data analysis and distribution to determine the association between categorical variables, while P < 0.05 was considered statistically significant. The prevalence of traumatic dental injuries in the present study was calculated at 9.7%. Also, the occurrence of such injuries was found to be higher in the age group of 8–11 years with 10 years being the peak age of incidence for sustaining such injuries. Again, crown fracture involving enamel was found to be the most common type of injury sustained, while proclination observed in relation to upper anterior teeth, and incompetent lips were found to be the independent, significant risk predictors associated with the frequency and severity of such injuries. The results obtained in the present study suggested a high prevalence of traumatic dental injuries in school children aged between 8 and 13 years highlighting the need for conducting educational programs, for increasing knowledge and awareness of parents, school children and school faculty in this regard to save the affected child patients from the more dreaded sequelae including complete loss of tooth structure, and social and emotional trauma.
牙齿外伤最常见于学龄儿童。这不仅会影响儿童的身体健康,还会影响其心理和社会福祉。本研究旨在评估 8 至 13 岁学龄儿童牙外伤的发生率及其与人口统计学和其他易发风险因素的关系。 本研究采用横断面研究设计,对象为 1500 名 8 至 13 岁的学龄儿童。除临床检查外,所有参与者都被要求填写一份与所受伤害有关的调查问卷。统计分析采用社会科学统计软件包(SPSS)21.0 版(IBM,芝加哥)进行。皮尔逊卡方(Χ²)检验用于分类数据分析和分布,以确定分类变量之间的关联,P < 0.05 为具有统计学意义。 经计算,本研究中牙齿外伤的发生率为 9.7%。此外,研究还发现,8-11 岁年龄组的牙外伤发生率较高,其中 10 岁是牙外伤的高发年龄。同样,涉及珐琅质的牙冠折断被发现是最常见的损伤类型,而上前牙的偏斜和不健全的嘴唇被发现是与此类损伤的频率和严重程度相关的独立、重要的风险预测因素。 本研究的结果表明,牙齿外伤在 8 至 13 岁的学龄儿童中的发生率很高,这突出表明有必要开展教育计划,提高家长、学龄儿童和学校教师在这方面的知识和意识,使受影响的儿童患者免于更可怕的后遗症,包括牙齿结构的完全丧失以及社会和情感创伤。
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引用次数: 0
A Study on Nature of Violence Against Doctors in Tertiary Care Centers in Karnataka, India: A Cross-Sectional Study 印度卡纳塔克邦三级医疗中心针对医生的暴力性质研究:横断面研究
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_1139_21
Bharath Sekhar Nayanar, Nusrath Fareed, Hemanth Battur, Jaseela Praveena
Over the previous decades, violence against physicians has risen. To comprehend the issue connected with it, we need to know the nature of violence and doctor’s views on the current state of safety at their disposal. The purpose of the study was to assess the incidence and nature of violence against doctors in tertiary health care centers in Karnataka, India. The objectives were to collect data from three tertiary care centers, evaluate the incidence of violence against doctors in tertiary care centers, and evaluate the nature of violence against doctors in tertiary care centers. From the list of all tertiary care centers in Dakshina Kannada, three tertiary care hospitals were randomly chosen. Approval of the Ethical Committee from the Institutional Ethics Committee (IEC) of KVG Dental College and permission from chosen hospitals were obtained. A pre-validated questionnaire was handed over to the available physicians and surgeons in these hospitals to be filled. The total number of participants in the study was 330. Nearly half (48.02% of physicians) reported experiencing violence during working hours. The Department of Obstetrics and Gynaecology recorded 43.2% of instances, while surgery, medicine, and other departments reported 23.6%, 22.8%, and 10.4%, respectively. Violence against physicians continues to be a huge issue that must be addressed through decisive measures by the police and hospitals. This impacts the healthcare system in the nation and often cripples it owing to the loss of human resources and working hours.
几十年来,针对医生的暴力事件不断增加。为了了解与此相关的问题,我们需要了解暴力的性质以及医生对其所处安全现状的看法。本研究的目的是评估印度卡纳塔克邦三级医疗保健中心针对医生的暴力行为的发生率和性质。 研究目标是收集三个三级医疗中心的数据,评估三级医疗中心暴力侵害医生事件的发生率,以及评估三级医疗中心暴力侵害医生事件的性质。 从 Dakshina Kannada 的所有三级医疗中心名单中随机抽取了三家三级医疗医院。获得了 KVG 牙科学院机构伦理委员会 (IEC) 的批准和所选医院的许可。事先经过验证的调查问卷交由这些医院的内科医生和外科医生填写。参与研究的总人数为 330 人。 近一半(48.02%)的内科医生表示在工作时间曾遭受暴力侵害。其中,妇产科占 43.2%,外科、内科和其他科室分别占 23.6%、22.8% 和 10.4%。 针对医生的暴力行为仍然是一个巨大的问题,必须由警方和医院采取果断措施加以解决。这对国家的医疗保健系统造成了影响,并往往因人力资源和工作时间的损失而使其瘫痪。
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引用次数: 0
Comparison of Knowledge, Attitude, and Practices of Nursing Staff Regarding Cervical Cancer Screening at Various Levels of Health Care Facilities in Western India 印度西部各级医疗机构护理人员对宫颈癌筛查的认识、态度和做法比较
IF 0.9 Q3 Medicine Pub Date : 2024-05-01 DOI: 10.4103/ijcm.ijcm_478_22
Rashmi Kaushal, Mamta Patel, Pankaj Bhardwaj, Manoj Gupta, Deepti Mathur, Girish Chandra Dash, Shashank Shekhar
Cervical cancer is a public health problem, and nursing personnel are crucial for successful implementation of low-cost cervical cancer screening approaches in low-resource settings. The following study assessed and compared the knowledge, attitude, and practices regarding cervical cancer and its screening among female nursing staff at different levels of health care facilities in western Rajasthan, India. An anonymous pre-validated, structured questionnaire was used as the study tool among 233 female nursing personnel of primary, secondary, and tertiary care health facilities. Multiple logistic regression was performed to determine the association between level of knowledge with level of health care and other demographic variables. The nursing staff of the tertiary care health facility demonstrated significantly higher knowledge compared to those working at primary and secondary levels [adjusted odds ratio (95% confidence interval) 11.01 (3.80–32.40)]. At tertiary care, the practices of the nursing professionals were not found significantly associated with any socio-demographic variable including age, marital status, or level of health care facility. The overall knowledge of cervical cancer was poor, especially among staff nurses at primary and secondary levels of health care. In order to implement a successful population-based screening program in India, it is important to update the nursing curriculum and start in-service trainings at primary and secondary levels of health care facilities.
宫颈癌是一个公共卫生问题,而护理人员是在低资源环境中成功实施低成本宫颈癌筛查方法的关键。以下研究评估并比较了印度拉贾斯坦邦西部不同级别医疗机构的女性护理人员对宫颈癌及其筛查的认识、态度和做法。 本研究采用匿名、经过预先验证的结构化问卷作为研究工具,对初级、中级和高级医疗机构的 233 名女性护理人员进行了调查。为确定知识水平与医疗保健水平和其他人口统计学变量之间的关系,进行了多元逻辑回归。 与初级和中级医疗机构的护理人员相比,三级医疗机构护理人员的知识水平明显更高[调整后的几率比(95% 置信区间)为 11.01(3.80-32.40)]。在三级医疗机构,护理专业人员的做法与任何社会人口变量(包括年龄、婚姻状况或医疗机构级别)均无明显关联。 对宫颈癌的总体认识不足,尤其是初级和二级医疗机构的护士。为了在印度成功实施基于人群的筛查计划,必须更新护理课程,并在初级和中级医疗机构开展在职培训。
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Indian Journal of Community Medicine
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