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Flood Hazard or Disaster: Governance and Resilience Interplay 洪水危害或灾难:治理与抗灾能力的相互作用
Pub Date : 2024-07-24 DOI: 10.4103/pmrr.pmrr_27_23
Nidhi Yadav, Shraiya Srivastava
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引用次数: 0
Levels, Trends and Determinants of Tobacco Quitting Behaviour in India: Findings from Two Consecutive Nationally Representative Surveys 印度戒烟行为的水平、趋势和决定因素:连续两次全国代表性调查的结果
Pub Date : 2024-07-24 DOI: 10.4103/pmrr.pmrr_43_24
Shailja Poonj Sharma, Harshvardhan Singh, Jayanta Bora, Yuvaraj Krishnamoorthy, N. Jaswal, Sonu Goel
Quitting tobacco use is known to decrease mortality by 90% if successfully achieved before middle age. This analysis was conducted to assess the levels, trends and determinants of tobacco quitting behaviour amongst the Indian population. This was secondary data analysis of the National Family Health Survey (NFHS)-4 (2015–2016) and NFHS-5 (2019–2020) of India. A rising trend (4%) in intention to quit tobacco was observed amongst women, while a decline in intention to quit (0.5%) was observed amongst men from 2015–2016 to 2019–2020. An increase in the quitting was observed amongst women with age, with higher levels of education, being married or widowed/separated/divorced, hypertensives and diabetic patients. Amongst men, a declining trend to quit was observed with increasing level of education amongst the richest and amongst smokers, alcohol users and diabetics. The trends in quitting increased amongst those who were exposed to mass media. This study shows an increase in tobacco quitting amongst females and a decline amongst men in the Indian population from 2015–2016 to 2019–2020.
众所周知,如果能在中年之前成功戒烟,死亡率可降低 90%。本分析旨在评估印度人口中戒烟行为的水平、趋势和决定因素。 这是对印度全国家庭健康调查(NFHS)-4(2015-2016年)和NFHS-5(2019-2020年)的二手数据分析。 从2015-2016年到2019-2020年,女性的戒烟意向呈上升趋势(4%),而男性的戒烟意向则呈下降趋势(0.5%)。在女性中,随着年龄的增长、受教育程度的提高、已婚或丧偶/分居/离异、高血压患者和糖尿病患者,戒烟人数呈上升趋势。在男性中,随着最富有人群受教育程度的提高,吸烟者、饮酒者和糖尿病患者的戒烟率呈下降趋势。在接触大众媒体的人群中,戒烟率呈上升趋势。 这项研究表明,从2015-2016年到2019-2020年,印度人口中女性戒烟率上升,男性戒烟率下降。
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引用次数: 0
Quality of Life of the Family Caregivers of Children with the Cerebral Palsy and its Determinants: A Study from India 脑瘫儿童家庭照顾者的生活质量及其决定因素:印度的一项研究
Pub Date : 2024-07-15 DOI: 10.4103/pmrr.pmrr_87_23
Manasi S. Vaidya, Vijay K. Domple
The responsibility of caring for a child with cerebral palsy (CP) at home can be challenging to the caregiver’s and children’s quality of life (QoL). This study was designed to assess the QoL and its determinants amongst family caregivers of children with CP. A study was conducted in a Tertiary Care Hospital in Yavatmal, Maharashtra, from March to May 2021, involving 126 participants selected through systematic random sampling. QoL was assessed using the World Health Organization QoL Brief Version scale. The data were analyzed using the statistical software, Epi Info Version 7.2. The mean ± standard deviation of the overall QoL of family caregivers of CP children was 66.7 ± 1.44. The study found a significant association of QoL with the age of the caregiver, residence, education, socio-economic class, total number of children, health insurance and accessibility of services. More than half of the study participants exhibited low overall, physical, social and environmental QoL, influenced by various determinants.
在家中照顾脑瘫(CP)患儿的责任可能会对照顾者和患儿的生活质量(QoL)带来挑战。本研究旨在评估 CP 患儿家庭照顾者的 QoL 及其决定因素。 研究于 2021 年 3 月至 5 月在马哈拉施特拉邦 Yavatmal 的一家三级护理医院进行,通过系统随机抽样选出了 126 名参与者。采用世界卫生组织 QoL 简明版量表对参与者的 QoL 进行评估。数据采用 Epi Info 7.2 版统计软件进行分析。 CP 儿童家庭照顾者的总体 QoL 平均值(± 标准差)为 66.7 ± 1.44。研究发现,QoL 与照顾者的年龄、居住地、教育程度、社会经济阶层、子女总数、医疗保险和服务的可及性有很大关系。 受各种决定因素的影响,半数以上的研究参与者在总体、身体、社会和环境方面的 QoL 都较低。
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引用次数: 0
Need and Rationale of the Adult Immunisation in India: A Review 印度成人免疫接种的需求和理由:综述
Pub Date : 2024-07-12 DOI: 10.4103/pmrr.pmrr_13_24
Madhu Gupta, A. Bansal, Aprajita Mehta, Nikita Sharma
A comprehensive literature review of published articles (till October 2023) was done through PubMed, Embase and Google Scholar search engines to delineate the need for adult immunisation, recommended adult vaccines, barriers to adult immunisation, future research areas and way forward in the Indian context. A total of 29,894 articles were screened from PubMed, Embase and Google Scholar. Of these, a full-text review of 53 articles was done. The findings emphasised the need for adult immunisation in India because of the growing vulnerable elderly population with comorbidities, immunosenescence, waning immunity, rising incidence of VPDs leading to higher morbidity and mortality amongst them, rising cost of hospitalisation and the emergence of antimicrobial resistance. The recommended adult vaccines include human papilloma virus vaccine, pneumococcal vaccine, influenza and typhoid vaccine for healthy adults and special population groups, respectively. Challenges include less prioritisation in the National Vaccination Policy, insufficient awareness amongst healthcare providers and vaccine hesitancy.
我们通过 PubMed、Embase 和 Google Scholar 搜索引擎对已发表的文章(截至 2023 年 10 月)进行了全面的文献综述,以界定印度成人免疫接种的需求、推荐的成人疫苗、成人免疫接种的障碍、未来的研究领域和前进方向。从 PubMed、Embase 和 Google Scholar 上共筛选出 29,894 篇文章。其中,对 53 篇文章进行了全文审查。研究结果强调了印度成人免疫接种的必要性,因为患有合并症、免疫衰老、免疫力下降的脆弱老年人口不断增加,前列腺增生症发病率上升导致他们的发病率和死亡率升高,住院费用增加以及抗菌药耐药性的出现。推荐的成人疫苗包括人类乳头瘤病毒疫苗、肺炎球菌疫苗、流感疫苗和伤寒疫苗,分别针对健康成人和特殊人群。所面临的挑战包括:国家疫苗接种政策未将其列为优先事项、医疗保健提供者对疫苗接种认识不足以及疫苗接种犹豫不决。
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引用次数: 0
Yoga for Dementia Care: A Review 痴呆症护理瑜伽:回顾
Pub Date : 2024-06-12 DOI: 10.4103/pmrr.pmrr_47_24
Amitava Acharyya
This review examines the potential of yoga as a non-pharmacological intervention for the care and control of a person with dementia. Six research articles were retrieved from Medline databases (search conducted on March, 2022) using the terms ‘Yoga’ and ‘Dementia’/‘Alzheimer’s’/‘Mild Cognitive Impairment’. The review identified is limited to moderate evidence for yoga’s effectiveness in improving cognitive activities, memory capacity, quality of life and daily living activities in individuals with dementia. Further high-quality further robust and rigorous research is warranted to draw definitive conclusions about yoga’s role in dementia care.
本综述探讨了瑜伽作为一种非药物干预措施,在护理和控制痴呆症患者方面的潜力。我们使用 "瑜伽 "和 "痴呆症"/"阿尔茨海默氏症"/"轻度认知障碍 "等词从 Medline 数据库中检索到六篇研究文章(检索时间为 2022 年 3 月)。综述发现,瑜伽在改善痴呆症患者的认知活动、记忆能力、生活质量和日常生活活动方面的有效性证据有限,属于中等水平。要想就瑜伽在痴呆症护理中的作用得出明确的结论,还需要进行更多高质量、更有力、更严格的研究。
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引用次数: 0
Zoonotic Disease Risk Perception and Infection Control Practices amongst Veterinarians in Kerala, India 印度喀拉拉邦兽医对人畜共患病的风险认知和感染控制措施
Pub Date : 2024-06-12 DOI: 10.4103/pmrr.pmrr_106_23
T. K. Mithun, S. S. Lal, K. R. Nayar
Veterinarians could act as the sentinel for the study of zoonotic diseases. This study evaluates the prevalence of zoonoses amongst Kerala veterinarians and explores infection control measures they use to protect themselves and the factors influencing their infection control practices. It is a quantitative cross-sectional study using proportionate sampling with a self-administered questionnaire. About 31.1% of veterinarians experienced symptoms of zoonotic diseases, with dermatophytosis being the most common. Handling tissues, bodily fluids and excretions of animals were the highest risk-carrying procedures. However, the majority of respondents did hand wash, whereas some never properly disposed of used needles. Factors such as heat stress, comfort, cost and time of consultation discouraged one-fourth of participants from using personal protective equipment. Failure to follow infection control practices contributes to the prevalence of zoonoses amongst veterinarians in Kerala. Reasons for this failure include the absence of better policies to address veterinarian’s issues. There is a need for more effective enforcement of infection control policy for the veterinarians.
兽医可以作为研究人畜共患病的哨兵。本研究评估了喀拉拉邦兽医中人畜共患病的流行情况,并探讨了他们用来保护自己的感染控制措施以及影响其感染控制措施的因素。 这是一项定量横断面研究,采用比例抽样法和自填问卷法。 约有 31.1%的兽医出现过人畜共患病的症状,其中最常见的是皮癣。处理动物组织、体液和排泄物是风险最高的操作。不过,大多数受访者都会洗手,但有些人从未妥善处理过用过的针头。热应激、舒适度、费用和就诊时间等因素使四分之一的受访者不愿使用个人防护设备。 不遵守感染控制措施是喀拉拉邦兽医中人畜共患病流行的原因之一。造成这种情况的原因包括缺乏更好的政策来解决兽医的问题。有必要对兽医更有效地执行感染控制政策。
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引用次数: 0
Perception of Resident Doctors towards Food Labelling: A Descriptive Study from India 驻院医生对食品标签的看法:印度的描述性研究
Pub Date : 2024-05-17 DOI: 10.4103/pmrr.pmrr_15_24
Shalini Singh, Ankit Raj, Monika Rathore
Perception of front-of-package label (FOPL) amongst doctors is crucial to sensitise patients towards healthy eating choices using FOPL. This study was conducted to assess knowledge, attitude and practices (KAP) of FOPL amongst resident doctors. A descriptive study was carried out on 100 resident doctors at Sawai Man Singh Medical College during the period of September–November 2023. KAP regarding FOPL were assessed using validated questionnaire, scored and categorised as per Bloom’s criteria. The study showed a mean KAP score of 8.17 ± 1.95 for the participants, out of maximum score of 15. Participants scored highest in the knowledge (4.07 ± 1.08) and lowest in the practice section (0.90 ± 1.16). Although 99% of respondents were aware about some labelling on packaged food items, only 23% of respondents were aware about FOPL. Majority of the respondents rarely or never read nutrition labels (87%) or compared nutritional content of two similar items before purchasing (89%). Sixty-two per cent of respondents considered nutrition labelling as a guarantee of food safety. ‘Multiple Traffic Light’ was the most preferred FOPL design (43%), followed by ‘Health Star Rating’ (21%). There is low awareness of FOPL and a knowledge-behaviour gap amongst the residents. This gap needs to be addressed to ensure better patient counselling for healthy eating choices.
医生对包装正面标签(FOPL)的认知对于提高病人使用包装正面标签选择健康饮食的意识至关重要。本研究旨在评估住院医生对包装正面标签的认识、态度和做法(KAP)。 在 2023 年 9 月至 11 月期间,对 Sawai Man Singh 医学院的 100 名住院医生进行了描述性研究。研究人员使用经过验证的调查问卷评估了住院医生对 FOPL 的 KAP,并根据布鲁姆标准进行了评分和分类。 研究显示,参与者的平均 KAP 得分为 8.17 ± 1.95(满分 15 分)。参与者在知识部分得分最高(4.07 ± 1.08),在实践部分得分最低(0.90 ± 1.16)。虽然 99% 的受访者知道包装食品上的一些标签,但只有 23% 的受访者知道食品标签。大部分受访者很少或从不阅读营养标签(87%),或在购买前比较两种同类食品的营养成分(89%)。62% 的受访者认为营养标签是食品安全的保证。多重交通灯 "是最受欢迎的食品标签设计(43%),其次是 "健康星级"(21%)。 居民对食品标签的认识不足,在知识和行为上存在差距。为确保更好地为患者提供健康饮食选择方面的指导,需要消除这一差距。
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引用次数: 0
Operationalising ‘One Health’ through Primary Healthcare Approach 通过初级保健方法实现 "一体健康
Pub Date : 2024-05-17 DOI: 10.4103/pmrr.pmrr_8_24
Swati Mahajan, Zuha Khan, P. Giri, Angel Ivy Linda, Aditya Kukreti, Navya Tondak, Nivethitha N. Krishnan, Anita Upadhyay Lahariya
The countries worldwide have recognised the importance of the One Health (OH). This review examines the need and potential for the integration of OH into Primary Health Care (PHC) Approach. One Health through PHC has been implemented in many. Successful initiatives include mobile phone-based surveillance for zoonotic diseases in Kenya, innovative vaccination campaigns in Chad and measures to combat antimicrobial resistance in several nations. Collaboration and partnerships play a pivotal role in overcoming challenges such as resource constraints, policy alignment and limited intersectoral collaboration. The review emphasises integrating OH in primary healthcare so that the healthcare providers can contribute to addressing complex global health challenges and promoting the well-being of individuals, animals and the environment. The sustainable strategies, capacity building, advocacy and technological innovations to effectively implement the OH approach through PHC, ultimately improving health outcomes and ensuring a sustainable planet.
世界各国已认识到 "同一健康"(OH)的重要性。本报告探讨了将 "同一健康 "纳入初级卫生保健(PHC)方法的必要性和潜力。许多国家已经通过初级卫生保健实施了 "同一健康"。成功的举措包括肯尼亚基于手机的人畜共患疾病监测、乍得的创新疫苗接种活动以及多个国家的抗菌药耐药性防治措施。合作与伙伴关系在克服资源限制、政策调整和部门间合作有限等挑战方面发挥着关键作用。审查强调将 OH 纳入初级医疗保健,以便医疗保健提供者能够为应对复杂的全球健康挑战以及促进个人、动物和环境的福祉做出贡献。可持续战略、能力建设、宣传和技术创新,通过初级卫生保健有效实施 OH 方法,最终改善卫生成果,确保地球的可持续发展。
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引用次数: 0
Internet Usage and its Addiction among School-going Adolescents in an Urban District of India 印度城市地区在校青少年的互联网使用情况及其沉迷情况
Pub Date : 2024-05-17 DOI: 10.4103/pmrr.pmrr_63_23
Ginni Agrawal, P. Jain, Ramesh Verma
Internet addiction is inability to control the use of internet, leading to physical, psychological or social difficulties. A school based study was conducted among adolescents of urban Rohtak, Haryana, using a pre-tested, semi-structured questionnaire and Young’s Internet Addiction test. Out of 600 participants, 44.17% were female. This study showed widespread internet use among adolescents (86%). The main purpose of internet use was entertainment (95%). The estimated prevalence of internet addiction was high (66.86%). Internet addiction was higher among males (P = 0.001). There is a need to counsel children regarding the appropriate use of internet and balancing the time between internet surfing, studies and outdoor physical activities.
网瘾是指无法控制互联网的使用,从而导致生理、心理或社交方面的困难。 我们在哈里亚纳邦罗塔克市的青少年中开展了一项以学校为基础的研究,采用了预先测试的半结构化问卷和杨氏网络成瘾测试。 在 600 名参与者中,44.17% 为女性。这项研究表明,青少年使用互联网的现象非常普遍(86%)。使用互联网的主要目的是娱乐(95%)。网络成瘾的估计流行率很高(66.86%)。男性网瘾率较高(P = 0.001)。 有必要对儿童进行适当使用互联网的辅导,并平衡上网、学习和户外体育活动之间的时间。
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引用次数: 0
Assessment of Risk Factors for Non-communicable Diseases among Young Adults in Kerala, India 印度喀拉拉邦年轻人非传染性疾病风险因素评估
Pub Date : 2024-05-17 DOI: 10.4103/pmrr.pmrr_24_24
Ahana Salam, Jayakrishnan Thayyil, Nithya Girija, Anjali Lakshmanan, Sruthikrishna Punathukandi, Anupama Raj Karattuthazhathu
To estimate risk factors for non-communicable diseases (NCDs) amongst young adults and to determine the association between NCDs and various risk factors amongst young adults. This study was done amongst 150 young adults of Kerala. The data were collected by conducting direct interviews with the use of pre-designed semi-structured questionnaire. Anthropometric and biochemical parameters such as total cholesterol, low-density lipids were collected and analysed using standard methods. Amongst the 150 study participants, 104 (69.4%) were girls and 46 (30.6%) were boys. Amongst these 68 (45.3%) had body mass index (BMI) >23. The study shows that 25.3% and 27.3% of participants had high diastolic blood pressure (DBP) and systolic blood pressure (SBP), respectively. Males had high BP, whereas abdominal adiposity was more amongst females. Physical activity amongst participants was very low. There is a positive correlation between BMI and SBP (r = 0.28, odds ratio [OR] =3.9); BMI and DBP (r = 0.24, OR = 2.9) and waist circumference (WC) with SBP (r = 0.25,); WC and DBP (r = 0.283). The increased BMI (crude odds ratio-3.979; 95% confidence interval-1.490–10.625) has got association with hypertension. There is a high prevalence of risk factors of NCDs amongst the young adult population of Kerala. The findings emphasise the need for interventions to reduce these risk factors amongst these young adults by life cycle approach.
估计青壮年非传染性疾病 (NCD) 的风险因素,并确定青壮年非传染性疾病与各种风险因素之间的关联。 本研究在喀拉拉邦的 150 名青壮年中进行。通过使用预先设计的半结构化问卷进行直接访谈来收集数据。采用标准方法收集并分析了总胆固醇、低密度脂蛋白等人体测量和生化参数。 在 150 名研究参与者中,有 104 名女孩(69.4%)和 46 名男孩(30.6%)。其中 68 人(45.3%)的体重指数(BMI)大于 23。研究显示,分别有 25.3% 和 27.3% 的参与者舒张压(DBP)和收缩压(SBP)偏高。男性血压较高,而女性腹部脂肪较多。参与者的体育活动量非常低。体重指数与 SBP(r = 0.28,几率比 [OR] =3.9)、体重指数与 DBP(r = 0.24,几率比 = 2.9)、腰围与 SBP(r = 0.25,)、腰围与 DBP(r = 0.283)之间存在正相关。体重指数(BMI)的增加(粗略赔率-3.979;95% 置信区间-1.490-10.625)与高血压有关联。 在喀拉拉邦的年轻成年人口中,非传染性疾病风险因素的发病率很高。研究结果表明,有必要采取干预措施,通过生命周期方法减少这些青壮年中的这些风险因素。
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引用次数: 0
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Preventive Medicine: Research & Reviews
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