Pub Date : 2021-07-01DOI: 10.4103/ijhas.IJHAS_258_20
Victor Opoku-Yamoah, E. Afrifa-Yamoah
BACKGROUND: Visual health information is particularly important in planning appropriate interventions to combat preventable causes of blindness and visual impairment. Nonetheless, there is limited information on ocular health conditions in Ghana. The study set out to determine the pattern of ocular morbidity at the Red Cross Eye Unit in the Bono Region of Ghana. SETTINGS AND DESIGN: The study was carried out at the Red Cross Eye Unit in the Bono Region of Ghana and used a hospital-based retrospective cross-sectional study design. MATERIALS AND METHODS: A review of patient's ocular health records throughout the year 2018 was performed. Patients were conveniently sampled, and socio-economic details and diagnosis were analyzed. STATISTICAL ANALYSIS USED: Analysis was carried out using Statistical Package for the Social Sciences (IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY, USA). RESULTS: A total of 2400 patients records were reviewed, comprising of 1012 males (42.2%) and 1388 females (57.8%) with a male to female ratio of 1:1.4. Each patient sampled was diagnosed with an ocular condition and the modal age group was found to be 41–60 years. The most common cause of ocular morbidity among the patients was refractive error (32.4%). This was followed by acute conjunctivitis (29.7%) and cataract (12.3%). Refractive error and acute conjunctivitis were found to be significantly higher among females (P < 0.05). CONCLUSIONS: Refractive error, acute conjunctivitis, and cataract were common ocular morbidities found in this study. Interventions should target these ocular conditions to minimize the risk of preventable visual impairment and blindness in the Region.
背景:视觉健康信息在规划适当的干预措施以对抗可预防的失明和视力损害原因方面尤为重要。然而，关于加纳眼部健康状况的信息有限。这项研究的目的是确定加纳博诺地区红十字眼科处眼部发病率的模式。背景和设计:本研究在加纳博诺地区红十字眼科部开展，采用以医院为基础的回顾性横断面研究设计。材料和方法:对2018年全年患者的眼部健康记录进行了回顾。方便地对患者进行抽样，并分析社会经济细节和诊断。使用的统计分析:使用IBM公司2011年发布的社会科学统计软件包进行分析。IBM SPSS Statistics for Windows, Version 20.0。阿蒙克，纽约州，美国)。结果:共纳入病例2400例，其中男性1012例(42.2%)，女性1388例(57.8%)，男女比例为1:14 .4。每个患者都被诊断患有眼部疾病，模态年龄组为41-60岁。患者眼部发病最常见的原因是屈光不正(32.4%)。其次是急性结膜炎(29.7%)和白内障(12.3%)。女性屈光不正、急性结膜炎发生率明显高于女性(P < 0.05)。结论:屈光不正、急性结膜炎和白内障是本研究中常见的眼部疾病。干预措施应针对这些眼部疾病，以尽量减少本区域可预防的视力损害和失明的风险。
{"title":"Ocular morbidity pattern among patients attending Red Cross Eye Unit in Sunyani, Ghana","authors":"Victor Opoku-Yamoah, E. Afrifa-Yamoah","doi":"10.4103/ijhas.IJHAS_258_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_258_20","url":null,"abstract":"BACKGROUND: Visual health information is particularly important in planning appropriate interventions to combat preventable causes of blindness and visual impairment. Nonetheless, there is limited information on ocular health conditions in Ghana. The study set out to determine the pattern of ocular morbidity at the Red Cross Eye Unit in the Bono Region of Ghana. SETTINGS AND DESIGN: The study was carried out at the Red Cross Eye Unit in the Bono Region of Ghana and used a hospital-based retrospective cross-sectional study design. MATERIALS AND METHODS: A review of patient's ocular health records throughout the year 2018 was performed. Patients were conveniently sampled, and socio-economic details and diagnosis were analyzed. STATISTICAL ANALYSIS USED: Analysis was carried out using Statistical Package for the Social Sciences (IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY, USA). RESULTS: A total of 2400 patients records were reviewed, comprising of 1012 males (42.2%) and 1388 females (57.8%) with a male to female ratio of 1:1.4. Each patient sampled was diagnosed with an ocular condition and the modal age group was found to be 41–60 years. The most common cause of ocular morbidity among the patients was refractive error (32.4%). This was followed by acute conjunctivitis (29.7%) and cataract (12.3%). Refractive error and acute conjunctivitis were found to be significantly higher among females (P < 0.05). CONCLUSIONS: Refractive error, acute conjunctivitis, and cataract were common ocular morbidities found in this study. Interventions should target these ocular conditions to minimize the risk of preventable visual impairment and blindness in the Region.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"101 1","pages":"197 - 201"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80870154","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_238_20
A. Aborode, K. David, J. Imisioluwa, A. Oyeyemi, A. Babatunde
{"title":"COVID-19 and health policy reformation in Nigeria","authors":"A. Aborode, K. David, J. Imisioluwa, A. Oyeyemi, A. Babatunde","doi":"10.4103/ijhas.IJHAS_238_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_238_20","url":null,"abstract":"","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"12 1","pages":"248 - 249"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73780780","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_113_20
M. Arumugam, Mahesh Ramaraj, B. Chandrasekaran, Murugesan Ramaiya, Pitchaimani Govindharaj
BACKGROUND : Postcardiac valve replacement patients face difficulty in their day-to-day functional activities, especially during climbing stairs and walking uphill or on a ramp in society. Assessing the uphill walking capacity, there is a dearth of functional stress test over routinely used six-min walk test (6MWT). Therefore, a new three-min steep ramp walk test (3MRWT) was constructed to meet the demands similar to an uphill walk and may provide more functional stress than routinely used 6MWT. MATERIALS AND METHODS: Observational crossover study was conducted with 30 stable postoperative either mitral or aortic or double valve replacement patients, who were as inpatients in the Department of Cardiothoracic and Vascular Surgery, Multispecialty Medical College Hospital, Coimbatore, India. The participants were assigned to walk 3MRWT and 6MWT simultaneously on the 5th postoperative day. RESULTS: The results revealed that the mean distance covered in 6MRWT was 273.4 ± 45.06 m, and in 3MWT, it was 149.7 ± 37.8 m. A highly positive correlation was observed between 3MRWT and 6MWT distance covered by the patients with valve replacement (r = 0.834). CONCLUSION: The study shows that 3MRWT is valid over routinely available 6MWT and may provide higher functional stress in a shorter duration than later in valvular replacement patients in assessing the maximal functional capacity during discharge.
背景:心脏瓣膜置换术后患者在日常功能活动中面临困难，特别是在爬楼梯和上坡或在坡道上行走时。在评估上坡步行能力时，缺乏常规使用的6分钟步行测试(6MWT)的功能压力测试。因此，我们设计了一种新的3分钟陡坡步行测试(3MRWT)，以满足类似于上坡步行的要求，并且可能比常规使用的6MWT提供更多的功能压力。材料与方法:对30例稳定的二尖瓣、主动脉瓣或双瓣置换术后患者进行观察性交叉研究，这些患者均为印度哥印拜陀多专科医学院医院心胸血管外科住院患者。参与者被分配在术后第5天同时行走3MRWT和6MWT。结果:6mwt的平均覆盖距离为273.4±45.06 m, 3MWT的平均覆盖距离为149.7±37.8 m。瓣膜置换术患者的3MRWT与6MWT距离呈高度正相关(r = 0.834)。结论:本研究表明，3MRWT比常规6MWT更有效，并且在评估瓣膜置换术患者出院时的最大功能容量时，可能在较短的时间内提供更高的功能压力。
{"title":"A new functional indoor ramp walk test among stable perioperative valve replacement patients – An observational crossover study","authors":"M. Arumugam, Mahesh Ramaraj, B. Chandrasekaran, Murugesan Ramaiya, Pitchaimani Govindharaj","doi":"10.4103/ijhas.IJHAS_113_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_113_20","url":null,"abstract":"BACKGROUND : Postcardiac valve replacement patients face difficulty in their day-to-day functional activities, especially during climbing stairs and walking uphill or on a ramp in society. Assessing the uphill walking capacity, there is a dearth of functional stress test over routinely used six-min walk test (6MWT). Therefore, a new three-min steep ramp walk test (3MRWT) was constructed to meet the demands similar to an uphill walk and may provide more functional stress than routinely used 6MWT. MATERIALS AND METHODS: Observational crossover study was conducted with 30 stable postoperative either mitral or aortic or double valve replacement patients, who were as inpatients in the Department of Cardiothoracic and Vascular Surgery, Multispecialty Medical College Hospital, Coimbatore, India. The participants were assigned to walk 3MRWT and 6MWT simultaneously on the 5th postoperative day. RESULTS: The results revealed that the mean distance covered in 6MRWT was 273.4 ± 45.06 m, and in 3MWT, it was 149.7 ± 37.8 m. A highly positive correlation was observed between 3MRWT and 6MWT distance covered by the patients with valve replacement (r = 0.834). CONCLUSION: The study shows that 3MRWT is valid over routinely available 6MWT and may provide higher functional stress in a shorter duration than later in valvular replacement patients in assessing the maximal functional capacity during discharge.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"134 1","pages":"216 - 221"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78858173","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_283_20
Shalendra Singh, Nitesh Kumar, G. Ambooken, S. Sasidharan, Priya Taank
Peripartum cardiomyopathy (PPCM) during pregnancy is relatively rare. The anesthesia management of any heart pathology during peripartum requires the most stringent and meticulous care at every step. We report a 27-year-old woman, a diagnosed case of PPCM with previous lower segment cesarean section (LSCS) admitted for elective LSCS
{"title":"Perioperative management of a case of peripartum cardiomyopathy for elective cesarean section","authors":"Shalendra Singh, Nitesh Kumar, G. Ambooken, S. Sasidharan, Priya Taank","doi":"10.4103/ijhas.IJHAS_283_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_283_20","url":null,"abstract":"Peripartum cardiomyopathy (PPCM) during pregnancy is relatively rare. The anesthesia management of any heart pathology during peripartum requires the most stringent and meticulous care at every step. We report a 27-year-old woman, a diagnosed case of PPCM with previous lower segment cesarean section (LSCS) admitted for elective LSCS","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"17 1","pages":"235 - 237"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86526961","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_194_20
V. Khan, A. Sanghai, D. Zala, V. Das
BACKGROUND: Emergency medical response services (EMRS) are an integral part of today's health system. Prehospital care and transport of a patient to the health facility is the main function of EMRS. It is very difficult to evaluate the efficacy of this system. The evaluation of the efficacy of the EARS based on various parameters is the main aspect of the study. In this observational study, the epidemiology of emergency, utilization of services, quality and cost matrixes of services were analyzed. MATERIALS AND METHODS: The study was conducted in Union Territory of Dadra and Nagar Haveli, India from January 1, to December 31, 2017. The secondary data were collected from the Emergency Response Centre. Various parameters such as epidemiology of medical emergencies, extent pattern of utilization of EMRS, quality of services, and cost parameters were recorded. RESULTS: Total 28716 medical emergencies were handled by EMRS in the year 2017. Among them acute abdominal pain was recorded as the most common emergency, followed by pregnancy-related emergencies and fever. Most of the users belonged to the rural/tribal area and females utilized the facility more than males. The average response time for providing the services in the rural and urban area was recorded as 8:42 min and 13:25 min, respectively. Various parameters of service utilization, cost-effectiveness, and quality were noted. CONCLUSIONS: The planning and support from all levels (at the national, provincial and community) are important aspect to provide quality and cost-effective services. The data of EMRS may help to develop quality benchmark for the EMRS.
{"title":"Emergency medical response services in the union territory of Dadra and Nagar Haveli, India","authors":"V. Khan, A. Sanghai, D. Zala, V. Das","doi":"10.4103/ijhas.IJHAS_194_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_194_20","url":null,"abstract":"BACKGROUND: Emergency medical response services (EMRS) are an integral part of today's health system. Prehospital care and transport of a patient to the health facility is the main function of EMRS. It is very difficult to evaluate the efficacy of this system. The evaluation of the efficacy of the EARS based on various parameters is the main aspect of the study. In this observational study, the epidemiology of emergency, utilization of services, quality and cost matrixes of services were analyzed. MATERIALS AND METHODS: The study was conducted in Union Territory of Dadra and Nagar Haveli, India from January 1, to December 31, 2017. The secondary data were collected from the Emergency Response Centre. Various parameters such as epidemiology of medical emergencies, extent pattern of utilization of EMRS, quality of services, and cost parameters were recorded. RESULTS: Total 28716 medical emergencies were handled by EMRS in the year 2017. Among them acute abdominal pain was recorded as the most common emergency, followed by pregnancy-related emergencies and fever. Most of the users belonged to the rural/tribal area and females utilized the facility more than males. The average response time for providing the services in the rural and urban area was recorded as 8:42 min and 13:25 min, respectively. Various parameters of service utilization, cost-effectiveness, and quality were noted. CONCLUSIONS: The planning and support from all levels (at the national, provincial and community) are important aspect to provide quality and cost-effective services. The data of EMRS may help to develop quality benchmark for the EMRS.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"1 1","pages":"202 - 210"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86935495","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_211_20
L. Natarajan, Darshana Srinivasan, Dhakchenya Sekar, Punithavathi Krishnamoorthi, Pananghat A. Kumar
CONTEXT: Clinical relevance of basic sciences is not well appreciated by the preclinical students. In an effort to remedy this, Medical Council of India has introduced the program of early clinical exposure. Although broad guidelines are provided, institutions have been bestowed with the responsibility of conducting this important program depending on the available resources and local logistics. AIMS: The aim of the study is to create an awareness of correlation of fetal medicine with the participants taught during preclinical year, particularly embryology. SETTINGS AND DESIGN: Preclinical students were posted in the Division of Fetal Medicine in the Department of Obstetrics and Gynecology, as observers. The program enabled the students to appreciate the procedures performed in the clinics and to interact with the consultants and health-care staff during their posting. They interacted with the patients as well. SUBJECTS AND METHODS: Preclinical students observed the clinical procedures performed in the clinics. Tests were conducted before and after the intervention, and their results were compared to evaluate the effectiveness of the program. Open-ended feedback was also taken to assess the impact of this program on the students. STATISTICAL ANALYSIS USED: Fisher's exact test was used to evaluate the test scores. RESULTS: Test scores revealed that this program improved the general awareness about the scope of fetal medicine and its direct relevance to the fetal developmental events; they learn in embryology. Feedback comments reiterated this fact. CONCLUSIONS: Posting of preclinical students in fetal medicine during ECE program has observed the desired effect of them realizing the clinical significance of subjects; they are learning during their preclinical year of study. It has also impressed upon them the scope of fetal medicine as a subject.
{"title":"Fetal medicine as a part of early clinical exposure","authors":"L. Natarajan, Darshana Srinivasan, Dhakchenya Sekar, Punithavathi Krishnamoorthi, Pananghat A. Kumar","doi":"10.4103/ijhas.IJHAS_211_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_211_20","url":null,"abstract":"CONTEXT: Clinical relevance of basic sciences is not well appreciated by the preclinical students. In an effort to remedy this, Medical Council of India has introduced the program of early clinical exposure. Although broad guidelines are provided, institutions have been bestowed with the responsibility of conducting this important program depending on the available resources and local logistics. AIMS: The aim of the study is to create an awareness of correlation of fetal medicine with the participants taught during preclinical year, particularly embryology. SETTINGS AND DESIGN: Preclinical students were posted in the Division of Fetal Medicine in the Department of Obstetrics and Gynecology, as observers. The program enabled the students to appreciate the procedures performed in the clinics and to interact with the consultants and health-care staff during their posting. They interacted with the patients as well. SUBJECTS AND METHODS: Preclinical students observed the clinical procedures performed in the clinics. Tests were conducted before and after the intervention, and their results were compared to evaluate the effectiveness of the program. Open-ended feedback was also taken to assess the impact of this program on the students. STATISTICAL ANALYSIS USED: Fisher's exact test was used to evaluate the test scores. RESULTS: Test scores revealed that this program improved the general awareness about the scope of fetal medicine and its direct relevance to the fetal developmental events; they learn in embryology. Feedback comments reiterated this fact. CONCLUSIONS: Posting of preclinical students in fetal medicine during ECE program has observed the desired effect of them realizing the clinical significance of subjects; they are learning during their preclinical year of study. It has also impressed upon them the scope of fetal medicine as a subject.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"12 1","pages":"231 - 234"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84517312","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_242_20
S. Singh, A. Barik, Sachin Agarwal
Neurosurgical procedures during pregnancy are not uncommon, and anesthetic management of these patients are complicated by the physiologic changes of pregnancy, effects of anesthetic agents on fetus, and a need for vigilance to prevent a possibility of fetal demise. The value of intraoperative fetal heart rate (FHR) monitoring though controversial, is immense, and with various modalities available to choose from, necessary interventions could be made before fetal viability is jeopardized. We report the utility of intraoperative FHR monitoring using ultrasonography in case of a 32-year-old, 28 weeks, pregnant female, G4P(1)A2, posted for bifrontal craniotomy and excision of meningioma with subfalcine herniation.
{"title":"Fetal monitoring in neurosurgery: An essential paradigm?","authors":"S. Singh, A. Barik, Sachin Agarwal","doi":"10.4103/ijhas.IJHAS_242_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_242_20","url":null,"abstract":"Neurosurgical procedures during pregnancy are not uncommon, and anesthetic management of these patients are complicated by the physiologic changes of pregnancy, effects of anesthetic agents on fetus, and a need for vigilance to prevent a possibility of fetal demise. The value of intraoperative fetal heart rate (FHR) monitoring though controversial, is immense, and with various modalities available to choose from, necessary interventions could be made before fetal viability is jeopardized. We report the utility of intraoperative FHR monitoring using ultrasonography in case of a 32-year-old, 28 weeks, pregnant female, G4P(1)A2, posted for bifrontal craniotomy and excision of meningioma with subfalcine herniation.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"19 1","pages":"245 - 247"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78585673","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_255_20
K. Yadav, M. N. Narayana Murthy, M. Prasad, P. Kulkarni
BACKGROUND: Mother and child health is an important issue for the tribal community and a lot of it depends on the prenatal, natal and postnatal care of the mother and child. Institutional deliveries are known to have a positive impact on their health and it is important to understand the factors that lead to the choice of place of delivery. MATERIALS AND METHODS: A community-based study was conducted in the tribal area of H D Kote taluk Mysore. Of 16 Primary Health Centers, five centers which cover nearly 50% of the population were chosen for the study. All the mothers who resided in those areas and delivered from January 2013 to December 2013 were chosen for study, which came to 215. Those who had migrated to areas outside our study area and those who were not found in home during data collection home visit were left out. Hence, the final sample size came to be 165. Chi-square test and Fisher's exact test and logistic regression analysis were applied to test the significance of association of factors with place of delivery. RESULTS: In the present study, 20.6% mothers had delivered at home, 12.7% in government hospital, and 66.7% in private hospital. Past delivery experience, early registration of pregnancies, and higher number of pregnancies were the factor found to be significantly associated with institutional deliveries. CONCLUSION: Mothers who utilize the antenatal care services and who have had experience of delivery in a hospital/higher number of deliveries are more likely to choose hospital for their delivery.
背景:母亲和儿童健康是部落社区的一个重要问题，在很大程度上取决于母亲和儿童的产前、分娩和产后护理。众所周知，在医院分娩对她们的健康有积极影响，了解导致选择分娩地点的因素是很重要的。材料和方法:在迈索尔H D Kote taluk部落地区进行了一项以社区为基础的研究。在16个初级保健中心中，选择了5个中心进行研究，这些中心覆盖了近50%的人口。选取2013年1月至2013年12月在上述地区分娩的215名母亲作为研究对象。那些迁移到我们研究区域以外地区的人以及那些在数据收集家访期间没有在家的人被排除在外。因此，最终的样本量为165人。采用卡方检验、Fisher精确检验和logistic回归分析检验各因素与交货地点相关的显著性。结果:本研究中在家分娩的产妇占20.6%，在公立医院分娩的占12.7%，在私立医院分娩的占66.7%。过去的分娩经验、早期怀孕登记和较高的怀孕次数是与机构分娩显著相关的因素。结论:利用产前保健服务和有在医院分娩经验/分娩次数较多的母亲更有可能选择在医院分娩。
{"title":"Factors driving the “preferred place for delivery” among tribal women in Southern India","authors":"K. Yadav, M. N. Narayana Murthy, M. Prasad, P. Kulkarni","doi":"10.4103/ijhas.IJHAS_255_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_255_20","url":null,"abstract":"BACKGROUND: Mother and child health is an important issue for the tribal community and a lot of it depends on the prenatal, natal and postnatal care of the mother and child. Institutional deliveries are known to have a positive impact on their health and it is important to understand the factors that lead to the choice of place of delivery. MATERIALS AND METHODS: A community-based study was conducted in the tribal area of H D Kote taluk Mysore. Of 16 Primary Health Centers, five centers which cover nearly 50% of the population were chosen for the study. All the mothers who resided in those areas and delivered from January 2013 to December 2013 were chosen for study, which came to 215. Those who had migrated to areas outside our study area and those who were not found in home during data collection home visit were left out. Hence, the final sample size came to be 165. Chi-square test and Fisher's exact test and logistic regression analysis were applied to test the significance of association of factors with place of delivery. RESULTS: In the present study, 20.6% mothers had delivered at home, 12.7% in government hospital, and 66.7% in private hospital. Past delivery experience, early registration of pregnancies, and higher number of pregnancies were the factor found to be significantly associated with institutional deliveries. CONCLUSION: Mothers who utilize the antenatal care services and who have had experience of delivery in a hospital/higher number of deliveries are more likely to choose hospital for their delivery.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"28 1","pages":"211 - 215"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89014326","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 : 2021-07-01DOI: 10.4103/ijhas.IJHAS_206_20
Anusha Mruthyunjayaswamy, Smitha Bhat
Heart diseases are common congenital anomalies, with a prevalence of 8–12 per 1000 live births. Several genetic syndromes are associated with specific cardiac anomalies and Char was the first to describe a syndrome associated with patent ductus arteriosus (PDA) and various features, including a short philtrum, duck bill lips, ptosis, low set ears, and short fifth digits in both hands and feet. Here, we report a case of a 20-year-old male who presented with the triad of char syndrome, that is, a PDA with a shunt reversal, facial dysmorphism, and skeletal abnormalities. Additionally, he had congenital deafness and both eyes iris coloboma, a rare association which has never been reported so far. Char syndrome is rare; only a few cases have been reported worldwide, and almost none from our region.
{"title":"A “CHAR” Ming syndrome: Heart, bone, and eye","authors":"Anusha Mruthyunjayaswamy, Smitha Bhat","doi":"10.4103/ijhas.IJHAS_206_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_206_20","url":null,"abstract":"Heart diseases are common congenital anomalies, with a prevalence of 8–12 per 1000 live births. Several genetic syndromes are associated with specific cardiac anomalies and Char was the first to describe a syndrome associated with patent ductus arteriosus (PDA) and various features, including a short philtrum, duck bill lips, ptosis, low set ears, and short fifth digits in both hands and feet. Here, we report a case of a 20-year-old male who presented with the triad of char syndrome, that is, a PDA with a shunt reversal, facial dysmorphism, and skeletal abnormalities. Additionally, he had congenital deafness and both eyes iris coloboma, a rare association which has never been reported so far. Char syndrome is rare; only a few cases have been reported worldwide, and almost none from our region.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"621 1","pages":"238 - 241"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77088349","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 : 2021-04-01DOI: 10.4103/ijhas.IJHAS_268_20
Shalendra Singh, S. Reddy, Nipun Gupta, V. Marwah
{"title":"Acral limb ischemia postarterial cannulation in a critically ill COVID-19 patient","authors":"Shalendra Singh, S. Reddy, Nipun Gupta, V. Marwah","doi":"10.4103/ijhas.IJHAS_268_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_268_20","url":null,"abstract":"","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"78 1","pages":"178 - 180"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74552587","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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