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A study to assess the prevalence of substance abuse and its impact among medical students in a medical college 某医学院医学生药物滥用情况及其影响的研究
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233482
Aishwarya Sharma, Manali Shashidhar, Varshini Lakshmi Tripura Maddali, Srinivas Rajiv, Mahima Shivanna, Harshith Ramesh
Background: Psychoactive drug is an emerging global problem. This is a disturbing matter, especially in the case of medical students, affecting their health and academic performance, which in turn affects the health outcomes of patients. The objectives of our study were to assess the prevalence and impact of substance abuse among medical students. Methods: This was cross-sectional study conducted in tertiary care center. A pretested semi structured questionnaire was used to collect the data. Medical students who were available during the study period and who were willing to participate were included in the study. A total of 301 students were interviewed. Data was entered and analysed in SPPSS version 22.0. Descriptive statistics and inferential statistics were used for the statistical analysis. Results: We had a total of 301 responders. Among them, only 70(23.3%) have been a subject to substance abuse. Alcohol was the most abused substance (19.3%). The most common reason for starting these substances was out of curiosity (15.6%). 24.6% of the students have either thought of or tried stopping, however majority of them have not. Out of these students, 10 (3.3%) have experienced withdrawal symptoms. Conclusions: The substance abuse among youngsters in medical colleges is a highly alarming situation. Proper counselling with planned policies should be implemented to root out this evil among the future doctors which will help in providing better health care services to the people.
背景:精神药物是一个新兴的全球性问题。这是一个令人不安的问题,特别是对医学生而言,影响到他们的健康和学习成绩,进而影响到患者的健康结果。本研究的目的是评估医学生药物滥用的发生率及其影响。方法:采用横断面研究方法在三级保健中心进行。采用预测半结构化问卷收集数据。在研究期间有时间且愿意参与研究的医学生被纳入研究。共采访了301名学生。数据在SPPSS 22.0版本中输入和分析。采用描述性统计和推理统计进行统计分析。结果:共有301名应答者。其中,仅有70人(23.3%)曾滥用药物。酒精是滥用最多的物质(19.3%)。使用这些药物最常见的原因是出于好奇(15.6%)。24.6%的学生想过或尝试过戒烟,但大多数人没有。在这些学生中,10人(3.3%)经历过戒断症状。结论:医学院校青少年药物滥用状况令人高度警惕。应该实施适当的咨询和有计划的政策,以根除未来医生中的这种邪恶,这将有助于向人民提供更好的医疗保健服务。
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引用次数: 0
An exploratory study of 3rd wave features of COVID-19 patients admitted in a level 3 medical institution of Uttar Pradesh, India 印度北方邦某三级医疗机构新冠肺炎患者第三波特征的探索性研究
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233457
Devinder Kumar Vohra, Sanjev Dave, Shalini Sharma, Santosh Mittal, Arvind Trivedi, J. K. Manchanda, Nawab Singh
Background: COVID-19 3rd wave has shown not only less deaths but also limited symptomatic patients in India with few numbers of casualties as compared to first and second wave. The exact scientific reason behind this needs detailed study. There is an urgent need for a study aimed towards detection of low mortality and morbidity in 3rd wave of COVID-19 patients from a level 3 medical college hospital in western Uttar Pradesh district in India so as to find and develop new management strategies for COVID-19 patients in future next COVID-19 waves. Methods: This study was aimed to find morbidity and mortality factors of COVID-19 3rd wave among COVID-19 patients in a level 3 medical college hospital in western UP district Saharanpur in India from 1st January 2022 to 30th June 2022. Results: The demographic profile of patients admitted in our level 3 medical college hospital in western UP district in India; had no significant (p>0.05) association with morbidity and mortality in COVID-19 3rd wave, but vaccination doses as it increased from 1st to 2nd had significant association (p=0.05) with less mortality and morbidity in COVID-19 3rd wave those who received the vaccines. Conclusions: Possibly COVID vaccination doses had a positive boosting effect on immune system of COVID-19 patients, which may have caused Virus to be less damaging to Immune system leading to decreased morbidity and mortality and in COVID-19 patients in wave 3.
背景:与第一波和第二波相比,第三波COVID-19在印度不仅死亡人数减少,而且有症状的患者也有限,伤亡人数很少。这背后确切的科学原因需要详细研究。迫切需要开展一项针对印度北方邦西部地区三级医学院医院第三波COVID-19患者低死亡率和低发病率的研究,以便在未来的下一波COVID-19患者中寻找和制定新的管理策略。方法:研究2022年1月1日至2022年6月30日在印度北方邦西部萨哈兰普尔区某三级医学院附属医院收治的新冠肺炎第三波发病和死亡因素。结果:对印度北方邦西部三级医学院附属医院住院患者的人口学特征进行了分析;与第三波发病率和死亡率无显著相关性(p>0.05),但接种疫苗剂量随接种时间的增加与第三波死亡率和发病率的降低有显著相关性(p=0.05)。结论:疫苗接种剂量可能对COVID-19患者免疫系统有正向增强作用,这可能导致病毒对免疫系统的损害较小,从而降低了第三波COVID-19患者的发病率和死亡率。
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引用次数: 0
Quality of life of occupants of old age homes of a northern Indian province 印度北部某省养老院住户的生活质量
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233472
Sanjay Kumar, Anmol Gupta, Salig Ram Mazta, Deepak Sharma, Shaina Chamotra, Ankit Chaudhary
Background: Although a physiological phenomenon, ageing has enormous bearing on all the dimensions of health. Against age-old tradition, India is also witnessing a rapid increase in nuclearization of families. Increase in old age homes (OAHs) has been proportional to rising number of admissions in such institutions. In order to understand the phenomenon in a holistic way, the present study evaluated the quality of life of occupants such facilities in state of Himachal Pradesh. Methods: A descriptive cross-sectional study was conducted to capture quality of life among the occupants of all seven OAHs of the State. Data was collected using World Health Organisation quality of life-Bref (WHOQOL-Bref) instrument consisting of four domains, individual domain and overall scores were compiled; and analysed using appropriate statistical techniques. Results: The mean WHOQOL-BREF score for a total of 145 study participants was 46.6±3 with highest score for environmental domain (49.1±4.7) and least for physical domain (44.0±5.2). Significant higher overall quality of life score was observed for comparatively younger participants, males, more educated individuals, those having a companion prior to the settlement, those having more satisfaction with facilities and lesser morbidities. Conclusions: Considering increasing elderly population proportion, there is a need for increase in number of facilities with standardized infrastructure, staff and facilities; so that quality of life can be maintained and sustained. Being a vulnerable and deprived section of the society, it is imperative that such individuals live out the final stage of their life with quality, dignity and much neglected self-respect.
背景:虽然衰老是一种生理现象,但它对健康的各个方面都有着巨大的影响。与古老的传统相反,印度也见证了家庭核心化的迅速增加。老年之家(OAHs)的增加与这类机构的入院人数的增加成正比。为了全面理解这一现象,本研究评估了喜马偕尔邦这些设施的居住者的生活质量。方法:进行描述性横断面研究,以捕获该州所有七家OAHs居住者的生活质量。采用世界卫生组织生命质量量表(WHOQOL-Bref)收集数据,包括4个领域,分别编制个体领域和总体得分;并使用适当的统计技术进行分析。结果:145名受试者的WHOQOL-BREF平均得分为46.6±3分,其中环境领域得分最高(49.1±4.7分),身体领域得分最低(44.0±5.2分)。相对年轻的参与者、男性、受教育程度较高的个体、定居前有伴侣的人、对设施更满意的人、发病率更低的人,总体生活质量得分明显更高。结论:考虑到老年人口比例的增加,需要增加基础设施、人员和设施标准化的设施数量;这样生活质量才能得到维持和持续。作为社会中脆弱和被剥夺的一部分,这些人必须有质量、有尊严和被忽视的自尊地度过他们生命的最后阶段。
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引用次数: 0
Self-assessment and clinical diagnosis of periodontal status among patients visiting dental institution in Bangalore city: a cross-sectional study 班加罗尔市牙科机构就诊患者牙周状况的自我评估和临床诊断:一项横断面研究
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233448
Rajkumari Surbala Devi, Manish Kumar, Rejita Nongmeikapam, Rahul B., Sushma S. G., Priya Devi
Background: Periodontal diseases are a group of lesions affecting tissues surrounding and supporting the teeth. Periodontal diseases are considered as a group of highly prevalent infectious, inflammatory conditions of the supporting structures of the teeth which affects more than 50% of the world’s adult population. The present study was undertaken to evaluate the extent of agreement between clinical and self-assessed periodontal health status among patients visiting the outpatient department of Rajarajeswari Dental College and Hospital, Bangalore, India. Methods: A cross-sectional study was done among 250 patients who attended the outpatient department of Rajarajeswari Dental College and Hospital, Bangalore. The study population was subjected to a self-administered questionnaire which was followed by periodontal examination. The clinical examination included an assessment of the periodontal condition using CPI and mobility. Results: There was a marked discrepancy between the two values of self-assessed and clinically diagnosed periodontal health status which shows that the self-assessed periodontal tool was a poor indicator of the periodontal health status. Conclusions: The present study showed that there is a discrepancy between the subjectively and objectively assessed periodontal health status. Increasing people’s awareness and knowledge of their own dental disorders and changing their attitudes and behavior towards oral health care will help in improving oral as well as general health.
背景:牙周病是一组影响牙齿周围和支撑组织的病变。牙周病被认为是一组高度流行的牙齿支撑结构的传染性炎症,影响着世界上50%以上的成年人。本研究旨在评估在印度班加罗尔Rajarajeswari牙科学院和医院门诊部就诊的患者的临床和自我评估牙周健康状况之间的一致程度。方法:对班加罗尔Rajarajeswari牙科学院和医院门诊的250例患者进行横断面研究。研究人群接受了一份自我管理的问卷调查,随后进行了牙周检查。临床检查包括使用CPI和活动度评估牙周状况。结果:自测牙周健康状况与临床诊断牙周健康状况存在显著差异,说明自测牙周工具不能很好地反映牙周健康状况。结论:本研究表明,主观评价的牙周健康状况与客观评价的牙周健康状况存在差异。提高人们对自身牙齿疾病的认识和知识,改变他们对口腔保健的态度和行为,将有助于改善口腔和一般健康。
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引用次数: 0
Antimicrobial resistance and its possible implications in the future: a mini review 抗菌素耐药性及其未来可能的影响:一个小综述
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233499
Matrujyoti Pattnaik, Swati Pattnaik, Jyotirmayee Pradhan, Debdutta Bhattacharya
The emergence of antimicrobial resistance (AMR) among different species of microbes, or infectious agents, has become a major public health concern worldwide. This alarming trend is due to the rapid development of new resistance mechanisms and the decreasing effectiveness of treating common infectious diseases. As a result, standard treatments often fail to elicit a proper microbial response, leading to prolonged illness, increased healthcare costs, and a higher risk of mortality. Many infectious agents, including bacteria, fungi, viruses, and parasites, have developed high levels of multidrug resistance, resulting in increased morbidity and mortality rates, and being called as "superbugs." While the development of MDR is a natural process, it is exacerbated by the inappropriate use of antimicrobial drugs, inadequate sanitary conditions, improper food handling, and subpar infection prevention and control practices. Given the importance of AMR, this paper enlists the AMR issue along with its significance, mechanism and its possible impact in the future. The creation of innovative treatments to fight these persistent infections should be made easier by a better strategy of educating the population about the drivers of AMR.
不同种类微生物或感染原之间出现的抗菌素耐药性(AMR)已成为世界范围内的一个主要公共卫生问题。这一令人担忧的趋势是由于新的耐药机制的迅速发展和治疗常见传染病的有效性下降。因此,标准治疗往往不能引起适当的微生物反应,导致疾病延长,增加医疗保健费用和更高的死亡风险。许多传染性病原体,包括细菌、真菌、病毒和寄生虫,已经发展出高度的多药耐药性,导致发病率和死亡率增加,被称为“超级细菌”。虽然耐多药耐药性的发展是一个自然过程,但抗菌药物的不当使用、卫生条件不充分、食品处理不当以及不合格的感染预防和控制措施会加剧这种情况。鉴于抗菌素耐药性的重要性,本文列举了抗菌素耐药性问题及其意义、机制和未来可能产生的影响。通过更好地教育民众了解抗菌素耐药性的驱动因素,应该可以更容易地创造出对抗这些持续性感染的创新治疗方法。
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引用次数: 0
A study on prevalence and socio demographic factors associated with overweight and obesity among high school children of Raichur city 雷呼尔市高中儿童超重和肥胖患病率及相关社会人口因素研究
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233479
M. A. Fahim, Din Prakash Ranjan, Rahul C. Kirte
Background: Overweight/obesity among children is an emerging public health problem in our country. Overweight/obesity is a form of development-driven malnutrition that is emerging among all ages and socio-economic groups. Childhood overweight/obesity is a risk factor for later adult diseases and is associated with impaired health during childhood itself which may continue untreated for many years. The belief that overweight/obesity was the problem of developed countries alone is no longer true. India is one of the developing countries showing emerging and rising trends of overweight/obesity. Methods: A cross sectional study was undertaken in high schools of Raichur city. Data was collected by interviewing 1900 study subjects using pre-tested semi-structured questionnaire and by physical examination. The data was analyzed using percentages, proportions, odds ratio and Chi-square test with the help of Epi Info 7 software. Results: Prevalence of overweight and obesity among high school children of Raichur city was found to be 4.57% and 5.11% respectively. Significant association of overweight/obesity was found with gender, age, religion, socio-economic status, parent’s education, type of diet and physical exercise. Conclusions: Considering association of overweight/obesity with various risk factors, preventive measures like lifestyle modifications, changes in dietary pattern and regular exercise should be promoted in these age group children.
背景:儿童超重/肥胖是我国一个新出现的公共卫生问题。超重/肥胖是发展驱动型营养不良的一种形式,正在所有年龄段和社会经济群体中出现。儿童期超重/肥胖是成年后疾病的一个危险因素,并与儿童期本身的健康受损有关,这种健康受损可能持续多年得不到治疗。认为超重/肥胖是发达国家独有的问题的观点不再正确。印度是超重/肥胖呈上升趋势的发展中国家之一。方法:采用横断面调查方法对雷楚尔市高中进行调查。采用预试半结构化问卷对1900名研究对象进行访谈,并进行体格检查。采用Epi Info 7软件,采用百分率、比例、比值比、卡方检验等方法对数据进行分析。结果:瑞楚尔市高中儿童超重和肥胖患病率分别为4.57%和5.11%。超重/肥胖与性别、年龄、宗教、社会经济地位、父母的教育程度、饮食类型和体育锻炼有显著关联。结论:考虑到超重/肥胖与各种危险因素的关联,应在这些年龄组儿童中提倡改变生活方式、改变饮食模式和定期运动等预防措施。
{"title":"A study on prevalence and socio demographic factors associated with overweight and obesity among high school children of Raichur city","authors":"M. A. Fahim, Din Prakash Ranjan, Rahul C. Kirte","doi":"10.18203/2394-6040.ijcmph20233479","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233479","url":null,"abstract":"Background: Overweight/obesity among children is an emerging public health problem in our country. Overweight/obesity is a form of development-driven malnutrition that is emerging among all ages and socio-economic groups. Childhood overweight/obesity is a risk factor for later adult diseases and is associated with impaired health during childhood itself which may continue untreated for many years. The belief that overweight/obesity was the problem of developed countries alone is no longer true. India is one of the developing countries showing emerging and rising trends of overweight/obesity. Methods: A cross sectional study was undertaken in high schools of Raichur city. Data was collected by interviewing 1900 study subjects using pre-tested semi-structured questionnaire and by physical examination. The data was analyzed using percentages, proportions, odds ratio and Chi-square test with the help of Epi Info 7 software. Results: Prevalence of overweight and obesity among high school children of Raichur city was found to be 4.57% and 5.11% respectively. Significant association of overweight/obesity was found with gender, age, religion, socio-economic status, parent’s education, type of diet and physical exercise. Conclusions: Considering association of overweight/obesity with various risk factors, preventive measures like lifestyle modifications, changes in dietary pattern and regular exercise should be promoted in these age group children.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"74 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872746","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}
引用次数: 0
The effect of cyriax soft tissue release and myofascial release on pain pressure threshold, flexibility and muscle length in idiopathic adhesive capsulitis- a comparative study 特发性粘连性囊炎椎体软组织松解和肌筋膜松解对痛压阈值、柔韧性和肌肉长度影响的比较研究
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233449
Ami Makwana, Neeti Mishra
Background: Adhesive capsulitis has been reported to affect 2-5% of the general population and up to 11-30% of subjects with diabetes and thyroid disease. Both myofascial release technique and cyriax soft tissue release technique are effective in patients with adhesive capsulitis. Aims and objective were to assess the effect of cyriax soft tissue release and myofascial release on pain pressure threshold, flexibility and muscle length in idiopathic adhesive capsulitis - a comparative study. Methods: In the present comparative study, total forty-eight (48) patients with Adhesive capsulitis with age between 40-60 years were included. They were randomly divided into two groups: group-A (n=24) and group-B (n=24). Both group received conventional treatment, in addition group-A received myofascial release technique and group-B received cyriax soft tissue release technique. Patients were evaluated pre-intervention (0 week) and post-intervention (4 week) for pressure pain threshold (by means of algometer), for muscle length (by means of measure tape) and for shoulder flexibility (by means of measure tape). Results: Result showed that there was statistically significant difference between MFR group and cyriax group in mean difference of PPT, muscle length and Apley’s test during 4-week intervention period (p<0.05). Conclusions: Cyriax along with conventional treatment is more effective for improving pressure pain threshold, improving muscle length and improving the flexibility of shoulder than myofascial release technique along with conventional treatment in patients with adhesive capsulitis.
背景:据报道,黏附性囊炎影响2-5%的普通人群和高达11-30%的糖尿病和甲状腺疾病患者。肌筋膜松解技术和cyriax软组织松解技术对粘连性囊炎均有较好的疗效。目的和目的是评估cyriax软组织释放和肌筋膜释放对特发性粘连性囊炎痛压阈值、柔韧性和肌肉长度的影响。方法:选取年龄在40 ~ 60岁之间的粘连性囊炎患者48例。随机分为a组(n=24)和b组(n=24)。两组均采用常规治疗,a组采用肌筋膜松解技术,b组采用cyriax软组织松解技术。对患者进行干预前(0周)和干预后(4周)的压痛阈值(通过测痛仪)、肌肉长度(通过卷尺)和肩部柔韧性(通过卷尺)评估。结果:结果显示MFR组与cyriax组在干预4周期间PPT、肌长、appley’s检验的平均差异有统计学意义(p < 0.05)。结论:对于粘连性囊炎患者,Cyriax联合常规治疗比肌筋膜松解技术联合常规治疗更能有效地改善压痛阈值、改善肌肉长度和改善肩部柔韧性。
{"title":"The effect of cyriax soft tissue release and myofascial release on pain pressure threshold, flexibility and muscle length in idiopathic adhesive capsulitis- a comparative study","authors":"Ami Makwana, Neeti Mishra","doi":"10.18203/2394-6040.ijcmph20233449","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233449","url":null,"abstract":"Background: Adhesive capsulitis has been reported to affect 2-5% of the general population and up to 11-30% of subjects with diabetes and thyroid disease. Both myofascial release technique and cyriax soft tissue release technique are effective in patients with adhesive capsulitis. Aims and objective were to assess the effect of cyriax soft tissue release and myofascial release on pain pressure threshold, flexibility and muscle length in idiopathic adhesive capsulitis - a comparative study. Methods: In the present comparative study, total forty-eight (48) patients with Adhesive capsulitis with age between 40-60 years were included. They were randomly divided into two groups: group-A (n=24) and group-B (n=24). Both group received conventional treatment, in addition group-A received myofascial release technique and group-B received cyriax soft tissue release technique. Patients were evaluated pre-intervention (0 week) and post-intervention (4 week) for pressure pain threshold (by means of algometer), for muscle length (by means of measure tape) and for shoulder flexibility (by means of measure tape). Results: Result showed that there was statistically significant difference between MFR group and cyriax group in mean difference of PPT, muscle length and Apley’s test during 4-week intervention period (p<0.05). Conclusions: Cyriax along with conventional treatment is more effective for improving pressure pain threshold, improving muscle length and improving the flexibility of shoulder than myofascial release technique along with conventional treatment in patients with adhesive capsulitis.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"3 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869258","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}
引用次数: 0
Factors associated with loss learning recovery after the COVID-19 pandemic of students in primary schools, Nakhon Si Thammarat, Thailand 泰国那空西塔玛拉小学学生在2019冠状病毒病大流行后失学恢复的相关因素
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233421
Yodfah Ratmanee, Manorot Borirakarawin, Manit Pollar, Kanitta Keeratipattarakarn, Ampa Kiatikongkiri
Background: The southern province of Thailand, Nakhon Si Thammarat, has the greatest amount of schools. The COVID-19 outbreak has had a major impact, notably on students who have missed out on their education as a result of the prolonged closure of the schools to stop the spread. It is very important to investigate the effect of socio-demographic factors on the loss learning recovery of student in primary schools. This study aimed to explore the influencing factors of student in primary schools based on their socio-demographic status. Methods: A cross-sectional research approach and random stratified sampling method were used. 399 students in primary school in Nakhon Si Thammarat, Thailand were participated between May 2022 and April 2023. Chi-square test, ANOVA test, and multiple-linear regression were used to examine the factors. Results: The results showed that the loss learning recovery significant difference with marital status of parents and family income. The group of parents who had marital status of married had the higher loss learning recovery than divorced as well as the group of low income family had the lowest loss learning recovery. Conclusions: It is necessary to understand the characteristics of the student in primary school. Especially factors that affect the loss learning recovery for build education systems back better and found to support them in every manner so that their learning can resume normally and advance past what was lost.
背景:泰国南部的那空西塔玛拉省拥有最多的学校。COVID-19疫情产生了重大影响,特别是对由于学校长期关闭以阻止传播而错过教育的学生。研究社会人口因素对小学生失学恢复的影响具有重要意义。本研究旨在探讨小学生社会人口状况的影响因素。方法:采用横断面研究方法和随机分层抽样方法。在2022年5月至2023年4月期间,泰国那空西塔玛拉小学的399名学生参加了这项研究。采用卡方检验、方差分析检验和多元线性回归对影响因素进行检验。结果:失学恢复与父母婚姻状况、家庭收入有显著差异。婚姻状况为已婚的父母组的失学恢复率高于离婚组,低收入家庭的失学恢复率最低。结论:了解小学生的特点是必要的。特别是影响损失学习恢复的因素,以便更好地建立教育系统,并以各种方式支持他们,使他们的学习能够正常恢复并超越失去的东西。
{"title":"Factors associated with loss learning recovery after the COVID-19 pandemic of students in primary schools, Nakhon Si Thammarat, Thailand","authors":"Yodfah Ratmanee, Manorot Borirakarawin, Manit Pollar, Kanitta Keeratipattarakarn, Ampa Kiatikongkiri","doi":"10.18203/2394-6040.ijcmph20233421","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233421","url":null,"abstract":"Background: The southern province of Thailand, Nakhon Si Thammarat, has the greatest amount of schools. The COVID-19 outbreak has had a major impact, notably on students who have missed out on their education as a result of the prolonged closure of the schools to stop the spread. It is very important to investigate the effect of socio-demographic factors on the loss learning recovery of student in primary schools. This study aimed to explore the influencing factors of student in primary schools based on their socio-demographic status. Methods: A cross-sectional research approach and random stratified sampling method were used. 399 students in primary school in Nakhon Si Thammarat, Thailand were participated between May 2022 and April 2023. Chi-square test, ANOVA test, and multiple-linear regression were used to examine the factors. Results: The results showed that the loss learning recovery significant difference with marital status of parents and family income. The group of parents who had marital status of married had the higher loss learning recovery than divorced as well as the group of low income family had the lowest loss learning recovery. Conclusions: It is necessary to understand the characteristics of the student in primary school. Especially factors that affect the loss learning recovery for build education systems back better and found to support them in every manner so that their learning can resume normally and advance past what was lost.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869328","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}
引用次数: 0
A socio-demographic study on seroprevalence of SARS-CoV-2 antibodies and associated factors in a rural population in Andhra Pradesh 安得拉邦农村人口SARS-CoV-2抗体血清阳性率及相关因素的社会人口统计学研究
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233467
Jaya Sandhya Chirathapudi, Amulya Sanghamithra Karampudi, Ayesha Aijaz, Partha Sarathy Naidana
Background: SARS-CoV-2 is an enveloped, single stranded RNA beta corona virus that belongs to the family Coronaviridae. The S and N proteins are the principal immunogens used for the detection of anti – SARS-CoV-2 specific antibodies.2 The first subunit (S1) mediates the attachment of the virus to human cells via its receptor - binding domain (RBD), and the second one (S2) mediates membrane fusion for viral entry. Antibodies that bind to the S protein can neutralize corona viruses. Methods: It was a community based analytical cross-sectional study done in rural areas of Eluru district, A.P. State. From each village 30 members were selected by using systematic random sampling. A sample of 120 was included. Blood samples from the selected individuals were taken Humoral responses (Ig G) were assessed using an ICMR approved Micro well ELISA test for the semi-quantitative detection of COVID 19 (SARS-CoV-2) neutralizing antibodies in Human serum samples. Results: In the present study 46 (28.3%) had higher education, 15 (12.5 %) belong to farmers, 84 (70%) of them belong to Hindus, 94 (78.3%) of them belong to nuclear family. History of COVID 19 (p=0.02), period from recent dose of covid vaccination (p=0.04) were found to be statistically significant. Conclusions: High seroprevalence in this study suggests that COVID-19 vaccination remains the best method to control the COVID-19 pandemic. It is necessary to encourage the public to take vaccination.
背景:SARS-CoV-2是一种包膜单链RNA β冠状病毒,属于冠状病毒科。S和N蛋白是用于检测抗SARS-CoV-2特异性抗体的主要免疫原第一个亚基(S1)通过受体结合域(RBD)介导病毒与人细胞的附着,第二个亚基(S2)介导病毒进入的膜融合。与S蛋白结合的抗体可以中和冠状病毒。方法:采用基于社区的横断面分析研究方法,在ap州Eluru地区的农村地区进行。采用系统随机抽样的方法,从每个村抽取30名成员。纳入120例样本。采用ICMR批准的微孔酶联免疫吸附试验(Micro well ELISA)半定量检测人血清样品中COVID - 19 (SARS-CoV-2)中和抗体,评估体液反应(Ig G)。结果:高学历46人(28.3%),农民15人(12.5%),印度教徒84人(70%),核心家庭94人(78.3%)。新冠肺炎史(p=0.02)和最近一次接种新冠疫苗的时间(p=0.04)具有统计学意义。结论:本研究的高血清阳性率表明COVID-19疫苗接种仍然是控制COVID-19大流行的最佳方法。有必要鼓励公众接种疫苗。
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引用次数: 0
A quasi-experimental study of effects of community health workers’ incentivisation on uptake of maternal, newborn and child health services in Lamu County, Kenya 肯尼亚拉穆县社区卫生工作者激励对孕产妇、新生儿和儿童卫生服务吸收影响的准实验研究
Pub Date : 2023-10-31 DOI: 10.18203/2394-6040.ijcmph20233440
Henry Kilonzo, Gilbert Ebole, John P. Oyore, Millicent Olulo, Victor Tole, Peris Mwangi
Background: Community health workers (CHWs) are known as the ‘gate keepers’ of good health in the community. Being the first contact with the patients at the community level, they can help improve the maternal, newborn and child health (MNCH) indicators if they are well motivated to conduct their day-to-day work. At the same time, MNCH indicators are negatively affected by hard-to-reach health facilities and cultural factors thus the CHWs can help improve the health status in this category. Methods: The study utilized a quasi-experimental study design with an intervention and a control site in both Lamu West and Lamu East Sub Counties. Purposive sampling used to select study population and study site. Study period was (August 2018-March 2022). Mixed methods approach was used with both quantitative and qualitative methodologies of data collection to enable data triangulation. Questionnaires were used to collect data from CHWs, focused group discussions with caregivers and In-depth Interviews conducted with key informants from the Ministry of Health- Lamu County and the implementing partner-PharmAccess. Results: The study established that 78% of the CHWs were selected by the community members. Most of the CHWs in the intervention site had attended other trainings after the initial capacity development program, had at least one supervision in the last month preceding evaluation, were satisfied with the community and county appreciation. The difference between control and intervention site had a statistical significance (p<0.05) for report writing during home visits, cross-referencing of reports before submission, attendance of refresher courses, loss of interest to work as a CHW and referral of patients to link facilities. Conclusions: CHWs need motivation in delivering their services. This can be done in form of incentives (both monitory and non-monitory), refresher trainings and supportive supervision.
背景:社区卫生工作者(CHWs)被称为社区健康的“看门人”。作为在社区一级与患者的第一次接触者,如果他们积极开展日常工作,他们可以帮助改善孕产妇、新生儿和儿童健康(MNCH)指标。与此同时,妇幼保健指标受到难以到达的卫生设施和文化因素的负面影响,因此卫生保健中心可以帮助改善这一类人的健康状况。方法:采用准实验研究设计,在拉木西县和拉木东县设置干预点和对照点。目的抽样用于选择研究人群和研究地点。研究期间为(2018年8月- 2022年3月)。混合方法方法与数据收集的定量和定性方法一起使用,以实现数据三角化。使用问卷调查收集来自卫生保健站的数据,与护理人员进行重点小组讨论,并与卫生部-拉穆县和执行伙伴- pharmaccess的关键线人进行深入访谈。结果:研究结果表明,78%的卫生保健员是由社区成员选择的。干预点的大多数卫生工作者在最初的能力发展项目后参加了其他培训,在评估前的最后一个月至少接受了一次监督,对社区和县的赞赏感到满意。在家访期间的报告撰写、提交前的报告交叉参考、参加进修课程、对作为卫生保健员工作失去兴趣以及将患者转介到相关设施方面,对照组和干预点之间的差异有统计学意义(p<0.05)。结论:卫生保健工作者在提供服务时需要动力。这可以通过奖励(监督和非监督)、进修培训和支持性监督的形式来实现。
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引用次数: 0
期刊
International journal of community medicine and public health
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