Background: Hepatitis A virus (HAV) and hepatitis E virus (HEV), both enteric hepatitis viruses, are transmitted through the feco-oral route. These infections can range from asymptomatic or subclinical cases to acute viral hepatitis, occasionally leading to mortality. To gain an understanding of the disease and develop effective management strategies, comprehending the disease burden is essential. This study aimed to provide insights into the prevalence of enteric transmitted hepatitis viruses among individuals with acute hepatitis in the Delhi region. Methods: A retrospective investigation was conducted at a prominent tertiary care super specialty hospital in Delhi, spanning from February 2019 to December 2022. Serum samples from patients suspected of having hepatitis and sent for HAV and HEV testing were included. The samples underwent enzyme-linked immunosorbent assay to detect HAV and HEV immunoglobulin (Ig)M antibodies. Collected data was analyzed using SPSS software version 21, employing Chi-square and Fischer exact tests where applicable. Results: Throughout the study period, a total of 1275 samples were incorporated. Viral etiology was evident in 197 patients (15.45%). Among these, IgM HAV was identified in 142 patients (11.13%), and IgM HEV was present in 55 patients (4.31%). HAV infection was notably more prevalent in the pediatric age group (20.89% or 89/426; p<0.001), while HEV was significantly more common among adolescents and adults (5.77% or 49/849; p<0.001). Conclusions: Regular surveillance of enteric transmitted viruses causing hepatitis should encompass both hospital and community levels to accurately gauge disease burden and evolving epidemiology.
{"title":"Trends in seroprevalence of enteric transmitted hepatitis virus infections at a tertiary care hospital in Delhi: a 4-year review","authors":"Arpita Panda, Belinda Jothi J., Pooja Yadav, Shilpee Kumar","doi":"10.18203/2394-6040.ijcmph20233463","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233463","url":null,"abstract":"Background: Hepatitis A virus (HAV) and hepatitis E virus (HEV), both enteric hepatitis viruses, are transmitted through the feco-oral route. These infections can range from asymptomatic or subclinical cases to acute viral hepatitis, occasionally leading to mortality. To gain an understanding of the disease and develop effective management strategies, comprehending the disease burden is essential. This study aimed to provide insights into the prevalence of enteric transmitted hepatitis viruses among individuals with acute hepatitis in the Delhi region.\u0000Methods: A retrospective investigation was conducted at a prominent tertiary care super specialty hospital in Delhi, spanning from February 2019 to December 2022. Serum samples from patients suspected of having hepatitis and sent for HAV and HEV testing were included. The samples underwent enzyme-linked immunosorbent assay to detect HAV and HEV immunoglobulin (Ig)M antibodies. Collected data was analyzed using SPSS software version 21, employing Chi-square and Fischer exact tests where applicable.\u0000Results: Throughout the study period, a total of 1275 samples were incorporated. Viral etiology was evident in 197 patients (15.45%). Among these, IgM HAV was identified in 142 patients (11.13%), and IgM HEV was present in 55 patients (4.31%). HAV infection was notably more prevalent in the pediatric age group (20.89% or 89/426; p<0.001), while HEV was significantly more common among adolescents and adults (5.77% or 49/849; p<0.001).\u0000Conclusions: Regular surveillance of enteric transmitted viruses causing hepatitis should encompass both hospital and community levels to accurately gauge disease burden and evolving epidemiology.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"1 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":"135869512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.18203/2394-6040.ijcmph20233420
Mesfer Abdullah Alqahtani, Shibli Sayeed, Mohammed Ali Marie, Bin Fardan Aedh Nasser, Al Dileelan Meshal Bin Ali, Al Anazi Maeedh Faraj, Al Anazi Basmah Dalli, Al Mutairi Munayfah Saadi, Ismail Ahmad Ismail
Background: Seasonal affective disorder (SAD), a type of mood disorder, is defined by seasonal depressive symptoms that appear at a particular time of a year. Its burden in Saudi Arabia is poorly understood. In this study, we aimed to estimate the prevalence of and factors associated with seasonal depression among attendees of primary health care centres (PHC) in Eastern Riyadh. Methods: We conducted a cross-sectional study in the PHC of Eastern Riyadh. We systematically sampled participants attending the PHCs the required sample size was achieved. We measured seasonal depression and beliefs using the validated seasonal pattern assessment questionnaire (SPAQ) and seasonal beliefs questionnaire. We presented the mean and standard deviation (SD) of scores obtained and used Student’s t test ANOVA test to compare differences across explanatory variables. We demonstrated internal consistency using Cronbach’s alpha. Results: Among 232 participants, majority were aged 18-35 years (67.2%) and males (60.8%). The mean (SD) score on SPAQ was 1.00 (0.71) and that on the seasonal beliefs was 3.03 (0.69). With a cut-off of 11 on SPAQ, prevalence of SAD was found to be 33.5%. SPAQ score was significantly higher among younger ages, females, single/divorced, Saudis, those with secondary/lower level education and those who earn<50,000 Saudi Riyals (p<0.001). Seasonal beliefs score was significantly higher among younger ages (p=0.013) and Saudis (p=0.001). Both the scales used had high internal consistency (Cronbach’s alpha of 0.901 for SPAQ and 0.847 for seasonal beliefs questionnaire). Conclusions: SAD was a prevalent mental health issue among primary care attendees in Eastern Riyadh. Screening for such conditions at the primary level among high-risk groups should be considered by family physicians.
{"title":"Prevalence of seasonal affective disorder among primary health care attendees in eastern Riyadh-a cross-sectional study","authors":"Mesfer Abdullah Alqahtani, Shibli Sayeed, Mohammed Ali Marie, Bin Fardan Aedh Nasser, Al Dileelan Meshal Bin Ali, Al Anazi Maeedh Faraj, Al Anazi Basmah Dalli, Al Mutairi Munayfah Saadi, Ismail Ahmad Ismail","doi":"10.18203/2394-6040.ijcmph20233420","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233420","url":null,"abstract":"Background: Seasonal affective disorder (SAD), a type of mood disorder, is defined by seasonal depressive symptoms that appear at a particular time of a year. Its burden in Saudi Arabia is poorly understood. In this study, we aimed to estimate the prevalence of and factors associated with seasonal depression among attendees of primary health care centres (PHC) in Eastern Riyadh. Methods: We conducted a cross-sectional study in the PHC of Eastern Riyadh. We systematically sampled participants attending the PHCs the required sample size was achieved. We measured seasonal depression and beliefs using the validated seasonal pattern assessment questionnaire (SPAQ) and seasonal beliefs questionnaire. We presented the mean and standard deviation (SD) of scores obtained and used Student’s t test ANOVA test to compare differences across explanatory variables. We demonstrated internal consistency using Cronbach’s alpha. Results: Among 232 participants, majority were aged 18-35 years (67.2%) and males (60.8%). The mean (SD) score on SPAQ was 1.00 (0.71) and that on the seasonal beliefs was 3.03 (0.69). With a cut-off of 11 on SPAQ, prevalence of SAD was found to be 33.5%. SPAQ score was significantly higher among younger ages, females, single/divorced, Saudis, those with secondary/lower level education and those who earn<50,000 Saudi Riyals (p<0.001). Seasonal beliefs score was significantly higher among younger ages (p=0.013) and Saudis (p=0.001). Both the scales used had high internal consistency (Cronbach’s alpha of 0.901 for SPAQ and 0.847 for seasonal beliefs questionnaire). Conclusions: SAD was a prevalent mental health issue among primary care attendees in Eastern Riyadh. Screening for such conditions at the primary level among high-risk groups should be considered by family physicians.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"14 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Patient satisfaction is an important indicator to measure the quality of healthcare services and plays a crucial role in enhancing the quality of health service delivery. The aim of the study was to assess the patient’s satisfaction level with the quality of health care delivered at the mobile medical clinics (MMC) in two districts of north Bengal, India. Methods: A cross-sectional survey was done using a purposive sampling method, and total of 294 samples were recruited. A questionnaire (PSQ-18) was used to assess the patient satisfaction level. Chi-square tests were used for categorical variables. F-test and t-test were used for mean differences between the variables. Linear regression analysis was done to examine the linear effect of social factors on patient satisfaction. Results: The present study shows that overall satisfaction was 74.04%, with a mean value of 3.702. In the Jalpaiguri district, 27.5% of patients are highly satisfied, whereas 17.0% are in Alipurduar. Alipurduar district has a higher low satisfaction rating (39.7%) than Jalpaiguri district (19.7%), and a district-wise significant association was found (p<0.001). Overall satisfaction level effects by occupation (p<0.001), population and socio economic status (p<0.05). Conclusions: Policymakers may consider that MMCs could be an effective strategy to improve primary health care in remote, underserved areas where there are no public health care facilities.
{"title":"Assessment of patients satisfaction with mobile medical clinics in the two districts of north Bengal, India","authors":"Biswajit Mahapatra, Syed Abdul Khader Moinudeen, Paramita Bhattacharya, Nirmalya Mukherjee, Denny John, Krishnamurthy Jayanna","doi":"10.18203/2394-6040.ijcmph20233453","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233453","url":null,"abstract":"Background: Patient satisfaction is an important indicator to measure the quality of healthcare services and plays a crucial role in enhancing the quality of health service delivery. The aim of the study was to assess the patient’s satisfaction level with the quality of health care delivered at the mobile medical clinics (MMC) in two districts of north Bengal, India. Methods: A cross-sectional survey was done using a purposive sampling method, and total of 294 samples were recruited. A questionnaire (PSQ-18) was used to assess the patient satisfaction level. Chi-square tests were used for categorical variables. F-test and t-test were used for mean differences between the variables. Linear regression analysis was done to examine the linear effect of social factors on patient satisfaction. Results: The present study shows that overall satisfaction was 74.04%, with a mean value of 3.702. In the Jalpaiguri district, 27.5% of patients are highly satisfied, whereas 17.0% are in Alipurduar. Alipurduar district has a higher low satisfaction rating (39.7%) than Jalpaiguri district (19.7%), and a district-wise significant association was found (p<0.001). Overall satisfaction level effects by occupation (p<0.001), population and socio economic status (p<0.05). Conclusions: Policymakers may consider that MMCs could be an effective strategy to improve primary health care in remote, underserved areas where there are no public health care facilities.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"230 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Anxiety and stress are notable health problems plaguing adolescents. Moreover, issues such as poor sleep quality and body image issues, common in adolescence, have also been linked to anxiety and stress previously. Methods: A cross sectional study was conducted across 392 school going adolescents in Delhi NCR, India. Sociodemographic and lifestyle data was collected using a pre-tested semi-structured questionnaire. DASS-21 was used to screen the participants for anxiety and stress, Pittsburgh sleep quality index for sleep quality, and Stunkard figure rating silhouette for body image issues. Data was entered into MS Excel spreadsheets and Statistical Package for Social Sciences version-25 was used for analysis. Results: 47.5% participants suffered from anxiety and 22.2% from stress. Anxiety was significantly associated with father’s education and occupation, stressful occurrences in the family, poor sleep quality and inadequate exercise. Stress was significantly higher in females and those with poor sleep quality. Conclusions: Anxiety and stress in adolescents show significant associations with familial and lifestyle factors. Identifying these risk factors can enable timely diagnosis and intervention.
背景:焦虑和压力是困扰青少年的显著健康问题。此外，睡眠质量差和身体形象问题等问题在青少年中很常见，此前也被认为与焦虑和压力有关。方法:对印度德里NCR地区392名在校青少年进行横断面研究。社会人口统计和生活方式数据是通过预先测试的半结构化问卷收集的。DASS-21用于筛选参与者的焦虑和压力，匹兹堡睡眠质量指数用于筛选睡眠质量，Stunkard身材评价轮廓用于筛选身体形象问题。数据输入MS Excel电子表格，使用Statistical Package for Social Sciences version-25进行分析。结果:47.5%的参与者有焦虑，22.2%的参与者有压力。焦虑与父亲的教育和职业、家庭压力事件、睡眠质量差和运动不足显著相关。女性和睡眠质量差的人的压力明显更高。结论:青少年焦虑和压力与家庭和生活方式因素有显著相关性。确定这些危险因素可以使诊断和干预变得及时。
{"title":"Prevalence and correlates of anxiety and stress in school going adolescents in Delhi national capital region: a cross sectional study","authors":"Tejasvini Khanna, Bratati Banerjee, Madan Mohan Majhi","doi":"10.18203/2394-6040.ijcmph20233454","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233454","url":null,"abstract":"Background: Anxiety and stress are notable health problems plaguing adolescents. Moreover, issues such as poor sleep quality and body image issues, common in adolescence, have also been linked to anxiety and stress previously. Methods: A cross sectional study was conducted across 392 school going adolescents in Delhi NCR, India. Sociodemographic and lifestyle data was collected using a pre-tested semi-structured questionnaire. DASS-21 was used to screen the participants for anxiety and stress, Pittsburgh sleep quality index for sleep quality, and Stunkard figure rating silhouette for body image issues. Data was entered into MS Excel spreadsheets and Statistical Package for Social Sciences version-25 was used for analysis. Results: 47.5% participants suffered from anxiety and 22.2% from stress. Anxiety was significantly associated with father’s education and occupation, stressful occurrences in the family, poor sleep quality and inadequate exercise. Stress was significantly higher in females and those with poor sleep quality. Conclusions: Anxiety and stress in adolescents show significant associations with familial and lifestyle factors. Identifying these risk factors can enable timely diagnosis and intervention.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"23 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":"135871150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.18203/2394-6040.ijcmph20233441
Bratati Banerjee
Background: Childhood injury constitutes a grave public health problem. Most of the unintentional injuries and their consequences are preventable. Present study highlights the dynamics related to major injuries in children. Methods: This is part of a prospective research conducted over 16 months, on 397 children and adolescents of rural Delhi. Present report includes those with major injuries. Data was collected by in-depth interview of subjects with major injuries, and their guardians. Results: Five major injuries occurred during study period. Thus incidence of major injuries was 1.26/100 children/year and proportion of major injuries out of total injury events was 2.89%. There was no fatality or disability. Socio-demographic risk score was high for 4 out of the 5 children. All subjects were adolescents, of whom 3 were boys and 2 girls. All injuries were of locomotor system, with two cases having multiple glass-cut injuries in addition. All injury events had occurred when subjects were away from home, of which three occurred on road, due to unclean surroundings in one case and two by motor vehicle accidents due to inexperienced drivers, of less than legal age for driving, and on alcohol. Treatment was taken from secondary care hospitals by all injured subjects. Mean cost of treatment was Rs.5,009/-, with total out-of-pocket expenditure being Rs.7,212/- (mean=Rs.2,404/-). Mean time to recovery was a little over 1 month (32 days). Conclusions: All the major injuries that occurred in the study population could have been prevented by taking responsibility at various levels.
{"title":"A qualitative study to assess dynamics of major injuries in children and adolescents of a rural area of Delhi","authors":"Bratati Banerjee","doi":"10.18203/2394-6040.ijcmph20233441","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233441","url":null,"abstract":"Background: Childhood injury constitutes a grave public health problem. Most of the unintentional injuries and their consequences are preventable. Present study highlights the dynamics related to major injuries in children. Methods: This is part of a prospective research conducted over 16 months, on 397 children and adolescents of rural Delhi. Present report includes those with major injuries. Data was collected by in-depth interview of subjects with major injuries, and their guardians. Results: Five major injuries occurred during study period. Thus incidence of major injuries was 1.26/100 children/year and proportion of major injuries out of total injury events was 2.89%. There was no fatality or disability. Socio-demographic risk score was high for 4 out of the 5 children. All subjects were adolescents, of whom 3 were boys and 2 girls. All injuries were of locomotor system, with two cases having multiple glass-cut injuries in addition. All injury events had occurred when subjects were away from home, of which three occurred on road, due to unclean surroundings in one case and two by motor vehicle accidents due to inexperienced drivers, of less than legal age for driving, and on alcohol. Treatment was taken from secondary care hospitals by all injured subjects. Mean cost of treatment was Rs.5,009/-, with total out-of-pocket expenditure being Rs.7,212/- (mean=Rs.2,404/-). Mean time to recovery was a little over 1 month (32 days). Conclusions: All the major injuries that occurred in the study population could have been prevented by taking responsibility at various levels.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"6 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871242","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}
Community health workers (CHWs) have been identified as effective workforce that can improve access to primary health care particularly for underserved and hard to reach populations. The contributions of CHWs have not been limited to low-income countries. More recently, the use of CHWs has attracted attention in some high-income countries where despite more developed health systems there are large inequities in healthcare access and outcomes amongst different population groups. Belize is an upper middle-income country located in Central America and its health system is based on a primary health care model with community health workers actively involved in health service delivery. A descriptive study through review of grey literature detailing the process for strengthening the community health worker program in the country using the Community Health Worker Assessment and Improvement Matrix (CHW AIM) tool. The results were thematically analysed based on Community Health Worker Assessment and Improvement Matrix (CHW AIM) conceptual framework on factors influencing the performance of community health worker program. Community health workers in Belize are recognized as part of the formal health system with policy and strategy in place that define their roles, tasks, relationship to the health system. They are provided with monthly financial incentives, opportunities for further studies, career advancement and employment opportunities within the health system. The study contributes to the existing literature on strengthening of community health worker program to enhance the primary health care system and build a more resilient health system for better preparedness and response for future pandemics with focus on an upper middle income country.
{"title":"Strengthening community health worker program in Belize","authors":"Olusola Oladeji, Natalia Largaespada Beer, Angella Edith Baitwabusa, Kathleen Azueta Cho","doi":"10.18203/2394-6040.ijcmph20233488","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233488","url":null,"abstract":"Community health workers (CHWs) have been identified as effective workforce that can improve access to primary health care particularly for underserved and hard to reach populations. The contributions of CHWs have not been limited to low-income countries. More recently, the use of CHWs has attracted attention in some high-income countries where despite more developed health systems there are large inequities in healthcare access and outcomes amongst different population groups. Belize is an upper middle-income country located in Central America and its health system is based on a primary health care model with community health workers actively involved in health service delivery. A descriptive study through review of grey literature detailing the process for strengthening the community health worker program in the country using the Community Health Worker Assessment and Improvement Matrix (CHW AIM) tool. The results were thematically analysed based on Community Health Worker Assessment and Improvement Matrix (CHW AIM) conceptual framework on factors influencing the performance of community health worker program. Community health workers in Belize are recognized as part of the formal health system with policy and strategy in place that define their roles, tasks, relationship to the health system. They are provided with monthly financial incentives, opportunities for further studies, career advancement and employment opportunities within the health system. The study contributes to the existing literature on strengthening of community health worker program to enhance the primary health care system and build a more resilient health system for better preparedness and response for future pandemics with focus on an upper middle income country.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"48 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":"135871478","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}
Isolated medial longitudinal fasciculus infarct is rare and can also be associated with cranial nerve nuclei or extra-nuclear regions leading to respective neurological deficit. We report a case of 73-year-old woman presenting with a 24 hour of confusion, abnormal eye movement and unsteady gait on a background history of uncontrolled diabetes mellitus (DM), hypertension and Alzheimer’s disease. Her examination found to have dysdiadokinesia in left upper limb and inability to adduct right eyeball on left lateral gaze, without affecting the pupil. She was not oriented to time and place while before this event she could. Her examination found to have normal power in limbs and sensation. Her computed tomography (CT) brain showed no evidence of acute infarction or intracranial bleed. Magnetic resonance imaging (MRI) brain demonstrated acute lacunar infarct involving the ipsilateral medial longitudinal fasciculus. This case demonstrates rare brainstem infarct affecting medial longitudinal fasciculus region below the IIIrd cranial nerve nucleus giving features of internuclear ophthalmoplegia affecting medial rectus muscle without affecting autonomic fibres of IIIrd cranial nerve due to which the pupil is not affected. We recommend strict control of predisposing conditions, mainly diabetes and hypertension to reduce the incidence of brainstem stroke.
{"title":"A rare case report: isolated midbrain lacunar infarct affecting the ipsilateral medial longitudinal fasciculus causing internuclear ophthalmoplegia effect","authors":"Sanaulla Sheik, Maktoum Azeez, Biju Gafoor, Jouhar Kolleri","doi":"10.18203/2394-6040.ijcmph20233491","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233491","url":null,"abstract":"Isolated medial longitudinal fasciculus infarct is rare and can also be associated with cranial nerve nuclei or extra-nuclear regions leading to respective neurological deficit. We report a case of 73-year-old woman presenting with a 24 hour of confusion, abnormal eye movement and unsteady gait on a background history of uncontrolled diabetes mellitus (DM), hypertension and Alzheimer’s disease. Her examination found to have dysdiadokinesia in left upper limb and inability to adduct right eyeball on left lateral gaze, without affecting the pupil. She was not oriented to time and place while before this event she could. Her examination found to have normal power in limbs and sensation. Her computed tomography (CT) brain showed no evidence of acute infarction or intracranial bleed. Magnetic resonance imaging (MRI) brain demonstrated acute lacunar infarct involving the ipsilateral medial longitudinal fasciculus. This case demonstrates rare brainstem infarct affecting medial longitudinal fasciculus region below the IIIrd cranial nerve nucleus giving features of internuclear ophthalmoplegia affecting medial rectus muscle without affecting autonomic fibres of IIIrd cranial nerve due to which the pupil is not affected. We recommend strict control of predisposing conditions, mainly diabetes and hypertension to reduce the incidence of brainstem stroke.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"47 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":"135872483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.18203/2394-6040.ijcmph20233481
K. T. Rabeensa, Swapna Jaswanth, Shashikala M., Chandrakala C.
Background: Nutritional support plays an important role in the management of tuberculosis. To reduce malnutrition among those suffering from TB, the government of India started the Nikshay Poshan Yojana in 2018, offering a monthly incentive of INR 500 to each patient enrolled under the programme. Objective was to assess the utilization of financial benefits among tuberculosis patients registered under the scheme Nikshay Poshan Yojana. Methods: Descriptive study was conducted among 137 tuberculosis patients registered under Nikshay portal of designated microscopy center (DMC). Interview was conducted and obtained necessary information. Results: Among 116 responded tuberculosis patents, 83 (71.5%) received full and partly incentives throughout the course of treatment, among the beneficiary 61 (71.5%) were using their incentives for nutritional purpose. Conclusions: Beneficiaries under Nikshay Poshan Yojana received incentives but not on timely basis.
{"title":"Utilization of Nikshay Poshan Yojana scheme among tuberculosis patients registered in a designated microscopy center, Bangalore","authors":"K. T. Rabeensa, Swapna Jaswanth, Shashikala M., Chandrakala C.","doi":"10.18203/2394-6040.ijcmph20233481","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233481","url":null,"abstract":"Background: Nutritional support plays an important role in the management of tuberculosis. To reduce malnutrition among those suffering from TB, the government of India started the Nikshay Poshan Yojana in 2018, offering a monthly incentive of INR 500 to each patient enrolled under the programme. Objective was to assess the utilization of financial benefits among tuberculosis patients registered under the scheme Nikshay Poshan Yojana. Methods: Descriptive study was conducted among 137 tuberculosis patients registered under Nikshay portal of designated microscopy center (DMC). Interview was conducted and obtained necessary information. Results: Among 116 responded tuberculosis patents, 83 (71.5%) received full and partly incentives throughout the course of treatment, among the beneficiary 61 (71.5%) were using their incentives for nutritional purpose. Conclusions: Beneficiaries under Nikshay Poshan Yojana received incentives but not on timely basis.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"13 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.18203/2394-6040.ijcmph20233473
N. R. Ramesh Masthi, Pruthvi S.
Introduction: The SARS-CoV-2 virus is the infectious disease known as coronavirus disease (COVID-19). A lockdown was implemented across the nation in response to escalating infections and community transmission. Patients Living with Human Immunodeficiency Virus (PLHIV) must get therapy for the rest of their lives. Anti-Retroviral Therapy (ART) must be available and strictly adhered to in order to lower HIV-related morbidity and mortality and stop HIV transmission. ART continuity in PLHIV has been compromised globally by the COVID-19 epidemic. This research was done to find out how the pandemic affected PLHIV patient’s adherence to their ART regimens. Methods: For nine months, PLHIV visiting the ART centre in a tertiary care hospital in Bengaluru urban participated in this a prospective comparative study. Through systematic random sampling, 470 patients were chosen for the study. Data were gathered by one-on-one interviews using a standardised semi-structured questionnaire. The statistics used were mean, median, and z test for proportion. Results: The bulk of the study participants were male and between the ages of 41 and 50. The most frequent means of HIV transmission risk was heterosexual interaction. Before and during the COVID-19 pandemic, there was a large difference in the number of PLHIV/day visits. Opportunistic infections and first-line failures were more common and statistically significant during the COVID-19 pandemic. Prior to the pandemic, there was an average 94.84% adherence to ART, which dropped to 80.55% during the pandemic. The variation was substantial. Conclusion: The COVID-19 pandemic has impacted PLHIV medication adherence, and opportunistic infections have increased during this time.
{"title":"A descriptive comparative study on COVID-19 impact among people living with human immunodeficiency virus at tertiary care hospital: Bengaluru urban","authors":"N. R. Ramesh Masthi, Pruthvi S.","doi":"10.18203/2394-6040.ijcmph20233473","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233473","url":null,"abstract":"Introduction: The SARS-CoV-2 virus is the infectious disease known as coronavirus disease (COVID-19). A lockdown was implemented across the nation in response to escalating infections and community transmission. Patients Living with Human Immunodeficiency Virus (PLHIV) must get therapy for the rest of their lives. Anti-Retroviral Therapy (ART) must be available and strictly adhered to in order to lower HIV-related morbidity and mortality and stop HIV transmission. ART continuity in PLHIV has been compromised globally by the COVID-19 epidemic. This research was done to find out how the pandemic affected PLHIV patient’s adherence to their ART regimens. Methods: For nine months, PLHIV visiting the ART centre in a tertiary care hospital in Bengaluru urban participated in this a prospective comparative study. Through systematic random sampling, 470 patients were chosen for the study. Data were gathered by one-on-one interviews using a standardised semi-structured questionnaire. The statistics used were mean, median, and z test for proportion. Results: The bulk of the study participants were male and between the ages of 41 and 50. The most frequent means of HIV transmission risk was heterosexual interaction. Before and during the COVID-19 pandemic, there was a large difference in the number of PLHIV/day visits. Opportunistic infections and first-line failures were more common and statistically significant during the COVID-19 pandemic. Prior to the pandemic, there was an average 94.84% adherence to ART, which dropped to 80.55% during the pandemic. The variation was substantial. Conclusion: The COVID-19 pandemic has impacted PLHIV medication adherence, and opportunistic infections have increased during this time.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"33 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.18203/2394-6040.ijcmph20233451
Seetharam Mysore, Vidyashree M., Shruti Sajjalguddam, Deepak Murthy, Nagarathna N., Maria Martinez Rangel
Background: Suicides and non-suicidal self-injuries (NSSI) pose a serious public health problem, affecting communities all over the world. Adolescents and young adults are particularly vulnerable to commit self-harm (SH). SH causes serious emotional, physical, and economic repercussions, and leads to long-term health impacts. Methods: A retrospective study was conducted in a rural secondary care hospital from Feb 2020 to March 2022. Data regarding demographics, cause and type of SH, and treatment provided to 190 patients were analysed. Results: Majority of patients were in the 16-35 years age group. Poison consumption was the commonest method used. Pesticides and pills were the commonly-used agents. Agricultural activities and pre-existing illness in families facilitated access to these agents, as did the unregulated availability and unsafe storage. 31 patients disclosed the reason for SH, with the commonest reason being strained relationships. Emotional states described by the patients which pushed them to SH included dejection, hopelessness, anger, recklessness, altered mood, lack of purpose in life, cynicism and a sense of lack of support. 16% were discharged against medical advice. Conclusions: The study identified the need for methodical documentation, referral and follow-up of patients, with adequate psychiatric and counselling support. Access to care for SH patients is lacking especially in rural areas, and is at best available only for management of the SH event. SH should be considered not as a disease by itself, but as an outcome of stress due to socio-economic and other factors. Multi-stakeholder convergent approaches are needed to tackle this challenge in a holistic manner.
{"title":"A retrospective study of attempted self-harm in a secondary care setting in rural India","authors":"Seetharam Mysore, Vidyashree M., Shruti Sajjalguddam, Deepak Murthy, Nagarathna N., Maria Martinez Rangel","doi":"10.18203/2394-6040.ijcmph20233451","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233451","url":null,"abstract":"Background: Suicides and non-suicidal self-injuries (NSSI) pose a serious public health problem, affecting communities all over the world. Adolescents and young adults are particularly vulnerable to commit self-harm (SH). SH causes serious emotional, physical, and economic repercussions, and leads to long-term health impacts. Methods: A retrospective study was conducted in a rural secondary care hospital from Feb 2020 to March 2022. Data regarding demographics, cause and type of SH, and treatment provided to 190 patients were analysed. Results: Majority of patients were in the 16-35 years age group. Poison consumption was the commonest method used. Pesticides and pills were the commonly-used agents. Agricultural activities and pre-existing illness in families facilitated access to these agents, as did the unregulated availability and unsafe storage. 31 patients disclosed the reason for SH, with the commonest reason being strained relationships. Emotional states described by the patients which pushed them to SH included dejection, hopelessness, anger, recklessness, altered mood, lack of purpose in life, cynicism and a sense of lack of support. 16% were discharged against medical advice. Conclusions: The study identified the need for methodical documentation, referral and follow-up of patients, with adequate psychiatric and counselling support. Access to care for SH patients is lacking especially in rural areas, and is at best available only for management of the SH event. SH should be considered not as a disease by itself, but as an outcome of stress due to socio-economic and other factors. Multi-stakeholder convergent approaches are needed to tackle this challenge in a holistic manner.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":"34 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":"135871687","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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