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Knowledge regarding mosquito borne diseases & control measures practiced among a rural population in a southern district of Tamil Nadu, South India 南印度泰米尔纳德邦南部地区农村人口中关于蚊媒疾病的知识和控制措施
Pub Date : 2017-06-03 DOI: 10.17511/ijphr.2017.i1.02
Ben Nelson
Introduction: Vector-borne diseases account for over 17% of all infectious diseases. Up to 700 million people are infected and more than a million die each year from mosquito-borne illness. The extent of people’s cooperation can determine the success or failure of the entire campaign for Mosquito control. Methods: A cross-sectional observational study was carried out in Kanyakumari district among 180 individuals selected through multi-stage sampling. Data was collected using a semi structured interview schedule. Results: Every one of the study participants knew that mosquitoes spread diseases. Dengue was the most common disease related to Mosquito. Among the respondents, 113(62.7%) answered that coconut shells most common mosquito breeding place. Coconut shells (66%) & Open drainages (61.1%) were reason for water stagnation inside & outside their own compound respectively. 71.1% have seen mosquito larva in stagnant water around their house and among them 75.8% have done something to kill larva. Most common method used was putting bleaching powder in the larva breeding places (39%) followed by source reduction (26.5%). Bleaching powder was also the most common method (57%) used for prevention of mosquito breeding. 78.9% of the households were using personal protective measures, mosquito coil (59.8%), the most commonly used method. Only 38.5% of them said that fogging was done in their area in past 6 months. Conclusion: A good proportion of the households are taking preventive measures, but still so many households lacks practice or found to be doing wrong practices. Therefore, we recommend that community should be empowered with the right & adequate knowledge.
引言:媒介传播疾病占所有传染病的17%以上。每年有多达7亿人感染蚊子传播的疾病,超过100万人死亡。人们的合作程度可以决定整个灭蚊运动的成败。方法:在Kanyakumari区对通过多阶段抽样选出的180名个体进行横断面观察性研究。使用半结构化访谈时间表收集数据。结果:每个研究参与者都知道蚊子会传播疾病。登革热是与蚊子有关的最常见的疾病。在受访者中,113人(62.7%)回答说椰子壳是蚊子最常见的繁殖地。椰子壳(66%)和开放式排水管(61.1%)分别是其化合物内外积水的原因。71.1%的人曾在家附近的积水中看到过蚊子幼虫,其中75.8%的人曾做过杀死幼虫的事情。最常用的方法是在幼虫繁殖地放置漂白粉(39%),然后减少来源(26.5%)。漂白粉也是最常用的预防蚊子繁殖的方法(57%)。78.9%的家庭正在使用个人防护措施,即最常用的方法——蚊子线圈(59.8%)。只有38.5%的受访者表示,在过去的6个月里,他们所在的地区进行了雾化。结论:相当一部分家庭正在采取预防措施,但仍有许多家庭缺乏实践或被发现做了错误的实践。因此,我们建议社区应该获得正确和充分的知识。
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引用次数: 3
Prevalence of reproductive morbidity and its determinants among ever married women of reproductive age group (15-45 years) in a rural area of Kozhikode 科日科德农村地区育龄妇女(15-45岁)生殖发病率及其决定因素
Pub Date : 2017-04-30 DOI: 10.17511/ijphr.2017.i2.05
M. Sajna, T. Bina, Lucy Rahael, Former
Prevalence of reproductive morbidity and its determinants among ever married women of reproductive age group (15-45 years) in a rural area of Kozhikode Sajna M V.1*, Bina T.2, Rahael L.3 DOI: https://doi.org/10.17511/ijphr.2017.i2.05 1* Sajna M V, Assistant Professor, Department of Community Medicine, Government Medical College, Thrissur, Kerala, India. 2 Thomas Bina, Professor and Head, Government Medical College, Kozhikode, Kerala, India. 3 Lucy Rahael, Former Professor and Head, Government Medical College, Thrissur, Kerala, India.
Kozhikode Sajna农村地区已婚育龄妇女(15-45岁)的生殖发病率及其决定因素M V.1*, Bina T.2, Rahael L.3https://doi.org/10.17511/ijphr.2017.i2.05 1* Sajna M V,印度喀拉拉邦特里苏瑟尔政府医学院社区医学系助理教授。2 Thomas Bina,印度喀拉拉邦科日科德政府医学院教授兼院长。3 Lucy Rahael,印度喀拉拉邦特里苏瑟尔政府医学院前教授兼院长。
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引用次数: 5
A comprehensive study of disease pattern in world’s largest mass gathering 世界上最大规模人群聚集的疾病模式综合研究
Pub Date : 2017-04-30 DOI: 10.17511/ijphr.2017.i2.01
Kanti Sahu, S. Meena, S. Singh, L. Kot
A comprehensive study of disease pattern in world’s largest mass gathering Lal Sahu K.1, Meena S.2, Kumar Singh S.3, Singh Kot L.4* DOI: https://doi.org/10.17511/ijphr.2017.i2.01 1 Kanti Lal Sahu, Director, Department of Health Syaervices, Government of Madhya Pradesh, Bhopal, Madhya Pradesh, India. 2 Sheela Meena, Integrated Disease Surveillance Program, Department of Health Services, Government of Madhya Pradesh, Bhopal, Madhya Pradesh, India. 3 Shailendra Kumar Singh, Integrated Disease Surveillance Program, Department of Health Services, Government of Madhya Pradesh, Bhopal, Madhya Pradesh, India. 4* Lokendra Singh Kot, State Entomologist and State Epidemiologist respectively, Integrated Disease Surveillance Program, Health Services, Government of Madhya Pradesh, Bhopal, Madhya Pradesh, India.
世界上最大的群众集会Lal Sahu K.1、Meena s.2、Kumar Singh s.3、Singh Kot L.4*疾病模式的综合研究DOI:https://doi.org/10.17511/ijphr.2017.i2.011 Kanti Lal Sahu,印度中央邦博帕尔中央邦政府卫生系统部主任。2 Sheela Meena,印度中央邦博帕尔中央邦政府卫生服务部综合疾病监测项目。3 Shailendra Kumar Singh,印度中央邦博帕尔中央邦政府卫生服务部综合疾病监测项目。4*Lokendra Singh Kot,分别为中央邦、博帕尔、印度中央邦政府卫生服务综合疾病监测项目的国家昆虫学家和国家流行病学家。
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引用次数: 1
Psychiatric morbidity in parents of children with behavioral problems attending child guidance clinic 在儿童指导诊所就诊的有行为问题的儿童父母的精神病发病率
Pub Date : 2017-04-30 DOI: 10.17511/ijphr.2017.i2.03
T. C. Babu, K. Saji, Sharon Raj Eliza
Psychiatric morbidity in parents of children with behavioral problems attending child guidance clinic C Babu T.1, Saji K.2, Raj Eliza S.3* DOI: https://doi.org/10.17511/ijphr.2017.i2.03 1 Tom C Babu, Assistant Surgeon, Department of Psychiatry, Taluk Hospital, Chettikad, Kerala, India. 2 Saji K, Additional Professor, Department of Psychiatry, Government T D Medical College, Alappuzha, Kerala, India. 3* Sharon Raj Eliza, Post Graduate student, Department of Community Medicine, Government TD Medical College, Alappuzha, Kerala, India.
在儿童指导诊所C Babu T.1、Saji K.2、Raj Eliza S.3*就诊的有行为问题的儿童父母的精神病发病率DOI:https://doi.org/10.17511/ijphr.2017.i2.031 Tom C Babu,印度喀拉拉邦Chettikad Taluk医院精神科助理外科医生。2 Saji K,印度喀拉拉邦阿拉普扎政府医学院精神病学系副教授。3*Sharon Raj Eliza,印度喀拉拉邦Alappuzha政府TD医学院社区医学系研究生。
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引用次数: 1
Prevalence and pattern of morbidities among children at a private school in rural area of Koppal, Karnataka 卡纳塔克邦Koppal农村地区一所私立学校儿童患病率和发病模式
Pub Date : 2017-04-30 DOI: 10.17511/ijphr.2017.i2.04
Smita M. Nimbannavar
Prevalence and pattern of morbidities among children at a private school in rural area of Koppal, Karnataka M Nimbannavar S.1, Mane V.2*, Yuvaraj B Y.3 DOI: https://doi.org/10.17511/ijphr.2017.i2.04 1 Smita M Nimbannavar, Assistant Professor, Department of Community Medicine, Koppal Institute of Medical Sciences, Koppal, Karnataka, India. 2* Vijaykumar Mane, Assistant Professor, Department of Community Medicine, Koppal Institute of Medical Sciences, Koppal, Karnataka, India. 3 Yuvaraj B Y, Professor & Head, Department of Community Medicine, Koppal Institute of Medical Sciences, Koppal, Karnataka, India.
卡纳塔克邦Koppal农村地区私立学校儿童患病率和发病模式M Nimbannavar S.1, Mane V.2*, Yuvaraj B Y.3https://doi.org/10.17511/ijphr.2017.i2.04 1印度卡纳塔克邦科帕尔科帕尔医学科学研究所社区医学系助理教授Smita M Nimbannavar .2 * Vijaykumar Mane,印度卡纳塔克邦科帕尔科帕尔医学科学研究所社区医学系助理教授。3印度卡纳塔克邦科帕尔科帕尔医学科学研究所社区医学系教授兼主任Yuvaraj B Y。
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引用次数: 0
A study of tobacco consumption among the adult population in the urban slums of Silchar, Assam 阿萨姆邦西尔查尔城市贫民窟成年人口烟草消费研究
Pub Date : 2017-04-30 DOI: 10.17511/ijphr.2017.i2.02
A. Nath
Objective: To assess the prevalence, the various forms and the different correlates of tobacco consumption in the Urban Slums of Silchar, Assam. Materials and Methods: A crossectional study was conducted in the Urban slums of Silchar Assam from January 2016 to December 2016 among 714 individuals aged 15 years and above. The data were collected in a pre designed and pre tested schedule by interview method and house to house visit in the selected slum. Results: This study revealed that as high as 55.46 % individuals consumed tobacco in one form or the other. Chewing of tobacco was the most popular form of tobacco use (55.81%). Marked gender differences were noted with 70.11% of male used tobacco in comparison to 38.98% of female. Common reasons found for tobacco consumption were peer pressure (50.76%), Fun (35.35%), Curiosity (25.76%) and parents smoking habit (5.30%). Initiation to tobacco habit in majority (54.29%) began at 15 to 19 years of age. Majority (51.11%) of tobacco smoker used 11 to 15 numbers of cigarettes/ bidis daily and 25% spent Rupees 31 to 50 per day. Tobacco consumption was found higher in illiterates (58.20%), low socio-economic status (58.38%), schedule caste (57.18%) and daily wage earner (59.26%) population. The prevalence was seen decreased as the education level increased. 69.75% respondents were aware of tobacco related health hazards. Majority gathered their knowledge from media (58.23%) health personnel (30.12%), friends (15.16%) and family members (5.62%). Conclusion: It is observed from this study that among the slum population tobacco consumption was much higher and younger subject have started tobacco use relatively at an early age. So Anti tobacco Education and Health Awareness campaign etc. should be initiated right from the beginning of the primary school as a part of prevention and control strategies of tobacco use.
目的:评估阿萨姆邦锡尔查尔城市贫民窟烟草消费的流行率、各种形式和不同的相关性。材料和方法:2016年1月至2016年12月,在锡尔恰尔阿萨姆邦的城市贫民窟对714名15岁及以上的人进行了交叉研究。数据是在预先设计和测试的时间表中通过访谈方法和对选定贫民窟的挨家挨户访问收集的。结果:这项研究表明,高达55.46%的人以某种形式吸食烟草。咀嚼烟草是最受欢迎的烟草使用形式(55.81%)。男性使用烟草的比例为70.11%,而女性使用烟草的比率为38.98%。吸烟的常见原因是同伴压力(50.76%)、乐趣(35.35%)、好奇心(25.76%)和父母吸烟习惯(5.30%)。大多数人(54.29%)从15至19岁开始养成吸烟习惯。大多数(51.11%)吸烟者每天使用11至15支香烟/比迪,25%的人每天花费31至50卢比。文盲(58.20%)、低社会经济地位(58.38%)、在册种姓(57.18%)和日薪人群(59.26%)的烟草消费量较高。患病率随着教育水平的提高而下降。69.75%的受访者意识到烟草对健康的危害。大多数人的知识来源于媒体(58.23%)、卫生人员(30.12%)、朋友(15.16%)和家人(5.62%)。因此,反烟草教育和健康意识运动等应该从小学一开始就开始,作为烟草使用预防和控制策略的一部分。
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引用次数: 0
Surgical Management of Snake Envenomation in India Current Perspective 从印度的现状看蛇包膜的外科治疗
Pub Date : 2017-02-28 DOI: 10.17511/IJPHR.2017.I1.03
S. Rajan
India has reported one of the highest snake bite mortality rates in the world. It is estimated that over 5 million persons per year are bitten by snakes of whom, over 1,00,000 survivors develop severe sequelae due to local wound complications. The adoption of harmful first aid practices like use of tourniquets or cutting and sucking the snake bite marks further complicates wound management. National Snake Bite Protocol has been issued in 2007, with technical support from WHO to institute proper management of snake bites. However, there is no evidence based guidelines for local wound management in snake envenomation. The local tissue problems at the bite site were effectively managed by timely administration of anti-snake venom and other supportive management in majority of patients. Cribari et al have graded the local signs of envenomation. Local tissue complications are most frequently seen with bite from Viperidae. Cytotoxic enzymes in viper venom cause proteolysis, lipolysis, blisters, necrosis and gangrene. Surgical management of snake bite has a significant role in preventing late sequelae and permanent disability due to snake bite wounds. The aim of surgical intervention will be radical removal of all devitalized tissues, followed by reconstructive procedures using skin grafts and flaps, to minimize functional loss and maximize rehabilitation. This paper explores the pathology of a snake bite wound and compiles the accepted guidelines for wound management and also the do’s and don’ts pertaining to the bite areas following a snake bite.
据报道,印度是世界上蛇咬死亡率最高的国家之一。据估计,每年有超过500万人被蛇咬伤,其中超过10万幸存者由于局部伤口并发症而产生严重的后遗症。采用有害的急救方法,如使用止血带或切割和吸吮蛇咬痕,使伤口处理进一步复杂化。在世卫组织的技术支持下,于2007年发布了国家蛇咬伤议定书,以便对蛇咬伤进行适当管理。然而,在蛇中毒的局部伤口管理尚无基于证据的指导方针。多数患者通过及时给予抗蛇毒及其他支持性处理,有效地处理了咬伤部位的局部组织问题。Cribari等人对局部中毒症状进行了分级。局部组织并发症是最常见的毒蛇咬伤。毒蛇毒液中的细胞毒酶会导致蛋白质分解、脂肪分解、水泡、坏死和坏疽。蛇咬伤的外科治疗对于预防蛇咬伤引起的晚期后遗症和永久性残疾具有重要作用。手术干预的目的是彻底切除所有失活组织,然后使用皮肤移植物和皮瓣进行重建手术,以尽量减少功能损失并最大限度地恢复。本文探讨了蛇咬伤的病理,并编制了公认的伤口管理指南,以及蛇咬伤后咬伤区域的行为准则。
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引用次数: 1
Safety concerns over biomedical waste management in a tertiary care centre of North Kerala 北喀拉拉邦三级保健中心对生物医学废物管理的安全关切
Pub Date : 2017-02-28 DOI: 10.17511/ijphr.2017.i1.04
S. Jacob, Anitha Bhaskar, R. George, G. Harikrishnan
Safety concerns over biomedical waste management in a tertiary care centre of North Kerala Rose Jacob S.1*, Bhaskar A.2, Varkey George R.3, Harikrishnan G.4 DOI: https://doi.org/10.17511/ijphr.2017.i1.04 1* Sabitha Rose Jacob, Assistant Professor, Department of Community Medicine, Government Medical College, Manjeri, Kerala, India. 2 Anitha Bhaskar, Associate Professor, Department of Community Medicine, Government Medical College, Manjeri, Kerala, India. 3 Rony Varkey George, Intern, Government Medical College, Manjeri, Kerala, India. 4 Harikrishnan G, Intern, Government Medical College, Manjeri, Kerala, India.
北喀拉拉邦Rose Jacob S.1*、Bhaskar a.2、Varkey George R.3、Harikrishnan G.4三级护理中心生物医学废物管理的安全问题内政部:https://doi.org/10.17511/ijphr.2017.i1.041*Sabitha Rose Jacob,印度喀拉拉邦曼杰里政府医学院社区医学系助理教授。2 Anitha Bhaskar,印度喀拉拉邦曼杰里政府医学院社区医学系副教授。3 Rony Varkey George,印度喀拉拉邦曼杰里政府医学院实习生。4 Harikrishnan G,印度喀拉拉邦曼杰里政府医学院实习生。
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引用次数: 1
Prevalence of drop out in measles immunization coverage among children in Kanyakumari District, Tamilnadu 泰米尔纳德邦Kanyakumari县儿童麻疹免疫覆盖率下降的情况
Pub Date : 2017-02-28 DOI: 10.17511/IJPHR.2017.I1.05
A. Mathiarasu, V. Raman, M. Arumai
Background: Measles is highly prevalent across globe and it is the main cause for childhood mortality and morbidity. It has now come down in developed countries that worked to prevent transmission. It is still continuing to be a widespread disease in developing countries like India. Objective: To ascertain measles immunization coverage, factors leading to drop-outs and parents’ knowledge, attitude and perceived practices on it. Materials and Methods: A community based cross-sectional study design was adopted to study the children’s drop out in measles immunization. 210 children aged between 12 and 23 months in Kanyakumai district had been picked up from the entire population of 182519 using 30 X 7 cluster random sampling. Results: The study has shed some light on the coverage of measles vaccination of 81.4% with dropout of 18.6%. There were no statistically significant associations between area of residence, place of birth, sex, parental marital status, mothers’ pregnancy status & availability of immunization card and dropouts. In regards to their parents’ knowledge, attitude and perceived practices on Measles, 93.3% had vast awareness. Conclusion: A few factors like ignorance, long gap between administration of two vaccinations, lack of awareness on adverse impact of Measles, have hampered the program from reaching all children in the district. However, these challenges might be addressed through increasing the level of awareness among the parents, identification of dropout cases, scaling up of vaccination programs at gross root level, etc.
背景:麻疹在全球高度流行,是儿童死亡和发病的主要原因。现在,在努力防止传播的发达国家,这种情况已经下降。在印度等发展中国家,它仍然是一种普遍存在的疾病。目的:了解儿童麻疹免疫接种率、导致辍学的因素及家长对麻疹免疫接种率的了解、态度和认知做法。材料与方法:采用基于社区的横断面研究设计,对儿童麻疹免疫退出情况进行研究。采用30 X 7整群随机抽样,在Kanyakumai地区从182519人全部人口中抽取了210名年龄在12至23个月之间的儿童。结果:麻疹疫苗接种率为81.4%,辍学率为18.6%。居住地区、出生地点、性别、父母婚姻状况、母亲怀孕状况和免疫卡可得性与辍学之间没有统计学上的显著关联。在家长对麻疹的知识、态度和认知行为方面,93.3%的家长有广泛的认识。结论:无知、两次接种疫苗间隔时间长、对麻疹不良影响缺乏认识等因素阻碍了该项目无法覆盖该地区的所有儿童。然而,这些挑战可以通过提高家长的认识水平、确定辍学病例、在基层扩大疫苗接种计划等来解决。
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引用次数: 0
Influence of Socio Demographic Factors on Anxiety among Third Year Student in Ahfad University 社会人口学因素对阿法德大学三年级学生焦虑的影响
Pub Date : 2017-02-28 DOI: 10.17511/IJPHR.2017.I1.01
Srikanta Banerjee, R. Patel
Individuals with autoimmune rheumatic diseases (ARD) have a higher risk of cardiovascular disease than the general population. However, the classic 10-year cardiovascular risk scoring systems have not adequately incorporated this heightened risk into the prediction equations. The growing number of peer-reviewed articles in the professional literature is an indication of how individuals in the scholastic arena are expanding in the awareness of the link between ARDs and cardiovascular disease (CVD). By dissemination of best practices, other health care practitioners can learn about the specific needs of this specific subgroup of patients with ARD. The purpose of the literature review conducted here was to describe the status of the peer-reviewed literature pertaining to ARD versus CVD and raise awareness about what variables need to be included to adequately include the ARD subgroup. A literature search was conducted using the CINAHL, Medline, and PubMed databases. Inclusion criteria included publication date from January 1, 1995 through July 31, 2015, written in the English language, and a focus on cardiovascular disease as the primary discipline. Cardiovascular risk score was searched as an overarching discipline; articles focused on sub-disciplines or other health professions disciplines were excluded. The search resulted in 265 articles. Each of the authors reviewed the abstracts for all articles and read full articles when necessary. The result was 13 articles that were then considered in depth. The articles were categorized according to their primary theme: risk scoring method (N=6); link between ARD and CVD (N=3); physician knowledge about ARD and CVD link (N=2); limitations of scoring system (N=2). Year of publication and journal were also examined. The results of the literature search lead to several observations about how the peer-reviewed literature has been used to date and how it could be used to create more robust scoring methods on predicting CVD.
患有自身免疫性风湿性疾病(ARD)的个体患心血管疾病的风险高于一般人群。然而,经典的10年心血管风险评分系统并没有充分地将这种高风险纳入预测方程。专业文献中越来越多的同行评议文章表明,学术领域的个人正在扩大对ARDs与心血管疾病(CVD)之间联系的认识。通过传播最佳实践,其他卫生保健从业人员可以了解这一特定亚群ARD患者的具体需求。本文进行文献综述的目的是描述与ARD和CVD相关的同行评议文献的现状,并提高人们对需要纳入哪些变量才能充分纳入ARD亚组的认识。使用CINAHL、Medline和PubMed数据库进行文献检索。纳入标准包括出版日期为1995年1月1日至2015年7月31日,以英文撰写,并以心血管疾病为主要学科。研究将心血管风险评分作为一项首要学科;侧重于子学科或其他卫生专业学科的文章被排除在外。搜索结果是265篇文章。每位作者都审阅了所有文章的摘要,必要时阅读全文。结果是13篇文章,然后深入研究。根据文章的主要主题进行分类:风险评分法(N=6);ARD与CVD之间的联系(N=3);医师对ARD与CVD关联的认知(N=2);评分系统的局限性(N=2)。还审查了出版年份和期刊。文献检索的结果导致了一些关于迄今为止如何使用同行评议文献的观察,以及如何使用它来创建更可靠的预测心血管疾病的评分方法。
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引用次数: 0
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International journal of public health research
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