Prevalence of ear diseases in the children of Delhi

2015 ◽  
Vol 129 (5) ◽  
pp. 425-429 ◽  
Author(s):  
S K Chadha ◽  
K Gulati ◽  
S Garg ◽  
A K Agarwal

AbstractObjective:This study aimed to assess the prevalence and profile of ear diseases in children from Delhi, India.Methods:A population-based cross-sectional door-to-door survey was carried out in two districts of Delhi, and involved children of all demographic sections of the region. A total of 4626 children aged between 18 days and 15 years underwent examinations including otoscopy, impedance audiometry and hearing screening.Results:In all, 14.8 per cent of the study sample was diagnosed with one or more ear morbidities, the most common being cerumen impaction (7.5 per cent) and chronic suppurative otitis media (3.6 per cent). There was clinical evidence of otitis media with effusion in 2 per cent of children, and 0.96 per cent had otitis externa (bacterial and fungal). The point prevalence of acute suppurative otitis media was 0.39 per cent. In all, 0.45 per cent of children were found to have an undiagnosed foreign body within the ear canal.Conclusion:The high prevalence of ear disease poses a significant public health problem in Delhi.

2021 ◽  
Author(s):  
David Alberto Forero-Peña ◽  
Marisol Sandoval de Mora ◽  
Iván D. Amaya Rodríguez ◽  
Ángel F. Gamardo ◽  
Melynar Chavero ◽  
...  

Abstract Background Malaria remains a significant public health problem worldwide. Simultaneous infections with other pathogens complicate its diagnosis and can also change the clinical course of the disease. The similarities in the clinical presentation of malaria and other infections and the superimposed endemicity result in underdiagnosis of coinfections and increase mortality. No studies have focused on the presence of coinfections in patients with malaria in Venezuela. Methods Between June and November 2018, we conducted a cross-sectional study in patients with malaria who presented to any of the three reference medical centers in Ciudad Bolívar, Venezuela. A clinical and laboratory evaluation searching for coinfections with Dengue (DENV), Chikungunya (CHIKV), Viral Hepatitis (VH) (A, B, and C), and Leptospirosis (LEP) was performed using ELISA to test each patient. Results We studied a total of 161 patients of whom 106 (65.8%) presented P. vivax infection, 43 (26.7%) P. falciparum, and 12 (7.5%) had mixed malaria infections. Coinfections were found in 55/161 (34.2%) patients and were more frequent in patients with P. falciparum (48.8%) than in those with P. vivax (29.2%), or mixed infection (25%) [OR = 2.43; 95% CI = 1.39–4.25; p = 0.018]. The most prevalent coinfection was with DENV (14.9%), followed by HAV (11.8%), HBV (6.2%), CHIKV (5.5%), and LEP (3.7%). Coinfection with HCV was absent. Complicated malaria was significantly more frequent in coinfected individuals (56.4%) than those without coinfection (35.8%) [OR: 2.31; 95% CI = 1.18–4.92; p = 0.013]. Conclusion We found a high prevalence of coinfections in patients with malaria in this region, which was related to a worse outcome. Further prospective studies with samples at different points of infection and the use of molecular tools are needed.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041609
Author(s):  
Emmanuel Nii-Boye Quarshie ◽  
Farag Shuweihdi ◽  
Mitch Waterman ◽  
Allan House

ObjectivesTo identify the prevalence, methods, associations and reported reasons for self-harm among in-school and street-connected adolescents in Ghana.DesignA cross-sectional survey. We applied multi-level regression models and model-based cluster analysis to the data.SettingThree contexts in the Greater Accra region were used: second cycle schools, facilities of charity organisations and street census enumeration areas (sleeping places of street-connected adolescents, street corners, quiet spots of restaurants, markets, train and bus stations, and lorry and car parks).ParticipantsA regionally representative sample of 2107 (1723 in-school and 384 street-connected) adolescents aged 13–21 years.Outcome measuresParticipants responded to a structured self-report anonymous questionnaire describing their experience of self-harm and eliciting demographic information and social and personal adversities.ResultsThe lifetime prevalence of self-harm was 20.2% (95% CI 19.0% to 22.0%), 12-month prevalence was 16.6% (95% CI 15.0% to 18.0%) and 1-month prevalence was 3.1% (95% CI 2.0% to 4.0%). Self-injury alone accounted for 54.5% episodes and self-poisoning alone for 16.2% episodes, with more than one method used in 26% of episodes. Self-cutting (38.7%) was the most common form of self-injury, whereas alcohol (39.2%) and medications (27.7%) were the most commonly reported means of self-poisoning. The factors associated with self-harm were interpersonal: conflict with parents (adjusted OR (aOR)=1.87, 95% CI 1.24 to 2.81), physical abuse victimisation (aOR=1.69, 95% CI 1.16 to 2.47), difficulty in making and keeping friends (aOR=1.24, 95% CI 0.85 to 1.80), sexual abuse victimisation (aOR=1.21, 95% CI 0.78 to 1.87) and conflict between parents (aOR=1.07, 95% CI 0.73 to 1.56).ConclusionsSelf-harm is a significant public health problem among in-school and street-connected adolescents in the Greater Accra region of Ghana. Its origins are very largely in social and familial adversity, and therefore prevention and treatment measures need to be focused in these areas.


Vaccines ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 327
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino

Influenza is a significant public health problem and the elderly are at a greater risk of contracting the disease. The vaccination coverage of the elderly is below the Spanish target of 65% for each influenza season. The aims of this study were to report the coverage of influenza vaccination in Spain among the population aged ≥65 years and high-risk groups for suffering chronic diseases, to analyze the time trends from 2006 to 2017 and to identify the factors which affect vaccination coverage. A nationwide cross-sectional study was conducted including 20,753 non-institutionalized individuals aged ≥65 years who had participated in the Spanish National Health Surveys in 2006, 2011/2012, and 2017. Sociodemographic, health-related variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with influenza vaccination. Influenza vaccination coverage was 60%. By chronic condition, older people with high cholesterol levels and cancer had the lowest vaccination coverage (62.41% and 60.73%, respectively). This coverage declined from 2006 to 2017 in both groups. Higher influenza vaccination was associated with males, Spanish nationality, normal social support perceived, polypharmacy, worse perceived health, participation in other preventive measures, and increasing age and the number of chronic diseases.


1991 ◽  
Vol 107 (3) ◽  
pp. 685-691 ◽  
Author(s):  
R. Eitrem ◽  
M. Stylianou ◽  
B. Niklasson

SUMMARYNeutralizing antibodies to sandfly fever Naples, sandfly fever Sicilian and Toscana viruses were investigated among 479 sera collected from a normal human population in Cyprus. Antibody prevalence rates of 57%, 32% and 20% were found to Naples, Sicilian and Toscana viruses, respectively. The observed frequency of dual and triple infections was higher than would be expected with a random chance of infection. Antibody prevalence rates were similar for men and women for all three viruses tested, but one of two study sites had significantly higher antibody prevalence to Naples and Sicilian viruses than the other. Individuals with antibodies to both Naples and Toscana viruses had higher antibody levels to Naples virus than those with antibodies to Naples virus only. If the antibody prevalence rates found in this study reflect a history of clinical disease as described in the literature, sandfly fever poses a significant public health problem in Cyprus.


2017 ◽  
Vol 7 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Sanjeev Kumar Thakur ◽  
Rabin Acharya ◽  
Sanjay Kumar Singh ◽  
Nisha Ghimire

This study was carried out to find the prevalence of ear diseases in school-going children of the Sunsari and Morang district of Eastern Nepal. This is a prospective, cross sectional, clinical study in 3729 school going children of up to 15 years of the Sunsari and Morang district of eastern Nepal done in year 2014 and 2015 AD. Informed consent was obtained. 1346 (36.09%) children had different ear ailments. Ear wax 616 (45.76%) and otitis media with effusion 226 (16.79%) were the commonest diseases found. Chronic otitis media mucosal type was found in 104 (7.73%) children. Chronic otitis media squamous 6 (0.45%), Otomycosis 155 (11.51%), otitis externa 16 (1.19%), acute Otitis media 119 (8.84%), Eustachian tube dysfunction 92 (6.84%), Perichondritis 4(0.29%), Foreign body in the ear 2 (0.15%), Preauricular sinus 2 (0.15%) and sensorineural hearing loss 4 (0.29%) were the other diseases found. Ear diseases are important health problems among school-going children of the Sunsari and Morang district of eastern Nepal. Health education,nutrition, improvement of socioeconomic status and health care facilities should be helpful in reducing the prevalence of ear diseases.


2020 ◽  
Author(s):  
Nicole Kravitz-Wirtz ◽  
Amanda Aubel ◽  
Julia Schleimer ◽  
Rocco Pallin ◽  
Garen Wintemute

AbstractIMPORTANCEViolence is a significant public health problem that has become entwined with the coronavirus pandemic. Conditions that contribute to violence—poverty, unemployment, lack of available resources, isolation, hopelessness, and loss—have intensified and are further compounded by the recent surge in firearm sales, which is itself a risk factor for firearm-related harm.OBJECTIVETo describe individuals’ worry about violence for themselves and others in the context of the pandemic, pandemic-related unfair treatment, as well as the prevalence of and reasons for firearm acquisition and changes in firearm storage practices due to the pandemic. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used data from the California Safety and Wellbeing Survey, a statewide Internet survey of 2,870 California adults (18 years of age and older) conducted from July 14 to July 27, 2020. Responses were weighted to be representative of the state population of adults.MAIN OUTCOMES AND MEASURESSurvey topics for this study included: changes in worry about violence happening to oneself, by type of violence and location, before and during the pandemic; concern someone else might physically hurt another person or themselves on purpose due to a pandemic-related loss; experiences of unfair treatment related to the pandemic; firearm and ammunition acquisition and changes in firearm storage practices due to the pandemic; and participation in civic and political activities “in response to gun violence” during the pandemic.RESULTSWorry about violence significantly increased during the pandemic for all violence types except mass shootings. More than 1 in 10 respondents were concerned that someone they know might intentionally harm another person (12.2%) or themselves (13.1%). Of those concerned about self-harm for someone else, 7.5% said it was because the person had suffered a pandemic-related loss. An estimated 110,000 individuals acquired a firearm in response to the pandemic (2.4% of current firearm owners), including 47,000 new owners. Approximately 55,000 individuals (1.2% of owners) who currently store at least one firearm loaded and not locked up said they had adopted this unsecure storage practice in response to the pandemic.CONCLUSIONS AND RELEVANCEGiven the impulsive nature of many types of violence, short-term crisis interventions, such as options for temporary firearm storage outside the home, extreme risk protection orders, and efforts involving community-based violence intervention workers, may be critical for reducing violence-related harm now and following other societal shocks.Key PointsQUESTIONSHas the coronavirus pandemic modified (1) individuals’ worry about violence for themselves or others, (2) the prevalence of and reasons for firearm and ammunition acquisition, and (3) firearm storage practices?FINDINGSIn this cross-sectional, population-representative survey of 2,870 adults in California, worry about multiple types of violence for oneself increased during the pandemic; pandemic-related loss contributed to concern that someone else might physically harm themselves on purpose; an estimated 110,000 people acquired firearms due to the pandemic (2.4% of firearm owners in the state), including approximately 47,000 new owners; and 6.7% of owners who currently store firearms loaded and not locked up adopted this unsecure storage practice in response to the pandemic.MEANINGViolence is a significant public health problem that touches the lives of far more people than is typically recognized. The coronavirus pandemic and efforts to lessen its spread have compounded this burden.


2018 ◽  
Vol 52 ◽  
pp. 11s
Author(s):  
Roberta Hirschmann ◽  
Ana Paula Gomes ◽  
Helen Gonçalves

OBJECTIVE: To evaluate the prevalence and demographic, socioeconomic, behavioral and health factors associated with depressive symptomatology in rural residents. METHODS: This is a population-based, cross-sectional study with a representative sample of 1,453 residents aged 18 years or over of the rural area of the city of Pelotas, State of Rio Grande do Sul, Brazil. We used the Edinburgh Postnatal Depression Scale to evaluate depressive symptomatology, considering the cutoff point ≥ 8 points. We evaluated the association between the outcome and the independent variables using Poisson regression. RESULTS: The prevalence of depressive symptomatology was 35.4% (95%CI 31.5–39.3). After adjustment, the depressive symptomatology was higher among women (PR = 1.77, 95%CI 1.46–2.15), individuals with low education level (0–4 years of study) (PR = 1.62, 95%CI 1.22–2.16), worse socioeconomic conditions (classes D or E) (PR = 1.49, 95%CI 1.22–1.83), and with chronic diseases (PR = 1.74, 95%CI 1.24–2.45). CONCLUSIONS: The high prevalence of depressive symptomatology in rural residents indicates the relevance of depression as an important public health problem in this population. Specific attention should be aimed at the subgroups that presented the highest prevalence of symptomatology


2010 ◽  
Vol 61 (1) ◽  
pp. 15-24 ◽  
Author(s):  
C. F. Manso ◽  
D. Polo ◽  
M. L. Vilariño ◽  
J. L. Romalde

Hepatitis A virus (HAV) represents a significant public health problem due to its high persistence in the environment and its transmission through contaminated water and food. Bivalve shellfish are filter feeders that can bioaccumulate human pathogens found in contaminated waters, their consumption being a potential cause of hepatitis A outbreaks. In this work, cultured and wild bivalve shellfish from the Ría de Vigo (Galicia, NW Spain) were analysed for the presence and genotyping of HAV. A total of 160 shellfish samples were collected between March 2004 and December 2006, including 68 samples from cultured mussels (Mytilus galloprovincialis), 30 from wild clams (Rupitapes decussatus), 31 from wild cockles (Cerastoderma edule) and 31 from wild mussel. HAV detection, carried out by quantitative RT-PCR, was positive for 29 (42.6%) cultured and 40 (43.5%) wild samples, with levels ranging from 3.1 × 102 and 1.4 × 1010 RNA copies/g of shellfish digestive tissue. The phylogenetic analysis of VP1-P2A and VP3-VP1 regions, separately or as concatenated sequences, revealed that all HAV strains analysed belong to subgenotype IB. These results indicate a high prevalence of this subgenotype in the area studied.


Author(s):  
Magna Manjareeka ◽  
Soumya Mishra ◽  
Prakash K Nayak ◽  
Shubhransu Patro ◽  
Jayanti Mishra ◽  
...  

Objective: This study was planned to assess the prevalence of metabolic syndrome (MetS) among doctors of Bhubaneswar. Methods: A cross-sectional, single-centered observational study was conducted among doctors over a period of 8 months after clearance from Institutional Ethical Committee. All consented participants were subjected to anthropometric measurements and physical examination. Fasting plasma glucose and complete lipid profile were estimated using standard procedures after 12 h of overnight fast. MetS was defined according to the Modified National Cholesterol Education Program-Adult Treatment Panel III criteria for MetS screening. Results: Among 170 participants (males - 117 and females - 53), 64 (37.65%) were with MetS. Prevalence of same was higher in males (41.9%) than females (28.3%). The younger doctors (≤40 years) had more prevalence of MetS compared to the elderly (>40 years) doctors (41 [39.8%] vs. 23 [34.3%]). In the males, high blood pressure was the major contributor to the prevalence of MetS followed by low high-density lipoproteins-cholesterol (HDL-C) and high triglyceride values. However, in females, low HDL-C and greater waist circumference contributed the maximum to MetS. Conclusion: In the present study, the young male doctors have a greater prevalence of MetS than the older and the females. MetS is still a significant public health problem in the educated population including those of doctors, especially the younger ones. 


2016 ◽  
Vol 12 (2) ◽  
pp. 30-34
Author(s):  
AKM Asaduzzaman ◽  
Sarder Mohammad Golam Rabbani ◽  
Md Tauhidul Islam ◽  
Mohammod Delwar Hossain ◽  
Shafiul Alam ◽  
...  

Introduction: Audiometry is the measurement of hearing acuity. If it is done by using pure tones then it is called pure tone audiometry. It is the most commonly used method for hearing measurement. Objective: To find out the type and degree of hearing loss. Materials and Methods: The cross sectional prospective study was carried out in the Audiology unit of the Department of Otolaryngology-Head and Neck Surgery, Combined Military Hospital (CMH), Dhaka, in a period of 06 months from o1.03.2016 to 31.08.2016 among those complaining hearing loss attending in this hospital. 100 cases of hearing impaired people were taken and the data were collected by interviewing the cases as per questionnaire from history, examinations and investigation reports. Results: This study revealed that people of 21-30 years were most common sufferer of hearing loss and female was predominant (61%). The most common type of hearing loss was conductive type. In the right ear type of deafness were 46 cases (51.11%) of conductive type of deafness, 20 cases (23%) of mixed type of deafness and 17 cases (18.88%) of sensorineural type of deafness. In the left ear it was 53 cases (61.62%) of conductive type of deafness, 20 cases (23.25%) of mixed type of deafness and 13 cases (15.13%) of sensorineural type of deafness. This study showed that other ranks (ORs) families (45%) were commonest group of people. This study also revealed that Chronic suppurative otitis media (CSOM) (39%) was the commonest cause of hearing loss. Conclusion: This study denoted that commonest type of hearing loss was conductive type, commonest degree of hearing loss was mild degree and commonest causes of hearing losses were CSOM and otitis media with effusion (OME). Since, these conditions are preventable. So, appropriate measures can prevent hearing impairment in this study group. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 30-34


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