scholarly journals A retrospective study to analyse the ocular morbidity in the slum-dwelling population of central India.

2021 ◽  
Vol 6 (4) ◽  
pp. 69-75
Author(s):  
Dr. Poorva Shrivastava ◽  
◽  
Dr Apoorva Soni ◽  
Dr. Salil Kumar ◽  
Dr. Lalit Shrivastava ◽  
...  

Background: The study aimed to evaluate the prevalence of different ocular pathologies in theslum-dwelling population of central India and to find its correlations with socio-demographic factors.Methodology: The study was conducted as a cross-sectional study in 84 slum areas across Bhopal,Jabalpur and areas in the vicinity using a camp-based approach during the study period of 3 years.A total of 15478 participants attended the camp, and of them, 6177 patients had variousophthalmological conditions. A detailed history was obtained, and participants were subjected to acomplete ophthalmological examination. Based upon their diagnosis, they were prescribedtreatment. Referral to the tertiary care centre was done when needed. Results: The prevalence ofocular morbidities was 39.9%. The most common ocular morbidity documented in our study wasrefractive errors (22.7%). Proportions of lid pathologies were significantly higher in patientsbelonging to less than ten years of age (36.4%). In contrast, refractive errors were observed inhigher proportions of patients belonging to more than ten years of age (p<0.05). Pterygium ratiowas significantly higher in males, whereas ocular malignancies were higher in females (p<0.05).Proportions of almost all the ocular morbidities were substantially higher in patients with lowsocioeconomic status (p<0.05). Conclusion: The overall prevalence of ocular morbidities in theslum population is high. The most common ocular morbidity includes refractive error and allergicconjunctivitis. These morbidities correlated with age, gender and socioeconomic status. Werecommend periodic screening of the slum population across all age range to prevent long termcomplications and disabilities.

2020 ◽  
pp. 57-59
Author(s):  
Ankur Singhai ◽  
Swadesh Kumar Verma

Breast milk is the most ideal and valuable food for the growing infant since it suffices most of the nutritional requirements if given adequately and in appropriate manner. The aim of the study is to assess the knowledge, attitude and practices of mother regarding lactation and impact of counselling to mothers. A questionnaire based cross sectional study was planned and the patients were divided in groups. Statistical analysis was done using IBM SPSS version 22 software.Chi square/Fisher Extract/Student t test and ANOVA test had been used. Most of the ladies had initiated early breastfeeding in both the groups.Hospital staff and family support were the key components influencing the knowledge of breastfeeding.Successful breastfeeding is an important child rearing skill to be learnt and practiced. More IEC activities targeted to promote institutional deliveries will give more opportunity for lactation counselling besides various other advantages like reducing MMR, NMR thus marching towards achieving millennium development goals.We recommend that in every hospital where deliveries are happening, employment of trained lactation counsellors should be made mandatory to improve breastfeeding rates.


Author(s):  
Archana Dethe ◽  
Pradeep Kaswan ◽  
Umakant G. Shidam ◽  
Bhagyashree S. Gawande ◽  
Daljeet Kaur

Background: Unmet need of contraception remains a national problem. The study was conducted among the mothers attending immuno-prophylaxis clinic (IPC) at tertiary care centre of central India to determine the use of different types of contraception and assess the unmet need for contraception along with the reasons associated with the unmet needs of contraception. Aim and objective was to study the contraceptive use, reasons for unmet needs amongst the mothers attending IPC and some related factors.Methods: This was a cross-sectional study conducted during the period from February-April 2016 at IPC in tertiary care setting. In this study 280 mothers attending IPC for Measles and DPT 1st booster of their child were enrolled. The sample population was selected by simple random sampling method. A pre-tested structured questionnaire was used to collect data from the respondents with written informed consent.Results: This study shows that, 65% of mother told they were practicing any type of family planning method. Unmet need for contraception was 37.14 per cent. Among those having unmet need (n=104), fear of side effects (41.35%), infrequent sex (25%) were the common reasons for unmet need. Religion, age of marriage, age at 1st pregnancy, education, socioeconomic status, occupation of husband, counselling about contraceptives during ANC/PNC visits and resumption of menses were significantly associated with the use of contraceptives.Conclusions: The unmet need for contraception was quite high. Most of the study subjects were not using contraception due to fear of side effects and lack of knowledge.


2020 ◽  
pp. 1-3
Author(s):  
Anup Latne ◽  
Prabhakar Jirvankar

Hypertension is a major public health problem all over the world. The incidence of hypertension is increasing year after year and the prevalence of hypertension is increasing day by day due to increased life expectancy and aging population and their sedentary lifestyle. Hypertension is known to cause microvascular changes and increased cardiovascular risk from it. Microalbuminuria possibly reflects a state of increased renal endothelial permeability and is an easily measured marker of rather diffuse endothelial dysfunction, low grade inflammation and vascular disease burden2. Microalbuminuria has been determined as an important prognostic indicator and has been reported to be associated with increased cardiovascular risk and progressive renal damage. Reliable data on the prevalence of microalbuminuria in the general population and its association with cardiovascular risk factors is limited. Till now, there is little data available regarding screening and early treatment of hypertensive patients with microalbuminuria, as in the case of microalbuminuric non diabetic subjects. With these perspective this cross sectional study of microalbuminuria in non-diabetic hypertensive patients was undertaken to study prevalence of microalbuminuria in Non Diabetic hypertensive patients. Objectives: To determine the prevalence of microalbuminuria in non-diabetic hypertensive patients and to correlate the presence of microalbuminuria with the patients of different clinical profiles. Materials and Methods: This was observational, cross sectional study of Patients diagnosed with hypertension either admitted in ward or attending OPD of Medical College and Tertiary Care Centre. Urine microalbumin creatinine ratio was used for estimation of microalbuminuria. Conclusion: It was proved that microalbuminuria prevalence was directly proportional to the duration of hypertension, the stage of hypertension. Prevalence of microalbuminria was low in ACE inhibitor and ARB treated hypertensive patients.


2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Badri Rijal ◽  
Krishna Rana ◽  
Srijana KC ◽  
Jamuna Lamsal

Introduction: Orthopedic conditions include a range of condition varying from traumatic injuries, congenital anomalies, chronic back-pain, arthritis, rheumatologic conditions, and other. In Nepal, approximately 2.35 million people are living with musculoskeletal conditions in which 175,000 people are suffering with MSD from non-traumatic causes. The aim of the study is to observe the clinical and demographic pattern of orthopedic problems presenting in the hospital. Methods: A descriptive cross-sectional study was done in All Nepal Hospital Private Limited in the month of November. The data from the medical record section was retrospectively collected. Sample size of 384 was included and convenience sampling technique was used. The descriptive statistical analysis was done. Results: Eight hundred forty four cases were included in the study. Implant removal was the main condition for admission in the hospital 105 (12.44%) followed by Forearm Bone Fracture 84 (9.95%) and Cut Injury 64 (7.58%). Most cases presented during the time 6 PM to 12 AM 312 (36.96%). Conclusions: Most of the orthopedic cases presented in the evening and night time. Implant removal, forearm bone fracture and cut injury form the major bulk of the cases.


Author(s):  
Renu Sulakhe Vasant ◽  
Lavanya K. M. Rao ◽  
Nageswara Rao V.

Background: Low birth weight (LBW) is one of the commonest cause for infant and childhood morbidity and mortality. The majority of low birth weight in developing countries is due to intrauterine growth retardation, while most low birth weight in industrialized countries is due to preterm birth. LBW is the single most important factor determining the survival chances of the child. The objectives of the study were to assess the proportion of low birth weight among babies delivered by mothers at a tertiary care hospital and to analyse the relationship between low birth weight and certain socio-demographic factors.Methods: A cross-sectional study conducted in a tertiary care centre for a period of six months.Results: The prevalence of LBW was 23.5%. The proportion of mothers having low birth weight was maximum in women aged less than 18 years (35%) and more than 30 years (26.5%). Muslim women had a higher proportion of LBW (28.8%). LBW was more in women belonging to joint family (30.0%), low per capita income group and illiterates.Conclusions: The prevalence of LBW still continues to be high, almost one fourth of the babies are LBW. Different socio-demographic characteristics of the population are still the important factors determining the occurrence of LBW.


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