scholarly journals Prognostic significance of initial management of childhood diarrhoea in rural areas: an observational study

2019 ◽  
Vol 6 (6) ◽  
pp. 2493
Author(s):  
Poorva Gohiya ◽  
Varsha Shrivastava ◽  
Rashmi Dwivedi
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Care Center ◽  
Prognostic Significance ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Current Evidence ◽  
Cross Sectional ◽  
Initial Management ◽  
Health Care Center

Background: To identify current evidence in order to guide scaling up of initial management of diarrhoea among children of age group 2-60 months in rural areas of the country.Methods: This hospital based cross sectional study included all children 2 months to 60 months of age admitted with chief complains of loose stools in the last 7 days over a period of one year. A pre-tested questionnaire was used as the data collection tool and face to face interviews were conducted on mothers of children.  All the data were analyzed using IBM SPSS version 20 software. Chi-square/Fisher Exact/ Student t-test and ANOVA test has been used. Significance was assessed at 5%.Results: Data showed the use of antibiotic in 55.9% cases, IV fluids in 50.3%, ORS in 6.7%, zinc in 2.0% and blood transfusion in 13.8% cases as an initial management of diarrhoea in peripheral health care centers. Of these, 37.6% cases were severely dehydrated, and 8.14% cases were in shock at the time of admission. 10.1% mothers did not intervene in the first 3 days of the disease whereas 45.2% consulted some health care center only in the later part. 4.5% cases expired after admission of which 69% were malnourished.Conclusions: This study summarizes the importance of initial management of a child with diarrhoea in defining the further course of the disease and also the failure of effective promotion and propagation of the most appropriate and cost-effective therapy (ORS and Zinc) for diarrhoea in this part of the country. Pre-existing malnutrition further complicates the situation.

Current situation of stress, anxiety, and depression of the health care workers working at the Health Care Center of Soc Son district, Hanoi, Vietnam, 2019

2021 ◽  
Vol 30 (9) ◽  
pp. 91-98
Author(s):  
Vu Ngoc Ha ◽  
Mac Dang Tuan ◽  
Nguyen Thanh Trung ◽  
Nguyen Ngoc Huan ◽  
Luu Thi Lien ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Health Care Workers ◽  
Care Center ◽  
Health Sector ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Health Care Center ◽  
Care Workers

A cross-sectional study using DASS21 was performed in June 2019 on staff working at the commune health stations (CHSs), regional general clinics and district general clinics in Soc Son district, Hanoi to assess the mental disorders of the health care workers are working here. Among the 355 health care workers (HCWs) who participated, women accounted for 75.5%. People aged under 30 accounting for 33.5% of HCWs. Physicians, nurses take up 54.4%, and HCWs in the Soc Son district have worked in the health sector for more than ten years, accounting for 45.1%. The study shows that the rates of stress, anxiety, and depression were 13.8%, 25.4% and 16.6%, respectively. 31% of HCWs have at least one mental disorder, 8.2% of study subjects have all three manifestations of mental disorders, 8.4% of study subjects have two symptoms and 14.4% of the study subjects had only one manifestation. The rates of stress, anxiety, and depression were initially screened from the research results. The development of research directions for defnitive diagnosis and support for improving health care workers’ mental health should be integrated.

Awareness of Diabetic Retinopathy among Diabetic Patients in a Tertiary Health Care Center

2020 ◽  
Vol 11 (4) ◽  
pp. 7358-7365
Author(s):  
Keerthana S ◽  
Sanjeev Kumar Puri
Keyword(s):  
Health Care ◽  
Diabetic Retinopathy ◽  
Care Center ◽  
Cross Sectional Study ◽  
Treatment Modalities ◽  
Eye Disease ◽  
Diabetic Patients ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Health Care Center

The study aimed to assess the awareness of diabetic retinopathy among diabetic patients in a tertiary health care centre.  A hospital-based, cross-sectional study was conducted using a pre-tested semi-structured questionnaire on 115 diabetic patients. Male (76%) participated in the study were more than female (39%). Mean age of the study population being 50.44 years. There were no significant statistical associations between the demographic details and awareness of DR. In our study, 80.87% of people with diabetes were aware that DM could cause eye disease and 59.13% were aware that DR is an eye disease due to DM. There was a significant statistical association between them. The importance of regular eye visits was known by only 80% and followed by only 51.3%. Half of the subjects (52.17%) knew that DR could cause blindness. Only 57.39% knew about the treatment modalities of DR. Doctors should convey the importance of the disease and its risk factors to the patients. Thus, better prevention strategies of DR should be implemented among people with diabetes. Lack of awareness and lesser screening practices makes it difficult to prevent DR; thus, steps should be taken towards spreading awareness.

scholarly journals Health seeking behavior during pregnancy and delivery in Morang District of Nepal

2014 ◽  
Vol 2 (1) ◽  
pp. 4-9
Author(s):  
RB Sah ◽  
L Subedi ◽  
U Shah ◽  
N Jha
Keyword(s):  
Health Care ◽  
Care Center ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Sociodemographic Characteristics ◽  
Health Seeking ◽  
Cross Sectional ◽  
Health Care Center ◽  
Pregnancy And Delivery ◽  
Taking Care

Background and objectives: Importance of maternal health has been recognized over the last decade, however information about the perception of illness and health care behavior of obstetric complication is lacking. So, this study was conducted to find out the prevalence of taking care during pregnancy and delivery, and to find out the association between sociodemographic characteristics and taking care during pregnancy and delivery. Material and Methods: The study is a cross-sectional study conducted among the residents of Rangeli VDC of Morang District in Eastern Nepal where 300 households were taken as subjects. Semi-structured questionnaire was used and face to face interview was conducted. Chi-square test was applied to find out the association between sociodemographic characteristics and taking care during pregnancy and delivery. Results: Almost forty percent of pregnant women have taken care during pregnancy and delivery i.e. delivery conducted in Health Care Center (HCC). Only 21.8% of women were applied antiseptics after cutting cord and sixty three percent of women have fed colostrums to their babies. All of the women with Brahmin/ Chhetri have conducted delivery in Health Care Center. The women with SLC and higher education have conducted delivery at HCC more (91.1%) than below SLC (51%) and illiterate (12.5%). The women with service have conducted delivery at HCC more than other occupational groups. Conclusion: The problem of taking care during pregnancy and delivery is common and has become a key public health concern for all. Lack of education and poor occupation of wife and husband led some of the respondents not taking care during pregnancy and delivery. DOI: http://dx.doi.org/10.3126/jmcjms.v2i1.11389   Janaki Medical College Journal of Medical Sciences (2014) Vol. 2 (1): 4-9

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