scholarly journals Clinical profile of children aged 2 months to 60 months presenting with wheeze in a tertiary medical centre

2020 ◽  
Vol 7 (5) ◽  
pp. 1117
Author(s):  
Arup Ratan Mondal ◽  
Ch Shyamsunder Singh ◽  
Moirangthem Meenakshi Devi ◽  
Cindy Laishram ◽  
T. Kambiakdik
Keyword(s):  
Cross Sectional Study ◽  
Vital Role ◽  
Clinical Profile ◽  
Medical Sciences ◽  
Term Outcome ◽  
Cross Sectional ◽  
Low Socioeconomic ◽  
Number Of Children ◽  
Care Services ◽  
Study Population

Background: Wheezing is common throughout infancy and childhood except in the neonatal period where it is relatively rare. By 10 years of age, about 19% of children experience wheezing with an average onset at 3 years of age. This study was aimed to identify the diverse factors associated with wheezing in children aged 2 months to 60 months and to study clinical profile along with short term outcome of the same.Methods: It was a hospital based cross-sectional study carried out in the Department of Paediatrics, Regional Institute of Medical Sciences Hospital (RIMS), Imphal, Manipur. The Study population consisted of randomly selected 131 children aged 2 months to 60 months who were admitted in Paediatrics ward with the symptom of wheezing.Results: Authors found that age below 12 months, male sex, low socioeconomic conditions and artificial breastfeeding practices were important risk factors for wheeze.Conclusions: Wheezing is accountable for a high demand of medical consultations and emergency care services with relatively high rates of hospitalization. Along with ARI, it plays an important role in infant mortality. In Manipur, it is being observed that increasing number of children with wheezing are attended by paediatricians in ED, OPD and ward, thereby proving an added burden to the younger age group. Therefore proper health education and counselling of parents, promotion of exclusive breast feeding and improvement of socioeconomic status can play a vital role in preventing occurrence of wheeze among the children.

scholarly journals Contraception and Sexsual Activity as Factor Influenced Leucorrhea

2017 ◽  
Vol 5 (3) ◽  
pp. 371
Author(s):  
Sari Priyanti
Keyword(s):  
Hormonal Contraception ◽  
Cross Sectional Study ◽  
Childbearing Age ◽  
Cross Sectional ◽  
The Public ◽  
First Sexual Intercourse ◽  
Number Of Children ◽  
Study Population ◽  
The Impact ◽  
First Time

ABSTRACTCervical cancer was non communicable desease that worries the public and causes an increase mortality in women. One of the first sign causes of cervical cancer is occourrence of Leucorrhoe. The incidence of Leucorrhoe in women Indonesia by 90% of which >75% of women experience once of leucorrhoe and experience ≥ 2 times by 25%. Leucorrhoe should not be considered an ordinary thing because can be caused to itchy on genetalia, pain during sexsual, infection  can be caused odema on genetalia, hot like burned on vagina even the impact if not treated promptly will caused infertility and cancer. Aims of study was to analyze factors of influenced on Leucorrhoe incident. Design of study was cross sectional study. Population was women of childbearing age who use contraceptives in the karang jeruk village, Jatirejo sub district, Mojokerto district in March of 2017. Sample in this study was 33 people. Data analyze with logistic regresion. Result of study showed contraceptive and sexsual activity has significant influenced with leucorrhoe (PR = 10.000; 95% CI= 1,732-57,722 dan PR=8,750; 95% CI=1,466-52,232). Suggestion: should be married and have first sexual intercourse for the first time at the age of  ≥ 20 years, limit the number of children not more than 2 as the greater the number of children the greater the risk of Leucorrhoe, and not using hormonal contraception for a along time that more than 2 years. Keywords: contraceptive,sexsual activity, leucorrhoe

scholarly journals Impact of COVID-19 and mitigation plans on essential health services: institutional experience of a hospital in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Firaol Dandena ◽  
Berhanetsehay Teklewold ◽  
Dagmawi Anteneh
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Treatment Center ◽  
Cross Sectional ◽  
Poor Countries ◽  
Care Services ◽  
The Impact

Abstract Background Health systems around the world are being challenged by an on-going COVID-19 pandemic. The COVID-19 pandemic and associated response can have a significant downstream effect on access to routine health care services, and indirectly cause morbidity and mortality from causes other than the disease itself, especially in resource-poor countries such as Ethiopia. This study aimed to explore the impact of the pandemic on these services and measures taken to combat the effect. Methods The study was conducted at St. Paul’s hospital millennium medical college (SPHMMC) from December 15, 2020 to January 15, 2021 using a comparative cross-sectional study design. We collected data on the number of clients getting different essential health care services from May to October 2019 (Pre COVID) and the same period in 2020 (during a COVID-19 pandemic) from the patient registry book. The analysis was done with SPSS version 24 software. Result Overall, the essential services of SPHMMC were affected by the COVID-19 pandemic. The most affected service is inpatient admission, which showed a 73.3% (2044 to 682) reduction from the pre-COVID period and the least affected is maternal service, which only decreased by 13% (3671 to 3177). During the 6 months after the COVID-19 pandemic, there was a progressive increment in the number of clients getting essential health services. Conclusion and recommendation The establishment of a triple setup for fighting against COVID-19, which encompasses non-COVID services, an isolation center and a COVID-19 treatment center, played a vital role in preserving essential health services.

scholarly journals Prevalence of nomophobia among the undergraduate medical students of Mandya Institute of Medical Sciences, Mandya

2018 ◽  
Vol 5 (12) ◽  
pp. 5455 ◽  
Author(s):  
Harish B. R. ◽  
Bharath J.
Keyword(s):  
Undergraduate Students ◽  
Mobile Phones ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Significant Difference ◽  
Study Population ◽  
And Gender ◽  
Study Participants

Background: Nomophobia (no mobile phobia), is the fear an individual gets if he is out of mobile phone contact due to no network, has run out of balance or run out of battery; the persons gets anxious, which adversely affects the concentration level of the person. Since the younger generation is the latest consumer of the mobile phones and the under 25 year age group in professional colleges like medical colleges use mobile phones quite frequently this study was conducted to determine the prevalence of nomophobia in the undergraduate students of Mandya Institute of Medical Sciences, Mandya.Methods: This was a cross sectional study conducted at Mandya Institute of Medical Sciences during May 2018 to June 2018. All undergraduate students were included i.e. same as study population (n=450). Data collection was done during June 2018 using structured questionnaire.Results: Mean age of the study participants was 20.1±1.3 years. Majority of the study population were hostelites. Approximate amount of money spent on last recharge/last postpaid bill was INR 354.1±185.0. Main reasons for using smartphones were ‘to call family members’, ‘using internet for academics’ and ‘for social networking’. Prevalence of moderate to severe nomophobia among the study population was 99.0%. No statistical significant difference was observed between gender and nomophobia.Conclusions: Prevalence of nomophobia among undergraduate medical student was 99.0% and majority had moderate level of nomophobia. There was no association between nomophobia and gender, place of present residence, amount of money spent on last recharge. 

scholarly journals Utilization of postnatal care services in a rural area of Nalgonda district, Telangana state, India

2020 ◽  
Vol 7 (8) ◽  
pp. 3131
Author(s):  
K. Jahnavi ◽  
Abhay Subhashrao Nirgude ◽  
Kondagunta Nagaraj
Keyword(s):  
Postnatal Care ◽  
Skilled Birth Attendant ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Care Services ◽  
Factors Influencing ◽  
Post Natal Care ◽  
Geographical Accessibility

Background: Promoting women’s health improves not only individual health but also the health of the family, community and the nation. Less attention was given for postnatal period in developing countries; women and their newborns don’t receive postnatal care services from a skilled birth attendant during the first days after childbirth. The objective was to study utilization of postnatal care services by recently delivered mothers, to study the geographical accessibility factors influencing utilization of postnatal care services and to study healthcare provider factors influencing utilization of post natal care services.Methods: It was a community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally Telangana from September 2012 to October 2014. A pre-designed and pre-tested questionnaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.Results: Accordingly, 97.9% of the mothers received postnatal care and 2.7% mothers didn’t receive the postnatal care. In the present study post natal advice was received by 67.8%, 82.2% and 55.1% of mothers regarding family planning, breast feeding and baby care respectively. Majority (79.9%) of mothers travelled greater than 5 kms for delivery and only 20.1% of mothers travelled less than 5 kms for delivery.Conclusions: Number of institutional deliveries and deliveries assisted by skilled health personnel were more compared to other studies probably because of awareness created during antenatal visits, maternity benefit scheme and role of ASHA workers.

scholarly journals Career Development in Nursing: Identifying the Career Anchors of Nurses at Shiraz University of Medical Sciences

2021 ◽  
Author(s):  
Narjes Alsadat Nasabi ◽  
Peivand Bastani ◽  
Ali Reza Yusefi ◽  
Najmeh Bordbar
Keyword(s):  
Health Care ◽  
Career Development ◽  
Career Path ◽  
Cross Sectional Study ◽  
Average Score ◽  
Medical Sciences ◽  
Career Anchors ◽  
Cross Sectional ◽  
Clinical Nurses ◽  
Care Services

Background: Nurses are the largest providers of care services in the health care system who play an important role in the community health by providing health care. Therefore, maintaining and developing them is an integral part of human resource management in the health system. Considering that one of the tools for career development is determining job anchors, this study was conducted in 2020 to identify the career anchors of nurses from Shiraz University of Medical Sciences in order to develop their career path. Methods: This cross-sectional study was performed on 268 nurses working in hospitals and educational centers of Shiraz University of Medical Sciences who were selected by convenience sampling. Data were collected using the standard Schein questionnaire and analyzed by independent t-test and ANOVA in SPSS 23 software. Results: Among career anchors, service and dedication (24.74 ± 1.72) had the highest, and managerial competence (16.35 ± 2.32) had the lowest mean score. Furthermore, the average entrepreneurial creativity in women was significantly higher than men (p = 0.04). And in men, the average of pure challenges was significantly higher than women (p = 0.04). In addition, people with undergraduate degree showed a greater tendency to technical/functional competence (p = 0.02). Clinical nurses were more likely to become managers (p = 0.04), and corporate nurses were more inclined to have a lifestyle anchor (p = 0.04). Conclusion: Regarding service and dedication anchor, which had the highest average score among the interviewed nurses, individuals are motivated by pursuing valuable goals and meeting the needs of others. Whilest managerial competencies were not the priority of the studied nurses. Therefore, the opportunity for promotion in nurses is not just focused on reaching a managerial position. Therefore, it is suggested that the management of human resources in university define the career path of people based on their anchors and specific interests to people in terms of mental and mental health for creating a favorable atmosphere and better performance.  

scholarly journals A study about urinary tract infection among patients attending tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2620 ◽  
Author(s):  
Arunachalam U. ◽  
Ponmudi C. ◽  
Prashant V. Solanke ◽  
Deepam Das ◽  
Vignesh N. ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Study Group ◽  
Common Symptom ◽  
Care Hospital ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Recurrent Uti ◽  
Study Population

Background: UTI is a second most common type of infection, accounting for nearly 25% of all infections. Lower UTIs are much more common in women than in men, particularly in the under 50’s. UTI are common among patients with type 2 diabetes mellitus. Recurrent UTI is a common phenomenon that is observed among women who have experienced uncomplicated UTIs. Usually 5-10 days of antibiotic therapy is done for treating UTI. Successful antimicrobial therapy will usually ameliorate symptoms promptly, with substantial clinical improvement in 48 to 72 hours. The objective is to find out the knowledge and practice about UTI among UTI sufferers.Methods: The study design is cross sectional study. The study period is from July 2016 to February 2017. The study place is Sree Mookambika Institute of Medical Sciences. The sample size is (4PQ/d²) = 31. Systematic random sampling techniques are used. Institutional ethical committee clearance was obtained.Results: In the study 90.3% are women. In the study 32.3% had a recurrent UTI. In the study population about 51.7% take adequate or plenty of water. In this study 35.5% have poor knowledge, 42% have moderate knowledge and 19.5% have a good knowledge about UTI.Conclusions: From the study, it is learnt that UTI is common among the women and recurrence is the most common thing among the asymptomatic UTI group. The common symptom experienced by the study group is dysuria and frequency and most in the study group used to take less than recommended amount of water daily. They believe drinking plenty of water and cleanliness can prevent the UTI. The knowledge about UTI among the group is fairly good.

scholarly journals Role of Inflammation on the Control of the Arterial Hypertension among Patients with Metabolic Syndrome.

2021 ◽  
Vol 3 (3) ◽  
pp. 01-05
Author(s):  
Ylber Jani ◽  
Atila Rexhepi ◽  
Bekim Pocesta ◽  
Ahmet Kamberi ◽  
Fatmir Ferati ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Good Evidence ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Population ◽  
Independent Association ◽  
Current Guidelines

BACKGROUND: It is widely accepted that hypertension is a pro-inflammatory disease and that the immune system plays a vital role in mediating hypertensive outcomes, end organ damages . and modulation of hypertensive pathology [2]. Patient with MetS usually present increased levels of C-reaktive protein (CRP) wich is a prototypic marker of inflammation [5], however the data of the influence of incresed levels of CRP on the control of the aterial hypertension in patients with MetS, are scarce. OBJECTIVE: We sought to determine the incresed CRP levels influence on the control of the aterial hypertension in patients with MetS. METHODS: We conducted a multicenter observational cross-sectional study. The study population recruited from a coule of outpatient clinic between june 2018 and june 2019. The population study consisted of 420 patients with MetS aged ≥ 18 years, divided in two groups:211 with level of CRP>3mg/l , and 209 participans with CRP level <3mg/l. RESULTS: Among those with CRP level > 3mg/l(N=211) controlled BP according to evidence and current guidelines, was achieved in 23.6% of participans, whereas among those with CRP level <3mg/l(N=209) controlled BP was achived in 48.3%; p=0.000). There was independent association of CRP levels >3mg/l with uncontrolled BP (OR=3.1, 95%CI 2.06 - 4.75). There were signifiacant association of uncontrolled BP with: uncontrolled glycemia (OR =1.4,95%CI 0.97-1.84); increased BMI (OR=4.4; 95%CI 3.02-4.05) and five risk factors for MetS.(OR=2.3, 95%CI 1.93-2.81). CONCLUSIONS: We think,we brought some good evidence,in our present study ,that patients with MetS and higher CRP level have a higher prevalence of unconrolled BP.

scholarly journals Awareness of breast feeding practices amongst women visiting government hospital at Ahmedabad

2020 ◽  
Vol 7 (10) ◽  
pp. 3872
Author(s):  
Ankushi A. Sanghvi ◽  
Stuti D. Pathak ◽  
Dhairya P. Nanavaty ◽  
Manav S. Mehta
Keyword(s):  
Tertiary Care ◽  
Well Being ◽  
Cross Sectional Study ◽  
Protective Role ◽  
Vital Role ◽  
Prelacteal Feeding ◽  
Cross Sectional ◽  
Health And Development ◽  
Study Population ◽  
Initiation Of Breastfeeding

Background: Breastfeeding plays a very vital role in the overall health and development of a child. Breast milk has all the necessary nutrients required for the growth and well being of the child. It has been shown to have a protective role against various infectious and non-infectious diseases. The key elements are initiation of breastfeeding, exclusive breastfeeding for the first 6 months of life and continued breastfeeding for 2 years along with other sources of nutrition.Methods: A questionnaire based cross sectional study was conducted at a tertiary care teaching hospital. Mothers with children less than 10 years of age were included in the study.Results:  Out of 150 women who were included in the study, maximum (59.33%) were in the age group of 19-26 years with the mean age being 25.7 years. 20% of women were illiterate, and a majority of them (68%) were Hindu. 115 (76.66%) mothers gave colostrum to the newborns, whereas 35 (23.33%) discarded colostrum. Also, 44% of mothers gave pre-lacteal feeds, whereas 56% of mothers didn't give pre-lacteal feeds. A significant association between initiation of breastfeeding was found with education, X2=12.63 (p<0.01).Conclusions: Our study concluded that initiation of breastfeeding within the first hour of life and colostrum feeding in the study population was lower than the WHO recommendation. Prelacteal feeding is still being practiced extensively, and that educated mothers are more likely to initiate breastfeeding within one hour of life. 

scholarly journals Assessment of Oral Health Care Delivery System in Greater Noida Using Five A’s Model

2019 ◽  
Vol 3 (9) ◽  
pp. 303-313
Author(s):  
Insha Nissar ◽  
Bhuvandeep Gupta ◽  
Priyanka Kotia ◽  
Kirti Raina ◽  
Akansha Monga
Keyword(s):  
Family Income ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Care Services ◽  
Study Population

BACKGROUND: Access to dental health services refers not only to utilization but also to the extent by which the utilization is judged as per the professional norms using five independent dimensions of accessibility, availability, accommodation, affordability and acceptability. AIM: The aim of the study is to assess the dental services utilization among population of Greater Noida using Five A’s model. MATERIALS AND METHOD: The study was conducted in Dental College in Greater Noida. This cross-sectional study was carried out on the 200 subjects using convenient sampling on the patients visiting dental OPD.A self-administered structured questionnaire in English and Hindi language was used. Data was entered in the Microsoft excel sheet and analysed using SPSS (version 20.0).RESULTS: Mean level of access to dental services in the study population was 60.3.Corresponding figures for affordability, availability, accessibility, accommodation and acceptability were 55.2 ± 12.1,57.1± 12.8,60.75 ± 14.7,61.75 ± 8.7,58.65± 11.4 respectively.CONCLUSION: According to the results of our study , the level of access to dental care services is not very good with family income, location and level of education being the determinants of this access.

scholarly journals Contraception in Eastern Nepal: A Study of Knowledge and Use

2014 ◽  
Vol 2 (2) ◽  
pp. 15-20 ◽  
Author(s):  
NK Keyal ◽  
M Moore
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Educational Levels ◽  
Contraceptive Knowledge ◽  
Patterns Of Use ◽  
Contraceptive Services ◽  
Study Population ◽  
Formal School

OBJECTIVES: To discover the knowledge and use of contraception amongst women in eastern Nepal and to identify reasons for patterns of use. METHOD: A cross-sectional study, using a structured survey, was completed by women admitted to the post-natal ward of Koshi Zonal Hospital in eastern Nepal. The subjects were asked questions about their knowledge and use of contraception as well as reasons for their contraceptive choices. RESULTS: The subjects showed a large discrepancy between knowledge (79%) and use (21%) of contraception. Knowledge was greater in higher socio-economic groups but use was not significantly different. Knowledge and use increased with age to a maximum use of 50% at age greater than 30 years. The main source of contraceptive knowledge was from formal school education. Injectable progesterone was the most common contraceptive used and this was said to be because of its convenience. The main reasons for non-use of contraception were subjects wanting another child and fear of side-effects. All contraceptives were purchased from private shops due to discomfort at attending recognisable contraceptive providers.. CONCLUSIONS: The levels of contraceptive awareness and use were lower than in other published Nepalese studies. This difference is associated with low educational levels in the study population. There is also an ongoing desire for larger families. There is a need for more contraceptive education that does not rely on schooling. The lack of use of government contraceptive services should also be addressed. DOI: http://dx.doi.org/10.3126/jucms.v2i2.11169 Journal of Universal College of Medical Sciences (2014) Vol.2(2): 15-20

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