scholarly journals Study of anemia among adolescent school girls and young adults

2018 ◽  
Vol 5 (4) ◽  
pp. 877 ◽  
Author(s):  
Anil Kumar ◽  
Akhilesh Goyal ◽  
Niket Verma ◽  
Ashwin Mahesh

Background: The world’s adolescent population (age 10–19 years) is estimated to stand at more than 1 Billion, yet adolescents remain largely neglected, difficult-to-measure, and hard-to-reach. Population in which the needs of adolescent girls, in particular, are often ignored. Anemia during adolescence limits growth and delays the onset of menarche, which in turn may later lead to cephalopelvic disproportion. In armed forces young serving soldiers make the backbone of forces, anemia in this group affects man hour badly. So, study was planned to assess prevalence of anemia in these two groups.Methods: A prospective study was carried out with 340 girls and 500 serving adults and prevalence of anemia was carried out with respect to different prevailing factors.Results: The prevalence of severe, moderate and mild anemia in girls was 0.5%, 10.6% and 27.9% respectively and in serving soldiers prevalence of anemia was 1.8%, 2.8% and 3.4 % respectively.Conclusions: In the present study, the prevalence of anemia was found to be 39% in adolescent girls and 8% in serving soldiers. Strongest predictor to anemia in adolescent girls was history of excessive menstrual bleeding and vegetarian diet. Age group, age at menarche and BMI did not affect anemia prevalence. Strongest predictor to anemia in soldiers was age.

Author(s):  
Jyothi Veleshala ◽  
Varun M. Malhotra ◽  
Suresh J. Thomas ◽  
Kondagunta Nagaraj

Background: Reproductive health of adolescent girls is crucial as it determines the health of future generations. School girls when experiencing menarche find themselves in a setting without water, toilets or a supportive female teacher to explain the changes happening in their body. Hence, the present study was conducted to assess knowledge and practices about menstruation in adolescent school girls of an urban slum and to find some socio-demographic determinants of menstrual hygiene.Methods: This was a descriptive cross-sectional study conducted among 6th to 10th class school going adolescent girls from an urban slum of Telangana state. A total of 300 girls participated.Results: The mean age of the students was 11.9±3.3 years. The mean age at menarche was 13.09 (95% CI: 12.07–14.11). 25.3% had acquired prior knowledge about attaining menarche. For majority (74.2%) the knowledge was imparted by their mothers. 96.9% of school girls used sanitary pads. Significant association observed between educational status and employment status of mother and usage of sanitary pads by respondent. Almost 90% of the young women faced physical complaints or health problems during menstruation. Majority (94.3%) had religious restrictions on them during the menstruation.Conclusions: Menstrual hygiene is an issue which needs to be addressed to all adolescents, with special emphasis in slum area. Lack of awareness is a roadblock in adopting safe and hygienic menstrual practices. More emphasis should be given on improving adolescent literacy for achieving hygienic menstrual practices.


1970 ◽  
Vol 24 (2) ◽  
pp. 50-53 ◽  
Author(s):  
MM Uddin ◽  
MJ Rahman ◽  
MM Rahman ◽  
SA Sultana ◽  
MS Shah

A prospective study was carried out on the patients presenting with history of recurrent joint swelling and wound bleeding in outpatient department of Haematology, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Armed Forces Institute of Pathology (AFIP), Dhaka Cantonment from January 2000 to December 2000. Fifty patients were studied. The predominant age group affected were between six and 15 years (44%). Recurrent joint swelling was the predominant presenting symptom (100%) followed by wound bleeding (52%) and bleeding after tooth extraction (38%). Thirty (60%) patients had positive family history of bleeding. Coagulation screening tests showed that 40 (80%) patients had prolonged activated partial thromboplastin time (APTT). Amongst these 40 patients, 32 (80%) were diagnosed as haemophilia-A and eight (20%) as haemophilia-B. Eighteen (45%) patients had mild haemophilia, 17 (42.50%) moderate haemophilia and five (12.50%) patients had severe haemophilia. Spontaneous bleeding history was present in seven (17.50%) patients, and 16 (35.50%) patients with moderate haemophilia and 17 (47%) patients with mild haemophilia had bleeding following trauma or surgery. (J Bangladesh Coll Phys Surg 2006; 24: 50-53)


Author(s):  
G. G. Joag ◽  
M. N. Karanjkar ◽  
Danesh B. Potdar ◽  
Jalinder M. Pawar

Anaemia in adolescent girls contributes to prenatal morbidity and mortality in the future. The present study was undertaken with the aim of studying the clinical-haematological profile of anaemia in adolescent girls in the North Indian tertiary care hospital. Among 380 adolescent girls, hemoglobin concentration was less than 12 gm/dl among 172 (45.3%) girls which was classified as anemia. 91 (52.9%) girls were classified as having mild anemia (Hb- 11.0 to 11.9 gm/dl), 69 (40.1%) had moderate anemia (Hb- 8.0 to 10.9 gm/dl) and 12 (7.0%) girls had severe anemia (Hb- less than 8 gm/dl). Most common cause of anaemia was iron deficiency anaemia. Mean  age of study participants was 14 years with Standard deviation of 2.73. In the present study, prevalence of anemia increases with increase in socio- economic class of study participants. Prevalence of anemia was more in underweight girls in comparison to those girls who had normal range of BMI.


PEDIATRICS ◽  
1979 ◽  
Vol 64 (4) ◽  
pp. 433-437
Author(s):  
S. Jean Emans ◽  
Estherann Grace ◽  
Robert P. Masland

Because the incidence of bacteriuria in asymptomatic school girls is low (1% to 2%), we examined possible risk factors in adolescents, such as previous history of urinary tract infection (UTI) and sexual intercourse (previous and recent). Eight (1.6%) of 500 adolescent girls were detected with asymptomatic bacteriuria (ABU). Of 47 patients reporting a previous UTI, four (9%) were bacteriuric. Two other patients detected with bacteriuria had a history of enuresis; thus 6/8 adolescents with ABU had a history that suggests a need to screen for infection. A history of sexual activity was not helpful in case detection. Of the 500 girls, 133 had a routine pelvic examination at the time of the visit. The procedure was not associated with bacteriuria, as measured by a home nitrite test each day for three days following the clinic visit.


Author(s):  
Monika Singh ◽  
Om Prakash Rajoura ◽  
Raghavendra A. Honnakamble

Background: Adolescence is the period of rapid physical growth, psychological and social changes. This period is marked by the onset of menarche in the girls. Menstruation is a natural biological process experienced by all adolescent girls and women in reproductive age. The menstrual cycle is characterized by variability in volume, pattern and regularity. Conversely, variability in menstrual cycle characteristics and menstrual disorders are common among adolescent girls. The objectives of the study were to determine patterns of menstruation, prevalence of menstrual disorders and hygienic practices during menstruation in the adolescent school girls.Methods: A cross-sectional study was conducted among 210 adolescent school girls of Delhi.Results: The mean age at menarche in the study subjects was 13.47±0.87 years. Average menstrual interval was days. Dysmenorrhea was reported by 76.1% of the girls, body ache was experienced by 64 (30.4%). Majority of girls 174 (82.8%) used sanitary pads as absorbent during cycle.Conclusions: Menstrual problems are frequent among adolescent girls. Dysmenorrhoea was the commonest problem among the adolescents. Adolescent girls withstand their pain and think it as a normal phenomenon. Educating students about menstrual health by health professionals and teachers can help in reducing their psychological and physical stress.


Author(s):  
Nagaraj Patil ◽  
K. V. Jagadeesh ◽  
K. Yamini Priyanka ◽  
Annapurna Kari ◽  
Mubashir Angolkar

Background: World Health Organization (WHO) has defined ‘Adolescence’ as a period between 10 and 19 years. Anemia is a condition characterized by reduction in the number of red blood cells and/or hemoglobin concentration. Adolescent girls are at increased risk of anemia due to rapid growth and developmental process. The objectives of the study were to estimate the prevalence of anemia among adolescent girls in one of the schools in North Karnataka.Methods: A cross sectional study was conducted among adolescent girls in one of the CBSE Schools of north Karnataka. In 347 adolescent girls, data collection was carried out in the month of August 2017 through hematological assessment. All the adolescent girls between grade 7 and 12 were included in the study. Statistical analysis was conducted using statistical package for social sciences (SPSS) software version 20.0.Results: Out of 347 adolescent girls enrolled more than half 196 (56.5%) were mid adolescent with a mean age of 14.34±1.8. 54 (15.6%) were showing mild thinness and 14 (4.0%) were overweight. Overall prevalence of anemia was 44.4% (n=154). Where in 35.2% (n=122) were mild anemic followed by 8.9% (n=31) moderate anemia. Among the anemic girls, 79.8% (n=123) had attained their menarche and 6.5% (n=10) were reported passing worms in stools.Conclusions: Prevalence of anemia among school adolescent girls was found to be less. Among anemic girls, majority were showing mild anemia.


Author(s):  
Priyanka Rajipet ◽  
Ajith Kumar Vemula ◽  
Praveena Rathod ◽  
Kavya Valmeekam ◽  
Sandhya Rani Rakuditti

Background: Menstrual disorders are common sources of morbidity among adolescent girls. Overall, 75% of adolescent’s experience problems with menstruation either with delaying in onset, irregular menstrual cycles, painful or heavy periods. The study was aimed to evaluate the prevalence and examine the key areas of need and explore the experience of adolescent girls with menstrual problems like dysmenorrhea, Amenorrhea, menorrhagia and PMS.Methods: The study employed prospective observational design. The pre-designed, self-administered, semi-structured questionnaire was used to elicit the data from 1100 adolescents selected from Government schools in and around Sangareddy district, Telangana by random sampling technique. Data was analyzed by using Chi-square test in Statistical package for social sciences (SPSS) version 22.Results: A total of (65.6%) subjects were unaware of menstruation before menarche. The mean age at menarche was found to be 12.5±1.36 years. Dysmenorrhea (N=158.6) and PMS (N=125.7) were most commonly reported disorders. Majority of subjects have complained about abdominal pain (N=719). Many of subjects (N=292.7) were found to have history of menorrhagia. Many of them reported about irregular periods (N=172). Study resulted there is positive correlation between dysmenorrhea and dysmenorrhea with PMS with p value <0.05 and also amenorrhea and amenorrhea with dysmenorrhea with p value <0.05 which are significant.Conclusions: This study revealed that majority of girls prone to menstrual problems which often goes unreported due to lack of knowledge on their reproductive health. Hence there is a huge need of educating and screening programs in schools for early diagnosis and management of menstrual disorders, which will improve quality of life and also lower the risks for future diseases.


2016 ◽  
Vol 12 (2) ◽  
pp. 70-73 ◽  
Author(s):  
Khem Raj Bhusal ◽  
Surya Devkota ◽  
Midhan Shrestha ◽  
Prem Khadga

Background & Objectives: This was a cross-sectional observational study designed to see the prevalence of anemia among HIV positive patients and its correlation with CD4 counts.Materials & Methods: Fifty five HIV/AIDS patients presented for the first time to Tribhuwan University Teaching Hospital [TUTH] were enrolled in the study. Patients' duration of HIV positivity, history regarding ART and duration, history of associated co morbid or opportunistic conditions were taken, CD4 counts, RFT, CBC test results were recorded. Patients' clinical and laboratory parameters were recorded. Anaemia was classified by WHO criteria for both men and women.Results: Out of 55 patients, 23 (42 %) had anemia, out of which 14 (60.87 %) had mild anemia (anemia but Hb not less than 9.5g/dl), four (17.39%) had moderate anemia (Hb 8 to 9.4 g/ dL) and two (8.7%) had severe anemia (Hb 6.5 to 7.9 g/dL) and three (13.04%) had very severe or life threatening anemia (Hb less than 6.5 g/dL). Corresponding odds ratio from stage CD4 counts<200 to CD4 counts >/= 200 for anemia was 4.55 times; which is statistically significant (p<0.0001). There was negative association between the prevalence of anemia and HIV stage (CD4 count).Conclusion: There was high prevalence of anemia and severity of immunodeficiency directly correlates with degree of anemia. Degree of anemia can be easily assessed even in rural clinical setting, hence degree of immunodeficiency can early be detected in all settings.JCMS Nepal. 2016;12(2):70-3


Author(s):  
Satendra Kumar Verma ◽  
Sunil Kumar D. ◽  
Rufia Shaistha Khanum ◽  
Narayanmurthy M. R.

Background: Anemia is the commonest micronutrient deficiency across the world. The burden of disease is high in underdeveloped and developing countries. Anemia itself is not a disease but a symptom of underlying deficiency. A large portion of iron deficiency is preventable with appropriate and timely intervention. Adolescence is a crucial phase for growth and development. Increased physiological demands, poor attitude of young children towards nutrition, lack of awareness amongst parents about healthy diet etc., are some of the reasons that makes anemia common among adolescents.Methods: A cross-sectional study was conducted in JSS schools and pre-university during February 2021. Sample size is 292 and a total of 300 girls in late adolescent age group were included in the study. Haemoglobin estimation was done by finger prick method using a digital haemoglobinometer. A structured proforma was used to collect data regarding socio-demographic characteristics and factors associated with anemia.Results: In our study 49% of the girls were anemic. Mean haemoglobin levels of the girls were 14±4 mg/dl. In this study there was significant association between menarche status (p=0.0041) and history of taking iron supplements (p=0.04). Significant association was noted between the mother’s education and the study participants’ anemia status (p=0.00). Significant association was noticed between BMI category of the study participants and their anemia status (p<2.2e-16).Conclusions: Anemia is huge problem among adolescent girls. The awareness is poor regarding the disease and its effects. The community is ignorant about the detrimental effects of anemia. Hence appropriate health interventions targeting women and children are needed to see any positive changes in their status.


2018 ◽  
pp. 201-214
Author(s):  
Andrei Ganin

The article analyzes the award documents of the head of the Special Department of all-Ukrainian CheKa E. G. Evdokimov as a source on the history of Red Terror in Crimea in 1920–1921 and in relation to the activities of Ukrainian CheKa officers. To date, these materials are the only known departmental evidence of the scale of the Crimean executions. In addition, of interest is the perception of these events by the commander-in-chief of all armed forces of Ukraine and Crimea M.V. Frunze, who left two resolutions on the documents.


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