scholarly journals A cross-sectional study on domestic accidents in the urban field practice area of a private medical college, Davangere, Karnataka

Author(s):  
Netra G. ◽  
Ayesha S. Nawaz ◽  
Aswin Kumar ◽  
Mane Kusum ◽  
B. A. Varadaraja Rao

Background: The public health experts have coined the name ‘Modern Day Epidemic’ for accidents. Accidents especially domestic are a world-wide public health problem. The relationship between domestic accidents and human health is direct and associated with a chain of socio-economic consequences. The objectives were to study the magnitude and types of domestic accidents in the urban field practice area and to study the healthcare seeking behaviour following domestic accidents.Methods: A community based cross-sectional study was carried out during September 2016 - November 2016 in the urban field practice area of a Medical College in Davangere. A sample size of 2000 was covered by interviewing 366 households. By using pre-designed, pre-tested questionnaire information was collected on basic socio-demographic details, housing conditions, nature and timing of domestic accidents and the health care seeking behaviour.Results: The magnitude of domestic accidents was 5.2%, with falls being the most common domestic accidents (67.2%) occurring during the evening hours. Health seeking behaviour was found to be satisfactory.Conclusions: In our study the domestic accidents were more commonly found in the extreme age groups. Falls were the most frequent type of domestic accidents which occurred during the morning and evening hours, therefore there is a need for adequate lighting during evening hours to prevent dim light as well as proper designing of house to make it elderly and children friendly. The health education should be given regarding necessary safety precautions to reduce the occurrence of domestic accidents. 

Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.


Author(s):  
Gowri Shankar ◽  
Jayaraj M. Ramachandra ◽  
Sarojini S. Hunshikatti

Background: Widows are the most vulnerable segment among the elderly population in India. Elderly widows face several social, economic, emotional and cultural deprivations due to their gender, widowhood and old age. Hence, this study was done with the objective to know the socio demographic profile and morbidity of elderly widows residing in urban field practice area of S.N. Medical College, Bagalkot.Methods: This cross sectional study was done in 8 Anganwadi areas during 2016 by cluster random sampling. All the elderly widows residing in the areas were included after informed consent. Ethical clearance was obtained from Institutional review board. Data regarding their socio demographic profile, cause of death of husband, the number of years being a widow, health seeking behavior and their chronic morbidities were noted. Height and weight of each elderly widow was measured and body mass index calculated using the formula weight in kilogram divided by height in meter 2 and classified according to South East Asian category. Blood pressure was recorded three times with the widow in a sitting posture in an interval of 3 minutes and the least value was documented according to JNU classification.Results: Out of 140 elderly widows who were residents of the areas, majority (69.29%) were between 60 to 74 years of age followed by 27.86% between 75 to 89 years of age. It was observed that 75% of them were illiterate. The leading cause of death of husband was coronary heart disease (19.29%), chronic obstructive pulmonary disease (12.86%) and alcoholic cirrhosis (10.71%). On examination of the non-hypertensive widows, it was observed that 36.06% were in Stage I and 22.68% were in Stage II of hypertension (JNU classification).Conclusions: Elderly widows are a vulnerable segment of the community. Their health care needs are a priority and regular health check-ups are to be planned.


Author(s):  
Dhananjay Kumar Singh ◽  
Priyanka Kesarwani ◽  
Shivani Sinha ◽  
Vipul Kant Singh

Background: Tobacco abuse is one of the biggest curses that modern society has come across. It is not confined to any one country or region alone, but has widely afflicted the globe. The most susceptible time for initiating use of tobacco in India is adolescence and early adulthood, ages 15-24 years while some start as young as 10 years.Approximately 55,500 adolescent start using tobacco every day in India, joining the 7.7 million young people under the age of 15 who already use tobacco on a regular basis.Methods: It is a community based cross-sectional study conducted among school going adolescent boys of urban field practice area of medical college during July to September 2017. Data was collected through pretested semi-structured self -administered questionnaire given to students by the investigators. Data collected were analyzed using statistical package for social sciences (SPSS) 17 software.Results: The prevalence of ever use of tobacco was 17.5% among school going adolescent boys in urban field practice area. In the present study it was observed that 174 (95.1%) adolescent boys had knowledge regarding hazards of tobacco. 110 adolescents (60.1%) had knowledge that passive smoking was harmful.Conclusions: The study suggests that the prevalence of tobacco consumption was high among school going adolescent boys in urban field practice area of medical college. The knowledge of students regarding harmful effects of tobacco was not adequate. Attitude and practice regarding tobacco consumption is also not satisfactory.


Author(s):  
C. Rajan Rushender ◽  
G. Dinesh Kumar ◽  
M. Logaraj

Background: Tuberculosis (TB) remains a major public health problem. It is reported that, globally, about 9 million people developed tuberculosis and about 1.5 million people died due to tuberculosis across the globe in 2013.Methods: A descriptive cross sectional study was conducted in the Rural Health Training Center, SRM Medical College to assess knowledge and practice regarding tuberculosis using a pretested Interview schedule. Adult population, who are residing in the field practice area were considered as study population. The study period was between August 2013 to February 2014.Results: A total of 246 study subjects were included in the final analysis with the majority of the participants to be between 21 to 40 years (39.40%). Cough and expectoration as symptom of TB was known to 82.5% of study subjects. Only 22.8% of the study subjects are aware of at least one extra pulmonary for of tuberculosis. The proportion of subjects with good overall knowledge about TB was highest in subjects aged 61 and above, lowest in 41 to 60-year age group. The proportion of subjects with good knowledge had gradually increased with increasing socio economic status.Conclusions: Culture specific IEC interventions and their delivery mechanisms need to be designed, considering the highly heterogeneous nature of population in India. 


2019 ◽  
Author(s):  
Mesay Lema Geleta ◽  
Fithamlak Bisetegn Solomon ◽  
Efrata Girma Tufa ◽  
Fekadu Elias Sadamo ◽  
Samson Kastro

Abstract Background Anemia is a global public health problem and most of the HIV positive people become anemic at some point in the course of the disease. We lack adequate evidence on the magnitude of anemia among children on highly active anti retroviral therapy in Ethiopia and particularly in South Ethiopia. Thus, this study aimed at determining the proportion and associated factors of anemia among children on highly active anti retroviral therapy in Wolaita zone, South Ethiopia.Method a facility based cross-sectional study has been conducted from November to December 2018 on 256 children 6 months to 14 years of age who were on Anti retroviral therapy. Data were collected through an interview with caregivers and review of medical records. CD4+ cell count was analyzed using FACS caliber and Hemoglobin level was measured with Hem cue 301 analyzer. Stool sample was examined for presence of intestinal parasites by direct wet mount technique. Data analyzed with Stata version 14.0 were conveyed in mean and standard deviation of the mean, median and inter-quartile range. Multivariate analysis was carried out to identify independent predictors of the outcome variable. Adjusted Odds Ratio with 95% confidence interval was reported.Results The magnitude of anemia was found to be 38.8%. Taking Co-trimoxazole antibiotic prophylaxis (AOR=.45; 95% CI: .21, .95), caregivers’ not receiving nutritional counseling (AOR=09; 95% CI: .01, .98) and presence of intestinal parasites (AOR=3.10; 95% CI: 1.39, 6.88) were associated with anemia.Conclusion The magnitude of anemia obtained in this study is a moderate public health problem. Health education programs in Anti Retroviral Therapy clinics should be targeted at appropriate dietary practice, and appropriate hand washing and other hygienic practices to prevent intestinal parasitic infections. Co-trimoxazole prophylaxis should give given to all eligible children based on the recommendation.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Widyanita K. Silo ◽  
M. C. P. Wongkar ◽  
Yuanita A. Langi

Abstract: Lung Tuberculosis is an infectious disease that remains as a public health problem. Several studies suggest a significant relationship between smoking and lung tuberculosis. This study aimed to determine the prevalence of smoking in patients of lung tuberculosis in DOTS Polyclinic Prof. Dr R. D. Kandou Hospital, Manado. This was a descriptive cross - sectional study conducted in October 2014. Samples included 57 people. Total of lung tuberculosis patients who smoked were 33 people; 28 were males (84.8 %). In the age group of 56-65 years there were 9 people (27.3 %). The most frequent of jobs were self-employed (8 people; 24.2 %). The results showed that the incidence of smoking in patients of lung tuberculosis approximately 57.9 %. Keywords: lung tuberculosis, smoking.Abstrak: Penyakit TB paru merupakan penyakit infeksi yang masih menjadi masalah kesehatan dalam masyarakat. Beberapa penelitian menyebutkan adanya hubungan yang signifikan antara merokok dengan TB paru. Penelitian ini bertujuan untuk mengetahui angka kejadian merokok pada pasien TB paru di Poliklinik DOTS RSUP Prof. Dr. R. D. Kandou Manado. Desain penelitian adalah cross-sectional terhadap pasien TB paru yang berobat di Poliklinik DOTS RSUP Prof. Dr. R. D. Kandou Manado pada bulan November 2014. Sampel berjumlah 57 orang. Jumlah pasien TB paru yang merokok adalah 33 orang, dimana jenis kelamin terbanyak laki-laki yaitu 28 orang (84,8%). Kelompok umur 56-65 tahun adalah yang terbanyak yaitu 9 orang (27,3%), dan pekerjaan terbanyak adalah wiraswasta 8 orang (24,2%). Hasil dari penelitian ini didapatkan angka kejadian merokok pada pasien TB paru sekitar 57,9% dari keseluruhan data.Kata kunci: TB paru, merokok


2020 ◽  
Author(s):  
Minassie Mengisteab Araia ◽  
Amanuel Hadgu Mebrahtu ◽  
Ghenet Weldegerghish

Abstract Background: Malaria is one of the most severe public health problems worldwide with 300 to 500 million cases and about one million deaths reported annually. In Eritrea, malaria is one of the major public health problems, particularly in Gash Barka zone which bears more than 60% of the burden. Objective: To assess the knowledge, attitude, practice and misconceptions as well as association among knowledge of most vulnerable population and practice of the respondents on utilization of ITN with their demographic characteristics. Methods: A cross-sectional study was conducted to assess KAP of Hamelmalo Agriculture College students in November 2016. Data was analyzed by SPSS version 20 and Stata version 13. Results: (99.3%) of respondents were aware of the existence of malaria as a disease. With regard to the malaria symptoms, fever was the most frequently reported by participant accounts 99.7%. 70.1% of respondents said they went to health facility if they get sick. Majority (85.1%) of the respondents owned ITN but only 69.2% slept last night in ITN. 228 (77.55%) perceive malaria as serious diseases only if it remains untreated however, 13 (4.42%) as an ordinary disease. Some misconceptions were found on the assessment of the students on factors associated with malaria infection and health seeking behavior. The predictors of ITN utilization was found to be age 20 (OR18.49, (CI 1.227-278.87) (P=0.035) and being resident of Zoba Debub (OR 0.094, (CI, 0.014-0.607)) (0.013) or Zoba Gash Barka (OR 0.027(CI, 0.02-0.258) (P=0.002). The association between age of respondent and level of knowledge was found to be statistically significant with OR ranging from 3.9 up to 37.5 for the differ age groups.Conclusion: The student of Hamelmalo Agricultural College has a fair knowledge, which is above 60% of the mean score and 50% on attitude and practice which is hard to accept, because we were proposing to get more than 50%. So there are still areas that need to be addressed, since the students are likely to influence the behavior of their parents addressing the existing misconception is important.


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