scholarly journals A cross sectional study to find out the duration of sleep and associated disorder among practicing advocates in Madurai district Tamil Nadu

Author(s):  
L. Kannan ◽  
Praveena P

Background: Sleep is a essential physiological process for attaining optimal health and wellbeing. Reduced duration of night sleep destructs the body’s ability to regulate stress hormones, raises the blood pressure and cardio vascular risk. The pressure of working in legal field creates stress, sleep deprivation and eventually hypertension. In view of above issues one of the main objectives of the study is to evaluate the relationship between duration of sleep and hypertension among practising advocates.Methods: A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method.Results: Around 116 (38.67%) participants had less than 6 hours of night sleep and 184 (61.33%) participants had equal to or more than 6 hours of night sleep. Among participants with night sleep less than 6 hours, a majority of 97 (83.62%) were found to be hypertensives, whereas only 26 (14.13%) participants with night sleep equal to or more than 6 hours were hypertensives (p=0.00, odds ratio-31.02).Conclusions: The study explains that practising advocates with duration of night sleep less than 6 hours (83.62%) have a significant association with hypertension. Advocates experience work related depression, anxiety and stress. Therefore advocates are advised to well plan the work schedules, plan for short vacations and adopt basic life style modifications to prevent hypertension.

Author(s):  
P. Praveena ◽  
Shanthi Edward

Background: In recent years, the practice of law is demanding and exceedingly stressful occupation. Main factors concerned are, being overloaded with work, unsupported, lack of appreciation, long hours, unattainable targets. Even the most balanced and well-adjusted advocates at some point eventually succumbs to the pressures of working in the legal field. It causes hypertension and a great impact on ones’well being. Hence the main objective of the study is to find out the prevalence of hypertension among practising advocates, thereby effective measures can be taken to prevent and control hypertension and its complications.Methods: : A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method.Results: The overall prevalence of hypertension among the practising advocates was found to be 41% (123). Among the 123 hypertensives, 56 (18.7%) were known hypertensives and 67 (22.3%) were newly detected hypertensives.Conclusions: The cause for hypertension among the advocates may be due to hectic work pressure. Advocates being professionals are well educated and informative. Regular adoption of basic life style modification practices, short vacations, arrangement of health camps in court premises with guidance of bar council association, recruitment of health counsellor in Bar Council Association for health educating and counselling the advocates, regular monitoring of health status by self-care management can control and prevent hypentension.


Author(s):  
Savitha A. K. ◽  
Gopalakrishnan S. ◽  
Umadevi R.

Background: Acute respiratory infection (ARI) is an infection of the respiratory tract that may interfere with normal breathing. ARI is one of the leading causes of illness and death among children worldwide. The aim of the study was to estimate the prevalence of ARI among under 5 children in the rural field practice area of a medical college in Kancheepuram district of Tamil Nadu.Methods: This study is a community based cross–sectional study. The study population was children below five years of age and informant was the mother of the child. The sample size is 380 and simple random sampling method was used. Data was analyzed using the SPSS software, version 16, and presented as descriptive statistics.Results: The prevalence of ARI among children was 41.6%. Regarding the symptoms of ARI, 36.6% of them had either cold or runny nose, 27.9% had cough, 23.4% had stridor, 20.8% had reduced intake of food, 2.6% had either ear pain or discharge, 2.6% had rapid breathing.1.3% had wheeze, 0.8% were tired/drowsy, 0.5% had throat pain, 0.5% had convulsions and 17.1% of them had symptoms with fever.Conclusions: This study shows the prevalence of ARI among children below 5 years of age is 41.6% which is relatively high. The symptoms of ARI reflect the non severe form of pneumonia. More hospital based studies should be done in order to know the burden of severe form of pneumonia which contributes to the morbidity and mortality of children below five years of age.


2020 ◽  
pp. 14-16
Author(s):  
Anaiappan Jeyakumar ◽  
Kuberan Deivasigamani ◽  
Praveena P

BACKGROUND: Advocates are exposed to long hours of stressful hectic work schedules and they struggle to cope up with life. This work pressure may predispose to non-communicable disease particularly hypertension. Considering above issues, a study was conducted among this target group. This part of the main study deals with the known hypertensive advocates in the study population and their adherence to anti-hypertensive medications.The objective is to evaluate the medication adherence among known hypertensive advocates practising in Madurai city METHODS: A cross-sectional study was conducted in a sample 300 practising advocates satisfying the study criteria at Madurai district court for a period of 1 year by simple random sampling method. Among the 300 samples, 56 were known hypertensives. This current study is carried out in 56 known hypertensive advocates to evaluate the level of medication adherence to anti hypertensives using the pre tested structured medication adherence questionnaire and scoring. RESULTS: Among 56 known hypertensive participants, a majority of the known hypertensives, 39(69.6%) adhere to anti-hypertensive medications and remaining 17(30.4%) had no proper adherence to anti-hypertensive medication CONCLUSION: Hypertension being a preventable and treatable disease can be reduced by following the healthy dietary practice and adherence to medications. Health education and motivation by health care professionals to the target group improves the effectiveness of the pharmacotherapy. Advocates being educated group should aim at consistent, sustain, regular health seeking effort to attain optimal medication adherence


Author(s):  
Indra Agussamad ◽  
Maya Sari

Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan.WHO (2013) mencatat, dari 39,47 juta petugas kesehatan di seluruh dunia, 66,7%-nya adalah perawat. Di Indonesia, perawat juga merupakan bagian terbesar dari tenaga kesehatan yang bertugas di rumah sakit yaitu sekitar 47,08% dan paling banyak berinteraksi dengan pasien. Penelitian ini bersifat analitik dengan desain cross sectional study dengan jumlah sampel 72 perawat dengan menggunakan teknik simple random sampling,dan penelitian ini secara univariat dan bivariat dengan Chy-Square yang disajikan dalam bentuk tabel. Hasil menunjukkan bahwa terdapat adanya hubungan yang signifikan antara pengetahuan, pengawasan, motivasi, sikap dan ketersediaan alat terhadap kepatuhan perawat rawat inap dalam menggunakan alat pelindung diri dengan(p-value< 0,05).


2021 ◽  
Vol 8 (28) ◽  
pp. 2484-2488
Author(s):  
Umesh G ◽  
Asokan T.V. ◽  
Roselin V ◽  
Sri Santhanakrishnan V V

BACKGROUND Stigma experienced by caregivers of patients with mental illnesses remains unnoticed. This study was conducted to evaluate the stigma perceived by the care givers of patients with various mental illnesses and the factors associated with stigma. METHODS This cross-sectional study was conducted among the care givers of patients with mental illnesses who accompanied the patients to the outpatient department (OPD) of Psychiatry in Meenakshi Medical College Hospital and Research Institute, from January 2017 to March 2017. A total of hundred care givers were included in the study. All care givers aged between 18 - 50 years of age in both sexes were included in the study. Care givers of substance abuse cases were excluded from the study. A total of hundred care givers with fifty care givers of neurosis patients and another fifty care givers of psychosis were included in the study. Family interview schedule (FIS) stigma scale was used to assess the stigma perceived by care givers. Data was entered in Microsoft excel and data analysis was done using statistical package for social sciences (SPSS) version 17. RESULTS Mean perceived stigma score was 12.27 ± 9.43. High, low and zero stigma was noted among 44 %, 36 % and 20 % of care givers, respectively. Also, it was found that care givers of psychosis patients had more stigma than the care givers of neurosis patients (P = 0.0008). Statistically significant association was found between patient’s duration of illness (P = 0.003), patient’s diagnosis (P = 0.000) and care givers burden (P = 0.000) with severity of stigma perceived by the care givers. CONCLUSIONS Proportion of stigma prevailing among the care givers is high and it depicts only the cases which were reported to the health care center, whereas a larger proportion of cases remains not seeking the health care. An early intervention by conducting routine assessments of the mental status of caregivers is necessary. KEYWORDS Stigma, Care Givers, Mental Illnesses, Family Interview Schedule


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Christine Kersting ◽  
Lena Zimmer ◽  
Anika Thielmann ◽  
Birgitta Weltermann

Abstract Background The prevalence of chronic stress among German general practitioners (GPs) was shown to be twice as high as in the general population. Because chronic stress negatively influences well-being and poor physician well-being is associated with poor patient outcomes, targeted strategies are needed. This analysis focuses on work-related factors associated with high chronic stress in GPs. Methods This cross-sectional study measured chronic stress among German GPs using the validated and standardized Trier Inventory for the Assessment of Chronic Stress (TICS-SSCS). Based on the TICS, GPs were categorized as either having low strain (≤ 25th percentile) or high strain (≥ 75th percentile) due to chronic stress. Questions on work-related challenges assessed the frequency and the subjectively perceived strain of single challenges. For exploratory analyses, these items were combined to dichotomous variables reflecting challenges that are common and that cause high strain. Variables significant in bivariate analyses were included in a multivariate logistic regression model analyzing their association with high chronic stress. Results Data of 109 GPs categorized as having low strain (n = 53) or high strain (n = 56) due to chronic stress were analyzed. Based on bivariate analyses, challenges regarding personnel matters, practice software, complexity of patients, difficult patients, care facilities, scheduling of appointments, keeping medical records up-to-date, fee structures, and expectations versus reality of care were included in the regression model. Keeping medical records up-to-date had the strongest association with high chronic stress (odds ratio 4.95, 95% confidence interval 1.29–19.06). A non-significant trend showed that medicolegal investigations were more common among GPs with high chronic stress. Conclusions This exploratory research shows that chronic stress is predominantly associated with administrative challenges. Treatment documentation, which represents a legal safeguard and is closely linked to existential concerns, has the strongest influence.


Author(s):  
L. Kannan ◽  
Praveena P.

Background: Stress is a mental, physical and emotional response to life demands. Long hours of work, client demands, changing laws- creates stress and eventually hypertension among advocates. Well-being of the advocates are being questioned. Hence the main objective of the study is to evaluate the relationship between stress and hypertension among practising advocates.Methods: A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method.Results: Around 133 (44.33%) and 167 (55.66%) of study participants were in level of high stress and low stress respectively. Among high stressed participants, a majority of 113 (84.96%) were found to be hypertensives and among the low stressed participants only 10 (5.98%) were hypertensives. The difference of observation was found to be statistically significant (p=0.0000).Conclusions: In conclusion the study explains that practising advocates with high perceived stress 113 (84.96%) were found to be hypertensives. Stress has a significant association with hypertension. The right way to manage stress is to implement coping strategies.


2019 ◽  
Vol 26 (2) ◽  
pp. 122-130 ◽  
Author(s):  
Mohammad Heidari ◽  
◽  
Mansureh Ghodusi Borujeni ◽  
Parvin Rezaei ◽  
Shokouh Kabirian Abyaneh ◽  
...  

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