scholarly journals Is stress an important co morbid factor for hypertension among legal professionals

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.

Author(s):  
Shanthi Edward ◽  
Praveena Periasamy

Background: Advocates, being stressed out and depressed in the law profession due to unstable work pattern, work overload and lack in coping up skills. They thrive a lot to survive in the profession. In such circumstances, lawyers may lean on alcohol or tobacco. In view of above issues, one of the main objectives of the study is to evaluate the association between use of alcohol, tobacco, smoking 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. Data was collected using structured interview schedule and analysed using SPSS.Results: Around 263 (87.66%) study participants were non-smokers and 37 (12.33%) were tobacco smokers. Among the tobacco smokers, a majority of 24 (64.86%) were found to be hypertensives (p=0.002). In the current study among the alcohol consumers, a majority of 26 (55.32%) were hypertensives and among the non-consumers of alcohol, only 38.34% were hypertensives (p=0.044).Conclusions: Advocates being professionals are well educated, informative and aware of complications. Adoption of healthy life style practices, the prevalence of hypertension may be reduced among the advocate community. Life style modifications such as cessation of smoking, alcohol and tobacco should be adopted. Promotive activities like arrangement of health camps in the court, health education, counselling on self-care, stress bursting leisure time activities would reduce the dependency on tobacco and alcohol.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


2017 ◽  
Vol 8 (1) ◽  
pp. 10
Author(s):  
Narendra Kumar Singh ◽  
Nishant Goyal

Background: Schizophrenia is associated with a high familial, social and economic burden. Schizophrenia is also associated with a high level of disability which may create impediments on the social and economic areas of the patients as well as on their respective family networks. Families with schizophrenia may encounter problems such as impairment of health and well being of other family members, restriction of social activities of the family members and shrinking of support from the social network. Aims: The present study examined the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. Methods: This was a cross-sectional study examining the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. The sample consisted of 60 (30 male and 30 female) caregivers of the patients with the diagnosis of schizophrenia as per ICD-10-DCR. Results and Conclusion: This study revealed that male caregivers perceived more social support and less burden of care as compared to female caregivers. Key words: Gender, social support, burden


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):  
Scarlett Olejnik-Brzusek ◽  
Michal Seweryn Karbownik

Introduction: Patient adherence to medications is a constant concern. Some barriers to adherence are that the patient may believe that medications are overused or feel that the medications they take are not necessary for their well-being.  Materials and Methods: A written paper survey was given to general outpatient clinics, pharmacies and senior living homes. The original English version as well as the recently validated Polish version of the Beliefs about Medicines Questionnaire (BMQ) was used together with the Adherence to Refills and Medications Scale (ARMS). Additionally, patients were asked to answer demographic questions regarding sex, age, place of residence and socioeconomic status.  Results: The extent of general beliefs that medicines are harmful and overused as well as the specific beliefs of concerns did not significantly differ between the studied populations (p>0.05).  However, beliefs about the necessity of prescribed medications were significantly higher in the group of Polish patients as compared to the American and the difference remained significant after adjusting for sociodemographic covariates (18.3, 95%CI 17.2-19.5 vs. 16.2, 95%CI 14.9-17.5, p=0.02). Necessity-minus-Concern beliefs significantly predicted self-reported medication adherence also after adjusting for sociodemographic covariates (r=0.41, 95%CI 0.25-0.55, p<0.0001), with no significant difference existing between the studied groups (p=0.65). Conclusions: Polish cardiovascular patients seem to believe that their medications are more necessary than American patients, however, the results may be biased due to the possible effect of unmeasured covariates. The Necessity Concerns Framework appears equally useful in predicting self-reported adherence to cardiovascular medications in both populations.  


Author(s):  
Logeswari K. ◽  
Jeram Parmar ◽  
Deodatt M. Suryawanshi

Background: India is home to 20% of the world’s adolescent population, with 1 in 10 children currently experiencing puberty. Menstruation, a physiological process in females is influenced not only by race, nutrition and heredity but also by the socio-cultural milieu. In Indian society, the social and cultural restrictions influence the knowledge, attitudes and the practices of adolescent girls towards menstrual hygiene. The present study was carried out to find out the level of knowledge, attitude and practice and the restrictions they face during the process of menstruation.Methods: The study was a descriptive cross-sectional study where 489 adolescent school going females of the age group of 13-15 were recruited using simple random sampling from a cluster of schools and interviewed using a semi structured questionnaire for their knowledge, attitudes, practices and the restrictions they face during menstruation. A scoring system was adopted and categorised as poor, average and good.Results: 423 (88.6%) participants demonstrated average to poor knowledge scores, while 279 (57.1%) participants demonstrated average to poor practice scores. There was a significant difference observed between the educational status of mother (p=0.041) and the knowledge scores of study participants. There was no correlation observed between the monthly per capita income of households and the knowledge (r=0.097) and practice scores (r=0.0034). 375 (76%) study participants faced multiple restrictions during menstruation like not allowed to pray or visit temples (93.6%), total seclusion (74.6%), wash clothes separately (74.6%), sleep on floor (74.6%), restriction on leisure (70.4%), eat out of separate utensils (70.4%), and restriction on consumption of food items (49.8%).Conclusions: Knowledge and practices regarding menstrual hygiene was low among study participants and was influenced by various prevalent socio-cultural restrictions. 


2019 ◽  
Vol 10 (1) ◽  
pp. 44-48
Author(s):  
Quratulain Javaid ◽  
Ambreen Usmani ◽  
Aisha Qamar

Objective: To determine morphology and variation in dimensions of frontal air sinuses in male and female genders living in Karachi. Study Design and Setting: It was a cross sectional study and was conducted at Radiology Department, JPMC. Methodology: The total number of study participants were 216. The research subjects were divided into two equal groups of males and females each having 108 members. The mean age of the participants was calculated to be 35.14 ± 8.68 years. The study subjects were recruited from Radiology Department, JPMC, Karachi. After taking written informed consent, Water’s (occipito-mental) view radiography was done to measure the parameters of height, width and area of the frontal air sinuses. The included variables were the demographic data and the physical examination to exclude facial anomalies. All the measurements were recorded and the measurements were saved by the help of Radiant DICOM digital software. Results: The parameters of height, width and the area of frontal sinuses showed highly significant variability on both the right and the left sides. All the dimensions were highly significantly greater in the males as compared to the female study participants (p=0.000). The Independent-Samples T Test was applied to compare the two gender groups. Conclusion: The parameters of height, width and area of frontal sinuses were greater in the males as compared to the females on both the left and the right sides


Author(s):  
Vimala Thomas ◽  
Y. Sai Krishna ◽  
K. J. Kishore Kumar

Background: Stress is inescapable part of modern life, where workplace is becoming a volatile stress factory for most employees. Occupational stress/work stress/job stress can occur when there is discrepancy between the demands of the environment/workplace and an individual’s ability to carry out and complete these demands. There is paramount need to address the factors which are leading to stress at the earliest since they are increasing rapidly. The objectives of the study were to determine the levels of stress among software professionals and to determine its association with key socio-demographic variables and with working environment.Methods: A cross sectional study was conducted among software professionals working in Madhapur area of Hyderabad using self-administered, pre-designed and pre-tested questionnaire after taking informed consent. Data was analyzed using MS Excel and Epi Info software.Results: Among the study participants, 71.5% were males and 28.5% were females. Mean age of the study participants was 34.04±7.52 years. Around 45.25% were having low stress, 33.5% moderate stress and only 21.25% had high stress according to perceived stress scale. Significant association was found between stress and age, type of family, marital status, gender and working hours per day.Conclusions: In the study, most of them were having low stress according to perceived stress scale. Females were having high stress compared to males. Software professionals have to be educated on factors which are leading to stress to prevent its adverse effects. 


2019 ◽  
Vol 1 (2) ◽  
pp. 117-125
Author(s):  
Susi Susi ◽  
Hazni Viyanti

Dentofacial esthetics plays an important role in social interaction and psychosocial well-being because it affects how people perceive themselves and how they are perceived in society. Dentofacial deviation, such a  malocclusion has negatively affect the psychosocial well-being especially in adolescents period, when some aspects of the facial appearance and dental esthetics have great important for adolescent’s self-image and self-esteem. This study was aimed to investigate the effect of the anterior teeth appearance on the adolescents psychosocial in SMAN 10 Padang using Aesthetic Component of the IOTN. The subjects of cross-sectional study were 89 students in SMAN 10 Padang using the simple random sampling. Anterior teeth appearance were assessed by interviewer using the Aesthetic Component of the IOTN. Psychosocial impact was measured through a self-rated Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Data analysis included Spearman correlation test. Significant associations were observed between anterior teeth appearance using Aesthetic Component of IOTN and total score PIDAQ (p < 0,001), dental self-confidence (p < 0,001), social impact (p < 0,05), psychological impact (p < 0,05), and esthetic concern (p < 0,05). Anterior teeth appearance has a psychological impact in adolescents using Aesthetic Component of the IOTN. Therefore, it seemed necessary to improve dental esthetic on adolescents for prevent the disturbance on their psychosocial development.


2020 ◽  
Vol 24 (5) ◽  
pp. 434-443
Author(s):  
Mehdi Sahmani ◽  
◽  
Nilofar Ahmadi ◽  
Somayeh Asadian ◽  
Talaat Dabaghi Ghaleh ◽  
...  

Background: Preeclampsia is a complex disorder of pregnancy with an unknown etiology. Numerous studies have shown the possible role of gene polymorphisms, especially metalloproteinases, in development of this disease, but there are no definitive results. Objective: This study aims to investigate the possible association between rs3918242 (−1562C>T) polymorphism in Matrix Metalloproteinase 9 (MMP9) gene with the risk of preeclampsia in pregnant women. Methods: In this cross-sectional study, participants were 90 pregnant women with preeclampsia and 199 healthy pregnant women (controls). The genotypes of rs3918242 polymorphism were investigated using Polymerase Chain Reaction technique and Limited Fragment Length Polymorphism method. Logistic regression analysis was used to investigate the relationship between rs3918242 polymorphism and preeclampsia. Findings: The frequency of CC, CT, TT genotypes of rs3918242 polymorphism was reported 47.8%, 47.8% and 4.2% in patients and 84.8, 13.1 and 2% in controls, respectively, and the difference between groups was significant (P<0.001). The frequency of TT genotype in patients was significantly higher than in controls (P<0.001). Moreover, the frequency of T allele in patients was 52.2%, while in controls it was 15.2% and the difference between the two groups was significant (P<0.001). Conclusion: The rs3918242 polymorphism of MMP9 gene plays an important role in the incidence of preeclampsia in pregnant women.


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