scholarly journals Epidemiological factors affecting acute respiratory infection at Government Medical College and Hospital, Miraj

Author(s):  
Sandip P. Suryawanshi ◽  
Ganesh S. Lokhande ◽  
Jayshree D. Naik ◽  
Priya B. Dhengre

Background: Acute respiratory infections (ARI) comprising of a group of respiratory diseases of varying etiology and severity is being increasingly recognized as a major public health problem particularly amongst children below five years of age. In all countries ARI is a leading cause of hospitalization and death. Therefore ARIs represent a large challenge in field of communicable diseases. The study was conducted with the objective to assess the socio-demographic, epidemiological and clinical profile of ARI cases.Methods: A descriptive cross sectional, hospital based study was conducted at Government Medical College and Hospital. All children admitted with ARI in the paediatric ward during the study period of one calendar year.Results: Maximum (53.13%) cases of ARI were from the age group <1 year. Males (60.80%) outnumbered the females (M:F ratio was 1.5:1). Month wise and season wise distribution of ARI cases showed that, most of the cases were admitted in the month of December (13.35%), followed by January (12.78%) and November (10.80%).Conclusions: Prevalence of ARI cases as well as severity of the disease was more in participants less than 1 year of age.

Author(s):  
Jyothi Veleshala ◽  
Varun Malhotra

Background: Tobacco use is a major public health problem. The prevalence of tobacco use among men has been reported to be high (generally exceeding 50%) from almost all parts of India. “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act 2003”, which came into effect since 1st May 2004. Information on knowledge, attitudes, and practices of population regarding COTPA is necessary to effectively implement the legislation. Hence the present study was undertaken.Methods: The present study was a cross-sectional community-based survey carried out in urban slums of Nalgonda town. Data was collected using a structured schedule by interviewing 300 participants, aged above 15 years.Results: The current use of any tobacco was reported by 45.7% of the participants. Overall awareness of COTPA was 58.2%. Marital status, type of family, unemployment, Illiterates, lower SES, and age had a significant influence on tobacco use. Television (77.05%) was the major source of awareness regarding COTPA. The majority of smokers were aware of various sections of COTPA (>50%). About 34.8% of the participants had a favorable attitude towards COTPA. The positive attitude was more (53.7%) towards the display of health warnings on tobacco products among smokers. 11.2% had paid penalty for violation of the act and 32.4% have noticed a reduction in their habit to some extent.Conclusions: A concerted effort has to be made to increase the awareness of the act amongst the vulnerable population.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Ketema Bizuwork Gebremedhin ◽  
Tadesse Bedada Haye

Background. Globally, anemia, among people living with HIV/AIDS, is a major public health problem. It has a significant effect on the progression of HIV/AIDS to advanced stages and there are a number of factors that often affect anemia. However, there is little insight regarding factors affecting anemia among HIV/AIDS patients in developing countries, including Ethiopia. Objective. This study aimed at investigating factors affecting anemia among people living with HIV/AIDS taking ART drug at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A hospital based cross-sectional study design was used to assess factors affecting anemia among people living with HIV/AIDS. Structured checklist was used to gather information from charts of patients selected by simple random sampling method. We analyzed the data to identify factors associated with anemia among people with HIV/AIDS using logistic regression models. Results. A total of 301 selected charts were reviewed. The median age was 38 ± 10.38. The majority (62.5%) of the patients were taking ZDV-containing ART drug (ZDV/3TC/NVP). The overall anemia prevalence was 34.6%, while about 5%, 15.6%, and 14% of the patients had severe, moderate, and mild prevalence of anemia, respectively. Factors that were found to affect anemia among these patients include gender (OR = 2.26 [95% CI: 1.22, 4.16]), occupation (OR: 0.57 [95%CI: 0.35, 0.92]), WBC count (OR = 2.30 [95% CI: 1.29, 4.09]), platelet count (OR = 2.89 [95% CI: 0.99, 8.41]), nutritional status (OR = 2.05 [95% CI: 0.69, 6.02]), and WHO clinical stage of HIV/AIDS (OR = 3.69 [95% CI: 1.86, 7.31]). Conclusions. About one in three patients was found to be anemic. Intervention aimed at diagnosing and treating anemia among people living with HIV/AIDS should be considered.


2016 ◽  
Vol 11 (1) ◽  
pp. 11-14
Author(s):  
Jayanta Kumar Saha ◽  
ARM Saifuddin Ekram ◽  
Mohammed Shahadat Hossain ◽  
ATM Ataur Rahman ◽  
Prodip Kumar Biswas ◽  
...  

Arterial Hypertension is the most common cardiovascular disease and is a major public health problem in both developed and developing countries. The aim of the study was to assess renal involvement in hypertensive patient by renogram, which is not detected by conventional biochemical test. This was a cross sectional observational study. Consecutive 30 hypertensive patients admitted in the medicine wards from March, 2006 to April, 2007 in Rajshahi Medical College Hospital, Bangladesh were taken as case. Informed consent was taken from all the study patients or from their attendants. Detail history was taken from each patient or from their attendants' then clinical examination and relevant investigations were done. Emphasis was laid to find out renal involvement in long standing hypertensive patients by renogram. After initial selection; laboratory investigations like Urine for R/M/E, Blood Sugar 2ABF, S. Creatinine, USG of KUB, ECG and Hb% were done for every patients. All patients included in this study renogram were done. Majority of the patient (40%) were between the age of 41-50 years and Male: Female ratio was 3:2. Most of the patient lead a moderately active life (66.67%). Serum Creatinine was raised in 23.33% patient whereas renal parenchymal insufficiency evidenced by renogram was found in 50% case. In this study, we found that a significant number of cases (26.67%) having renal parenchymal insufficiency were not detected by S. Creatinine level, but detected by renogram. Renogram is superior to conventional biochemical renal function test for early detection of hypertensive nephropathy.Faridpur Med. Coll. J. Jan 2016;11(1): 11-14


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. 


2017 ◽  
Vol 13 (1) ◽  
pp. 4-12 ◽  
Author(s):  
KRN Singh ◽  
Ram Bilakshan Sah ◽  
PK Pokharel

Introduction: Malaria is a well-known disease and it continues to be a major public health problem at the start of new millennium. The problem is persistent not only amongst the city dwellers but also amongst the rural population.Objective: To identify the magnitude of malaria cases and to compare the malaria cases between hilly area and Terai belts.Methods: This cross-sectional study was carried out in Terai belt of Morang District Nepal at Nobel Medical College & Research Center Biratnagar from March to Oct 2007 and hilly area around Lumbini Medical College Teaching Hospital & Research Center Pravas, Tansen, Palpa of Nepal between March to December 2008. Blood samples were collected from all the cases and malaria parasites were examined by Peripheral Blood Smear Examination and Rapid Card Method Screening.Results: Thirty-five cases were malaria positive from hilly area of whom 80% had Plasmodium vivax infection. Whereas in Terai belt 231 positive cases ware recorded. Out of them (62.8%) cases were affected by Plasmodium vivax infection. That most vulnerable age group was 15 years and above. Males were more affected than females.Conclusion: It was observed that in hilly areas the numbers of positive cases are less than the Terai belt. The magnitude of malaria cases are found high in July. A steady decline has been observed till September to October Health Renaissance 2015;13 (1): 4-12


2014 ◽  
Vol 26 (1) ◽  
pp. 46-48
Author(s):  
Devendra Nath Sarkar ◽  
Md Ismail Hossain ◽  
Mainuddinin Ahmed ◽  
AKM Shaheduzzaman ◽  
Nur Mohammad

Organophosphorus compounds (OPC) poisoning is a major public health problem in low and middle income countries. The incidence varies from country to country depending on easy availability of poison, socio-economic condition and educational background of the people. This study aimed to determine the frequency, outcome and aetiological aspect of OPC poisoning patient admitted in Rangpur medical college hospital. It was a cross sectional study carried out in the department of Medicine, Rangpur medical college hospital from 1st December 2011 to 30th November, 2012. During the study period a total of 703 patients have been studied. The most of the patients were between the age of 18- 40 years (91.9%), male (51.6%), married (71.3%) and from rural areas (67.8%). People of different occupations were involved in OPC poisoning, house-wives were the maximum (33.6%) followed by farmers (31.7%). 92% cases were suicidal and 8% accidental. Familial disharmony was the prime cause (92.3%) of suicidal motive. 88% of the patients were survived and 5% died. OPC poisoning is an important health care problem in our country. Improved awareness, restricting availability and banning more toxic organophosphorus compounds will reduce the incidence of OPC poisoning. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21313 Medicine Today 2014 Vol.26(1): 46-48


Author(s):  
Rufiat Nasiruddin Kazi ◽  
Mangala M. Bote ◽  
Kedar J. Raikar

Background: Diabetes Mellitus has become a major public health problem in India and also the major cause of disability through complications such as blindness, renal failure, lower limb gangrene etc. People suffering from Diabetes related complications are many times unaware about the measures to curb the onset of the complications. The aim of the study was to assess knowledge, attitude and practices about diabetes and its complications in the diabetic patientsMethods: This was a cross sectional descriptive study conducted at an Urban Health Centre attached to the parent medical college in Mumbai. The knowledge, attitude and practices of the 116 participants who were registered at the non-communicable disease (NCD) OPD were assessed via a pre-designed, pre-tested interviewer administered questionnaire. Statistical analysis used: SPSS version 20.Results: Majority belonged the age groups of 40-60 years (69%), 63.8% were women, 91.4% were married and 44.4% were illiterate. 13.8% of the respondents had correct knowledge about the causes of diabetes and 62.9% could correctly identify the symptoms of diabetes. Knowledge regarding the complications in diabetics was found to be quite low with only 52.6% correctly identifying one or more complications. The most commonly known complication was neuropathy (83.6%) followed by nephropathy (57.3%). The attitude of the patients with respect to screening of complications was found to be poor and the same reflected in their practicesConclusions: There is a lack of understanding of the basics of the disease, its prevention as well as prevention of complications in those suffering from the disease. 


2018 ◽  
Vol 10 (3) ◽  
pp. 13
Author(s):  
Ashraf Ahmed Zaghloul ◽  
Moetaz Elsergany

OBJECTIVE: Smoking is considered a major public health problem throughout the world. Although the burden of a disease attributable to smoking occurs among adults yet, the problem originates in the teenage and adolescence when the majority of smokers have their first experience with cigarettes. The objective of this study was to estimate prevalence of cigarette consumption among the University of Sharjah students. SETTING: University of Sharjah, Sharjah campus.PARTICIPANTS: The total undergraduate student population registered at University of Sharjah (UoS) during the period of study.DESIGN: A cross-sectional design was followed and included a sample of the University of Sharjah students based on the assumption of a prevalence of 15% and a degree of precision of 5% at the 95% confidence interval for each of the two campuses within the University city (Medical and Health Sciences campus and Non-Medical campus). The designed data collection tool was distributed based on the stratified sampling technique.RESULTS: The overall prevalence was 28.2% for both sexes. The prevalence of smoking among males accounted for 44.6%, while the prevalence of smoking accounted for 13% in females. The highest percentage of type of smoking was cigarettes 52.2% in males and 78.5% in females followed by medwakh 30.2% in males and water-pipe in females 21.5%. A student at a non-medical college, being a non-national, and having parents who were smokers were the common logistic regression predictors of smoking for both sexes in the sample under study.CONCLUSION: Tobacco control strategies and preventive measures in the UAE should start as early as preparatory and high school education and be directed towards school students as it seems that the problem is escalating in prevalence and magnitude.


2018 ◽  
Vol 9 (1) ◽  
pp. 34-38 ◽  
Author(s):  
Md MH Khan ◽  
Md R Karim ◽  
Md S Alam ◽  
Md M Ali ◽  
Jakir HB Masud

Background: Smoking is recognized as a major public health problem in the world.Materials & Methods: The objective of the study was to assess the prevalence and determinant of adolescent smoking in West Kafrul Dhaka. This was a cross sectional study conducted in 2013 among 150 adolescent boys of school and slum.Results: The results showed 35.33% adolescent boys had smoking habit. Most of the adolescent (86.79%) had started smoking when they were 14-17 years old. This study found that peers influence (50.94 %) was the most common causes of smoking. Among the boys who live in slum, 80% were smoker and among the school going boys 15% were smoker.Conclusion: Smoking was very common among middle-class male teenagers and even more prevalent among youths from nearby slums. Awareness program on tobacco will be an effective way to control.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 34-38


2021 ◽  
pp. 38-40
Author(s):  
Bhumika N Shah ◽  
Romil N Patel ◽  
Kunal G Patel

Background: Glaucoma is a major public health problem in the India as well as world. Community based surveys reported that only 10% to 50% of people with glaucoma are aware about they have disease. Aim & Objective:The aim of this study to evaluate awareness about different aspect of glaucoma including symptoms, treatment. Methodology: This cross-sectional analytical study was done among people attending the Ophthalmology Out Patient Department at GMERS Medical College and Hospital Gandhinagar. Total 350 students were included in the study. Astructured interview with xed approach was used to collect data. The order of the questions was specied. Questionnaire has been validated by subject experts. Results: Mean age was 38.3 ± 13.8 years. Majority of the study participant were male (60.9%), literate (83.7%) and belonged to class III and above SE class (52.2%). Only 36.0% participants heard about glaucoma. Asymptomatic glaucoma and irreversible nature vision loss was known to 14.2% and 8.8% of participants. Awareness about glaucoma was signicantly low in participants of 21 to 60 year age group, education below secondary, SE class 4 & 5 and laborer. Conclusion:Awareness of glaucoma is very poor in persons attending GMERS medical college, Gandhinagar. There is need for community-based health education programmes to increase the level of awareness and knowledge about glaucoma


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