scholarly journals Knowledge and awareness among nurses in tertiary care hospitals of Kolkata regarding HIV positive patient care: a cross-sectional study

Author(s):  
Nachiketa Ghosh ◽  
Arijit Dey ◽  
Sayantani Majumdar ◽  
Debdutta Haldar

Background: Nursing staff have immense contribution in the generation of healthcare and medical care services and act as pillars on which the entire hospital care facility is dependent. This can only be ensured if the hospital staff are well trained and fully updated about the recent treatment protocols to handle the complicated situation of the patients. Objectives of the study was to assess provider’s knowledge of HIV/AIDS, misconceptions and practices in the areas of virology, mode of transmission, prevention.Methods: This was a cross-sectional study conducted in five tertiary care hospitals of Kolkata, for a period of three months. The sample size of 250 nursing staffs from 5 hospitals were selected by applying simple random sampling technique. The data was collected by oral questionnaire method and results were analysed by appropriate statistical methods.Results: Among the 250 respondents, 62% received training on HIV/AIDS, 79.6% were aware of the fact that HIV/AIDS is caused by a virus, 86% of respondents correctly know that HIV is the agent that causes AIDS and 65% of respondents correctly answered that later stage of HIV is known as AIDS. It was observed that most of the respondents (94%) have good knowledge about spread of HIV via different modes of sexual contact. The fact that AIDS can be transmitted through blood in various ways is also known to most of nurses.Conclusions: The results of this study can be utilized in stressing on the importance of imparting training to the nurses and other healthcare workers related to HIV/AIDS patient care.

2021 ◽  
Vol 15 (8) ◽  
pp. 1858-1860
Author(s):  
Junaid Mushtaq ◽  
Israr-Ul- Haq ◽  
Waqas Mahmood ◽  
Mujtaba H. Siddiqui ◽  
Atiq Ahmad ◽  
...  

Aim: To determine the factors that affect compliance and adherence to medications of hypertensive patients visiting OPD clinics. Study design: Descriptive-cross sectional study. Place and duration of study: Department of Medicine, Unit 1, Lahore General Hospital, Doctors Hospital & Medical Center and Farooq Hospital Lahore from 1st January 2019 to 31st December 2019. Methodology: One hundred and sixty five patients with hypertension were handed over questionnaire socio-demographic, compliance and adherence were recorded. Results: Patients who maintained BP charting were only 13(7.9%) and those without BP charting were 152(92.1%). Patients taking regular medications were only 20(12.1%). Forgetfulness in taking medications was found in 47.3% of patients. 20.6% of patients were unable to purchase medicines because of financial reasons. Thirty two patients (19.4%) thought that they should not take medicines as they were not having any symptoms. Conclusion: Major causes of non-adherence were expense of medications, lack of symptoms, lack of money, forgetfulness, lack of awareness due to poor educational status and nature of job. Keywords: Compliance, Adherence, Medications, Hypertension, Forgetfulness


Author(s):  
Shyam V. Ashtekar ◽  
Aryaman Singh ◽  
Manasi S. Padhyegurjar ◽  
Sidrah M. Shaikh ◽  
Abhimanyu R. Kapse ◽  
...  

Background: The rising prevalence of type 2 diabetes (T2D) in India calls for screening of at-risk adults. Objectives were to assess IDRS (Indian diabetes risk score) of T2D in staff in tertiary care hospital, and to assess covariates random blood sugar (RBS), BMI, skinfold thickness (SFT), pre-existing T2D in the employees.Methods: In this cross sectional study, IDRS was used to assess all staff in a tertiary care institute. Anthropometric measurements, BP and RBS were done. Information on parental T2D, cereal intake and weekly physical activity (PA) was obtained in interview.Results: 370 subjects (F-117, M-273) with mean age 30.81 (7.99), BMI 22.89 (14.13) years were screened. Subjects in moderate and sedentary work were 185 each, 15% women and 39% men had higher waist size. Total 5.4% subjects had T2D including known diabetics. RBS in women and men was 113.1 (27.87), 114.7 (27.66), with IDRS score high in 29 (7.84%) and moderate in 144 (38.92%). Parental T2D was present in 19.5% subjects. IDRS risk was strongly associated with type of work (Chi-square 79.0283, df=4, p=0.00). Multiple logistic regression for IDRS risk outcome showed association of age (OR 1.4), BMI (OR1.3), parental T2D (OR 9.6) with highly significant p values. Multiple linear regression for RBS outcome was associated with age (OR 1.3) and BMI (OR 1.4) but the results were statistically not significant.Conclusions: Pooled IDRS risk was present in 47% subjects despite younger age of study population. Improvements in physical activity and reduction in waist size is the need of the hour.


2018 ◽  
Vol 5 (6) ◽  
pp. 2284
Author(s):  
Shalaka P. Patil ◽  
Balaji Almale

Background: Adolescents, as defined by World Health organization, constitute individuals in between the age group of 10 to 19 years. Children, youth and young people are the other groups which have ages which overlap with the adolescent age group. The hormonal changes at this age are responsible not only for physiological growth but also emotional and cognitive changes. Lifestyle in this age group may have lasting and, in many cases, lifelong implications. We conducted this cross-sectional study to holistically analyse lifestyle of school adolescents in Mumbai.Methods: This was a cross sectional study conducted in the in a tertiary care medical college. The students belonging to an English medium co-education school of a metropolitan city were included in this study on the basis of a predefined inclusion and exclusion criteria. A culturally acceptable questionnaire was structured in simple language and used in this study. Demographic data was asked. All questions were closed ended and requiring specific response the questionnaire was subjected to critical evaluation by experts from the field of Public Health Pediatrics, high school teachers, heads of schools, experts from Social justice and law input from the experts were incorporated in the questionnaire. Statistical analysis was done using SSPE 22.0 Software.Results: A total of 538 adolescents were studied in this cross-sectional study. There were 270 boys (50.18%) and 268 (49.82%) girls with a M:F ratio of 1:0.95. Mean age of the studied cases was found to be 12.4±1.44 years. Majority of the adolescents were found to be residing in buildings (66.36%) and average family size was found to be 5.63±3.34 members Majority of the boys and girls (66.92%) were not having any knowledge about HIV/AIDS.7.06% adolescents were found to have suicidal or homicidal thoughts. 93.31% adolescents liked to come to school and 83.83% claimed to be obedient.Conclusions: This cross-sectional study highlights the fact that adolescents have a significant amount of psychosocial problems. Important amongst these included inclination towards substance abuse, suicidal or homicidal thoughts and ignorance about HIV/AIDS. Strategies to tackle these issue needs to be devised so as to tackle these problems faced by adolescents.


2021 ◽  
Vol 28 (09) ◽  
pp. 1239-1244
Author(s):  
Umair Toqueer ◽  
Muhammad Usama Zardad ◽  
Mahwish Toqueer ◽  
Anila Riyaz ◽  
Sana Khan ◽  
...  

Objectives: To determine stress grades of doctors working in tertiary care  hospitals by using a standard measuring tool i.e. Kessler 10 psychological distress scale along with finding out different coping methods adopted by doctors during the COVID-19 pandemic. Study Design: Cross Sectional study. Setting: Tertiary Care Hospitals of Khyber Pakhtunkhwa (KPK), Pakistan. Period: 15 March 2020 to 20 June 2020. Material & Methods: A structured questionnaire was sent online to the junior and senior doctors working during the pandemic. The data was automatically collected with the help of Google docs and then analysed using SPSS 26. Results: Of the 219 doctors who completed the questionnaire 142 were males (64.8%) and 77 were females (35.2%). Interestingly, analysis of the score revealed that 38.8% of the doctors were found likely to be well, 16.4% of the doctors were likely to have mild disease and 20.5% were likely to have a moderate disorder while 24.2% were likely to have a severe disorder. Further analysis showed that the mean of  Kessler’s score was greater for junior doctors as  compared to Consultants which was found to be statistically significant (p=0.044). Conclusion: The impact of Corona virus disease (COVID-19) on the stress levels of health workers warrants considerable attention as it was declared a pandemic. Assessing the psychological impact and ways to tackle them will not only help the health care workers during this pandemic but will be beneficial in future pandemics as well.


2013 ◽  
Vol 3 (1) ◽  
pp. 236-242
Author(s):  
Kadir Alam ◽  
P Mishra ◽  
NK Angsulee

Background: Enteric fever, also known as typhoid fever, is a commonly diagnosed disease in Nepal. Globally, enteric fever affects 21.6 million people and causes 216500 deaths annually. Appropriate use of antibiotics is a key element in the successful treatment of enteric fever. Objective: The study was aimed to study antibiotic use and their appropriateness in the patient with Enteric Fever. Methods: A cross-sectional study was carried out in two tertiary-care hospitals viz. Manipal Teaching Hospital (MTH) and Western Regional Hospital (WRH) in western Nepal between Aug- September 2010. Appropriateness in this study was assessed using Medication Appropriateness Index (MAI) criteria which include indication, effectiveness, dosage, correct directions, practical directions, drug-drug interactions, drug-disease interactions, duplication, duration and expense.  Results: Mean use of antibiotics in WRH (2.18±0.87) was not significantly different (P = 0.015) from MTH (2.13±1.11). The Cephalosporin group of antibiotics was used widely to treat enteric fever in both hospitals. On average 1.12 Cephalosporin per patient in MTH and 0.93 Cephalosporin per patient in WRH were used. On average, we found that 31.7% in MTH and 39.5% in WRH of patient’s treatments with antibiotics were inappropriate. Other common types of inappropriateness are expensive drugs [90% (MTH), 92% (WRH)] duplication of antibiotics [53% (MTH), 822% (WRH)], prescribing high generation antibiotics [80% (MTH), 89% (WRH)], and practical direction [17% (MTH), 33% (WRH)]. Conclusion: Conclusively, more than thirty percent of patients in both of hospitals treated for enteric fever received inappropriate antibiotics. Hence we recommend future education or managerial intervention to improve appropriateness. DOI: http://dx.doi.org/10.3126/nje.v3i1.8289   Nepal Journal of Epidemiology 2013;3 (1): 236-242


2009 ◽  
Vol 34 (4) ◽  
pp. 346 ◽  
Author(s):  
Yogesh Gautam ◽  
AK Sharma ◽  
AK Agarwal ◽  
MK Bhatnagar ◽  
RoochikaRanjan Trehan

2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Pravakar Dawadi ◽  
Sabina Khadka ◽  
Milan Chandra Khanal ◽  
Raj Kumar Thapa

Introduction: Voluntary blood donation is a reliable source of increasing the demand for blood transfusion. Medical students are the potential pool of blood donors. This study aims to find the prevalence of blood donation practice among medical students of a medical college in Nepal. Methods: This is a descriptive cross-sectional study conducted in a medical college of Nepal among students studying from the first year to final year MBBS. Ethical approval was obtained from the Institutional Review Committee of the Nepalese Army Institute of Health Sciences (Ref no. 245). A stratified random sampling technique was used to collect data. A self-administered pre-tested questionnaire was used to collect data. Data were analyzed using Microsoft Excel 2016. Results: The prevalence of blood donation practice among medical students of the medical college is 41 (22.20%) (17.35-27.05 at 95% Confidence Interval). The practice of blood donation is seen more among students of the final year 15 (35.71%) and the least among first year 3 (8.57%). Most of the donors, 24 (58.54%), have donated blood only once before. The most common reasons for donating and not donating blood before are ‘behavior of altruism’ 12 (29.27%) and ‘I am not fit/disapproved’ 44 (30.56%) respectively. Conclusions: This study shows less prevalence of blood donation practice among medical students. It points to the need for more extensive studies to explore the factors deterring medical students from donating blood. Definitive strategies are also needed to encourage medical students to increased voluntary participation in blood donation.


2021 ◽  
Vol 59 (239) ◽  
Author(s):  
Neera Joshi ◽  
Suraj Shrestha ◽  
Sunanda Sundas ◽  
Kranti Prajapati ◽  
Sharada Devi Wagle ◽  
...  

Introduction: C-shaped canal configuration is mostly found in the mandibular second molar. The morphological characteristic of a C-shaped canal is the presence of a fin or web connecting the individual canal, making it difficult for cleaning, shaping, and obturation. The objective of this study was to find out the prevalence of C-shaped canal in mandibular second molar among cases of Cone Beam Computed Tomography in tertiary care hospitals. Methods: The descriptive cross-sectional study was conducted in the department of conservative dentistry and endodontics of tertiary care hospitals from 20th June 2020 to 20th December 2020 after receiving ethical approval from the Nepal Health Research Council on 19 June 2020. Cone-beam computed tomography images of 199 mandibular second molars with completely formed roots were used. Teeth with orthodontic braces, root resorption, root canal filling, and post were excluded from the study. The research was conducted taking a tooth as a unit. Convenience sampling was done. Statistical analysis was done by using Statistical Package for Social Sciences version 16. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The prevalence of C-shaped canal according to this study is 25 (12.6%) (7.99-17.21 at 95% Confidence Interval). Conclusions: The findings of the study conclude that C-shaped configuration is quite frequent in mandibular second molar among cases of Cone Beam Computed Tomography. A careful pre-operative radiographic evaluation may be helpful for diagnosing C-shaped configuration prior to root canal treatment.


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