scholarly journals Assessment of nicotine dependence among tobacco chewers attending dental outpatient department in a tertiary care hospital

2020 ◽  
Vol 7 (9) ◽  
pp. 3466
Author(s):  
Saket Shekhar ◽  
Prachi N. Nehulkar ◽  
Vimal M. Holambe
Keyword(s):  
Nicotine Dependence ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Tobacco Addiction ◽  
Slaked Lime ◽  
Smokeless Tobacco Use ◽  
Study Participants

Background: Smokeless tobacco is most common form of tobacco addiction. Nicotine dependence plays important role in tobacco addiction. In the present study we try to study sociodemographic factors, type of smokeless tobacco use and its pattern and smokeless tobacco chewers and nicotine dependence among them.Methods: A cross sectional study was conducted for six months and responses from 854 smokeless tobacco chewers were collected from dental OPD of Government Medical College and Hospital, Latur, Maharashtra. A structured questionnaire was designed and filled by face to face interview and responses were analysed.Results: Out of 854 study participants more than 50% i.e. 468 (54.80%) were in age group of 25-44 years. Illiterates compromised 27.87% of study participants. Almost one third (31.14%) of study participants started using smokeless tobacco before age of 18 years. Khaini or tobacco mixed with slaked lime is preferred type of smokeless tobacco by most of the smokeless tobacco users. Most common i.e. 51.87% of study participants consumed smokeless tobacco 5-9 times a day. Almost 50% of study participants i.e. 421 (49.30%) spent Rs 100-300 on smokeless tobacco per month. Nicotine dependence is seen in 38.20% of study participants.Conclusions: Smokeless tobacco use is prevalent before age of maturity among teenagers. Nicotine dependence is seen in almost one third of smokeless tobacco users. Determining nicotine dependence is an important step in tackling nicotine dependence.

SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL

2021 ◽  
pp. 12-15
Author(s):  
Smarajit Banik ◽  
Sandip Saha ◽  
Sudipan Mitra ◽  
Ujjwal Pattanayak ◽  
Rajib Sikder ◽  
...  
Keyword(s):  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Medical College ◽  
Study Participants

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.

scholarly journals A cross sectional study of epidemiological determinants correlated with prevalence of hypertension among municipal school teachers located in suburban area

2017 ◽  
Vol 4 (2) ◽  
pp. 385
Author(s):  
Parth H. Vyas ◽  
Kamaxi Bhate ◽  
Mukesh Bawa ◽  
Vikrant Pagar ◽  
Amol Kinge
Keyword(s):  
Tertiary Care ◽  
Total Sample ◽  
Urban Slum ◽  
Health Condition ◽  
Urban Life ◽  
Care Hospital ◽  
Significant Relation ◽  
School Teachers ◽  
Cross Sectional ◽  
Study Participants

Background: Hypertension is a major long-term health condition and is the leading cause of premature deaths among persons experiencing sedentary urban life style behaviors such as high calorie diet, lack of physical exercise and job stress. The objectives of the present study was to determine prevalence & various risk factors of hypertension among municipal school teachers in an urban slum.  Methods:The study area was a field practice area of tertiary care hospital in a metropolitan city. Municipal school teachers from suburban slums were the study participants. Teachers above 35 years of age and want to participate in study were included. The total sample size obtained was 220.Results: 40% of the teachers were belonged to 35-40 years of age group. 70.9% of the study participants were women. Among 220 teachers 36.4% were having normal blood pressure. 43.6% teachers were in the pre- hypertension stage, while 14.5% and 5.5% were in stage- 1 and stage- 2 hypertension. The prevalence of hypertension was 20%. In present study it was found that as the age advances chances of contracting hypertension also increases [P=0.006]. Statistically significant relation between obesity and hypertension is seen [P=0.007]. There was a significant relation between physical activity and prevalence of hypertension [P = 0.021].Conclusions:Increasing age, obesity and sedentary lifestyle are proportionally related to the development of hypertension which was statistically significant. 

scholarly journals Clinical and biochemical profile of obese and overweight children at a Tertiary Care Hospital.

2020 ◽  
Vol 27 (06) ◽  
pp. 1119-1123
Author(s):  
Asif Ali Khuhro ◽  
Fazal Ur Rehman ◽  
Waqas Ali ◽  
Najmi Usman ◽  
Sanam Bano Rajper
Keyword(s):  
Metabolic Syndrome ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Biochemical Profile ◽  
Overweight Children ◽  
Cross Sectional ◽  
Female Ratio ◽  
Study Participants

Objectives: Childhood and adolescent obesity is increasing especially in developing countries like Pakistan. It seem to affect most socio-economic classes as well as all ethnicities and geographies. We planned this study to analyze the clinical and biochemical profile of obese as well as overweight children at a tertiary care hospital for the existence of metabolic syndrome. Study Design: Cross sectional study. Setting: Department of Pediatrics Medicine, Children Hospital Chandka Medical College / Shaheed Mohtarma Benazir Bhutto Medical University, Larkana. Period: 1st July 2018 to 31st December 2018. Material & Methods: Children, aged 5 to 16 years, both gender, having BMI > 85th percentile regarding age and gender were enrolled. Demographic characteristics along with history, lifestyle parameters and physical examination were noted for all the study participants. Metabolic syndrome (Met S) was evaluated while overall results were presented in terms of proportions, mean and standard deviations. Results: A total of 78 cases were enrolled during the study period. There were 46 (58.9%) male and 32 (41.1%) female, with a male to female ratio of 1.4:1. Mean age amongst study participants was 10.8 years. We had 56 (71.8%) children as overweight whereas 22 (28.2%) obese. Acanthosis nigricans was the most common entity seen in 55 (70.1%) children during clinical examination. Metabolic syndrome was found to be present in 31 (39.7%) participants. Conclusion: Met S is not only limited to obese children as it can also affect children who are overweight.

scholarly journals Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Md Shariful Islam ◽  
K. M. Saif-Ur-Rahman ◽  
Md. Mofijul Islam Bulbul ◽  
Deepak Singh
Keyword(s):  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Wealth Status ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Tobacco Marketing ◽  
Legal Provisions ◽  
Lower Education ◽  
Smokeless Tobacco Use ◽  
Nationally Representative

Abstract Background Tobacco consumption causes almost 638,000 premature deaths per year in India. This study sought to examine the prevalence and determinants of tobacco use among men in India. Methods We analyzed data from the fourth round of the National Family Health Survey in India. These nationally representative cross-sectional sample data were collected from January 20, 2015, to December 4, 2016. A total of 112,122 men aged 15–54 years were included in this study. Primary outcomes were tobacco use categorized into smoking, smokeless, any tobacco, and both smoked and smokeless tobacco use. Complex survey design and sampling weights were applied in both the descriptive analyses and logistic regression models. We present the findings using odds ratios. Results The prevalence of tobacco use among men in India for the studied period was 45.5% (95% CI 44.9–46.1), smoking was 24.6% (95% CI 24.1–25.1), smokeless tobacco use was 29.1% (95% CI 28.6–29.6), and both smoked and smokeless tobacco use was 8.4% (95% CI 8.1–8.7). The prevalence of tobacco use among men was higher among the elderly, separated/divorced/widowed individuals, those with lower education and wealth status, alcohol consumers, manual workers, and residents of the northeast region. Multivariate analysis showed that age, lower education, occupation, region, alcohol consumption, separated/divorced/widowed status, and economic status were substantially associated with tobacco use among Indian men. Conclusions Innovative and cost-effective strategies targeting high-risk groups are crucial to curbing the tobacco epidemic in India. Anti-smoking campaigns should also focus on mitigating alcohol abuse. Reducing tobacco marketing and implementing formal education about the dangers of tobacco use, progressive taxing, packaging, and labeling of tobacco products and price strategies should be harmonized in legal provisions.

scholarly journals Effects of video game on socio- behavioral environment

2018 ◽  
Vol 6 (1) ◽  
pp. 258
Author(s):  
P. Shirley ◽  
Balaji Arumugam ◽  
E. Suganya ◽  
M. Gowthamraj
Keyword(s):  
Video Games ◽  
Video Game ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Self Control ◽  
Care Hospital ◽  
Behavioral Patterns ◽  
Cross Sectional ◽  
Study Population ◽  
Study Participants

Background: Nowadays the teens playing outdoor games are difficult to be seen and of course, they play all these games not in reality but in a screen using video games. The biggest revolution in electronic world has put our teens more addicted towards video games which not only affect their academic performance but also have impact on their behaviour and health. The objectives of the study were to assess the pattern of video game usage among the study population; to determine the influence of video game in behaviour of the study population.Methods: The study was conducted as a cross sectional study during January and February 2018, among medical students of tertiary care hospital, Chennai. The data was collected using preformed pretested questionnaire. Data were analyzed using SPSS 21.Results: Out of 211 study participants, majority 168 (80%) were males. Around, 97 (45.9%) participants, liked to play during night hours and most 114 (54.1%) of them preferred adventure and racing games. The change in behavioral patterns like, skipping sleep 20 (25.3%), using bad words 22 (27.8%), betting 40 (50.6%), risky stunts 38 (48.1%) were observed. Around half of the participants 97 (46%) were giving complaints of various health problems like finger pain, 72 (34.1%) wrist pain, 63 (29.8%) neck pain, and 54 (26%) eye pain due to usage of video games.Conclusions: The behavioral patterns explored in this study are alarming which suggest that this age group has to be sensitized on the self control to use the video games. 

scholarly journals Echocardiographic evaluation of diastolic dysfunction in diabetes mellitus without covert cardiac involvement

2018 ◽  
Vol 5 (2) ◽  
pp. 289
Author(s):  
Nalin Kumar Mahesh ◽  
Anil Kumar ◽  
Niket Verma ◽  
Keshavamurthy Ganapathy Bhat ◽  
Dharmender Kumar
Keyword(s):  
Diabetes Mellitus ◽  
Diastolic Dysfunction ◽  
Systolic Dysfunction ◽  
Tertiary Care ◽  
Armed Forces ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Army Personnel ◽  
Study Participants

Background: Diabetic patients develop systolic and diastolic dysfunction without even associated coronary artery disease. But diastolic dysfunction is more prevalent in diabetic patients than systolic dysfunction and usually occurs before onset of symptoms. Recognition of early diastolic dysfunction is likely to make management better and avoids progression of cardiac dysfunction. This study was conducted in patients of Diabetes mellitus without other comorbidities.Methods: The present study which is cross sectional and was carried out among outpatients and inpatients of tertiary care hospital of Armed forces and involved army personnel and their dependents and sample size was 100 patients.Results: The prevalence of diastolic dysfunction among our study participants was found to be 36%. Diastolic dysfunction was found to be significantly higher among elderly individuals (60%) when compared to young study participants. (p<0.0001). Prevalence of diastolic dysfunction was found to be non-significantly higher among males and with longer duration of diabetes as compared to lesser duration and female gender.Conclusions: Diastolic dysfunction, evaluated by echocardiography, was found to be fairly prevalent (36%; 95% CI = 27-45%) among individuals with type 2 diabetes mellitus. Poor Glycaemic control and increasing age were found to be significantly associated with presence of diastolic dysfunction among individuals with diabetes mellitus. 

scholarly journals Factors Associated with Smokeless Tobacco Use among Pregnant Women in Rural Areas of the Southern Terai, Nepal

2017 ◽  
Vol 15 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Jitendra Kumar Singh ◽  
Dilaram Acharya ◽  
Rajendra Kadel ◽  
Samaj Adhikari ◽  
Daniel Lombard ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Pregnant Women ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Smokeless Tobacco Use ◽  
Pregnant Mothers

Background: Tobacco use among women during pregnancy leading to poor maternal and child health outcomes has been well documented. However, factors influencing use of smokeless tobacco in Nepal has not yet been well established. This study aims at exploring the factors related to smokeless tobacco use among pregnant women in rural southern Terai of Nepal.Methods: A community-based cross-sectional study was performed at 52 wards within 6 Village Development Committee in Dhanusha district of Nepal. A total of 426 expectant mothers in their second trimester were selected using a multistage cluster sampling method. Descriptive and regression analyses were done to explore the factors that influence smokeless tobacco use.Results: In a total of 426 pregnant mothers, one in five used tobacco in any form. Among the users, 13.4% used smokeless tobacco. Pregnant mothers who were smoking tobacco (AOR 6.01; 95% CI (1.88-19.23), having alcohol consumption (AOR 3.86; 95% CI (1.23-12.08), stressed (AOR 5.04; 95% CI (1.81-14.03), non-vegetarian (AOR 3.31;(1.84-13.03), not attending regular mothers’ group meetings (AOR 4.63; (1.41-15.19), and not-exposed to mass media (AOR 5.02; (1.89-13.33) were significantly associated with smokeless tobacco use. Similarly, mothers of age group 20-34 years, dalit, aadibasi and janajati, hill origin, no education and primary education were more likely to use smokeless tobacco than their counterparts.Conclusions: Factors such as smoking tobacco, alcohol consumption, stress, and poor education were found to be significantly associated with smokeless tobacco use among pregnant women in southern Terai of Nepal. This requires an immediate attention develop an effective strategy to prevent and control smokeless tobacco use among pregnant women in southern Terai of Nepal.

scholarly journals Assessment of nicotine dependence among tobacco users visiting outreach programs in Dharan, Nepal: a cross-sectional study

2020 ◽  
Author(s):  
Krishna Subedi ◽  
Ashish Shrestha ◽  
Tarakant Bhagat
Keyword(s):  
Nicotine Dependence ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Odds Ratio ◽  
Tobacco Cessation ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Outreach Programs ◽  
Nicotine Dependency ◽  
The Mean

Abstract Background Nicotine is a highly addictive substance present in tobacco. This study was conducted to assess the prevalence of tobacco use and compare the nicotine dependence among smokers and smokeless tobacco users visiting dental outreach programs of B.P. Koirala Institute of Health Sciences -Dharan, Nepal. Methods A cross sectional study was conducted from June 2018 to April 2019. A total of 726 people were selected from participants of dental outreach programs of 6 districts using convenience sampling technique. The data collection was done using semi-structured questionnaire through face to face interview by a single researcher. History of tobacco use and level of nicotine dependency was measured using Nepali translated and validated form of Fagerström Test for Nicotine Dependence for smoking and smokeless. The mean age of the tobacco users was 39.55 ± 15.57 (Range = 19–82 years). Descriptive statistics including the mean, median, percentage, standard deviations and interquartile range were computed. Chi-square test, Fisher’s exact test and odds ratio were calculated where needed. Results The overall prevalence of any tobacco use, smoking form, smokeless and both form was found to be 32.8%, 14.9%, 14.3% and 3.6% respectively. Nicotine dependence (moderate and severe) was found in 80% of smokeless tobacco users and 48% of smokers. Among the smokeless tobacco users nicotine dependency was found to be more with female gender (Odds ratio = 4.98, 95%CI = 1.41–17.69, p = 0.01), increase in duration of tobacco use with every 10 years, low socioeconomic status (Odds ratio = 2.75, 95%CI = 1.02–7.40, p = 0.04), married, not using alcohol. Among smokers nicotine dependency was found to be significantly higher with more than 30 years of duration (Odds ratio = 3.35, 95% CI = 1.42–7.92, p = 0.005). Conclusions The study concluded that prevalence of tobacco consumption and nicotine dependence was high among the people visiting dental outreach programs. This study incorporated both smoking and smokeless tobacco users. It is high time to develop a policy to control tobacco use along with creating tobacco cessation centers. Tobacco control program are basically focusing on smoking. However, it is very necessary to incorporate in policy level to control smokeless tobacco along with smoking. Tobacco cessation centers will obviously help to quit tobacco among the tobacco users.

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