scholarly journals Is there Diversity in our Diet? A Cross-sectional Study among Healthcare Workers in a Tertiary care Hospital in Tamil Nadu

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 71-75
Author(s):  
Amin Mohamed Khan ◽  
Timsi Jain ◽  
Dinesh Kumar G

Healthcare is a demanding profession and often, while performing their roles, healthcare workers face multiple occupational and personal stresses that may influence their ability to maintain positive dietary habits. Nutritional adequacy is the comparison between the nutrient requirement and the intake of a certain individual or population. Due to the limited availability of data on the dietary diversity of healthcare workers in India, an attempt was made to conduct an across-sectional study of the dietary diversity of healthcare workers working in a tertiary hospital. The sampling frame comprised of various hospital staff and healthcare workers who were working in the hospital and a total of 119 were examined. The study tool was prepared based on the FAO dietary diversity questionnaire Details about age, gender, and details regarding their jobs, such as shift work, were collected. A score of >11 was considered as the operational definition for a diverse diet. The socio-demographic variables of study participants, when analyzed show than early 90% (107) of the study population, were aged below thirty (30) years. Amongst the 119 subjects, 19 (16%) were male and 100 (84%) were female. Almost two thirds (58.8%) of the population involved worked in shifts. A majority of the subjects 18 (26.8%) opted for taste as the major determinant, followed by Stress at 15 (22.3%) and Cost with 12 (17.9%) subjects. When compared, dietary diversity in males was found to be much better. In conclusion, there is a significant absence of dietary diversity and the presence of nutrient inadequacy among the hospital staff and health care workers. This inadequacy is present primarily due to the ignorance and lifestyle choices of the subjects involved.

2021 ◽  
Vol 19 (3) ◽  
pp. 133-138
Author(s):  
M Selva Sudha ◽  

Background: Acne is a chronic, self-limiting inflammatory disease of pilosebaceous unit. It is multifactorial, of which Propionibacterium acne and Sebum play an important role in etiopathogenesis. Aim: To study the clinico-epidemiological characteristics of patients with acne vulgaris attending the Out Patient Department of Dermatology at a tertiary care hospital, in Tamil Nadu state of India. Material and Methods: This is a Cross sectional study conducted in patients who are attending to the Outpatient Department of Dermatology in Meenakshi Medical College and Research Institute, Tamil Nadu. A total of 50 apparently healthy male and non-pregnant females aged between 12 years and 35 years with clinical diagnosis of acne grade 1 and 2 with facial lesions only are selected and recruited for the study. Pregnant and lactating women, patients who are hypersensitive to retinoids and presented with any other skin condition that would interfere with diagnosis or assessment of acne were excluded from the study. Study subjects were divided into two groups. One groups was treated with Adapalene and the other group was treated with Tretinoin. Both the groups were compared for the clinico-epidemiological characteristics. Results: A total of 50 patients were recruited for the study (n=50). Out of the 50 patients, 20 were males (40%) and 30 were females; 28 patients were students (that is 56%) and 22 (that is 44%) were completed their studies or not going to school or college for studies. Among the 50 patients 32 were unmarried and 18 were married. Based on the duration of Acne, subjects were divided into three groups: - below 1 year, 1-2 year and above 2 years. All the clinico-epidemiological parameters were compared for analysis. Conclusion: It was observed that 24% of the study population showed a positive family history of acne and diet is the major precipitating factor for the development of Acne among all the affected patients. So suggestions of change in dietary habits to be given to Acne patients for better outcome.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Akira Kuriyama ◽  
Hiroyuki Fujii ◽  
Aki Hotta ◽  
Rina Asanuma ◽  
Hiromasa Irie

Abstract Background Mobile phones used by healthcare workers (HCWs) are contaminated with bacteria, but the posterior surface of smartphones has rarely been studied. The aim of this study was to compare the prevalence of microbial contamination of touchscreens and posterior surfaces of smartphones owned by HCWs. Methods A cross-sectional study of smartphones used by HCWs employed at two intensive care units at a Japanese tertiary care hospital was performed. Bacteria on each surface of the smartphones were isolated separately. The primary outcomes were the prevalence of microbial contamination on each surface of smartphones and associated bacterial species. Fisher’s exact test was used to compare dichotomous outcomes. Results Eighty-four HCWs participated in this study. The touchscreen and posterior surface were contaminated in 27 (32.1%) and 39 (46.4%) smartphones, respectively, indicating that the posterior surface was more frequently contaminated (p = 0.041). Bacillus species and coagulase-negative staphylococci were isolated from each surface of the smartphones. Conclusions The posterior surface of a smartphone was more significantly contaminated with bacteria than the touchscreen, regardless of having a cover. Therefore, routine cleaning of the posterior surface of a smartphone is recommended.


Author(s):  
R. Gowthaman ◽  
A. Viknesh Ambayiram

Background: Self-medication as the selection and use of medicines by the individuals to treat self-recognised illness or symptoms. Self-medication is recognised as a part of self-care. The objectives of this study was to find out the prevalence of self-medication in an urban Chidambaram, Tamil Nadu, to find out the pattern of self-medication with regard to its practice and to find out the reasons favoring the practice of self-medication.Methods: The cross-sectional study was carried out in the month of September 2018 in a randomly selected urban field practice area of a tertiary care hospital. The sample size was calculated to be 360. Data was collected from all the houses in the selected field practice area. The data collected was entered into Microsoft excel spread sheet 2018 and analysis was done using SPSS version 21.Results: Self-medication was practiced by 195 (48.75%) of the households and 215 (18.6%) of the study participants. 42.1% reported pharmacist as source of knowledge. Most common symptom/sign for which self-medication was practiced was fever (42%). Most commonly (57.9%) used self-medicament was non-steroidal anti-inflammatory agents. Antibiotics were used by 15.4% as self- medicament. Among the 195 households practising self-medication, 65 (33.3%) reported that accessibility to pharmacy was more than that of clinic as reason for practicing self-medication.Conclusions: The usage of antibiotics as self-medicament and decreased awareness regarding the side effects of self-medicaments indicated decreased practice of responsible self-medication in the study area. More studies have to be conducted regarding the awareness, barriers and facilitators for practicing responsible self-medication.


Author(s):  
Jagan Chandramohan ◽  
Elanthenral Sigamani ◽  
Deepak Thomas Abraham ◽  
Paul Mazhuvanchary Jacob ◽  
Anish Jacob Cherian ◽  
...  

Introduction: Ectopic Intrathyroid Parathyroid Adenomas (ITPAs) are rare and known to pose preoperative and intraoperative diagnostic challenges in localisation, resulting in failure of parathyroid surgery. The common histopathological features of these tumours are not elaborately described in literature. Aim: To describe the clinico-pathological features of ITPAs, identified among all parathyroid adenomas, diagnosed at a tertiary care hospital. Materials and Methods: This was a cross-sectional study of all ITPAs diagnosed between January 2012 to December 2019, at Christian Medical College and Hospital, Vellore, Tamil Nadu. The gross examination and microscopic findings of ITPAs were reviewed and tabulated. Clinical, radiological and intraoperative findings were compiled to obtain preoperative and intraoperative diagnostic rates. Results: Among 409 parathyroid adenomas, there were ten ITPAs (2.4%), with eight ectopic inferior (80%) and two ectopic superior parathyroids (20%). Four ITPAs were completely intrathyroid (0.97%). Histopathological features of ITPAs were those of usual parathyroid adenomas. Four patients (40%) had concomitant thyroid disease, including one papillary micro-carcinoma (10%). Correct preoperative diagnostic rate was 40%. Intraoperative misjudgment of location occurred in two patients (20%). Conclusion: ITPAs are rare and correct preoperative and intraoperative diagnosis may not be always possible. Histopathological evaluation of suspicious intrathyroid nodules is necessary in such instances to correctly diagnose them.


2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Sani Sipai ◽  
Bishnu Rath Giri ◽  
Sudhir Sapkota ◽  
Ram Hari Chapagain ◽  
Santosh Manandhar ◽  
...  

Introduction: Healthcare workers are always at the risk of exposure to different diseases like respiratory illness including COVID-19. Using appropriate face mask or respiratory protective equipment correctly can prevent transmission of diseases from and to healthcare workers while caring for patients. The study aimed to find out the practice regarding use of face masks during the COVID-19 pandemic in a tertiary care center. Methods: A descriptive cross-sectional study was conducted at a tertiary care hospital during June-July 2020 after receiving ethical approval from the review committee regarding practice of use of face masks. Convenience sampling method was used and a sample size of 162 was taken. Descriptive statistical analysis was done. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 162 participants, 123 (75.9%) knew the correct way of using the masks (72.5-79.3 at 95% Confidence Interval). Conclusions: In this study regarding practice of use of face masks, most of the healthcare workers knew the correct way of using masks and practised hygiene before and after using masks.


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