scholarly journals Medico-legal Study of Suspected Homicide Cases in a Teaching Hospital in Eastern Nepal

1970 ◽  
Vol 9 (1) ◽  
pp. 15-19 ◽  
Author(s):  
A Karn ◽  
S Jha ◽  
BK Yadav ◽  
D Thakur
Keyword(s):  
Rural Areas ◽  
Cross Sectional Study ◽  
Human Being ◽  
Dominant Group ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
Firearm Injury ◽  
Firearm Injuries ◽  
Crime Detection ◽  
The Government

Introduction: Homicide means killing of one human being as a result of conduct of another human being. This study of medico-legal and epidemiological details of homicidal cases would help in enhancement of various stakeholders in law enforcing agencies with the view to benefit the process of scientific crime detection and proper administration of justice at large. Objective: To identify the various medico-legal and epidemiological factors involved in homicide. Materials and method: A prospective cross-sectional study was conducted in fatal homicide victims brought for medico-legal autopsy in BPKIHS, during the period of 15th April 2009 to 14th July 2010.Data were collected using pre tested questionnaire by direct interview to the visitors of victim, information from the police record along with postmortem examination of the victim. Results: Out of the total 50 cases, the ratio of male to female victim was 4:1. More than half of the victims were of age 21-40 years (52%). More of the homicide victims were of rural areas (56%) and illiterate (32%). Injuries by sharp weapon were most common cause of death (36%) very closely followed by firearm injuries (34%). Most of the victim remained totally deprived of any medical help (60%). Conclusion: The homicide victims in eastern Nepal constituted illiterate adult male from rural area a dominant group. Sharp weapons were commonly employed in this region for homicide. Fatality of the victim can be highly minimized if medical and surgical interventions are be promptly prearranged. Proper counselling for developing positive attitude and controlling the aggression in youth have to be Promoted at large by the government. Keywords: Homicide; Medico-legal; sharp weapon injury; firearm injury DOI: 10.3126/hren.v9i1.4356Health Renaissance, 2011: Vol.9 No.1:15-19

scholarly journals Factors influencing sustainability of open defecation free (ODF) status in rural India: A cross sectional study

2021 ◽  
Vol 4 (3) ◽  
pp. 116-125
Author(s):  
P S Janaki Krishna ◽  
R K Mishra ◽  
Maschendar Goud
Keyword(s):  
Rural Areas ◽  
Multinomial Logistic Regression ◽  
Cross Sectional Study ◽  
Multinomial Logistic Regression Model ◽  
Open Defecation ◽  
Cross Sectional ◽  
Rural Villages ◽  
The Government ◽  
The Empirical Analysis ◽  
Free Status

Tackling a simple and sensitive concern of ‘Open Defecation (OD)’ is such a compounded and righteous challenge that enormous efforts and resources are needed to bring in the desired changes in the villages. Towards this, attaining open defecation free (ODF) status by providing toilet facilities to every household is the foremost step in rural sanitation programme under Swachh Bharat Mission – Gramin (SBM –G) being implemented by the Government of India. The present paper aims to examine the factors that have influence in attaining ODF status in rural areas. In this study, various parameters that contribute to attaining ODF status in the villages were identified and an extensive primary survey was conducted in 32,390 households across 686 rural villages in Krishna District of Andhra Pradesh, India. The empirical analysis of the data using a multinomial logistic regression model revealed that the factors such as water availability, safe excreta disposal, technology used for toilet construction and awareness on Swachh Bharat have an influence in achieving the open defecation free status in the villages to a greater extent.

scholarly journals Predictors of quality of life of older persons in rural Uganda:  A cross sectional study

2018 ◽  
Vol 1 ◽  
pp. 22 ◽  
Author(s):  
Fred Maniragaba ◽  
Betty Kwagala ◽  
Emmanuel Bizimungu ◽  
Stephen Ojiambo Wandera ◽  
James Ntozi
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Older Persons ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Hiv And Aids ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government

Background: Little is known about the quality of life of older persons (OPs) in Uganda in particular, and Africa in general. This study examined factors associated with quality of life of older persons in rural Uganda. Method: We performed a cross-sectional survey of 912 older persons from the four regions of Uganda. Data were analyzed at univariate, bivariate and multivariate level where ordinal logistic regression was applied. Results: Older persons in northern (OR=0.39; CI=0.224-0.711) and western (OR=0.33; CI=0.185-0.594) regions had poor quality of life relative to those in central region. Those who were HIV positive had poor quality of life (OR=0.45; CI=0.220-0.928) compared to those who were HIV negative. In contrast, living in permanent houses predicted good quality of life (OR=2.04; CI=1.391-3.002). Older persons whose household assets were controlled by their spouses were associated with good quality of life (OR=2.06;CI=1.032-4.107) relative to those whose assets were controlled by their children. Conclusion: Interventions mitigating the HIV and AIDS related Quality of life should target older persons. The government of Uganda should consider improving housing conditions for older persons in rural areas.

scholarly journals SELF-INFLICTED FIREARM INJURIES AS COMPARED TO THE ACCIDENTAL FIREARM INJURY; A COMPARATIVE ANALYTICAL STUDY TO DETERMINE THE COMMONEST SITE OF NON-SUICIDAL SELF-INFLICTED INJURIES

2021 ◽  
Vol 71 (6) ◽  
pp. 1937-40
Author(s):  
Syed Shehzad Hasnain ◽  
Syed Taokeer Ahmed Rizvi ◽  
Imran Ashraf ◽  
Romesa Qaiser Khan ◽  
Waseem Khan Niazi ◽  
...  
Keyword(s):  
Lower Limb ◽  
Previous History ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Military Hospitals ◽  
Firearm Injury ◽  
Firearm Injuries ◽  
Left Lower Limb ◽  
Marked Preference ◽  
A Site

Objective: To determine the commonest site of non-suicidal self-inflicted firearm wound in comparison with accidental firearm wounds. Study Design: Cross sectional study. Place and Duration of Study: Combined Military Hospitals Jhelum, Bannu & Kharian, from Nov 2014 to Nov 2018. Methodology: Sixty-four patients with firearm injuries were observed. All the participants were males between the ages of 18- 60 years. The injuries were determined to be either self-inflicted or accidental by an independent committee. The participants’ replies and responses were assessed by dividing them into five main domains by using quantitative software SPSS version 20. Variables involving demographic characteristics of participants such as age, occupation, marital and socioeconomic status, were associated with mental health variables such as psychological stress, previous history of self-harm and clinical psychiatric illness. Result: Fifteen subjects were found to have self-inflicted injuries and 50 had accidental injuries. There was a marked preference for left foot and left lower limb as a site for non-suicidal self-inflicted injuries (94.6%) as compared to other sites (left upper extremity 1.8%, chest 1.8% and right lower extremity 1.8%). Conclusions: Left lower limb and left foot was a more common site for self-injury as compared to the other sites.

scholarly journals Feasibility and Reliability of a Developed and Validated Forensic Recording Form for Firearm Injury

2019 ◽  
Author(s):  
Kittisak Sripong ◽  
Wirachai Samai ◽  
Tippawan Liabsuetrakul
Keyword(s):  
Literature Search ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Poor Agreement ◽  
Validity Index ◽  
Perfect Agreement ◽  
Cross Sectional ◽  
Firearm Injury ◽  
Firearm Injuries ◽  
District Hospitals

Objective: The aim of this study was to develop and validate a forensic recording form for firearm injuries and test the feasibility and reliability of its application. Material and Methods: A cross-sectional study was conducted. The first version was developed using knowledge from the literature search and was checked for validity by 3 forensic physicians using the Content Validity Index (CVI). Feasibility was tested among physicians working at 4 district hospitals. Its reliability was analyzed by 2 forensic physicians using prevalence-adjusted and bias-adjusted kappa. Results: The validity of a developed recording form for firearm injuries was good, with a CVI of 0.8. All items were rated to be feasible, and the format of the recording was rated from good to excellent. The reliabilities ranged from poor agreement to perfect agreement. After considering the validity, feasibility and reliability tests, a final, forensic recording form was established. Conclusion: A systematically constructed forensic recording form for firearm injuries, for any physicians, with less experience in the field of gunshot cases, was developed. This form will be helpful in assisting physicians in the completion of information for any gunshot cases, which may decrease the consequences from incomplete information.

People’s access to information and the practice of COVID-19 prevention during the first lockdown period in Hanoi in april, 2020

2021 ◽  
Vol 05 (04) ◽  
pp. 99-109
Author(s):  
Thi Thu Ha Nguyen ◽  
◽  
Bich Huong Bui ◽  
Bich Diep Pham
Keyword(s):  
Rural Areas ◽  
Information Source ◽  
Cross Sectional Study ◽  
Sampling Procedure ◽  
Access To Information ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Antiseptic Solution ◽  
Work From Home ◽  
The Government

Objectives: To describe people's access to information and the practice of COVID-19 pandemic prevention during the first lockdown in the period from 7thto 30th April. Methods: A descriptive cross-sectional study was conducted among 319 subjects through a convenient sampling procedure. Online self-administered questionnaires through social networks including Facebook, Zalo, etc were used. Descriptive statistics were used to present the data using mean, frequency and percentage. Results: The most popular information channels which people in urban and rural areas regularly accessed for COVID-19 related information were television and radio (55.6% and 72.7% respectively). The sources of information that the highest percentage of people accessed was the Government's /Ministry of Health’s SMS, followed by social media. People were most interested in searching for information about "Evolution of the epidemic COVID-19" and the least interested in the information about "Prevention according to folk beliefs and methods”. Proactive prevention practices were well implemented during the first lockdown such as "Wear a mask properly" with 99.1%, followed by "Minimize going to the street except in necessary cases" (98.8%) and "Stop non-urgent activities, work from home when needed" with 98.8%. The proportion of people who practiced "Clean the surface of objects with an antiseptic solution" was the lowest at 87.5%. Conclusion: Mass media and the Government information source are regular users to access information by respondents. Therefore, the information channel and source should be taken into account for health education in general and Covid -19 prevention in particular. Keywords: COVID-19, information, prevention.

scholarly journals Predictors of quality of life of older persons in rural Uganda:  A cross sectional study

2018 ◽  
Vol 1 ◽  
pp. 22 ◽  
Author(s):  
Fred Maniragaba ◽  
Betty Kwagala ◽  
Emmanuel Bizimungu ◽  
Stephen Ojiambo Wandera ◽  
James Ntozi
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Older Persons ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Hiv And Aids ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government

Background: Little is known about the quality of life of older persons (OPs) in Uganda in particular, and Africa in general. This study examined factors associated with quality of life of older persons in rural Uganda. Method: We performed a cross-sectional survey of 912 older persons from the four regions of Uganda. Data were analyzed at univariate, bivariate and multivariate level where ordinal logistic regression was applied. Results: Older persons in northern (OR=0.39; p=0.002) and western (OR=0.33; p<0.001) regions had poor quality of life relative to those in central region. Those who were HIV positive had poor quality of life (OR=0.45; p=0.031) compared to those who were HIV negative. In contrast, living in permanent houses predicted good quality of life (OR=2.04; p=<0.001). Older persons whose household assets were controlled by their spouses were associated with good quality of life (OR=2.06; p=0.040) relative to those whose assets were controlled by their children. Conclusion: Interventions mitigating the HIV and AIDS related Quality of life should target older persons. The government of Uganda should consider improving housing conditions for older persons in rural areas.

scholarly journals Knowledge, attitude and practice of people regarding rabies in rural area of Jammu: a cross sectional study

2019 ◽  
Vol 6 (9) ◽  
pp. 3965
Author(s):  
Kamna Singh ◽  
Anuj Kapoor ◽  
Nidhi Gupta
Keyword(s):  
Rural Areas ◽  
Cross Sectional Study ◽  
Common Symptom ◽  
Cross Sectional ◽  
Running Water ◽  
Face To Face ◽  
The People ◽  
The Government ◽  
Study Participants ◽  
Knowledge Attitude And Practice

Background: Rabies although a fatal disease, remains a disease of low public health priority. India, about 18,000 to 20,000 cases is reported every year. Awareness about rabies is very poor among Indian population particularly in rural areas, due to which India and Bangladesh belongs to a high incident countriesMethods: Present study was descriptive and cross sectional in nature conducted in village Sai of block R.S. Pura. Data was collected by face to face interview of 200 participants using a pre structured questionnaire.Results: Knowledge about rabies was intermediate as majority of the people (78.5%) have heard about the diseases. About 144 persons enumerated hydrophobia as the most common symptom. Only 48.5% of the study participants knew that it is important to wash the wound with soap and running water and 53.5% respondents were in favor of consulting a doctor. 123 (61.5%) persons understood that rabies can be prevented by proper treatment of animal bite.Conclusions: Our study found that most of the respondents knew that dogs were mainly responsible for transmitting rabies. The recommended first aid for rabies is immediate flushing and washing of the wound with soap and water for a minimum of 15 minutes. This study revealed that most people placed the responsibility for controlling the dog population on the government. 

scholarly journals A study on awareness and practices of mitanin (ASHA) in rural areas of Bilaspur district, Chhattisgarh, India

2017 ◽  
Vol 4 (5) ◽  
pp. 1637
Author(s):  
Ashish Baghel ◽  
Kamlesh K. Jain ◽  
Sachin Pandey ◽  
Gopal Prasad Soni ◽  
Anubha Patel
Keyword(s):  
Health Care ◽  
Community Health ◽  
Rural Areas ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Cross Sectional ◽  
Danger Signs ◽  
Breast Feed ◽  
The Government

Background: The mitanin programme is a Community Health volunteer programme which was initiated by the Government of Chhattisgarh, India in 2002. The mitanin programme further progressed to lay foundation for the Accredited Social Health Activists (ASHA) programme by the National Rural Health Mission. There is robust indication that the community health workers could significantly contribute towards the betterment of health outcomes. The objective was tostudy the awareness and practices of mitanins (ASHA) in rural areas of Bilaspur district.Methods: A community based cross sectional study was carried out among 180 mitanins selected through multistage random sampling in Bilaspur district, Chhattisgarh, India during March to August 2015. A predesigned, pretested questionnaire was used for data collection. SPSS 21.0 version software was used to analyze the data.Results: Most of the mitanins had good knowledge regarding antenatal visits (62.2%) & HBNC visits (52.2%). About (62.8%) had an average knowledge regarding basic cleans to be followed for safe deliveries & regarding danger signs of pregnancy (46.7%). About (36.1%) had poor knowledge regarding symptoms of diabetes & contraceptive advice for spacing (35.6%). About (82.2%) of mitanins had opinion that fast breathing is an indicator of immediate referral of child followed by child unable to drink or breast feed (61.1%). In case of pregnancy, mitanins considered indicators of immediate referral should be swelling of face/hands (90.6%) followed by vaginal bleeding (74.4%). Major activities that they have conducted in last six months includes; accompanying pregnant women for institutional deliveries (92.2%) & participation in immunization sessions (87.8%).Conclusions: Mitanins play vital role in providing primary health care but still they need to put into practice their knowledge about services. Despite the training given to mitanins, lacunae still exists in their knowledge regarding various aspects of health care. Many of them were not aware about family planning, diabetes, tuberculosis, danger signs for pregnancy & newborn that indicate the need for immediate referral. 

scholarly journals FACTORS AFFECTING WILLINGNESS OF DOCTORS TO WORK IN RURAL AREAS OF PAKISTAN

1970 ◽  
Vol 7 (2) ◽  
pp. 100-104
Author(s):  
Abida Sultana ◽  
Sayema Awais ◽  
Aashi Mughal ◽  
Bushra Anwar
Keyword(s):  
Rural Areas ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Rural Settings ◽  
The Government ◽  
Practice Methods ◽  
Structured Questionnaire

Background: The objective of this study was to assess the willingness of medical doctors to work in rural areas. The study also aimed to elucidate the factors influencing the decision of doctors to work in rural versus urban location of clinical practice. Methods: It is a cross-sectional study that was conducted from 8th January 2016 to 18th January, 2016 including randomly selected House officers (Hos), Postgraduate Trainees (PGTs) and Medical Officers (MOs) working in various departments of Holy Family Hospital, Rawalpindi using a self-administered semi-structured questionnaire. The questions related to demographic details, future plans and willingness of doctors. Factors facilitating or preventing them from accepting a rural position were also enquired about. Results: Thirty (30%) of the respondents were found willing to work inrural areas while 45% were neutral and 25% had a negative attitude towards practice in rural areas. Factors significantly related to rural choice of practice included rural place of birth (p value=.001), previous experience of having lived in rural settings (p value= .001)payment of fees by parents rather than by family or loans (p value=.001) and with the doctors' expectations of whether they are likely to work in rural/urban/foreign locations (p value=.001). Conclusion: The study shows that most of the doctors who have a rural birthplace/ experience of living are more willing to work in rural areas. Therefore, if the government wants to fill the vacant posts in rural locales, scholarship schemes for students from rural areas should be increased.

Prevalence of Trichomonas Vaginalis and its Correlation with Socio-demographic Variables in Pregnant Women in Al-Diwaniya,Iraq

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Shiren Ali Al Hamzawi
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Trichomonas Vaginalis ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Vaginal Swabs ◽  
Low Education

Estimates of Trichomonas vaginalis prevalence in pregnant women are variable with few studies in Iraq.T. vaginalis is a worldwide prevalent sexually transmitted infection,but fortunately,it is very treatable. Researchers believed that pregnancy is one of the effective factors for T. vaginalis infection in women.A cross-sectional study performed in Obstetrics and Gynecology Department at Maternity and Children Teaching Hospital in Al-Diwaniya city on two hundred female pregnant patients between the ages of 16-45 years. These females had no intercourse for 2–3 days,not using drugs (antibiotics,antiprotozoal or steroids) for the last 15 days. Vaginal discharges of any type with or without itching,burning sensation or both were their main complaints. Vaginal swabs were taken from all participating patients for direct wet mount microscopy and culture for the detection of Trichomonas vaginalis infection. The study showed that twelve out of two hundred examined pregnant women (6%) presented with T. vaginalis infection. The infection was more in those with mothers’ age (26-35) years,housewives,low education,higher parity,and of rural residents. Other maternal variables were not significantly associated with T. vaginalis infection. The study showed a prevalence of (6%) of T. vaginalis infection in pregnant female attendees. Infection was more in those with mothers ’age (26-35) years,housewives,low educational level,higher parity,and living in rural areas.

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