scholarly journals Pattern and Outcome of Organophosphorus Poisoning Cases in Bheri Hospital, Nepal

2021 ◽  
Vol 2 (2) ◽  
pp. 73-76
Author(s):  
Rajesh Kumar Mandal ◽  
Nirmal Shakya ◽  
Sanket Kumar Risal
Keyword(s):  
Methyl Parathion ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Predisposing Factor ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Organophosphorus Poisoning ◽  
Health Education Programme ◽  
Duration Of Hospitalization ◽  
Recorded Data

BACKGROUND: Organophosphorus (OP) are frequently used as pesticides and the most common agents of poisoning in developing countries including Nepal. There is paucity of data about characteristics of organophosphorus poisoning in our localities. Therefore, we aimed to evaluate its clinical pattern and factors affecting outcome. METHODS: It was a cross-sectional study conducted in Bheri Hospital Nepalgunj between 15th July 2019 to 14th July 2020. The hospital records of patients of acute organophosphorus poisonings were collected. Data regarding age, gender, predisposing factors, duration of hospitalization and outcome of the patients were recorded. Data was analyzed using SPSS 20. RESULTS: A total of 53 patients out of which 22(41.5%) were male and 31(58.49%) were female with F:M ratio of 1.40: 1. The maximum number of the patients 25(47.16%) were in the age group of 20 to 40 years. Incidence of poisoning was more common in married patients 36(67.92%) The suicidal motive for poisoning was found in 49 cases (92.45%). The most commonly used organophosphorus poison was Dichlorvos 32(60.34%) followed by methyl parathion 14(26.41%). Domestic quarrel was the most common predisposing factor 32(60.37%). 45(84.90%) of the patients were discharged after successful treatment while there was mortality of 3 patients (5.66%). CONCLUSIONS: Organophosphorus poisoning is a common mode of suicidal attempts leading to morbidity and mortality every year. Strict policies against the free availability and sale of insecticides is required to control organophosphorus poisoning. Mental health education programme should be conducted for the prevention of suicide and poisoning.

scholarly journals Morbidity pattern of school children: a study conducted in the urban field practice area of a tertiary health care centre of Odisha, India

2018 ◽  
Vol 6 (7) ◽  
pp. 2489
Author(s):  
Krishna Kar ◽  
Sasmita Pradhan ◽  
Barada P. Samal
Keyword(s):  
Health Education ◽  
Respiratory Infections ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Personal Hygiene ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Field Practice ◽  
Health Education Programme

Background: School is acknowledged as the place where children gain knowledge from health education sessions on various aspects of personal hygiene, sanitation and social customs. Health is one of the key factors determining the enrollment, performance and continuation in school. Objective was to study the morbidity pattern of school children.Methods: The present cross sectional study was conducted in selected schools (both govt. and Private) of urban field practice area of SCB Medical College, Cuttack, Odisha during January 2016 to December 2016. A total of 660 school going children were taken for the study. After taking informed consent of the head of the school data was collected by using a Pre-designed, pre-tested questionnaire. Clinical examination was conducted to detect any morbidity pattern.Results: In the present study most common morbidity detected was pallor (47.6%) followed by skin disease (34.5%) and dental caries (23.2%). Other morbidities found were acute respiratory infections 21.9%, eye problems 21.4%, fever 6.8%, pain abdomen 3%, diarrhoea 3.2%, ear discharge 3.9%, headache 5% and rhinitis 3.9%.Conclusions: More emphasis should be given on primordial and primary preventive measures for prevention of childhood morbidities. School based health education programme may be a useful effort in this regard.

scholarly journals The Effect of a Tailored Health Education Programme on Medication Management in the Elderly

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Salma Mohamed Samir El Said ◽  
Ghada Essam El-Din Amin ◽  
Essam Mohamed Baumy Helal ◽  
Reham Salah Amin Radwan ◽  
Hoda MF Wahba
Keyword(s):  
Medication Management ◽  
The Elderly ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Educational Programme ◽  
Cross Sectional ◽  
Medication Knowledge ◽  
Educational Programmes ◽  
Before And After ◽  
Health Education Programme

Background. Empowering the elderly by education programs can decrease medication problems, morbidity, and mortality. Methods. A cross-sectional study to identify trends and baseline medication management among the elderly in nursing homes followed by an interventional study (tailored educational programme) offered within the same population followed by reassessment of the same medication management domains. Results. There was no effect regarding nursing home participants’ medication knowledge before and after intervention, while there were variable degrees of significant statistical differences in how the participants obtain and take their medications as well as their total deficiency scores before and after intervention. Other domains were also variably affected. Conclusion. It is vital to ensure that patients have sufficient knowledge regarding their medications and how to handle and administer them. Different domains may variably be affected by educational programmes mainly due to preassessment deficits. Educational programmes need to be tailored according to the requirements of the population targeted.

scholarly journals Assessment of Knowledge, Attitudes and Practice on Prevention of Sparganosis Infection among Inhabitants of Babati District, Tanzania

2017 ◽  
pp. 20-25
Author(s):  
Nicholas J. Kavana
Keyword(s):  
Health Education ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Knowledge ◽  
Health Education Programme ◽  
Boiled Water

The knowledge,attitudes, and practice among inhabitants of Babati district in Tanzania on sparganosis were evaluated. A cross-sectional study was carried out among 160 participants from the district. Demographic and socioeconomic information of the participants and their KAP on sparganosis was collected by using a pre-tested questionnaire. All 160(100%) participants had no knowledge about sparganosis. Regarding attitude of participants to keeping dogs and cats; all 160 (100%) participants were not aware of dangers associated with dogs and cats to transmission of sparganosis. 39 (30.0%) of the participants had knowledge of drinking boiled water. There is a need to organise health education programme about sparganosis to increase community knowledge.

scholarly journals Prevalence of and mothers’ knowledge, attitude and practice towards glucose-6-phosphate dehydrogenase deficiency among neonates with jaundice: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034079 ◽  
Author(s):  
Zeinab A Kasemy ◽  
Wael A Bahbah ◽  
Sally M El Hefnawy ◽  
Safa H Alkalash
Keyword(s):  
G6pd Deficiency ◽  
Serum Bilirubin ◽  
Good Practice ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Education Programme ◽  
History Of ◽  
Glucose 6 Phosphate Dehydrogenase

BackgroundNeonatal jaundice (NNJ) is a frequent complication of glucose-6-phosphate dehydrogenase (G6PD) deficiency.ObjectivesTo estimate the prevalence of G6PD deficiency among neonates with jaundice and to assess mothers’ perception towards G6PD and NNJ.MethodsA cross-sectional study was carried out on 487 ethnic Egyptian neonates with indirect hyperbilirubinaemia from June 2018 to July 2019. The collected data included maternal and neonatal characteristics. Laboratory investigations included serum bilirubin, reticulocyte count, ABO grouping, Rh typing and neonatal serum G6PD test. Mothers were interviewed individually using a structured, researcher-administered questionnaire to assess their perceptions of G6PD deficiency and NNJ.ResultsThe prevalence of G6PD deficiency was 10.10%. Neonates with G6PD deficiency showed higher levels of serum bilirubin (p<0.001). Male gender, family history of G6PD deficiency and consanguinity were risk factors for G6PD deficiency (OR=4.27, 95% CI 1.66 - 10.99; OR=9.54, 95% CI 4.80- 18.95; OR=10.219, 95% CI 5.39 - 19.33, respectively). Mothers’ perceptions of NNJ and G6PD were low, with only 30% having good knowledge on NNJ and 17.10% on G6PD deficiency, 46.8% with positive attitude towards NNJ and 45.0% towards G6PD deficiency, and 29.9% with good practice towards NNJ and 19.9% towards G6PD deficiency.ConclusionG6PD deficiency seems to be an important cause of NNJ. Mothers’ perceptions of both NNJ and G6PD deficiency were low. A mass health education programme on both of these diseases is needed to ensure better and early detection, good timing of treatment, and better prevention of the triggering factors to ensure better health for children.

Analysis of access flow using duplex ultrasonography and the ultrasound dilutional method

2021 ◽  
pp. 112972982199175
Author(s):  
Miju Bae ◽  
Chang Ho Jeon ◽  
Miyeun Han ◽  
Moran Jin ◽  
Hyo Jin Kim
Keyword(s):  
Cross Sectional Study ◽  
Duplex Ultrasonography ◽  
Strong Correlations ◽  
Clinical Factors ◽  
Predisposing Factor ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Ultrasound Dilution ◽  
Moderate Positive Correlation ◽  
Significant Factors

Background: This study aimed to evaluate the correlation between duplex ultrasonography (DUS) and ultrasound dilution (UD) measurement’s results and determine the factors affecting the correlation of the measured values among other clinical factors in patients. Methods: This cross-sectional study was conducted from April 2020 to May 2020 and included 60 patients who visited our dialysis centre. The flow of the fistula was measured in the proximal brachial artery using DUS. While dialysis was performed on the same day, the access flow was measured using the UD method. The correlation and agreement between the access flows acquired by each measurement method were analysed. Similarly, the correlation was analysed by classifying the groups based on the predisposing factor, and statistically significant factors were observed through comparison. Results: Both measurements showed a moderate positive correlation ( r = 0.60, p < 0.01). The bias (mean of UD-DUS) between the two measurements was about 230 mL/min. When the measurement site of DUS was near the inflow artery and in the same anatomical section, a strong correlation with the measurement value of UD was observed (brachial based fistula: r = 0.85, radial based fistula: r = 0.87). Similarly, for patients without diabetes and those who regularly underwent access surveillance for the dialysis route, strong correlations were observed between the two measurements ( r = 0.79 and r = 0.88). Conclusions: Several factors can influence the correlation between UD and DUS. The findings showed a high correlation for DUS measurement sites within the same anatomical section as the inflow artery, patients without diabetes, and patients undergoing periodic surveillance.

scholarly journals Prevalence and factors associated with hypertension: a community based cross-sectional study among adults in an urban area of Puducherry, South India

2017 ◽  
Vol 4 (5) ◽  
pp. 1620 ◽  
Author(s):  
Pramila J. Paul ◽  
Rebecca Samson ◽  
Annie William ◽  
Bridgitte Akila ◽  
Anil J. Purty ◽  
...  
Keyword(s):  
Urban Area ◽  
South India ◽  
Public Health Problem ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Health Education Programme

Background: The prevalence of hypertension and other non-communicable diseases in India are on the increasing trend. Hypertension is a major public health problem in India. This study aimed to estimate the prevalence and associated factors of hypertension in an urban area of Puducherry, South India.Methods: A community-based cross-sectional study was carried out among adults in an urban area of Puducherry, South India, between Oct 2013 to Nov 2013. A total of 236 adults aged ≥ 35years were selected and data was collected using piloted questionnaire. Blood pressure was measured following standard technique.Results: Out of 236 participants 123(52.1%) were found to be hypertensives. Among the hypertensives, nearly one fourth 32(24%) of them were undiagnosed hypertensives. Advanced age, male gender, housewives compared to their counterparts, family history of hypertension, alcohol intake, sedentary lifestyle, and abdominal obesity (among females) were significantly associated with hypertension. Conclusions: The prevalence of hypertension is found to be high. Regular health education programme to raise awareness and community-based screening programme should be given priority for early detection of hypertension and prevention of complications. 

scholarly journals The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

2021 ◽  
Vol 11 (2) ◽  
pp. 320-330
Author(s):  
Utako Sawada ◽  
Akihito Shimazu ◽  
Norito Kawakami ◽  
Yuki Miyamoto ◽  
Lisa Speigel ◽  
...  
Keyword(s):  
Work Engagement ◽  
Cross Sectional Study ◽  
Social Climate ◽  
Psychiatric Ward ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Staff Members ◽  
Utrecht Work Engagement Scale ◽  
Healthcare Settings

Background: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. Methods: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. Result: We found no significant effects. The effect size (Cohen’s d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. Conclusions: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

scholarly journals Work-related Injury among Welders Working in Metal Workshops of Dharan Municipality, Nepal

2018 ◽  
Vol 16 (2) ◽  
pp. 156-159
Author(s):  
Anup Ghimire ◽  
Shyam Sundar Budhathoki ◽  
Surya Raj Niraula ◽  
Abha Shrestha ◽  
Paras K Pokharel
Keyword(s):  
Personal Protective Equipment ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Work Related ◽  
The Past ◽  
Occupational Characteristics ◽  
Recorded Data ◽  
The Relationship ◽  
Structured Questionnaire

Background: Injuries are a problem worldwide in all occupations. Welders are exposed to many hazards at work resulting in a variety of health problems including injuries at work. This study was conducted to find out the prevalence and factors associated with injuries among welders in Dharan city of eastern Nepal.Methods: A cross sectional study was conducted among 86 welders in Dharan city. Occurrence of injury in past 2 weeks and past 12 months were recorded. Data regarding sociodemographic along with occupational characteristics was collected using semi structured questionnaire. Data analysis was done using SPSS version 17.Results: All the welders in this study were male with almost half of the welders under the age of 25 years and about a fifth (21.1%) of the welders having received some form of welding training. In the past 12 months, 21.1% of the welders suffered from work related injuries. More than 95% welders used at least one personal protective equipment in this study. More injuries were seen among welders with age ≥35 years, working experience ≥ 5 years, not received training and not using of PPE at work. However, these factors were not found to be statistically significant.Conclusions: Work related injuries are high among welders of Dharan. Further research is required to explore the relationship between age, literacy, training and use of personal protective equipment with the occurrence of injuries among the welders.

scholarly journals Examining Dementia Family Caregivers’ Forgone Care for General Practitioners and Medical Specialists during a COVID-19 Lockdown

2021 ◽  
Vol 18 (7) ◽  
pp. 3688
Author(s):  
Perla Werner ◽  
Aviad Tur-Sinai ◽  
Hanan AboJabel
Keyword(s):  
Family Caregivers ◽  
Emotional Support ◽  
Online Survey ◽  
Behavioral Model ◽  
Cross Sectional Study ◽  
Enabling Factors ◽  
Dementia Caregivers ◽  
Predisposing Factor ◽  
Cross Sectional ◽  
Medical Specialists

The present study aimed to assess dementia caregivers’ reports of the prevalence and correlates of forgone care regarding visits to a general practitioner (GP) and to a specialist during the COVID-19 lockdown in Israel, using Andersen’s Behavioral Model of Healthcare Utilization. A cross-sectional study using an online survey was conducted with 73 Israeli family caregivers of persons with dementia residing in the community (81% Jews, 86% female, mean age = 54). Overall, one out of two participants reported having to delay seeking needed help from a GP or a specialist for themselves, as well as for their relatives with dementia, during the COVID-19 lockdown period. Among the predisposing factor, education was associated with caregivers’ reports regarding forgone care for themselves as well as for their loved ones. Living with the care-receiver and income level were the enabling factors associated with forgone care for caregivers. Finally, feelings of burden were associated with caregivers’ forgone care and feelings of loneliness and perceptions of the care-receiver’s cognitive functioning were associated with care-receivers’ forgone care. Our findings show that it is essential that this population receive appropriate practical and emotional support at times of distress and crisis to enable them to continue with their caregiving role.

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