scholarly journals Gender Difference on Case Detection of Pulmonary Tuberculosis Among the Suspected Cases Attending in Jutpani Primary Health Centre of Chitwan, Nepal

2013 ◽  
Vol 10 (1) ◽  
pp. 7-12
Author(s):  
K Amgain ◽  
Dillee Prasad Paudel ◽  
DP Paneru ◽  
M Dhital ◽  
G Amgain
Keyword(s):  
Gender Difference ◽  
Pulmonary Tuberculosis ◽  
Health Centre ◽  
Preventive Measure ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Narrative Form ◽  
Cross Sectional ◽  
Female Ratio ◽  
Primary Health

Introduction: Pulmonary tuberculosis is one of the World’s public health problems particularly in developing countries including Nepal. Every year, thousands of people suffered from active tuberculosis in Nepal; of whom 50 percent have infectious pulmonary tuberculosis. It is more common among men than women, and affects mostly adults of economically productive age. There is scantiness of such information in Nepal. Hence the study was carried out to identify the gender difference on case identifi cation of pulmonary tuberculosis in Chitwan district of Nepal. Methodology: Descriptive cross sectional study was carried out from July to December 2012 in Jutpani Village Development Committee of Chitwan, Nepal. All symptomatic cases attending in Jutpani Primary Health Center with the clinical history pulmonary tuberculosis were included. Microscopic examination of sputum samples of three consecutive days was done for AFB. Results were disseminated in tabular, graphical and narrative form using appropriate statistics. Results: Total 200 suspected cases of pulmonary tuberculosis were included in this study; among them 18 (9%) were found to be AFB positive. Sex ratio of diagnosed patients was 5:4 (male; 55.56% and female; 44.44%). Highest prevalence of TB infection (36.89%) was found in 30-40 years age. Highest number of cases 5 (27.78%) were reported in the ward number four (male female ratio; 3:2). One-third of cases were in July followed by 22.22% in each of the month; August and September. Conclusion: Males were found to be more likely to have pulmonary tuberculosis than females. Gender specifi c case identifi cation and preventive measure targeting to the most productive age group population will eventually supports to reduce the risk of pulmonary tuberculosis. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2013; X(1); 7-12 DOI: http://dx.doi.org/10.3126/saarctb.v10i1.8644

scholarly journals Comparison of Led Fluorescent Microscopy and the Gene Xpert MTB/RIF Assay in Diagnosis of Pulmonary and Extrapulmonary Tuberculosis

2019 ◽  
Vol 6 ◽  
pp. 127-132
Author(s):  
Sanam Thapa Magar ◽  
Gokarna Ghimire ◽  
Pradeep Kumar Shah
Keyword(s):  
Pulmonary Tuberculosis ◽  
Extrapulmonary Tuberculosis ◽  
Fluorescent Microscopy ◽  
Cross Sectional Study ◽  
Smear Microscopy ◽  
Cross Sectional ◽  
Female Ratio ◽  
Standard Guideline ◽  
National Tuberculosis ◽  
Male To Female

Objectives: The objective of this study was to evaluate Gene Xpert MTB/RIF Assay and anid fast staining (AFB) for rapid detection of Mycobacterium tuberculosis in specimen of patients suspected of pulmonary tuberculosis (PTB) and extra pulmonary tuberculosis (EPTB). Methods: A comparative cross-sectional study of 400 samples (PTB-365 and EPTB-35) of patients visiting National Tuberculosis Centre (NTC) was conducted from July 2018 to December 2018. Gene Xpert MTB/ RIF Assay, smear microscopy were performed under standard guideline inside biosafety cabinet class II. The result obtained from both the tests were analyzed using SPSS 20.0 software and Excel 2019. Results: Of the total samples, 18% (72/400) and 39% (156/400) were positive by AFB smear microscopy and Xpert MTB/RIF assay respectively. Prevalence of MTB positive was highest in the age group 35-44 years, 33 cases (17.74%) were detected in total, with a male to female ratio of 2.3:1. Pleural fluid, pus, and CSF fluid also yielded positive results with the Gene Xpert MTB/RIF assay accounting 1.28%, 0.64% and 1.28% of MTB positive case respectively. Rifampicin resistance was observed in 1.28% of the cases. Conclusion: The key findings of this study suggest that Gene Xpert test should be implemented as primary diagnostic test for PTB and EPTB.

scholarly journals Essential Skills in Postgraduate Medical Curriculum of Community Medicine

2017 ◽  
Vol 53 (01) ◽  
pp. 021-029
Author(s):  
Jugal Kishore ◽  
Tanu Anand ◽  
Sneha Kumari
Keyword(s):  
Medical Curriculum ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Community Medicine ◽  
Cross Sectional ◽  
Industrial Worker ◽  
Postgraduate Students ◽  
Primary Health ◽  
Public Health Training ◽  
Medical Colleges

ABSTRACT Introduction: Community-based education has been considered a suitable approach for health promotion and for requisite skill development regarding primary health care. In the current perspective, public health training and research, being two important aspects require immediate attention. Objective: To assess the skills of Postgraduate Students in the Department of Community Medicine in four Medical Colleges of Delhi. Materials and Methods: It was a cross-sectional study conducted among 70 Postgraduate Medical Students of 4 Medical Colleges in Delhi. The data were collected through a self administered, pretested questionnaire containing items assessing socio-demographic profile and skills essential for Postgraduate Students of Community Medicine. Results: There were 58.6% male and 29% female students. A large proportion of participants were having age range between 25-29 years. Ability 'to resolve conflict among the nurse at Primary Health Centre (PHC)', 'generate community participation', 'making thick and thin smear in case of fever', 'making a chart showing month-wise distribution of CuT', and 'calculating Chi-square of data', were found to significantly higher in 2nd and 3rd year PG students than first year PG students (p<0.01). Only 27.1% of students felt that they could test water sample for microbiological aspects while only 47.1% said that they could examine an industrial worker for pre-placement examination. Conclusions: PG students assessed themselves to possess necessary skills on communication, counselling and health education. However, many students lacked skills pertaining to occupational health and epidemiology.

scholarly journals Assessment of services rendered at village health and nutrition day in rural area of Kathua district, Jammu and Kashmir: cross-sectional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1544
Author(s):  
Sonika Sangra ◽  
Neha Choudhary
Keyword(s):  
Rural Area ◽  
Health Care Services ◽  
Health Centre ◽  
Holistic Approach ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Jammu And Kashmir ◽  
Health And Nutrition ◽  
Primary Health ◽  
Village Health

Background: Village health and nutrition days (VHNDs) are based on the principal of integration of services like nutrition, sanitation, health provision using a holistic approach. Days are organized once per week in each Anganwadi centre. These services are provided free of cost to rural people. The objective of the study was to assess services rendered at VHND in rural area of Kathua district, Jammu and Kashmir, India.Methods: The present study was descriptive cross-sectional in type, conducted in zone Budhi which is a field practice area of Department of Community Medicine, GMC Kathua. The zone Budhi consists of one primary health centre along with its six subcentres. One auxiliary nurse midwife (ANM) covered one VHND once a week. For a month, one ANM covered four VHNDs. So, out of 10 ANMs in Zone Budhi, 7 attended VHNDs with a maximum of 28 village health and nutrition days covered in a month.Results: All the ANMs made a micro-plan ahead of their visits and prepared a list of beneficiaries. Medical officers were available in 18 out of 28 sessions. ANM, anganwadi workers were available in majority of the sessions. Blood pressure apparatus and stethoscope were available in 60.71% and 67.85% sessions. In majority of sessions, the available items were weighing scales, vaccines with syringes, tablet Iron and folic acid. Services provided at the VHNDs were patients attended, pregnant women registered etc.Conclusions: Study revealed that performance of most of the sessions of VHNDs were satisfactory. So, efforts need to be initiated to fill all these gaps. And priority should be given to provide basic primary health care services to the beneficiaries. 

scholarly journals Assessment of primary health centres of a district in North Karnataka according to Indian Public Health Standards 2012 guidelines: a cross sectional study

2019 ◽  
Vol 6 (11) ◽  
pp. 4731
Author(s):  
Shrinivas K. Patil ◽  
Shivaswamy M. S.
Keyword(s):  
Health Centre ◽  
Simple Random Sampling ◽  
Preventive Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Building Area

Background: Primary health centre (PHC) is a basic health unit to provide an integrated curative and preventive health care to the rural population as close to the people as possible, with emphasis on preventive and promotive aspects of health care.Methods: A facility based cross-sectional study was conducted in Belagavi district of Karnataka in India. Twenty PHCs, two PHCs from each of the 10 talukas of Belagavi district were selected by simple random sampling. The study period was from 1st January 2014 to 31st December 2014. Data was collected using a predesigned and structured questionnaire for IPHS facility survey.Results: In this study, only 60% of primary health centres covered the population as per the IPHS norms. All the PHCs were providing the regular outpatient department (OPD) services, referral services, antenatal care, family planning and in-patient services. Bed occupancy rate was less than 40% in 55% of PHCs. Building area in 75% of PHCs were inadequate according to IPHS norms. Residential facility for staff was available only in half of the studied PHCs.Conclusions: IPHS guidelines were not fully being followed at PHC level in the district. Though the requirement of medical officers and pharmacists was fulfilled in almost all the PHCs, deficiency was seen in the appointing of Ayush doctors and staff nurses at PHCs. There is an urgent need of recruiting the deficient staff for efficient functioning of the PHCs.

scholarly journals Ocular Manifestations of Leprosy Patients on Multidrug Therapy in a Teaching Hospital of South Karnataka

2021 ◽  
Vol 8 (21) ◽  
pp. 1706-1710
Author(s):  
Pradeep Addagadde Venkataramana ◽  
Rajshekar Rajshekar ◽  
Shruthi Amalagondhi Manjunatha
Keyword(s):  
Drug Therapy ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Multidrug Therapy ◽  
Cross Sectional ◽  
Female Ratio ◽  
Ocular Manifestations ◽  
Need To Evaluate ◽  
Leprosy Patients

BACKGROUND Leprosy is a chronic granulomatous infectious disease caused by Mycobacterium leprae. Several ocular manifestations occur before and during multi drug therapy (MDT) and they can continue to occur even after the completion in bacteriologically cured patients. Blindness is a catastrophic event that can occur by several mechanisms at any stage. We need to learn and recognise the early signs and symptoms of ocular complications, so that we can treat the patient early. We need to evaluate the pattern of ocular manifestation in leprosy patients on MDT (Multi Drug Therapy). METHODS A cross-sectional study was conducted over a duration of six months on diagnosed cases of leprosy and those cured from leprosy. Data was collected by clinical history with slit lamp examination, fundus examination, and laboratory investigation. RESULTS Total 30 patients were included in the study in which 13 patients were on MDT, 7 newly detected cases and 10 treated cases. 22 were males and 8 were females with male - female ratio of 2.75:1. Average age of presentation was 46 years with range from 18 - 80 years. 56 % had ocular manifestations in this study. Ocular lesions were more in cases who had leprosy for ≥ 16 years. Visual acuity ranged from 6 / 6 to PL + ve. Lagophthalmos was noted in 4 cases, cataract in 6 cases, exposure keratitis in 2, chalky white deposits on cornea in 2, spheroidal degeneration in 2, iris atrophy in 2, and pterygium in 2 cases. CONCLUSIONS Patients who completed treatment for MDT require periodic monitoring to detect ocular morbidity early and to prevent visual loss. KEYWORDS Leprosy, Multidrug Therapy, Exposure Keratitis, Lagophthalmos

scholarly journals Social Support Positively Correlated with Dietary Adherence among Patients with Hypertension in Primary Health Center

2021 ◽  
Vol 8 (01) ◽  
pp. 16-21
Author(s):  
Hanifah Hanifah ◽  
Karina Megasari Winahyu ◽  
Muhammad Imam Muttaqin
Keyword(s):  
Social Support ◽  
Health Care Providers ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Dietary Adherence ◽  
Care Providers ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Primary Health ◽  
The Relationship

Dietary adherence is one of the requirements in chronic disease management, which the success of hypertension management may correlate with the social support perceived by the patients. The study aimed to identify the relationship between social support and dietary adherence among patients with hypertension in Primary Health Centre, Tangerang. The study was a descriptive correlational, cross-sectional study, in which 120 respondents were recruited by using purposive sampling. Multidimensional Perceived of Social Support (MSPSS) and Dietary Adherence questionnaire was used based upon validity and reliability to measure social support and adherence. Pearson Product-Moment Correlation Coefficient was used to examine the relationship between social support and dietary adherence. The analysis result indicated that respondents who reported low support were 51 respondents (42.5%), and low dietary adherence was 53 respondents (44.2%). The analysis results showed there was a significant positive relationship between social support and dietary adherence among patients with hypertension, in which the power of correlation was moderate (r = 0.49, p < 0.05). Patients with hypertension who perceived higher social support more likely to adhere to the dietary of hypertension. The result suggests that health care providers need to facilitate support from friends, family, and significant others of the patients to achieve optimum dietary adherence.

CLINICAL AND RADIOLOGICAL STUDY OF PSORIATIC ARTHRITIS IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 68-70
Author(s):  
Kurimilla Narasimha Prasad ◽  
P.Vijay Sekhar ◽  
Gopinath Mogilicherla ◽  
Boppani Praveen Kumar
Keyword(s):  
Psoriatic Arthritis ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Chronic Progressive Disease ◽  
Detailed Clinical History

Introduction: Psoriatic Arthritis (PA) is an autoimmune inammatory disease involving ligaments, tendons, fascia and spinal and/or peripheral joints in association with or without psoriasis of the skin and/or nails. This study done to determine the natural course, clinical presentation and radiological ndings of the disease. To ascertain the incidence of Psoriati Objective: c arthritis, analyse the different clinical manifestations of PA and to evaluate the clinical and radiological correlation in patients. This Materials and Methods: was a non-interventional, cross-sectional study comprised of 12 patients of PA. In all patients, detailed clinical history was taken followed by clinical and radiological examination were done depending on the joint involved. Out of the total attendance of 5801 new patients at Results: tended, 224 patients had psoriasis (5.35%), there were 12 cases of PA detected, thus accounting for 0.21%. Out of the 12 patients of PA, there were 8 males and 4 females. The male to female ratio was found to be 2: 1, The mean age was 40 years. The joints involved were Proximal inter-phalangeal joints of hands in 7 patients (58.34%), Distal interphalangeal joints of hands in 3 patients (25%), Knee joint and ankle joint in each one patient respectively (8.33%). Majority of the patients on radiographic lms, revealed bony erosions, narrowing of joint spaces, minimal periosteal reaction. One case revealed osteoporosis and fusion of PIP-joints. Five cases didn't reveal any abnormal radiological features. This Conclusion: study conrms that PA is a chronic, progressive disease in the majority of patients. Despite clinical improvement with current DMARD treatment, PA results in radiological damage.

scholarly journals A study to assess future academic career and service plan of house surgeons

2018 ◽  
Vol 5 (12) ◽  
pp. 5381
Author(s):  
M. Manjunath ◽  
Mallikarjun K. Biradar ◽  
Suresh Lankeshwar
Keyword(s):  
Academic Career ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Primary Health Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Workforce ◽  
Primary Health ◽  
Service Plan ◽  
Almost All

Background: No healthcare without a workforce has been a universal truth. However, shortages and misdistribution of the qualified healthcare workforce have become global concerns affecting nearly all countries, especially less-developed countries.Methods: Cross sectional study done on house surgeons in AIMS, BG Nagar, Mandya district, involving 178 house surgeons. Simple proportions were used to analysis the data.Results: Out of 178 house surgeons, 177 (99.4%) had plan for future academic career and service. 158 (88.7%) had plan for PG course and 19 (10.6%) planned for general practice, 80 (94%) planning to do super specialization and 84 (47.1%) plan to teach in medical colleges. Majority of house surgeons 161 (91.4%) have expressed to work in urban area and 17 (9.5%) in primary health centre in rural areas.Conclusions: Almost all the house surgeons have planned well in advance about their future academic and career plan.

scholarly journals Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037608
Author(s):  
Mario Martín-Sánchez ◽  
Richard Case ◽  
Christopher Fairley ◽  
Jane S Hocking ◽  
Catriona Bradshaw ◽  
...  
Keyword(s):  
Health Centre ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Sectional Study ◽  
Anal Sex ◽  
Cross Sectional ◽  
Men And Women ◽  
Sexually Transmitted ◽  
Receptive Anal Sex ◽  
Sex With Men

ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.

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