scholarly journals Socio-demographic Characteristics of Depressive Illness Patients Attending a Selected Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 178-180
Author(s):  
Md Abdul Hamid ◽  
Md Mahbubur Rahman ◽  
Md Rafiqul Islam ◽  
Sheikh Shahidul Islam
Keyword(s):  
Gender Difference ◽  
Care Delivery ◽  
Public Health Problem ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Depressive Illness ◽  
Child Rearing ◽  
Military Hospital ◽  
Important Public Health Problem ◽  
Cross Sectional

Introduction:Depressive illness is generally not perceived as an important public health problem and is not priority in health care delivery system in Bangladesh. It is the leading cause of disease-related disability in the country today. Gender differences in depression are likely to be result of certain risk factors. Objectives: To find out gender difference in epidemiological and socio-demographic features associated with depressive illness. Materials and Methods: This descriptive cross sectional study was carried out among 91 diagnosed depressive patients attending in the psychiatry department of CMH Dhaka from January to December 2014. The patients were interviewed through an interviewer-administered questionnaire. Data were analyzed by using SPSS version 20.  Chi-square test was used to see the level of significance. Results: In this study the mean age of the patients was 34.47±9.577 years. The study revealed that depressive illness appears to be  more in female during child bearing and child rearing period of 16-39 years and male of 40-63 years were more sufferer than female which was significantly different (p<0.05). In this study 63.74% of patients were female and 36.26% were male with ratio of 1.757:1. It was observed that the association of depression with residence in urban area in female (72.1%) was significantly (p<0.05) higher than male (27.9%) in the same area. This study revealed that the association of depression with history of financial hardship in female was statistically significant (p<0.05) over their male counter-part.The study also revealed that strenuous job was significantly (p<0.05) associated with depression in female than male. Conclusion:  The overall finding of the study indicates that possibility of gender difference in certain epidemiological and sociodemographic features of depressive illness is significantly present. As depressive illness has significant impact on burden of disease and quality of life, this issue needs to be addressed. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 178-180

scholarly journals Assessment of the prevalence of vertical hepatitis B transmission in two consecutive generations

2018 ◽  
Vol 64 (2) ◽  
pp. 154-158
Author(s):  
Larissa Akeme Nakano ◽  
Jéssica Toshie Katayose ◽  
Rodrigo Martins Abreu ◽  
Luis Cláudio Alfaia Mendes ◽  
Maria Cleusa Martins ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Vertical Transmission ◽  
Preventive Measures ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Two Generations ◽  
Hepatitis B Transmission ◽  
The Mean

Summary Introduction: Hepatitis B is an important public health problem in the world and one of the forms of contagion would be through vertical transmission. Precose diagnosis allows the adoption of prophylaxis measures, which results in prevention in more than 90% of cases. Objective: To describe the prevalences of vertical transmission and compare two generations (mother/patient and patient/child). Method: This was a cross-sectional study, which included 101 patients. The interviews were performed through the application of the instrument of data collection and information of the physical file before the medical consultation. Results: The mean ± SD of age was 50.9 ± 13.1 years, the male gender predominated, with 56.4% of the patients, and the predominance was white, with 43.6%. Vertical transmission between mother and patient occurred in 17.8% and between patient and child, in 7.9%. In all of the eight cases of vertical transmission, the diagnosis was after the birth of children infected with HBV, and in 3/8 (37.5%), there was more than one case of infection by this mechanism per patient, totaling 13 children with the disease. Conclusion: There was a reduction in vertical transmission, showing that preventive measures were effective.

scholarly journals Comparative study of DIPSI and WHO 2018 criteria for diagnosis of GDM

2020 ◽  
Vol 22 (1-2) ◽  
pp. 13-17
Author(s):  
Biloni Shrestha ◽  
L Pokhrel
Keyword(s):  
Diagnostic Criteria ◽  
College Teaching ◽  
Public Health Problem ◽  
Tolerance Test ◽  
Cross Sectional Study ◽  
Single Step ◽  
Oral Glucose ◽  
International Consensus ◽  
Important Public Health Problem ◽  
Cross Sectional

Gestational Diabetes Mellitus (GDM) is an important public health problem. Prevalence has shown an increasing trend and varies based on diagnostic criteria used and the ethnic group studied. It is more common in Asia. Presently, there is no international consensus on the screening and diagnostic criteria for GDM. The Diabetes in Pregnancy Study Group of India (DIPSI) guidelines recommend the non-fasting 75g oral glucose tolerance test (OGTT) as a single-step screening and diagnostic test for GDM, is simple, easy and more feasible. The objective of this study was to compare whether the DIPSI criteria is equally sensitive to WHO 2018 criteria. This was a hospital based cross-sectional study done at Nepal Medical College Teaching Hospital, Kathmandu. Among 425 cases, 25 (5.88%) were diagnosed GDM, 6 (1.41%) were diagnosed only by DIPSI, 5 (1.18) only by WHO 2018 and 14 (3.29%) by both methods. The study showed that the sensitivity of DIPSI was 73.68% and specificity was 98.52%. The agreement between the DIPSI and WHO 2018 criteria ranged from 60% to 80% (Kappa value = 0.68). This study proves that DIPSI criteria is comparable to WHO 2018 criteria and can be adopted in our institution for the diagnosis of GDM as it is more feasible, easy and less expensive.

scholarly journals Post COVID-19 Symptoms: A Neglected Domain

2021 ◽  
Vol 33 (2) ◽  
pp. 325-328
Author(s):  
Chhaya Mittal ◽  
Abhishek Mishra ◽  
Seema Jain ◽  
Neelam S Gautam
Keyword(s):  
Neuropsychiatric Symptoms ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Present Cross Sectional Study ◽  
Patient Reported ◽  
Initial Recovery ◽  
Body Ache

Background: COVID -19 is the most important public health problem of recent time. Most people who have COVID-19 recovers completely within a few weeks but some people continue to have symptoms after initial recovery. Objective: To assess the prevalence of Post COVID symptoms, to assess requirement of treatment and to make recommendation for Post COVID care. Methods: Present cross sectional study was done among patients who recovered from COVID-19 in Meerut district. Mobile numbers of COVID patients were obtained from records, Total 100 randomly selected patients were contacted using google form and information regarding post covid symptoms in between 6 weeks to 12 weeks after recovery from COVID was obtained. Result: 87%patients developed one or more post covid symptoms. Weakness was reported to be most common problem (55%), followed by body ache (26%) and neuropsychiatric symptoms such as difficulty in concentration and insomnia (22%). Every fifth patient reported that symptoms persisted for more than 1 month. Though most of the respondents classified their symptoms as mild and moderate (52.5% and 37.9% respectively), 47% of the symptomatic patients have to take some treatment for these symptoms. Conclusion: Post COVID symptoms are common but usually less severe . Some form of treatment was required to deal with problem. Almost one in five patients reported that symptoms persisted for more than one month. The results highlight the need for post Covid care for COVID recovered patients.

scholarly journals PATIENTS SATISFACTION ABOUT HEALTH CARE DELIVERY IN OUT-PATIENTS DEPARTMENT OF COMBINED MILITARY HOSPITAL RAWALPINDI

2020 ◽  
Vol 70 (6) ◽  
pp. 1929-34
Author(s):  
Tahir Sardar ◽  
Iqbal Ahmad Khan ◽  
Muhammed Alamgir Khan
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Cost Effective ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Nursing Assistant ◽  
Cross Sectional ◽  
Level Of Satisfaction

Objective: To determine patient’s level of satisfaction and factors leading to dissatisfaction in selected patientsgroup with health care delivery in outpatients department of CMH Rawalpindi. Study Design: Cross sectional study. Place and Duration of Study: Out Patients Department of Combined Military Hospital Rawalpindi, from Sep2013 to Aug 2015. Methodology: Before data collection, written informed consent was taken from all the participants. The studypopulation comprised of armed forces personnel and their families. Patients, including both, males and females, coming to the outpatient department of Combined Military Hospital Rawalpindi were included in the study through consecutive sampling. Results: Results revealed that only 30% were satisfied. 67% patients were satisfied with the facilities in reception and 70% were satisfied with cleanliness in waiting area. A relatively low level of satisfaction with dealing of nursing assistant was recorded while very high percentage of satisfaction with performance of doctor i.e. 91%, examination done by doctor 91% and information provided by doctor 93% was recorded.90% patients reported high level of satisfaction with medicines provided.95.33% patients were satisfied with lab tests being done in hospital. Conclusion: Assessing satisfaction of patients is a simple and cost effective way for assessment of hospitalservices. Most of the patients were contented with services delivered in OPD and showed their trust in doctors,medicines provided and lab facilities offered. Majority were willing to revisit the hospital if required.

scholarly journals Dengue: awareness, preventive practices and water storage behaviour in an urban community of Delhi

2017 ◽  
Vol 4 (12) ◽  
pp. 4460
Author(s):  
Priya Arora ◽  
Manisha Arora ◽  
Vishal Sharma ◽  
Atul Kotwal
Keyword(s):  
At Risk ◽  
Water Storage ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Community Level ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Preventive Practices ◽  
Study Results ◽  
Dengue Control

Background: Dengue, an arboviral disease transmitted by Aedes egypti mosquito, has become an important public health problem, with almost half the population of the world being at risk. Community awareness and involvement for vector control is an important aspect of disease prevention and control. The aims and objective was to assess awareness and preventive practices used for dengue and related water storage behaviour in an urban area of Delhi. Methods: Observational, descriptive, cross sectional study. Results: Awareness about dengue fever and its mode of spread is quite high but the participants are not aware about the practices that are putting their surroundings at risk of vector breeding; especially when it comes to water storage behaviour. Conclusions: Behaviour change at individual and community level is essential for vector and hence dengue control, adoption of proper preventive practices and water storage behaviour needs to be emphasized at the community level. 

scholarly journals PATTERN OF CANCER CASES REGISTERED IN A TERTIARY CARE CENTER IN KATHUA DISTRICT OF J&K: A CROSS SECTIONAL STUDY

2020 ◽  
pp. 1-2
Author(s):  
Deepak Abrol ◽  
Anuj Kapoor ◽  
Pawan Kumar
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Age Group ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Medical College ◽  
Area Distribution ◽  
The Government

Introduction:Cancer is an important public health problem in India, with 10 lakh new cases occurring every year in the year. Cancer pattern varies in different regions and depends on genetic, environmental, dietary, social and other factors. Aim and objectives: This study was undertaken to determine magnitude and pattern of cancer cases reporting in the hospital. Methodology: This was a hospital-based retrospective study undertaken in the Government Medical College Kathua. GMC, Kathua is one among st the ve new medical colleges established in Jammu & Kashmir. The records of cancer patients generated from 1st November 2018 to 1 November 2019 were analyzed. All the cancer cases who reported either for diagnosis in any of the hospital OPD or for the treatment (radiotherapy/ chemotherapy/ surgery) were included. Data was entered in the MS Excel for analysis Results: Out of total 272 patients registered, females accounted for 56.6% and males for 43.3%. Hindu patients were in majority (84.2%). Most of the cases (37.1%) were in the age group 60-80. Pattern of cancer was different in the two sexes. In males, maximum cases were of lung cancer and in females, Ca breast was the most common followed by the cervical cancer Conclusion: This hospital-based study indicates the cancer prole in Kathua district. Females were found to be more affected than that of males with majority of the cases in the late 40s age group. Rural area and urban area distribution was found to be almost similar.

scholarly journals Physicians' Attitudes toward Unnecessary Tests and Processes in the Health Care Delivery System; a Cross-Sectional Study

2021 ◽  
Vol 6 (2) ◽  
pp. 115-124
Author(s):  
Fatemeh Farhadi ◽  
Rahim Khodayari ◽  
Zahra Mobarak ◽  
Morteza Arab-Zozani ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
System A

scholarly journals The pattern of suicide poisoning cases in the Tertiary care Centre in Chengalpet district, Tamil Nadu, India

2021 ◽  
Vol 8 (7) ◽  
pp. 3512
Author(s):  
R. Swaminathan Veerasamy ◽  
V. Pragadeesh Raja ◽  
T. Muthukumar ◽  
A. Kalaivani
Keyword(s):  
Tamil Nadu ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Socioeconomic Status ◽  
Socio Demographic Factors

Background: Suicide is an important public health problem, every year 800000 people due to suicide, Suicide is the third leading cause of death in 15-19-year-old only. Most (79%) of the suicide happened in low and middle-income countries. Among them consuming poisoning is 25.8%. In India 2019 incidence of suicides 10.4 per one lakh (1,00,000) of population. Tamil Nadu is the state of India sharing most of the suicide deaths, second position (9.7%) in 2019 next to Maharashtra (13.6%).Methods: This is a Hospital-based cross-sectional study, this study was conducted among suicide patients who consumed poison by using nonprobability, consecutive sampling. A pretested questionnaire was administered, and information regarding socio-demographic factors, type of poisoning, and outcome of poisoning was obtained. Statistical analysis was done through Statistical package for social sciences (SPSS) version 21.Results: Of 111 suicide poisoning patients admitted, were female (50.5%) and the majority were from a rural area (70.3%). Among suicidal, tablet poisoning was predominant (27.7%), followed by Organophosphorus poisoning (26.8%) and rat killer poisoning (17.1%). The major reason for suicidal poisoning was family problems (58.6%), and the majority of Suicidal poisoning was more among the age group of 11–30 years (67.6%) and middle socioeconomic status (50.5%). The majority of patients were admitted to the hospital with median days of 2 days (range 1-12). Among 111 patients 109 are cured and discharged and death of 2 cases.Conclusions: Suicides are avoidable and preventable deaths, there are so many measures are there in individuals levels particularly high-risk persons and community level also. So many poisoning cases are tablets and organophosphorus so to take steps for reducing access for that like legislative measures and regulations. Early identification of the mentally disturbed persons and to give counselling.  

scholarly journals Patterns of antenatal care services utilization in rural Amroha, Uttar Pradesh: a community based cross sectional study

2019 ◽  
Vol 6 (9) ◽  
pp. 4048
Author(s):  
Bhaskar K. Watode ◽  
Anurag Srivastava ◽  
Rajeev Kumar
Keyword(s):  
Antenatal Care ◽  
Care Delivery ◽  
Economic Status ◽  
Uttar Pradesh ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Family Type ◽  
World Health ◽  
Cross Sectional ◽  
Maternal Deaths

Background: Antenatal care (ANC) services are considered to be the crucial element in the primary health care delivery system of a country. World Health Organization (WHO) estimates suggested that almost all of the maternal deaths (99%) and child deaths (98%) occurred in developing countries. These maternal deaths could have been prevented if the pregnant women or adolescent girls had been able to access quality antenatal care. The objectives of the present study were conducted in rural parts of district Amroha, Uttar Pradesh for assessing the patterns of utilization of the ANC services and to ascertain the factors influencing utilization of ANC services.Methods: The present study was a cross sectional in nature. Recently delivered women were selected as study subject. A multi-stage stratified sampling design with random approaches had been used. Total 360 subjects included in the study.Results: Respondents age, education, occupation, socio economic status, family type and family size were the factors that influenced the utilization of the ANC services. With 100% ANC registration, sub centre was the most preferred place for registration. 76.9% of woman received more than 3 ANC visits. 315 (87.5%) and (71.9%) respondents received 2 doses to TT vaccine and more than 100 IFA tablets respectively.Conclusions: Utilization of ANC services are on rise in rural parts of Amroha, Uttar Pradesh. Still significant proportions of women are doesn’t return to health facility after the ANC registration. Intensification of efforts is needed to cater this left out group through improving community awareness and motivation.

scholarly journals Prevalence of COVID symptoms, their severity and duration: a gender based analysis

2021 ◽  
Vol 8 (9) ◽  
pp. 4463
Author(s):  
Abhishek Kumar Mishra ◽  
Chhaya Mittal ◽  
Tanveer Bano ◽  
Arun Kumar ◽  
Ganesh Singh ◽  
...  
Keyword(s):  
Attack Rate ◽  
Public Health Problem ◽  
Severity Of Illness ◽  
Simple Random Sampling ◽  
Face Mask ◽  
Cross Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Significant Difference ◽  
Gender Based

Background: COVID -19 is the most important public health problem of recent time. Approximately (60%) of those infected develop symptoms. Study is needed to assess the prevalence of COVID-19 symptoms, their severity and duration, secondary attack rate and COVID-19 appropriate behaviour for prevention and control of infection. The aim was to assess the prevalence of COVID-19 symptoms, secondary attack rate and COVID-19 appropriate behaviour of infected person.Methods: Present cross sectional study was done among patients who recovered from COVID-19 in Meerut district. After obtaining mobile numbers of patients, they were asked about their experience about pre-COVID, COVID and post-COVID period. Total 100 patients were contacted using simple random sampling and information was collected on predesigned Google form.Results: Out of total respondents 98% developed one or more symptoms. Fever was reported to be most common problem (72%) followed by body ache (62%). Most classified their symptoms as mild and moderate (36% and 43% respectively). There was no statistically significant difference for duration and severity of illness based on gender. While 21% categorized their symptoms as severe and very severe. All 100% patients followed COVID-19 appropriate behaviour post infection frequent hand washing and use of sanitizer being the most common behaviour (79%). Other commonly followed COVID-19 appropriate behaviours were use of face mask (68%), maintaining distance of more than 6 feet (65%).Conclusions: COVID-19 symptoms are common among patients but are usually less severe. Most of the patients are following COVID-19 appropriate behaviour to lessen burden of infection to others. Results also highlight the need of early testing to reduce infection in family members.

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