scholarly journals Non-Compliance to Doctors’ Advices among Patients Suffering from Various Diseases: Patients’ Perspectives: A Neglected Issue

2017 ◽  
Vol 18 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Khalida Naz Memon ◽  
Nudrat Zeba Shaikh ◽  
Rafique Ahmed Soomro ◽  
Shazia Rehman Shaikh ◽  
Anza Mansoor Khwaja
Keyword(s):  
Cross Sectional Study ◽  
Oral Route ◽  
Communicable Diseases ◽  
Public Health Issue ◽  
Community Based ◽  
Cross Sectional ◽  
Primary Determinant ◽  
Duration Of Disease ◽  
The Mean ◽  
Compliance To Treatment

Background: An acknowledgement of the patient’s perspectives about compliance towards doctors’ advices is critical in ensuring better results of medical consultation. The compliance to therapies is a primary determinant of treatment success.The authors found a serious dearth of research on this issue.Aim: The aim of the study was to determine the frequency & determinants of non-compliance towards doctors’ advices among study subjects.Method: The current community based descriptive cross sectional study was conducted on 230 subjects suffering from various illnesses. The patients were enrolled using convenience sampling. The data was collected on pre-structured Performa. The data comprises of questions regarding Patients compliance to doctor advises, that may be preventive, promotive and therapeutic care.Results: The mean age of respondents was 36.6 ± 7.4 years. The overall compliance to doctors’ advice was seen among 31.2% subjects. Compliance to treatment advice was 35.8 %; while towards health promotive advices was 29.5% & towards preventive advices against diseases was 28.4 percent.Seventy three percent of the total compliance was seento general practitionersin contrast to consultants i.e. 26.4%.Significant association was seen between compliance & older age (p=0.02), non-infectious diseases (p=0.04), severity of disease (p=0.01), oral route of administration (p=0.00) & shorter duration of disease (p=0.00). The results of association of compliance with gender however remained statistically insignificant.Conclusion: The study indicated that non-compliance towards doctors’ advices is a big public health issue & it should be taken as a hidden risk factor for diseases. The compliance towardsdoctor’sadvice was more prevalent for non-communicable diseases compared to communicable diseases. Additionally, fear of side effects and high cost of medicine were two major reasons for treatment non-compliance.J MEDICINE January 2017; 18 (1) : 10-14

scholarly journals Impact of Iron Status on Thyroid Function: A Community Based Cross-Sectional Study in Eastern Nepal

2019 ◽  
Vol 15 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Saroj Thapa ◽  
Madhab Lamsal ◽  
Sanjay Kumar Sah ◽  
Rajendra Kumar Chaudhari ◽  
Basanta Gelal ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Iron Status ◽  
Transferrin Saturation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Hormone Profile ◽  
Iron Deficient ◽  
The Mean

Background: Iron deficiency is the most common nutritional deficiency in the world. The relation between thyroid hormones and iron status is bidirectional. The aim of this study was to assess iron nutrition status and evaluate its relationship with thyroid hormone profile among children of Eastern Nepal. Methods: A  community based cross-sectional study was conducted in eastern Nepal. A total of 200 school children aged 6-12 years were recruited after taking informed consent from their guardians. Blood samples were collected and assayed for free thyroid hormones (fT3 and fT4), thyroid stimulating hormone (TSH), serum iron, total iron binding capacity (TIBC) concentration and percentage transferrin saturation was calculated. Results: The mean serum iron and TIBC was 74.04 µg/dl and 389.38 µg/dl respectively. The median transferring saturation was 19.21%. The overall prevalence of iron deficiency (Transferrin saturation < 16%) was 34% (n=68). The mean concentration of fT3 and fT4 was 2.87 pg/ml and 1.21 ng/dl respectively, while the median TSH concentration was 3.03 mIU/L. Median TSH concentration in iron deficient group (3.11 µg/dl) and iron sufficient group (2.91 µg/dl) was not significantly different. Among iron deficient children 5.9% had   subclinical hypothyroidism (n=4). Iron status indicators were not significantly correlated with thyroid profile parameters in the study population. Conclusions: The prevalence of iron deficiency is high and iron   deficiency does not significantly alter the thyroid hormone profile in the study region.

scholarly journals Menstruation: gap in knowledge, belief and practice among adolescent girls in an urban area of Belagavi

2017 ◽  
Vol 4 (10) ◽  
pp. 3640
Author(s):  
Suhasini Kanyadi ◽  
Chandra S. Metgud
Keyword(s):  
Urban Area ◽  
Adolescent Girls ◽  
External Genitalia ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Transition Into Adulthood ◽  
The Mean ◽  
Sanitary Pads ◽  
One Year

Background: The period of adolescence, beginning with the onset of puberty, is a crucial transition into adulthood. There is a substantial lacuna in the knowledge, belief and practice about menstruation. This study addresses the gap in knowledge, belief and practice regarding menstruation among adolescent girls. Methods: A community based cross sectional study was conducted over a period of one year, in an urban area of Belagavi among 625 adolescent girls in the age group of 16–19 years. Data was collected by house to house visit using a predesigned, pretested questionnaire. Results: The mean age (±SD) at menarche was found to be 12.8±1.73 years. Our study showed that as the knowledge increased, there was increase in the use of sanitary pad (p<0.001) and increase in the number of girls practicing cleaning of external genitalia during menstruation (p<0.01). However, it was found that 276 (50.5%) and 175 (37.7%) of the girls did not use sanitary pads and practice cleaning of external genitalia during menstruation even after having correct knowledge showing a gap in knowledge and practice. Similarly, among the 494 girls who knew that menstruation is a natural process, 93 (18.8%) girls wrongly believed she shouldn’t sleep in the same place as usual, 124 (25.1%) said she shouldn’t enter the kitchen, 186 (37.7%) believed that certain foods should be avoided and only 37 (7.5%) rightly believed that girls could go to place of worship during menstruation showing a gap in knowledge and belief. Conclusions: The study reported a gap in knowledge, belief and practice among adolescent girls. To bridge this gap causes have to be identified and addressed. 

scholarly journals A community based cross-sectional study on morbidity profile of elderly in a rural area of Puducherry

2021 ◽  
Vol 8 (4) ◽  
pp. 1945
Author(s):  
Arulprasad Radjasegarane ◽  
Kavita Vasudevan ◽  
Prakash Mathiyalagen ◽  
Arul Varman P. ◽  
Lopamudra M. ◽  
...  
Keyword(s):  
Rural Area ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Chronic Illnesses ◽  
Control Measures ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Elderly Individuals

Background: The proportion of elderly increases worldwide. India entered into the list of “greying nation”. The process of biological ageing brings with it various illnesses. This study was conducted with the objective of determining the morbidity profile of elderly people residing in a rural area.Methods: A community based cross-sectional study was conducted among elderly aged 60 years and above residing in rural area of Puducherry. Simple random sampling was used to select two sub-centre areas among four, under the field practice area and all the eligible elderly individuals were included. House to house visit was made and after obtaining informed consent, the data were collected using a pre-tested semi-structured questionnaire and examination.Results: A total of 954 individuals were included in the study of which 66.4% and 33.6% of them were females and males respectively (Mean: 68 ± 6.8 years). Acute and chronic illnesses were present among 4% and 47.7% of elderly individuals respectively. Hypertension (42.5%) was observed to be the predominant chronic illness followed by Diabetes (29.6%), Osteoarthritis (8.1%) and Asthma (7.9%), Visual problems (4.3%), Coronary artery disease (2.9%), Cerebrovascular accident (1.2%) and hearing problems (0.9%).Conclusions: Chronic illnesses were more common among elderly than acute illnesses. Hence it is recommended to screen elderly individuals utilizing the platform of community based assessment for non-communicable diseases. The study also recommends implementing stringent tobacco control measures so as to curtail the silent epidemic of non-communicable diseases.

scholarly journals Relationship between depression and socio-demographic and illness characteristics in arsenicosis population of Bangladesh

2021 ◽  
Vol 1 (2) ◽  
pp. 53-61
Author(s):  
Mohammad Saiful Islam ◽  
Fahmida Akter ◽  
Shamima Parvin Lasker
Keyword(s):  
Depressive Symptoms ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Age Group ◽  
Community Based ◽  
Cross Sectional ◽  
Moderate Depression ◽  
Prone Area ◽  
The Mean ◽  
Structured Questionnaire

A community based cross-sectional study was carried out by a self-structured questionnaire on 168 participants aged between 18 and 60 years at two arsenic prone area of Bangladesh to determine the association between extent of depression and socio-demographic as well as illness characteristics in arsenicosis population. The mean age ± SD was 42 ± 10.15 years. Female respondents were almost twice (63.1%) than the males (36.9%) in this study. Most of the respondents (94.0%) were shallow tube well water user. Among them most (80.0%) of the respondents were detected as arsenic contaminated water consumer over more than six months. Study estimated that almost half (44.3%) of the participants had suffered from mild to moderate depression in the moderate arsenicosis group. Less than quarter (20.8%) participants suffered severe depression in severe arsenicosis group. Quarter (26.7%) had mild arsenicosis with no depression. This difference was not significant. Gender had significant influence on proportion of level of depression. Females significantly suffered more from depressive symptoms than males. More than two third of the female respondents suffered from some kind of depressive symptoms; where less than one third of the males were suffered from depressive symptoms. Age has no significant relation with depression. Respondents who were 48 years and above age group had highest percentages of severe depressive symptoms (35.8%). This age group also suffered from highest percentage of mild to moderate depression (37.1%). Though most of the respondent (85.1) had no diabetes and hypertension. Respondents with physical illness suffered more from some sorts of depression than those without illness, but the result is not statistically significant. We understood that depression has health challenges in adult arsenicosis patients. Therefore, physicians should take account depression in their treatment management when deal with arsenicosis patients.

Prevalence of Risk Factors of Common non-communicable diseases: A community based study in young adult women in Delhi

2020 ◽  
Vol 32 (3) ◽  
pp. 548-553
Author(s):  
Ankita Singh ◽  
Tapas Kumar Ray ◽  
Balraj Dhiman
Keyword(s):  
Risk Factors ◽  
Young Adult ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
New Delhi ◽  
Adult Women ◽  
Young Adult Women ◽  
Community Based ◽  
Cross Sectional ◽  
Non Communicable Diseases

Introduction: In India, due to high rates of urbanization and economic improvement, there is a shift in disease spectrum from communicable to non-communicable diseases. Non-communicable disease contributes to around 5.87 million (60%) of all deaths in India. The level of exposure and vulnerability to non-communicable diseases is more in women than men. The present study was done in a community setting to identify the prevalence and distribution of risk factors for common non-communicable diseases among young adult women. Aim & Objective: To study prevalence of risk factors of common non-communicable diseases in young adult women. Settings and Design: A community-based cross-sectional study conducted in Palam Village of New Delhi. Methods: A community-based cross-sectional study conducted in Palam Village of New Delhi. A total of 585 study subjects were interviewed using a self-designed, semi-structured, pre-designed questionnaire. Waist circumference, blood pressure and weight was measured using non-stretchable measuring tape, digital blood pressure apparatus and digital weighing scale respectively. Results: Half of the study subjects were moderately active. Most of the participants have unhealthy dietary habits. Around 2/3rd of the study subjects were taking inadequate servings of fruits and vegetables, and almost half of them were consuming salt more than the recommended levels. Conclusion: High-risk factors of common non-communicable diseases among young adult women are seen in Palam Village, New Delhi. To prevent further increase in burden of noncommunicable diseases and to lower their serious consequences, prevention and control interventions must be implemented at individual, population and program level.

scholarly journals Determinants of Anemia among Children Aged 6–59 Months Living in Kilte Awulaelo Woreda, Northern Ethiopia

Anemia ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Gebremedhin Gebreegziabiher ◽  
Belachew Etana ◽  
Daniel Niggusie
Keyword(s):  
Family Income ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Annual Household Income ◽  
Community Based ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Eastern Zone ◽  
The Mean ◽  
Prevalence Of Anemia

Introduction.The aim of this study was to determine the prevalence of anemia and determinant factors among children aged 6–59 months living in Kilte Awulaelo Woreda, eastern zone.Method.A community based cross-sectional study was conducted during February 2013 among 6 tabias of Kilte Awulaelo Woreda, northern Ethiopia. A total of 568 children were selected by systematic random sampling method. Anthropometric data and blood sample were collected. Bivariate and multivariate logistic regression analyses were performed to identify factors related to anemia.Result.The mean hemoglobin level was 11.48 g/dl and about 37.3% of children were anemic. Children who were aged 6–23 months [AOR = 1.89: 95% CI (1.3, 2.8)], underweight [AOR = 2.05: 95% CI (1.3, 3.3)], having MUAC less than 12 cm [AOR = 3.35: 95% CI (2.1, 5.3)], and from households with annual income below 10,000 Ethiopian birr [AOR = 4.86: 95% CI (3.2, 7.3)] were more likely to become anemic.Conclusion.The prevalence of anemia among the children is found to be high. It was associated with annual household income, age, and nutritional status of the child. So, improving family income and increasing awareness of the mother/caregiver were important intervention.

scholarly journals Individual and structural correlates of willingness for intravenous buprenorphine treatment among people who inject sublingual buprenorphine in France

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Salim Mezaache ◽  
Patrizia Carrieri ◽  
Laélia Briand-Madrid ◽  
Virginie Laporte ◽  
Alain Morel ◽  
...  
Keyword(s):  
Secondary Analysis ◽  
Cross Sectional Study ◽  
Opioid Agonist ◽  
Community Based ◽  
Cross Sectional ◽  
Face To Face ◽  
Sublingual Buprenorphine ◽  
The Mean ◽  
To Receive ◽  
Buprenorphine Treatment

Abstract Background Some people do not benefit from oral administration of opioid agonist treatment, and an intravenous (IV) formulation may be more suitable. Our objective was to evaluate the willingness of people who regularly inject sublingual buprenorphine to receive IV buprenorphine as a prescribed treatment, and to examine related correlates. Methods We performed a secondary analysis of data from the cross-sectional study PrebupIV, conducted in France in 2015 among 557 people who inject opioids. The study comprised questionnaires completed either face to face or online and community-based workshops. We only included participants who reported buprenorphine as their main injected drug (n = 209). Willingness to receive IV buprenorphine treatment was measured on a scale from 0 to 10. Ordinal logistic regression identified correlates of willingness. Artworks and testimonies from participants in the workshops were also used to illustrate correlates of willingness. Results Among the 209 participants, the mean score (SD) for willingness to receive IV buprenorphine was 8.0 (2.8). Multivariate analysis showed that participants who reported using non-prescribed buprenorphine (AOR = 4.82, p = 0.019), a higher daily dosage of buprenorphine (AOR (for 1 mg) = 1.05, p = 0.043), and a higher number of complications due to injection (AOR = 2.28, p = 0.037), were more willing to receive IV buprenorphine treatment. Conclusions Willingness to initiate IV buprenorphine treatment was high among people who regularly inject sublingual buprenorphine. A prescribed IV formulation could attract and retain more people into care and reduce harms associated with the injection of buprenorphine tablets.

scholarly journals TOXOPLASMOSIS: SEROLOGIC PROFILE OF PREGNANT WOMEN AT THE BRAZZAVILLE UNIVERSITY CENTRE HOSPITAL (CHUB)

2019 ◽  
Vol 7 (9) ◽  
pp. 281-287
Author(s):  
Sékangué Obili G ◽  
Ossibi Ibara BR ◽  
Potokoué Mpia NSB ◽  
Adoua Doukaga T ◽  
Itoua C
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Recent Infection ◽  
Cross Sectional ◽  
Obligate Intracellular ◽  
The Mean ◽  
Equivocal Result ◽  
Level Of Significance ◽  
Centre Hospital

Introduction: Toxoplasmosis is a disease caused by an obligate intracellular coccidia Toxoplasma gondii, which is transmitted by cats. In pregnant women, it is a concern because of the severe complications to the foetus. The objective of this study is to determine the toxoplasma serologic profile in pregnant women at the Brazzaville University Centre Hospital (CHUB). Materials and Methods: This is a cross-sectional study from September 2015 to March 2016 (6 months) which includes sera from pregnant women received at the Parasitology Mycology laboratory of the CHUB for Toxoplasma serology. Immunoglobulins G and M searches were done by immuno-analysis (Biomerieux, Mini-Vidas technology). The data was analysed by the IBM SPSS version 20 software. The comparisons of proportion is done by the khi 2 test. The level of significance of statistical data were fixed at 5%. Results: The mean age of pregnant women included in our study was 27, 8+/- 6,84 with the extremes ages of 15 and 44 years. Toxoplasma seroprevalence in this study is 47,2% (68/144). The types of immunoglobulins (Ig) retrieved were IgG alone in 45,1% of cases (65/144), IgG associated to IgM in 2,8% of cases (4/144). Serological profiles were: no immunity (52,1%) immunised (41%), recent infection (1,4%) active infection (2,8%) equivocal result (2,8%). Conclusion: Toxoplasmosis is a zoonosis which represents a real public health issue in our environment, even when the level of immunised pregnant women seems high.

scholarly journals Profil Des Infections Ostéoarticulaires En Consultation Rhumatologique Au CHU- Kara (Togo)

2017 ◽  
Vol 13 (27) ◽  
pp. 251
Author(s):  
Prénam Houzou ◽  
Kodjo Kakpovi ◽  
Eyram Fianyo ◽  
Viwalé Etonam S. Koffi-Tessio ◽  
Komi Cyrille Tagbor ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Cross Sectional ◽  
Retroviral Infection ◽  
Musculoskeletal Infection ◽  
Clinical Forms ◽  
Joint Infections ◽  
Osteoarticular Infections ◽  
Rheumatology Unit ◽  
Duration Of Disease ◽  
The Mean

Introduction: Osteoarticular infections remain public health problems in Africa. We aim at determining the clinical forms, topographic and etiological osteoarticular infections in a rheumatology unit of northern Togo. Methods: We conducted a cross-sectional study from April 2012 to March 2015 on inpatient records having suffered from musculoskeletal infection. Results: Of the 1813 patients admitted to the department in three years, 86 (4.74%) suffered from musculoskeletal infection. Of them, 36 (41.86%) were men and 50 (58.1% 4) were women, with a sex ratio (M/F) of 0.72. The mean age of the patients was 45 years. The mean duration of disease progression was 3.5 months. The different clinical forms observed were: spondylitis (47 patients, 54.65%), infectious arthritis (31 cases, 36.05%) and osteomyelitis (eight cases; 9.30%). The infection was likely tuberculous in 53 patients (61.63%), including 44 cases of Pott's disease. A banal germ was mentioned in the 33 others patients (38.37%). In four cases, the germ was isolated: Staphylococcus aureus (three cases) and Staphylococcus epidermidis (one case). The joints most affected by the infection were the hip (nine patients) and the knee (eight patients). Infection was multifocal in 14 cases (16.27%). The main risk factors for the infection identified were: promiscuity and poor hygiene (59.30%), alcoholism (26.74%) and retroviral infection (12.79%). Conclusion: This study and joint infections are a common reason for rheumatology consultation in northern Togo with a significant share of multifocal forms.

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