scholarly journals Endemicity of malaria in rural areas: A prospective longitudinal study in India

2013 ◽  
Vol 2 (2) ◽  
pp. 28-33
Author(s):  
Mohammad Athar Ansari ◽  
Iqbal Mohd Khan
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Public Health Problem ◽  
Integrated Approach ◽  
Presumptive Treatment ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Paramedical Staff ◽  
Increasing Trend ◽  
Prospective Longitudinal

The aim of the study is to assess the magnitude of the problem and certain epidemiological factors associated with malaria and examine the changing pattern of malaria through its parameters of measurement during 2009-2011. The study was carried out at the Rural Health Training Center (RHTC), under the J. N. Medical College, Aligarh Mus-lim University, Aligarh, (India) for three years from 1st January 2009 to 31st December 2011. Teams of doctors and paramedical staff regularly visited the villages. If any person was found to be suffering from fever, his/her blood was examined for the malaria parasite. Patients were given presumptive treatment and radical treatment if slides were positive. The findings of the study demonstrated that the number of malaria cases increased during the study period, but in the year 2010, a sudden upsurge was noticed. Out of 5594 patients, most of the patients seen were in the age group of 11-20 years (34.3%). P. vivax (96.2%) was the most common malaria infection in these areas. An increasing trend of malaria was seen from July to October. Most of the parameters of malaria measurement in-creased many folds in 2010 and showed a declining trend in 2011. The overall findings of the study indicated the high endemicity of malaria in the study area and demonstrated a changing pattern of malaria in the registered vil-lages as most of the parameters of malaria measurement increased. An integrated approach is needed which in-cludes mass survey or active surveillance, and appropriate drug therapy to tackle this public health problem. DOI: http://dx.doi.org/10.3329/seajph.v2i2.15940 South East Asia J Public Health | Jul-Dec 2012 | Vol 2 Issue 2 | 28-33

scholarly journals THE MANAGEMENT OF SNAKE BITE AND THEIR OUTCOME WITH DIFFERENT VARIABLES

2021 ◽  
Vol 5 (9) ◽  
Author(s):  
Ramesh Kumar Jakhar ◽  
Arvind Jain
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Health Workers ◽  
Public Health Problem ◽  
First Aid ◽  
Snake Bite ◽  
Medical Emergency ◽  
Public Health Issue ◽  
Common Component ◽  
Medical College

Background: Snake Bite is a life-threatening medical emergency & major public health issue throughout the world and especially in tropical countries like India. Snake bite which is a substantial cause of death in rural areas of developing countries, is a neglected public health problem. Methods: The study include the patient of snake bite who is admitted in department of medicine of M.D.M. Hospital attached to Dr S. N. Medical College Jodhpur during the period of one year January 01 2018 to December 31, 2018. Patients were enrolled after obtaining an informed consent and meeting inclusion criteria. Results: Maximum number of the cases did not receive any first aid and ASV& Pain killer was the most common component of the first aid. Two third of the cases were bitten by Viper snakes while one third by Cobra and Krait collectively. ASV dose was given as per the case response and in ASV dose of 30-50 VIAL was injected in majority of the victims (38.56). 30-50 VIAL was injected in majority of the victims. At time of hospital admission WBCT is normal in 52 patients (33.09%) while 101 patients had WBCT more than 20 min. Conclusion: Snakebite, an important occupational hazard, though preventable in principle remains to be one of the common medical emergencies. Primary prevention by imparting information regarding quick transport, correct first aid measures and training of primary level health workers can drastically bring down the mortality of this neglected tropical disease. Keywords: Snake bite, ASV, Viper.

scholarly journals A study on prescription analysis of referral dog bite cases to anti rabies clinic of M.K.C.G. Medical College, Berhampur, India

2017 ◽  
Vol 7 (1) ◽  
pp. 51-54
Author(s):  
Tapas Ranjan Behera ◽  
Gurukrushna Mohapatra ◽  
Biswabara Rout
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Community Health Centers ◽  
Drug Prescription ◽  
Specific Treatment ◽  
Public Health Problem ◽  
Health Centers ◽  
Dog Bite ◽  
Medical College ◽  
Primary Health

Dog bites in human are a serious public health problem and have been well documented worldwide. As rabies is not a notifiable disease in India and most deaths occur in rural areas where surveillance is poor. The objective of this study to assess the drug prescription patterns of referral cases of dog bite attending in the anti-rabies clinic (ARC) of Department of Community Medicine at MKCG Medical College. For this particular study 606 prescriptions were collected over a six months period. Suspected referred dog bite cases to ARC and willing to participate in the study were included as study subjects. Prescriptions Patients’ identity (name, age, sex) and date of prescription were present in all cases, address was written correctly in only 30% cases. 88% of the prescriptions were legible. Majority prescriptions (44%) were referred from of primary health centers and community health centers. Nearly one third of referred patients had not received anti rabies vaccine. Only 5% cases were administered with rabies immune globulin and about 30% had taken oral antibiotics which were referred from PHCs/CHCs. Specific treatment to dog bite (i.e. use of vaccine & RIG) was lacking in the prescription whereas Co-prescription of other drugs (i.e. antibiotics, pain killers, vitamins) were mentioned in the prescription. Regular prescription auditing with training of Medical Officers on essential drug availability should be undertaken by the Govt. of Odisha in order to give rationality to all prescriptions.South East Asia Journal of Public Health Vol.7(1) 2017: 51-54

HYPERTENSION – A PUBLIC HEALTH PROBLEM

2019 ◽  
Author(s):  
Adia Pilav ◽  
Emira Tanović-Mikulec ◽  
Suada Branković ◽  
Vedran Đido
Keyword(s):  
Public Health ◽  
High Risk ◽  
Public Health Problem ◽  
Integrated Approach ◽  
Community Level ◽  
Effective Control ◽  
Population Approach ◽  
Hypertension Control ◽  
Adequate Model ◽  
High Prevalence

Aim. The aim of this paper is to present public health importance of hypertension in population as one of the major CVD risk factor as well as a model of integrated approach to hypertension control at community level. Background. In spite of wide knowledge of pathophysiology and epidemiology in development of hypertension, ability to easily diagnose it, availability of efficient medications, hypertension continues to have high prevalence and setting up hypertension controls poses significant public health challenge. High prevalence of hypertension exists in all countries of the world, regardless of socioeconomic status of the country. It is estimated that the number of people with hypertension by 2025 will rise by 15-20%, and the number of sick people will increase up to 1.5 billion people worldwide. Methods. A review of the relevant literature which discusses the importance of defining clear strategies and interventions in the control of hypertension in countries, with particular emphasis on integrated hypertension management that has the greatest impact. Discussion. Effective and efficient hypertension control requires two approaches: population approach and individual approach to high-risk individuals. The balanced combination of population approach and an approach to access high-risk individuals is vital for the effective control of hypertension and cardiovascular diseases. Conclusions. Health systems in every country must be flexible and ready to provide adequate model of integrated approach to hypertension control at community level understanding their own local needs.

scholarly journals Anaemia among Egyptian adolescents: prevalence and determinants

2000 ◽  
Vol 6 (5-6) ◽  
pp. 1017-1025
Author(s):  
F. El Sahn ◽  
S. Sallam ◽  
A. Mandif ◽  
O. Galal
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Educational Level ◽  
Inverse Relationship ◽  
Public Health Problem ◽  
Public Health Education ◽  
Major Public Health Problem ◽  
Socioeconomic Level ◽  
Cross Sectional ◽  
Wide Scale

We aimed to estimate the nationwide prevalence of anaemia among adolescents in Egypt and to study possible risk factors. A cross-sectional approach was used. Blood samples were collected from 1980 adolescents for haemoglobin estimation. The overall prevalence of anaemia was 46.6%, most of which was mild or moderate, with severe cases in less than 1.0% of the sample. Gender difference was almost nonexistent. A significant inverse relationship was observed between the level of anaemia and age [especially among boys], socioeconomic level and educational level. Anaemia was more prevalent in rural areas and in Upper [southern] Egypt. Anaemia is a major public health problem among Egyptian adolescents and wide-scale public health education is warranted.

scholarly journals Gestational route to healthy birth (GaRBH): protocol for an Indian prospective cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e025395
Author(s):  
Vipin Gupta ◽  
Ruchi Saxena ◽  
Gagandeep Kaur Walia ◽  
Tripti Agarwal ◽  
Harsh Vats ◽  
...  
Keyword(s):  
Fetal Growth ◽  
Ethics Committees ◽  
First Trimester ◽  
High Rate ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Start Date ◽  
Gestational Weight ◽  
Quantitative Changes ◽  
Prospective Longitudinal

IntroductionPregnancy is characterised by a high rate of metabolic shifts from early to late phases of gestation in order to meet the raised physiological and metabolic needs. This change in levels of metabolites is influenced by gestational weight gain (GWG), which is an important characteristic of healthy pregnancy. Inadequate/excessive GWG has short-term and long-term implications on maternal and child health. Exploration of gestational metabolism is required for understanding the quantitative changes in metabolite levels during the course of pregnancy. Therefore, our aim is to study trimester-specific variation in levels of metabolites in relation to GWG and its influence on fetal growth and newborn anthropometric traits at birth.Methods and analysisA prospective longitudinal study is planned (start date: February 2018; end date: March 2023) on pregnant women that are being recruited in the first trimester and followed in subsequent trimesters and at the time of delivery (total 3 follow-ups). The study is being conducted in a hospital located in Bikaner district (66% rural population), Rajasthan, India. The estimated sample size is of 1000 mother-offspring pairs. Information on gynaecological and obstetric history, socioeconomic position, diet, physical activity, tobacco and alcohol consumption, depression, anthropometric measurements and blood samples is being collected for metabolic assays in each trimester using standardised methods. Mixed effects regression models will be used to assess the role of gestational weight in influencing metabolite levels in each trimester. The association of maternal levels of metabolites with fetal growth, offspring’s weight and body composition at birth will be investigated using regression modelling.Ethics and disseminationThe study has been approved by the ethics committees of the Department of Anthropology, University of Delhi and Sardar Patel Medical College, Rajasthan. We are taking written informed consent after discussing the various aspects of the study with the participants in the local language.

scholarly journals Experience of Continuous Ambulatory Peritoneal Dialysis in Children with Chronic Kidney Disease Stage” V

2017 ◽  
Vol 25 (1) ◽  
pp. 32-38
Author(s):  
Shireen Afroz ◽  
Tahmina Ferdaus ◽  
Rokeya Khanam ◽  
Maliha Alam Simi ◽  
Sanjida Sharmim ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Chronic Kidney Disease Stage ◽  
Pediatric Nephrology ◽  
Disease Stage ◽  
Uncontrolled Hypertension ◽  
College Hospital ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Prospective Longitudinal

The lifespan and outcome of End Stage Kidney Failure (ESKF) children have dramatically improved since the development of continuous ambulatory peritoneal dialysis (CAPD), it offers several advantages over hemodialysis. This study was done to evaluate the efficacy, outcome and to find out the complication profile of CAPD. This prospective longitudinal study was carried out in the department of Pediatric Nephrology, Dhaka Medical College Hospital (DMCH), Bangladesh, over a period of 3 year. A total of 8 children with ESKF were included. (Age 5-14 year, M:F=1:1), All underwent CAPD. Average duration of CAPD 40.6 months with a total of 185 patient months of CAPD. The rate of complications was recorded. Common complications being observed were peritonitis 1 episode per 13.9 patient months, catheter obstruction by omental capture was in 4. Catheter tip dislocation was found in 3 children and all needed laparotomy and omentectomy. Satisfactory level of improvement of mean weight, mean serum albumin and declining of serum creatinine has been found after CAPD in all 8 study children. At the end of the study, 3 out of 8 are still on CAPD, 2 transferred to haemodialysis and 3 expired due to uncontrolled hypertension with congestive heart failure and sepsis. So, CAPD is an effective modality of renal replacement therapy for children. Early detection of complications and prompt therapy is essential for a favourable outcome. Placement of catheter by surgical method with elective omentectomy will reduce catheter related complications.J Dhaka Medical College, Vol. 25, No.1, April, 2016, Page 32-38

scholarly journals Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: a prospective longitudinal study

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e10164
Author(s):  
Ilango Saraswathi ◽  
Jayakumar Saikarthik ◽  
K. Senthil Kumar ◽  
Kumar Madhan Srinivasan ◽  
M. Ardhanaari ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Sleep Quality ◽  
Undergraduate Medical Students ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Prospective Longitudinal ◽  
The Impact ◽  
Self Administered Questionnaire

Background The COVID-19 pandemic is found to affect the mental health of the population. Undergraduate medical students are especially prone to mental health disorders and hence could be more vulnerable to the impact of the pandemic. Methods A prospective longitudinal study was conducted on 217 undergraduate medical students in a medical college at Chennai, India. Depression, anxiety, and stress levels were recorded using Depression Anxiety Stress Scale 21 Items (DASS21) before and during the COVID-19 outbreak in India in December 2019 and June 2020, respectively. In the follow-up survey, in addition to DASS21, the Pittsburgh Sleep Quality Index to assess sleep quality and a self-administered questionnaire to assess the impact of COVID-19 related stressors were used. The self-administered questionnaire assessed the status of COVID-19 testing, interactions with COVID-19 patients, self-perceived levels of concerns and worries related to academics (COVID-19-AA (academic apprehensions)) and those pertaining to the self and family/friends (COVID-19-GA (general apprehensions)). Cross-sectional and longitudinal comparison of overall scores of depression, anxiety, and stress and scores stratified by gender, year of study, place of residence and monthly family income were performed. Predictors for depression, anxiety, and stress during COVID-19 were investigated using adjusted binary logistic regression analysis and results were expressed as adjusted odds ratio with 95% confidence interval (CI). A P value < 0.05 was considered statistically significant. Results The average scores of depression, anxiety, and stress during the baseline survey were 7.55 ± 7.86, 4.6 ± 6.19 and 7.31 ± 7.34 with the prevalence (95% Cl) of 33.2% [27–39.9%], 21.2% [16–27.2%] and 20.7% [15.5–26.7%]; in follow-up survey, the mean scores were 8.16 ± 8.9, 6.11 ± 7.13 and 9.31 ± 8.18 with the prevalence being 35.5% [29.1–42.2%], 33.2% [27–39.9%] and 24.9% [19.3–31.2%] for depression, anxiety, and stress respectively. There was a significant increase in both the prevalence and levels of anxiety and stress (P < 0.001), with depression remaining unchanged during COVID-19, irrespective of gender, year of study, place of residence and family’s monthly income. Poor sleep quality, higher levels of baseline depression, anxiety, and stress, higher COVID-19-GA, COVID-19 patients in family/friends and direct interactions with COVID-19 patients were found to be significant predictors of negative mental health in undergraduate medical students. COVID-19-AA was not significantly associated with depression, anxiety, and stress. Conclusion The COVID-19 pandemic appears to negatively affect the mental health of the undergraduate medical students with the prevalence and levels of anxiety and stress being increased, and depression symptoms remaining unaltered. Addressing and mitigating the negative effect of COVID-19 on the mental health of this population is crucial.

Noncommunicable Diseases in The Southwest of Iran, A Region of High Altitude with Distinctive Ethnic Groups: Results of The Shahrekord Cohort Study

2020 ◽  
Author(s):  
ALI Ahmadi
Keyword(s):  
Cohort Study ◽  
Health System ◽  
High Altitude ◽  
Rural Areas ◽  
Fasting Blood Glucose ◽  
Noncommunicable Diseases ◽  
Prospective Longitudinal Study ◽  
Alcoholic Fatty Liver ◽  
Southwest Of Iran ◽  
Prospective Longitudinal

Abstract Background: Critical inter-provincial differences within Iran in the pattern of noncommunicable diseases (NCDs) and difficulties inherent to the identification of prevention methods to reduce mortality from NCDs have challenged the implementation of the provincial health system plan. The Shahrekord Cohort Study was designed to address these gaps in Chaharmahal and Bakhtiari, a province of high altitude of the southwest of Iran, characterized by its large Bakthiari population.Methods: This ongoing cohort, prospective longitudinal study is a unique, rich biobank and a large-scale study conducted for the first time in Chaharmahal and Bakhtiari province in Iran. The study began in 2015, recruited 10075 participants (52.8% female) from both urban and rural (30.2%) areas and participants will be followed up until at least 2035. Diseases and their outcomes are ascertained from clinical examinations, interviews, and linkage with medical records registered in the health system.Results: Preliminary results indicate that the prevalence of NCDs at baseline was relatively high, for example 10.7% for type 2 diabetes mellitus, 20.2% for hypertension, 14.6% for non-alcoholic fatty liver, 11.4% for thyroid disease, and 5.7%, 0.9% and 1.3% for ischemic heart disease, stroke and myocardial infarction respectively. The mean (standard deviation) of BMI, systolic blood pressure, fasting blood glucose and cholesterol were 27.6 (4.6) kg/m2, 115.4 (17.3) mmHg, 96.7 (27.3) mmol/L and 184.1 (42.8) respectively. All NCDs appeared to be more frequent in urban than rural areas, except gastroesophageal reflux (32.3% in rural and 29% in the urban area). Conclusions: The Shahrekord Cohort Study provides a platform for epidemiological studies that will be useful for a better prevention and management of NCDs in the southwest of Iran.

CORRELATION OF MRI BRAINS WITH NEUROLOGICAL OUTCOME AT 12 MONTHS OF AGE IN NEWBORNS WITH HYPOXIC ISCHAEMIC ENCEPHALPATHY AT A TERTIARY REFERRAL HOSPITAL OF KOLKATA: A PROSPECTIVE LONGITUDINAL STUDY

2021 ◽  
pp. 39-41
Author(s):  
Adrita Bose ◽  
Gobinda Chandra Das ◽  
Debasish Dey ◽  
Dipak Singh
Keyword(s):  
Neurological Outcome ◽  
Longitudinal Design ◽  
Large Population ◽  
Newborn Care ◽  
Hypoxic Ischemic Encephalopathy ◽  
Published Data ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Prospective Longitudinal ◽  
Ischemic Encephalopathy

Introduction:In spite of an improved understanding of its pathogenesis , perinatal asphyxia and resulting hypoxic ischemic encephalopathy (HIE) is one of the most dreaded neurological disease of the newborn. Published data show that 25-60% of the babies who survive, suffer from permanent neuro developmental handicaps including cerebral palsy, seizures, mental retardation, and learning disabilities. Aims & Objectives: To correlate Magnetic Resonance Imaging (MRI) Brain with neurological outcome at 12 months in term (more than or equal to 37 weeks gestational age) neonates with Hypoxic Ischemic Encephalopathy. Materials And Methods: Sick Newborn Care Unit (SNCU) and Neonatal Intensive Care Unit (NICU) of R G Kar Medical College & Hospital, Kolkata(2) Department of Radiology of R.G.Kar Medical College & Hospital, Kolkata. From February 1st, 2019 to July 31st 2020. Aprospective observational study in longitudinal design. Results:All the babies with fetal bradycardia(N=19) had abnormal cardiotocographical ndings, out of them 16 babies had suspicious suspicious ndings and 3 had pathological cardiotocographical ndings. Most of the cases with abnormal CTS (N=19) i.e. Suspicious(N1=16)+ Pathological(N2=3) were delivered by LSCS(18) followed by breech vaginal (1). About 45.5 % of the study population had MSL (meconium stained liquor), followed by clear liquor(27.3%), blood stained (21.21%). Only 6.1% showed features of chorioamionitis with foul smelling liquor. Summary & Conclusion:Though normal MRI babies can later be normal or may have minor disabilities in future. But MRIs showing moderate to severe grade of injuries always resulted in severe neuromotor disabilities like cerebral palsies. Further large population studies in other regions of India are to be conducted to emphasize the role of a validated MRI Scoring system to determine the possible clinical outcomes. This will help to initiate early interventions and thus can improve outcomes.

Sign in / Sign up

Export Citation Format

Share Document