Self-medication tendencies of patients visiting out-patient departments of Government homoeopathic medical colleges and hospitals in West Bengal, India

2021 ◽  
Vol 12 (45) ◽  
pp. 178-189
Author(s):  
Munmun Koley ◽  
Subhranil Saha ◽  
Aloke Ghosh ◽  
Subhasish Ganguly ◽  
Jogendra Singh Arya ◽  
...  

Background and aims: Self-medication is mostly prevalent in the low- and middle-income population segments of developing countries, thus reflecting the status of health services. Self-medication has frequently been held responsible for inducing drug resistance, higher cost of further treatment, and other complications. The World Health Organization (WHO) promotes self-medication in rural and remote areas to reduce the burden of health services. In this study, the researchers sought to establish the prevalence, consequences, and causes of self-medication. Methods: Multicenter, institution-based, cross-sectional study conducted with 456 participants in May, 2013 at the outpatient clinics of 2 Government homeopathic medical colleges in West Bengal, India. A pilot-tested structured questionnaire consisting of 12 self-administered questions in local vernacular Bengali was used; 8 were close-ended questions providing multiple answer options, while 4 were open-ended. Results: Overall, 12.7% of interviewees admitted to perform self-medication; 57.7% and 66.0% had appropriate knowledge of the medicines and dose regimens, respectively. Females (64.3%) predominated and self-medication was mostly found in age range 31-45 years old (32.5%). Conventional Western medicine (82.2%) was most preferred therapy, and fever (35.7%), hyperacidity (25.4%) and loose stool (24.3%) the most frequently reported complaints. The main causes for self-medication were feeling no need to consult doctor (32.5%), busy schedule (16.4%), family members advice (16.0%), over-the-counter (OTC) availability of medicines without prescription (12.5%), direct consumer pharmaceutical advertisement (12.1%), and high expenditure in private institutes (10.1%). The chi-square distribution of determinants across the two samples differed significantly. The tendency increased proportionately with literacy (Yates’ χ2=175.731; p=0.000) and poverty (Yates’ χ2=426.817; p=0.000). Conclusion: The results reflect the knowledge, attitude, and practice of self-medication among the participants. Further studies should be undertaken in larger samples and different populations.

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262619
Author(s):  
Seifu Awgchew Mamo ◽  
Girum Sebsibie Teshome ◽  
Tewodros Tesfaye ◽  
Abel Tibebu Goshu

Introduction Perinatal asphyxia continues to be a significant clinical concern around the world as the consequences can be devastating. World Health Organization data indicates perinatal asphyxia is encountered amongst 6–10 newborns per 1000 live full-term birth, and the figures are higher for low and middle-income countries. Nevertheless, studies on the prevalence of asphyxia and the extent of the problem in poorly resourced southern Ethiopian regions are limited. This study aimed to determine the magnitude of perinatal asphyxia and its associated factors. Methods A retrospective cross-sectional study design was used from March to April 2020. Data was collected from charts of neonates who were admitted to NICU from January 2016 to December 31, 2019. Result The review of 311 neonates’ medical records revealed that 41.2% of the neonates experienced perinatal asphyxia. Preeclampsia during pregnancy (AOR = 6.2, 95%CI:3.1–12.3), antepartum hemorrhage (AOR = 4.5, 95%CI:2.3–8.6), gestational diabetes mellitus (AOR = 4.2, 95%CI:1.9–9.2), premature rupture of membrane (AOR = 2.5, 95%CI:1.33–4.7) fetal distress (AOR = 3,95%CI:1.3–7.0) and meconium-stained amniotic fluid (AOR = 7.7, 95%CI: 3.1–19.3) were the associated factors. Conclusion Substantial percentages of neonates encounter perinatal asphyxia, causing significant morbidity and mortality. Focus on early identification and timely treatment of perinatal asphyxia in hospitals should, therefore, be given priority.


2013 ◽  
Vol 5 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Ritam Banerjee ◽  
Sharmistha Bhattacherjee ◽  
Kuntala Ray ◽  
Jayanta Kumar Roy ◽  
Saikat Datta ◽  
...  

Background: Dyslipidemia, one of the classical Framingham risk factors of cardiovascular diseases, accounts significantly to the rise of non communicable diseases in India. Urbanization, along with greater consumption of dietary fats and decreased physical activity, has led to an increase in this problem manifold. Objectives: To determine the prevalence of dyslipidemia among urban adults of Siliguri city, West Bengal and to identify the cardio-vascular risk factors associated with it. Methods: This descriptive, cross-sectional study was carried out among the 226 adults aged ≥20yrs in an urban area of Siliguri city, West Bengal, India. Data was collected by detailed history and physical examination; biochemical measurements were done using standards procedures. Dyslipidemia was defined by the presence of one or more than one abnormal serum lipid concentration. Statistical analysis was done using chi-square test, t test and logistic regression analysis using SPSS 20 software (Chicago, IL, USA). Results: Dyslipidemia was prevalent among 78.4 % of the total study subjects. Dyslipidemia was more in males than in females & in both males and females it was more prevalent in the age group 40 -59 years than in any other age group. It was associated with higher odds of major cardiovascular risk factors like hypertension, hyperglycemias, and tobacco use. Conclusion: Dyslipidemia remains a significant and growing problem in this part of the country. The reduction in the disease burden will require changes in life style as well as in national policies. DOI: http://dx.doi.org/10.3126/ajms.v5i1.8474 Asian Journal of Medical Science Vol.5(1) 2014 pp.1-8


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Ari Widyaningsih ◽  
Isfaizah Isfaizah

Salah satu penyakit tidak menular yang banyak ditemukan pada masyarakat saat ini salah satunya adalah hipertensi yang diawali pre-hipertensi. World Health Organization (WHO) mencatat pada tahun 2012 sedikitnya 839 juta kasus hipertensi, diperkirakan menjadi 1,15 milyar pada tahun 2025 atau sekitar 29% dari total penduduk dunia, dimana penderitanya lebih banyak pada wanita (30%) dibanding pria (29%).  Beberapa faktor risiko lain juga berkontribusi terhadap kenaikan tekanan darah pada wanita, diantaranya riwayat hipertensi, karakteristik seseorang (usia, jenis kelamin, ras), gaya hidup yang di dalamnya termasuk pola konsumsi lemak dan garam tinggi, makan secara berlebihan hingga mengakibatkan obesitas, kebiasaan merokok dan minum alkohol, kurang konsumsi sayuran dan buah, aktivitas fisik, pekerjaan, kualitas tidur, konsumsi kopi, stress, penggunaan alat kontrasepsi hormonal, status gizi dan obesitas sentral.  Perubahan tekanan darah tinggi dapat terjadi pada 5% pemakaian kontrasepsi hormonal. Tekanan darah akan meningkat secara bertahap dan tidak akan menetap. Wanita yang memakai kontrasepsi selama 5 tahun atau lebih, frekuensi perubahan tekanan darah tinggi meningkat 2 sampai 3 kali dari pada tidak memakai alat kontrasepsi hormonal. Resiko terjadinya tekanan darah tinggi akan meningkat dengan bertambahnya umur, lama pemakaian kontrasepsi dan bertambahnya berat badan.  Berdasarkan uraian di atas, peneliti tertarik melakukkan penelitian tentang.  Faktor – faktor yang Berhubungan dengan Kejadian Hipertensi pada Akseptor KB Suntik.  Penelitian ini merupakan analitik korelasi dengan pendekatan cross-sectional study dengan teknik pengambilan sampel accidental sampling dan uji chi square pada analisa datanya.


2018 ◽  
Vol 12 (2) ◽  
pp. 167 ◽  
Author(s):  
Fadilah Andy Nastiti

Traffic accidents are one of the biggest causes of death in the world. WHO states that 90% of deaths that caused by traffic accident in the world occur in low and middle income countries. Indonesia is ranked first with the highest percentage of deaths that caused by traffic accident in Asia. Most t raffic accidents involve motorcyclist with an average age of 15–29 years old. The purpose of this study is to determine the correlation between ownership of driving license and participation in driving license tests with driving k nowledge and t raffic accidents in h igh school students of Xi grade in Kabupaten Sidoarjo in 2017. This research was an observational analytic with cross sectional study design. The population of this study was all senior h igh school students of XI grade in Kabupaten Sidoarjo in 2017. The number of respondents was 204 students that drawn from the population by using two stage cluster random sampling method. Results of analysis using chi square and fisher’s exact test (α = 5%) indicate that the ownership of driving license (p = 0.259; RR 1.533) and participation in driving license test (p = 1.00; RR 0.586) did not have correlation with t raffic accidents in h igh school students of XI grade in Kabupaten Sidoarjo in 2017 and the ownership of driving license (p = 1.00; RR 1.008) and participation in driving license test (p = 1,00; RR 0.983) did not have correlation too with driving k nowledge in h igh school students of XI grades in Kabupaten Sidoarjo in 2017.


2019 ◽  
pp. 31-37
Author(s):  
Satabdi Saha ◽  
Krunal S Soni ◽  
Niharika . ◽  
Subrata Saha

Aims A cross sectional study was undertaken to assess the level of knowledge, experience and attitude regarding child abuse and neglect among dentists of West Bengal. Material and Methods Data was collected from an anonymous, self-report questionnaire from 160 dentists of West Bengal. Data was interpreted in SPSS software. Descriptive statistics was generated and Chi square test was used to compare between groups. Results Results of this present study suggest a lack of proper awareness and thorough knowledge among the dentists of West Bengal. This is preventing them from recognizing suspected cases of child abuse and neglect. Lack of knowledge about legal procedures against child abuse poses a barrier to report diagnosed cases effectively. Summary and Conclusion Further improvement in child abuse education is needed to enhance the dental professionals’ ability to identify child abuse and neglect cases and rise above this serious child healthcare issue. Key Words-child abuse, awareness of dentists, child maltreatment


Author(s):  
Bambang Irawan ◽  
Erizal

Badan kesehatan dunia yaitu World Health Organisation (WHO) berupaya agar pelayanan kesehatan di dunia ini dapat memberikan suatu sistem pelayanan yang baik untuk meningkatkan derajat kesehatan masyarakat diberbagai belahan dunia. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi terapeutik perawat dan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019. Penelitian ini bersifat analitik dengan desain penelitian cross sectional study. Sampel dalam penelitian ini sebanyak 84 responden yang merupakan pasien rawat inap. Data dianalisa secara univarat dan bivariat menggunakan uji Chi square. Hasil penelitian diperoleh ada hubungan komunikasi terapeutik perawat dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,007) dan ada hubungan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,030).


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Carlos Gutiérrez-Cirlos ◽  
J. Jesús Naveja ◽  
Manuel García-Minjares ◽  
Adrián Martínez-González ◽  
Melchor Sánchez-Mendiola

Abstract Background The choice of medical specialty is related to multiple factors, students’ values, and specialty perceptions. Research in this area is needed in low- and middle-income countries, where the alignment of specialty training with national healthcare needs has a complex local interdependency. The study aimed to identify factors that influence specialty choice among medical students. Methods Senior students at the National Autonomous University of Mexico (UNAM) Faculty of Medicine answered a questionnaire covering demographics, personal experiences, vocational features, and other factors related to specialty choice. Chi-square tests and factor analyses were performed. Results The questionnaire was applied to 714 fifth-year students, and 697 provided complete responses (response rate 81%). The instrument Cronbach’s alpha was 0.8. The mean age was 24 ± 1 years; 65% were women. Eighty percent of the students wanted to specialize, and 60% had participated in congresses related to the specialty of interest. Only 5% wanted to remain as general practitioners. The majority (80%) wanted to enter a core specialty: internal medicine (29%), general surgery (24%), pediatrics (11%), gynecology and obstetrics (11%) and family medicine (4%). The relevant variables for specialty choice were grouped in three dimensions: personal values that develop and change during undergraduate training, career needs to be satisfied, and perception of specialty characteristics. Conclusions Specialty choice of medical students in a middle-income country public university is influenced by the undergraduate experience, the desire to study a subspecialty and other factors (including having skills related to the specialty and type of patients).


2020 ◽  
Vol 15 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Nastaran Niroomand ◽  
Mohsen Bayati ◽  
Mozhgan Seif ◽  
Somayeh Delavari ◽  
Sajad Delavari

Background: Self-medication could be risky behavior and has negative effects. While Over the Counter (OTC) drugs are available at drugstores, the behavior has become prevalent among the general population. Objective: This study aimed at surveying self-medication behavior among medical sciences students of Shiraz, Iran. Methods: A sample of 396 students from medical, paramedical, and health sciences disciplines were included in this cross-sectional study. They were asked to fill a questionnaire about their demographics and socioeconomic status, medication usage and self-medication in the last six months, information about the correct use of medication, and information about negative results of selfmedication. Data were analyzed using chi-square, t-test and logistic regression model using R statistical software. Results: Almost 72% of participants reported self-medication in the past sixth months. The main reasons included trust in their own diagnosis (59.9%), mildness of the disease (56.6%), and having previous experience about the disease (56%). Cough or cold (84.5%), headache (66.3%), and body pain (60.2%) were the most frequent diseases that led to self-medication. The majority of the participants (77.7%) reported they select their medicine on their own decision. Furthermore, self-medication was highly related to having medicine stock at home (OR=2.692), having less information about negative results of self-medication (OR=0.835), and more non-syllabus study time (OR=1.041). Conclusions: Although, medical science students have information about the treatment of illnesses, they should be more informed about negative results and side-effects of self-medication. They should also share their knowledge with society to decrease self-medication.


2019 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Anita Marlina

<p>Berdasarkan data <em>World Health Organization</em> (WHO) 2005, kejadian anemiapada ibu hamil setiap tahunnya tahunnya mencapai lebih dari 500.000 orang. Laporan dari Dunia menyebutkan bahwa frekuensi anemia dalam kehamilan cukup tinggi, terutama di Negara-negara berkembang berkisar 10-22%. Menurut data dari Dinas Kesehatan Nanggroe Aceh Darussalam, jumlah ibu hamil di wilayah Kota Lhokseumawe sebesar 4.253 jiwa, sedangkan ibu hamil yang anemia sebesar 154 jiwa (3,62 %). Dari hasil penelitian dari beberapa puskesmas di wilayah Kota Lhokseumawe, bahwa Puskesmas Muara Dua yang masih banyak ibu hamil yang mengalami Anemia.  Berdasarkan data Puskesmas Muara dua Kota Lhokseumawe jumlah ibu hamil 1.786 jiwa dan ibu hamil yang mengalami anemia sebesar 57 orang (3,19%). Penelitian ini bertujuan Untuk mendapat gambaran Faktor-Faktor Yang Mempengaruhi Kepatuhan Ibu Hamil Dalam Mengkonsumsi Tablet Zat Besi Di Wilayah Kerja Puskesmas Muara Dua Kota Lhokseumawe. Jenis penelitian ini adalah penelitian metode survei Analitik dengan pendekatan <em>Cross Sectional Study</em>, populasi dalam penelitian ini ibu hamil yang berada dalam Wilayah kerja Puskesmas Muara Dua Kota Lhokseumawe, yaitu berjumlah 72 orang. Sampel dalam penelitian ini adalah ibu hamil yang berada diwilayah Puskesmas Muara Dua, dan pernah mendapatkan tablet besi. Teknik yang dipakai dalam penelitian ini adalah purposive sampling dengan menggunakan kriteria inklusi. Analisis data<strong> </strong>menggunakan uji <em>Chi-square Test</em> dengan kemaknaan 95 %. Hasil Penelitian menunjukkan frekuensi usia dengan kepatuhan berada pada kategori reproduksi sehat (72,2%), frekuensi pekerjaan dengan kepatuhan berada pada kategori tidak bekerja (65,3%), frekuensi pengetahuan dengan kepatuhan berada pada kategori cukup (75%). Ini menunjukkan ada hubungan antara usia, pekerjaan, dan pengetahuan. Kesimpulan hasil uji statistik <em>Chi-square </em>diketahui nilai tersebut lebih kecil dari alpha (p ≤ 0,05), maka Ha diterima.</p><p><strong>Kata Kunci</strong>       : Ibu Hamil, Kepatuhan, Zat Besi.</p>


Author(s):  
Kushalata Baral ◽  
Maginsh Dahal ◽  
Shreya Shrestha ◽  
Anup Adhikari

Background: Self-medication is defined as the use of medicines to treat self-recognized or self-diagnosed conditions or symptoms, instead of seeking advice from professionals. Aim: Our study was aimed to assess knowledge, attitude and practice of self-medication among undergraduates in different colleges of Kathmandu valley. Methods: Descriptive cross-sectional study was carried out among undergraduates of Kathmandu valley. A semi-structured questionnaire was distributed to students in 4 different colleges. Chi-square test was used to determine statistical significance. Likert’s scale was used to measure attitude. Results: 240 students participated in this study. Totally, (92.9%) students had known and taken medicine without doctor’s prescription. More than half of the participants (56.6%) had good knowledge on self-medication and nearly three quarter (74.7%) of the respondents had a positive attitude regarding self-medication. Fever, cough/cold and aches/pain were the most common symptoms for self-medication, thus making antipyretics and analgesics the most popular self-medication drugs. Pharmacists and family were the major source of information regarding self-medication. Conclusion: Based on the findings, the prevalence of self-medication was high (94.9%). Majority respondents had good knowledge of the advantages and disadvantages of self-medication but still practiced it.


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