scholarly journals Assessment of Perception of Palliative Care among the Patients of Palliative Therapy

Author(s):  
Saba Khan ◽  
Nikhil Dhande

Background: The assessment of the good health and well-being of palliative care patients is summarised in this protocol analysis. It will bring about the financial and physical wellbeing of patients. The standard of life of patients and their families has been reviewed. Methods: It is a cross-sectional analysis involving selected villages in the Wardha district. A sample of 95 participants will be taken from Wardha Palliative Care. Patients will be randomly allocated to the survey by the Jawaharlal Nehru Medical College of Wardha District Department of Community Medicine. A pre-designed multidimensional survey questionnaire will be prepared and pre-tested for quantitative data collection . The pro forma used to gather the data will include their current disease and disease management and will integrate the psychosocial and moral elements of hospital care. The motive of this research is to understand the interpretation of palliative care in the lives of affected patients. The goal of this study is to know the conception of a compromised patient living. Results: Using descriptive and inferential statistics using the chi-square test, the result will be obtained by attributing the baseline and terminal consequences. Conclusion: The purpose of this research is to define the predictive, mediating and moderating functions of select variables: self-efficacy, disease, psychosocial, spiritual caregiver. The findings of this study will influence the interpretation of the resilience of patients with palliative care and will enhance functional outcomes for emotional, mental and spiritual health. This change in attitude would be beneficial to them in their lives. And the patient's quality of life will improve.

Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


2021 ◽  
Vol 12 (2) ◽  
pp. 487
Author(s):  
Tauseef AMAN ◽  
Mussawar SHAH ◽  
Humera JAMAL ◽  
Younas KHAN ◽  
Muhammad ARIF ◽  
...  

The major objective of this study was to measure the association between various interventions and Chitral Gole National Park (CGNP) role in preservation of bio-diversity and socio-economic uplift. A sample size of 346 respondents was randomly selected from total population of 3326 from the 4 selected villages on the basis of close proximity. A conceptual framework including dependent variable social development and independent variable tourism development were taken. The data were analyzed through frequency and percentage distribution. Moreover, Chi-square test was applied to know the relationship between dependent and independent variables at bi-variate level. In bi-variate analysis a highly significant (P=0.000) relation was found between CGNP is main source of promoting tourism in Chitral,tourists do any impacts upon local community in terms of increased business activities, local culture is safeguarded despite influx of tourists in the area, tourism produced employment opportunities, and social development. Qualitative data supported the empirical findings, however tourism brings economic opportunities at micro and macro level, but unfortunately CGNP is not as satisfactory regarding generating income since its establishment. The government should ensure to make such polices pertaining to the entrance fee, provides accommodation services on payment to the tourists and to reserve the entrance fee or any other form of taxes to ensure CGNP to spend on self-sustaining basis by ensuring refinement in the procedures as well.


2017 ◽  
Vol 9 (2) ◽  
pp. 47-51 ◽  
Author(s):  
Nisha Shrestha ◽  
P Shrestha

Background: Pressure ulcer (PU) development remains a significant complication among at-risk patients. It is considered “never events” because they are preventable and should “never” happen. It has been associated with increased morbidity, mortality, hospital cost and length of stay in the hospital. Prevention of pressure ulcers is considered a nurse-sensitive indicator hence nurses should have adequate knowledge about current evidence-based prevention and management of pressure ulcer. However, non adherence to these guidelines is frequent and lack of knowledge may act as barriers to using guidelines in clinical practice.Objectives: The objectives of the study were to 1. assess the knowledge of pressure ulcer management among nurses 2. determine the level of knowledge of pressure ulcer management among nurses 3. assess the association of knowledge of nurses and baseline variables.Methods: A descriptive cross sectional study was conducted, using pretested self administered questionnaire to assess the knowledge on pressure ulcer management among purposively selected 100 nurses working in Gandaki Medical College Teaching Hospital in 2015. Descriptive statistics as frequency and percentage were used and inferential statistics (Chi-square test) was done to find out association between knowledge and selected baseline variables.Results: The study revealed that 59% of the respondents had adequate knowledge where as 41% of nurse’s knowledge was found to be inadequate. Significant association was not found between age, working ward, experience, education, training, duration and knowledge of pressure ulcer management among Nurses.Conclusion: This result indicates that more than half of the nurses had the adequate knowledge but there is still need of education and training related pressure ulcer management.Journal of Gandaki Medical CollegeVolume, 09, Number 2, July December  2016, Page: 47-51


2018 ◽  
Vol 46 (8) ◽  
pp. 3209-3218
Author(s):  
Jinhua Liu ◽  
Hongsheng Chen ◽  
Yang Chen ◽  
Zhigang Li

Objective This study investigated the effect of the number of close friends (within and outside of social housing neighbourhoods) on the emotional well-being of men and women in social housing neighbourhoods in China. Methods Data (n = 535) were collected in 13 social housing neighbourhoods in Guangzhou from September to December 2013 using the random sample method. The t-test, chi-square test, and linear regression analysis were used to analyse the factors influencing residents’ emotional well-being. Results Having a greater number of close friends living within the social housing neighbourhood had a significantly positive association with the respondents’ emotional well-being (regression coefficient = 0.473). The number of close friends living in nearby neighbourhoods was only positively related to women’s emotional well-being (coefficient = 0.433). Conclusions These results highlight the importance of friendship for residents’ emotional well-being. Especially for women, friendship outside the social housing neighbourhood is essential for good mental health. This conclusion is based on analysis of cross-sectional data, and reflects the directionality of social associations. The mental health of the poor warrants greater attention in China.


2018 ◽  
Vol 5 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas

Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was   collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need.  Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72


2016 ◽  
Vol 40 (3) ◽  
pp. 200-206 ◽  
Author(s):  
G Thiruvenkadam ◽  
Sharath Asokan ◽  
J Baby John ◽  
PR Geetha Priya

Objective: The aim of the study was to assess the association of optimism and psychosocial well being of school going children on their oral health status. Study design: The study included 12- to 15-year-old school going children (N = 2014) from Tamilnadu, India. Optimism was measured using the revised version of the Life Orientation Test (LOT-R). A questionnaire was sent to the parents regarding their child's psychosocial behavior which included shyness, feeling inferiority, unhappiness and friendliness. Clinical examination for each child was done to assess the DMFT score and OHI-S score. The data obtained were statistically analyzed using Pearson Chi-Square test, Mann-Whitney test and Kruskal-Wallis test with the aid of SPSS software (version 17). Odds Ratio (OR) was calculated with 95% Confidence Interval (CI). The p value ≤ 0.05 was considered statistically significant. Results: Boys with high optimism had significantly lesser DMFT score than the boys with low optimism (p=0.001). Girls with high optimism had significantly higher DMFT score (p=0.001). In psychosocial outcomes, inferiority (p=0.002) and friendliness (p=0.001) showed significant association with DMFT score. Among the boys, children who felt less inferior (p=0.001), less unhappy (p=0.029) and more friendly (p=0.001) had lesser DMFT score. Conclusion: Among the psychosocial outcomes assessed, inferiority and friendliness had significant association with oral health of the children and hence, can be used as a proxy measures oral health.


2020 ◽  
Vol 17 (3) ◽  
pp. 81-89 ◽  
Author(s):  
Nazafatul Ain ◽  
Saira Khan ◽  
Muhammad Marwat ◽  
Nisar Khan ◽  
Iftikhar Ahmad ◽  
...  

Background: Global Health Estimates 2015 has shown the stroke as second leading global cause of death and 3rd leading global cause for DALYs for year 2015. The objectives of this study were to determine the frequency, distribution and determinants of hypertension in adult stroke population of D.I.Khan Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in Department of Community Medicine, Gomal Medical College, D.I.Khan, Pakistan from February 1, 2017 to April 30, 2017. A sample 217 was selected with margin of error 5.59%, 90%CL and 50% prevalence of hypertension in 200,000 adults at risk of stroke population through consecutive sampling. All indoor adult patients of stroke were eligible. Sex, age groups, and residence and presence of hypertension were variables. Frequency and distribution of hypertension were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association. Results: Out of 217 patients with stroke, 123 (56.7%) were men and 94 (43.3%) were women, 86 (39.6%) were≤60 years and 131 (60.4%) were>60 years, and 105 (48.4%) were urban and 112 (51.6%) were rural. Frequency of hypertension was 132/217 (60.83%). Out of 132 patients with hypertension, men were 74 (34.10%), women 58 (26.73%), age group≤60 years 46 (21.20%), >60 years 86 (39.63%), urban 72 (33.18%) and rural 60 (27.65%). Presence of hypertension was associated to residence (p=.023) but not to sex (p=.817) and age groups (p=.072). Conclusion: Frequency of hypertension in adult stroke population of D.I.Khan Division, Pakistan was found to be similar as expected. Frequency was more in men, in older age group (of>60years) and in urban population. The presence of hypertension in adult stroke population of D.I.Khan Division was associated to residence but not to sex and age groups.


Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Tamal Chakrabarty ◽  
Kaushik Tripura ◽  
...  

Background: Sleep deprivation may have grave health consequences; resulting in increasing disease morbidity and mortality. Sleep disturbance have also been affected academic performance of medical students. The objective of the study was to find out the prevalence of sleep disturbance and association between sleep disturbance and academic performance of medical students, if any.Methods: An institution based cross-sectional study was conducted in the month of March 2018 among 203 medical students of Tripura Medical College and Dr. B.R.A.M. Teaching Hospital. Probability Proportionate to Sample Size (PPS) was used to determine the number of students required from each semester. Students selected by simple random sampling from each semester were interviewed by a pre-designed, pre-tested interview schedule designed based on Pittsburgh Sleep Quality Index. Data was represented in percentages in tables, charts and Chi square test was applied. P<0.05 was considered statistically significant.Results: Mean age of the medical student was 21.36±1.96 years. Present study showed, 57% students were complaining of disturbed sleep. Students who felt sleepy during daytime (72.4%) were struggling more during exam compared to students not feeling sleepy (51.7%), which was statistically significant. Study revealed, students who got average mark in last semester exam were most affected with disturbed sleep (66.3%) followed by students who got good marks (53.5%) and poor marks (50%).Conclusions: Prevalence of sleep disturbance was very high among medical students. Male students were much more affected compared to female students. Sleep disturbance has also affected academic performance of students.


Author(s):  
Suman Das ◽  
Tapas K. Sarkar ◽  
Nirmal K. Mandal

Background: Routine Immunization among children ensures nationally scheduled regular administration of vaccine dosages to infants at specified ages. Unequivocal knowledge and perceptions are essential at individual as well as community level about vaccinations throughout the country to achieve high immunisation coverage. Besides appropriate timeliness regarding childhood immunisation is also desirable. Present study was planned to assess knowledge and timeliness regarding childhood immunization among the caregivers as well as associated factors in relation to their current practice, if any.Methods: Cross-sectional study was conducted at immunisation clinic of a Medical College. Considering 73% of parents were with good knowledge about immunization from previous study, sample size was calculated as 158. The data was collected administering a pre-designed, pre-tested schedule; in every visit at least 26 study subjects were selected in first-come-first basis after applying exclusion criteria. Descriptive statistics and Chi-square test were applied.Results: Majority of the children (53.2%) were female and 1st baby in term of birth order (71.5%). Knowledge regarding certain aspects of immunization was reported varied from 95% (Pulse Polio should be given besides routine immunisation) to as low as 36.1% (vaccines can be given in minor illness). Overall, seven children (4.4%) missed their age appropriate immunisation and 38.6% of children was immunised in last quartile. Child immunisation in last quartile was found significantly associated with socioeconomic class (p=0.018) and occupation (p=0.019) of caregivers.Conclusions: Knowledge about certain aspects of childhood immunisation among caregivers was not satisfactory. Inappropriate timeliness regarding immunisation was noted in substantial portion of children. 


Author(s):  
Ajay Kumar Agarwal ◽  
Ghanshyam Das Katiyar ◽  
Syed Esam Mahmood ◽  
Swati Khan ◽  
Mahendra Sharma

Background: Anaemia is a global health problem. Anaemia is one of most commonly recognized disorders. In view of ever increasing burden of anaemia in India and its detrimental effects on academic performance of students, it is necessary to find out the association of anaemia with BMI of medical and para medical students. This study was undertaken to find out association of anaemia with BMI among medical and para medical students of Rohilkhand Medical College, Bareilly.Methods: This cross sectional study was conducted in 344 medical and para medical students of Rohilkhand Medical College and Hospital, Bareilly. A structured schedule was used to collect the information regarding anaemia and BMI. Data was analyzed using SPSS software. Chi square test was applied.Results: Over all prevalence of anaemia was 29.07% prevalence was higher among female students (41.92%), among those aged between 25-26 years (75.00%) and among Muslims (40.54%), prevalence of anaemia among normal weight (31.92%) followed by underweight (27.02%) than in preobese (25.86%) while least among obese (20.83%).Conclusions: Anaemia is prevalent even in medical and para medical students who are well educated and well oriented about nutrition and its ill effect on health. BMI exhibits higher prevalence of anaemia among normal weight, followed by underweight, preobese and obese. 


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