Pattern and Outcome of Organophosphorus Poisoning Cases in Bheri Hospital, Nepal

BACKGROUND: Organophosphorus (OP) are frequently used as pesticides and the most common agents of poisoning in developing countries including Nepal. There is paucity of data about characteristics of organophosphorus poisoning in our localities. Therefore, we aimed to evaluate its clinical pattern and factors affecting outcome. METHODS: It was a cross-sectional study conducted in Bheri Hospital Nepalgunj between 15th July 2019 to 14th July 2020. The hospital records of patients of acute organophosphorus poisonings were collected. Data regarding age, gender, predisposing factors, duration of hospitalization and outcome of the patients were recorded. Data was analyzed using SPSS 20. RESULTS: A total of 53 patients out of which 22(41.5%) were male and 31(58.49%) were female with F:M ratio of 1.40: 1. The maximum number of the patients 25(47.16%) were in the age group of 20 to 40 years. Incidence of poisoning was more common in married patients 36(67.92%) The suicidal motive for poisoning was found in 49 cases (92.45%). The most commonly used organophosphorus poison was Dichlorvos 32(60.34%) followed by methyl parathion 14(26.41%). Domestic quarrel was the most common predisposing factor 32(60.37%). 45(84.90%) of the patients were discharged after successful treatment while there was mortality of 3 patients (5.66%). CONCLUSIONS: Organophosphorus poisoning is a common mode of suicidal attempts leading to morbidity and mortality every year. Strict policies against the free availability and sale of insecticides is required to control organophosphorus poisoning. Mental health education programme should be conducted for the prevention of suicide and poisoning.

Assessment of knowledge and practice of menstrual hygiene among adolescent girls of government school of Jabalpur and impact of health education on menstrual hygiene

Introduction: India is a developing country, it has made advancements in every field, but stillmenstruation is a topic of social taboo in many rural and suburban parts of the country, as peoplefeel shy and difficult to discuss it openly, even mothers, sisters and teachers are not able to providecorrect information regarding menstruation physiology and its hygiene. Objective: To educateadolescent girls and assess the impact of health education on them. Methods: About 400adolescent girls aged 11-19 years from 3 government schools of Jabalpur were interviewed using apretested and predesigned questionnaire in the local language. Health education regarding hygienicpractices during menstruation was given through audiovisual aids after filling out the questionnaire.Results: out of 400 girls,291(72%) girls already knew that menstruation is a physiological processwhich increased significantly to 307(76.8%). Knowledge was poor about the source and type ofbleed; only 99 (24.8%) knew that the original was the uterus. Only 59(14.8%)girls were usingsanitary napkins. In contrast, most of them were using old cloth265(66.3%)of which 86.3% werewashing it with soap and water, and 67.3% used to dry them inside their houses, which increasedsignificantly after imparting health education to 99%and decreased to 6% respectively. Conclusion:The result of this study indicates that there is a need for the establishment of a comprehensiveschool health education programme with solid familial input. Teachers should be trained to providehealth education about menstruation, its physiology and correct hygienic practices, as theadolescent girls will turn into mothers one day.

THE EFFECTIVENESS OF STRUCTURED TEACHING MODULE ON PREVENTION OF ANAEMIA AMONG ADOLESCENT GIRLS

Anemia is a clinical condition that results from an insufficient supply of healthy red blood cells to oxygenate the body’s tissue adequately; results in hypoxia1 . It is a deficiency in the number of erythrocytes, the quantity of hemoglobin and or the volume of packed RBCs. Iron deficiency anemia is a condition due to decreased hemoglobin synthesis. It typically results when the intake of dietary iron is inadequate for hemoglobin synthesis. The findings of this study support the need for Community Health Nurse to conduct health education programme, to increase the knowledge of the adolescent girls regarding prevention of anaemia. Key words: Anemia, Adolescent Girl, Prevention, Knowledge

Las TIC en la educación para la salud en universitarios (ICT in Health Education at University students)

La evolución de las TIC como recurso educativo ha hecho que estas estén presentes en todas las áreas de conocimiento y en las diferentes etapas formativas. El presente trabajo analiza la eficacia de un programa de educación para la salud fundamentado en el uso de diferentes dispositivos tecnológicos y aplicaciones informáticas para el control de los hábitos de actividad física saludable de los estudiantes de los grados universitarios en Magisterio impartidos en la Facultad de Educación (Universidad de Zaragoza). La muestra final, una vez aplicados los criterios de exclusión, fue de 80 estudiantes. Fueron distribuidos en tres grupos: uno control y dos experimentales (app y pulseras de actividad física), respetando la proporcionalidad de las matriculaciones. Tras una evaluación inicial de la actividad física (cuestionario IPAQ), los estudiantes se marcaron sus propios objetivos individuales de acuerdo con las recomendaciones marcadas por la OMS para la población adulta. Al cabo de siete semanas se procedió a una nueva medición con el mismo instrumento. Los resultados mostraron un incremento en el tiempo de realización de actividad física en los grupos que emplearon las TIC, especialmente aquel que utilizó las pulseras inteligentes. Finalmente, podemos afirmar que las TIC no solamente son importantes en la educación en general, sino que lo son en temas transversales tan importantes como la educación para la salud y en el mantenimiento de un estilo de vida activo. === The evolution of ICTs as an educational resource has materialized their presence in all areas of knowledge and in the different educational stages. This paper analyses the effectiveness of a health education programme based on the use of different technological devices and computer applications to control the healthy physical activity habits of students in the Magisterium University Degrees taught at the Faculty of Education (University of Zaragoza). The final sample, once the exclusion criteria had been applied, consisted of 80 participants. They were randomly distributed in three groups, one of which was a control group and the other two were experimental groups (app and physical activity bracelets), according to the proportionality of the matriculations. After an initial evaluation of physical activity (IPAQ questionnaire), the students set their own individual objectives in accordance with the WHO recommendations for the adult population. Seven weeks later, a new measurement was made with the same instrument. The results showed an increase in physical activity time in groups using ICT, especially the one using intelligent bracelets. Finally, we can affirm that ICTs are not only important in education in general, yet also in transversal themes as important as health education and the maintenance of an active lifestyle.

Evaluation of the iHEART mental health education programme on resilience and well-being of UK secondary school adolescents

Purpose The purpose of this paper is to present the findings of a preliminary study based on a novel structured mental health education programme – Innate Health Education and Resilience Training (iHEART) – in a cohort of secondary school adolescents in the UK. Design/methodology/approach A curriculum-based ten-week programme was delivered by trained facilitators. In total, 205 students enrolled in the study. An additional 64 participants were within an age-matched non-intervention control group. A non-randomised control mixed methodology approach was used. All students, pre- and post-programme, completed a quantitative questionnaire – the Warwick-Edinburgh Mental Well-being Survey. Qualitative measures were used to assess participants’ perceptions of changes in their resilience and mental well-being. Findings Those who received the intervention showed a small improvement in mental well-being relative to those who did not, with a similar change in resilience. Qualitative findings regarding impulse control and emotional resilience provided positive findings. Originality/value iHEART may be a promising new intervention offering a step change in mental health education for improving resilience, mental well-being and the ability for participants to navigate psychological challenges.