Advanced Research Publications: Medical Journals
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Assessment of Knowledge and Preventive Practices about Occupational Health Hazard among Safai Karmchari of Municipality in Delhi
Full text linkBackground: Safai karmchari plays an important role in maintaining the health and hygiene in the cities. This job exposes safai karmchari to a variety of risk factors such as dust, volatile organic matter and mechanical stress, which makes them susceptible to certain occupational diseases. The aim of this study was to find out the awareness about occupational health hazard and safety measures practiced by safai karmchari.Materials and Methods: This descriptive study had been carried out during the month of December 2017 to mid of February 2018 in the New Delhi Municipal Council area. Primary data was collected through structured observation checklist and interview with 164 safai karmchari. The data was analyzed using Microsoft excel 2007.Results: Results shows majority of respondent had knowledge about probability of skin allergy/injury/infection while collecting garbage by hand. Most of them had knowledge about probability of traffic accident while working on street. Most of respondents had knowledge about probability of fall while sweeping slippery surface and probability of respiratory problems/eye allergy, also probability of musculoskeletal problems due to their work. Personal Protective Equipment (PPE) apron with reflector, shoes, cap, mask were used by most of the safai karmchari, but few of them uses gloves while working.Conclusion: It was concluded that the knowledge about occupational hazards as well as its preventive measures was more among trained safai karmchari than in untrained safai karmchari. However, a smaller number of respondents was using PPE while working. There is a need to develop SOP for different activities and preventive measure for safai karmchari. A training program should be introduced
Factors Associated with Quality of Life among Diabetes Mellitus Patients in Prolanis
No full textBackground: Diabetes mellitus is a major public health problem is approaching epidemic proportions in the world today, including Indonesia. Various types of government programs in the health sector were launched to overcome them, one of which was prolanis aimed at improving the quality of life of patients.Objectives: The objective of the study was to determine the factors associated with quality of life among diabetes mellitus patients in prolanis.Methods: This is a analytical study with a cross sectional study design. The data was collected on May 20 to June 3, 2018 by interviewing using the WHOQOL-BREF questionnaire and secondary data observation conducted on 52 respondents. Multivariate analysis using logistic regression.Results: The results showed that the patients activeness factor in prolanis was related to their quality of life among diabetes mellitus patients with p-value 0.003 <0.05, with the highest OR Exp (B) value of 0.863 and 95% CI = 0.782-0.9953.Conclusions: It was concluded that the patients activeness factor in prolanis was related to their quality of life among diabetes mellitus patients in Lambaro Meurasi General Clinic of Ingin Jaya District, Aceh Besar, Aceh Province
Knowledge Regarding Biological Terrorism among Medical Physicians in Goa
Full text linkIntroduction: The danger of using biological warfare for mass destruction is a serious threat to this country. Thus, it is necessary that our health care services are prepared to efficiently manage any such unfortunate events that we may have to face in future. Physicians in the public and private sector of health services are the first point of contact between public and health services. Thus, the present study examines the awareness of medical physicians in Goa about biological terrorism to evaluate the need for further education in this field.Methods: The present cross-sectional study was conducted among the medical physicians in Goa using purposive sampling method. The self-administered questionnaire collected information regarding the qualification, work setting of the study participants and knowledge regarding biological terrorism. Data was entered and analysed using SPSS version 22. Descriptive statistics was utilized to study frequencies and proportion of various study variables.Results: Of the 200 study participants, 128 (64%) were Specialist doctors, 65 (32.5%) were General physicians, while 7 (3.5%) were Super-specialist doctors. Of the 200 study participants, 174 (87%) reported that they were aware of the use of biological agent for mass destruction of human lives. As much as 34 (17%) study participants could not list any agent of bioterrorism.Conclusion: The knowledge of medical physician in Goa regarding bioterrorism is low, which is a matter of concern as these medical professionals are the first point of contact for the patients affected by an attack of bioterrorism
Prevalence of Psychiatric Morbidities in School Going Adolescents in a Rural Block of Haryana
Full text linkBackground: Mental health problems have increased considerably among adolescents in the past 20-30 years. According to the present estimates by World Health Organization, mental illnesses are the leading causes of disability adjusted life years globally.Objectives: To find out prevalence of psychiatric disorders among school going adolescents and to find its association with socio demographic variables.Methods and Materials: It is a school based, rural community setting with cross-sectional design. Study was conducted in 600 students (300 males and 300 females) studying in class 8th to 12th. A pre-designed, pre-tested tool Symptom Checklist 90 Revised containing 90 items was used to screen these students. The global severity index (GSI) was used to measure the extent or depth of individual`s psychiatric disturbances. Descriptive statistics and chi square test were used for statistical analysis.Results: Prevalence of psychiatric morbidity was found to be 35%. It increased statistical significantly with age. Females had more problems as compared to males. Maximum number of students with psychiatric morbidity were from class 12 (43%) and class 10 (37%) and from upper middle class (34.5%) followed by middle class (35.3%).Conclusion: It is concluded that more than one-third (35%) of adolescents who were apparently healthy suffered from unnoticed mental health problems
The Relationship between Dietary Patterns and Nutritional Knowledge with the Nutritional Status of Bajo Tribe Pregnant Women in Duruka District, Muna Regency
Full text linkNutritional status of pregnant women is strongly influenced by food intake and the presence of an infectious disease. Another factor that also affects the nutritional status of pregnant women is the diet and nutritional knowledge of pregnant women. This study aims to determine the relationship of diet and nutrition knowledge with nutritional status of bajo tribe pregnant women in Muna Regency, Southeast Sulawesi Province. This study is an analytical study with approach cros sectional study. The number of samples selected is 35 people. Sampling by total sampling method. The data collection was done by interview using questionnaire tools. The results of the study showed that the diet of pregnant women was mostly 60% classified as poor, and the knowledge of pregnant women was mostly 54.3% classified as lacking. The results of statistical analysis using the test chi-square showed that between diet and nutritional status of pregnant women (p=0.023), between the level of knowledge with the nutritional status of pregnant women (p=0.730). There is a significant relationship between dietary pattern and nutritional status of pregnant women, and there is no significant relationship between the level of knowledge with the nutritional status of pregnant women
Use of Piggybacking Strategy Successfully in a Randomized Controlled Trial on Food Safety Training of Street Food Vendors - An Example from School of Public Health, Post Graduate Institute of Medical Education & Research, Chandigarh, India
Full text linkIntroduction: Piggybacking approach has been extensively used in almost every known field from physical to virtual. In our day today life, we see it use in social networking sites such as Facebook, yahoo mail where multiple applications are carried over/piggybacked on the existing basic connecting platform. In India, this strategy is commonly used in Malaria control programme by distribution of Insecticide Treated Bed Nets (ITNs) through antenatal care or during immunization campaigns for measles and polio. The advantage of piggy backing approach is multi-faceted in terms of resources, time and effort.Materials and Methods: We utilised this opportunity, to piggyback anti-tobacco campaign using health education approaches on concurrent Randomized Controlled Trial (RCT) for assessing the effectiveness of food safety training interventions among street food vendors. Data entry and analysis was done using SPSS version 22.0 and descriptive statistics was used to define the numerical data.Results: So far data of 40 street food vendors (intervention arm=20 and control arm=20) has been analysed. In the intervention arm 11 (n=20) street food vendors were using tobacco in any form compared to 13 (n=20) in the control group at baseline. None of vendors in both the arm had any knowledge regarding FSSAI Act and COTPA at the baseline. 45% (n=9) in the intervention arm were washing hand after consuming any of the tobacco products at first follow up compared to 10% (n=2) at baseline.Conclusion: Piggybacking strategy can be used in public health programmes to augment one intervention over another to achieve favourable public health outcome
A Study to Assess the Perceived Depressive Feelings Experienced by Elderly Living with Family Members in a Selected Community of New Delhi
Full text linkBackground of the Study: Geriatric population is challenged by many psychiatric co-morbidity. Depression is the most predominant disorder affecting quality of life in elderly. Depression is a major contributor to healthcare costs and is projected to be the leading cause of disease burden in middle and higher income countries by the year 2030. Depression in later life, traditionally defined as age older than 65, is associated with disability, increased mortality and poorer outcomes from physical illness.Objectives: The objectives of the study were to assess perceived depressive feelings experienced by elderly living with family members in a selected community of New Delhi and to find out relationship between perceived depressive feelings with selected demographic variables.Materials and Methods: A descriptive survey design was adopted for the study. Sample comprised of total 100 elderly people above the age of 60 years from a selected community of New Delhi through convenient sampling technique. Structured interview schedule was used to collect the data.Results: Data was analysed using descriptive and inferential statistics. Major findings are as follows: Maximum 54% of the elderly were in the age group of 60-65 yrs., 53% of the elderly were female and 47% were male, 60% of the elderly were Hindu, 31% of the elderly were illiterate and 22% had primary education. With regard to depressive feelings experienced by elderly it was found 63% of the elderly had feeling of memory loss, 63% of elderly found it hard to start new projects, 61% of elderly client felt hopeless about future, 59% of elderly clients preferred staying at home rather than going out and doing something new, 53% of elderly client had dropped interest in most activities in life, 48% had bothering thoughts that they could not get rid of, 43% were unhappy most of time, 47% were feeling helplessness. Results showed that 63% of the elderly were mildly depressed, 23% of the elderly were normal and only 14% of the elderly were severely depressed. No significant association was found between depression and Selected demographic variables
Assess the Effectiveness of Self-Instructional Module on Knowledge regarding Adverse Effects of Antipsychotic Drugs among Care Takers of Mentally Ill Patients
Full text linkThis study was conducted to assess the knowledge level of all the care takers of mentally ill patients. The self instructional module significantly brought out their improvement in the knowledge regarding adverse effects of antipsychotic drugs An adverse effect may be caused by administration of an antipsychotic medication or by exposure to a chemical and be indicated by an untoward result such as extrapyramidal symptom, etc. The data was collected with structured interview schedule and then analysis of data done and the findings showed that there was significant difference between pre-test and post test knowledge of care takers
Assess the Effects of Planned Teaching Programme on Knowledge regarding Glasgow Coma Scale among Staff Nurses Working in Selected Hospital at Bhopal
Full text linkThe present study was conducted to assess the effect of Planned teaching Programme on knowledge regarding Glass coma Scale among staff nurses working in selected hospital at Bhopal. An experimental design was chosen with pre-test and post-test of experimental and control group. The sample size was 60 Staff Nurses divided into two groups as 30 in experimental and 30 in control group. The tools used for conducting the study included demographic data, self structured questionnaire to assess knowledge of experimental and control group. The experimental group was given Planned teaching Programme as an intervention and the control group was used for comparison only without interventions. The data were analyzed with statistics and unpaired t-test was done. The study clearly shows that there was a significant gain in knowledge of Staff Nurses in experimental group with PTP which emphasizes that Teaching Staff Nurses on Glass Coma Scale improves Nursing Care of Unconscious patients. Therefore the Staff Nurses can be benefited with PTP to improve knowledge and practice on Unconscious patients
Music Therapy should be Integrated in Healthcare System: A Review
Full text linkMusic Therapy serves the people with mental health and functional wellness issues in a variety of settings including public and private psychiatric hospitals and schools, metal health centers, private practice, community-based programs, correctional and forensic facilities, and substance abuse treatment programs. Music therapist use defined music interventions founded in sound theory and supported by an ongoing research. Music therapist use music to enhance social or interpersonal, affective, cognitive, and behavioral functioning. Research indicates that music therapy is effective at reducing muscle tension and anxiety, and at promoting relaxation, verbalization, interpersonal relationships, and group cohesiveness. This can set the stage for open communication and provide a starting place for non-threatening support and processing symptoms associated with or exacerbated by trauma and disaster, such as the Tsunami and 9/ 11 attack. A therapist can talk with the client, but a qualified music therapist can use music to actively link a client to their psycho-emotional state quickly. In certain settings, the active use of music therapy interventions has resulted in shorter length of stay (treatment period) and more efficient response to the client’s overall recovery/ intervention plan