International journal of health sciences
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The identified patterns of utilization/non utilization of institutional facility for delivery by women of rural community
Get PDFA simple descriptive study using the survey to determine the utilization pattern of institutional facility for childbirth by women in certain rural communities in West Bengal. The objectives were to identify the reasons for institutional & home delivery & seeking association between the institutional facility utilization pattern for delivery with selected demographic factors. A sample of 572 mothers were selected& the tool was a personal and obstetric interview schedule and 20 needs-based questions. The proportion of institutional and home delivery found to be 3:7. The reasons for institutional delivery were the availability of health care staff (67% nurses), health care workers motivated the choice(100%), the distances of health centre were less than 4 km (60%), the expenses were reasonable (73%), no obstetric/medical or disease history (80%) and no psychosocial beliefs were associated. The reasons identified for home childbirth were the easy availability of traditional birth attendants (52%), didn’t receive any information or motivation from health workers (71%), the distances of health facility were over 4 km (80%), the spending was smaller (90%)at home, the decision-making authority waste in-laws (74%), psychosocial believes were associated (60%) with delivery
The association between body mass index and all-cause mortality: A meta-analysis
Get PDFAssociations between body mass index (BMI) and mortality can help to estimate the public health impact, including mortality by all-cause. However, the association between BMI and all-cause mortality is still unclear. This study aimed to review the association between body mass index with all-cause mortality. Articles that reported hazard ratio (HR) for all-cause mortality using standard BMI categories of general populations of adults were selected from the following databases including PubMed, ProQuest, Springer link, Science direct, and Google scholar for English language articles published from 2000 until 2021. Twelve studies were included in this study. Random-effects summary all-cause mortality HRs were 1.83 (95% CI, 1.60-2.10) for underweight, 0.81 (95% CI 0.74-0.88) for overweight, and 1.09 (95% CI, 0.89-1.34) for obesity. Being overweight may decrease the risk for all-cause mortality while being underweight suggests increased risk. There is no association between obesity and the risk of all-cause mortality
Entrepreneurship projects and their contribution to the skills of high school students
Get PDFEntrepreneurship projects and their contribution to the skills of high school students, is research on the strategic, emotional and cognitive educational field of students towards the future work environment as part of the current global world, deepens administrative knowledge, technology and values necessary to know how to respond to social problems that may affect them both personally and collectively. Among the revised methodology is the qualitative and analysis-synthesis methodology that favored the examination and interpretation of the sources consulted, supported by the main concepts of the subject, the quantitative method was used to study the total population that carry out innovative projects in their areas. study. The results indicate that innovation, teamwork, initiative, responsibility, and the use of digital technologies are the ones that most help the generation of entrepreneurship by students. The conclusions indicate that a holistic and comprehensive education forges students with intellectual strengths and suitable qualities that allow them to stand out in the areas in which they operate
Discourse Postponing elections and extending the presidency: A study of political legality and the progress of Indonesia's democratic practice
Get PDFThis literature review aims to discuss the discourse of postponing elections and requests for an extension of the term of office of the President of the Republic of Indonesia for the 2024 period. This is an issue that is currently being discussed in the country. On that basis, we have compiled literature discussing the issues above. An information data collection model, and we have to understand something that is currently phenomenal. The review process involves a sharp devaluation of the data, careful coding, and extracting digests that answer the problem with high validity. Our data search was done online on several published data sources that we marketed from 2010 to 2022. Several scientific publications on the political science of regional elections and democracy, especially in Indonesia, have been interviewed. The President of the Republic of Indonesia is a constitutional discourse according to the laws of the Republic of Indonesia. Therefore all elements have the right to remind the Government and political figures to be loyal and obedient to the official Constitution
Perception of role of oral and maxillofacial surgery among healthcare professionals
Get PDFIntroduction: Oral and maxillofacial surgery (OMFS) is one of the oldest dental specialties. When compared to other surgical specialties, it is less popular among the healthcare professionals. Methods and materials: A questionnaire survey was conducted among 480 healthcare Professionals in Manipur, under four categories – dental students and practitioners, medical students and practitioners. Each group contains 120 participants and they were asked to select appropriate answers for 16 questions. 38 participants don’t respond to the questionnaire which gives a total number of 442 participants. Data analysis is done using SPSS software. Results:Analysis of the data shows that 74.4% of participants were aware of various specialties of dentistry and 72.6% of them know about OMFS. For the nine clinical scenario based questions, almost all of them had opted OMFS for third molar removal, fractures of maxillofacial region and oral cancer. But most of them were unaware of the role of OMFS in cosmetic surgeries. Conclusion: Even though OMFS is a vast specialty, most of the healthcare professionals are unaware of its scope
Role of orbital exenteration in rhino-orbital-cerebral mucormycosis: Orbital exenteration in mucor “A BOON or A BANE”
Get PDFPurpose–Mucormycosis is an uncommon, rapidly progressive, commonly fatal, opportunistic serious fungal infection.The high mortality rate highlights the importance of early detection and treatment. The purpose of this study to determine theoutcome of orbital exenteration in Rhino-orbital-cerebral mucormycosis(ROCM) patients. Methods and materials–This study includesall proven ROCM patients who had underwent orbital exenteration based on SION Scoring system from 1st may 2021 to 30 june 2021 in MYH hospital, Indore.Those patients were reviewedand the outcome of orbital exenterationwas analysed. Results- Total 29ROCM patients were underwent for orbital exenteration based on SION Scoring system. 19(65.5 %)out of 29 patients had intracranial extension and 10 (34.480%) did not have intracranial extension.
Out of 29, 6 (20.68%) patients hadsuccumbed to death within 10 days of orbital exenteration was having bilateral orbital involvement with intracranial extension.23(79.34%) patientshave favorable outcome with regular follow up. Conclusion- Survival of mucormycosis patients depends on the their good glycemic control,immune status, laterality of the orbital involvement and early detection of intracranial extensionof the disease.With prompt medical (high dose intravenous amphotericin B) and early aggressive surgical intervention involving FESS and orbital exenteration can preventintracranial extension and may improve survival rate .Intracranial extension of the disease has invariably been associated with high mortality
Barriers of online teaching during COVID-19 pandemic: Students’ perceptions
Get PDFObjective: To understand the various barriers faced by students of dentistry during online teaching programmed in COVID 19 pandemic. Material and Methods: A questionnaire comprising questions regarding various barriers for online learning was designed in google form which was later sent to the students of one to fourth year dentistry electronically. Respondents were asked to respond on a five-point Likert's scale of strongly agree, agree, neutral, disagree and strongly disagree. Questions were basically focused on cost and access to the internet, lack of peer collaboration, difficulty contacting faculties, insufficient time etc. Results: Out of 1440 responses, agreed 51.38% of participants strongly agreed that technical problems or issue act as a major barrier in online learning, followed by timing issues (40.2%) and access to internet (25%). Conclusion: Students have faced technical and timing issues and accessibility as major barriers
Assessment of percutaneous correction of genu varum in children and young adults
Get PDFPurpose: Corrective osteotomy is the gold standard for varus angular deformity, but is a major surgical intervention with operative site morbidity. The proposed percutaneous technique adds a lot of privileges to corrective osteotomy . It is cosmetically accepted , minimize the risk of infection, acute correction, no need for plate fixation or for a staged operation to remove hardware. Patients and methods: 25 cases (30 limbs) were included in our study. 12 patients were males (14 limbs) and 13 patients were female (16 limbs). Six patients have bilateral genu varum, 19 have unilateral genu varum. The youngest was 13 years and the oldest was 50 years with average (20) years. All patients were treated with percutaneous upper tibial osteotomy technique and above knee casting. The protocol of postoperative rehabilitation was standardized. The patients were followed post-operatively for at least 3 months to evaluate the correction, time required for union, knee joint range of motion, and the overall functional result of the knee using bostman scoring system. Results: All patients treated with the percutaneous osteotomy consolidated and displayed a marked improvement of functional and radiological outcome measures
Monthly household income and intake of nutrients among adolescent females in a rural setting of Indonesia
Get PDFAdolescents are a vulnerable age group when it comes to nutrition. Some adolescents receive insufficient daily intake, particularly in rural areas with low household incomes. Moreover, suppose adolescents' nutritional intake is insufficient and is not addressed immediately until the preconception period; therefore, it will adversely influence the failure of the first 1000 days of life. This study aimed to examine the association between monthly household income and intake of macro-micro nutrients among adolescent females in a rural setting. This cross-sectional study included 100 adolescent girls aged 15-19 years old in Gunung kidul District, Special Region of Yogyakarta Province, Indonesia. For three days, intakes of macro-micro nutrients were obtained using the 24-hour dietary recall method. Pearson correlation was used to examine the relationship between monthly household income and macro-micro nutrient intake. Adolescent females had low dietary intakes with mean as follows, energy 1514.4 kcal, protein 55.7 g, fat 52.7 g, carbohydrate 219.6 g, iron 6.7 mg, zinc 5.1 mg, and vit A 742.2 µg. Monthly household income was found to have a significant relationship with energy intake (p=0.000, r=0.817), protein (p=0.000, r=0.614), fat (p=0.000, r=0.486), carbohydrate (p=0.000, r=0.692), iron (p=0.000, r=0.373), zinc (p=0.000, r=0.511), and vitamin A (p=0.027, r=0.221). 
Comparative study of intrathecal isobaric and hyperbaric ropivacaine in Caesarean delivery
Get PDFSpinal Anesthesia is a common safe, economical, easy to perform and effective technique which provides rapid and reliable anesthesia with muscle relaxation for pts undergoing lower abdominal surgery. To compare isobaric and hyperbaric ropivacaine in patients undergoing cesarean delivery. Prospective Observational Clinical Study patients admitted for elective cesearan Delivery. The Duration of study is one year. 80 patients, aged 21 years to 30 years, belongs to ASA physical status 1 & 2, posted for elective Caesarean delivery under spinal Anaesthesia. These patients are divided into two groups of 40 patients Each. Group I : patients received 2ml of 0.75% Isobaric Ropivacaine (isobaric group), Group H: patients received 2 ml of 0.75% hyperbaric Ropivacaine in dextrose 50mg/ml (Hyperbaric group). There was no significant difference in the onset of sensory block. Time from injection to highest sensory block is significantly higher in isobaric group [Group-I], when compared to hyperbaric group [Group-H]. Time for onset of modified bromage grade 3 is longer in isobaric group than hyperbaric group. Time for motor regression is faster in hyperbaric group than in isobaric group so that early mobilization in hyperbaric group patients than isobaric group patients is possible