160 research outputs found
Perceptions of medical students regarding medical profession: Is there a change during graduation course?
No full textIntroduction: Medical students enter this profession with a set of perceptions toward the practice of medicine. The study of these factors becomes important as it may provide an insight into the perceptions of doctors toward medical profession to maintain a high standard of professionalism among medical practitioners.
Material & Methods: This study was conducted by the department of community medicine of a premier medical institute of Delhi and involved the analysis of 457 feedback forms filled by medical students about their perceptions regarding medical profession at the time of entry and at the end of graduation. The responses were read several times and categorized into similar thematic areas.
Results: At the time of choosing profession, 74.8% mentioned the reasons as, its respectable status in the society, 71.8% mentioned their interest to serve people, 26.9% the possibility of huge financial earning, and 21.2% the ease of getting employment. At the end of graduation, 312 (68.3%) considered ease of getting a job and 251 (54.9%) high paying capacity. The proportion of participants mentioning the profession to be prestigious and respectful (50.1%) and intention to serve people (51.2%) considerably declined. Regarding the reasons for change, majority (74.6%) mentioned stress, 66.7% felt it less rewarding, and 54.2% mentioned difficulty to maintain work-life balance.
Conclusion: There was a change in students' perceptions at the end of graduation as compared to the time of entry. Their focus shifted from being in a respectful profession and serving community to getting jobs and earning money
Tracking the implementation to identify gaps in integrated disease surveillance program in a block of district Jhajjar (Haryana)
No full textContext: To strengthen the surveillance system in India, Integrated Disease Surveillance Program (IDSP) was launched in 2004. The frequent occurrence of epidemics even after the launching of the IDSP was an indication toward inadequacy of the system. The responsibility for effective implementation of IDSP at the sub-center level lies with the health workers. Aims: The aim of the following study was to assess the knowledge and practice of health workers regarding IDSP and to assess the quality of IDSP reports at the sub-center level. Settings and Design: It was cross-sectional study carried out in the area under Community Health Center Dighal which is the rural field practice area attached to Post Graduate Institute of Medical Sciences, Rohtak in the State of Haryana, India. Subjects and Methods: All the 24 sub-centers in the area were visited and 46 health workers (22 male; 24 female) who met the inclusion criteria i.e. who had completed 1 year of their service or had been trained for IDSP, were included in the study. Data were collected on a self-designed, semi-structured and pre-tested schedule by interviewing the study subjects and observation of the records/reports. Statistical Analysis Used: Percentages and proportions. Results: Only 14/46 (~30%) of the workers could expand the abbreviation "IDSP" correctly. Only 4/46 (~9%) workers could narrate any of the trigger events and none could tell all the trigger events. Only at 12 such sub-centers, diagnoses were being written in their out-patient registers according to the defined syndromes. 43/46 (~93%) workers were not aware of the zero reporting. Conclusions: The surveillance system is much less alert and intense than the desired level and needs to be strengthened
Non-Adherence to Anti-Hypertensive Treatment
No full textBackground: In developed countries, adherence among patients suffering from chronic diseases averages only 50%; in developing countries it is assumed to be much lower. Aims & objectives: To find out the prevalence of non-adherence to antihypertensive treatment among individuals seeking anti-hypertensive treatment from tertiary care hospital in New Delhi & to find out the factors related to non-adherence to the anti-hypertensive treatment among study subjects. Material and Methods: A cross-sectional hospital-based study was conducted from June to October 2018 among 150 diagnosed cases of hypertension. The drug adherence was assessed by using standard Brief Medication Questionnaire I (BMQ I) and to know the determinants of non-adherence a semi-structured (self-designed and pre tested) questionnaire was used. The association of different factors with adherence was analyzed by applying chi square (?2) test. Results: Among total of 150 participants 44% were males and 56% were females. The magnitude of non-adherence to anti-hypertensive drugs was 35.3%. Side effects of anti-hypertensive drugs was significant risk factor for non-adherence to anti-hypertensive drugs and common reasons for non-adherence were unwanted side effects (64.2%) followed by worry about long term side effects (62.3%). Conclusion: Prevalence of non-adherence to anti-hypertensive drugs was quite high, most common reason for non-adherence to anti-hypertensive medication was unwanted side effects and worry about long term side effects
Wealth index and maternal health care: Revisiting NFHS-3
No full textThe third National Family Health Survey (NFHS-3) is a large dataset on indicators of family welfare, maternal and child health, and nutrition in India. This article using NFHS-3 data is an attempt to bring out the impact of economic status, i.e., the wealth index on maternal health. The study was based on an analysis of the NFHS-3 data. Independent variables taken were the wealth index, literacy, and age at first child birth. Effects of these variables on the maternal health care services were investigated. Out of the total 124,385 women aged 15-49 years included in the NFHS-3 dataset, 36,850 (29.6%) had one or more childbirth during the past 5 years. The number of antenatal care (ANC) visits increased as the wealth index increased and there was a pattern for choice of place of delivery (for all deliveries during the last 5 years) according to the wealth index. Logistic regression analysis of the abovementioned variables were sought to find out the independent role of key determinants of the different aspects of maternal health care. It showed that the wealth index is the leading key independent determinant for three or more ANC received: Tetanus toxoid (TT) received before delivery, iron tablet/syrup taken for more than 100 days, and institutional delivery. Mother′s literacy was the leading independent key determinant for early antenatal registration. The study suggested that along with the mother′s literacy, the wealth index that is an important predictor of maternal health care can be added for categorization of the districts for providing differential approach for maternal health care services
Improved coupling based wide pass-band filter with double square complementary split ring resonator
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