Aditya P Sarkar - Academia.edu (original) (raw)

Papers by Aditya P Sarkar

International Journal of Health and Allied Sciences, 2020

BACKGROUND: In spite of being an integral part of family and pivotal force in any kind of progres... more BACKGROUND: In spite of being an integral part of family and pivotal force in any kind of progress, women are traditionally less involved in decision-making at all levels. OBJECTIVE: The objective of this study was to assess the extent of women's participation in household decision-making and find its correlates. MATERIALS AND METHODS: A cross-sectional survey was conducted in rural and urban field practice areas of Bankura Sammilani Medical College, West Bengal, from January to June 2017. Married women were selected by multistage sampling. After obtaining informed consent, interview using a predesigned schedule was done at their houses regarding participation in various household-level decisions. The relationship between variables was determined by Chi-square test, unpaired t-test, and multiple logistic regression analysis. RESULTS: Most of the participants were within 18–26 years of age and belonged to general caste of lowermiddle socioeconomic status. Majority of the participants in both the study areas were married for ≥5, homemakers with education ≥ secondary level and belonged to joint family. High level of overall participation was found among urban women than their rural counterpart. The extent of participation was statistically associated with age, occupation, and type of family in both urban and rural areas. CONCLUSION: Women's empowerment through vocational training and creating conducive environment for availing job is important for improving women's participation in household-level decision-making.

Background: Role of optimum infant feeding practices on growth and survival of children is well e... more Background: Role of optimum infant feeding practices on growth and survival of children is well established. Promoting it through routine public health care system is the challenge. Objectives: To assess the change in knowledge and practices of caregivers about infant feeding and physical growth of infants through training of frontline health workers. Methods: A cluster-randomized controlled trial was conducted among 130 infant mother pairs (65 in each group), recruited at birth, in a rural community in Bankura, West Bengal. Frontline health workers of the intervention area received modular training on infant feeding and supported the caregivers in adopting optimum feeding practices. Change in knowledge and practice of caregivers on infant feeding and physical growth of infants were assessed at monthly interval. Results: Knowledge regarding early initiation, duration of exclusive breastfeeding, and timely introduction of semi-solid food was increased significantly at 6th month in in...

International Journal Of Community Medicine And Public Health, 2020

Background: Diabetes affects all segments of the population and is one of the leading causes of p... more Background: Diabetes affects all segments of the population and is one of the leading causes of premature morbidity and mortality and requires life-long healthcare services. The National Rural Health Mission launched in 2005 and the new pilot National Programme for Prevention and Control of Diabetes, Cardiovascular diseases and Stroke offer opportunities for improving care for diabetes and other non-communicable diseases through service provision at the primary and secondary levels of care. This article describes the health services related factors and ascertains the physical status of adult diabetic patients.Methods: It is an institution based, cross-sectional, descriptive study. Complete enumeration of all patients attending diabetic clinic of Bankura Sammilani Medical College and hospital, Bankura, West Bengal was done. Eligible consenting adult patients, who were diagnosed as a case of diabetes and on treatment were interviewed with review of medical record. The study was preced...

International Journal Of Community Medicine And Public Health, 2019

Background: Domestic injury is an injury, which takes place in the home or in its immediate surro... more Background: Domestic injury is an injury, which takes place in the home or in its immediate surroundings and more generally, all injury not connected with traffic, vehicles or sport. It is a worldwide public health problem. Geriatric population is more vulnerable to domestic injury. Objectives of this study are to estimate the incidence and to identify the correlates, if any, of domestic injuries among geriatric population and to study the consequences of domestic injuries among study subjects.Methods: Community-based descriptive study with longitudinal design. Multistage random sampling was adopted in the study. One block was selected by simple random sampling method then cluster sampling method (30/7) was used considering village as cluster. Three cross-sectional surveys were conducted in study subjects. Data was collected with the help of pre-designed, pre-tested, semi-structured schedule by paying house-to-house visits and review of records.Results: The subjects under study comp...

Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2018

Context: Empyema thoracis is a common cause of morbidity and mortality. A number of factors could... more Context: Empyema thoracis is a common cause of morbidity and mortality. A number of factors could affect the treatment outcome of empyema cases. Aims: To assess the clinical and microbiological characteristics of non-tuberculous empyema and the factors associated with duration of chest drainage and hospital stay. Settings and Design: The Department of Pulmonary Medicine of a teaching institution in eastern India. A prospective observational study. Material and Methods: The study was conducted among the admitted non tuberculous empyema cases over the period of 18 months. The demographic profile, clinical features, duration of chest drainage and hospital stay of 80 cases who were admitted during the data collection period was recorded. Statistical analysis used: Data were analysed using unpaired t test, Bivariate Correlation, Chi square test and Fisher's exact test with the help of SPSS 22.0 software. Results: Majority of cases were male and from rural area. Mean duration of intercostal chest tube drainage and hospital stay were 16 ± SD 5.2 and 17.7 ± SD 5.1 days respectively which were significantly increased with prolongation of interval between symptom onset and chest drain insertion (P = 0.000 and P= 0.000) and in presence of comorbidity (P = 0.022 and P= 0.026), pleural fluid loculations (P = 0.015 and P= 0.029), positive culture growth (P= 0.012 and P= 0.021) and presence of gram negative organism (P =0.005 and P = 0.008) in pleural fluid. Conclusions: Chest drain duration and hospital stay could be used as surrogate indicators for treatment outcome measures.

Journal of Emergencies, Trauma, and Shock, 2018

Background: Road traffic injuries (RTIs) are a complex phenomenon caused by nonlinear combination... more Background: Road traffic injuries (RTIs) are a complex phenomenon caused by nonlinear combination and interaction of man, vehicles, road, and environment. Aim: This study aims to find out the outcome and severity of RTI in a district of West Bengal, India. Settings and Design: A cross-sectional study was conducted among inpatients of Departments of Surgery and Orthopedics of Bankura Sammilani Medical College and Hospital, West Bengal, India. Materials and Methods: The study was conducted for 1 year interviewing 295 RTI selected through scheduled sampling. Information pertaining to demographic and correlates of RTI was collected by face to face and over telephone using semi-structured questionnaire. Nine-item Simplified Injury Severity Scale (SISS) was used to assess injury severity. Internal consistency of SISS scale was showed by Cronbach's alpha and association with the correlates was done by Mann–Whitney U-test. Statistical Analysis Used: With SPSS version 22.0, binary logistic regression, and Mann–Whitney U-test. Results and Conclusion: Fatal outcome in terms of death and permanent disability was 34.24% and they had higher marginally significant (P = 0.06), SISS score (45.17 ± 12.59). Participants with absence of protective devices, presence of comorbidities, drunkenness, with accidents over national highways, in-between 6 am and 6 pm, mechanized two-wheelers, and nonreceipt of first aid were found to have significantly high scores compared to their counterpart. SISS, as a proxy measure of severity assessment, could throw a light on it and awareness generation and legislative stringency might be need of the hour for the country.

Indian journal of public health

Early childhood education (ECE) is an important service provided by Integrated Child Development ... more Early childhood education (ECE) is an important service provided by Integrated Child Development Services (ICDS). It is largely responsible for developing school readiness in children. The objective of this study is to assess ECE component of ICDS services through measurement of school readiness and find out other correlates. A cross-sectional evaluation study was carried out among Anganwadi centers (AWCs) under Bankura Municipality, West Bengal, India from July to November 2015. AWCs were selected by 30 cluster sampling. From each selected center Anganwadi worker (AWW), 7 randomly selected children of 5 years of age and their caregivers were included in the study. Data were collected by assessment of children, interview of AWWs and caregivers of children, observation of ECE activity and record review using ECE Program Evaluation Package developed by World Bank and predesigned schedule. Mean, standard deviation, proportions were estimated for description and correlation, unpaired t-...

Indian journal of public health

Perceived stress and burnout are by-products of powerless responsibility imposed on resident doct... more Perceived stress and burnout are by-products of powerless responsibility imposed on resident doctors. Emotional intelligence (EI) works as an adapting and coping tool. The objective of this study is to find out the role of work-related perceived stress on burnout and influence of EI on it. A descriptive cross-sectional study was conducted from February to April 2016 among 63 resident doctors of different departments of Bankura Sammilani Medical College and Hospital. Data were collected through a self-administered questionnaire for background characteristics and work-related variables. Cohen perceived stress scale, Trait EI, and Shirom-Melamed burnout questionnaire were applied for measuring perceived stress, EI, and burnout, respectively. Statistical analysis was done with of SPSS version 22.0, and for mediation analysis, Andrew F. Hyne's SPSS macro was adopted. Nonparametric bootstrapping was done assuming small sample. Out of complete responses, 67%, 22.9%, and 9.8% were from ...

Menoufia Medical Journal, 2016

Objective The aim of this study was to assess the effect of directly observed therapy (DOT) on co... more Objective The aim of this study was to assess the effect of directly observed therapy (DOT) on coverage, the compliance of mass drug administration (MDA), and to find out correlates of noncompliance. Background MDA for the elimination of lymphatic filariasis (LF) by 2015 in West Bengal (WB) has been criticized for undercoverage and mere distribution of antifilarial medicines for unsupervised consumption. To overcome these shortcomings, the government of WB adopted DOT for MDA. Participants and methods A cross-sectional survey was conducted in three villages of three blocks and two wards of one municipality of Bankura district, WB, India, selected randomly. Information was collected by interviewing inhabitants of randomly selected households. Results Overall, appropriate medicine distribution and consumption were 71.31 and 53.21%, respectively. Multivariate analysis revealed that medicine consumption was higher among the following: participants who belonged to the Hindu religion; people of poor socioeconomic status; those who were distributed medicine by a routine health worker acting as drug administrators;; those whose consumption was supervised and those who had complied to MDA previously. Almost three-fourth consumptions were unsupervised. 58.73% respondents knew about LF and 42% knew about transmission; 50.79% had heard about MDA and 39.68% stated that MDA is to avoid LF. Noncompliance to the distributed medicines might be due to lack of awareness about LF and MDA. The reasons for noncompliance were as follows: ′fear of adverse reaction′ (63.72%), ′didn′t know why to consume′ (23.89%), and ′healthy′ (20.35%) were causes of noncompliance. Conclusion Despite DOT and repeat house visit coverage of MDA, we fell short of target. Mass mobilization with effective supervision is the need of hour for universal coverage of MDA with supervised consumption of tablets.

Journal of Evidence Based Medicine and Healthcare, 2015

BACKGROUND: Diarrhea is one of the major causes of morbidity and mortality in under-five children... more BACKGROUND: Diarrhea is one of the major causes of morbidity and mortality in under-five children in developing world like India. WHO & Integrated Management of Neonatal and Childhood Illness (IMNCI) diarrheal management guidelines encourage mothers and caretakers to treat diarrhoea at home by giving ORS and oral rehydration therapy (ORT) to reduce the duration, severity, hospitalization, overall medical costs and death. OBJECTIVES: i) to assess the Knowledge, Attitude and Practice (KAP) of mothers on home care of acute diarrhoeal diseases and ii) To find out the factors affecting it, if any. MATERIALS AND METHODS: Community based cross-sectional study was conducted for three months duration among 76 mothers of slum-dwelling under five children (2-59 months) in Bankura. Information about KAP on management of acute diarrhoeal diseases was obtained by interview of mother using schedule based on WHO & IMNCI diarrheal management guidelines. RESULTS: In this study, majority mothers (64.7%) of children were of BPL category and mean schooling years of mothers was 7.97±4.12. Majority of mothers' knowledge was average (66.2%) and favourable attitude was (76.5%). While 72.2% mothers performed average practice; only 9.3% of mothers performed good practice. Education, occupation and socioeconomic status (SES) were the influencing factors of KAP on home care of diarrhea. Conclusions: A lot of gap was still present in knowledge, attitude and practice of home management of acute diarrheal diseases in an urban slum of Bankura. Health providers are needed to be skilled, motivated to percolate the information to mothers regarding home care of diarrhea.

Bangladesh Journal of Medical Science, 2015

Aim: The aim of the study is to find out the role of common haematological parameters along with ... more Aim: The aim of the study is to find out the role of common haematological parameters along with micro-ESR, I/T ratio in diagnosis of neonatal sepsis for initiating early management.Methods: This is a descriptive study consisting of 35 neonates admitted at a sophisticated institute with clinical suspicion of septicaemia along with 40 neonates as the comparison group. The neonatal haematological parameters including total leucocytes count, absolute neutrophil count, immature neutrophil count, I/T ratio, platelet count were measured in all the neonates. Micro-ESR was measured as a bed side test. CRP was also measured using slide agglutination method and the results were compared with turbidimetric method. Blood culture was done as a gold standard test for sepsis. Micro-ESR more than age of the patient in days +3 mm in 1st hour was considered significant for sepsis. I/T ratio more than or equal to 0.2 was considered positive for sepsis.Results: The study revealed that micro-ESR and I/T...

International Journal of Medical Science and Public Health, 2014

Background: The first two years of life involve rapid physical, cognitive and social development ... more Background: The first two years of life involve rapid physical, cognitive and social development that requires optimal nutrition. Tribal populations are the most backward section of the society. In West Bengal, the Santal tribe contributes to 51.8% Scheduled Tribe population of the state. Aims & Objective: The present study was conducted to assess infant and young child feeding practice among Santal women in Bhatar block of Burdwan District, West Bengal in India. Materials and Methods: It was a descriptive study of cross-sectional design. Bhatar block was purposively selected and 10 villages inhabited by Santals were chosen purposively. Data were collected by interview method using a pre-designed pre-tested schedule from 120 mothers having children of 0-23 months of age. WHO indicators for assessing infant and child feeding practices were used. Results: Breast feeding was initiated within one hour of birth in 48.33% cases, 46.15% babies were exclusively breastfed and in 47.37 % cases breastfeeding was continued at 1 year of the baby. Solid, semisolid or soft foods were correctly introduced at 6-8 months in 46.67% infants. Only 30.85% mothers maintained minimum dietary diversity while 41.49% mothers maintained minimum meal frequency. Conclusion: The poor status of indicators of Infant and child feeding practice found in present study may be attributed to high rate of illiteracy and poor socioeconomic condition among Santal women. Therefore intense total literacy campaign, income generating activities and health education by health personnel is the need of the day.

Journal of Health, Population and Nutrition, 2013

India adopted WHO's strategy of repeated rounds of mass drug administration (MDA) with diethylcar... more India adopted WHO's strategy of repeated rounds of mass drug administration (MDA) with diethylcarbamazine to eliminate lymphatic filariasis. The present study attempted to assess the coverage and awareness of and compliance with MDA for elimination of lymphatic filariasis in Burdwan district of India, following MDA round in July 2010. A cross-sectional study was conducted among the four randomly-selected clusters in the district of Burdwan, West Bengal, India, covering 603 individuals from 154 households, using a predesigned pretested schedule. The drug distribution coverage, compliance, and effective coverage were 48.76 %, 70.07%, and 34.16% respectively. Only 41.4% of the study population was aware of the MDA activity. This evaluation study noted that MDA is restricted to tablet distribution only. There is an urgent need to improve compliance with drug intake through strengthening of the awareness programme involving both government health workers and community volunteers.

International Journal of Medical Science and Public Health, 2016

It has become a burning problem in India. Survey revealed that among the persons seeking treatmen... more It has become a burning problem in India. Survey revealed that among the persons seeking treatment for substance abuse in India majority was alcoholic (44.9%) followed by cannabis (11.6%), heroin (11.1%), opium (8.3%), and other opiates (6.6%). [2] Deliberate self-harm (DSH) is defined not as a disease but "a behavior which is performed by a person to harm himself/ herself without an apparent suicidal intent". [3] DSH is an important challenge to public health nowadays. It is reported across several specific psychiatric illnesses like personality disorders, alcohol and substance abuse, and affective disorders. [4] Psychiatric illness was seen Background: Deliberate self-harm (DSH) is a challenge to public health now-a-days. It is reported across several specific psychiatric illnesses like personality disorders, alcohol and substance abuse, and affective disorders. Objectives: The objectives of the study were (i) to study the socio-demographic characteristics of the patients attending the Drug De-addiction Center of a Medical College in West Bengal and (ii) to determine the proportion of DSH committed by them and to find out the factors responsible for DSH among them. Material and Methods: A descriptive study with cross-sectional design was conducted in the Drug De-addiction Center of Burdwan Medical College and Hospital, West Bengal. Informed consent was obtained from the participants before data collection. In total, 585 new patients were included in the study by complete enumeration. Data analysis was done using statistical software SPSS 20.0. Results: All patients were male having majority in productive age group. Majority was employed and from nuclear families. Alcohol use was majority among the types of addiction. DSH was reported by 14.7% of cases. Employment status and alcohol addiction were statistically significant as factor for DSH. Conclusion: The presence of risk for DSH should be assessed in drug addicts routinely along with motivation of family members to support the patients to prevent DSH.

Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2019

Background: Tuberculosis (TB) is a curable disease still millions of people suffer and many of th... more Background: Tuberculosis (TB) is a curable disease still millions of people suffer and many of them die from this disease. Just providing anti-TB medication is not sufficient to ensure that patient to be cured. Objective: The objective of this study is to assess the treatment outcome rates and to find out the determinants of patient satisfaction. Materials and Methods: A clinic-based, descriptive, crosssectional study was conducted in Lokepur Tuberculosis unit (TU) from July 2015 to June 2016. Simple random sampling was adopted to select 50% of the Directly Observed Treatment Short Course (DOTS) centers under that TU. Afterward, complete enumeration of the adult TB patients receiving Category I treatment and registered from June to October 2015 was done from the selected DOTS centers. Exit interview of the patients was conducted using pretested predesigned questionnaire and treatment outcomes were recorded from TB register. Data were entered in MS Excel Spreadsheet and analyzed by SPSS 22.0 version. Results: Treatment success rate of Category I TB patients was about 87%. Almost 76% patients were satisfied with the given services. Treatment success rate was higher among the satisfied (97%) than the not satisfied (57%) clients and the difference was statistically significant. Client satisfaction was statistically associated with gender, residence, educational level, first caregiving person, and decision maker in getting treatment. Conclusion: Concern given to urban slum areas, improvement of literacy status of the patients, arrangement of the alternative sources of income for TB-affected family, and improvement of the knowledge of first caregiving persons are the steps to be taken at this hour.

Indian Journal of Community Medicine, 2012

Background: Childhood morbidity consumes a substantial portion of health care resources in terms ... more Background: Childhood morbidity consumes a substantial portion of health care resources in terms of hospital bed utilization, and overload in hospital ward remains a major concern in many countries, including India. A possible way to minimize the problem of scarcities of bed is to analyze the pattern of bed utilization by causes and plan services accordingly. Objectives: To determine the burden of pediatric morbidity and utilization pattern of pediatric beds in a tertiary care hospital. Materials and Methods: A retrospective analysis of pediatric inpatient's records was conducted over a period of 1 year from 1 January 2007 to 31 December 2007. Results: Of 3983 total admitted cases, about one-third were infants, of which neonatal and post-neonatal age group constituted 45% and 55% of the cases, respectively. In terms of bed-day utilization, infants, 1-4 years and 5-11 years age group accounted for 35.10%, 32.58% and 32.32% of total days of admission, respectively. Utilization of pediatric beds by major causes of morbidity was respiratory tract infection (22.23%), convulsive disorder (12.68%), accident and poisoning (6.07%), diarrheal disease (4.97%) and chronic hemolytic anemia (4.42%). Conclusion: A minor change in admission policy through provision of day care unit for management of certain cases would allow efficient use of hospital beds.

Indian Dermatology Online Journal, 2022

Background: Recalcitrant dermatophytosis has become a menace in recent times. The perception of t... more Background: Recalcitrant dermatophytosis has become a menace in recent times. The perception of the hosts or patients regarding the disease gives a real-life picture of the deep-rooted host-factors and the way to overcome the socio-economic and cultural milieu that becomes a hindrance in preventing the relapse and recurrence of this infection. Aims: This qualitative study was conducted to assess the perception regarding the patients' understanding of causation and prevention of dermatophytosis, role of personal hygiene, and healthcare seeking behavior, and consequently, exploring the socio-economic and cultural milieu that contributes to the menace of recalcitrant dermatophytosis. Materials and Methods: Two focus group discussions (FGDs) consisting 12 patients with recalcitrant dermatophytosis, who speak the vernacular, were conducted with the help of a predetermined FGD-guide. Both FGD sessions were recorded, transcribed, and translated into English. These verbatims were thematically analyzed and emerging themes were identified with illustrative quotations. Free listing and pile sorted data obtained were analyzed by Visual Anthropac version 1.0 software for Smith's salience value, cognitive mapping with two-dimensional scaling and hierarchical cluster analysis. Results: Washing of clothes with soap antiseptics and drying the clothes under the sun prevents diseases, whereas, not changing undergarments for prolonged periods of time, bathing in ponds using mustard oil spreads the disease, furthermore, staying in wet clothes, working for more than five hours under sun, playing outdoors, household jobs cause tinea, etc. were the most common reported perceptions. Overall, five themes emerged after pile sorting the data, namely, ignorance about the disease, understanding of the predisposing factors of the disease, prevention, role of personal and traditional belief, and care-seeking behavior. Conclusions: There is a dire need to address the myths or traditional beliefs, which are not supported by scientific evidence. Expense of the treatment of dermatophytosis calls for price control of the commonly prescribed antifungals. Poor socio-economic conditions and professional responsibilities hinder people from implementing the preventive measures in spite of their knowledge.

Indian Journal of Community Medicine, 2008

Indian Journal of Public Health, 2013

Prevalence of alcohol use in India is reported to be 21.4% and there is increasing alcohol intake... more Prevalence of alcohol use in India is reported to be 21.4% and there is increasing alcohol intake among the young people. The present study was undertaken to study the socio-demographic characteristics of patients having alcohol-related disorders attending the de-addiction center at Burdwan Medical College in West Bengal and to find out some factors responsible for that. A clinic-based descriptive cross-sectional study was conducted among 187 patients with the help of pre-tested pre-designed schedule after obtaining informed consent. Data analysis was carried out with the help of Epi info software version 6. Majority of the patients were male, in productive age group and married. Age of initiation and amount of alcohol intake were significantly associated with positive family history of alcoholism. Children having family history of alcoholism should be counseled to prevent development of alcoholism.

Indian Journal of Community Medicine, 2012

International Journal of Health and Allied Sciences, 2020

BACKGROUND: In spite of being an integral part of family and pivotal force in any kind of progres... more BACKGROUND: In spite of being an integral part of family and pivotal force in any kind of progress, women are traditionally less involved in decision-making at all levels. OBJECTIVE: The objective of this study was to assess the extent of women's participation in household decision-making and find its correlates. MATERIALS AND METHODS: A cross-sectional survey was conducted in rural and urban field practice areas of Bankura Sammilani Medical College, West Bengal, from January to June 2017. Married women were selected by multistage sampling. After obtaining informed consent, interview using a predesigned schedule was done at their houses regarding participation in various household-level decisions. The relationship between variables was determined by Chi-square test, unpaired t-test, and multiple logistic regression analysis. RESULTS: Most of the participants were within 18–26 years of age and belonged to general caste of lowermiddle socioeconomic status. Majority of the participants in both the study areas were married for ≥5, homemakers with education ≥ secondary level and belonged to joint family. High level of overall participation was found among urban women than their rural counterpart. The extent of participation was statistically associated with age, occupation, and type of family in both urban and rural areas. CONCLUSION: Women's empowerment through vocational training and creating conducive environment for availing job is important for improving women's participation in household-level decision-making.

Background: Role of optimum infant feeding practices on growth and survival of children is well e... more Background: Role of optimum infant feeding practices on growth and survival of children is well established. Promoting it through routine public health care system is the challenge. Objectives: To assess the change in knowledge and practices of caregivers about infant feeding and physical growth of infants through training of frontline health workers. Methods: A cluster-randomized controlled trial was conducted among 130 infant mother pairs (65 in each group), recruited at birth, in a rural community in Bankura, West Bengal. Frontline health workers of the intervention area received modular training on infant feeding and supported the caregivers in adopting optimum feeding practices. Change in knowledge and practice of caregivers on infant feeding and physical growth of infants were assessed at monthly interval. Results: Knowledge regarding early initiation, duration of exclusive breastfeeding, and timely introduction of semi-solid food was increased significantly at 6th month in in...

International Journal Of Community Medicine And Public Health, 2020

Background: Diabetes affects all segments of the population and is one of the leading causes of p... more Background: Diabetes affects all segments of the population and is one of the leading causes of premature morbidity and mortality and requires life-long healthcare services. The National Rural Health Mission launched in 2005 and the new pilot National Programme for Prevention and Control of Diabetes, Cardiovascular diseases and Stroke offer opportunities for improving care for diabetes and other non-communicable diseases through service provision at the primary and secondary levels of care. This article describes the health services related factors and ascertains the physical status of adult diabetic patients.Methods: It is an institution based, cross-sectional, descriptive study. Complete enumeration of all patients attending diabetic clinic of Bankura Sammilani Medical College and hospital, Bankura, West Bengal was done. Eligible consenting adult patients, who were diagnosed as a case of diabetes and on treatment were interviewed with review of medical record. The study was preced...

International Journal Of Community Medicine And Public Health, 2019

Background: Domestic injury is an injury, which takes place in the home or in its immediate surro... more Background: Domestic injury is an injury, which takes place in the home or in its immediate surroundings and more generally, all injury not connected with traffic, vehicles or sport. It is a worldwide public health problem. Geriatric population is more vulnerable to domestic injury. Objectives of this study are to estimate the incidence and to identify the correlates, if any, of domestic injuries among geriatric population and to study the consequences of domestic injuries among study subjects.Methods: Community-based descriptive study with longitudinal design. Multistage random sampling was adopted in the study. One block was selected by simple random sampling method then cluster sampling method (30/7) was used considering village as cluster. Three cross-sectional surveys were conducted in study subjects. Data was collected with the help of pre-designed, pre-tested, semi-structured schedule by paying house-to-house visits and review of records.Results: The subjects under study comp...

Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2018

Context: Empyema thoracis is a common cause of morbidity and mortality. A number of factors could... more Context: Empyema thoracis is a common cause of morbidity and mortality. A number of factors could affect the treatment outcome of empyema cases. Aims: To assess the clinical and microbiological characteristics of non-tuberculous empyema and the factors associated with duration of chest drainage and hospital stay. Settings and Design: The Department of Pulmonary Medicine of a teaching institution in eastern India. A prospective observational study. Material and Methods: The study was conducted among the admitted non tuberculous empyema cases over the period of 18 months. The demographic profile, clinical features, duration of chest drainage and hospital stay of 80 cases who were admitted during the data collection period was recorded. Statistical analysis used: Data were analysed using unpaired t test, Bivariate Correlation, Chi square test and Fisher's exact test with the help of SPSS 22.0 software. Results: Majority of cases were male and from rural area. Mean duration of intercostal chest tube drainage and hospital stay were 16 ± SD 5.2 and 17.7 ± SD 5.1 days respectively which were significantly increased with prolongation of interval between symptom onset and chest drain insertion (P = 0.000 and P= 0.000) and in presence of comorbidity (P = 0.022 and P= 0.026), pleural fluid loculations (P = 0.015 and P= 0.029), positive culture growth (P= 0.012 and P= 0.021) and presence of gram negative organism (P =0.005 and P = 0.008) in pleural fluid. Conclusions: Chest drain duration and hospital stay could be used as surrogate indicators for treatment outcome measures.

Journal of Emergencies, Trauma, and Shock, 2018

Background: Road traffic injuries (RTIs) are a complex phenomenon caused by nonlinear combination... more Background: Road traffic injuries (RTIs) are a complex phenomenon caused by nonlinear combination and interaction of man, vehicles, road, and environment. Aim: This study aims to find out the outcome and severity of RTI in a district of West Bengal, India. Settings and Design: A cross-sectional study was conducted among inpatients of Departments of Surgery and Orthopedics of Bankura Sammilani Medical College and Hospital, West Bengal, India. Materials and Methods: The study was conducted for 1 year interviewing 295 RTI selected through scheduled sampling. Information pertaining to demographic and correlates of RTI was collected by face to face and over telephone using semi-structured questionnaire. Nine-item Simplified Injury Severity Scale (SISS) was used to assess injury severity. Internal consistency of SISS scale was showed by Cronbach's alpha and association with the correlates was done by Mann–Whitney U-test. Statistical Analysis Used: With SPSS version 22.0, binary logistic regression, and Mann–Whitney U-test. Results and Conclusion: Fatal outcome in terms of death and permanent disability was 34.24% and they had higher marginally significant (P = 0.06), SISS score (45.17 ± 12.59). Participants with absence of protective devices, presence of comorbidities, drunkenness, with accidents over national highways, in-between 6 am and 6 pm, mechanized two-wheelers, and nonreceipt of first aid were found to have significantly high scores compared to their counterpart. SISS, as a proxy measure of severity assessment, could throw a light on it and awareness generation and legislative stringency might be need of the hour for the country.

Indian journal of public health

Early childhood education (ECE) is an important service provided by Integrated Child Development ... more Early childhood education (ECE) is an important service provided by Integrated Child Development Services (ICDS). It is largely responsible for developing school readiness in children. The objective of this study is to assess ECE component of ICDS services through measurement of school readiness and find out other correlates. A cross-sectional evaluation study was carried out among Anganwadi centers (AWCs) under Bankura Municipality, West Bengal, India from July to November 2015. AWCs were selected by 30 cluster sampling. From each selected center Anganwadi worker (AWW), 7 randomly selected children of 5 years of age and their caregivers were included in the study. Data were collected by assessment of children, interview of AWWs and caregivers of children, observation of ECE activity and record review using ECE Program Evaluation Package developed by World Bank and predesigned schedule. Mean, standard deviation, proportions were estimated for description and correlation, unpaired t-...

Indian journal of public health

Perceived stress and burnout are by-products of powerless responsibility imposed on resident doct... more Perceived stress and burnout are by-products of powerless responsibility imposed on resident doctors. Emotional intelligence (EI) works as an adapting and coping tool. The objective of this study is to find out the role of work-related perceived stress on burnout and influence of EI on it. A descriptive cross-sectional study was conducted from February to April 2016 among 63 resident doctors of different departments of Bankura Sammilani Medical College and Hospital. Data were collected through a self-administered questionnaire for background characteristics and work-related variables. Cohen perceived stress scale, Trait EI, and Shirom-Melamed burnout questionnaire were applied for measuring perceived stress, EI, and burnout, respectively. Statistical analysis was done with of SPSS version 22.0, and for mediation analysis, Andrew F. Hyne's SPSS macro was adopted. Nonparametric bootstrapping was done assuming small sample. Out of complete responses, 67%, 22.9%, and 9.8% were from ...

Menoufia Medical Journal, 2016

Objective The aim of this study was to assess the effect of directly observed therapy (DOT) on co... more Objective The aim of this study was to assess the effect of directly observed therapy (DOT) on coverage, the compliance of mass drug administration (MDA), and to find out correlates of noncompliance. Background MDA for the elimination of lymphatic filariasis (LF) by 2015 in West Bengal (WB) has been criticized for undercoverage and mere distribution of antifilarial medicines for unsupervised consumption. To overcome these shortcomings, the government of WB adopted DOT for MDA. Participants and methods A cross-sectional survey was conducted in three villages of three blocks and two wards of one municipality of Bankura district, WB, India, selected randomly. Information was collected by interviewing inhabitants of randomly selected households. Results Overall, appropriate medicine distribution and consumption were 71.31 and 53.21%, respectively. Multivariate analysis revealed that medicine consumption was higher among the following: participants who belonged to the Hindu religion; people of poor socioeconomic status; those who were distributed medicine by a routine health worker acting as drug administrators;; those whose consumption was supervised and those who had complied to MDA previously. Almost three-fourth consumptions were unsupervised. 58.73% respondents knew about LF and 42% knew about transmission; 50.79% had heard about MDA and 39.68% stated that MDA is to avoid LF. Noncompliance to the distributed medicines might be due to lack of awareness about LF and MDA. The reasons for noncompliance were as follows: ′fear of adverse reaction′ (63.72%), ′didn′t know why to consume′ (23.89%), and ′healthy′ (20.35%) were causes of noncompliance. Conclusion Despite DOT and repeat house visit coverage of MDA, we fell short of target. Mass mobilization with effective supervision is the need of hour for universal coverage of MDA with supervised consumption of tablets.

Journal of Evidence Based Medicine and Healthcare, 2015

BACKGROUND: Diarrhea is one of the major causes of morbidity and mortality in under-five children... more BACKGROUND: Diarrhea is one of the major causes of morbidity and mortality in under-five children in developing world like India. WHO & Integrated Management of Neonatal and Childhood Illness (IMNCI) diarrheal management guidelines encourage mothers and caretakers to treat diarrhoea at home by giving ORS and oral rehydration therapy (ORT) to reduce the duration, severity, hospitalization, overall medical costs and death. OBJECTIVES: i) to assess the Knowledge, Attitude and Practice (KAP) of mothers on home care of acute diarrhoeal diseases and ii) To find out the factors affecting it, if any. MATERIALS AND METHODS: Community based cross-sectional study was conducted for three months duration among 76 mothers of slum-dwelling under five children (2-59 months) in Bankura. Information about KAP on management of acute diarrhoeal diseases was obtained by interview of mother using schedule based on WHO & IMNCI diarrheal management guidelines. RESULTS: In this study, majority mothers (64.7%) of children were of BPL category and mean schooling years of mothers was 7.97±4.12. Majority of mothers' knowledge was average (66.2%) and favourable attitude was (76.5%). While 72.2% mothers performed average practice; only 9.3% of mothers performed good practice. Education, occupation and socioeconomic status (SES) were the influencing factors of KAP on home care of diarrhea. Conclusions: A lot of gap was still present in knowledge, attitude and practice of home management of acute diarrheal diseases in an urban slum of Bankura. Health providers are needed to be skilled, motivated to percolate the information to mothers regarding home care of diarrhea.

Bangladesh Journal of Medical Science, 2015

Aim: The aim of the study is to find out the role of common haematological parameters along with ... more Aim: The aim of the study is to find out the role of common haematological parameters along with micro-ESR, I/T ratio in diagnosis of neonatal sepsis for initiating early management.Methods: This is a descriptive study consisting of 35 neonates admitted at a sophisticated institute with clinical suspicion of septicaemia along with 40 neonates as the comparison group. The neonatal haematological parameters including total leucocytes count, absolute neutrophil count, immature neutrophil count, I/T ratio, platelet count were measured in all the neonates. Micro-ESR was measured as a bed side test. CRP was also measured using slide agglutination method and the results were compared with turbidimetric method. Blood culture was done as a gold standard test for sepsis. Micro-ESR more than age of the patient in days +3 mm in 1st hour was considered significant for sepsis. I/T ratio more than or equal to 0.2 was considered positive for sepsis.Results: The study revealed that micro-ESR and I/T...

International Journal of Medical Science and Public Health, 2014

Background: The first two years of life involve rapid physical, cognitive and social development ... more Background: The first two years of life involve rapid physical, cognitive and social development that requires optimal nutrition. Tribal populations are the most backward section of the society. In West Bengal, the Santal tribe contributes to 51.8% Scheduled Tribe population of the state. Aims & Objective: The present study was conducted to assess infant and young child feeding practice among Santal women in Bhatar block of Burdwan District, West Bengal in India. Materials and Methods: It was a descriptive study of cross-sectional design. Bhatar block was purposively selected and 10 villages inhabited by Santals were chosen purposively. Data were collected by interview method using a pre-designed pre-tested schedule from 120 mothers having children of 0-23 months of age. WHO indicators for assessing infant and child feeding practices were used. Results: Breast feeding was initiated within one hour of birth in 48.33% cases, 46.15% babies were exclusively breastfed and in 47.37 % cases breastfeeding was continued at 1 year of the baby. Solid, semisolid or soft foods were correctly introduced at 6-8 months in 46.67% infants. Only 30.85% mothers maintained minimum dietary diversity while 41.49% mothers maintained minimum meal frequency. Conclusion: The poor status of indicators of Infant and child feeding practice found in present study may be attributed to high rate of illiteracy and poor socioeconomic condition among Santal women. Therefore intense total literacy campaign, income generating activities and health education by health personnel is the need of the day.

Journal of Health, Population and Nutrition, 2013

India adopted WHO's strategy of repeated rounds of mass drug administration (MDA) with diethylcar... more India adopted WHO's strategy of repeated rounds of mass drug administration (MDA) with diethylcarbamazine to eliminate lymphatic filariasis. The present study attempted to assess the coverage and awareness of and compliance with MDA for elimination of lymphatic filariasis in Burdwan district of India, following MDA round in July 2010. A cross-sectional study was conducted among the four randomly-selected clusters in the district of Burdwan, West Bengal, India, covering 603 individuals from 154 households, using a predesigned pretested schedule. The drug distribution coverage, compliance, and effective coverage were 48.76 %, 70.07%, and 34.16% respectively. Only 41.4% of the study population was aware of the MDA activity. This evaluation study noted that MDA is restricted to tablet distribution only. There is an urgent need to improve compliance with drug intake through strengthening of the awareness programme involving both government health workers and community volunteers.

International Journal of Medical Science and Public Health, 2016

It has become a burning problem in India. Survey revealed that among the persons seeking treatmen... more It has become a burning problem in India. Survey revealed that among the persons seeking treatment for substance abuse in India majority was alcoholic (44.9%) followed by cannabis (11.6%), heroin (11.1%), opium (8.3%), and other opiates (6.6%). [2] Deliberate self-harm (DSH) is defined not as a disease but "a behavior which is performed by a person to harm himself/ herself without an apparent suicidal intent". [3] DSH is an important challenge to public health nowadays. It is reported across several specific psychiatric illnesses like personality disorders, alcohol and substance abuse, and affective disorders. [4] Psychiatric illness was seen Background: Deliberate self-harm (DSH) is a challenge to public health now-a-days. It is reported across several specific psychiatric illnesses like personality disorders, alcohol and substance abuse, and affective disorders. Objectives: The objectives of the study were (i) to study the socio-demographic characteristics of the patients attending the Drug De-addiction Center of a Medical College in West Bengal and (ii) to determine the proportion of DSH committed by them and to find out the factors responsible for DSH among them. Material and Methods: A descriptive study with cross-sectional design was conducted in the Drug De-addiction Center of Burdwan Medical College and Hospital, West Bengal. Informed consent was obtained from the participants before data collection. In total, 585 new patients were included in the study by complete enumeration. Data analysis was done using statistical software SPSS 20.0. Results: All patients were male having majority in productive age group. Majority was employed and from nuclear families. Alcohol use was majority among the types of addiction. DSH was reported by 14.7% of cases. Employment status and alcohol addiction were statistically significant as factor for DSH. Conclusion: The presence of risk for DSH should be assessed in drug addicts routinely along with motivation of family members to support the patients to prevent DSH.

Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2019

Background: Tuberculosis (TB) is a curable disease still millions of people suffer and many of th... more Background: Tuberculosis (TB) is a curable disease still millions of people suffer and many of them die from this disease. Just providing anti-TB medication is not sufficient to ensure that patient to be cured. Objective: The objective of this study is to assess the treatment outcome rates and to find out the determinants of patient satisfaction. Materials and Methods: A clinic-based, descriptive, crosssectional study was conducted in Lokepur Tuberculosis unit (TU) from July 2015 to June 2016. Simple random sampling was adopted to select 50% of the Directly Observed Treatment Short Course (DOTS) centers under that TU. Afterward, complete enumeration of the adult TB patients receiving Category I treatment and registered from June to October 2015 was done from the selected DOTS centers. Exit interview of the patients was conducted using pretested predesigned questionnaire and treatment outcomes were recorded from TB register. Data were entered in MS Excel Spreadsheet and analyzed by SPSS 22.0 version. Results: Treatment success rate of Category I TB patients was about 87%. Almost 76% patients were satisfied with the given services. Treatment success rate was higher among the satisfied (97%) than the not satisfied (57%) clients and the difference was statistically significant. Client satisfaction was statistically associated with gender, residence, educational level, first caregiving person, and decision maker in getting treatment. Conclusion: Concern given to urban slum areas, improvement of literacy status of the patients, arrangement of the alternative sources of income for TB-affected family, and improvement of the knowledge of first caregiving persons are the steps to be taken at this hour.

Indian Journal of Community Medicine, 2012

Background: Childhood morbidity consumes a substantial portion of health care resources in terms ... more Background: Childhood morbidity consumes a substantial portion of health care resources in terms of hospital bed utilization, and overload in hospital ward remains a major concern in many countries, including India. A possible way to minimize the problem of scarcities of bed is to analyze the pattern of bed utilization by causes and plan services accordingly. Objectives: To determine the burden of pediatric morbidity and utilization pattern of pediatric beds in a tertiary care hospital. Materials and Methods: A retrospective analysis of pediatric inpatient's records was conducted over a period of 1 year from 1 January 2007 to 31 December 2007. Results: Of 3983 total admitted cases, about one-third were infants, of which neonatal and post-neonatal age group constituted 45% and 55% of the cases, respectively. In terms of bed-day utilization, infants, 1-4 years and 5-11 years age group accounted for 35.10%, 32.58% and 32.32% of total days of admission, respectively. Utilization of pediatric beds by major causes of morbidity was respiratory tract infection (22.23%), convulsive disorder (12.68%), accident and poisoning (6.07%), diarrheal disease (4.97%) and chronic hemolytic anemia (4.42%). Conclusion: A minor change in admission policy through provision of day care unit for management of certain cases would allow efficient use of hospital beds.

Indian Dermatology Online Journal, 2022

Background: Recalcitrant dermatophytosis has become a menace in recent times. The perception of t... more Background: Recalcitrant dermatophytosis has become a menace in recent times. The perception of the hosts or patients regarding the disease gives a real-life picture of the deep-rooted host-factors and the way to overcome the socio-economic and cultural milieu that becomes a hindrance in preventing the relapse and recurrence of this infection. Aims: This qualitative study was conducted to assess the perception regarding the patients' understanding of causation and prevention of dermatophytosis, role of personal hygiene, and healthcare seeking behavior, and consequently, exploring the socio-economic and cultural milieu that contributes to the menace of recalcitrant dermatophytosis. Materials and Methods: Two focus group discussions (FGDs) consisting 12 patients with recalcitrant dermatophytosis, who speak the vernacular, were conducted with the help of a predetermined FGD-guide. Both FGD sessions were recorded, transcribed, and translated into English. These verbatims were thematically analyzed and emerging themes were identified with illustrative quotations. Free listing and pile sorted data obtained were analyzed by Visual Anthropac version 1.0 software for Smith's salience value, cognitive mapping with two-dimensional scaling and hierarchical cluster analysis. Results: Washing of clothes with soap antiseptics and drying the clothes under the sun prevents diseases, whereas, not changing undergarments for prolonged periods of time, bathing in ponds using mustard oil spreads the disease, furthermore, staying in wet clothes, working for more than five hours under sun, playing outdoors, household jobs cause tinea, etc. were the most common reported perceptions. Overall, five themes emerged after pile sorting the data, namely, ignorance about the disease, understanding of the predisposing factors of the disease, prevention, role of personal and traditional belief, and care-seeking behavior. Conclusions: There is a dire need to address the myths or traditional beliefs, which are not supported by scientific evidence. Expense of the treatment of dermatophytosis calls for price control of the commonly prescribed antifungals. Poor socio-economic conditions and professional responsibilities hinder people from implementing the preventive measures in spite of their knowledge.

Indian Journal of Community Medicine, 2008

Indian Journal of Public Health, 2013

Prevalence of alcohol use in India is reported to be 21.4% and there is increasing alcohol intake... more Prevalence of alcohol use in India is reported to be 21.4% and there is increasing alcohol intake among the young people. The present study was undertaken to study the socio-demographic characteristics of patients having alcohol-related disorders attending the de-addiction center at Burdwan Medical College in West Bengal and to find out some factors responsible for that. A clinic-based descriptive cross-sectional study was conducted among 187 patients with the help of pre-tested pre-designed schedule after obtaining informed consent. Data analysis was carried out with the help of Epi info software version 6. Majority of the patients were male, in productive age group and married. Age of initiation and amount of alcohol intake were significantly associated with positive family history of alcoholism. Children having family history of alcoholism should be counseled to prevent development of alcoholism.

Indian Journal of Community Medicine, 2012