Uday Narlawar - Academia.edu (original) (raw)

Papers by Uday Narlawar

International Journal Of Community Medicine And Public Health, 2021

Background: Population based sero-epidemiological studies help us to determine the burden of COVI... more Background: Population based sero-epidemiological studies help us to determine the burden of COVID-19 infection at the community level and to monitor the trends in transmission of SARS-CoV-2 infection. Antibody based sero-positivity indicates the extent of spread of infection in the given population and forms the basis for strengthening public health mitigation measures. The present study was carried out with the objective of conducting population level serosurvey in Nagpur district to understand the spread of SARS-CoV-2 and to help the designing and implementation of appropriate health system and policy level interventions. This cross-sectional study was carried out in Nagpur District over two weeks in October and November 2020. For the purpose of this survey the Nagpur district was divided into NMC area and Non NMC area.Methods: House to house survey was carried out and data was collected using Google form. For detection of SARS-CoV-2 specific antibodies venous blood was collected...

Cureus

Introduction Self-medication is an important public health problem, with varied prevalence across... more Introduction Self-medication is an important public health problem, with varied prevalence across the world. The high prevalence of self-medication in India is one of the important factors contributing to the development of antimicrobial resistance. Self-medication without medical guidance can lead to inappropriate, incorrect, or undue therapy, missed diagnosis, delays in appropriate treatment, pathogen resistance, and increased morbidity. The growing trend of self-medication can be attributed to various factors like the urge for selfcare, sympathy toward sick family members, inaccessible health services and nonavailability of drugs, time and financial constraints, ignorance, misbeliefs, extensive advertisement and availability of drugs in places other than drug shops. Methodology The present community-based descriptive cross-sectional study was conducted in an urban field practice area of a tertiary health care center (UHTC) in Central India. Individuals above 18 years of age and present at home at the time of the house-to-house survey comprised the study participants. A total of 400 participants were enrolled in the study. Data were collected using a predesigned and pretested questionnaire by the faceto-face interview technique. Results The prevalence of self-medication in the area was 60 % (240). The most widely used drugs for selfmedication were analgesics (159; 66.25%) and antipyretics (142; 59.16%). Common ailments for which selfmedication was used frequently were fever, body aches, common cold, and cough. It was observed that female participants were twice more likely to self-medicate as compared to male participants (Odds Ratio (OR): 2.04; Prevalence (p) = 0.014, Confidence Interval (CI) 95% = 1.15-3.62). Additionally, those having education above the high school level had more chances of self-medicating than those educated less than high school (OR: 1.25; p≤0.014, CI 95%=1.05-1.50). The commonest reasons for resorting to selfmedication as per the findings of the present study are that it saves time and the condition was not serious enough to warrant a physician's consultation.

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH

Introduction:Rabies a 100% fatal disease is completely preventable with timely post exposure prop... more Introduction:Rabies a 100% fatal disease is completely preventable with timely post exposure prophylaxis. According to the Gold standard Essen intramuscular regimen, ve doses of 0.5 ml of anti rabies vaccine is required as compared to Updated Thai Red Cross intradermal regimen which requires four doses of only 0.1 ml each at 2 sites . Hence the present study was conducted to determine the cost effectiveness and compliance of 4 dose intradermal regimen of antirabies vaccine over 5 dose intramuscular regimen of anti rabies vaccine for post exposure prophylaxis. Methods: The present study is a hospital record-based study of 1020 cases attending antirabies vaccination clinic who received IM regimen of ARV in the year 2015 and 2256 cases who received ARVunder ID regimen during 2021. The cost effectiveness and compliance of both regimen was estimated. Results : A total of 3276 animal bite patient were studied. Antirabies vaccine by the Intramuscular route was administered to 1020 patient...

International Journal Of Community Medicine And Public Health

Background: Birth weight is a major determinant of child’s health and nutrition. There are variou... more Background: Birth weight is a major determinant of child’s health and nutrition. There are various factors which determine birth weight like maternal age, parity, socio economic status etc. A new born weighing less than 2.5 kg is classified as a low birth weight (LBW) baby. Low birth weight can be prevented by improving health status and socio-economic status of the community, improving antenatal care and also by providing proper health education. Methods: A record-based study was carried out in a tertiary care facility of central India. Labour room records from January 2021 to December 2021 were reviewed. The details on birth weight, gender, gestational age, parity, and mode of delivery were obtained and recorded. The data obtained was entered in Microsoft office excel software. Statistical analysis was carried out with the help of open Epi. Results: Out of 4266 records which were studied 46.65% mothers were in the age group 21-25 years and 53.52% were multiparas. The proportion of...

International Journal Of Community Medicine And Public Health

Background: Currently, there is no specific antiviral treatment and preventive vaccine against CO... more Background: Currently, there is no specific antiviral treatment and preventive vaccine against COVID-19. Stringent practice of preventive measures is recommended as the only way out for protecting oneself. However, uncertainties galore and the prevention cannot be guaranteed due to paucity of knowledge about the epidemiology of COVID-19. Nurses are in an ideal position to participate or play a key role in taking initiatives to enhance patient safety during COVID-19 pandemic. Their knowledge will help to break the transmission chain.Methods: In the present cross-sectional study an online questionnaire was used for data collection from nursing staff employed in a tertiary care centre/dedicated COVID hospital in central India. Universal sampling was done and the final sample size attained was 932. Data was cleaned, coded and analysis was done with statistical package for the social sciences (SPSS) version 20.0. Percentages, means and standard deviations (SD) were calculated and statist...

International Journal of Medical Science and Public Health, 2018

Type 2 diabetes mellitus (T2DM) is a global public health crisis that threatens the economies of ... more Type 2 diabetes mellitus (T2DM) is a global public health crisis that threatens the economies of all nations, particularly developing countries. The global prevalence of diabetes has grown from 4.7% in 1980 to 8.5% in 2014. [1] Wild et al.

Air pollution in big cities gets headlines, but in many rural areas of developing countries indoo... more Air pollution in big cities gets headlines, but in many rural areas of developing countries indoor air pollution is an even more serious health problem. Poverty condemns half of humanity to cook with solid fuels on inefficient stoves. As a cause of ill health in the world, indoor air pollution ranks behind only malnutrition, AIDS, tobacco, and poor water/sanitation.Smoke in homes from these cook stoves is the fourth greatest risk factor for death and disease in the world’s poorest countries, and is linked to 1.6 million deaths per year. Yet the international community has largely neglected it. This report calls for global action to fight the killer in the kitchen – smoke from cook stoves

Journal of Family Medicine and Primary Care, 2018

International journal of scientific research, 2018

Sickle cell disease is most common genetic disease and has been recognized as a major public hea... more Sickle cell disease is most common genetic disease and has been recognized as a major public health problem by international agencies such as WHO and United nations educational, scientific and culture organization (UNESCO). Children with sickle cell disease require more frequent hospital care and younger children are more vulnerable to morbidity. Aim & Objectives: 1) To assess the knowledge of parents regarding care of children with sickle cell disease.2)To assess the effectiveness of planed teaching programme on knowledge of parents regarding care of children with sickle cell disease. Material & Methodology: The present was designed to be a randomize control type by selecting 30 parents randomly by convenient method sampling from the pediatric ward of the Government Medical College where children with sickle cell disease were admitted during the month of February- March 2015. A structured questionnaire was used to collect the pretest and post test data on the knowledge of par...

Introduction: Children are in a constant phase of development. Their body is in a phase of consta... more Introduction: Children are in a constant phase of development. Their body is in a phase of constant wear-tear and repair, their brain is developing, bones are growing. These growing children require constant supplementation of calories, proteins and micronutrients to keep the pace of increased demands of the body. Method: This cross-sectional study was conducted among children up-to 6 years registered in anganwadi. Malnutrition of children in urban and rural area were studied with special reference to anganwadi services. Results: ICDS scheme was used by 77% children in urban area and by 80% children in rural area regularly. 84.02% children of urban area and 93.25% children of rural area had taken vitamin A. 84.86% of children in urban area and 91.33% of children in rural area had taken deworming tablets. Conclusion: Malnutrition was more when ICDS scheme participation in anganwadi, vitamin A supplementation and deworming were low.

International Journal Of Community Medicine And Public Health, 2020

Background: Health care professionals are particularly vulnerable to emotional distress in the CO... more Background: Health care professionals are particularly vulnerable to emotional distress in the COVID-19 pandemic, due to risk of exposure to the virus, concern about infecting and caring for their loved ones, longer work hours, and involvement in emotionally and ethically fraught resource allocation decisions. The sudden role reversal from healthcare provider to the confirmed or suspected patient potentially leads to a sense of frustration. During the COVID-19 battle the doctors and nurses in India are handling increased infection risk, paucity of protective gear, and assault.Methods: An online questionnaire based cross sectional study was conducted among health care professionals in a tertiary health care setting in central India. Proforma had questions on impact of COVID 19, mental well being, stress and anxiety.Results: Of the 237 study participants, 182 had moderate and 25 had high stress. Anxiety was present in 46%. There was a significant difference in stress (χ2=11.22, p<...

International Journal Of Community Medicine And Public Health, 2020

Considering the relentless nature of spread of COVID-19 with no end in sight, many countries have... more Considering the relentless nature of spread of COVID-19 with no end in sight, many countries have now decided to lift off some restrictions and allow some non-essential services, at least in those areas which are not severely hit by COVID-19. Lack of planning for reopening can result in a cascade of failures as employers are not aware of how to address challenges of COVID-19 with limited resources under pandemic conditions. Undoubtedly this demands lots of modifications at the workplaces that will require various strategies including primarily development and implementation of the plan and maintaining and revising it from time to time. Thorough literature search was conducted for this purpose on varied search engines applying key terms as ‘COVID-19’ and ‘return to work’ and ‘safe workplaces’ and ‘life after lockdown’ which revealed different elaborate guidelines framed by various competent authorities in relation to reopening workplaces after lockdown of COVID-19 pandemic. The curre...

National Journal of Community Medicine, 2020

Introduction-Injuries are increasingly recognized as a global public health epidemic. Around the ... more Introduction-Injuries are increasingly recognized as a global public health epidemic. Around the world, almost 16,000 people die everyday from all types of injuries. Injuries represent 12% of the global burden of disease, the third most important cause of overall mortality and the main cause of death among 1-40-year age groups. Methodology-This hospital based cross-sectional study was conducted among the road traffic accident patients admitted in trauma care center of Government Medical College and Hospital Nagpur. Result-Most common type of injury was abrasion in 91.45% followed by laceration in 79.61% of study subjects. Other common injuries were contusion, fracture, internal hemorrhage, crush injury and dislocation. Majority of the study subjects i.e. 67.11% had head injury. Conclusion-Head injury was the most common injury found in the study. Abrasion and laceration was also more commonly found in study subjects. Head injury was found more in non-users of personal protective devices which was statistically significant.

International Journal Of Community Medicine And Public Health, 2018

Background: Rabies is a zoonotic disease, caused by the rabies virus, of the Lyssavirus genus, wi... more Background: Rabies is a zoonotic disease, caused by the rabies virus, of the Lyssavirus genus, within the family Rhabdoviridae. The study was designed with the objective to assess the compliance of post exposure rabies vaccination among patients attending anti-rabies OPD in the government medical college, Nagpur.Methods: The study was retrospective record based study conducted from 1st July 2016 to 30th June 2017. The data was collected from the anti-rabies vaccination OPD register and analysed.Results: In the present study there were total 873 study subjects with male preponderance (66%) over female (34%). About 35.5%, 27.9%, 18.6%, 16.6% and 13.7% of subjects were in the age between 1-20years, 21-40 years, 41-60 years, 61-80 years and above 80 years respectively. Majority 91.2% were bitten by dog. Majority 52.6% followed by 46.6% and 0.80% were in anti-rabies category III, II and I respectively. Majority 73.5% subjects had completed 5 dose of anti-rabies vaccination given by intra...

International Journal Of Community Medicine And Public Health, 2019

Background: Emotional intelligence (EI) is defined as the ability to perceive, access and generat... more Background: Emotional intelligence (EI) is defined as the ability to perceive, access and generate emotions. This in turn will assist thoughts to understand emotions and emotional meanings and thus reflectively regulate emotions so as to promote both better emotional and intellectual growth. EI is essential for a competent physician. The present study was conducted to know the EI of medical students.Methods: A cross sectional study was conducted at Government Medical College Nagpur among final year part 1 medical undergraduates. Data was collected with the help of pre tested, predesigned, self-administered proforma based on the “quick emotional intelligence self-assessment questionnaire”. Statistical analysis was done with epi info software and appropriate statistical tests were applied to prove the significance.Results: Of the total 197 study participants, 100 (50.76%) were female students and remaining 97 (49.24%) were male students. Mean score for EI was 102.16 With 95% confidenc...

International Journal Of Community Medicine And Public Health, 2018

Background: The Internet has become an integral part of life. India is the third largest country ... more Background: The Internet has become an integral part of life. India is the third largest country in the world next to china and United States in respect of the number of internet users. Adolescents usually have poorer self- control, worse self-regulation, and poorer cognition as compared to adults and are considered the most vulnerable group to the temptations of the internet. Objective of the study was to understand the patterns, preferred use of internet, prevalence Internet addiction and its effect on their mental health status among college students in Nagpur.Methods: This cross-sectional study was carried out in different colleges across in the Nagpur corporation during the period Dec 2016 to May 2017. Pre-validated, pre-tested, structured questionnaire was developed. Young’s 20-item scale for Internet addiction (YIAT) was applied to qualify for the prevalence of Internet addiction. The 12-item General Health Questionnaire has excellent psychometric properties as a screening in...

International Journal Of Community Medicine And Public Health, 2019

Background: Scrub typhus is the most common rickettsial infection in the Indian subcontinent with... more Background: Scrub typhus is the most common rickettsial infection in the Indian subcontinent with the manifestation ranging from mild symptoms to serious disease with or complication or death. The objective of this study was to study epidemiology and clinical profile of scrub typhus outbreak in a tertiary care centre of central India.Methods: Present study is a record based retrospective study enrolling 173 confirmed positive cases with ELISA test during the period from 1st August to 31st December 2018.Results: Maximum number of the cases 94 (54.3%) had occurred in September 2019. Majority of the female 94(54.3%) were Ig M positive for scrub typhus. Maximum cases 134 (77.5%) were from rural area. Most common symptoms were fever 170 (98.3%), followed by fever with chills 65 (37.6%), breathlessness 49 (28.3%), cough 35 (20.2%), and 28 (16.2%) each with altered sensorium and headache. Mortality was recorded in 30 (173%) and amongst them 10 (34.5%) and 4 (13.8%) cases had ARDS and septi...

Journal of Preventive Medicine And Care, 2019

Background Concordance or husband wife agreement on various factors like sleep, substance use, di... more Background Concordance or husband wife agreement on various factors like sleep, substance use, dietary supplement use, and diseases like obesity and hypertension has been extensively studied worldwide. But the data regarding concordance of stress among married couples in India is lacking. Objective The prime objective of this study was to find out proportion of concordance of stress among married couples in Nagpur, Central India. Methods This was a community based cross sectional study conducted in an urban area of Nagpur. 260 couples in whom both husband and wife were of the age 30 years or more were included. Stress among couples was assessed by Presumptive stressful life events scale (PSLES). Results 82.3% concordance of stress was observed. Getting married, birth of daughter, death of close family member, illness of family member, gain of new family member and going on pleasure trip or pilgrimage were most common events reported by both spouses. Pregnancy of wife was the most co...

International Journal of Medical Science and Public Health, 2019

Medical resident doctors endure a great amount of stress during their training. The medical resid... more Medical resident doctors endure a great amount of stress during their training. The medical residency generally involves 3-5 years' additional training beyond medical school for physicians to gain additional knowledge within their specialization. The learning environment in which a resident physician works is generally fraught with high levels

International Journal Of Community Medicine And Public Health, 2017

Background: According to State Health Society, there are about 30 lakhs sickle cell carrier and 1... more Background: According to State Health Society, there are about 30 lakhs sickle cell carrier and 1.5 lakhs sufferers in Maharashtra, prevalence being more in tribal population. As Sickle cell disease is associated with increased morbidity and mortality, it is important for patients to have awareness regarding its cause, treatment and genetic implication. To assess Knowledge, Attitude and Practices regarding sickle cell disease in adult sufferers and carriers.Materials and Methods: The present study is an cross sectional study, carried out in 232 adult sickle cell disease sufferers and carriers in rural area of Chandrapur district from July 2014 to December 2015.Results: Out of 232 study subjects, 17.24% were sufferers and 82.76% were carriers. Only 62.50% knew the correct cause and only 42.67% had correct knowledge of types of disease. 76.30% had correct knowledge about symptoms of disease. 40.09% patients were availing treatment of some kind. It was found that only 6.77% had done p...

International Journal Of Community Medicine And Public Health, 2021

Background: Population based sero-epidemiological studies help us to determine the burden of COVI... more Background: Population based sero-epidemiological studies help us to determine the burden of COVID-19 infection at the community level and to monitor the trends in transmission of SARS-CoV-2 infection. Antibody based sero-positivity indicates the extent of spread of infection in the given population and forms the basis for strengthening public health mitigation measures. The present study was carried out with the objective of conducting population level serosurvey in Nagpur district to understand the spread of SARS-CoV-2 and to help the designing and implementation of appropriate health system and policy level interventions. This cross-sectional study was carried out in Nagpur District over two weeks in October and November 2020. For the purpose of this survey the Nagpur district was divided into NMC area and Non NMC area.Methods: House to house survey was carried out and data was collected using Google form. For detection of SARS-CoV-2 specific antibodies venous blood was collected...

Cureus

Introduction Self-medication is an important public health problem, with varied prevalence across... more Introduction Self-medication is an important public health problem, with varied prevalence across the world. The high prevalence of self-medication in India is one of the important factors contributing to the development of antimicrobial resistance. Self-medication without medical guidance can lead to inappropriate, incorrect, or undue therapy, missed diagnosis, delays in appropriate treatment, pathogen resistance, and increased morbidity. The growing trend of self-medication can be attributed to various factors like the urge for selfcare, sympathy toward sick family members, inaccessible health services and nonavailability of drugs, time and financial constraints, ignorance, misbeliefs, extensive advertisement and availability of drugs in places other than drug shops. Methodology The present community-based descriptive cross-sectional study was conducted in an urban field practice area of a tertiary health care center (UHTC) in Central India. Individuals above 18 years of age and present at home at the time of the house-to-house survey comprised the study participants. A total of 400 participants were enrolled in the study. Data were collected using a predesigned and pretested questionnaire by the faceto-face interview technique. Results The prevalence of self-medication in the area was 60 % (240). The most widely used drugs for selfmedication were analgesics (159; 66.25%) and antipyretics (142; 59.16%). Common ailments for which selfmedication was used frequently were fever, body aches, common cold, and cough. It was observed that female participants were twice more likely to self-medicate as compared to male participants (Odds Ratio (OR): 2.04; Prevalence (p) = 0.014, Confidence Interval (CI) 95% = 1.15-3.62). Additionally, those having education above the high school level had more chances of self-medicating than those educated less than high school (OR: 1.25; p≤0.014, CI 95%=1.05-1.50). The commonest reasons for resorting to selfmedication as per the findings of the present study are that it saves time and the condition was not serious enough to warrant a physician's consultation.

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH

Introduction:Rabies a 100% fatal disease is completely preventable with timely post exposure prop... more Introduction:Rabies a 100% fatal disease is completely preventable with timely post exposure prophylaxis. According to the Gold standard Essen intramuscular regimen, ve doses of 0.5 ml of anti rabies vaccine is required as compared to Updated Thai Red Cross intradermal regimen which requires four doses of only 0.1 ml each at 2 sites . Hence the present study was conducted to determine the cost effectiveness and compliance of 4 dose intradermal regimen of antirabies vaccine over 5 dose intramuscular regimen of anti rabies vaccine for post exposure prophylaxis. Methods: The present study is a hospital record-based study of 1020 cases attending antirabies vaccination clinic who received IM regimen of ARV in the year 2015 and 2256 cases who received ARVunder ID regimen during 2021. The cost effectiveness and compliance of both regimen was estimated. Results : A total of 3276 animal bite patient were studied. Antirabies vaccine by the Intramuscular route was administered to 1020 patient...

International Journal Of Community Medicine And Public Health

Background: Birth weight is a major determinant of child’s health and nutrition. There are variou... more Background: Birth weight is a major determinant of child’s health and nutrition. There are various factors which determine birth weight like maternal age, parity, socio economic status etc. A new born weighing less than 2.5 kg is classified as a low birth weight (LBW) baby. Low birth weight can be prevented by improving health status and socio-economic status of the community, improving antenatal care and also by providing proper health education. Methods: A record-based study was carried out in a tertiary care facility of central India. Labour room records from January 2021 to December 2021 were reviewed. The details on birth weight, gender, gestational age, parity, and mode of delivery were obtained and recorded. The data obtained was entered in Microsoft office excel software. Statistical analysis was carried out with the help of open Epi. Results: Out of 4266 records which were studied 46.65% mothers were in the age group 21-25 years and 53.52% were multiparas. The proportion of...

International Journal Of Community Medicine And Public Health

Background: Currently, there is no specific antiviral treatment and preventive vaccine against CO... more Background: Currently, there is no specific antiviral treatment and preventive vaccine against COVID-19. Stringent practice of preventive measures is recommended as the only way out for protecting oneself. However, uncertainties galore and the prevention cannot be guaranteed due to paucity of knowledge about the epidemiology of COVID-19. Nurses are in an ideal position to participate or play a key role in taking initiatives to enhance patient safety during COVID-19 pandemic. Their knowledge will help to break the transmission chain.Methods: In the present cross-sectional study an online questionnaire was used for data collection from nursing staff employed in a tertiary care centre/dedicated COVID hospital in central India. Universal sampling was done and the final sample size attained was 932. Data was cleaned, coded and analysis was done with statistical package for the social sciences (SPSS) version 20.0. Percentages, means and standard deviations (SD) were calculated and statist...

International Journal of Medical Science and Public Health, 2018

Type 2 diabetes mellitus (T2DM) is a global public health crisis that threatens the economies of ... more Type 2 diabetes mellitus (T2DM) is a global public health crisis that threatens the economies of all nations, particularly developing countries. The global prevalence of diabetes has grown from 4.7% in 1980 to 8.5% in 2014. [1] Wild et al.

Air pollution in big cities gets headlines, but in many rural areas of developing countries indoo... more Air pollution in big cities gets headlines, but in many rural areas of developing countries indoor air pollution is an even more serious health problem. Poverty condemns half of humanity to cook with solid fuels on inefficient stoves. As a cause of ill health in the world, indoor air pollution ranks behind only malnutrition, AIDS, tobacco, and poor water/sanitation.Smoke in homes from these cook stoves is the fourth greatest risk factor for death and disease in the world’s poorest countries, and is linked to 1.6 million deaths per year. Yet the international community has largely neglected it. This report calls for global action to fight the killer in the kitchen – smoke from cook stoves

Journal of Family Medicine and Primary Care, 2018

International journal of scientific research, 2018

Sickle cell disease is most common genetic disease and has been recognized as a major public hea... more Sickle cell disease is most common genetic disease and has been recognized as a major public health problem by international agencies such as WHO and United nations educational, scientific and culture organization (UNESCO). Children with sickle cell disease require more frequent hospital care and younger children are more vulnerable to morbidity. Aim & Objectives: 1) To assess the knowledge of parents regarding care of children with sickle cell disease.2)To assess the effectiveness of planed teaching programme on knowledge of parents regarding care of children with sickle cell disease. Material & Methodology: The present was designed to be a randomize control type by selecting 30 parents randomly by convenient method sampling from the pediatric ward of the Government Medical College where children with sickle cell disease were admitted during the month of February- March 2015. A structured questionnaire was used to collect the pretest and post test data on the knowledge of par...

Introduction: Children are in a constant phase of development. Their body is in a phase of consta... more Introduction: Children are in a constant phase of development. Their body is in a phase of constant wear-tear and repair, their brain is developing, bones are growing. These growing children require constant supplementation of calories, proteins and micronutrients to keep the pace of increased demands of the body. Method: This cross-sectional study was conducted among children up-to 6 years registered in anganwadi. Malnutrition of children in urban and rural area were studied with special reference to anganwadi services. Results: ICDS scheme was used by 77% children in urban area and by 80% children in rural area regularly. 84.02% children of urban area and 93.25% children of rural area had taken vitamin A. 84.86% of children in urban area and 91.33% of children in rural area had taken deworming tablets. Conclusion: Malnutrition was more when ICDS scheme participation in anganwadi, vitamin A supplementation and deworming were low.

International Journal Of Community Medicine And Public Health, 2020

Background: Health care professionals are particularly vulnerable to emotional distress in the CO... more Background: Health care professionals are particularly vulnerable to emotional distress in the COVID-19 pandemic, due to risk of exposure to the virus, concern about infecting and caring for their loved ones, longer work hours, and involvement in emotionally and ethically fraught resource allocation decisions. The sudden role reversal from healthcare provider to the confirmed or suspected patient potentially leads to a sense of frustration. During the COVID-19 battle the doctors and nurses in India are handling increased infection risk, paucity of protective gear, and assault.Methods: An online questionnaire based cross sectional study was conducted among health care professionals in a tertiary health care setting in central India. Proforma had questions on impact of COVID 19, mental well being, stress and anxiety.Results: Of the 237 study participants, 182 had moderate and 25 had high stress. Anxiety was present in 46%. There was a significant difference in stress (χ2=11.22, p<...

International Journal Of Community Medicine And Public Health, 2020

Considering the relentless nature of spread of COVID-19 with no end in sight, many countries have... more Considering the relentless nature of spread of COVID-19 with no end in sight, many countries have now decided to lift off some restrictions and allow some non-essential services, at least in those areas which are not severely hit by COVID-19. Lack of planning for reopening can result in a cascade of failures as employers are not aware of how to address challenges of COVID-19 with limited resources under pandemic conditions. Undoubtedly this demands lots of modifications at the workplaces that will require various strategies including primarily development and implementation of the plan and maintaining and revising it from time to time. Thorough literature search was conducted for this purpose on varied search engines applying key terms as ‘COVID-19’ and ‘return to work’ and ‘safe workplaces’ and ‘life after lockdown’ which revealed different elaborate guidelines framed by various competent authorities in relation to reopening workplaces after lockdown of COVID-19 pandemic. The curre...

National Journal of Community Medicine, 2020

Introduction-Injuries are increasingly recognized as a global public health epidemic. Around the ... more Introduction-Injuries are increasingly recognized as a global public health epidemic. Around the world, almost 16,000 people die everyday from all types of injuries. Injuries represent 12% of the global burden of disease, the third most important cause of overall mortality and the main cause of death among 1-40-year age groups. Methodology-This hospital based cross-sectional study was conducted among the road traffic accident patients admitted in trauma care center of Government Medical College and Hospital Nagpur. Result-Most common type of injury was abrasion in 91.45% followed by laceration in 79.61% of study subjects. Other common injuries were contusion, fracture, internal hemorrhage, crush injury and dislocation. Majority of the study subjects i.e. 67.11% had head injury. Conclusion-Head injury was the most common injury found in the study. Abrasion and laceration was also more commonly found in study subjects. Head injury was found more in non-users of personal protective devices which was statistically significant.

International Journal Of Community Medicine And Public Health, 2018

Background: Rabies is a zoonotic disease, caused by the rabies virus, of the Lyssavirus genus, wi... more Background: Rabies is a zoonotic disease, caused by the rabies virus, of the Lyssavirus genus, within the family Rhabdoviridae. The study was designed with the objective to assess the compliance of post exposure rabies vaccination among patients attending anti-rabies OPD in the government medical college, Nagpur.Methods: The study was retrospective record based study conducted from 1st July 2016 to 30th June 2017. The data was collected from the anti-rabies vaccination OPD register and analysed.Results: In the present study there were total 873 study subjects with male preponderance (66%) over female (34%). About 35.5%, 27.9%, 18.6%, 16.6% and 13.7% of subjects were in the age between 1-20years, 21-40 years, 41-60 years, 61-80 years and above 80 years respectively. Majority 91.2% were bitten by dog. Majority 52.6% followed by 46.6% and 0.80% were in anti-rabies category III, II and I respectively. Majority 73.5% subjects had completed 5 dose of anti-rabies vaccination given by intra...

International Journal Of Community Medicine And Public Health, 2019

Background: Emotional intelligence (EI) is defined as the ability to perceive, access and generat... more Background: Emotional intelligence (EI) is defined as the ability to perceive, access and generate emotions. This in turn will assist thoughts to understand emotions and emotional meanings and thus reflectively regulate emotions so as to promote both better emotional and intellectual growth. EI is essential for a competent physician. The present study was conducted to know the EI of medical students.Methods: A cross sectional study was conducted at Government Medical College Nagpur among final year part 1 medical undergraduates. Data was collected with the help of pre tested, predesigned, self-administered proforma based on the “quick emotional intelligence self-assessment questionnaire”. Statistical analysis was done with epi info software and appropriate statistical tests were applied to prove the significance.Results: Of the total 197 study participants, 100 (50.76%) were female students and remaining 97 (49.24%) were male students. Mean score for EI was 102.16 With 95% confidenc...

International Journal Of Community Medicine And Public Health, 2018

Background: The Internet has become an integral part of life. India is the third largest country ... more Background: The Internet has become an integral part of life. India is the third largest country in the world next to china and United States in respect of the number of internet users. Adolescents usually have poorer self- control, worse self-regulation, and poorer cognition as compared to adults and are considered the most vulnerable group to the temptations of the internet. Objective of the study was to understand the patterns, preferred use of internet, prevalence Internet addiction and its effect on their mental health status among college students in Nagpur.Methods: This cross-sectional study was carried out in different colleges across in the Nagpur corporation during the period Dec 2016 to May 2017. Pre-validated, pre-tested, structured questionnaire was developed. Young’s 20-item scale for Internet addiction (YIAT) was applied to qualify for the prevalence of Internet addiction. The 12-item General Health Questionnaire has excellent psychometric properties as a screening in...

International Journal Of Community Medicine And Public Health, 2019

Background: Scrub typhus is the most common rickettsial infection in the Indian subcontinent with... more Background: Scrub typhus is the most common rickettsial infection in the Indian subcontinent with the manifestation ranging from mild symptoms to serious disease with or complication or death. The objective of this study was to study epidemiology and clinical profile of scrub typhus outbreak in a tertiary care centre of central India.Methods: Present study is a record based retrospective study enrolling 173 confirmed positive cases with ELISA test during the period from 1st August to 31st December 2018.Results: Maximum number of the cases 94 (54.3%) had occurred in September 2019. Majority of the female 94(54.3%) were Ig M positive for scrub typhus. Maximum cases 134 (77.5%) were from rural area. Most common symptoms were fever 170 (98.3%), followed by fever with chills 65 (37.6%), breathlessness 49 (28.3%), cough 35 (20.2%), and 28 (16.2%) each with altered sensorium and headache. Mortality was recorded in 30 (173%) and amongst them 10 (34.5%) and 4 (13.8%) cases had ARDS and septi...

Journal of Preventive Medicine And Care, 2019

Background Concordance or husband wife agreement on various factors like sleep, substance use, di... more Background Concordance or husband wife agreement on various factors like sleep, substance use, dietary supplement use, and diseases like obesity and hypertension has been extensively studied worldwide. But the data regarding concordance of stress among married couples in India is lacking. Objective The prime objective of this study was to find out proportion of concordance of stress among married couples in Nagpur, Central India. Methods This was a community based cross sectional study conducted in an urban area of Nagpur. 260 couples in whom both husband and wife were of the age 30 years or more were included. Stress among couples was assessed by Presumptive stressful life events scale (PSLES). Results 82.3% concordance of stress was observed. Getting married, birth of daughter, death of close family member, illness of family member, gain of new family member and going on pleasure trip or pilgrimage were most common events reported by both spouses. Pregnancy of wife was the most co...

International Journal of Medical Science and Public Health, 2019

Medical resident doctors endure a great amount of stress during their training. The medical resid... more Medical resident doctors endure a great amount of stress during their training. The medical residency generally involves 3-5 years' additional training beyond medical school for physicians to gain additional knowledge within their specialization. The learning environment in which a resident physician works is generally fraught with high levels

International Journal Of Community Medicine And Public Health, 2017

Background: According to State Health Society, there are about 30 lakhs sickle cell carrier and 1... more Background: According to State Health Society, there are about 30 lakhs sickle cell carrier and 1.5 lakhs sufferers in Maharashtra, prevalence being more in tribal population. As Sickle cell disease is associated with increased morbidity and mortality, it is important for patients to have awareness regarding its cause, treatment and genetic implication. To assess Knowledge, Attitude and Practices regarding sickle cell disease in adult sufferers and carriers.Materials and Methods: The present study is an cross sectional study, carried out in 232 adult sickle cell disease sufferers and carriers in rural area of Chandrapur district from July 2014 to December 2015.Results: Out of 232 study subjects, 17.24% were sufferers and 82.76% were carriers. Only 62.50% knew the correct cause and only 42.67% had correct knowledge of types of disease. 76.30% had correct knowledge about symptoms of disease. 40.09% patients were availing treatment of some kind. It was found that only 6.77% had done p...