dr dhiraj bhawnani - Academia.edu (original) (raw)
Papers by dr dhiraj bhawnani
MedPulse International Journal of Community Medicine, 2018
Background: "Musculoskeletal disorders'' include a wide range of inflammatory and degenerative co... more Background: "Musculoskeletal disorders'' include a wide range of inflammatory and degenerative conditions affecting the muscles, tendons, ligaments, joints, peripheral nerves, and supporting blood vessels. Pain is the most common symptom of most musculoskeletal disorders. Areas commonly involved in musculoskeletal pain are low back, neck, shoulder, forearm, hand and lower extremity. Materials and Methods: The present cross sectional study was conducted among Medical College students of Rajnandgaon (Chhattisgarh) during the period September 2017 to October 2017. Universal sample of all the medical students currently studying in the college was considered for the study. Informed consent was implied if students voluntarily completed and returned the questionnaires. Data was recorded in MS EXCEL and checked for its completeness and correctness then it was analysed by suitable statistical software and P value < 0.05 was considered as a statistically significant. Observation: There were (51.5%) female and (48.4%) male medical students in the current study. (63.6%) subjects followed irregular pattern of physical activity where as some (25%) subjects followed regular pattern. Prevalence of the musculoskeletal pains among study subjects was found to be 12.9%. Most cases of musculoskeletal pains were reported in neck region (48.8%), followed by involvement of lower back (33.3%) shoulder (26.6%) upper back (20%) region. Conclusion: Prevalence of MSP among students was 19.2% and neck was the most common site involved. Students should be advised to maintain proper ergonomic positions while sitting in the class rooms, studying at home or in hostel, while using laptops or Smartphone and should undertake regular physical activity.
Background: Tobacco consumption in various forms in recent years is a proven risk factor and cont... more Background: Tobacco consumption in various forms in recent years is a proven risk factor and contributes substantially to the emerging epidemic. Increasing tobacco use and its impact on physical and psychosocial health is a worldwide public health concern affecting the early youth and whole life of the individuals. Tobacco is used in different forms and health effects are seen irrespective of the form in which it is used. Smokeless tobacco is found to be as addictive and harmful as smoking. Objectives: To assess the prevalence and factors influencing smokeless consumption among high school students in Raipur city. Methods: Study design: Cross-sectional, Study area: 16 selected high schools of Raipur city, in which 12 were government schools and 4 private schools. Study subjects: 1006 high-school students, Sampling technique: Two stage cluster sampling according to probability proportional to size, Study tool: Predesigned pretested questionnaire. Statistical analysis: Data was entere...
Introduction: Functional status can be conceptualized as an individual’s ability to manage activi... more Introduction: Functional status can be conceptualized as an individual’s ability to manage activities relatedto personal self-care and self-maintenance Functional limitation lowers the older person’s quality of life andpredisposes him/her to hospital admissions. It also increases need for caregiver support and may causetheir premature death. With the help of right policies in place, Government of India can better prepare for an ageing. Aim and objective: To estimate the prevalence of functional disability and its association withvarious socio-demographic variables among elderly people. Material and Methods: A total of 640community dwelling elderly persons residing in Raipur city were interviewed using valid and reliablefunctional assessment scales namely Katz ADL(Activity of Daily Living) and Lawton and BrodyIADL(Instrumental Activity of Daily Living). Statistical procedures for the analyses included descriptivestatistics and inferential statistics. Results: Out of total enumerated ...
Introduction: Lathyrism, a crippling disease, has been reported in a number of countries. The agr... more Introduction: Lathyrism, a crippling disease, has been reported in a number of countries. The agricultural record shows that the production of L.sativus has neither decreased nor appreciably increased and continue the same as it was 3 to 4 decades. While it not had been information on major outbreak of lathyrism in this period, however sporadic cases have been reported from time to time as per available previous data.In recent times, the problem has acquired new dimensions, which hold out possibilities of wider dissemination of the disease. It was probably true that the consumption of Lathyrus seeds had dropped during recent times, but this was probably because other crops like wheat, barley, lentils and Bengal gram had flourished. Material & Method: The current study was conducted during study period April 1980 to March 1982. In order to study the recent trends of lathyrism, the same area and technique have been adopted as were follow by Ganapathy & Dwivedi and Dwivedi and Prasad. ...
National journal of community medicine, 2014
Background: DOTS is the backbone of RNTCP and its proper implementation is the key of success of ... more Background: DOTS is the backbone of RNTCP and its proper implementation is the key of success of programme, in which DOT providers play a crucial role. Chhattisgarh is unexplored area related to research in national health programme like RNTCP which need due priority, hence district level health system research relevant to TB is reason to select current research study. So the present study was conducted to assess the DOTS implementation and treatment card update by DOT providers underRevised National Tuberculosis Control Programmein Raipur district of Chhattisgarh state. Methodology: A cross sectional observational community based study was conducted usingsimple random sampling in all 33 Designated Microscopic Centres (DMC’s) of Raipur district from November 2011 to October 2012. During the study, 136 DOT providers were included and predesigned and pretested proforma was used as a study tool. The obtained data were analyzed using appropriate statistical test.
National journal of community medicine, 2014
Background: India’s population as per 2011 census was 1.21 billion. India was the first country t... more Background: India’s population as per 2011 census was 1.21 billion. India was the first country to launch National Family Planning Program in 1952. There is development in the acceptance of family planning methods but not up to the level that is expected to stabilize the population. Therefore this study was conducted to assess the level of awareness and practices of contraception among eligible married women of urban slums of Raipur City.
Journal of Evolution of medical and Dental Sciences, 2015
Burn injury causes major bulk of the surgical emergencies. Burn infection makes the burn wound co... more Burn injury causes major bulk of the surgical emergencies. Burn infection makes the burn wound complicated causes considerable mortality and morbidity. Timely and effective use of antimicrobial and topical dressings revolutionizes burn care by decreasing invasive wound infection. The administration of broad-spectrum antibiotics on routine basis is likely to encourage. The emergence of resistant organism therefore, timely and judicial use of antibiotics is essential for better result. MATERIAL AND METHODS: The present study was carried out in 160 burns and scald admitted in surgical wards in Department of General Surgery, SGMH and S.S. Medical College, Rewa (M. P.) during period of one year. The cases are fully recorded and thoroughly studied with the aim of establishing the incidence, mode of burn and causes of burn, source of burn, clothing at timed incidence, time and place of incidence and detail clinical assessment. On admission resuscitation started with intravenous fluid, calc...
Highlights on Medicine and Medical Science Vol. 11, 2021
The American Psychiatric Association has replaced the concept hypochondriasis with two new catego... more The American Psychiatric Association has replaced the concept hypochondriasis with two new categories, Illness Anxiety Disorder (IAD) and Somatic Symptom Disorder (SSD), based on updated DSMV criteria. It was plagued by imprecise definitions and was unreliable with DSM IV criteria, as it had been previously. Hypochondriasis has two key components: disease phobia and disease conviction. The person is frequently searching for disease information and is under a great deal of discomfort and anxiety. These hypochondriac traits are common among medical students. Methods: The study targeted 1175 students of which 393 from medical background and 792 was from Science University. Students were provided with self assessment questionnaire based on HAI (Health anxiety Inventory). Statistical analysis was done on observation on Anxiety index by using Chi – square on statistical software SPSS Version 22. Results: Medical students had a slightly higher prevalence of IAD and SSD, as well as a high...
India has the third highest number of estimated people living with HIV in the world. The intricac... more India has the third highest number of estimated people living with HIV in the world. The intricacy of inter- action between HIV and herpes viruses at the cellular level and the possibility of adverse outcome lead- ing to heightened activity of either virus with disease progression is an alarming situation. Hence knowledge about the co-existence of HIV with other viruses is not only essential but is mandatory to monitor the disease progression and more importantly in the treatment of these infections, where the specific therapy is identified and available. The cur - rent prospective study was conducted in the Department of Microbiology, Indira Gandhi Government Medical College and Mayo General Hospital, Nagpur, Maharashtra from August 2005 to August 2007.All the individuals who were posi- tive for HIV infection were selected for this study and further tested for the presence of anti HSV-2 antibodies. Three hundred healthy age and sex matched HIV-negative controls for anti HSV-2 antib...
Indian Journal of Community Health, 2016
Background: Epidemiological transition across globe is considered as the net result of the demogr... more Background: Epidemiological transition across globe is considered as the net result of the demographic transition. The shape of the population pyramid is gradually changing from a wide-based and narrow topped form to a barrel-shaped form in recent future (1). Aims & Objectives: 1. To determine morbidity pattern in elderly population, 2. To assess their health care seeking behavior. Material & Methods: Study design- A Community based cross sectional observational study. Study setting - Pt J.N.M. Medical College, Raipur, Chhattisgarh. Study Duration: July 2013 to June 2014. Sampling method: - Multi stage simple random sampling. Sample size: 640. Sample Size were calculated by using statistical formula, n= Z21-α/2 P(1-P)/d. Study tool: Pre-designed, Pre-tested Performa. Ethical consideration-Written document from institutional ethical Committee and Informed Consent from subject. Inclusion criteria: 1. All elderly persons in the age group of 60 years and above who were residing in the s...
BackgroundTuberculosis is a barrier to socio-economic development. One third of the global popula... more BackgroundTuberculosis is a barrier to socio-economic development. One third of the global population is estimated to be infected with TB bacillus. RNTCP was started in Chhattisgarh in selected districts in 15/08/2002 and extended to entire state by 15/08/2004. The DOT providers are the link person between TB Health Visitor/Health worker and patients. Their performance determines the outcome of TB cases. Proper implementation of RNTCP programme at operational level and successful treatment of TB patients mainly depends upon the updated knowledge level of the DOT provider. With this background, this study was planned to assess the updated knowledge level of DOT providers about TB and RNTCP. MethodologyA cross sectional observational community based study was conducted using simple random sampling in all 33 Designated Microscopic Centres (DMC’s) of Raipur district from November 2011 to October 2012. During the study, 136 DOT providers were included and predesigned and pretested profor...
Background- Every year approximately 1.8 million people develop TB and nearly 400,000 die from it... more Background- Every year approximately 1.8 million people develop TB and nearly 400,000 die from it in India. In RNTCP, Safe storage of treatment box is as important as right dose and timely drug administration. In new guideline for DOT plus, poor drug storage has been mentioned as a cause of development of drug resistance by interrupting with the quality of drug supplied. In keeping view all these points, current study was planned to assess the safety practices of treatment box by DOT providers under Revised National Tuberculosis Control Programme in Raipur district. Methodology – A cross sectional observational community based study was conducted using simple random sampling in all 33 Designated Microscopic Centres (DMC’s) of Raipur district from November 2011 to October 2012. During the study, 136 DOT providers were included. The obtained data were analyzed using appropriate statistical test. Results- Safety Practices of the treatment box was followed appropriately by only 12.5% of...
Introduction :- In more than 90% of cases, the cause of myocardial ischemia is reduced blood flo... more Introduction :- In more than 90% of cases, the cause of myocardial ischemia is reduced blood flow due to obstructive atherosclerotic plaque lesions in one of the three large coronary arteries or its branches. Coronary atherosclerosis is a complex inflammatory process characterized by accumulation of lipids, macrophages and smooth muscle cells resulting in the formation of intimae plaques in the large and medium size epicardial coronary arteries.Atherosclerosis changes due to dyslipidemia were more common in diabetic patients than non diabetics as per available previous researches. Through in this study, we analyses that abnormality in lipid profile is associated with increased risk of myocardial infarction in non-diabetic patients. Material and Method :- A prospective study was conducted in Dr.B.R.H.M. Hospital, Pt.J.N.M.Medical College, Raipur (C.G.) India, during study period Nov.2013 to Oct.2014. A total of 100 patients of MI were enrolled for the study. Patients with suspected ...
Background: Every year, approximately 18 lakh people develop TB disease and about 4 lakh die of i... more Background: Every year, approximately 18 lakh people develop TB disease and about 4 lakh die of it. India accounts for one-fifth of all new TB cases each year globally an d tops the list of 22 high TB burden countries. Lab technician plays a pivotal role in the diagnosis of patients and thus in the success of the programme. There is need to a ssess the proper implementation of programme at operational level and the grass root level realities of Designated Micr oscopic Centres (DMC’s). This study was planned to assess the labor atory practices by lab technicians at DMCs level un der Revised National Tuberculosis Control Programme (RNTCP) in Raipur district of Chhattisgarh state. Method: Study was conducted in all 33 DMC’s of Raipur district from N ovember 2011 to October 2012. During the study, all (36) Lab technicians were included. Result: Majority of the lab technician were male. 94.4% wer e modular trained. IEC(Information, education and communication) materials at DMC were avail...
International Journal Of Community Medicine And Public Health, 2018
Background: Use of tobacco has been proven to be one of the leading causes of preventable prematu... more Background: Use of tobacco has been proven to be one of the leading causes of preventable premature deaths and diseases across the globe. The global adult tobacco survey (GATS) India report 2009-10 estimates 34.6% of India’s adult population use tobacco in some form or other. The government of India has taken various initiatives for tobacco control by enacting comprehensive tobacco control legislation (Cigarette and Other Tobacco Products Act {COTPA}, 2003). The objective of the study was to assess the level of compliance of section 4 of COTPA in public places of Raipur.Methods: A cross sectional observational study was conducted in Raipur. The study was done around 480 public places for observing the compliance of section 4 of COTPA.Results: From the total 480 public places visited, 36.9% public places displayed “No Smoking” signage, out of 117 public places where “No Smoking” signage displayed only 11.3% were as per the COTPA specification. Only 12.3% of public places active smoki...
International Journal Of Community Medicine And Public Health, 2018
Background: Patient expression is an important source of information in screening for problems an... more Background: Patient expression is an important source of information in screening for problems and developing an effective plan of action for quality improvement in health care organizations. Assessing satisfaction has been mandatory for quality control of any hospital, which has resulted in an increasing number of projects devoted to the concept of satisfaction and determinant of patient satisfaction.Methods: The present Cross sectional Observational Hospital based study was conducted in Government Medical College Hospital, Rajnandgaon (C.G.) India during April 2016 to September 2016. A sample of 200 patients was taken who were admitted in different Indoor Patients Department of Clinical departments. Patients were selected according to inclusion and exclusion criteria. The information from the patients on various aspects of patient’s satisfaction like admission procedure, communication with staff, physical care, test and operation help availability, cleanliness, privacy related iss...
Indian Journal of Public Health Research & Development, 2019
![Research paper thumbnail of Mobile Phones Use among Health Care Workers and it’s Possible Role in Spreading the Hospital Acquired Infections in Medical College Hospital, Rajnandgaon [C. G.], India](https://attachments.academia-assets.com/88596532/thumbnails/1.jpg)
](International Journal of Current Microbiology and Applied Sciences, 2018
Journal of Evolution of Medical and Dental Sciences, 2016
Under five years children are targeted for priority care under various maternal and child health ... more Under five years children are targeted for priority care under various maternal and child health programmes, but this age group (5-15 years) remain neglected. School health services provide an ideal platform to detect the health problems early and treat them. Early detection of the morbidities through regular survey helps in prompt treatment and prevention of serious complications. MATERIAL AND METHODS The current descriptive, cross-sectional observational study was conducted in Pratima Institute of Medical Science, Karimnagar, Andhra Pradesh, India, during study period from November 2011 to October 2012 in selected government primary schools from urban and rural areas of Karimnagar Districts. The total sample size was 820. Verbal informed consent was obtained from parents. Standard operational definitions were formulated (formulated) made to assess health status. Data were analysed using chi-square test (Qualitative test). RESULTS Out of the total study subjects, females were more than males. Overall, majority belonged to lower socioeconomic status (63.90%). About half of subjects (49.75%) were practicing handwashing before food. Around 38.29% were practicing handwashing after defecation in urban and rural area (42.19% and 34.39% respectively). Common presenting symptoms among the study subjects were common cold (34.26%), toothache (33.17%), headache (27.31%), pallor (39.14%), and diminished vision 13.29%. Pyorrhoea was the common dental health problems (13.04%). CONCLUSIONS Morbidities and under nutrition were the key findings of the present study along with poor personal hygiene especially in rural areas.
MedPulse International Journal of Community Medicine, 2018
Background: "Musculoskeletal disorders'' include a wide range of inflammatory and degenerative co... more Background: "Musculoskeletal disorders'' include a wide range of inflammatory and degenerative conditions affecting the muscles, tendons, ligaments, joints, peripheral nerves, and supporting blood vessels. Pain is the most common symptom of most musculoskeletal disorders. Areas commonly involved in musculoskeletal pain are low back, neck, shoulder, forearm, hand and lower extremity. Materials and Methods: The present cross sectional study was conducted among Medical College students of Rajnandgaon (Chhattisgarh) during the period September 2017 to October 2017. Universal sample of all the medical students currently studying in the college was considered for the study. Informed consent was implied if students voluntarily completed and returned the questionnaires. Data was recorded in MS EXCEL and checked for its completeness and correctness then it was analysed by suitable statistical software and P value < 0.05 was considered as a statistically significant. Observation: There were (51.5%) female and (48.4%) male medical students in the current study. (63.6%) subjects followed irregular pattern of physical activity where as some (25%) subjects followed regular pattern. Prevalence of the musculoskeletal pains among study subjects was found to be 12.9%. Most cases of musculoskeletal pains were reported in neck region (48.8%), followed by involvement of lower back (33.3%) shoulder (26.6%) upper back (20%) region. Conclusion: Prevalence of MSP among students was 19.2% and neck was the most common site involved. Students should be advised to maintain proper ergonomic positions while sitting in the class rooms, studying at home or in hostel, while using laptops or Smartphone and should undertake regular physical activity.
Background: Tobacco consumption in various forms in recent years is a proven risk factor and cont... more Background: Tobacco consumption in various forms in recent years is a proven risk factor and contributes substantially to the emerging epidemic. Increasing tobacco use and its impact on physical and psychosocial health is a worldwide public health concern affecting the early youth and whole life of the individuals. Tobacco is used in different forms and health effects are seen irrespective of the form in which it is used. Smokeless tobacco is found to be as addictive and harmful as smoking. Objectives: To assess the prevalence and factors influencing smokeless consumption among high school students in Raipur city. Methods: Study design: Cross-sectional, Study area: 16 selected high schools of Raipur city, in which 12 were government schools and 4 private schools. Study subjects: 1006 high-school students, Sampling technique: Two stage cluster sampling according to probability proportional to size, Study tool: Predesigned pretested questionnaire. Statistical analysis: Data was entere...
Introduction: Functional status can be conceptualized as an individual’s ability to manage activi... more Introduction: Functional status can be conceptualized as an individual’s ability to manage activities relatedto personal self-care and self-maintenance Functional limitation lowers the older person’s quality of life andpredisposes him/her to hospital admissions. It also increases need for caregiver support and may causetheir premature death. With the help of right policies in place, Government of India can better prepare for an ageing. Aim and objective: To estimate the prevalence of functional disability and its association withvarious socio-demographic variables among elderly people. Material and Methods: A total of 640community dwelling elderly persons residing in Raipur city were interviewed using valid and reliablefunctional assessment scales namely Katz ADL(Activity of Daily Living) and Lawton and BrodyIADL(Instrumental Activity of Daily Living). Statistical procedures for the analyses included descriptivestatistics and inferential statistics. Results: Out of total enumerated ...
Introduction: Lathyrism, a crippling disease, has been reported in a number of countries. The agr... more Introduction: Lathyrism, a crippling disease, has been reported in a number of countries. The agricultural record shows that the production of L.sativus has neither decreased nor appreciably increased and continue the same as it was 3 to 4 decades. While it not had been information on major outbreak of lathyrism in this period, however sporadic cases have been reported from time to time as per available previous data.In recent times, the problem has acquired new dimensions, which hold out possibilities of wider dissemination of the disease. It was probably true that the consumption of Lathyrus seeds had dropped during recent times, but this was probably because other crops like wheat, barley, lentils and Bengal gram had flourished. Material & Method: The current study was conducted during study period April 1980 to March 1982. In order to study the recent trends of lathyrism, the same area and technique have been adopted as were follow by Ganapathy & Dwivedi and Dwivedi and Prasad. ...
National journal of community medicine, 2014
Background: DOTS is the backbone of RNTCP and its proper implementation is the key of success of ... more Background: DOTS is the backbone of RNTCP and its proper implementation is the key of success of programme, in which DOT providers play a crucial role. Chhattisgarh is unexplored area related to research in national health programme like RNTCP which need due priority, hence district level health system research relevant to TB is reason to select current research study. So the present study was conducted to assess the DOTS implementation and treatment card update by DOT providers underRevised National Tuberculosis Control Programmein Raipur district of Chhattisgarh state. Methodology: A cross sectional observational community based study was conducted usingsimple random sampling in all 33 Designated Microscopic Centres (DMC’s) of Raipur district from November 2011 to October 2012. During the study, 136 DOT providers were included and predesigned and pretested proforma was used as a study tool. The obtained data were analyzed using appropriate statistical test.
National journal of community medicine, 2014
Background: India’s population as per 2011 census was 1.21 billion. India was the first country t... more Background: India’s population as per 2011 census was 1.21 billion. India was the first country to launch National Family Planning Program in 1952. There is development in the acceptance of family planning methods but not up to the level that is expected to stabilize the population. Therefore this study was conducted to assess the level of awareness and practices of contraception among eligible married women of urban slums of Raipur City.
Journal of Evolution of medical and Dental Sciences, 2015
Burn injury causes major bulk of the surgical emergencies. Burn infection makes the burn wound co... more Burn injury causes major bulk of the surgical emergencies. Burn infection makes the burn wound complicated causes considerable mortality and morbidity. Timely and effective use of antimicrobial and topical dressings revolutionizes burn care by decreasing invasive wound infection. The administration of broad-spectrum antibiotics on routine basis is likely to encourage. The emergence of resistant organism therefore, timely and judicial use of antibiotics is essential for better result. MATERIAL AND METHODS: The present study was carried out in 160 burns and scald admitted in surgical wards in Department of General Surgery, SGMH and S.S. Medical College, Rewa (M. P.) during period of one year. The cases are fully recorded and thoroughly studied with the aim of establishing the incidence, mode of burn and causes of burn, source of burn, clothing at timed incidence, time and place of incidence and detail clinical assessment. On admission resuscitation started with intravenous fluid, calc...
Highlights on Medicine and Medical Science Vol. 11, 2021
The American Psychiatric Association has replaced the concept hypochondriasis with two new catego... more The American Psychiatric Association has replaced the concept hypochondriasis with two new categories, Illness Anxiety Disorder (IAD) and Somatic Symptom Disorder (SSD), based on updated DSMV criteria. It was plagued by imprecise definitions and was unreliable with DSM IV criteria, as it had been previously. Hypochondriasis has two key components: disease phobia and disease conviction. The person is frequently searching for disease information and is under a great deal of discomfort and anxiety. These hypochondriac traits are common among medical students. Methods: The study targeted 1175 students of which 393 from medical background and 792 was from Science University. Students were provided with self assessment questionnaire based on HAI (Health anxiety Inventory). Statistical analysis was done on observation on Anxiety index by using Chi – square on statistical software SPSS Version 22. Results: Medical students had a slightly higher prevalence of IAD and SSD, as well as a high...
India has the third highest number of estimated people living with HIV in the world. The intricac... more India has the third highest number of estimated people living with HIV in the world. The intricacy of inter- action between HIV and herpes viruses at the cellular level and the possibility of adverse outcome lead- ing to heightened activity of either virus with disease progression is an alarming situation. Hence knowledge about the co-existence of HIV with other viruses is not only essential but is mandatory to monitor the disease progression and more importantly in the treatment of these infections, where the specific therapy is identified and available. The cur - rent prospective study was conducted in the Department of Microbiology, Indira Gandhi Government Medical College and Mayo General Hospital, Nagpur, Maharashtra from August 2005 to August 2007.All the individuals who were posi- tive for HIV infection were selected for this study and further tested for the presence of anti HSV-2 antibodies. Three hundred healthy age and sex matched HIV-negative controls for anti HSV-2 antib...
Indian Journal of Community Health, 2016
Background: Epidemiological transition across globe is considered as the net result of the demogr... more Background: Epidemiological transition across globe is considered as the net result of the demographic transition. The shape of the population pyramid is gradually changing from a wide-based and narrow topped form to a barrel-shaped form in recent future (1). Aims & Objectives: 1. To determine morbidity pattern in elderly population, 2. To assess their health care seeking behavior. Material & Methods: Study design- A Community based cross sectional observational study. Study setting - Pt J.N.M. Medical College, Raipur, Chhattisgarh. Study Duration: July 2013 to June 2014. Sampling method: - Multi stage simple random sampling. Sample size: 640. Sample Size were calculated by using statistical formula, n= Z21-α/2 P(1-P)/d. Study tool: Pre-designed, Pre-tested Performa. Ethical consideration-Written document from institutional ethical Committee and Informed Consent from subject. Inclusion criteria: 1. All elderly persons in the age group of 60 years and above who were residing in the s...
BackgroundTuberculosis is a barrier to socio-economic development. One third of the global popula... more BackgroundTuberculosis is a barrier to socio-economic development. One third of the global population is estimated to be infected with TB bacillus. RNTCP was started in Chhattisgarh in selected districts in 15/08/2002 and extended to entire state by 15/08/2004. The DOT providers are the link person between TB Health Visitor/Health worker and patients. Their performance determines the outcome of TB cases. Proper implementation of RNTCP programme at operational level and successful treatment of TB patients mainly depends upon the updated knowledge level of the DOT provider. With this background, this study was planned to assess the updated knowledge level of DOT providers about TB and RNTCP. MethodologyA cross sectional observational community based study was conducted using simple random sampling in all 33 Designated Microscopic Centres (DMC’s) of Raipur district from November 2011 to October 2012. During the study, 136 DOT providers were included and predesigned and pretested profor...
Background- Every year approximately 1.8 million people develop TB and nearly 400,000 die from it... more Background- Every year approximately 1.8 million people develop TB and nearly 400,000 die from it in India. In RNTCP, Safe storage of treatment box is as important as right dose and timely drug administration. In new guideline for DOT plus, poor drug storage has been mentioned as a cause of development of drug resistance by interrupting with the quality of drug supplied. In keeping view all these points, current study was planned to assess the safety practices of treatment box by DOT providers under Revised National Tuberculosis Control Programme in Raipur district. Methodology – A cross sectional observational community based study was conducted using simple random sampling in all 33 Designated Microscopic Centres (DMC’s) of Raipur district from November 2011 to October 2012. During the study, 136 DOT providers were included. The obtained data were analyzed using appropriate statistical test. Results- Safety Practices of the treatment box was followed appropriately by only 12.5% of...
Introduction :- In more than 90% of cases, the cause of myocardial ischemia is reduced blood flo... more Introduction :- In more than 90% of cases, the cause of myocardial ischemia is reduced blood flow due to obstructive atherosclerotic plaque lesions in one of the three large coronary arteries or its branches. Coronary atherosclerosis is a complex inflammatory process characterized by accumulation of lipids, macrophages and smooth muscle cells resulting in the formation of intimae plaques in the large and medium size epicardial coronary arteries.Atherosclerosis changes due to dyslipidemia were more common in diabetic patients than non diabetics as per available previous researches. Through in this study, we analyses that abnormality in lipid profile is associated with increased risk of myocardial infarction in non-diabetic patients. Material and Method :- A prospective study was conducted in Dr.B.R.H.M. Hospital, Pt.J.N.M.Medical College, Raipur (C.G.) India, during study period Nov.2013 to Oct.2014. A total of 100 patients of MI were enrolled for the study. Patients with suspected ...
Background: Every year, approximately 18 lakh people develop TB disease and about 4 lakh die of i... more Background: Every year, approximately 18 lakh people develop TB disease and about 4 lakh die of it. India accounts for one-fifth of all new TB cases each year globally an d tops the list of 22 high TB burden countries. Lab technician plays a pivotal role in the diagnosis of patients and thus in the success of the programme. There is need to a ssess the proper implementation of programme at operational level and the grass root level realities of Designated Micr oscopic Centres (DMC’s). This study was planned to assess the labor atory practices by lab technicians at DMCs level un der Revised National Tuberculosis Control Programme (RNTCP) in Raipur district of Chhattisgarh state. Method: Study was conducted in all 33 DMC’s of Raipur district from N ovember 2011 to October 2012. During the study, all (36) Lab technicians were included. Result: Majority of the lab technician were male. 94.4% wer e modular trained. IEC(Information, education and communication) materials at DMC were avail...
International Journal Of Community Medicine And Public Health, 2018
Background: Use of tobacco has been proven to be one of the leading causes of preventable prematu... more Background: Use of tobacco has been proven to be one of the leading causes of preventable premature deaths and diseases across the globe. The global adult tobacco survey (GATS) India report 2009-10 estimates 34.6% of India’s adult population use tobacco in some form or other. The government of India has taken various initiatives for tobacco control by enacting comprehensive tobacco control legislation (Cigarette and Other Tobacco Products Act {COTPA}, 2003). The objective of the study was to assess the level of compliance of section 4 of COTPA in public places of Raipur.Methods: A cross sectional observational study was conducted in Raipur. The study was done around 480 public places for observing the compliance of section 4 of COTPA.Results: From the total 480 public places visited, 36.9% public places displayed “No Smoking” signage, out of 117 public places where “No Smoking” signage displayed only 11.3% were as per the COTPA specification. Only 12.3% of public places active smoki...
International Journal Of Community Medicine And Public Health, 2018
Background: Patient expression is an important source of information in screening for problems an... more Background: Patient expression is an important source of information in screening for problems and developing an effective plan of action for quality improvement in health care organizations. Assessing satisfaction has been mandatory for quality control of any hospital, which has resulted in an increasing number of projects devoted to the concept of satisfaction and determinant of patient satisfaction.Methods: The present Cross sectional Observational Hospital based study was conducted in Government Medical College Hospital, Rajnandgaon (C.G.) India during April 2016 to September 2016. A sample of 200 patients was taken who were admitted in different Indoor Patients Department of Clinical departments. Patients were selected according to inclusion and exclusion criteria. The information from the patients on various aspects of patient’s satisfaction like admission procedure, communication with staff, physical care, test and operation help availability, cleanliness, privacy related iss...
Indian Journal of Public Health Research & Development, 2019
International Journal of Current Microbiology and Applied Sciences, 2018
Journal of Evolution of Medical and Dental Sciences, 2016
Under five years children are targeted for priority care under various maternal and child health ... more Under five years children are targeted for priority care under various maternal and child health programmes, but this age group (5-15 years) remain neglected. School health services provide an ideal platform to detect the health problems early and treat them. Early detection of the morbidities through regular survey helps in prompt treatment and prevention of serious complications. MATERIAL AND METHODS The current descriptive, cross-sectional observational study was conducted in Pratima Institute of Medical Science, Karimnagar, Andhra Pradesh, India, during study period from November 2011 to October 2012 in selected government primary schools from urban and rural areas of Karimnagar Districts. The total sample size was 820. Verbal informed consent was obtained from parents. Standard operational definitions were formulated (formulated) made to assess health status. Data were analysed using chi-square test (Qualitative test). RESULTS Out of the total study subjects, females were more than males. Overall, majority belonged to lower socioeconomic status (63.90%). About half of subjects (49.75%) were practicing handwashing before food. Around 38.29% were practicing handwashing after defecation in urban and rural area (42.19% and 34.39% respectively). Common presenting symptoms among the study subjects were common cold (34.26%), toothache (33.17%), headache (27.31%), pallor (39.14%), and diminished vision 13.29%. Pyorrhoea was the common dental health problems (13.04%). CONCLUSIONS Morbidities and under nutrition were the key findings of the present study along with poor personal hygiene especially in rural areas.