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Introduction: Epilepsy is one of the most common pediatric neurological disorders and is a brain condition that causes a child to have seizure. Misconceptions and poor understanding about the nature of epilepsy contribute to the burden of disease and lead to stigma. Misconceptions and negative attitudes cause people with epilepsy to feel shame, embarrassment, and disgrace. The purpose of this study wasObjective: to assess the knowledge, attitude, and practices (KAP) related to Epilepsy amongst the parents of epileptic children. A cross-sectional study was conducted 187 parents of epileptic child who attendedMethod: outpatient department of selected hospitals of Ahmedabad. A structured interview of the parents of epileptic children was conducted using modified international questionnaires. Modified Bloom’s cut-off points were used to determine KAP levels. Kruskal–Wallis test was applied on knowledge, attitude and practice levels. Chi square test was used to find out association. The study showed that out of 187 respondents, aroundResults: 61% were from age group 31 to 40 years and 54.5% were females. Among all participants, 53.5% had Good knowledge, 84.5% of parents had good attitude. Around 18.2% parents had good practices and about 9.1% had poor practices related to epilepsy. There were statistically significant associations between knowledge, attitude, and practice score with respect to gender, age, and occupation. Parents knowledgeConclusion: regarding epilepsy was good as more than half of parents were having good knowledge. Majority of the parents had good attitude towards epilepsy. There was significant positive correlation between knowledge and practices about epilepsy. Attitudes and practices related to epilepsy also showed positive correlation.
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Background: It is estimated that exposures in the workplace account for around one in ten cases respiratory morbidities in adulthood. Being a respiratory ailment, this group of disorders impairs the pulmonary functions. The objective of the study was to assess the work-related health hazards, personal hygiene and utilization of personal protective equipments among stone quarry workers in Wardha district in Maharashtra. Methods: This cross sectional study was conducted among 348 subjects working in the stone quarries situated in Yelakeli, Deoli, Paloti, Pulgaon, Borgaon, Nachangaon in Wardha district in Maharashtra. Results: 114 (32.75%) of the people reportedly had respiratory problems, body ache was reported by 154 (44.2%), eye problem was reported by 66 (18.9%), fever was told by 13 people (3.7%), other problems (like hearing related, skin, GIT etc) reported were 14 (4.02%). Chi-square test was found to be non-significant. Conclusions: None of the workers had undergone pre-placement examination. Personal protective measures are rarely used by stone quarry workers
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Background: According to WHO, adolescence is the population of 10-19 years of age. According to NFHS III, in Chhattisgarh, 58.7% adolescent girls and 34.6% adolescent boys aged between 15-19 years were anemic. So, to combat anemia MoHFW launched weekly iron and folic acid supplementation (WIFS) programme with the objectives to reduce the prevalence. Thus the present study was in attempts with the objective to assess anemia status among school going adolescent of Raipur and Jashpur districts of Chhattisgarh.Methods: It was a school based cross-sectional study conducted in the two districts of Chhattisgarh during 2017-18 among the students aged between 12-19 years and the sample size was 480. By using simple random sampling method, four schools from each district and from each school total 60 students i.e. 10 students from each class 7th -12th were selected by using systematic random sampling method. Permission from DEO of the respective district followed by permission from the principal of each schools and consent from parents of the student was taken and then study was proceeded.Results: In the present study, the mean age of the students in Raipur and Jashpur district was 15.1±1.8 years and 15.2±1.8 years respectively. Out of all the students, in Raipur district, 101 (42.1%) students were found to be anemic and mean Hemoglobin level was 12.5±1.9 gm/dl. In Jashpur district about two third 147 (61.2%) of the students were anemic and mean Hemoglobin level was 11.9±1.9 gm/dl.Conclusions: This study concluded that anemia is still high among adolescent boys and girls
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Background: Ascending aortic aneurysm is common incidental finding on transthoracic echocardiography performed for unrelated indications. Usually seen in patients with underlying connective tissue disorders. Methods: This was retrospective observational study involving ascending aortic aneurysm patients requiring surgical intervention during the period of Jan 2015 to Jan 2018 Results:Total 30 patients of ascending aortic aneurysm requiring surgical intervention were studied. Males outnumbered females with ratio of 5:1. Their age ranges from 14-72 years (mean=43.6years). Most of the patients of ascending aortic aneurysm also present with aortic regurgitation,43%. Hypertension being the most commonly associated co-morbidity. Bentall’s procedure, 67%, is most commonly needed surgical intervention. Bleeding, 16.67%, is the most common and independent risk factor for mortality with percentage of 26.67% Conclusion: Bleeding is independent risk factor in ascending aortic surgery and careful application of hemostasis skills can bring down mortality associated with ascending aortic surgery.
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Background: In India, adolescents (10-19 years) constitute one fifth of the total population providing promising pillar for our nation‟s future. Being a sensitive and key transitional period of life adolescents living environment (Family, school, Peers etc.) can present new challenges for these adolescents and symptoms of dysfunction may occur. Schooling constitutes major part of adolescent‟s life, moulding them for bright future but problem like scholastic dropout deprive them & can play as major factor determining their future perspective with regard to personal and social achievements. With this background, the present study was conducted to assess the prevalence of Scholastic dropout problems in adolescents, and its determinants in Raipur city (C.G.) India Methods: Cross-sectional community based study was done, using multi stage simple random sampling 32 study (urban & slum) areas was selected. 643 adolescents were interviewed with prior consent by house to house survey. Results: Problem of scholastic dropout was 10.89%. Major determinants contributing were socioeconomic status, mother‟s education, family violence, poor academic performance, Substance abuse. Conclusions: Scholastic dropout seems to be small yet a prevalent problem in our society inspite of many government initiatives and as found in the study problem is multipronged indicating adoption of a holistic approach to alleviate whole environment in which adolescents live in.
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Background: Demographic transition across globe leading towards greying of population. Worldwide, raised blood pressure is estimated to cause 12.8% of the total annual deaths. This account for 3.7% of total DALYs. Several community-based studies have served to emphasize that hypertension is rapidly emerging as a major public health problem. However, only a few of these studies included elderly people. The objectives of the present study were to evaluate the prevalence and factors influencing hypertension among elderly population of Raipur city. Methods: This community based cross-sectional study was carried out in capital of Chhattisgarh, including urban and slum area from July 2013 to June 2014. Multistage simple random sampling methods were used. Study population comprises of all elderly 60 years and above residing in the study area for at least one year. A total of 640 subjects were included in study. Results: The overall prevalence of hypertension in present study was 50%, prevalent among females (55.49%), shows a significant positive association with body mass index, physical activity and age up to old age group (75-84) yrs. Surprisingly inverse association was observed with alcohol (P <0.001) and smoking (P <0.05) status. Conclusion: Our findings emphasize the public health importance of hypertension in the elderly in Raipur city, and need to strengthen the national programme for hypertension. From a public health perspective, there is definite need for screening of elderly.
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Lifestyle diseases characterized by those diseases whose occurrence is primarily based on the daily habits of people and are a result of an inappropriate relationship of people with their environment. The main factors contributing to lifestyle diseases include bad food habits, physical inactivity, wrong body posture, and disturbed biological clock. Lifestyle diseases are the most common causes of disability, morbidity and premature mortality. They account for 52% of deaths, 43% Disability Adjusted Life Years (DALYs) and 62% of total disease burden in India. Life style disease can be prevented through focused and comprehensive public health intervention by establishment of Healthy Life Style Centre (HLSC). HLSC will be a comprehensive approach which will provide health services for Non-Communicable diseases under the one roof. The HLSC will offer consultation, learning, counselling and testing facilities regarding Diabetes and other Non-Communicable diseases (NCD). Life style diseases can be prevented through public health intervention by special task force and policy document related to life style disorders.
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The National Rural Health Mission (NRHM), launched by the present government as part of its honouring the Common Minimum Programme (CMP) commitment, had its content shaped by an active process of dialogue between many stakeholders. This article traces the contours of the discussions on three key concerns of civil society that influenced their contributions to the shaping of the National Rural Health Mission agenda. These three concerns were promotion of targeted sterilisation, a retreat of the state from its commitments to the health sector and that the NRHM agenda would lead to privatisation of public health facilities. Whereas fears on targeted sterilisation and retreat of the state may be unrealistic, there is a thrust to increased involvement of the private sector, which needs to be understood in its entirety. There is need for continued engagement byequity concerned public health professionals and health activists at all levels of implementation and not merely community monitoring to influence and shape the National Rural Health Mission in a pro-poor direction.