ABSTRACT
Background: Infertility rate is on rising trend. It is often associated with a chronic state of stress which may manifest itself in anxiety-related and depressive symptoms. Also, the affected family faces social discrimination, ostracism and stigma which leads to increased anxiety or depression among infertile couples. The motive of this study was to assess the quality of life among infertile couples; to determine the relationship between various domains of quality of life of infertile couples i.e. emotional, mind/body, relational, social, environmental and tolerability and to determine the association of levels of quality of life of infertile couples with the selected variables visiting IGIMS.Methods: This was a cross-sectional based study; carried out in the department of reproductive medicine, IGIMS, Patna, Bihar for one-year duration (January 2017 to December 2017), on 122 infertile patients attending outpatient department for treatment. Data was collected by using self-administered questionnaire i.e. Ferti QoL questionnaire and HADS.Results: Among all these 96 cases was found to be suffering from primary infertility and 26 cases from secondary infertility. In primary infertile patient social domain was the most affected domain having the greatest impact on their quality of life. In secondary infertile patients the tolerability domain was the most affected domain having the greatest impact on their quality of life. The total fertility quality of life score in primary infertility patients showed a lesser quality of life (55.41) than secondary infertility patients (66.29).Conclusions: This study points at the necessity of specific psychological interventions, presently absent from the public healthcare routine, for women struggling with infertility, to help them manage potential mental health problems and meet their reproductive goals.
ABSTRACT
Background: Acquired immune deficiency syndrome (AIDS) is caused by a human immunodeficiency virus (HIV) that weakensthe immune system, making the body susceptible to gracious diseases that often lead to death. The prevailing mode of HIVtransmission is through heterosexual contact, followed in magnitude by perinatal transmission, where the mother passes thevirus to the child during pregnancy, delivery, or breastfeeding.Aims and Objective: This study was conducted to determine the extent of knowledge, attitude, and awareness about variousaspects of HIV/AIDS among the 1st year MBBS students studying at Indira Gandhi Institute of Medical Sciences (IGIMS), Patna.Materials and Methods: An observational cross- sectional study was carried out among 1st year MBBS students in the agegroup of 17-24 years of regular batch in the year 2018 studying at IGIMS, Patna. All 100 1st year MBBS students were enrolledin the study. The information was collected from them using a pre-designed, semi-structured questionnaire. All data werecompiled and tabulated in Microsoft Excel 2013 software, and descriptive statistics were analyzed using EPI info data analysisV7.2.0.1 in the form of percentages and proportions. P ≤ 0.05 was considered to be statistically significant. The comparison ofthe responses among male and female students was performed using Chi-square test.Result: A total of 100 students were included in this study. Among these, 68 (68%) were boys and 32 (32%) were girls. Amongall of the study participants, majority of 97% of students have heard about HIV/AIDS. About 90% of students agreed that awoman can get HIV if she has anal sex with a man. Majority of 92% of respondents agreed that antiretroviral drugs cure HIV/AIDS. Some participants, 22%, agreed that a person can get HIV by sitting in a hot tub or a swimming pool with a personwho has HIV. About majority of 92% of students agreed that patients with HIV/AIDS need to be nursed separately from otherpatients and a pregnant woman with HIV can give the virus to her unborn baby. Media (94%) was the present leading sourceof information of participants regarding the present knowledge about HIV/AIDS.Conclusion: There is a necessity to consider the basic knowledge of the students about HIV/AIDS and accessible the misinterpretationregarding the disease by the medical educators. The knowledge about HIV/AIDS is crucial for all health-care professionals.
ABSTRACT
Background: Tobacco abuse is one of the biggest curses that modern society has come across. It is not confined to any one country or region alone, but has widely afflicted the globe. The most susceptible time for initiating use of tobacco in India is adolescence and early adulthood, ages 15-24 years while some start as young as 10 years.Approximately 55,500 adolescent start using tobacco every day in India, joining the 7.7 million young people under the age of 15 who already use tobacco on a regular basis.Methods: It is a community based cross-sectional study conducted among school going adolescent boys of urban field practice area of medical college during July to September 2017. Data was collected through pretested semi-structured self -administered questionnaire given to students by the investigators. Data collected were analyzed using statistical package for social sciences (SPSS) 17 software.Results: The prevalence of ever use of tobacco was 17.5% among school going adolescent boys in urban field practice area. In the present study it was observed that 174 (95.1%) adolescent boys had knowledge regarding hazards of tobacco. 110 adolescents (60.1%) had knowledge that passive smoking was harmful.Conclusions: The study suggests that the prevalence of tobacco consumption was high among school going adolescent boys in urban field practice area of medical college. The knowledge of students regarding harmful effects of tobacco was not adequate. Attitude and practice regarding tobacco consumption is also not satisfactory.
ABSTRACT
Background: With increasing life expectancy, number of old age people increased throughout the world, particularly more in the developing countries like India. Globally there are an estimated 605 million people aged 60 years and above. As the ageing population is increasing, the burden of their health problems is on a rise. To provide appropriate care for them there is a need to attain information about their morbidity pattern. Objectives: to study the morbidity pattern among the geriatric patients attending outpatient department of RHTC, Maner of IGIMS, Patna and to find out the difference in health problems between males and females, if any.Methods: This hospital based cross-sectional study was conducted during September 2017 to February 2018 among 98 elderly patients, aged 60 years or above, who attended first time at the Out Patient Department of rural health training center, Maner of IGIMS, Patna and who fulfilled inclusion criterion.Results: In this study majority had normal nutritional status. Amongst morbidity, prevalence of locomotors problems was highest (63.26%) followed by depression (42.85%), refractive error (20.4%), hearing loss (18.2%) and cataract (15.3). Locomotors problems were significantly higher in women (93.75%) as compared to the men (34%). However, the prevalence of depression, refractory error, hearing loss and cataract were not significantly associated with gender.Conclusions: There is a need to deliver comprehensive geriatric health care services for prevention and control of chronic diseases and address the dual burden of disease among the elderly to promote healthy ageing.
ABSTRACT
Background: The world health organization (WHO) recommends exclusive breast feeding (EBF) for the first six months of life while it is advised to provide adequate and safe complementary foods with breast feeding for up to two years and beyond.Methods: A hospital based cross sectional study was carried out in the immunisation clinic of IGIMS for a period of 6 months from January 2017 to June 2017.A total of 400 mothers were enrolled in the study. Children of Age group 0-12 months were included in the study. Sample size was collected by using convenient sampling from January to June 2017. All mothers who attended our immunization clinic for vaccination of their child and had children less than 12 months of age and who gave verbal consent were included in the study. Mothers were asked to stay after vaccination of their infants to look for any untoward effects of vaccination. Mothers were interviewed by using a semi structured questionnaire after getting a verbal consent from them, All data entry and analyses were carried out using Microsoft Excel and statistical software by descriptive statistics and presented as frequency and percentages.Results: The prevalence of exclusive breast feeding for up to 6 months of age was still low. Male child is having a higher percentage of immunization coverage of about 60%, where as the female child is having about 40%. 36% of the babies were started breastfeeding within one hour and colostrum was given to 40% of them, only 35% of them were on exclusive breast feeding.Conclusions: Use of expressed breast milk was low. The prevalence of EBF for up to 6 months of age was still low as per WHO recommendations. The mother's perception of “insufficient breast milk” was also the main reason for introducing other foods. We should make a strategy by making a guideline for promoting and educating about exclusive breastfeeding within the existing health care system such as the antenatal, after delivery and vaccination clinics.