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1.
Artículo | IMSEAR | ID: sea-223544

RESUMEN

Mental disorders in India form a major public health concern and the efforts to tackle these dates back to four decades, by way of the National Mental Health Programme (NMHP) and its operational arm, the District Mental Health Programme (DMHP). Although the progress of NMHP (and DMHP) was relatively slower till recently, the last 4-5 years have seen rapid strides with several initiatives, including (i) expansion of DMHPs to 90 per cent of the total districts of the country, (ii) the National Mental Health Policy and (iii) strengthening the Mental Health Legislation by way of providing explicit provisions for rights of persons with mental illnesses. Among others, factors responsible for this accelerated growth include the easily accessible digital technology as well as judicial activism. Federal and State cooperation is another notable feature of this expansion. In this review, the authors summarize the available information on the evolution of implementation and research aspects related to India’s NMHP over the years and provide a case for the positive turn of events witnessed in the recent years. However, the authors caution that these are still baby steps and much more remains to be done.

2.
Artículo | IMSEAR | ID: sea-221386

RESUMEN

E-Commerce stands for Electronic Commerce. E-Commerce is improving standard among the commercial community in worlds, about the opportunities offered by E-Commerce. E-Commerce as part of the information technology revolution became widely used in the world trade in general and Indian economy in particular. With advancements in technology, there is many changes has been occupied. In India, across more than 6,50,000 villages and approximately 40% living below poverty line. Literacy rate is 75.08% but rural literacy rate is 71 %. Whereas computer literacy rate is just 6.5% so that E-Commerce is facing many pros and cons. Nowadays in India government is promoting the DIGITAL INDIA campaign so that people can transact and aware of E-Commerce.In the backdrop of all these scenarios the present paper makes an attempt to highlights the favour of E-Commerce in India, and to understand the disfavours of e-commerce in India. There are many reasons for which, E-commerce is playing a vital role in India at the same time there are some fraudulent activities in other views. So this papers tries to explain about the positive and negative aspects of E-commerce in India.

3.
Artículo | IMSEAR | ID: sea-222385

RESUMEN

Context: The globalization in the process most of the rural sectors are also upgrading technically with digitalization with more availability of smart phones and gaming along with the refined food influences on the present?day children is causing a trend of overweight among the children. Aims: To arrive at the prevalence of overweight and obesity considering the Indian Academy of Pediatrics (IAP) cut?offs for growth standards among children aged 12 years from the rural and urban areas of Mysuru District. Methods and Material: The present program was the third large scale community intervention project carried out including the 7 talukas of Mysuru District which focused on the measurement of the Body mass index (BMI). In this phase between the year 2019 and 2020 anthropometric measurements were undertaken in 1602 urban and rural children aged 12 years from government?funded and privately?funded schools of Mysuru District. Statistical Analysis Used: The results were analysed statistically using SPSS for Windows (version 23.0) and the t?test, Chi?square test and proportion tests, P value were reported. Results: As per the IAP reference ranges the prevalence of obesity was 5.5% and overweight was 7.1% among children of Mysuru District. Conclusions: We report that this increase was significantly higher in girls than boys. There was an increasing trend in rural sectors; however, the obese children were more predominantly distributed among the urban sectors. This calls for a precise preventive measure to fulfil the goal of the World Health Organization (WHO) to control prevalence of childhood obesity by the year 2022

4.
Invest. educ. enferm ; 40(2): 7-10, 15 de junio 2022.
Artículo en Inglés | LILACS, BDENF, COLNAL | ID: biblio-1378679

RESUMEN

Collaboration is crucial in Professional nursing practice. Nurses act as a liaison between physicians and patients and their family members. Thus, it is vital to define the collaborative role of nurses in developing countries. The authors discuss pragmatic nurses' role by adopting the Dual Clinical Collaborator model to ensure offering the quality of care to their clients. Nursing is a healthcare profession that focuses on the care of individuals and their families to help them recover from illness and maintain optimal health and quality of life.(1) Health Care Professionals (HCPs) work together to provide quality health care and accomplish common goals. As healthcare delivery is becoming more complex, collaboration among healthcare workers and the patient can be a path to improve the quality of healthcare services. According to Walker and Avant's method, the conceptual definition of collaboration in nursing is an intra professional or interprofessional process by which nurses come together and form a team to solve patient care or healthcare system problem with members of the team respectfully sharing knowledge and resources.(2) Thus, collaboration is crucial in everyday professional nursing practice and should be considered a core value of nursing.(3)


Asunto(s)
Enfermería
5.
Artículo | IMSEAR | ID: sea-218597

RESUMEN

The destruction caused to natural resources by human activity to a certain extent is rectified by the wetland, but the pace of disappearing wetland created a situation to find requisite program and tool for Wetland Inventory, Assessment and Monitoring. Several organizations are working cumulatively designing methodologies and policies to restore and improve the biotic characteristic. Wetland inventory provide guidance for the systematic collection of resource data using both tradition manual and advanced remote sensing tools.Whereas Wetland assessment includes identification of ecological stature and extent threat caused. Wetland monitoring is collection of information of the assessment activities as a result of the management and conducting surveillance in the existing and reduced threat. This review discusses the various methodologies followed by different situations around the globe.

6.
Rev. bras. ginecol. obstet ; 44(3): 214-219, Mar. 2022. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1387878

RESUMEN

Abstract Objective To assess the influence of oxidative stress on the gene expression of nitric oxide synthases (NOS 3 and NOS 2) and, hence, the cardiovascular responses in preeclampsia. Methods This was a case control study in which patients with preeclampsia (PE group) and normal pregnancy controls (NP group) were included according to the guidelines of the American College of Obstetricians and Gynecologists (ACOG). The serum levels of malondialdehyde (MDA), total antioxidant capacity, and nitric oxide (NO) were estimated, and the heart rate andmean arterial pressure were recorded. The gene profiling of NOS3 and NOS2 was performed through real-time polymerase chain reaction (RT-PCR). The statistical analysis was performed using the Student t-test, and values of p<0.05 were considered statistically significant. Results The serum levels of malondialdehyde were increased (p<0.0001), and the total antioxidant capacity was reduced in the PE group (p=0.034), indicating oxidative stress. In the PE group, themean arterial pressure was significantly higher (p<0.0001), but the serum levels of NO did not show a statistically significant reduction (p=0.20). The gene expression profiling of NOS3 and NOS2 revealed a down regulation in the PE group by 8.49 and 51.05 times respectively. Conclusion Oxidative stress may lead to endothelial dysfunction, which could result in increased mean arterial pressure. Nitric oxide may play a role in this mechanism, but interactions with other vasoactive /biological substances cannot be overlooked, as the gene expression of NOS3 and NOS2 has been reduced.


Resumo Objetivo Avaliar a influência do estresse oxidativo na expressão genética das óxido nítrico sintases (nitric oxide synthases, NOS, em inglês; NOS 3 e NOS 2) e, consequentemente, nas respostas cardiovasculares na pré-eclâmpsia. Métodos Este foi um estudo caso-controle no qual pacientes com pré-eclâmpsia (grupo PE) e controles comgravidez normal (grupo GN) foramincluídos de acordo com as diretrizes do American College of Obstetricians and Gynecologists (ACOG). Foram estimados os níveis séricos de malondialdeído (MDA) da capacidade antioxidante total, e de óxido nítrico (nitric oxide, NO, em inglês). A frequência cardíaca e a pressão arterial média foram registradas. O perfil genético da NOS3 e da NOS2 foi feito por reação em cadeia de polimerase em tempo real (real-time polymerase chain reaction, RT-PCR, em inglês). A análise estatística foi feita utilizando-se o teste t de Student, e valores de p<0,05 foram considerados estatisticamente significativos. Resultados Os níveis séricos de malondialdeído sérico estavam aumentados (p<0,0001), e a capacidade antioxidante total, reduzida no grupo PE (p=0,034), o que indicava estresse oxidativo. No grupo PE, a pressão arterial média era significativamente maior (p<0,0001), mas os níveis séricos de NO não demostraram redução estatisticamente significativa (p=0,20). O perfil de expressão genética da NOS3 e da NOS2 revelou uma regulação negativa no grupo PE de 8,49 e 51,05 vezes, respectivamente. Conclusão O estresse oxidativo pode levar à disfunção endotelial, o que pode resultar em aumento da pressão arterialmédia. O NO pode desempenhar umpapel neste mecanismo, mas as interações com outras substâncias vasoativas/biológicas não podem ser negligenciadas, uma vez que a expressão genética da NOS3 e da NOS2 foi reduzida.


Asunto(s)
Humanos , Femenino , Embarazo , Preeclampsia
7.
Natl Med J India ; 2022 Feb; 35(1): 32-37
Artículo | IMSEAR | ID: sea-218241

RESUMEN

BACKGROUND Integrating psychiatric care into the general practice of primary care doctors (PCDs) is necessary to overcome the shortage of human resources to cater to the burgeoning public mental health needs of India. The traditional psychiatry curriculum is often top–down and specialist-based that contributes little in terms of skill quotient. We designed an innovative, digitally driven, distance education-based, part-time, modular-based Primary Care Psychiatry Programme (PCPP, skill-based). It is being implemented across many states of India to equip PCDs with skills to provide first-line psychiatry treatment. We discuss the rationale and guiding principles behind designing the curriculum of PCPP. DISCUSSION There are nine guiding principles behind designing and implementing PCPP to provide pragmatic, acceptable, feasible modules of higher translational quotient (TQ) that are essential to upskill PCDs. There is a shift in training the location of PCDs in their live brief general consultations utilizing innovative telemedicine-based ‘on-consultation training’ (OCT) augmented with collaborative video consultations. A monolithic treatment protocol-driven, trans-diagnostic approach is used to design a concise, all-inone, point-of-care manual containing a culturally sensitive, rapid, validated screener and taxonomy, called ‘Clinical Schedules for Primary Care Psychiatry’. This incorporates the PCDs’ style of clinical practice that helps in picking up the most commonly prevalent adult psychiatric disorders presenting to primary care. CONCLUSION This PCPP curriculum contains pragmatic modules with higher TQ. This curriculum is dynamic as the learning is bi-directional. This can be used by policy-makers, innovators and academia for integration with national health programmes such as those for non-communicable diseases and reproductive and child health.

8.
Artículo | IMSEAR | ID: sea-216132

RESUMEN

Background: The Competency-based medical education (CBME) has been introduced for MBBS programme in India from 2019. Reorganization of the assessment system is required to meet the challenges imposed by this new framework. Objectives: An evaluation of the university summative assessments held prior to the introduction of CBME-based curriculum was carried out to analyze the pattern, relevance and distribution of questions. Methods: Five sets of annual and supplementary summative examination papers from three universities, State (SU), Private (PU) and Medical (MU) were evaluated. The analysis included format i.e. Structured and Modified Essay questions, Short notes, other formats; marks distribution; terminology-based level of cognitive domain; subject-based relevance and topic-based distribution of questions. Results: A total of 352 questions were analyzed. The maximum number of questions were from the state university (140, 39.7%).The contribution of short notes in the theory papers was 65.8% (PU), 87.1% (SU) and 88.9% (MU).Only the PU had Modified-Essay Questions (10.5%) and Modified short notes(4.7%). Terminology addressing higher cognitive domains was low as the questions assessed mainly the knowledge level (80-96.8%), comprehension 3.1%-6.4%. Only the PU had problem solving questions comprising 11.7% of total questions. Majority of questions had moderate or high relevance and only 2.1%-8.2% were of low-relevance. Inter-university differences in the topics were observed for dermatology, psychiatry, and infections. Conclusions: The present evaluation of high-stakes assessment in three universities indicates minor differences in the format of questions. Questions were predominantly in the form of short notes, structured essays and modified essays were a rarity; few questions targeted higher cognitive levels although majority had high-moderate relevance.

9.
Natl Med J India ; 2021 Oct; 34(5): 261-265
Artículo | IMSEAR | ID: sea-218159

RESUMEN

BACKGROUND Continuity of care for psychiatric disorders by conventional in-person consultation by psychiatrists is associated with several challenges. There is a need to develop alternative models of specialist care. We studied our 3 years’ experience of live video consultations (VCs) from the tele after-care clinic to patients with psychiatric disorders at an Indian academic hospital. METHODS We did a file review of 669 VCs provided to 213 patients in the first 3 years (2017–2019) from the telemedicine centre of a tertiary care academic hospital. We analysed details of sociodemography, clinical profile, tele after-care consultations and outcome. RESULTS Two hundred and thirteen patients (55% men) were enrolled for the tele after-care clinic. The mean (SD) age of the patients was 42.2 (17.29) years and a majority were educated till high school and beyond. Patients with severe and common mental disorders constituted 60.1% and 40%, respectively. Among the total 669 appointments, 542 (81%) VCs were successfully provided; of the remaining, 125 were cancelled and 2 were aborted due to a medical emergency. Medication prescriptions were unchanged in 499 and modified/totally changed in 47 VCs. CONCLUSION Our large study shows that telepsychiatric after-care is a useful alternative method which can supplement in-person follow-up. Barriers such as distance, cost and medical illness can be overcome using tele after-care clinics for regular follow-ups in stabilized psychiatric patients. There is a need for prospective studies, preferably, randomized controlled trials comparing effectiveness of tele after-care with in-person consultations to assess treatment outcomes.

10.
Artículo | IMSEAR | ID: sea-201946

RESUMEN

Background: Children form vulnerable road users during their regular school commute. School children safety is not taken into consideration before construction of road network. The total number of persons injured in India during 2015 near schools or colleges or educational institutions due to road traffic accidents are 13,270 in urban areas according to National Crime Records Bureau which is quite alarming. Current study is the first attempt in both rural and urban Karnataka towards understanding travel pattern, behaviour and perceptions among school children during commute to schools. The objectives of the present study were to assess travel pattern, behaviour and perception of school children in Bangalore urban and rural districts and to assess factors associated with travel pattern.Methods: A cross sectional study was conducted using a representative sample of schools selected by simple random sampling. Data was collected using a pre-tested, semi-structured questionnaire which was analysed using SPSS version 20.Results: Nearly 86% of school children travelled less than 5 kms to reach their schools. Nearly 39% of school children travelled alone to school. Most common mode of travel to school was by walk. Nearly 27.4% did not cross the main roads safely. Adherence to road safety behaviour was insufficient. Vehicular traffic was perceived as a major apprehension by children during school commute.Conclusions: Commute of children to schools in both urban and rural part of Bangalore was unsafe with least adherence to safety measures, which might increase their vulnerability to road traffic injuries.

11.
Artículo | IMSEAR | ID: sea-201929

RESUMEN

Background: The word adolescent is derived from Latin word adolescence which means to grow into maturity. Adolescence is a period of transition from childhood to adulthood. WHO has defined adolescence as the age group 10-19 years. These are formative years when maximum amount of physical, psychological, developmental and behavioral changes take place. In India adolescent girls accounts for a little more than one- fifth of the population. The onset on menstruation is one of the most important changes occurring among the girls during the adolescent years. The event of menarche may be associated with taboos and myths existing in our traditional society which has a negative implication for women’s health, particularly their menstrual hygiene. Women having better knowledge regarding menstrual hygiene and safe practices are less vulnerable to reproductive tract infections.Methods: This was a cross-sectional descriptive study. The sample size of 184 is obtained in each group and rounded off to 190 (urban and rural schools). The duration of the study was for 5 months among adolescent high school girls in randomly selected schools.Results: The mean age of urban girls was 12.87±0.94 years whereas rural girls it was 12.85±0.86 years. Among 380 study subjects 43.4% were aware about menstruation before attaining menarche, 62.4% were aware that menstruation is a natural process. Majority of study subjects (58.9%) were using sanitary pads during menstruation and 46.8% of study subject’s changes absorbents twice a day.Conclusion: Knowledge and practice regarding menstrual hygiene among adolescent high school girls is better in rural area as compared to urban adolescent high school girls.

12.
Artículo | IMSEAR | ID: sea-215126

RESUMEN

Increased dimension of a tooth indicates the presence of double tooth. Double tooth could be due to fusion or gemination. These are due to developmental disturbances of teeth.1 Gemination is an anomaly that occurs due to an attempt to form two teeth from a single tooth bud. This resulted in a large tooth without complete separation or alterations in the number of teeth.2 Fusion is caused by union of two discrete tooth germs, wherein they might be united by dental hard tissues. However they have separate pulp chambers. Developmental aberrations occur during morpho-differentiation of tooth bud. These occur due to local metabolic disturbances or due to pressure of crowding of tooth germs.3 Hereditary tendency has been reported for fusion between normal and supernumerary tooth.4

13.
Artículo | IMSEAR | ID: sea-202045

RESUMEN

Background: Diabetes is one of the largest global health emergencies of the 21st century. As per International Federation of Diabetes some 425 million people worldwide are estimated to have diabetes. The prevalence is higher in urban versus rural (10.2% vs 6.9%). India had 72.9 million people living with diabetes of which, 57.9% remained undiagnosed as per the 2017 data. The objectives of the present study were to identify subjects who at risk of developing Diabetes by using Indian diabetes risk score (IDRS) in the Urban field practice area of Rajarajeswari Medical College and Hospital (RRMCH).Methods: A cross sectional study was conducted using a Standard questionnaire of IDRS on 150 individuals aged ≥20 years residing in the Urban field practice area of RRMCH. The subjects with score <30, 30-50, >or =60 were categorized as having low risk, moderate risk and high risk for developing diabetes type-2 respectively.Results: Out of total 150 participants, 36 (24%) were in high-risk category (IDRS≥60), the majority of participants 61 (41%) were in the moderate-risk category (IDRS 30–50) and 53 (35%) participants were found to be at low-risk (<30) for diabetes. Statistical significant asssociation was found between IDRS and gender, literacy status, body mass index (p<0.0000l).Conclusions: It is essential to implement IDRS which is a simple tool for identifying subjects who are at risk for developing diabetes so that proper intervention can be carried out at the earliest to reduce the burden of diabetes.

14.
Niger. j. paediatr ; 47(3): 264-269, 2020. ilus
Artículo en Inglés | AIM | ID: biblio-1267471

RESUMEN

Introduction: Preterm delivery is of considerable concern to clinicians and researchers being a leading cause of infant morbidity and mortality in the industrialized countries and also contributes to substantial complications among survivors. Sub-Saharan Africa, including Nigeria accounts for significant proportion of preterm births, with over million deaths due to complication of prematurity. Objectives: The study aimed to determine the prevalence and associated morbidities of preterm deliveries at the University of Maiduguri Teaching Hospital, Maiduguri, North-Eastern Nigeria. Patients and methods: This is a retrospective review of neonates delivered before 37 completed weeks of gestation and admitted into the Special Care Baby Unit (SCBU) of the University of Maiduguri Teaching Hospital, from 1st January 2008 to 31st December 2015. Results: There were 3435 admissions into the Special Care baby Unit (SCBU) during the 8 year period. Out of these 1129 were preterm babies giving a prevalence of 32.9%. Of the 1129 preterm babies managed in SCBU, 714 case records were retrieved and analyzed giving a retrieval rate of 63%. There were 372 (52.1%) males and 342 (47.9%) females; with the male to female ratio of 1:1.08. There were 17(2.3%) extreme low birth weight (1000-1499 g), 406 (56.9%) low birth weight (1500- 2499 g) babies. The range of admission weights was 700-2500g with mean of 1600±900g. Conclusion: The burden, complications and mortality from preterm newborns remain significant public health challenges to care givers in Nigeria


Asunto(s)
COVID-19 , Infecciones Asintomáticas , Transmisión de Enfermedad Infecciosa , Hospitales de Enseñanza , Recien Nacido Prematuro , Síndrome Respiratorio Agudo Grave
15.
J Environ Biol ; 2019 Nov; 40(6): 1173-1179
Artículo | IMSEAR | ID: sea-214454

RESUMEN

Aim: Many crop modelling and climate simulation studies have reported variability in pest and pathogen distribution as well as their interaction with host. These prediction encourages to revisit the pest and pathogen epidemological and distribution studies in light of changing climate. In line with above assumption, the present field study was carried out to study the population dynamics of cowpea aphid (Aphis craccivora) and its influence on BCMV disease incidence. Methodology: In this field experiment, A. craccivora population and BCMV disease incidence data were collected in different standard meteorological weeks of 2013-2014 and 2014-2015. Impact of weather parameters on A. craccivora and BCMV disease incidence was statistically analyzed. Results: The significant change in A. craccivora population and BCMV disease incidence was documented during the study. The maximum aphid population was observed during rabi season and less was observed in kharif and summer season. Whereas, incidence of BCMV was recorded maximum in rabi season. Correlation analysis affirmed, minimum temperature (Tmin) and rainfall had negative impact on A. craccivora whereas weather parameters had non-significant impact on BCMV disease incidence. The regression models developed from the present study explained 41.4 % to 78.8 % and 18.5 % to 46.1% variability (R2) of aphid population and BCMV incidence, respectively. Interpretation: The weather parameters had more impact on A. craccivora population than BCMV disease incidence and merely presence of maximum number of A. craccivora was not a deciding factor for outbreak of virus disease incidence.

16.
Artículo | IMSEAR | ID: sea-201833

RESUMEN

Background: Tuberculosis is among the most important causes of death from a single infectious agent and a major public health problem causing an enormous burden of disease and economic impact especially in the developing countries. Pulmonary tuberculosis is the most common form of tuberculosis causing >85% of all tuberculosis cases. The smear conversion rate is an operational indicator for the directly observed treatment short course (DOTS) strategy of Revised National Tuberculosis Control Programme (RNTCP) in India.Methods: A longitudinal study was conducted in DMC, RRMCH, in the first two quarters of the year 2013 i.e., from January 1st to June 31st of the year 2013. All 130 adult category I (new) sputum smear positive cases that attended DMC, and registered under RNTCP constituted the sample for the study. Data was collected by interview method by using pre-tested, semi-structured questionnaire. Data was analyzed using SPSS version 20.0.Results: Majority of the study subjects was >50 years, Hindus, illiterates, belonged to nuclear family from rural area belonged to upper lower socio-economic class. The overall sputum smear conversion rate is 92.4%. Lower sputum smear conversion rate was observed in the following risk factors like the male gender, smoking, diabetes, initial high pre-treatment smear grading and poor drug compliance.Conclusions: The overall sputum conversion rate at the end of two months of intensive phase under (DOTS) chemotherapy in 118 sputum smear positive (cat I) new pulmonary tuberculosis patients in Designated Microscopy and Treatment Centre (DMC) Rajarajeswari Medical College and Hospital was 92.4%.

17.
Artículo | IMSEAR | ID: sea-201325

RESUMEN

Background: Medical education in India traditionally emphasizes physician’s medical knowledge with less emphasis on interpersonal skills and ability to relate to the patients. Emotional intelligence is desirable among doctors to contribute towards patient centered practice, patient satisfaction as well as effective communication skills. This study was undertaken to assess the emotional quotient of postgraduate medical students and to investigate its relationship with various factors to act as baseline for future work in this area.Methods: A cross-sectional study was conducted among all postgraduate students of Rajarajeswari Medical College and Hospital, Bengaluru over a period of two months. Emotional quotient (EQ) was assessed using a pretested, semi-structured, self-administered questionnaire. Data was analyzed by using SPSS version 21.0. All qualitative variables were presented as frequency and percentages.Results: Total respondents in the study were 173. Emotional Quotient was assessed based on four factors; self- awareness, self-management, social awareness and social skills, by plotting the results on a 1(lowest) to 10(high score) scale. Majority of respondents 79.76% (self awareness) and 71.79% (self management) had low scores (below 6). More females (74.73%) obtained low scores as compared to males (67.94%) in self management. In social awareness 61.53% males had low scores compared to 55.78% in females. Self management and social skills were better in postgraduates of surgical fields whereas postgraduates in medical fields had high scores in social awareness.Conclusions: Emotional quotient with its four main components is low among most of the postgraduates. This was more so in self awareness domain.

18.
Artículo | IMSEAR | ID: sea-204058

RESUMEN

Background: Scorpion stings are common in India. Presentation of scorpion sting may vary from localised pain at the site of the sting to life threatening condition. Systemic envenomation will even result in death among one third of the subjects. The present study was conducted to determine the clinical presentation, course, complications and outcomes of scorpion sting envenomation among children as they are sensitive to scorpion envenomation.Methods: 50 cases of scorpion sting, admitted to 2 hospitals, under JJMMC, Davangere for 1 year were included. A detailed clinical history followed by examination was done. Relevant investigations were also done. All the cases were monitored for complications and managed accordingly.Results: Maximum number of cases were noted in the age group of 1-3 years and 10-12 years. 58% of them were boys, 54% of the cases had red scorpion sting. Pain at the sting site, diaphoresis and restlessness were the most common presenting symptoms. The common signs noted were restlessness, cold extremities and tachycardia. Commonest complications were peripheral circulatory failure, pulmonary oedema, myocarditis and congestive cardiac failure. Majority of cases recovered without any sequelae.Conclusions: Present study we conclude that majority of the cases were among boys belonged to 1-3year age group. Red scorpion sting was common, and commonest presentation was pain and recovered without any sequelae.

19.
Artículo | IMSEAR | ID: sea-204049

RESUMEN

Background: Placenta plays a major role in growth and development of the fetus as it helps in both exchange of nutrients and removal of waste. Even though it yields a valuable information of prognostic significance for the newborn, majority of the time it will be discarded after the gross examination. Hence the present study was conducted to determine the placental pathology and its correlation with fetal outcome.Methods: The present study was carried out in Davangere for a period of 2 years. The placenta of 100 parturients, more than 28 weeks of gestation were included for the present study. The data was collected after detailed review of the obstetric case records. Placentas were examined soon after delivery. After the gross examination was complete, the placentas were put in a labelled plastic container. The placentas were re-examined macroscopically again by the pathologist. Cut-section examination was done. Then, at least 4 appropriate blocks were taken for each placenta. They were stained with hematoxylin-eosin stain and examined under the microscope. The histopathological examination was conducted as per proforma.Results: One hundred placentae belonging to one hundred babies were studied among which 80% of the maternal cases had anaemia, 68% were term infant, 37% had IUGR. Eccentric insertion of the cord was observed to be the commonest (51). Marginally inserted membranes were seen most frequently (97).Conclusions: In the present study we conclude that placental reserve is large and small alteration do not affect the pregnancy outcome. The placental changes are not specific to a particular condition affecting the pregnancy.

20.
Artículo | IMSEAR | ID: sea-201184

RESUMEN

Background: Common mental disorders are commonly encountered in community settings, especially in women. The somatic symptoms often lead to repeated visits to health care practitioners without resolution of the problem. The knowledge of magnitude of common mental disorders and their associated factors has proved useful in psychiatric epidemiological research.Methods: A community based cross-sectional study was carried out among 480 randomly selected women in the reproductive age group using self-reporting questionnaire (SRQ-20), a validated tool developed by World Health Organisation. A standard cut-off score of 7 was used to identify women with common mental disorder. Data was analysed using descriptive statistics and suitable tests of significance in statistical package for social sciences (SPSS) v. 21.0.Results: The prevalence of common mental disorder was found to be 33.5% in the present study. Analysis showed that various socio-demographic characteristics of women like lower educational levels of women, widowed women, and women belonging to lower socio-economic class, belonging to joint family, lower body mass index had statistically significant association with common mental disorders.Conclusions: This study revealed that the prevalence of common mental disorders was high (33.5%) among the women of reproductive age group and there existed statistically significant association between common mental disorders and various socio demographic determinants.

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