RESUMO
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.
RESUMO
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.
RESUMO
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%.
RESUMO
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.
RESUMO
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.
RESUMO
Background: Health Care needs of children residing in Social Welfare Hostels is of utmost importance as they are in need of optimum health and nutrition care. Methodology: Study Setting: Social Welfare Hostel. Study Design: Cross sectional study. Study Duration: June to September 2013. Study subjects: Children( 7-14yrs of age) residing in the Social Welfare Hostel. Sample Size: A total of 200 children were residing in the hostel and hence the complete enumeration of them were considered for the study (purposive Sampling). Study variables: Socio-Demographic profile, measurement of height, weight, estimation of Hemoglobin percentage by Sahli’s method and clinical examination. Every child was examined physically from head to toe to assess their nutritional deficiencies. Enquiry was made about the health problems and occurrence of any ailment during previous two weeks. Data Collection: Using Semi- structured questionnaire, interview method. Data analysis: SPSS V 20. Results: Out of 200 subjects, 47(35.07%) of the study population were underweight, 71 (35.50%) had stunting and 38 (19%) had wasting. Prevalence of anemia was 47.5%. The common conditions observed were Flurosis (45.5%), skin problems (42.5%), dental caries (31.5%) and Cheilosis (24.5%). Conclu-sion: The nutritional status of children in social welfare hostels are not satisfactory. Periodic Health check up for the children residing in Social Welfare Hostels must be emphasized.