RESUMO
Background: Unsafe abortions continue to cause maternal morbidity and mortality in developing countries. The practice of unsafe abortions by quacks needs to be checked. Our study aims to emphasize upon the unmet needs of medical termination pregnancies (MTP) services in rural India and to recognize the complications due to it and the efficient management of such cases at tertiary care center.Methods: A two years retrospective study of septic abortions from December 2009 to November 2011.Results: Among 1080 abortions reported, 44 were septic-4.07%. More commonly in the age group of >20years (81.9%). 77.3% of them were multiparous and 22.7% were nulligravidae, with an increased incidence of unmarried nulliparous pregnancies. Greater numbers occurred during 1st trimester (77.2% versus 22.7%), with 54.5%-grade I, 29.5%-grade II, 15.9% grade III in severity. Majority of cases were due to evacuation by quacks (72.7%). Among the 44 cases, emergency laparotomy was done for 5 cases of grade III severity. The mortality rates due to septic abortion were 6.25% (3) among the total of 48 maternal deaths.Conclusions: Septic abortion is totally preventable. Majority of uneducated rural women are not aware of MTP services. The reproductive and child health (RCH) services should effectively reach the underprivileged population like slum dwellers and migrants.
RESUMO
Background: The attitude of parents towards their children’s health and illness is an important factor with regards to child’s overall development. In most developing countries, the health of the children is strongly dependent on parental healthcare behavior. This current study mainly looks into these aspects.Methods: A community based cross sectional study involving urban and rural area field practice areas of a medical college in the study period of November 2016-January 2017 with a sample size of 100 families each having children in urban and rural areas have been fixed purposively. House to house survey done by simple random method using pretested semi structured interview schedules.Results: Around 55% of rural parents took treatment from RMP (quacks) with 55% of urban counterparts opting for wait and watch method. Only 8% of respondents from both areas too their children to a pediatrician. About 12% of urban area went to government hospital and none from rural utilized government hospital facilities.Conclusions: Large proportions of respondents did not seek appropriate medical care for childhood illnesses.
RESUMO
Dental disease restricts activities in school, work, and home and often significantly diminishes the quality of life for many children and adults, especially those who have low income or are uninsured. Though the overall dentist population ratio in India is 1:10,000, at present in rural India, one dentist is serving 2.5 lakhs of people. Only 15-20% of people in India are able to get dental services through national schemes, and 80-85% are spending money from their pockets, providing an ideal breeding ground for quackery into dental practice in India. Dental quacks cater to the lower-middle and lower socioeconomic classes that cannot afford qualified dental practitioners. A large number of people visiting these quacks seek care only when in pain, have a restricted budget, and are not very quality conscious. Dentistry has come a long way in the last one and a half century; today it is ranked as one of the most respected professions. It is incumbent upon dentists everywhere to protect this hard-earned reputation by weeding out quacks from among them. The government should urge fresh graduates to practice in rural areas and provide more incentives to them. Public health dentists should take the initiative of adopting more community-oriented oral health programs to increase the awareness among rural populations.
RESUMO
La Literatura Universal, fuente de información y conocimiento, medio para enriquecer el acervo cognoscitivo y cultural de los profesionales de la estomatología; recoge en sus páginas las raíces de esta profesión, manifestada en la labor que realizaron los charlatanes, sacamuelas y barberos, así como el papel que jugaron en su construcción y desarrollo. El objetivo de este trabajo es identificar la presencia, en estas creaciones, de la actividad desarrollada por ellos. Se realizó la búsqueda bibliográfica en libros impresos y automatizados en Internet, Google Académico, para lo cual se usaron los descriptores charlatanes, sacamuelas, barberos, dientes, boca. Se consultaron quince obras y seleccionaron ocho en cuyas páginas se recogen referencias al tema que nos ocupó. La información se organizó sobre la base del orden cronológico de los autores. El estudio de las obras de la Literatura Universal consultadas nos permitió reconocer excelentes descripciones de la actividad de los charlatanes, sacamuelas y barberos, los cuales constituyen raíces históricas de la labor de los profesionales de la estomatología(AU)
The world literature is a source of information and knowledge and a means of enhancing the cognitive and cultural stock of the dental professionals. Its pages collect the roots of this profession expressed in the work of quacks, tooth-pullers and barbers and their role in the creation and development of this discipline. The objective of this paper was to identify the presence of the activities carried out by them in these creations. Literature search was made in printed and computerized books and in the academic google on Internet, for which we used subject headings as quacks, tooth-pullers, barbers, teeth, mouth. Fifteen works were consulted; eight of them were selected for this paper since they made reference to this topic. The gathered information was organized by the chronological order of the authors. The study of these documents from the world literature allowed us to be aware of the excellent descriptions of the activities performed by quacks, tooth-pullers and barbers as part of the historical roots of the work of dental professionals(AU)