Indian journal of public health最新文献_第3页

Profile and Outcome of Pediatric Trauma Admitted to the Intensive Care Unit: Experience from a Tertiary Care Hospital in North India. 重症监护病房收治的儿科创伤的概况和结果：来自印度北部三级医院的经验。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_514_24

Maninder Dhaliwal, Veena Raghunathan, Manish Singh, Varinder Paul Singh

{"title":"Profile and Outcome of Pediatric Trauma Admitted to the Intensive Care Unit: Experience from a Tertiary Care Hospital in North India.","authors":"Maninder Dhaliwal, Veena Raghunathan, Manish Singh, Varinder Paul Singh","doi":"10.4103/ijph.ijph_514_24","DOIUrl":"https://doi.org/10.4103/ijph.ijph_514_24","url":null,"abstract":"Summary: A retrospective study was conducted to analyze the profile and outcomes of trauma patients admitted to pediatric intensive care unit in a tertiary hospital. The three-month postevent outcome was evaluated based on the Glasgow outcome scale. A total of 118 patients were enrolled. Vehicular accidents ( n = 52; 44.5%) and falls ( n = 51; 43.2%) were the main trauma modes. The incidence of unrestrained passengers in vehicular accidents was high (98%). Unsupervised play in toddlers was the main mechanism of falls. Ambulance transport was done in 48.3% of patients. Abnormal computed tomography head was seen in 72.9% ( n = 86) patients. Mortality rate was 8.5%. On multivariate analysis, Glasgow coma scale (GCS) <8 and injury severity score (ISS) >17 predicted unfavorable outcomes. Screening for head trauma is important in all sick pediatric trauma patients requiring intensive care unit. The study identifies the need for increasing awareness on child-proofing and supervision of toddlers' play and restraining passengers in high-speed vehicles to prevent serious injuries. Ensuring safe ambulance transport may improve trauma outcomes.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Price of Aging: Medical Access, Health Status, and the Fear of Growing Old in China. 老龄化的代价：中国的医疗获取、健康状况和对衰老的恐惧。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_154_25

Haewon Byeon

引用次数: 0

Clinico-epidemiological Profile of Patients with Chronic Kidney Disease of Unknown Etiology in Agricultural and Rural Communities of Eastern India: EICKI-INDIA Study. 印度东部农业和农村社区不明病因慢性肾病患者的临床流行病学分析：EICKI-INDIA研究

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_70_25

Priti Meena, Sandip Panda, Paromita Das, Anish Garg, Prity Kumari Rai, Badari Mylliemngap

{"title":"Clinico-epidemiological Profile of Patients with Chronic Kidney Disease of Unknown Etiology in Agricultural and Rural Communities of Eastern India: EICKI-INDIA Study.","authors":"Priti Meena, Sandip Panda, Paromita Das, Anish Garg, Prity Kumari Rai, Badari Mylliemngap","doi":"10.4103/ijph.ijph_70_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_70_25","url":null,"abstract":"Background: Chronic kidney disease of unknown (CKDu) etiology is an emerging health concern in several global hotspots. While extensively reported from southern India, it remains underrecognized in the eastern regions of India.Objectives: To characterize the clinical and epidemiological profiles of CKDu patients from rural, agricultural communities in Eastern India.Materials and methods: Adult CKDu patients, diagnosed by predefined criteria, were analyzed using a descriptive approach for sociodemographic, clinical, laboratory, and histopathological characteristics.Results: A total of 232 CKDu patients were enrolled (mean age 47.5 ± 11.2 years). Most were male ( n = 195, 85%), rural residents, and farmers ( n = 200, 86.2%). Pesticide exposure was reported by n = 116 (50%) and n = 69 (29.7%) was asymptomatic. CKD stages included stage 3 ( n = 140, 60.3%), stage 4 ( n = 48, 20.6%), and stage 5 ( n = 44, 18.9%). Hypokalemia occurred in n = 40 (17.2%), and n = 20 (4.6%) had uric acid >10 mg/dL. Kidney biopsies ( n = 20) revealed chronic tubulointerstitial nephritis. Mild hypertension requiring a single drug was noted in n = 23 (10%).Conclusion: Targeted public health strategies are crucial for early detection and management of CKDu in vulnerable rural populations.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating Change: A Qualitative Study of Menstrual Hygiene Practices in Rural Communities. 导航变化：农村社区月经卫生习惯的定性研究。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_417_25

Kalaiselvan Ganapathy, Reenaa Mohan, Pooja A Krishnan

{"title":"Navigating Change: A Qualitative Study of Menstrual Hygiene Practices in Rural Communities.","authors":"Kalaiselvan Ganapathy, Reenaa Mohan, Pooja A Krishnan","doi":"10.4103/ijph.ijph_417_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_417_25","url":null,"abstract":"Background: There has been a growing shift toward menstrual hygiene practices.Objectives: The objective of the study was to explore the challenges faced and the current trend of change regarding menstrual hygiene practices from self-help group (SHG) members and to identify effective coping mechanisms for school-aged children to manage regular menstruation challenges through the force field analysis technique.Materials and methods: Triangulation of qualitative research methods such as focused group discussion and participatory rural appraisal techniques like trend analysis (SHG members ( n = 23) belonging to 35-55 years) and Force field analysis (school girls belonging to age groups 12-19 years [ n = 14]) were conducted in the community. All the activity took place in the seating area beneath the shade of tree, which was convenient for all the participants. Ethical principals were adhered to throughout the study. Manual content analysis was done.Results: Broad three themes emerged during FDG, they are: Cultural practice and belief; health and hygiene, and dietary practices. Participants' transcript were coded, and twelve codes emerged, and the following six categories emerged. The trend analysis showed that almost many women use pads at present (red beads), when compared to their grandmother's times, when cotton clothes (cotton balls) were used. From FFA, it was found that preparedness by elder sister and friend has been a major positive force helping in coping menstrual difficulties in early stage.Conclusion: Efforts must focus on comprehensive education at grassroot level, from primary education, family support, community engagement, and improved facilities to create an environment where adolescent girls can thrive.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Systematic Review and Meta-analysis on the Salt and Sodium Intake in India. 印度盐和钠摄入量的系统回顾和荟萃分析。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_306_25

Amol Ramkrushna Patil, Shriram Vitthal Gosavi, Kalyani Deshmukh, Chanchal Goyal, Aravind P Gandhi

{"title":"A Systematic Review and Meta-analysis on the Salt and Sodium Intake in India.","authors":"Amol Ramkrushna Patil, Shriram Vitthal Gosavi, Kalyani Deshmukh, Chanchal Goyal, Aravind P Gandhi","doi":"10.4103/ijph.ijph_306_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_306_25","url":null,"abstract":"Background: In India, estimates of salt intake vary widely due to cultural and regional dietary patterns, and an updated comprehensive synthesis was lacking.Objective: The objective of this study is to estimate the pooled mean salt and sodium intake and the prevalence of high salt intake across diverse Indian populations, and to explore regional, demographic, and temporal variations.Data sources: A comprehensive literature search was conducted across PubMed, Scopus, Web of Science, and Embase until December 2, 2024, following PROSPERO registration (CRD42024618201).Methods: Studies reporting mean salt or sodium intake or the prevalence of excess intake were included in the study. A random-effects meta-analysis was conducted, and heterogeneity was assessed using the I² statistic. Subgroup analyses were performed by region, locality, sex, hypertension status, and study year.Results: Eighty-three studies were included in the study. The pooled mean salt intake from 30 studies was 9.01 g/day (95% confidence interval [CI]: 8.23-9.79), whereas the mean sodium intake from 23 studies was 3.49 g/day (95% CI: 2.72-4.25), both exceeding the World Health Organization-recommended limits. The pooled prevalence of high salt intake was 61% (95% CI: 48%-73%), with wide variation by intake definition. Subgroup analyses showed higher intake in rural populations, males, and hypertensive individuals.Conclusion: Salt and sodium intake in India remains significantly above recommended levels, with considerable variability across regions and populations.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of World Health Organization Module-based Training on Performance of Directly Observed Treatment, Short-course Providers in Counseling of People with Tuberculosis. 世界卫生组织基于模块的培训对直接观察治疗短期课程提供者在结核病患者咨询中的表现的影响。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_668_24

Suseendar Shanmugasundaram, T B Pritish Baskaran, Akhil Dhanesh Goel, Manoj Kumar Gupta, Srikanth Srinivasan, Suman Saurabh, Pankaj Bhardwaj

{"title":"Effect of World Health Organization Module-based Training on Performance of Directly Observed Treatment, Short-course Providers in Counseling of People with Tuberculosis.","authors":"Suseendar Shanmugasundaram, T B Pritish Baskaran, Akhil Dhanesh Goel, Manoj Kumar Gupta, Srikanth Srinivasan, Suman Saurabh, Pankaj Bhardwaj","doi":"10.4103/ijph.ijph_668_24","DOIUrl":"10.4103/ijph.ijph_668_24","url":null,"abstract":"Background: Poor counseling by healthcare providers contributes to dissatisfaction and poor treatment adherence among people with tuberculosis (TB).Objectives: The objective of the study was to assess the effect of counseling training on directly observed treatment, short-course (DOTS) provider performance and patient outcomes in TB care.Materials and methods: A community-based intervention study was conducted in two TB units of Jodhpur, with one receiving the World Health Organization (WHO)-based counseling training and the other serving as a control. Knowledge, attitude, and practice (KAP) and counseling skills of healthcare workers, patient satisfaction, and medication adherence were assessed pre- and postintervention.Results: Posttraining, healthcare workers in the intervention unit showed significant improvement in KAP and counseling skills compared to baseline and control units ( P < 0.001). Attitude scores improved marginally. Patient satisfaction and medication adherence showed modest improvement, but the difference-in-difference analysis showed no statistically significant change.Conclusion: WHO module-based training improves DOTS provider counseling, but patient outcomes need broader system and community support.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reply to Letter to Editorial Entitled The Rising Tide of Prehypertension and Obesity in Rural India: A Nuanced Look at Cardiometabolic Risk Transition. 回复题为“印度农村高血压前期和肥胖的上升趋势：对心脏代谢风险转变的细致观察”的社论。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_224_26

Sindhu Nila, Aditi Apte, Yogeshwar Kalkonde, Dhiraj Aggarwal, Sanjay Juvekar

引用次数: 0

Metabolic Bone Disease of Prematurity: A Preventable Morbidity in Very Low Birth Weight Infants. 早产儿代谢性骨病：极低出生体重婴儿可预防的发病率。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_1394_25

Sushi Kumar Choudhary, Hemant Kumar, Kanupriya Rathore

引用次数: 0

Impact of High-risk Pregnancy on Maternal and Child Health Outcomes - Evidence from Rural Ballabgarh. 高危妊娠对母婴健康结局的影响——来自巴拉巴加尔农村的证据

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_489_25

Tejbeer Singh, Roy Arokiam Daniel, Harshal Ramesh Salve, Rakesh Kumar, Puneet Misra, Kapil Yadav

{"title":"Impact of High-risk Pregnancy on Maternal and Child Health Outcomes - Evidence from Rural Ballabgarh.","authors":"Tejbeer Singh, Roy Arokiam Daniel, Harshal Ramesh Salve, Rakesh Kumar, Puneet Misra, Kapil Yadav","doi":"10.4103/ijph.ijph_489_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_489_25","url":null,"abstract":"Background: High-risk pregnancies have been found to be associated with various adverse maternal or neonatal outcomes such as having a low-birth-weight (LBW) newborn, stillbirth and pre-term delivery, cesarean section (CS), stillbirths, and infant deaths.Objectives: To estimate the burden of high-risk pregnancy and its association with pregnancy and birth outcomes.Materials and methods: Retrospective cohort study conducted in rural Haryana among pregnant women registered in health management information system from January 2020 to December 2022, i.e., 3 years. The calculated sample size was 6928. There were two groups of pregnant women, one without high-risk factors (nonexposed) and another with high-risk factors during the course of the pregnancy (exposed). They were followed up till termination of pregnancy or childbirth and their outcomes were recorded.Results: We included 6402 participants in the study. The mean (standard deviation) age of the pregnant women was 27.5 years (4.2 years). The prevalence of high-risk pregnancy was 37.0%. History of (H/o) abortion was significantly associated with stillbirth (odds ratio [OR]-3.89, 95% confidence interval [CI]-1.19-12.75). H/o CS was significantly associated with having LBW newborn (OR-1.42, 95% CI-1.08-1.87), preterm delivery (OR-1.78, 95% CI-1.41-2.25), and CS (OR-15.78, 95% CI-12.40-20.09). Twins/multiple gestation was significantly associated with having LBW newborn (OR-5.72, 95% CI-2.36-13.91), preterm birth (OR-6.61, 95% CI-2.68-16.26), and CS (OR-3.56, 95% CI-1.45-8.75).Conclusion: More focused intervention targeting maternal nutrition is needed at all the levels of health care. Uniform criteria for classifying high-risk pregnancies are need of the hour, which can be assisted by this study.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To Determine the Prevalence and Correlation of Atherosclerosis in Patients with Nonalcoholic Fatty Liver Disease. 目的：探讨非酒精性脂肪肝患者动脉粥样硬化的患病率及其相关性。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-03 DOI: 10.4103/ijph.ijph_824_25

Yogesh Kumar Gupta, Sahil Nohria, Varun Mehta, Bishav Mohan

{"title":"To Determine the Prevalence and Correlation of Atherosclerosis in Patients with Nonalcoholic Fatty Liver Disease.","authors":"Yogesh Kumar Gupta, Sahil Nohria, Varun Mehta, Bishav Mohan","doi":"10.4103/ijph.ijph_824_25","DOIUrl":"10.4103/ijph.ijph_824_25","url":null,"abstract":"Background: Liver fibrosis is an important component in nonalcoholic fatty liver disease (NAFLD) patients. Liver biopsy is the gold standard of liver fibrosis evaluation, but it is not done routinely.Objectives: This study intends to correlate the liver stiffness assessed using FibroScan with carotid intima-media thickness in NAFLD patients so that timely intervention can be done to prevent cardiac complications.Materials and methods: Patients attending the Outpatient Department and also admitted to the ward of Dayanand Medical College and Hospital, Ludhiana, undergoing fibroscan for the evaluation of NAFLD and subsequent carotid intimal-medial thickness (CIMT) were included. Carotid intimal-medial thickness was measured by a single observer using B-mode on a Philips Affiniti 50C USG machine. A thickness of >0.9 mm was considered a significant thickness and a risk marker for atherosclerosis.Results: Ultrasound grading showed increasing severity of fatty liver with fibrosis, with Grade III fatty liver present in 0% of F0-F1, 29.6% of F2, and 70.4% of F3 patients. Both right and left carotid intima-media thickness (CIMT) increased significantly with advancing fibrosis. Both right and left CIMT increased significantly with advancing fibrosis ( P = 0.001). Waist circumference also showed a significant rise across fibrosis stages ( P = 0.001). Serum cholesterol, triglycerides, low-density lipoprotein cholesterol, and fasting blood sugar levels increased with fibrosis severity, while high-density lipoprotein cholesterol decreased significantly ( P = 0.005).Conclusion: In conclusion, a higher grade of liver fibrosis assessed by transient elastography can be a risk factor for atherosclerosis.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0