{"title":"Speech Transmissibility in a Tertiary Care Hospital in North India: An Unexplored Consequence of Hospital Noise.","authors":"Aritrik Das, Jugal Kishore, Yukti Bhandari","doi":"10.4103/ijph.ijph_1070_23","DOIUrl":"10.4103/ijph.ijph_1070_23","url":null,"abstract":"<p><strong>Background: </strong>Hospital noise causes speech interference between patients and staff, leading to miscommunication, uncertainty, irritation, frustration, and medical errors. Speech transmission index (STI) is a metric ranging from 0 to 1 representing the transmission quality of speech with respect to its comprehension and intelligibility.</p><p><strong>Objectives: </strong>The objective of this study was to assess the speech intelligibility in a tertiary care hospital.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted in a 1600-bedded tertiary care hospital. STI for public address systems-Pro - an application meeting the existing IEC-60268-16:2011 standards for speech intelligibility, was used to measure STI of 30 sites in the hospital during the day and night, both during the weekdays and the weekends. An STI measure of ≥0.75 was deemed good for speech transmissibility.</p><p><strong>Results: </strong>The mean STI measured was 0.62 (standard deviation ± 0.17). Among indoor sites, STI ranged between 0.25 at the outpatient department (OPD) registration and 0.95 at the first floor of the OPD block. During the weekdays, OPD registration recorded the poorest STI (0.25) during the daytime. The poorest STI at night was observed at the emergency registration (0.48) and the emergency room (0.52). Out of the 23 indoor sites, 3 sites reported poor speech intelligibility, while 13 sites reported only fair speech intelligibility.</p><p><strong>Conclusion: </strong>Findings from sites, like the OPD registration, medicine wards, and emergency, were of concern. Interventions to reduce background noise and improve the acoustic environment need to be considered.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":"70 2","pages":"144-148"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301345","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}
{"title":"Effectiveness of Family-Centered Behavioral Counseling Intervention in the Improvement of Periodontal Status among Pregnant Women.","authors":"Diksha Sharma, Manjunath Bc, Bhavna Sabbarwal, Savita Rani Singhal, Adarsh Kumar, Vipul Yadav","doi":"10.4103/ijph.ijph_1272_24","DOIUrl":"10.4103/ijph.ijph_1272_24","url":null,"abstract":"<p><strong>Summary: </strong>The burden of periodontal disease is high among pregnant women because of hormonal imbalance and poor oral hygiene practices. Studies have reported that periodontal diseases are associated with adverse pregnancy outcomes; hence, the present study was conducted to assess the effectiveness of family-centered behavioral counseling intervention among pregnant women in their early antenatal period. The test group received family-centered behavioral counseling, and standard oral hygiene instructions were given to the control group. Family-centered behavioral and educational counseling intervention was found to be effective in improving the oral hygiene and periodontal status during the early antenatal period among pregnant women.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":"70 2","pages":"255-258"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301220","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}
{"title":"Unseen Dangers: Investigating the Risk Factors and Impacts of Falls in Visually Impaired Adults.","authors":"Haewon Byeon","doi":"10.4103/ijph.ijph_251_25","DOIUrl":"10.4103/ijph.ijph_251_25","url":null,"abstract":"","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":"298-299"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145476776","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}
Madhuri Rathi, Atreyee Bhattacharyya, Debatree Mukherjee, Sakhi Roy
{"title":"Roles of Perceived Life Satisfaction and Perceived Social Support in Association between Resilience and Experiencing Posttraumatic Growth in Cancer Patients.","authors":"Madhuri Rathi, Atreyee Bhattacharyya, Debatree Mukherjee, Sakhi Roy","doi":"10.4103/ijph.ijph_751_25","DOIUrl":"10.4103/ijph.ijph_751_25","url":null,"abstract":"<p><strong>Background: </strong>Our study compared life satisfaction, perceived social support, resilience, and growth on cancer patients, individuals having chronic nonmalignant illness, and healthy controls which was not under major consideration in the existing literature.</p><p><strong>Objectives: </strong>Examining the roles of life satisfaction and social support in the association between personal acceptance and growth in cancer patients.</p><p><strong>Materials and methods: </strong>Among 429 purposively sampled participants, 149 had diagnosis of cancer, 168 with chronic health conditions, and 112 were healthy controls.</p><p><strong>Results: </strong>Healthy individuals showed greater resilience, whereas cancer patients reported the greatest appreciation of life. In cancer patients, personal acceptance enhanced perception of new possibility with increased life satisfaction, but there was a negative association while mediated by perceived social support.</p><p><strong>Conclusion: </strong>Self-acceptance fosters growth although reduces satisfaction; whereas social support enhances it. Cancer care should integrate intervention modules on internal resilience and acknowledgment of external support system.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":"183-187"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837429","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}
{"title":"The Curious Case of Coaching Industry as a Commercial Determinant of Mental Health: Unpacking the Kota Suicide Cluster in India.","authors":"Veda Yumnam","doi":"10.4103/ijph.ijph_1000_25","DOIUrl":"10.4103/ijph.ijph_1000_25","url":null,"abstract":"<p><strong>Summary: </strong>Kota, Rajasthan, India, has emerged both as the \"coaching capital\" and a suicide cluster. The coaching industry is fueled by high-pressure entrance examinations and preference and parental pressure for science, technology, engineering, and mathematics courses, particularly for male children. This article draws upon the World Health Organization's definition of Commercial Determinants of Health to demonstrate that the commercial coaching model has resulted in serious adverse health outcomes, culminating in a suicide cluster. These suicide clusters need to be viewed through the lens of a commercial determinant of health, beyond an individual medical-psychiatric approach. This calls for both health systems and societal responses.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":"265-267"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834077","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}
{"title":"Are We Prepared for the Upcoming Seasonal Influenza Epidemic?","authors":"Guhapreetha Senthilkumar, Irfan Ismail Ayub, Dhivyadharshini Mathiyalagan, Krithika Gopalakrishnan","doi":"10.4103/ijph.ijph_937_24","DOIUrl":"10.4103/ijph.ijph_937_24","url":null,"abstract":"","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":"287-288"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837315","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}
{"title":"Enhancing Medical Education through Simulation: A Crucial Step in Mitigating Anchoring Bias.","authors":"Hritika Sharma, Anant D Patil, Rajas Patel","doi":"10.4103/ijph.ijph_786_24","DOIUrl":"10.4103/ijph.ijph_786_24","url":null,"abstract":"","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":"283-284"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837433","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}
Dinesh Kumar, Shrinivasa B Marinaik, Devi Madhavi Bhimarasetty, K Krishnamoorthy, Chandrasekaran Padmapriyadarshini, Sunil Raina, Manjula Singh, Abdul Mabood Khan, Rahmat Bano
{"title":"Pulmonary Tuberculosis among Cancer Patients Treated with Immunosuppressants: A Systematic High-risk Group Screening Analysis in Multicentric Hospitals.","authors":"Dinesh Kumar, Shrinivasa B Marinaik, Devi Madhavi Bhimarasetty, K Krishnamoorthy, Chandrasekaran Padmapriyadarshini, Sunil Raina, Manjula Singh, Abdul Mabood Khan, Rahmat Bano","doi":"10.4103/ijph.ijph_144_24","DOIUrl":"10.4103/ijph.ijph_144_24","url":null,"abstract":"<p><strong>Background: </strong>People with cancer are vulnerable and considered a high-risk group for developing pulmonary tuberculosis (PTB) as they are often treated with immunosuppressants.</p><p><strong>Objectives: </strong>The primary objective of the study was to screen for PTB occurrence among cancer patients. The secondary objective was to assess the risk of PTB among patients receiving immunosuppressants (I-R) compared to those not receiving immunosuppressants (I-NR).</p><p><strong>Materials and methods: </strong>A sentinel surveillance was carried out among cancer patients receiving care from the oncology department of four medical colleges from January 2020 to April 2021. Descriptive analysis was done for the primary objective, whereas propensity score matching (PSM) was done to assess the secondary objective. Risk ratio (RR) was reported using logistic regression analysis.</p><p><strong>Results: </strong>A total of 1194 participants were assessed, and PTB was found to be 0.6% and 0.2% based on cartridge-based nucleic acid amplification test (CBNAAT) and sputum smear microscopy, respectively. PSM analysis showed a nonsignificant association between immunosuppressant use and PTB (RR: 1.3; 95% confidence interval [CI]: 0.3-6.0). PSM showed a significant association between PTB and subjective weight loss (RR: 5.3; 95% CI: 2.1-13.2), sense of fatigue (RR: 3.5; 95% CI: 1.9-6.6), and chest radiological assessment (RR: 2.8; 95% CI: 1.8-4.3).</p><p><strong>Conclusion: </strong>Sentinel surveillance detected PTB among cancer patients with high CBNAAT-based yield. Significantly, patients on immunosuppressants reported weight loss and fatigue that required chest radiography to screen PTB as a presumptive case.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":"70 2","pages":"163-168"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301389","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}
{"title":"Leveraging Health Education through Integrating Gamification into Traditional Teaching: Learnings from Leadership and Management Program.","authors":"Kritika Upadhyay, Nandita Bhatnagar, Sonu Goel","doi":"10.4103/ijph.ijph_891_25","DOIUrl":"10.4103/ijph.ijph_891_25","url":null,"abstract":"<p><strong>Summary: </strong>Education has evolved from the traditional Gurukul system to formal, teacher-led classrooms, and now incorporates modern tools such as PowerPoint and role-play. With shifting learner preferences, the use of game mechanics in nongame contexts has emerged as a strategy to boost engagement, motivation, and retention. The International Public Health Management Development Program (IPHMDP) integrated gamification principles derived from the aforementioned frameworks into its training modules by employing a variety of gamified strategies, including contests, competitive games, and interactive tasks designed to promote engagement and active participation among healthcare professionals. Gamification improved participation, collaboration, motivation, and knowledge retention, supporting capacity-building objectives in public health training. The IPHMDP experience demonstrates its potential to enhance learning outcomes, making it a valuable approach in professional training for health practitioners.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":"268-270"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837372","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}
{"title":"Assessment of Oral Health Status and Treatment Needs among Elderly Tibetan Refugee Population in Shimla City: A Cross-sectional Study.","authors":"Ruchi Verma, Vinay Bhardwaj, Shailee Fotedar, Arun Singh Thakur, Akshay Thakur","doi":"10.4103/ijph.ijph_495_24","DOIUrl":"10.4103/ijph.ijph_495_24","url":null,"abstract":"<p><strong>Background: </strong>Tibetans have lived in India as refugees since 1959, and addressing their health needs is a moral responsibility. Community healthcare for refugees often neglects oral health, giving it lower priority than other health issues, particularly among underprivileged groups. Age is a significant sociodemographic factor, as oral health tends to deteriorate in the elderly due to tooth loss and periodontal problems. Due to insufficient comprehensive data, a need was felt for conducting this study in Shimla city.</p><p><strong>Objectives: </strong>To assess oral health status and treatment needs among elderly Tibetan refugees in Shimla city and establish valid baseline data.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted (May-October 2022) among the entire elderly Tibetan population (≥60 years) in Shimla. Oral health status and treatment needs were recorded using the World Health Organization Oral Health Assessment Form (2013). Data were analyzed using SPSS version 26, with P < 0.05 considered statistically significant.</p><p><strong>Results: </strong>Among the study population, 49% were males and 51% were females, mostly in the 60-69 age group. Dental caries prevalence was 78.4%, and the mean DMFT score was 17.69, significantly higher among males compared to females. Periodontal disease was observed in 63.7% of participants, with a higher prevalence in the 60-69 age group.</p><p><strong>Conclusion: </strong>The study revealed poor oral health among the elderly Tibetan refugee population. Treatment needs increased steadily with age, highlighting the need for targeted oral health care services for this vulnerable population.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":"70 2","pages":"130-134"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301169","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}