{"title":"A study of breast feeding practices among rural women","authors":"Nanthini Saravanan, K. Kannan, S. Rajini","doi":"10.33545/comed.2020.v3.i3a.152","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i3a.152","url":null,"abstract":"Objectives: To study and understand the breast feeding practices among rural women like, a) when to initiate breast feeding b) how long to continue exclusive breast feeding, c) when to start supplementary feeding and d) what are all the supplementary foods. Methodology: The study included hundred women with children less than 2 years of age. By administering a questionnaire, data were collected about initiation, exclusive breast feeding and supplementary diet, data compiled, tabulated and inference arrived at. Result: It was evident from the study that the prevalence of breast feeding in the study population is universal. 99% of deliveries were institutional deliveries. 92% of mothers had correct knowledge about initiation of breast feeding, 16% reported practice of prelacteal feeds, 92% of mothers gave colostrum to their babies, 51% of study population had the knowledge and practice of exclusive breast feeding upto 6 month. Conclusion: Breast feeding is an ancient tradition necessary to protect the national treasure the children. Training of health functionaries on the promotion of more appropriate breast feeding practices is very much essential to educate mothers on early initiation of breast feeding, not discarding the colostrum. In rural areas every effort should be made to protect promote and support the already existing practice of breast feeding specially through health services.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"410 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115997077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A community based study on type 2 diabetes mellitus in a rural field practice area of katuri medical college, Guntur","authors":"A. Patchala, Phanindra Dulipala, D. JagannathRao","doi":"10.33545/comed.2020.v3.i3a.165","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i3a.165","url":null,"abstract":"Background & Objectives: India is on its march towards having the most number of diabetics worldwide and is aptly called the „diabetic capital‟ of the world. Limited information on the problem of diabetes in rural area has necessitated the need for this study to find the prevalence of type 2 diabetes mellitus and the risk factors associated with it along with the compliance in known diabetics. Methods: A cross sectional study was conducted was conducted in Guntur, a rural field practice area of Katuri Medical College, Guntur during 1 st January 2017 to 31 st October 2018. A quick enumeration survey was done to identify the 6,992 participants aged 20 years and above of whom a sample of 1364 respondents were selected by systematic random sampling and were evaluated for diabetes, its risk factors and compliance. Results: Present study revealed the prevalence of diabetes as 6.52%. Diabetes was found to be significantly associated with increasing age in both the genders, in employed respondents, vegetarians, smokers, positive family history of diabetes, higher BMI, central obesity and among hypertensives. Only 39.76% diabetics knew their diabetic status and the overall compliance of diabetes were found to be 13.48%. Interpretation & Conclusion: Higher prevalence of diabetes similar to Indian average found in this village along with very poor compliance of diabetes is a matter of concern and has to be addressed in this economically backward villages of rural area by regular screening and motivation to modify the risk factors responsible and improve the compliance to reduce the possible complications of the disease.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"236 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123300199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Awareness of pregnant women regarding infant feeding practices in a field practice area of a medical college of Maharashtra","authors":"A. Pandey","doi":"10.33545/comed.2020.v3.i3a.162","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i3a.162","url":null,"abstract":"Breast feeding and complementary feeding are known to play a crucial role in the growth and development of an infant. Various Global agencies recommend that Infants should be exclusively breast fed for 6 months and appropriate complementary feeding should be started at the age of six months without discontinuing breastfeeding. Though there are many awareness programmes of the Government, there are still many wrong practices and myths associated with infant feeding. This study aims to evaluate the knowledge about breast feeding and complementary feeding in pregnant women. Material and Methods: A cross sectional study was carried out in the Field Practice area of a Medical College In Maharashtra. There were 80 pregnant women in the 10 adopted villages. 58 women were interviewed for the study by the principal investigator after obtaining consent, with the help of a pretested, IYCF questionnaire formulated by Breast feeding Promotion Network of Results: Out of the 58 women interviewed, all were married and majority 50, (86.20%) were housewives. 46(79.31%) belonged to joint families. 32(55.17%) were primigravida and 26 (44.87%) were multigravida.93% had knowledge of exclusive breastfeeding but only 72% knew the correct time of initiation.57% felt that pre-lacteal foods should be given. 47% knew correct age of giving complementary foods but variety of foods to be given was not known. Myths regarding complementary foods are prevalent. 60% believed that bottle feeding should not be given. Level of education has a positive impact on infant feeding practices. Recommendations: Education regarding infant and young child feeding practices should be given to all pregnant women and also to their family members","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131257146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Ramasubramaniam, Vidyasree ., Riddi Rajan, S. Kirtana, D. Harini, K. Abhinaya, S. Gayathri, Hameed Nusheen Afra Pasappil
{"title":"Knowledge, attitude, and practice of “General preventive measures against health care associated infections” among medical and nursing students of a tertiary care hospital in Chennai","authors":"R. Ramasubramaniam, Vidyasree ., Riddi Rajan, S. Kirtana, D. Harini, K. Abhinaya, S. Gayathri, Hameed Nusheen Afra Pasappil","doi":"10.33545/comed.2020.v3.i3a.154","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i3a.154","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132060640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Awareness and use of policies and procedures to report workplace violence against primary health care physicians","authors":"Ola Alalmai, Mostafa Kofi","doi":"10.33545/comed.2020.v3.i2a.150","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i2a.150","url":null,"abstract":"Methods: A cross-sectional study included 154 PHC physicians in 11 PHC centers in Riyadh during January to March 2018. A structured questionnaire was used to examine the frequency, awareness of policies/procedures, type of assailants, reaction toward violence attack and reasons for not reporting violence. In addition, sociodemographic data and workplace characteristics of participants.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134534287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Gulsiv Nair, Dr. M Lakshminarayana, Dr. Lavanya Nagaraj, D. M., D. Sa
{"title":"Antibiotic resistance in causative agents of ear discharge: A deafening problem","authors":"Dr. Gulsiv Nair, Dr. M Lakshminarayana, Dr. Lavanya Nagaraj, D. M., D. Sa","doi":"10.33545/comed.2020.v3.i2a.214","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i2a.214","url":null,"abstract":"Discharge from the ear is common, the management of which is complicated by rising antimicrobial resistance. Ear discharge samples received at the microbiology laboratory in Al Azhar Medical College from June 2018 to May 2019 were processed, and organisms identified and susceptibility tested. The predominant organism was Pseudomonas aeruginosa (24/53, 45.28%). The susceptibility of these isolates to fluoroquinolones (91.67%) and aminoglycosides (95.83%) was good. Eleven isolates were Gram positive, with 8 Staphylococcus aureus and 3 coagulase negative Staphylococcus. Five isolates were MRSA (62.5%). Susceptibility to ampicillin (27.27%), amoxiclav (36.36%), 3 rd generation cephalosporins (54.55%), azithromycin (54.55%), and fluoroquinolones (45.45%) was disappointing. Cotrimoxazole susceptibility was 72.73%. Seven isolates were Enterobacterales. Susceptibility to ampicillin, amoxiclav, cefuroxime and macrolides (each 14.29%) was alarming. Ceftriaxone and cotrimoxazole showed susceptibility of 57.14%. Fluoroquinolone susceptibility (71.43%) was also poor. Antimicrobial therapy based on microbiological evidence is essential for the management in the face of high antibiotic resistance.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124984745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A study on prevalence of domestic accidents in a rural community","authors":"A. Patchala, Phanindra Dulipala, D. JagannathRao","doi":"10.33545/comed.2020.v3.i2a.166","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i2a.166","url":null,"abstract":"Background: Domestic accidents are worldwide health problems. Domestic accidents have not so far been recognized to the same extent as traffic and work-related injuries, largely because they have not been effectively counted. Very few studies are available regarding domestic accidents in India, and there is no study available from the rural areas. Hence the present study was undertaken with an aim to assess the prevalence of domestic accidents in a rural community. Aim & Objective: To assess the prevalence of domestic accidents in a rural community. Materials and Methods: The study was conducted in the rural field practice area of Katuri Institute of Medical Sciences, Guntur. Totally 5419 individuals were selected from 30 clusters using Cluster Sampling Technique. In each cluster, 178 individuals (some clusters had more than 178 individuals) were surveyed by house-to-house visit. Information about domestic accidents among the family members in the past one year was obtained by interviewing the head of the family or responsible adult informant using a pre-tested structured proforma. The data was compiled and analyzed. Results: Among 5419 individuals, 2748 (50.9%) were males and 2671 (49.1%) were females. Prevalence of domestic accidents in the rural community was found to be 9.6%, majority (21.8%) of domestic accidents are observed in children 1-4 years of age. Most common domestic accidents reported were falls (43.2%). Majority (44.1%) of domestic accidents occurred in the morning hours. Commonest place for occurrence of domestic accidents was kitchen (46.5%). Majority (53.6%) was treated at home and complete recovery was observed in 91.9% of domestic accident cases. Conclusion: The prevalence of domestic accidents in the rural community was 9.6 %. Falls were the most common domestic accidents.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"228 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132188708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative study on prevalence of anemia and menstrual health problems among urban and rural adolescent girls","authors":"P. Reddy, A. Chand","doi":"10.33545/comed.2020.v3.i2a.145","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i2a.145","url":null,"abstract":"Aim& Objective: This study was undertaken to know the prevalence of anemia and menstrual health problems in both urban and rural areas of Siddipet District. Methodology: It is comparative cross sectional study Results: In the present study, total mean hemoglobin of students is 10.95±4.43. In rural area, mean hemoglobin is 10.49±1.71 which is low compared to the mean hemoglobin levels of students in urban area 11.42±5.99. The contributing factors of anemia seen in this study are: low socioeconomic status, onset of menarche, nuclear families, vegetarian diet, religion and caste, birth order, body mass index, deworming, age of menarche and menstrual cycle length. Some students experienced symptoms like lack of concentration, headache, tiredness, lack of interest in studies, leg cramps, dizziness, shortness of breath and rapid heartbeat due to anemia. On examining the students, most of them were having palmar pallor, tongue pallor, nail pallor and conjunctival pallor. The adolescent girls are facing various menstrual health problems like abdominal pain, menorrhagea, polymenorrhoea etc. In this study, students who have heavy menstrual flow were prone to anemia. Knowledge and practices of students of urban area like frequency of changing pads and disposal of sanitary pads in dustbins were better than the students in rural area. While students in rural area were using sanitary pads more than the students in urban area Conclusion: The findings of the study can be used for planning programs, making new policies for improving the level of information especially, for rural adolescent girls. So, students should be educated regarding improvement of their nutrition, diet and exercise, hand washing, health seeking behavior and life style habits in order to build healthy nation.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114380466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Socioeconomic status on pregnancy outcomes in Indian scenerio","authors":"Nabnita Patnaik","doi":"10.33545/COMED.2020.V3.I2A.143","DOIUrl":"https://doi.org/10.33545/COMED.2020.V3.I2A.143","url":null,"abstract":"Materials and methods: The study was conducted in the department of obstetrics and gynaecology of a private Hospital, for the period of one year. This is a tertiary care teaching hospital. 300 married women whose ages ranged between 15-45 years and who were attending obstetric OPD or were admitted in the ward were included in the study after taking informed consent. Data was collected using a questionnaire by interview. Study variables included monthly income (i.e. Rs. 12000) lifestyle, eating habits and type and amount of food consumed, pattern of health care utilization, literacy level, chronic illness, history of illicit drug use by women or husband, and employment status of husband and women.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125259016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A study on Patients' approach towards the presence of medical student during consultation in outpatient department (OPD) in a medical college","authors":"Bharani P Jada, Meghana Kankanla, J. Ravikumar","doi":"10.33545/comed.2020.v3.i2a.144","DOIUrl":"https://doi.org/10.33545/comed.2020.v3.i2a.144","url":null,"abstract":"A study on Patients' approach towards the presence of medical student during consultation in outpatient department (OPD) in a medical college","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128310914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}