Journal of Comprehensive Health最新文献_第4页

A Cross-Sectional Study on Prevalence of Post-Natal Depression and its Associates among Women in a Rural Community in Hooghly District, West Bengal 西孟加拉邦胡格利地区农村社区妇女产后抑郁症患病率及其相关因素的横断面研究

Journal of Comprehensive Health Pub Date : 2021-06-30 DOI: 10.53553/jch.v09i01.007

Souvik Das, D. Pal, S. Sadhukhan, H. Haque, M. Datta

{"title":"A Cross-Sectional Study on Prevalence of Post-Natal Depression and its Associates among Women in a Rural Community in Hooghly District, West Bengal","authors":"Souvik Das, D. Pal, S. Sadhukhan, H. Haque, M. Datta","doi":"10.53553/jch.v09i01.007","DOIUrl":"https://doi.org/10.53553/jch.v09i01.007","url":null,"abstract":"Background:Post-natal depression, aserious mental health problem experienced by mothers 4 to 6 weeks after delivery. Patients suffering from post- natal depression are at higher risk of developing major depressive illness in future life. Objectives: To assess the prevalence of post-natal depression and its associates among women in a rural community in Hooghly district, West Bengal. Methodology: A cross-sectional study was conducted among 83 post-natal mothers (period of 6th to 10th week after delivery) in a rural community in Hooghly district, West Bengal, selected by simple random sampling technique from the list of mothers attending the immunization clinic in a health centreduring the period of April 2019 to September 2019. Data was collected by face-to-face interview and review of records by house to house visits. Depression was assessed by Edinburgh post-natal depression scale (EPDS).Statistical analysis was done using Microsoft Excel and SPSS version 16. Results: Prevalence of post-natal depression among study participants came out to be 28.9%. Poor socio-economic status (p=0.000). Unplanned pregnancy (p=0.025), Pre-term delivery (p=0.011) and increase in number of parity (p=0.025) were found to be statistically significantly associated with post-natal depression. Conclusion: Post-natal depression is a major public health problem which should be dealt with great concern while making policy for betterment of maternal and child health especially in low income countries like India. This can be detected early by health care providers in primary health care set up using simple screening tools. Special care and counselling should be provided to them.","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125058052","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}

引用次数: 0

Implementing a Combination of Social and Public Health Interventions for the Effective Control of COVID-19 Pandemic 实施社会卫生与公共卫生相结合的干预措施有效控制新冠肺炎大流行

Journal of Comprehensive Health Pub Date : 2021-06-30 DOI: 10.53553/jch.v09i01.008

S. Shrivastava, P. Shrivastava

{"title":"Implementing a Combination of Social and Public Health Interventions for the Effective Control of COVID-19 Pandemic","authors":"S. Shrivastava, P. Shrivastava","doi":"10.53553/jch.v09i01.008","DOIUrl":"https://doi.org/10.53553/jch.v09i01.008","url":null,"abstract":"The ongoing coronavirus disease-2019 (COVID-19) pandemic has gone beyond the possibility that the disease can be controlled by the solitary actions of the health sector. If we really aim to bring an end to this novel viral pandemic, we have to implement specific public health and social interventions which can either reduce or completely interrupt the probability of transmission of the disease. Amidst no availability of a vaccine or a potential therapeutic option, the scope of public health and social interventions in the effective containment of the infection is of paramount importance. However, it is important to remember that social measures cannot be there forever and they have to be gradually lifted, and at that time, the caseload will be determined by the continuation of the well proven strategies. In conclusion, in the ongoing global fight against the COVID-19 pandemic, it is extremely important that public health interventions should be implemented in close coordination with social strategies, including support from all the sections of the community to significantly minimize the risk of transmission of the infection.","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121103581","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}

引用次数: 0

Overcoming Mental Health Challenges during Pandemic: Arguing in favour of Incorporation of Community Mental Health in Undergraduate Medical Curriculum 克服流行病期间的心理健康挑战:支持将社区心理健康纳入本科医学课程

Journal of Comprehensive Health Pub Date : 2021-06-30 DOI: 10.53553/jch.v09i01.002

B. Baur

引用次数: 0

LEADERSHIP IN HEALTH CARE 医疗保健的领导地位

Journal of Comprehensive Health Pub Date : 2020-10-26 DOI: 10.53553/jch.v04i01.001

Jyotirmoy Saha

引用次数: 0

BMI, Physical Activity and Diabetes- A Case Control Study in a Rural Area of Kancheepuram district of Tamil Nadu. 身体质量指数、身体活动和糖尿病——泰米尔纳德邦坎奇普拉姆县农村地区的病例对照研究

Journal of Comprehensive Health Pub Date : 2020-10-26 DOI: 10.53553/jch.v04i01.006

J. Venkatachalam, T. Muthukumar, Rajesh E Muthu, Z. Singh

{"title":"BMI, Physical Activity and Diabetes- A Case Control Study in a Rural Area of Kancheepuram district of Tamil Nadu.","authors":"J. Venkatachalam, T. Muthukumar, Rajesh E Muthu, Z. Singh","doi":"10.53553/jch.v04i01.006","DOIUrl":"https://doi.org/10.53553/jch.v04i01.006","url":null,"abstract":"AIMS & OBJECTIVES: To assess the association between physical activity, BMI and diabetes mellitus in a study population. METHODS: A community based case control study to associate BMI, physical activity, and diabetes was conducted in the rural area of Chunampet, Cheyyurtaluk of Kancheepuram district in Tamilnadu, which is under PIMS field practicing area, Rural Health Training Centre under Department of Community Medicine, Pondicherry Institute of Medical Sciences, and Chunampet. Study participants: Adult population aged 35 - 50 years of age. Sample size: 150 cases and 150 controls. Definition of cases: Known diabetics and persons with FBS> 126 mg/dl or PPBS>200mg/dl. Definition of controls: Persons who are not a known a case of Diabetes and with FBS<126 and PPBS<200. Exclusion criteria: Critically ill person and Persons with other co morbidities. Questionnaire: A pre-designed and pre-tested questionnaire was used. Details regarding their duration of disease, physical activity are collected by house to house survey. Pulse, blood pressure, height in cms, weight in kgs is recorded. Revised BMI Scale was used to grade overweight and obesity. Intensity of physical activity was graded using British Heart Association grading system. Results: The study was conducted with 150 Diabetics (Cases) and 150 Non-Diabetics (Controls). Among the 150 Diabetics (Cases), 124 were males and 26 females. And, among the 150 Non-Diabetics (Controls), 124 were males and 26 were females. Cases and controls are matched for sex and age (+/- 5 years). No physical activity was positively associated with diabetes (OR= 1.9, CI= 1.3-4.8, p value<0.05). Overweight (OR=1.7, CI=0.8-2.7, p value<0.05) and obese person (OR=2.9, CI= 1.8-4.1) had higher risk for diabetes. Conclusion: The following factors (sedentary life style, obesity) were found to associated with diabetes mellitus and found to be statistically significant (p<0.05)","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"30 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123584085","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}

引用次数: 1

Current perception about Leprosy among family members of leprosy patients: A comparative study between high prevalent & low prevalent districts of West Bengal 目前麻风病患者家庭成员对麻风病的看法:西孟加拉邦高流行区和低流行区之间的比较研究

Journal of Comprehensive Health Pub Date : 2020-10-26 DOI: 10.53553/jch.v05i01.005

N. Mandal, G. Saha

{"title":"Current perception about Leprosy among family members of leprosy patients: A comparative study between high prevalent & low prevalent districts of West Bengal","authors":"N. Mandal, G. Saha","doi":"10.53553/jch.v05i01.005","DOIUrl":"https://doi.org/10.53553/jch.v05i01.005","url":null,"abstract":"Introduction: With a sustained effort, India achieved the goal of elimination of leprosy in December, 2005 (PR-0.95/10,000). Since 2001, MDT services in India were integrated with the general health services, thus posing various operational challenges in programme management. With a view to maximize the effectiveness of health education programme, it needs to assess current status of perception and practices of the family members taking care of the patients of the most stigmatized disease so as to adopt appropriate changes accordingly. Aim(s)/Objective(s): To assess perception & attitude about leprosy among family members in both high & low endemic districts. Materials and Method: 25% of leprosy patients getting MDT in 25% blocks of 3 high prevalent & all patients in 25% blocks in 3 low prevalent districts of West Bengal, were initially selected by multi-stage random sampling technique, then family members taking care of the patients, were interviewed. Statistical Analysis: Proportions in respect of different attributes calculated & chi-square used as a test of significance. Results: Total 246 family members of the leprosy patients, 143 from high prevalent & 103 from low prevalent districts were interviewed. 95.5% & 60.1% of family members respectively have heard about leprosy & MDT. Correct knowledge about cause (38.5% vs 32% ), clinical presentation, curability (90% vs 84.5%), infectiousness of the disease(59.4% vs 31%), complication (67.1% vs 52.4%) were found more among family members of high prevalent districts than low prevalent one. 13.59% & 4.2% family members in high & low prevalent districts had belief that leprosy occurred as a result of divine curse. Discrimination towards leprosy patients were found more in low prevalent than high prevalent districts. Conclusions: Knowledge & attitude towards leprosy were found to be better among family members in high prevalent as compared to that of low prevalent districts.","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129044392","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}

引用次数: 0

Global warming â€“ where we are 全球变暖<e:1>——我们所处的位置

Journal of Comprehensive Health Pub Date : 2020-10-26 DOI: 10.53553/jch.v04i02.003

S. Chatterjee, Debasis Das, S. Bhattacharya

{"title":"Global warming â€“ where we are","authors":"S. Chatterjee, Debasis Das, S. Bhattacharya","doi":"10.53553/jch.v04i02.003","DOIUrl":"https://doi.org/10.53553/jch.v04i02.003","url":null,"abstract":"Over last 8000 years, Earthâ€™s surface temperature raised by 1â—¦ C only. But at the present rate of global warming, the temperature would rise by 2.5â—¦C by 2050. By the end of this century temperature would rise by another 2.5 â—¦C. The Earth which was like an icebox has started burning. The sun sends energy as heat & light. Some part of the rays get through the atmosphere, some of them get reflected back into space. The ones which get through the atmosphere warm the earth up. All the time the earth radiates heat into space. Some of the heat going out is trapped by the atmosphere. This keeps our planet warm enough to live on. But if too much heat is trapped, the planet will warm up and the climate will change. The atmospheric air around the surface of the earth is made from a mixture of gases. Some of the gases trap heat, called greenhouse gases. This phenomenon is called natural greenhouse effect. Amount of greenhouse gases in the atmosphere is increasing day by day through human activities. More heat is trapped, enhanced greenhouse effect results. This is causing the earth to heat up universally called as â€“ â€˜Global warmingâ€™. It doesnâ€™t just mean that the earth gets hotter; the whole climate is changing. Nitrogen & Oxygen make up 99% of the atmosphere, donâ€™t trap heat, called non-greenhouse gases. Carbon dioxide, Methane, Nitrous oxide, Ozone, Water vapour â€“ these gases make up 1% of the atmosphere, trap heat, called greenhouse gases. Human activities increases the amount of these gases in the atmosphere","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114771247","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}

引用次数: 0

Introduction of newer vaccines in Immunization Programme of India: Challenges to be addressed 在印度免疫规划中引入新疫苗:有待解决的挑战

Journal of Comprehensive Health Pub Date : 2020-10-26 DOI: 10.53553/jch.v05i01.001

S. Dasgupta

{"title":"Introduction of newer vaccines in Immunization Programme of India: Challenges to be addressed","authors":"S. Dasgupta","doi":"10.53553/jch.v05i01.001","DOIUrl":"https://doi.org/10.53553/jch.v05i01.001","url":null,"abstract":"Small Pox eradication will continue to be regarded as the humanityâ€™s greatest triumph for all times to come. Since then, several health achievements were attained that too made significant contributions towards the goals of human survival and development. Substantial reductions in deaths and disabilities have been observed in diseases like childhood Tuberculosis, Pertussis, Diphtheria, Measles and paralytic Polio. In India, considerable reduction in vaccine preventable disease (VPD) burden was observed following launch of Expanded Programme of Immunization (EPI) in 1978. Reported number of Pertussis cases came down from 320109 (1980) to 25206 (2015). Measles cases reduced from 114036 to 25488 in the same time interval. Maternal and Neonatal Tetanus has been eliminated from most part of the world including India. There were 18975 paralytic Polio cases reported in 1980, which came down to â€˜zeroâ€™ in 2011, and South-East Asia region including India declared free of WPV in 2014. We are at the end game phase of another great landmark, Polio eradication. In all these successes, immunization was the core intervention.Millennium Development Summit in 2000 focused on intensification of child health interventions for attainment of the MDG-4 of reducing under-five deaths. The benefits of traditional EPI vaccines are already evident. Worldwide, the projected number of deaths averted by Measles vaccine (including SIA rounds) during 2011-2020 will be around 14.1 million. Introduction of newer and less utilized vaccines may further boost the attainment of MDG-4. Universalizing Hepatitis-B vaccine may prevent 6 million child deaths by 2020. Newer vaccine Hib may avert 1.7 million deaths. Sustaining the current vaccines and upscaling the programme with newer vaccines is expected to prevent 25 million child deaths worldwide during 2011-2020. Also, a number of new vaccines, like malaria, dengue, new-generation tuberculosis and typhoid conjugate vaccines are in advanced stages of development and may be available in the coming years.","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114825027","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}

引用次数: 0

Chronic arsenic poisoning and Hepatotoxicity 慢性砷中毒和肝毒性

Journal of Comprehensive Health Pub Date : 2020-10-26 DOI: 10.53553/jch.v05i01.003

K. Majumdar

{"title":"Chronic arsenic poisoning and Hepatotoxicity","authors":"K. Majumdar","doi":"10.53553/jch.v05i01.003","DOIUrl":"https://doi.org/10.53553/jch.v05i01.003","url":null,"abstract":"Arsenic (As) is a toxic and carcinogenic metalloid. Arsenic toxicity is a global health problem affecting many millions of people. Contamination is caused by arsenic from natural geological sources leaching into aquifers, contaminating drinking water and may also occur from mining and other industrial processes. Chronic arsenic poisoning, or arsenicosis, is typically defined by the classical skin manifestations, together with involvement of internal organs, such as liver injury, in the presence of known arsenic exposure. Probably, the most important concern with arsenic exposure is its carcinogenic potential. Epidemiologic studies have demonstrated an association between chronic arsenic exposure and cancer of the skin, lung, urinary bladder, and possibly liver, kidney, and prostate in humans. The epidemiological data for the skin, lung and urinary bladder are widely accepted as showing an etiological role for arsenic exposure, whereas other sites, such as liver, are considered more controversial. This article reevaluates epidemiology studies, rodent studies together with in vitro models, and focuses on the liver as a target organ of arsenic toxicity and carcinogenesis. Hepatocellular carcinoma and hepatic angiosarcoma, have been frequently associated with environmental or medicinal exposure to arsenicals. Hepatomegaly, hepatoportal sclerosis, fibrosis, and cirrhosis often occur after chronic arsenic exposure. There are a variety of potential mechanisms for arsenical-induced hepatocarcinogenesis, such as oxidative DNA damage, impaired DNA damage repair, acquired apoptotic tolerance, hyperproliferation, altered DNA methylation, and aberrant estrogen signaling. Some of these mechanisms may be liver specific/selective. Overall, accumulating evidence clearly indicates that the liver could be an important target of arsenic carcinogenesis.","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121355066","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}

引用次数: 2

Risk factor profile of stroke patients with special focus on determinants of severity 中风患者的危险因素概况，特别关注严重程度的决定因素

Journal of Comprehensive Health Pub Date : 2020-10-26 DOI: 10.53553/jch.v04i01.007

A. Mohan, M. G. Sabarinadh, P. Praveen, T. N. Zinia

{"title":"Risk factor profile of stroke patients with special focus on determinants of severity","authors":"A. Mohan, M. G. Sabarinadh, P. Praveen, T. N. Zinia","doi":"10.53553/jch.v04i01.007","DOIUrl":"https://doi.org/10.53553/jch.v04i01.007","url":null,"abstract":"Stroke is the second major cause of death worldwide and the fourth major cause of death in India. Kerala is becoming the hotspot of lifestyle diseases. Almost 90% of the cases reported in Kerala are associated with one or two modifiable risk factor(s) in the form of lifestyle diseases.Objectives:This study is aimed at risk factor profiling of stroke patients and identifying the determinants of stroke severity. Methods:A descriptive study was conducted among stroke patients admitted in Govt. Medical College Thiruvananthapuram from August to September 2013. The risk factor profile was studied. A case control comparison was done to identify the determinants of severity of stroke. Results:: The age of incidence of stroke ranged from 37 years to 88 years. Mean age was 65.30 (SD =12.80). Hypertension was identified as the most common risk factor followed by diabetes, low physical activity and heart diseases. Limb weakness was the most common clinical presentation. Diabetes Mellitus emerged as an independent risk factor of severity with adjusted odds ratio of 3.82 (1.034-14.09). Conclusion: Hypertension was the most important risk factor prevalent in stroke patients. Diabetes Mellitus was identified as the only independent determinant of severity of stroke. Early identification of risk factors and its proper management should be done with more rigor, in order to decrease the incidence of stroke and reducing its severity.","PeriodicalId":439371,"journal":{"name":"Journal of Comprehensive Health","volume":"435 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126985449","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}

引用次数: 2