Indian Journal of Community Medicine最新文献

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Effect of Right Nostril Breathing on Cardiorespiratory Parameters and Reaction Time in Young, Healthy Humans: An Interventional Study. 右鼻孔呼吸对健康年轻人心肺参数和反应时间的影响:一项干预性研究
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_544_22
Sheela Bargal, Vivek Nalgirkar, Anant Patil, Deepak Langade
{"title":"Effect of Right Nostril Breathing on Cardiorespiratory Parameters and Reaction Time in Young, Healthy Humans: An Interventional Study.","authors":"Sheela Bargal, Vivek Nalgirkar, Anant Patil, Deepak Langade","doi":"10.4103/ijcm.ijcm_544_22","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_544_22","url":null,"abstract":"<p><strong>Background and objective: </strong>Yogic breathing helps in reduction of stress and strain in the body. Right and left nostril breathings (RNB and LNB, respectively) have different effects on cardiorespiratory parameters. The study was performed to examine the effect of RNB exercise on cardiorespiratory parameters and reaction time in young, healthy human volunteers.</p><p><strong>Materials and methods: </strong>In this prospective, interventional study, 110 young healthy volunteers underwent systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse rate (PR), respiratory rate (RR), vital capacity (VC), peak expiratory flow rate (PEFR), and reaction time (RT) examination before and after 2 weeks of performing 45 min of RNB exercise daily.</p><p><strong>Results: </strong>There was notable increment in SBP (113.39 ± 17.72 vs. 117.74 ± 10.83 mmHg, <i>P</i> = 0.002) and DBP (67.64 ± 10.32 vs. 71.27 ± 8.68 mmHg, <i>P</i> = 0.002). PR increased nonsignificantly (86.44 ± 12.65/min vs. 87.32 ± 13.43/min, <i>P</i> = 0.476). Significant decrease in RR (14.40 ± 2.48/min vs. 12.31 ± 2.23/min, <i>P</i> < 0.0001) was observed. VC (3.57 ± 0.57 vs. 3.82 ± 0.55 L/min, <i>P</i> < 0.0001) and PEFR (441.36 ± 50.22 vs. 468.91 ± 53.66 L/min, <i>P</i> < 0.0001) also increased significantly. Substantial reduction in auditory reaction time (ART) (165.58 ± 32.18 vs. 147.42 ± 23.39 ms, <i>P</i> < 0.0001) and visual reaction time (VRT) (191.04 ± 37.94 vs. 165.86 ± 28.74 ms, <i>P</i> < 0.0001) was seen. After engaging in cardiorespiratory exercise, the maximal heart rate (MHR) remained unchanged (<i>P</i> = 0.929).</p><p><strong>Conclusion: </strong>RNB results in increase in blood pressure, heart rate, VC, and PEFR and decrease in ART and VRT. Further studies in patients with cardiorespiratory diseases are necessary to understand its clinical utility.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"303-307"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors for Concurrent Diabetes in Tuberculosis Patients. Perspectives from Two Mining Districts of Eastern Tribal State Jharkhand, in India. 肺结核患者并发糖尿病的预测因素。印度东部部落邦贾坎德邦两个矿区的观点。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_11_23
Sandeep Rai, Ravi Ranjan Jha, Santosh Prasad, Dewesh Kumar, Rishabh Kumar Rana
{"title":"Predictors for Concurrent Diabetes in Tuberculosis Patients. Perspectives from Two Mining Districts of Eastern Tribal State Jharkhand, in India.","authors":"Sandeep Rai, Ravi Ranjan Jha, Santosh Prasad, Dewesh Kumar, Rishabh Kumar Rana","doi":"10.4103/ijcm.ijcm_11_23","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_11_23","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis and diabetes both diseases are present in large numbers in the country and we are major contributors to both globally. With the objective to understand the various traits of patients having both tuberculosis and diabetes and to ascertain various possible predictors for such occurrence based on the public health database we carried out this study. We seek answers to questions like they have any effects? Are they having any additive role to play?</p><p><strong>Methods: </strong>One-year data from the NIKSHAY portal of both districts were analyzed to look for possible associations and other variable traits. Data were analyzed using standard methods to express data in frequency and percentage. Chi-square test was used to establish association, while step-wise approach was used to calculate univariate and multivariate logistic regression analysis for knowing various predictors. <i>P-</i>value of <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Concurrent diabetes in tuberculosis patients was close to 294 (6%) in the 4933 individuals. In total, 65.2% of the study population were male. Diagnosis of tuberculosis was made most of the time by chest X-ray (49.4%) followed by Microscopy ZN staining and cartridge-based nucleic acid amplification test (CBNAAT). Death was more among diabetics (4.4%) as compared to nondiabetics (3.5%).</p><p><strong>Conclusion: </strong>Diabetes is increasing in tuberculosis patients; improvement in data quality is needed. More research is required to reveal various other reasons that make tuberculosis patients more prone to develop diabetes.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"404-410"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of Dependency in Activities of Daily Living (ADL) and its Predictors: A Cross-Sectional Study among the Elderly Rural Population in a Sub-Himalayan UT of India. 日常生活活动(ADL)依赖性评估及其预测因素:印度次喜马拉雅中央直辖区农村老年人口的横断面研究。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_1001_22
Rashmi Kumari, Rajiv Kumar Gupta, Shalli, Rakesh Bahl, Bhavna Langer
{"title":"Assessment of Dependency in Activities of Daily Living (ADL) and its Predictors: A Cross-Sectional Study among the Elderly Rural Population in a Sub-Himalayan UT of India.","authors":"Rashmi Kumari, Rajiv Kumar Gupta, Shalli, Rakesh Bahl, Bhavna Langer","doi":"10.4103/ijcm.ijcm_1001_22","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_1001_22","url":null,"abstract":"<p><strong>Background: </strong>With an increase in life expectancy over the last few decades, there has been a parallel increase in the prevalence of disabilities among the elderly population. To estimate the prevalence of dependency in activities of daily living (ADL) and its predictors among the rural elderly population.</p><p><strong>Material and methods: </strong>This was a cross-sectional study carried out in the community among the rural geriatric population in the field practice area of PG Department of Community Medicine, Government Medical College Jammu. The Barthel Scale Index was used to measure ADL dependency. PSPP software was used to analyze the data.</p><p><strong>Results: </strong>The mean age of study participants was 68.31 ± 7.9 years. ADL dependency was observed in 46.3% of the subjects, with the majority demonstrating mild to moderate dependence. Only 2.5% of the respondents reported a severe degree of ADL dependence. The mean ADL score was 94.47 ± 8.98. On multivariate logistic regression analysis, age, educational status, the presence of stress in the family, personal history, and the presence of co-morbidities emerged to be independent predictors of ADL dependence.</p><p><strong>Conclusion: </strong>High prevalence of physical disability in the geriatric population is now an area of major concern. This emphasizes the significance of setting up geriatric care centers especially in rural areas preferably integrating with health and wellness centers.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"398-403"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence of Sudden Cardiac Death in Low- and Middle-Income Countries: A Systematic Review of Cohort Studies. 中低收入国家的心脏性猝死发生率:队列研究的系统回顾。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_468_23
Nandan Thakkar, Prima Alam, Abhi Thaker, Aakansha Ahukla, Jay Shah, Deepak Saxena, Komal Shah
{"title":"Incidence of Sudden Cardiac Death in Low- and Middle-Income Countries: A Systematic Review of Cohort Studies.","authors":"Nandan Thakkar, Prima Alam, Abhi Thaker, Aakansha Ahukla, Jay Shah, Deepak Saxena, Komal Shah","doi":"10.4103/ijcm.ijcm_468_23","DOIUrl":"10.4103/ijcm.ijcm_468_23","url":null,"abstract":"<p><p>Sudden cardiac death (SCD) is a leading cause of mortality worldwide and, in recent years, has become an urgent public health concern in low- and middle-income countries (LMICs). Data from LMICs, however, remains limited. As such, the aim of this article is to systematically review the current literature on the incidence of SCD in LMICs to inform policymakers and identify potential research gaps. A search of PubMed and Embase was utilized to capture the targeted condition, outcome, and setting. Only peer-reviewed cohort studies in LMICs reporting SCD incidence estimates in the general population of individuals aged ≥1 year were eligible for selection. Papers providing incidence data for specific types of SCD, including sudden coronary death or death from sudden cardiac arrest, were also included. After deduplication, 1941 citations were identified and screened. Seven studies representing four countries-Cameroon, China, India, and Iran-met the criteria for inclusion and were considered in our analysis. The crude incidence rate for SCD ranged from 19.9 to 190 cases per 100,000 person-years, while age-adjusted rates ranged from 33.6 to 230 cases per 100,000 person-years. There was notable variability in methods utilized to ascertain SCD cases. These findings suggest that the incidence of all-cause SCD in LMICs and may exceed that of high-income countries; however, observed disparities may be partly attributable to differences in case ascertainment methods. Additional research is needed to better understand the true incidence of SCD in developing countries. It is crucial that future studies across regions utilize standard diagnostic criteria and methodology for identifying SCD, which would provide a framework by which to compare outcomes between settings.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"279-289"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
To Study the Distress, Anxiety, Depression, and Sleep Effects of the COVID-19 Pandemic on Essential Workers. 研究 COVID-19 大流行对基本工人的困扰、焦虑、抑郁和睡眠影响。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_140_23
Rajni Sharma, Krishan Kumar, Ashish S Aditya, Suman Yadav, Babita Ghai, Lokesh Saini, Jaivinder Yadav, Priyanka Madan, Akhilesh Sharma, Ankita Bhati, Divyansh Sharma, Vikas Suri
{"title":"To Study the Distress, Anxiety, Depression, and Sleep Effects of the COVID-19 Pandemic on Essential Workers.","authors":"Rajni Sharma, Krishan Kumar, Ashish S Aditya, Suman Yadav, Babita Ghai, Lokesh Saini, Jaivinder Yadav, Priyanka Madan, Akhilesh Sharma, Ankita Bhati, Divyansh Sharma, Vikas Suri","doi":"10.4103/ijcm.ijcm_140_23","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_140_23","url":null,"abstract":"<p><p>Essential care workers like police personnel, social workers, and office and administrative staff of health institutions are also at increased risk of coronavirus disease 2019 (COVID-19) exposure along with healthcare workers. The present study aims to estimate the distress, anxiety, depression, and sleep impact of COVID-19 pandemic on essential workers through an online survey. This cross-sectional study (included 369 participants) was conducted in Chandigarh through an online survey using three psychological scales: Peritraumatic Distress Inventory (PDI), Insomnia Severity Index, and Depression Anxiety Stress Scale. Three-hundred-sixty-nine frontline warriors from hospital and community settings were included in the study. The respondents include police personnel (274; 73.66%), office staff (24; 6.45%), social workers (53; 14.24%), and media staff (21; 5.65%). Maximum distress was reported by media/transport officials on duty (85.7%). The majority of them scored high (>14), and slightly less than one-fourth (23.8%) scored significantly abnormal (>23) on PDI. About 42.9% reported moderate insomnia, 52.4% exhibited severe anxiety, and 33.3% of media/transport participants reported severe depression. Psychological morbidity is high in media/transport and social workers working in the community during the COVID-19 pandemic.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"424-428"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fathers' Attitudes Toward Mothers with Infants and its Association with Exclusive Breastfeeding in a Rural Community of Karnataka. 卡纳塔克邦农村社区父亲对婴儿母亲的态度及其与纯母乳喂养的关系。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_422_23
Anupriya Kushwaha, Ankeeta Menona Jacob
{"title":"Fathers' Attitudes Toward Mothers with Infants and its Association with Exclusive Breastfeeding in a Rural Community of Karnataka.","authors":"Anupriya Kushwaha, Ankeeta Menona Jacob","doi":"10.4103/ijcm.ijcm_422_23","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_422_23","url":null,"abstract":"<p><p>Male participation in reproductive and child health improves breastfeeding rates. The role of fathers in breastfeeding may be crucial in improving exclusive breastfeeding (EBF) rates. This study explored the fathers' attitudes and support and its association with EBF in mothers with infants attending a rural primary health center in Karnataka. A cross-sectional descriptive study was conducted on mothers with infants visiting a rural primary health center between December 2020 and February 2021. A pretested semi-structured questionnaire was used to collect data to ascertain the exclusivity of breastfeeding and other sociodemographic factors. The fathers' attitudes and support toward mothers during and after pregnancy were measured on a 5-point Likert scale. Quantitative variables were expressed in median and interquartile ranges, and qualitative variables were expressed using percentages and proportions. The association was determined using the Chi-square test and Spearman's correlation test. The data were collected using Epi Data and analyzed using Epi info v 3. A total of 169 mothers participated in the study. The self-reported EBF was 148 (87.1%). The fathers' attitudes and support to the mothers were found to be more favorable during the antenatal period in 97% of the women. The fathers' attitudes and support in the antenatal period and after delivery were not associated with the mothers' exclusivity in breastfeeding. The present study concluded that there is no association between the fathers' attitudes and support before and after the delivery of the infant and mothers' exclusivity in breastfeeding.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"433-437"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Seven-Plus-One Model": A Move Toward Dengue Free Community. "七加一模式":迈向无登革热社区。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_212_23
Santosh Kumar, Rakhi Mishra, Dharnidhar Singh
{"title":"\"Seven-Plus-One Model\": A Move Toward Dengue Free Community.","authors":"Santosh Kumar, Rakhi Mishra, Dharnidhar Singh","doi":"10.4103/ijcm.ijcm_212_23","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_212_23","url":null,"abstract":"<p><p>Dengue is a wide spectrum of diseases creating menace in the community. This vector-born disease alone has a significant impact on global public health and the economy. Resources need to be mobilized to tackle the situation. The present article focused on the novice concept of \"Seven-Plus-One models\" as an approach to dengue prevention with vector management through community participation. A multidisciplinary approach along with exemplifying effective methods of inspectorial coordination and community participation is much required. The implementation of the Seven-Plus-One model has a positive impact on reducing dengue cases, indicating acceptance and effectiveness of the concept among the public. Dengue morbidity rate can be reduced through early detection and mobilizing the community for active participation in dengue prevention and control.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"249-252"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unlocking the Power of Health Record: Need of India. 释放健康记录的力量:印度的需求。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_200_23
Soniya M Chauhan, Milind Chauhan
{"title":"Unlocking the Power of Health Record: Need of India.","authors":"Soniya M Chauhan, Milind Chauhan","doi":"10.4103/ijcm.ijcm_200_23","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_200_23","url":null,"abstract":"","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"448-449"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring the Effect of Ayushman Bharat-Pradhan Mantri Jan Aarogya Yojna (AB-PMJAY) on Health Expenditure among Poor Admitted in a Tertiary Care Hospital in the Northern State of India. 衡量 Ayushman Bharat-Pradhan Mantri Jan Aarogya Yojna (AB-PMJAY) 对印度北部邦一家三级医院贫困住院病人医疗支出的影响。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_713_22
Shweta Kanwal, Dinesh Kumar, Raman Chauhan, Sunil Kumar Raina
{"title":"Measuring the Effect of <i>Ayushman Bharat-Pradhan Mantri Jan Aarogya Yojna</i> (AB-PMJAY) on Health Expenditure among Poor Admitted in a Tertiary Care Hospital in the Northern State of India.","authors":"Shweta Kanwal, Dinesh Kumar, Raman Chauhan, Sunil Kumar Raina","doi":"10.4103/ijcm.ijcm_713_22","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_713_22","url":null,"abstract":"<p><strong>Background: </strong><i>Ayushman Bharat</i>-<i>Pradhan Mantri Jan Aarogya Yojna</i> (AB-PMJAY) as a financial risk protection scheme intends to reduce catastrophic health expenditure (CHE), especially among poor. The current study was carried out to assess the utility of AB-PMJAY in terms of reduction in CHE from before and after admission in a tertiary hospital in the northern state of India.</p><p><strong>Methodology: </strong>It was a hospital-based cross-sectional study carried out from August 2020 to October 2021 at a public tertiary hospital of Himachal Pradesh, India. Data were collected from surgery- and medicine-allied (SA and MA) specialties. Along with socio-demographic details, information for total monthly family expenditure (TMFE), out-of-pocket expenditure (OOPE), and indirect illness-related expenditure (IIE) was recorded before and after hospital admission. CHE was considered as more than 10.0% OOPE of THFE and more than 40.0% of capacity to pay (CTP).</p><p><strong>Results: </strong>A total of 336 participants with a mean age of 46 years were recruited (MA: 54.6%). The majority (~93.0%) of participants had illness of fewer than 6 months. The mean TMFE was observed to be INR 4213.1 (standard deviation: 2483.7) and found to be similar across specialties. The OOPE share of TMFE declined from 76.1% (before admission) to 30.0% (after admission). Before admission, CHE was found among 65.5% (10.0% of THFE) and 54.2% (40.0% of CTP) participants. It reduced to about 29.0% (based on both THE and CTP) after admission to hospital.</p><p><strong>Conclusion: </strong>AB-PMJAY scheme found to be useful in reducing CHE in a tertiary hospital.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"342-348"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular Risk Profiling Using the Globorisk Calculator among Noncommunicable Disease Patients Attending Primary Health Centers of a Tertiary Care Teaching Hospital in South India: A Cross-Sectional Analytical Study. 使用 Globorisk 计算器对印度南部一家三级教学医院初级保健中心的非传染性疾病患者进行心血管风险分析:一项横断面分析研究。
IF 0.9
Indian Journal of Community Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI: 10.4103/ijcm.ijcm_300_22
Sitanshu S Kar, Sivaranjini Kannusamy, Tanveer Rehman, Sharan Murali, Subitha Laxminarayanan, Jayaraman Balachander
{"title":"Cardiovascular Risk Profiling Using the Globorisk Calculator among Noncommunicable Disease Patients Attending Primary Health Centers of a Tertiary Care Teaching Hospital in South India: A Cross-Sectional Analytical Study.","authors":"Sitanshu S Kar, Sivaranjini Kannusamy, Tanveer Rehman, Sharan Murali, Subitha Laxminarayanan, Jayaraman Balachander","doi":"10.4103/ijcm.ijcm_300_22","DOIUrl":"https://doi.org/10.4103/ijcm.ijcm_300_22","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVDs) account for over three-quarters of all deaths taking place in developing nations.</p><p><strong>Objective: </strong>The present study aims to stratify noncommunicable disease (NCD) patients using the Globorisk chart for predicting their 10-year risk of a major (fatal or nonfatal) CVD event and to estimate the level of agreement between this country-specific chart and the existing World Health Organization (WHO)/International Society of Hypertension (ISH) risk strata.</p><p><strong>Methods: </strong>A record-based cross-sectional analytical study was conducted in 2018 among adults attending the NCD clinic of one rural and one urban primary health center in Puducherry. Laboratory and office risk calculators of the Globorisk chart were used to calculate the risk.</p><p><strong>Results: </strong>The median age (interquartile range (IQR)) of the 760 study participants was 58 (50-65) years. When calculated using the Globorisk prediction chart, 22.1% (n = 168) of the participants had a <10% risk for any CVD event in the next 10 years, whereas the same risk was found in 71.1% (n = 540) by using the WHO/ISH risk chart. There was no agreement found between the two risk charts (k = 0.0174; <i>P-</i>value = 0.26).</p><p><strong>Conclusion: </strong>The Globorisk chart was found to identify more patients as belonging to the higher risk category as compared to WHO/ISH charts.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"49 2","pages":"290-295"},"PeriodicalIF":0.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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