National journal of community medicine最新文献

Recognizing The Significance of Scrub Typhus as An Emerging Threat 认识到恙虫病作为一种新威胁的重要性

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720243946

Gopinath Ramalingam, Arundadhi M, Sucila Thangam G

引用次数: 0

Assessing Quality of In-Patient Care and Patients's Expectations Using A SERVQUAL Approach in A Tertiary Care Hospital in India 使用 SERVQUAL 方法评估印度一家三级医院的住院护理质量和患者期望

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720244031

Diwakar R, Jegan Joseph, Logaraj M, Kaveri Palanisamy, Manoj Punniyamurthy

{"title":"Assessing Quality of In-Patient Care and Patients's Expectations Using A SERVQUAL Approach in A Tertiary Care Hospital in India","authors":"Diwakar R, Jegan Joseph, Logaraj M, Kaveri Palanisamy, Manoj Punniyamurthy","doi":"10.55489/njcm.150720244031","DOIUrl":"https://doi.org/10.55489/njcm.150720244031","url":null,"abstract":"Background: Patient satisfaction is a key indicator of healthcare service quality and has implications for the growth and success of healthcare organizations. However, there is often a gap between patients’ expectations and perceptions of service quality, which can vary depending on various sociodemographic factors. This study aimed to assess the expectations, perceptions and service quality gap in a tertiary care hospital using SERVQUAL model.\u0000Materials and Methods: A cross-sectional study was conducted among 120 adult inpatients using a semi-structured questionnaire based on the five dimensions of the SERVQUAL model. The quality gap was calculated as the difference between perception and expectation scores.\u0000Results: The study found a significant negative quality gap across all five dimensions, with the largest gaps observed in reliability and responsiveness. The study also revealed that gender, age, and education influenced patients’ perception of service quality, while type of specialty, residence, monthly income, and occupation did not have a significant effect.\u0000Conclusion: The study highlighted the need for improving the service quality in the tertiary care hospital, especially in terms of reliability and responsiveness. The study also suggested that healthcare managers and providers should consider the diverse expectations and needs of patients based on their sociodemographic characteristics.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"86 S24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690787","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

Effectiveness of Nutritional Intervention on Bone Mineral Density among Women Aged 30-50 Years in South India 营养干预对南印度 30-50 岁女性骨矿物质密度的影响

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720243904

Silpa Chintham

{"title":"Effectiveness of Nutritional Intervention on Bone Mineral Density among Women Aged 30-50 Years in South India","authors":"Silpa Chintham","doi":"10.55489/njcm.150720243904","DOIUrl":"https://doi.org/10.55489/njcm.150720243904","url":null,"abstract":"Introduction: By 2050, low bone mineral density in women is expected to increase by 40% globally, considerably increasing the burden of osteoporosis in future generations, which necessitates greater focus on preventive measures. Hence, it was planned to study the effectiveness of calcium rich nutritional intervention on bone mineral density among women aged 30-50 years in South India.\u0000Methods: A quasi-experimental pre-test and post-test control group design was conducted among randomly selected 20 urban and rural women aged 30-50 years. Calcium rich nutritional mix was given for 16 weeks to the interventional arm and for control arm, education on importance of calcium rich diet was given. Bone mineral density was measured by DEXA scan pre and post intervention. Descriptive and inferential statistics were used to analyse the data.\u0000Results: Before intervention, all the women (100%) had mildly reduced bone mineral density; post intervention, majority of the women (80%) had normal bone mineral density, only 20% had mildly reduced bone mineral density. In the control group, 100% had mildly reduced bone mineral density before receiving health education and after 16 weeks of education, 90% had mildly reduced bone mineral density and only 10% had normal bone mineral density.\u0000Conclusion: Calcium rich nutritional intervention given to the experimental group women resulted in a significant improvement in their bone mineral density. However, risk can be lowered by leading a healthy lifestyle that includes enough quantities of dietary calcium, vitamin D, and protein, frequent weight-bearing activity.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"59 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689482","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

Prevalence and Factors Associated with Depression among High School Students in Ho Chi Minh City, Vietnam 越南胡志明市高中生抑郁症患病率及相关因素

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720243843

Lieu Xuan Cao, Cong Minh Le, Diu Thi Thu Tran, Vu Hoang Anh Nguyen, V. Tran-Chi

{"title":"Prevalence and Factors Associated with Depression among High School Students in Ho Chi Minh City, Vietnam","authors":"Lieu Xuan Cao, Cong Minh Le, Diu Thi Thu Tran, Vu Hoang Anh Nguyen, V. Tran-Chi","doi":"10.55489/njcm.150720243843","DOIUrl":"https://doi.org/10.55489/njcm.150720243843","url":null,"abstract":"Background: Depression in high school students is a common mental health problem and requires evaluation for early intervention. The study was carried out to determine the prevalence of depression symptoms and associated characteristics among high school students in Ho Chi Minh City, Vietnam.\u0000Methods: This cross-sectional study enrolled participants between February 2022 and June 2022. The instrument utilized was a questionnaire of socioeconomic-demographic variables, educational characteristics, and the self-reported depression scale obtained from the Centre for Epidemiological Studies-Depression (CES-D).\u0000Results: 384 high school students (165 males and 219 females) were questioned. The CES-D had a mean score of 17.3, with 57.6% of participants reporting depressed symptoms. The frequency was 63.3% among male students (OR = 1.84, 95% CI = 1.19-2.83, p = .005). Multiple logistic regression revealed that adolescents with poor health, weak friendships, limited participation in school activities, family problems, financial worries, and negative educational environments were significantly more likely to experience depressive symptoms (odds ratios ranging from 1.60 to 9.97, confidence intervals spanning 1.03 to 78.05, and p-values from <.001 to .044).\u0000Conclusion: The study emphasized the necessity of health promotion programs that target mental health awareness, improve social support networks, and introduce stress reduction techniques in schools to reduce the prevalence of depression among teenagers in Ho Chi Minh City, Vietnam.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711688","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

A Cohort Study to Evaluate the Effect of Nutritional Intervention on Severe Acute Malnutrition Children Admitted to A Nutritional Rehabilitation Centre in A Tertiary Care Hospital in Central Gujarat, India 评估营养干预对印度古吉拉特邦中部一家三级医院营养康复中心收治的严重急性营养不良儿童的影响的队列研究

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720243583

Foram Panchal, Rahul Parmar, K. Shringarpure, J. Damor

{"title":"A Cohort Study to Evaluate the Effect of Nutritional Intervention on Severe Acute Malnutrition Children Admitted to A Nutritional Rehabilitation Centre in A Tertiary Care Hospital in Central Gujarat, India","authors":"Foram Panchal, Rahul Parmar, K. Shringarpure, J. Damor","doi":"10.55489/njcm.150720243583","DOIUrl":"https://doi.org/10.55489/njcm.150720243583","url":null,"abstract":"Background: Undernutrition is one of the most concerning health and development issues in India as well as in the world. Nutritional rehabilitation centres (NRC) were started by Government of India to control severe acute malnutrition. The aim is to assess the effect of nutrition interventional measures for severe acute malnutrition (SAM) children admitted at NRC through selected anthropometric indicators.\u0000Methodology: A hospital-based prospective cohort study was conducted at NRC of SSG Hospital, Vadodara, Gujarat from April to September 2022, all children of 6-60 months of age admitted during this period were observed during their stay with three follow-ups after discharge at 15 days interval. The data was entered in Microsoft Excel and was analysed using Medcalc Software.\u0000Results: A total of 76 children were analysed for anthropometric indicators. A statistically significant difference was obtained between the weight of children at admission, discharge and 3 follow-ups (ANOVA=141, p<0.001); difference of mid upper arm circumference (MUAC) (ANOVA=84.2, p<0.001) and difference of height (ANOVA=43.3. p<0.001) at admission, discharge and follow-up were also statistically significant.\u0000Conclusions: NRCs have had a positive impact on the selected anthropometric indicators of severe malnourished children but lag behind proper follow-up visits.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"720 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852196","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

Understanding Contraceptive Utilisation Patterns in Kerala: Insights from NFHS-5 了解喀拉拉邦的避孕药具使用模式：NFHS-5 的启示

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720244039

Adwaith Gopan, Binu Kumar B J

{"title":"Understanding Contraceptive Utilisation Patterns in Kerala: Insights from NFHS-5","authors":"Adwaith Gopan, Binu Kumar B J","doi":"10.55489/njcm.150720244039","DOIUrl":"https://doi.org/10.55489/njcm.150720244039","url":null,"abstract":"Background: In the past decade, Kerala has witnessed an increase in the number of sexually transmitted diseases and unmet family planning needs. This study examines the knowledge of modern contraceptives, their use, and the current use of modern Keralite contraceptives against selected indicators.\u0000Methodology: The dataset from the fifth round of the National Family Health Survey was used for this study (N=10969). To analyse the factors associated with and affecting knowledge and use of contraceptives (current use of modern and ever use of any), chi-square test and binary logistic regression were used.\u0000Results: Wealth, age, and education level were positively associated with knowledge of modern contraceptives, whereas tribals were less aware than other castes. Wealthier, older, and less educated individuals had higher odds of using any/modern contraceptives than poor, younger, and higher educated individuals (odds<1). Muslims are likely to use contraceptives but are less likely to use modern methods than other religions (odds ratio: 1.67 and 0.78). Tribals had higher odds of using contraceptives (odds: 2.13). Urban respondents had lower odds of using modern contraceptives than rural respondents (odds: 0.751).\u0000Conclusions: The higher odds of older, less-educated respondents using sterilisation over reversible contraceptives are likely due to social insecurities and misconceptions. Awareness and promotion of contraceptive use at the government level would help boost its use.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"38 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693731","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

Exploring Awareness and Perception of Do Not Resuscitate Orders in A Saudi Arabian General Population 探索沙特阿拉伯普通人群对 "不要抢救 "指令的认识和理解

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720244057

Omar Sami Basubrain

{"title":"Exploring Awareness and Perception of Do Not Resuscitate Orders in A Saudi Arabian General Population","authors":"Omar Sami Basubrain","doi":"10.55489/njcm.150720244057","DOIUrl":"https://doi.org/10.55489/njcm.150720244057","url":null,"abstract":"Background: Do Not Resuscitate (DNR) orders are crucial, yet often misunderstood, medical directives. This study investigated public understanding and attitudes towards DNRs in Saudi Arabia. This study investigated public understanding and attitudes towards Do Not Resuscitate (DNR) orders in Saudi Arabia.\u0000Methods: A cross-sectional web survey was conducted among 416 Saudi residents aged 18 and above. The survey assessed knowledge, attitudes, and emotional responses related to DNR orders.\u0000Results: Over half (65.7%) lacked sufficient understanding of DNRs, highlighting a knowledge gap. While 56.8% grasped the meaning, less than half saw DNRs as beneficial for reducing pain or easing burdens on loved ones, indicating mixed attitudes. Decision-making preferences varied, with 49.1% advocating for medical professionals' involvement and 31% favouring family decisions. Personal experiences influenced understanding, with those having a family member's DNR order exhibiting higher comprehension.\u0000Conclusion: Significant knowledge gaps and mixed attitudes towards DNRs exist. Public education programs, improved patient communication, and culturally sensitive approaches are recommended to bridge this gap and empower individuals to make informed decisions.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"16 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715450","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

Trends in Inpatient Dermatology and The Impact of the COVID-19 Pandemic at A Tertiary Care Facility in Western India 印度西部一家三级医疗机构的皮肤科住院病人趋势及 COVID-19 大流行的影响

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720243911

Rohan Manoj, Aakash Ghosh, Namratha Puttur, Priya Garg, Shrishti Singh, Akanksha Jakhar, Kalpesh Bhosale, Dwaipayan Roy, Aayush Gupta

{"title":"Trends in Inpatient Dermatology and The Impact of the COVID-19 Pandemic at A Tertiary Care Facility in Western India","authors":"Rohan Manoj, Aakash Ghosh, Namratha Puttur, Priya Garg, Shrishti Singh, Akanksha Jakhar, Kalpesh Bhosale, Dwaipayan Roy, Aayush Gupta","doi":"10.55489/njcm.150720243911","DOIUrl":"https://doi.org/10.55489/njcm.150720243911","url":null,"abstract":"Background: Little is known regarding the effect of the coronavirus pandemic on the characteristics of dermatology admissions, particularly in the Indian context. Objectives: To conduct a retrospective analysis of the discharge records of all patients admitted to a tertiary care centre in Western India from 1 January 2019 to 31 December 2022.\u0000Methods: Patient records were reviewed and compiled. Diagnoses were grouped to achieve consistency with international studies. Finally, the effect of COVID on admissions was determined. Data samples were assessed using descriptive statistics. Continuous variables were expressed as median or mean. The student’s t-test and chi-square test were utilised to investigate wherever appropriate.\u0000Results: Inpatient care was required for 1,817 patients. Males (1000, 55.04%) were significantly more likely to be admitted than females (817, 44.96%). The leading causes of hospitalisation were bacterial infections (26.42%), vesiculobullous disorders (17.45%), and psoriasiform disorders (11.34%). The greatest number of admissions occurred in 2019, followed by a substantial decline in 2020. Admission rates for vesiculobullous disorders, psoriasiform disorders, and malignancies were significantly higher during the pandemic period.\u0000Conclusions: Our study offers an analysis of the impact of the coronavirus pandemic on the patient profiles of patients admitted to a dermatology ward.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708683","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

Nurse-Led Telehealth Oncology Clinic on ‘Home Management During Chemotherapy’ for Gastrointestinal Cancer Patients: Study Protocol of A Mixed Method Study 针对胃肠道癌症患者的 "化疗期间家庭管理 "护士远程保健肿瘤诊所：混合方法研究的研究方案

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720243991

Sarita Ahwal, Kanika Rai, Ankur Jindal, Puja Sahai

{"title":"Nurse-Led Telehealth Oncology Clinic on ‘Home Management During Chemotherapy’ for Gastrointestinal Cancer Patients: Study Protocol of A Mixed Method Study","authors":"Sarita Ahwal, Kanika Rai, Ankur Jindal, Puja Sahai","doi":"10.55489/njcm.150720243991","DOIUrl":"https://doi.org/10.55489/njcm.150720243991","url":null,"abstract":"Introduction: Telehealth is increasingly being used for symptom management among cancer patients on chemotherapy. Objective of the study is to develop Nurse-led Tele-health Oncology Clinic for GI cancer patients regarding ‘Home Management during Chemotherapy’.\u0000Methods: The study will follow sequential explanatory mixed method design where during quantitative phase, using RCT (CTRI/2024/01/062028), GI cancer patients of age 18-65 years and undergoing 2nd or 3rd chemotherapy cycle will be randomised after obtaining consent to experimental (EG) & control (CG) groups. Ethical Clearance is already obtained. EG will be followed through Nurse-led Clinic which includes multiple virtual educational & counselling sessions, e-booklet on side effects management, PMRT, Support groups & telephonic follow ups. Effectiveness will be measured in terms of Quality of life, severity of side effects and Anxiety using FACT-G, CTCAE and DASS respectively. In qualitative phase, using extreme case sampling, in-depth interviews from consented participants will be conducted to explore experiences towards intervention.\u0000Analysis: Analysis of quantitative data will use descriptive and inferential statistics. This follows thematic analysis and integration of data.\u0000Conclusion: The study protocol will provide guidance to optimize utility of tele-medicine technology to improve healthcare outcomes especially for the GI cancer patients.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"20 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698762","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

Estimating HIV Disclosure and Its Impact on Social Relations: A Cross-Sectional Study in Gujarat, India 估算 HIV 披露及其对社会关系的影响：印度古吉拉特邦的一项横断面研究

National journal of community medicine Pub Date : 2024-07-01 DOI: 10.55489/njcm.150720243980

K. Parikh, M. Rupani

{"title":"Estimating HIV Disclosure and Its Impact on Social Relations: A Cross-Sectional Study in Gujarat, India","authors":"K. Parikh, M. Rupani","doi":"10.55489/njcm.150720243980","DOIUrl":"https://doi.org/10.55489/njcm.150720243980","url":null,"abstract":"Background: The disclosure of HIV-positive status can significantly impact social relationships. This study aimed to evaluate the prevalence of self-disclosure of HIV status and its effects on social relations among individuals living with HIV (PLHIV) in Gujarat, India.\u0000Methods: Conducted from April to June 2021, this cross-sectional study involved 383 PLHIV attending a tertiary-care medical college hospital in Gujarat, India. The sample size was determined using Epi Info software version 7. Data collection utilized a structured questionnaire covering socio-demographic information, HIV disclosure status, and its impact on social relationships. Multiple logistic regression analysis identified predictors of non-disclosure of HIV status to spouses.\u0000Results: Among the 383 participants, 83% disclosed their HIV status to their spouse, while disclosure rates to other social contacts varied. Post-disclosure, 7% reported strained or broken relationships with their spouses. Factors associated with non-disclosure to spouses included older age (adjusted odds ratio [aOR] 1.13, 95% confidence interval [CI] 1.07-1.20), female gender (aOR 6.00, 95% CI 1.81-19.88), lack of post-test counselling (aOR 3.29, 95% CI 1.01-10.70), and spouse being HIV-negative (aOR 3.60, 95% CI 1.27-10.25).\u0000Conclusion: In conclusion, while a significant proportion of PLHIV disclosed their HIV status to spouses, a notable proportion experienced strained relationships post-disclosure. Addressing barriers to disclosure, especially among older individuals and females, and ensuring adequate post-test counselling, may facilitate open communication and support among PLHIV and their social networks.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"90 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695838","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