{"title":"Role of Triglyceride to High Density Lipoprotein (TG/HDL) Ratio as A Marker of Insulin Resistance in Adults of Central India: A Narrative Review","authors":"Khalid L Khan, Sabiha Quazi, Anil Wanjari","doi":"10.55489/njcm.150420243789","DOIUrl":"https://doi.org/10.55489/njcm.150420243789","url":null,"abstract":"One of the main risk factors for the onset of type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVD) is insulin resistance (IR). But because there aren't many easy-to-use and trustworthy biomarkers or tests, the entity is frequently under diagnosed. The present review was performed with an aim to provide the available data regarding the role or efficacy of TG/HDL ratio as an indicator of IR in adults of central India, a region popular for high prevalence of T2DM and CVD. An extensive search of all materials related to the topic was carried out in the PubMed search engine. Relevant research articles focusing on use of TG/HDL as a marker of insulin resistance published in the period 2002 to 2023 were included in the review. A total of 33 articles were selected based upon their suitability with the current review objectives and analyzed. The review concludes that TG/HDL ratio is a simple, affordable, and feasible marker of IR that can be used in economically poor regions of the India or world for screening IR and risk stratification of T2DM and CVD in adults. However, more studies are needed in India and all over the world to validate this marker and its cut-off values.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"217 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780586","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}
Dhanashree Manjrekar, Y. Bahurupi, Pradeep Aggarwal, Mahendra Singh
{"title":"Food Labelling Exemptions: A Scientific and Comprehensive Analysis","authors":"Dhanashree Manjrekar, Y. Bahurupi, Pradeep Aggarwal, Mahendra Singh","doi":"10.55489/njcm.150420243739","DOIUrl":"https://doi.org/10.55489/njcm.150420243739","url":null,"abstract":"Nutrition constitutes a vital element of health and development. In India, there is an alarming rise in the food industry and this has led to an increased uptake of foods high in fats, salt, and sugar (HFSS) and ultra-processed foods. Food labelling is a procedure where a label, containing printed, written, or graphic materials, is provided with the food thereby facilitating communication between the consumer and the manufacturers. In 2022, FSSAI has exempted specific food products from the stringent requirements of detailed nutritional labelling. Exemptions are applied to commodities such as raw agricultural products, liquid products in reusable bottles, alcoholic beverages, self-serve condiments, and modified meals as per the customer's request, single unit packaging, and packets under 100 sq. cm. In conclusion, these exemptions strike a balance between reducing the regulatory burden for smaller packaging and ensuring consumers' right to essential information.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"90 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768865","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":"Effectiveness of Sacral Massage on Labor Pain and Satisfaction Among Antenatal Mothers in Active Phase of Labor","authors":"Neha Patyal, Santosh Kumari, Divya Verma, Harshita Yadav, Jasbir Kaur, Harpreet Kaur","doi":"10.55489/njcm.150420243670","DOIUrl":"https://doi.org/10.55489/njcm.150420243670","url":null,"abstract":"Background: Massage is a powerful old technique & non pharmacological pain control during 1st stage. Satisfaction of mothers during birth is rather important in terms of women's health and positive family relations. Objective of the study is to assess the effectiveness of Sacral Massage on labour pain and satisfaction among antenatal mothers.\u0000Methodology: A quantitative research approach and true experimental research design was adopted; 60 antenatal mothers were selected by simple random sampling. Sacral massage was administered for 3 cycles each for 30 minutes at 5-10cm using superficial massage, deep friction & effleurage during active phase of labor and routine care was given to the control group. After intervention post test was conducted.\u0000Results: Study showed before Sacral massage the computed ‘t’ value (-0.36) was found to be statistically non-significant at 0.05 level of significance and after Sacral massage it was (-24.7) was statistically significant at <0.01 level of significance, there were significant difference in mean post test score of labor pain in both groups. Majority (86.6%) mothers were moderately satisfied, followed (13.3%) were highly satisfied with Sacral massage.\u0000Conclusion: Sacral massage was found effective to reduced pain and increase satisfaction.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"74 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794705","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}
Wiwin Martiningsih, Suprajitno, Arif Mulyadi, Sri Winarni, E. Retnaningtyas
{"title":"Development of Self Stigma Assessment Tool for People Living With HIV/AIDS (PLWHA)","authors":"Wiwin Martiningsih, Suprajitno, Arif Mulyadi, Sri Winarni, E. Retnaningtyas","doi":"10.55489/njcm.150420243639","DOIUrl":"https://doi.org/10.55489/njcm.150420243639","url":null,"abstract":"Introduction: Stigma does not only come from people who give negative judgment to HIV/AIDS patients but also from patients themselves. This study explored the experiences of the self-stigma of people living with HIV/AIDS (PLWHA) and developed the self-stigma tool for PLWHA.\u0000Methodology: We conducted a mixed-method study using an exploratory-sequential design in the East Java community, Indonesia. In the first phase, we identified 12 PLWHA through snowball sampling, and in the second phase, 133 PLWHA participated. We collected data through indepth interviews. Subsequently, the insights gained from these interviews were utilized to develop a tool for assessing self-stigma among PLWHA, known as the MARSUDI self-stigma tool.\u0000Results: The first phase of the study revealed three main themes: 1) the feeling of self-stigma, 2) the coping mechanism, and 3) suggestions to combat the stigma. Moving on to the second phase, the MARSUDI self-stigma tool for PLWHA was developed. This tool comprises 26 items, achieving a s-cvi score exceeding 0.80. Following factorial analysis, 20 items remained with a loading factor surpassing 0.6, and contributing to 66.24% of the total variance. These items were categorized into three factors: Factor 1 (self-perception) includes 7 items, Factor 2 (self-labelling) consists of 11 items, and Factor 3 (self-discrimination) comprises 2 items.\u0000Conclusion: The results of this study revealed that the MARSUDI self-stigma of PLWHA is valid, reliable, and acceptable.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767951","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":"Digital Innovations in Pneumonia Care: A Mini Review","authors":"Snehasish Tripathy, Sapna Negi, Ankita Mathur, Vini Mehta","doi":"10.55489/njcm.150420243745","DOIUrl":"https://doi.org/10.55489/njcm.150420243745","url":null,"abstract":"Introduction: Pneumonia is a severe respiratory disease threatening public health and requires timely and accurate diagnosis and early intervention for effective treatment. The emergence of telemedicine during COVID-19 has offered new solutions to solve health problem. This review examines recent studies focusing on effectiveness of telemedicine intervention in pneumonia care.\u0000Methods: We systematically searched five databases to retrieve original research that addressed telemedicine's use in pneumonia diagnosis, treatment, monitoring, or patient assistance. Two independent reviewers performed screening to confirm alignment with inclusion criteria. The findings were synthesised narratively.\u0000Results: A total of five studies were included in the review. The interventions across studies were telephonic follow-ups, Smartphone-based algorithm for diagnosing pneumonia, telemedicine set-up at patients' homes and Interactive videoconferencing. The findings suggest that telephone consultation is effective for patients with low-risk respiratory infections and may be more effective in early diagnosis of pneumonia patients.\u0000Conclusion: The planning for work in telemedicine, whether in regulations or private practice, is necessary to ensure the quality, safety, and consistency of telemedicine practices. The use and availability of telemedicine services, especially in rural areas and on mobile phones, must be expanded to reduce problems in the region.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762840","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":"Developing a Dynamic Conceptual Model of a Home-Based Palliative Care Plan Using the Comprehensive Primary Health Care (PHC) Approach","authors":"Mousami Kirtania, Ajitha Katta","doi":"10.55489/njcm.150420243728","DOIUrl":"https://doi.org/10.55489/njcm.150420243728","url":null,"abstract":"Background: Palliative Care (PC) was a core component of Primary Health Care services during the World Health Assembly Resolution, 2014. The study aims to develop a Comprehensive Palliative Care Model (CPCM) for patients with life-threatening conditions compliant with the local context and unmet needs.\u0000Materials and Methods: A mixed-methods approach will be adopted for the three-phased study in two districts of Telangana. Phase I, a literature review, will be performed to explore globally available PC models, followed by an on-ground observational study. Phase II will address the gaps in existing models while identifying the unmet needs of the patients and caregivers. The outcome of the above phases will help develop a CPCM in Phase III. The developed model will be validated using the Delphi technique.\u0000Results: The expected outcomes of the study are a) Phase-I: Details of the PC models available globally and locally, b) Phase-II: Availability of essential resources in the Health and Wellness Centers (HWCs), Knowledge and Attitude of the PC team, Barriers to provide PC, Unmet needs, and c) Phase-III: CPCM model\u0000Conclusion: The study attempts to provide a holistic PC model, considering the health system, patients, and caregivers and offering policy suggestions to the state.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"206 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140786110","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. George, Manoj Kumar, Deepa T. Unnikrishnan, Jibin Kunjavara, Shiny T. Sam
{"title":"Exploring A Decade of Research on Down Syndrome: A Bibliometric Analysis","authors":"R. George, Manoj Kumar, Deepa T. Unnikrishnan, Jibin Kunjavara, Shiny T. Sam","doi":"10.55489/njcm.150420243588","DOIUrl":"https://doi.org/10.55489/njcm.150420243588","url":null,"abstract":"Aims: Trisomy 21, the presence of a supernumerary chromosome 21, results in a collection of clinical features commonly known as Down syndrome (DS). DS is among the most genetically complex of the conditions that are compatible with human survival post-term, and the most frequent survivable autosomal aneuploidy. The research landscape of Down Syndrome is not portrayed clearly by published literature. This study aimed to analyse published literature globally by the medical fraternity in the field of Down syndrome using bibliometric analysis.\u0000Methodology: Bibliometric information on literature regarding said topic using specific keywords was searched and collected in the Scopus database. VOSviewer (1.6.18) was applied to conduct bibliometric analysis and visualization.\u0000Results: The study highlighted the most significant journals, authors, co-cited authors, institutions, keywords co-occurrence, and most contributed countries in the area of Down syndrome based on bibliometric analysis of studies taken from the database of Scopus for the past ten years (2014–first quarter of 2023).\u0000Conclusion: This analysis applied state-of-the-art bibliometric and scientific mapping methods to provide researchers and other stakeholders with a panoramic view of Down syndrome from 2014 –2023. Publications in the field show a stable trend, within developed countries. Funding support is much needed to proceed with such topics as Down syndrome and that may be the reason why underdeveloped countries are still behind in the field.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"70 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140769712","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":"Post-Traumatic Growth Among Patients Suffering From Burn: A Cross-Sectional Study","authors":"Shirin Abdallah Alimour, Shaima Aljasmi, Mhd Emad Alnono, Nouha Alaji, Hani El Farran, Mohamed Mahmoud Alrabeei","doi":"10.55489/njcm.150420243775","DOIUrl":"https://doi.org/10.55489/njcm.150420243775","url":null,"abstract":"Background: Burn and wounds are one of the most serious hospital cases in all healthcare settings, both social and psychological support are needed to overcome all depressive and anxious feelings afterward the burns' incidence. This study aims to assess and evaluate all posttraumatic growth experiences from healthcare professionals after burns and wounds on selected patients with various degrees of burns.\u0000Methods: It was a cross-sectional descriptive design. The present study utilized regression analysis as a statistical tool to examine the variables linked to posttraumatic growth in a sample of 191 individuals who had undergone significant burn injuries.\u0000Results: The study revealed that those undergoing therapy for mild depression exhibited a modest degree of depressive symptoms and a diminished feeling of positive self-perception compared to those in the acute phase. Therefore, a statistically significant difference in the averages was noticed between the two groups. An important correlation was found between depressive symptoms and social support, which had a significant impact on posttraumatic growth during the recovery phase.\u0000Conclusions: The present study revealed that social support exerted a noteworthy influence in promoting posttraumatic growth among individuals belonging to the acute phase group.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"1182 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774332","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}
Deepa S. Sajjanar, I. A. Hundekari, Rekha Udgiri, Vijay Warad, Sanjeev L Sajjannar
{"title":"Development and Validation of a Food Frequency Questionnaire for Use in Epidemiological Studies Among North Karnataka Population","authors":"Deepa S. Sajjanar, I. A. Hundekari, Rekha Udgiri, Vijay Warad, Sanjeev L Sajjannar","doi":"10.55489/njcm.150420243758","DOIUrl":"https://doi.org/10.55489/njcm.150420243758","url":null,"abstract":"Background: Dietary records, such as food diaries (FD) and food frequency questionnaires (FFQs), are widely employed in large-scale epidemiological analyses. Given the regional diversity in dietary habits, this study aimed to develop and assess the reproducibility and construct validity of a novel FFQ tailored for northern Karnataka (FFQ-NK).\u0000Methodology: A detailed food list was created based on food use and market surveys in the region. Utilizing data from 24-hour diet recalls and a supplemental focus group discussion, a 116-item semi-quantitative FFQ was developed for adults in north Karnataka.\u0000Setting and Subjects: Involving 100 participants from north Karnataka, the FFQ was interviewer administered and the participants also completed three 24-hour dietary recalls (DR), serving as a reference for validity assessment.\u0000Results: Though the FFQ indicated higher food and nutrient intake compared to food records. Significant correlations were found for nutrient intake. Pearson’s correlation coefficients between FFQs and DRs ranged from 0.717-0.965 (isoflavonols to energy).\u0000Conclusions: The developed and validated FFQ is a valuable tool for epidemiological studies requiring nutrient intake estimates in the north Karnataka population. It serves as an effective dietary assessment tool for individuals aged 20 and older in large-scale epidemiological studies.","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792999","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":"Overcoming The Challenges of Big C In India","authors":"Shambhavi Ghotankar, Pratiksha Yadav, Khushal Patel, Sanjay Juvekar","doi":"10.55489/njcm.150320243418","DOIUrl":"https://doi.org/10.55489/njcm.150320243418","url":null,"abstract":"","PeriodicalId":489477,"journal":{"name":"National journal of community medicine","volume":"33 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277127","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}