International Journal of Health and Allied Sciences最新文献_第9页

Ocular morbidity pattern among patients attending Red Cross Eye Unit in Sunyani, Ghana 在加纳Sunyani红十字眼科中心就诊的患者的眼部发病率模式

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_258_20

Victor Opoku-Yamoah, E. Afrifa-Yamoah

{"title":"Ocular morbidity pattern among patients attending Red Cross Eye Unit in Sunyani, Ghana","authors":"Victor Opoku-Yamoah, E. Afrifa-Yamoah","doi":"10.4103/ijhas.IJHAS_258_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_258_20","url":null,"abstract":"BACKGROUND: Visual health information is particularly important in planning appropriate interventions to combat preventable causes of blindness and visual impairment. Nonetheless, there is limited information on ocular health conditions in Ghana. The study set out to determine the pattern of ocular morbidity at the Red Cross Eye Unit in the Bono Region of Ghana. SETTINGS AND DESIGN: The study was carried out at the Red Cross Eye Unit in the Bono Region of Ghana and used a hospital-based retrospective cross-sectional study design. MATERIALS AND METHODS: A review of patient's ocular health records throughout the year 2018 was performed. Patients were conveniently sampled, and socio-economic details and diagnosis were analyzed. STATISTICAL ANALYSIS USED: Analysis was carried out using Statistical Package for the Social Sciences (IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY, USA). RESULTS: A total of 2400 patients records were reviewed, comprising of 1012 males (42.2%) and 1388 females (57.8%) with a male to female ratio of 1:1.4. Each patient sampled was diagnosed with an ocular condition and the modal age group was found to be 41–60 years. The most common cause of ocular morbidity among the patients was refractive error (32.4%). This was followed by acute conjunctivitis (29.7%) and cataract (12.3%). Refractive error and acute conjunctivitis were found to be significantly higher among females (P < 0.05). CONCLUSIONS: Refractive error, acute conjunctivitis, and cataract were common ocular morbidities found in this study. Interventions should target these ocular conditions to minimize the risk of preventable visual impairment and blindness in the Region.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"101 1","pages":"197 - 201"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80870154","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

COVID-19 and health policy reformation in Nigeria 尼日利亚的COVID-19和卫生政策改革

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_238_20

A. Aborode, K. David, J. Imisioluwa, A. Oyeyemi, A. Babatunde

引用次数: 0

A new functional indoor ramp walk test among stable perioperative valve replacement patients – An observational crossover study 在稳定的瓣膜置换术围手术期患者中，一种新的功能性室内斜坡行走试验-一项观察性交叉研究

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_113_20

M. Arumugam, Mahesh Ramaraj, B. Chandrasekaran, Murugesan Ramaiya, Pitchaimani Govindharaj

{"title":"A new functional indoor ramp walk test among stable perioperative valve replacement patients – An observational crossover study","authors":"M. Arumugam, Mahesh Ramaraj, B. Chandrasekaran, Murugesan Ramaiya, Pitchaimani Govindharaj","doi":"10.4103/ijhas.IJHAS_113_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_113_20","url":null,"abstract":"BACKGROUND : Postcardiac valve replacement patients face difficulty in their day-to-day functional activities, especially during climbing stairs and walking uphill or on a ramp in society. Assessing the uphill walking capacity, there is a dearth of functional stress test over routinely used six-min walk test (6MWT). Therefore, a new three-min steep ramp walk test (3MRWT) was constructed to meet the demands similar to an uphill walk and may provide more functional stress than routinely used 6MWT. MATERIALS AND METHODS: Observational crossover study was conducted with 30 stable postoperative either mitral or aortic or double valve replacement patients, who were as inpatients in the Department of Cardiothoracic and Vascular Surgery, Multispecialty Medical College Hospital, Coimbatore, India. The participants were assigned to walk 3MRWT and 6MWT simultaneously on the 5th postoperative day. RESULTS: The results revealed that the mean distance covered in 6MRWT was 273.4 ± 45.06 m, and in 3MWT, it was 149.7 ± 37.8 m. A highly positive correlation was observed between 3MRWT and 6MWT distance covered by the patients with valve replacement (r = 0.834). CONCLUSION: The study shows that 3MRWT is valid over routinely available 6MWT and may provide higher functional stress in a shorter duration than later in valvular replacement patients in assessing the maximal functional capacity during discharge.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"134 1","pages":"216 - 221"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78858173","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

Perioperative management of a case of peripartum cardiomyopathy for elective cesarean section 择期剖宫产术围生期心肌病1例的围手术期处理

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_283_20

Shalendra Singh, Nitesh Kumar, G. Ambooken, S. Sasidharan, Priya Taank

引用次数: 0

Emergency medical response services in the union territory of Dadra and Nagar Haveli, India 印度达德拉和纳加尔哈维利联邦领土的紧急医疗反应服务

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_194_20

V. Khan, A. Sanghai, D. Zala, V. Das

{"title":"Emergency medical response services in the union territory of Dadra and Nagar Haveli, India","authors":"V. Khan, A. Sanghai, D. Zala, V. Das","doi":"10.4103/ijhas.IJHAS_194_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_194_20","url":null,"abstract":"BACKGROUND: Emergency medical response services (EMRS) are an integral part of today's health system. Prehospital care and transport of a patient to the health facility is the main function of EMRS. It is very difficult to evaluate the efficacy of this system. The evaluation of the efficacy of the EARS based on various parameters is the main aspect of the study. In this observational study, the epidemiology of emergency, utilization of services, quality and cost matrixes of services were analyzed. MATERIALS AND METHODS: The study was conducted in Union Territory of Dadra and Nagar Haveli, India from January 1, to December 31, 2017. The secondary data were collected from the Emergency Response Centre. Various parameters such as epidemiology of medical emergencies, extent pattern of utilization of EMRS, quality of services, and cost parameters were recorded. RESULTS: Total 28716 medical emergencies were handled by EMRS in the year 2017. Among them acute abdominal pain was recorded as the most common emergency, followed by pregnancy-related emergencies and fever. Most of the users belonged to the rural/tribal area and females utilized the facility more than males. The average response time for providing the services in the rural and urban area was recorded as 8:42 min and 13:25 min, respectively. Various parameters of service utilization, cost-effectiveness, and quality were noted. CONCLUSIONS: The planning and support from all levels (at the national, provincial and community) are important aspect to provide quality and cost-effective services. The data of EMRS may help to develop quality benchmark for the EMRS.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"1 1","pages":"202 - 210"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86935495","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

Fetal medicine as a part of early clinical exposure 胎儿医学作为早期临床暴露的一部分

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_211_20

L. Natarajan, Darshana Srinivasan, Dhakchenya Sekar, Punithavathi Krishnamoorthi, Pananghat A. Kumar

{"title":"Fetal medicine as a part of early clinical exposure","authors":"L. Natarajan, Darshana Srinivasan, Dhakchenya Sekar, Punithavathi Krishnamoorthi, Pananghat A. Kumar","doi":"10.4103/ijhas.IJHAS_211_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_211_20","url":null,"abstract":"CONTEXT: Clinical relevance of basic sciences is not well appreciated by the preclinical students. In an effort to remedy this, Medical Council of India has introduced the program of early clinical exposure. Although broad guidelines are provided, institutions have been bestowed with the responsibility of conducting this important program depending on the available resources and local logistics. AIMS: The aim of the study is to create an awareness of correlation of fetal medicine with the participants taught during preclinical year, particularly embryology. SETTINGS AND DESIGN: Preclinical students were posted in the Division of Fetal Medicine in the Department of Obstetrics and Gynecology, as observers. The program enabled the students to appreciate the procedures performed in the clinics and to interact with the consultants and health-care staff during their posting. They interacted with the patients as well. SUBJECTS AND METHODS: Preclinical students observed the clinical procedures performed in the clinics. Tests were conducted before and after the intervention, and their results were compared to evaluate the effectiveness of the program. Open-ended feedback was also taken to assess the impact of this program on the students. STATISTICAL ANALYSIS USED: Fisher's exact test was used to evaluate the test scores. RESULTS: Test scores revealed that this program improved the general awareness about the scope of fetal medicine and its direct relevance to the fetal developmental events; they learn in embryology. Feedback comments reiterated this fact. CONCLUSIONS: Posting of preclinical students in fetal medicine during ECE program has observed the desired effect of them realizing the clinical significance of subjects; they are learning during their preclinical year of study. It has also impressed upon them the scope of fetal medicine as a subject.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"12 1","pages":"231 - 234"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84517312","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

Fetal monitoring in neurosurgery: An essential paradigm? 胎儿监测在神经外科:一个基本范例?

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_242_20

S. Singh, A. Barik, Sachin Agarwal

引用次数: 0

Factors driving the “preferred place for delivery” among tribal women in Southern India 推动印度南部部落妇女“偏爱分娩地点”的因素

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_255_20

K. Yadav, M. N. Narayana Murthy, M. Prasad, P. Kulkarni

{"title":"Factors driving the “preferred place for delivery” among tribal women in Southern India","authors":"K. Yadav, M. N. Narayana Murthy, M. Prasad, P. Kulkarni","doi":"10.4103/ijhas.IJHAS_255_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_255_20","url":null,"abstract":"BACKGROUND: Mother and child health is an important issue for the tribal community and a lot of it depends on the prenatal, natal and postnatal care of the mother and child. Institutional deliveries are known to have a positive impact on their health and it is important to understand the factors that lead to the choice of place of delivery. MATERIALS AND METHODS: A community-based study was conducted in the tribal area of H D Kote taluk Mysore. Of 16 Primary Health Centers, five centers which cover nearly 50% of the population were chosen for the study. All the mothers who resided in those areas and delivered from January 2013 to December 2013 were chosen for study, which came to 215. Those who had migrated to areas outside our study area and those who were not found in home during data collection home visit were left out. Hence, the final sample size came to be 165. Chi-square test and Fisher's exact test and logistic regression analysis were applied to test the significance of association of factors with place of delivery. RESULTS: In the present study, 20.6% mothers had delivered at home, 12.7% in government hospital, and 66.7% in private hospital. Past delivery experience, early registration of pregnancies, and higher number of pregnancies were the factor found to be significantly associated with institutional deliveries. CONCLUSION: Mothers who utilize the antenatal care services and who have had experience of delivery in a hospital/higher number of deliveries are more likely to choose hospital for their delivery.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"28 1","pages":"211 - 215"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89014326","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 “CHAR” Ming syndrome: Heart, bone, and eye “CHAR”明综合征:心脏、骨骼和眼睛

International Journal of Health and Allied Sciences Pub Date : 2021-07-01 DOI: 10.4103/ijhas.IJHAS_206_20

Anusha Mruthyunjayaswamy, Smitha Bhat

引用次数: 0

Acral limb ischemia postarterial cannulation in a critically ill COVID-19 patient 新冠肺炎危重患者肢端缺血术后插管1例

International Journal of Health and Allied Sciences Pub Date : 2021-04-01 DOI: 10.4103/ijhas.IJHAS_268_20

Shalendra Singh, S. Reddy, Nipun Gupta, V. Marwah

引用次数: 0