Indian Journal of Health and Wellbeing
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Pages: 794-795 Vijay Silan (Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi) Mahender Singh (Senior Medical Officer, CHC Kharkhoda, District Hospital Sonepat, Haryana) Anuj Sihan and Suneel Rohilla (Demonstrator, Department of Biochemistry, BPS GMC, Khanpur Kalan, Sonepat, Haryana) Virender Gahlawat (Senior Resident, Department of Pediatrics, Pt. B.D. Sharma PGIMS, Rohtak, Haryana) One third of the Indian population is being contributed by the adolescents (10-19 years). The adolescents are a vulnerable group to many social, physical, cultural and health implications. The government of India has started an integrated health programme named as, Adolescent Reproductive and Sexual Health (ARSH) Programme, to achieve the better adolescent's health in every aspect. This will be delivered through the peer educators selected from the community. The current cross sectional survey was done in Sonepat district of Haryana among the 144 peer educators selected for the ARSH Programme. The mean age of the study participants was 15.7 years. About one forth (23.6%) of them were students of under secondary classes and one third were 12th passed. All were residing in rural areas. Majority were aware about the harmful effect of habit forming substances (73%).the awareness about the RTI/STI was low (53.4%) and most common source of information school teachers followed by audiovisual sources. Small proportions were aware about unsafe sex, unsafe abortion and teenage pregnancy. Awareness level about the adolescent related issues was low. Need to sensitize the teachers and parents as well and incorporation of adolescent health issues in school health programme. Pages: 794-795
Vijay Silan (Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi)
Mahender… |
Pages: 796-798 Vidyadayini Shetty and Sushma Mehrotra (Nagindas Khandwala College, Malad, Mumbai, Maharashtra) Presence of family members as caregivers has helped to identify HIV-related medical conditions and bring it to the notice of the health care personnel. Informal caregivers now not only monitor drug adherence but also provide psychological support and care to the HIV infected which has helped in improving their productivity and quality of life. As the informal caregivers are not prepared for the HIV caregiving, neither trained nor compensated, they experience psychological distress which results into symptoms of depression and anxiety. In addition, lack of support, stigma and discrimination heightens the psychological distress experienced by the informal caregivers. Studies on etiology of depression and anxiety indicate a number of demographic variables as predictor variables. The study aims to investigate the relationship of demographic variables such as age, education, and income affecting the caregivers' depression and anxiety. The sample consisted of 112 informal caregivers from NGOs in Mumbai. The results show that demographic variables such as education and income were associated with elevated levels of depression and anxiety. However, there was no significant relationship found between age and caregiver's depression and anxiety. Pages: 796-798
Vidyadayini Shetty and Sushma Mehrotra (Nagindas Khandwala College, Malad, Mumbai, Maharashtra) |
Pages: Pages: 799-802 Sushma Kumari (Department of Psychiatry, Pt. B. D. Sharma University of Health Sciences, Rohtak, Haryana) Vikash Ranjan Sharma (Psychiatric Social Worker, State Institute of Mental Health, PGIMS, Rohtak, Haryana) Deapti Mishra (Clinical Psychology, Postgraduate Institute of Behavioral and Medical Sciences, Raipur) P. K. Chakraborty (Manipal Teaching Hospital Pokhara, Nepal) Vinod Kumar (Department of Community Medicine, Pt. B.D. Sharma PGIMS, Rohtak) Suman Sharma (Department of Medicine, PGIMER, Dr RML, New Delhi) Rehabilitation occupies an important place in the world of psychiatry. Persons suffering from various mental disorders need proper rehabilitation to help them overcome there problems and to adjust as well as adapt to the needs of society. This becomes an important part of patient's management and improving their quality of life. In the present paper we discuss in detail types of rehabilitation and its role in different psychiatric disorders. Pages: 799-802
Sushma Kumari (Department of Psychiatry, Pt. B. D. Sharma University of Health Sciences, Rohtak… |
Pages: 803-806 Dheeraj Kumar (Central India Institute of Mental Health and Neuro Sciences Rajnadgaon, Chhattisgarh) J. Mahto and Deapti Mishra (Post Graduate Institute of Behavioural and Medical Sciences, Raipur, Chhattisgarh) To find out the prevalence of ADHD in school going children and to study the effect of gender & socio demographic variables on ADHD children. Attention Deficit Hyperactive Disorder (ADHD) is disorder of childhood and adolescence characterized by a pattern of extreme pervasive, persistent and debilitating inattention, over activity and impulsivity (APA, 1994). ADHD is one of the most prevalent chronic health disorders affecting school age children. It is also the most frequently occurring problem in neuro-psychiatric disorders of children (Szymanski & Zolotor, 2001). Attention Deficit Disorder with Hyperactivity (ADHD) has been recognized as one of the major public health problem in a number of Western countries as well as in developing countries. The prevalence of this syndrome is difficult to specify since it varies greatly with the diagnostic criteria employed, the population of children studied and method of investigation. Also the prevalence of ADHD in school going children is increasing day by day and it has become a burning problem for the teachers and parents. Thus, the present study will be helpful in identifying students with ADHD and for their better management. Methodology: The sample of the study consisted of 370 student studying in various schools (Saskiya Prathmic Shala, chowbe colony, Saskiya Prathmic Shala, Genious Public School & Sharda Public School Mana basti) of Raipur (C.G.). The sample covered students studying in I, II, & III standards of age range 6 to 11 years. All students fulfilling their inclusion and exclusion criteria were selected. Result will be discussed in paper. Pages: 803-806
Dheeraj Kumar (Central India Institute of Mental Health and Neuro Sciences Rajnadgaon, Chhattisgarh)
J. Mahto… |
Pages: 807-811 Sushma Kumari (Department of Psychiatry, Pt. B. D. Sharma University of Health Sciences, Rohtak, Haryana) Vikash Ranjan Sharma (Psychiatric Social Worker, State Institute of Mental Health,PGIMS, Rohtak, Haryana) Vinod Kumar Sinha (Department of Psychiatry, Central Institute of Psychiatry, Ranchi, Jharkhand) Vinod Kumar (Department of Community Medicine, Pt. B.D. Sharma PGIMS, Rohtak) Ashima (Department of Anatomy, SHKM, GMC, Mewat) Suman Sharma (Department of Medicine, PGIMER, Dr RML, New Delhi) Quality of Life (QOL) measures are useful methods to understand the impact of illness and outcome of treatment. The aim of any therapeutic intervention is not just symptom alleviation but overall improvement. The number of studies on the Quality of Life in bipolar affective disorder, especially in adolescent, is very less considering the prevalence rate of this disorder. Material and In the present study effort has been made to understand the QOL among adolescent patients with Bipolar Affective Disorder (BPAD) (N=30), skin diseases (N=30) and normal controls (N=30). They were rated on WHOQOL BREF. Results of statistical analysis indicates that patients with BPAD have been found to have poorer QOL than adolescent with skin diseases and normal controls. Understanding the quality of life of psychiatric illness like BPAD vis a vis other medical disorders like skin disease (which is usually a chronic disease and QOL is reported to be poor in it also) throws new light in terms of the impact of illness, course, out come and intervention strategies. Pages: 807-811
Sushma Kumari (Department of Psychiatry, Pt. B. D. Sharma University of Health Sciences, Rohtak… |
Pages: 812-814 K. Jayashankar Reddy (CMR, CMMS, Bangalore, Karnataka) To study the psychosocial and socio-demographic correlates in patients with conversion disorder presenting with non-epileptic seizures and discuss its interventional implication. This cross-sectional descriptive study was carried out in Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore, India from September 2008 to February 2009. 151 consecutive patients with conversion disorder satisfying the inclusion and exclusion criteria were selected. They were interviewed using semi-structured socio-demographic profile proforma, Holmes and Rahe stress scale for the exploration of psycho-social stressors. The data were entered on MS excel, analyzed by SPSS-version 16.0. The psychosocial stressors were clearly identified in all patients. Almost ninety five (94.70%, n=143) out of the total 151 subjects had a history of stressors, while in the rest 4.95% no stressors could be established. The commonest stressors were Troubles with in-laws (26.49%), Death of close family member (11.92%) and Increase in argument with significant others (10.59 %). Significantly higher number of the patients presented with the stressor of troubles with in-laws, when assessed on the Holmes and Rahe Social Readjustment Rating Scale. Detection of exact nature of correlates has immense potential for therapeutic as well as preventive field. Pages: 812-814
K. Jayashankar Reddy (CMR, CMMS, Bangalore, Karnataka) |
Pages: 815-819 Subhash Chander and Vinod Kumari (Department of Sociology, CCS HAU Hisar, Haryana) The sheer increase in human population is one of the most serious problems confronting mankind and the best developmental proposition for India is to stabilize its population which is more sociological in nature them technical. The present study was conducted in a multi caste village and a total of 200 respondents were selected to assess the knowledge and attitude of schedule castes families towards small family norms. The respondents from service class and those married at later age were having higher knowledge and favourable attitude towards small family norms. About 60% respondents from labour and farming category had 5-8 family members whereas as 50% of service class and other occupation group had less than 5 members. About 60% of the respondents of up to 17 year of age at marriage were having 5-8 members where as 47.7% respondents of more than 21 years age group were having small family size. It was concluded that occupation level and marriage age of a person had significant influence on his knowledge and attitude towards small family norms. So efforts are needed for higher education and marriage at later age to achieve the aim of small family. Pages: 815-819
Subhash Chander and Vinod Kumari (Department of Sociology, CCS HAU Hisar, Haryana) |
Pages: 820-823 Vinod Kumari (CCS Haryana Agricultural University, Campus Kaul, Kaithal, Haryana) Women's health status affects their productivity and thereby their role in society and development. Their own health is influenced by various factors, which need to be investigated to improve their health status. Keeping this in view, the present study was undertaken to find out the impact of family type on marriage and birth practices and health problems of rural women. It was found that the type of family had a significant effect on birth practices. The results indicated that 26.4% respondents from nuclear family were married after 20 years of age, while it was only 4.5% in case of joint families. In all deliveries in 58.3% cases were performed at home while only 33.3% in hospitals. Nuclear families were more conscious about post partum hygiene. A shift towards health awareness was observed among rural women as 73.3% visited doctors for pregnancy and birth related checkups which was quite higher than that observed in earlier studies. More rural women from nuclear families (71.1%) reported work excessiveness as compared to joint families (36.4%). A significant impact of family type on occurrence of diseases among rural women was also observed. It was concluded that women from nuclear families were more health conscious and had better knowledge in adopting marriage and birth practices than those of joint families. Pages: 820-823
Vinod Kumari (CCS Haryana Agricultural University, Campus Kaul, Kaithal, Haryana) |
Pages: 824-828 Nurul Atiyyah Jamal, Smily Jesu Priya Victor Paulraj, Jayachandran Vetrayan and Nurfarhana Mohd Hasmi (Department of Occupational Therapy, Faculty of Health Science, Universiti Teknologi MARA (UiTM), Malaysia) Syamsul Anwar Sultan Ibrahim (Department of Occupational Therapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, Malaysia) The current study was to examine the relationship between functional impairment and parental distress in children with attention deficit hyperactive disorder (ADHD) and. This study was a cross-sectional study where the researcher use a standardize questionnaire to be answer by the participant to determine the correlation between functional impairment domain and parental stress. 31 participants (parents and children) were selected randomly based on ADHD children diagnosed by physician. The face to face interview and self-rating with parents of ADHD was done using Parental Stress Scale (PSS) and Weiss Functional Impairment Rating Scale-Parent Report (WFIRS-P). Test of significance by using Spearman rho correlation coefficient were employed for data analyses. There was significant good correlation (r=0.550) between parental stress and family domain of functional impairment. However, there was no significant correlation between number of children in home and school domain of functional impairment towards parental stress. This study provided preliminary step towards understanding of childhood ADHD-related functional impairment with level o f parental stress. Better understanding of functional impairment of a child will lead to provide adequate treatment plans and hopes can reduce parental stress level. Pages: 824-828
Nurul Atiyyah Jamal, Smily Jesu Priya Victor Paulraj, Jayachandran Vetrayan and Nurfarhana Mohd Hasmi… |
Pages: 829-834 Ummyssalam A.T.A Duludu (Department of Nonformal Education, Faculty of Education (FIP) Gorontalo State University, Indonesia) This is a research and development study aimed to solve the problem of the inadequacy in tutor professional development in the district of Bone Bolango in Indonesia. Several efforts have been made to improve tutor competences in the nonformal education sector (basically in equivalenc education programs). One of the efforts has been to develop models for professional tutor trainings. However, the models in place have not been able to fill the gap in tutor professional development. Because of this, in this researh, I inteded to to develop a training model based on Local-Values for the enhancement of tutor professionalism. The process to develop the model involved: 1. Preliminary study, 2. Conceptual model development, 3. Validation of the expert, and revision of the model, 4. Implementation of the model, 5. Testing the effectiveness of the model, and 6. Development of the recommended model. It was revealed that: 1. Tutor trainings basically for “packet C” were still conventional and did not put in consideration the local situation of Bone Bolango and specifically the condition of the learners, thus requiring a new model for intervention, 2. Expert validation led to the development of a training model with a basis on the local values, 3. There is no sufficient collaboration amongst the relevant agencies in the monitoring of tutor post-training programs, and 4. The training model developed in this study successfully contributed to the improvement of tutor professional competencies in the teaching of packet C. Pages: 829-834
Ummyssalam A.T.A Duludu (Department of Nonformal Education, Faculty of Education (FIP) Gorontalo State University… |
Pages: 835-845 Sangeeta Trama and Baldeep Kaur (Department of Psychology, Punjabi University, Patiala) Emotional eating occurs when an individual eats to soothe hurt emotions or deals with a stressful situation. Emotional eating may also take place after a rough day at work, an argument with a loved one, or when the kids are running around the house screaming. The present study was a small step in this direction. It attempted to examine the role of perceived stress, anger and coping towards emotional eating in adolescents. The sample of the present study comprised 200 participants (103 males and 97 females). They were selected from various government and private schools and colleges of Patiala district. For studying the role of perceived stress, anger and coping towards emotional eating, the following tools were administered: Perceived Stress Scale [PSS-10; Cohen, 1994], State-Trait Anger Expression Inventory-2 (STAXI-2; Spielberger; 1999), Ways of Coping Questionnaire (WOCQ; Folkman & Lazarus, 1988), and the Three Factor Eating Questionnaire Resvised-21 (TFEQ-R21; Karlsson, 2000).In order to analyze the role of perceived stress, anger and coping towards emotional eating in adolescents, product-moment correlations were computed, and stepwise multiple regression analyses were applied. The results revealed that two aspects of coping, viz., self-controlling and escape-avoidance emerged as (negative and positive) predictors of emotional eating in girls. “Self-controlling” aspect of coping accounted for 70% of the variance in female emotional eaters whereas, an additional 5% of the variance in emotional eating was being explained by escape-avoidance. Seeking social support emerged as the main positive predictor of emotional eating in adolescent boys (which explained 72 % of the variance) whereas, two other subscales of coping, viz., self-controlling and accepting responsibility emerged as negative predictors. It was interesting to note that trait anger emerged as a positive predictor of emotional eating in case of adolescent boys (though none of the varied aspects of anger emerged as significant predictors in case of adolescent females). These predictors together accounted for 77% of the variance in emotional eating for adolescent boys. Emotional eating was positively linked with perceived stress, trait anger, and diverse aspects of coping, viz., confronting coping, distancing, seeking social support, escape-avoidance and positive reappraisal. On the other hand, emotional eating was negatively related with anger expression index, two subscales of coping, viz., self-controlling, and accepting responsibility. State anger and planful problem solving were unrelated with all the variables considered in the present investigation, viz., perceived stress, trait anger, anger expression index, all subscales of coping and emotional eating for adolescent girls as well as boys.In sum, the findings indicate that different aspects of anger and/or coping may differentially predict emotional eating in adolescent boys and girls. Pages: 835-845
Sangeeta Trama and Baldeep Kaur (Department of Psychology, Punjabi University, Patiala) |
Pages: 846-851 Rusmin Husain (Elementary Education Department, Faculty of Education (FIP), Gorontalo State University, Jl. Jend. Sudirman No. 6 Gorontal District, Indonesia) This study originates from the need to improve the process of instruction in the field of Nonformal Education in Indonesia. The research therefore, aimed to establish a suitable learning model for effective teaching and learning in packet C program carried out in state owned community learning centres (Sangar Kegiatan Belajar). The study was conducted in Gorontalo district. The researcher applied the method of Research and Development (R&D) which included the following research activities: 1. Preliminary study, 2. Conceptual model development, 3. Validation of experts and revision of the model, and 4. Implementation and testing of the effectiveness of the model. The study established that: 1. Packet C program is still carried out in a conventional manner whereby tutors still dominate the learning process, 2. Based on the validation of experts, an appropriate conceptual collaborative learning model which aims to improve the learning process was developed, 3. The trial model resulted into a final collaborative learning model which is able to improve the learners' competencies, and 4. It was established that the collaborative learning model developed is appropriate to the teaching-learning process in packet C program and also it is suitable for the enhancement of the learners competencies (Measured in terms of outcomes). Pages: 846-851
Rusmin Husain (Elementary Education Department, Faculty of Education (FIP), Gorontalo State University, Jl. Jend… |
Pages: 852-858 C. N. Ram Gopal (Consultant Clinical Psychologist, Chennai) V. D. Swaminathan (Department of Psychology, University of Madras, Chennai ) The objectives of the present study were to identify the factors that contribute to dysthymia and to study the effectiveness of cognitive-behaviour therapy (C.B.T.) in the treatment of dysthymia. In the present study two approaches were followed namely, Ex-post-facto approach and Experimental approach. The sample consisted of three groups of 15 dysthymic patients in each group. The findings revealed that, locality, marital status, family history, intelligence and major value factors love and approval were the contributors to the Cognitive Dimension of Dysthymia, C.B.T. was found to be effective in the treatment of dysthymia, and craving for love, autonomy and perfectionism were the predictors of dysthymia. Pages: 852-858
C. N. Ram Gopal (Consultant Clinical Psychologist, Chennai)
V. D. Swaminathan (Department of Psychology, University… |
Pages: 859-865 A. Suresh and Akancha Srivastava (Defence Institute of Psychological Research (DIPR-DRDO), Delhi) Malar Jayachander (Counselling Psychologist St. Stephen`s College, Delhi) In the recent years the core element of health behaviour has changed from disease prevention to health protection and promotion. Health behaviour change has become a central objective of public health and its policies. Under these circumstances personal and social factors have become imperative issues in determining health behaviour of an individual. The present study investigated the relationship between social support, health locus of control and health status in relation to health behaviour among college students. The study also explores the psychological predictors of health behaviour among college students. This study was cross- sectional in design and used survey methodology. The convenience sample consisted of 330 college students from different colleges at Chennai city. Subjects were administered the Multidimensional health locus of control scale, Sense of support scale, General Health Questionnaire and Health behaviour scale. The collected data were analyzed using hierarchical multiple regression. The results indicated that Sense of support and health locus of control as significant predictors of health behaviour. The study implies that Psycho social factors associated with health behaviour need to be considered in health promotion interventions. Pages: 859-865
A. Suresh and Akancha Srivastava (Defence Institute of Psychological Research (DIPR-DRDO), Delhi)
Malar Jayachander (Counselling… |
Pages: 866-870 Priyanka, Promila Batra and Sarvdeep Kohli (Department of Psychology, M. D. University, Rohtak, Haryana) In the present era, health has become a serious concern, particularly due to the stress and the consequent faulty health habits and sedentary life styles. These lead to extreme weights. BMI is an indicator of the weight status. The weight related problems are quite frequent in India and the teenagers are also quite vulnerable. Therefore, the present paper attempted to assess the self concept and health related quality of life amongst teenagers as a consequence of BMI/weight status. A sample of 300 students, studying in class IX and XI in various public schools were contacted and 120 subjects in the age range of 14-17 years were selected to form three groups on the basis of BMI/ weight status. These were underweight, normal weight and overweight subjects, these subjects were given self concept questionnaire by Saraswat and SF-36 health related quality of life scale by Ware and Sherbourne. The obtained scores were analyzed by using ANOVA followed by DRT. The results indicate that self concept and health related quality of life were poor in both the underweight and the overweight subjects. The mental health however, was affected only in the overweight subjects. Pages: 866-870
Priyanka, Promila Batra and Sarvdeep Kohli (Department of Psychology, M. D. University, Rohtak, Haryana) |
Pages: 871-877 Damanjit Sandhu and Haroon Shafiq (Department of Psychology, Punjabi University, Patiala) The present investigation aimed to study the psychosocial correlates of physical activity in adolescents. Adolescent physical activity was studied in relation to parental (fathers') physical activity, self-esteem, and locus of control. The sample comprised of 200 adolescent boys in the age range of 16 -18 years, randomly selected from various senior secondary schools of Malerkotla and Sangrur (Punjab, India). The subjects were administered The Physical Activity Questionnaire for Adolescents (Kowalski, Crocker & Kowalski, 1997), Levenson's Locus of Control scale (Vohra, 1990), and The Multidimensional Self-esteem Inventory (O' Brien & Epstein, 1988). International Physical Activity Questionnaire (Craig et al., 2003) was administered on the adolescents' father. Pearsons' Product Moment Correlation Analysis reveals that parental physical activity is positively correlated with adolescent physical activity. Out of the Locus of control dimensions, powerful others and chance control dimensions are inversely correlated with adolescent physical activity, while individual control is positively correlated with adolescents physical activity. Step-Wise Multiple Regression Analysis reveals that Individual control and Parental physical activity are positively contributing to adolescents' physical activity. Chance control and Defensive Self- enhancement (dimension of self-esteem) are negatively contributing to adolescent's physical activity. The findings have been discussed. Pages: 871-877
Damanjit Sandhu and Haroon Shafiq (Department of Psychology, Punjabi University, Patiala) |
Pages: 878-881 Sobia Malik, Naima, Ayesha Javed and Sadaf Ahmed (Department of Physiology, University of Karachi, Pakistan) Body Mass Index (BMI), basal metabolic rate (BMR) and Waist-to-hip ratio (WHR) are frequently used indices to categorize underweight, overweight & obesity along with the characteristics like basal body conditions, and the proportion of fat stored on the body. Blood pressure within the arteries can be altered with the changes in these indices that may be an alarm of Hypertension or other cardiovascular harms. The purpose of this study is to observe the effect of BMI, BMR, Waist circumference and Waist to hip ratio on Blood pressure. How these parameters alter the blood pressure of normal human subjects. This is a descriptive cross-sectional study involving 100 respondents (93% non-married) selected from Karachi and sample type is stratified random sampling, stratum is based on age i.e. 20-30 years. The respondent's demographic information and physical information; age, sex, marital status, level of education, weight, height, BMI, Waist circumferences, hip circumferences, blood pressure, BMR and waist/hip ratio was recorded. Data entries & data analysis was done using SPSS 16.0. BMI has a profound effect on WHR, waist circumference, and BMR and it was observed that an increase in the value of BMI results in increase WHR, waist circumference, and BMR, hence establishing direct relation. However, increased BMI raises the systolic pressure & diastolic pressure; the same results are obtained for WHR, Waist circumference and BMR, as these are directly related to BMI. Pages: 878-881
Sobia Malik, Naima, Ayesha Javed and Sadaf Ahmed (Department of Physiology, University of Karachi… |
Pages: 882-886 Tarun deep Kaur (Department of Psychology, GGDSD College, Chandigarh) The study aimed at comparing the role of various Psychological factors: social support, hardiness, anxiety, coping, depression, etc. in adults both diabetes and non diabetic. The study was conducted on 60 adults both male and female between the age group 35 to 45 both diabetic and non diabetic i.e. 30 suffering from diabetic and taking insulin and 30 non diabetic were selected. Results revealed the constructive role factors like, family social support, self control& problem solving in healthy adjustment. Pages: 882-886
Tarun deep Kaur (Department of Psychology, GGDSD College, Chandigarh) |
Pages: 887-890 Vinod Kumar and Pardeep Khanna (Department of Community, Medicine, Pt. B.D. Sharma PGIMS, Rohtak) Manju Rani (Department of Community Medicine, Pt. B.D. Sharma PGIMS, Rohtak) Garima Shivhare (MD Anatomy, PGIMS, Rohtak) Pooja (Medical Officer, HCMS) Pramod Kumar Saharan (College of Nursing, Pt. B.D. Sharma PGIMS, Rohtak) Tuberculosis (TB) is contagious and airborne bacterial diseases. It is a disease of poverty affecting mostly young adults in their most productive years. MDR-TB takes longer to treat with second-line drugs, which are more expensive and have more side-effects. XDR-TB can develop when these second-line drugs are also misused or mismanaged and therefore also become ineffective. Pages: 887-890
Vinod Kumar and Pardeep Khanna (Department of Community, Medicine, Pt. B.D. Sharma PGIMS, Rohtak)
Manju… |
Pages: 891-893 Ramesh Verma (Medical Officer I/C Rural Health Training Centre CHC, Chiri, Rohtak, Haryana) Varun Arora and Neelam Kumar (Department of Community Medicine PGIMS, Rohtak) Meenakshi Kharb (BAMS, MBA (MH) S.M.U. ) Mukesh Dhankar (Department of Pediatrics Medicine, PGIMS, Rohtak) Suman Sharma (Department of Medicine, PGIMER, Dr. RML, New Delhi) To assess Utilization pattern of Haryana SwasthyaVahan Sewa (No 102) in a district of Haryana. Record based, descriptive. District Hospital Rohtak. Percentage, simple proportion. The total numbers of cases moved per vehicle per day were progressively increased in subsequent years. Also total cases moved / day* were increased from 18.31 (in 2009-10) to 48.71 (year 2011-12). Among pregnant women 31.67% used the service for year 2009-10 (initial starting year while in subsequent years there was decline in utilization of services by pregnant women. Same situation happened with referral cases between health facilities. Tremendous increase in drop back home cases 6.62 percent (2009-10) to 36.82 % (in year 2011-12). Number of calls/day for Haryana Swasthya Vahan Sewa (HSVS) or ambulance 102 has been increased from 16.82% (2009-10) to 39.50% (2011-12). HSVS can be seen as an efficient patient transport system making full use of existing assets and building on it. Pages: 891-893
Ramesh Verma (Medical Officer I/C Rural Health Training Centre CHC, Chiri, Rohtak, Haryana)
Varun Arora… |
Pages: 894-896 Smita Pandey (Gujarat Forensic Sciences University, Gandhinagar, Gujarat) S.H. Nizamie (Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand) To see the effect of behavioral intervention like relaxation, stress management, cognitive behavior therapy and countermeasures in the treatment of epilepsy as individually tailored psycho-social approach in adjunct with the medications and its effects on the frequency of seizures, the Quality of life ( QOLIE-10), Subjective well-being scales (SUBI) and General Health Questionnaire (GHQ-5) of the patients. Twenty-two patients , between the age range of 14 to 41 years gave the informed consent for the treatment, from the Epilepsy Clinic of Central Institute of Psychiatry, out of which 14 patients could only follow up for the treatment. A daily seizure diary was maintained to obtain the frequency of seizures along with the pre-assessment of the QOLIE-10, SUBI , GHQ-5 and their post intervention effects, that were analyzed using the student't' test., after the intervention of six weeks. The results indicated significant improvement on all of the above measures. Pages: 894-896
Smita Pandey (Gujarat Forensic Sciences University, Gandhinagar, Gujarat)
S.H. Nizamie (Central Institute of Psychiatry, Kanke… |
Pages: 897-898 Suraj Chawla, Ramesh Verma and Pardeep Khanna (Department of Community Medicine, Pt. B. D. Sharma, PGIMS, Rohtak) Manisha Kocher (Physiotherapist, Life Care Hospital, Rohtak, Haryana) Human hookworm infection is caused by blood-feeding nematode parasites of the genus Ancylostoma and the species Necator americanus and Ancylostoma duodenale. Hookworm infection is widespread throughout the tropics and subtropics. N. americanus is the most prevalent hookworm. Hookworm infection does not directly account for substantial mortality; instead, its public health impact comes from the chronic anemia and protein malnutrition caused by severe infection. Because of its high transmission potential, it is extremely difficult to eliminate or eradicate hookworm disease in areas of poverty and poor sanitation. Indeed, in the absence of comprehensive economic development, the impact of sanitation, footwear, and health education has been minimal. Control efforts have therefore shifted to reducing morbidity by “deworming” through mass treatment of affected populations with anthelminthic drugs. There are also efforts underway to develop novel anthelmintic drugs and anti-hookworm vaccines. Examples of antigenic targets of hookworm vaccines currently being investigated in clinical trials include Na-ASP-2 from N. americanus and Ac-APR-1 from Ancylostoma caninum. Pages: 897-898
Suraj Chawla, Ramesh Verma and Pardeep Khanna (Department of Community Medicine, Pt. B. D… |
Pages: 899-900 Ramesh Verma (Medical Officer I/C Rural Health Training Centre CHC, Chiri) Meenakshi Kharb (BAMS, MBA (MH), S.M.U ) Pramod Kumar Saharan (College of Nursing, PGIMS, Rohtak) Sonu (Department of Medicine, PGIMS, Rohtak) Pooja Singla (Department of Microbiology, PGIMS, Rohtak) Sat Pal (Demonstrator, PGIMS, Rohtak, Haryana) What is the level of awareness regarding various aspects of HIV/AIDS among rural school going adolescents of Rohtak? To assess the level of awareness regarding HIV/AIDS in rural school going adolescents of Rohtak. Study Cross sectional. Senior secondary schools under CHC Chiri, Block Lakhanmajra, Rohtak. Adolescents (15-19yrs) studying in class 9th to 12th. All the students studying in 9th-12thstd in the three schools under CHC Chiri were selected (N=369). A pre-tested semi-structured questionnaire was administered to them after obtaining informed consent. Simple proportions, Chi square test. All the students had heard about HIV/AIDS. 77.3% of boys and 78% of girls knew that it is caused by a micro-organism. Only 6.8% boys and 16% girls knew all the modes of transmission of this disease. About 22% students had various misconceptions regarding the mode of spread. Television (50.1%) was observed as the most common source of information regarding HIV/AIDS. Pages: 899-900
Ramesh Verma (Medical Officer I/C Rural Health Training Centre CHC, Chiri)
Meenakshi Kharb (BAMS, MBA… |
Pages: 901-903 Vijay Silan, Karthik L. Balajee and Archana S. (Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi) Suneel Rohilla and Anuj Sihan (Demonstrator, Department of Biochemistry BPS GMC, Khanpur Kalan, Sonepat) Sat Pal (Department of Physiology, PGIMS, Rohtak) The National Rural Health Mission (NRHM) provided the accredited social health activist (ASHA), a trained female health activist, from the community for the community. Although guidelines emphasized the training of 23 hours in which must be completed in five schedules, however, learning the new skills by ASHA is a continuous process. The current cross sectional study was conducted among the 60 ASHAs in Panipat district of Haryana state to assess the existing knowledge level after undergone module based training. Half of the ASHAs were working for more than five years. The training for the six assigned modules was availed by 88.0% of the ASHAs. The knowledge level reported in the current study was very high for the diarrheal disease (88%), breast feeding (65%), pre-lacteal feed (70%), Immunization (80%). We also collected data on the gender issues those were being perceived by ASHAs and this kind of point of view of community volunteers has not been reported. The module based trainings helped in improving knowledge and skills of ASHAs. There is need to improve the knowledge of ASHA s about gender related issue and they may be a better medium to improve the knowledge of the women in community. Pages: 901-903
Vijay Silan, Karthik L. Balajee and Archana S. (Centre for Community Medicine, All India… |
Pages: 904-906 Meena Devi (Department of Applied Science, GTB Khalsa Institute of Engineering and Technology, Chhapianwali, Malout) B.P. Garg (GTB Khalsa Institute of Engineering and Technology, Chhapianwali, Malout, Punjab) An attempt has been made in this investigation to study the life satisfaction of the female teachers in relation to marital status, community, the type of school and locality of the school. Life Satisfaction scale by Alam and Srivasatava (1983) was administered on a sample of 280 high school teachers selected through random cluster sampling from 70 government school of 3 districts of Punjab. The result shows that life satisfaction had the main effect on marital status, type and locality of school. Married teachers were reported more tolerant, able to understand their students and having lower level of depression than unmarried teachers. The communities of teachers do not have any influence on their life satisfaction. Pages: 904-906
Meena Devi (Department of Applied Science, GTB Khalsa Institute of Engineering and Technology, Chhapianwali… |