A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Jena, Sipra Komal
- Assessment and Evaluation of Depression and Loneliness among People Living with HIV in Selected Places of Coastal Andhra Pradesh
Authors
1 Dept. of Community Medicine, G.S.L. Medical College, Rajahmundry, A.P., IN
2 G.S.L Medical College, Rajahmundry, AP, IN
3 Dept. of Community Medicine at GSL Medical College, Rajahmundry, AP, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 261-266Abstract
Back Ground: The AIDS pandemic continues to be an escalating health problem throughout the world. Mental health of PLHIVs is one of the neglected aspects in the Continuum care and most often it is under diagnosed as well as under treated. This study was proposed to assess the prevalence of depression and loneliness among PLHIV so that adequate measures could be taken to address their needs, and if required treatment of mental illness could be prioritized, which would rather be a more holistic approach.
Objectives: To review key mental health issues such as loneliness and depression in the continuum of care for people living with HIV (PLHIV) & to provide a framework for integrating mental health services into HIV/AIDS interventions.
Method: 380 PLHIV from the districts of East Godavari & Vishakhapatnam were interviewed using the SRQ-10 depression scale and R-UCLA loneliness scale for assessing the depression and loneliness respectively the responses were graded according to the standard guidelines and the mean scores for each scale were obtained. Statistical analysis was done using the student t-test and Chi square for categorical variables number and percentages were calculated.
Results: An overall 71.84% of subjects were depressed and 66.57% were found to be lonely. Loneliness & depression was significantly higher in female population. Depression as well as loneliness was found to be significantly associated with their educational status, financial status and the presence of opportunistic infections.
Conclusion: The mental health indicators depression and loneliness need more stress in the continuum of care of PLHIV.
Keywords
People living with HIV, Depression, Loneliness
References
- Vosvick M et al. “Relationship of functional quality of life to strategies for coping with the stress of living with HIV/AIDS”. Psychosomatics, 2003, 44(1):51–8.
- Barua A, Kar N et al. “Screening for depression in elderly Indian population. Indian journal of Psychiatry 2010: 52, 150-3.
- Geetanjali , C., Seth, H., and Richmond D. Substance Abuse and Psychiatric Disorders in HIV –Positive Patients: Epidemiology and Impact on Antiretroviral Therapy. Drugs 2006;66 (6):769-789
- HIV sentinel surveillance and HIV estimation in India, 2007-2008
- Aceijas C, Stimson, GV., Hickman, M. Global Overview of Injection Drug Use and HIV infection among injection drug users. AIDS 2004, 19;18 (17):2295-3303
- Adewuya, A.O. Afolabi, B.A, Ogundele, A O. Ajibare, and B.F Oladipo, “Psychiatric Disorders among the HIV-Positive Population in Nigeria: A control Study.” J, Psychosom Res 63, no (2007): 203-6.
- WHO. World Health Organization Psychosocial Support, 2005. [Accessed on 5 May 2005].http:/ /www.who.int/hiv/topics/psychosocial/ support/en/print.html
- Green G, Smith R. The psychosocial and healthcare needs of HIV positive people in the United Kingdom: a review. HIV Med. 2004;5:5– 46.(Pubmed)
- Anon. Practice guideline for the treatment of patients with HIV/AIDS. Work group on HIV/ AIDS. Am J Psychiatry. 2000;157:1–62.
- Madhav SM. Indian Journal of Community Medicine. 2001 Oct-Dec; 26(4): 198-200
- Mary Elizabeth Hughes et al. – “A Short Scale for Measuring Loneliness in Large Surveys Results from two Population-Based Studies” DOI: 10.1177/0164027504268574 © 2004 Sage Publications
- A User’s guide to the self reporting questionnaire (SRQ); WHO/Mental health division/PSF/94.8- 1994
- “Diagnostic & Statistical Manual of Mental Disorder”; American Psychiatric Association publication 1994 - Fourth Edition
- I.A. Kabbash,1 M. El-Gueneidy,2 A.Y. Sharaf,2 N.M. Hassan1 and A.N. Al-Nawawy 3 - La Revue de Santé de la Méditerranée orientale, Vol. 14, No 6, 2008, - 1308
- Stone V, et al. Curr HIV/AIDS Rep. 2005;2: 189-193
- Byakika-Tusiime J, Oyugi JH, Tumwikirize WA, Katabira ET, Mugyenyi PN, Bangsberg DR. Adherence to HIV antiretroviral therapy in HIV+ Ugandan patients purchasing therapy. Int J STD AIDS. 2005;16:38–41.(Pubmed)
- Jelsma J, Maclean E, Hughes J, Tinise X, Darder M. An investigation into the health-related quality of life of individuals living with HIV who are receiving HAART. AIDS Care. 2005;17:579– 588(Pubmed)
- Pinheiro CA, de-Carvalho-Leite JC, Drachler ML, Silveira VL. Factors associated with adherence to antiretroviral therapy in HIV/AIDS patients: a cross-sectional study in Southern Brazil. Brazil J Med Biol Res. 2002;35:1173–1181.
- Stout BD, Leon MP, Niccolai LM. Nonadherence to antiretroviral therapy in HIV-positive patients in Costa Rica. AIDS Patient Care STDS. 2004;18:297–304(Pubmed)
- Williams P, Narciso L, Browne G, Roberts J, Weir R, Gafni A. The prevalence, correlates, and costs of depression in people living with HIV/AIDS in Ontario: Implications for service directions. AIDS Educ Prev. 2005;17:119–130 (Pubmed)
- An Interventional Study on Knowledge, Attitude and Practice Regarding Oral Rehydration Therapy among Mothers of under Five Children in an Urban Slum of Rajahmundry, AP
Authors
1 Dept. of Community Medicine. GSL Medical College, Rajahmundry,A.P. 533296, IN
2 Dept. of Community Medicine at GSL Medical College, Rajahmundry, AP., IN
3 Dept. of Community Medicine Allianze College of Medical Sciences, Penang, MY
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 196-199Abstract
Background: Diarrhea&dehydration is the major cause of death among the children under five years and accounts for more than 6 lakh deaths .The slum children are more vulnerable. The mothers should be educated to practice regarding ORT and care during diarrheal episodes.
Objectives:
1.To study the knowledge, attitude and practice regarding ORT among the mothers and educate them about ORT.
2. To evaluate after imparting health education.
Materials And Methods: Around 600 mothers of under five children were interviewed with the help of a pretested questionnaire. The mothers were given health education regarding Oral Rehydration Therapy (ORT) and care during diarrhea&followed up after three months to assess their knowledge&practice.
Results: Only 21% of the study subjects were aware of ORT which significantly increased after health education(p=0.0000).. The awareness was more among the higher educated (p<0.001). Significant number of respondents could name at least two danger signs of dehydration, home available fluids, preparation of sugar and salt solution (p< 0.001). At the end of study, significant number of the mothers could correctly demonstrate how to prepare Oral Rehydration Solution (ORS) (p<0.001).
Conclusions: Most of the respondents were not aware regarding ORT and care during diarrhea which significantly increased in the follow up visit after health education. Hence IEC activities, and awareness campaigns to be intensified and organized in the slum area.
Keywords
Diarrhea, Dehydration, ORT, Home Available Fluids, DemonstrationReferences
- Dhaar GM, Robbani I. Foundations of Community Medicine, 2nd edition, 2008, page 40.
- Kishore J. National Health programs of India, 8th edition, 2009, Page 137.
- Govt. of India (2006), Health Information of India 2005, Ministry of Health & Family Welfare, New Delhi.
- Bhattacharya SK. Acute Diarrheal Diseases in children, clin Immunol, ImmunoPatol 2003, 110: 1175-1181.
- K. Park. Park's Text book of Preventive & Social Medicine, 20th edition, Feb 2009, page 194.
- WHO (2008), The Global Burden of Disease, 2004 update.
- WHO, UNICEF (2005), Clinical management of Acute Diarrhea. WHO/UNICEF joint statement.
- Gupta MC, Mahajan BK, Text book of Preventive & Social Medicine, 2003 edition, page no. 190-194.
- Govt. of India (1998), Health Information of India, 1995 & 1996,Ministry of Health & Family Welfare, New Delhi.
- Zagade U.J. Sevadham Trust PVOH-II Project, IJCM, 3(1), Jan-June 1997, Page 53-55.
- Panda S. Brief Report of PVOH-II. Project of OMRAH, Cuttack, Orissa, IJCM, 3(1), Jan-June 1997, Page 82-88.
- Gopal das T, Gujral S, Mujoo R, Abbi R, Child diarrhea: Oral Rehydration & Rural mother, Nutrition, 1991 Sep- Oct 7(5): 335-9.
- N.Bhandari, Qadeer I, Bhan MK. Patterns of use of Oral Rehydration Therapy in an Urban slum community, JIMA, vol 93, no.6,Calcutta, June 1995, Pg 293-242.
- Dua T, Bahl R, Bhan MK. Lessons learnt from Diarrheal Disease Control Program & implications for the future. Indian Journal of Pediatrics, 1999 Jan-Feb 66(1): 55-61.
- Bhatia V, Swami HM, Bhatia M, Bhatia SP .Attitude & practices regarding diarrhea in rural community in Chandigarh. Indian J. Pediatr, 1999, Jul-Aug 66(4): 499-503.
- Govt. of India. National Family Health Survey III (2005-06), IIPS, Ministry of Health & Family Welfare, Mumbai 2007.
- Gupta N, Jain SK, Ratnesh, ChawlaU, HossainS,Venkatesh S .An evaluation of Diarrheal Diseases & Acute Respiratory infections Control Programmes in a Delhi slum. Indian J Pediatrics, 2007 May: 74(5), 471-476.
- Dipika Sur, Bhattacharya SK, Acute Diarrheal Diseases - An approach to management, JIMA, volume 104, No.5, May 2006, Page 220 -222.
- Arole Sobha, Health Care at home, Footsteps 74, March 2008, www.tearfund.org/tilz
- Hanh SK, Kim YJ, Garner P. Reduced Osmolarity Oral Rehydration Solution for treating dehydration due to diarrhea in children: A systemic review, BMJ: 2001, 323: 81-85.
- Akram DS, Agboatwalla M, .J.Trop Pediatr, 1992 April 38(2), 85-87.
- Adolescent Girls and Reproductive Health: an Interventional Study in a Slum of Vijayawada, AP
Authors
1 Dept. of Community Medicine, GSL Medical College, Rajahmundry,A.P. 533296, IN
2 Dept. of Community Medicine at GSL Medical College, Rajahmundry, AP., IN
3 Dept. of Community Medicine Allianze College of Medical Sciences, Penang, MY
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 200-204Abstract
Background: Adolescent period is characterized by physical, mental and emotional changes to prepare for adult role in almost all aspects of life including marriage, motherhood and earning. Lack of knowledge, skills , access to contraception and vulnerability to sexual abuse, particularly among the slum dwellers, put the adolescents at high risk of unwanted pregnancy, early child birth, unsafe abortion and RTI including HIV/AIDS. Hence to avoid these problems, they should be aware regarding all aspects of reproductive health
Objectives: 1.To study the knowledge, attitude and practice regarding reproductive health among the adolescent girls and educate them about reproductive health. 2. To evaluate after imparting health education.
Materials and Methods: Around 450 adolescent girls were interviewed with the help of a pretested questionnaire. The mothers were given health education regarding various aspects of reproductive health including HIV/AIDS&followed up after three months to assess their knowledge&practice.
Results: Only 48.89% of the study subjects were aware of Reproductive Health which significantly increased after health education(p=0.000). The awareness was more among the girls whose mothers were more educated (p=0.000). Significant number of girls were practicing menstrual hygiene and were aware of contraceptives including emergency contraceptives, minimum legal of marriage, sexually transmitted diseases, HIV/AIDS including modes of transmission and prevention after giving health education ( p=0.000).
Conclusions: Most of the adolescent girls were not aware regarding Reproductive health which significantly increased in the follow up visit after health education. Hence IEC activities, and awareness campaigns regarding reproductive health including HIV/AIDS to be intensified and organized in the slum area.
Keywords
Adolescent Girls, Reproductive Health, Awareness, Contraceptives, Menstrual HygieneReferences
- World Health Organization. Programming for Adolescent Health and Development. WHO Tech Rep Ser No. 886, 1996, p-2
- IIPS (2007). National Family Health Survey (NFHS-3), 2005-06, Mumbai India: International Institute for Population Sciences, Mumbai, India.
- Senanayake P; (1995), The impact of unregulated fertility on Maternal and Child Survival, International Journal of Gynecology and Obstetrics, 50 (supplement 2).
- IIPS (2000). National Family Health Survey (NFHS-3), 1998-99, Mumbai India: International Institute for population sciences, Mumbai, India.
- Youth Lens on Reproductive Health and HIV/ AIDS, No15. Article can be accessed on the World Wide Web at http://www.fhi.org/NR/ rdonlyres....
- Ashok Dyalchand. Social norms Approach addressing the Social determinants of early marriage and conception, Health for the millions, Vol.35, No. 4 & 5, pg. 40-48.
- Neeru Gupta, Sharda Jain. Teenage pregnancies - causes and concern, J Indian Med Assoc, vol.106, no.8 Aug 2008, pg. 516 - 519.
- Haldar A et al. Study of need of Awareness generation regarding a component of Reproductive and Child Health Programme. Indian Journal of Community Medicine, Vol.XXIX No. 2, Apr - Jun 2004, pg. 96 - 98.
- A.Dasgupta, M Sarkar. Menstrual Hygiene: How hygienic is the adolescent Girl, Indian Journal of Community Medicine, vol.33 No.2, Apr-Jun 2008, pg. 77 - 80.
- Avasarala AK and Panchangam S, Dysmenorrhoea in Different Settings: Are the Rural and Urban Adolescent Girls perceiving and managing the dysmenorrhoea problem differently? Indian Journal of Community Medicine, vol.33 Issue 4, Oct. 2008.
- Nair P, Grover VL, Kannan AT. Awareness and Practices of Menstrual and Pubertal changes among Unmarried Female Adolescent in a Rural Area of East Delhi. Indian J of Community Medicine, 2007, 32: 156-157
- French L. Study on Dysmenorrhoea, American Academy of Family Physicians, J Post Grad, Jan 2005.
- Jeejeebhoy S.J, 1995. What is Reproductive Health? Reproductive Health needs in India, Voices 3(2): pp 4-10.
- Majumdar Ratna & Ganguly S.K (2000). A study of adolescent girls in Pune, Health and Population Prospective and Issue, 23(2), 95-104 & 24(4).
- Gupta Neeru, Mathur AK, Singh MP, Saxena NC, Reproductive Health Awareness of school going unmarried rural adolescents. Indian J Pediatr 2004: 17; 797-801.
- Kushwas SS & Mittal A. Perception & Practice with regard to Reproductive Health among out of school Adolescents, Indian J of Community Medicine, 2007, 32, No. 2 141-143.
- Hemchandra K, Jamaluddin, L.Masih, Kfaiyaz. HIV/AIDS awareness through Mass Media, The measurements of Efforts made in an Urban area of India, Indian Journal Of Public Health, Vol 52, No. 3, Jul-Sep 2008, pg. 171.
- P.Lal, Anita Nath, S.Badhan, Gopal K Ingle. Study of awareness about HIV/AIDS among Senior Secondary school children in Delhi, Indian Journal Of Community Medicine, vol.33, Issue 3, Jul-Sep 2008, Page 190-191.
- Sodhi S, Mehta S. Level of awareness about AIDS: A comparative study of girls of two senior secondary schools of Chandigarh, Mass India, 1997, 77: 259-266.
- Brindis C.D, 2006, A Public Health Success: Understanding Policy changes related to Teen sexual activity & Pregnancy, Annual Review of Public Health, 27: pp 277-295.
- A Study of Pattern of Biochemical Changes Occuring among Patients of Acute and Chronic Renal Failure in a Tertiary Hospital of Orissa
Authors
1 Dept. of General Medicine, GSL Medical College, Rajahmundry, A. P., IN
2 Dept. of Community Medicine at GSL Medical College, Rajahmundry, A. P., IN
Source
Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 5-9Abstract
Background: Biochemical indicators are routinely monitored to enable timely assessment of strategies&management programmes in patient care to check the effectiveness of therapy as well as prevention of dangerous metabolic disturbances. An overview of biochemical pattern of the patients can assist the clinician in making adjustments to clinical management practices
Objectives: 1. To study the biochemical pattern of acute&chronic renal failure patients. 2. To compare the pattern of biochemical changes occurring in both the groups.
Materials and Method: Around 100 patients of acute renal failure&100 patients of Chronic Renal Failure who were admitted in the hospital during September 2008 to September 2009 were examined, investigated&interviewed with the help of a pretested proforma. The pattern of biochemical changes occurring in both groups at that time was studied.
Results: The renal parameters, electrolytes&bicarbonates were more deranged in ARF whereas in CRF, anaemia, hyperparathormone, hyperphosphatemia ,&hyperlipidemia were more seen.
Conclusions: It is important to check these parameters regularly in order to prevent the complications arising out of these in order to reduce the mortality.
Keywords
Acute & Chronic Renal Failure, Biochemical Changes, Hyperkalemia, Uraemia Etc.- A Study of Pattern of Blood Supply of Stomach in Cadavers in a Medical College of Andhra Pradesh
Authors
1 Department of Anatomy at GSL Medical College, Rajahmundry, Andhra Pradesh, IN
2 Dept. of Community Medicine at GSL Medical College, Rajahmundry, Andhra Pradesh, IN
3 Department of Anatomy at Gsl Medical College, Rajahmundry, Andhra Pradesh, IN
Source
Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 72-77Abstract
Background: The knowledge of normal location, awareness on usual and rare variations of major blood vessels and their branches supplying the stomach is of immense help to Surgeons and research workers for deciding the areas of resection of tissues by surgeons and to add additional information on existing and available material by researchers in conditions like Esophageal carcinoma, Ca head of pancreas, Ca of fundus of stomach, Cysts and tumors related to lesser and greater curvatures and head of pancreas etc.
Objectives: 1. To study the blood supply of stomach in detail&the different anatomical pattern of the blood supply. 2. To see any variations in the branching pattern.
Materials And Method: Around 100 cadavers were studied. The site of origin, course and area of stomach supplied by different arteries and their branches and their anastomoses with the neighbouring branches were studied in detail in 100 cadavers from the period of 2006-2009.
Results: Some variations are seen in left&right gastric artery, right gastroepiploic artery, short gastric arteries whereas maximum specimens showed the standard branching pattern of stomach.
Conclusions: Many variations are seen apart from the normal branching pattern. Though majority of specimens showed the normal branching pattern, the variations in the pattern of each branch&the main artery supply cannot be ignored.
The knowledge of normal location, awareness on usual and rare variations of major blood vessels and their branches supplying the stomach is of immense help to Surgeons and research workers for deciding the areas of resection of tissues in various situations&conditions.
Keywords
Blood Supply, Stomach, Branching Pattern Etc- A Study of Prognostic Predictors in Organophosphate Poisoning in a Critical Care Unit of a Medical College of Andhra Pradesh
Authors
1 Dept.of General Medicine at Gsl Medical College, Rajahmundry, A.P, IN
2 Dept. of Community Medicine at Gsl Medical College, Rajahmundry, A.P, IN
Source
Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 78-82Abstract
Background: Diagnosis of organophosphate poisoning is purely clinical, through some biochemical test will help in diagnosis of organophosphate poisoning. There is no specific prognostic predictor in terms of duration of hospital stay and course of recovery. Good prognostic predictor can guide the clinician for further treatment.
Objectives: 1. To study the prognostic predictor with special reference to duration of the hospital stay. 2. To predict duration of hospital stay from initial clinical sign and biochemical parameters.
Materials and method: Around 240 patients of organophosphate poisoning who were admitted in the critical care unit in the hospital from January 2007 to January 2010 were examined, investigated and interview with help of semi structured proforma.
The initial clinical presentation and biochemical parameter were recorded for the study.
Result: Patients who presented clinically with severe symptoms at the time of admission, increased leucocytes counts, electrolytes and low serum acetyl choline esterase level, those patients stayed more days in ICU and most of the patients required ventilator supports.
Conclusion: It is very important to predict and select the case by detailed clinical history and biochemical examination, so that better treatment and reduction of the mortality can be achieved.