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
Dohare, Sushil
- A Cross-sectional Study on Client Satisfaction and Utilization of ICDS Services in Kashmir Division of Jammu and Kashmir State
Authors
1 Community Medicine, School of Medical Sciences & Research (SMS & R), Greater Noida, G.B Nagar, U.P, IN
2 Nephrology, Metro Multi Specialty Hospital, Noida U.P, IN
3 Govt medical College, Srinagar, J & K, IN
4 Community Medicine, SMS & R, G.B.Nagar, U.P, IN
5 Community Medicine, School of Medical Sciences & Research (SMS & R), Greater Noida, G.B Nagar, U.P,, IN
6 Community Medicine, Govt medical College, Srinagar, J & K, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 4 (2013), Pagination: 206-210Abstract
Objectives: Beneficiary satisfaction and utilization of ICDS services in sampled Anganwadi centers (AWCs) of Kashmir Division.
Method: The community based study was conducted during June 2007 to June 2008. Total of 139 Anganwadi centers (AWCs) were selected from three districts (Baramulla, Anantnag & Srinagar) of Kashmir valley. Three registered beneficiaries (pregnant woman, nursing mothers & 3-6 year age children were randomly selected from the register available in the AWC & were contacted and interviewed regarding utilization & satisfaction of services provided in AWCs.
Sampling method: Multistage sampling technique was used in this study.
Results: 10.1% of pregnant women, 10.1% of nursing mothers and 21.3% children 3-6 year age respectively were receiving supplementary nutrition. Preschool education was received by 4.5% children. 12.4% pregnant women had received Tetanus Toxoid through AWCs. 9% of pregnant women, 7.9% nursing mothers and 6.75 of mothers of children of age 3 to 6 years were satisfied by services provided by AWCs.
Conclusion: Majority of beneficiaries was aware of the services provided by the AWC but acceptance and utilization of services was miniscule. Overall beneficiary satisfaction was very low mainly due to poor quality of services provided at AWCs.
Keywords
Anganwadi, Utilization, ICDSReferences
- Govt. of India Nutrition and Food, Tenth Five Year Plan, 2002; p 341 to 346.
- Evaluation of ICDS: Jammu and Kashmir State. National Family Health Survey III, 2006
- Davey A, Davey S, Dutta U. Perception regarding Quality of Services in Urban ICDS Block in Delhi. Indian Journal of Public Health, Vol.52, No.3, Jul- Sep, 2008
- Benzamin AL, Panda P & Zachariah P. Maternal and child health Services in Delhi block of Ludhiana district: Results of the ICDS Evaluation Survey. Health & Population: Perspective and Issues, 17(1-2): 67-85.
- Samridhi Arora, Shaveta Bharti and Arti Mahajan 2006. Evaluation of Non Formal Pre-school Educational Services provided at Anganwadi Centres (Urban slums of Jammu city). Indian Journal of Social Science 12(2); 135 – 137.
- A Study of QT Interval of Healthy Individuals and its Determinants in the Indian Setting
Authors
1 Department of Physiology, IMS & SUM Hospital, Bhubaneswar, Orissa, IN
2 IMS & SUM Hospital, Bhubaneswar, Orissa, IN
3 School of Medical Sciences and Research, Sharda University, GB Nagar, UP, IN
4 Navodaya Medical College, Raichur, Karnataka, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 4 (2013), Pagination: 249-253Abstract
Background & Objectives: This study aimed at determining the simultaneous impact of socioeconomic status, lifestyle factors like daily exercise, serum potassium and lipid profile on QTc interval in healthy subjects.
Method: A facility-based cross-sectional study was conducted during July-Dec 2009 in a tertiary care hospital. Data on heart rate corrected QT interval (QTc), age, gender, socio-economic status, body mass index, habit of daily exercise, smoking and alcohol status, serum potassium, and lipid profile were obtained in 153 apparently healthy subjects.
Results: The QTc interval increased significantly with advancing age (r = 0.180, p = 0.026) and higher socio-economic status (r = - 0.183, p = 0.023). Males (245.97 ± 1.72, mean ± SEM, P < 0.0001) had significantly shorter QTc interval than females (257.72 ± 2.22) and subjects with daily habit of exercise had significantly shorter QTc interval than their counterparts (P < 0.008). QTc did not correlate at significant level with serum potassium or lipid profile in univariate regression analysis. A backward stepwise multivariable regression analysis showed that heart rate (P < .0001), gender (P < .001) and age (P < .003) independently predicted QTc interval and daily habit of exercise was a weak (P = .106) predictor of QTc.
Interpretation & Conclusions: QTc interval is prolonged with increasing age, faster heart rate and female gender. Screening of these individuals for detection of the risk of cardiac arrhythmias may be useful for reducing cardiovascular morbidity.
Keywords
Associates, Exercise, Indian population, QT IntervalReferences
- Bednar MM, Harrigan EP, Anziano RJ, Camm AJ, Ruskin JN. The QT interval. Prog Cardiovasc Dis 2001; 43 (5 Suppl.1):1–45.
- Day CP, McComb JM, Campbell RWF. QT dispersion: an indicator of arrhythmia risk in patients with long QT intervals. Br Heart J 1990; 63: 342–4.
- Elming H, Holm E, Jun L, Torp-Pedersen C, Kober L, Kircshoff M et al. The prognostic value of the QT interval and QT dispersion in all-cause mortality and morbidity in a population of Danish citizens. Eur Heart J 1998; 19:1391–400.
- Christov I, Dotsinsky I, Simova I, Prokopova R, Trendafilova E, Naydenov S. Dataset of manually measured QT intervals in the Electrocardiogram. BioMedical Engineering OnLine 2006, 5:31.
- Reardon M, Malik M. QT interval changes with age in an overtly healthy older population. Clin Cardiol 1996; 19:949–52.
- Taneja T, Mahnert BW, Passman R, Goldberger J, Kadish A. Effects of sex and age on electrocardiographic and cardiac electrophysiological properties in adults. Pacing Clin Electrophysiol 2001; 24:16–21.
- Karjalainen J, Reunanen A, Ristola P, Viitasalo M. QT interval as a cardiac risk factor in a middle aged population. Heart 1997; 77:543–8.
- Makkar RR, Fromm BS, Steinman RT, Meissner MD, Lehmann MH. Female gender as a risk factor for torsades de pointes associated with cardiovascular drugs. JAMA 1993; 270:2590–7.
- Veglio M, Borra M, Stevens LK, Fuller JH, Perin PC. The relation between QTc interval prolongation and diabetic complications. The EURODIAB IDDM Complication Study Group. Diabetologia 1999; 42: 68–75.
- Mangoni AA , Kinirons MT, Swift CG, Jackson SH. Impact of age on QT interval and QT dispersion in healthy subjects: a regression analysis. Age and Ageing 2003; 32:326–331.
- Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007;116:1081-1093 Available from URL: http://circ.ahajournals.org/cgi/reprint/ 116/9/1081.pdf (accessed 10 July 2010)
- Seo consultants. [Online]. Available from URL:http://www.seoconsultants.com/tools/ iconico/calipers/ (accessed 24 October 2009)
- Translators café. [Online]. Available from URL:http://www.translatorscafe.com/cafe/ units-converter/typography/calculator/pixel- (X)-to-centimeter-%5Bcm%5D/ (accessed 24 October 2009).
- Bazett HC. An analysis of time relation of electrocardiograms. Heart 1920; 20:174-195.
- Kumar N, Shekhar C, Kumar P, Kundu AS. Kuppuswamy’s Socioeconomic Status Scale- Updating for 2007. Indian Journal of Pediatrics, 2007; 74:1131-32.
- Su HM, Chiu HC, Lin TH, Voon WC, Liu HW, Lai WT. Longitudinal study of the ageing trends in QT interval and dispersion in healthy elderly subjects. Age and Ageing 2006; 35 (6):636-638.
- Song VA, Hyeon CK, Nam WH, Kyoung SH, Hoo SJ, Jin-Bae Kim. Relationship between Corrected QT Interval and Cardiovascular Risk Factors in Young Healthy Adults: The Kangwha Study. J Prev Med Public Health 2006; 39(6):455-461.
- Sugao M, Fujiki A, Sakabe M, Nishida K, Tsuneda T, Iwamoto J et al. New quantitative methods for the evaluation of dynamic changes in QT interval on 24 hour Holter ECG recordings: QT interval in idiopathic ventricular fibrillation and long QT syndrome. Heart 2006; 92:201–7
- Kassotis J, Constantinos C, Bedi AK, Aneesh T, James R. Effects of Aging and Gender on QT Dispersion in an Overtly Healthy Population. Pacing and Clinical Electrophysiology 2000; 23(7):1121–26.
- Fananapazir L, Bennett DH, Faragher EB. Contribution of heart rate to QT interval shortening during exercise. Eur Heart J 1983; 4:65–71.
- Pearl W. Effects of gender, age, and heart rate on QT intervals in children. Pediatric Cardiology 1996; 17 (3):135-136.
- Chauhan VS, Krahn A, Walker B, Klein G, Skanes A, Yee A. Sex differences in QTc interval and QT dispersion: Dynamics during exercise and recovery in healthy subjects. American Heart Journal 2002; 144 (5): 858-864.
- Schouten EG, Dekker JM, Meppelink P, Kok FJ, Vandenbroucke JP, Pool J. QT interval prolongation predicts cardiovascular mortality in an apparently healthy population. Circulation 1991; 84:1516–23.
- Ferreira D, Freire S, Ferreira TPS, Sawan ZTE, Luciano da Silveira R, Prata SP et al. Prolonged QTc intervals on the electrocardiograms of hospitalized malnourished adults. Nutrition 2001; 17(5):370-372.
- Hemingway H, Shipley M, Macfarlane P, et al. Impact of socioeconomic status on coronary mortality in people with symptoms, electrocardiographic abnormalities, both or neither: the original Whitehall study 25 year follow up. J Epidemiol Community Health 2000; 54:510-16.
- Biomedical Waste Management Practices: a Cross-sectional Study in an Urban Setting
Authors
1 Community Medicine, SMS & R Sharda University, Plot No. 32-34, Knowledge Park-3, Greater Noida, U.P., IN
2 Dy. CMO, G.B. Nagar, CMO Office, District Hospital Campus, G.B.Nagar, U.P-201301, IN
3 Mother & Child Welfare Centre Himmatpuri, Delhi, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 2 (2012), Pagination: 176-178Abstract
Objective
To study the biomedical waste management practices in different health facilities of Noida U.P.
Material and Methods
It is a cross-sectional study including all medical practitioners of urban NOIDA. A modified Biomedical waste auditing questionnaire of Central Pollution Control Board was used to collect data. Data was tabulated on Microsoft Excel sheet and analyzed using Epi-Info version-6 software.
Results
Unqualified medical practitioners which were 39.4% of the study group were not using protective gear; not segregating/labeling/disinfecting the biomedical waste. Among qualified medical practitioners, 32.5% were using mechanical devices, 65% were segregating and labeling biomedical wastes while only 6.9% were disinfecting the sharps. Conclusion: Biomedical waste management is grossly inadequately practiced and there is a need to implement present rules and regulations with renewed vigour.
Keywords
Biomedical Waste, Bio-waste ManagementReferences
- CPCB: The Biomedical Waste (Management and Handling) Rules: 1998/2000
- Government Of India implemented Biomedical Waste Management rules: 1998, 2000
- Rao SKM: Bio medical Waste Management: An Infrastructural survey of Hospitals MJFAI-Vol.60, No.4:2004
- Chandra Hem: World Environment Day: NBRI: Vol. 5 No.3: 1999
- Central pollution Control Board, Guidelines For Common Bio- Medical Waste Treatment Facility
- Hollie Shaner, R N and Glenn McRae: Eleven Recommendations for Medical Waste Management: CGS Environmental Strategies, Inc. of Burlington, Vermont, USA