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
Kaur, Harjot
- Knowledge and Practices of Life Style Modifications among Obese Women of Reproductive Age Group
Authors
1 M. Sc Nursing Scholar College of Nursing, Dayanand Medical College and Hospital, Ludhiana
Source
International Journal of Nursing Education, Vol 5, No 1 (2013), Pagination: 1-5Abstract
Objective: Obesity is increasing worldwide at an alarming rate in both developed and developing countries among women. The present study was aimed to assess knowledge and practices of life style modifications among obese women of reproductive age group in selected urban and rural area of district Ludhiana, Punjab.
Material and method: This comparative research study included 200 obese women of reproductive age group (15-45years) from urban and rural area by convenience sampling technique. Data was collected using structured questionnaires.
Results: Nearly half of the sample (46.5%) was in the age group of 26-35years and more than half of them (51.5%) had B.M.I above 25. One fourth of the obese women (26%) were educated up to secondary from urban and rural area. The prevalence of obesity was 51% and 30% in urban and rural area respectively. Almost similar percentage of women in both groups (69% and 70% in urban and rural area respectively) had sedentary life style.
Conclusion: Sufficient knowledge of life style modifications was present among obese women but they were not practicing that knowledge appropriately therefore, further studies are recommended to probe the situation which hinder them to practice healthy life style to prevent obesity.
Keywords
Knowledge and Practices, Life Style Modifications, Obese Women, Urban And RuralReferences
- Lichman, S.W., Pisarsk and E.R. Berman. Discrepancy between self-reported and actual caloric intake and exercise in obese women. New English journal medicine.1992; 327(27):1893-8.
- Lissne, L. and B.L. Heitmann. Dietary fat and obesity: evidence from epidemiology. European journal of clinical nutrition.1995;49(2):79-90
- Park.k. preventive and social medicine.20th ed. Jabalpur: Bhanot publisher;2009:345-349
- Williamson D, J. Madans and R. Anda . Recreational physical activity and ten- year weight changes in a U.S. national cohort. European journal of clinical nutrition.1993; 17: 279-86.
- Martinez- Gonzalez, M.A. J.A. Martunez, F.B. Hu, M.J. Gibney and J.Kearney.physical inactivity, sedentary life style and obesity in European Union. International journal of obesity.1999;23:1192-1201.
- Clark, A.M., B. Thornley, L. Tomlinson, C. Galletley, and R.J. Norman. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Human Reproduction.1998;13 (6):1502–05.
- Leon A.S. physical activity and cardiovascular health: A national Consensus. Human kinetics. 1997;11(4): 45-48.
- Lashen, H., K. Fear and D.W. Sturdee. Obesity is associated with increased risk of first trimester and recurrent miscarriage matched case-control study. Human Reproduction.2004; 19(7):1644-1646.
- Agarwal P and Mishra V. Covariates of overweight and obesity among women in North India. Population of health series.2004;10(5):116-118
- David B. physical activity and coronary heart diseases.A systematic review of Epidemiological studies. European journal of public health.2002; 12:171-176.
- Benedetti M.G .Physical activity monitoring in obese people in real life environment. Journal of Neuroengineering and rehabilitation.2009 ;(6):47.
- Yadav K and Krishnan A. Changing patterns of diet, physical activity and obesity among rural, urban and slum population in north India. Indian jounal of community medicine.2008;9(5):400-8.
- Balaranjan Yarlini and Villamor Eduardo, nationally representative surveys show recent increases in the prevalence of overweight and obesity among women of reproductive age in India. The journal of nutrition.2009;139: 2139-44.
- Kantachuvessiri Aree, Sirivichayakul chukiat, kaewkungwal jaranit, Tungtrongchitr and Manote Lotrakul. Factors associated with obesity among workers in a metropolitan waterworks authority. Southeast Asian journal of tropical medicine public health.2005; 36(4):1057- 1063.
- Walker Susan. Dietary and life style factors related to risk of obesity in women.International journal of obesity. 1998. 26(40): 1-21.
- Tiwari R.R.Wagh VV. and Babar VY.Obesity : as rural females perceive it. Indian journal of medical sciences.1998; 52(6):248-252.
- Raina D J, Jamwal. Prevalence study of overweight/ obesity among Rural adults. Journal of medical education and research. 2009; 11(1) : 20-23.
- Jacoby Enrique, Goldstein Juli, Lopez Augusto, Nunez Eloisa and Lopez Teresa. Social class, family and life style associated with overweight and obesity among adults in Peruvien cities. Journal of preventive medicine.2003; 37: 396-405.
- Wilson L. Feleta. Literacy, knowledge, Health belief and self-efficacy among urban obese low-income African American women. International journal of behavioral nutrition and physical activity. 2007;45-46.
- Prevalence of Anemia and Micronutrient Deficiency in Elderly
Authors
1 Pathology, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab, IN
2 Pathology, M S Ramaiah Medical College, Bangalore, Karnataka, IN
Source
International Journal of Medical and Dental Sciences, Vol 3, No 1 (2014), Pagination: 296-302Abstract
Background: Untreated geriatric anemia is important to diagnose early as it is associated with greater morbidity and mortality in comparison to the anemia in younger adults.
Objectives: To determine the prevalence, patterns of anaemia, and to assess haemopoietic nutrient status of geriatric population attending a hospital.
Material and methods: 2540 subjects aged 60 years and above, attending our geriatric clinic were screened for presence of anemia. 100 anemic subjects were randomly selected for further characterization. Tests carried out were, pattern of anemia, full blood count, serum ferritin and stool for occult blood. Vitamin B12, folate and other additional investigations were carried out in selected patients as per study protocol. Main outcome measure: Prevalence, pattern and underlying etiologies of anemia.
Results: The prevalence of anemia was 71%. Normocytic blood picture was most common. Eleven cases had absolute iron deficiency. 5 and 2 cases had low vitamin B12 and folate levels respectively. Nine out of 11 (82%) patients with depleted iron stores had positive stool occult blood.
Conclusions: Screening for anemia is important in all geriatric patients seeking medical care, irrespective of the presenting illness. Also a dedicated search for micronutrient deficiency and stool occult blood should be a routine component of the etiological work up of anemic elderly.
Keywords
Vitamin B12, Ferritin, Folate, Anemia, Elderly.References
- World Health Organization. Definition of an older or elderly person. Retrieved August 29, 2010. http://www.who.int /healthinfo/ survey/ageingdefnolder /en/index.html.
- Ferrucci L, Semba RD, Guralnik JM, Ershler WB, Bandinelli S, Patel KV et al. Proinflammatory state, hepcidin and anemia in older persons. Blood. 2010;115:3810-26.
- Russell RM, Rasmussen H, Fada RD. The Impact of Nutritional Needs of Older Adults on Recommended Food Intakes. Nutrition in Clinical Care 1999;2:164– 76.
- Nutritional anemias. “Report of a WHO scientific group”. WHO technical support series 405. World health organization, Geneva; 1968. (WHO Technical Report Series, No. 405)
- Joosten E, Pelemans W, Hiele M, Noyen J. Prevalence and causes of anaemia in a geriatric hospitalized population. Gerontol 1992;38:111-7.
- Gunter EW, Lewis BG, Koncikowski SM. Laboratory procedures used for the Third National Health and Nutrition Examination Survey (NHANES III), 19881994. Hyattsville, MD: Centers for Disease Control and Prevention; 1996.
- Mehta BC. Iron deficiency anemia. In Shah SN editor. API Textbook of Medicine, 7th ed. Association of Physicians of India, Mumbai; 2003.p.930-4.
- Beutler E, Waalen J. The definition of anemia: what is the lower limit of normal of the blood hemoglobin concentration? Blood 2006;107:1747.
- Chaves PH, Xue QL, Guralnik JM. What constitutes normal hemoglobin concentration in community-dwelling disabled older women? J Am Geriatr Soc 2004;52:1811.
- Chernetsky A, Sofer O, Rafael C. Prevalence and etiology of anemia in an institutionalized geriartic population. Harefuah 2002;141:591-4.
- Choi CW, Lee J, Park KH, Yoon SY, Choi IK, Oh SC. Prevalence and Characteristics of Anemia in the Elderly: Cross-Sectional Study of Three Urban Korean Population Samples. Am J Hematol 2004;77(1):26-30.
- Guralnik Jack M, Eisenstaedt RS, Luigi Ferrucci. Prevalence of anemia in persons 65 years and older adults. Blood 2004;104:2263-9.
- Beal VA. Nutrition in the life span. New York: John Wiley and Sons; 1980.p.289– 329.
- Elis A, Ravid M, Manor Y, Bental T, Lishner M. A clinical approach to idiopathic normocytic-normochromic anemia. J Am Geriatr Soc 1996;44:8324.
- Hee-Seon Kim, Byung-Kook Lee. Crosssectional study on the prevalence of anemia among rural elderly in Asan. Nutr Res Pract 2008 Spring;2(1):8-12.
- Ania BJ, Suman VJ, Fairbanks VF. Incidence of anemia in older people: an epidemiologic study in a well defined population. J Am Geriatr Soc 1997;45:825-831.
- Milman N, Schultz-Larsen k. Iron stores in 70 year old Danish men and women. Ageing (Milano) 1994;6:97-103.
- Jacobs P, Richards JDM, Ben-Arie O. The Coloured elderly in Cape Town a psychosocial, psychiatric and medical community survey. S Afr Med 1984;65:16-18.
- Lindenbaum J, Healton EB, Savage DG, Brust JC, Garrett TJ, Podell ER et al. Neuropsychiatric disorders caused by cobalamin deficiency in absence of anemia or macrocytosis. N Engl J Med 1998;318:1720-8.
- Kang SS, Wong PWK, Malinow MR. Hyperhomocysteinemia as a risk factor for occlusive vascular disease. Ann Rev Nutr 1992;12:279-298.
- Patel KV, Longo DL, Ershler WB, Yu B, Semba RD, Ferrucci L, et al. Haemoglobin concentration and the risk of death in older adults: differences by race/ethnicity in the NHANES III followup. Br J Haematol 2009;145:514-23.
- Artz AS, Fergusson D, Drinka PJ, Gerald M, Bidenbender R, Lechich A, et al. Mechanisms of unexplained anemia in the nursing home. J Am Geriatr Soc 2004;52:423-7.
- Holyoake TL, Hendry A, Mac Donald JB, Lucie NP. Use of plasma ferritin concentration to diagnose iron deficiency in elderly patients. J Clin Pathol 1993;46:857-60.
- Assessment of Barriers and Motivators in E-teaching among Medical Faculty of Punjab during COVID-19 Lockdown
Authors
1 Department of Community Medicine, Government Medical College, Amritsar – 143001, Punjab, IN
2 Department of Pathology, Government Medical College, Amritsar – 143001, Punjab, IN
3 Department of Microbiology, Government Medical College, Amritsar – 143001, Punjab, IN
Source
Asian Journal of Pharmaceutical Research and Health Care, Vol 13, No 1 (2021), Pagination: 49-60Abstract
Background: The nationwide lockdown due to the spread of Corona virus Disease (COVID-19) has led to the disruption of several activities of everyday life including education. This had to shift towards e-learning and teaching to continue the uninterrupted flow of knowledge. Though e-teaching proves to be an effective teaching modality in current times, it’s not without its limitations and challenges. It is necessary to find out the problems faced by the teachers involved in e-teaching and the motivating factors so that improvements can be made in the current teaching modality to render it more effective and productive and solve the need of the hour. Methods: This descriptive cross-sectional study was conducted among the teaching faculty of the medical institutions of Punjab. The data collection tool was a semi-structured self-made questionnaire prepared using ‘Google Forms’, which was then shared in the WhatsApp groups. Received responses were imported to the Microsoft Excel sheet and statistical analysis was done. Results: 97.1% of teachers were facing some kind of problem in e-teaching, most common of which were lack of personal interaction with the teachers (91.9%), poor response from students (54.5%), frequent technological failures/limited access to the internet (54.5%), Lack of training regarding the use of digital platforms/unprepared for e-teaching (25.4%), etc. Major motivating factors were the ability to share a variety of updated content with students (58.4%), increased flexibility of location (53.6%), being able to keep in touch with students and the subject even during the lockdown (48.8%), development of digital expertise (41.6%), the flexibility of time (29.7%), etc. Discussion: Online teaching cannot be a substitute to routine classroom teaching, however, it can be used as a supplement along with the routine teaching to share more content with the students, to give assignments, to receive feedback, etc. as suggested by most of the participants in this studyKeywords
COVID-19, Medical Education, Medical Faculty, Online Learning, Teaching HospitalReferences
- Teaching during Covid-19 lockdown: Coping up with online classes and excelling. India Today [Internet]. 2020 May 6 [cited 2020 Jun 12]; Available from: https://www.indiatoday.in/education-today/featurephilia/story/teaching-during-covid-19-lockdown-coping-up-with-online-classes-and-excelling-1675013-2020-05-06
- Servage L. Strategizing for workplace e‐learning: some critical considerations. Journal of Workplace Learning [Internet]. 2005 Jul [cited 2020 Jun 12];17(5/6):304–17. Available from: https://www.emerald.com/insight/content/doi/10.1108/13665620510606733/full/html
- Awasthi P. Online classes turning out to be nightmare for teachers amid COVID-19 lockdown. The Week [Internet]. 2020 May 23 [cited 2020 Jun 12]; Available from: https://www.theweek.in/news/india/2020/05/23/online-classes-turning-out-to-be-nightmare-for-teachers-amid-covid-19-lockdown.html
- Al-Azawei A, Parslow P, Lundqvist K. Barriers and Opportunities of E-Learning Implementation in Iraq: A Case of Public Universities. The International Review of Research in Open and Distributed Learning [Internet]. 2016 Sep 26 [cited 2020 May 30];17(5). Available from: http://www.irrodl.org/index.php/irrodl/article/view/2501
- Kwofie B. Barriers to online learning adoption in higher education [Internet]. University World News. 2020 [cited 2020 May 30]. Available from: https://www.universityworldnews.com/post.php?story=20200506200743715
- Niebuhr V, Niebuhr B, Trumble J, Urbani MJ. Online Faculty Development for Creating E-learning Materials. Education for Health [Internet]. 2014 Sep 1 [cited 2020 Jun 13];27(3):255. Available from: http://www.educationforhealth.net/article.asp?issn=1357-6283;year=2014;volume=27;issue=3;spage=255;epage=261;aulast=Niebuhr;type=0
- Wilson FC. Teaching by residents. Clin Orthop Relat Res. 2007 Jan;454:247–50.
- Bediang G, Stoll B, Geissbuhler A, Klohn AM, Stuckelberger A, Nko’o S, et al. Computer literacy and E-learning perception in Cameroon: the case of Yaounde Faculty of Medicine and Biomedical Sciences. BMC Med Educ. 2013 Apr 19;13:57.
- Attardi SM, Rogers KA. Design and implementation of an online systemic human anatomy course with laboratory. Anat Sci Educ. 2015 Feb;8(1):53–62.
- Lakbala P. Barriers in Implementing E-Learning in Hormozgan University of Medical Sciences. Glob J Health Sci [Internet]. 2016 Jul [cited 2020 Jun 13];8(7):83–92. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965673/
- Bury R, Martin L, Roberts S. Achieving change through mutual development: supported online learning and the evolving roles of health and information professionals. Health Info Libr J. 2006 Dec;23 Suppl 1:22–31.
- Skye EP, Wimsatt LA, Master-Hunter TA, Locke AB. Developing online learning modules in a family medicine residency. Fam Med. 2011 Mar;43(3):185–92.
- NHMRC additional levels of evidence and grades for recommendations for developers of guidelines [Internet]. National Health and Medical Research Council (NHMRC):Canberra; [cited 2020 Jun 13]. Available from: https://www.mja.com.au/sites/default/files/NHMRC.levels.of.evidence.2008-09.pdf
- Dery S, Vroom F da-Costa, Godi A, Afagbedzi S, Dwomoh D. Knowledge and use of information and communication technology by health sciences students of the University of Ghana. Ghana Med J [Internet]. 2016 Sep [cited 2020 Jul 21];50(3):180–8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044793/
- Maguire LL. Literature review–faculty participation in online distance education: Barriers and motivators. Online journal of distance learning administration. 2005;8(1):1–16.
- Janse van Rensburg ES. Effective online teaching and learning practices for undergraduate health sciences students: An integrative review. International Journal of Africa Nursing Sciences [Internet]. 2018 Jan 1 [cited 2020 May 30];9:73–80. Available from: http://www.sciencedirect.com/science/article/pii/S2214139118300398
- Kowalczyk NK. Perceived Barriers to Online Education by Radiologic Science Educators. Radiol Technol [Internet]. 2014 May 1 [cited 2020 May 30];85(5):486–93. Available from: http://www.radiologictechnology.org/content/85/5/486
- Gupta S. 9 Benefits Of eLearning For Students [Internet]. eLearning Industry. 2017 [cited 2020 Jul 3]. Available from: https://elearningindustry.com/9-benefits-of-elearning-for-students
- Stoeva Z. What Are the Benefits of E-Learning for Teachers [Internet]. VEDAMO. 2018 [cited 2020 Jul 3]. Available from: https://www.vedamo.com/knowledge/benefits-of-e-learning-for-teachers/
- Ortega J, Cometto MC, Zárate Grajales RA, Malvárez S, Cassiani S, Falconi C, et al. Distance learning and patient safety: Report and evaluation of an online patient safety course. Revista Panamericana de Salud Pública. 2020 May 20;44:1.
- Regmi K, Jones L. A systematic review of the factors – enablers and barriers – affecting e-learning in health sciences education. BMC Medical Education [Internet]. 2020 Mar 30 [cited 2020 May 30];20(1):91. Available from: https://doi.org/10.1186/s12909-020-02007-6
- Rockwell SK, Schauer J, Fritz S, Marx DB. Incentives and obstacles influencing higher education faculty and administrators to teach via distance. Faculty Publications: Agricultural Leadership, Education & Communication Department. 1999;53.
- Barber JRG, Park SE, Jensen K, Marshall H, McDonald P, McKinley RK, et al. Facilitators and barriers to teaching undergraduate medical students in general practice. Medical Education [Internet]. 2019 [cited 2020 May 30];53(8):778–87. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/medu.13882
- Button D, Harrington A, Belan I. E-learning & information communication technology (ICT) in nursing education: A review of the literature. Nurse Education Today [Internet]. 2014 Oct 1 [cited 2020 May 3];34(10):1311–23. Available from: http://www.sciencedirect.com/science/article/pii/S0260691713001652