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   2009| January-March  | Volume 34 | Issue 1  
    Online since February 6, 2009

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Public health in British India: A brief account of the history of medical services and disease prevention in colonial India
Muhammad Umair Mushtaq
January-March 2009, 34(1):6-14
DOI:10.4103/0970-0218.45369  PMID:19876448
  14,897 964 2
Prevalence of ischemic heart disease among urban population of Siliguri, West Bengal
Sukanta Mandal, Joyti Bikash Saha, Sankar Chandra Mandal, Rudra Nath Bhattacharya, Manashi Chakraborty, Partha Pratim Pal
January-March 2009, 34(1):19-23
DOI:10.4103/0970-0218.44518  PMID:19876450
Objectives: To determine the prevalence of ischemic heart disease and the associated risk factors among the urban population of Siliguri. Materials and Methods: A cross-sectional survey of a random sample of the population aged ≥40 years old in the Municipal Corporation area of Siliguri. Study variables were age, sex, occupation, addiction, food habit, physical activity, body mass index, blood pressure, and electrocardiogram change. Results: Out of 250 individuals who took part in this study, 29 (11.6%) had ischemic heart disease (IHD) and 118 (47.2%) had hypertension. Males had a higher (13.5%) prevalence of IHD than females (9.4%). About 5% of the patients had asymptomatic IHD. IHD among the study population is significantly associated with hypertension and smoking.
  11,590 943 10
Study on patient satisfaction in the government allopathic health facilities of Lucknow district, India
Ranjeeta Kumari, MZ Idris, Vidya Bhushan, Anish Khanna, Monika Agarwal, SK Singh
January-March 2009, 34(1):35-42
DOI:10.4103/0970-0218.45372  PMID:19876453
Background: The outcome of any disease is influenced by the decisions to seek care, timely arrival at appropriate diagnostic and treatment services and the receipt of adequate care from service providers. Satisfaction in service provision is increasingly being used as a measure of health system performance. Satisfaction manifests itself in the distribution, access and utilization of health services. Objectives: To determine the areas and causes of low satisfaction among the patients and suggest methods for improvement. Materials and Methods: Multistage stratified random sampling was used to select the government allopathic health facilities of Lucknow district and systematic random sampling for the selection of the patients for the interview. Results: The accessibility was difficult in 42% patients and waiting time more than 30 min for 62.5% of those attending the tertiary level health facility. The satisfaction with the duration of the outpatient department (OPD) (64.6%) and the presence of signboards (46.6%) was also found to be low. The overall satisfaction regarding the doctor-patient communication was more than 60% at all the levels of health care facilities but that with the examination and consultation was less than 60% at the primary level as compared to more than 80% elsewhere. The most important motivating factor for the visit to the tertiary (48.2%) and secondary level (71.9%, 67.1%) of health facilities was the faith on doctors or health facility. Conclusions: The level of patient satisfaction is severely deficient in several areas and needs improvement for the achievement of optimal health of the people.
  9,424 684 15
The prevalence of reproductive tract infections and sexually transmitted diseases among married women in the reproductive age group in a rural area
Savita Sharma, BP Gupta
January-March 2009, 34(1):62-64
DOI:10.4103/0970-0218.45376  PMID:19876459
  8,013 558 3
Cash incentives for institutional delivery: Linking with antenatal and post natal care may ensure 'Continuum of care' in India
Chandrakant Lahariya
January-March 2009, 34(1):15-18
DOI:10.4103/0970-0218.45370  PMID:19876449
  6,695 819 10
Revitalizing rural health care delivery: Can rural health practitioners be the answer?
Kapil Yadav, Prashant Jarhyan, Vivek Gupta, Chandrakant S Pandav
January-March 2009, 34(1):3-5
DOI:10.4103/0970-0218.45368  PMID:19876447
  5,768 534 16
Obesity prevalence in Gaziantep, Turkey
Birgul Ozcirpici, Ferhat Coskun, Saime Sahinoz, Servet Ozgur, Ali Ihsan Bozkurt
January-March 2009, 34(1):29-34
DOI:10.4103/0970-0218.45371  PMID:19876452
Background: Obesity is associated with reduced quality of life, development of serious chronic conditions such as heart disease and diabetes, increased medical care costs, and premature death. Environmental effects, especially feeding habits may cause hyperinsulinemia and obesity. A Healthy People 2010 objective is to reduce the proportion of adults who are obese to 15%. Materials and Methods: This cross-sectional study was conducted on 1647 persons in a sample representing Gaziantep, Turkey. Over the selected 329 houses, 310 houses were reached (94.2%) and data about 1315 related persons was collected. The body mass index (BMI) shows the relationship between the weight and the height of people, calculated by the ratio of mass by kg over the square value of height measure. In statistical analyses chi-square, student's t -test and logistic regression analysis were used. Results: The mean BMI increased with time for both sex, whereas decreased for 60+ age group. The fastest increase for both sex was seen while transition from 18 year to 19-29 age groups occurred. Another increase in women was in 30-39 age group; BMI=25.084.39 in 19-29 ages whilst BMI=29.025.79 in 30-39 ages. The increases in both sex in other age groups were not as much as in this group. Conclusion: Obesity is not only a problem in the Gaziantep but is also a major health concern in Europe and other regions of the world. As an accepted method against obesity, life-style changes should be put into use from childhood supported in school and family life.
  4,146 438 7
Prevalence of Goiter in rural area of Belgaum district, Karnataka
R Kamath, Vinod Bhat, RSP Rao, Acharya Das, KS Ganesh, Asha Kamath
January-March 2009, 34(1):48-51
DOI:10.4103/0970-0218.45373  PMID:19876455
Background: To determine the prevalence of goiter and to study the factors influencing goiter among people of the rural community in Karnataka state, a community based study. Setting and Study Design: A cross sectional study was carried out to find out the prevalence of goiter in a rural community of Belgaum district. The study was conducted by house-to-house survey for a period of one month. Materials and Methods: Two villages (Handiganur and Gundwad) were selected randomly from Belgaum and Raibag taluks of Belgaum district. All the family members in each household were examined for the presence of goiter using WHO criteria. Iodine content of the salt sample obtained from each household was estimated by using spot testing kits. Information regarding the determinants of goiter was collected and recorded in a pre tested proforma. Data collected was analyzed using SPSS statistical packages. Results: The prevalence of goiter among rural population was found to be 16.6%. Goiter of grade 1 was 15.7% and that of grade 2 was 0.9%. Prevalence among males and females were 7.2% and 21.8%, respectively. The prevalence of goiter was highest among adolescents. Estimation of iodine content in the salt sample revealed that 50% of samples had adequate iodine content (> 15 ppm). Multiple Logistic Regression Analysis revealed that females of the age group 10-49 years were independently associated with goiter. Conclusion: Prevalence of goiter was relatively high and therefore constituted a public health problem in this region.
  3,887 453 8
Health status of traffic police personnel in Brahmapur city
DM Satapathy, TR Behera, RM Tripathy
January-March 2009, 34(1):71-72
DOI:10.4103/0970-0218.45380  PMID:19876462
  3,899 372 2
Quality-of-life assessment of family planning adopters through user perspectives in the district of Karimnagar
Avasarala Kameswararao
January-March 2009, 34(1):24-28
DOI:10.4103/0970-0218.42374  PMID:19876451
Background: Small families adopting family planning are usually considered happy families. They are expected to lead a better qualitative life. Quality-of-life (QOL) is routinely assessed for knowing patients' health status. Recently, the QOL concept has become increasingly popular for evaluating the impact of public health interventions. Hitherto, QOL is usually assessed by means of program achievements or indicators, which may sometimes be misleading. Hence, the new culture of QOL assessment by means of user perspectives is now becoming popular. Research Questions: 1) Is the quality-of-life of family planning (FP) adopters better than that of non-FP adopters? 2) Are the user perspectives helpful in QOL assessment? Materials and Methods: A cross-sectional descriptive study was carried out among 50 FP adopting families and 50 non-FP adopting families from the village of Vutoor and the city of Karimnagar in Andhra Pradesh. Sampling Methods: Random sampling, Proportions and Chi square test. Results: Program perspectives revealed a better standard of living for FP adopters because they have amenities like housing, television, and vehicles and less mortality and morbidity ( P < 0.001). However, they lack positive feelings towards life, general adaptation, personal relationships, and leisure opportunities. Finally, self-assessment by FP adopters themselves revealed no significant increase in their qualitative life after family planning ( P = 0.05). Conclusions: While assessing the impact of a health program on quality-of-life, multiple methods of assessments including user perspectives are better than program indicators alone.
  3,869 333 6
Challenges in organizing trauma care systems in India
Amit Gupta, Ekta Gupta
January-March 2009, 34(1):75-76
DOI:10.4103/0970-0218.45383  PMID:19876465
  3,264 310 3
A review of preventive and social medicine - By Chandrakant Lahariya, India
Binod Kumar Patro
January-March 2009, 34(1):70-70
  3,168 260 -
Academic community medicine in 21 st century: Challenges and opportunities
Rajesh Kumar
January-March 2009, 34(1):1-2
DOI:10.4103/0970-0218.45367  PMID:19876446
  2,833 572 -
Musculoskeletal disorders: Epidemiology and treatment seeking behavior of secondary school students in a Nigerian community
Olayinka O Adegbehingbe, Adesegun O Fatusi, Caleb A Adegbenro, Opeyemi O Adeitan, Ganiyu O Abass, Akintomiwa Akintunde
January-March 2009, 34(1):52-56
DOI:10.4103/0970-0218.44520  PMID:19876456
Background: Epidemiological information paucity exists on musculoskeletal disorders (MSD) among secondary school students in Nigeria. We aimed to determine prevalence, pattern, and treatment seeking behaviors (TSB) of MSD in south-west Nigeria. Materials and Methods: A school-based cross sectional study was conducted in four randomly selected secondary schools in Ile-Ife in 2007. All the students were screened for MSD using interviewer-administered questionnaire and physical examination, which involved use of scoliometer and goniometer. Affected children were recommended for treatment and plain radiography taken. Results: A total of 133 students had 204 MSD representing 3.0% prevalence among the 4,441students screened. Eighty-one (60.9%) students had congenital disorders and 52 (39.1%) were acquired. The lower limbs (93.1%) were most commonly affected and 87 (65.4%) students presented with knee deformity. Other abnormalities were limb length discrepancy 6.8%, scoliosis 4.4%, pes planus 3.9%, and poliomyelitis 2.9%. One hundred students (75.2%) had no form of treatment, 18.8% receive treatment in the hospital, 3.7% in traditional healing home and 2.3% in church. Age, family, and school type were significant factors ( P <0.05) in health seeking behavior. The factors affecting treatment outcome were the place of treatment, hospital specific treatment, and reasons for stopping treatment. Conclusion: Treatable cases constitute a large proportion of MSD among secondary school students, but TSB was generally poor. Parental socio-economic and health services factors were related to the health seeking behavior. Strengthening of school health services and improved linkage with orthopedic services, community education on MSD, and education of all cadres of health professionals are recommended.
  3,075 246 1
Validity of a surveillance system for childhood injuries in a rural block of Tamilnadu
M Sivamani, V Balraj, JP Muliyil
January-March 2009, 34(1):43-47
DOI:10.4103/0970-0218.44650  PMID:19876454
Background: Childhood injuries are increasingly getting the attention of public health experts following WHO's report on global burden of diseases. Surveillance is an important component of control of any disease and effectiveness of the surveillance system depends upon completeness of the information about occurrence of the health related events to the public health authorities. Aims: This study aimed to set up a surveillance system for childhood injuries and validate it by a survey and thereafter estimate the incidence of childhood injuries using capture recapture method. Settings and Design: Observational study design. Materials and Methods: Passive surveillance system for childhood injuries was created for 26,811 children of less than fourteen years of Kaniyambadi block and it was validated by cross sectional study at the end of surveillance period. Using these two independent information systems, capture recapture method was applied to find out the possible incidence of injuries in the given population at a given period of time. Statistics: Chi square, Lincoln Peterson formula for capture re-capture method. Results: Surveillance and survey for childhood injuries identified 13.59/1000 child-years (CI: 11.86 -15.32) and 341.89/1000 child-years (CI: 254.46-429.33) of injury rates, respectively. Conclusion: Passive surveillance system underreports childhood injuries markedly but it does identify childhood injuries of serious nature.
  3,039 274 4
Gender preference and its implications on reproductive behavior of mothers in a rural area of West Bengal
Indira Dey, Ramendra Narayan Chaudhuri
January-March 2009, 34(1):65-67
DOI:10.4103/0970-0218.45377  PMID:19876460
  2,702 313 6
Valvular heart disease in Indian subcontinent: Social issues
Ramachandran Meenakshisundaram, Ponniah Thirumalaikolundusubramanian
January-March 2009, 34(1):57-58
DOI:10.4103/0970-0218.45374  PMID:19876457
  2,683 289 -
Pattern of maternal mortality in a tertiary care hospital of Patna, Bihar
Rashmi Singh, Nivedita Sinha, Krishnadas Bhattacharyya, Rama Ram
January-March 2009, 34(1):73-74
DOI:10.4103/0970-0218.45381  PMID:19876463
  2,561 314 2
Community based project work as a teaching tool: Students' perception
Varsha M Vaidya, Jayashree S Gothankar
January-March 2009, 34(1):59-61
DOI:10.4103/0970-0218.45375  PMID:19876458
  2,312 286 1
Students' feedback concerning the IMNCI strategy
Mamta Rani, Abhay Kavishvar, Ratan K Srivastava
January-March 2009, 34(1):74-75
DOI:10.4103/0970-0218.45382  PMID:19876464
  2,108 260 1
Review of epidata entry and analysis freewares
Shavinder Singh
January-March 2009, 34(1):76-77
DOI:10.4103/0970-0218.45384  PMID:19876466
  2,083 223 -
Modern practice era: The purpose of physician's sample
Sugam A Bhatnagar, Jagannath V Dixit
January-March 2009, 34(1):68-70
DOI:10.4103/0970-0218.45378  PMID:19876461
  2,025 183 -
Isolation of Vibrio cholerae El Tor Serotype Inaba in 2006 and the most common phage type of V. cholerae in Mumbai
Anuradha De, Meenakshi Mathur
January-March 2009, 34(1):78-78
DOI:10.4103/0970-0218.45385  PMID:19876467
  1,881 142 1
Can echocardiography be used for screening of rheumatic heart disease?
Harshal Tukaram Pandve, JS Bhawalkar, Amitav Banerjee, Pankaja Bhuyar
January-March 2009, 34(1):79-79
DOI:10.4103/0970-0218.45386  PMID:19876468
  1,809 183 2
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  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007