BACKGROUND: Diarrhea is one of the major causes of morbidity and mortality in under-five children in developing world like India. WHO & Integrated Management of Neonatal and Childhood Illness (IMNCI) diarrheal management guidelines encourage mothers and caretakers to treat diarrhoea at home by giving ORS and oral rehydration therapy (ORT) to reduce the duration, severity, hospitalization, overall medical costs and death. OBJECTIVES: i) to assess the Knowledge, Attitude and Practice (KAP) of mothers on home care of acute diarrhoeal diseases and ii) To find out the factors affecting it, if any. MATERIALS AND METHODS: Community based cross-sectional study was conducted for three months duration among 76 mothers of slum-dwelling under five children (2-59 months) in Bankura. Information about KAP on management of acute diarrhoeal diseases was obtained by interview of mother using schedule based on WHO & IMNCI diarrheal management guidelines. RESULTS: In this study, majority mothers (64.7%) of children were of BPL category and mean schooling years of mothers was 7.97±4.12. Majority of mothers' knowledge was average (66.2%) and favourable attitude was (76.5%). While 72.2% mothers performed average practice; only 9.3% of mothers performed good practice. Education, occupation and socioeconomic status (SES) were the influencing factors of KAP on home care of diarrhea. Conclusions: A lot of gap was still present in knowledge, attitude and practice of home management of acute diarrheal diseases in an urban slum of Bankura. Health providers are needed to be skilled, motivated to percolate the information to mothers regarding home care of diarrhea.
Background: Hydatid disease of liver is quite common disease in Eastern India, though not very frequently reported. The diagnosis of hydatid cyst is often difficult because of its initial modes of presentation. Aims and Objectives: The objectives of the present study were to evaluate the different clinical presentation, surgical management options, and complications if any after operation in a tertiary care center. Materials and Methods: This prospective study was conducted with 30 patients (Male 17 and Female 13 with a mean age of 41.23 years) who were diagnosed of having hydatid cyst of liver. Results: The presenting symptoms that were found pain abdomen (22 cases), abdominal lump/mass (16 cases), cholangitis (five cases), jaundice (two cases), constitutional (anorexia, nausea, and malaise two cases), and fever (18 cases). Deroofing and omentoplasty and wound drainage (12 cases), partial pericystectomy (nine cases), pericystic-cystectomy (six cases), marsupialization (two cases), and one case was managed nonoperatively. Post-operative complications were – biliary fistula (two cases), post-operative cholangitis (two cases), surgical site infections (two cases), and retained cyst (one case). Conclusion: A high index of suspicion is always recommended when an adult patient comes with pain abdomen and abdominal mass. Different surgical methods, for example, deroofing and omentoplasty with wound drainage, partial pericystectomy, and pericystic-cystectomy can be applied. To establish the definite surgical management, many more randomized and controlled studies are needed.
Background: Domestic injury is an injury, which takes place in the home or in its immediate surroundings and more generally, all injury not connected with traffic, vehicles or sport. It is a worldwide public health problem. Geriatric population is more vulnerable to domestic injury. Objectives of this study are to estimate the incidence and to identify the correlates, if any, of domestic injuries among geriatric population and to study the consequences of domestic injuries among study subjects.Methods: Community-based descriptive study with longitudinal design. Multistage random sampling was adopted in the study. One block was selected by simple random sampling method then cluster sampling method (30/7) was used considering village as cluster. Three cross-sectional surveys were conducted in study subjects. Data was collected with the help of pre-designed, pre-tested, semi-structured schedule by paying house-to-house visits and review of records.Results: The subjects under study comprised of 210 elderly individuals, out of which 27 faced domestic injuries and three study subjects faced injury twice in study period. So, total number of injured was 30. Incidence rate was calculated to be 142.85 injuries per thousand persons per year. Fall was most common type of domestic injury. According to the consequence of injury, impairment was found in 13 cases out of them two injured cases were suffered from permanent disability.Conclusions: Incidence was estimated to be higher than what was found in other studies. Fall was the most common type of domestic injury. Marital status, use of central nervous system depressant drugs and co-morbidities were found to have positive association with injury.
Background: Diabetes affects all segments of the population and is one of the leading causes of premature morbidity and mortality and requires life-long healthcare services. The National Rural Health Mission launched in 2005 and the new pilot National Programme for Prevention and Control of Diabetes, Cardiovascular diseases and Stroke offer opportunities for improving care for diabetes and other non-communicable diseases through service provision at the primary and secondary levels of care. This article describes the health services related factors and ascertains the physical status of adult diabetic patients.Methods: It is an institution based, cross-sectional, descriptive study. Complete enumeration of all patients attending diabetic clinic of Bankura Sammilani Medical College and hospital, Bankura, West Bengal was done. Eligible consenting adult patients, who were diagnosed as a case of diabetes and on treatment were interviewed with review of medical record. The study was preceded after obtaining ethical clearance. Data were entered in MS Excel spread sheet. Calculation was done with the help of software SPSS 22.0 free version.Results: Only 5.3% of study subjects had drug supply from hospital fully but rest of them had to buy from the shop. 79.3% of study subjects skipped the drug when it was finished. Diabetic complication was found to be more when distance of home from hospital was more.Conclusions: Antidiabetic drug were not regularly available in hospital so all most all had to purchase drug from the shop when not available at hospital.
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