Objectives: To assess treatment compliance of self-reported dog bite cases and to assess associated demographic and exposure factors. Materials and Methods: The present prospective study was conducted during January 2013 to July 2013 among 260 dog bite cases by purposive sampling at the outpatient department of a tertiary hospital. After obtaining verbal informed consent, a predesigned questionnaire was used. The assessment of treatment compliance of postexposure prophylaxis (PEP) regimen was considered on the basis of intramuscular anti-rabies vaccine (ARV) regimen by classifying completed PEP and defaulted PEP. At the end of PEP regimen of every participant, we obtained information about received ARV doses using telephone survey method. Data were analyzed using statistical software Epi info Version 7. Results: Of 260 dog bite cases, 76.5% cases were completed PEP. The majority, 22.3% cases from age group ≤10 years, 56.2% males, 48.1% from urban area, 25% had primary school education, 32.7% students, 53.8% had bite mark on lower limb, 58.5% were category III exposure, and 70.8% who had received previously immunization against rabies, were completed PEP. The bite due to 54.6% pet dog, 58.1% observable dog, 40% provoked bite, 71.9% cases who had not known about the rabid status of the dog, were completed PEP. The unconditional logistic regression analysis found that demographic and exposure factors were not independently associated with treatment compliance (P > 0.05) except literacy status (P < 0.05). The present study showed maximum completed PEP cases, however, it showed the demographic and exposure factors of dog bite cases were not independently associated with treatment compliance except literacy status.
Background: Domestic violence is a global issue. It has a serious impact on woman’s health and well-being. So the present study was carried out to study domestic violence against married women in the field practice area of urban health training centre (UHTC). The objective of the study was to find out the magnitude of domestic violence in married women in last one year and to find out the type of violence to which females are subjected and factors associated with it. Methods: The present community based cross-sectional study was carried out in married women residing in catchment area of UHTC. Sample size was first estimated with help of epi info, which came out to be 275 by considering 23.6% as the prevalence of domestic violence from NFHS-4. 282 women of age 15-49 years were finally included in study who was interviewed by predesigned pretested questionnaire by female investigator. The questions were asked related to ‘do they suffer from domestic violence, type of domestic violence and from whom they suffer such type of violence.’ Results: The prevalence of married women experiencing domestic violence in last one year in the field practice area of UHTC is 21.63%, of which 57.71% and 50% experienced physical and psychological violence by partner respectively. Also the study revealed that education and occupation of couple plays an important role in domestic violence. Conclusions: Domestic violence represents the hidden iceberg in the society and hence more community awareness about domestic violence is needed.
A study was conducted to assess the visual outcomes of patients after cataract surgery with intraocular lens implants with reference to visual acuity (VA) and visual function (VF) and to assess patient satisfaction with surgical outcome. The retrospective study was carried out using operation theatre records at the Rural Health Training Centre (RHTC), Paithan, during 2007. Out of 819 cataract surgery patients operated in 2007 a total of 50 were selected randomly. Door-to-door visits were paid by investigator and multipurpose worker to previously operated patients for VA examination and to fill predesigned questionnaire. Statistical analysis was done by using SPSS 17.0 Version; 50% patients had VA in fair vision range of <6/18-6/60 and 52% showed the VF in the range of 76-100. Of the 32 satisfied patients, majority were in the age group 70-79 years. The patients with good visual outcomes achieved after surgery would act as pamphlets for the community.
Background: Breast cancer accounts for 19-34% of all cancer cases among women in India. There is a high mortality as patients usually present at an advanced stage because of lack of awareness and nonexistent breast cancer screening programs. So the aim of study is to know knowledge, attitude and practices (KAP) of women towards breast cancer in the field practice area of urban health training centre (UHTC). Methods: A cross sectional study included 140 women of age ≥15 years residing in field practice area from October 2016 to January 2017. From four wards in the field practice area, equal samples were drawn from each ward. Data was collected using questionnaires designed to elicit socio-demographic information and knowledge, attitude and practices of these women towards breast cancer. Data analysis was done by Open Epi. Results: Out of 140 women interviewed, 78.57% mentioned at least one of the symptoms of breast cancer but only 37.86% identified painless lump as a symptom. Only 46.43% mentioned any one of the risk factors. More educated and younger age women were more knowledgeable about risk factors. 44.29% participants were aware of early detection measures but very few were actually practicing SBE, CBE. CBE was most common tool identified for detection. Conclusions: Women do have KAP deficits of breast cancer. So community oriented awareness generation programs to educate women about breast cancer, to promote early detection of breast cancer and to bring about the desirable behavioural change among women is needed.
Comparison between ropivacaine (0.5%) 10mg with 45µg clonidine and ropivacaine (0.5%) 10mg alone intrathecally for postoperative analgesia in lower limb orthopedic surgery".
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