The study has reported gaps in terms of infrastructure facility, different trainings, coverage, supply, and provision of SN, status of PSE activities in AWCs, and provision of different services to the beneficiaries.
Dengue is the most common disease among all the arthropod borne viral diseases. 1 Dengue viruses (DV) belong to family Flaviviridae and there are four serotypes of the virus referred to as DV-1, DV-2, DV-3 and DV-4. 2 Dengue Fever (DF) is caused by an arbovirus and spread by Aedes mosquitoes. Dengue is a self-limiting acute mosquito transmitted disease characterized by fever, headache, muscle, joint pains, rash, nausea and vomiting. 3 These infections may be asymptomatic or may lead to (a) "classical" Dengue fever, or (b) Dengue Hemorrhagic fever without shock, or (c) Dengue hemorrhagic fever with shock. 1 Dengue fever (DF) and its severe forms-Dengue haemorrhagic fever (DHF) and Dengue shock syndrome (DSS) have emerged as a ABSTRACT Background: Dengue fever (DF) and its severe forms-Dengue haemorrhagic fever (DHF) and Dengue shock syndrome (DSS) have emerged as a notable public health problem in recent decades in terms of the mortality and morbidity associated with it. Methods: A cross-sectional prospective study was conducted at PDU Government Medical College, Rajkot during 1st January to 31st December, 2014. All confirmed Dengue cases were admitted in this institute during 2014 included in the study. The data entry was done in Microsoft Office Excel 2007 and analysis was done using the same software and appropriate tests were applied. Results: This study included 145 patients who were admitted to the institute during the calendar year 2014. 62% were males. 69% were in the age group 15-44 yrs. 59% cases were from rural origin. During September to December, 2014, 80% cases were admitted. 74% cases were consulted by doctor before admission at PDU Government Medical College, Rajkot. Fever was present in all the cases i.e. (100%), followed by myalgia (99%), headache (96%), vomiting (78%) and epistaxis (63%). Majority of the cases presented with Classical Dengue fever i.e. (90%) followed by DHF (10%). Most common complication was bleeding from nose and mouth i.e. (66%). No any death due to Dengue was reported during study period. 93% cases were discharged and 7 % cases were DAMA from PDU Government Medical College, Rajkot. Conclusions: The most common age group for Dengue fever was 15-44 yrs. Most of the patients were male and also from rural origin. Most of the cases occurred during the period of September to December, 2014. Fever was present in all the cases and bleeding from nose and mouth was the commonest complication of Dengue. No any death due to Dengue was reported during study period.
Background: The explosive growth of the internet in the last decade has had a huge impact on communication and interpersonal behavior. More and more students are addicted to internet, while spending lots of time surfing on the internet. The present study was conducted considering the above facts, with the objective to assess the level of internet addiction and effects of it among the medical students. Methods: It was a cross sectional study conducted among medical students of PDU Govt. Medical College, Rajkot. Total 212 students were included in the study that were using internet daily and consented to participate. Young's Internet Addiction Test (YIAT20) was used to study the level of internet addiction. Results: Almost one third (35.4%) students were using internet for more than 2 years. Almost half (48.1%) students were using internet for more than 2 hours per day. Young's Internet Addiction Test showed that 61 (28.8%) students had scoring in the range of 50-79 (frequent problem due to internet usage). There was significant difference for level of internet addiction and problems of change of lifestyle change in dietary behavior and sleep distribution. Conclusions: This study's results imply that Internet addiction is a prevalent public health issue varied pattern of internet use. Close observation over the use of internet and changes due to it among students are required by parents and colleges to stop emerging internet addiction.
INTRODUCTIONEvery year, four million newborn babies die in the first month of life-99% in low-and middle-income countries. 1 The infant mortality rate in India has remained almost unchanged since the early nineties, and the nearstatic rate of neonatal mortality, despite introducing several primary care-based strategies and programs at the national level during that period, is considered to be the Results: This study included total 32 health facilities including 10 Primary Health Centers (PHC) (24X7), 15 Community Health Centers (CHC), 5 Sub District Hospitals (SDH), one District Hospital (DH) and one Medical College (MC). There are a total of 36 facilities of different level available in government set up for newborn care starting from NBCC to SNCU. All (100%) of the health centers visited were equipped with NBCC for newborn care, while NBSU and SNCU for newborn care were created at only 2 (6.2%) centers respectively. Only 2 out of 10 PHC had all required equipments for NBCC. All the required equipments were available at 3 CHCs out of total 15 CHCs. All the SDH were having adequate equipment for NBCC except resuscitator & separate Digital Thermometer were not available at 2 SDH. At DH, except for Digital thermometer, all equipments were adequate. Only 1 SDH has been established for NBSU and it did not have adequate no. of radiant warmer and resuscitator. DH is lacking in all the required equipment for SNCU except for resuscitator (250 ml) and refrigerator. Out of total 101 health personnel, 68 (67.3%) have been trained for NSSK. From total 68 trained health personnel, 12 (17.7%) got the score above the cut off for resuscitation skill. Out of the trained respondents, 29 (42.7%) acquired score above cut off for routine care. Conclusion: All the PHCs, CHCs, SDHs and DH were deficient in equipments. NBSU was created in only one SDH. SNBU was created at DH and MC, but equipments were not sufficient at both centers. Health care providers involved in facility based newborn care units had poor knowledge regarding routine newborn care and also not properly trained in resuscitation.
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