Bidirectional screening for DM and TB is feasible and produces a high yield for DM among TB patients. The yield of TB among DM patients was low and needs future research using new, improved TB diagnostic tools.
Background: Occupational stress can impair one’s health and reduce the efficiency and productivity of work. Delivering health services in rural areas is a tedious job for healthcare workers due to various factors. Inadequate staffing of workers leading to overloaded work and many other factors make them less motivated and experience work stress. Methods: A cross sectional study done in Nelamangla, rural field practice area of BMCRI. A multi stage random sampling technique was applied for the study. 5 PHCs were randomly chosen. Healthcare workers (such as LHV, ANM, Health Assistants, ASHA workers and AWWs) were recruited by probability proportion to sample size. 140 study participants were interviewed using pre tested semi structured questionnaire to collect socio demographic details and work related details; validated professional life stress scale was used to assess stress levels. Descriptive statistics and chi square test were used. Results: 37.1% (52) had mild stress, 52.1% (73) were moderately stressed, 10.7% (15) were severely stressed and none of them were very severely stressed that needed immediate intervention. Working hours, job satisfaction, clarity about work, amount of work exceeding stipulated time, loss of interest at work, not being rewarded and valued for their work are few of the factors that are found to be associated with stress levels. Conclusions: Work related factors have been the main stressors and higher stress levels might impede the performance of the workers and hence addressing this is necessary.
A study on knee joint osteoarthritis among the women aged above 40 years, residing in the urban field practice area at tertiary care centre, Bangalore, Karnataka, India B. C. Narasimha, K. S. Ravish*, T. S. Ranganath, S. Navya Sri INTRODUCTIONOsteoarthritis (OA) is a chronic degenerative joint disease. The development of osteoarthritis is dependent on age, sex, genetic predisposition and previous trauma to the joint and abnormal mechanical forces caused primarily by obesity. Biochemically, there is an imbalance in the enzyme of cartilage degradation and cartilage regeneration that is involved in pathogenesis of osteoarthritis. 1Prevalence of Knee osteoarthritis is reported to increase in females during premenopausal age and remains high throughout menopause. The reason for this is revealed in many studies that, loss of oestrogen at the time of menopause increases a woman's risk of getting osteoarthritis. 2 ABSTRACTBackground: Osteoarthritis (OA) is a chronic degenerative joint disease. Prevalence of knee osteoarthritis is reported to increase in females during premenopausal age and remains high throughout menopause. The Indian elderly population has increased to 8.6% in 2011 census, with life expectancy of 68.2 years. This has led Indian women to live with problem of osteoarthritis for long time as compared to other countries. Osteoarthritis is also associated with decreased physical activity and in turn affecting health related quality of life. Hence this study is taken up to estimate the prevalence of osteoarthritis and to assess the treatment seeking behavior of women in the community. Methods: A community based cross sectional study was conducted on 120 women above the age of 40 years from January to March 2015 in urban field practice area of BMCRI. Data collection was done by house to house visit. Information was collected by using a pre-tested, semi-structured questionnaire. Results:The estimated prevalence of knee osteoarthritis among women aged 40 years and above was 55% (66). Out of 66 women who had osteoarthritis 68.2% were currently on treatment. We also found that 65.2% (43) of the women had difficulty in doing daily routine activities. Conclusion:The high prevalence of knee osteoarthritis is due to majority of women is developing osteoarthritis at a younger age. This is leading to decrease in quality of life of women at a younger age group in the community.
Background: Self-help groups (SHGs) are small voluntary association of people from the same socioeconomic background with a purpose of solving their common problems through self-help and mutual help. Since Women empowerment and health are interrelated-women's empowerment cannot be achieved by ignoring issues related to health of women. There have been fewer attempts to address the issue of women's health so as to have an impact on their total wellbeing. Hence the present study intends to explore the extent to which self-help groups are involved in health and also identify other possible methods to increase their involvement in health related matters. Methods: A Community based cross sectional study was conducted in urban field practice area of Bangalore Medical College and Research Institute. Banglore, India. 95 women who were involved in SHG for 1 year were interviewed by a pre-validated questionnaire. Results: Out of 98 women 95 were interviewed, 62.1% were literates, 65.26% received economic help through this programme, 26.3% got importance in family as well as community, 21% had improvement in personal health, 68.4% of individuals self decides to seek medical care for health related issues. Conclusions: Self-help group is a useful platform to enhance women's health through increased knowledge and awareness on health issues, and financial security during health emergencies etc. it's very active in providing income generating activities. However there is no much significant improvement in health behaviour or knowledge about health related issues.
BACKGROUND: Maternal mortality rate continues to be alarming in India. The process of pregnancy needs planning since there can be undue occurrence of emergencies leading to maternal death or morbidity. Care-seeking is compromised because of the delay in deciding to seek care, identifying danger signs, reaching a health facility, receiving adequate and appropriate treatment at the health facility and many more. Birth preparedness and complication readiness is very essential and effective strategy that encourages mother, family and community to plan a safe delivery.OBJECTIVE:1. To assess birth preparedness and complication readiness (BPACR) for a safe motherhood among antenatal mothers attending an urban health centre under Bangalore Medical College and Research Institute.2. To identify the factors affecting BPACR METHODS: A facility based cross sectional study conducted in Urban Health Training Centre (UHTC) under Bangalore Medical College and Research Institute (BMCRI) between November 2016 to January 2017. The study was conducted among 144 pregnant women as per inclusion criteria by convenient sampling. A semi structured questionnaire was used to calculate socio demographic details, antenatal care and a validated scale on BPACR by Johns Hopkins was used to assess birth preparedness and complication readiness. Descriptive statistics and chi square tests were used to analyze the data. RESULTS: Overall BPACR score was 43.98%. Only 18.7% of women knew >8 danger signs of pregnancy. Less than half of them knew about JSY benefits of cash assistance (31.3%) and transportation services (28%). Sociodemographic factors like education, socioeconomic status, husband's education and type of family had statistically significant associations with BPACR components.
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