Background: There has been delay evident in diagnosing the drug resistance and non-initiation of appropriate treatment based on drug susceptibility pattern resulting in poor treatment outcome of drug-resistant tuberculosis (DR-TB). Aims and Objectives: The aims of this study were to examine the treatment outcomes for DR-TB patients following universal drug susceptibility testing (UDST) and to examine the association of sociodemographic, behavioral factors, or comorbidities with outcome. Materials and Methods: A retrospective study at a nodal DR-TB center was done for the past 2 years (2018–2019) following the district’s adoption of UDST. The study comprised patients registered between January 2018 and December 2019. Transferred out cases were excluded from the analysis. Cured or treatment completed were assigned as successful, whereas the treatment failed, lost to follow-up or died were adverse treatment outcome. Results: A total of 201 patients were initiated on suitable DOTS regime and they continued the treatment from the center, during the study period. Altogether 129 (64.2%) patients had successful treatment outcome. None of the examined variable (age, sex, SES, Body mass index, and comorbidity) is found to have statistically significant association with outcome (P>0.05). Conclusion: The UDST may be the reason for success rate shown here, higher than in literature published. Although a better stance is possible only by comparing the treatment outcome of pre- and post-uptake of UDST from same setting.
Background: Antenatal and post natal care are important component of maternal mortality rate. Antenatal facilities provided to mothers form the base of their future outcome. The services provided to mothers are still poor in India. A proper and effective program implementation is depending on understanding of basic factors that affect maternal and child health services utilization. Considering all these facts, it is important to study the maternal health service utilization pattern among the beneficiaries living in urban area of Jabalpur and factors responsible for their under utilization. Material & Methods: A prospective study was carried out in urban area of Jabalpur district of Madhya Pradesh. Cluster sampling technique was used to select 396 Antenatal females in the 36 different clusters. Information about socio demographic factors and ANC services utilization was recorded. Results: This study showed that 50.50% of women were registered within 12 weeks of pregnancy, 58.80% women received four or more antenatal visits, 23.99% women consumed hundred and more Iron Folic Acid (IFA) tablets and 96.21% received 2 doses of Tetanus Toxoid (TT) injections. Only 22.72% women had complete ANC service utilization. Conclusion: Utilization of Antenatal Care (ANC) services was poor in the urban areas of Jabalpur district even though the physical accessibility was adequate. ANC services utilization is significantly associated with level of education of mother, education of husband, occupation of mother, type of family and time of registration of pregnancy.
Objectives: The aim of the study was to derive the barriers of physical activity among the adults of tertiary care teaching hospital. Methods: It was descriptive and cross-sectional study carried out in the tertiary care teaching institute of Central India. The study was conducted during the period from January 2020 to October 2021. Study subjects were Participants belonging to 18–65 years age group studying or working at tertiary care teaching institute. Results: The proportion of insufficient physical among the participants was 8.62% while majority of the them, that is, 82.18% had moderate physical activity, whereas 9.2% of the respondents had vigorous physical activity. One hundred and sixteen (33.33%) had shown any of the perceived barriers to physical activity. Twenty (66.67%) in insufficiently active and 96 (33.57%) in moderately active group have shown any of the perceived barrier. Conclusion: As the long-term consequences of physical inactivity can lead to health problems among people, understanding the factors that influence participation in physical activity and barriers that leads to inactivity is important to help design successful interventions and strategies that increase their level of engagement in activity.
Introduction: The WHO had estimated that in 2016, more than 1.9 billion adults worldwide (39%) were overweight, and over 650 million (13%) were obese. Approximately 2.8 million deaths were reported as a result of being overweight or obese. The prevalence of overweight and obesity in India is increasing faster than the world average. A study reported that prevalence of obesity in India is 40.3%.This fast-paced growth has been accompanied by notable increases in the burden of non-communicable diseases. Objectives: to estimate the prevalence of overweight and obesity among adults in Jabalpur City and to study the association between socio-demographic factors and overweight in adults. Methodology: Multistage sampling method was used for the study. In this method, the sampling procedure was carried out at several stages, each stage involves a different sampling procedure. House to house survey was conducted after explaining the purpose and procedure of the study and obtaining informed written consent from study participants. Interview of eligible study participants regarding socio-demographic, behavioral parameters along with measurement of physical/ anthropometric parameters was carried out using a predesigned and pretested Questionnaire.
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