Background: Rabies is a zoonotic disease, transmitted by animal bites, mainly dogs. About 99% of all human deaths from rabies occur in the developing nations. It is invariably fatal if proper treatment is not instituted promptly. One of the important factors associated with successful treatment is the knowledge of the care giver in the proper management of animal bites and rabies vaccination. Objectives: To assess among the interns of R.G. Kar Medical College, Kolkata:• The knowledge of animal bite wound management.• The knowledge of rabies pre and post-exposure prophylaxis (PEP). Materials and Methods: A predesigned and pretested anonymous questionnaire with structured questions on animal bite and pre-and PEP was distributed among the interns of R.G. Kar Medical College in the month of March 2012. Results: Among the total of 80 interns, 56.3% and 72.6% of interns did not categorize bites into single transdermal bite and licks on broken skin as Cat-III wound. 12.5% of interns were aware of the intradermal route of vaccination. Ten percent of interns could correctly describe the PEP management of Cat-I wounds while 31.2% of interns thought it was necessary to add rabies immunoglobulin in Cat-II wounds. Conclusion: The results of the study reveal that there are signifi cant gaps in the knowledge regarding the management of animal bite injuries and immunisation.
Recently, there is a growing concern about stress during undergraduate medical training. The objectives of our study were to assess perceived stress among undergraduate medical students and to find out academic factors as determinants. A cross-sectional, questionnaire-based survey was carried out among undergraduate medical students of R. G. Kar Medical College, India, during July 2011-June 2012. Perceived stress was assessed using the Perceived Stress Scale-14. A 10-item questionnaire was used to assess academic sources of stress and their severity. The overall mean perceived stress score was 29.58 (standard deviation [SD] = 6.60), and 46.3% of the participants were in the group of more stressed (perceived stress score ≥28). The academic stressor factors predicted 78% of variability of perceived stress. A higher level of perceived stress was reported by the students. The students should be taught different stress management techniques to improve their ability to cope with a demanding professional course.
Background: Transgender people are stigmatised in our society and are being discriminated in every aspect of life. Many of them experience abuses in various forms since childhood. Accordingly these might have adverse consequences on their life and modify their quality of life (QOL). This aspect needs to be explored. In this context the present study was conducted to assess the QOL among adult transgender people and to find its association with their socio-demographic characteristics in Burdwan municipal area of Burdwan district.Methods: A cross-sectional study was conducted during July-December 2016 among 79 adult transgender people residing in the study area. Sample size was based on 50% having satisfactory QOL with 95% CI, 10% relative error, and 10% non-response rate with finite population correction (total target reference population 96). Subjects were selected by simple random sampling and recruited for interview by time space sampling. Socio-demographic characteristics were assessed by a predesigned schedule and QOL was assessed by using a validated Bengali version of WHO-QOL BREF questionnaires.Results: 56.9% people were found to be have good QOL score as a whole. Maximum and minimum percentages of good QOL score was found in environmental domain (84.7%) and social relationship domain (45.8%). A significant positive correlation was found between education and monthly income with QOL score while negative correlation between age and QOL score. Marital status, current living status and occupation were found to have a statistically significant association with QOL score.Conclusions: The study measured QOL as well as identified some important socio-demographic variables which affected QOL among transgender people. These findings can help the government to plan conceptually to improve QOL in this special transgender group of population by some legislation, social awareness and facilities dedicated towards them.
Background: Patients satisfaction is the basis of quality healthcare services. To improve quality of healthcare it is most important to obtain feedback from patients. Patients' satisfaction or service quality mostly depends on patients' expectation. This study was conducted to identify some important areas where improvement can be done by knowing patients expectation, perception and their gaps. Methods: A cross-sectional study was conducted among patients aged >18 years. Total 350 patients from OPD by consecutive sampling and 309 patients from IPD by complete enumeration was taken from a rural hospital of Burdwan district. A modified form of SERVQUAL questionnaires was used. Results: Service quality gaps were identified across all the five dimensions as well as all the 22 items of the survey instrument (except one item). All those gaps were statistically significant (Except two items). It was identified that highest service quality gap exist against the item no. 8 (Provide its services at the time) for OPD and item no. 20 (Readiness for personal attention) for IPD services. Conclusions: This study measured service quality of a hospital in the context of patients' perceptions and expectations and identified some areas of improvement while catering health services. The findings can help the healthcare provider to plan conceptually in improving health care delivery systems.
INTRODUCTIONIntegrated child development services (ICDS) scheme represents one of the world's largest and most unique programmes for early childhood development. ICDS is the foremost symbol of India's commitment to her children-India's response to the challenge of providing pre-school education on one hand and breaking the vicious cycle of malnutrition, morbidity, reduced learning capacity and mortality, on the other. Main services of ICDS are supplementary nutrition of under six years' children, pregnant and nursing mothers and adolescent ABSTRACT Background: Integrated child development services (ICDS) is the foremost symbol of India's commitment to her children. The present study was done to assess the awareness of mothers of under six children residing in the urban field practice area regarding the services rendered by the Anganwadi Centres (AWC), to find out the satisfaction of mothers of under six children regarding quality of care received and to ascertain the availability of infrastructure and logistics of AWCs catering to the urban field practice area. Methods: A cross-sectional descriptive study was done at Alamganj, Purba Bardhaman, from October 2015 to December 2015 among mothers of under six children and AWCs located there. Mothers were interviewed, with the use of a predesigned and pretested schedule for assessing awareness and satisfaction of beneficiaries and predesigned, pretested check lists for infrastructure and logistics availability. The study was done after getting ethical approval. Data were analysed by SPSS 20. Results: Out of 3 AWCs 2 were pucca and 1 kutcha-pucca with poor sanitary facility. All the mothers were within 19-30 years age group. Immunization, nutrition and health education services were known to 98.2% mother. Only 57.1% and 48.2% mothers were aware of PSE and health check-up respectively. 73.3% mother preferred cooked food and rest raw food, 78.6% mothers were satisfied with amount of food and 71.4% were satisfied with quality. Bad taste and improper cooking were main reason behind non-acceptability. Conclusions: Findings of the study were better than earlier studies but still there were much scope for improvement in infrastructure, training and supervision.
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