IntroductionSelf-medication is an important public health problem, with varied prevalence across the world. The high prevalence of self-medication in India is one of the important factors contributing to the development of antimicrobial resistance. Self-medication without medical guidance can lead to inappropriate, incorrect, or undue therapy, missed diagnosis, delays in appropriate treatment, pathogen resistance, and increased morbidity. The growing trend of self-medication can be attributed to various factors like the urge for selfcare, sympathy toward sick family members, inaccessible health services and nonavailability of drugs, time and financial constraints, ignorance, misbeliefs, extensive advertisement and availability of drugs in places other than drug shops. MethodologyThe present community-based descriptive cross-sectional study was conducted in an urban field practice area of a tertiary health care center (UHTC) in Central India. Individuals above 18 years of age and present at home at the time of the house-to-house survey comprised the study participants. A total of 400 participants were enrolled in the study. Data were collected using a predesigned and pretested questionnaire by the faceto-face interview technique. ResultsThe prevalence of self-medication in the area was 60 % (240). The most widely used drugs for selfmedication were analgesics (159; 66.25%) and antipyretics (142; 59.16%). Common ailments for which selfmedication was used frequently were fever, body aches, common cold, and cough. It was observed that female participants were twice more likely to self-medicate as compared to male participants (Odds Ratio (OR): 2.04; Prevalence (p) = 0.014, Confidence Interval (CI) 95% = 1.15-3.62). Additionally, those having education above the high school level had more chances of self-medicating than those educated less than high school (OR: 1.25; p≤0.014, CI 95%=1.05-1.50). The commonest reasons for resorting to selfmedication as per the findings of the present study are that it saves time and the condition was not serious enough to warrant a physician's consultation.
Background: The ongoing pandemic due to novel corona virus has caused global social and economic disruption, including the largest global recession since the great depression. Pandemic has led to essential supply shortage like daily needs medicine that led to haphazard among population. Worldwide increase in case numbers have increases anxiety among population and also increase the tremendous stress among students due to lack of educational activity. This affects psychology of students to move away from studies. Due to pandemic many students were unable to attend clinics that create anxiousness among them which led to anxiety and stress.Methods: The survey was conducted among the undergraduate medical students across the state of Maharashtra. The online semi-structured questionnaire was developed with the aid of Google form, among various undergraduate medical students by using DASS-21 scale.Results: In the present study, total 435 students responded and returned completely filled in questionnaire. Out of these 435 study participants, 213 (48.97%) were male students and remaining 222 (51.03%) were female students. Based on responses to the DASS-21 scale, study participants can be categorized as normal or with mild, moderate, severe and extremely severe depression, anxiety or stress.Conclusions: The present study concludes that psychological health of the undergraduate medical students who participated for the survey is involved to a sizeable extent. Depression and anxiety and some or other degree of stress was detected in the participants as a common finding.
IntroductionThere are numerous reports of disrespectful, abusive, or neglectful treatment during childbirth from health facilities worldwide. Although India has substantially increased the number of hospital deliveries and reduced the maternal mortality ratio, the quality of intrapartum and immediate postpartum care for delivering mothers has not been given much importance. Therefore, assessing mistreatment and quality of care during childbirth is vital for promoting respectful maternity care. MethodsA descriptive hospital-based cross-sectional study was carried out in a tertiary care center in central India. A convenience sampling method was used, and a total of 150 consecutive consenting women aged 18-49 years who delivered in the study setting were included. Data was collected using a predesigned and pretested questionnaire based on seven major categories per the Respectful Maternity Care (RMC) Charter. ResultsAll the 150 women in the present study, i.e., 100%, experienced at least one form of disrespect during their labor, childbirth, or postnatal period at the hospital. The mean scores for domains of non-confidential care (0.59), non-consented care (0.95), abandonment or denial of care (1.21), and physical abuse (1.26) are low. ConclusionThe findings of the present study shed important light on the current state of respectful maternity care in the study area. Though mothers are noticing and reporting positive changes in maternity care practices, respectful maternity care still has a long way to go.
A remerging infectious disease that has caught the entire world unaware. Coronavirus is an enveloped virus having non- segmented positive-sense RNA genome and belongs to the family Coronaviridae. Important modes of transmission are direct contact and respiratory droplets. Though the virus survives on environmental surfaces for varied period of time, it gets easily inactivated by chemical disinfectants .The major clinical features in uncomplicated cases include fever (88%), dry cough (67%), myalgia (14.9%) or fatigue (38%). In the absence of an effective treatment and vaccine, preventive measures like physical distancing, hand hygiene, following respiratory etiquettes & wearing mask assume great importance. Vigourous surveillance, contact tracing and containment can go a long way in controlling the spread of Covid 19.
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