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Using SARS-CoV-2 to instruct PCR along with carbamide peroxide gel electrophoresis inside a couple of asynchronous far-away understanding lab physical exercises.
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Violence against women is a major public health problem and a violation of their human rights. Bavdegalutamide Intimate partner violence (IPV) during pregnancy has been linked to various adverse maternal health outcomes and birth outcomes.
The aim of this study is to assess the magnitude of maternal complications and adverse birth outcomes in relation to IPV.
Prospective observational study was conducted from April 2015 to May 2018 in the antenatal clinic of a Tertiary Care Hospital in Delhi.
Sample of 1500 pregnant women (≤20 weeks gestation) were recruited and followed up at regular intervals, up to the birth outcome.
Data were analyzed using the Statistical Package for the Social Sciences version 25. Bavdegalutamide Value of
< 0.05 was considered statistically significant.
Prevalence of IPV at baseline was 29.7%. Significantly higher proportion of IPV victims (47.2%) had poor weight gain during the pregnancy. Subjects reporting violence at any of the study contacts had a higher incidence of preterm delivery (12.7%), and a significantly higher incidence of low birth weight in the newborns (32.1% vs 22.3%) (
< 0.05).
The findings reveal that IPV during pregnancy is common and significantly associated with adverse maternal and birth outcomes. The findings stress need for research and development of a screening tool to identify violence early in pregnancy and thus prevent its consequences.
The findings reveal that IPV during pregnancy is common and significantly associated with adverse maternal and birth outcomes. The findings stress need for research and development of a screening tool to identify violence early in pregnancy and thus prevent its consequences.
Diabetes is a psychologically challenging medical condition. Diabetes distress (DD) refers to the unique, often hidden emotional burdens and worries that the patient experiences when managing diabetes.
The objective of the study was to find the burden and identify the predictors of DD in adult Type 2 diabetes mellitus (T2DM) patients.
Two hundred and fifty T2DM patients were recruited for this study from the endocrine outpatient department from February to April 2019. DD was measured using the Diabetic Distress Scale.
The prevalence of DD was 19.6%. The risk of DD was 4.25 times more in those aged ≤45 years as compared to those aged >45 years. Patients with hemoglobin A1c (HbA1c) >8% had 8.8 times more DD. Patients on insulin had more DD (5.4 times) as compared to patients who were on oral antidiabetic drugs. Patients with a history of treatment interruption had 11 times more risk of DD as compared to patients who did not.
DD was found to be high among patients aged ≤45 years, illiterates, patients on insulin, patients with a history of treatment interruption, and those with HbA1c >8%. Patients with high DD were found to have higher HbA1c levels.
8%. Patients with high DD were found to have higher HbA1c levels.
A major social problem among clients with substance use disorders is stigmatization related to health conditions, which contributes to poor mental and physical health circumstances and becomes hazardous to substance abuse treatment. Meanwhile, decreased stigmatization among cannabis users might occur because some people use cannabis without experiencing harm or believe it to be a harmless substance and might not be receiving treatment. link2 Several studies have investigated stigma toward substance use disorder and treatment. However, less is known about how stigmatization influences treatment.
To investigate the association between the perceived stigma of addiction and treatment utilization among cannabis addicts.
A cross-sectional design was conducted with consecutive sampling techniques among 977 cannabis users recruited from all 7 compulsory drug detention centers in Thailand. The data were collected by standardized interviewers with a structured interviewing questionnaire. Binary logistic regression was applied to determine the effect of perceived stigma of treatment utilization.
Most clients were male (84.5%), had a family history of drug problems (54.5%), and had a history of mental health problems (5.1%). Most of them reported moderate-to-high levels of perceived stigma (87.2%) and received treatment (28.9%). Greater perceived stigma was associated with decreased treatment for cannabis abuse.
The perceived stigma of addiction is a barrier to cannabis abuse treatment utilization. link2 Thus, a better understanding of stigma could reduce its negative impact on seeking and engaging in treatment.
The perceived stigma of addiction is a barrier to cannabis abuse treatment utilization. Thus, a better understanding of stigma could reduce its negative impact on seeking and engaging in treatment.
The effective implementation of evidence-based practices including the use of partograph to improve maternal and newborn outcomes is critical on account of increased institutional delivery. However, despite clear guidelines, partograph use in India is not widely practiced.
Quality improvement (QI) efforts along with training and mentoring were operationalized in a total of 141 facilities across 26 high priority districts of India. Assessments were conducted across baseline, intervention period, and end line. These included reviewing the availability of partograph and staff competency in filling them at baseline and end line, as well as reviewing monthly data for use and completeness of filling. Bavdegalutamide The monthly data were tabulated quarter wise to study trends. Competency scores were tabulated to show the difference across assessments.
An overall upward trend from 29% to 61% was seen in the practice of partograph use. Simultaneously, completeness in filling up the partograph increased from 32% to 81%. Staff competency in filling partograph improved considerably proportion of staff scoring low decreased over the intervention period from 63% to 2.5% (
< 0.0001), and the proportion scoring high increased from 13% to 72% (
< 0.0001) from baseline to end line.
The integrated approach of training, mentoring, and QI can be used in similar settings to strengthen partograph use.
The integrated approach of training, mentoring, and QI can be used in similar settings to strengthen partograph use.
Nutritional status is the sensitive indicator of a child's health, and they constitute the most vulnerable segment of any community. Undernutrition causes a great deal of physical, mental, and emotional suffering. Anganwadi is a part of the Integrated Child Development Services program started to combat child hunger and child malnutrition. This study was undertaken to assess the nutritional status of the children (6 months-6 years) in Anganwadis and determine the sociodemographic factors associated with malnutrition and to assess their dietary intake.
This cross-sectional study was undertaken among 580 children in Anganwadis in the urban field practice area of a Medical college in Tumkur.
In this study, the overall prevalence of underweight, stunting, and wasting was found to be 34.14%, 45.52%, and 35.52%, respectively. Age, socioeconomic status, immunization status, religion, and mother's education was associated with undernutrition. link2 The deficient intake of calorie and protein was seen in 90% and 64.8% of the study participants.
The present study showed that there is still a high prevalence of undernutrition among the Anganwadi children aged 6-72 months. Socioeconomic factors have a significant role in child nutrition, which manifests itself as poor development.
The present study showed that there is still a high prevalence of undernutrition among the Anganwadi children aged 6-72 months. link3 Socioeconomic factors have a significant role in child nutrition, which manifests itself as poor development.
Targeted intervention (TI) project aimed to interrupt HIV transmission among highly vulnerable population and their clients.
To compare survival among HIV-positive versus survival among HIV-negative women.
Prospective cohort with retrospective comparison.
Two drop in center clinics.
Data were collected for 5 years from 2009 to 2014. Pretested semi-structured questionnaire was used for data collection.
The mean age of high-risk women was 32.48 ± 4.67 years. The mean survival among HIV-negative women was 110.62 ± 0.6 months and mean survival among HIV-positive women was 91.09 ± 7.67 months. link3 The mean interval to death among women with sexually transmitted diseases (STDs) was 113.50 ± 1.30, whereas the mean interval to death among women with no STDs was 105.65 ± 0.76.
= 0.00 by log-rank test.
Status of high-risk women according to HIV, STDs, typology, category and partner wise were found to have a significant difference in survival experience, whereas PRR positivity for syphilis, literacy, alcohol intake do not have a significant difference.
Status of high-risk women according to HIV, STDs, typology, category and partner wise were found to have a significant difference in survival experience, whereas PRR positivity for syphilis, literacy, alcohol intake do not have a significant difference.
The majority of dog-mediated human rabies as well as rabies-related human deaths are reported from low-income countries of Asia and Africa where access to appropriate postexposure prophylaxis is limited or nonexistent. At present, India is second in position after China in terms of having the highest number of mobile phone users surpassing the United States.
In this context, we decided to develop a user-friendly, technically less demanding, mobile App for health-care professionals, which is accessible even without Internet facility.
The current study was conducted in four phases, namely assemblage of informational contents on rabies, development of the software, assessment of the reliability of the questionnaire tool and evaluation of the mobile App. link3 The evaluation of App was conducted among physicians and nursing staffs in a tertiary care referral hospital.
The information content was prepared referring national and international guidelines. The App was designed with Hypertext Markup Language 5 for presentation on the World Wide Web and was coined the name of "RabiApp." This is a hybrid App of the native App and web App, allowing the information to be stored in the local server. The mobile App was assessed using a validated and reliable questionnaire after confirming the internal consistency by means of Cronbach's alpha. The overall Cronbach's alpha for the main scale was 0.788, which was a respectable score.
The developed App is a user-friendly, easily accessible platform, which can help health-care professionals in making decisions regarding rabies wound management, treatment, and prophylaxis.
The developed App is a user-friendly, easily accessible platform, which can help health-care professionals in making decisions regarding rabies wound management, treatment, and prophylaxis.
Tamil Nadu's Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS) aims at reducing inequity by making the health service affordable and available by roping in both the public and private providers.
This study aims to find if there exist any inter-district disparity in the distribution of hospitals empaneled and utilization of services under the CMCHIS scheme.
A secondary data analysis was done using the CMCHIS data on hospitals empanelled and number of claims made in the scheme for the year 2018.
The districts were classified into high-developed district (HDD), middle-developed district (MDD), and low-developed district (LDD) based on the Human Development Index. Availability of hospital services was calculated as the number of empanelled hospitals/100,000 families enrolled. Utilization was calculated as the number of claims made by people living in the district per one lakh families enrolled and number of claims made by hospitals under CMCHIS/100,000 enrolled.
The relationship between enrolment ratio, hospital availability, number of claims made, and Human Development Index across districts was examined using the Pearson's Correlation analysis.
