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Patel D.J.,Shri Sathya Sai Medical College and Research Institute | Patel D.J.,Mahatma Gandhi Institute | Tekade P.R.,Government Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2011

A number of Organophosphorus compounds have been introduced in Indian market as agricultural insecticides, being effective against wide range of insects and pests. But a number of these compounds have proved to be more toxic to humans than its utility as insecticides, pesticides or fungicides. This study aims to evaluate the certain factors which are very significant in relation to outcome of Organophosphorus compound poisoning like age, sex, SE status, marital status, reason of committing suicide, etc. and attempt to know its prevalence in society and try to plan for future preventive strategy. The study was carried out on 288 cases of Organophosphorus compound poisoning which come to Maharani Hospital, Jagdalpur, (C.G) from 01/01/2007 to 31/12/2009. M: F ratio was 1.3: 1.0. Majority of the cases were in age group of 21-30 yrs includes 128 cases (44.44%). Higher proportion of cases from lower class of society 141 cases (48.95%), from rural area 237 cases (82.29%), due to lack of education in affected community. Suicidal intent to consume the compound was the commonest - 250 cases (86.80%). Recovery rate was highest amongst those who consume less than 10 ml of poison - 120 cases (41.66%). Source


Shrivastava S.R.,Shri Sathya Sai Medical College and Research Institute | Ghorpade A.G.,Sri Manakula Vinayagar Medical College and Hospital
Journal of Research in Health Sciences | Year: 2014

Background: We aimed to assess the prevalence of type-2 diabetes in rural Pondicherry and to study the determinants of Diabetes Mellitus (DM) in the rural population of Pondicherry, south India.Methods: It was a cross-sectional community-based study conducted from November 2010 to January 2012 in two of the field practice villages affiliated to a Medical College in Pondicherry. Sample size was calculated using open source software, Open Epi Version 2.3.10. The sampling frame comprised individuals aged above 25 years and single stage cluster random sampling was carried out. After obtaining the verbal informed consent each of the study participants were inter-viewed face-to-face using a pre-tested structured questionnaire. Data were analyzed using the SPSS version 16.Results: The age of the study participants ranged from 25 to 98 years with mean of 42.6 (±13.7) and majority of the study participants 339 (32.5%) from the age-group of 30-39 years. The prevalence of diabetes was 19.8% (60-69 years), 17.1% (40-49 years), 16.8% (50-59 years), and 13.6% (>69 years) among study subjects. In univariate analysis, higher age, being educat-ed, unemployed and poor was associated with higher risk of diabetes mellitus (DM). Further-more, a high triglyceride level was significantly associated with increase in the risk of DM (ad-justed odds ratio: 3.01; 95% CI: 1.86, 4.86).Conclusions: Type-2 diabetes mellitus (T2DM) is an important public health problem in the adults of rural Pondicherry. Among non-modifiable factors, higher age, better socio-educational background and positive family history of diabetes was significantly associated with T2DM. © 2014, Health Hamadan University of Medical Sciences. All rights reserved. Source


Prateek S.S.,Shri Sathya Sai Medical College and Research Institute | Saurabh R.S.,Shri Sathya Sai Medical College and Research Institute
African Health Sciences | Year: 2012

Background: India was the first country in world to launch - The National Family Welfare Programme in1951 but even today the couple protection rate (CPR) is still not achieved as desired. Objectives: To determine extent of awareness regarding contraception among married women. To estimate proportion of couples using contraceptive methods, identify reasons for their adoption & non adoption and to assess unmet needs for contraception. Methods: A cross sectional descriptive study of four months duration was conducted among married women in reproductive age group (15 - 49 years) attending general out-patient department in Urban Health Centre (UHC) employing universal sampling method. Participants not willing to respond and pregnant women were excluded. Total of 180 women were selected as study participants. Every woman was interviewed face to face with pre-tested questionnaire after taking informed consent. The data was analyzed by SPSS version 16. Results: 94 (52.2%) were in age group of 20 - 24years. 52.4% of women were aware about contraceptive practices, of which only 32.2% of subjects were using contraceptive methods. Out of these subjects, 89.66% used temporary methods and 10.34% used permanent methods. Cu-T (41.37%) was most preferred method. 93 subjects (51.6%) had unmet need for contraception. Religion, education status and age at marriage were significantly associated with contraceptive usage. Conclusion: The results suggest a significant Knowledge - Application Gap with regards to contraceptives knowledge and their actual usage in study participants. Almost fifty percent of the subjects had unmet need for contraception. This shows the need for more intense awareness campaigns for promoting contraceptive usage. Source


Shrivastava P.S.,Shri Sathya Sai Medical College and Research Institute | Shrivastava S.R.,Shri Sathya Sai Medical College and Research Institute
International Journal of Preventive Medicine | Year: 2013

Background: Gender-based violence is recognized as a major issue on international human rights agenda. Domestic violence and abuse can happen to anyone, yet the problem is often overlooked, excused, or denied. This is especially true when abuse is psychological, rather than physical. Methods: A community-based cross-sectional study of 6 months duration was undertaken with the objective of studying the proportion and different forms of domestic violence, factors influencing it, and to study treatment-seeking behavior of these women. The study participants were married women in the age group 18-45 years residing in an urban slum area of Malwani, Mumbai. Using stratified random sampling, 274 subjects were selected. House to house visits were paid and they were interviewed face to face using a pretested semi-structured questionnaire after obtaining their informed consent. Rapport was established with the help of a Medical Social Worker. The questionnaire included information pertaining to the sociodemographic parameters and experience of domestic violence in the last 1 year and their treatment-seeking behavior for the same. Utmost care was taken to maintain privacy and confidentiality. Analysis was done using SPSS version 17. Results: The proportion of domestic violence was 36.9%. The most common form of violence was verbal in 87 (86.1%) followed by physical in 64 (63.4%). Conclusion: A significant association was found between domestic violence and age, education, spousal alcoholism, and duration of marriage. Source


Shrivastava S.R.,Shri Sathya Sai Medical College and Research Institute | Shrivastava P.S.,Shri Sathya Sai Medical College and Research Institute | Ramasamy J.,Shri Sathya Sai Medical College and Research Institute
Asian Pacific Journal of Tropical Disease | Year: 2015

Ebola virus disease (EVD), previously known as Ebola hemorrhagic fever, is a severe illness caused by Ebola filovirus, and is often fatal if left untreated. The first case of the current EVD was diagnosed in Guinea in March 2014, and since then it has spread to Sierra Leone, Liberia, Nigeria, and Senegal. The current review has been performed with an objective to explore the magnitude of the current Ebola virus epidemic and identify the multiple determinants that have resulted in the exponential growth of the epidemic. An extensive search of all materials related to the topic was done for almost two months (August-October) in Pubmed, Medline, World Health Organization website and Google Scholar search engines. Relevant documents, reports, recommendations, guidelines and research articles focusing on the different aspects of Ebola virus and its current outbreak, published in the period 2002-2014 were included in the review. Keywords used in the search include Ebola virus, Ebola virus disease, Ebola hemorrhagic fever, Ebola vaccine, and Ebola treatment. The current EVD epidemic has turned out to be extensive, severe, and uncontrollable because of a delayed response and ineffective public health care delivery system. In fact, multiple challenges have also been identified and thus a range of interventions have been proposed to control the epidemic. In conclusion, the 2014 epidemic of EVD has shown to the world that in absence of a strong public health care delivery system even a rare disease can risk the lives of millions of people. The crux of this epidemic is that a large scale and coordinated international response is the need of the hour to support affected and at-risk nations in intensifying their response activities and strengthening of national capacities. © 2015 Asian Pacific Tropical Medicine Press. Source

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