National Journal of Community Medicine, Sep 30, 2020
"Introduction: Increase in urbanization has resulted in exponential generation of solid waste. Ex... more "Introduction: Increase in urbanization has resulted in exponential generation of solid waste. Exposure to various types of harmful waste is known to affect health of solid waste collectors. Hard manual labour involving frequent bending, travelling for long distance and early working hours further increase their risk of health morbidity. Aims and Objectives: To identify risk factors of health hazards in solid waste collectors of urban Maharashtra. Results: A cross-sectional study was conducted to collect data re-garding clinico-social profile of solid waste collectors of Pune. Diet of all the population was found to be deficit for calorie and protein. Average female solid waste collector was anemic. More than 80% of the study population reported musculoskeletal problems such as leg and black problem which increased with increase in duration of job. Skin problems like Itching, Dryness, Hypopigmentation, Lymphadenopathy and respiratory illness were significantly more among those who worked for less than five years in this job. Conclusion: Frequent health checkups and proper counseling regarding health care is essential for this population to decrease burden of disease."
National Journal of Community Medicine, Nov 30, 2020
"Background: Natural disasters are known to have prolonged psy-chological impact on the people wh... more "Background: Natural disasters are known to have prolonged psy-chological impact on the people who face them. In India where 60% of population depends on agriculture, such natural calamities cause great psychological stress along with economic loss. Identi-fying the factors associated with psychological morbidities will help in planning preventive measures to mitigate the burden of disease in such disaster-prone areas. Objectives: To assess prevalence of psychological stress, depression and anxiety among the individuals who faced ‘Nisarga’ cyclone and the socio-economic factors associated with it. Methods: A cross sectional study was done among the people of costal Maharashtra 2 months after severe cyclone Nisarga had hit the area. Data was collected using a structured questionnaire from a stratified random sample of people from various occupations. Data was analysed using SPSS 26 software. Result: It was observed that 75% of the study samples were extreme cases of anxiety, almost 60% had extremely severe depression and nearly half of the population had extremely severe stress Age severity of problem and financial loss were significantly associated with severity of depression anxiety and stress. In addition, Severity of Depression was associated with Gender, and severity of stress was significantly associated with type of family. Conclusion: Quick assessment of economic damage and rehabilitation will help in reducing severity of psychological depression, anxiety and stress among people facing natural disaster."
Stress is an integral part of human life and it can increase depression and anxiety which can ham... more Stress is an integral part of human life and it can increase depression and anxiety which can hamper an individuals personal life, relationship or work satisfaction. To counter the issue of stress, anxiety and depression there are various pharmacological and nonpharmacological coping methods. As an intervention, the participants were taught Anapanasati meditation (brief mindfulness meditation) for 10 minutes daily for duration of 4 weeks (5 days a week). Self rating Perceived stress scale (PSS) and DASS-42 were administered before the beginning and at the end of the course. Analysis showed that the number of people who did not have depression, anxiety or stress increased significantly after the four weeks session of Anapana meditation. We conclude that even a very short span of 10 minutes of daily anapana meditation session can significantly and positively lower the intensity of depression, anxiety and stress.
OBJECTIVES : 1.To study the types of contraception 2. To study the reasons for not using contrace... more OBJECTIVES : 1.To study the types of contraception 2. To study the reasons for not using contraception STUDY DESIGN : Cross sectional study. METHODS: A study of contraceptive practices in rural area was carried out in the month of Jan.99. The area is located just 34 kms away from Pune, Maharashtra. The permission for carrying out the study was taken from Sarpanch of the village. Entire population of the rural area, Urse, Adhe, Ozarde was covered RESULTS: It was observed that none of the eligible couples practiced temporary contraceptive methods though C.P.R. was 67%. Regarding permanent contraception, majority of eligible couples had preferred tubectomy. The reasons for not using contraceptions were ignorance, fear and lack of motivation. It was observed that the trained birth attendant was called upon to conduct the delivery at many cases. It was observed that Breastfeeding was started after 3 days of delivery in majority of cases. This was the most surprising finding. CONCLUSIONS:...
Journal of Clinical Ophthalmology and Research, 2015
Background: Population-based studies of lens opacity have suggested that the distribution of lens... more Background: Population-based studies of lens opacity have suggested that the distribution of lens opacity types may differ between races. We report the prevalence of the different types of age-related cataract based on the LOCS III (Lens opacification classification system III) grading cataract among adults in the western Indian state of Maharashtra. Materials and Methods: Cataract was classified on examination of eyes with dilated pupils. Demographic data included age, sex, occupation, dietary habits (vegetarian or non-vegetarian), and tobacco use. Results: A total of 198 patients were included in the present study. The highest prevalence was that of nuclear sclerosis (NS), in its pure form (45.5%) or as mixed occurrence [3% NS+CC (cortical cataract) and 11.1% NS+PSCC (posterior sub-capsular cataract)]. The prevalence of NS was significantly higher (57.4%) in higher age group as compared to that in lower age group (33.7%). On the other hand, prevalence of NS+PSCC cases was more than double (26.5%) in lower ( 65 years) age group (11.1%). The type of occupation was significantly associated with type of cataract (χ2 = 11.64, P = 0.003); majority (50%) of the CC type and NS+PSCC type (41.2%) were farmers, whereas 50.8% of NS type were housewives. Majority of the diabetic patients (71.1%) belonged to NS type. Among the tobacco users 56.8% had the nuclear sclerosis type of cataract. Conclusions: Nuclear sclerosis was the most prevalent morphology of cataract in the study group.
A clinical mercury sphygmomanometer was used to measure Maximal Expiratory Pressure (MEP) in 29 b... more A clinical mercury sphygmomanometer was used to measure Maximal Expiratory Pressure (MEP) in 29 boys (mean age 8 +/- 1.4 yr) and 21 girls (mean age 7.6 +/- 1.5 yr) of a village in interior Maharashtra. The values of 70.6 +/- 13.4 mmHg SD for the boys and 61.9 +/- 18.9 mmHg for the girls were quite comparable to the respiratory pressures reported elsewhere in literature, even though the subjects were apparently poorly nourished. There was no statistical difference between the MEPs of boys and girls. The MEP was positively and significantly (P<0.01) correlated to height (r=0.51) and weight (r=0.05) in the boys. The MEP denoting respiratory muscle strength also correlated positively with handgrip power used to represent non-respiratory muscle strength (r=0.34) (P>0.05). The simple, reproducible method of measuring MEP as described may be useful for measuring this important physiological parameter at the bedside in children whose respiratory muscle function needs to be evaluated.
Substance abuse : official publication of the Association for Medical Education and Research in Substance Abuse, 2013
Background: The objectives of this study were to (i) determine the prevalence of and characterist... more Background: The objectives of this study were to (i) determine the prevalence of and characteristics associated with tobacco smoking; (ii) identify the factors associated with tobacco smoking; and (iii) evaluate the association between tobacco smoking and khat chewing among intermediate and secondary school students in Jazan Region, Saudi Arabia. Methods: A cross-sectional study was conducted with a representative sample (N = 4100) of intermediate and secondary school students in Jazan Region. The data were collected using a pretested modified version of the global youth tobacco survey questionnaire. Results: A total of 3923 students from 72 intermediate and secondary schools for males and females in Jazan Region, Saudi Arabia, were included in this study. The ever having smoked prevalence was 17.3%, and the current smoking prevalence was 10.7%. The most important independent predictors of smoking were academic performance (odds ratio [OR]: 5.32), having friends who used khat (OR: 3...
International Journal Of Community Medicine And Public Health
Background: The doctor-patient relationship is the core foundation for healing, care, establishme... more Background: The doctor-patient relationship is the core foundation for healing, care, establishment of trust and an essential part of modern-day medical ethics. The last few decades have seen an exponential growth in the scientific component of the medical field which has led to a strain on doctor-patient relationship. With the growing trend of patients wanting more information from their doctor in order to have a more active role in their health-care, active communication from the physician’s end is needed. Present study aims to find out what doctors over various fields expect out of this relationship.Methods: A cross sectional prospective study was conducted among a total of 49 urban and rural doctors of various specialities in an urban area of Maharashtra using a pre-structured questionnaire. The statistical tools used to analyse the data was by using Microsoft excel software.Results: It was also noted that time spent with patients was less by the specialists as compared with oth...
International Journal Of Community Medicine And Public Health
Background: Domestic solid waste collectors play important role in maintain hygiene of a communit... more Background: Domestic solid waste collectors play important role in maintain hygiene of a community, especially in developing countries. Yet not many efforts are done to identify their health needs. The main objective of this study is to identify the morbidity pattern and social problems of solid waste collectors in urban Maharashtra.Methods: It was a cross sectional study. Study population consisted of domestic solid waste collectors who are registered under municipal corporation. Sampling was purposive. All the domestic solid waste collectors who came for specially arranged health check-up were included in the sample. Social and demographic information along with clinical history was collected using a structured questionnaire. General physical exam, eye checkup, skin examination and lab investigations were done in a specially organized camp, after obtaining prior consent of the participants. Data was analyzed using SPSS 19 software.Results: More than 90% of 98 solid waste collecto...
National Journal of Community Medicine, Sep 30, 2020
"Introduction: Increase in urbanization has resulted in exponential generation of solid waste. Ex... more "Introduction: Increase in urbanization has resulted in exponential generation of solid waste. Exposure to various types of harmful waste is known to affect health of solid waste collectors. Hard manual labour involving frequent bending, travelling for long distance and early working hours further increase their risk of health morbidity. Aims and Objectives: To identify risk factors of health hazards in solid waste collectors of urban Maharashtra. Results: A cross-sectional study was conducted to collect data re-garding clinico-social profile of solid waste collectors of Pune. Diet of all the population was found to be deficit for calorie and protein. Average female solid waste collector was anemic. More than 80% of the study population reported musculoskeletal problems such as leg and black problem which increased with increase in duration of job. Skin problems like Itching, Dryness, Hypopigmentation, Lymphadenopathy and respiratory illness were significantly more among those who worked for less than five years in this job. Conclusion: Frequent health checkups and proper counseling regarding health care is essential for this population to decrease burden of disease."
National Journal of Community Medicine, Nov 30, 2020
"Background: Natural disasters are known to have prolonged psy-chological impact on the people wh... more "Background: Natural disasters are known to have prolonged psy-chological impact on the people who face them. In India where 60% of population depends on agriculture, such natural calamities cause great psychological stress along with economic loss. Identi-fying the factors associated with psychological morbidities will help in planning preventive measures to mitigate the burden of disease in such disaster-prone areas. Objectives: To assess prevalence of psychological stress, depression and anxiety among the individuals who faced ‘Nisarga’ cyclone and the socio-economic factors associated with it. Methods: A cross sectional study was done among the people of costal Maharashtra 2 months after severe cyclone Nisarga had hit the area. Data was collected using a structured questionnaire from a stratified random sample of people from various occupations. Data was analysed using SPSS 26 software. Result: It was observed that 75% of the study samples were extreme cases of anxiety, almost 60% had extremely severe depression and nearly half of the population had extremely severe stress Age severity of problem and financial loss were significantly associated with severity of depression anxiety and stress. In addition, Severity of Depression was associated with Gender, and severity of stress was significantly associated with type of family. Conclusion: Quick assessment of economic damage and rehabilitation will help in reducing severity of psychological depression, anxiety and stress among people facing natural disaster."
Stress is an integral part of human life and it can increase depression and anxiety which can ham... more Stress is an integral part of human life and it can increase depression and anxiety which can hamper an individuals personal life, relationship or work satisfaction. To counter the issue of stress, anxiety and depression there are various pharmacological and nonpharmacological coping methods. As an intervention, the participants were taught Anapanasati meditation (brief mindfulness meditation) for 10 minutes daily for duration of 4 weeks (5 days a week). Self rating Perceived stress scale (PSS) and DASS-42 were administered before the beginning and at the end of the course. Analysis showed that the number of people who did not have depression, anxiety or stress increased significantly after the four weeks session of Anapana meditation. We conclude that even a very short span of 10 minutes of daily anapana meditation session can significantly and positively lower the intensity of depression, anxiety and stress.
OBJECTIVES : 1.To study the types of contraception 2. To study the reasons for not using contrace... more OBJECTIVES : 1.To study the types of contraception 2. To study the reasons for not using contraception STUDY DESIGN : Cross sectional study. METHODS: A study of contraceptive practices in rural area was carried out in the month of Jan.99. The area is located just 34 kms away from Pune, Maharashtra. The permission for carrying out the study was taken from Sarpanch of the village. Entire population of the rural area, Urse, Adhe, Ozarde was covered RESULTS: It was observed that none of the eligible couples practiced temporary contraceptive methods though C.P.R. was 67%. Regarding permanent contraception, majority of eligible couples had preferred tubectomy. The reasons for not using contraceptions were ignorance, fear and lack of motivation. It was observed that the trained birth attendant was called upon to conduct the delivery at many cases. It was observed that Breastfeeding was started after 3 days of delivery in majority of cases. This was the most surprising finding. CONCLUSIONS:...
Journal of Clinical Ophthalmology and Research, 2015
Background: Population-based studies of lens opacity have suggested that the distribution of lens... more Background: Population-based studies of lens opacity have suggested that the distribution of lens opacity types may differ between races. We report the prevalence of the different types of age-related cataract based on the LOCS III (Lens opacification classification system III) grading cataract among adults in the western Indian state of Maharashtra. Materials and Methods: Cataract was classified on examination of eyes with dilated pupils. Demographic data included age, sex, occupation, dietary habits (vegetarian or non-vegetarian), and tobacco use. Results: A total of 198 patients were included in the present study. The highest prevalence was that of nuclear sclerosis (NS), in its pure form (45.5%) or as mixed occurrence [3% NS+CC (cortical cataract) and 11.1% NS+PSCC (posterior sub-capsular cataract)]. The prevalence of NS was significantly higher (57.4%) in higher age group as compared to that in lower age group (33.7%). On the other hand, prevalence of NS+PSCC cases was more than double (26.5%) in lower ( 65 years) age group (11.1%). The type of occupation was significantly associated with type of cataract (χ2 = 11.64, P = 0.003); majority (50%) of the CC type and NS+PSCC type (41.2%) were farmers, whereas 50.8% of NS type were housewives. Majority of the diabetic patients (71.1%) belonged to NS type. Among the tobacco users 56.8% had the nuclear sclerosis type of cataract. Conclusions: Nuclear sclerosis was the most prevalent morphology of cataract in the study group.
A clinical mercury sphygmomanometer was used to measure Maximal Expiratory Pressure (MEP) in 29 b... more A clinical mercury sphygmomanometer was used to measure Maximal Expiratory Pressure (MEP) in 29 boys (mean age 8 +/- 1.4 yr) and 21 girls (mean age 7.6 +/- 1.5 yr) of a village in interior Maharashtra. The values of 70.6 +/- 13.4 mmHg SD for the boys and 61.9 +/- 18.9 mmHg for the girls were quite comparable to the respiratory pressures reported elsewhere in literature, even though the subjects were apparently poorly nourished. There was no statistical difference between the MEPs of boys and girls. The MEP was positively and significantly (P<0.01) correlated to height (r=0.51) and weight (r=0.05) in the boys. The MEP denoting respiratory muscle strength also correlated positively with handgrip power used to represent non-respiratory muscle strength (r=0.34) (P>0.05). The simple, reproducible method of measuring MEP as described may be useful for measuring this important physiological parameter at the bedside in children whose respiratory muscle function needs to be evaluated.
Substance abuse : official publication of the Association for Medical Education and Research in Substance Abuse, 2013
Background: The objectives of this study were to (i) determine the prevalence of and characterist... more Background: The objectives of this study were to (i) determine the prevalence of and characteristics associated with tobacco smoking; (ii) identify the factors associated with tobacco smoking; and (iii) evaluate the association between tobacco smoking and khat chewing among intermediate and secondary school students in Jazan Region, Saudi Arabia. Methods: A cross-sectional study was conducted with a representative sample (N = 4100) of intermediate and secondary school students in Jazan Region. The data were collected using a pretested modified version of the global youth tobacco survey questionnaire. Results: A total of 3923 students from 72 intermediate and secondary schools for males and females in Jazan Region, Saudi Arabia, were included in this study. The ever having smoked prevalence was 17.3%, and the current smoking prevalence was 10.7%. The most important independent predictors of smoking were academic performance (odds ratio [OR]: 5.32), having friends who used khat (OR: 3...
International Journal Of Community Medicine And Public Health
Background: The doctor-patient relationship is the core foundation for healing, care, establishme... more Background: The doctor-patient relationship is the core foundation for healing, care, establishment of trust and an essential part of modern-day medical ethics. The last few decades have seen an exponential growth in the scientific component of the medical field which has led to a strain on doctor-patient relationship. With the growing trend of patients wanting more information from their doctor in order to have a more active role in their health-care, active communication from the physician’s end is needed. Present study aims to find out what doctors over various fields expect out of this relationship.Methods: A cross sectional prospective study was conducted among a total of 49 urban and rural doctors of various specialities in an urban area of Maharashtra using a pre-structured questionnaire. The statistical tools used to analyse the data was by using Microsoft excel software.Results: It was also noted that time spent with patients was less by the specialists as compared with oth...
International Journal Of Community Medicine And Public Health
Background: Domestic solid waste collectors play important role in maintain hygiene of a communit... more Background: Domestic solid waste collectors play important role in maintain hygiene of a community, especially in developing countries. Yet not many efforts are done to identify their health needs. The main objective of this study is to identify the morbidity pattern and social problems of solid waste collectors in urban Maharashtra.Methods: It was a cross sectional study. Study population consisted of domestic solid waste collectors who are registered under municipal corporation. Sampling was purposive. All the domestic solid waste collectors who came for specially arranged health check-up were included in the sample. Social and demographic information along with clinical history was collected using a structured questionnaire. General physical exam, eye checkup, skin examination and lab investigations were done in a specially organized camp, after obtaining prior consent of the participants. Data was analyzed using SPSS 19 software.Results: More than 90% of 98 solid waste collecto...
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Aims and Objectives: To identify risk factors of health hazards in solid waste collectors of urban Maharashtra.
Results: A cross-sectional study was conducted to collect data re-garding clinico-social profile of solid waste collectors of Pune. Diet of all the population was found to be deficit for calorie and protein. Average female solid waste collector was anemic. More than 80% of the study population reported musculoskeletal problems such as leg and black problem which increased with increase in duration of job. Skin problems like Itching, Dryness, Hypopigmentation, Lymphadenopathy and respiratory illness were significantly more among those who worked for less than five years in this job.
Conclusion: Frequent health checkups and proper counseling regarding health care is essential for this population to decrease burden of disease."
Objectives: To assess prevalence of psychological stress, depression and anxiety among the individuals who faced ‘Nisarga’ cyclone and the socio-economic factors associated with it.
Methods: A cross sectional study was done among the people of costal Maharashtra 2 months after severe cyclone Nisarga had hit the area. Data was collected using a structured questionnaire from a stratified random sample of people from various occupations. Data was analysed using SPSS 26 software.
Result: It was observed that 75% of the study samples were extreme cases of anxiety, almost 60% had extremely severe depression and nearly half of the population had extremely severe stress Age severity of problem and financial loss were significantly associated with severity of depression anxiety and stress. In addition, Severity of Depression was associated with Gender, and severity of stress was significantly associated with type of family.
Conclusion: Quick assessment of economic damage and rehabilitation will help in reducing severity of psychological depression, anxiety and stress among people facing natural disaster."
Aims and Objectives: To identify risk factors of health hazards in solid waste collectors of urban Maharashtra.
Results: A cross-sectional study was conducted to collect data re-garding clinico-social profile of solid waste collectors of Pune. Diet of all the population was found to be deficit for calorie and protein. Average female solid waste collector was anemic. More than 80% of the study population reported musculoskeletal problems such as leg and black problem which increased with increase in duration of job. Skin problems like Itching, Dryness, Hypopigmentation, Lymphadenopathy and respiratory illness were significantly more among those who worked for less than five years in this job.
Conclusion: Frequent health checkups and proper counseling regarding health care is essential for this population to decrease burden of disease."
Objectives: To assess prevalence of psychological stress, depression and anxiety among the individuals who faced ‘Nisarga’ cyclone and the socio-economic factors associated with it.
Methods: A cross sectional study was done among the people of costal Maharashtra 2 months after severe cyclone Nisarga had hit the area. Data was collected using a structured questionnaire from a stratified random sample of people from various occupations. Data was analysed using SPSS 26 software.
Result: It was observed that 75% of the study samples were extreme cases of anxiety, almost 60% had extremely severe depression and nearly half of the population had extremely severe stress Age severity of problem and financial loss were significantly associated with severity of depression anxiety and stress. In addition, Severity of Depression was associated with Gender, and severity of stress was significantly associated with type of family.
Conclusion: Quick assessment of economic damage and rehabilitation will help in reducing severity of psychological depression, anxiety and stress among people facing natural disaster."