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1.
J Glob Health ; 11: 04038, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34484706

RESUMO

Background: By 2030, Sustainable Development Goal 3.4 aims to reduce the premature mortality caused by non-communicable diseases through prevention and treatment. Chronic obstructive pulmonary disease is the second leading cause of mortality and disability-adjusted life years in India. This review was conducted to estimate the prevalence of COPD using systematic review and meta-analysis technique. Method: Search was conducted using six databases for studies on COPD among population above 30 years in India between years 2000 to 2020. Cross-sectional and cohort studies reporting prevalence of COPD and associated risk factors were included in the present review. Screening and data extraction was done by two authors independently. Studies were appraised for quality using the modified New Castle Ottawa scale and reporting quality was assessed using STROBE guidelines. Result: Our search returned 8973 records, from which 23 records fulfilled the eligibility criteria. Overall, the prevalence of COPD among population aged 30 years and above in India was 7%. Risk factors like active and passive smoking, biomass fuel exposure, environmental tobacco smoke, occupational exposure to dust, indoor and outdoor pollution, and increasing age were reported to have a significant association with COPD among Indian population. Conclusion: Our findings suggest the need for a multicentric national-level research study to understand COPD burden and its contributing risk factors. The findings also suggest the need for COPD sensitive health literacy program focused on early screening and primary prevention of risk factors for COPD, which may help early initiation of self-management practices, that are crucial for better quality of life.


Assuntos
Doença Pulmonar Obstrutiva Crônica , Qualidade de Vida , Estudos Transversais , Humanos , Índia/epidemiologia , Prevalência , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Fatores de Risco
2.
Artigo em Inglês | MEDLINE | ID: mdl-34523326

RESUMO

Like many developing countries, India was devastated by the raging pandemic of Covid 19. With the active involvement of the government and the community, the disaster was fought with. However, the impact was uneven across the country. The present study aimed to identify the factors responsible for variation in case burden of Covid-19. Data on demographic factors and co-morbidities were obtained from different sources available in the public domain. Descriptive statistics were used for comparison between states. A total of 30 states were taken into account. Correlation was used to find out association between different factors and the burden of Covid-19. Data on Covid were collected till 9th May, 2021. The burden of Covid-19 was strongly related to the literacy status and economy of the state (r = 0.574 and 0.730, respectively). The burden of self-reported hypertension and diabetes was also statistically linked to the burden of Covid-19 (r = 0.539 and 0.721, respectively). Overweight and obesity were also associated with the burden of Covid-19 (r = 0.614 and 0.561, respectively). Therefore, in areas with a high proportion of patients with co-morbidities, limited resources may be mobilized for a better outcome. As the states with poor literacy and health condition suffered the most. Tailored intervention is wanted to reach the poor and vulnerable.

3.
J Family Med Prim Care ; 9(8): 4496, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33110902
5.
Virusdisease ; : 1-2, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32837971

RESUMO

In response to Coronavirus 19 pandemic, countries are struggling to contain its spread and save precious human lives. Like others, India is also trying to enhance testing capacity to identify every case and break the chain of transmission. Due to several constrains like geographic distribution of the laboratories, social stigma, prevailing lockdown, people are not being able to seek medical help every time they need. In addition, the states are not doing laboratory tests in similar frequency. In future, doing extensive tests would emerge as a major strategy for stopping the progression of the pandemic.

6.
BMJ Evid Based Med ; 2020 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-32554505
7.
Med J Armed Forces India ; 76(3): 360, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32425314
8.
Ci Ji Yi Xue Za Zhi ; 32(2): 171-174, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32269950

RESUMO

Objective: Institutional delivery (ID) plays a vital role for determining the outcome of pregnancy and ensuring care to mother and newborn. The present study aims to find out the correlates of ID from the eastern part of India. Materials and Methods: Data from National Family Health Survey 4 were analyzed for three states - Bihar, West Bengal, and Jharkhand, keeping district as a unit of analysis. Correlation and regression were used for finding out the determinants of ID. Results: Overall, 67.8% of deliveries were conducted in hospitals. All the three states were able to improve performance on related health parameters like antenatal care. After adjusting for other variables, on multiple linear regression, female literacy was significantly related to ID. Conclusions: Social parameters need to be focused for encouraging ID.

9.
Curr Probl Cancer ; 44(4): 100512, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703986

RESUMO

OBJECTIVE: Lung cancer is the most common cancer in the world. There is scarcity of research papers at national level on its sociodemographic dimensions. The present paper aims to correlate death from lung cancer with certain demographic factors. METHODS: Retrieved data from National Family Health Survey 4, Global Adult Tobacco Survey 2: India 2016-2017 and India: Health of the Nation's States were analyzed, as state and/or Union Territories unit of analysis. Spearman correlation coefficient and multivariate linear regression were used for finding out association with smoking, smokeless tobacco, alcohol consumption, second hand smoking, per capita income and use of clean fuel. RESULTS: Except Kerala, most of the states with higher death rate were confined to north India. Smoking (r = 0.575, P= 0.001), SHS at home and work (r = 0.476, P= 0.008 and r = 0.374, P= 0.042, respectively) were significantly related to deaths from ca lung. On regression, clean fuel was found significantly associated with ca lung mortality. CONCLUSION: There is need to put emphasis on tobacco cessation and primary prevention of smoking.


Assuntos
Neoplasias Pulmonares/mortalidade , Fumar/efeitos adversos , Fatores Socioeconômicos , Humanos , Índia/epidemiologia , Neoplasias Pulmonares/epidemiologia , Neoplasias Pulmonares/etiologia , Metanálise como Assunto , Prognóstico , Taxa de Sobrevida
11.
J Trop Pediatr ; 64(4): 336-341, 2018 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-29045735

RESUMO

Objective: We conducted a study to find a relationship between main weather parameters with admission of positive dengue cases in a tertiary hospital. Methods: Retrospective analysis was undertaken to identify epidemiological trend of dengue in 2016 from paediatric wards of a tertiary hospital in New Delhi. Data were collected on patient particulars and daily weather from January to December 2016. Results: A total of 266 confirmed cases of dengue were considered. Relative humidity (RH) was associated with burden of positive dengue cases. On week-wise analysis, each surge of dengue admission was preceded by heavy rain 4-6 weeks earlier. Monthly averaged daily temperature range and RH were noted to have strong correlations with dengue burden, keeping an interval of 2 months in between. Conclusions: Weather parameters seem to influence magnitude of dengue epidemic, particularly in dengue season. There is need to have an in-depth study about developing a prediction model for dengue epidemic.


Assuntos
Culicidae/virologia , Vírus da Dengue/fisiologia , Dengue/epidemiologia , Epidemias , Insetos Vetores/virologia , Temperatura , Animais , Criança , Dengue/virologia , Feminino , Hospitalização , Humanos , Índia/epidemiologia , Masculino , Chuva , Estudos Retrospectivos , Estações do Ano , Distribuição por Sexo , Tempo (Meteorologia)
13.
14.
Indian Pediatr ; 54(2): 153-154, 2017 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-28285291

RESUMO

The retrospective study analyzed 1025 bacterial isolates from blood cultures collected from pediatric patients admitted in a tertiary-care hospital in New Delhi to find out drug sensitivity patterns. Staphylococcus was isolated from approximate 70% of the cultures, with 63.7% of them being methicillin-resistant. Meropenem resistance among acinetobacter was 38.6%.


Assuntos
Bacteriemia , Acinetobacter/efeitos dos fármacos , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Bacteriemia/tratamento farmacológico , Bacteriemia/epidemiologia , Bacteriemia/microbiologia , Criança , Pré-Escolar , Farmacorresistência Bacteriana , Humanos , Índia/epidemiologia , Lactente , Recém-Nascido , Testes de Sensibilidade Microbiana , Prevalência , Estudos Retrospectivos , Staphylococcus/efeitos dos fármacos
16.
Indian Pediatr ; 54(3): 246-247, 2017 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-28159952

RESUMO

195 cases of acute poisoning among children (age<12 y) in a tertiary hospital were identified over a period of one year. Two-thirds (63%) of them were males and 75% were below five years of age. Poisoning by medicines was most common (17%) followed by ingestion of corrosives/detergents (16%) and kerosene (14%).


Assuntos
Envenenamento/epidemiologia , Criança , Pré-Escolar , Feminino , Hospitalização , Produtos Domésticos/envenenamento , Humanos , Índia/epidemiologia , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos
17.
Indian Pediatr ; 54(1): 60-61, 2017 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-27889719

RESUMO

Retrospective analysis was done for 3817 children aged 5-12 years admitted in a tertiary-care, public hospital in New Delhi between January to December, 2015. Mortality rate was 5.8%. About 47.1% deaths were due to central nervous system involvement; viral meningoencephalitis being the predominant cause. Overall, infectious diseases caused >80% of deaths. Public health interventions to reduce child mortality need to review such data for effective measures.


Assuntos
Causas de Morte , Mortalidade Hospitalar , Hospitais Públicos , Criança , Mortalidade da Criança , Pré-Escolar , Humanos , Índia/epidemiologia , Estudos Retrospectivos
20.
Indian J Community Med ; 41(4): 305-306, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27890983
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