IMJ Health : March 2015

International Journal, Journal, Research Journal,Medical Journal

Comparison of Quality of Life of Care Giver of Chronic Psychiatric and Chronic Medical Patients

Abstract Chronically ill patients need assistance or supervision in their daily activities often placing a major burden on caregivers, placing them at a great risk of mental and physical problems and an impaired quality of life. An observational analytical study conducted in year 2013 in SMS Medical College, Jaipur aiming to compare the quality of life (QOL) of caregivers of patients with chronic psychiatric disorders with that of chronic medical illnesses. WHO-QOL BREF was used to assess quality of life in both the groups. It was observed that quality of life of caregivers of chronic psychiatric illness were significantly (p<0.05)poorer than quality of life of caregivers of chronic medical illness and that too more in Psychosocial domain followed by social, environmental and physical domain.

KeywordsCare Givers, Quality of Life, Psychiatric illness, Chronic Medical Illness

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A New Socio-economic Status Scale: urgent Need of Hour

Abstract Almost all community- based studies focus on socio-economic stratification, which is the key parameter for proper understanding the affordability of the community of health services. But nowadays in the era of changing social prestige parameters with debt from financing agencies should be considered in scaling socio-economic condition. So there is an urgent need to have socio-economic scaling reinvent considering new areas of socio-economic status. Present study was aimed to compare the different socio-economic status scales prevalent with Gaur’s socio-economic scale. Variables of 240 Antenatal cases were recorded along with the variables as per B.G. Prasad’s, Kupuswami’s and Gaur’s SES classification. Proportion of cases falling in various category of SES status as per all these SES Scaling was assessed and compared. It was found that as per B.G. Prasad SES classification there was 79.58% in class I, which is unbelievable. Whereas as per Gaur’s SES scaling there were 0.83% in Class I which is quite reasonable. Likewise, as per Kuppuswami SES Scale there were 46.67% in Class I, which is also not appropriate for ANCs attending at Government setting. Proportion of ANCs in various Classes as per B.G. Prasad SES and Kuppuswami SES Scale with Gaur’s SES scale was with significant (P<0.001) difference. Socio-economic scaling need to consider other variable like Housing Condition, Living Status, Percentage of Income Expenditure and Debt to asset Ratio (as in Gaur’s SES Scaling) along with Income, Education and Occupation.

Keywords Socio-economic status scales, B.G.Prasad SES classification, Kuppuswami SES Scale, Gaur’s socio-economic scale.

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Association of Dental Diseases with Oral Hygiene in School Children of Rural Rajasthan, India

Abstract Oral diseases are health problem of industrialize well as developing countries because of its high prevalence. In developing countries these diseases are given less impotance because of scarcity of resources but when these dental diseases remain untreated it can cause permanent toothache and disability. It can increase school attendance and intern lead to complication and expensive treatment. A community based study was conducted in rural area of Jaipur district to find out the association of dental diseases with oral hygiene. From schools of Amer tahsil of Jaipur district 1600 students were examined for dental diseases and interrogated for oral hygiene. Association of oral hygiene with dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and Periodontitis was found out with chi-square test. It was revealed that Dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and peridontitis all are associated with oral hygiene. Mouth rinsing frequency and teeth cleaning frequency is inversely proportion in Dental Carries but is directly proportional in Dental Fluorosis, Malocclusion and Periodontitis

Keywords Dental Carries, Oral Hygiene, Dental Flrosis, Malocclusion, Periodontitis

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Pregnancy Outcome Comparison in Elderly and Non Elderly Primigravida attending at Mahila Chikitsalay, Jaipur (Rajasthan) India

Abstract Pregnancy and child birth are normal physiological processes and outcomes of most of the pregnancies are good but sometimes because of some reasons it has bad outcomes; out of that one is supposed to be elderly primi. But nowadays it becomes essential to delay the pregnancy in changing social and economic trend. Simultaneously higher advanced technique and better supported maternal and neonatal care also exist. So to have an idea of balance between these this case-control study was done on 120 elderly and 120 non-elderly primigravida to compare the pregnancy outcomes. To find out the association Chi-Square and Unpaired‘t’ test was used. It was observed in this study that although there was no significant difference in antenatal maternal pregnancy outcomes but PPH, induction of labor, cervix dystocia were significantly more in elderly. Likewise time taken to start with breast feeding was also more in elderly. In case of newborn mean APGAR score and mean birth weight was significantly lesser in elderly than non-elderly.

Keywords Elderly Primigravida, pregnancy outcomes, PPH, PROM, LSCS

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Clinical Safety and Side Effects of Intra Dermal regimen of Tissue culture Anti-rabies Vaccine

Abstract—Rabies is 100% fatal but preventable disease. WHO recommends Tissue culture Anti-rabies Vaccines for post exposure treatment but this prophylaxis becomes expensive. So for reducing the 1/6th cost of this prophylaxis intradermal ARV regime was also recommended. But again there is a question mark for balance between cost effectiveness and safty so this cross sectional study was carried out in year 2013 on 654 recipients of Purified Chick Embriyo Cell Vaccine (PCECV) anti-rabis vaccine (ARV) at Anti Rabies Clinic (ARC) of a tertiary-care teaching hospital (SMS) at Jaipur, Rajasthan. Side effects were observed during the follow up visits on days 3, 7 and 28. Though all the recipients complained of local side effects at site of inoculation but these symptoms were relieved by simple administration of paracetamol and ceterizine orally. The side effects (local symptoms) noted on First dose were local itch (4%), local pain (3.8%), low grade fever (2.1%) and the local signs noted are local induration (22.3%), local erythema (1.2%). Same pattern of sign and symptoms were observed in D3 and D7 dose of injection but in decreased frequency. None of the cases had anaphylaxis or regional lymphadenopathy. Thus, this cost effective way of treating the animal bite cases using PCECV in Intra Dermal Rabies Vaccination (IDRV) is recommended to deal with the burden of animal bite cases for the prevention of Rabies in India.

Keywords— Animal bite, Rabies, ARV, PCECV and Intra Dermal Rabies Vaccination.

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