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1

An epidemiological study of adult female burns patients admitted in a tertiary care hospital

100%
Shrivastava P., Shrivastava S.
Progress in Health Sciences
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2012
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vol. 2
|
issue 2
21-28
EN
Purpose: Burn injuries usually results in significant morbidity and mortality around the globe. The study was planned to throw light on exact nature of the incident of burn injury and to gain an insight into epidemiological determinants of burns patients. Materials and Methods: A cross-sectional descriptive study was conducted over a period of one year from May 2009 to April 2010. Universal sampling method was employed. All adult female burns patients above 18 years of age who were admitted in burns unit of a tertiary care hospital were included in the study. The patients or legally accepted guardians, in case of serious patients, who did not give consent were excluded from the study. Total number of study participants was 103. A Semi-structured questionnaire was used for obtaining socio-demographic details and details about burns injury. Statistical analysis was done using SPSS-17 version. Institutional Ethics committee approval (Committee for Academic Research Ethics (approval number): 037 / 2009) was obtained. Results: Flame burn was the most common cause of burns accounting for 80.6% of the total burns. Scald burn was seen in 17(16.5%) subjects and electric burn in only 3(2.9%) subjects. Overall case fatality rate was found to be 35%. Conclusion: Total body surface area burnt was found to be significantly associated with mode of burns, marital status, kitchen burns while mortality among burns victims was found to be significantly associated with duration of marriage, mode of burns, total body surface area involved, dowry given and presence of domestic violence
2

Vasectomy: An underused contraceptive technique

81%
Shrivastava S., Shrivastava P., Ramasamy J.
Progress in Health Sciences
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2013
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vol. 3
|
issue 2
190-192
EN
Despite access to an array of different contraceptive measures, overpopulation persists in being a major public health concern. Vasectomy is a safe, simple, cost-effective outpatient technique for male sterilization performed under local anesthesia. Irrespective of the multiple benefits associated with vasectomy, acceptance rates among clients have been extremely poor in different settings. To counter this lack, the following have been advocated by program managers: 1) the implementation of multiple measures, such as using mass media to undo the myths and misconceptions associated with vasectomy; 2) the active involvement of men in decision-making pertaining to matters of reproductive health and family planning; 3) the engagement of both spouses in assisting the couple to take an informed decision; 4) the provision of manpower with adequate training regarding procedure and men’s reproductive health needs; 5) the involvement of different stakeholders; and 6) the integration of all reproductive health and family planning services under one roof. To conclude, vasectomy is the most dependable and cost-effective approach of contraception for couples who have completed their family.
3

Integrated management of childhood illness: Bringing treatment closer to home

81%
Shrivastava S., Shrivastava P., Ramasamy J.
Progress in Health Sciences
|
2013
|
vol. 3
|
issue 2
187-189
EN
Globally, the main target of all child health programs is to ensure a reduction in infant/under-five mortality. Globally the progress has been observed in reducing child mortality rate the average annual rate of reduction has remained persistently low in many developing countries. The Integrated Management of Childhood Illnesses (IMCI) is a cost-effective strategy that advocates use of evidence-based protocol in the management of common etiology of childhood illness. Despite availability of data on the effectiveness of IMCI in child health and health system, current global coverage of IMCI is far from expected. The objective of the present article is to suggest long-term, cost-effective and primary health care based measures which will aid in extending the child health services to the inaccessible areas. IMCI targets children aged between 0-2 months and 2-5 years and encourages the use of simple clinical signs for detecting cases. To maximize the scope of benefit, IMCI program assessment should be done to ascertain the barriers in effective implementation. To conclude, systematic implementation of the IMCI strategy in community well backed by trained health workers can definitely improve the prognosis of childhood illness.
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