Risk factors associated with poorly controlled diabetes in a rural population of Karnataka: a case-control study

Background: The worldwide prevalence of diabetes has risen dramatically over the past two decades. India with the highest absolute number of cases has become the diabetes capital of the world. The aim of the study was to identify the factors associated with poorly controlled diabetes and comparing them between poorly controlled and well controlled subjects. Methods: This is a case-control study carried out in a rural population of villages in Devanahalli Taluk, Karnataka. Study population included adults above 20 years having type II diabetes for a minimum of one year currently under treatment. 50 poorly controlled and 50 well controlled patients willing to participate were enrolled for the study. A pre-determined questionnaire was used after taking a verbal consent from each participant. Results: Long duration of diabetes, presence of co-morbidities, irregular visit to physicians and skipping medicines were the factors associated with poorly controlled diabetes. Conclusion: The study emphasizes that regular follow up and control of co-morbidities are important factors in optimal control of disease.

Analysis of Knowledge of Menstruation, Hygiene Practices, and Perceptions in Adolescent Girls in India

Introduction: Unsafe water, poor sanitation and inadequate hygiene affects many communities around the world. Without access to clean water, proper waste management, or knowledge of basic hygiene practices, the risk for disease is greatly increased. The menstrual cycle can be hard to manage without access to clean products. Additionally, poor knowledge can perpetuate unhygienic practices. Girls are often not taught about menstruation before it occurs leaving them with feelings of fear, disgust, and uncertainty. Methods: This paper analyzes data from adolescent girls in both rural and urban communities in India concerning their knowledge, perceptions, and hygiene practices regarding menstruation. Results from pre and posttests indicate change in knowledge following an educational intervention. Results: The knowledge and practices of adolescent Indian girls regarding menstrual hygiene were greatly lacking. In fact, 53.8% of girls did not know anything about menstruation prior to their first period. Overall, knowledge and practices improved significantly after the educational intervention. Discussion and Conclusion: Education of girls on menstrual hygiene management is effective. The results of this study are generally consistent with other literature. Further educational and environmental interventions as well as research are needed

Costs and health effects of screening and delivery of hearing aids in Tamil Nadu, India: an observational study

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Identification of priority health conditions for field-based screening in urban slums in Bangalore, India

BACKGROUND: Urban slums are characterised by unique challenging living conditions, which increase their inhabitants' vulnerability to specific health conditions. The identification and prioritization of the key health issues occurring in these settings is essential for the development of programmes that aim to enhance the health of local slum communities effectively. As such, the present study sought to identify and prioritise the key health issues occurring in urban slums, with a focus on the perceptions of health professionals and community workers, in the rapidly growing city of Bangalore, India. METHODS: The study followed a two-phased mixed methods design. During Phase I of the study, a total of 60 health conditions belonging to four major categories: - 1) non-communicable diseases; 2) infectious diseases; 3) maternal and women's reproductive health; and 4) child health - were identified through a systematic literature review and semi-structured interviews conducted with health professionals and other relevant stakeholders with experience working with urban slum communities in Bangalore. In Phase II, the health issues were prioritised based on four criteria through a consensus workshop conducted in Bangalore. RESULTS: The top health issues prioritized during the workshop were: diabetes and hypertension (non-communicable diseases category), dengue fever (infectious diseases category), malnutrition and anaemia (child health, and maternal and women's reproductive health categories). Diarrhoea was also selected as a top priority in children. These health issues were in line with national and international reports that listed them as top causes of mortality and major contributors to the burden of diseases in India. CONCLUSIONS: The results of this study will be used to inform the development of technologies and the design of interventions to improve the health outcomes of local communities. Identification of priority health issues in the slums of other regions of India, and in other low and lower middle-income countries, is recommended

Prevalence of complaints of arm, neck, and shoulders among computer professionals in Bangalore: A cross-sectional study

Introduction: Complaints of arm, neck, and shoulders (CANS) is a common problem among patients whose work involves computer use, but often ignored most importantly by the physicians partly due to not being able to appreciate the importance of taking a careful detailed occupational history of exposure to a repetitive activity involving upper arms. Upper extremity musculoskeletal disorders constitute a major portion of occupation-related illness with annual costs related to treatment and absenteeism from work ranging between $45 and 54 billion in the United States. Materials and Methods: A cross-sectional study was done to assess the factors contributing to CANS among computer professionals in Bangalore. We screened 206 professionals and 181 were administered Maastricht Upper Extremity Questionnaire (MUEQ). Chi-square and logistic regression were used. Results: Prevalence of CANS in the study group was 58.6%. Neck complaints topped the list followed by shoulder, wrist, hand, elbow, upper arm, and lower arm complaints in the descending order. Women had overall higher prevalence and significantly higher prevalence of upper limb complaints than men. Inadequate space, maintaining good posture, and repetition of same tasks have emerged as an independent factors associated with CANS. Conclusion: CANS is highly prevalent among computer professionals working in small and medium-sized companies. Provision of adequate workspace and ergonomic designs of workstations are the modifiable risk factors which can be addressed by the employers to reduce the morbidity associated with CANS. Employees could correct postures and improve work habits

Quality of life among migrant construction workers in Bangalore city: A cross-sectional study

Context: The construction industry is one of the oldest industries in India, which employs a large number of workers of poor socioeconomic status. Bangalore has seen significant rise in the number of migrants from various parts of the country to work in construction industry. These workers suffer from lack of good accommodation, basic sanitation, health facilities, stressful working conditions, and poor social life. Quality of life (QoL) among a population is an essential step to understand and improve health status, well-being, and mental health of the population. Materials and Methods: A cross-sectional study was done to assess QoL among migrant construction workers in Bangalore. We interviewed 400 workers using questionnaire containing sociodemographic profile and WHOQOLBREF scale. Factors associated with QoL were tested using independent “t” test and Chi-square test and P < 0.05 was considered as statistically significant. Results: The mean age of the workers was 26.38 + /4.3 years and majority of them were men (95.2%). The smokers had higher mean score in psychological domain with a significant P value. Those who lived in huts had higher mean score (60.4+/9.71) in the social domain as compared with those who lived in pucca houses (59.7 + /12.5). Those who were married, worked as nonlaborers, lived in pucca houses, earned higher income had higher mean scores in the environmental domain compared with those who were unmarried, laborers, lived in huts, and earned lower income. Conclusion: Migrant construction workers had poor physical, social, and psychological QoL, whereas QoL in environmental domain is better compared with studies done across the country and it was significantly associated with higher income, education, better accommodation, and type of work. We recommend strategies to improve their physical, social and psychological well-being of this vulnerable population through strict legislations

A serological survey of brucellosis in wild ungulate species from five game parks in Zimbabwe

A retrospective serosurvey was carried out between 2009 and 2012 to detect antibodies to Brucella spp. in free-ranging African wildlife ungulates from five selected game parks in Zimbabwe. Samples were drawn from wildlife-livestock interface and non-interface areas in Zimbabwe. A total of 270 serum samples from four different species, namely African buffalo (Syncerus caffer) (n=106), impala (Aepyceros melampus) (n = 72), black rhinoceros (Diceros bicornis) (n= 45) and white rhinoceros (Ceratotherium simum) (n = 47), were tested. The percentage of positive samples was 17.0% in buffalo (18/106; 95% CI: 9.72% – 24.1%) and 1.4% in impala (1/72; 95% CI: 0% – 4.2%). No antibodies to Brucella spp. were detected in the two rhinoceros species. The difference in the percentage of seropositive cases between buffalo and impala was significant (p< 0.05). Seropositivity to Brucella spp. was higher (19.1%) in adult buffalo compared with juveniles and sub-adults younger than six years (5.9%). Further, seropositivity was marginally higher (20.4%) in animals from wildlife-livestock interface areas than in those from non-interface areas (13.45%; OR = 1.45) although the difference was not statistically significant. The study showed that brucellosis could be more widespread in buffalo and may circulate in this species independently in the absence of contact with cattle, whilst rhinoceros may be considered less susceptible to brucellosis. The role of the wildlife-livestock interface in the epidemiology of brucellosis in wildlife and livestock is probably overstated but needs to be explored further