bluuebunny/crossref_metadata_2025 huggingface dataset:
Efectos del entrenamiento con movimientos de halterofilia en el rendimiento de esprint, salto y cambio de dirección en deportistas: Una revisión sistemática (Effects of weightlifting training on sprint, jump and change of direction performance in athlete
Authors: Mateluna Núñez Cristián Andrés , Zavala-Crichton Juan Pablo , Monsalves-Álvarez Matías , Olivares-Arancibia Jorge , Yáñez-Sepúlveda Rodrigo
Published: December 2021

La capacidad de generar máxima potencia neuromuscular es el factor más importante y determinante en el rendimiento atlético. Debido a esto, el entrenamiento con movimientos de Halterofilia (EMH) y sus derivados es uno de los métodos más usados, ya que la evidencia muestra que genera adaptaciones de fuerza-potencia superiores comparadas con el entrenamiento de fuerza tradicional, de salto y de kettlebells. Objetivo: Identificar los efectos del EMH en la capacidad de salto, esprint y cambio de dirección (COD) en población deportista. Método: Se realizó una búsqueda exhaustiva en diferentes bases de datos, como PUBMED, Sportdiscus (EBSCO), Scopus y Web of Science (WOS) bajo modelo PRISMA. Los trabajos revisados fueron experimentales con y sin grupo de control, entre los años 2000 y 2020. Resultados: El EMH produce mejoras significativas en las capacidades de salto, de esprint y de COD en población deportista. Conclusión: El EMH genera mejoras significativas en el rendimiento de salto, carreras y cambio de dirección bajo distintos protocolos. Existe evidencia que sustenta la aplicación de EMH, recomendando sus derivados centrados en el segundo tirón y aquellos que utilicen el ciclo de estiramiento-acortamiento en sus variantes colgantes.
Abstract: The ability to generate maximum power is the most important and determining neuromuscular function in sports performance. Therefore, weightlifting training (WT) and its derivatives is one of the most widely used methods, generating superior strength-power adaptations compared to traditional strength training, jumping and kettlebell training. Objective: To identify the effects of WT on the ability to jump, sprint and change of direction (COD) in athletes. Method: An exhaustive search was carried out in different databases, such as PUBMED, Sportdiscus (EBSCO), Scopus and Web of Science (WOS) under the PRISMA model. The reviewed papers were experimental with and without a control group, between the years 2000 and 2020. Results: The WT produces significant improvements in jump, sprint and in change of direction capacities in the sport population. Conclusion: WT generates significant improvements in jumping, running and change of direction performance under different protocols. There is evidence supporting the use of WT, suggesting its derivatives focused on the second pull and those that use the stretch-shortening cycle in their hanging variants.
Nutritional and physical fitness differences in children and adolescents from diverse socio-economic backgrounds (Diferencias nutricionales y de condición física en niños y adolescentes de contextos socioeconómicos diferenciados)
Authors: García-Merino Sonia , Rodríguez-Jiménez Rosa-María , Bustamante-Sánchez Álvaro , Burgos-Postigo Silvia
Published: December 2021

Lifestyle affects the health of children and adolescents, especially those living with socio-economic disadvantages. The purpose of this study was to evaluate nutritional status, level of fitness, and diet in children and adolescents from different socio-economic environments. To evaluate nutritional status and nutritional habits, Body Mass Index Z-score, Waist-to-Height Index and the Mediterranean Diet Quality Index, were chosen. To measure physical fitness, Eurofit battery was used. Participants were 290 healthy children and adolescents of two groups. Group 1 (78) was part of a social integration project through sport; group 2 (212) belonged to a private school with a high socio-economic status. Differences between groups were found in the nutritional status and physical fitness tests. There were no differences in the total score of the Kid Med Test (p=.42), but data suggested a better quality of food consumption in group 2. Even though both groups exhibited healthy values, results were slightly more favorable for speed of movement and flexibility (p<.05), and for diet habits (better intake of olive oil, less sweet consumption, p < .05) in the group 2. The study, even with limitations, shows that there is still room for equal opportunities in promoting the quality of life of young people. 
Resumen: El estilo de vida afecta a la salud de los niños y adolescentes, especialmente a los que viven en riesgo de exclusión social y económica. El propósito de este estudio fue evaluar el estatus nutricional, el nivel de condición física y la dieta en niños y adolescentes de diferentes entornos socioeconómicos. Para evaluar el estatus nutricional y los hábitos nutricionales, se eligió el índice de masa corporal z-score, el índice cintura-estatura y el índice de calidad de la dieta mediterránea. Para medir la aptitud física, se utilizó la batería Eurofit. Los participantes fueron 290 niños y adolescentes sanos de dos grupos. El grupo 1 (78) formaba parte de un proyecto de integración social a través del deporte; el grupo 2 (212) pertenecía a un colegio privado de alto nivel socioeconómico. Se encontraron diferencias entre los grupos en las pruebas de estatus nutricional y de aptitud física. No hubo diferencias en la puntuación total del Kid Med Test (p=.42), pero los datos sugirieron una mejor calidad del consumo de alimentos en el grupo 2. Aunque ambos grupos presentaban valores saludables, el grupo 2 obtuvo mejores resultados en la velocidad de movimiento y la flexibilidad (p<.05), y en los hábitos dietéticos (mejor consumo de aceite de oliva, menos consumo de dulces, p <.05). El estudio, aun con limitaciones, muestra que todavía hay espacio para la igualdad de oportunidades en la promoción de la calidad de vida de los jóvenes.
Study on the Social Consideration of Women in Athletics: Repeating the Stereotypes of Gender of the 21st Century (Estudio sobre la consideración social de la mujer en el atletismo: repitiendo los estereotipos de género del siglo XXI)
Authors: Rodríguez Fernandez Carmen , Ospina-Betancurt Jonathan
Published: December 2021

If we try to focus on the analysis and understanding of females in the world of sports, particularly female athletes, we face major challenges. The main objective of this work is to analyse the gender stereotypes regarding the social consideration of women in athletics. The sample is made up of 362 undergraduate students of three universities in Andalusia, Spain. Nowadays, despite the progress made in recent years, women continue to be discriminated against in sports generally, and in high-performance sports specifically. 31.4% the response presented a gender stereotyping towards the assertion that athletic clubs and federations do not have more women coaches because they do not trust their dedication and performance. 31.9% of the students responded that male competitions provide more entertainment than female competitions. 
Resumen. Si intentamos centrarnos en el análisis y la comprensión de las mujeres en el mundo del deporte, en particular las atletas femeninas, nos enfrentamos a grandes desafíos. El principal objetivo de este trabajo es analizar los estereotipos de género sobre la consideración social de la mujer en el atletismo. La muestra está formada por 362 estudiantes de grado de tres universidades de Andalucía, España. Hoy en día, a pesar de los avances logrados en los últimos años, las mujeres continúan siendo discriminadas en el deporte en general y en los deportes de alto rendimiento en particular. El 31.4% de las respuestas presentó un estereotipo de género hacia la afirmación de que, los clubes y federaciones de atletismo no tienen más entrenadoras porque no confían en su dedicación y desempeño. El 31.9% de los estudiantes respondió que las competencias masculinas proporcionan más entretenimiento que las competencias femeninas.
Estudio de las temáticas y contenidos de las tesis doctorales realizadas en España sobre Biomecánica Deportiva (Study of the themes and contents of the doctoral theses carried out in Spain on Sports Biomechanics)
Authors: Campos Granel Jose , Gutiérrez-Dávila Marcos , Campos Coll José María
Published: December 2021

El objeto del estudio es conocer y valorar la evolución de las temáticas y contenidos de las tesis doctorales que se han leído en España sobre Biomecánica Deportiva durante el periodo comprendido entre los años 1980 y 2019. La muestra está compuesta de 233 tesis después de un proceso de selección con el uso de criterios de inclusión/exclusión y términos de búsqueda específicos. Los resultados demuestran que existe un crecimiento progresivo en la producción de tesis doctorales a lo largo del tiempo con incrementos progresivos, especialmente en el tercer y cuarto periodo. Los campos temáticos con mayor número de tesis leídas son los de Biomecánica de Apoyo y de Biomecánica Aplicada. El campo de Biomecánica Básica resulta residual, con tres tesis leídas a lo largo del periodo investigado. En la Biomecánica de Apoyo, el subcampo más representado y con un crecimiento constante, es el del Área Médica, con 73 tesis leídas que representa el 68,2% del total del campo temático. En la Biomecánica Aplicada, los subcampos con más tesis leídas son los de Análisis de la Técnica Deportiva y de Análisis del Movimiento con 35 y 32 tesis leídas, respectivamente, sin que se observe un crecimiento constante a lo largo del tiempo. El campo de Biomecánica-Tecnologías es el tercero con un 10,7% de las tesis leídas. El término más utilizado en los títulos de las tesis es el de la “marcha” que se convierte en un tema transversal que ha sido abordado desde diferentes perspectivas científicas. 
Abstract: The purpose of the study is to know and assess the evolution of the themes and contents of the doctoral theses that have been read in Spain on Sports Biomechanics during the period between 1980 and 2019. The sample is made up of 233 theses after a selection process with the use of inclusion / exclusion criteria and specific search terms. The results show that there is a progressive growth in the production of doctoral theses over time with progressive increases, especially in the third and fourth periods. The thematic fields with the highest number of theses read are Support Biomechanics and Applied Biomechanics. The Basic Biomechanics field is a residual field with 3 theses read over time. In Support Biomechanics, the most represented subfield with constant growth is the Medical Area with 73 theses read, representing 68.2% of the total thematic field. In Applied Biomechanics, the subfields with the most theses read are the Analysis of Sports Technique and Analysis of Movement with 35 and 32 theses read, with no constant growth observed over time. The Biomechanics-Technologies field is the third with 10.7% of the theses read. The term most used in the thesis titles is "walking", which becomes a cross-cutting theme that has been approached from different scientific perspectives.
Efecto de la asignatura de educación física en la percepción de los estudiantes frente al desarrollo de competencias genéricas (Effect of Physical Education on the students' perception regarding the development of generic competences)
Authors: Jones - Jofré Jennifer , Müller- Pérez Sheyla , Barraza - Gómez Fernando
Published: December 2021

El desarrollo de competencias por medio de la práctica sistemática de la actividad física se ha vuelto un desafío. Por lo anterior, el objetivo de esta investigación es conocer el efecto de las clases de educación física en el desarrollo de competencias genéricas mediante la percepción de los estudiantes, tras la aplicación del Cuestionario de las Competencias Genéricas de Educación Física, participando un total de 961 estudiantes de primer año pertenecientes a las diferentes carreras de la Universidad Técnica Federico Santa María de Valparaíso el año 2017. El Cuestionario fue diseñado para medir la variable de manera exhaustiva, considerando cuatro competencias genéricas: trabajo en equipo, recreación, inteligencia kinestésica y ética, las que forman parte de los programas de asignaturas de educación física. Según los resultados obtenidos se observa que en el caso de las competencias genéricas inteligencia kinestésica y ética, el valor obtenido fue de p<0,000. Para las competencias genéricas trabajo en equipo y recreación el valor fue p<0,002. Asimismo, el cuestionario presenta un 95% de confianza, evidenciando diferencias significativas, ya que el nivel de p-valor (Sig.) es p<0,05, y el valor obtenido fue de <0,000, concluyendo que los estudiantes reconocen que las clases de educación física permiten a través de la práctica sistemática de la actividad física el desarrollo de estas competencias genéricas, contribuyendo así a la formación integral del individuo. 
Abstract. The development of skills throughout the systematic practice of Physical Education (PE) has become a challenge. This is the reason why the focus of this reasearch is to know the effects of Physical Education on the students' perception regarding the development of generic competences, applying the Questionnaire of Generic Physical Education Competences USM to 961 first year students from differents USM careers in 2017. The questionaire was designed to measure the variable exhaustively, considering four generic competences: teamwork, recreation, kinesthetic intelligence and ethics. These skills are part of the PE course outlines. The results showed that, in the case of the kinesthetic intelligence and ethics generic competences, the p-value was p<0,000. For the teamwork and recreation generic competences, the value was p <0.002.The Questionnaire holds a 95% of confidence and shows significant differences, since the significant p-value is p<0,05 and the obtained value was p<0,000. Therefore, it is concluded that students recognize that PE allow the development of generic skills throughout the systematic practice of physical activity, confirming that physical activity favors the development of generic competences and therefore, and contributes to the integral formation of the student.
Ejercicios físicos diarios de intensidad moderada en el interior del aula mejora la fuerza de tren inferior y la agilidad en escolares: un estudio cuasi experimental (Daily moderate-intensity physical exercises inside the classroom improves lower body str
Authors: Ibañez Rojas Gaston Eduardo , Leao Ribeiro Ivana , Inostroza Dominguez Patricio Andres , Vergara Rojas Daniela Margarita , Souza de Carvalho Ricardo
Published: December 2021

El estudio tuvo como objetivo determinar los cambios en la condición física y en el índice de masa corporal que se producen en una intervención de 16 semanas en escolares en . Setenta tres escolares (n=34 niñas; n=39 niños) con edad entre los 8 y 9 años recibieron las siguientes evaluaciones: flexibilidad de la musculatura dorsal de espalda (mediante la prueba de weels), fuerza muscular (mediante la prueba pararse y sentarse), agilidad (mediante la prueba 4x10m shuttle run) y índice de masa corporal (IMC) utilizando un estadiómetro y una balanza. Se aplicó un programa de entrenamiento con ejercicios de flexibilidad, fuerza y resistencia (30 minutos, 5x/semana). Hubo una disminución del IMC (diferencia de 0.60kg/cm2 en ambos géneros), aumento de la fuerza (10.4 repeticiones en niñas y 11.6 en niños) y mejora de la agilidad (0.91 segundos en niñas y 0.71 segundos en niños: p<0.05 en todas las comparaciones y tamaño de efecto entre 0.20-1.77 en niñas y 0.18-2.34 en niños). El índice de obesidad y sobrepeso entre el alumnado de la clase se vio reducido en un 5.3% y 5.9%, respectivamente. No hubo diferencias respecto a la flexibilidad (p>0.05). Un entrenamiento diario en el interior del aula sin implementación y en un espacio de un metro cuadrado , mejora la fuerza de tren inferior y la agilidad en escolares. 
Abstract. The objective of the study was to determine the changes in physical condition and body mass index that occur in a 16-week intervention in schoolchildren inside the classroom. Seventy-three schoolchildren (n=34 girls; n=39 boys) between the ages of 8 and 9 received the following evaluations: flexibility of the dorsal back muscles, through the weels test, muscular strength, through the standing and sitting test, agility, through the 4x10m shuttle test run and body mass index (BMI) using a stadiometer and scale. A training program was applied with flexibility, strength and resistance exercises were performed (30 minutes, 5x/ week). There was a decrease in BMI, (difference of 0.60kg/cm2 in both genders), increase in strength (10.4 repetitions in girls and 11.6 in boys) and improvement of the agility (0.91 seconds in girls and 0.71 seconds in boys), p<0.05 in all comparisons and effect size between 0.20-1.77 in girls and 0.18-2.34 in boys. The rate of obesity and overweight among the students in the class was reduced by one 5.3% and 5.9% respectively. There were no differences in flexibility (p>0.05). A daily training in schoolchildren without implementation and in a space of one square meter decreases BMI, improves lower body strength and agility in schoolchildren.
La competencia motriz en estudiantes chilenos de 3° y 4° de educación básica. Aprendizajes esperados versus realidad (Motor competence in Chilean students in 3rd and 4th grade of primary school. Expected learning versus reality)
Authors: Rodríguez-Briceño Daniel , Castro-Vilugron Felipe , Díaz-Alvarado Mauricio , Carcamo Oyarzun Jaime
Published: December 2021

Este estudio busca determinar los niveles de competencia motriz de estudiantes chilenos y las posibles diferencias en función del grado y del sexo. Participaron 377 estudiantes (37.7% niñas) de tercer y cuarto básico. La competencia motriz fue evaluada a través del test MOBAK 3-4. Se encontraron bajos niveles de competencia motriz. Los estudiantes de cuarto grado presentan un mejor desempeño motriz que los de tercero. Los niños presentan un mayor desempeño que las niñas en control de objetos, mientras que las niñas obtienen puntajes más altos que los niños en control del cuerpo, aunque con un tamaño del efecto irrelevante. Al contrastar estos resultados con los objetivos del currículum, muchos estudiantes no alcanzan los aprendizajes esperados, siendo necesario poner mayor énfasis en el fomento de la competencia motriz. 
Abstract. This study aims to determine the levels of motor competence of Chilean students and possible differences according to grade and gender. 377 students (37.7% girls) of the third and fourth grade participated in the study. Motor competence was evaluated through the MOBAK 3-4 test. Low levels of motor competence were found. Fourth grade students showed a better motor performance than third grade students. Boys performed better than girls in object control, while girls scored higher than boys in self-movement, although with an irrelevant effect size. When these results are contrasted with the learning objectives stipulated in the curriculum, many students do not achieve the expected skills, what makes it necessary to place greater emphasis on the promotion of motor competence.
Imagen corporal y participación en las clases de Educación Física (Body image and participation in Physical Education classes)
Authors: Lagos Hernández Roberto , Jerez Fuenzalida Tatiana , Fuentes-Vilugrón Gerardo , Willschrei Barra Adolfo , Acuña Molina Karen , Leichlte San Martín Macarena
Published: December 2021

Esta investigación tiene por objetivo estudiar la incidencia de la imagen corporal en la participación en clases de Educación Física de 45 damas y varones de entre 13 y 17 años de establecimientos educacionales de Temuco, Chile. Se consideró aquellos alumnos que, sin tener impedimento de salud, no participaban regularmente de la clase de Educación Física. La metodología contempló un enfoque mixto, con un diseño no experimental del tipo descriptivo transeccional. Se hizo una recolección sistemática de antecedentes cualitativos a través de grupos focales y se consideró el Body Shape Questionnaire, para estudiar la opinión de los estudiantes respecto de su imagen corporal. Los resultados muestran que un 10% de los varones manifiestan preocupación leve respecto de su imagen corporal y que un 24% de las damas manifiestan una preocupación moderada respecto de su figura. Estos datos se corresponden con las opiniones manifestadas en los grupos focales, donde se pudo apreciar que los estudiantes sienten incomodidad e insatisfacción corporal en relación con su cuerpo, especialmente el género femenino. Sin embargo, esto no se constituye como la razón principal para no participar de las clases de Educación Física, siendo aspectos metodológicos los que son mencionados como de mayor importancia. 
Abstract. The aim of this research is to study the incidence of body image in the participation in Physical Education classes of 45 girls and boys between 13 and 17 years old from educational establishments in Temuco, Chile. We considered those students who, without having a health impediment, did not participate regularly in Physical Education classes. The methodology contemplated a mixed approach, with a non-experimental design of the transectional descriptive type. A systematic collection of qualitative data was made through focus groups and the Body Shape Questionnaire was used to study the students' opinion of their body image. The results show that 10% of the males expressed mild concern about their body image and 24% of the females expressed moderate concern about their body shape. These data correspond to the opinions expressed in the focus groups, where it could be seen that students feel discomfort and body dissatisfaction in relation to their body, especially the female gender. However, this does not constitute as the main reason for not participating in Physical Education classes, being methodological aspects those that are mentioned as of greater importance.
The challenge before the fight: a discussion on rapid weight loss in UFC Athletes (El desafío antes de la pelea: una discusión sobre la pérdida de peso rápida en los atletas de UFC)
Authors: Lise Riqueldi Straub , Ordonhes Mayara Torres , Capraro André Mendes , Cavichiolli Fernando Renato
Published: December 2021

This study analyzed some cases of rapid weight loss procedures in Mixed Martial Arts (MMA) and athletes linked to the Ultimate Fighting Championship (UFC), currently the largest promoter of the sport. Therefore, printed sources were used, such as specialized magazines or not; documentaries, television programs, interviews, articles on websites; documentary sources, regulations and protocols. It was noted that the rapid weight loss represents overconformity deviances, which are part of a code of conduct valued by athletes, but sometimes become problematic. The cases listed here obtained relative repercussions in the media and resulted in acute damage to the athletes, financial and marketing damage to the event promoter. There was also a certain malpractice among athletes and teams, event organizers, and the North-American Athletic Commissions to try to prevent extreme procedures for rapid weight loss from occurring more often by putting athletes at risk, causing damage to the event itself.
Resumen: El presente estudio analizó algunos casos de procedimientos de pérdida de peso rápida en atletas de Artes Marciales Mixtas (MMA) vinculados al Ultimate Fighting Championship (UFC), actualmente el principal impulsor de este deporte. Por tanto, se utilizaron fuentes impresas, como revistas especializadas o no; documentales, programas de televisión, entrevistas, artículos en sitios web; fuentes documentales, normativas y protocolos. Se observó que la pérdida rápida de peso se configura como una desviación supraconformativa que forma parte de un código de conducta valorado por los deportistas, pero que en ocasiones se vuelve problemático. Los casos aquí enumerados obtuvieron relativa repercusión mediática y resultaron en daños agudos y crónicos a la integridad física de los atletas, pérdidas económicas y de mercado para el promotor de los eventos. Se observó que existía un cierto descuido entre los atletas y equipos, organizadores de eventos y comisiones atléticas norteamericanas para tratar de evitar que los procedimientos extremos para la pérdida rápida de peso ocurran con mayor frecuencia, poniendo en riesgo a los atletas y causando daños al evento en sí.
Deteriorating human microbiome – An emerging global health challenge
Authors: Bansal Rahul
Published: December 2021

The study of human microbiome and its relationship with health and disease is one of the most exciting areas of research in health all over the world, especially after the failure of human genome project to deliver its expected results.
Our body is composed of 30 trillion human cells. But it is host to close to 100 trillion bacterial and fungal cells. 70 – 90% of all cells in our body are non human. They reside on every inch of our skin, in our nose, mouth, ears, in our oesophagus, stomach and most abundantly in our gut. They are not a random phenomenon but have co-evolved with us humans over millions of years.  Collectively these bacteria weigh about 3 pounds. The more we read about research on microbiome or microbiota, the name given to all these friendly symbiotic partners, the more we get interested in their role in health and disease.
According to Martin J.  Blaser, director of the Human Microbiome Program, who has also served as the president of Infectious Disease Society of America, in his best seller ‘Missing Microbes' (1), “It is our microbiome that keeps us healthy and parts of it are disappearing. The reason for this disaster is all around us – overuse of antibiotics in humans and animals, caesarean sections and widespread use of sanitizers and antiseptics, to name just a few.”
Prevalence and Determinants of Food Insecurity and Association with Malnutrition of under Five Children in Aligarh
Authors: Abedi Ali Jafar , Moin Arshiya , Ahmad Sameena , Mehnaz Saira , Amir Ali
Published: December 2021

Background: Food security has always been a major determinant behind development of malnutrition among the under 5 children of India. Even after sustained efforts to alleviate this problem, we are still way behind in achieving our targets. Aims and Objectives: To assess the prevalence and determinants of food security, and find association of food security with stunting and wasting of children less than five years of age. Materials and Methods: This study among under five children was conducted in field practice areas of Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. Food security was assessed through Household Food Insecurity Access Scale (HFIAS) while stunting and wasting were assessed by parameters defined by World Health Organization. Statistical Analysis: Done using IBM SPSS 20.0 version. Results: 41.1% children were found to have low food security and among these 1.8% children have very low food security. Overall, statistically significant association was found between food security and malnutrition among the children (p<0.05). Significant association was also found between place of residence, caste, type of family, father’s education, father’s occupation and mother’s education. Conclusion: New health policies should be introduced, and already existing programs need to reinforce to curb this menace.
Assessing Knowledge, Attitude, and Practices towards Ivermectin Pre-exposure Prophylaxis for COVID-19 among Health Care Workers
Authors: Verma Ajay Kumar , Pandey Anuj Kumar , Singh Arpita , Bajpai Jyoti , Kant Surya , Bajaj Darshan Kumar
Published: December 2021

Background: Health care workers (HCWs) are more likely to be at high risk of SARS-CoV-2 infection due to their direct and/or indirect participation in treatment facilities. Here, we aimed to evaluate the knowledge, attitude, and practices of ivermectin pre-exposure prophylaxis (PEP) in HCWs. Materials and Methods: In this observational study HCWs who were directly/indirectly involved in the medication of COVID-19 patients were selected. The study questionnaire included demographic data; knowledge, attitudes, practices, and associated adverse drug reactions (ADR) after using ivermectin as pre-exposure prophylaxis in COVID-19. Results: The mean age of the selected 306 participants was 34.41 {±standard deviation 4.08}. 66.66% of the participants were men. 15.69% of individuals had co-morbidities. HCWs were about COVID-19, and 94.12% of people know the role of ivermectin as PEP.  Additionally, 180 participants (58.82%) realized that ivermectin can cause adverse drug reactions (ADRs). 70.59% of the study-participants admitted that ivermectin has a protective effect on COVID-19, while 62.75% of the participants believed that the PEP benefits of using ivermectin outweigh the risks. 57.37% (n = 210) of HCW used ivermectin and completed the recommended medication process. Eighteen participants (8.57%) experienced adverse reactions and reported to the ADR monitoring center. Conclusion: 70.59% of the studied participants agreed that ivermectin has a protective effect on COVID-19, and 57.37% of the participants have taken ivermectin as PEP. However, 8.57% of the individuals reported ADR, but none of the participants were severe enough to discontinue the drug.
Re-evaluating the need for universal iron supplementation in pregnant Indian women in the light of gestational age specific low hemoglobin prevalence
Authors: Saji Aswathi , Baby Jeswin , Kurpad Anura V , Thomas Tinku
Published: December 2021

Background: Anemia prevalence among Indian pregnant women in 2015-16 was 50.4% and has not declined from 49.7% in 1998-99 despite the national policies on iron-folic acid supplementation. New gestational age-specific cut-offs (INTERGROWTH cut-off) for risk of low Hemoglobin (Hb) have been identified. Aims and objectives: Compare prevalences of low Hb  based on WHO and INTERGROWTH cut-offs Methods: The prevalence of anemia/low Hb among pregnant women in trimesters 2 and 3 from NFHS-4 data were estimated using the current WHO recommendations and the INTERGROWTH cut-offs. Results: Prevalence of low Hb by the INTERGROWTH cut-off was 28.1%(95% CI:26.9-29.4) and 21.7%(95% CI:20.6-22.9) in trimesters 2 and 3. Anemia prevalence by WHO cut-off was much higher at 41.2%(95% CI:39.8-42.5) and 54.8%(95 CI:53.2-56.3) in trimesters 2 and 3. The prevalence of low-Hb was similar between ANC and no-ANC reported groups in both trimesters (26.1% and 28.9% in trimester-2; 20.1% and 22.4% in trimester-3). Conclusion: The  prevalence of low-Hb with gestational age specific cut-offs is much lower compared to earlier estimates using WHO cut-off. The universal iron supplementation program for pregnant women in India need to be re-examined in this light and a tragetter Hb testing based supplementation may be more beneficial in reducing anemia prevalence.
Lifestyle, dietary and treatment adherence pattern of uncontrolled diabetics in coastal Karnataka, India
Authors: Kundapur Rashmi , Modi Bhavesh , Mary Lavannya T , Sathyanath Shreyaswi M , Poojary N Santosh , Saxena Deepak
Published: December 2021

Background: Diabetes Mellitus shows a rising trend in India, driven by a combination of factors like sedentary lifestyle, unhealthy diet and tobacco use. The cornerstone for interventions to reduce this is lifestyle modification. Aim & Objective: This study aims to determine lifestyle behaviours among uncontrolled diabetics in rural South India. Settings and Design: This is a pilot study conducted as part of a community trial which enrolled uncontrolled diabetics (Glycosylated haemoglobin, HbA1C of 7% or more) selected from baseline survey of 2 RBS readings. Methods and Material: The sociodemographic details, lifestyle habits and treatment adherence of eligible participants were recorded with a validated questionnaire. Statistical analysis used: Data was compared among 2 groups of poor glycaemic control using Chi square test. Results: There was no significant association of age or gender with HbA1C levels. Majority were non-smokers, non-alcoholics and did not exercise. Higher proportions of those with hospital admissions, longer duration of disease and less frequent check-ups had poor control; but these were not statistically significant. Dietary control was inadequate. However, there were no significant association of dietary habits with poor control. Conclusions: Although overall adherence to medication and follow up was satisfactory, lifestyle modification is not being sufficiently followed.
Forecasting the Anti-Rabies Vaccine Demand at Jawaharlal Medical College and Hospital, Ajmer, Rajasthan: A Comparative Analysis based on Time Series Model
Authors: Bedi Renu , Verma Narendra , Gautam Kunal , Agiwal Varun
Published: December 2021

Background: In India, high mortality and morbidity rates of human rabies is observed. Hence, a structured surveillance system is yet to be put in place for public health discussion. At the tertiary care hospital and all public health centres, requirement of anti-rabies vaccine is needed in advance to predict the upcoming months coverage so that wastage of vaccine is minimum. Objective: To find a suitable model for forecasting the appropriate stock of anti-rabies vaccines to avoid shortage and over-supply at anti rabies clinic. Methods and Material: This was a record based cross sectional study, conducted at anti rabies clinic of Jawaharlal Nehru Medical College and Hospital, Ajmer. Data of used anti rabies vaccine was taken from immunization inventory during the period from 2017 to 2020. Time series analysis based on Holt-Winter and Box-Jenkins methods were carried out to predict the need of vaccine. Results: Study series was not stationary and stationarity was observed by taken difference in the observation between two consequent months. Residuals of the series were normally distributed and independent to each other. ARIMA(0, 1, 1) was the best model in comparison to Holt-Winter model for prediction because of low value of model selection criterion.  The forecasted value for anti-rabies vaccine was done for the year 2021. Conclusions: The following study concluded that time series can be used as a tool to forecast anti-rabies vaccine coverage and will help the policy makers to formulate appropriate plans and strategies and improve the management of vaccination resources and inventory.
Does the social status of the elderly impact morbidities among them? – A cross sectional Study in a district of Gujarat
Authors: Nagar Shashwat S , Nagar Noopur S , Patel Hirenkumar B , Mahyavanshi Darshan , Nagar S S
Published: December 2021

Background: The aging population is both medical & sociological problem for the country and they suffer with high rates of morbidity and mortality. So Social factors lay a significant impact on the health practices and this study will help us to understand and evaluate their health problems of elderly. Aims and Objective: 1. To assess the social status of elderly population. 2. To associate the findings with morbidities of elderly Methods: A cross sectional study was carried out in urban and rural area of Surendranagar district among 611 elderly, using a predesigned and pre tested questionnaire by directly questioning the subjects with oral and written consent. For selection of the area, in both areas, the sampling units were enumerated and samples were collected by using simple random sampling, data was entered and analyzed using MS excel 2007. Result: Nearly 60 % of the subjects were currently unemployed and the predominant family system was 3 generation family. Majority of the families in the urban areas were from social class 4, whereas in the rural areas were from social class 5. Having poor social score had a statistically significant association with presence of morbidity in elderly both areas. Conclusions: Majority of elderly in both urban and rural areas had a poor social status. Role of the family and social structure on the health of the elderly can be clearly established. However, support structure must be developed in our social system in a way that the destitute and dependent elderly are taken care of by either government system or social organizations like NGOs and old age home.
Hygiene practices and awareness regarding Milk borne diseases (MBD) among dairy workers in unorganized urban settings of Bhubaneswar, Odisha, India
Authors: Singh Snigdha , Kar Sonali , Mishra Alpana , Pattnaik Dipti
Published: December 2021

Background: Dairy work is thought to be predominantly a rural occupation. However, due to preferences we see a lot of urban residents consume fresh milk and hence, few people even in the urban areas take up cattle rearing as a cost effective profession. In the midst of much talked re-emerging diseases, caused by close habitation of animals and man, it would be very relevant to see living conditions of these populations and their hygiene practices in a space compromised scenario. In urban settings, they stay in close proximity and due to socioeconomic conditions, dairy workers in do not have appropriate amenities to tend on the cattle,clean or even scope for proper waste disposal. This in nutshell, leads to a disease enabling environment and the study aims at reviewing these living conditions. Besides, an assessment of health conditions of the dairy workers, their awareness regarding the milk borne diseases(MBD) was done. The findings helped generate recommendations for improvement of the profession and ultimately the quality of the milk. Objectives:1) Assess the hygiene practices during the stages of milk collection, storage and transport of milk among the sampled dairy workers from urban unorganized settings of Bhubaneswar. 2) Assess awareness of these workers regarding milk borne diseases. Methodology: This cross?sectional survey was part of a larger study and was conducted in unorganized sector of dairy workers in Bhubaneswar. 60 dairy households were surveyed and from each household, 2 members actively involved in dairy work were selected.The study tool was a semi structured, mixed questionnaire. The questionnaire had 3 sections; A was regarding household information(General sociodemographic details and Housing conditions for 60 HHs); B was to elicit the hygiene status of dairy workers(n=120) during each step of their work, their milk handling details during milk collection, storage and transportation; C had questions to assess the awareness of dairy worker regarding MBD. Results: Hygiene practices were very dismal at all points like milking,storage and transportation. Only 5.0% dairy households practised cleaning udder twice- prior to and after milking. Only 35% households kept the milk storage containers covered. 44.2% workers agreed that “MBD” is a community health problem. On general examination, pallor and icterus was found among workers. This strongly brings out that this group not only have the potential to be infected by zoonotic diseases, but can also transmit it to through the milk they are selling. A felt need is assessed for these workers in terms of creating standards of hygiene practices of cattle and milk handling and also impart them training on improving their occupational practices.
Assessing the burden of Covid-19 in the slums of Bangalore city: Results of Rapid Community Survey
Authors: Sobagaiah Ranganath Thimnahalli , Masthi Ramesh Nugehally Raju , Krishnappa Lalitha , Rangaiah Ambika , Rao Girish Nagaraja , Basha Riyaz , Thimmaiah Sulekha , Venkatesh Renuka , Prakash Seema , Ranganath Sathish Chandra Mallapanahalli , Konapur Kavita Srikanth , Jeevan Vidya , Muddaiah Shanthi , Jagadish Deepak Murthy , Kumari Nitu , Sudarshan Mysore Kalappa
Published: December 2021

Background: Karnataka, more so Bangalore, reported an increase in number of COVID-19 cases in early April 2021. Objective: To assess the burden of COVID-19 in the slums of Bengaluru city. Materials and Methods: A cross-sectional multi centre community-based study was done in the 2nd and 3rd week of April 2021 in 24 different slums in Bangalore city. WHO cluster random sampling technique was followed. Swabs for RTPCR test and 4 ml of venous blood was collected from 728 subjects more than 18 years of age. Results: A total of 51 (7%) subjects were positive for COVID-19 through RT-PCR. Majority 33 (56.9%) were in the age group of 18-44 years. 148 (20.3%) subjects were sero-positive on blood examination and 18-44 years was the (59.4%) preponderant age group. Overall seropositivity was 20.3% (95%CI; 17.4-23.2) and RT-PCR positivity is 7% (95%CI; 5.2-8.8%) among the subjects surveyed. In the inner core area of Bangalore, seropositivity was 24.2% (95%CI; 21.0 – 27.3) and RT-PCR positivity was 8% (95%CI; 6.1-9.9). Two doses of COVID-19 vaccine were taken only by 1.55% subjects during the study period. Conclusion: The study showed that one in 5 subjects were sero-positive to SARS-CoV-2 and one in 15 individuals had active COVID-19 infection.
Epidemiological investigation of a food poisoning outbreak: a study among hostel dwelling students and resident doctors of a tertiary healthcare facility of India
Authors: Singh Chandramani , Biswas Bijit , KG Naveen , Hari Haripriya , Pandey Sanjay , Naik Bijaya Nanda
Published: December 2021

Background: During second week of February, 2021 several cases of food poisoning were reported from hostels of a tertiary healthcare facility, thus this epidemiological investigation was undertaken, to confirm existence of a food poisoning outbreak, describe cases as per person, place, time and predominant food source, identify the attributes associated with the outbreak. Methods: To investigate the suspected food poisoning outbreak, an online unmatched case control study was conducted among 440 hostel dwelling students and resident doctors of a tertiary healthcare facility of eastern India during February, 2021. Results: The proportion of the study subjects who reported to have experienced food poisoning symptoms was 23.9%. Most of the food poisoning event reported to have occurred during 10th February, 2021 (26.6%). In the multivariable logistic regression model, predominant consumption of food from girls’ hostel mess [adjusted odds ratio (AOR): 7.83 (1.58-38.79)] and canteen 1 [AOR: 4.83 (1.13-20.69)] were found to be multivariable predictors of food poisoning events adjusted with age, gender, designation and residing hostel. Conclusion: One in every four study participants opined to have experienced food poisoning symptoms during the study period. This confirmed the existence of a multi-source food poisoning outbreak in the study population.
Gall Bladder Calculus in reproductive age group females attending the ultrasound clinic at a tertiary care hospital: A comparative Cross-sectional study
Authors: Pandey Manisha , Rani Anita , Jaiswal Kirti , Bajpai Prasant Kumar , Kumar Sandip
Published: December 2021

Background: Pregnant females are at risk for cholelithiasis' progress, and the obstruction in the bile duct produced by gallstones is responsible for jaundice and abdominal pain. Objective: The objectives of the present study were to see the burden of gall stones, relation with parity, and trimester among reproductive age group females. Methodology: A cross-sectional study was conducted on 467 females of age between 15 to 45 years. The gall bladder was thoroughly examined by an ultrasound probe of frequency 2-5 MHz in all planes. Results: In most females who had gallstones, single (68.8 percent) gall stone was common as compared to multiple (31.2 percent). More nonpregnant women had gall bladder stones than pregnant women (p-value <0.005). Among the current nonpregnant group, the percentage of presence of gallbladder stones was greater in the female having parity of two or more (27.4 percent) than the females having parity of less than two (8.2 percent) with p-value <0.05. Conclusion: Since Gallstones can further complicate the situation in the form of gallbladder carcinoma, and females with higher parity have more chances of developing gallstones. Therefore, it becomes necessary to know the trimester of gallstone formation and its role in the progression of symptoms.
A study of health profile and effects of ambient air pollution among auto drivers of Bangalore city
Authors: Neralakatte Shwetha A , Sastry Nanda Kumar Bidare , Somanna Shivaraj Nallur , Chidambaram Priyadarshini
Published: December 2021

Background: Auto drivers battle several occupational health hazards due to increasing pollution and unhealthy lifestyle. Improper diet and sleeping habits coupled with smoking, tobacco and alcohol use make them prone to respiratory and cardiovascular health hazards. Objectives: To assess the health status and quality of life (QoL) among auto drivers in Bangalore city and to study the association of selected parameters with respiratory and cardiac morbidities. Methods: In this cross-sectional study, 450 auto drivers were given a questionnaire and they were distributed according to age, education, body mass index, smoking, tobacco and/or alcohol consumption. The QoL was assessed by World Health Organization Quality of Life Instrument (WHOQOL-BREF) and peak expiratory flow, blood pressure, and blood sugar levels for each participant were recorded. The association between two categorical variables was determined by Chi-square test and p?0.05 was considered statistically significant. Results: The association of number of years of driving with prevalence of chronic morbidity (p=0.005), hypertension (p=0.008), diabetes (p<0.001), and heart disease (p=0.04) were significant. QoL for physical and environmental domain were 16.11±0.28 and 12.48±0.06, respectively. Conclusion: A proportional increase in the risk of respiratory and cardiac morbidities with increasing number of driving years was observed among auto drivers.
Preferences and Practices regarding Delivery Place: A community-based cross-sectional study in Agra city, Uttar Pradesh
Authors: Verma Arti , Chaudhary Shailendra Singh , Nagergoje Manisha Madhukar , Khan Iqbal Aqeel , Singh Saroj , Awasthi Sarvesh
Published: December 2021

Background: Understanding preferences and practices for delivery place among women would assist in better resource utilization for skilled attendants. Objectives: To study factors influencing women’s preference and practice regarding their place of delivery. Methods: A community based cross-sectional study was conducted in Agra from 1st October 2018 to 31st October 2020. Multi-stage random sampling was used. Data was collected using semi-structured interview schedule. Both bivariate and multivariate analysis was done. Result: Majority (72.67%) of women had preference for delivery at government hospital while 19.67% for private hospital and only 7.67% for home. In actual practice, 58.33% had delivered at government hospital and 32.33% delivered at private hospital while 9.33 % at home. On multiple-logistic regression analysis, parity found to have significant association with preference of delivery at government hospital. Preference for delivery in private hospital was found to be significant with OBC caste and in women whose husband has skilled/highly-skilled occupation. In actual practice, Government hospital as delivery place found to have significant association with parity and presence of ASHA. Private hospital as a delivery place found significant with literate mothers and parity. Conclusion: Majority had preferred and practiced institutional delivery, preferring government hospital over private hospital.  In actual practice, delivery at private hospital as well as home delivery out-numbered the preferred proportion.