bluuebunny/crossref_metadata_2025_split huggingface dataset:
Men’s knowledge of preconception health: A systematic review
Authors: Rabiei Zeinab , Shariati Mohammad , Mogharabian Naser , Tahmasebi Rahim , Ghiasi Ashraf , Motaghi Zahra 
Published: February 2023

ABSTRACTPreconception health is defined as the physical and psychological well-being of women and men throughout their reproductive life. It is a method that raises healthy fertility and focuses on activities that persons can take to minimize risks, raise healthy lifestyles, and increase preparation for pregnancy. The purpose of this systematic review study was to assess men’s knowledge of preconception health. Electronic databases, including Web of Science, PubMed, Scopus, Sciencedirect, ProQuest, Cochrane, SAGE, Springer, Google Scholar, were searched for published studies from 2000 to March 2021 to identify the studies carried out on men’s knowledge of preconception health. The quality assessment was done using the critical appraisal skills program tool for qualitative studies and the Newcastle-Ottawa scale for cross-sectional studies. Of the 1195 references identified in the initial search, 11 studies met the inclusion criteria. Because of the diversity in the study design and the data collection tools used in studies, meta-analysis was impossible. All the studies of the present systematic review found that men’s preconception health knowledge is poor. This systematic review showed that men’s preconception health knowledge is low. Due to the limited studies of men’s knowledge about the importance of optimizing their health before pregnancy, further study of the issue is still required.
Study of exit survey and awareness program analysis on tobacco cessation counselling amongst the health care professionals of the tertiary care
Authors: Kunkulol Rahul , Tayade Motilal C. , Narwane Sandeep 
Published: February 2023

ABSTRACT

Introduction:
Tobacco addiction in the rural community is very high, where we require efforts to break this addiction. Our aim was to find out the impact of awareness program on the current status of counselling on cessation of use of tobacco by the healthcare workers in various OPDs of PRH, Loni.

Material and Methods:
All patients visiting any of the OPD of Pravara satisfying the stated inclusion and exclusion criteria were included in the study. We conducted awareness survey amongst the health care professionals on tobacco cessation counselling.

Results:
In our study, 423 patients (79.2%) were not enquired regarding tobacco use by doctor to the patients, while 111 patients (20.8%) were asked for the same. Of the 111 patients who were enquired about tobacco use, 35 patients (31.5%) were given support for tobacco cessation. Thus overall (out of 534 patients), only 6.17% received support for tobacco cessation. Of these patients, most were given verbal counselling (13, 2.43%), followed by prescription of Nicotine replacement therapy in the form of nicotine gum (8, 1.5%) and one patient (0.19%) referred to the Tobacco Cessation center. Eleven patients (2.1%) did not recall the support provided.

Conclusion:
There is an urgent need for awareness among health care professionals in order to investigate, consult and stop smoking cessation. Our research strongly identifies an opportunity to significantly increase access to tobacco control services in rural India.
Overview of COVID-19 mortality in Zoram Medical College, Mizoram: A hospital-based study
Authors: Laltlanzovi C , Vankhuma C , Vanlalduhsaki  , Chhakchhuak Diana Lalrinsiami , Zothanzauva J.C. 
Published: February 2023

ABSTRACT

Background:
Mizoram is a small state in the northeastern part of India and recorded its first case of coronavirus disease 2019 (COVID-19) on March 24, 2020. The first registered death because of COVID-19 in the state was on October 28, 2020 at Zoram Medical College (ZMC), which is a dedicated COVID hospital in Mizoram. COVID-19 cases from different districts in the state were referred to ZMC according to severity of symptoms. NCDIR-ICMR e-Mortality Cell was first started as a project at ZMC in 2019. Since then, all hospital deaths are recorded using a structured questionnaire developed by NCDIR which has also strengthened the data for COVID-19 mortality statistics in the state. The objective of this study is to determine the association of in-hospital COVID-19 mortality in relation to age, sex, vaccine status, and underlying co-morbidities and highlight the utility of ICMR-NCDIR e-Mortality software in the hospital.

Methods:
Data on COVID-19-associated deaths from October 2020 to October 2021 at ZMC were collected from the hospital e-Mortality software and Medical Records Department (MRD). This includes patients’ demographic characteristics including age, sex, vaccination status, and underlying co-morbidities if any. Appropriate statistical analysis was performed to evaluate the correlation between variables.

Results:
From October 2020 to October 2021, a total of 324 deaths related to COVID-19 was recorded at ZMC, Mizoram. The majority of the deaths were distributed in the age group 65 years and above and accounts for 49.1% in all age groups. Out of the total deaths, 64.2% (208) were males and 81.48% had an associated underlying co-morbidity besides COVID-19. The most common co-morbidities were hypertension, type 2 diabetes mellitus, cancer, and chronic obstructive pulmonary disease. More than half, 59.6%, had no vaccination history, and all the cases had no history of taking a booster vaccination dose. A statistically significant correlation between delay in time to admission and length of hospital stay (p = 0.017) was also seen.

Conclusions:
COVID-19 is more severe in the older age group above 65 years of age and in males, particularly in the presence of underlying co-morbidities. Mortality was also higher in patients with no history of vaccination as compared with patients vaccinated. Also, delay in hospital admission increases the length of hospital stay and mortality.
Assessment of food labeling knowledge and associated reading barriers among patients with diabetes
Authors: Alshahrani Abdullah M. , Batais Mohammed A. , Mujammami Muhammad H. , Alrasheed Abdullah A. , Almigbal Turky H. , Aljulifi Mohammed Z. , Aldosari Ahmad K. , Almaflehi Nassr 
Published: February 2023

ABSTRACT

Background:
The most challenging part of diabetes management for a patient with diabetes is selecting a healthy diet. The purpose of this study is to evaluate participants’ knowledge of food labels, to find out the relationship between the type of diabetes mellitus (DM) and knowledge score of food labels, and to explore the barriers that prevent patients from reading food labels.

Methodology:
This observational study was conducted on patients with type 1 or type 2 diabetes using a validated self-administered questionnaire. The study was conducted at diabetes clinics at King Khalid University Hospital and King Abdul-Aziz University Hospital, Riyadh, Saudi Arabia, from November 2019 to February 2020. Data were analyzed using SPSS.

Results:
A total of 310 participants were enrolled in this study, of which 50.3% had type 1 DM, and more than half of them were female (51.6%). Patients with type 1 DM had higher mean declarative and applied knowledge scores than those with type 2 DM, regardless of whether they were taking pre meals insulin or not. The highest proportion (39.9%) had difficulty in understanding the content of the nutrition labels, and some of them (37.2%) did not receive any educational session about it. Only 9.5% of the participants did not have any difficulties in reading food labels.

Conclusion:
Patients with both types of diabetes tended to have poor total knowledge about food labels and faced difficulties in reading them. Provided educational sessions by primary health care and specialized physician and DM educator about food labels are recommended to help them to choose food properly.
Diabetic post-covid mucormycosis: A dermatoglyphic prediction
Authors: Sanga Aradhana , Kumari Rita , Kujur Babita , Ranjan Rajiv , Dubey Ashok Kumar 
Published: February 2023

ABSTRACT

Aim:
To identify the characteristic pattern/parameter among diabetic post-covid mucormycosis patients which may further help in identifying such susceptible patients in a much earlier course of the disease.

Materials and Methods:
The study was done with 30 diabetic patients (21 males and 9 females) admitted in RIMS Ranchi during the second wave of Covid-19 for post-covid complications. Palm and fingerprint pattern was taken by ink and pad method to measure the qualitative and quantitative parameters.

Result:
Diabetic post-covid mucormycosis patients were found to have predominantly whorl pattern in males, loop in females, and C-line pattern absent in 36.6%. Proximal axial triradii with ulnar deviation was 76.6%. All the ridge counts (except ab ridge count of right hand) when compared with hypothesized value were found to be significant with P value (<0.005). None of the three angles measured were found to be significant.

Conclusion:
All the ridge counts (except ab ridge count of right hand) were found to be a reliable parameter for the diagnosis of diabetic post-covid mucormycosis. ATD angle known to be the most reliable parameter for diagnosis of diabetes mellitus in dermatoglyphics is found to be nonreliable with respect to diabetes post-covid mucormycosis.
Perception of care givers regarding danger signs of illness and practices followed in young infants (0–2 months) as per IMNCI at selected areas of Amritsar, Punjab: A qualitative study
Authors: Joshi Pooja , Kaur Hardeep , Devgun Priyanka 
Published: February 2023

ABSTRACT

Background:
In India, neonatal mortality contributes to over 64% of infant deaths, mostly occurring during the first week of life. Mortality rate in second month of life is also higher than at later ages. Delay in identification of warning signs of neonatal illness naturally postpones the initiation of treatment and referral to hospital.

Materials and Methods:
The study aimed to explore the perception of care givers regarding danger signs of illness and practices followed in young infants. Care givers who cared for the sick young infants during last six months were recruited using a convenient sampling technique and qualitative research approach. Five semi-structured interviews and one FGD were conducted using an interview and FGD guide. Data was analyzed manually by reading and rereading the transcribed verbatim leading to the emergence of themes, subthemes, and codes.

Results:
Data explored that excessive crying was perceived as a danger sign by entire mothers, and many of them were unable to recognize important warning signs. The delay in decision making for medical care-seeking also shows dwindling awareness. Additionally, mothers were adapting few unhygienic practices as home remedies leading to worsening the symptoms and making a call for additional infections which needs to be addressed by the health authorities at community level.

Conclusion:
Pronounced efforts are expected to raise mindfulness of mothers toward the significance of early identification of neonatal danger signs to stave off the high magnitude of neonatal mortality. Inclusion of excessive crying as neonatal danger sign is recommended as well.
Medical and social implications of alcohol use among adult women in a rural area of Ranchi, Jharkhand: A cross-sectional study
Authors: Shikha Swati , Kumar Mithilesh , Kashyap Vivek 
Published: February 2023

ABSTRACT

Introduction:
The harmful use of alcohol is increasing at a huge pace leading to the occurrence of multiple diseases and has become a leading risk factor for global burden of diseases.

Aims and Objectives:
The aim of this study is to assess the health profile of adult women and to find out the medical and social effects of alcohol consumption.

Methodology:
A cross-sectional study was conducted in the rural field practice area, Ormanjhi of RIMS, Ranchi, for a duration of 27 months (September 2016 to November 2018) among 336 women by multistage random sampling. A pretested semi-structured questionnaire was used for data collection. Templates were generated in MS Excel sheet and analysis of data was done using SPSS software (20.0).

Results:
The mean BMI of the study subjects was 21.62 ± 3.33 kg/m2. Anaemia was present in 42.6% of the women, 10.4% women were hypertensive and 9.2% were suffering from diabetes. The association between alcohol consumption and occurrence of co-morbidities was found insignificant. The social effects of alcoholism varied ranging from going into debts seen in 35.42% of the women; 62.5% of the women were criticised about their drinking habit by relatives or children. About 9.5% of the women were found to consume alcohol during their last pregnancy, and among women who were on regular intake of alcohol even during pregnancy, majority (65.62%) of them delivered by normal vaginal delivery.

Conclusion:
Alcohol consumption among females caused several adverse social consequences without any significant effect on health.
A qualitative study to explore the ethnomedicine practices towards hepatitis among the Irula traditional healers in Tamil Nadu, India
Authors: Kumar Dhasarathi , Peter Roshni Mary , Kaur Harpreet , Joseph Alex 
Published: February 2023

ABSTRACT

Introduction:
Irulas are known for their traditional medicine and healing practices. Ethnomedicine primarily describes the traditional medical approaches that take consideration of the cultural perspectives on health, illness, disease while addressing the delivery of healthcare and therapeutic modalities. The current study explores the ethnomedical practices towards hepatitis among the Irula traditional healers in Tamil Nadu.

Methodology:
A Community-based in-depth interview (IDI) study was conducted among eight traditional healers (5 males and 3 females) from Irula settlements in Dharmapuri, Kancheepuram, and Chengalpattu districts. Apart from traditional healers, 11 Irula adults were interviewed to understand their cultural perspectives on health and illness.

Results:
The major themes that emerged from the codes were the perception towards traditional healing and the process of treatment on hepatitis, the list of important conditions treated by the traditional healers, and the list of medicinal plants used for treating people.

Conclusion:
This qualitative study highlights the voices of the Irula tribal community and offers a rich source of information about ethnomedicine practices towards hepatitis among the Irula traditional healers in Tamil Nadu, India.
Roles and challenges of primary healthcare workers: lessons learned from COVID-19 pandemic
Authors: Alzahrani Mohammed Hassan , Alzahrani Saud Mohammed , El-Desouky Ahmed Shaker , Alghamdi Ali Dakhel , Alzahrani Mohammed Abdullah , Alzahrani Abdullah Ali , Alzahrani Abdulrazaq Bakheet , Alzahrani Ahmed Hassan , Asiri Bader Oudah 
Published: February 2023

ABSTRACT

Context:
The COVID-19 pandemic has changed the structure of the healthcare system. As a response to the pandemic, the ministry of health applied many changes to the primary healthcare system. These changes created new challenges for healthcare workers (HCWs).

Aims:
To identify the roles and challenges of practitioners in primary healthcare (PHC) centers during COVID-19 in Al-Baha city, Saudi Arabia, in 2022.

Methods and Materials:
An analytical cross-sectional study was carried out in 2022 in Al-Baha city, Saudi Arabia. An electronic online questionnaire was distributed formally to HCWs in PHC centers. All primary HCWs during the COVID-19 pandemic in Al-Baha city, Saudi Arabia, were included.

Results:
A total of 424 responses were analyzed. Half (50.7%) of the participants had fieldwork roles during the pandemic. The two most commonly agreed-upon challenges were stress (78.7%) and worry about getting infected (79.8%). The majority (74.4%) of the participants’ roles involved direct contact with suspected COVID-19 cases, whereas 50.9% involved direct contact with confirmed COVID-19 cases. Direct contact with confirmed cases showed a significant association with worrying about getting infected (P = 0.019).

Conclusions:
Workload, overtime, conflict ambiguity, fear of getting and transmitting the infection, stress, and lack of personal protective equipment were challenges faced by the primary HCWs, which negatively impacted the quality of delivered services and mental health. We recommend facilitating access of primary HCWs to psychiatric clinics to improve stress and help cope with new roles during the pandemics and changes in the healthcare system.
Subdividing ART patients and analyzing the medical burden by modeling of CD4 cell count
Authors: Min Li , Qunwei Wang 
Published: February 2023

ABSTRACT

Objective:
To subdivide the antiretroviral therapy (ART) human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) patients by modeling the CD4 cell count variable, with an aim to reduce the medical burden from lifelong ART.

Materials and Methods:
The data of outpatients at the research unit between August 2009 and December 2020 were exported and mined. A recency-frequency (RF) model was established for data subdivision, and data of non-churn ART patients were preserved. Common factor analysis (CFA) was conducted on the three indicators of the baseline/mean/last CD4 cell counts to obtain critical variables; then, k-means modeling was used to subdivide ART patients and their medical burden was analyzed.

Results:
A total of 12,106 samples of non-churn ART patients were preserved by RF modeling. The baseline/mean/last CD4 cell counts served as important variables employed for modeling. The patients were divided into 15 types, including two types with poor compliance and poor immune reconstitution, two types with good compliance but poor immune reconstitution, four types with poor compliance but good immune reconstitution, and seven types with good compliance and good immune reconstitution. The frequency of visits was 5.25–9.95 visits/person/year, and the percentage of examination fees was 44.24%–59.05%, with a medical burden of 4114.24–12,676.66 yuan/person/year, of which 42.62%–70.09% was reduced.

Conclusion:
The CD4 cell count is not only an important indicator for judging post-ART immune recovery, but also a major modeling variable in subdividing ART patients with varying medical burdens. Poor compliance and poor immune reconstitution lead to excessive visits and frequent examinations, which were the leading causes of the heavy medical burden of ART.
Myths, beliefs, and attitude toward cancer among the family caregivers of cancer patients: A community-based, mixed-method study in rural Tamil Nadu
Authors: Ajith Karthik , Sarkar Sonali , Sethuramachandran Adinarayanan , Manghat Sreeja , Surendran Gayathri 
Published: February 2023

ABSTRACT

Background and Aim:
Family support is one of the most crucial components of cancer care. The familial beliefs and myths associated with cancer can seriously affect the quality of life and treatment outcome of cancer patients. This study intends to explore the prevailing myths, beliefs, and attitude toward cancer among the family caregivers of cancer patients.

Materials and Methods:
A community-based, exploratory, mixed-method study was conducted among family caregivers of cancer patients in Cuddalore and Villupuram districts of Tamil Nadu. Content analysis method was used for in-depth interviews. Sociodemographic characteristics and attitude of the study participants were described using proportions.

Results:
A common myth about causation of cancer was that it was contagious or of infective origin. Disbelief in tobacco’s causation of cancer was found among the study participants. Family members’ support was viewed as an essential component for cancer patients. Majority of the participants in the quantitative survey showed favorable attitude toward cancer patients. The common misconception about cancer treatment was that surgery/biopsy can spread cancer and herbal products can cure cancer.

Conclusion:
Even though a majority of the participants showed favorable attitude toward their cancer patients, false beliefs and myths regarding causation and treatment of cancer are prevalent in the community.
Acceptance towards COVID-19 vaccine among Qassim populations: A cross-sectional study
Authors: Alharbi Muslet , Alharbi Norh M. , Almutairi Shumukh M. , Alharbi Maha K. , Alsaud Jolan S. , Alnssyan Badr , Al Abdulmonem Waleed 
Published: February 2023

ABSTRACT

Introduction:
The approval of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines and obtaining herd immunity raise the optimism about seeing the end of this pandemic but vaccine hesitancy or refusal to vaccinate is a major threat to progress toward achieving herd immunity. In this study, we identify baseline knowledge, myths, misconceptions, attitudes, beliefs, and behaviors toward the COVID-19 vaccine. This help to develop new strategies to raise awareness, correct misconceptions and improve acceptance of the COVID-19 vaccine. This study aim is to evaluate the acceptance of COVID-19 vaccine among population in Qassim region of Saudi Arabia.

Methods:
This cross-sectional study conducted among target people who were more than 11 years old in Qassim Region of Saudi Arabia using the snowball sample study. A self-administered online questionnaire was used that evaluates the knowledge and acceptance of COVID-19 vaccine among this population.

Results:
The results show that the participants’ high knowledge of COVID-19 translates into good and safe practices, during the COVID-19 pandemic. Public health workers worldwide should concentrate on enlightening and building faith among the unsure and reluctant population regarding security, effectiveness, and adverse effects of the COVID-19 vaccine.

Conclusions:
The study findings are useful to the policymakers and healthcare professionals who are working on vaccine awareness programs of COVID-19. The findings conclude that the health education interventions should be directed to population of Qassim, Saudi Arabia, at high risk of contracting COVID-19.
Prevalence and determinants of emotional violence faced by married women in Delhi, India: A cross-sectional study
Authors: Joshi Rajneesh Kumar , Arora Manisha , Mukherjee Reema 
Published: February 2023

ABSTRACT

Context:
Emotional violence is the lesser recognized form of intimate partner violence (IPV) but causes long-lasting harm to a woman’s mental and physical wellbeing.

Aims:
To estimate the prevalence and describe the determinants of emotional violence faced by women residing in a metropolitan city of India.

Settings and Design:
This cross-sectional study was conducted among ‘presently married’ women living in an urban residential area of Delhi.

Methods and Material:
We used the NFHS-3 questionnaire and criteria to record the study participants’ responses regarding their experience of ‘emotional violence’. Women saying yes to emotional violence further quantified the frequency of each type of abuse into ‘often’ or ‘sometimes’ in the past 12 months. Informed consent was obtained from all participants, and the Institutional Ethics Committee approved the study.

Statistical Analysis Used:
Logistic regression analysis was used to determine emotional violence with various socio-demographic factors and other forms of IPV.

Results:
A total of 99 (19.8%) women had ‘ever’ faced psychological abuse by their husbands. 15.2% of women were humiliated by husbands, and 11.6% of women were insulted and made to feel bad about themselves. Women whose husbands consume alcohol (OR = 1.74 (1.07–2.84), exhibit controlling behaviour, (OR = 2.79 (1.74–4.46) exhibit physical (OR = 10.83 (6.4–18.32) or sexual (OR = 5.53 (3–10.2) violence were at significantly higher risk of facing psychological abuse within their marriages.

Conclusions:
Physical violence and controlling were found to be significantly associated with the experience of emotional violence after adjusting for all other variables. Primary care physicians should be sensitized to this critical health issue.