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   2006| July  | Volume 60 | Issue 7  
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Drug utilization pattern during pregnancy in North India
Rashmi Sharma, Bhuvneshvar Kapoor, Ujala Verma
July 2006, 60(7):277-287
DOI:10.4103/0019-5359.26602  PMID:16864912
BACKGROUND: Pregnancy is a special physiological condition, where drug treatment presents a special concern. AIMS: To evaluate the drug utilization pattern during pregnancy and to evaluate the effect of the educational and economic status on it.. DESIGN : The retrospective cross-sectional study. SETTING : The postgraduate Department of Pharmacology and Therapeutics of a medical college. and the antenatal clinic of the institution. MATERIALS AND METHODS : Medical students filled 405 questionnaires after interviewing pregnant women (243 primigravida and 152 multigravida). All the collected questionnaires were analysed for various study parameters. STATISTICAL ANALYSIS USED : Inter-group comparison was done using chi-square test. P value <0.05 was considered statistically significant. RESULTS: A total of 700, 1086 and 686 drugs, with an average of 1.73, 2.89 and 2.49 drugs per pregnant women, were used during first, second and third trimester of pregnancy, respectively. A majority of the drugs used, were from category-A, followed by category-B and category-D. However, category C and X drugs constituted 2.90 (20) and 5.71% (40) of drugs used during the third trimester and first trimester, respectively. Herbal/homeopathic drugs constituted 6.42 (45), 3.68 (40) and 1.46% (10) of the drugs used in the first, second and third trimester of pregnancy, respectively (P=649). 33.33% (135) women believed that drug use during pregnancy is dangerous to both mother and child and 37.03% (150) believed that drugs are dangerous throughout pregnancy. 55.55% (225) females advocated the use of iron/folic acid during pregnancy. 24.69% (100) of women had knowledge about barrier contraceptives. Self-medication and homeopathic/ herbal drugs use was found more in graduates than in undergraduates; as well as, it was more in the higher socioeconomic group than the lower socioeconomic group. CONCLUSION: There is a need to educate and counsel women of child-bearing age, regarding the advantages and disadvantages of drug use during pregnancies, with special reference to alternative therapies and self-medication.
  11 11,085 624
Child rearing practices amongst brothel based commercial sex workers
Geeta Pardeshi, S Bhattacharya
July 2006, 60(7):288-295
DOI:10.4103/0019-5359.26603  PMID:16864913
BACKGROUND: The experiences of the commercial sex workers as they fulfill the role of being a parent, have rarely been reported. Considering their socioeconomic background, profession and work pattern, the women are bound to face major challenges. AIMS: To describe child bearing, family support, dietary practices and various placement options for raising children. STUDY DESIGN : A cross-sectional descriptive study of brothel- based commercial sex workers. STATISTICAL ANALYSIS : X2 test, Fisher's Exact test RESULTS: Some commercial sex workers continued pregnancy with the hope of security and support, while others were compelled to do so, as they report late for medical termination of pregnancy. A group of sex workers (Devdasis) received support during pregnancy, delivery, puerperium and child-rearing. The role and responsibilities of raising the child, depended upon the kind of family support available to the mothers. Being a single parent, stigma of the profession, odd working hours and variable family support were major challenges, while the fact that the women were earning, availability of rehabilitation centers, the homogeneous groups within the brothels, supportive peers and local non governmental organizations were factors which helped them in the process of raising their children. CONCLUSIONS : Day care centers and night shelters should be opened up in the red light area where the children can be looked after, during the working hours. The sex workers should be educated about weaning and nutrition. The role of peer workers and NGOs was very important in helping the women raise their children.
  5 10,671 349
Tobacco use and cardiovascular disease: A knowledge, attitude and practice study in rural Kerala
Rajnarayan Tiwari
July 2006, 60(7):271-276
DOI:10.4103/0019-5359.26601  PMID:16864911
BACKGROUND: Tobacco consumption, either in smokeless form or as smoking, is reported to be responsible for major non-communicable diseases, namely, cardiovascular diseases, chronic obstructive pulmonary diseases and cancers. Whatsoever control strategy is being used, the community participation is of utmost importance, which will depend largely on the level of the knowledge in the community. AIM: To assess the knowledge and attitude of a rural community towards the harmful effects of tobacco use. SETTING AND DESIGN : Venganoor Gram Panchayat of Thiruvananthapuram district of Kerala; cross-sectional study. MATERIALS AND METHODS: Interview schedule was used to collect the information on pre-designed and pre-tested proforma. The information recorded, included the demographic characteristics and socio-economic characteristics. The awareness regarding tobacco use and the attitude towards its non-usage was done, by putting forward, open and closed-ended questions. STATISTICAL ANALYSIS: Percentages and proportions; t-test; chi-square test. RESULTS: The present study included 302 (64.7%) females and 165 (35.3%) males. Among the males, 44 (38.5%) were ever smokers. Though 451 (96.6%) of the subjects knew that tobacco use is harmful for health, only 101 (22.5%) of the subjects knew that it causes cardiovascular diseases. Electronic and print media were the common source of such knowledge being reported by 265 (58.7%) and 202 (44.7%) subjects, respectively. CONCLUSIONS: The subjects were aware about the harmful effects of tobacco use. However, more efforts are needed to make them aware about the role of tobacco smoking and chewing, in causing cardiac problems.
  4 5,677 387
Working conditions and health among employees at information technology - enabled services: A review of current evidence
C Kesavachandran, SK Rastogi, Mohan Das, Asif M Khan
July 2006, 60(7):300-307
DOI:10.4103/0019-5359.26606  PMID:16864916
Workers in information technology (IT) - enabled services like business process outsourcing and call centers working with visual display units are reported to have various health and psycho social disorders. Evidence from previously published studies in peer- reviewed journals and internet sources were examined to explore health disorders and psycho-social problems among personnel employed in IT-based services, for a systematic review on the topic. In addition, authors executed a questionnaire- based pilot study. The available literature and the pilot study, both suggest health disorders and psychosocial problems among workers of Business Process Outsourcing. The details are discussed in the review.
  4 16,198 523
Hemiparesis and cerebellar dysfunction complicating mixed malarial infection with falciparum and vivax malaria
Ige A George, L Varghese, PK Mathews
July 2006, 60(7):296-297
DOI:10.4103/0019-5359.26604  PMID:16864914
  2 2,808 158
Seroprevalance of toxocara antibodies in multiple sclerosis and ankylosing spondylitis
Salih Kuk, Salih Ozgocmen, Serpil Bulut
July 2006, 60(7):297-299
DOI:10.4103/0019-5359.26605  PMID:16864915
  1 3,983 220
2004 - Indian Journal of Medical Sciences
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Online since 15th December '04