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Search Results: 1 - 10 of 462153 matches for " Dongre A "
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The effect of ′integrated health promotion initiative′ on awareness among opinion leaders regarding hypertension
Dongre A,Deshmukh P,Garg B
Indian Journal of Community Medicine , 2008,
Where and how breastfeeding promotion initiatives should focus its attention? A study from rural Wardha
Dongre A,Deshmukh P,Rawool A,Garg B
Indian Journal of Community Medicine , 2010,
Abstract: Background: In India, the practice of breastfeeding is almost universal, but initiation of breastfeeding is generally quite late and colostrum is discarded. Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy recommended systematic assessment of breastfeeding and emphasized counseling of the mother on proper positioning and attachment of infant to the breast. Objective: To assess breastfeeding among mothers of below six months children in rural Wardha. Materials and Methods: The present cross-sectional study was undertaken in surrounding 23 villages of Kasturba Rural Health Training Center (KRHTC), Anji. Two Auxiliary Nurse Midwives (ANMs) trained in IMNCI paid house visits to 99 mothers during the study period and undertook the assessment of breastfeeding using IMNCI assessment form for young infants. Auxiliary Nurse Midwives observed and recorded the positioning and attachment of infant to the breast as per IMNCI guidelines. The data were entered and analyzed using Epi_Info (version 6.04d) software package. Results: Most of the deliveries 94 (94.9%) took place in the healthcare facilities. Majority 61 (61.6%) newborn babies had received breastfeeding within half an hour. About half of the mothers had any of the feeding problems like feeding less than eight times in 24 h, giving any other food or drinks or is low weight for age. Significantly more mothers with feeding problems had problems in positioning and attachment of infant to the breast as compared with those mothers who did not have any feeding problems. Conclusions: In the settings, where practice of institutional delivery is high, the staff of healthcare facility should ensure education of the mothers regarding position and attachment of infant to the breast before discharge from the healthcare facility. At the village level, Village Health Nutrition Day (VHND) can be utilized for health education of future mothers and support for the breastfeeding mothers. The IMNCI assessment form for young infant should also include assessment of positioning of infant.
Tobacco consumption among adolescents in rural Wardha: Where and how tobacco control should focus its attention?
Dongre A,Deshmukh P,Murali N,Garg B
Indian Journal of Cancer , 2008,
Abstract: Objectives: The objectives of the present study were to study the pattern of tobacco use among rural adolescents (15-19 years) and to find out reasons for use and non use of tobacco products. Materials and Methods : In the present community-based research, triangulation of qualitative (free list, focus group discussions) and quantitative methods (survey) was undertaken. The study was carried out in surrounding 11 villages of the Kasturba Rural Health Training Centre, Anji during January 2008 where 385 adolescents were selected by simple random sampling and interviewed by house to house visits. After survey, six focus group discussions were undertaken with adolescent boys. Results: About 68.3% boys and 12.4% girls had consumed any tobacco products in last 30 days. Out of boys who had consumed tobacco, 79.2% consumed kharra, and 46.4% consumed gutka. Among boys, 51.2% consumed it due to peer pressure, 35.2% consumed tobacco as they felt better, and five percent consumed tobacco to ease abdominal complaints and dental problem. Among girls, 72% used dry snuff for teeth cleaning, 32% and 20% consumed tobacco in the form of gutka and tobacco & lime respectively. The reasons for non use of tobacco among girls were fear of cancer (59%), poor oral health (37.9%). Among non consuming boys it was fear of cancer (58.6%), poor oral health (44.8%) and fear of getting addiction (29.3%). According to FGD respondents, few adolescent boys taste tobacco by 8-10 years of age, while girls do it by 12-13 years. Peer pressure acts as a pro tobacco influence among boys who are outgoing and spend more time with their friends. They prefer to consume freshly prepared kharra which was supposed to be less strong (tej) than gutka. Tobacco is being used in treatment of some health problems. Tobacco is chewed after meals for better digestion, given to ease toothache, pain in abdomen and to induce vomiting in suicidal insecticide poisoning. Conclusion: The current consumption of any tobacco products among rural adolescents was found very high. Hence, the multi-pronged intervention strategy is needed to tackle the problem.
Incidence of post parturient utero-vaginal complications in dairy cattle: a review
V. B. Dongre,Balasundaram, B.,A. K. Gupta
Wayamba Journal of Animal Science , 2011,
Abstract: India possesses one of the largest livestock wealth in the world which comprises of 199 million cattle, 105.3 million buffaloes, 140 million goats and 71.5 million sheep. Even though, India is the largest milk producing country in the world, productivity per animal is less than 50 % of the world average. This is mainly due to poor level of nutrition and low genetic potential for milk production and health care. With ever increasing per capita consumption of milk in the country, there is increase in the domestic demand of milk. Hence therefore, crossbreeding is receiving more importance to overcome this gap. Crossbreeding of zebu cattle with exotic bulls of high merit for increasing productivity was initiated as a part of our breeding policy. The present economic condition demands that not only the individual animal be high producer but should be profitable too. However, the improvement of milk production in past few decades has not necessarily resulted in proportionate increase in profits to dairy farmers as animals with high milk production are prone to increased risk of exposure to health disorders.
Acute childhood morbidities in rural Wardha : Some epidemiological correlates and health care seeking
Deshmukh P,Dongre A,Sinha N,Garg B
Indian Journal of Medical Sciences , 2009,
Abstract: Background: In India, common morbidities among children under 3 years of age are fever, acute respiratory infections, diarrhea. Effective early management at the home level and health care-seeking behavior in case of appearance of danger signs are key strategies to prevent the occurrence of severe and life-threatening complications. Objectives: To find out the prevalence of acute child morbidities, their determinants and health-seeking behavior of the mothers of these children. Setting and Design: The cross-sectional study was carried out in Wardha district of central India. 0 Material and Methods: We interviewed 990 mothers of children below 3 years of age using 30-cluster sampling method. Nutritional status was defined by National Center for Health Statistics (NCHS) reference. Composite index of anthropometric failure (CIAF) was constructed. Hemoglobin concentration in each child was estimated using the ′filter paper cyanm ethemoglobin method.′ Using World Health Organization guidelines, anemia was defined as hemoglobin concentration less than 110 g/L. Post-survey focus group discussions (FGDs) were undertaken to bridge gaps in information obtained from the survey. Statistical Analysis: The data was analyzed by using SPSS 12.0.1 software package. Chi-square was used to test the association, while odds ratios were calculated to measure the strength of association. Multiple logistic regression analysis was applied to derive the final model. Results: Anemia was detected in 80.3% of children, and 59.6% of children were undernourished as indicated by CIAF. The overall prevalence of acute morbidity was 59.9%. Children with mild anemia, moderate anemia and severe anemia had 1.52, 1.61 and 9.21 times higher risk of being morbid, respectively. Similarly, children with single, 2 and 3 anthropometric failures had 1.16, 1.29 and 2.27 times higher risk of being morbid, respectively. Out of 594 (60%) children with at least one of the acute morbidities, 520 (87.5%) sought health care, where majority (66.1%) received treatment from private clinics. The final model suggested that anemia and mother′s poor educational status are predictors of childhood morbidity. Conclusions: Nutritional anemia and mother′s poor educational status are the most important risk factors of acute childhood morbidity. There is need to revitalize existing health care delivery and child health programs in rural India with emphasis on immediate correction of nutritional anemia.
A community based cross sectional study on feasibility of lay interviewers in ascertaining causes of adult deaths by using verbal autopsy in rural Wardha
AR Dongre,A Singh,PR Deshmukh,BS Garg
Online Journal of Health & Allied Sciences , 2009,
Abstract: Background & objectives: 1) To study the causes of adult (15 years and above) deaths using verbal autopsy (VA) and its socio-demographic characteristics. 2) To study the feasibility of use of the lay interviewer to ascertain causes of adult death using verbal autopsy and a simple algorithm. Methods: The present study was done in Wardha district, Maharashtra, India. Taking into account feasibility, out of 23 villages of Primary Health Centre, Anji, 15 villages were chosen having total population of 14,590. Out of 273 estimated adult deaths during the study period, 209 (77%) could be traced by house to house visit and a lay interviewer, interviewed the close caretakers of the deceased. Both lay interviewer and a physician individually derived their diagnosis using verbal autopsy report and a simplified algorithm. The data was entered and analyzed by using Epi_info 6.04. The inter-observer reliability between the lay interviewer and a physician for each possible diagnosis was assessed by using the Kappa statistics. Considering the diagnosis made by a physician as a gold standard, the diagnostic and predictive accuracy for each diagnosis made by the lay interviewer was calculated. Results: The communicable diseases accounted for 52 percent of the adult deaths while non-communicable for 32 percent and injuries for nine percent deaths. The overall agreement between the lay interviewer and a physician for communicable diseases was found to be good (k = 0.65 + 0.06) and for non-communicable diseases it was found to be excellent (k = 0.80 + 0.06). The lay interviewer using VA performed adequately for individual conditions of public health importance like acute febrile illness, diarrheal diseases, tuberculosis and injuries. Interpretation & conclusions: The present study has been successful to demonstrate feasibility of use of the lay interviewer to provide useful information on population-level estimation of broad causes of adult deaths and its socio-demographic characteristics that are reasonably reliable. The study suggests the possible utility of the method for rural India, where the majority of deaths occur at home. Further research work on development of sensitive and specific yet simple algorithms for lay interviewers to ascertain causes of adult deaths is required.
Emerging Architectonic Forms and Designed Forms
Alpana R. Dongre,S. A. Deshpande,R. K. Ingle
Archnet-IJAR : International Journal of Architectural Research , 2007,
Occupational Lead Exposure In Automobile Workers In North Karnataka (India): Effect On Liver And Kidney Functions
Nilima N. Dongre, A. N Suryakar*, Arun J Patil and D.B Rathi1
Al Ameen Journal of Medical Sciences , 2010,
Abstract: We studied liver and kidney function tests of occupational lead exposed Automobile Workers (N = 30), and normal healthy control subjects (N = 30), all 20 to 45 years of age, from Bijapur, North Karnataka (India). Venous blood and random urine samples were collected from both groups. The blood lead [PbB] (364%) and urinary lead [PbU] (176%) levels were significantly increased in automobile workers as compared with the controls. Liver function test parameters, i.e. Serum Aspartate Transaminase [AST] (23.88%), Alanine Transaminase [ALT] (24.03%), Alkaline Phosphatase [ALP] (17.99%), Total Bilirubin (45.83%), and Gamma glutamyl Transferase [GGT] (44.75%) were significantly increased in automobile workers as compared with the control group. Serum total protein, albumin, globulin, and A/ G ratio were not significantly altered in study group as compared with control subjects. In the kidney function tests levels of blood urea (26%), serum uric acid (13.11%) and serum creatinine (12.5%) were significantly increased in automobile workers as compared to control group. Increased PbB values in study group indicate the greater rate of lead absorption and impairment of liver and kidney functions in occupational lead-exposed automobile workers from Bijapur, North Karnataka (India).
Influence of genetic and non-genetic factors on incidence of reproduction problems in Karan Fries cows
Balasundaram, B.,,V. B. Dongre,A. K. Gupta,T. K. Mohanty
Wayamba Journal of Animal Science , 2010,
Abstract: In the present investigation, the effect of genetic and non-genetic groups on the incidence of reproductive problems has been studied. The effect of genetic group was found to be non-significant for all the reproduction problems in both first and all calvers. However, the effect of season of calving on repeat breeding and anoestrous was found to be significant and similar results was observed for period on pyometra in all calvers and but was not significant in first calvers. The cows suffered with anoestrous had non-significant effect on total milk yield and dry period while significant effect was found on 305-days milk yield, lactation length, calving interval and service period. However, the effect of pyometra on production and reproduction traits was non-significant. The overall incidence of repeat breeder, anoestrous and pyometra cows was 10.7, 22.5 and 1.53 % respectively for first calvers and 11.7, 18.5 and 2.30 %, respectively for all calvers.
ORIGINAL ARTICLE: Acute Poisoning with Organophosphorus Pesticide: Patients Admitted to A Hospital in Bijapur, Karnataka.
Indira A. Hundekari,Adinath N. Surykar,Nilima N. Dongre,Dileep B. Rathi
Journal of Krishna Institute of Medical Sciences University , 2012,
Abstract: Background: Organophosphorus compounds are the pesticides most often involved in human poisoning. Toxicity of these compounds is due to the inhibition of acetyl cholinesterase at cholinergic junctions of the nervous system. Aims & Objectives: Toxicities of OP pesticidescause adverse effects on many organs and systems hence the present study was planned to study the plasma Cholinesterase, serumcholesterol and thyroid function tests in acute organophosphorus pesticide poisoning. Materials and Methods: Plasma ChE, serumcholesterol and serum triiodothyronine, thyroxine, and thyroid stimulating hormone levels were estimated using standard methods.Result: In our study we found the maximum (95%) cases were suicidal poisoning. We found that the incidence of poisoning was more common among age group between 15-35 years and males (57%) were more likely to attempt suicide as compared to females (38%). Among the organophosphorus compounds the most commonly used were dimethoate,monocrotophos, chlorpyriphos. 79% organophosphorus poisoned patients recovered, while 21% died. Plasma Cholinesterase levels were significantly (p<0.001) decreased in all grades of organophosphate poisoning as compared to controls. Inhibition of Plasma Cholinesterase occurs at the time of admission due to toxic effect of organophosphorus compounds; but the levels significantly (p<0.001) normalized after treatment i.e. on the last day of hospitalization. Serum total cholesterol levels significantly decreased (p<0.001) in all grades of organophosphate poisoning cases as compared to controls without any change after treatment as compared with the patients before treatment. There was a slight and nonsignificant decrease in serum triiodothyronine and serum thyroxine levels in organophosphorus poisoning cases without anysignificant change in serum thyroid stimulating hormone levels as compared to control. The organophosphorus poisoned patients after treatment do not show more changes in their values. Conclusions: Thepresent finding indicate that plasma ChE can be used as a parameter to assess the severity of poisoning and also to monitor the prognosis of OP poisoning. We also support that serum cholesterol estimation can be used as a biological marker in intentional OP poisoning. Acute OP poisoning may not disrupt thyroidhormone metabolism.
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