Browsing by Author "Saha, Indranil"
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Item Anthropometric correlates of adolescent blood pressure.(2007-07-31) Saha, Indranil; Raut, D K; Paul, BobbyA community based cross-sectional study was undertaken among 1081 adolescents to assess the relationship of adolescent blood pressure with weight, height and BMI in Chetla, Kolkata; data collection was done with a predesigned schedule along with recording of anthropometric measurements and blood pressure. Mean, correlation coefficient was used for statistical analysis. Systolic and diastolic blood pressure of both sexes increased with increase in weight, height and BMI with a significant positive linear correlation. Life style modification should be stressed upon from childhood.Item Attitude and communication module in medical curriculum: Rationality and challenges.(2016-04) Mitra, Jayasri; Saha, IndranilItem Awareness and perception of mothers about functioning and different services of ICDS in two districts of West Bengal.(2010-01) Biswas, Akhil Bandhu; Das, Dilip Kumar; Roy, Rabindra Nath; Saha, Indranil; Shrivastava, Prabha; Mitra, KaninikaIntegrated Child Development Services, a national programme of the Government of India has health, nutrition, and pre-school education components of services. To ascertain awareness, perception of mothers about functioning and different services of ICDS a cross-sectional community based study was conducted between June to September 2007 in Howrah and Purulia districts of West Bengal. A total of 1235 mothers were included as study subjects. As per opinion of the mothers 73% AWCs opened regularly, behaviour of the AWWs was friendly (71.6%) and 63% mothers opined that ICDS is beneficial to their children. 84.2% mothers were aware of any ICDS services. Quantity and quality of supplementary food was acceptable to 88% and 72.7% mothers respectively. 79.2% and 87.5% mothers did not receive any advice on child feeding and growth chart. Making beneficiaries aware about services by targeted interventions will ensure better utilization of ICDS.Item Difference in the outcome of patients with different grades of initial sputum positivity under the revised national tuberculosis control programme.(2011-10) Mukherjee, Abhijit; Singla, Rupak; Saha, Indranil; Sarkar, Anirban; Bhattacharyya, ParthasarathiItem Evidence to Guidelines(Indian Association of Preventive and Social Medicine Gujarat Chapter, 2018-01) Paul, Bobby; Saha, IndranilEvidence based practice deals with current best medical evidence in conjunction with clinical expertise and patient values to guide health care decisions. This paper intends to draw attention of the readers to the brief history of Evidence Based Medicine and the different methods of evidence appraisal in quantitative research like “hierarchy of evidence” which lists a range of study designs ranked in order of decreasing internal validity and may vary according to research question. There are other methods like integrative methods, network meta-analysis, quantitative modeling and infectious disease modeling that are also used for evidence appraisal. There are various approaches of quality assessment of research evidence amongst which GRADE approach (Grading of Recommendations Assessment, Development and Evaluation) is discussed in a nutshell to outline the roadmap from evidence generation in research to guideline formulation. Fundamentally the GRADE approach provides guidance for rating quality of evidence and grading strength of recommendations in order to aid in evidence based health care decisions.Item Mobile phones: Time to rethink and limit usage.(2015-10) Paul, Bobby; Saha, Indranil; Kumar, Sanjay; Ferdows, Sheikh Samim; Ghose, GautamItem Mobile Phones: Time to Rethink and Limit Usage.(2015-01) Paul, Bobby; Saha, Indranil; Kumar, Sanjay; Ferdows, SK Samim; Ghose, GautamRadiofrequency waves generated from mobile phones cause potential public health problems. Short-term effects like changes in sleep, heart rate, and blood pressure, and long-term effects like carcinoma are well documented. The Government of India’s efforts in laying down regulations regarding the safety limits, manufacture, marketing, and mobile use are still in nascent stage. The need for stringent enforcement of laws for prevention of phone usage while driving and guidelines of medical regulatory bodies regarding rules and regulations of phone usage while at class or attending patients is of utmost importance. This should be supplemented by mass media to raise awareness among people regarding the possible health effects of radiofrequency emissions from mobile phones and the guidelines to minimize its exposure. It is the need of the hour to teach young people to be structured, to know when to have the cell phone on, and to avoid becoming the slave of technology instead of its mastery.Item Nursing Personnel Planning for Rural Hospitals in Burdwan District, West Bengal, India, Using Workload Indicators of Staffing Needs.(2014-12) Shivam, Swapnil; Roy, Rabindra Nath; Dasgupta, Samir; Bhattacharyya, Krishna Das; Misra, Raghu Nath; Roy, Sima; Saha, IndranilLack of appropriate human resources planning is an important factor in the inefficient use of the public health facilities. Workforce projections can be improved by using objective methods of staffing needs based on the workload and actual work undertaken by workers, a guideline developed by Peter J. Shipp in collaboration with WHO—Workload Indicators of Staffing Need (WISN). A cross-sectional study was carried out to estimate the nursing stuff requirement for the rural hospitals and provide a quantitative description of imbalances, if there is any, in the allocation at the district level during 2011. The average WISN turns out to be 0.35 for entire district, which means only 35% of the required nurses is available or 65% understaffed. So, there is an urgent need for more allocations and deployment of staff so that workload can be tackled and evenly distributed among all nursing personnel.Item Ocular morbidity among children at a tertiary eye care hospital in Kolkata, West Bengal.(2012-10) Biswas, Jaya; Saha, Indranil; Das, Debabrata; Bandyopadhyay, Sabyasachi; Ray, Biswarup; Biswas, GautamEye diseases in childhood are important causes of medical consultation and it affects learning ability, adjustment in school and personality. To determine the pattern of ocular morbidity a cross-sectional observational study was conducted among 714 children, attending Ophthalmology department at a tertiary eye care center in Kolkata, West Bengal. All the children less than 15 years of age, attending in Unit II outpatient department were selected by complete enumeration method for duration of one year (January-December 2010). Distribution of association was analyzed by Chi-square test and difference between two proportions was calculated by z test for proportions. The common ocular morbidity were refractive errors (23.67%) followed by allergic conjunctivitis (17.23%), infection of the eye and adnexa (15.13%), ocular trauma (12.74%), and congenital eye diseases (13.59%). Majority of ocular morbidity is treatable and need early attention through eye screening cum intervention program beginning right from the childhood.Item Predictors of quitting behaviour with special reference to nicotine dependence among adult tobacco-users in a slum of Burdwan district, West Bengal, India.(2014-04) Islam, Kamirul; Saha, Indranil; Saha, Rajib; Samim Khan, Sufi Abdul; Thakur, Rupali; Shivam, SwapnilBackground & objectives: Information on predictors of quitting behaviour in adult tobacco users is scarce in Indian context. Hence, this study was undertaken to assess the intention of tobacco-users towards quitting and its predictors with reference to nicotine dependence. Methods: A community-based observational, cross-sectional study was conducted on 128 adult tobacco-users (89.8% male) with mean age of 41.1 ± 15.7 yr selected by complete enumeration method. Data were collected by interview using pre-designed, pre-tested schedule. Nicotine dependence was assessed by Fagerström Test for Nicotine Dependence (FTND) questionnaire. Result: Of the 128 users, 63.3 per cent had intention to quit. Majority of the tobacco users who did not intend to quit belonged to the age group of >40 yr (66.0%), were illiterate (55.3%), started tobacco use at 11 – 15 yr of age (57.4%), had been using tobacco for 20 yr or more (70.2%), were daily tobacco users (91.5%), and highly dependent on nicotine (80.9%). Tobacco users having high FTND score and who started tobacco use early in life were 1.83 and 3.30 times more unintended to quit, respectively. Interpretation & conclusions: Suitable plan for quitting should be developed depending on the FTND score of an individual, the most important determinant of quitting that would be beneficial for categorization of the treatment leading to successful quitting.Item Rapidly Fatal Silicosis Among Jewellery Workers Attending a District Medical College of West Bengal, India.(2015-07) Panchadhyayee, Prabodh; Saha, Kaushik; Saha, Indranil; Ta, Rupam Kumar; Ghosh, Santanu; Saha, Arnab; Barma, Pratik; Mitra, MrinmoyBackground. Silicosis is a slowly progressive chronic occupational lung disease, developed after a prolong period of exposure to high concentration of silica dust. Methods. In this longitudinal study, we enrolled old and new silicosis patients (n=19; 8 jewellery polishers, 11 from other occupations) seen at our Pulmonary Medicine Department from June 2009 to December 2012 to document the course of illness as per their occupational exposure. Results. Six of the eight jewellery polishing workers had developed silicosis within five years of exposure, while six of the 11 other workers with other occupational exposure had developed silicosis after exposure of 10 years or more. Mean duration of exposure was significantly less among jewellery polishing workers compared to other workers (3.4±1.7 versus 9.3±4.1; p=0.001). Mean duration of illness (months) (14.9±5.8 versus 28.5±16.5; p=0.040) were significantly less among the jewellery polishing workers compared to other workers. At the end of the study period, all eight jewellery polishing workers with silicosis had died while four of the 11 patients with other occupational exposure had died. Conclusion. Silicosis among jewellery polishing workers was found to be more severe and progressive compared to silicosis due to other occupational exposures, in our study.Item A study to develop and evaluate a need-based curriculum on addiction for students of madrasahs in a rural block of Hooghly district, West Bengal(Medip Academy, 2019-10) Mallick, Nazrul; Sinha, Rabindra Nath; Saha, Indranil; Aparajita Dasgupta; Pal, BobbyBackground: Tobacco smoking habit is imbibed at a very early stage of life and once it is taken up it becomes very difficult to give up. In fact the vast majority of tobacco users worldwide begin the use of tobacco during adolescence. Objective of the study was to develop and evaluate a need-based training curriculum on healthy life style in terms of addiction for Madrasah students of rural West Bengal.Methods: It was a school-based health educational intervention study in rural area of Hooghly district, West Bengal among 189 Madrasahs students.Results: The mean pre-test knowledge score in study Madrasah was 6.06±2.69 and post test score was 10.83±1.69. The calculated t-value was 24.06 and p value was 0.00 with effect size 2.12 (Cohen’s D). The observed increase in the knowledge of consequences of smoking in the study Madrasah after the health education was statistically significant. There was no significant difference in the knowledge of the control Madrasah on the health consequences associated with cigarette smoking in pre and post-test.Conclusions: As adolescent period is the ideal period to impart life-style related training it is obvious that vital opportunities are being missed due to lack of need-based training on life-style issues for this important population group. So, a well-designed need-based health educational intervention may play active role in bringing desired knowledge and behavior among the population group.Item A Study to Develop and Evaluate a Need-based Curriculum on Nutrition for Students of Madrasahs in a Rural Block of Hooghly District, West Bengal(International Society for Contemporary Medical Research, 2019-12) Mallick, Nazrul; Saha, Indranil; Sinha, Rabindra Nath; Dasgupta, Aparajita; Pal, BobbyIntroduction: Children are the hope and future for a nation.But, a large section of children is effected from malnutritionis also due to lack of knowledge and practices regarding theirfood requirements. So this study was conducted to designa training module to conduct more focused and need-basededucational interventions.Material and Methods: The present study was anintervention pre-post study on healthy life style among 187Madrasahs students of class VII and VIII where interventiongiven to the study Madrasah with the help of need basedcurriculum through trained teachers where teachers weretrained beforehand by the researcher himself.Results: The mean pretest knowledge score in study Madrasahwas 8.79 ± 4.15 and post test score was 24.19 ± 3.19.Thecalculated t-value was 33.34 and P value was less than 0.05with effect size 4.160 (Cohen’s D). In control Madrasah themean pretest knowledge score was 9.11± 4.45 and post testscore was 10.78 ± 4.32. The calculated t-value was 1.82 and Pvalue was 0.07 with effect size 0.061 (Cohen’s D).Conclusion: This study was conducted to develop andevaluate a need-based training curriculum for madrasahstudents of rural West Bengal on nutritional knowledge andpractices. This training curriculum was implemented bytrained teachers who were. The finding of the study mayprovide adequate evidence to conduct more focused and needbased educational interventions to equip school students withage appropriate knowledge and practices.