Indian Journal of Public Health
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Item 7th five year health plan.(1986-01-01) Seal, S CItem ABC, VED and lead time analysis in the surgical store of a public sector tertiary care hospital in Delhi(Indian Public Health Association, 2019-09) Hussain, M; Siddharth, V; Arya, SBackground: An efficient inventory control system would help optimize the use of resources and eventually help improve patient care. Objectives: The study aimed to find out the surgical consumables using always, better, and control (ABC) and vital, essential, and desirable (VED) technique as well as calculating the lead time of specific category A and vital surgical consumables. Methods: This was a descriptive, record-based study conducted from January to March 2016 in the surgical stores of the All India Institute of Medical Sciences, New Delhi. The study comprised all the surgical consumables which were procured during the financial year 2014–2015. Stores ledger containing details of the consumption of the items, supply orders, and procurement files of the items were studied for performing ABC analysis and calculating the lead time. A list of surgical consumables was distributed to the doctors, nursing staff, technical staff, and hospital stores personnel to categorize them into VED categories after explaining them the basis for the classification. Results: ABC analysis revealed that 35 items (14%), 52 items (21%), and 171 items (69%) were categorized into A (70% annual consumption value [ACV]), B (20% ACV), and C (10% ACV) category, respectively. In the current study, vital items comprised the majority of the items, i.e., 73% of the total items and essential (E) category of items comprised 26% of all the items. The average internal, external, and total lead time was 17 days (range 3–30 days), 25 days (range 5–38) and 44 days (range 18–98 days), respectively. Conclusions: Hospitals stores need to implement inventory management techniques to reduce the number of stock-outs and internal lead time.Item Abortion and M.T.P. cases--a study of hospital admissions from 1971 to 1979.(1982-01-01) Mehta, B; Prabhavathy, R; Mehta, S P; Venkatesh, SItem Abridged life tables for rural West Bengal, 1969.(1975-01-01) Mukherjee, S P; Das, S KItem Abridged stay table for pulmonary tuberculosis patients in three selected hospitals of West Bengal.(1978-04-01) Das, S K; Sen, A KItem Absorption of nicotine induces oxidative stress among bidi workers.(2006-10-21) Swami, S; Suryakar, A N; Katkam, R V; Kumbar, K MChronic exposure to tobacco dust causes nasal inhalation and cutaneous absorption of tobacco alkaloids especially nicotine, therefore the considerable evidences showed that workers employed in bidi industries are at risk of cancer, lung diseases and other many health related common problems. Many references revealed that tobacco dust exposure induces mutations, damage to DNA etc. which are supposed to be the consequences of free radical generation. In present study attempt have been made to evaluate the status of oxidants and antioxidants and their relation with nicotine. 90 bidi workers were screened for serum lipid peroxide (MDA) and serum nitric oxide (NO*) as oxidant and erythrocytic-Superoxide Dismutase (RBC-SOD), Vitamin-C as antioxidant. Total antioxidant capacity (TAC) and urinary cotinine were also measured. These bidi workers were further divided in 3 groups, Group 1, 11 and III exposed to tobacco dust for about 10 to 14 yrs, 15 to 19 yrs and 20 to 24 yrs of exposure respectively. Highly significant excretion of Urinary cotinine was found in all groups of bidi workers as compared with control (p < 0.001). The levels of MDA, and NO* were found to be significantly elevated in all the three groups with progression of exposure, than the control (p < 0.001), where as the levels of RBC-SOD, Vitamin-C and TAC were significantly decreased in all the three groups as compared with controls (p < 0.001). From our findings it is evident that nicotine absorption might contribute to the disturbed oxidant and antioxidant balance leading to oxidative stress.Item Acceptance of family planning practice among rural women clientele.(1982-07-01) Kaur, G; Singh, T RItem Acceptance of sanitary composting in rural areas.(1969-01-01) Srivastava, P KItem Acceptance of vaccination against the 2009 pandemic influenza a among health-care workers in Pune, Maharashtra.(2013-01) Hiremath, Ravishekar N; Kotwal, S M Atul; Kunte, Renuka; Hiremath, Sandhya; Basannar, Dasarath; Bhalla, SandeepItem Access–Watch Ratio Based on Access, Watch, and Reserve Classification of Antibiotics in Public Health Facilities of Tamil Nadu(Wolters Kluwer – Medknow, 2022-09) Sinha, Isha; Kanth, Krishna; Krishnamoorthy, Yuvaraj; Gopichandran, VijayaprasadThe rise in cases of antibiotic resistance can be mainly attributed to the overuse and misuse of antibiotics. To address this issue, the WHO launched Access, Watch, and Reserve (AWaRe) classification of antibiotics in 2017 as a surveillance tool. Many countries have adopted it to monitor and optimize their antibiotic usage. However, implementation of it is yet not seen at a very appreciable level. Through this survey, we tried to explore the prescribing pattern of antibiotics based on the WHO AWaRe classification in selected secondary and tertiary care health facilities of Tamil Nadu. In-patient case sheets were audited in selected departments across 18 health facilities in six districts. Proportionately higher use of the watch group of antibiotics was found in all the districts. A lower access–watch ratio suggests the need for judicious implementation of such tools to safeguard this life-saving good and ensuring its sustainability.Item The accident problem in comprehensive health care.(1971-10-01) Gupta, R CItem Accidents as a public health problem.(1969-01-01) Zaidi, S AItem Accidents--an emerging health problem in India.(1967-10-01)Item Achievements of National Leprosy Eradication Programme (NLEP) in India.(2003-10-06) Kumar, AshokItem Achieving universal immunization in India: the unmet challenge.(2008-10-05) Taneja, D K; Malhotra, SItem Acquired immunodeficiency syndrome (AIDS)(1990-04-01) Chakraborty, A KItem Action for tackling malnutrition: growth monitoring or surveillance?(2005-10-17) Ray, S KMalnutrition is an important Public Health problem globally as well as in India. Mortality is a multi-causal phenomenon in which malnutrition is but one factor directly or indirectly contributing 55% mortality of children under-five years of age. Authors observed higher prevalence of severe degree of Malnutrition in the underserved section of population with specific reference to girl child, under 3 years of age, where there were large number of children in the family, repeated infections and Measles. Growth monitoring Services in the ICDS scheme meant only weight recording and was not at all satisfactory. Even the majority of the Anganwadi workers (AWW) stated that it meant monthly weight recording of children while only few knew it is in addition plotting these on growth charts and advising mothers if growth was not proper. Around 60% of caregivers did not know about growth monitoring. The concept of growth monitoring should be changed to Growth surveillance to emphasize more on the action components of it.