Background: The level of personal hygiene has a strong bearing on preventive capacity for many diseases and hence the assessment of its level assumes great significance. The school being a strong base for hygienic practices, the present study aimed to assess the level of personal hygiene and its associated factors as well as its effect on morbidity level of school children in a rural belt of southern Rajasthan.Methods: The cross-sectional study was conducted among 250 students studying in classes VIII to XII in 3 different schools of southern Rajasthan from November 2018 to February 2019.The data was obtained by interview method using pretested questionnaire which included socio-demographic factors, the hygienic practices and occurrence of diseases as dichotomous questions. The association of the attributes was tested through Chi-square test, correlation and regression techniques.Results: Only 22% students scored above 75% and were categorized as good practioners of personal hygiene. The age of students, parents literacy, and household income were significantly associated with personal hygiene. The common morbidities like head lice and dental caries were found gender sensitive in the study area. The negative association between disease score and personal hygiene score implied that the disease burden of children can be minimized with higher personal hygiene practices.Conclusions: Systematic efforts to sensitize school children and parents about importance of personal hygiene, improvement in parental literacy coupled with economic empowerment of rural families can help to enhance the status of personal hygiene of students and thereby drastic reduction in their disease burden.
Introduction: Despite the importance given by WHO and its member countries, malnutrition of children continued to be a serious problem worldwide , especially in developing countries like India. The uneven magnitude of this problem across Indian states reveals the need for ascertaining the magnitude of malnutrition. Aims & Objectives: The present study is aimed to ascertain the magnitude and the factors affecting the malnutrition across tribal and non-tribal communities in a rural belt of southern Rajasthan. Materials & Methods: The cross-sectional study carried out during March 2018 to February 2019 covering 200 households each from the two communities included 334 and 295 under five children respectively. These children were grouped as normal, moderate and severe classes with respect to underweight, stunting and Body Mass Index as per WHO standards. The proportion of children falling in these classes across two communities were tested using SND test. The factors affecting the problem were ascertined using Chi-square test. Results: The magnitude of moderately and severely underweight children was 32.63% and 7.49% in tribal and 24.41% and 4.41% in non-tribal communities. With respect to stunting and Body Mass Index, 64.37% and 63.47% in tribal and 73.22% and 73.90% in non-tribal were found normal. The factors like household income and mother's literacy were found strongly associated with malnutrition. The magnitude of calorie intake differed significantly across communities with higher variability among tribal children. Conclusion: Nutrition, health education and good access, and utilization of healthcare with separate strategic intervention for tribal and non-tribal children can be very effective interventions to overcome the burden of malnutrition.
There are currently deficits in teaching and consultant supervision when trainees are learning to participate in MDTMs. Formal teaching sessions and timetabled preparation/debrief time with a consultant should be available. Trainees should not be asked to lead meetings without adequate support. This also ensures a safe MDTM environment for the patient. The eportfolio assessment tool can be used to sign off competence levels before independently leading an MDTM. Advances in knowledge: These results suggest shortfalls in the current model for preparing radiology trainees for their central role in clinico-MDT meetings. Using this data, a guide for trainees has been written to address these deficits.
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