The Journal of Community Health Management

7-11

Authors: Kavya M. A*,Shoba, ,Ranganath T.S,Vishwanath P.G

Context: A high suicide rate is an index of social disorganization. In India, it is the second leading cause of death among 15-29 years age group. Young age, female sex, poor education, unemployment and socio economic deprivation are some of the potential risk factors. Material and Methods: The aim of the study is to assess the life events that provoked suicide attempt in a tertiary care centre. It was a cross-sectional study conducted among 476 patients with attempted suicide by convenient sampling method. Study was conducted from January 2016 to May 2017.Data was collected using a pre-tested, semi-structured questionnaire. Descriptive and Inferential statistics were used to analyse the data. Results: Mean age of study participants was 30.65+0.75 years. Among 476, 57.78% of them were males and 24.57% of study participants had family history of suicide. There is association between life events that led to attempt suicide and number of previous attempts of suicide. Among various life events, family problems were the most common factor irrespective of number of previous suicide attempts followed by financial crisis, work-related factors and personal factors. Conclusion: Suicide and attempted suicides are becoming globally endemic. Socio-demographic factors and the nature of their living in a society plays a major role in this. Healthy living comes from healthy family and good working environment.

21-24

Authors: Nidhi D Sinha,B N. Mishra*,S C Mohapatra

The pandemic of essential hypertension, obesity, Type 2 diabetes, and there associate dislipidemia (HOD complex) have set a new benchmark in disease epidemiology.1-3 Their concordance is magnanimous and multifaceted but not universal. Thus the need arises to explore their geo-cultural associates. Aim: This cross sectional study explored this dimension for rural Indian inpatients in a Central Indian tertiary healthcare facility. Established anthropometric tools are explored for their association with the HOD complex in order to shortlist the valued ones. Result: BMI (body mass index) and WC (waist circumference) were found to be strong associates with HTN (essential hypertension) (?2 = 0.0034 d.f =1, P<0 d.f=1 p=0.003). d.f=2,> Conclusion: All recommended guide lines specially with respect to HOD complex demonstrates geo-cultural variation. There for it is pragmatic to test them for their suitability with reference to local population.

30-32

Authors: Shwetma Mishra*

Anemia is the most common disorder of the blood and it is very typical to identify anemia. Many biotechnological tools are developed regularly for identification of anemia e.g. Analyzers’ for CBC counting, Neubauer chamber for cell counting, Microscopic findings of Bone marrow examination etc. The tools are developed accordingly where there is less errors in assessing and also keeping in mind that less sample may be drawn from sufferer. The objectives of the study were to identify Anemia in various age groups females carried out with the following. Materials and Methods: The blood can be collected (without clots) by veripuncture in the EDTA tube (dipotassium salt) for the test performing are Complete Blood Count (CBC) including Erythrocyte Sedimentation Rate (ESR, method: wintrobe) by using automatic analyzer. Few samples was also examined by POC microscope for further evaluations or analysis. The collected blood samples of 1000 females includes with their symptomatic analysis of present and past history via questionnaire. Then findings are evaluated with sign and symptoms of sick persons, with their family history, clinical history and physical examinations (according to available data) for confirming Anemia. Results were categorized at different categories groups. Results: From the hematological analysis done by using automated analyzer and PDM device of one thousand samples, 57% samples are found as anemic. When their comparative analysis was performed with their weight it was found that about 34.9% females are overweight and affected with disease condition. When categorized type it was found that 29.2% students affected with mild anemia, 4.8% are by moderate anemia and 0.8% were with severe anemia. The maximum anemia cases of students living in PG or hostiles. Conclusion: After performing the hematological analysis it is found that 57% of sample indicating anemia. Day scholar 68.6% and hostiles 81.6% had prone to anemia. It was also seen 1.6% females with severe anemia. Some non anemic about 10% samples are also shows anemic condition with no symptoms of anemia. They are either suffered by chronic illness or infected by blood parasite. PDM device indicated around 5% of cases are with infectious disease cases like Tuberculosis or any other previous illness. The food habit of hostile was worse than those of day scholars. Their food may not contain nutritional content and their food habits are only sustaining their hunger but not supportive with health as much as they required. Based upon a relatively small body of evidence, there appears to be a strong and clinically significant association between anemia and different life threatening diseases like cardiovascular morbidity and mortality in MDS. While further research is needed, clinicians should seek to actively manage hemoglobin levels in all chronic disease patients before the point of transfusion dependency is reached.