المؤلفون: Angeline G. Nancy, Paul Jackwin Sam, Hegde Divya, Sudha Sri, Karikalan, Nancy Luciya, Abraham Vinod Joseph

المصدر: Indian Journal of Community Medicine, Vol 49, Iss 7, Pp 95-95 (2024)

مصطلحات موضوعية: psychological first aid, depression, Public aspects of medicine, RA1-1270

الوصف: Background: The basic training for ASHA workers in Tamil Nadu include a module on Non-Communicable diseases with inadequate focus on Mental Health. As a part of the Community Based Assessment Checklist, ASHAs are trained in administration of Patient Health Questionnaire-2 to screen for depression. However, there is significant gap in the primary prevention of depression in the communities in terms of screening, basic counselling services and knowledge and attitude among community health workers Objective: This study aimed to assess the feasibility of capacity building of Community Health Workers in screening for depression and suicide risk and provision of Psychological First Aid Services Methodology: 117 Community Health Workers including ASHAs, AWWs, ANMs, WHVs, VHNs and UHNs were trained in WHO Psychological First Aid, PHQ-9 administration and WHO MhGAP 10 questions on suicide risk screening in Thiruvannamalai, Vellore and Tiruvallur District of Tamil Nadu Results: Of the 1371 individuals screened, 13.18% were positive for depression and 38% were positive for atleast one suicide risk. The most common suicide risk observed was chronic pain followed by extreme hopelessness. PHQ-9 and Suicide risk assessment was easy to administer among ANM, VHN and UHNs. However, ASHAs and Women Health Volunteers reported that PHQ-2/WHO Wellbeing Index was an easier tool to use in the field. Psychological First Aid training can be easily delivered by non-medical professionals to health workers. Conclusion: Community Health Workers can provide primary prevention in mental health by provision of Psychological First Aid to their community. Depression screening should be simplified by PHQ-2/WHO Well being index

وصف الملف: electronic resource

Relation: https://journals.lww.com/10.4103/ijcm.ijcm_abstract328; https://doaj.org/toc/0970-0218; https://doaj.org/toc/1998-3581

URL الوصول: https://doaj.org/article/920310eb0a4344d095cf399d68cb092e

المؤلفون: Alexander, Vijay^{Aff1, IDs1287902409170x_cor1}, Rathinam J., Jasper, George, John Titus, Paul, Jackwin Sam

المصدر: BMC Infectious Diseases. 24(1)

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المؤلفون: Alexander V; Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India., Sindhu KN; Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India., Ralph R; Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India., Paul JS; Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India., Manimegalai B; Department of Dietetics, Christian Medical College, Vellore, Tamil Nadu, India., Zachariah A; Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India.

المصدر: International journal of mycobacteriology [Int J Mycobacteriol] 2023 Oct-Dec; Vol. 12 (4), pp. 436-442.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Medknow Country of Publication: India NLM ID: 101615660 Publication Model: Print Cited Medium: Internet ISSN: 2212-554X (Electronic) Linking ISSN: 22125531 NLM ISO Abbreviation: Int J Mycobacteriol Subsets: MEDLINE

مواضيع طبية MeSH: Tuberculosis, Pulmonary*/drug therapy , Tuberculosis, Pulmonary*/complications , Tuberculosis*/epidemiology, Humans ; Tuberculin ; Sputum ; Tuberculin Test

مستخلص: Background: Tuberculosis (TB) remains a high burden disease in India. Nutrition plays a pivotal role in holistic recovery of the same.
Methods: Patients with sputum positive pulmonary TB were consecutively recruited into the study aimed to observe the incidence of under nutrition and anergy purified protein derivative (PPD). Anthropometry and PPD testing were done at baseline. Patients were followed-up at 6 months, with PPD intradermal test repeated to study tuberculin conversion. Nutritional recovery, tuberculin conversion, and determination of persistent anergy were the outcomes of interest.
Results: Of the 134 patients enrolled in the study, 43.2% were anergic to PPD at baseline. While 50.8% patients had normal body mass index (BMI), 14.2%, 9.7%, and 25.4% had chronic energy deficiency (CED) Grades I, II, and III, respectively. BMI at baseline showed a positive linear correlation with PPD response (r = 0.44, P < 0.001), and anergy was associated with CED (odds ratio - 3.25, P = 0.001). Forty-six patients completed follow-up and 19.6% showed anergy to PPD. At follow-up, 69.6% had normal BMI. Overall, there was an improvement in anthropometry and PPD reactivity in patients at 6 months, compared to baseline assessment.
Conclusion: Anergy was significantly associated with CED at baseline in patients with TB. While most patients had an improvement in nutritional status and PPD reactivity, a small subset of patients had persistent anergy. Recovery from TB is multifactorial and its determinants include microbiological cure, nutritional status, and immunological recovery.
Competing Interests: None