ORIGINAL RESEARCH ARTICLE | Oct. 22, 2019
Peripheral Arterial Disease Diagnosis and Management in Primary Care: A Qualitative Study
Fahd Al Qahtani, Modi Fahd Al qahtani, Majedah Fahd Al Qahtani
Page no 702-706
Background: The patients with peripheral arterial disease (PAD) have impairment in lower limb function which negatively impacts mobility and daily activities. Over a period of time, the patients with PAD experience difficulty in their walking ability (i.e., walking distance, speed, and/or stair climbing). The reduced walking ability leads to the mobility loss and thereby an inability to perform the daily activities of live. Objective: This study highlights the gap in literature on the basis of the views of the patients as well as the experience of primary care health professionals on the diagnosis and the management of PAD. It also demonstrated the problems that the patients and the primary care health professionals experience regarding the PAD diagnosis and management, and reveals the issues that could explain the delayed in the diagnosis and under- management of PAD. It also throws light on the need for providing the information to PAD patients and also to motivate them for regular follow-up. A more proactive attitude is needed for early identification of PAD by probing for the symptoms during the routine interactions. Method: Semi-structured interviews and focus groups were conducted with PAD register patients (P; n = 20), practice nurses (PNs; n = 10), district nurses (DNs], n = 10), registered nurses (RN; n = 10), and General Physicians (GPs; n = 20). Results: The attitudes of health professionals towards PAD, difficulty in the accessing tests, and the delay in the patient reporting impacted upon the diagnosis. Some health professionals had a proactive while others had a reactive approach to PAD identification.
ORIGINAL RESEARCH ARTICLE | Oct. 30, 2019
Study on Knowledge Regarding Various Aspects of Carcinoma Cervix in Rural Areas of Aligarh
Uzma Eram, Zakia Sultan
Page no 707-709
Cancer Cervix is the second most common cancer in the world. Cervical cancer is the leading cancer and the leading cause of cancer deaths in women in developing countries. Overall, the mortality rates in developing countries are about four times (80-85%) than those in industrialized countries. The aim of this study is to find the knowledge and attitude of cervical cancer among married females of rural areas of Aligarh. The study was a cross sectional study. It was done in July –August, 2019. All the married females were included who gave consent for the study.100 females were included of registered areas of Rural Health and Training Centre, Department of Community Medicine, J.N. Medical College, AMU. Pre-testing of the questionnaire was done on 10 respondents; after which necessary changes were made, and the questionnaire was re-administered. Data entry was done. More than half of the females under study thought vaginal discharge and menstrual irregularity as the main symptoms of cervical cancer. Oral contraceptive pills and multiple sexual partners were considered main risk factors in more than 50 percent of females. Regarding preventive measures, good genital hygiene was known to most of the females under study. Surprisingly, PAP smear was unknown to almost all females under study.