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Volume-9 (2010);
Issue 2 (April-June) Published: Jul 30, 2010
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2010;2-1 |
| Editor's Note |
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This Article |
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2010;2-2
Original Article |
Maiti S, Ali KM, Dash SS, Ghosh D.
Impact of
‘Child to Family’ Strategy for Health Awareness Improvement at Rural
Sectors of Paschim Medinipur District, West Bengal. |
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Abstract: The present
study was carried out to assess the impact of health awareness package
through ‘Child to Family strategy’ for empowerment of knowledge,
change in the attitude and practice regarding communicable diseases
and nutritional diseases among rural sectors of Paschim Medinipur
district
of West Bengal from April 2009 to October 2009. School children of 523
from VII to IX standard and their family members (25%) were included
in the study. Health awareness level was monitored by self-administered
questionnaire methods. The study showed that majority of the
participants
had poor knowledge regarding the concerned diseases at pre-awareness
stage. But after imparting the awareness package, knowledge about the
said diseases improved markedly in both children and their family
members.
Therefore, School children have the potential for transmitting their
newly acquired knowledge to their family members. The present study
enlighted that ‘Child-to-Family Strategy’ is powerful tool for community
health improvement at rural sectors
Key words: Health
awareness, Child to family strategy, School children |
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This Article |
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2010;2-3
Original Article |
Dambhare DG, Bharambe MS, Mehendale AM, Garg BS.
Nutritional Status
and Morbidity among School going Adolescents in Wardha, a Peri-Urban area. |
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Abstract: Objectives:
To assess the nutritional status and morbidity among the school going
adolescents in peri urban area Wardha. Materials and Methods:
The present study was conducted in the year 2008. 116 children in the
age group of 10 to 19 years studying in high school of peri urban area
Wardha were examined. Nutritional
status of the adolescents was assessed through weight for age (wasting)
and height for age (stunting) according to WHO criteria. Data was entered and analyzed by using
Epi Info 6.04 software package. Chi- square value was used for testing
statistical significance. Results: Mean age of the adolescents
was 13.16+ 1.99. 48.3% of the adolescents were found to be normal
and 51.7% were underweight. Early adolescents were at highest risk of
underweight significantly more 73.3% ( p < 0.05 ) as compared
to late adolescents 26.7%. Overall 34.5% of the adolescents were stunted
with boys suffering more 72.5% as compared to girls 27.5%. 28.45% of
the school going adolescents had anaemia with girls suffering
significantly
more 38.89% (p < 0.05) as compared to boys 23.75%. 35.34% adolescents
had dental caries. 13.79% adolescents were found to be suffering from
refractive error. 7.76% adolescents had worm infestation. 6.9%
adolescents
had skin problems. 2.59% adolescents had tonsillitis and 2.59% had wax
in the ear. Conclusion: The study shows the poor health and
nutritional
status among the adolescents. A periodical and regular health check-up
with concerted efforts towards their nutrition along with focused health
education will improve the health and nutritional status of these school
going adolescents in peri urban area Wardha.
Key words: Adolescents, Anthropometry, Nutritional status.
Morbidity |
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This Article |
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2010;2-4
Original Article |
Sankapithilu GJ, Nagaraj AKM, Bhat SU,
Raveesh BN , Nagaraja V.
A comparative study of frequency of postnatal depression among subjects with normal and caesarean deliveries. |
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Abstract: Background: Prevalence of postnatal depression (PND) is 12-15%. Recent studies are
equivocal about the earlier inference that PND is higher among caesarian
than normal delivery. Objective:
The aim of this study is to investigate the frequency of PND among
the Indian women and the association between the mode of delivery and
PND. Material and
method: Fifty subjects each; having delivered normally and by caesarian
section was chosen. All the women were within 3 months post delivery
and could understand Kannada language. Those who consented were asked
to complete the Edinburgh Postnatal Depression Scale (EPDS). Those found
to have scores suggestive of depression on EPDS were assessed for depression
according to ICD-10. The data was analyzed using paired t test and chi
square test. Result and conclusion: Among Post caesarean subjects,
depression was diagnosed in 20% (n=10) as compared to 16% (n=8) in subjects that
delivered normally. However there was no significant difference in the frequency
of depression among the two groups. Due to the small sample size the results
cannot be generalized.
Key words: Postnatal
depression, EPDS, Caesarian delivery |
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This Article |
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2010;2-5
Original Article |
Gour N, Srivastava D, Adhikari P.
Study
to Assess the Prevalence of Soft Drinking and its Determinants among
the School going Children of Gwalior city. |
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Abstract: Background: Over the time
there has been spectrum of changes in the universe. It may be at
physical,
chemical and cultural level. People have adopted newer life styles like
their working style, clothing’s, food habits and so on. One of the
pertinent example of this newer food habits is rising consumption of
soft drinks rather than traditional home made drinks. This study
was aimed to find out various determinants responsible for this rising
trend of soft drinking so that effective intervention can be undertaken
to overcome this creeping problem. Objectives: To find out the
prevalence of soft drinking consumption among the students and to assess the determinants
of soft drink consumption among the students. Materials and methods: It
was a cross
sectional study. A sample of 200 students was selected from the both
govt. and private schools by stratified random sampling. Then they all
were interviewed by using pre tested, semi structured proforma. Later
on data was analyzed manually and by using suitable statistical
software. Results: Frequent
drinking
of soft drinks was found more among the students of private schools
than govt. (p < 0.05). A significant association was found between
pocket money, TV watching and frequency of soft drinking (p<
0.05).Other
reasons which were found to be responsible by far for frequent soft
drinking like lack of
awareness
regarding hazards, frequent TV watching, desire of new taste, lack of
health education from the parents side etc. Conclusion: Soft drinking
consumption is creeping day by day amongst the children with out knowing
their hazards. And they are the future of any country so there should
be effective intervention from both sides govt. as well as parents to
get rid of it at earliest.
Key words: Soft Drinking, School students, Prevalence, Determinants |
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This Article |
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2010;2-6
Original Article |
Sodhi MK.
TV Viewing versus Play - Trends and Impact on Obesity. |
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Abstract: A cross sectional descriptive
study was conducted involving 10000 students from randomly selected government
and private schools of Amritsar district to identify the trends of TV viewing
and playing in school children aged 5 years and above, to compare TV viewing in both sexes,
different age groups and urban versus rural children and to study the impact of TV viewing
and playing on obesity in children. The results showed that TV viewing has replaced outdoor playing in most children, irrespective of
age, sex and residence. A positive relation between TV viewing and obesity was
also documented
Key words:
Television, play, leisure activity, obesity
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This Article |
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2010;2-7
Original Article |
Bhattacharya S, Mukherjee G, Mistri P, Pati S.
Safe abortion
– Still a neglected scenario: A study of septic abortions in a tertiary hospital of Rural India. |
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Abstract: Background
and Aims: In spite abortion has been legalized in India over three
decades, unsafe abortion continues to be a significant contributor of
maternal mortality and morbidity. The aim of the present study is to
assess the magnitude of septic abortion in a tertiary care hospital
over a period of three years with a special emphasis on maternal
mortality
and morbidity and various surgical complications. Settings
and Design: Retrospective study of patients who were admitted with
unsafe abortions over a three year period from 2005 to 2008 in a
tertiary
teaching Hospital of Rural India. Materials
and Methods: Hospital records of the patients who were admitted
with unsafe abortion in three years (2005-2008) were reviewed to
evaluate
the demographic and clinical profile in relation to age, parity, marital status, indication of abortion , the methods of abortion
,qualification of abortion provider complications and maternal
mortality.
Results: Unsafe abortion constitutes 11.6% ( n=132) of total
abortion
cases admitted over 3 years. Majority of women (70.45%) were in their
thirties, married (89%).Sixty percent wanted abortion for birth spacing. Abortion methods included various primitive methods (30%) but majority
by dilatation and evacuation. About 60% of abortionists were
unqualified.
Majority of women admitted with serious complications like peritonitis
(70%), visceral injuries (60%), hemorrhagic and septic shock, renal
failure (17.4%), and life threatening conditions like DIC, hepatic
failure and encephalopathy. A total of 231 women died of unsafe abortion
making it 12.55% of total maternal mortality in our institution. Out
of 73 women requiring laparotomy, 22% were done within 24 hours of
admission and majority (49%) were performed beyond 24-48 hours.
Interestingly
no women died when early aggressive surgery was done. Conclusion: The present study confirms that unsafe abortion is a great
neglected
health care problem leading to a considerable loss of maternal
lives. Education and accessibility of contra caption, readily available, quality abortion services by trained abortion providers remain the
key to limit mortality and morbidity arising from unsafe abortion.
Key words: Unsafe abortion, maternal mortality, India |
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This Article |
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2010;2-8
Original Article |
Vishnu SM, Pradeep NP, Anupama N, Mithra PP.
Bronchoscopic evaluation and final diagnosis
in patients with chronic non productive cough with normal chest X ray. |
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Abstract: When a proper detailed history, clinical examination, chest X ray and
sputum analysis does not yield a definite diagnosis for the cause of
chronic cough, bronchoscopy is indicated. We did a retrospective
analysis
of 39 patients who underwent bronchoscopic evaluation for chronic cough
(more than 4 weeks) with normal chest X ray and without a prior
definitive
diagnosis. 16 out of 39 patients were diagnosed to have
tuberculosis
on analysis of the bronchial washings. 6 patients (66.67%) with left
upper lobe mucosal inflammation were AFB smear positive. 5 patients
( 31.25 %) with normal bronchoscopy were AFB smear positive.4
out of 5 patients (80 %) with bilateral upper lobe mucosal inflammation
were AFB smear positive. Pulmonary tuberculosis can present with chronic
non productive cough and normal chest X ray. Bronchoscopy is helpful
in establishing the diagnosis. When bronchoscopy shows bilateral or
unilateral upper lobe bronchial mucosal inflammation, possibility of
tuberculosis is high. Bronchoscopy can be normal in some patients with
pulmonary tuberculosis with normal chest x ray and chronic non
productive
cough. The key message is that early pulmonary tuberculosis can present with
chronic non productive cough and normal chest X ray without any other
symptoms suggestive of tuberculosis. Bronchoscopy is helpful in
establishing
the diagnosis
Key words: Chronic non productive
cough, bronchoscopy, pulmonary tuberculosis |
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This Article |
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2010;2-9
Original Article |
Shivakumara BS, Sridhar V.
Study of vibration and its
effect on health of the motorcycle rider. |
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Abstract: The motorcycle riders are subjected
to extreme vibrations due to the vibrations of its engine, improper structural
design of the motorcycle and the bad road conditions. The literature review
reveals that the vibrations are most hazardous to the health if it exceeds the
limit. The experiments were conducted to measure the magnitude of the
vibrations acting on the rider during motorcycle riding under various road
conditions. Experimental values of accelerations and frequencies which are
beyond permissible limits according to the literature confirm
that vibration certainly affects health of the motorcycle rider.
Key words: Health, Motorcycle
rider, Vibration |
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This Article |
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2010;2-10
Original Article |
Prakash M, Kedage V, Muttigi MS, Nataraj K, Baig WW, Attur RP.
Glutathione-S-Transferase
and Thiol Stress in patients with acute renal failure. |
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Abstract: Introduction:
Tubular damage is common finding in acute renal failure
(ARF). Various etiologies have been put forth to explain the tubular
damage in ARF, one important mechanism among them is oxidative damage
to renal tubules. Several biomolecules including low-molecular weight
peptides and enzymes in urine have been proposed as early markers of
renal failure. Current study has been undertaken to study the thiol
stress and glutathione-S-transferase (GST) levels in ARF patients. Method:
58 ARF patients and 55 healthy controls were selected based on inclusion
and exclusion criteria. Serum thiols, GST, malanoldehyde (MDA) and urine
thiols were determined by spectrophotometer based methods. Results:
Serum thiols and urine thiols were significantly decreased (p<0.0001),
and serum GST and MDA levels were significantly increased (p<0.0001)
in ARF patients compared to healthy controls. Serum GST and MDA correlated
positively in ARF cases (r2 = 0.6938, p<0.0001). Conclusion:
There is significant thiol stress and increased lipid peroxidation in
ARF patients which leads to tubular cell membrane damage and release
of GST into blood stream and into urine. This may be possible mechanism
for the increased presence of GST in urine (enzymuria) found in other
studies.
Key words: Glutathione-S-transferase; thiol stress; acute renal failure; urine
thiols |
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This Article |
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2010;2-11
Original Article |
Kadri R, Hegde S, Kudva AA, Achar A.
Over the counter ophthalmic
drug misuse, are we aware? |
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Abstract: Aim: To investigate
the misuse of ‘over the counter’ ophthalmic medications in our city. Method: Responses of a structured questionnaire covering various
aspects of over the counter drug use was obtained from pharmacy workers
in and around our city. Results: Eighty nine pharmacy
workers took part in this cross–sectional study. An average
number of seven patients per day with ophthalmic complaints were seen
by the pharmacy workers. Dispensing over the counter was practiced
by 89.9% of the pharmacists. The most common complaint of the patients
visiting the pharmacy, was redness and itching (86.5%). Antibiotics
(96.6%) were the most common eye drops dispensed over the counter, followed
by steroids (55.1%), decongestants (54.1%), antibiotic-steroid combination
eye drops (29.2%) and lubricants (16.8%). Awareness regarding complications
of steroid use was seen in 40.6% of pharmacists. 6.7% pharmacists
had seen patients with complications following use of over the counter
medications. In our study, majority of the eye drops dispensed were
prescription drugs. Conclusion: Availability of prescription
eye drops over the counter is an immense public threat. Educating
the pharmacist and the population can decrease ocular morbidity.
Research into methods to effectively deal with over-the-counter drug
misuse is required and law can be enforced based on the findings.
Key words: Over the counter, drug misuse, eye drops, pharmacy, non-prescription
drugs |
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This Article |
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2010;2-12
Case Report |
Bhattacharya S, Pati S, Naskar A, Dey S.
An Atypical Case of
Pelvic Leiomyomatosis Peritonealis Disseminata. |
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Abstract: An exceptional case of
Leiomyomatosis
peritonealis disseminata which occurred in a perimenopausal woman was
mistaken for ovarian malignancy at laparotomy as it had extensive
involvement
of the pelvic peritoneum without a trace of leiomyoma in uterus and
cervix.
Key words: Leiomyomatosis
peritonealis disseminata, peritoneal leiomyomatosis |
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This Article |
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2010;2-13
Case Report |
Raina S, Kaul R, Kashyap R, Gupta D.
Atypical
presentation of visceral leishmaniasis from non-endemic region. |
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Abstract: A
case of atypical and acute presentation of visceral leishmaniasis from non-endemic region,
characterised by exudative pleural effusion and hepatitis is reported
Key words: Visceral leishmaniasis, nonendemic region,
pleural effusion, hepatitis |
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This Article |
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2010;2-14
Case Report |
Shetty PK, Ramesh M, Ramesh S.
Mucocele of Appendix
Secondary to Cystadenoma: a Diagnostic Challenge. |
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Abstract: Mucocele of appendix is uncommon cystic
lesion characterized by distension of the appendiceal lumen with mucus.
Most of them are caused by mucinous cystadenomas and rarely cystadenocarcinomas.
Clinical presentation is varied with more than half being asymptomatic.
We report such a case where initial clinical findings and investigations
suggested an ovarian cyst, and the diagnosis was only made at the time
of surgery. In women presenting with a right iliac fossa mass and clinical
features not indicative of gynaecological pathology, an appendiceal
origin should be considered in the differential diagnosis.
Key words: Appendix;
Mucocele; Ovarian cyst |
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This Article |
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2010;2-15
Case Report |
Salati SA, Rabah SM.
VACTERL association. |
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Abstract: VACTERL association is
a useful acronym for a condition characterised by the sporadic,
non-random
association of specific birth defects of multiple organ systems.We
present
one such case which had congenital abnormalities of renal,skeletal and
cardiac system
Key words: VACTERL association, radial club hand |
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This Article |
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2010;2-16
Case Report |
Dal SI, Parmar P.
Yunis Varon Syndrome. |
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Abstract: We have reported a case of Yunis-Varon syndrome
which is a rare, autosomal recessive syndrome characterized by growth
retardation, defective growth of the cranial bones,
characteristic facial features, abnormalities of the fingers and/or
toes & cleidocranial dysplasia. Additional features in this case
were patent ductus arteriosus, CT brain findings suggestive of ischemic
changes, CSF examination suggestive of pyogenic meningitis & cystic
changes in right adrenal gland.
Key words: Yunis-Varon syndrome, distal aphalangea |
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This Article |
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2010;2-17
Case Report |
Shetty PK, Bafna UD, Balaiah K, Gnana Prakash S.
Ovarian Fibroma with Meigs Syndrome associated with
Elevated CA125 - A Rare Case. |
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Abstract: Postmenopausal
women with solid adnexal masses, ascites and pleural effusion with elevated
CA 125 are highly suggestive for malignant ovarian tumor. However in
literature 28 cases Meigs syndrome (Benign ovarian tumor, ascites and
right pleural effusion) with raised CA 125 have been reported. We report
a case of Meigs syndrome caused by right ovarian fibroma with elevated
serum CA125 level in a postmenopausal woman
Key words: Ascites, Meigs
syndrome, Carcinoembryogenic Antigen
(CA) 125. |
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This Article |
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2010;2-18
Case Report |
Kaul R, Gulati A, Kaushik R, Raina S.
Polymorphous low grade adenocarcinoma - an unusual presentation. |
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Abstract: Polymorphous low-grade adenocarcinoma (PLGA) is a neoplasm that occurs
frequently in the mucosa of the soft and hard palates, in the buccal
mucosa and in the upper lip and is very rare within the nasopharynx.
We present a case of PLGA, which presented as a nasal polyp
Key words: Polymorphous low-grade adenocarcinoma, minor salivary gland neoplasm,
nasal polyp |
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This Article |
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Published: Jul 30, 2010 |
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