ABSTRACT
Background: Obesity is on the rise among Indian women; increasing from 12.6% (NFHS-3) to 20.7% (NFHS-4). This leads to dysregulation of several groups of hormones and has deleterious effect on the reproductive system. Extra adipocytes are sources of extra estrogen that can cause menstrual disorders such as oligomenorrhoea, polymenorrhoea, menorrhagia and metrorrhagia. Counselling women about weight reduction will help in improving their reproductive health and quality of life. Thus, the present study was done to assess obesity among women and to describe the menstrual abnormalities among them; simultaneously, the perception of obesity among these women was also assessed.Methods: A cross-sectional study was conducted by doing house to house survey among 250 women of reproductive age residing in the urban field practice area of KIMS, Bangalore for a period of 3 months from June to August 2018. Details about socio-demographic factors, presence of any menstrual abnormalities and perception of obesity were collected using questionnaire by house to house survey. Anthropometric measurements were done and BMI was calculated. Data was entered in MS excel and analysed using appropriate statistical tests.Results: The study included 250 subjects; among whom 59.2% were obese. The common menstrual problems reported were dysmenorrhea (52.8%), oligomenorrhea (20.4%), hypomenorrhea (14.1%), menorrhagia (13.6%) and polymenorrhea (1.6%). Menstrual problems affected daily activities in 50.7% subjects. The difference between perception of their body image and their actual weight was found to be statistically significant.Conclusions: Obesity is an important health issue among women and most of them had menstrual abnormalities.
ABSTRACT
Background: Government of India has launched ‘Swachh Bharat Swachh Vidyalaya’ initiative in 2014, with emphasis on promoting safe and hygiene practices among school children. Providing easy access to hygiene and health education regarding personal hygiene is a simple and cost effective tool for prevention and control of hygiene related health problems including skin diseases. Objectives of the study were to assess the personal hygiene practices of primary school children and to find out the skin diseases related to personal hygiene practices.Methods: The study was conducted among 12 primary schools in an urban poor locality. The availability of hygiene facilities in all the schools was noted. The hygiene practices among the children were collected using pre-designed, semi-structured proforma and clinical examination was done to find out skin diseases among them. Subsequently, all school children were given health education regarding correct hygiene practices. The data was analysed using mean, percentages and Chi-square test.Results: The study included 1404 students. Among them 40.7% took bath daily, 53.7% wore washed undergarments, uniform and socks daily, 56.5% had trimmed nails and 76.7% washed hands with soap and water before eating and after using toilet. On examination, 475 (33.8%) had skin diseases like pityriasis alba (13.2%), pediculosis capitis (12.3%), pyoderma (4.6%) and others. There was significant association between skin diseases and hygiene practices (p<0.001).Conclusions: Improper hygiene practices were associated with skin diseases. Therefore, regular social and behavioural change communication activities on hygiene practices has to be imparted for school children to prevent related skin diseases.
ABSTRACT
The classification of bladder tumors has undergone a change over the years but still has not achieved success in predicting the behavior. The correct cellular classification of a tumor helps initiate appropriate treatment. Recently functional, genomic and proteomic data have been of help in aiding prognosis and modifying the treatment in many cancers. However, this data is not routinely integrated into the classification, and treatment protocols in bladder carcinoma hinge on grade and depth of invasion. An in depth understanding of the implication of grade, stage, molecular features on survival is necessary to understand the behavior of the tumor. The classification of Urothelial cancer has undergone a lot of change in terminology over the past century but we have still not identified markers (both morphologic and molecular) for preventing recurrences. It is believed that the treatment protocols should be based on a combination of these and we still have to conduct large-scale follow-up studies to identify these parameters. We present here the changes in bladder cancer classifications over the past century and the implications thereof in this review.