Influence of behavioral determinants on deviation of body mass index among 12-15 years old school children of Panchkula / 한국역학회지

OBJECTIVES: To evaluate the body mass index (BMI) and factors related to BMI in 12-15 years old adolescents attending school in the Panchkula district of Haryana, India. METHODS: Our multistage sampling method enrolled 810 adolescents. Demographic data and dietary history data over 5 days were recorded. Height and weight were measured to calculate BMI, which was further categorized according to the World Health Organization classification system. Diet was analysed using the Nizel criteria and socioeconomic status (SES) was assessed using Prasad's socioeconomic classification. The chi-squared test and analysis of variance test were performed, and a multinomial regression analysis was performed to find significant correlates with BMI. RESULTS: The prevalences of underweight, normal weight, overweight, and obesity were 13.6, 58.4, 22.7, and 5.3%, respectively. The prevalence of both overweight and obesity was higher among males than that among females. The overall food group, nutrient, sweet, and oral health diet scores were higher among overweight and obese adolescents. Adolescents attending public school were 2.62 times more likely than private school adolescents were to be underweight. Private school adolescents were 2.08 times more likely than public school adolescents were to be overweight. Those with a high SES, vegetarians, and those aged 15 years were highly likely to be obese. CONCLUSIONS: We found 41.6% of these adolescents to have a BMI that deviated from the norm. Important factors related with BMI were age, gender, socioeconomic score, mean daily diet score, and the type of school.

Causes of tracheal re-intubation after craniotomy: a prospective study

Re-intubation of neurosurgical patients after a successful tracheal extubation in the operating room is not uncommon. However, no prospective study has ever addressed this concern. This study was aimed at analyzing various risk factors of re-intubation and its effect on patient outcome. Patients aged between 18-60 years and of ASA physical status 1 and 2 undergoing elective craniotomies over a period of two years were included. A standard anesthetic technique using propofol, fentanyl, rocuronium, and isoflurane/sevoflurane was followed, in all these patients. 'Re-intubation' was defined as the necessity of tracheal intubation within 72 hrs of a planned extubation. Data were collected and analyzed employing standard statistical methods. One thousand eight hundred and fifty patients underwent elective craniotomy, of which 920 were included in this study. A total of 45 [4.9%] patients required re-intubation. Mean anesthesia duration and time of re-intubation were 6.3 +/- 1.8 and 24.6 +/- 21.9 hrs, respectively. The causes of re-intubation were neurological deterioration [55.6%], respiratory distress [22.2%], unmanageable respiratory secretion [13.3%], and seizures [8.9%]. The most common post-operative radiological [CT scan] finding was residual tumor and edema [68.9%]. Seventy-three percent of the re-intubated patients had satisfactory post-operative cough-reflex. The ICU and hospital stay, and Glasgow outcome scale at discharge were not significantly affected by different causes of re-intubation. Neurological deterioration is the most common cause of re-intubation following elective craniotomies owing to residual tumor and surrounding edema. A satisfactory cough reflex may not prevent subsequent re-intubation in post-craniotomy patients

Experiences in Sport, Physical Activity, and Physical Education Among Christian, Buddhist, and Hindu Asian Adolescent Girls / 예방의학회지

Multicultural scholarship in sport and exercise psychology should help us understand and apply cultural competencies for all to be physically active. In the present study, two Asian countries, Japan and Singapore, were chosen. The participation rate for physical activities among adolescent girls tends to be lower than that of boys in both countries. Thus, the purpose of the project was to gain knowledge and understanding about sociocultural factors that may explain adolescent girls' perceptions and behaviors toward sport, physical activity, and physical education (PE). A qualitative approach using semi-structured interviews with focus groups was used to understand meanings of physical activity among Buddhist Japanese, and Hindu Indians and Christian Chinese from Singapore. Each focus group consisted of four or five girls and female researchers. Based on the analysis, we created four themes which were "cultural identities," "Asian girls and sport/physical activities," "PE experiences," "motivation for future involvement." The Buddhist Japanese, Hindu Indian, and Christian Chinese participants each reported unique physical activity experiences, and all the participants were aware of how Asian culture may affect being physically active. Experiences of PE classes were similar but perceptions of their PE attire were different for Christian Chinese and Hindu Indian adolescent girls. Based on the results, the importance of nurturing cultural competencies and ways to encourage girls to be physically active throughout life were discussed.

Anesthetic management in children with Hurler's syndrome undergoing emergency ventriculoperitoneal shunt surgery

Mucopolysaccharidoses [MPSs] are a group of lysosomal storage disorder characterized by progressive multiorgan accumulation of glycosaminoglycans. Patients with MPS I [Hurler's syndrome] present as one of the most difficult airway problems to be managed by anesthesiologists. Hydrocephalus with increased intracranial pressure is a frequent complication seen in these patients. The rarity of the syndrome accounts for the small number of case reports and anecdotal information on the intracranial manifestations of this syndrome. We describe the successful anesthetic management of 2 children with Hurler's syndrome who underwent ventriculoperitoneal shunt surgery for acute hydrocephalus

In vitro prevention of chick pancreatic lipase activity by Abroma augusta extract

Objective: To investigate chick pancreatic lipase inhibitory activities of the Abroma augusta (A. augusta). Methods: A. augusta was first extracted with methanol and subjected to phytochemical screenings. Quantitative estimation of flavonoids, phenolics and alkaloids was done. Pancreatic lipase from chick pancreas was isolated and used as substrate for anti-lipase studies. Results:A. augusta extract effectively inhibited concentration dependent lipase activity, whereby extract at concentration 100 μg/mL inhibited 88.6% enzyme activity. Conclusions: From these results, it could be concluded that A. augusta can be used as a potential source anti-lipase agents.