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Introduction : disease is very much required for future preparedness. To assess the epidemiological andObjective : clinical profile of cases of COVID 19 Cross sectional descriptive study was carried out at a RuralMethod : Health Training Centre (RHTC). All cases reported in the month of January 2022 were included in the study. The information about the epidemiological and clinical profile was collected from RHTC records by conducting telephonic interview. Total 83 cases were reported. Among them, 43 (54.4%) casesResults : were in age group 20-39 years. Male: Female ratio was 1.37:1. There was one death and patient had ovarian cancer as co-morbidity. Total 71 patients could be contacted for telephonic interview. Fever was most common symptom and was presenting symptom on first day followed by cough/cold and sore throat. None had shortness of breath or chest pain. Hospitalization rate was 5.63% and none required oxygen supplementation or intensive care. Recovery period was 3-5 days. Out of total, 90% cases were fully vaccinated and 95.8% had knowledge of CAB. Diabetes and hypertension were most common co- morbidities and were statistically significantly more in age > 40 years. The COVID-19 cases inConclusions : the beginning of year 2022 had clinical presentation different than the earlier waves. Periodic situational analysis can guide in policy making for handling this pandemic in future.
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Background: Timely given feedback is useful for cognitive performance during academic learning. Immediatefeedback is more effective than delayed feedback. Immediate problem solving is acceptable than massknowledge transfer.Aim and Objectives: To assess the effectiveness of immediate feedback during clinical examination forimprovement of cognitive learning and skills of 1st MBBS students.Methodology: Immediate feedback versus no feedback was checked during formative practical test. Immediatefeedback was given to one practical batch (B Batch= 32 students) of 1st MBBS students during theirformative practical test. At the same time feedback was not given to second batch (A Batch= 33 students)of same academic year. Evaluation of feedback was done during next formative practical examinations.Formative Physiology practical examination was taken by Objective structured practical examination (OSPE).Results: Students of study group (B batch, n=32) who received individual face to face feedback performedwell as compared to control group (A batch, n=33) who didn’t received feedback. The marks of clinicalexamination for study group, before feedback was 12.12±2.19 and after the feedback was 17.59±1.72.Difference between the marks of two exams in study group is 5.4 and it is around 27.35%. The marks ofcontrol group at the time of initial exam was 14.09±3.18 and during next exam was 16.39±1.86. Differencebetween the marks of two exams in control group is 2.3 and it was around 11.5%.Conclusions: Results showed that immediate feedback during clinical (practical) assessment had a statisticallysignificant positive effect on learning gains. Immediate verbal feedback is positively associated with learning.In order to facilitate role of immediate verbal feedback during formative assessment needs further supportiveevidence from large longitudinal studies from multicenter.
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Objectives: Although micronutrient powders (MNPs) are considered the preferred approach for childhood anemia control, concerns about iron-related morbidity from clinical trials challenge programmatic scale-up. We aimed to measure the association of community-based sales of MNPs with incidence of diarrhea, fever, and cough in children 6-35 months. Methods: The study was a community-based, cluster-randomized trial in 60 villages in western Kenya. MNPs and other health products (e.g., insecticide-treated bednets, soap, water disinfectant) were marketed in 30 intervention villages from July 2007-March 2008, followed by expansion of the intervention to both arms. Biweekly household visits monitored self-reported MNP use and morbidity. Using morbidity as the outcomes and MNP as the exposure variable, relative risks were estimated via generalized mixed models with random intercepts for repeated measures within a child and for multiple children from a household, while accommodating potential confounders as fixed effects. Results: Of the 1079 children enrolled, 881 (81.6%) had data on MNP use; average intake in intervention villages was 0.9 sachets/week. MNP intake was captured as continuous mean sachets and categories of use, but no significant effects were observed on incidence of diarrhea, fever or cough. Conclusions: Increased MNP use in western Kenya through community-based marketing did not result in increased incidence of infectious morbidity among young children. Integrated distribution of MNPs with other health interventions should be explored further in settings with high child malnutrition and infection burden.
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Studies conducted earlier have found that vascular sympathetic reactivity to isometric handgrip exercise is either low or high in adolescents with higher blood pressure (Hypertensives) as compared to adolescents with relatively lower blood pressure (Normotensive). The current study was conducted to determine the correlation of vascular sympathetic reactivity to isometric handgrip exercise with blood pressure in Gujarati Indian adolescents so as to understand the pathogenesis and/consequences of Hypertension in this population. A cross-sectional study was conducted on 651 Gujarati Indian adolescents (285 girls, 366 boys) of age group 13-19 years. Blood pressure was measured by oscillometry and vascular sympathetic reactivity (Percentage rise in Diastolic Blood Pressure, %RDBP) was assessed using isometric handgrip test. Pearson’s correlation coefficient was determined to study the correlation between %RDBP and blood pressure. In both girls and boys, %RDBP showed significant negative correlation with resting SBP, DBP and MAP. The study thus indicates that an inverse association exist between arterial blood pressure and vascular sympathetic reactivity to isometric handgrip exercise in Gujarati Indian adolescents.
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Introduction: Various socio demographic factors play role in sterilization operation. Materials and Methods: A record-based study was conducted in Jetalpur, rural area of Ahmedabad District. Records of all sterilization operation done between April 2010 to March 2011 were studied. Results: A total of 180 sterilization operations were performed, of which 179 (99.4%) were female sterilization and one (0.6%) was vasectomy. The mean age of females was 28.27 years and that of their husbands was 31.72 years. Total 45% of females in the study population were illiterate, whereas 17% of their husbands were illiterate and their average family size was 2.8 members. Majority of females underwent sterilization operation when the age of last living child was between 1-5 years. In 67% cases, female health worker was the motivator. Only two couples had no living male child, whereas all other couples had at least one male child in the family. There was no significant relationship between the education of the mother and the age of the last living child, but education of mother was significantly related to the total number of living children in the family. Education of the father was significantly related with the age of last living child and the total number of living children in the family. Conclusion: The study reveals that education of both parents is an important driving factor in deciding the size of family. Majority of couple decide for permanent sterilization after having at least one male child. Thus, there is a strong preference for at least one male child in the family.
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Recently studies conducted in various parts of the world indicate short sleep duration as a novel risk factor for development of type 2 diabetes. However, ethnic differences exist in the etiopathogenesis of diseases, the current study was undertaken to study the effect of sleep duration on the blood glucose level of Gujarati Indian adolescents. A randomized, non-experimental, cross-sectional study was done on the voluntary participants n=332 Gujarati adolescent boys and girls of age group 13-20 years studying at the schools and colleges in the Anand district. The participants were assessed for their sleep duration, body composition and blood glucose level. The sleep duration was reported by the subjects as the number of hours they slept on most of the nights in a week over the last one-year. The observations of the study were then analyzed after grouping them into: 1) Adequate sleep duration at night, ASDN (≥7 hrs) and 2) Inadequate sleep duration at night, ISDN (<7 hrs) groups. One-way ANOVA and post hoc Tuky-Krammer test were used for finding significant differences (P<0.05) between groups. No significant difference was found in all parameters of body composition and fasting blood glucose level between the ASDN group and ISDN group in both boys and girls. However, gender difference exists in the body composition and blood glucose level. The current study indicates that inadequate sleep duration at night (<7 hrs) does not affect the blood glucose level of the Gujarati Indian adolescents of age group 13-20 years.
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The current study was conducted to determine how physical activity level and physical fitness affects the blood pressure profile of Gujarati Indian adolescents so as to help in developing preventive strategies for the local population as ethnic differences exist in the aetiopathogenesis of hypertension. A cross-sectional study was conducted on 485 Gujarati Indian adolescent boys and girls of age group 16-19 years. Physical activity level was assessed using Johnson Space Center/NASA Physical Activity Rating Scale and VO2max was used to assess the physical fitness. Body composition was assessed in terms of Body Mass Index, Fat Mass Index and Waist Circumference. Blood Pressure was measured by oscillometry. Oneway ANOVA was used to study if any significant differences (P<0.05) existed in the blood pressure profile between the high, moderate and low physical activity groups. Pearson’s correlation coefficient was determined to assess the relationship between VO2max and blood pressure profile. In girls, physical activity level was not found to have a significant effect on the blood pressure profile. In boys, systolic blood pressure and mean arterial pressure were found to be significantly higher in Moderate Physical Activity Group as compared to Low Physical Activity Group. PVO2max was found to have a significant negative correlationship with SBP, DBP and MAP in girls and a significant negative correlationship with SBP, PP and MAP in boys. It could thus be concluded that a better physical fitness rather than a higher physical activity level could keep the blood pressure in check in the Gujarati Indian adolescents.
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Studies have reported that both gender and adiposity influence cardiovascular reactivity amongst adolescents. However, not much is known about the effect of gender on the association of adiposity with cardiovascular reactivity. The current study was conducted to learn how gender affects the association of adiposity with cardiovascular reactivity in the Gujarati Indian adolescents so as to develop preventive strategies for the local population. A cross-sectional study was conducted on 428 (Girls-173, Boys- 255) Gujarati Indian adolescents of age group 16-19 years. Adiposity was assessed in terms of Body Mass Index (BMI), Body Fat Percentage (BF %), Fat Mass (FM), Fat Mass Index (FMI) and Waist Circumference (WC). Percentage Rise in Pulse Rate (%RPR) and Percentage Rise in Diastolic Blood Pressure (%RDBP) during Isometric Handgrip Test were used to assess the cardiovascular reactivity to acute sympathetic stress. Pearson’s correlation coefficient was determined to find the association of adiposity with cardiovascular reactivity. Boys were found to have a significantly larger WC, higher physical fitness and greater %RDBP in comparison to girls while girls had a significantly higher BF% and FMI in comparison to boys. In both boys and girls, BMI, BF%, FMI and WC showed significant positive association with %RDBP with stronger correlationship found in girls. Girls also showed a significant negative correlationship between physical fitness and vascular reactivity. It could thus be concluded that gender affected the association of adiposity with vascular reactivity in Gujarati Indian adolescent such that girls tend to have a larger correlationship between adiposity and vascular reactivity than boys which is most likely due to lower physical fitness.
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The conventional method of Fiske and Subba Row for the estimation of inorganic phosphate (Pi) is although rapid, but suffers from the disadvantage that the color is unstable and hence the optical density (OD) measurements have to be carried out within a short time span of 8-12 min. This poses a restriction on the number of samples, which can be handled in a batch. Although, modified procedures involving use of alternate reducing agents/or increasing the concentration of H2SO4 in conventional method have been subsequently developed, but the problem of color stability could not be solved. In addition, the use of higher concentrations H2SO4 has rendered the methods unsuitable in enzyme assays, especially if the acid labile phosphate containing substrates have been used. In the present study, attempts have been made to suitably modify the method to improve the stability of the color and sensitivity and also for its applicability in enzyme assays, especially when acid labile phosphate containing substrates such as ATP is used. We used the higher concentrations (0.625, 0.8 and 1.0 N) of H2SO4 rather than 0.5 N used in the conventional assay procedures. Under these conditions, the reagent blanks do not develop color for up to 24 h, whereas the intensity of the molybdenum blue color in the standard and/or experimental tubes increased with time reaching optimum value at 24 h. Simultaneously, the absorption maximum shifts from 660 nm to 820 nm. The highest concentration of H2SO4 (1.0 N) is found to be the most effective in the process of color development. The sensitivity of the method is from 1.7 to 2.1 times higher, as compared to the conventional Fiske and Subba Row method for the measurements carried out at the end of 15 min at 820 nm and with the highest concentration of H2SO4 (1.0 N); the sensitivity increased 4.8-fold at the end of 24 h. Presence of glucose and sucrose (1-10 mM), NaCl and KCI (5-100 mM), MgCl2 (1-10 mM) and BSA (10 to 500 microg per assay tube) do not interfere either with color development or with OD measurements. The extent of ATP hydrolysis is 1.6 to 3.4% for up to 1 hi, depending upon the concentration of H2SO4 used. Only negligible hydrolysis of G6P is observed under these conditions. These results suggest that the presently modified method is suitable for Pi analysis in the enzyme assays, in the presence of labile phosphate containing substrates.