Effect of Prenatal Dietary Pattern on Maternal Anemia and Low Birth Weight in Rural Areas of Kanpur

Background: In India, the dietary pattern of women from low socioeconomic status are almost same during pre-pregnant, pregnant and lactating periods. Additional foods are required to improve weight gain in pregnancy and birth weight of infants. Aim & Objective: To identify the impact of prenatal dietary pattern on maternal anemia and low birth weight in rural areas of Kanpur Nagar. Methods: This study was a cross sectional study conducted amongst mothers who recently delivered (RDW) in rural blocks of District Kanpur Nagar. Data was collected by interviewing study subjects using a semi-structured interview schedule after applying multistage random sampling technique. Results: Out of 102 women studied, 39.2% women had consumed >90 IFA tablets, 49.1% of mothers had practiced MMF and 47.1% of women practiced MDD during their prenatal period and 40.1% babies of current pregnancy were born as LBW. IFA consumption during pregnancy was significantly associated with maternal anemia. MMF during pregnancy was significantly associated with LBW. Conclusions: In our study it was found that IFA consumption, MMF and MDD during antenatal is a key preventive measure to reduce anemia status in pregnant females and birth weight of baby during prenatal period.

Evaluation Of Stability And Postural Control In Patients With Multiple Sclerosis Pre And Post Balance Program On Biodex Balance System

The purpose of the study was to evaluate response of stability and postural control in patients suffering from multiple sclerosis. Thirty subjects, of both sexes ,their age ranged from 30 to 40 years shared in this study and were divided into two equal groups, the first group (GI) included normal subjects and the second group (GII) included patients suffering from multiple sclerosis. Assessment was done by Biodex balance system via the dynamic balance test which included anteroposterior, mediolatoral and overall stability index. This study was done in Biomechanics lab in Faculty of Physical Education at Kafrelsheikh University. Group II was trained for two months. The results revealed that there were slightly decrease in balance paremeters in the control group or normal subjects during assessment of balance in this study. In relation to the study group, there were no significant difference between the balance parameters post treatment than pre treatment (p >0.05), this indicates that there was no improvement in balance in GII after receiving the balance training program. It could be concluded that performing balance training program did not improve balance in subjects suffering from multiple sclerosis.

El-Shamy Fayiz F., Ghait Anees S., Morsy Magda. Evaluation of Postural Stability in Pregnant Women. British Journal of Medicine and Medical Research. 2016; 11(10):1-5.

Aim: The hormonal, physiological and anatomical changes throughout pregnancy affect the musculoskeletal system that lead to postural instability which may impair their lifestyles and increased risk of collapses. This study was aimed to assess postural balance in females during the second and third trimester of pregnancy. Study Design: A case control study. Place and Duration of Study: Biomechanics lab. IN Faculty of Physical Education at Kafrelsheikh University, between February and July 2015. Methodology: In this study, postural stability throughout the second and third trimester was measured using the Biodex Balance System (BBS) in 14 pregnant females (age range 25-30 years). The overall (OA), anterior-posterior (AP) and medial-lateral (ML) stability index scores were obtained at level 8 and 7. Results: The mean OA, AP and ML scores were significantly higher in the third trimester compared to second trimester (P <.05). There was no significant difference in the ML between the stability level 8 and 7 (P >.05) during the second or third trimester. Conclusion: Pregnant females have poor postural stability as well as decreased postural equilibrium in the third trimester compared with the second trimester of pregnancy.

Sydenham's chorea.

OBJECTIVE: To study the clinical profile in patients with Sydenham's chorea. DESIGN: Prospective. SETTING: Medical college and hospital. SUBJECTS: Sixty cases with Sydenham's chorea, between 1988 and 1994, were studied. Of these 36 were girls; the mean age at presentation was 11.1 yr (range 7-16 yr). RESULTS: Female predominance was apparent only after 9 years of age. There was a high familial incidence for both chorea and rheumatic fever. Generalized chorea was seen in 40 and hemichorea in 20 patients. The chorea lasted from 5 to 40 days; 13 patients had recurrent episodes. Gait disturbances, dysarthria and weakness were common. Six patients had co-existing heart disease, 4 had arthritis and one had subcutaneous nodules. A raised ESR and positive ASO titer were seen in 37 and 20 patients respectively. CONCLUSIONS: There was an increased incidence of Sydenham's chorea after 9 years of age in girls possibly suggesting the influence of female sex hormones. A high incidence of neurologic manifestations were noted. Acute phase reactants were raised in almost half the patients. Sodium valproate, whenever used, was effective in controlling the chorea.

Snake venom poisoning: experience with 633 cases.

Snake venom poisoning is a common medical emergency and the epidemiological features vary from region to region. We conducted a prospective study to review the epidemiology, treatment and outcome of snake venom poisoning in central Karnataka. Six hundred and thirty three cases of snake bite, seen in a teaching hospital, upto the age of 18 years, over a period of 8 years from 1985 to 1992 constituted the material for the study. Detailed history with special reference to the type of snake, circumstances leading to the bite and clinical consequences were studied and final outcome was noted. Males (n = 433) were bitten more often than females (n = 200). Two hundred and fifty six (40.4%) cases were in the age range of 11-15 years. The cases were seen during two periods, i.e., Oct, Nov, Dec (n = 210) and Apr, May, June (n = 199). Most (n = 506) were encountered in the lower limbs. Viper was the most common poisonous snake. Five hundred and seventy (90%) cases were from rural area. Coagulation time was prolonged in 371 (58.6%) cases, hemorrhagic syndrome was noticed in 354 (55.9%) cases, neurological involvement in 79 (12.5%) cases. Polyvalent anti snake venom (ASV) was given to 479 cases. Hypersensitivity to ASV was noted in 8 cases. Blood transfusion was given to 33 cases for the management of excessive bleeding. The death rate among snake victims was 5.2% (33 cases). The morbidity and mortality can be reduced substantially by increasing and maintaining confidence in good medical care and providing health education.