A Comparative Study of Plasma Protein and Hemoglobin in 18-21 Years Age Group Students of MGM Medical College, Jamshedpur, Jharkhand

Background: Anaemia is a global public health problem. InIndia, Jharkhand state is one of the state where under nutritionis highly prevalent. Most of the health problems like lowimmunity, Anaemia, hypoprotienemia arise due to low proteinintake. During erythropoiesis, Haemoglobin synthesis requiresprotein, Vitamin B12, Folic acid, Vitamin C as well as mineralslike Fe, Cu etc. Adequate nutrition is of prime importance andthis is reflected in plasma also.Objectives: To assess the level of Hb and plasma proteinamong study subjects with a co-relation of Hb with plasmaprotein.Materials and Methods: Present study was undertaken atMGM Medical College, Jamshedpur. 177 participants wereselected for the study and the data were obtained on differentvariables. Blood samples were also taken from the participants.Results: Most of the study subjects were anaemic. Anaemiawas more common among female subjects in comparison withmales. The present study found a positive co-relation betweenHb and Plasma protein.Conclusion: There is a strong co-relation observed betweenplasma protein, daily protein intake, and BMI withhaemoglobin.

A Study of the Effect of Cigarette Smoking on Lipid Profile of People of Kolhan Region

Introduction: Cigarette smoking is an important and independent risk factor of atherosclerosis, coronary artery disease, andperipheral vascular disorders. It adversely affects the concentration of the plasma lipids and lipoprotein levels.Materials and Methods: The present study was conducted in the Department of Physiology, Mahatma Gandhi MemorialMedical College and Hospital, Jamshedpur. Sixty healthy cigarette smokers were compared with forty healthy age-matched,non-obese, non-smokers. Participants in both the groups were in the age range of 25–35 years having no history of alcoholabuse or diseases such as diabetes mellitus and hypertension.Conclusion: Total cholesterol and low-density lipoprotein (LDL) showed a highly significant upper range in smokers withP < 0.001. High-density lipoprotein and very LDL were also increased to a partially significant level in smokers with P < 0.1.

Effect of Lifestyle Variables (Physical Activity, Diet, and Body Mass Index) on the Lipid Profile of Individuals of Kolhan Region

Objective: To study the association between diet, exercise and obesity on the serum lipid profile.Material and Method: The study was conducted in the department of physiology, MGM medical college and hospital, Jamshedpur.Hundred healthy participants comprised attendants of patient attending OPD of MGM Medical College and healthy volunteers(mainly staff) of the hospital in the age group 30- 50 years. They were observed to see the association between diet, physicalactivity and BMI on the serum lipid profile.Conclusion: Body weight was significantly associated with TC, TG and LDL with P (<0.001). There was a partially significantdifference in TC, TG and LDL level between sedentary workers and hard workers.

Package of local interventions for reducing in-hospital neonatal mortality using quality improvement methodology at a major hospital in India.

Background: Short birth interval adversely affects the maternal and neonatal health. The use of contraceptive methods is still one of the biggest challenges in developing countries despite various programs. Janani Suraksha Yojana was started with aims to achieve national targets for contraception. Methods: The present study was a cross sectional study conducted in Lucknow district amongst the women admitted in three blocks of rural area health centers. The blocks were selected by simple random sampling method. A total of 400 women who delivered in the labor wards of the health centers were interviewed and enrolled. Results: In the present study, out of 400 mothers, 39(9.8%) mothers had their first delivery below the age of 18 yrs. According to modified Udai Pareek Scale, 56.3% of the mothers belonged to 5th socio-economic status. Birth spacing was the purpose to use family planning (FP) methods among 121(55.5%) of the mothers. The use of FP method was significantly associated with occupation of mothers and their husband and education of mothers. It was also found that the use of FP method was significantly (p=0.001) higher among those beneficiaries who had birth interval > 3 years (72.1%) in contrast to 2-3yrs (68.8%), 1-2yrs (60.2%) and < 1yr (36.4%). Conclusions: JSY is a promising program for promotion of contraception. Knowledge about the family planning methods should be provided to the beneficiaries during their ANC visits as during this period they are more receptive to family planning methods.

Package of local interventions for reducing in-hospital neonatal mortality using quality improvement methodology at a major hospital in India.

Background: Reducing neonatal mortality has always been a challenge for the world and India. Here we provide a brief account of a pilot done at Sanjay Gandhi Memorial Hospital, New Delhi for reducing neonatal mortality. Methods: Rotation of labour room nurses to In-hospital Neonatal ICU for a specified period of 4 months for providing hands-on training on neonatal emergencies. In exchange, equal number of Nurses from NICU was posted in labour room, thus making each delivery managed by an obstetric nurse and a paediatric nurse. Ensuring breastfeeding within one hour within the labour room itself was also mandated by NICU Nurse. Results: It was observed that there was 30.2% decrease in In-hospital neonatal mortality. Conclusions: Using these interventions, there has been a dramatic decrease of neonatal mortality to 30.2% and 4.53% due to sepsis. There has also been 1% decrease in Median Referral Percentage to In-hospital Neonatal ICU due to morbidities associated with inborn neonates.