ABSTRACT
Background: Anaemia during pregnancy continues to be a major public health problem especially in developing nations like India. The study was performed to assess the prevalence and severity of anaemia and the associated socio-demographic and obstetric factors during pregnancy in a tertiary referral hospital of Delhi, India. Method: This cross sectional study was carried out on 430 pregnant women in second and third trimester of pregnancy using systematic random sampling attending antenatal clinic of Vardhman Mahavir Medical College and Safdarjung Hospital of Delhi. A predesigned and structured questionnaire proforma was used to collect information regarding socio-demographic and obstetric factors. Haemoglobin levels were estimated using Hemocue method. Statistical analysis was carried out using STATA version 18.0 statistical software. Results: The overall prevalence of anaemia during pregnancy was 48.84% with 25.81% mild anaemia, 15.81% moderate anaemia, 6.98% severe anaemia and 0.24% very severe anaemia. Anaemia was found to be more common in younger women (<25 years) and in joint family. Anaemia was more commonly seen in low socio-economic status, low family income and in illiterate and primary education. Anaemia especially severe anaemia was more common in third gravidas and above. Anaemia was more common with advancing gestation. Anaemia was more common with no or irregular antenatal care and with no or single tetanus toxoid injection. Conclusions: The prevalence of anaemia is high in Delhi. Regular and timely antenatal care, improving socio-economic status and having lesser children can reduce prevalence of anaemia during pregnancy.
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Background: Cancer is a major public health concern and its incidence is growing worldwide. Adolescent and young adult (AYA) age group is a bridge between paediatric and adult age groups. AYAs have unique lifestyle patterns that may contribute to cancer risk. The study sought to assess the awareness and educate AYAs of Panjab University, Chandigarh about cancer risk associated lifestyle factors. Methods: This cross-sectional Interventional study was conducted from March -June 2023. A predesigned, pretested, validated questionnaire was used for data collection. Descriptive and analytical analysis was performed using SPSS, analytical analysis was conducted using Chi square test to find the relationship between different lifestyle factors and demographic characteristics such as age and gender. Results: The study included a total of 360 participants, consisting of 170 (47.2%) males and 190 (52.8%) females, aged between 15 and 39 years, of Panjab University, Chandigarh. Among them, 92.5% had awareness of smoking as risk factor for cancer. However, lower levels of awareness regarding lifestyle behaviours associated with cancer risk, including inadequate consumption of fruits and vegetables, regular intake of sweets and sugary drinks, following a high-fat diet (28.3%); insufficient physical activity (38.3%) and obesity (36.1%). Conclusions: The current study indicated a disparity in knowledge levels among adolescents and young adults (AYAs) of Panjab University. It is crucial to address the gaps in knowledge and promote healthy behaviours related to cancer prevention through targeted education campaigns among adolescents and young adults.
ABSTRACT
Background: Metabolic dysfunction associated liver disease (MASLD) has been found to be at alarming increase in Indian population. Prevalence of metabolic syndrome including Type 2 Diabetes Mellitus is also increasing which may be attributed to certain lifestyle changes. In the present study, we compared the likelihood of liver fibrosis by measurement of non-invasive scores among Type 2 diabetics and smokers, Type 2 diabetics but non-smokers and healthy controls. Our study will provide useful insights to evaluate the association between Type 2 diabetes, smoking and development of MASLD. Methods: The study was done at a tertiary care hospital. Participants were divided into 3 groups (each of 40 participants) which included those with type 2 diabetes mellitus and smokers, those with type 2 diabetes mellitus but non-smokers and healthy controls. Parameters included in the database were age, sex, body mass index, history of diabetes, history of hypertension, any medication, tobacco use and alcohol consumption. Venous blood samples were taken in the morning after a 12-h overnight fasting and investigations were done. Results were recorded. Results: FIB-4 score and AST/ALT ratio was significantly higher in diabetics and smoker patients, in comparison to diabetics but non-smokers and healthy controls. Conclusions: Smoking and underlying type 2 diabetes mellitus have a synergistic effect on the severity of fibrosis, as compared to nonsmokers with type 2 diabetes mellitus. Hence smoking cessation, in addition to glycemic control with regular medication, may be beneficial in reducing the severity of MASLD among patients with type 2 diabetes mellitus.
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Background: Intestinal parasitism(IP) remains a common problem in school going children. Aims & Objectives: To study the prevalence IP infestation in school going children and to study the relation with type of water supply and sanitation. Material and Methods: A cross sectional study was carried out and a total of 461 stool samples were collected from children under ten years of age from various schools of Rishikesh. The normal saline and iodine mounts of fresh and saturated salt solution concentrated samples were examined. Modified Ziehl Neelsen staining was done for detection of coccidian parasites. The statistical significance within gender, age, drinking water supply, sanitation and other socio-demographic parameters was assessed by Chi-square test. Results: 112 (24.3%) out of 461 were positive for intestinal parasites. Giardia lamblia was the commonest parasite (15.2%) followed by Hymenolepis nana (2.38%), Hookworm (2.17%), Enterobius vermicularis (2.17%), Entamoeba histolytica (2.17%), Ascaris lumbricoides (0.86%), and Cryptosporidium parvum (0.86%). Conclusions: Due to lack of proper sanitation & education along with low socioeconomic background, IP infections are still prevalent among school children. Regular awareness program on promoting good health, maintenance of proper personal hygiene and carrying out regular deworming in schools should be instituted for control.
ABSTRACT
Background: CT has evolved from single–detector row scanners into multi–detector row helical volumetric acquisition techniques, and these advances have had a significant impact on imaging of the urinary tract. Aim and objectives: To evaluate the CTU compare to other imaging modalities for urinary tract abnormalities in light of present knowledge, To study the role of CTU in evaluation of various abnormalities those are not detected by conventional IVP, Benefits of CTU over IVP, To provide information about the extent of the lesions involving kidneys and its relation to surrounding structure and Characterizing the lesions whether they are benign or malignant and helping the surgeons for the further management, Grading the renal injuries. Materials and methods: Data was collected from patients who attended the surgical O.P.D. or emergency of S.S.G.H., Baroda with clinically suspected renal abnormalities. A study was conducted over a period of two years on 50 patients with clinically suspected renal abnormalities. Informed consent was taken from every patient. Patients were evaluated with Multidetector Computed Tomography (G.E. Bright Speed). Results: Our Study included 10 patients of renal stones, 8 patients of renal masses, 3 patients of pyelonephritis, 7 patients of renal injury, 5 patients of PUJ obstruction, 7 patients of ureteric stricture, 5 patients of anomalies, and 5 patients of bladder mass. Among all pathology CT urography is more helpful and gives better imaging findings as compare to conventional urography that helps in better management of patients. Conclusion: CTU gives reliable information not about the extent of lesion but also the characteristics of lesions which makes surgeons to take proper decision aboutthe further management of patients, it also avoids unnecessary laparotomy surgery in case of blunt abdominal trauma patients by giving the precious extent of renal injuries. For all these gold standard benefits of MDCTU over conventiona Rathva AM, Singla H. MDCT urography as a one stop shop for urinary tract abnormalities at present era. IAIM, 2016; 3(3): 52-64. Page 53 IVP makes MDCTU as “one stop shop” for urinary tract abnormalities and nearly completely replacing the IVP in recent era.