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Background: The common cold, mainly caused by viruses, brings discomfort to children with symptoms like sneezing, congestion, runny nose, and sore throat. As no specific antiviral treatments are available to relieve common cold symptoms, it is typically managed using decongestants, antihistamines, and antipyretics. This study aims to assess the safety and efficacy of a fixed-dose combination (FDC) of paracetamol, phenylephrine, chlorpheniramine maleate and sodium citrate in children aged 2 to 12 years with common cold. Methods: This non-randomized, open-label, non-comparative, active post-marketing surveillance (PMS) study was conducted across multiple centres in India, involving 417 patients. The study assessed efficacy using the total symptom score (TSS) scale over 5 days with visits on days 1, 3, and 5. Safety was evaluated based on adverse events reported by patients on days 3 and 5 of the trial. Results: Initially, 417 patients were enrolled in the active PMS, of which 309 completed the study. The mean TSS showed a notable decrease from 8.95 at visit 1 to 0.19 at visit 3, depicting a significant reduction i.e., 97.90% as compared to baseline. At visit 1, most patients (95.79%) exhibited severe symptoms, whereas by visit 3, 83.82% were symptom-free, with only 16.18% experiencing mild symptoms. Conclusions: This active PMS study examined the safety and efficacy of an FDC of paracetamol, phenylephrine, chlorpheniramine maleate and sodium citrate in treating common cold in children in India. The findings indicate a significant reduction in symptoms, with many patients becoming symptom-free by the third visit, demonstrating its efficacy and safety.
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Background: Cervical cancer is a common gynecological malignancy and public health problem that can be prevented, but the utilization of screening is just 2.6%-5% in India. Healthcare providers mainly nursing personnel are crucial and play a vital role in raising awareness and educating the public about implementation of low-cost cervical cancer screening approaches in low-resource settings. Objectives were to determine baseline information about knowledge of cervical cancer and explore attitude and practice of pap smear screening among staff nurses. Methods: The questionnaire containing mostly recognition and some recall type questions about demographics, knowledge about cervical cancer, its risk factors, screening techniques, attitudes towards cervical cancer screening and its practices and their knowledge was tested. Results: Analyses of knowledge showed that majority of nurses recognized the risk factors and symptoms associated with carcinoma of cervix. A considerable lack of knowledge was observed on the treatment of cervical cancer but a significant portion of nurses knew about prevention. A positive attitude was observed on all aspects of cervical cancer and its prevention. Conclusions: This study demonstrates a good knowledge and positive attitude about carcinoma of cervix and its prevention amongst the nurses which plays a key role in the campaign to prevent cervical malignancy. Poor practice seen in this study emphasizes the need to translate the awareness to practice. Easier availability of HPV testing and better distribution of HPV vaccine is paramount to successfully prevent cervical cancer in future.
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Background: For colorectal surgery, the enhanced recovery after surgery (ERAS) group has conducted a thorough analysis of perioperative treatment. When combined, a series of operations known as colorectal resection result in a shorter duration of stay, fewer problems, and an early recovery of gut function. Until recently, it was considered typical to stay in the hospital for 10 to 14 days after a big bowel resection. This study aimed to study the effects of a multimodal perioperative care protocol in patients undergoing surgery for colorectal cancer in a tertiary care hospital in eastern Rajasthan, India. Methods: This was prospective randomized-controlled trial. Patients who are undergoing elective colorectal cancer surgery in tertiary care hospital (Sawai Man Singh hospital, Jaipur, Rajasthan) in year 2016 -17. Results: Hospital stays were 6.64�842 (median 6-9) and 8.25�52 (median 6-12) days (p=0.002) for 30 patients (n=14 in the multimodal group and 16 in the control group), respectively. Complication rates were 13.40% and 20.31% (p=0.019), 30-day readmission rates were 14.28% and 25% (p=0.029), and mortality rates were 7.14% and 12.5% in the multimodal and control groups. Conclusions: Complications, readmission rates, and death were all considerably lower in the multimodal group compared to the control group following the implementation of the multimodal perioperative treatment protocol during the hospital stay for colorectal cancer.
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Background: Chemoradiotherapy (CRT)-induced diarrhea poses significant challenges for cancer patients, impacting both quality of life and treatment efficacy. Current management strategies often involve symptomatic relief with medications such as lomotil and loperamide, but limited data exist on the efficacy of lomotil for management of CRT-induced diarrhea. This study aimed to evaluate the efficacy and safety of lomotil in managing acute CRT-induced diarrhea. Methods: A cross-sectional observational trial was conducted at 25 Indian healthcare centers having medical records of adult patients with cancer who had received lomotil for the treatment of CRT-induced diarrhea. Adult patients (aged ?18 years) with confirmed diagnosis of cancer, who were experiencing CRT-induced diarrhea of grade II or grade III severity were included in this study. Demographic information and treatment history were collected. Moreover, data related to stool frequency, stool consistency, abdominal cramp, and occurrence of blood or mucus were collected at baseline, day 1, day 2, day 3, 2nd week, 3rd week, and 4th week. Results: A total of 177 patients were included in this study. Of these 30.51% underwent radiotherapy, while 26.55% received both chemotherapy and radiotherapy in combination. Post-lomotil treatment, diarrhea incidence declined significantly by week 4 [pre-treatment to week 4: 3.58 to 0.42; P<0.001]. The presence of blood or mucus decreased significantly from baseline to week 4 (0.25 to 0.05; p<0.01). The overall global assessment for improvement showed that a majority of the patients (80.79%) experienced improvement. Conclusions: Lomotil demonstrated efficacy in reducing CRT-induced diarrhea incidence and symptoms, with minimal adverse effects.
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A 35-year-old Asian woman with no pre-existing illnesses presented with a chronic cough during eating, mucoid sputum production, low-grade fever, and significant weight loss over the past few months. She had no history of high-risk behavior, foreign body aspiration, or ingestion of toxic substances. Physical examination revealed mild pallor without other significant findings. Vital signs were normal. Laboratory tests indicated mild anemia, leukocytosis, and elevated ESR. Sputum AFB and viral/autoimmune markers were negative. The tuberculin skin test was positive. Imaging studies, including fluoroscopy with contrast and a CT scan of the thorax, identified an esophagobronchial fistula and miliary tuberculosis, with multiple diffuse lung nodules and associated changes. The CT scan showed a thick-walled fistulous tract connecting the esophagus to the right main bronchus at three points, along with miliary nodules and bronchiectatic changes. AFB staining of bronchial secretions was negative, but PCR and cultures confirmed M. tuberculosis. The patient was initiated on weight-adjusted antituberculosis therapy and nasogastric feeding. The patient showed significant symptomatic improvement after two months of antituberculosis treatment. This case underscores the importance of thorough diagnostic evaluation in atypical presentations of tuberculosis and highlights the potential for esophagobronchial fistulas to complicate pulmonary tuberculosis.
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Gangrenous cholecystitis is an uncommon cause of acute abdomen in surgery emergency. Most of the times, diagnosis is settled intraoperatively as signs and symptoms are non-specific. CT scan of abdomen can help in making a diagnosis but should be done only if the patient is stable. Here we have reported three cases in which laparotomy was done in view of acute abdomen with signs of peritonitis and gangrenous cholecystitis was found as an incidental finding. One patient had spontaneous gangrenous cholecystitis with gall bladder perforation with biliary peritonitis. The second patient had gangrenous gall bladder perforation secondary to gall bladder malignancy and the third patient had spontaneous gangrenous cholecystitis with terminal ileal stricture presenting as acute intestinal obstruction. A decision to perform cholecystectomy in such cases depends on the feasibility, general condition of the patient and the cause of gall bladder perforation.
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Background: The term urethral stricture is anterior urethral disease, or a scarring process involving the spongy erectile tissue of the corpus spongiosum. Methods: Total 127 patients were included in the study. Patient selection criteria for urethroplasty by using buccal mucosal graft was length of stricture more than 2 cm, deep spongiofibrosis, failed optical urethrotomy for 3 times, adequate oral hygiene and proper buccal mucosa. Results: Length of stricture varied from 3.2 to 14 cm. In first postoperative week, 20.47% (n=26) patients developed minor wound infection culture negative seroma formation in stitch line in the skin. Donor site complications like eating and drinking difficulty, dysguesia, pain, sensitivity, speaking disorders were not found in any patient while oral tightness was noted in 43.30% (n=55) of patients. On postoperative follow-up mean peak urinary flow rate (Qmax) was 28.0 ml/sec (range 20.0-30.6 ml/sec). After a mean follow-up of 8.8 months range (1 month to 33 months) overall success rate was 90.55% (n=115). Conclusions: Buccal mucosa is an excellent graft material for substitution free graft urethroplasty in case of long anterior urethral stricture with excellent success rate. Success rate of dorsal onlay substitution free buccal mucosal graft urethroplasty is affected by length of stricture and aetiology of strictures. Lichen sclerosus having moderate success rate of urethroplasty and higher rate of complication and failure rate in 1-stage buccal mucosal urethroplasty and can be considered for two stage urethroplasty in case of very long stricture of anterior urethra of lichen sclerosus origin.
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Background: The aim of this study is to assess the influence of acute fasting on synaptic properties in the ventral tegmental area (VTA) with regards to the sex-dependent differences by use of male and female mice. The study aimed to unravel the intricate interplay between fasting, synaptic plasticity, and behavioural changes to enhance our understanding of the underlying mechanisms. Methods: This study carried out at a tertiary care centre, employed a 16-hour overnight fasting protocol in female rodents and male rodents to examine the effects on physiological parameters, feeding behaviour, and neuronal attributes in the VTA. Various assays, including measurements of blood glucose, ketones, corticosterone (CORT) levels, locomotor activity, and electrophysiological recordings of synaptic currents, were conducted to assess the physiological and synaptic responses to acute fasting. Results: The study found that acute fasting induced significant metabolic changes, including body mass decrease by about 10%. Altered food-seeking behaviour was evident, with male mice exhibiting a pronounced increase. Moreover, neuronal attributes in the midbrain or VTA showed gender-dependent responses: males displayed substantial 20% increase in the frequency of mEPSC onto the dopaminergic neurons in the midbrain post fasting, while females exhibited a 13% elevation in CORT levels, accompanied by a transient period of depression at stimulatory synapses onto dopaminergic neurons which was mediated by endocannabinoids. Notably, no significant changes were observed at restraining synapses in rodents of both genders. These findings highlight the nuanced influence of short-term fasting/starvation on the VTA's synaptic plasticity, emphasizing sex-specific responses and providing valuable insights into potential mechanisms influencing gender differences in neuropsychiatric conditions. Conclusions: The study reveals that acute fasting induces sex-specific synaptic changes in the VTA, shedding light on the intricate relationship between metabolism, food-seeking behaviour, and neural plasticity. These findings emphasize the importance of considering gender-specific responses in studies exploring the neurobiological effects of fasting and their relevance to mental health.
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Background: In the Indian context, where a substantial portion of the population is of working age and 2.1% grapple with disabilities, as per the 2011 census, the emergence of diverse disability profiles within this demographic becomes a paramount concern. This issue holds profound consequences, directly impacting the nation's productivity and overall economic landscape. The focus of this study is a comprehensive examination of the repercussions of disability, honing in on the alteration and loss of occupational experiences among individuals in the working-age stratum. Methods: The primary objective is the computation of a "disability deprivation index" for both India as a whole and its states, a multinomial logistic regression model is employed, seeking to elucidate the extent of the impact precipitated by the onset of disability in the working-age population. Multiple classification analysis is integral to determining adjusted percentages (probabilities) of changes of work, loss of work, and no loss or change of work, derived from multinomial logit regression, fostering a nuanced understanding of the issue. Results: The study reveals that 2.2% of individuals previously gainfully employed experience disability, with a significant majority losing their livelihoods due to disabling conditions. The disability deprivation index provides insights into relative deprivation levels across states, highlighting Kerala as the least deprived and Bihar as the most deprived. Conclusions: Despite commendable efforts by government and non-governmental organizations to address the needs of disabled population, the study underscores the stark reality that these provisions reach only a fraction of the disabled population, intensifying the severity of the situation concerning disability in India.
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Pregnancy-related mental health issues are more common in low and middle?income countries (LMICs). Common mental health disorders are more prevalent among women than men. In LMIC countries, the prevalence of mental health disorders is higher, estimated at 15.6% among pregnant women and 19.8% among postpartum women. According to the studies, Antenatal depression prevalence in India ranged from 9.8% to 36.7%, while antenatal anxiety prevalence was 55.7%. This study performed bibliometric profiling to shed light on maternal mental health research conducted in India since 1979 and to present the research output in the field of maternal mental health in India. SCOPUS databases have been chosen for data retrieval due to their extensive coverage, high-impact journal inclusion and ease of access to quality publications. In total, 146 publications were found in the field. Maternal mental health research increased significantly in 2022. The peak number of publications occurred in 2022.There has been a lot of focus on maternal mental health. This is evidenced by the fact that there has been a significant increase in the number of scientific publications in India since 1979. The bibliometric indicators provided important information on the research contributions from different institutes and authors. The results of this study can serve as a reference for researchers and policymakers to plan future research.
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Prostatic leiomyosarcoma is an exceedingly rare malignant tumour arising from smooth muscle cells in the prostate gland. It ranks quite low down on the possible differentials of bladder outlet obstruction. We present a case of a 38-year-old male who initially presented with acute urinary retention and was subsequently diagnosed with prostatic leiomyosarcoma. Following histopathological confirmation, metastatic work-up was performed and patient planned for radiation and surgical cure. Patient on follow-up is well and has resumed normal daily work. This case report aims to increase awareness of this rare malignancy, discuss the diagnostic challenges faced with a highly common clinical spectrum at the onset, present the treatment strategies employed, and discuss the patient's clinical outcomes. We emphasise the importance of reporting rare cases like this to contribute to the existing literature and enhance the understanding of prostatic leiomyosarcoma.
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Retrieval of high-volume renal stone fragments in percutaneous nephrolithotomy (PCNL) using graspers and baskets can lead to inadvertent renal mucosal trauma and prolonged operative times. We report a case of large right renal pelvic calculus measuring approximately 5.6�2�cm, which after fragmentation posed a challenge for fragment retrieval to ensure complete stone clearance. We used flush irrigation and suction through a 17 Fr cystoscope sheath inserted into the 30 Fr Amplatz for successful retrieval of the high volume of tiny stone fragments. To our surprise, just after two cycles of flush-irrigation and suction in a duration of approximately 30 seconds, we could achieve complete stone clearance. This technique of utilizing a small caliber cystoscope sheath through a large caliber Amplatz in PCNL could help in selected cases for efficient and safe retrieval of high-volume tiny stone fragments by minimizing renal mucosal trauma, operative times and ensuring complete stone clearance.
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Background: The antenatal care had suffered across the globe during COVID-19 pandemic. This study was undertaken to elicit knowledge, attitude and practices adopted by pregnant women for antenatal care during the pandemic. Methods: A cross-sectional survey was undertaken (N=126) at a purposively selected community health center Nalagarh of Solan district in north India. Self-administered pilot tested standardized questionnaire was employed. Results: 46 percent of women were in age group of 21-25 years and had secondary level of education. 60 percent were primigravida. 47 percent of pregnant women significantly undertook antenatal care from civil hospital and 33 percent availed these services from the public health facility of the level of Primary Health Centre or Community Health Centre, ?2 (1, N=126) =7.7, p=0.02. All pregnant women had taken complete antenatal care for four times and as per schedule. Only one tested positive for the disease COVID-19. Majority of the pregnant women studied were asymptomatic. The participants had the knowledge about symptoms of disease and COVID-19 appropriate behavior. About 25 percent also had difficulty in approaching the public health sector due to lack of accessible transportation. 18 and 33 percent of pregnant women suffered from stress and anxiety respectively. All undertook iron and folic acid along with tetanus prophylaxis. 21 and 18 percent practiced wearing of face mask and frequent hand washing with soap respectively. Conclusions: COVID pandemic did not hinder antenatal care adopted by pregnant women. Lockdown and isolation were important perceived worrisome aspects of the disease.
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Background: Outpatient department (OPD) is that section of the hospital which is staffed and equipped to provide diagnostic, therapeutic and rehabilitative care to those patients who are not registered as inpatients while receiving the services during scheduled working hours. Objective of the study was to assess the patient satisfaction level with OPD services in a tertiary-care hospital of Jammu region. Methods: A cross-sectional study was conducted among patients visiting the OPD of the SMGS hospital GMC Jammu from January to March 2023. Exit interviews were conducted using a semi-structured questionnaire among patients availing the services from OPD. Results: Average percentage of total satisfaction score among sampled OPD patients has come out to be 68.13% whereas total average dissatisfaction score was 20.87% and the total average mild dissatisfaction score as 11.00%. Conclusions: This study suggests that patients were satisfied to a larger extent with OPD services except a few which are least satisfied especially with waiting time at registration counter.
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Background: The aim of this study is to correlate anthropometric indices with hemodynamic vascular changes in young adult obese patients. Methods: It is case-control study, 140 patients were recruited. Which were divided into two group i.e., study group=70 and control group=70. Anthropometric measurement waist circumference (WC) and total body fat percentage (TBF%) of each patient is compared with right brachial pulse wave velocity (PWV) (dominant hand). Results: Obese individuals had high levels of PWV as compared with non obese patients. Study suggested that cardiovascular parameter levels were significantly increased in obese patients, these same patients gradually progress towards the hypertensive condition. Conclusions: Changes in cardiac function are common in obese patients, hence, there is need for periodical assessment of the cardiac function and anthropometric measurement and PWV as cardiac markers in obese patients proves to be an early and simple tool to give warning signal for the patients to take early preventive measures.
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Background: Bone formation, growth and its vitality necessitates blood supply. Nutrient artery is the key source of blood supply to the long bone apart from the other important sources like periosteal, metaphyseal and epiphyseal arteries. Nutrient foramina allow nutrient artery. Typically, the direction of the nutrient foramina is towards the elbow joint in radius, away from its growing end. Knowledge of foramen index, number, direction and size of the nutrient foramina assists the surgeon to take and exact section of bone in case of bone resection and transplantation techniques. The aim of the present study is to determine the number, position, size direction of the nutrient foramina and the Foramen Index of the human dry radius bones. Methods: In the present study, 100 radius bones of unknown age and sex were taken into consideration from the department of anatomy Index Medical College, Indore (MP), India. Results: Most of the foramen was observed on the anterior surface of the bone. Nutrient foramina was found to be absent in 4 right sided and 3 left sided bones. The foramen index on right side was 34.92±4.97 cm whereas on the left side 34.79±4.43 cm. The nutrient foramen was directed towards the proximal end of radius in all the bones studied. Conclusions: In the present study the average length of the bone and foramina of the size larger are more on the right side when compared to the left side. The foramina are located mostly in the middle third of the bone of the anterior surface. This study may add to the present statistical data available on foramen index number of foramen and their location in the population of Indore region, during recent orthopaedic techniques like bone resection and transplantation.
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Background: Common antigenic pool is seen because of shared embryonic origins of gall bladder cancer (GBC) and pancreas. Hence, we analyzed the role of serum carbohydrate antigen 242 (CA242) which has been studied in pancreatic cancer, in GBC. The objectives were to identify whether serum CA242 provides added advantage in diagnosis of GBC when compared to controls and to determine its cut-off value. Methods: Serum CA 19-9 level was determined by chemiluminescent micro particle assay and CA242 by enzyme linked immunosorbent assay (ELISA) of age matched cases and controls. Results: Total enrolled patients were 83 including 10 (11.7%) healthy volunteers, 22 (25.9%) chronic cholecystitis cases, and 53 (62.4%) patients with histological evidence of carcinoma. Mean age of presentation of GBC was 51.64 SD10.88 years with F: M ratio of 5.6:1. Pain (90.6%, 48/53) accompanied with jaundice was significantly associated with GBC well reflected by significantly raised serum total bilirubin (p=0.011), direct bilirubin (p=0.008) along with alkaline phosphatase levels (p=0.001). Significantly higher median value of CA 19-9 and CA242 was observed in GBC when compared to CC and healthy volunteers (p<0.001) with a significant correlation between tumor size (>2.5 cm) and serum levels of CA242. The best cut-off limit for CA242 was 45.25 IU/ml. The specificity for carcinoma diagnosis increased to 100% when CA242 was included along with CA 19.9 in serological estimation. Conclusions: We recommend that CA antigen 19-9 may be complimented with CA242 for serological identification of malignancy in the gall bladder.
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Background: The long-term effects of COVID-19 pandemic are currently getting more attention. The majority of individuals with COVID-19 report having symptoms for longer than 4 weeks following their initial appearance. after COVID-19 infection, there is worry that cardiovascular conditions and metabolic conditions may be harmed. Aim of the study the incidence of ischaemic heart disease and diabetes mellitus (DM) post COVID 19 pandemic. Methods: Information for all individuals diagnosed as suffering of COVID-19 were taken at the beginning of the investigation from the health department's release of electronic medical records in February 2021. The main outcomes analysed were first ever documented cardiovascular disorders (CVD) as well as DM diagnoses. The data were then combined for the time periods following the index date (long COVID-19), for five to twelve weeks following the index date (post-acute COVID19), for four weeks after the date of indexing (acute COVID-19), prior to the index date (Pre-index). For COVID-19 patients as well as control subjects, incidence rates with precise Poisson confidence intervals (CIs) were computed. Results: CVD events was 1362 in COVID-19 study group while it was 131 in control study group at phase corresponding to four weeks after the indexed date. CVD events was 781 in COVID-19 study group while it was 298 in control study group at phase corresponding to five to twelve weeks since the date of indexing. CVD events was 781 in COVID-19 study group while it was 298 in control study group at phase corresponding to five to twelve weeks since the date of indexing. CVD events was 2,134 in COVID-19 study group while it was 298 in control study group at phase corresponding to 13 to 52 weeks since the date of indexing. Conclusions: Early on after COVID-19 infection, the risk of CVD is elevated, and this risk is elevated for up to three months. However, there does not appear to be a long-term rise in the prevalence of CVD or DM in COVID-19 patients who do not already have these illnesses. This study shows that after COVID-19 infection, the incidence of DM is high for at minimum 12 weeks before it starts to decline.
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Background: The nutrient arteries may be affected to a consequence of fracture/surgical intervention of fracture of the humeral shaft, which may result in nonunion or delayed union of fracture. Number and position of nutrient arteries must be determined. In order to preserve them during any surgical procedure of the humeral shaft, it is therefore essential to be aware of the existence of the nutrient foramen. The primary objective of this research is to identify the number, location, and orientation of nutrient foramina (NF) of humerus. Methods: The study was conducted on 100 dried humeri of unknown gender obtained from department of anatomy, Index Medical College, Indore (M.P), India. The number, location, and direction of NF were observed. Results: One nutrient foramen was present in 77% of humeri, followed by double foramen in 20% of cases and triple foramen in 3% of cases. The anteromedial surface hosted the majority (80.16%) of the NF, followed by the anterolateral (4.76%) and posterior surfaces (15.08%). The middle third of the shaft (96.03%) included the greatest number of NF, followed by the distal third (3.97%). On the distal end of the humerus, there was no nutrient foramen to be observed. All NF were directed downward. Conclusions: The location of the nutrient foramen of the humerus was not constant; it may present on anteromedial, anterolateral, or posterior surfaces. Similarly, it may present on the middle or distal third of the shaft of the humerus. This study will help surgeons planning the surgical intervention of the shaft of the humerus, which will possibly reduce the chances of nonunion or delayed union.
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To understand the effects of land use system and its cropping techniques, the study on carbon stock and soil nutrients in response to varied land use systems and soil depths in Chandel district was carried out during 2020 from five different locations in the Chandel district that include a variety of land use systems such as Forest area, Jhum cultivation after 15 years, Jhum cultivation after 10 years, Jhum cultivation after 10 years from different sub division of the district, Jhum cultivation after 5 years, Intermittent Jhum area, Oak forest area, Teak forest area, Pine forest area, Agri-horti jhum cropping system area and Maize based cropping system area. The study revealed that Forest soils shows significantly higher Organic carbon content of 2.73 % in 0-15 cm and 2.04% in 30-45 cm soil depth respectively than the other land use system of Chandel district. Available N was also found to be significantly higher in forest soils i.e. 533.49 kg/ha in 0-15 cm soil depth and 475.14 kg/ha in 30-45 cm soil depth as compared to other land use systems. Similarly, available P2O5 of 10.92 kg/ha and 9.97 kg/ha in 0-15 cm and 30-45 cm soil depth respectively and K2O of 278.08 kg/ha in 0-15 cm and 266.11 kg/ha in 30-45 cm were also recorded to be significantly higher in forest soil which was followed by the Jhum cultivation after 15 years in Chandel district. Next to forest area soils, Jhum cultivation after 15 years shows higher organic carbon content and other soil nutrients as compare to other land use systems due to the longer waiting period of cultivation. These results indicated that the land under more vegetation and less disturbed areas have higher soil nutrient and organic carbon as compared to other land use system. Thus it may be concluded that, variations in soil fertility parameters need immediate improvement in soil health of Jhum lands and other land use systems.