Our Baseline Observations Of Medical Camp At Elderly House With Nss Cadets Of Amcmet Medical College Ahmedabad

ntroduction:As a part of NSS unit activities of our AMCMET medical college a medical camp was held with the aim to get answer 1. What are the common camp based health problems of elderly population in one remotely located elderly housein Ahmedabad ? 2. What are theprevalence and percentage of health problems amongst elderly? Hypothesis: Elderly population is especially staying in remote located elderly houses area must have significant magnitude of health problems and the health problems simply be managed by camp based approach. Research questions:As a part of NSSunit activities of our college a camp a medical camp was held to with the aim and objects to answer 1. whatare the common camp based health problems of elderly population in one remotely located elderly housein Ahmedabad ? 2. What are the prevalence and percentage of health problems amongst elderly?

Study Of Correlation Of Body Mass Index(Bmi) With Blood Pressure In Adolescents

ntroduction:Obesity is a state of excess adipose tissue mass. The most widely used method to gauge obesity is the body mass index, which is equal to weight/height2(in kg/m2). BMI changes throughout the growth and development of adolescent. It can be used as an indicator for tracking body size throughout the cycle. As BMI increases throughout the range of moderate and severe overweight, so also does the risk increase for cardiovascular complications including hypertension.Material and Method:The present study was conducted to study correlation of Body Mass Index (BMI) with blood pressure in Adolescents. Study Population consisted of 100 subjects including both male and femalebetween age group of 15-17 yrs.All the subjectswere divided in groups A and group B according to BMI.Group A Subject BMI ≤24.9.Group B Subject BMI ≥ 25. Height is measured by Measure Tape,Weight is recorded by standard weighing scale machine and Blood Pressure recording by clinical Sphygmomanometer and stethoscope.Results:The statistical analysis was done using correlation unpaired t-test. There was significant positive correlation between BMI with systolic as well as diastolic blood pressure of male and femalein adolescents age group.Conclusion:In present study, Group A Body Mass Index of Male With Systolic Blood Pressure and Diastolic Blood Pressure, the p value are 0.0139 and 0.0280 respectively (P<0.05) showing significant positive correlation between body mass index and blood pressures.Group B, Body Mass Index of Female With Systolic Blood Pressure and Diastolic Blood Pressure, the p value are 0.0099 and 0.0025 respectively (P<0.05)showing significant positive correlation between body mass index and blood pressures. The mechanism by which excess fat deposition (obesity) influences BP in adolescents appears to be through increased sympathetic activity, renin angiotensin -aldosterone system activation, and compression of kidneys. Changes in insulin sensitivity and its compensatory hyperinsulinemia lead to sodium and water retention and stimulation of sympathetic activity, which may in turn lead to hypertension. The recognition of elevated BMI in the present study as important factors associated with increased risk of developing elevated BP among adolescents may help target prevention towards high-risk individuals in this age group. This is especially important because of evidence linking adolescent obesity with metabolic abnormalities and risk of cardiovascular disease in adulthood.

Is myopiamore common in urban than rural area? A comparative study.

Aims: To measure the prevalence of acuity of vision for far vision of urbanand rural country side rural school students aged 7–15 years among boy and girls and to explore the prevalence of myopia and compare among both groups. Methods: The Snellen charts were used to assess the vision. Visual acuity of worse than 6/12 in either eye was taken as end point. The studies was carried out in school set up and rural set up. Results: 69 (15.9%) students of urban group and 17[4.1%] of rural group had myopia. Myopia was significantly more among urban group than rural group. Conclusion: The prevalence of myopia is more among urban group than rural group and is consistent finding to those reported in other parts of India and other parts of world. More research is required to find the cause effect relationship. We have just begin to understand the physiological mechanism of myopia especially retinal and other neuro humeral modulating factors and other growth factors regulating the size and shape of sclera and eye ball. In future we expect some novel methods for prevention and treatment of myopia. The will have major impact on VISION 2020 program

Impact of asymptomatic hypertension on left ventricular functions.

(M-Mode Echocardiography was used to study the L.V. Systolic functions and the determinants of L.V. functions in subjects with asymptomatic Hypertension in comparison with subjects with normotensives. The functions were assessed among (60) sixty healthy subject and sixty (60) hypertensive subjects. The L.V. Function Parameters assessed by Echocardiography at lateral and septal sides of Left ventricle at the level of mitral annulus. Techholz's formula was used to measure the stroke volume, ejection fraction, cardiac output and cardiac index etc... The resting stroke volume, cardiac output and cardiac index were normal but significantly high among hypertensive subjects compared to normotensive subjects (P<0.05). The fractional fiber shortening (F.F.S.) and other parameters of L.V. contractile state were significantly reduced among hypertensives compared to normotensives (P<0.05). The significant Impairment of F.F.S. is due to alteration in dimension of L.V. wall thickness, L.V. cavity, L.V. geometry and fibrous changes in L.V. myocardium. This carries prognostic implication and requires further documentations, investigations and researches. As the R.A.A.S. play role in development of structural changes in L.V. wall drugs A.C.E. inhibiters i.e. Captopril and A.II.R. antagonist i.e. Losartan play significant role in improvement of L.V. functional changes. Even in the presence of normal L.V. systolic function, the L.V. hypertrophy is associated with altered L.V. geometry. Normal or near normal F.F.S. is considered a hallmark of normal L.V. function when L.V. geometry is normal, but not when L.V. hypertrophy type of geometry. Normal limit of F.F.S. should be reset to newer value. The L.V. contractile state was negatively correlated to L.V. after load parameters. So the main objective of management of hypertensive subjects should be, to reduce the after load to improve the L.V. contractile state.)