Exploring The Relationship Between Body Mass Index (BMI), Body Weight Perception, And Weight Change Behaviour Among University Students in Urban Gujarat, India: A Cross-Sectional Study

Background: In the context of the rising trend of overweight and obesity, young people are more concerned about their weight. This study investigates the association between measured Body Mass Index (BMI), self-perception of body weight and weight change behavior among university students. Methods: This cross-sectional study assessed a sample of 415 university students aged 18-23 years residing in urban areas of Anand. Measures included weight, height, BMI, body weight perception and weight change behavior. The data were analyzed through descriptive statistics, the student’s t-test and Chi-square test. Results: About 36.1% of the participants misclassified their weight category. More women than men felt overweight in relation to their actual body shape. Among normal-weight or underweight BMI participants, 44.4% of females and 31.8% of males were inappropriately trying to lose weight. Conclusions: The study showed a higher prevalence of weight perception and inappropriate weight change behaviour. It also observed that the correct perception of body weight influences the willingness to lose or gain weight. It is important to consider these issues while designing a public health campaign targeting obesi-ty and healthy lifestyles.

Comparative evaluation of rapid diagnostic test and real-time PCR in clinically suspected malaria

Background: India represents 3% related to the global malaria problem. Early diagnosis and treatment that are complete alongside preventive measures are modalities essential to managing the situation. Rapid diagnostic tests (RDTs) and polymerase chain reaction (PCR) that are malaria that is real-time be used to obtain an exceedingly really very early diagnosis in acutely febrile customers. Aims and Objectives: This study aims to gauge the effectiveness of RDT bloodstream that is utilized entire from clients clinically suspected of malaria and compare it with real-time PCR. Materials and Methods: The cross-sectional study is observationally done and made up of 158 patients admitted to Index Hospital, Indore, having a serious illness that is febrile and medical suspicion of malaria. RDT for malaria antigen and PCR that are real-time done in the bloodstream that is whole examples depending on kit guidelines. Results: There exists a difference that is significant the nice and examples which are negative by both techniques. RT-PCR is diagnostic PCR that is real-time RDT has been good in 62 (44%) clients, whereas, real-time PCR detected the parasite in 136 (91%) customers. RDT was in reality negative for malaria antigen in 16 (12.8%) consumers, in whom RT-PCR was good. RDT failed to identify Plasmodium falciparum antigen in RT-PCR samples that can be good. RT-PCR indicates basic greater sensitiveness (82.4–95% CI 79.2–84.5%) in diagnosing malaria set alongside the quick test is an antigen. The sensitiveness of RT-PCR in detecting P. falciparum had been also high (74.2%, 95% CI 71.4–77.2). This has greater specificity than RDT in detecting P. falciparum disease (91.3%, 95% CI 89.4–95.4) in detecting P. falciparum than RDT. Conclusion: RT-PCR has better efficacy to look for the presence of malaria parasites in acutely clients being febrile remain undiscovered by RDT. Therefore, it might be helpful for the verification of diagnoses and studies which are epidemiological.

Evaluation of Radiological and Functional Outcome of Intra-articular Proximal Tibia Plateau Fracture Treated with Plating

@#Introduction: Proximal tibial plateau fractures are one of the major problems in orthopaedic surgery and are associated with high complication rates. Intra-articular proximal tibia plateau fractures represent approximately 1% of fractures in adults. Various modalities of proximal tibial plateau fracture management have been considered, ranging from simple external fixators in impending compartment syndrome to periarticular proximal tibia plates and inter-locking nails with poller screws. Purpose of this study is to determine clinical outcomes of proximal tibial plateau fractures treated with plate. Materials and methods: We did this study of proximal tibial plateau fracture according to Schatzker’s classification treated with proximal tibial periarticular plates in 53 patients prospectively admitted at the author’s institute from June 2018 to May 2020 with follow-up period of 6 months. Results: In our study, the average knee score was 89.30 (ranging from 79 to 93) and functional knee score was 97.92 (ranging from 75 to 100). Fifty-one (51) patients (96.23%) showed excellent results and 2 patients (3.77%) showed good results according to Knee Society Score, which suggest that internal fixation of proximal tibia plateau fracture with plating provides better results. Out of 53 patients, 9 patients had post-operative complications. Average radiological union was seen at 14 weeks. Conclusion: Locking compression plate in proximal tibia plateau fractures act as a good biological fixation provide stable fixation, articular reduction and limb alignment even in difficult fracture situations. Fixation of proximal tibia plateau fractures with plate gives excellent to good knee society score, with satisfactory functional and radiological outcome.

Father-Daughter Duo: How Unmasking Leprosy in Father Helped in Leprosy Diagnosis in the Daughter - A Case Report

In highly endemic countries like India, where tuberculosis (TB) and leprosy infection may coexist, screening the other disease before initiating treatment is important to prevent Rifampicin resistance since both diseases are treated with and sensitive to Rifampicin. Here, we report a leprosy case involving the unmasking of leprosy in a treated patient with Pulmonary TB. In this case, a high index of suspicion of Erythema Nodosum Leprosum (ENL) in a patient with no history of leprosy disease or treatment with anti-leprosy drugs was observed. He, however, had a history of taking anti-tuberculous medicine 1.5 years earlier. This case report also acknowledges the physician’s prompt referral of this patient to a dermatologist. Taking a detailed family history and screening helped us diagnose leprosy in the patient’s daughter. It also emphasises the atypical presentation of leprosy, which (although described in textbooks) is being reported here.

Knowledge, attitude, and prevention of self-medication practices among the general population of Gujarat

Objectives: The practice of self-medication (SM) without consulting a health-care professional among the populace of both developed and developing countries like India may lead to a delay in therapeutic effectiveness. The present study was conducted to assess the knowledge, attitude, and practice of SM among the general population of Gujarat. Material and Methods: An observational, cross-sectional questionnaire-based study was conducted among 488 participants between April 2021 and May 2021 to evaluate the several aspects of SM. In April 2021, this study was conducted on both the genders of 18–80 years of urban and rural areas of Gujarat. Data were analyzed for descriptive statistics. The data presented in the form of percentages using tables and figures. The responses were collected and analyzed using GraphPad v.8 and Microsoft Excel for percentage and statistical significance. Results: Prevalence of SM was 78.3%. It was found to be practiced more among the younger age group (55.32%) than the older. Graduates practiced SM more than the others (P < 0.004). Significant association was found between its practice and residency (P < 0.03), marital status (P < 0.003), education (P < 0.004), and occupation (P < 0.0007). Fever, cough, and cold were the most common conditions noted for SM practice followed by headache. It was noticed that 63.5% participants were procured medications from pharmacy. Multivitamins, nonsteroidal anti-inflammatory drugs, and antibiotics were the most frequent medications used by participants. Conclusion: The prevalence of SM is alarming which causes serious health issues and needs an intervention. Planning of health awareness programs, educating people, and pharmacists are necessary for promoting rational use of medication.

Study Of Febrile Seizure In Pediatric Patients

Background:Febrile seizures are among the leading cause of pediatric emergency hospital admission and affect 2% to 5% of pediatric population1,2 and are by far the most common type of seizure in childhood.Various risk factors are said to play a role in aetiology of FS are gender, developmental delay, maternal history of smoking, family history, bacterial and viral infections, certain vaccinations and iron deficiency, low serum sodium at the time of presentation. Preventive measure to remove such risk factor could lead to lower the incidence of febrile seizure.Objective: To study occurrence of predictive risk factors like gender, age, low birth weight in children with febrile seizure. To study fever and seizure pattern in above children. To observe positive family history pertaining to febrile seizure. Material And Methods:An observational prospective study was conducted in the tertiary care hospital over a 2 year period. Children aged 6 months to 60 months diagnosed as febrile seizure and admitted at pediatric ward were included in the study. A total of 69 patients were enrolled in the study. All information was collected from parents and indoor case sheets after taking verbal consent. Data was entered in Microsoft excel and analysis was carried out using SPSS version 21. Result:Gender wise amale predominance was seen. Youngerage group isa risk factor. Majority of children (92.8%) presented with simple FS with seizure duration less than 5 minutes. Majority (82.6 %) had fever for < 24 hour prior to FS. Positive family history of FS is observed in 20.2% children. Conclusion:Identification of predictive risk factor will help clinician to educate and counsel parents regarding seizure recurrence, prophylactic use of antipyretic and measures during seizure activity.

Demographic and socioeconomic barriers and treatment seeking behaviors of patients with infectious keratitis requiring therapeutic penetrating keratoplasty

Purpose: To understand demographic and socioeconomic barriers and treatment-seeking behaviors of patients with infectious keratitis requiring therapeutic penetrating keratoplasty (TPK) in a developing country. Methods: This prospective non-comparative questionnaire- based study included all patients presenting to Aravind Eye Hospital, Madurai with infectious keratitis that eventuated to TPK between November 2015 and October 2016. A structured questionnaire was administered on post-operative day 3 to collect data on the demographic details, predisposing factors, prior treatment received, and treatment expenditures. Results: In total, 227 patients underwent TPK between November 2015 and October 2016 for infectious keratitis. The majority of patients were males (n = 132, 58.1%), illiterate (n = 129, 56.8%), and had a family monthly income of less than INR 6000 (n = 142, 62.5%). Most of the patients (n = 163, 71.8%) had prior treatment with an ophthalmologist before presenting to our hospital. The mean distance travelled to reach our centre was 269.2 ± 298.5 km. The mean duration of disease before the presentation was 20.3 ± 21.1 days. Corneal smear was positive for fungus in 163 (88.1%) and Aspergillus was the most commonly isolated fungi in 55 (41.3%) cultures. The mean total cost of treatment was INR 8752.87 ± 7615.39 per patient. There was a positive correlation between the duration of the disease (rho 0.19, P = 0.0034) and the costs of treatment (rho 0.2, P = 0.0024) with the distance travelled by the patient. Conclusion: Patients who travelled a farther distance had a delayed onset of presentation and spent significantly more than their respective counterparts.

Histopathological Study Of Non-neoplastic Lesions Of Nose, Paransal Sinuses And Nasopharynx

Background: The various lesions of the nose, paranasal sinuses and nasopharynx were subjected to histopathological evaluation over a period of 5 years (2010 to 2015) at the Department of Pathology, in a rural based hospital. Total 84 specimens were studied over the time of 5 years. Methodology: The formalin fixed specimens were received with complete clinical and radiological features. Routine gross examination and required number of sections were taken and stained with hematoxylin and eosin. Result: In the study, 84 cases were of Inflammatory and Non neoplastic le-sions. Nasal polyps were the most common lesions with 77 (91.67%) cases. Among the all Nasal polyps, 77 cases, 20 (25.97%) cases were of Allergic polyp, 50 (64.93%) cases were of inflammatory polyp, while 7 (9.09%) cases were of Antrochoanal polyp. 2 cases (2.38%) each of Sinusitis and Intradermal naevus. Rhinosporidiosis, Mucocele and Na-solabial cyst comprised of 1 (0.77%) case each respectively. Conclusion: In our study, most common lesions were Nasal Polyps. Most of the cases were presented in 2ndand3rddecade of life with Male preponderance. Nasal obstruction was the most common clinical presentation in the present study.

Role of Radiology in Evaluation of Non-Traumatic Acute Abdomen

Acute abdominal pain may be caused by a myriad of diagnoses, including acute appendicitis, diverticulitis, and cholecystitis. Imaging plays an important role in the treatment management of patients because clinical evaluation results can be inaccurate. Performing computed tomography (CT) is most important because it facilitates an accurate and reproducible diagnosis in urgent conditions. Also, CT findings have been demonstrated to have a marked effect on the management of acute abdominal pain. The cost-effectiveness of CT in the setting of acute appendicitis was studied, and CT proved to be cost-effective. CT can therefore be considered the primary technique for the diagnosis of acute abdominal pain, except in patients clinically suspected of having acute cholecystitis. In these patients, ultrasonography (US) is the primary imaging technique of choice. When costs and ionizing radiation exposure are primary concerns, a possible strategy is to perform US as the initial technique in all patients with acute abdominal pain, with CT performed in all cases of non-diagnostic US. The use of conventional radiography has been surpassed; this examination has only a possible role in the setting of bowel obstruction. However, CT is more accurate and more informative in this setting as well. In cases of bowel perforation, CT is the most sensitive technique for depicting free intraperitoneal air and is valuable for determining the cause of the perforation. Imaging is less useful in cases of bowel ischemia, although some CT signs are highly specific. Magnetic resonance (MR) imaging is a promising alternative to CT in the evaluation of acute abdominal pain and does not involve the use of ionizing radiation exposure. However, data on the use of MR imaging for this indication are still sparse. In this study, 76 patients with clinical manifestation of gastrointestinal conditions those were referred to radiology department of Dhiraj general hospital during time period of August 2015 to August 2016 were included. There were 44 male patients (57.9%) and 32 (42.1%) female patients. In our study spectrum of conditions included were: most common condition was Shah H, Parikh C, Raychaudhuri C. Role of Radiology in Evaluation of Non-Traumatic Acute Abdomen. IAIM, 2017; 4(3): 1-9. Page 2 Acute cholecystitis (15.8%), followed by pancreatitis and acute appendicitis (14.4%), Intestinal obstruction (13.1%), acute diverticulitis and malignancy (9.2%), inflammatory conditions (7.7%), Herniation, Midgut volvulus with malrotation, Necrotising Enterocolitis, Hepato-biliary Disorders, Perforated Viscus, acute peritonitis (1.3%).

A Cross Sectional Study to Determine the Prevalence of Obesity in a Rural Area of Goa.

Background: Nowadays, obesity has become a chronic disorder affecting the larger population than any other disease in the world. It mostly affects the adult population but children and adolescents are also prone to develop obesity. This study designed to determine the prevalence of obesity in both the sexes in person aged 25 years and above.1 Materials and Methods: The present study had been undertaken in rural area of Goa (Mandur village), in which persons aged 25 years and above were interviewed. A house to house survey conducted. Systematic random sampling method was used for selection of houses. Predesigned structured questionnaire was used to record socio demographic profile. Anthropometric data regarding height, weight was also taken. The data was analyzed using SPSS 14 software. Result: The study showed that, 9.2% of the population was obese (6.04% in males and 11.93% in females.) 29.9% of the population had BMI >/= 25kg/m2, 24.20% and 34.66% among male and females respectively. 22.72% of females and 18.12% males were pre-obese. Conclusion: BMI plays a crucial role in its early detection as it is simple to calculate and can even detect the pre-obesity stage in time. Obesity being a chronic illness, early detection of it can prevent various complications associated with it.

Young onset colorectal cancer: How does it differ from its older counterpart.

BACKGROUND: Colorectal cancer in the young has been a debated topic in literature with conflicting reports as to its pattern of occurrence and survival as compared to the older age group. MATERIALS AND METHODS: Retrospective study to analyze the clinicopathological characteristics, treatment modalities and survival of sporadic young‑onset colorectal cancer (YOCR) patients (<40 years) and compare them with the older group (>40 years). RESULTS: Of 172 patients managed, 72 (42%) were in the YOCR group. Among 72 patients, six were excluded because of hereditary syndromes. Incontinence (P = 0.02) and obstruction at time of presentation (P = 0.03) was significantly more common in the YOCR group. Left sided disease was more common in YOCR group (47/66) compared to the older group (65/100), but the difference was not statistically significant (P = 0.45). The proportion of rectal cancers was significantly more in the YOCR group (39/47) compared to the older group (39/65) (P = 0.01). Significant difference in resectability was noted in the left sided (YOCR 26/47 vs. older 49/65 P = 0.04) and the rectal cancers (YOCR 18/39 vs. Older 29/39 P = 0.02). The survival was similar among the two groups. CONCLUSIONS: Sporadic colorectal cancers in the young are more advanced and less resectable when compared to older population. Genetic studies are needed to elaborate the reasons for left sided predominance and aggressiveness of sporadic colorectal cancers in the younger subgroups.

A cross- sectional study to assess the prevalence & certain associated risk factors for postpartum depression in women in a tertiary care hospital.

Background: Postpartum depression (PPD) is the most common complication after delivery and may lead mothers to be inconsistent with childcare and may even progress to negative events. If diagnosed early it can be treated with support, medication etc. & prevented by screening for depression. The study was carried out to find the prevalence of postpartum depression in women and to identify & establish the associated risk factors involved. Methods: Cross sectional study on women in first week of postpartum period. Data was obtained by interviewing the mothers using a structured questionnaire, which included socio-demographic details. Edinburgh Postnatal Depression Scale (EPDS) was used to identify patients at risk for PPD. Questions were translated into Konkani according to local needs & validated by pilot study. Results: Study revealed 18.25% prevalence of PPD and significantly associated with relationship with In-laws, outcome of immediate previous & present delivery, neonatal complications in immediate previous pregnancy, which could be identified as potential risk factors. Conclusion: As postpartum depression can put the mother and child to certain risks, it is important that women are screened for PPD. Social support and interventions including counseling, various supportive interactions during the pregnancy can help in preventing PPD. This is an essential area of research that needs to be further developed in order to guide policy and clinical practice.

Urinary tract infection by Chryseobacterium indologenes.

Chryseobacterium species is an uncommon human pathogen although recovered from various sources in the hospital environment. Most infections have been detected in hospitalized patients with severe underlying diseases and who had indwelling devices or implants. Despite their low virulence, chryseobacteria are inherently resistant to many antimicrobial agents. We report a rare case of urinary tract infection by Chryseobacterium indologenes in a young girl, operated for renal calculus and successfully treated with piperacillin-tazobactam combination.

Histological study of adenomatous goitre.

Background & objectives: Multinodular goitre is probably the most common endocrine problem in the world today. Neither a well formulated nor a simple procedure is available for the management of MNG, hence the need for the present study. The aim was to study the various modes of presentation, the distribution with respect to age and sex and the usefulness of histological evaluation. Methods: This was a retrospective study of 100 cases of thyroid lesions during the period of April 2009 to October 2010. Results: Adenomatous goiter was found to be the commonest lesion with a frequency of 52 cases (52%).Most of the patients were female accounting for 90.39%. Most of the cases (53.85%) were noted in 21-40 years age group. Commonest presentation was swelling in front of the neck noted in 98% of cases. Conclusion: Commonest histological observation in the present study was adenomatous goitre in 52%. Majority of the patients were females with a M:F ratio of 1:9.4, with the commonest age group being 31-40 yrs. Almost all patients presented with swelling in front of the neck, with other complaints being that of pain, discomfort, dysphagia, dyspnoea and features of hyperthyroidism.

Prevalence of uropathogens in various age groups & their resistance pattern in a Tertiary Care Hospital in Central India.

Background: The prevalence of multidrug resistance among uropathogens in rapidly increasing. Analysis of the prevalence in various age groups and the common antimicrobial co-resistance pattern of uropathogens isolated from patients in a tertiary care hospital would have important implication for patient care. Methods: A total of 1383 urine samples received during year 2010 were processed. Urine microscopy & culture was done using standard microbiological techniques. Organisms were identified by standard microbiological techniques. Antimicrobial susceptibility testing was done as per CLSI guidelines.Results: A total of 426 uropathogens were isolated. E coli were seen in 65.96 % (most common) followed by Klebsiella spp. 12.44%. Enterococcus was the commonest Gram positive isolate (5.86%). Urinary tract infection (UTI) was seen in 59.86% females as compared to 40.14% males. Average antimicrobial resistance for E.coli 75.74%, Klebsiella spp. 47.45%, Proteus 65.54%, Pseudomonas 75.89%, Enterococci 66.54%, Staphylococcus aureus 39.28%, Staphylococcus saprophyticus 47.79%.

A cluster survey for determination of regular vaccination coverage among children.

One of the objectives of the Expanded Program of Immunization (EPI) is to achieve and sustain vaccination coverage to >90%. The coverage is not uniform within the districts, some of the areas showing more than 100% while others are far behind. The objective of the survey was to determine the coverage of immunization among children 12-23 months of age in Rautahat District of Nepal. A cross-sectional method was applied with the 30-cluster sampling method followed by taking a sample of 210 children. The structured questionnaire requesting information about socio-economic characteristics, vaccination, history of vaccination, doses of vaccines, and vaccination records were used for collecting data. The coverage responses according to history from mothers for BCG, DPTHb-3, Polio3 and Measles immunizations were 96.7%, 90.0%, 97.6% and 78.1% respectively. By analyzing the records of the sampled Village Development Committees (VDCs), the coverage for the same vaccines was 88.1%, 78.1%, 79.0, 73.8% respectively. The drop-out of BCG versus measles was also very high. The District Health Office (DHO) reports were remarkably higher than the coverage of immunizations obtained by the survey, showing additional number of the target children.

Prevalence of visceral leishmaniasis associated with the behaviors of the people in rural areas.

A cross sectional study was conducted by taking a random sample of 204 households of 5 VDCs in Sunsari district, Nepal with the objective to verify the prevalence of visceral leishmaniasis with behaviors of the people in endemic rural areas. Interviews with structured questionnaires and k-39 tests were used to collect information. From a sample of 204 respondents, 28 (13.73%) cases of Kala-azar (KA) were identified with k-39 test positive. Of them, 43% KA cases were found among Mushar ethnic group, 32% among Muslims, 11% cases among Tharus and 4% in Uraus and 11% in others. The difference in the prevalence of Kala-azar in people who had lands and in those who did not have were significant. People not owning lands were at 4 times greater risk of developing Kala-azar in endemic areas. Seventy seven percent of the people were bed net users. From 46 nonusers, 11 (23.91%) developed Kala-azar, which was significant as compared to bed net users. From among 196 'ground-floor' sleepers, 85 (43.34%) were ground sleepers and 111 (56.63%) were 'plung' sleepers. Nineteen (22.35%) of ground sleepers had suffered from Kala-azar, while 9 (8.11%) of 'plung' sleepers had suffered from Kala-azar. From all cases of Kala-azar, 25 (89.25%) had cracks and crevices on the walls of their living rooms. Sleeping on ground, non-use of bed-nets, landlessness, cracks and crevices on the floor and wall of living houses, poor living condition and overcrowding in houses, labors, dalit groups were identified as risks for Kala-azar.