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Cherian S.M.,Dr Br Ambedkar Medical College
Indian Journal of Public Health Research and Development | Year: 2015

Objectives: 1. To study the prevalence of anaemia in women of reproductive age group. 2. To determine change in haemoglobin levels after health education and supplementation of iron and folic acid tablets among women who are anaemic during the study period. 3. To suggest recommendations for improvement of health status in women of reproductive age. Method: A c ross-sectional study with intervention was done among women of reproductive age group 15-44 years from November 2005 to October 2006. Sample size of 203 was calculated and systematic random sampling done to select the study women. The women were interviewed using pretested proformas and Sahli's method used to estimate haemoglobin. Health education and iron and folic acid tablets were given to women who were anaemic. Repeat haemoglobin was done for those on therapy after 100 days. Statistical analysis was done using percentages, mean and standard deviation, chi-square, paired and unpaired t tests. Results: Prevalence of anaemia was 59.61% and decreased to 46.80% after intervention. There was a significant association between occupation and BMI with anaemia. Association between parity and anaemia was highly significant. The mean increase in haemoglobin levels was 1.10 gm/dl in mild anaemia and 1.15 gm/dl in moderate anaemia after intervention. © 2015, Indian Journal of Public Health Research and Development. All rights reserved. Source

Padma L.,Dr Br Ambedkar Medical College
Journal of Association of Physicians of India | Year: 2013

Cough is one of the commonest symptoms of respiratory tract infections and is a frequent problem encountered in general practice as well as in hospital practice. A wide range of disease processes may present with cough and definitive treatment depends on identifying the cause and diagnosis. Specific treatment of the cause should control the cough, but this may not occur in all cases and in a sizeable proportion of patients, no associated cause can be found. An increased sensitivity of the cough reflex can be observed in patients with dry cough. Symptomatic relief must be considered when the cough interferes with the patient's daily activities and this is effectively treated with antitussive preparations which are available as combinations of codeine or dextromethorphan with antihistamines, decongestants and expectorants Antitussives are used for effective symptomatic relief of dry or non-productive cough. First generation antihistamines like chlorpheniramine and centrally acting opioid derivatives like codeine are often used alone or in combination in the management of nonspecific cough. Sedation caused by these is valuable, particularly if the cough is disturbing the sleep. Although there is extensive experimental data on single agent antitussives and antitussive combinations, there is a major paucity of published literature on these combination s in nonspecific cough. Treatment of dry cough remains a challenge in some patients and this article reviews the scope of the current drugs and combination of Codeine and Chlorpheniramine in the effective management of dry cough. Source

Udupa S.,The New School | Usha M.,The New School | Visweswara R.N.,The New School | Desai M.G.,Dr Br Ambedkar Medical College
Indian Journal of Pathology and Microbiology | Year: 2012

Adrenal myelolipoma (AML) is a rare benign tumor composed of mature adipose and hematopoietic tissue. Most of these patients are asymptomatic and the tumors are non-secreting. We present a case with a large functional adrenal myelolipoma, wherein the patient was hypertensive and biochemistry revealed increase in 24 hours urinary Vanillylmandelic Acid (VMA), a metabolite of catecholamine. The mass was removed surgically and diagnosed as adrenal myelolipoma on histopathological examination. Both his blood pressure and urinary VMA returned to normal following surgery, which suggested that the mass was functioning and was secreting catecholamine. To the best of our knowledge, a catecholamine secreting adrenal myelolipoma has been reported in the literature only once previously. The association of hypertension and adrenal myelolipoma may not be entirely coincidental, as it may be associated with secreting catecholamine, as seen in our case. We also review the literature on functioning adrenal myelolipoma. Source

Ali S.S.,Dr Br Ambedkar Medical College | Dhaded S.M.,Jawaharlal Nehru University | Goudar S.S.,Jawaharlal Nehru University
International Journal of Preventive Medicine | Year: 2014

Background: In India, child malnutrition is mostly the result of high levels of exposure to infection and inappropriate infant and young child feeding and caring practices and has its origins almost entirely during the first 2 to 3 years of life. This study aims in assessing the impact of breast feeding on child development of children at 3 years. Methods: About 530 children at 3 years were assessed for developmental delay by Ages and Stages Questionnaire (ASQ). Growth measurements and hemoglobin estimation were carried out at the time of developmental evaluation. Physical growth was assessed by using World Health Organization growth charts. Children were assessed for their duration of breast feeding and weaning period. They were analyzed for the feeding practices versus developmental outcome. Chi-square test was used to compare the categorical variables. Differences were considered significant at P < 0.05 level. Results: Children who were exclusively breastfed for at least 6 or more months had significantly higher ASQ scores with P value for communication (0.003), gross motor (0.004), fine motor (0.007) and problem solving (0.013) except personal social (0.059) compared with children who had exclusively breastfed for less than 6 months. Children, who were weaned beyond 12th month, had significantly higher ASQ scores with P value for communication (0.004), gross motor (0.091), fine motor (0.044), problem solving (0.001) and personal social (0.012) as against those who were weaned at 6th month or earlier in all domains. Conclusion: Breast feeding has a positive effect on the overall development of the child and should be promoted in the present generation. In India, child malnutrition is responsible for a higher percentage of the country's burden of disease. Undernutrition also affects cognitive and motor development and undermines educational attainment; and ultimately impacts on productivity at work and at home, with adverse implications for income and economic growth. Source

Deepa L.N.,Dr Br Ambedkar Medical College | Gopinath D.,Foundation Medicine
Indian Journal of Public Health Research and Development | Year: 2014

Introduction: Promotion of maternal and child health has been one of the most important objectives of the Family Welfare Programme in India. It is being delivered through network of sub centers, primary health centers and first referral units. Primary Health Centers have the major responsibility of providing all the above services to the community as they are more easily accessible compared to district hospitals and sub district hospitals. Objectives: 1. To study the current coverage of selective components of RCH services at PHCs in Bangalore Urban district. 2. To find out the responses of MO of PHCs with respect to the current coverage of services. Study design: Cross sectional study Results: It was observed that ANC registration was 81%, early registration was 53% and minimum 3 ANC checkups was given for only 71% of the registered pregnancies. Review in monthly meeting, increase frequency of awareness program and making ANMs stay in the subcenter compulsory were the common response given by the medical officers. Conclusion: More studies need to be done to find the reasons for not registering the pregnancies and also for not availing the available services from the beneficiaries. © 2014, Indian Journal of Public Health Research and Development. All rights reserved. Source

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