ABSTRACT
Background: An infant’s birth weight is a reliable index of intrauterine growth and a sensitive predictor of newborn chances of survival, growth and long-term physical and psychosocial development. Low birth weight has been defined as birth weight <2.5 kg regardless of gestational age. The incidence of low birth weight (LBW) in India varies between 25–30% and of which 60–65% are because of intrauterine growth retardation. Aim & Objective: To determine the incidence and various determinants of low birth weight among babies delivered at rural tertiary care hospitals in central Uttar Pradesh. Methods and Material: The study was conducted at UPUMS, Saifai, Etawah, among pregnant women who delivered babies from 1st January 2018 to 31st December 2018. Details regarding age of the mother, gravida, parity, gestation period, presence of complications, the procedure for delivery and birth weight of the newborn were recorded and analyzed using SPSS software (version 23) Results: A total of 7615 deliveries were conducted (53.2% were males, 46.8% were females). The mean birth weight of babies was 2.65 Kg with S.D ± 0.52. Preterm babies were 32% while 67% were term babies and 23% of babies were low birth weight. There was a statistically significant association between birth weight of babies and factors like age of mother, parity of mother, gestation period, and presence of complications during the antenatal period. Conclusions: Prompt identification of high-risk factors, prevention of premature delivery, increasing the use of health services during pregnancy and management of the risk factors would reduce the incidence of low birth weight.
ABSTRACT
Abstract: Adolescent and young people’s behavior is of major concern due to Substance abuse. According to WHO, Substance abuse is consistently or sporadic drug use inconsistent with or unrelated to acceptable medical practice. Globally, alcohol and tobacco as a risk factors cause 4.0% and 4.1% of the overall burden of disability respectively. Objective: To determine the prevalence of substance abuse among 18 to 60 years’ male in rural Etawah and to identify type and pattern of substance abuse. Material and Methods: It was a community based cross sectional study carried out in five block of district Etawah for a period of one and half year. 1500 participants were interviewed using pre designed pre-tested questionnaire and data regarding socio demographic profile and pattern of abuse were collected. Data was entered in Microsoft excel sheet and analyzed by SPSS version 24 using appropriate statistical test. Result: Among 1500 participants, majority were below 30 years of age (i.e. 42.8%). In this study prevalence of Substance use among was 47% [707/1500]. Among all the other substance use, smokeless tobacco showed highest prevalence. Conclusion: Substance use is common in both urban as well as in rural area. So there is a need to educate and aware people regarding bad effects of drug abuse.
ABSTRACT
Background: Medical education has come long way since the era of Hippocrates. It is progressively evolving into a more organized and complicated system. All over the world, Medical education is criticized as one of the most demanding and stressful academics, showing effects on physical and mental health of medical students. This research was conducted to study stress and its factors in students of UPUMS, Saifai, Etawah, Uttar Pradesh. Aim & Objectives: To estimate the prevalence of stress among medical students of UPUMS. To estimate internal consistency of Medical Students Stress Questionnaire (MSSQ-40). Material & Methods: A Cross-sectional study was carried out during Oct. 2017 - Mar. 2018 among MBBS Students of all academic years in Uttar Pradesh University of Medical Sciences (UPUMS), Saifai. All the students enrolled in the university available on the day of data collection were recruited in the study. MSSQ-40 was the study tool to assess stress. Ethical clearance was obtained from Ethical Committee. Statistical analysis done in SPSS-23. Results: The mean age of subjects was 22.4±2.3 years, more than 84% of the respondents had moderate and high stress. More number of females perceived stress than the male, 33% female were suffering from high & severe stress. statistically significant. Conclusion: Gender & grades had clear association with stress, academics & interpersonal relation caused more stress. Early detection and effective intervention can prevent future illness among medical students.
ABSTRACT
Background & objectives: Development of plant-based alternative compounds for mosquito control has gained importance now-a-days, in view of increasing resistance in mosquito vectors to existing insecticides. The larvicidal and repellent activities of benzene, chloroform, hexane and methanol leaf extracts of Indian medicinal plant, Adansonia digitata were investigated against malarial vector, Anopheles stephensi. Methods: In all, 25 III instar larvae of An. stephensi were exposed to various concentrations (30–180 mg/l) in the laboratory by using the standard protocol described by WHO (2005). The larvae were exposed for 24 h and mortalities were subjected to log-probit analysis. Repellent activity of crude leaf extract at the dosages of 2, 4 and 6 mg/cm2 was evaluated in a net cage (45 × 30 × 45 cm) containing 100 blood starved female mosquitoes of An. stephensi using the protocol of WHO (1996). Results: Preliminary phytochemical analysis of A. digitata showed the presence of triterpenoids and saponins. The LC50 and LC90 values of hexane, benzene, chloroform, and methanol extracts of A. digitata against An. stephensi larvae in 24 h were 111.32, 97.13, 88.55, 78.18 and 178.63, 176.19, 168.14, 155.42 mg/l, respectively. The repellent activity of methanol extract was found to be most effective and at higher concentration of 6 mg/cm2 benzene, chloroform hexane and methanol extracts provided 100% protection up to 150, 180, 120 and 210 min against An. stephensi, respectively. Conclusion: The preliminary study indicated that A. digitata showed larvicidal and repellent activities against An. stephensi and could be used for controlling mosquitoes. Further studies are indicated to purify the active compounds from these plants for developing larvicide and repellents.