Assessment of collocation coverage of AYUSH doctors under National Rural Health Mission in Udaipur Division

Background: The National Rural Health Mission (NRHM), announced in 2005 and implemented on the ground in 2006, has formulated ‘revitalizing local health traditions and mainstreaming AYUSH’ as one of its strategies to strengthen the public health services. Objective: Purpose is to assess the overall collocation coverage of AYUSH, Training of AYUSH doctors and the available facilities for AYUSH doctors and find the gaps in these facilities. Material and Methods: This study was a cross sectional study. Three districts (50% of total) were randomly selected from Udaipur division which comprises of six districts. All Primary health centers/Community health centers/District hospitals with collocation of AYUSH doctors in randomly selected three districts were included in the study for assessment of collocation coverage and facilities available for AYUSH. Results: Mean age of the AYUSH doctors found to be 35±3.2 years. Overall collocation coverage percentage was found to be 35.5%, most of the collocation was at PHC level (41.5%) followed by DH (33.3%) followed by collocation at CHC level (13.1%). Majority 58 (86.5%) of AYUSH doctors were found to be trained on SBA (Skill Birth Attendant). Majority 46 (68.7%) of collocated facilities were lacking the board of AYUSH chikitsa Kendra. There is severe dearth of residential accommodation for AYUSH doctors

Novel extractant impregnated resin for preconcentration and determination of uranium from environmental samples

A novel method based on impregnation of Amberlite XAD-4 with extractant isonitroso-4-methyl-2-pentanone (IMP) has been developed for U6 + extraction and determination in various samples. The prepared extractant im- pregnated resin (EIR) sorbent was characterized by the field emission scanning electron microscope. The sorbent was packed in a glass column and investigated for various parameters such as pH, eluent, sample and eluent flow rates to optimize sorption desorption conditions for U6+. U6+ is quantitatively determined at pH 4 with flow rate 2 mL/min which showed recovery of 98.9%. The sorption behaviour of U6 + by EIR was also studied using different equilibrium isotherms and kinetic models and the experimental data confirmed that it follows Freundlich iso- therm and Weber-Morris pore diffusion kinetic model. The investigation of foreign ions influence on U6+ sorp- tion showed least interference and thus, facilitated its extraction and determination in Uranmicrolite (leachate) ore tailing, synthetic mixtures and spiked water samples. The detection limit was 0.41 μg/L while the limit of quantification as 1.35 μg/L made the method quite accurate

Association of pediatric obstructive sleep apnea with poor academic performance: A school-based study from India

Background: Pediatric obstructive sleep apnea (OSA) is a highly prevalent but often neglected disorder. There is paucity of reports on the prevalence of pediatric OSA from India. This study was done to estimate the prevalence of OSA in school children aged 5–10 years and its association with academic performance. Methodology: This school-based cross-sectional epidemiological study was conducted from July 2015 to November 2015. A questionnaire seeking information on sociodemographic variables, school performance, sleeping pattern, and a validated 22-item pediatrics sleep-related breathing disorder (SRBD) scale was distributed to 1820 pupils in three primary schools. The prevalence of OSA (defined as SRBD score >33%) was reported as proportion and its 95% confidence interval (CI). Results: We received 1520 questionnaires out of 1820 distributed and of which 1346 were complete and were analyzed. The prevalence of OSA among children in our study was 9.6% (95% CI: 8.1%–11.7%). On multivariate analysis, working mother (adjusted odds ratio [OR]: 1.8; 95% CI: 1.2–2.7), sleep bruxism (adjusted OR: 1.7; 95% CI: 1.1–2.6), and sleep talking (adjusted OR: 3.0; 95% CI: 1.9–4.7) were found to be independently associated with OSA. Students with positive SRBD were more prone to nocturnal enuresis (NE) (OR 3.48; 95% CI 2.27–5.26) and poor academic performance in all subjects. Conclusion: OSA is highly prevalent (9.6%) in Indian children. OSA is associated with NE and poor academic performance in all subjects. This study found association of maternal occupation and OSA which needs to be confirmed in larger studies

Association of Sleep Disordered Breathing with Mono-Symptomatic Nocturnal Enuresis: A Study among School Children of Central India

<div><p>Objective</p><p>To study the prevalence of primary monosymptopomatic nocturnal enuresis (PMNE) in children aged 5–10 year and to find its association with sleep disordered breathing (SDB) by using a 22 item pediatric sleep related breathing disorder (SRBD) scale.</p><p>Methods</p><p>This was a school based cross sectional epidemiological study from July 2015 to November 2015. A questionnaire seeking information on socio-demographic variables, nocturnal enuresis (NE) frequency, school performance and a validated 22 item pediatric sleep related breathing disorder scale (SRBDs) was distributed to 1820 pupils in three primary schools.</p><p>Results</p><p>A total of 1528(83.95%) questionnaires were retrieved. Out of 1528 forms, 182(11.9%) forms were incomplete for requested information and hence 1346 (73.9%) questionnaires were finally analyzed. The prevalence of NE was found to be 12.7% (95% CI; 11–14.6), whereas prevalence of primary nocturnal enuresis (PMNE) was 8.2% (95% CI; 7.1–10.1). SRBD scale score >0.33 (adjusted OR: 2.87; 95%CI: 1.67–4.92), paternal history of enuresis in childhood (adjusted OR:4.96; 95% CI: 2.36–10.45), and inappropriate toilet training (adjusted OR: 1.64; 95% CI: 1.01–2.66) were independently associated with PMNE.</p><p>Conclusion</p><p>Sleep disordered breathing, inappropriate toilet training and a history of childhood NE in father were found to be significant risk factors for PMNE in the present study. Thus, these findings suggest that it is imperative to rule out SDB in PMNE patients as they may require different therapeutic interventions.</p></div

Univariate and multivariate logistic regression analysis for PMNE.

<p>Univariate and multivariate logistic regression analysis for PMNE.</p

Distribution of socio-demographic and clinical variables.

<p>Distribution of socio-demographic and clinical variables.</p