Drug utilization study of drugs used in the management of post-partum hemorrhage at a tertiary care hospital

Background: Postpartum haemorrhage remains a major cause of both maternal mortality and morbidity worldwide, uterotonic drugs such as oxytocin, with or without ergometrine, have been used to prevent PPH. The objective to study the drugs used in the management of post-partum haemorrhage at a tertiary care hospital.Methods: An observational and cross-sectional study design was adopted for this study. The case sheets of 100 patients presenting in active stage of labour to the labour room in a tertiary care hospital were analysed.Results: In the prescriptions analysed from the patients in the labour room, drugs used to prevent PPH are oxytocin and misoprostol. Oxytocin is the most commonly prescribed drug to prevent PPH in the study group. It is a life-saving drug to prevent PPH and thereby maternal mortality. In the study group having 103 patients, a total of 81 patients received only 10 IU oxytocin IM and 14 patients received 10 IU oxytocin IM and 600 g misoprostol to prevent PPH.Conclusions: Oxytocin is an essential drug included in the WHO essential drug list and in the national list of essential medicine, so it shouldn’t have been dealt in such a biased manner

Enantioselective method development and validation of proline by using high performance liquid chromatography

Chirality is a major concern in the modern pharmaceutical industry. The separation of chiral compounds has been of great interest because the majority of bioorganic and synthetic molecules are chiral. Aim of the present investigation was to develop a stereo specific, simple and precise normal phase high performance liquid chromatography (NP - HPLC) method for the separation and enantiopurity of Dextro (D) and Levo (L) enantiomers of proline (PRO) by using Lux 5m Amylose 1 LC column (250.6mm) by using n- Hexane: Iso propyl alcohol (IPA)as mobile phase in the ratios of 90:10 v/v at flow rate of 1.2 ml/ min. D and L forms of PRO was detected at 210nm with retention time of 8.1min and 9 min respectively with correlation coefficient (R 2 ) of 0.999.The method was validated with reference to International conference of harmonization (ICH) in terms of linearity, accuracy, precision (Inter - day and intra - day precision), limit of detection (LOD), limit of quantification (LOQ), stability of test solutions, specificity, system suitability, robustness and ruggedness

Cooking characteristics, chemical composition and protein quality of newly developed genotypes of pigeonpea (Cajanus cajan L)

Eight newly developed pigeonpea genotypes (ICPL 87, ICPL 151, ICPL 270, ICPL 366, ICPL 87051, ICPL 87063, ICPL 87067, and ICPV 1), and the two controls (BDN 2 and C 11) were analysed for cooking quality parameters and chemical composition, including amino acids and minerals. Protein quality was evaluated by determining the true protein digestibility, biological value, net protein utilisation (NPU), and utilisable protein. These genotypes differed significantly (P < 0–01) in the dhal cooking time. Sensory properties of dhal of these genotypes were found to be within the acceptable range, even though there were considerable differences among genotypes. Dhal protein, calcium, magnesium, zinc, and iron contents of these genotypes showed noticeable differences. Calcium content of ICPL 87067 was the highest (85-6 mg per 100 g) and of ICPL 87 the lowest (54-4 mg per 100 g) indicating large differences among the newly developed genotypes. No noticeable differences in sulphur-containing amino acids of these genotypes were observed. NPU was the highest (65–4%) for ICPL 366 and the lowest (56–6%) for ICPL 270 and ICPL 87067 indicating significant (P < 0–01) differences among genotypes studied

Pigeonpea nutrition and its improvement

Pigeonpea (Cajanus cajan [L.] Millsp.), known by several vernacular and names such as red gram, tuar, Angola pea. yellow dhal and oil dhal, is one of the major grain legume crops of the tropics and sub-tropics. It is a crop of small holder dryland fmmers because it can grow well under subsistence level of agriculture and provides nutritive food, fodder, and fuel wood. It also improves soil by fixing atmospheric nitrogen. India by far is the largest pigeonpea producer it is consumed as decorticated split peas, popularly called as 'dhaL' In other countries, its consumption as whole dty and green vegetable is popular. Its foliage is used as fodder and milling by-products [onn an excellent feed for domestic animals. Pigeonpea seeds contain about 20-22% protein and appreciable amounts of essential amino.acids and minerals. DehuHing and boiling treatments of seeds get rid of the most antinutritional factors as tannins and enzyme inhibitors. Seed storage causes considerable losses in the quality of this legume. The seed protein of pigeonpea has been successfully enhanced by breeding from 20-22% to 28-30%. Such lines also agronomically performed well and have acceptable and color. The high-protein lines were found nutritionally superior to the cultivars because they would provide more quantities of utilizable protein and sulfur-containing amino acids

Prevalence of Metabolic Syndrome amongst Undergraduate Medical Students: A Cross-sectional Study

Introduction: Metabolic Syndrome (MS) is a cluster of interconnected metabolic abnormalities involving glucose metabolism, lipid metabolism, elevated Blood Pressure (BP), and central obesity. It increases the risk of type-2 diabetes, cardiovascular disease, and mortality. Medical students during the Coronavirus Disease-2019 (COVID-19) pandemic were forced to remain indoors with minimal physical activity, improper sleep patterns, and long sessions of online classes. All these factors may cause various metabolic disturbances, posing them at risk for developing MS. Aim: To study the prevalence of MS among Undergraduate (UG) medical students and assess the predictive risk factors for MS among them. Materials and Methods: The present cross-sectional study was conducted in the Department of Biochemistry, ESIC Medical College and Hospital, Hyderabad, Telangana, India, from June 2022 to August 2022. A total of 170 UG medical students, aged between 18-24 years of both genders, were included in the study. The International Diabetes Federation (IDF) criteria were used for diagnosing MS. Data for anthropometric measurements (height, weight, Waist Circumference (WC), Body Mass Index (BMI), and BP were collected. Blood samples were collected to analyse Fasting Blood Sugar (FBS), Triglyceride (TG), and High-Density Lipoproteins (HDL). Unpaired t-test was used to compare two groups. Pearson’s correlation coefficient was used to assess the association between different components of MS and anthropometric parameters. Results: Amongst the total sample of 170 undergraduate medical students, the prevalence of MS was 7.6% (n=13) of the sample population, almost equivocal among males 7 (9.7%) and females 6 (6.1%). Increased WC was seen in 75 (44.1%), raised Systolic BP was found in 24 (14.1%), raised Diastolic BP was found in 15 (20.8%), raised TG was found in 10 (5.9%), decreased HDL was found in 43 (25.3%), and increased FBS was found in 17 (10%) students. Regression analysis showed that high BMI, WC, and impaired FBS were the most critical predictive risk factors of MS. Conclusion: In the present study, the prevalence of MS in medical UG students was found to be 7.6%, and factors such as BMI, WC, and impaired FBS can be used to predict the risk of MS in them