A longitudinal observational study of user’s perspective of use of Copper-T-380-A inserted in immediate post partum period at a tertiary health care centre in Central India

Background: The study aims to understand user’s perspective & complaints due to Copper-T-380A inserted during the immediate postpartum period and to assess the expulsion rate, voluntary removal & mean duration of use. The study also aims to find out reasons for voluntary removal of the IUD.Methods: A longitudinal observational was conducted in tertiary health care center in central India during July-2009 to June 2010. A total of 360 women were enrolled who had immediate post partum IUD insertion. They were interviewed within 48 hours of IUD insertion using a preformed pre tested questionnaire & followed after 1.5, 3 & 6 months in field visits. Results: Of all 74.51% users continued using it upto 22.04±2.66 weeks. The cumulative expulsion rate at the end of 6 months was 16.62%. Most common interval of expulsion was after 3.6±1.5 weeks of IUD insertion. Almost 24.58% users had voluntary removal of IUD after a mean duration of 9.34±3.54 weeks following insertion. The most common reason for voluntary removal of IUD is lower abdominal pain in 13.5%. No instance of uterine perforation, sepsis or hyperpyrexia was noted.Conclusion: Immediate postpartum IUD insertion is safe means of contraception. There is a gradual decline in the discomfort caused by an IUD with time. But there is high expulsion rate

Internet addiction, behavioural aspects, and health related problems associated with it: a cross sectional study among engineering students of Jabalpur district

Background: With the rise of new generation gadgets, the risk of “internet addiction” is emerging as a significant behavioral addiction pandemic to be tackled worldwide. Internet addiction can be defined as an impulse disorder. Objective of the study was to determines the level of Internet addiction in Students. To identify the behavioural and any health-related problems associated with internet addiction among students.Methods: This study was a cross sectional study carried out in 7 different engineering colleges of Jabalpur city during the period of 1st July 2016 to 30th September 2016.Results: In present study the prevalence of internet addiction was found to be 74 %. 26 % of the participants were found with no internet addictions whereas 55 % and 17.67 % of the participants were found to be mild and moderate addicted whereas only 1.33 % of the participants were severely addicted to internet addiction. Participant who has internet addiction has 84.8 % of yelling and annoying behavior while 86.5 % participants with internet addiction have secretive and defensive behavior. Association was found to be highly significant (p = <0.001). Ill effects like problem related to eye have significant effect on the participants with internet addiction i.e. 66.17 %. Association of problem related to eye problems with internet addiction was significant with the p = 0.02.Conclusions: The problem is alarming and progressing to an addictive state in the near future Interventions like setting boundaries and detecting early warning signs of underlying psychopathology at the earliest are require

Knowledge and treatment seeking behavior regarding malaria among the residents of tribal dominated areas of Mandla district in central India – A cross-sectional study

Background: Malaria is both a result and a cause of a lack of development. Dearth of information, education, and communication activities and awareness, knowledge regarding malaria is poor particularly in tribal population of Mandla. Aims and Objectives: The aim of the study was to assess the malaria knowledge and treatment-seeking behavior among the residents of the tribal dominated areas of Mandla district and to study their association with the sociodemographic characteristics. Materials and Methods: A total of eight villages were selected from which 25 households were randomly selected making a total sample size of 200 households, from these 200 households, 200 adult respondents were identified for administration of the study questionnaire. Results: The age of the respondents ranged from 18 to 80 years, with a mean age of 37 years (SD=14.7). Overall, 48.5% of respondents had correct knowledge about perceived cause of getting malaria. The treatment seeking behavior of the respondents were associated with sociodemographic profile of the participants the age of the participants, the association was found to be highly statistically significant (P=0.001). Conclusion: Malaria prevention campaigns should be tailored according to knowledge gaps, practices, environment, resources, and preferences in different areas of the Mandla District, using the health education/awareness most likely to outreach the far corners of the district where most residents were tribals

Tribological Properties of High-Entropy Alloys under Dry Conditions for a Wide Temperature Range—A Review

High-entropy alloys (HEAs) are composed of multiple elements with equimolar or near equimolar composition that have superior mechanical and tribological properties. In this article, we present a review on the tribological performance of HEAs. The tribological properties of different HEAs systems have been evaluated, and it has been found that the wear rate strongly depends on the crystal structure of the phases. The most common structures are face-centered cubic (FCC), body-centered cubic (BCC), and dual-phase (FCC + BCC) alloys due to the high entropy of mixing instead of forming intermetallic phases. In general, HEAs with a BCC structure showed superior hardness and wear properties compared to FCC and FCC + BCC alloys. The lesser wear rate of HEAs with a BCC structure is attributed to the reductions in ductility, resulting in strong but brittle alloys. In addition to the crystal structure, the effect of temperature on the tribological performance of the HEAs is also discussed, which highlights their potential applications for high temperatures. Moreover, various other factors such as grain size, formation of an oxide layer, and wear mechanisms are discussed

Tribological Performance of Graphite Nanoplatelets Reinforced Al and Al/Al2O3 Self-Lubricating Composites

In the present work, the effect of graphite nanoplatelets (GNPs) on tribological properties of the aluminum (Al), and Al/alumina (Al2O3) composite are studied. GNPs are multilayer graphene sheets which were used as a solid lubricant material. Two sets of composites, Al/GNPs and Al/GNPs/Al2O3 with varying amounts of reinforcements, were synthesized by powder metallurgy that involves cold compaction followed by hot compaction. The hardness of the composites increased with the addition of GNPs and Al2O3. The Al/GNPs composite with 1 wt.% of GNPs (Al/1GNPs) showed a 20% increase in hardness whereas Al/GNPs/ Al2O3 composite with 1 wt.% GNPs and 2 wt.% Al2O3 (Al/1GNPs/2Al2O3) showed 27% increases in hardness compared to the pure Al. The coefficient of friction measured at 20 N was observed to be 22% and 53% lesser for Al/1GNPs and Al/1GNPs/2Al2O3, respectively, compared to corresponding alloys without graphene Al. The X-ray diffraction and scanning electron microscopy analysis revealed the presence of GNPs at the worn surface after the tribology tests. The wear rate was also reduced significantly. In comparison with pure Al, the Al/1GNPs and Al/1GNPs/2Al2O3 composites resulted in 5- and 20-times lesser wear rate, respectively. The addition of Al2O3 caused reduction in wear rate due to higher hardness and load carrying ability, whereas composites with more than 1 wt.% GNPs showed higher wear rate due to lower hardness and higher porosity. The Al/1GNPs/2Al2O3 composite exhibited the least coefficient of friction (0.2–0.25) and wear rate (1 × 10−6–4 × 10−6 mm3/N.m) compared to other GNPs and Al2O3 reinforced Al composites. The worn surfaces were further analyzed to understand the wear mechanism by Raman spectroscopy, transmission electron microscopy, and x-ray diffraction to detect the Al4C3 phase formation, chemical bonding, and defect formation in graphene

A study of malnutrition and associated risk factors among children of age 06-59 months in rural area of Jabalpur district, Madhya Pradesh

Background: “Malnutrition is a silent emergency”. Malnutrition is not only an important cause of childhood mortality and morbidity, but also leads to permanent impairment of both physical and mental growth of those who survive. Aims &amp; Objectives: To determine the prevalence of malnutrition and association with various risk factors among children of age 06-59 months in rural area of Jabalpur district Madhya Pradesh. Material and Methods: Study was conducted among 517 children of age group 06-59 months in two randomly selected blocks of Jabalpur District.&nbsp; Multistage random sampling technique was used. Predesigned questionnaire was used to collect data and anthropometric measurements were done. Data analysis was done using Epi Info™ 7.1.5 and SPSS 20.0 (free trial version). Result: The prevalence of underweight, stunting and wasting were found to be 35.8%, 41.4% and 19.7% respectively while the prevalence of obese and overweight was 2.7% &amp; 5.6% respectively. Children born with low birth weight, having higher birth order, more number of siblings, those with incomplete immunization status and inappropriate feeding practices were associated with malnutrition. Conclusion: The present study demonstrates the multiple risk factors for childhood malnutrition requiring multisectoral approach to fight against this silent killer

A study of malnutrition and associated risk factors among children of age 06-59 months in rural area of Jabalpur district, Madhya Pradesh

Background: “Malnutrition is a silent emergency”. Malnutrition is not only an important cause of childhood mortality and morbidity, but also leads to permanent impairment of both physical and mental growth of those who survive. Aims & Objectives: To determine the prevalence of malnutrition and association with various risk factors among children of age 06-59 months in rural area of Jabalpur district Madhya Pradesh. Material and Methods: Study was conducted among 517 children of age group 06-59 months in two randomly selected blocks of Jabalpur District.  Multistage random sampling technique was used. Predesigned questionnaire was used to collect data and anthropometric measurements were done. Data analysis was done using Epi Info™ 7.1.5 and SPSS 20.0 (free trial version). Result: The prevalence of underweight, stunting and wasting were found to be 35.8%, 41.4% and 19.7% respectively while the prevalence of obese and overweight was 2.7% & 5.6% respectively. Children born with low birth weight, having higher birth order, more number of siblings, those with incomplete immunization status and inappropriate feeding practices were associated with malnutrition. Conclusion: The present study demonstrates the multiple risk factors for childhood malnutrition requiring multisectoral approach to fight against this silent killer

Utilization of Antenatal services and concerning factors: A community based study

Background: Antenatal and post natal care are important component of maternal mortality rate. Antenatal facilities provided to mothers form the base of their future outcome. The services provided to mothers are still poor in India. A proper and effective program implementation is depending on understanding of basic factors that affect maternal and child health services utilization. Considering all these facts, it is important to study the maternal health service utilization pattern among the beneficiaries living in urban area of Jabalpur and factors responsible for their under utilization. Material & Methods: A prospective study was carried out in urban area of Jabalpur district of Madhya Pradesh. Cluster sampling technique was used to select 396 Antenatal females in the 36 different clusters. Information about socio demographic factors and ANC services utilization was recorded. Results: This study showed that 50.50% of women were registered within 12 weeks of pregnancy, 58.80% women received four or more antenatal visits, 23.99% women consumed hundred and more Iron Folic Acid (IFA) tablets and 96.21% received 2 doses of Tetanus Toxoid (TT) injections. Only 22.72% women had complete ANC service utilization. Conclusion: Utilization of Antenatal Care (ANC) services was poor in the urban areas of Jabalpur district even though the physical accessibility was adequate. ANC services utilization is significantly associated with level of education of mother, education of husband, occupation of mother, type of family and time of registration of pregnancy