Evaluation of pulmonary function tests in long and short distance runners

Physical exercise has been reported to improve many health indices and well-being of individual of any age. Among various physical exercises, running is hugely popular and convenient leisure time activity. Running reduces the risk of respiratory illness. Runners have increased pulmonary/respiratory capacity compared to non-exercising individuals. All parameters of PFT like forced vital capacity (FVC), forced expiratory volume in 1st second (FEV1), forced expiratory volume in three second (FEV3), peak of expiratory flow rate (PEFR) and FEV1/FVC ratio were significantly high in long distance runners and controls.The study included a total of 50 each of long and short distance runners. Additionally, 50 age matched individuals with leisure-time physical activity or activities done for less than 20 minutes or less than 3 times/week were included in the study. The PFT was performed by using Medspiror (Computerized spirometry).All PFT indices like forced vital capacity (FVC), forced expiratory volume in 1st second (FEV1), forced expiratory volume in three second (FEV3), peak of expiratory flow rate (PEFR) and FEV1/FVC ratio were significantly high in long and short distance runners as compared to controls.running being an aerobic exercise has beneficial effect on respiratory system. Both regular long distance and short distance running enhance the pulmonary capabilities of an individual. The study emphasizes on modification of life style from sedentary to regular physical exercise for improving pulmonary functions

An analysis of pulmonary function tests in construction workers.

In construction workers, repeated and constant exposure to noxious materials generated at construction sites often increases the risk of respiratory illness. Pulmonary function test (PFT) is an important tool utilized for both diagnosis the cause of unknown or unexplained respiratory symptoms and monitoring prognosis of patients with known respiratory pathology. In the present study, PFT of construction workers was assessed using spirometry. A total of 100 male construction workers (working for >1 year) belonging age group 21 to 60 years were included in the study. Additionally, equal number of age matched healthy individuals without any exposure to construction work was recruited as controls. Indices of pulmonary functions included forced vital capacity (FVC), peak expiratory flow rate (PEFR), forced expiratory volume (FEV1), FEV1/FVC and maximal voluntary ventilation (MVV). Maximum workers belonged to age group 21 to 40 years. A total of 37 had habit of smoking. Construction workers also suffered from respiratory ailments like cough, dyspnea, sorethroat etc. All indices of PFT were significantly decreased in construction workers compared to controls. Construction workers are at high risk of developing respiratory ailments due to continuous long term exposure to noxious material used in construction. Habit of smoking and consumption of alcohol also adds on to risk of developing respiratory disorders. Spirometry can be recommended as an effective tool for screening of construction workers for respiratory ailments. The present study highlights the importance of regular health camps, use of proper protective wears and initiation of awareness program to prevent respiratory ailments in construction workers

Nutritional and Medicinal Knowledge of Wild Edible Flowers Amongst Rural Women

The study investigates the nutritional and medicinal knowledge of wild edible flowers among rural women. It identifies the diverse use of these flowers, their nutritional composition, and their traditional culinary applications. The research also highlights the cultural significance of these flowers. Challenges in awareness and perception highlight the need for education and promotion. The study suggests that sustainable use of these flowers can improve nutrition, health, and well-being in rural communities, honoring local traditions

Comparative analysis of mammary lump histology and elasto-graphy results at a tertiary hospital

In the majority of India's metropolitan populations, mammary carcinoma has become the commonest type of carcinoma. A non-invasive imaging method called mammary sono-elasto-graphy can reveal information about mammary lesions. Aims & objectives: In the current research, we examined the diagnostic efficacy of elasto-graphy and histopathological findings of mammary lumps. Material and Methods: The current investigation involved Female patients had solid mammary lesions less than 3 cm in size that were visible on sonography. Classified as BI RADS 3 and 4 lesions, these lesions. Results: 252 female patients had U.S.G. elastography, followed by biopsy or surgery, and histopathology reports were available during the research period. Histopathologically, 104 (41.72%) samples were benign, and the remaining 148 (58.73%) were malignant. Age, B.I.R.A.D.S., Elastography Score, and Strain Ratio were all statistically higher in malignant cases than in benign patients (p 0.001). According to Histo-pathological analysis, fibroadenoma (77.03%) accounted for the majority of benign lesions, followed by Abscess (5.41%), sclerosing adenosis (1.35%), benign fibroepithelial lesion (6.76%), and fibrocystic disease (9.46%). Conversely, poorly differentiated invasive carcinoma (5.77%), invasive ductal carcinoma (67.31%), and invasive mucinous carcinoma (13.46%), IL.C. (5.77%), medullary carcinoma (1.92%), papillary carcinoma (1.92%), and phylloid (1.92%) made up the bulk of malignant cases, Excellent results were noticed with the combination of Ultrasound Score + Elastography Score + Strain Ratio, with scores of 96.00%, 96.05%, 96.03%, 94.12%, and 97.33%, respectively, for susceptibility, accuracy, diagnostic accuracy, and N.P.V. and PPV. Conclusion: The ability to distinguish between benign and malignant mammary masses using ultra-sound elasto-graphy, strain elasto-graphy, and ultra-sound score has good susceptibility, accuracy, and diagnostic accuracy

A Investigation of Kidney Function in the Hypo-Thyroidism Individuals at the Tertiary Healthcare Centre

The most prevalent endocrine illnesses worldwide are thyroid disorders. India is also no different. There are thought to be 42 million thyroid ailment sufferers in India, based on projections from numerous research on the condition. to investigate Kidney function in hypo-thyroid individuals at a tertiary medical facility. This cross-sectional investigation was conducted over a one-year period in 100 hypo-thyroid individuals at a Medical College and Hospital in Central India after receiving approval from the institutional ethical committee. The investigation includes similar euthyroid participants in addition to the diagnosed hypo-thyroidism individuals who provided consent. Both groups underwent the kidney function test, which included indicators such as creatinine clearance, creatinine urea, and uric acid, among others. Unpaired t-test statistics were computed using SPSS version 22 software. 49 -16%, 50-59 12%, and >60 10%. Women individuals made up 66% of the total population, with male individuals making up 24%. The Creatinine Clearance was considerably poorer in the hypo-thyroidism individuals compared to controls, measuring 102.08±9.98, 80.74±10.56 (P 0.001), Creatinine -0.82±0.102, 0.726±0.0456 (P 0.001), Urea -28.18±3.18, 21.82±3.01 (P 0.001), and Uric acid - 5.082±0.7614, 3.124±0.158 (P 0.001). According to the results of our investigation, the majority of hypo-thyroid individuals were women and in the age range of 30-39. They also demonstrated significantly abnormal kidney function tests, such as lower creatinine clearance and higher creatinine, urea, and uric acid levels in comparison to euthyroid individuals

An Epidemiological Study on Diabetes and Pre-Diabetes in an Urban Area with Reference to Lifestyle Modification

Diabetes mellitus (DM) is one of the most common non-communicable diseases (NCDs) globally. It is the fourth or fifth leading cause of death in most high-income countries and there is substantial evidence that it is an epidemic in newly industrialized and many economically developing countries. Diabetes mellitus is a chronic illness requiring continuous medical care with multifactorial risk reduction strategies beyond glycemic control. Ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of long-term complications. Genetic factors are responsible for at least some of this. However, as evidenced by the increased incidence of diabetes mellitus in urban populations, the fast epidemiological shift linked to food pattern alterations and decreased physical activity is the main cause of the diabetes mellitus epidemic. Due to population aging, growth, urbanization, a lack of physical exercise, and a high incidence of obesity, there are more persons with DM. Lifestyle factors include eating patterns, exercise routines, alcohol consumption, and smoking. An improvement in these parameters would lead to better adherence to hypoglycemic medications. An epidemiological study on diabetes and pre-diabetes in an urban area with reference to lifestyle modification. A community-based intervention study. It was conducted in an urban area. Personal interviews using a semi-structured, pretested questionnaire were the main technique of data gathering. Detailed information has been taken on the demographic and socio-economic characteristics at both the individual and household levels. All responders provided their willingly given consent. Every second household was visited by systematic random sampling procedure to select 400 respondents. Due to non-response, inaccuracy and/or unreliability of information 50 Cases were not included in the analysis. Four more instances of diabetes were also removed from the research. Finally, analysis was carried out on 346 respondents. All respondents were questioned using a pretested, semi-structured questionnaire after giving their informed consent. Significant difference was observed with positive family history of diabetes, obesity, physical activities in male, high calorie intake, stress, chewable tobacco and blood pressure level with pre-diabetes and diabetes. Compared to responders with normal blood glucose levels, pre-diabetics and diabetics showed more positive family histories. Compared to responders with normal blood glucose levels, pre-diabetics and diabetics were more likely to be overweight. With regard to personal habits of the respondents, smoking was associated with more than 1-fold increase risk of obtaining serum glucose level >110 mg/dl as compared to nonsmokers. The current research was an attempt to examine the effect of intervention with reference to life style modification. From the study, it is evident that overall awareness about diabetes has been found low and no awareness has been found about pre-diabetes. The present study also demonstrated that education is the fundamental tool to make the population aware of their health issues. Awareness about pre-diabetes and diabetes, which can make them beneficial for community and nation and so, they can play an innovative role for prevention of diabetes

Assess the Effectiveness of an Inquiry Based Learning Method in Microbiology for Undergraduate Medical Students

Two hours practical session in Microbiology for II MBBS students is most of the time monotonous, vague, teacher centric and not utilized time qualitatively by teaching faculty in conventional method. Inquiry-based learning is a form of active learning that starts by posing questions, problems or scenariosrather than simply presenting established facts or portraying a smooth path to knowledge. To determine the student’s performance & effectiveness of inquiry-based learning method over traditional practical method by comparing once. To study students’ and faculty perceptions about inquiry based learning (IBL) method Prospective interventional analytical study was conducted for II MBBS students in department of Microbiology for four months. After Ethical committee approval and informed consent randomized selected 100 students of II MBBS divided into two batches; one for didactic practical and one for interactive new inquiry based teaching learning method. Four topics ( Staphylococcus, Streptococcus, Corynebacterium and M. tuberculosis) selected with 15 days interval from regular departmental teaching schedule. Structured the inquiry based questions to cover entire topic, post test papers and feedback forms and validated prior to start the study. Two hrs practical sessions divided into four parts. First half an hour introduction of the topic as routine didactic method, next half an hour we distributed the questions among students and told them to read, discuss and collect the information from the books or any other sources. Next half an hour discussed the questions and last half an hour conducted short test of 20 marks. Average score in tests was considered for analysis. Mean score was calculated and unpaired t test was applied. P value less than 0.05 was considered statistical significance. Students’ and faculty perceptions about inquiry based learning (IBL) method determined by taking questionnaire based feedback using Likert scale at the end of all four sessions. Mean score for topic Staphylococcus taken in traditional way was 9.02 with SD of 2.3 and that taken by the interactive inquiry based learning method was 14.6 with SD of 2.8 and t value 11.1. Mean score for topic Streptococcus taken in traditional way was 8.94 with SD of 2.6 and that taken by the interactive inquiry based learning method was 14.6 with SD of 2.9 and t value 10.2. Mean score for topic Corynebacterium taken in traditional way was 9.48 with SD of 2.4 and that taken by the interactive inquiry based learning method was 14.0 with SD of 2.7 and t value 8.8. Mean score for topic M. tuberculosis taken in traditional way was 9.38 with SD of 2.7 and that taken by the interactive inquiry based learning method was 14.2 with SD of 3.0 and t value 8.4. Improvement in the performance of the students was observed. Mean score was statistically significant (p value is 0.001) in all four topics conducted by interactive inquiry based learning method. Approximately 90% students agreed that the topic better taught in interactive inquiry based learning method and wanted to have more of such sessions.A positive feedback was received from the students and faculty members stated that the inquiry based learning method was very interesting and effective. The students were more alert, interested and receptive in the session. It helps how to utilized two hours practical time that enhance the interest of students and session become more interactive and informative. Student liked the method as it increases the interaction between teacher and students. It helps in integration of concepts and development of thinking skill. IBL method simplified and clarified concepts the topic, increased receptivity and questions increased attention span. It improves the confidence of teacher as well as students2.The study proved that inquiry based learning method is more effective than didactic method to understand the topic. Strengthen quality of teaching learning. Learners are encouraged to participate and interact

Study of Impact of Lifestyle Modification on Diabetes and Prediabetes in an Urban Population

Diabetes mellitus has emerged as a prevalent noncommunicable disease worldwide. It ranks among the top causes of mortality in high-income countries and has reached epidemic proportions in newly developing nations.1 Continuous medical care and monitoring is required in Diabetes mellitus along with multi-factorial risk reduction strategies along associated with glycemic control. Due to population aging, growth, urbanization, a lack of physical exercise, and a high incidence of obesity, there are more persons with DM. Lifestyle factors include eating patterns, exercise routines, alcohol consumption, and smoking. An improvement in these parameters would lead to better adherence to hypoglycemic medications. An epidemiological study on diabetes and prediabetes in an urban area with reference to lifestyle modification. An interventional community-based study was conducted in an urban setup. Personal interviews using a semi-structured, pretested questionnaire were the main technique of data gathering. Detailed information has been taken on the demographic and socio-economic characteristics at both the individual and household levels. All responders provided their willingly given consent. Every second household was visited by systematic random sampling procedure to select 400 respondents. Finally, analysis was carried out on 346 respondents. All respondents were questioned using structured a pretested, questionnaire after taking informed consent. Significant difference was observed with positive family history of diabetes, obesity, physical activities in male, high calorie intake, stress, chewable tobacco and blood pressure level with diabetes and pre-diabetes. Compared to responders with normal level of blood glucose, pre diabetics and diabetics individual showed more positive family histories. Compared to responders with normal blood glucose levels, pre-diabetics and diabetics were more likely to be overweight. With regard to personal habits of the respondents, smoking was associated with more than 1-fold increase risk of obtaining serum glucose level >110 mg/dl as compared to non-smokers.The current research was an attempt to examine the effect of intervention with reference to life style modification. From the study, it is evident that overall awareness about diabetes has been found low and no awareness has been found about pre-diabetes. The present study also demonstrated that education is the fundamental tool to make the population aware of their health issues. Awareness about pre-diabetes and diabetes, which can make them beneficial for community and nation and so, they can play an innovative role for prevention of diabetes

Internet Addiction Amongst Students of a Medical College in Central India: A Cross-Sectional Study

Internet addiction is an upcoming problem that has been considered as an important public health problem and the position of India comes after China, US and Japan in terms of highest number of internet users. To assess the usage of internet among students of Medical college and to classify levels of internet addiction. A questionnaire based crosssectional study was planned. Students of 1st year, 3rd year and interns were selected to participate in study. Young’s Addiction Test was used as a tool to assess and classify internet addiction. Data was entered and analysed in Epiinfo7. 49.75% (199) students has mean score between 50-79 which indicates moderate dependence on internet whereas 36.50 (146) students has mean score of 31-49 and 3.75% (15) students show mean score between 81-100 which indicates mild and severe dependency on internet respectively. 10% (40) students has mean score between 0-30 which indicates normal internet usage. the internet usage among medical students is on rise which should be taken care of with care and special program should be taken to create awareness amongst students