A cross-sectional study of determinants and impact of breastfeeding and complementary feeding practices on nutritional status and common illnesses among infants in urban slum

Background: The present research was carried out with an objective to study various breastfeeding and complementary feeding practices its effect on nutritional status of children and association with common illness like diarrhea and ARI.Methods: This cross sectional observational study was conducted on infant registered in under five-clinic at an urban health center in urban slum. A semi structured questionnaire was used to study the current breast feeding and infant feeding practices among mothers of the study subjects. The analysis was done using Microsoft Excel.Results: There was universal breastfeeding with almost all children having ever been breastfed. Exclusive breastfeeding for the first six months was not practiced as only about 37.72% of infants were exclusively breastfed for six months. Factors associated with sub-optimal infant and young child feeding practices in these settings include mother’s education level, lack of knowledge of proper feeding practices, lower socioeconomic status, and frequent illness. Noncompliance with proper exclusive breast-feeding practices was associated with more chances of having diarrhoea and acute respiratory illness among infants.Conclusions: The study indicates poor adherence to WHO recommendations for breastfeeding and infant feeding practices leading to more chances of falling ill with common illnesses

Comparative study of various supraglottic devices with clinical and fiber optic assessment in elective laparoscopic procedures

Background: Aim of present study was to compare the efficacy and safety of supraglottic devices (LMA supreme, LMA proseal and I-Gel) by clinical and fiberoptic evaluation in elective laparoscopic surgeries under general anaesthesia with controlled ventilation.Methods: The design was a prospective, randomized study enrolling total 105 patients of either sex, (age 18-65 years), ASA grade I/II and mallampati score I and II, were randomly allocated to LS (LMAS), LP (PLMA), and IG (I-Gel) groups according to the supraglottic device applied. The three devices were compared as regards insertion parameters, adequacy of ventilation (oxygen saturation, endtidal carbon dioxide and air leak), fibreoptic vision and intra or postoperative complications.Results: The overall ease of insertion of LMAS was found to be better than the other two devices. Adequacy of ventilation was comparable in all the study groups. Safety of these devices was found to be comparable but if OLP was considered as a marker of safety of the device, LMA proseal was a better option than the other two devices. There was no significant difference in the fiberoptic view of the laryngeal inlet between the three study groups but the number of patients with grade 4 view of laryngeal inlet fiberoptic was more in I gel than LMA proseal and LMA supreme.Conclusions: It was concluded that the LMAS, PLMA and I-Gel are effective ventilatory devices during controlled ventilation, without major complications. But in clinical practice it is advisable to monitor peak airway pressure, OLP and laparoscopic view of gastric distension whenever these devices are used in laparoscopic surgeries

A study of epidemiological co-relates of low birth weight babies born in tertiary care hospital

Background: To study the Epidemiological Factors related with the low Birth weight Babies born in tertiary care Hospital of teaching Medical Institution.Methods: The present study was a cross sectional observational study carried out in the Post Natal ward of Obstetric department of a tertiary care hospital of a metropolitan city, data collection was done from the Mothers of low birth weight babies by conducting face to face interview in the post-natal ward with a predesigned, structured Performa. Data was analyzed using statistical package for social science program.Results: The study showed that most of mothers of the babies were between the age group of 22 to 30 years 87 (58.3%) while 49 (32.8%) were below the age of 21 years and 13(8.7%) were above 30 years of age. Most of the study subjects 70 (47.0%) belongs to the lower socioeconomic status where as 62 (41.6%) and 17 (11.4%) belong to upper lower and middle socioeconomic class respectively. It was observed in the present study that maternal education, socioeconomic status, parity, maternal weight gain during pregnancy, height of the mother, tobacco habits either chewing or smoking, birth order of the baby are the factors, significantly associated with low birth weight of the baby.Conclusions: Socioeconomic development, maternal nutrition, and increasing the use of health services during pregnancy, are all important for reducing LBW. There is need to strengthen the existing maternal services at the basic level of community

Efficacy of sublingual nitroglycerine spray in attenuation of hemodynamics to tracheal extubation

Background: The present study was undertaken to evaluate efficacy of nitroglycerine (NTG) spray for attenuating haemodynamic response to tracheal extubation in normotensive and hypertensive patients.Methods: The study enrolling total 120 ASA I and II patients, (60 normotensive and 60 hypertensive) who had undergone elective surgery under general endotracheal anaesthesia. Both these types of patients were randomly subdivided into two groups of 30 patients each -50% receiving NTG spray and 50% not receiving NTG spray.Results: There was significant increase in heart rate in all four groups after NTG spray. During extubation this increased in heart rate was not statistically significant in group A (Normotensive with NTG) but was significant in group C (hypertensive with NTG) when compared with control groups. Similarly, during extubation there was significant rise in systolic, diastolic and mean arterial blood pressure were noted in all four groups and with use of NTG spray the increase could be significantly attenuated in NTG groups. Increase in heart rate along with reduction in blood pressure seen after NTG spray did not produce significant increase in RPP as compared to hypertensive and normotensive patients who did not receive the NTG spray.Conclusions: Sublingually administered nitroglycerin spray in a dose of 0.8 mg prior to extubation is an effective, practical, easy and relatively safe method in attenuate haemodynamic response to tracheal extubation

A cross sectional study of behavioral problems of secondary school children and related socio-demographic factors

Background: School-going children form an important vulnerable segment of the nation’s population. Children in the school-going age group of 5 to 16 years constitute a total of 30% of the total population. School age is a dynamic period of physical growth and development, when the child undergoes rapid mental, emotional, and social changes. Therefore, school-going children are susceptible groups for psychiatric disorders especially behavioural problems. The present research was carried out with an objective to study the behavioural problems of secondary school children and its relation to the various socio-demographic and socio-economic factors.Methods: This cross sectional observational study was conducted on 304 secondary school children studying in 8th and 9th standard in the regarding socio-demographic profile and Strength and difficulties questionnaire. The analysis was done using Microsoft Excel and SPSS software.Results: In this study, the prevalence of abnormal behavioral according to self-rated SDQ was found to be 1.6% while prevalence of borderline abnormal behavior was 11.2% and majority 87.2% of study subjects were normal having no behavioral problem. The combined borderline and abnormal behavioral problems were more prevalent in the age group of 12-13year (64.1%) and 13-14 years (30.8%), also more prevalent among girls (69.2%) compared to boys (30.8%). The prevalence of behavioral problems was higher among students studying in 9th standard (74.4%, 29/39) and studying in Hindi medium (61.5%). The incidence was found to be more in students who belongs to nuclear families (79.5%) and also was more among those who were first born compared to middle born and last born children. Majority of fathers were working as semiskilled (41.4%) and skilled (32.9%) workers, among the father’s alcohol users (45.06%) were high compared to the tobacco users (31.9%).Conclusions: Socio-demographic factors and occupation of father and alcohol consumption among them was found to be significantly associated with the behavioural problems of the study subjects

Associated Risk Factors in patients attending Obesity clinic at Medical Health Camp

Background: Overweight and obesity are the accumulation of high body adiposity, which can have detrimental health effects and contribute to the development of numerous preventable non-communicable diseases. This study is based on the whether sociodemographic factors and associated risk factors like life style modification can play a potential role in the increase in adiposity pattern among adult individuals.Materials and Methods: A retrospective record based observational study was conducted to address the study objective. To study the socio-demographic factors among patients attending Obesity Clinic and to estimate risk factors among patients attending Obesity Clinic. All consecutive patients attending Obesity Clinic at medical health camp was considered eligible for participation.Results: Total 102 patients attended the obesity clinic out of which 47(46.1%) were male while 55 (53.9%) patients were female Mean age of participants was 34.64 with standard deviation 12.03. It has been found that 9(8.82%) patients had normal BMI, 36(35.29%) were comes under overweight category and remaining 57(55.88%) majority of participants were obese with BMI more than 30.Conclusion: The major conclusion drawn from this study is that risk factors like sedentary life style, consuming junk foods, outside food, ≥ 3 meals per day and non veg diet are associated with higher prevalence of overweight and obesity