scholarly journals Complementary feeding practice in infants of 6-12 months: a study from tertiary care centre of eastern Nepal

2018 ◽  
Vol 6 (1) ◽  
pp. 156
Author(s):  
Shankar Prasad Yadav ◽  
Anita Chamlagain ◽  
Sneha Dhakal ◽  
Gauri Shankar Shah
Keyword(s):  
Parental Education ◽  
Complementary Feeding ◽  
Tertiary Care ◽  
Child Growth ◽  
Feeding Practice ◽  
Equal Proportion ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Timely Initiation ◽  
The Mean

Background: Initial years of life are crucial for child growth and development.  Breast feeding for first six months of life, followed by adequate complimentary feeding is necessary for preventing malnutrition and its complication in children. This study accessed the complementary feeding practice and the time of initiation of complementary feeding among infants.Methods: This was a cross-sectional study conducted for 3 weeks, among 92 infants. Details of feeding practice were taken from the parents from semi-structured questionnaire and nutritional status was evaluated by anthropometric assessment tools.Results: Ninety-two mothers were interviewed, and their corresponding infants were evaluated. The mean age of infant was 8.8 months with equal proportion of male and female. The mean age of mother interviewed was 26.6 yrs. 59.8% had timely initiation of complimentary feeding. Timely complimentary feeding was directly related to maternal literacy where literate mother follows the practices of appropriate complimentary feeding (p<0.007). There was significant association between ethnicity and timely initiation of complimentary feeding practices. 78.2 % babies who had timely initiation were of higher ethnicity. Overall in our cohort 18.4% were stunted, 14.1% were wasted. The stunted and wasted child were significantly more in whom there was absence of timely initiation of complimentary feeding (p<0.05).Conclusions: Proper complimentary feeding is still lagging in our society, proper parental education and nutritional counselling will be required to prevent under nutrition in infants.

Magnitude of thyroid dysfunction among antenatal women attending tertiary care centre

2019 ◽  
Vol 8 (11) ◽  
pp. 4371
Author(s):  
Deepa Shanmugham ◽  
Deepak Kannan Saravanan ◽  
Priyanka Shah
Keyword(s):  
Thyroid Dysfunction ◽  
Tertiary Care ◽  
Thyroid Function Test ◽  
First Trimester ◽  
Endocrine Disorders ◽  
Tertiary Care Centre ◽  
Free T4 ◽  
Cross Sectional ◽  
High Prevalence ◽  
The Mean

Background: Thyroid disorders constitute one of the most common endocrine disorders in pregnancy. However, there is no universal guidelines to screen every Pregnant Woman for Thyroid dysfunction in India. This study was conducted to evaluate the magnitude of thyroid dysfunction among ante natal mothers in a tertiary care centre.Methods: This was a cross sectional observational study conducted on ante natal mothers for a period of 6 months. All consecutive ante natal mothers in their first trimester were included in this study. Exclusion criteria was pre-gestational thyroid dysfunction, hypertension and diabetes mellitus. After obstetric examination and investigation, thyroid function test (Free T4 and TSH) was done in all patients.Results: Mean age of the patients enrolled was 26.2±3.54 years. Mean gestational age at which they underwent screening was 9±2 weeks. The mean BMI of the study patients was 21.7±4. The prevalence of hypothyroidism in antenatal mothers was 14.5%. 5 patients (5.5%) had hyperthyroidism. The calculated mean TSH value was 4.26 mIU/L.Conclusions: Universal screening for thyroid dysfunction during pregnancy should be made mandatory in India due to high prevalence, in order to prevent maternal and foetal complications.

scholarly journals Position of parotid papilla and commissure of lip in relation to maxillary occlusal plane among patients visiting a tertiary care centre of Nepal

2021 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
P Mehta ◽  
S Chhetri
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Occlusal Plane ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Exact Position ◽  
The Mean ◽  
Edentulous Patients

Introduction: The exact position of the Parotid papilla and commissure of the lip plays a crucial role in determining the maxillary occlusal plane which directly facilitates rehabilitating edentulous patients with a removable complete denture. Since the beginning, many authors have conducted different studies regarding its position but multiple variations in its location have been noted. Also, this type of study has not been conducted in the Nepalese population which drags the urge to determine the position of these soft-tissue landmarks in context to the Nepalese population. Objective: To determine the position of parotid papilla and commissure of lip in relation to the maxillary occlusal plane. Materials and Methods: A descriptive cross-sectional study was conducted in the 45 dentate subjects visiting Nobel medical college from November 2019 to April 2020. A vestibular impression was made, stone index fabricated and vernier caliper was used to locate position of parotid papilla & commissure of lip. All the data were collected and statistically analyzed. Results: The mean measurement of distances between maxillary occlusal plane and parotid papilla was 3.69 ± 1.19 mm and between maxillary occlusal plane and commissure of lip was 0.41 ± 0.83 mm respectively. Conclusion: This study showed that the position of the parotid papilla was superior to the position of the maxillary occlusal plane with a mean distance of 3.69mm. The commissure of lip was found to be at the level of maxillary occlusion plane in highest number of cases followed by a superior position with least at the inferior position with respect to the maxillary occlusal plane.

scholarly journals Cross-sectional descriptive observational study of RT PCR proven category C H1N1 patients at tertiary care centre from January 2015- December 2015

2017 ◽  
Vol 5 (8) ◽  
pp. 3458
Author(s):  
Anita A. Paritekar ◽  
Mahendra V. Bansode ◽  
Anushka K. Waikar ◽  
Rohidas T. Borse
Keyword(s):  
Influenza A ◽  
Tertiary Care ◽  
Age Group ◽  
Rt Pcr ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Hospital Records ◽  
Influenza A H1n1 ◽  
The Mean ◽  
Death Cases

Background: The onset of winter of 2014-2015 saw an alarming spurt in influenza A (H1N1) pdm 09 leading to a significant mortality. H1N1 primarily affects the very young, elderly, pregnancy and those patients with comorbidities. But the epidemiologic hallmark of pandemic influenza is its "pandemic signature " meaning most early mortalities are among young healthy adults.Methods: To study clinical profile, premorbid conditions and radiological features of Category C H1N1 proven by RTPCR retrospectively from hospital records from Jan 2015 to Dec 2015 at Tertiary Care Centre.Results: Total 108 cases RT PCR proven category C H1N1 studied from hospital records. 43 were males and 65 females. The mean age group was 50 years for males and 40 for females. Common symptoms were fever, cough, dyspnoea with pre-morbid illness like hypertension, diabetes mellitus, pregnancy, cancer and immune compromised with pulmonary tuberculosis. Radiologically there was lower zone involvement common in live patients and reticulonodular was common in death cases.Conclusions: In current study young to middle age group was commonly affected. Pre-morbid conditions, more than two risk factors and late referral were the most common findings in death cases.

scholarly journals Prevalence of Hamstring Tightness in Young Orthopaedic Surgeons

2021 ◽  
Author(s):  
Atul Sareen ◽  
Jatin Prakash ◽  
. Vikas
Keyword(s):  
Back Pain ◽  
Tertiary Care ◽  
Knee Extension ◽  
Lower Limbs ◽  
Low Back ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Orthopaedic Surgeons ◽  
The Mean ◽  
Very High

Introduction: Hamstring is a group of muscles that form an important part of core muscles (lumbo-pelvic and hip complex) and their tightness may reduce the lumbar lordosis thereby potentially decreasing the absorption of force, affecting posture, range of motion of lower limbs and increasing the possibility of developing Low Back Pain (LBP). It was planned to test hamstring tightness in group of Orthopaedic Surgeons as this group has been shown to be prone to develop back pain. Aim: To find prevalence of hamstring tightness in young Orthopaedic Surgeons who do not suffer from back pain. Materials and Methods: This was a cross-sectional observational study conducted at a tertiary care centre. Eighty two Orthopaedic Surgeons, between ages 24-35 years, were enrolled in the study. The height and weight of the subjects were recorded using a standardised medical scale. Age and medical history were recorded using a questionnaire. Knee extension angle were measured by active knee extension test. Less than 20 degree was considered normal. A 21-30 degree was regarded as mild tightness, 31-40 degree as moderate tightness and >40 degree as severe tightness. Results: Eleven surgeons (12.9%) did not have any hamstring tightness on either side. Rest all had some degree of hamstring tightness. There was no side predominance for hamstring tightness and both sides were equally involved (p=0.67). The mean tightness on right side was 30.83 degree and left side was 31.11 degree. Further, there was no relation of Body Mass Index (BMI) and hamstring tightness. Conclusion: Prevalence of hamstring tightness is very high among young Orthopaedic Surgeons.

scholarly journals Infant Feeding Practice of Mother attending Pediatric out Patients Department in A Tertiary Care Center

2014 ◽  
Vol 37 (3) ◽  
pp. 138-141 ◽  
Author(s):  
Tamanna Begum ◽  
SK Azimul Hoque ◽  
Md Rafiqul Islam ◽  
Soofia Katoon ◽  
Azanta Rani Shah
Keyword(s):  
Infant Feeding ◽  
Breast Feeding ◽  
Complementary Feeding ◽  
Care Center ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Global Strategy ◽  
Feeding Practice ◽  
Infant Feeding Practices ◽  
Cross Sectional

Background: Appropriate breastfeeding and complementary feeding practices are the fundamental to children’s nutrition, health and survival during the first year of life. WHO and UNICEF have articulated a global strategy for poor infant feeding practices directly and indirectly contributes to under nutrition, morbidity and mortality in infant. Objective: This study was designed to determine the breast feeding (BF) and complementary feeding (CF) practices in study population. Methodology: This descriptive cross sectional study was carried out in Pediatrics out patients department (OPD) of Shahid Surhawardy Medical College and Hospital, from January 2009 to December 2009. Feeding history of total 250 babies age >6 months to <1 year was taken from mothers. Results: Among 250 total babies, prelacteal feed was given in 29.2%(73/250), colostrum was given in 79.2%(198/250) and exclusive breast feeding upto six months was given in 24%(60/250) babies. CF was started in 242 babies and it was too early before six months in 29.6%(74/250) cases. Amount of CF was adequate in 66.9%(162/ 242) and composition of CF was good enough in 58.3%(141/242) babies. Conclusion: In this study CF was introduced before 6 months in one third babies and amount was inadequate in same numbers of children. There is need for promotion and protection of optimal infant feeding practices for improving nutritional status of our children. DOI: http://dx.doi.org/10.3329/bjch.v37i3.18616 Bangladesh J Child Health 2013; Vol.37(3): 138-141

scholarly journals Study of Pathway to Care among Patients with Epilepsy

2013 ◽  
Vol 1 (1) ◽  
pp. 20-25 ◽  
Author(s):  
S Subedi ◽  
PM Shyangwa ◽  
R Shakya ◽  
AK Pandey
Keyword(s):  
Tertiary Care ◽  
Complex Partial Seizure ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Generalized Seizures ◽  
The Mean ◽  
Patients With Epilepsy ◽  
First Contact ◽  
Pathway To Care

Objective: To assess the pathway to care among patients with epilepsy up to the tertiary care centre Methods: It is a hospital based, cross-sectional descriptive study of 47 patients visiting BPKIHS psychiatry OPD. Written informed consent was taken from the patients and the primary caretaker. A semi structured Performa was used to record the basic sociodemographic details. Pathway Interview Schedule developed by WHO was used to collect the data. Results Majority (66.0%) of subjects were male. Generalized Seizures were most common (76.6%) type of seizure followed by complex-partial seizure (10.6%). More than half (51.1%) first contacted dhami-jhakri for treatment of their illness. About sixty two percent of patients had the first contact with the treatment provider less than 4 yrs ago. Thirty eight percent subjects sought treatment as per advice from the family members while only 2.1% sought treatment as per advice from the healthcare worker. The most common presenting complaints were sudden loss of consciousness in 89.4%of patients. In majority of patients (57.4%), problem arised ≤ 4yrs back. Significant high numbers of patients (51.1%) were prescribed alternative forms of treatment like herbal medications, talisman, offerings and sacrifices and jhadphook for their presenting problem. About eighty seven percent patients had to travel ≤12 hours for the treatment while 10.7% had to travel a distance of >24 hrs for treatment. The mean duration that one had to travel for seeking treatment was 7.95±14.58 hours. It was found that the mean duration that one patient spend before coming to a hospital for modern treatment was 5.64 months. Conclusions People suffering from epilepsy are still using the traditional healing practices leading to delay in the patient care. These findings call for a comprehensive educational program that can remove the misconcepts regarding the illness. DOI: http://dx.doi.org/10.3126/jucms.v1i1.8418   Journal of Universal College of Medical Sciences Vol.1(1) 2013:  20-25

scholarly journals Clinical profile of diabetes in young adults aged 15 to 30 years

2019 ◽  
Vol 6 (5) ◽  
pp. 1466
Author(s):  
Jimnaz P. A. ◽  
Nishad N. ◽  
Harris P.
Keyword(s):  
Age Of Onset ◽  
Total Cholesterol Level ◽  
Microvascular Complications ◽  
Tertiary Care ◽  
Positive Family History ◽  
Clinical Profile ◽  
Diabetic Patients ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
The Mean

Background: There is a shift in age of onset of diabetes to a younger age in the recent years. There are very few data available on diabetes in the youth. Hence the study has been undertaken. Objective of the study is to describe the clinical profile of young diabetics and to estimate burden of selected end organ complications at the time of study.Methods: A hospital based Cross sectional study was conducted at a tertiary care centre among 75 young diabetic patients (aged 15-30 years). After taking informed consent, detailed history clinical examination, biochemical investigations like FBS and 2 hours PPBS, HbA1c, lipid profile, screening for neuropathy, retinopathy and nephropathy were done.Results: The mean age of the study population was 26.35±3.8 years, majority were males (62.7 %), 77.3% have positive family history. Mean BMI was 24.8±4.6 kg/m2, 45.3% were overweight ,20 % were obese. The mean FBS levels was 216.63±73.46 mg/dl, 2 hr PPBS 261.51±80.0 mg/dl and mean HbA1c 8.66±1.34 %. The total cholesterol level was higher in 46.7%, with mean of 198.4±21.0. Mean triglyceride level was 136.99±38.9. Nephropathy was present in 25.3%, retinopathy in 13.3% and neuropathy in 9.3 % of the patients. 30.6% had at least one of the three complications. SBP was associated with neuropathy(p=0.030), DBP with retinopathy(p=0.029) and neuropathy(p=0.007) and high FBS levels with retinopathy(p<0.001) and neuropathy(p<0.001).Conclusion: Microvascular complications in young diabetes is alarmingly high. Regular screening, early detection, adequate control of FBS and BP may improve quality of life.

scholarly journals Knowledge and attitude of mothers regarding feeding practices among children of 6 months to 2 years of age visiting a tertiary care centre of Ahmedabad, Gujarat, India

2019 ◽  
Vol 6 (5) ◽  
pp. 2132
Author(s):  
Rutvik H. Parikh ◽  
Jayshree N. Tolani ◽  
Nitinkumar D. Shah
Keyword(s):  
Complementary Feeding ◽  
Statistical Significance ◽  
Critical Role ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Feeding Strategies ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Timely Initiation ◽  
Knowledge And Attitude

Background: India is facing a grave challenge of having very high rates of child under-nutrition and a high infant and child mortality, which demands an urgent need for comprehensive multi-pronged evidence based strategy to tackle the situation. Breastfeeding offers the ultimate food during the first 6 months of life. Complementary feeding starts when breast milk is no longer sufficient by itself, the target age is between 6-24 months. Complementary feeding plays critical role in bridging these gaps between nutritional requirements and growth and development of child with increasing age. Complementary feeding strategies encompass a wide variety of interventions designed to improve not only the quality and quantity of these foods but also improve the feeding behaviors. In this review we analyzed knowledge and attitude of mother regarding feeding practices among children of 6 months to 2 years of age who had visited tertiary care centre.Methods: Personal interview of mothers having a child in the age group of 6 months to 2 years of age in the duration of October 2017 to March 2018 visiting pediatric department at a tertiary care centre and willing to give information are included in the sample. The Questions regarding socio demographic profile, various occupations, type of feeding practiced, knowledge regarding feeding and complimentary feeding were included in Performa. Data was entered in MS Excel and analyzed using SPSS software.Results: Almost 8 out of 10 mothers were literate in the study (77.80%). About 75% mothers didn’t know the correct type of complimentary feeding to initiate for their babies. Knowledge about correct time of starting complimentary feeding was more commonly found in housewife mothers than the working mothers and findings was supported by statistical significance. Mothers with >=2 children were using correct type of food for complementary feeding more commonly that with mothers having single child.Conclusions: The present study highlighting knowledge gap and practice gap in mothers about complimentary feedings. Appropriate complementary feeding education emphasizing timely initiation and meal diversity is necessary to improve knowledge and feeding practices of mothers whether mother is educated or uneducated.

scholarly journals Comparative study of intraocular pressure (IP) in Bangladeshi individuals by contact and non contact technique

2016 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Sayed Abdul Wadud ◽  
Md. Sharfuddin Ahmad ◽  
Muntasir Bin Shahid
Keyword(s):  
Intraocular Pressure ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Contact Method ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Goldmann Applanation Tonometer ◽  
Applanation Tonometer ◽  
The Mean ◽  
The Difference

<p><strong>Background:</strong> Intraocular pressure (IOP) is one of the most important parameters in the diagnosis and treatment of glaucoma. Glaucoma has been established as the second leading cause of blindness. The treatment of glaucoma focuses mainly on lowering intraocular pressure (IOP). The target IOP is often set to a level 20% to 30% of IOP reduction, and consequent large IOP reduction beyond 30% or even 40% in cases of advanced glaucoma The different methods of tonometery are: Goldman Applanation tonometery, Noncontact (air-puff) tonometery, Perkins tonometery, Tonopen tonometery, Transpalpebral tonometery.</p><p><strong>Objective:</strong> To determine the frequency of accuracy of intraocular pressure (IOP) measured by non-contact (air puff) tonometer compared with Goldmann applanation tonometer.</p><p><strong>Methods:</strong> This was a non-interventional, cross sectional study conducted at a tertiary care centre of Dhaka, Bangladesh. consecutive subjects attending the BSMMU eye OPD were included in the study. IOP was measured by non-contact (air puff) tonometer and a slit lamp mounted GAT in all the subjects. The study samples were selected by convenience sampling who presented for check-up in the Eye Department of community ophthalmology, Bangabandhu Sheikh Mujib Medical University, Dhaka. Bangladesh. Results:A total of 120 eyes in 60 patients were studied. The mean age of the patients was 41.60 year. study population consisted of 24 (40 %) men and 36 (60 %) women. The mean intraocular pressure was 13.52 &amp;13.72 mmHg for GAT, and 16.64 &amp; 17.44 mmHg for Air puff respectively. The range of measurements by GAT was from 10 to 23 mmHg and by Air puff was 12 to 28mmHg. The difference between IOP measured by two instruments were statistically significant (p=0.000).</p><p><strong>Conclusion:</strong> Airpuff tonometer is quick, a non-contact method to measure intraocular pressure and is useful for screening purposes and postoperative case but the measurements should be confirmed with Goldmann applanation tonometer for accurate labelling of intraocular pressure.</p>

scholarly journals Exclusive breast feeding reduces diarrhoeal episodes among children: results from a cross-sectional study among the mothers of under-five children in Kolkata

2019 ◽  
Vol 6 (2) ◽  
pp. 733 ◽  
Author(s):  
Nibedita Banerjee ◽  
Arup Chakraborty ◽  
Arista Lahiri ◽  
Kalidas Biswas
Keyword(s):  
Breast Feeding ◽  
Nuclear Family ◽  
Tertiary Care ◽  
Child Growth ◽  
Care Hospital ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children ◽  
The Mean

Background: Breast feeding is of utmost importance for optimal child growth. This study aims to determine the knowledge on breast feeding among the mothers of under five children and to find out the association between the proportion of exclusive breast feeding and the incidence of diarrhoeal disease.Methods: An institution based cross sectional descriptive study was conducted among ninety (90) mothers of under five children who attended the immunization clinic of a tertiary care hospital with the help of a pre-designed, pre-tested, semi-structured schedule. Mothers were selected by systematic random sampling and interview done after obtaining written consent.Results: The mean age of the respondent mothers were 25.78 years. Among them 77.8% were staying in the nuclear family with the mean education up to 8th standard, 94.4% of home maker. The mean education of fathers was 9th standard with majority (77.8%) occupied either in service or in other occupation. Average no of children per family was 1.3. Majority of mothers’ younger children (66.7%) were male. Majority (66.7%) mothers had heard the term colostrum and 88.3% knew that colostrum has anti-infective property and nutritionally superior. Sixty (66.67%) mothers had exclusively breast fed their children. Out of not exclusively breastfed children 36.67% experienced diarrhoea.Conclusions: Though majority mothers knew about breastfeeding, yet the proportion not having proper knowledge was high. The statistical analysis showed exclusive breast feeding to be highly protective against developing diarrhoeal episodes. In order to generate better breastfeeding practices, addressing the knowledge gap is needed. 

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