scholarly journals A study on sexual behaviour practiced by the adolescent and its source of inspiration

Author(s):  
Ashok Maaan ◽  
Manoj K. Yadav ◽  
S. S. Chaudhary ◽  
Manisha .

Background: Adolescence is a developmental period of rapid physical, psychological, sociocultural, and cognitive changes characterized by efforts to confront and surmount challenges and to establish a sense of identity and autonomy. Objective was to study the sexual behavior practiced by the adolescent and its source of inspiration.Methods: An observational cross-sectional study was carried out in Department of Community Medicine, Santosh Medical College, Ghaziabad and Urban area of district Ghaziabad. 750 Adolescents aged 10 to 19 years studying in the selected schools of urban Ghaziabad were included for the study. The period of study was from November 2011 to October 2012.Results: 26.8% of the students were sexually active. Boys were sexually more active than girls (34.7% vs. 18.9%). Condom use was present in 51.2% of the sexually active students. Nearly half (52.3%) of sexually active males had sex under the influence of pornography, almost one-third (32.3%) had sex merely because of peer pressure and 15.4% did it for curiosity and fun. Among girls who experienced sex 70.4% succumbed to peer pressure and 23.9% under the influence of pornography. In the present study more boys (77.9%) than girls (54.1%) had knowledge about reproductive health issues and this difference between two sexes were found to be statistically significant.Conclusions: The present health status of the study population has the potential possibility of leading to increased health problems for this vulnerable population, in future.

Author(s):  
Christina Ann George ◽  
Shibu Thadathil Sreedharan ◽  
Smitha Kalarikkal Satheesan ◽  
Sindhu Panakkaparambil Surendranath

Introduction: Ischaemic Heart Diseases (IHD) are increasing at an alarming rate globally. Pharmacotherapy, the mainstay of management of IHD, has Dual Antiplatelet Therapy (DAPT) at its crux. DAPT, comprising of clopidogrel and aspirin, is used often for 12 months in medically managed Acute Coronary Syndrome (ACS). Clopidogrel being a prodrug, needs to be activated after ingestion, mainly by Cytochrome family of enzymes, for the desired pharmacological effects. Abnormal enzymes that convert clopidogrel to its active form can reduce the effectiveness of the drug. Therefore, Single Nucleotide Polymorphisms (SNPs) of the enzymes involved, would predispose the patient to therapy failure and recurrence of the illness. This study aims at identifying the presence of a genetic variant associated with clopidogrel responsiveness in patients with ACS. Aim: To estimate the frequency of CYP2C19*2 allele in patients with ACS presenting to Government Medical College, Thrissur, Kerala, India. Materials and Methods: Present study was a cross-sectional study done among 60 patients who presented to Government Medical College, Thrissur with ACS, between June 2018 to June 2019. Having obtained informed consent from the participants blood samples were collected in Ethylene diamine tetra-acetic Acid (EDTA) tubes. Samples were used to look for presence of CYP2C19*2 allele by Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP). Results: Out of 60 patients 38 were males and 22 were females. Most common age group was 61-65 years. The frequency of CYP2C19*2 allele was 41% in the study population and the variant genotype (AA/AG) was present in 62%. Conclusion: The variant genotype was found to be present in a high frequency in the study population implying the high risk for therapy failure in the study population. This asserts the need to probe the matter further, as the gene is also implicated in the metabolism of several other drugs. The introduction of pharmacogenomic testing prior to initiation of therapy may be therefore recommended for better treatment outcome. However, to validate the same, further studies with larger sample size may be necessary.


Author(s):  
Subhransu Sekhar Jena ◽  
Binayak Chandra Dwari ◽  
Roopam Panda ◽  
Nibedita Patro

Introduction: Hemiplegia due to cerebral stroke is associated with various dermatological co-morbidities, arising out of motor, sensory and autonomic dysfunctions. Aim: To find out the different dermatological conditions prevalent in patients of hemiplegia secondary to cerebral stroke. Materials and Methods: An observational cross-sectional study was conducted in the Department of Neurology in collaboration with the Department of Dermatology at Hi-Tech Medical College and Hospital, Bhubaneswar, Odisha from July 2017 to June 2020. Patients with hemiplegia of more than one month duration were included. The skin findings present before the neurological insult and patients with systemic conditions like atopic dermatitis, diabetes mellitus and thyroid disorders causing skin changes were excluded. Relevant tests for diagnostic confirmation of the skin lesions were done wherever needed. The software Statistical Package for the Social Sciences (SPSS) version 16.0 was used for the statistical analysis. Results: Study included 411 patients of cerebral stroke. A total of 382 (92.9%) patients were found to have dermatological manifestation. The male:female ratio in the study population was 2.6:1. A total of 549 and 128 skin conditions were diagnosed in the paralysed and non paralysed limbs, respectively. The common dermatological conditions diagnosed in the affected limbs were, xerosis {371 (97.12%)}, tinea corporis/cruris {61 (15.97%)}, onychomycosis {31 (8.12%)}, tinea pedis {28 (7.33%)} and nail dystrophy abnormalities {27 (7.07%)} patients. Conclusion: Knowledge of various dermatological conditions associated with hemiplegia helps in early intervention and better management during rehabilitation phase of patients with hemiplegia.


Author(s):  
C. Rajan Rushender ◽  
G. Dinesh Kumar ◽  
M. Logaraj

Background: Tuberculosis (TB) remains a major public health problem. It is reported that, globally, about 9 million people developed tuberculosis and about 1.5 million people died due to tuberculosis across the globe in 2013.Methods: A descriptive cross sectional study was conducted in the Rural Health Training Center, SRM Medical College to assess knowledge and practice regarding tuberculosis using a pretested Interview schedule. Adult population, who are residing in the field practice area were considered as study population. The study period was between August 2013 to February 2014.Results: A total of 246 study subjects were included in the final analysis with the majority of the participants to be between 21 to 40 years (39.40%). Cough and expectoration as symptom of TB was known to 82.5% of study subjects. Only 22.8% of the study subjects are aware of at least one extra pulmonary for of tuberculosis. The proportion of subjects with good overall knowledge about TB was highest in subjects aged 61 and above, lowest in 41 to 60-year age group. The proportion of subjects with good knowledge had gradually increased with increasing socio economic status.Conclusions: Culture specific IEC interventions and their delivery mechanisms need to be designed, considering the highly heterogeneous nature of population in India. 


2021 ◽  
pp. 96-98
Author(s):  
Nikhil B Chavda ◽  
Kinjal Lathiya ◽  
Devang A Raval ◽  
R.Naredra Kumar ◽  
Hetal Patel ◽  
...  

Road accidents had been a major cause for concern across the Indian subcontinent. In 2019 alone, the country reported over 151 thousand fatalities due to road accidents. Each year, about three to ve percent of the country's GDP was invested in road accidents. Road accidents are on the rise in countries that have experienced signicant and rapid development. This is due to the increased use of automobiles as a result of urbanization and development. A cross-sectional study of undergraduate medical students at a government medical college in Ahmedabad was done. Present study done among 298 under graduate students; out of them 203 were male and 95 were female students. Although the study population had good knowledge regarding trafc rules, only 36.24% were using helmet, 46.31% were using seat belts regularly, 57.72% were using mobile while driving. 76.17% were serviced vehicle properly, 75.84% were slowed down their vehicle when they see yellow light at trafc signal. Almost 98.99 % were using signal to change lane.


Author(s):  
Savitha A. K. ◽  
Gopalakrishnan S. ◽  
Umadevi R.

Background: Acute respiratory infection (ARI) is an infection of the respiratory tract that may interfere with normal breathing. ARI is one of the leading causes of illness and death among children worldwide. The aim of the study was to estimate the prevalence of ARI among under 5 children in the rural field practice area of a medical college in Kancheepuram district of Tamil Nadu.Methods: This study is a community based cross–sectional study. The study population was children below five years of age and informant was the mother of the child. The sample size is 380 and simple random sampling method was used. Data was analyzed using the SPSS software, version 16, and presented as descriptive statistics.Results: The prevalence of ARI among children was 41.6%. Regarding the symptoms of ARI, 36.6% of them had either cold or runny nose, 27.9% had cough, 23.4% had stridor, 20.8% had reduced intake of food, 2.6% had either ear pain or discharge, 2.6% had rapid breathing.1.3% had wheeze, 0.8% were tired/drowsy, 0.5% had throat pain, 0.5% had convulsions and 17.1% of them had symptoms with fever.Conclusions: This study shows the prevalence of ARI among children below 5 years of age is 41.6% which is relatively high. The symptoms of ARI reflect the non severe form of pneumonia. More hospital based studies should be done in order to know the burden of severe form of pneumonia which contributes to the morbidity and mortality of children below five years of age.


2018 ◽  
Vol 21 (02) ◽  
pp. 316-319
Author(s):  
Shehzad Adil Mansoor ◽  
Muhammad Muazzam ◽  
Humayun Suqrat Hasan Imam

Objectives: To study the prevalence of substance abuse among prisoners and itseffects on other inmates. Study design: A cross sectional study. Place and duration of study:Central jail Faisal Abad Pakistan during Jan. 2012 to Feb 2012. Methodology: All the convictedand condemned prisoners were included in the study and those exclusively charged for drugsabuse crimes were excluded. A snow ball convenient sampling technique was adopted. Samplesize was not predetermined. The study population was (1080) male and above the age of 18years. Results: About one hundred and eighty four (184) prisoners were found using differentdrugs. Among them seventy six 76 (41.3%) started using drugs on entering the prison and onehundred and eight 108 (58.7%) were using drugs before coming to prison. The 91(49.5 %)belonged to rural area and 93 (50.5%) belonged to urban areas. The most commonly used drugwas heroin 181(96.7%) and 3(.6%) used different drugs like injections or pills. Conclusions:Substance abuse among prisoners was increasing day by day leading to increased crimes,health issues, and significant economic constrains in every country especially among poornations. Strong political will and public motivation was the need of time to deal with the issue.


2021 ◽  
pp. 42-44
Author(s):  
S. Hema Akilandeswari ◽  
B. Kavitha ◽  
J. Sudhakaran ◽  
K. Rajkanth

BACKGROUND:Asthma- COPD Overlap Syndrome (ACOS) is a recently dened terminology characterized by persistent limitation in airow, which shares features of both Asthma and COPD. ACOS is associated with worse outcomes than either condition alone. MATERIALS AND METHODS: A cross sectional study conducted in Government Thanjavur Medical College Hospital in the department of Internal Medicine between October 2017 and July 2018. The patients attending the asthma clinic and the medicine op for medications were enrolled into the study. Atotal of 80 patients were included. The statistical analyses were performed using Graph pad Prism version 5 software. RESULTS: In this study it was found that 25 % of the study population had a COPD overlap features. Duration of asthma was found to be a single independent factor associated with the development of COPD overlap in asthmatics in the study population. This study views smoking to have an additive effect in the disease pathology. CONCLUSION: The prevalence of ACOS in previously diagnosed Asthma or COPD is more alarmingly increasing. Asthma- COPD overlap is characterised by more frequent exacerbations and complications. There is a critical need to better dene the management and treatment of this syndrome.


2021 ◽  
Vol 29 (1) ◽  
pp. 77-82
Author(s):  
Mohammad Zaid Hossain ◽  
Nusrat Sultana ◽  
Afroza Akbar Sweety ◽  
Reaz Mahmud ◽  
Mohammed Masudul Hassan Khan ◽  
...  

Background: Dengue is an endemic disease for Bangladesh with occasional outbreak. Little is known about the predictors of severe dengue. Methods: This cross sectional study was conducted in the medicine department of Dhaka Medical College from April 2019 to March 2020. Total 199 consecutive patients were enrolled in this study. For the purpose of the analysis, dengue fever was classified as group I and dengue hemorrhagic fever and dengue shock syndrome was classified as group II. Results: The mean (SD) age of the study population was 28.5(12.1) and 87.4% were less than 40 years of age. The male and female ratio was about 3:1. Among the total study population, 149(74.9%) patients had DF, 46 (23.1%) had DHF and only 4 (2%) had DSS on presentation. Baseline demography and clinical presentation did not significantly differ between classical dengue and severe dengue. Previous history of dengue had low association with severity (RR, 95%CI, phi, P value; 1.2, 1.04-1.40, 0.25, 0.001).Most of the laboratory parameters were similar between the groups. The number of platelet count was significantly lower in DHF and DSS [median (IQR) 43500(16500-95250], than DF [median (IQR) 65000(33000-1170000, p-value 0.01] Conclusion: Previous infection with dengue virus and decreasing platelet count are the predictors of the severe dengue. J Dhaka Medical College, Vol. 29, No.1, April, 2020, Page 77-82


2019 ◽  
Vol 46 (2) ◽  
pp. 48-52
Author(s):  
Swati Munshi ◽  
Farid Ahmed ◽  
Bibekananda Halder ◽  
Abdullah Yousuf ◽  
Md Mahbubur Rahman ◽  
...  

Accurate detection of astrocytomas is very difficult. The purpose of the present study was to evaluate the usefulness of MRI in detection of intracranial astrocytoma. This cross-sectional study was conducted at the Department of Radiology and Imaging with the collaboration of Department of Neurosurgery and Department of Pathology at Sir Salimullah Medical College (SSMC & MH), Dhaka from January 2013 to December 2013 for a period of one year. All the clinically suspected and CT scan diagnosed cases of intracranial astrocytoma patients of any age of both sexes were included as study population. All cases having no contraindication for MRI underwent MR examination. MR imaging was obtained with 0.5 Tesla machine (SIEMENS). The postoperative resected tissues were examined histopathological in the respective department. Then the collected reports were compared with findings of MRI. The sample size of the present study was 48 astrocytoma patients. The highest sensitivity was found in grade III astrocytoma (90.5%) followed by grade II (85.7%) grade IV (75.0%) and grade I (60.0%). The highest specificity was found in grade I astrocytoma (97.7%) followed by Grade III (96.3%), grade IV (92.5%) and grade II (91.5%). The highest accuracy was found in both grade I astrocytoma (93.7%) and grade III (93.7%) followed by grade II (92.5%) and grade IV (89.6%). In the conclusion, MRI is an effective tool for the diagnosis of astrocytoma. MRI has a high diagnostic validity for the detection of different grades of astrocytoma. Bangladesh Med J. 2017 May; 46 (2): 48-52


2017 ◽  
Vol 3 (3) ◽  
pp. 324-327
Author(s):  
Sonal Yadav ◽  
Anuj Jhakar ◽  
Priyanka Sharma ◽  
Samar Hossain ◽  
Vandna Sen

Objective: To study the socio-demographic profile of street children in Jaipur city, Rajasthan. Setting and Design: Cross-sectional study. Material and Method: Children between 5-15 years residing on the streets of Jaipur city were the study population. Result: Majority of the street children (74.5%) were in 9 to 13 years of age group followed by 5-9 years (13.5%) and 13-15 years (12.0%). 91.0% of street children were males. 65.3% street children were from nuclear family. Out of 400 street children 45.8% had left home to earn money followed by 21.0% and 11.8% street children who left home due to domestic violence and to avoid parental restrictions respectively. Peer pressure was cited as reason by only 4.8% street children. Conclusion: During the study it was also observed that approximately half of the street children i.e. 45.8% had left home to earn money 21.0% had left home due to domestic violence and 11.8% street children had left, to avoid parental restrictions. Death of the father and mother were the reasons to leave their homes for 5.8% and 4.8% street children respectively.


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