IMJ Health : January 2016

Biophysical profile of a case of Peeling Skin Syndrome – A model for study of Stratum Corneum function

AbstractPeeling skin syndrome (PSS) is a rare recessively inherited ichthyosiform genodermatoses characterized clinically by asymptomatic, localized or generalized, continuous exfoliation of the superficial layer of the skin. A 12-year-old male child was presented with history of asymptomatic peeling of skin from his neck, trunk, and proximal extremities, since the age of 6 years. Histologically, stratum corneum was separated from the underlying stratum granulosum. Clinical and histopathological picture corresponded to the non-inflammatory variant of peeling skin syndrome (type A). Biophysical profile, which includes skin hydration, transepidermal water loss, sebum content, skin pH, of this patient was assessed from 7 different sites using the Corneometer, Tewameter, Sebumeter, Skin-pH-meter. Derangement was observed in all the above parameters. Peeling skin syndrome serves as a model for studying the stratum corneum functions. This article gives a critical review of the structure and various barrier functions of stratum corneum.

Key words: Peeling skin syndrome (PSS), stratum corneum, Biophysical profile

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Antenatal Care and its associates: A community based cross sectional study

Abstract— About 67,000 women in India die every year due to pregnancy related complications. So this present study was carried out on 300 mothers of field practice area of RHTC Naila, to find out status of ANC visit and its associates. In this community based cross sectional study 300 mothers were selected who had delivered within one year. It was found in this present study 86.33% of mothers had 3 or more than 3 ANC visits and only 13.67% mothers who had ANC visit for once or twice. And 94% beneficiary had received at least 100 IFA tablets mean IFA tab received by pregnant were 124±32SD. ANC service utilization by mothers was found to be associated with educational status of beneficiaries, place and mode of last delivery but not with other studied variables. ANCs adequately covered was maximum in SC i.e. 89.57% followed by OBC, ST and General caste. Mothers who had Institutional delivery had used ANC more adequately than who had delivery at home (96.95% v/s0%).Adequately covered ANC was significantly more in normal delivery than LSCS (93.12% v/s 83.33%). IFA tablet consumption by mothers was found to be associated with type of person registered their last delivery. Adequately number (>100 ) IFA tablets were consumed by significantly more proportion of mothers who were registered by ASHAs than by AWW and ANM.

Key words: Mothers, Antenatal (ANC) Visits, Associating Factors,

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Bio-socio-demographic factors associated with adolescent Psychiatric Wellness: A cross sectional study

Abstract— Adolescents are biologically prone to have more mood swings because of the hormonal changes associated with adolescence. Adolescent health problems are usually the result of their behavioural disorders. This study was aimed to know psychiatric morbidity and its bio-socio-demographic associates in adolescent aged children. This community based cross-sectional study was carried out on 400 students as per Modified Mini Screen (MMS) scale to assess the psycho-wellbeing of students schools of Jaipur city of India. General information regarding socio-demographic data and study pattern was also recorded. These data collected were analyzed and inferred with Chi-square test and ANOVA test of significance. It was observed that as per Modified MINI Screen (MMS) scale 10.75% were in red zone of psycho-wellness and 38% were in orange zone whereas 51.25% were in green. It concludes that about half of students were completely mentally healthy otherwise every alternate student was found to have poor mental health that needs further evaluation for psycho-morbidity. Although Psycho-wellness was not found to be associated with age, sex , religion and cast of students but significantly poor mental health was found in children of nuclear family and middle family socio economic status of the students. It was also revealed that among risk of psycho wellness associates with various socio-demographic variables maximum variation was in socioeconomic status where maximum risk was in Class III and minimum in Class II. Likewise it was also found that minimum risk of psycho illness was in joint families.

Key words: Adolescence. Psycho-wellness, Associating Factors

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Profile of Lower Limb Amputees attended at a tertiary care Hospital: A Descriptive study

Abstract— Amputation is one of the major causes of permanent disability. In addition, amputation can often be associated with anxiety, isolation and depression which may change the social and free time activities of the person with lower limb amputation. So this present study was conducted to know profile of lower limb amputees this study was conducted on 500 lower limb amputees in attendees of PMR Department of SMS Medical College, Jaipur (Rajasthan) India. In this present study mean age of amputees was 39.7 years with age range 18-60 years and males predominate over females to 9 times. Rural background amputees slightly predominate in number over urban background amputees. Hindu predominate in number over Muslim to 8.6times. religion 10.2%. About 2/3 of amputees were married while 28.8% were unmarried in this present study. Majority (92.2%) of amputees had unilateral only7.8% were bilateral. Majority (82.8%) of amputees were either illiterate or educated upto secondary and above secondary were only18.2%. Majority ( 57.6%) of the amputees had agricultural related work and only 0.4% of amputees were engaged in professional occupation. About 50% of amputees were either smoker or tobacco chewer and alcohol user were reported only 9.6%. In the present study it was observation that the most common cause of lower limb amputees was trauma (81%) followed by vascular disease (15.6%), diabetes mellitus (3.2%) and bone cancer (0.2%).

Key words: Amputation, lower limb amputees, Physical Medical Rehabilitation (PMR)

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Five Year Trend Analysis of a tertiary level Gynecological Hospital of Rajasthan: A cross sectional study

Abstract—Healthcare resources need to maintain pace with the increasing population and expectations. So this record based trend analysis was done from records of year 2005 to 2009 of a tirtiary care hospital of Rajasthan India. It was revealed from this study that OPD cases, IPD cases, total operations including major and minor operations, LSCS and total deliveries conducted were on increase trend with the time but sterilizations and MTPs were on decreased trend with the time. Maximum change was observed in MTP (-79.38%) followed by institutional deliveries (46.79%), IPD cases (37.44%), LSCS (29.8%), Minor operations (22.25%), minor operations (17.75%), OPD cases (5.57%) and sterilizations (-3.41%) but this change was towards downwards in MTP and sterilization otherwise it was on upwards in other variables

Key words: Healthcare resources, trend analysis, gynecological hospital

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