IMJ Health : September 2015

Medical Journal of Research & Science

Association of Zinc, Copper and Iron Levels with Birth Weight

AbstractThis study was aimed to find out relationship of maternal Zinc, Copper and Iron levels with birth weight. Epidemiological observations are that Low birth weight babies i.e. weighing less than 2,500 grams, are approximately 20 times more likely to die than heavier babies. LBWs are more common in developing than developed countries. This study was conducted on 100 new born infant and their mother. Mothers of just delivered babies were investigated for assessing serum zinc, iron and copper levels on atomic absorption spectrophotometer. Along with this cord blood samples of newborn delivered by these identified women were investigated for zinc, iron and copper levels. Simultaneously birth weight of newborns delivered by these mothers were assessed. Association of maternal Zinc, Copper and Iron with birth weight of newborn was analyzed by unpaired student’s’ test of significance. It was found in this study that maternal and newborn serum Zinc and Copper level were significantly lower and higher respectively in LBWs whereas serum Iron was not associated with birth weight of infants.

Keywords Maternal Zinc, Maternal Copper, Maternal Iron, Low Birth Weight

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Association of Serum Lipid Profile and Chronic Periodontitis: A Case Control Study

AbstractPeriodontal disease is a destructive inflammatory disease inducing profound changes in the plasma concentrations of cytokines leading to a catabolic state characterized by altered lipid metabolism and hypertriglyceridemia. This study was conducted with the aim find out association of chronic periodontitis with serum lipid parameters. Study group consist of 30 cases of chronic periodontitis (case group) and control group consist of 30 healthy individuals. Age range was kept 25-60 years to avoid extreme ages. Periodontal parameters including Plaque Index, Gingival Index, Probing Depth and Clinical Attachment Level were recorded. Lipid profile comprising of total cholesterol, Triglycerides, HDL- Cholesterol and LDL was assessed and co related with periodontal parameters. This study confirms significantly higher levels of mean cholesterol, triglycerides and LDL in periodontitis group as compared to healthy group. Also, there is significant negative co relation of HDL with probing depth and clinical attachment loss. Association of hyperlipidemia and chronic periodontitis is evident in developed state of disease. With this study, this relation is confirmed based on Factor and Outcome.

Keywords Periodontal disease, Serum Lipid Profile, probing pocket depth, clinical attachment level

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Peripheral Ossifying Fibroma with Superficial Bone Erosion: A Case Report

AbstractThis study was aimed to present a case report of a case of peripheral ossifying fibroma which is a rare case. This case was a 30 years non smoker male with the chief complaint of growth of gum tissue, moderately large in the mandibular posterior region. On intraoral examination, a peduncalated growth of 17 x 12 x 6 mm on marginal and attached gingiva with respect to tooth number 47 considerably hard in consistency and movable was seen. The lesion was erythmatous having a smooth non ulcerated surface. It was asymptomatic with no sign of pain. Intra oral periapical radiograph was taken which revealed slight erosion of crest of bone which was later confirmed during surgical excision. The possible reason of crestal bone erosion may be constant pressure of the growth. Differential diagnosis of irritation fibroma, pyogenic granuloma and peripheral giant cell granuloma was considered. However, clinical appearance and consistency was of a hard fibrous growth, which therefore led to a provisional diagnosis of peripheral ossifying fibroma or peripheral odontogenic fibroma.

Keywords Peripheral calcifying/Cementifying/Ossifying fibroma, Bone Erosion, Gingival overgrowth

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Spiritual Intelligence: A Road Map to Future Learning

Abstract Rational Intelligence helps us take logical decisions while emotional and spiritual intelligence can be blended together in a beautiful way. IQ and EQ have given a way to Spiritual Intelligence, which is considered as the base of all intelligences. It has been tried out through this study that how Spiritual Intelligence can guide a leader in the organisation to think beyond his/her own personal goals/identity. Authors have tried to conceptualise the Spiritual Intelligence / Quotient Model which enumerate the characteristics of a leader who is spiritually intelligent and also tries to co-relate the concept of Learning Organisational Culture with the extensive and wide use of Spiritual Intelligence in the organisations. Literature available on the subject has been reviewed extensively to arrive at the following concepts and to establish the correlation between Spiritual Intelligence and Learning Culture/ Habits of the Organisations. To test the above concepts, authors have chosen two Public Sector Undertakings, one is Bharat Petroleum, which has been a Fortune 500 Company and the other one is NTPC, which is a leading Navratna status and profit making Public Sector Organisation. It was observed that academically the respondents at all levels were unknown to this “Spiritual intelligence”, and they understood the concept as alternate to religion. In the view of literature the characteristics of spiritually intelligent leader should includes intrapersonal characteristics like self awareness, self realization, Self actualization, Self respect, Organizational awareness, Organizational actualization, Independence, Assertiveness, selfness and Altruistic Attitude along with other interpersonal characteristics, Stress management characteristics, Adaptability etc.

Keywords Spiritual intelligence, intrapersonal characteristics, interpersonal characteristics, Spiritual Quotient Model

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Problem Based Integrated Teaching of Bronchial Asthma to Second MBBS Students

Abstract Medical Council of India has laid down the norms and guidelines for integrated teaching to enhance the students approach for learning in a comprehensive manner. A comparative interventional study was carried out on II MBBS students of SMS medical College, Jaipur to compare the effect of traditional teaching and integrated teaching method. After taking pre-test students were divided into two groups, one group underwent traditional teaching and other group is given integrated teaching on Bronchial Asthma. Post-test was taken after finishing the topic. Mean change in score improved in both the group were compared by unpaiered “t’ Test. Perception of students and faculty about new method was also found out. It was found in this study that mean change of score of students from pre-test to post-test in the study group was significantly higher (p<0.001) than in control group (3.43±1.88 v/s 0.65±1.81). More than 90 % students liked and retained the subject better with the new teaching methodology only 9.3% felt it more time consuming. Majority of faculty had liked this method.

Key words: Medical Council of India (MCI), Integrated teaching, Bronchial Asthma

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Association of Mental Health with Spiritual Health: A Cross-sectional Study on Geriatric Population of Jaipur City (Rajasthan) India

AbstractSpiritual health is not given its due importance since long time. But nowadays modern medicine is seen in relation to spiritual health and studies were conducted to find out its effect in various diseases. So this study was conducted on elderly aimed to assess the spiritual health and its association with psycho wellness. For study purpose, 30 cluster technique to identify houses with elderly (≥60 years) in Municipal Corporation area of Jaipur City. After collecting general information Spiritual Health Assessment Scale (SHAS) was used to assess spiritual health and Modified Mini Screen (MMS) was used to assess psycho-wellness in elderly. Data were anlysed and inferred by Chi-square test and ANOVA with Post-hoc Tukey test. Majority of elderly were having poor spiritual health and this spiritual health was strongly associated with psycho-wellness in elderly. Poorer the spiritual health of elderly leads to poorer the psycho-wellness in elderly.

Keywords Spiritual health, Psycho-wellness, Spiritual Health Assessment Scale (SHAS), Modified Mini Screen (MMS), Elderly

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Situation Analysis of Patient Load at a District Hospital of eastern-northern Rajasthan

Abstract Picture of public district hospitals is usually is as underused, inefficient and providing poor quality care. So this study was aimed to assess patient load at district level hospital. For the study purpose a district hospital of Eastern-northern Rajasthan was selected and this study was conducted in year 2014 at R.K. Joshi District hospital Dausa (Rajasthan) India. Information about general activities like outdoor, indoor, operations, investigations etc were collected. Other activities like reproductive and child health activities, family welfare activities, immunization activities, Zanani Suraksha Yozana activities etc were also collected. It was found in this study that total 454596 outdoor cases and 31706 indoor cases of various diseases were attended in this year. Bed occupancy rate was 334.64 with average hospital stay 3.2 days. Total 151127 laboratory tests were done in hospital. Total 3003 minor and 474 major operations were performed. In this year 251 Laparoscopic Sterilization, 5 Tubectomies and 4 Vasectomies were done along with other family welfare activities. Total 5312 institutional deliveries were performed and these women were benefited by ZSY.

Keywords Patient Load, Situation Analysis, District Hospital, ZSY

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Maternal factors of anemia in 3rd trimester of Pregnancy and its association with fetal outcome

Abstract—This study was aimed to find out the maternal factors and fetal outcomes associated with anemia in 3rd Trimester pregnancy. A hospital based cross sectional descriptive type of observational study was carried out in 15 to 49 years who had undergone delivery at SP Medical College Bikaner. Information about the demographic profile, ANC factors and foetal outcome data were collected. To find out associating factors appropriate test of significances were used. The magnitude of anemia 91.3% (995/1090) was found high in third trimester of pregnancy. Caste, dietary – habit, Education, Occupation, Socio-economic status, ANC Visit, Iron and folic acid supplementation were associated (P<0.05) with anemia whereas maternal-age (year) Residence Religion Number of Children Type of family Inter-Pregnancy Interval (Months) were not associated (P>0.05) with anemia. Although IUGR, premature births and still births were observed respectively 2.56 times (95% CI: 0.615 to 10.697 ), 1.3 times (95% CI: 0.723 to 2.351 ) and 0.651 times (95% CI: 0.286 to 1.481 ) in anemic mothers but it was not found significant with anemia status. But significantly more (35.5%) low-birth weight babies were born to anemic mothers as compared to ( 14.7% )among non- anemic mothers i.e. 3.181 times (Odds ratio) higher LBW babies in anemic mothers. Anemia in pregnancy may be reduce by proper Iron and folic acid supplementation which can be improved through IEC and providing proper ANC services.

Keywords Pregnancy Related Anemia (3rd Trimester), Maternal Factors, Fetal Outcome.

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Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case-Control Study

Abstract Cerebral palsy (CP) is the most common physical disability of childhood. Children with CP frequently grow slowly and are more prone to fractures. So this study was aimed to explore relationship of bone mineral density (BMD) with cerebral palsy by case-control study. This study was conducted at Department of Physical Medicine and Rehabilitation of Sawai Man Singh Medical College, Jaipur. Hip bone and spine bone was used to assess BMD. Bone mineral density was measured by DEXA in both groups i.e. study group and control group after ensuring the comparability of both groups. Difference in means of BMD in both the groups was inferred by unpaired student’s’ test of significance. It was found in this study that bone mineral density of hip well as spine was significantly lowered in cerebral palsy cases.

Keywords Cerebral Palsy, Bone Mineral Density, DEXA

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