Vinoth G Chellaiyan | Chettinad Hospital And Research Institute (original) (raw)
Papers by Vinoth G Chellaiyan
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy, Sep 6, 2022
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy, Sep 6, 2022
Background: Gall bladder cancer (GBC) is a common cancer in the northern and Northeastern States ... more Background: Gall bladder cancer (GBC) is a common cancer in the northern and Northeastern States of India. The six cancer registries of the Indian Council of Medical Research (ICMR) show a 10 times lower incidence of GBC per 1 00 000 in South India compared with the North. The objective of present study was to assess the epidemiological and pathological profile of gallstone disease and GBC patients of Eastern India visiting tertiary care hospital of Kolkata. Method: This cross-sectional observational study was conducted, over a period of 18 months, at a tertiary referral hospital of Kolkata. In this study, 66 gallstone disease patients and 24 gallbladder cancer patients who undergone surgery were included in the study after their written informed consent. Pathological profile,and staging and type of gallbladder cancer were collected. Results: Male to female ratio was 1:2 & 1:3 for GSD and GBC respectively. We found that nearly half (45.4%) GSD patients were in the age group of 21-40 years and more than half (58.6%) GBC patients were in age group of 41-60 years. Majority had multiple stones (57.6%) and cholesterol stones were most common (59.1%). Out of 24 GBC patients, nearly one-third (33.3%) had stage II cancer and only 12.5% patients had stage IV cancer. More than one-fourth (29.2%) GBC patients had poorly differentiated carcinoma. Conclusion: The results of this study reaffirm that female gender and patients in fourth decade are strong predisposing factor for GSD and GBC. Large population based multicentric analytical study is further warranted.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Dengue fever is endemic in over 100 countries, with the majority of cases reported in the World H... more Dengue fever is endemic in over 100 countries, with the majority of cases reported in the World Health Organization (WHO) regions of the Americas, Southeast Asia and the Western Pacific. Dengue fever is endemic in almost every state in India, and it is the leading cause of hospitalisation. The presentation may vary from being asymptomatic to having mild syndrome. Among other neuro-ophthalmological manifestations, oculomotor neuropathy, optic neuropathy and unilateral abducens nerve palsy has been reported but to the best of authors' knowledge this is the first reported case of dengue virus related type three internuclear Ophthalmoplegia. A 47-year-old male patient presented with complaints of fever on and off for the last 3 days along with speech defects. At admission his blood pressure was 120/86 mmHg, pulse rate was 96 per minute. Oxygen saturation (SpO2 ) was 94%. He was thoroughly investigated for various viral and bacterial infections, none of which was detected in Polymera...
Journal of Communicable Diseases
Background: Despite the acceptance of COVID-19 vaccination by adults, the parents are hesitant to... more Background: Despite the acceptance of COVID-19 vaccination by adults, the parents are hesitant to vaccinate their children due to safety, side effects and efficiency concerns. The objective of the present study is to find acceptance of the COVID-19 vaccine for children among mothers. Materials and Method:This was a cross-sectional study conducted among mothers of children 2-12 years residing in a village of field practice area of Chettinad Hospital and Research Institute, Chengalpet district. A pre-tested, semi-structured questionnaire was used. Vaccine hesitancy was scored with the Likert scale. The data collected was entered and analysed with SPSS IBM version 22.0.Results:Among the study participants, the majority of the mothers 121 (90%) had more than 4 visits during their antenatal period. Institutional deliveries 124 (92%) were reported by mothers. The majority of the children 114 (82%) were fully vaccinated as per the immunisation schedule. Few of the mothers 46 (34.3%) report...
International journal of scientific research, 2020
Background: Metabolic syndrome is a multiplex risk factor that arises from insulin resistance acc... more Background: Metabolic syndrome is a multiplex risk factor that arises from insulin resistance accompanying abnormal adipose deposition and function. And not very much data and knowledge are available on the relationship between metabolic syndrome and renal dysfunction. The objective of the study is to Study Renal Functions in Metabolic Syndrome & its correlation with individual components of Metabolic Syndrome. Material and Methods: The study was a cross-sectional study conducted in the Department of Medicine & Department of Endocrinology R.G.KAR Medical College &Hospital, Kolkata. A total of 50 cases of Metabolic Syndrome and 50 controls were included. The statistical analysis was performed using Statistical Package for Social Sciences version 22(SPSSv22). Correlation analysis was done. p-value less than 0.05 was considered statistically signicant. Mean (SD) age in the case group is 37.76 (±9.76) years whereas in control group it was 38.3 (±8.9). Results: Thirty seven patients (74%) among cases have raised serum creatinine (>1mg/dl.(p value = 0.001). Thirty six patients (74%) among Cases have eGFR<60mL/min/1.73 m2(p value = 0.001). There is a positive correlation between systolic BP, Fasting blood sugar and serum Triglycerides with serum creatinine. (p value <0.05). There is a negative correlation of fasting blood sugar, diastolic BP, systolic BP, HDL and serum triglycerides with eGFR.(p value <0.05) The study found a relation between metabolic syndrome and renal dysfunction. Monitoring of renal Conclusions: parameters among those with metabolic syndrome is essential to avoid renal deterioration.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2021
Surveillance is an information for action. India has created considerable improvement in control,... more Surveillance is an information for action. India has created considerable improvement in control, prevention and eradication of certain communicable diseases. Few such diseases that have been effectively controlled are polio, smallpox, vector-borne illness, nipah, Coronavirus Disease-2019 (COVID-19) and so on. These achievements are the outcome of an active surveillance system incorporated at community, facility, and health system level. Any of these progresses is impossible without a robust public health surveillance structure. Therefore, enhancing the public health surveillance system further will be helpful in managing upcoming pandemics at its earliest. Improvements in public health surveillance should be synchronised with the goals of Universal Health Coverage and its regulating standards of safe guarding universal health as a right besides privilege, ensuring equity, non-discrimination, guarding the affected individual’s rights and respect their choice and placing health in pe...
Background: Health care centers generates large amount of Bio-Medical Waste (BMW), which needs to... more Background: Health care centers generates large amount of Bio-Medical Waste (BMW), which needs to be properly segregated and treated. The waste produced has a higher potential for infection and injury than any other type of wastes. Effective management of hospital wastes is considered as legal as well as a social responsibility. This study was conducted to assess the knowledge and practice of segregation, labelling, transportation and record keeping of biomedical waste management adopted by different health care personnel in different health care level. Material and methods: A cross sectional study were conducted among the doctors, nurses, technician and non-paramedical staffs of different health care centre in Amdanga community block, West Bengal. 714 study participants were assessed using pretested questionnaire. Kruskall – Wallis test was applied to assess the difference in knowledge among different health care workers. Results: All the doctors and 87.93% of the nurses, 71.43% of...
Journal of Education and Health Promotion, 2019
BACKGROUND: Knowledge of medical students about research has been little explored. Although there... more BACKGROUND: Knowledge of medical students about research has been little explored. Although there has been a practice of medical research among undergraduate level, the practice is not universal and there have been potential barriers and difficulties in carrying out the research. The present study was done to find the perception and attitude toward medical research and to assess the practices and potential barriers in carrying out medical research. METHODOLOGY: This cross-sectional study was conducted among 344 medical school students of a medical college in Chennai, Tamil Nadu, in 2018. Systematic random sampling was used. The study tool was self-administered questionnaire including questions on knowledge, barrier, and 5-point Likert scale for assessing attitude. Adequate knowledge (>70% correct answers) and positive attitude (>25 score) were considered. RESULTS: Among the 344 study participants, only 127 (36.9%) of students had adequate knowledge and 68 (19.8%) had positive attitude toward medical research. Regarding practice of research, only 34.3% had conducted a research and only 17.4% had published in journals. Difficulty in choosing topic, difficulty in collecting data, and allocation of time amidst academic activities were considered as a barrier by 41.6%, 40.7%, and 45.9%, respectively. Association of adequate knowledge and practice was statistically significant for age (P = 0.000), gender (P = 0.000), and academic year (P = 0.000). CONCLUSION: Adequate knowledge and positive attitude were lacking in majority of students. Barriers could be addressed by support programs and sensitization toward research.
ISRN Pediatrics, 2012
The neonatal mortality rate in India is amongst the highest in the world and skewed towards rural... more The neonatal mortality rate in India is amongst the highest in the world and skewed towards rural areas. Nonavailability of trained manpower along with poor healthcare infrastructure is one of the major hurdles in ensuring quality neonatal care. We reviewed case studies and relevant literature from low and middle income countries and documented alternative strategies that have proved to be favourable in improving neonatal health. The authors reiterate the fact that recruiting and retaining trained manpower in rural areas by all means is essential to improve the quality of neonatal care services. Besides this, other strategies such as training of local rural healthcare providers and traditional midwives, promoting home-based newborn care, and creating community awareness and mobilization also hold enough potential to influence the neonatal health positively and efforts should be made to implement them on a larger scale. More research is demanded for innovations such as “m-health” and...
International Journal of Medicine and Public Health, 2012
Diabetes Research and Clinical Practice, 2013
Journal of Evolution of Medical and Dental Sciences, Jun 21, 2021
BACKGROUND Breakfast is an important meal since it refuels the body after long night fasting. Reg... more BACKGROUND Breakfast is an important meal since it refuels the body after long night fasting. Regular intake of breakfast must have favourable supply of both micronutrients and macronutrients to maintain a body mass index (BMI) in the normal range. Despite its importance, the rate of skipping breakfast is observed to be alarmingly increasing among medical students. Therefore, the present study was undertaken to understand the dietary patterns, and physical activity level, and analyse the association of skipping breakfast with obesity among medical students. METHODS A cross-sectional study was conducted among 174 medical undergraduate students aged between 18 and 23 years in a tertiary care teaching hospital from August 2019 to October 2019. A pretested, semi-structured, validated, self-administered questionnaire was used to assess the profile, physical activity, food consumption pattern, and perception about the importance of breakfast meal. Regression analysis was done. Odds ratio was calculated. RESULTS About 23.6 % and 27 % of the study participants were found to be overweight and obese respectively. Only 51.1 % of study participants were involved in physical activity. 17.2 % of medical students skipped their breakfast regularly and 71.6 % were aware that skipping breakfast would affect work efficacy and span of concentration. Age group of 22-23 years (OR: 19.5, 95 % CI; 2.08, 183.70) was significantly associated with obesity. Skipping breakfast (OR, 0.45, 95 % CI: 0.23, 0.90) was not found to be associated with obesity. CONCLUSIONS Our study found that more than one fourth participants were obese and one third were skipping breakfast daily or more than thrice a week. There was no association between obesity and skipping of breakfast meal. However, the importance of breakfast meal in a day cannot be ignored. Awareness programs to practice healthy eating habits might help in prevention of obesity and overweight among students.
Journal of Communicable Diseases
With the introduction of vaccines, mortality and morbidity among children have significantly redu... more With the introduction of vaccines, mortality and morbidity among children have significantly reduced. While a good proportion of the population accepts the vaccine, still a gap remains in the immunisation coverage in India. A growing number of people are delaying or refusing the vaccines. This phenomenon is called “vaccine hesitancy.” In spite of the tremendous effort to develop an effective COVID 19 vaccine, a major deterrent for coverage of the same is vaccine hesitancy towards the approved and future COVID-19 vaccination. Consideration and addressing the determinants for such hesitancy is the need of the hour to surge the vaccine coverage. The databases were searched for English- language articles. The data were extracted from PubMed, Web of Science, Google Scholar databases and websites including WHO, UNICEF etc. Keywords such as vaccine hesitancy, vaccine acceptance, parents, confidence, counselling etc were used. This review was done to explore the history and factors responsi...
Background: Newborn death accounts for 40% of all deaths among the under five children. Most of t... more Background: Newborn death accounts for 40% of all deaths among the under five children. Most of the newborns are born and die at home in developing country. Newborn health intervention trials at the home and community is identified as one of the key strategy to prevent most newborn death. Objectives: The study was conducted to assess the newborn care practices and the associated factors among the mothers of resettlement colony in Delhi. Method: Cross sectional study was conducted among mothers of newborn in an urban slum of East Delhi. Systematic random sampling method was adopted to interview 360 mothers who had live newborns under 28 days old. The data was collected using a pretested, validated and semi structured questionnaire .Appropriate statistical tests were applied. Results: Among 360 study participants, 206(57.2%) preferred home delivery and 154(42.7%) of deliveries was conducted by skilled birth attendant. 31.1% of newborns were dried immediately. The cord was cut after th...
The National medical journal of India, 2012
Pereira SM, Barreto ML, Pilger D, Cruz AA, Sant’Anna C, Hijjar MA, Ichihara MY, Santos AC, Genser... more Pereira SM, Barreto ML, Pilger D, Cruz AA, Sant’Anna C, Hijjar MA, Ichihara MY, Santos AC, Genser B, Rodrigues LC. (Instituto de Saúde Coletiva, School of Medicine, Universidade Federal da Bahia, Salvador, Brazil; London School of Hygiene and Tropical Medicine, London, UK; School of Medicine, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; National School of Public Health, FIOCRUZ, Rio de Janeiro, Brazil; Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, University of Heidelberg, Germany.) Effectiveness and cost-effectiveness of first BCG vaccination against tuberculosis in school-age children without previous tuberculin test (BCG-REVAC trial): A cluster-randomised trial. Lancet Infect Dis 2012;12:300–06.
Journal of Clinical and Diagnostic Research, 2020
The COVID-19 pandemic has severely affected the delivery of essential healthcare services in Indi... more The COVID-19 pandemic has severely affected the delivery of essential healthcare services in India The massive disruption of the routine healthcare services had been circumvented to a certain extent with the application of telemedicine In the wake of the COVID-19 pandemic, the Government of India has issued regulatory guidelines and approved Registered Medical Practitioners (RMP) to adopt the usage of teleconsultation service which can be real-time or asynchronous to minimise the risk of disease transmission The commentary provides an in-depth review of the regulatory guidelines implemented by the Government of India and discusses the inherent structural and fundamental challenges associated with its wide-scale adoption, accessibility, and utilisation Though the Government of India had issued national guidelines to promote safe and effective usage of telemedicine practice, there remains certain primary structural, technical and institutional challenges regarding expansion of uninter...
Indian Journal of Public Health Research and Development, 2021
Introduction: Information Technology Industries has been a boon to many jobseekers. With its adva... more Introduction: Information Technology Industries has been a boon to many jobseekers. With its advantage,it has also brought many disadvantages in view of the health of the Software Engineers.Objectives: The objectives of the present study were to estimate the prevalence and pattern of musculoskeletalproblems among the Software EngineersMaterial and Methods: This study was a cross sectional study conducted among Software Engineersworking in a private firm Chennai. The sample size was calculated to be 403. The study was conductedwith the nordic questionnaire. The data was collected and analysed through Statistical Package for SocialSciences. Multivariate analysis, Chi square was calculated and P value of less than 0.05 was consideredsignificant.Results: The results showed that the median age of participants was 26 years. The overall prevalence ofmusculoskeletal problem in any area of focus was 85.6% in the past 1 year and 49.9% in the past 1 week.The majority was affected with problems...
Journal of Family & Community Medicine, 2020
Appropriate infant feeding is crucial for the improvement of child survival worldwide. This revie... more Appropriate infant feeding is crucial for the improvement of child survival worldwide. This review aimed to explore the recommended practices, advantages of breastfeeding, and age-appropriate complementary feeding practices. Colostrum, which serves as the first immunization for the newborn, is largely ignored owing to the various myths surrounding it in developing countries. The World Health Organization recommends an early initiation of breastfeeding within one hour of birth and exclusive breastfeeding for 6 months to combat killer diseases such as diarrheal diseases, pneumonia, and obesity. On the other hand, complementary feeding is recommended with increase in the diversity, quantity, consistency and frequency as the child gets older along with continued breastfeeding for 12 months. Inappropriate complementary feeding is one of the major causes of malnutrition in children under the age of 5 years. Hence, appropriate guidance should be given to caregivers and health-care workers ...
Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Au... more Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Author Dr Neha Taneja, Amity Institute of Public Health, Amity University, Amity Road, Sector 125, Noida, Uttar Pradesh 201313. E Mail ID: drnehataneja12@gmail.com
Annals of Tropical Medicine and Public Health, 2020
Background: Obstructive sleep apnea is a spectrum of sleep disturbances that cause short term and... more Background: Obstructive sleep apnea is a spectrum of sleep disturbances that cause short term and long-term effects including development of Type II diabetes mellitus, metabolic syndrome, hypertension and coronary artery disease.Mallampati score (MP) and percent predicted neck circumference (PPNC) together is considered to predict obstructive sleep apnea. The objective of the study is to assess the validity of PPNC and MP in the prediction of OSA. Material and methods: The study was a cross sectional study conducted among software professionals belong to Information Technology (IT) firms of Chennai. A total of 71 participants were included. All study participants were screened with berlin questionnaire and assessed with modified Mallampati scoring and overnight type IV polysomnography. PPNC was calculated. Predictive ability was assessed with ROC curve analysis, sensitivity, specificity, positive predictive value and negative predictive value. Results: Among the study participants,8...
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy, Sep 6, 2022
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy, Sep 6, 2022
Background: Gall bladder cancer (GBC) is a common cancer in the northern and Northeastern States ... more Background: Gall bladder cancer (GBC) is a common cancer in the northern and Northeastern States of India. The six cancer registries of the Indian Council of Medical Research (ICMR) show a 10 times lower incidence of GBC per 1 00 000 in South India compared with the North. The objective of present study was to assess the epidemiological and pathological profile of gallstone disease and GBC patients of Eastern India visiting tertiary care hospital of Kolkata. Method: This cross-sectional observational study was conducted, over a period of 18 months, at a tertiary referral hospital of Kolkata. In this study, 66 gallstone disease patients and 24 gallbladder cancer patients who undergone surgery were included in the study after their written informed consent. Pathological profile,and staging and type of gallbladder cancer were collected. Results: Male to female ratio was 1:2 & 1:3 for GSD and GBC respectively. We found that nearly half (45.4%) GSD patients were in the age group of 21-40 years and more than half (58.6%) GBC patients were in age group of 41-60 years. Majority had multiple stones (57.6%) and cholesterol stones were most common (59.1%). Out of 24 GBC patients, nearly one-third (33.3%) had stage II cancer and only 12.5% patients had stage IV cancer. More than one-fourth (29.2%) GBC patients had poorly differentiated carcinoma. Conclusion: The results of this study reaffirm that female gender and patients in fourth decade are strong predisposing factor for GSD and GBC. Large population based multicentric analytical study is further warranted.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Dengue fever is endemic in over 100 countries, with the majority of cases reported in the World H... more Dengue fever is endemic in over 100 countries, with the majority of cases reported in the World Health Organization (WHO) regions of the Americas, Southeast Asia and the Western Pacific. Dengue fever is endemic in almost every state in India, and it is the leading cause of hospitalisation. The presentation may vary from being asymptomatic to having mild syndrome. Among other neuro-ophthalmological manifestations, oculomotor neuropathy, optic neuropathy and unilateral abducens nerve palsy has been reported but to the best of authors' knowledge this is the first reported case of dengue virus related type three internuclear Ophthalmoplegia. A 47-year-old male patient presented with complaints of fever on and off for the last 3 days along with speech defects. At admission his blood pressure was 120/86 mmHg, pulse rate was 96 per minute. Oxygen saturation (SpO2 ) was 94%. He was thoroughly investigated for various viral and bacterial infections, none of which was detected in Polymera...
Journal of Communicable Diseases
Background: Despite the acceptance of COVID-19 vaccination by adults, the parents are hesitant to... more Background: Despite the acceptance of COVID-19 vaccination by adults, the parents are hesitant to vaccinate their children due to safety, side effects and efficiency concerns. The objective of the present study is to find acceptance of the COVID-19 vaccine for children among mothers. Materials and Method:This was a cross-sectional study conducted among mothers of children 2-12 years residing in a village of field practice area of Chettinad Hospital and Research Institute, Chengalpet district. A pre-tested, semi-structured questionnaire was used. Vaccine hesitancy was scored with the Likert scale. The data collected was entered and analysed with SPSS IBM version 22.0.Results:Among the study participants, the majority of the mothers 121 (90%) had more than 4 visits during their antenatal period. Institutional deliveries 124 (92%) were reported by mothers. The majority of the children 114 (82%) were fully vaccinated as per the immunisation schedule. Few of the mothers 46 (34.3%) report...
International journal of scientific research, 2020
Background: Metabolic syndrome is a multiplex risk factor that arises from insulin resistance acc... more Background: Metabolic syndrome is a multiplex risk factor that arises from insulin resistance accompanying abnormal adipose deposition and function. And not very much data and knowledge are available on the relationship between metabolic syndrome and renal dysfunction. The objective of the study is to Study Renal Functions in Metabolic Syndrome & its correlation with individual components of Metabolic Syndrome. Material and Methods: The study was a cross-sectional study conducted in the Department of Medicine & Department of Endocrinology R.G.KAR Medical College &Hospital, Kolkata. A total of 50 cases of Metabolic Syndrome and 50 controls were included. The statistical analysis was performed using Statistical Package for Social Sciences version 22(SPSSv22). Correlation analysis was done. p-value less than 0.05 was considered statistically signicant. Mean (SD) age in the case group is 37.76 (±9.76) years whereas in control group it was 38.3 (±8.9). Results: Thirty seven patients (74%) among cases have raised serum creatinine (>1mg/dl.(p value = 0.001). Thirty six patients (74%) among Cases have eGFR<60mL/min/1.73 m2(p value = 0.001). There is a positive correlation between systolic BP, Fasting blood sugar and serum Triglycerides with serum creatinine. (p value <0.05). There is a negative correlation of fasting blood sugar, diastolic BP, systolic BP, HDL and serum triglycerides with eGFR.(p value <0.05) The study found a relation between metabolic syndrome and renal dysfunction. Monitoring of renal Conclusions: parameters among those with metabolic syndrome is essential to avoid renal deterioration.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2021
Surveillance is an information for action. India has created considerable improvement in control,... more Surveillance is an information for action. India has created considerable improvement in control, prevention and eradication of certain communicable diseases. Few such diseases that have been effectively controlled are polio, smallpox, vector-borne illness, nipah, Coronavirus Disease-2019 (COVID-19) and so on. These achievements are the outcome of an active surveillance system incorporated at community, facility, and health system level. Any of these progresses is impossible without a robust public health surveillance structure. Therefore, enhancing the public health surveillance system further will be helpful in managing upcoming pandemics at its earliest. Improvements in public health surveillance should be synchronised with the goals of Universal Health Coverage and its regulating standards of safe guarding universal health as a right besides privilege, ensuring equity, non-discrimination, guarding the affected individual’s rights and respect their choice and placing health in pe...
Background: Health care centers generates large amount of Bio-Medical Waste (BMW), which needs to... more Background: Health care centers generates large amount of Bio-Medical Waste (BMW), which needs to be properly segregated and treated. The waste produced has a higher potential for infection and injury than any other type of wastes. Effective management of hospital wastes is considered as legal as well as a social responsibility. This study was conducted to assess the knowledge and practice of segregation, labelling, transportation and record keeping of biomedical waste management adopted by different health care personnel in different health care level. Material and methods: A cross sectional study were conducted among the doctors, nurses, technician and non-paramedical staffs of different health care centre in Amdanga community block, West Bengal. 714 study participants were assessed using pretested questionnaire. Kruskall – Wallis test was applied to assess the difference in knowledge among different health care workers. Results: All the doctors and 87.93% of the nurses, 71.43% of...
Journal of Education and Health Promotion, 2019
BACKGROUND: Knowledge of medical students about research has been little explored. Although there... more BACKGROUND: Knowledge of medical students about research has been little explored. Although there has been a practice of medical research among undergraduate level, the practice is not universal and there have been potential barriers and difficulties in carrying out the research. The present study was done to find the perception and attitude toward medical research and to assess the practices and potential barriers in carrying out medical research. METHODOLOGY: This cross-sectional study was conducted among 344 medical school students of a medical college in Chennai, Tamil Nadu, in 2018. Systematic random sampling was used. The study tool was self-administered questionnaire including questions on knowledge, barrier, and 5-point Likert scale for assessing attitude. Adequate knowledge (>70% correct answers) and positive attitude (>25 score) were considered. RESULTS: Among the 344 study participants, only 127 (36.9%) of students had adequate knowledge and 68 (19.8%) had positive attitude toward medical research. Regarding practice of research, only 34.3% had conducted a research and only 17.4% had published in journals. Difficulty in choosing topic, difficulty in collecting data, and allocation of time amidst academic activities were considered as a barrier by 41.6%, 40.7%, and 45.9%, respectively. Association of adequate knowledge and practice was statistically significant for age (P = 0.000), gender (P = 0.000), and academic year (P = 0.000). CONCLUSION: Adequate knowledge and positive attitude were lacking in majority of students. Barriers could be addressed by support programs and sensitization toward research.
ISRN Pediatrics, 2012
The neonatal mortality rate in India is amongst the highest in the world and skewed towards rural... more The neonatal mortality rate in India is amongst the highest in the world and skewed towards rural areas. Nonavailability of trained manpower along with poor healthcare infrastructure is one of the major hurdles in ensuring quality neonatal care. We reviewed case studies and relevant literature from low and middle income countries and documented alternative strategies that have proved to be favourable in improving neonatal health. The authors reiterate the fact that recruiting and retaining trained manpower in rural areas by all means is essential to improve the quality of neonatal care services. Besides this, other strategies such as training of local rural healthcare providers and traditional midwives, promoting home-based newborn care, and creating community awareness and mobilization also hold enough potential to influence the neonatal health positively and efforts should be made to implement them on a larger scale. More research is demanded for innovations such as “m-health” and...
International Journal of Medicine and Public Health, 2012
Diabetes Research and Clinical Practice, 2013
Journal of Evolution of Medical and Dental Sciences, Jun 21, 2021
BACKGROUND Breakfast is an important meal since it refuels the body after long night fasting. Reg... more BACKGROUND Breakfast is an important meal since it refuels the body after long night fasting. Regular intake of breakfast must have favourable supply of both micronutrients and macronutrients to maintain a body mass index (BMI) in the normal range. Despite its importance, the rate of skipping breakfast is observed to be alarmingly increasing among medical students. Therefore, the present study was undertaken to understand the dietary patterns, and physical activity level, and analyse the association of skipping breakfast with obesity among medical students. METHODS A cross-sectional study was conducted among 174 medical undergraduate students aged between 18 and 23 years in a tertiary care teaching hospital from August 2019 to October 2019. A pretested, semi-structured, validated, self-administered questionnaire was used to assess the profile, physical activity, food consumption pattern, and perception about the importance of breakfast meal. Regression analysis was done. Odds ratio was calculated. RESULTS About 23.6 % and 27 % of the study participants were found to be overweight and obese respectively. Only 51.1 % of study participants were involved in physical activity. 17.2 % of medical students skipped their breakfast regularly and 71.6 % were aware that skipping breakfast would affect work efficacy and span of concentration. Age group of 22-23 years (OR: 19.5, 95 % CI; 2.08, 183.70) was significantly associated with obesity. Skipping breakfast (OR, 0.45, 95 % CI: 0.23, 0.90) was not found to be associated with obesity. CONCLUSIONS Our study found that more than one fourth participants were obese and one third were skipping breakfast daily or more than thrice a week. There was no association between obesity and skipping of breakfast meal. However, the importance of breakfast meal in a day cannot be ignored. Awareness programs to practice healthy eating habits might help in prevention of obesity and overweight among students.
Journal of Communicable Diseases
With the introduction of vaccines, mortality and morbidity among children have significantly redu... more With the introduction of vaccines, mortality and morbidity among children have significantly reduced. While a good proportion of the population accepts the vaccine, still a gap remains in the immunisation coverage in India. A growing number of people are delaying or refusing the vaccines. This phenomenon is called “vaccine hesitancy.” In spite of the tremendous effort to develop an effective COVID 19 vaccine, a major deterrent for coverage of the same is vaccine hesitancy towards the approved and future COVID-19 vaccination. Consideration and addressing the determinants for such hesitancy is the need of the hour to surge the vaccine coverage. The databases were searched for English- language articles. The data were extracted from PubMed, Web of Science, Google Scholar databases and websites including WHO, UNICEF etc. Keywords such as vaccine hesitancy, vaccine acceptance, parents, confidence, counselling etc were used. This review was done to explore the history and factors responsi...
Background: Newborn death accounts for 40% of all deaths among the under five children. Most of t... more Background: Newborn death accounts for 40% of all deaths among the under five children. Most of the newborns are born and die at home in developing country. Newborn health intervention trials at the home and community is identified as one of the key strategy to prevent most newborn death. Objectives: The study was conducted to assess the newborn care practices and the associated factors among the mothers of resettlement colony in Delhi. Method: Cross sectional study was conducted among mothers of newborn in an urban slum of East Delhi. Systematic random sampling method was adopted to interview 360 mothers who had live newborns under 28 days old. The data was collected using a pretested, validated and semi structured questionnaire .Appropriate statistical tests were applied. Results: Among 360 study participants, 206(57.2%) preferred home delivery and 154(42.7%) of deliveries was conducted by skilled birth attendant. 31.1% of newborns were dried immediately. The cord was cut after th...
The National medical journal of India, 2012
Pereira SM, Barreto ML, Pilger D, Cruz AA, Sant’Anna C, Hijjar MA, Ichihara MY, Santos AC, Genser... more Pereira SM, Barreto ML, Pilger D, Cruz AA, Sant’Anna C, Hijjar MA, Ichihara MY, Santos AC, Genser B, Rodrigues LC. (Instituto de Saúde Coletiva, School of Medicine, Universidade Federal da Bahia, Salvador, Brazil; London School of Hygiene and Tropical Medicine, London, UK; School of Medicine, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; National School of Public Health, FIOCRUZ, Rio de Janeiro, Brazil; Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, University of Heidelberg, Germany.) Effectiveness and cost-effectiveness of first BCG vaccination against tuberculosis in school-age children without previous tuberculin test (BCG-REVAC trial): A cluster-randomised trial. Lancet Infect Dis 2012;12:300–06.
Journal of Clinical and Diagnostic Research, 2020
The COVID-19 pandemic has severely affected the delivery of essential healthcare services in Indi... more The COVID-19 pandemic has severely affected the delivery of essential healthcare services in India The massive disruption of the routine healthcare services had been circumvented to a certain extent with the application of telemedicine In the wake of the COVID-19 pandemic, the Government of India has issued regulatory guidelines and approved Registered Medical Practitioners (RMP) to adopt the usage of teleconsultation service which can be real-time or asynchronous to minimise the risk of disease transmission The commentary provides an in-depth review of the regulatory guidelines implemented by the Government of India and discusses the inherent structural and fundamental challenges associated with its wide-scale adoption, accessibility, and utilisation Though the Government of India had issued national guidelines to promote safe and effective usage of telemedicine practice, there remains certain primary structural, technical and institutional challenges regarding expansion of uninter...
Indian Journal of Public Health Research and Development, 2021
Introduction: Information Technology Industries has been a boon to many jobseekers. With its adva... more Introduction: Information Technology Industries has been a boon to many jobseekers. With its advantage,it has also brought many disadvantages in view of the health of the Software Engineers.Objectives: The objectives of the present study were to estimate the prevalence and pattern of musculoskeletalproblems among the Software EngineersMaterial and Methods: This study was a cross sectional study conducted among Software Engineersworking in a private firm Chennai. The sample size was calculated to be 403. The study was conductedwith the nordic questionnaire. The data was collected and analysed through Statistical Package for SocialSciences. Multivariate analysis, Chi square was calculated and P value of less than 0.05 was consideredsignificant.Results: The results showed that the median age of participants was 26 years. The overall prevalence ofmusculoskeletal problem in any area of focus was 85.6% in the past 1 year and 49.9% in the past 1 week.The majority was affected with problems...
Journal of Family & Community Medicine, 2020
Appropriate infant feeding is crucial for the improvement of child survival worldwide. This revie... more Appropriate infant feeding is crucial for the improvement of child survival worldwide. This review aimed to explore the recommended practices, advantages of breastfeeding, and age-appropriate complementary feeding practices. Colostrum, which serves as the first immunization for the newborn, is largely ignored owing to the various myths surrounding it in developing countries. The World Health Organization recommends an early initiation of breastfeeding within one hour of birth and exclusive breastfeeding for 6 months to combat killer diseases such as diarrheal diseases, pneumonia, and obesity. On the other hand, complementary feeding is recommended with increase in the diversity, quantity, consistency and frequency as the child gets older along with continued breastfeeding for 12 months. Inappropriate complementary feeding is one of the major causes of malnutrition in children under the age of 5 years. Hence, appropriate guidance should be given to caregivers and health-care workers ...
Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Au... more Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Author Dr Neha Taneja, Amity Institute of Public Health, Amity University, Amity Road, Sector 125, Noida, Uttar Pradesh 201313. E Mail ID: drnehataneja12@gmail.com
Annals of Tropical Medicine and Public Health, 2020
Background: Obstructive sleep apnea is a spectrum of sleep disturbances that cause short term and... more Background: Obstructive sleep apnea is a spectrum of sleep disturbances that cause short term and long-term effects including development of Type II diabetes mellitus, metabolic syndrome, hypertension and coronary artery disease.Mallampati score (MP) and percent predicted neck circumference (PPNC) together is considered to predict obstructive sleep apnea. The objective of the study is to assess the validity of PPNC and MP in the prediction of OSA. Material and methods: The study was a cross sectional study conducted among software professionals belong to Information Technology (IT) firms of Chennai. A total of 71 participants were included. All study participants were screened with berlin questionnaire and assessed with modified Mallampati scoring and overnight type IV polysomnography. PPNC was calculated. Predictive ability was assessed with ROC curve analysis, sensitivity, specificity, positive predictive value and negative predictive value. Results: Among the study participants,8...