Ankit Singh | Himalayan Institute of Medical Sciences (original) (raw)

Papers by Ankit Singh

Research paper thumbnail of Utilization and comparison of family planning services through national family health survey in Uttarakhand, India

International Journal of Research in Medical Sciences, 2019

Background: India was the first country to start family planning program in 1952. In the first 50... more Background: India was the first country to start family planning program in 1952. In the first 50 years there have been many changes in India. The family planning program name was changed from time to time. At the present scenario, its name is Reproductive and Child Health. In this study, authors evaluate utilization of family planning services with an objective to compare distribution of family planning services between the two regions of Uttarakhand: Garhwal and Kumaon.Methods: In this study, data mining was done using secondary database with the permission from International Institute for Population Sciences (IIPS) NFHS-4 data to carried out during 2015-2016 in Uttarakhand, India and estimate of the values for all the parameters of Family Planning was estimated. A statistical Z-score test was performed in the estimated of proportions in all study parameters of the family planning.Results: The study indicates that between the two divisions Garhwal has more utilization of family pl...

Research paper thumbnail of Utilization and comparison of family planning services through national family health survey in Uttarakhand, India

International Journal of Research in Medical Sciences

Background: India was the first country to start family planning program in 1952. In the first 50... more Background: India was the first country to start family planning program in 1952. In the first 50 years there have been many changes in India. The family planning program name was changed from time to time. At the present scenario, its name is Reproductive and Child Health. In this study, authors evaluate utilization of family planning services with an objective to compare distribution of family planning services between the two regions of Uttarakhand: Garhwal and Kumaon.Methods: In this study, data mining was done using secondary database with the permission from International Institute for Population Sciences (IIPS) NFHS-4 data to carried out during 2015-2016 in Uttarakhand, India and estimate of the values for all the parameters of Family Planning was estimated. A statistical Z-score test was performed in the estimated of proportions in all study parameters of the family planning.Results: The study indicates that between the two divisions Garhwal has more utilization of family pl...

Research paper thumbnail of Utilization of Maternal Health Care Services in Uttarakhand: Comparative Study Between Two Divisions: Kumaun and Garhwal

International Journal of Integrative Medical Sciences, Feb 20, 2019

Background: Maternal mortality remains a biggest setback in developing nations like India. Almost... more Background: Maternal mortality remains a biggest setback in developing nations like India. Almost 90% of maternal deaths can be prevented by timely intervention, antenatal care acts as an effective tool to reduce both maternal and infant mortality. The objective of this study is to assess the utilization of antenatal care services in two divisions of Uttarakhand: Kumaun and Garhwal. Materials and Methods: The study was carried out using secondary data source i.e. NFHS-4 data of Uttarakhand which is divided into two regions, Garhwal and Kumaun. Statistical test i.e. Z-test is used for the comparison between two regions and within inter districts of Uttarakhand. Result: The results of this study indicates that between the two regions i.e Kumaun has better utilization of maternal health care facilities. Nainital district recorded best and Pithoragarh district recorded the least utilization of ANC services in Kumaun division. In Garhwal division, district Chamoli and Dehradun recorded highest utilization of maternal health care services whereas Rudraprayag and Tehri-Garhwal had discouraging statistics. Conclusion: Uttarakhand has immensely progressed in terms of maternal health in recent times; still there are some key areas that require immediate attention. Certain districts in both Garhwal and Kumaun division need assistance to improve maternal health care seeking behavior amongst the mother and the family. Dissemination of information and benefits regarding the utilization of ANC services should be encouraged to achieve a reduction in maternal mortality.

Research paper thumbnail of Construction of nuptiality tables for the hilly rural population of Uttarakhand: 1931-2000

International Journal Of Community Medicine And Public Health, 2018

Background: Nuptiality has a strong association with socio demographic and socio economic change ... more Background: Nuptiality has a strong association with socio demographic and socio economic change in society. So, it has immense importance to study the female age at marriage in society. In order to study the nuptiality pattern in rural areas of Uttarakhand State, India, a number of measures like crude marriage rate, age sex specific marriage rates and similar other rates are used in the nuptiality tables.Methods: This paper deals with the study on the change in the nuptiality pattern through the life table approach in the seven cohorts 1931-40, 1941-50, 1951-60, 1961-70, 1971-80, 1981-90 and 1991-2000. It is observed that the rates are changing with time. We also calculate expected number of years of single life remaining to a single person at age x. It is also observed that the age at marriage is increasing as the time passes. The data for this has been collected through the primary collection technique and the paper includes all the nuptiality tables for the seven cohort systems....

Research paper thumbnail of Polynomial approach modeling among diabetic patients associated with age in rural hilly population of Dehradun district, Uttarakhand

International Journal of Research in Medical Sciences, 2018

Background: Diabetes mellitus is a form of infections that includes issues with the hormone insul... more Background: Diabetes mellitus is a form of infections that includes issues with the hormone insulin. It is described by constant rise of blood glucose level surprising ordinary esteem. In this paper, an exertion has been made to fit scientific model to diabetic patients and additionally its total dispersion for both genders related with time of rural population from Dehradun district, Uttarakhand.Methods: For this reason, the information have been taken from field overview in rural hilly population of Dehradun district. In this investigation, an endeavor has been given to demonstrate that the polynomial model is attempted to fit to the conveyance of diabetic patients related with age and also its cumulative distribution.Results: The fitted model provides statistically significant values with R2=0.9997 and ρcv2= 0.994857. This is the polynomial of degree four, i.e. bi-quadratic polynomial model. The polynomial model is assumed for the cumulative distribution of diabetic patients asso...

Research paper thumbnail of A Statistical study to estimate the effects of smoking and cotton dust exposure on lung function of cotton workers of Varanasi district, Uttar Pradesh, India

International Journal Of Community Medicine And Public Health, 2017

Background: Occupational health has been included in National Health Policy, with a mission of pr... more Background: Occupational health has been included in National Health Policy, with a mission of providing safe healthy environment for the cotton textile workers by Government of India. With large population being agriculture dependent, the cotton textiles sector is the second largest provider of employment in India. Workers of these cotton and related industries are exposed to cotton dust in mills during carding, blowing, spinning and weaving of cotton fibers. Smoking is another causative factor for aggravating these respiratory symptoms in workers as most of them are habitual to smoking due to work load. Following studies was initiated with an objective to evaluate the interaction between cotton dust exposure and smoking on the lung function of these subjectsMethods: Five hundred (500) male weavers, from Varanasi, the state of Uttar Pradesh, North India working in various spinning outlets, were approached for this study with work duration of 10-15years. These subjects selected were...

Research paper thumbnail of An epidemiological evaluation of risk factors for hypertension among a hilly rural population of India: a matched case-control study

International Journal of Medical Science and Public Health, 2016

Background: High blood pressure is a health risk factor that is considered one of the highest cau... more Background: High blood pressure is a health risk factor that is considered one of the highest causes of morbidity, one of the main leading causes for cardiovascular disease, and social global burden, in addition to the high-cost burden to the global health service providers. Blood pressure is affected by external and internal variables. Internal variables such as age, gender, and heredity cannot be changed. External variables such as exercise, reduced stress, and healthy diet can significantly improve blood pressure. Regular exercise can reduce blood pressure and help manage weight and stress. External factors gone unmanaged can cause hypertension that can lead to death. Objective: To assess the risk factor for hypertension among the hilly rural population of India. Materials and Methods: A community based case-control study conducted to investigate the risk factor for hypertension among the hilly rural population. In our study, we selected 12 villages, 6 from Nainital and 6 from Almora district of Uttarakhand state of India. In the 12 randomly selected villages of a hilly region of Uttarakhand state, 853 subjects of more than 18 years were screened for hypertension according to JNC 7 criteria; 119 cases and their age and sex-matched controls (1:1) were selected from August 1, 2014 to October 31, 2014. Cases and controls were interviewed with the help of appropriate schedule to elicit information pertaining to sociodemographic characteristics, behavioral parameters, and disease-related parameters. Anthropometric measurements and 24-h dietary recall method were used to assess the nutritional status. Results: Statistically significant elevated odds ratio was noted for alcohol, smoking, obesity, and salt quantity in food in those in the study population. Statistically significant odds ratio was noted for physical activity, vegetable intake, and fruits intake in both sexes. Conclusion: Physical activity, vegetable intake, and fruits intake seem to be a preventive factor for hypertension. Diabetes and dietary habit were not statistically associated with hypertension in both sexes.

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies, 2019

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...

Research paper thumbnail of Estimating and comparing the trends of fertility pattern from various birth cohorts in rural hilly population of Uttarakhand

Asian Pacific Journal of Health Sciences

two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive... more two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive association between wealth, status, and fertility. [3-5] It is often reported that at least in developing countries "fertility strongly associated with sociodemographic and socioeconomic change." Recently, macroeconomists, in particular, have taken note of this stylized fact and positioned a relationship between this fertility gap and inequality. [6] This presents the data for estimates of fertility, collected by the primary collection method based on the seven birth cohorts

Research paper thumbnail of Polynomial approach modeling among diabetic patients associated with age in rural hilly population of Dehradun district, Uttarakhand

International Journal of Research in Medical Sciences

Background: Diabetes mellitus is a form of infections that includes issues with the hormone insul... more Background: Diabetes mellitus is a form of infections that includes issues with the hormone insulin. It is described by constant rise of blood glucose level surprising ordinary esteem. In this paper, an exertion has been made to fit scientific model to diabetic patients and additionally its total dispersion for both genders related with time of rural population from Dehradun district, Uttarakhand.Methods: For this reason, the information have been taken from field overview in rural hilly population of Dehradun district. In this investigation, an endeavor has been given to demonstrate that the polynomial model is attempted to fit to the conveyance of diabetic patients related with age and also its cumulative distribution.Results: The fitted model provides statistically significant values with R2=0.9997 and ρcv2= 0.994857. This is the polynomial of degree four, i.e. bi-quadratic polynomial model. The polynomial model is assumed for the cumulative distribution of diabetic patients asso...

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...

Research paper thumbnail of Utilization and comparison of family planning services through national family health survey in Uttarakhand, India

International Journal of Research in Medical Sciences, 2019

Background: India was the first country to start family planning program in 1952. In the first 50... more Background: India was the first country to start family planning program in 1952. In the first 50 years there have been many changes in India. The family planning program name was changed from time to time. At the present scenario, its name is Reproductive and Child Health. In this study, authors evaluate utilization of family planning services with an objective to compare distribution of family planning services between the two regions of Uttarakhand: Garhwal and Kumaon.Methods: In this study, data mining was done using secondary database with the permission from International Institute for Population Sciences (IIPS) NFHS-4 data to carried out during 2015-2016 in Uttarakhand, India and estimate of the values for all the parameters of Family Planning was estimated. A statistical Z-score test was performed in the estimated of proportions in all study parameters of the family planning.Results: The study indicates that between the two divisions Garhwal has more utilization of family pl...

Research paper thumbnail of Utilization and comparison of family planning services through national family health survey in Uttarakhand, India

International Journal of Research in Medical Sciences

Background: India was the first country to start family planning program in 1952. In the first 50... more Background: India was the first country to start family planning program in 1952. In the first 50 years there have been many changes in India. The family planning program name was changed from time to time. At the present scenario, its name is Reproductive and Child Health. In this study, authors evaluate utilization of family planning services with an objective to compare distribution of family planning services between the two regions of Uttarakhand: Garhwal and Kumaon.Methods: In this study, data mining was done using secondary database with the permission from International Institute for Population Sciences (IIPS) NFHS-4 data to carried out during 2015-2016 in Uttarakhand, India and estimate of the values for all the parameters of Family Planning was estimated. A statistical Z-score test was performed in the estimated of proportions in all study parameters of the family planning.Results: The study indicates that between the two divisions Garhwal has more utilization of family pl...

Research paper thumbnail of Utilization of Maternal Health Care Services in Uttarakhand: Comparative Study Between Two Divisions: Kumaun and Garhwal

International Journal of Integrative Medical Sciences, Feb 20, 2019

Background: Maternal mortality remains a biggest setback in developing nations like India. Almost... more Background: Maternal mortality remains a biggest setback in developing nations like India. Almost 90% of maternal deaths can be prevented by timely intervention, antenatal care acts as an effective tool to reduce both maternal and infant mortality. The objective of this study is to assess the utilization of antenatal care services in two divisions of Uttarakhand: Kumaun and Garhwal. Materials and Methods: The study was carried out using secondary data source i.e. NFHS-4 data of Uttarakhand which is divided into two regions, Garhwal and Kumaun. Statistical test i.e. Z-test is used for the comparison between two regions and within inter districts of Uttarakhand. Result: The results of this study indicates that between the two regions i.e Kumaun has better utilization of maternal health care facilities. Nainital district recorded best and Pithoragarh district recorded the least utilization of ANC services in Kumaun division. In Garhwal division, district Chamoli and Dehradun recorded highest utilization of maternal health care services whereas Rudraprayag and Tehri-Garhwal had discouraging statistics. Conclusion: Uttarakhand has immensely progressed in terms of maternal health in recent times; still there are some key areas that require immediate attention. Certain districts in both Garhwal and Kumaun division need assistance to improve maternal health care seeking behavior amongst the mother and the family. Dissemination of information and benefits regarding the utilization of ANC services should be encouraged to achieve a reduction in maternal mortality.

Research paper thumbnail of Construction of nuptiality tables for the hilly rural population of Uttarakhand: 1931-2000

International Journal Of Community Medicine And Public Health, 2018

Background: Nuptiality has a strong association with socio demographic and socio economic change ... more Background: Nuptiality has a strong association with socio demographic and socio economic change in society. So, it has immense importance to study the female age at marriage in society. In order to study the nuptiality pattern in rural areas of Uttarakhand State, India, a number of measures like crude marriage rate, age sex specific marriage rates and similar other rates are used in the nuptiality tables.Methods: This paper deals with the study on the change in the nuptiality pattern through the life table approach in the seven cohorts 1931-40, 1941-50, 1951-60, 1961-70, 1971-80, 1981-90 and 1991-2000. It is observed that the rates are changing with time. We also calculate expected number of years of single life remaining to a single person at age x. It is also observed that the age at marriage is increasing as the time passes. The data for this has been collected through the primary collection technique and the paper includes all the nuptiality tables for the seven cohort systems....

Research paper thumbnail of Polynomial approach modeling among diabetic patients associated with age in rural hilly population of Dehradun district, Uttarakhand

International Journal of Research in Medical Sciences, 2018

Background: Diabetes mellitus is a form of infections that includes issues with the hormone insul... more Background: Diabetes mellitus is a form of infections that includes issues with the hormone insulin. It is described by constant rise of blood glucose level surprising ordinary esteem. In this paper, an exertion has been made to fit scientific model to diabetic patients and additionally its total dispersion for both genders related with time of rural population from Dehradun district, Uttarakhand.Methods: For this reason, the information have been taken from field overview in rural hilly population of Dehradun district. In this investigation, an endeavor has been given to demonstrate that the polynomial model is attempted to fit to the conveyance of diabetic patients related with age and also its cumulative distribution.Results: The fitted model provides statistically significant values with R2=0.9997 and ρcv2= 0.994857. This is the polynomial of degree four, i.e. bi-quadratic polynomial model. The polynomial model is assumed for the cumulative distribution of diabetic patients asso...

Research paper thumbnail of A Statistical study to estimate the effects of smoking and cotton dust exposure on lung function of cotton workers of Varanasi district, Uttar Pradesh, India

International Journal Of Community Medicine And Public Health, 2017

Background: Occupational health has been included in National Health Policy, with a mission of pr... more Background: Occupational health has been included in National Health Policy, with a mission of providing safe healthy environment for the cotton textile workers by Government of India. With large population being agriculture dependent, the cotton textiles sector is the second largest provider of employment in India. Workers of these cotton and related industries are exposed to cotton dust in mills during carding, blowing, spinning and weaving of cotton fibers. Smoking is another causative factor for aggravating these respiratory symptoms in workers as most of them are habitual to smoking due to work load. Following studies was initiated with an objective to evaluate the interaction between cotton dust exposure and smoking on the lung function of these subjectsMethods: Five hundred (500) male weavers, from Varanasi, the state of Uttar Pradesh, North India working in various spinning outlets, were approached for this study with work duration of 10-15years. These subjects selected were...

Research paper thumbnail of An epidemiological evaluation of risk factors for hypertension among a hilly rural population of India: a matched case-control study

International Journal of Medical Science and Public Health, 2016

Background: High blood pressure is a health risk factor that is considered one of the highest cau... more Background: High blood pressure is a health risk factor that is considered one of the highest causes of morbidity, one of the main leading causes for cardiovascular disease, and social global burden, in addition to the high-cost burden to the global health service providers. Blood pressure is affected by external and internal variables. Internal variables such as age, gender, and heredity cannot be changed. External variables such as exercise, reduced stress, and healthy diet can significantly improve blood pressure. Regular exercise can reduce blood pressure and help manage weight and stress. External factors gone unmanaged can cause hypertension that can lead to death. Objective: To assess the risk factor for hypertension among the hilly rural population of India. Materials and Methods: A community based case-control study conducted to investigate the risk factor for hypertension among the hilly rural population. In our study, we selected 12 villages, 6 from Nainital and 6 from Almora district of Uttarakhand state of India. In the 12 randomly selected villages of a hilly region of Uttarakhand state, 853 subjects of more than 18 years were screened for hypertension according to JNC 7 criteria; 119 cases and their age and sex-matched controls (1:1) were selected from August 1, 2014 to October 31, 2014. Cases and controls were interviewed with the help of appropriate schedule to elicit information pertaining to sociodemographic characteristics, behavioral parameters, and disease-related parameters. Anthropometric measurements and 24-h dietary recall method were used to assess the nutritional status. Results: Statistically significant elevated odds ratio was noted for alcohol, smoking, obesity, and salt quantity in food in those in the study population. Statistically significant odds ratio was noted for physical activity, vegetable intake, and fruits intake in both sexes. Conclusion: Physical activity, vegetable intake, and fruits intake seem to be a preventive factor for hypertension. Diabetes and dietary habit were not statistically associated with hypertension in both sexes.

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies, 2019

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...

Research paper thumbnail of Estimating and comparing the trends of fertility pattern from various birth cohorts in rural hilly population of Uttarakhand

Asian Pacific Journal of Health Sciences

two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive... more two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive association between wealth, status, and fertility. [3-5] It is often reported that at least in developing countries "fertility strongly associated with sociodemographic and socioeconomic change." Recently, macroeconomists, in particular, have taken note of this stylized fact and positioned a relationship between this fertility gap and inequality. [6] This presents the data for estimates of fertility, collected by the primary collection method based on the seven birth cohorts

Research paper thumbnail of Polynomial approach modeling among diabetic patients associated with age in rural hilly population of Dehradun district, Uttarakhand

International Journal of Research in Medical Sciences

Background: Diabetes mellitus is a form of infections that includes issues with the hormone insul... more Background: Diabetes mellitus is a form of infections that includes issues with the hormone insulin. It is described by constant rise of blood glucose level surprising ordinary esteem. In this paper, an exertion has been made to fit scientific model to diabetic patients and additionally its total dispersion for both genders related with time of rural population from Dehradun district, Uttarakhand.Methods: For this reason, the information have been taken from field overview in rural hilly population of Dehradun district. In this investigation, an endeavor has been given to demonstrate that the polynomial model is attempted to fit to the conveyance of diabetic patients related with age and also its cumulative distribution.Results: The fitted model provides statistically significant values with R2=0.9997 and ρcv2= 0.994857. This is the polynomial of degree four, i.e. bi-quadratic polynomial model. The polynomial model is assumed for the cumulative distribution of diabetic patients asso...

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...