asha kiran - Academia.edu (original) (raw)

Papers by asha kiran

International Journal of Research in Medical Sciences

Background: World Health Organization defines family planning as a way of thinking and living tha... more Background: World Health Organization defines family planning as a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes and responsible decisions by individuals and couples, in order to promote the health and welfare of the family group and thus contribute effectively to the social development of a country. The objectives of the study were to estimate contraceptive usage in married females of the reproductive age group and its determinants. Methods: A cross-sectional analytical study was conducted in Obstetrics and Gynecology Department, RIMS, Ranchi. Study participants were married females of the reproductive age group attending OPD in the study period. The sample size was calculated using scientific formula. Data collection used a pretested semi-structured questionnaire including basic information like sociodemographic profile etc. The data was analyzed using SPSS version 20. Results: The study included 384 participants. Only 20.3% of part...

International Journal Of Community Medicine And Public Health, 2021

Background: Anemia has been recognized as the most common form of nutritional deficiency worldwid... more Background: Anemia has been recognized as the most common form of nutritional deficiency worldwide, particularly in developing countries like India. Anemia is a public health problem in both developed and developing countries. It affects 1.62 billion people globally, which corresponds to 24.8% of the world population. Though anemia is easily treatable and preventable disease, it continues to be significantly associated with pregnancy. The aims of the study were to determine the magnitude of anemia in pregnant women according to severity and to find out association of anemia with different variables.Methods: The present study was a retrospective type of study which was conducted over a period of 2 years. A total of 109 antenatal females were registered over the period of 2 years.Results: The most common age group seen was 26-30 years (45%), majority of females were Hindu (95.4%) and belonged to lower socio-economic status (52.3%). The obstetrics history of the antenatal females’ show...

Education in Medicine Journal, Jan 9, 2013

Education in Medicine Journal, 2013

Humour has been used in class room teaching. Concerns have been raised about the use of humour es... more Humour has been used in class room teaching. Concerns have been raised about the use of humour especially at the bedside in the context of disease and death. Despite a proven beneficial role in improving attendance and content assimilation, very few studies have reported humour as a tool in medical teaching. We addressed the issue in an online moderated discussion (ML Web platform) amongst medical faculty (n=32) in the South East Asian Region as part of an e-learning exercise (part of FAIMER Fellowship programme). The discussion, lasting a month (Jan 2012) revolved around perspectives, comfort zones in the use of humour in medical teaching/learning process and documenting the use of edutainment in medical training. Faculty and fellows (each having at least 5-10 years of teaching experience with medical students) involved in discussion were from varied disciplines. The responses were collected over 4 weeks of participation. Participants were requested to refrain from direct and personal insults as a means of using humour. 199 e-mails (listserv) during the month long discussion (100 jokes besides others). Medical faculty (n=32) is primarily enthusiastic and willing to use humour in classroom/small group of students (Perspective); they are uncomfortable with patient situations (comfort zone). Bedside (situation) teaching is tense and gloomy. Risk of negative humour is disproportionately high. Medical learning situations need a "different" sense of humour (in Teaching/ Learning situation). Visual (e-based) and verbal (modules on humanities) may be the way ahead.

BMC Nutrition

A multicentric study is being conducted in which children with severe acute malnutrition (SAM) ag... more A multicentric study is being conducted in which children with severe acute malnutrition (SAM) aged 6–59 months are identified with only weight-for-height z-score (WHZ) < − 3 criteria. The present study aimed to assess associations of anthropometric parameters and body composition parameters, to improve treatment of SAM. We conducted a cross-section assessment using the enrolment data of children who participated in a multi-centric longitudinal controlled study from five Indian states. Fat-free mass (FFM) and fat mass (FM) were determined by bio-electrical impedance analysis (BIA). Six hundred fifty-nine children were enrolled in the study using WHZ < -3 criteria. Available data shows that WHZ, WAZ and BMIZ were significantly associated with FFMI while MUACZ was significantly associated with both FMI and FFMI. Children with both severe wasting and severe stunting had significantly lower FFMI compared to those who were only severely wasted. All forms of anthropometric deficits ...

Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to imp... more Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to improve survival and quality of life. Aims and objective: 1) Socio-demographic profile of attendee of ICTC. 2) Willingness to disclose HIV positive status among attendee of ICTC. Material and method: A cross sectional, institutional based study was conducted at ICTC of Rims, Ranchi, and Jharkhand. Total 116 subjects were included in the study. Pre tested, semi structured questionnaire were used for data collection. Data entry was done in MS excel and analyzed in spss software. Results: Out of 116 attendee majority were male (68.1%), unmarried (56%), Hindu (56.9%), non tribal (65.5%), graduate (40.5%) and belonged to age group of 26-35 years of age (42.2%). Conclusion: Intense IEC activities regarding spread and prevention from HIV/AIDS and behavioral changes is necessary and increasing the availability and number of ICTC services will beneficial for community and individual.

Additional file 1. Overview of the state specific CSAM protocols for management of uncomplicated ... more Additional file 1. Overview of the state specific CSAM protocols for management of uncomplicated SAM.

International Journal of Research in Medical Sciences, 2017

Background: Apparently healthy blood donors may carry double viral co-infections that might be mo... more Background: Apparently healthy blood donors may carry double viral co-infections that might be more fatal than viral mono-infection for the donor himself as well as recipient later on.Methods: All blood samples were screened for HIV-I and II (4th generation kit), HBV and HCV (3rd generation kit) by using chemiluminescence technique (Manufacturer- Abbott, Model-Architect i 1000SR).Results: On screening of 41307 blood units, 829 (2.0%) donors were found positive for one of the viral infection (HBV, HCV and HIV). Highest prevalence was for HBV (417 donors- 1.0%) followed by HCV (324 donors- 0.78 %) and HIV (88 donors- 0.21 %).Conclusions: Apparently healthy blood donors might carry, life threatening, double viral co-infections in their blood. Failure to diagnose and treat co-infection at an early stage results in serious complications and sequelae. For safe blood transfusion all blood units should be tested for compatibility and TTI’s with reduction in unnecessary blood transfusion.

Pattern of Non Communicable Diseases in Patients Attending Medicine Opd at a Tertiary Carehospital of Ranchi Jharkhand, Jan 4, 2015

BACKGROUND: Globally, non-communicable diseases (NCDs) are increasingly recognized as a major cau... more BACKGROUND: Globally, non-communicable diseases (NCDs) are increasingly recognized as a major cause of morbidity and mortality. These diseases have reached epidemic proportions, yet they could be significantly reduced, with millions of lives saved and untold suffering avoided, through reduction of their risk factors, early detection and timely treatments. Objective: To study the risk factors responsible for the development of non-communicable diseases in the patients attending Medicine OPD at RIMS, Ranchi. MATERIALS AND METHODS: It was a cross-sectional observational study. The sample sizes of 207 patients were selected by Consecutive Sampling Method from OPD of Medicine department of Rajendra Institute of Medical Sciences, Ranchi, Jharkhand. Patients above 30 years of age irrespective of sex were selected in our study and road traffic accident cases & cases of blindness were excluded. Statistical Analysis was done in Proportions. RESULTS: Out of 207 cases 56.52% cases were NCDs. Th...

Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other rout... more Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other routes and are being increasingly recognized as a serious public health problem. RTIs cause suffering both to men and women,but their consequences are far more devastating and widespread among women.Aims and Objectives:1)To describe socio-demographic factors related to reproductive tract infection in female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. 2) To find the risk factors associated with reproductive tract infection among female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. Material and Methods: Cross sectional study was conducted at Obstetric & Gynaecology OPD of Rims from 15 February 2014 to 1 st April 2015.Data on variables like age, sex, Religion,Marital Status,Occupation was taken and all symptomatic & asymptomatic women were counselled for examination & investigations & given syndromic treatment. Follow-up done to assess impact of syndromic treatment.Statistical Analysis: Template generated in MS Excel Sheet and analysis was done on SPSS software. Result: Out of 123 women surveyed majority were Married 48(39.0%),Hindu 70(59.6%),Housewife 41(39.8%) and belong to age group between 26-35 yrs of age 59(47.96%). Laboratorial diagnosed RTIs were vaginal candidiasis 32(26.01%), Pelvic inflammatory disease 20(16.26%), Shyphillis 22(17.88%),Chlamydial infection 15(12.19%). After syndromic treatment, prevalence of RTIs has statistically significantly reduced Conclusion: Syndromic Rx & health education can definitely reduce RTIs.

BMC Nutrition

Background Severe acute malnutrition (SAM) is a major underlying cause of mortality among childre... more Background Severe acute malnutrition (SAM) is a major underlying cause of mortality among children. Around one third of the world’s acutely malnourished children live in India. The WHO recommends community-based management of acute malnutrition (CMAM) for managing children with SAM. In India, different states are implementing community-based SAM treatment programme, hereinafter called CSAM, using varieties of locally produced nutrient dense food items with different nutrient compositions. The study will assess the effectiveness of these state specific CSAM interventions. Methods The longitudinal quasi-experimental study will be undertaken in two purposively selected blocks of one district each in the four intervention states and one comparison state. From each state, 200 SAM children identified using weight-for-length/height z-score (WHZ)

Healthline, Journal of Indian Association of Preventive and Social Medicine, 2015

To assess the trend of transfusion transmitted infections (TTIs)among blood donors from the recor... more To assess the trend of transfusion transmitted infections (TTIs)among blood donors from the records (2008-2012) at blood bank, RIMS, Ranchi. (2) To study the sero-prevalence of TTIs among blood donors from the records. A record based study was conducted from June 2013- August 2013. Data were collected from the records of blood bank which also included data of blood donation camps. Data regarding sex, screening test results and type of donors were collected from the records. Out of 63803 donors, voluntary donors (56.34%) were more in comparison to replacement donors (43.66%). Out of all TTIs, prevalence of HBV (1.01%) was highest followed by Malaria (0.33%), HCV (0.14%), HIV (0.08%) and Syphilis (0.03%). TTIs were more prevalent in replacement donors than voluntary donors. The number of voluntary donors has risen from 2008 -2012, but there is male preponderance in both voluntary and replacement donors than females.

International Journal of Community Medicine and Public Health, 2020

Globally, undernutrition affects an estimated 165 million children and contributes to an estimate... more Globally, undernutrition affects an estimated 165 million children and contributes to an estimated 45% of all child deaths. Poor nutrition also carries a huge economic burden for individuals and for the entire country. Undernutrition among children less than 5 years is associated with poor cognitive and educational performance, reduced work capacity and lower wages in adulthood. Individual productivity losses attributable to undernutrition are estimated to be more than 10 percent of lifetime earnings and around 2-3% of gross domestic product (GDP) loss (World Bank, 2006). India has a large proportion of the world’s children with undernutrition. One of the markers of undernutrition is SAM among children aged 6-59 months, defined by a weight-for-height/length Z-score (WHZ) <3, a mid-upper arm circumference (MUAC) <115 mm or by the presence ABSTRACT

Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other rout... more Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other routes and are being increasingly recognized as a serious public health problem. RTIs cause suffering both to men and women,but their consequences are far more devastating and widespread among women.Aims and Objectives:1)To describe socio-demographic factors related to reproductive tract infection in female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. 2) To find the risk factors associated with reproductive tract infection among female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. Material and Methods: Cross sectional study was conducted at Obstetric & Gynaecology OPD of Rims from 15 February 2014 to 1 April 2015.Data on variables like age, sex, Religion,Marital Status,Occupation was taken and all symptomatic & asymptomatic women were counselled for examination & investigations & given syndromic treatment. Follow-up done to assess impa...

Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to imp... more Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to improve survival and quality of life. Aims and objective: 1) Socio-demographic profile of attendee of ICTC. 2) Willingness to disclose HIV positive status among attendee of ICTC. Material and method: A cross sectional, institutional based study was conducted at ICTC of Rims, Ranchi, and Jharkhand. Total 116 subjects were included in the study. Pre tested, semi structured questionnaire were used for data collection. Data entry was done in MS excel and analyzed in spss software. Results: Out of 116 attendee majority were male (68.1%), unmarried (56%), Hindu (56.9%), non tribal (65.5%), graduate (40.5%) and belonged to age group of 26-35 years of age (42.2%). Conclusion: Intense IEC activities regarding spread and prevention from HIV/AIDS and behavioral changes is necessary and increasing the availability and number of ICTC services will beneficial for community and individual.

India witnessing an increasing trend in the number of people suffering from hypertension. Behavio... more India witnessing an increasing trend in the number of people suffering from hypertension. Behavioural risk factors for hypertension are widely prevalent in all societies in our country. This study was done to describe the association between selected behavioural risk factors and hypertension in a rural community in Jharkhand. A descriptive cross sectional study in rural field practice area of RIMS was conducted. Total 500 people were interviewed from the area. Subjects 20 years and above were taken for study from both sex. Pre-tested semi structured questionnaire were used for data collection. Template was generated in MS excel and data analysis was done using SPSS software. Prevalence of hypertension and pre hypertension found to be 19.8% and 27.6% respectively. Among tobacco users 24.4% of the subjects were found to be hypertensive as compared to 16.0% among non-users (p value-0.018). Higher prevalence of hypertension was noted among subjects with mild physical activity than those...

Malnutrition Treatment Centre (MTC) with the intention to improve the quality of care for Severe... more Malnutrition Treatment Centre (MTC) with the intention to improve the quality of care for Severe Acute Malnutrition (SAM) children and to reduce child mortality. Aim- To assess the sustained weight gain in children during follow up. METHODOLOGY- Descriptive Prospective Study done in MTC of Mandar, Community Health Centre (CHC) and State Dispensary Doranda (SDD) of Ranchi district of Jharkhand. RESULT- Out of 145 cases final result was obtained from 120 admitted SAM children. Most of children up to age group 13-18 months 43(35.8%) followed by 25-60 months 33(27.5%). Mean age of the children was about 18.82 ± 11.339 months. 74 (61.66%) were female and male were 46 (38.33%) belonging to13 – 18 months of age group (34.16%). 15.83% children attain all four follow up and 55.83% did not attain any follow up. CONCLUSION- Study had pointed out the weakness at follow up visits.

Context: Double or triple viral co-infections in apparently healthy blood donors might be more fa... more Context: Double or triple viral co-infections in apparently healthy blood donors might be more fatal than viral mono- infection. Aim: To assess the trend of seroprevalence of double and triple viral co-infections among apparently healthy blood donors in Ranchi, Jharkhand. Materials and Methods: All blood samples were screened for HIV-I and II, HBV and HCV by using chemiluminescence techanique. Result: On screening of 57424 blood units, 1064(1.85%) donors were found positive for viral mono-infection (HBV,HCV& HIV). 14 (0.024%) donors showed double viral co-infections. Conclusion: Apparently healthy blood donors might carry, life threatening, double and triple viral co-infections in their blood. Failure to diagnose and treat co-infection at an early stage results in serious complications and sequelae.

International Journal Of Community Medicine And Public Health

Background: Worldwide, road traffic accident (RTA) poses a public health and development challeng... more Background: Worldwide, road traffic accident (RTA) poses a public health and development challenge and greatly affects the human capital development of every nation. This study aims in providing tangible evidences about determinants of road traffic accident cases at tertiary care center with a good area coverage giving insight into burden of RTA.Methods: This study was cross sectional hospital based study done in Rajendra Institute of Medical Science Ranchi, Jharkhand. Patients coming to emergency department were recorded and followed in ENT, neurosurgery and orthopedics department of RIMS, Ranchi in the period of one month (15th January to 20th Febuary2019).Results: Most of the patients were (59%) among the age group of 19-35 years of which 89.5% of the patients were male. 84.8% of the accident took place while motorcycle was driven. 53.3% of the patients were without license. Majority of the cases were driving between the speed of 30-60 km/hr at the time of accident. Majority of c...

International Journal of Research in Medical Sciences

Background: World Health Organization defines family planning as a way of thinking and living tha... more Background: World Health Organization defines family planning as a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes and responsible decisions by individuals and couples, in order to promote the health and welfare of the family group and thus contribute effectively to the social development of a country. The objectives of the study were to estimate contraceptive usage in married females of the reproductive age group and its determinants. Methods: A cross-sectional analytical study was conducted in Obstetrics and Gynecology Department, RIMS, Ranchi. Study participants were married females of the reproductive age group attending OPD in the study period. The sample size was calculated using scientific formula. Data collection used a pretested semi-structured questionnaire including basic information like sociodemographic profile etc. The data was analyzed using SPSS version 20. Results: The study included 384 participants. Only 20.3% of part...

International Journal Of Community Medicine And Public Health, 2021

Background: Anemia has been recognized as the most common form of nutritional deficiency worldwid... more Background: Anemia has been recognized as the most common form of nutritional deficiency worldwide, particularly in developing countries like India. Anemia is a public health problem in both developed and developing countries. It affects 1.62 billion people globally, which corresponds to 24.8% of the world population. Though anemia is easily treatable and preventable disease, it continues to be significantly associated with pregnancy. The aims of the study were to determine the magnitude of anemia in pregnant women according to severity and to find out association of anemia with different variables.Methods: The present study was a retrospective type of study which was conducted over a period of 2 years. A total of 109 antenatal females were registered over the period of 2 years.Results: The most common age group seen was 26-30 years (45%), majority of females were Hindu (95.4%) and belonged to lower socio-economic status (52.3%). The obstetrics history of the antenatal females’ show...

Education in Medicine Journal, Jan 9, 2013

Education in Medicine Journal, 2013

Humour has been used in class room teaching. Concerns have been raised about the use of humour es... more Humour has been used in class room teaching. Concerns have been raised about the use of humour especially at the bedside in the context of disease and death. Despite a proven beneficial role in improving attendance and content assimilation, very few studies have reported humour as a tool in medical teaching. We addressed the issue in an online moderated discussion (ML Web platform) amongst medical faculty (n=32) in the South East Asian Region as part of an e-learning exercise (part of FAIMER Fellowship programme). The discussion, lasting a month (Jan 2012) revolved around perspectives, comfort zones in the use of humour in medical teaching/learning process and documenting the use of edutainment in medical training. Faculty and fellows (each having at least 5-10 years of teaching experience with medical students) involved in discussion were from varied disciplines. The responses were collected over 4 weeks of participation. Participants were requested to refrain from direct and personal insults as a means of using humour. 199 e-mails (listserv) during the month long discussion (100 jokes besides others). Medical faculty (n=32) is primarily enthusiastic and willing to use humour in classroom/small group of students (Perspective); they are uncomfortable with patient situations (comfort zone). Bedside (situation) teaching is tense and gloomy. Risk of negative humour is disproportionately high. Medical learning situations need a "different" sense of humour (in Teaching/ Learning situation). Visual (e-based) and verbal (modules on humanities) may be the way ahead.

BMC Nutrition

A multicentric study is being conducted in which children with severe acute malnutrition (SAM) ag... more A multicentric study is being conducted in which children with severe acute malnutrition (SAM) aged 6–59 months are identified with only weight-for-height z-score (WHZ) < − 3 criteria. The present study aimed to assess associations of anthropometric parameters and body composition parameters, to improve treatment of SAM. We conducted a cross-section assessment using the enrolment data of children who participated in a multi-centric longitudinal controlled study from five Indian states. Fat-free mass (FFM) and fat mass (FM) were determined by bio-electrical impedance analysis (BIA). Six hundred fifty-nine children were enrolled in the study using WHZ < -3 criteria. Available data shows that WHZ, WAZ and BMIZ were significantly associated with FFMI while MUACZ was significantly associated with both FMI and FFMI. Children with both severe wasting and severe stunting had significantly lower FFMI compared to those who were only severely wasted. All forms of anthropometric deficits ...

Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to imp... more Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to improve survival and quality of life. Aims and objective: 1) Socio-demographic profile of attendee of ICTC. 2) Willingness to disclose HIV positive status among attendee of ICTC. Material and method: A cross sectional, institutional based study was conducted at ICTC of Rims, Ranchi, and Jharkhand. Total 116 subjects were included in the study. Pre tested, semi structured questionnaire were used for data collection. Data entry was done in MS excel and analyzed in spss software. Results: Out of 116 attendee majority were male (68.1%), unmarried (56%), Hindu (56.9%), non tribal (65.5%), graduate (40.5%) and belonged to age group of 26-35 years of age (42.2%). Conclusion: Intense IEC activities regarding spread and prevention from HIV/AIDS and behavioral changes is necessary and increasing the availability and number of ICTC services will beneficial for community and individual.

Additional file 1. Overview of the state specific CSAM protocols for management of uncomplicated ... more Additional file 1. Overview of the state specific CSAM protocols for management of uncomplicated SAM.

International Journal of Research in Medical Sciences, 2017

Background: Apparently healthy blood donors may carry double viral co-infections that might be mo... more Background: Apparently healthy blood donors may carry double viral co-infections that might be more fatal than viral mono-infection for the donor himself as well as recipient later on.Methods: All blood samples were screened for HIV-I and II (4th generation kit), HBV and HCV (3rd generation kit) by using chemiluminescence technique (Manufacturer- Abbott, Model-Architect i 1000SR).Results: On screening of 41307 blood units, 829 (2.0%) donors were found positive for one of the viral infection (HBV, HCV and HIV). Highest prevalence was for HBV (417 donors- 1.0%) followed by HCV (324 donors- 0.78 %) and HIV (88 donors- 0.21 %).Conclusions: Apparently healthy blood donors might carry, life threatening, double viral co-infections in their blood. Failure to diagnose and treat co-infection at an early stage results in serious complications and sequelae. For safe blood transfusion all blood units should be tested for compatibility and TTI’s with reduction in unnecessary blood transfusion.

Pattern of Non Communicable Diseases in Patients Attending Medicine Opd at a Tertiary Carehospital of Ranchi Jharkhand, Jan 4, 2015

BACKGROUND: Globally, non-communicable diseases (NCDs) are increasingly recognized as a major cau... more BACKGROUND: Globally, non-communicable diseases (NCDs) are increasingly recognized as a major cause of morbidity and mortality. These diseases have reached epidemic proportions, yet they could be significantly reduced, with millions of lives saved and untold suffering avoided, through reduction of their risk factors, early detection and timely treatments. Objective: To study the risk factors responsible for the development of non-communicable diseases in the patients attending Medicine OPD at RIMS, Ranchi. MATERIALS AND METHODS: It was a cross-sectional observational study. The sample sizes of 207 patients were selected by Consecutive Sampling Method from OPD of Medicine department of Rajendra Institute of Medical Sciences, Ranchi, Jharkhand. Patients above 30 years of age irrespective of sex were selected in our study and road traffic accident cases & cases of blindness were excluded. Statistical Analysis was done in Proportions. RESULTS: Out of 207 cases 56.52% cases were NCDs. Th...

Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other rout... more Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other routes and are being increasingly recognized as a serious public health problem. RTIs cause suffering both to men and women,but their consequences are far more devastating and widespread among women.Aims and Objectives:1)To describe socio-demographic factors related to reproductive tract infection in female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. 2) To find the risk factors associated with reproductive tract infection among female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. Material and Methods: Cross sectional study was conducted at Obstetric & Gynaecology OPD of Rims from 15 February 2014 to 1 st April 2015.Data on variables like age, sex, Religion,Marital Status,Occupation was taken and all symptomatic & asymptomatic women were counselled for examination & investigations & given syndromic treatment. Follow-up done to assess impact of syndromic treatment.Statistical Analysis: Template generated in MS Excel Sheet and analysis was done on SPSS software. Result: Out of 123 women surveyed majority were Married 48(39.0%),Hindu 70(59.6%),Housewife 41(39.8%) and belong to age group between 26-35 yrs of age 59(47.96%). Laboratorial diagnosed RTIs were vaginal candidiasis 32(26.01%), Pelvic inflammatory disease 20(16.26%), Shyphillis 22(17.88%),Chlamydial infection 15(12.19%). After syndromic treatment, prevalence of RTIs has statistically significantly reduced Conclusion: Syndromic Rx & health education can definitely reduce RTIs.

BMC Nutrition

Background Severe acute malnutrition (SAM) is a major underlying cause of mortality among childre... more Background Severe acute malnutrition (SAM) is a major underlying cause of mortality among children. Around one third of the world’s acutely malnourished children live in India. The WHO recommends community-based management of acute malnutrition (CMAM) for managing children with SAM. In India, different states are implementing community-based SAM treatment programme, hereinafter called CSAM, using varieties of locally produced nutrient dense food items with different nutrient compositions. The study will assess the effectiveness of these state specific CSAM interventions. Methods The longitudinal quasi-experimental study will be undertaken in two purposively selected blocks of one district each in the four intervention states and one comparison state. From each state, 200 SAM children identified using weight-for-length/height z-score (WHZ)

Healthline, Journal of Indian Association of Preventive and Social Medicine, 2015

To assess the trend of transfusion transmitted infections (TTIs)among blood donors from the recor... more To assess the trend of transfusion transmitted infections (TTIs)among blood donors from the records (2008-2012) at blood bank, RIMS, Ranchi. (2) To study the sero-prevalence of TTIs among blood donors from the records. A record based study was conducted from June 2013- August 2013. Data were collected from the records of blood bank which also included data of blood donation camps. Data regarding sex, screening test results and type of donors were collected from the records. Out of 63803 donors, voluntary donors (56.34%) were more in comparison to replacement donors (43.66%). Out of all TTIs, prevalence of HBV (1.01%) was highest followed by Malaria (0.33%), HCV (0.14%), HIV (0.08%) and Syphilis (0.03%). TTIs were more prevalent in replacement donors than voluntary donors. The number of voluntary donors has risen from 2008 -2012, but there is male preponderance in both voluntary and replacement donors than females.

International Journal of Community Medicine and Public Health, 2020

Globally, undernutrition affects an estimated 165 million children and contributes to an estimate... more Globally, undernutrition affects an estimated 165 million children and contributes to an estimated 45% of all child deaths. Poor nutrition also carries a huge economic burden for individuals and for the entire country. Undernutrition among children less than 5 years is associated with poor cognitive and educational performance, reduced work capacity and lower wages in adulthood. Individual productivity losses attributable to undernutrition are estimated to be more than 10 percent of lifetime earnings and around 2-3% of gross domestic product (GDP) loss (World Bank, 2006). India has a large proportion of the world’s children with undernutrition. One of the markers of undernutrition is SAM among children aged 6-59 months, defined by a weight-for-height/length Z-score (WHZ) <3, a mid-upper arm circumference (MUAC) <115 mm or by the presence ABSTRACT

Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other rout... more Background: Reproductive Tract Infection is caused by Sexually transmitted disease and other routes and are being increasingly recognized as a serious public health problem. RTIs cause suffering both to men and women,but their consequences are far more devastating and widespread among women.Aims and Objectives:1)To describe socio-demographic factors related to reproductive tract infection in female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. 2) To find the risk factors associated with reproductive tract infection among female of reproductive age group attending Obstetrics & gynaecology OPD at RIMS. Material and Methods: Cross sectional study was conducted at Obstetric & Gynaecology OPD of Rims from 15 February 2014 to 1 April 2015.Data on variables like age, sex, Religion,Marital Status,Occupation was taken and all symptomatic & asymptomatic women were counselled for examination & investigations & given syndromic treatment. Follow-up done to assess impa...

Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to imp... more Background: Counseling, HIV diagnostic testing, promoting behavior changes is done by ICTC to improve survival and quality of life. Aims and objective: 1) Socio-demographic profile of attendee of ICTC. 2) Willingness to disclose HIV positive status among attendee of ICTC. Material and method: A cross sectional, institutional based study was conducted at ICTC of Rims, Ranchi, and Jharkhand. Total 116 subjects were included in the study. Pre tested, semi structured questionnaire were used for data collection. Data entry was done in MS excel and analyzed in spss software. Results: Out of 116 attendee majority were male (68.1%), unmarried (56%), Hindu (56.9%), non tribal (65.5%), graduate (40.5%) and belonged to age group of 26-35 years of age (42.2%). Conclusion: Intense IEC activities regarding spread and prevention from HIV/AIDS and behavioral changes is necessary and increasing the availability and number of ICTC services will beneficial for community and individual.

India witnessing an increasing trend in the number of people suffering from hypertension. Behavio... more India witnessing an increasing trend in the number of people suffering from hypertension. Behavioural risk factors for hypertension are widely prevalent in all societies in our country. This study was done to describe the association between selected behavioural risk factors and hypertension in a rural community in Jharkhand. A descriptive cross sectional study in rural field practice area of RIMS was conducted. Total 500 people were interviewed from the area. Subjects 20 years and above were taken for study from both sex. Pre-tested semi structured questionnaire were used for data collection. Template was generated in MS excel and data analysis was done using SPSS software. Prevalence of hypertension and pre hypertension found to be 19.8% and 27.6% respectively. Among tobacco users 24.4% of the subjects were found to be hypertensive as compared to 16.0% among non-users (p value-0.018). Higher prevalence of hypertension was noted among subjects with mild physical activity than those...

Malnutrition Treatment Centre (MTC) with the intention to improve the quality of care for Severe... more Malnutrition Treatment Centre (MTC) with the intention to improve the quality of care for Severe Acute Malnutrition (SAM) children and to reduce child mortality. Aim- To assess the sustained weight gain in children during follow up. METHODOLOGY- Descriptive Prospective Study done in MTC of Mandar, Community Health Centre (CHC) and State Dispensary Doranda (SDD) of Ranchi district of Jharkhand. RESULT- Out of 145 cases final result was obtained from 120 admitted SAM children. Most of children up to age group 13-18 months 43(35.8%) followed by 25-60 months 33(27.5%). Mean age of the children was about 18.82 ± 11.339 months. 74 (61.66%) were female and male were 46 (38.33%) belonging to13 – 18 months of age group (34.16%). 15.83% children attain all four follow up and 55.83% did not attain any follow up. CONCLUSION- Study had pointed out the weakness at follow up visits.

Context: Double or triple viral co-infections in apparently healthy blood donors might be more fa... more Context: Double or triple viral co-infections in apparently healthy blood donors might be more fatal than viral mono- infection. Aim: To assess the trend of seroprevalence of double and triple viral co-infections among apparently healthy blood donors in Ranchi, Jharkhand. Materials and Methods: All blood samples were screened for HIV-I and II, HBV and HCV by using chemiluminescence techanique. Result: On screening of 57424 blood units, 1064(1.85%) donors were found positive for viral mono-infection (HBV,HCV& HIV). 14 (0.024%) donors showed double viral co-infections. Conclusion: Apparently healthy blood donors might carry, life threatening, double and triple viral co-infections in their blood. Failure to diagnose and treat co-infection at an early stage results in serious complications and sequelae.

International Journal Of Community Medicine And Public Health

Background: Worldwide, road traffic accident (RTA) poses a public health and development challeng... more Background: Worldwide, road traffic accident (RTA) poses a public health and development challenge and greatly affects the human capital development of every nation. This study aims in providing tangible evidences about determinants of road traffic accident cases at tertiary care center with a good area coverage giving insight into burden of RTA.Methods: This study was cross sectional hospital based study done in Rajendra Institute of Medical Science Ranchi, Jharkhand. Patients coming to emergency department were recorded and followed in ENT, neurosurgery and orthopedics department of RIMS, Ranchi in the period of one month (15th January to 20th Febuary2019).Results: Most of the patients were (59%) among the age group of 19-35 years of which 89.5% of the patients were male. 84.8% of the accident took place while motorcycle was driven. 53.3% of the patients were without license. Majority of the cases were driving between the speed of 30-60 km/hr at the time of accident. Majority of c...