Patna Bihar Research Articles

AN EPIDEMIOLOGICAL STUDY ON HYPERTENSION AMONG SCHOOL GOING ADOLESCENT IN URBAN AREA OF PATNA, BIHAR

INTRODUCTION: Hypertension or high blood pressure is one of the major non-communicable health problems of 21st century associated high morbidity and mortality, global burden of which increasing day by day. Hypertension is a key risk factor for cardiovascular diseases which affects people silently all over the world. It is suggested that hypertension has its origin in childhood but goes undetected unless specically looked for during this period. Thus early detection of hypertension and its precipitating or aggravating factors are important if one is to evolve measures so that complications of hypertension can be averted. To estimate prevalence of Hypertension among Adolescent school students, to studyObjectives: distribution of blood pressure of adolescent school students according to age, sex and height and to identify the socio demographic and behavioral factors associated with Hypertension among school students. This was School based, epidemiological, observational Study wasMethods: conducted in two Government co-education secondary and higher secondary (H.S) schools in urban area of Patna Bihar. In Female Group,Result: 15(8.2%) students had SBP <90 mm Hg, 127(69.4%) school students had 91-119 mm Hg systolic blood pressure, 37(20.2%) school students had 120-129 mm Hg systolic blood pressure. In Male Group, 36(17.6%) students had SBP of <90 mm Hg, 93(45.6%) students had 91-119 mm Hg systolic blood pressure, 35.8%school students had SBP between 120-129mm Hg and SBP 2 male students was 130 mm Hg or more. In Female Group, DBP of 156(85.2%) students were between 51-79 mm Hg, and 27(14.8%) students had DBP of ≥80 mm Hg. In Male Group, 10(4.9%) students had DBP of ≤50mm Hg, 178(87.3%) students had 51-79mm Hg of Diastolic blood pressure and 16(7.8%) school students had ≥80mm Hg DBP. Findings of the study is expected to be of much help to the public health programme planner and manages to ne tune strategicConclusion: intervention for reducing non-communicable disease burden in the country.

MANAGEMENT OF DIAPHYSEAL FRACTURES OF TIBIA BY USED OF CLOSED REAMED INTERLOCKING NAIL

Background: Fracture shaft of tibia is one of the common fracture encountered by the orthopaedic surgeons in their daily practice, Many patients come to Department of Orthopaedics with tibial fractures. It is one of the common injuries occurring in adult agegroup.
 Material and Methods: A total of 30 patients with closed tibial fractures underwent surgery for the fracture fixation with intramedullary interlocking nail in the Department of Orthopaedics, Patna medical college and Hospital Patna Bihar. Duration of Two years. Patients were selected irrespective of sex.
 Conclusion: Intramedullary interlocking nail is the reliable, versatile and effective treatment for closed tibial fractures. The advantage of rapid rehabilitation and relatively few complications serves to recommend this procedure.
 Keywords: intramedullary interlocking nail, complications, rehabilitation.

A STUDY OF PATTERN OF CUSTODIAL DEATH : A TWO YEAR PROSPECTIVE STUDY.

Death occurring in some form of custodial detention is commonly known as death in custody, such as police cell or prison. A person in custody is entirely dependent on his custodians for his basic requirements hence this type of death raises questions regarding living conditions, inhumane treatment and violation of fundamental rights of prisoners. This prospective analytic study was carried out during period January 2019 to December2020 in Department of Forensic Medicine at PMCH Patna Bihar. This study observed 56 judical custodial deaths that maximum cases were males 93%and 7% were females. Age group above 55 years(40%). Maximum cases were brought in month of September(23%)followed by August (16%). Most prisoners died in hospital during treatment (82%).Deaths among 56 custodial deaths convict prisoners were dominated 41(73.21%) over undertrial prisoners 15 (26.79%) in jail custody.Pulmonary tuberculosis was the most common natural cause of death among prisoners. The natural causes was in 89% cases and unnatural in 11% cases . Majority of deaths in custody are due to natural causes and this may occur due to various factors like improper medical facilities, overcrowding in jail, old age, poor nutritional status, poor hygiene etc.

Screening and Evaluation of Initial Clonal Generations of Potato Hybrids for Yield and Yield Attributing Characters

A field experiment was conducted during Rabi 2015-16 and 2016-17 at ICAR-Central Potato Research Station, Patna Bihar. In this experiment F1 with initial clonal generations viz F1C1, F1C2 and F1C3 were evaluated. The screening and selection of these generations were done in randomized block design for the character like early bulking, tuber size, tuber shape, depth of eye, tuber colour and resistance to late blight of potato etc. A total of 12,360 True Potato Seeds of 17 successful crosses and 7,322 True Potato Seeds of 23 successful crosses were sown and seedlings were transplanted, out of these 610 and 187 clones were selected during 2015-16 and 2016-17 respectively. Large number of potato cultures were planted for further evaluation in next generations. In F1C3 the cultures were planted along with more than six check varieties of potato. Cultures were evaluated and selected considering total tuber yield, shape, colour and disease reactions for further evaluation in PYT.

Trend of Allergic Rhinitis Post COVID-19 Pandemic: A Retrospective Observational Study

To study, compare and analyse the trend of allergic rhinitis incidence post COVID-19 pandemic in a tertiary care hospital in Patna Bihar. This is a retrospective observational study done at Patna medical college from January to June 2020. The number of patients with signs and symptoms of allergic rhinitis post pandemic (March–July2020) were compared to preceding three months (Jan 2020–March2020). Chi square test was employed to know and infer whether the change in trend of incidence is statistically significant. There is decrease in trend of allergic rhinitis in our study at our centre. P < .01. Decrease in pollution due to lockdown and increased use of mask and increase indoor activities may be the reason for decreasing trend of allergic rhinitis.

The oral health status among army personnel in Patna Bihar – A descriptive cross sectional study

Background: To study the association between oral health status and army personnel in Patna (Bihar). Aims & Objective: To assess the oral health status among army personnel in Patna, Bihar. Materials and Methods: A total of 700 army personnel’s were evaluated and oral examination was done by using CPI probe. WHO oral health assessment form (2013)9 was used to assess the Dentition status, periodontal status, presence or absence of oral mucosal lesion. Result: A total of 700 army personnel’s were selected from the Patna, Bihar of which 99.7% were males and 0.3% were females. 65.6% were in the age group of 21-? 35 years and 46.4% were in the age group of >35-55 years. Keywords: Oral health, Periodontal status, Oral mucosal condition, Dental caries and dental fluorosis.

PREVALENCE AND COMPARATIVE STUDY OF MALNOURISHED CHILD BELOW 5 YEARS OF RURAL AND URBAN AREAS OF BIHAR

Status of nutrition reflects the status of health of a country. Infant and young child feeding practices are multidimensional and age specific. Inappropriate feeding practices and their consequences are major obstacles to sustainable socioeconomic development and poverty reduction. This study was a step to sort out various prevailing feeding practices and awareness status of the family of child in rural and urban areas of Bihar state among the age group of below 5 Years and their outcome. This study was a hospital based descriptive study carried out in PMCH (OPD and Indoor) Patna Bihar. Total number of participants in our study is 180 in the age group 0-5 years which was further divided into 3 groups according to their age each group (0-6, 6-24, and24-60months), had 60 participants. These groups were further equally divided on the basis of location rural and urban; these Subgroups were further divided into 2 equal subgroups according to sex. In this study variety of food given is 63% and 50% in urban and rural population respectively. It is revealed that population getting variety of food has significantly better outcome in nutritional status rather than population not getting it. This study has revealed that population getting nearly proper consistency and calories are only 53% and 41% in urban and rural areas respectively. Population getting nearly proper consistency and calories has significantly better outcome in nutritional status rather than population not getting it. Prevalent mode of feeding in children below 6 months in non exclusive BREAST feeding is bottle feeding in rural and urban areas. 42% and 50% of urban and rural population BOTTLE feed their children above 6 months respectively bottle feeding significantly affect the outcome i.e. the poor nutritional status as compared to the KATORI spoon feeding.&#x0D; Keywords: Healthy food, varieties of nutritional food intake, Breast feeding practices.

A cross-sectional study on pattern of ocular morbidity and the prevalence of refractive errors among school children of 11 to 16 years in the rural area of Maner, Patna Bihar, India

A cross-sectional study on pattern of ocular morbidity and the prevalence of refractive errors among school children of 11 to 16 years in the rural area of Maner, Patna Bihar, India

Recent trends of drug susceptibility of salmonella isolates in tertiary health care hospital at Patna Bihar

Recent trends of drug susceptibility of salmonella isolates in tertiary health care hospital at Patna Bihar

Evaluations of specificity &amp; sensitivity of rK39 test in Visceral Leishmaniasis and HIV Co-infection

The rK39 strip test is a simple, non-invasive, sensitive and specific test for screening of Visceral Leishmaniasis (VL). Clinically VL-HIV and co-infected 50 parasitological confirm patients enrolled forms RMRIMS, Patna Bihar. The objective behind highlighting this co-infection is for awareness of treating physician to take care of the patients suffering with fever and hepato spleenomegaly might be co-infected with HIV. Other control arm HIV positive patients taken from ART centre RMRIMS Patna and relative of Visceral Leishmaniasis patients who are living with VL-HIV co-infected blood sample has been taken. The sensitivity &amp; specificity of rK39 test in parasitological confirmed VL-HIV co-infected patients was 100% positive and other group in control arm rK39 showed negative result. These results suggest that rK39 strip test shows highly sensitivity &amp; specificity in case of VL-HIV co infection.

To Understand the Health Care Seeking Pathways for the HIV Positive Patients attending Rehabilitation Centre

The epidemic of human Immunodeficiency virus (Retrovirus) that causes Acquired Immunodeficiency Syndrome has emerged as a serious public health problem in many parts of the World, which breaks down body's immune system leading to life threatening opportunistic infections and unusual malignancies. In which gender based difference in the health seeking behaviour has significantly precipitate to it. Rationale: Women's are much more vulnerable and likely to get discriminated with HIV infection, having so many reasons behind it than men, who plays dominant role in the society. So, there is need of gender based research to go through the health seeking behaviour of the HIV positive patients to understand the discrimination. This study also helps in policy making for National AIDS Control Program. Aims & Objectives: To study the health seeking behaviour of HIV positive case and impact ofgender discrimination over it. Methods: This study was based on qualitative data collection of 25 HIV positive patients conducted between the April 2012 to June 2012 at Rajendra Memorial Research Institute (ICMR) Patna Bihar. 25 HIV positive patients (More than 13 years of age) who visit the Rehabilitation centre during the study period. A semi-structured -interview topic guide was used for HIV positive patients with the help of the expert counsellors. In-depth interview of some randomly selected patients were arranged to collect the detailed information on health seeking behaviour at ART rehabilitation centre RMRI Patna with prior information, written and verbal consent. Prior permission will be taken from Ethical committee of Indian Institute of Public Health Delhi. Results: This study included 16 (64%) females and 9 (36%) males HIV positive cases who visited ART Rehabilitation RMRI Patna. Half of the patients (52%) were 31-40 years of age group among boththe genders. Majority of female patients (75%) were housewives. While majority of males were involvedin high risk occupations like Truck drivers (44.44%). Majority of female patients (68.75%) were illiterate. While majority of male patients (44.44%) were educated up to 7'th standard. 92% were of low incomegroup ranges Rs.2000-8000 per month. Health issues (60%) were the main issue of HIV positive patientto come at ART centre RMRI Patna . Females were more vulnerable (60%). Out of 25 patient 88%patients were referred by ICTC, doctors (private & government), NGO. First symptoms in HIVpositive patient noticed by them had history of single or multiple symptoms during initial phase, inwhich single symptom was 40% and with more than one complain was 60%. 77.8% patients initiallyhave been taking home remedies, from quacks, in which 33.33% were males and 43.75%, were females.Study shows that 60% patient contacted Government doctors, private doctors, NGO initially, in which20% were females as compared to 24% males.