Sub-Himalayan Journal of Health Research

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https://imsear.searo.who.int/handle/123456789/157634

Executive Editor: Dr Parveen Sharma
ISSN: 2349-106X

Frequency: Half yearly

Language: English

Open Access Peer-reviewed journal

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Checklist for reporting RCT.
(2014-01) Sub-Himalayan Journal of Health Research
An official publication of Dr. Rajendra Prasad Government Medical College Kangra at Tanda (HP) INDIA 176001.
(2014-01) Sub-Himalayan Journal of Health Research
Authors' Guidelines for "Sub-Himalayan Journal of Health Research".
(2014-01) Sub-Himalayan Journal of Health Research
Examples of references - Vancouver style.
(2014-01) Sub-Himalayan Journal of Health Research
Contents.
(2014-01) Sub-Himalayan Journal of Health Research
Enzymatic modulation as a basis of therapeutics.
(2014-01) Kumar, Ajay; Parihar, Archana; Bala, Shakti; Gupta, Geetika; Malhotra, Pavan
Enzyme inhibition has emerged as an important area in development of therapeutics. The basis of a large number of therapeutics used in modern day medicine for treatment of various aliments is enzyme inhibition. This review is a compilation of nearly all the therapeutic entities, currently in use, embracing almost each area of therapy including antibacterial, antifungal, antiviral, antimalarials, anticancer, antihypertensive, diuretics, antianginals, antithromboembolics, hypolipidemics, cardiotonics, anti-inflammatory, analgesics, antipyretics, antigout, antiasthamatics, antidepressants, cognition enhancers, antidiabetics, antithyroid drugs, drugs used for myasthenia gravis, peptic ulcer, parkinson’s disease, BHP, osteoarthritis, glaucoma, erectile dysfunction, septic shock, inflammation and/or neuro-degenerative disorders.
Pharmacovigilance Programme of India.
(2014-01) Kansal, Dinesh; Sharma, Aradhna; Sawaraj, Sushma
Adverse drug reactions from medicinal products are one of the important public health issues. The Pharmacovigilance system is used to monitor the safety of authorized medicinal products and detect any change to their risk-benefit balance. It is characterized by its structures, processes and outcomes. To run an effective Pharmacovigilance system a protocol is required for reporting adverse reactions associated with drug use.
Xanthogranulomatous cholecystitis: A rare radiological diagnosis.
(2014-01) Chauhan, Narvir Singh; Kumar, Satish; Chander, Bal; Sharma, Samriti; Garg, Swati
Xanthogranulomatous cholecystitis [XGC] is an unusual focal or diffuse destructive inflammatory process of the gallbladder that may mimic a malignant neoplasm with associated complications. We present a rare case of Xanthogranulomatous cholecystitis with associated complications of liver abscess and enterobiliary fistula that was diagnosed radiologically and confirmed on histopathology.
Transthoracic repair of diaphragmatic hiatus hernia with esophageal shortening where laparoscopic abdominal approach does not give satisfactory results.
(2014-01) Goyal, Vikas Deep; Gupta, Bharti; Pal, Sanjay; Nagpal, Vishal; Sood, Saloni
A 50 year old female patient presented with history of regurgitation of food, heart burn, dyspepsia. Patient was investigated and presence of large hiatus hernia was confirmed on endoscopy, computed tomogram chest and barium swallow. Patient had severe symptoms even with maximum medical management, therefore surgical intervention was planned. Left posterolateral thoracotomy was done through sixth intercostal space. Mobilization of esophagus, reduction of stomach and Belsey Mark IV 270 degree anterolateral fundoplication was done. Patient was discharged on 7th postoperative day. First follow up was I month after the discharge and patient had significant relief from the preoperative problems.
High resistance to Azithromycin- A cause of concern.
(2014-01) Sood, Anuradha; Thakur, Suman; Chauhan, Smriti; Jaryal, S C
Macrolide antibiotics are well established class of antimicrobial agents. Azithromycin due to better tolerance and once a daily dose is commonly prescribed by clinician today. The aim of our study was to analyze the resistance to erythromycin in all gram positive bacteria isolated in department of microbiology Dr. RPGMC Tanda. A result of antibiotic susceptibility testing done by Kir By bauer disc diffusion method were analysed, Of the totral gram positive isolates 54 % were resistant to Azithromycin with maximum resistance seen with Enterococcus species (75 %) . It is recommended that an antibiotic policy should be made and microbiological surveillance cotinued so as to decrease the selective pressure on microorganisms.
A Cross Sectional Assessment of Knowledge, Attitude and Practices towards Hepatitis B among Undergraduate Medical Students of a Medical College in rural area.
(2014-01) Minhas, Akshay; Sood, Abhilash; Raina, S K; Bansal, P; Bhardwaj, Ashok Kumar
Introduction: Hepatitis B virus (HBV) infection is one of the most common blood borne viral infection in the world. It is a major potentially life threatening, global health problem. About 6,00,000 people die every year due to the acute or chronic consequences of hepatitis B. Health care workers including medical students are at risk of acquiring the infection while at work. Objective: To assess the knowledge, attitude and practice of hepatitis B infection among Undergraduate (MBBS) medical students of Dr. Rajendra Prasad Government Medical College, Kangra at Tanda. Materials and Methods: Knowledge, attitude, and practises towards Hepatitis B was assessed by using a pre validated questionnaire in a cross sectional descriptive study. Mean scores for knowledge, attitudes and practices were calculated using the Epilnfo software version 7. Results: Four hundred fifty questionnaires were distributed among the students.387 responded, a response rate of 86%. Mean age of female students was 21.5 ± 1.59 yrs and mean age for male students was 21.9 ± 1.69 yr. Mean scores for Knowledge, Attitude, and Practises were 15.87 ± 1.57 (Maximum score 19) , 2.00 ± 0.63 (Maximum Score 3) and 4.6 ± 0.97 (Maximum Score 6) respectively. This study also demonstrates some important shortcomings in the knowledge, attitude, and practises of medical students. Conclusion: Results of the study suggest good Knowledge, Attitude and Practice of Hepatitis B among the students. Though, overall knowledge and attitude to HBV infection is good, there is a need to develop guidelines to ensure that medical students are not only fully vaccinated against HBV but adequate practice of standard precautions is also adhered to.
Surveillance of water quality in a medical college campus in a rural area in North West India.
(2014-01) Sood, Abhilash; Sood, Anuradha; Rama, S K; Chander, Vlshav; Chauhan, Smriti; Rani, Seema
Water bacteriology is an important component of providing safe and potable water supply. Surveillance of drinking water helps in identifying possible sources of water contamination. The present study was done in DRPGMC Tanda campus to monitor the quality of water samples. A total of 79 water samples were collected and tested over a period of two and a half years. About 33 % of these were found to be not fit for drinking. The findings of the study underscore the importance of following the steps of water purification.
A study to evaluate adolescent health problems using focus group discussion.
(2014-01) Joshi, Harshdeep; Kumar, Ajay; Raina, Sunil Kumar; Female
Background: Adolescent health needs, behaviors and expectations are unique and routine health care services are not well geared to provide these services. The purpose of this study was to explore the perceived reproductive health problems in group of adolescents in Jammu district of J&K state in India. Methods: This qualitative study was conducted in an urban setting in Jammu. A convenient sample of 32 adolescents between 17-19 years of age participated in four focus group discussions. Participants were selected from four educational institutions selected by simple random technique. A pre-tested focus group guide was used for data collection. Male and female facilitators conducted discussions separately with young males and females. Results: Psychological distresses due to various reasons and problems regarding menstrual cycle and were reported as the commonest health problems. Conclusions: Adolescent health services are inadequate and a vailable services are not being delivered in an acceptable manner. Proper training of health care providers on youth friendly service provision is essential. A national level integrated health care program is needed for the adolescents.
Use of social networking sites among medical undergraduates of a medical college in north-west India.
(2014-01) Singh, Mitasha; Kaistha, Madhvi; Sood, Abbi|ash; Raina, S K; Bansal, P; Bhardwaj, Ashok Kumar
Introduction: Use of Internet for communication has become a very important part of young people's life. Social networking sites are virtual communities that allow users to create a profile and interact with friends. One area of interest in this field is regarding the activities of medical students on social networking sites and how these activities affect their academic performances. Objective: To assess the use of social networking sites and its impact on academic performance among medical undergraduates of a rural medical College. Methodology: It was a cross sectional study conducted over a period of three weeks in December 2013 among undergraduate students of Dr RPGMC Kangra at Tanda. A self-administered questionnaire was used to conduct the study. Data was entered in Microsoft excel sheet and analysed.Result: A total of 150 participants were enrolled of which only 141 agreed to participate. Among these 74 (52%) were males and 68 (48%) females. The mean age of the subjects was 20.2 ± 1.5 years. Majority 123 (87.2 %) used multiple networking sites, 45 % (60/123) had joined communities related to medicine. More than half 52.7 % (65/123) of subjects used these multiple sites to remain connected with their friends.81.7% (49/60) visited medical communities daily and 93.9% (46/49) among them said that these communities has helped increase their knowledge. Average time spent per session was 10-30 minutes among 26.8 % (33/ 123) participants.Conclusion: The results of the study showed that role of social networking sites among undergraduate students pursuing a professional course is important while communicating with friends and people of their own field. It helps them in broadening their knowledge and they feel it has helped them positively in their academic performance.
Screening for Hypertension and Morbidity Profile of Patients - A Primary Care "High Risk Approach".
(2014-01) Kakkar, Rakesh; Semwal, Jayanti; Kandpal, S D; Aggarwal, Pradeep
Background: The world is ageing fast. Increased longevity is not only a triumph for society but a huge challenge for health systems which need to be prepared to address the needs of older people at the community level. Most preventative health care and early disease screening takes place in primary health centres within health systems. These centres play a critical role in the health of older people worldwide at the local level by increasing quality of life. Menace of rising burden of non-communicable diseases can be controlled by developing a model of screening at primary health care level. A study has been planned, to identify one of the major iceberg disease i.e. hypertension which acts as precursor of many other morbidities Methodology: Study was conducted at Rural Health Training Centre, Rajeev Nagar. Sample size included all the patients above 40 years of age attending (for any ailment ) OPD during one year period i.e. 1 January – 31 December 2011. Screening for hypertension was done and morbidity profile along with demographic indicators were also recorded during data entry. Results: Study subjects included females (58.2 %) and males (41.8). About one fourth (22.7 %) of the patient screened were in Pre-Hypertensive category while 12.3 % and 3.6 % were in hypertensive Stage I and II respectively. 38.6 % persons were diagnosed with high blood pressure. Most of the patients with high blood pressure were in age group of 60-69 years, followed by 50-59 years. Higher blood pressure was slightly more among males (39.6 %) as compared to females (37.9%). Locomotor (17.6%), GIT (16.0 %), respiratory (13.5 %) and skin diseases (10.1%) were the principal morbidities. Conclusion: A community based hypertension screening programme targeting older adults above 40 years of age can help in early detection of new cases of 'iceberg diseases' to initiate primary and secondary level prevention. Utilising basic health facility to screen for hypertension suggested here is promising to identify and cater vulnerable population.
Understanding pattern and trends in use of tobacco in India.
(2014-01) Bhardwaj, Ashok Kumar; Raina, Sunil Kumar
Tobacco smoking has been in vogue for hundreds of years. With the spread of tobacco to Europe and other parts of the world from the sixteenth century, tobacco smoking soon gained popularity in India. Tobacco consumption is responsible for half of all the cancers in men and a quarter of all cancers in women in India.' This is in addition to being a risk factor for cardiovascular diseases and chronic obstructive pulmonary diseases.2 3 India also has one of the highest rates of oral cancer in the world, partly attributed to high preva lence of tobacco chewing.4-7The World Health Organization predicts that tobacco deaths in India may exceed I .5 million annually by 2020. 8 It has been observed that a signi6cant rural-urban-slum-urban gradient for tobacco use among men as well as women exists in India. There are different, and opposing, trends for use of smoked tobacco (more in rural areas) and smokeless tobacco (more in urban area) among men. However it has been observed that among women, the consumption of smokeless tobacco does not vary significantly.

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