Browsing by Author "Chaturvedi, S"

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    Assessment of availability and working components of school health services in Delhi.
    (2000-03-06) Chaturvedi, S; Aggarwal, O P
    A total of 204 schools of different types and geographical zones were surveyed. Principals of the selected schools were interviewed to generate data regarding availability and working components of school health during last one year. School health services were non existent in 56 (27.45%) of the total schools and in another 27%, the visits made by school health team were only three or less during last one year. The situation was much better in NDMC and MCD schools but in Govt. of Delhi group, 40 of the 82 schools did not have any school health services. In most of the schools having some form of school health services (govt. or private), all the essential areas of health appraisal viz. anthropometry, general health check-up, vision testing, ENT check-up and dental examination were covered. In 21.62% of such schools no health education activity was done by the school health team. Even in the schools having some form of school health services, referral-follow up system did not seem to be working well. In this situation health check-ups merely satisfy administrative requirements and end up with some data for storage. School health services in Delhi, like other health services, are administered through multiple agencies with somewhat overlapping areas and responsibilities. This has more disadvantages than benefits. An integration of various school health schemes in Delhi with uniform system and standards should be attempted.
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    Assessment of knowledge and skills about growth monitoring amongst medical officers, child development project officers and multi purpose workers.
    (1994-01-01) Kapil, U; Sood, A K; Nayar, D; Gaur, D R; Paul, D; Chaturvedi, S; Srivastava, M
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    Assessment of nutritional status of hospitalized patients.
    (1994-07-01) Kapil, U; Nayar, D; Chaturvedi, S; Verma, D
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    Augmenting cognitive learning of community nutrition by tutorials.
    (1998-07-25) Chaturvedi, S
    Community health interventions are increasingly being considered a priority area in medical curriculum. In the topic of nutrition, a situation analysis of final MBBS students in our institution revealed significantly lower levels of knowledge in community applications as compared to basics and clinical aspects, indicating the need for some educational intervention. An improvised tutorial was conducted to address this deficiency at cognitive level. The intervention was a special scheme of flow of discussion with a positive bias in favour of nutritional applications at community level. Half of the learners were given routine tutorial, as part of existing teaching schedule in nutrition and the remaining were subjected to educational intervention, to provide control and study groups respectively. Before and after assessment of the recall of learners on community applications demonstrated a positive impact of improvised tutorial. The learners' level of knowledge in two groups was comparable before the tutorial but it was significantly higher ('P' < 0.001) in study group as compared to control, after the tutorial (mean scores: 134.38/150 and 91.20/150 respectively). No extra resources, tutor time or student's learning hours were needed for the improvised tutorial. Tutor's positive bias in favour of applied aspects can bring about a desired change even in conventional teaching-learning process, without asking for extra resources. It can be a supplement to community-based learning.
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    Biochar-based Slow-release Nitrogen Fertilizer Performance on Growth and Development of Wheat in Indo-Gangetic Plains
    (Ms. M. B. Mondal, 2024-09) Kumar, NTM; Chaturvedi, S; Dhyani, VC; Pachauri, SP; Shankhdhar, SC; Chandra, S.
    Excessive fertilizer-use post green revolution led to increased crop yields keeping the soil health at stake with nutrient losses, leaching and poor soil health. The current study aimed to evaluate the slow-release fertilizer i.e., biochar-coated nitrogen (BCN) fertilizer on the crop biomass, tillers and plant height of wheat in the Indo-Gangetic Plains in comparison to neem-coated urea (NCU). The field experiment was conducted during the winter season of 2021-22 at NEB-Crop Research Centre, G. B. Pant University of Agriculture & Technology, Pantnagar, India. The field experiment was designed with 7 fertilizer dosages viz., 100% recommended dose of nitrogen (N) through neem-coated urea (NCU), 125% N–NCU, 125% N–Biochar-coated urea (BCU), 100% N–BCU, 75% N–BCU and 50% N–BCU with 2 sprays of 4% Nano-Urea (NU), and a Control with no nitrogen, replicated thrice under randomized complete block (RCBD) design. Both the BCN and NCU were applied at different nitrogen dosages, with above and below 25% and 50% of the recommended dosage (120:60:40 kg N:P2O5:K2O/ha). The study found that split application of 125% N–BCN resulted in 5.81% to 16.6% increase in plant height at the harvest stage compared to other BCN treatments and a 3.46% to 8.15% increase over nitrogen applied through NCU. For tiller production, 125% N–BCN application led to 3.94% to 12.4% more tillers compared to NCU and 6.61% to 23.7% more than other BCN treatments. Crop biomass accumulation was also higher with 125% N–BCN, showing a 1.44% increase over 125% N–NCU and up to 16.7% more than other BCN doses. The BCN fertilizers proved to be more effective than conventional fertilizers, promoting better nutrient uptake and improved growth rates during critical stages. The study concludes that BCN fertilizers are a promising alternative for sustainable wheat cultivation in the Indo-Gangetic Plains, offering better wheat growth, development and reduced environmental impact, making them suitable for broader agricultural applications.
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    Breast feeding practices amongst mothers having undergone cesarean section.
    (1992-02-01) Kapil, U; Kaul, S; Vohra, G; Chaturvedi, S
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    Carcinogenicity of asbestos: convincing evidence, conflicting interests.
    (2001-01-13) Chaturvedi, S; Chaturvedi, S
    In spite of hard epidemiological and clinical evidence associating asbestos fibre with asbestosis and cancer, the issue is controversial and likely to remain so. The focus is now shifting to non-occupational exposure, differential risk to various asbestos fibre types and the relatively low level of carinogenicity of the chrysotile form. This creates further space for scientific debate and the opportunity to form a considered opinion. However, the situation may take a worrisome turn if some of these scientific inquiries are used by market forces to their advantage. A look at the history of corporate activities in asbestos-related research reveals a disturbing trend. Information that was made available, through legal interventions, clearly shows how for half a century the asbestos industry in collaboration with some academic leaders of occupational medicine successfully suppressed evidence against asbestos. In developing countries, extensive and aggressive marketing continues by chrysotile producers, mainly Canadian companies. There is renewed pressure on this part of the world since new use of asbestos has been almost completely discontinued in the developed countries as a result of public pressure and state prohibitions. In this scenario, relaxation of public health control over any form of asbestos should be opposed. It is extremely dangerous and scientifically untenable to say that chrysotile asbestos can be used without risk. It has been identified as a potent human carcinogen, and remains so. However, some restraint must be exercised while dealing with asbestos that has already been released into the environment. Disturbing it unnecessarily may cause more harm than good.
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    Cellular DNA contact and its correlation with histopathological prognostic parameters in carcinoma of the breast.
    (1998-07-07) Chaturvedi, S; Singh, S; Khanna, H D; Khanna, S; Khanna, R
    Present study has given an insight in to the value of the DNA in relation to other morphometrics. Breast cancer shows variability in clinical course in the same clinical stage. Cellular DNA content is an important prognostic parameter. Tumour tissue DNA content is correlated with known histopathological prognostic feature assessing its significance as prognostic parameter in 25 cases of carcinoma breast. The findings showed that cellular DNA content ranged between 1.5-5.08 ug/mg in cancer breast tissue with an average of 2.54 ug/mg as compared to an average of 1.34 ug/mg in normal breast tissue. The DNA content was higher in combined pattern, in poorly differentiated duct carcinoma and in patients with positive lymph node metastasis. No consistent relationship could be seen between cellular DNA and desmoplasia and lymphoreticular response in and around tumour.
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    Compliance of mothers in home management of acute diarrhea.
    (1996-04-01) Chaturvedi, S; Sandhir, M; Bajpai, R
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    Endemic goitre in rural South Delhi.
    (1996-03-01) Chaturvedi, S; Gupta, P; Trikha, V
    One thousand and seventy-five children from the schools of 4 villages of rural South Delhi were clinically assessed for anatomical enlargement of thyroid gland. Goitre was graded according to WHO classification. One hundred and seventy-two children showed various grades of goitre giving a prevalence of total goitre in school children to be 16%. The problem of visible goitre (grades 2 and 3) was minimal and overwhelming majority of goitre cases belonged to lower grades. Though previous school goitre surveys from urban school children in Delhi give a prevalence as high as 55.2%, the prevalence of 16% in the present survey still categorizes rural South Delhi as mild endemic according to WHO/International classification for control of iodine deficiency disorder (ICCIDD) criteria. In Delhi partial supply of iodised salt commenced, with effect from, 1-1-1984 and it was covered by 'Ban Notification-PFA Act' prohibiting the sale of sub-optimally iodised salt. There is a need for an area specific assessment of iodine deficiency disorder (IDD) and people's access to optimally iodised salt.
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    Evaluation of semi-quantitative methods for protein and sugar estimation in urine.
    (2001-10-31) Chaturvedi, S; Jain, N; Bhatia, A
    OBJECTIVES: To compare the accuracy of semi quantitative methods for estimation of protein and sugar in urine as shown by their agreement with the quantitative estimation. Hundred randomly collected samples of urine were analysed for levels of protein and sugar. Protein estimation was dine by dipstick and sulphosalicylic acid method (SSA) and sugar by dipstick and Benedict's semi-quantitative methods. Kappa analysis was done on Epi Info 6.03 software to assess the agreement of these semi quantitative methods with the quantitative estimation. Neither of the two tests for urine protein, dipstick or SSA, showed good agreement with the quantitative estimation (Kappa coefficient: 0.26 and 0.07 respectively). However, the dipstick was significantly better than SSA (p < 0.05). For urine sugar, both dipstick and Benedict's tests showed good agreement with the quantitative estimation (Kappa coefficient: 0.78 and 0.84 respectively). The difference between them was insignificant. Results demonstrate that for urine protein, dipstick or SSA show poor agreement with quantitative values. For urine sugar estimation, Benedict's semi-quantitative test shows good agreement with the quantitative values and is as good as the dipstick method.
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    Field investigaton of an outbreak of epidemic dropsy in eastern Nepal.
    (1999-04-13) Jha, N; Chaturvedi, S; Yadav, B K; Karki, D B; Rai, B K
    About 17 cases with clinical syndrome suggestive of epidemic dropsy attended to the B P Koirala Institute of Health Sciences, Dharan, for treatment. These cases were from three villages of Saptari district in eastern Nepal. Some of the mustard oil samples were tested positive with Nitric acid test. In the wake of this, an extensive field investigation was conducted covering a wider area in these villages.
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    Gallstone obstruction of the duodenum (Bouveret's syndrome).
    (1995-04-01) Kumar, A; Chaturvedi, S; Agrawal, S; Gautam, A
    Bouveret's syndrome is a rare complication of gallstones, leading to duodenal obstruction. We report a 25-year-old woman with this condition, probably the youngest patient reported.
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    Haemolytic jaundice in Plasmodium vivax infection.
    (1994-04-01) Singh, H; Chaturvedi, S
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    Health-risk behaviors related to road safety among adolescent students.
    (2007-12-05) Sharma, Rahul; Grover, Vijay L; Chaturvedi, S
    BACKGROUND: Injuries are now a major cause of death and disability among the adolescents in the world. Road accidents are the main cause of death of young men worldwide. OBJECTIVE: To study health-risk behavior related to road safety amongst adolescent students in south Delhi and its epidemiological correlates. STUDY DESIGN: Cross-sectional study. SETTING: Three schools and two colleges in south Delhi. PARTICIPANTS: Five hundred fifty adolescent students aged 14-19 years selected by cluster sampling. STATISTICAL ANALYSIS: Proportions, Chi-square test, multivariate logistic regression. RESULTS: More than half (52.4%) reported 'not always' wearing a seat belt. About 72.1% (300) of two-wheeler riders reported 'not always' and 23.3% (97) reported 'never' wearing a helmet. Nearly 20% (91) students rode with a driver who had alcohol before driving, and 37.3% (185) subjects had driven with a driver not possessing a driving license, in the past 30 days. Such 'road-hazard' behaviors were found to be significantly more in males and in lower-age groups. Logistic regression analysis revealed that the significant correlates of such behaviors were gender of the respondent and living status of the parents. Almost 77.5% (426) of the respondents were 'at risk' as far as behaviors related to safety on roads are concerned. CONCLUSION: The results should evoke earnest responses from the government, policy makers and all personnel concerned with adolescent welfare on how best to reduce the extent of this preventable problem.
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    Histopathology of auricular appendages in rheumatic heart disease.
    (1995-08-01) Chaturvedi, S; Agarwal, P K; Srivastava, A K
    Forty-four left auricular appendages removed from patients presenting clinically as rheumatic heart disease (RHD) were subjected to histopathologic examination. The aim was to identify the changes so far reported in RHD. It was found that Aschoff's nodules, though specific for RHD, are much less frequent than the other changes reported. Viewing the histopathologic alterations in the perspective of clinical data is important in identifying the rheumatic process.
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    Impact of a multi-method promotional package on awareness and knowledge about STD and AIDS among the trainees of an industrial training institute in a resettlement colony of Delhi, India.
    (1999-12-11) Chaturvedi, S; Gupta, P; Rajoura, O P; Kumar, P; Aggarwal, O P
    To design and apply a multi-method promotional package for enhancing awareness and knowledge on STD and AIDS among ITI trainees, and evaluate its impact, an intervention study, using pre and post assessment of the subjects for comparison was carried out. The study was carried out in the Industrial Training Institute (ITI), in a resettlement colony of Delhi. Urethral/vaginal discharge, genital ulcer and pain on micturition were identified as symptoms of STD by a significantly higher number of respondents in the post package sample. A sizable number of subjects included inguinal swelling and lower abdominal pain also as STD symptoms. The IEC intervention showed a significant improvement in knowledge about all four major routes of transmission of HIV/AIDS. Using condoms and avoiding sex with Commercial Sex Workers were reported as measures to prevent STD/AIDS by a significantly higher number of subjects after the intervention. A sizable number of subjects also included other measures (using safe blood/not sharing needles etc.) as well. There was a significant decline in the subjects preferring self treatment or treatment from a chemist shop in case one suffered with an STD. A significant increase was observed in those preferring treatment from govt. facilities or private allopathic doctors. However, the intervention did not seem to result in preference for alternative systems of medicine. The study demonstrated that exposure to intensive promotional intervention, even for a brief period can significantly raise awareness and knowledge of young people even on sensitive topics like STD and AIDS.
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    Impact of six years exposure to ICDS scheme on psycho-social development.
    (1987-02-01) Chaturvedi, S; Srivastava, B C; Singh, J V; Prasad, M
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