Browsing by Author "Edward, S"
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Item Adolescent Obesity � Emerging Public Health Problem of 21st Century(Medsci Publications, 2022-01) Grace, G A; Edward, S; S, G.Many Countries struggle to tackle the consequences of under nutrition and infectious diseases. At the same time, they are also now showing a rapid increase in non-communicable diseases and their risk factors like obesity and overweight, especially in urban areas. In the present era, it is quite common to find co-existence of under nutrition and obesity within a country, within a community and even within a household. Children living in developing and under-developed countries are more susceptible to poor nutrition during antenatal period, infancy and childhood. On the contrary, children also have easy access to food products with increased salt and fat percentage, decreased levels of micro nutrients and more junk calories. The synergistic effects of high calorie intake and low physical activity lead to increase in prevalence of childhood overweight and obesity. This article discusses about the aetiology, epidemiology and determinants of adolescent obesity.Item A Case Control Study on Risk Factors of Obesity Among Adolescents(Medsci Publications, 2022-06) Grace, G A; Edward, S; S, G.Background: Adolescence is the transition period from childhood to adulthood and adolescent obesity can lead to systemic complications affecting the quality of life in later stages. This study aimed to assess the risk factors of obesity among school children of adolescent age. Methods: This Case control study included 110 obese and 110 non-obese adolescents between 10 and 17 years of age. Children with Body Mass Index (BMI) >+2 SD of WHO growth reference median for their age and sex were included as cases. Children with BMI between -2SD and +1SD were included as controls. Data was collected using a structured questionnaire and analyzed with SPSS software. Results: The risk factors which showed a statistically significant association with adolescent obesity were less educated father and mother, being a single child in the family, adolescents from nuclear type of family, having an obese parent, increased waist hip ratio and lack of exclusive breastfeeding during infancy. Conclusion: Educating children and parents on the importance of preventing obesity and harmful effects of adolescent obesity is the need of the hour. This can be done through intensive health education cam-paigns in community and schools, and regular reinforcement on primary preventive measures.Item Level of Independence and the Mental Status of the Visually Challenged High School Students in Chennai(Medsci Publications, 2022-02) Edward, S; Edward, V; V, K.Background: The purpose of this study is to measure the number of visually impaired students who are capable of doing and managing their own work and also to evaluate their state of mind due to their impairment. The study is also to bring awareness about the rehabilitation centres and special training on mobility for the children. Objective: To find out the level of independence and the mental status of visually challenged students. Methods: This is a descriptive cross-sectional study. Sixty visually impaired students were included in the study by random sampling method. Male students from class 9th to 12th standard were evaluated. Data relevant to the study are gathered by interview schedule method and questionnaire was designed for the study beforehand. Result: It is evident from the current study that 83.3% of the impaired have not been trained to walk independently. Almost 78.3% of the students are not even aware of the rehabilitation centres. However, about 98.3% of students are independent in grooming and washing & also taking care of their personal work. As per the survey, only 26.6 % of students are feeling isolated, whereas, the balance 73.4% students feel very comfortable while dealing with sighted students. About 96.6% feel very happy and satisfied as they get enough support from their parents.Item Psychosocial Morbidity Among Doctors Working in Intensive Care Unit in Tertiary Care Hospitals in Chennai - A Cross Sectional Study(Medsci Publications, 2022-08) P, Vinothkumar; Edward, S; VM, AE.Introduction: Intensivists routinely works in a demanding, highly complicated environment where mor-tality and morbidity are common events and it affects their own physical as well mental health. Objective: The aim was to assess psychological factors and the various influencing factors on psycholog-ical health among study participants. Methods: The list of tertiary care hospitals in Chennai were collected and Ten hospitals were selected randomly by lottery method and 15 doctors who were working in Intensive Care Units (ICU) were se-lected from each hospital by systematic random sampling to arrive at the calculated sample size of 150. The Data was collected using the Pretested semi structured questionnaire and validated DASS-21 Scale. Results: The prevalence of Depression, Anxiety and Stress was found to be 78.6%, 86% and 60.6% re-spectively among ICU doctors. It was found that, having a history of either diabetes or hypertension and working more than 8 hours per day was an important predictor for depression and stress respectively with statistically significant association (P<0.05). Conclusions: Routine screening of physical health and mental health for doctors involved in the diag-nostic as well as treatment aspects of work towards patients in Intensive Care Unit (ICU) should be con-ducted periodically.Item A Study on Effect of Mobile Phone among College Students in Chennai(Medsci Publications, 2022-02) Edward, S; Edward, V; MahimBackground: Smart phones have become an integral part of our life, especially among the younger population. Due to its overuse, the effects caused by mobile phones and electromagnetic field also show an increasing trend. Hence this study was conducted to assess the ill effects of mobile phone use among the college students in Chennai. Methods: Cross sectional study was conducted among college students, Chennai, from May 2019 to June 2019. Males and Females between 17 to 23 years of age were included in the study. A total of 125 students selected by convenient sampling technique were included in the study. The study was conducted using a questionnaire, covering particulars related to mobile phone usage and its ill effects on them. Data entry and analysis was done using SPSS version 23. Results: Proportion of participants with different ill effects includes pimples (18.4%), sleep disturbances (16%), loss of interest in studies (15.2%), fatigue (11.2%), headache (9.6%), restlessness (8.8%), and redness of eye (6.4%), irritability (6.4%), dizziness (4.8%), thumb pain (3.2%) and earache (1.6%). Conclusion: Students needs to be educated regarding the health problems owing to the over usage of mobile phones and large-scale studies are needed to assess the extent of the problem.Item Use of reverse transcription polymerase chain reaction for the detection of Mycobacterium leprae in the slit-skin smears of leprosy patients.(2005-04-28) Jadhav, R S; Kamble, R R; Shinde, V S; Edward, S; Edward, V KThe relevance of bacterial index (BI) for understanding the prognosis of leprosy patients on treatment has been extensively debated, as it does not give a very clear idea of the viability of the bacteria in patients under treatment. Here we used slit-skin smear samples of leprosy patients to test the suitability for studying viability of Mycobacterium leprae using reverse transcription polymerase chain reaction (RT-PCR). For this purpose, we recruited 13 multibacillary (MB) leprosy patients (8 lepromatous and 5 borderline lepromatous). Of these, 7 were relapse cases, 3 were under treatment (MB-MDT), 2 were new cases and 1 had completed treatment. We carried out extraction of RNA using Trizol reagent (Life Technologies, UK) from the slit-skin smear samples from these patients. The RNA preparation was then used for the RT-PCR using Mycobacterium leprae-specific primers for the fragment of 16s ribosomal RNA gene. Samples from both the new cases, 4 suspected relapse cases and 1 patient under treatment showed positive RT-PCR results. Other 6 patients whose smear samples did not show any amplification by RT-PCR were on MB-MDT from 8 to 30 months. The usefulness of the technique needs to be validated using mouse footpad technique and also should be more extensively explored for studying the viability of M. leprae, the efficacy of treatment and the presence of other mycobacteria in the slit-skin smear samples.