Browsing by Author "Mathur, M."

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    Clustering of non-communicable disease risk factors among adolescents in urban and rural Rajasthan
    (Medip Academy, 2024-05) Virmani, S.; Verma, A.; Patyal, A.; Mathur, M.; Mathur, N.; Shekhawat, V.
    Background: Non communicable diseases (NCDs) are primarily driven by the modifiable risk factors that often emerge during the childhood/adolescence and contribute towards majority of premature deaths during adulthood. This study aimed to assess the prevalence of multiple NCD risk factors and the associated factors among adolescents in urban and rural areas of Rajasthan. Methods: It was a community-based cross-sectional study conducted among 430 school going adolescents. A self-administered questionnaire adapted from STEPS survey format of the WHO and indian adolescent health questionnaire was used; anthropometric measurements were taken using standard procedure. Presence of two or more risk factors in one individual was considered as clustering of NCD risk factors. Results: Prevalence of two risk factors (Dyads) was 48.8% (urban) and 33% (rural), three or more risk factors were found in about 12.1% urban and 7.9% rural adolescents. For “Dyads”, males had OR 3.58 (95% CI 1.9- 6.4) and OR 4.1 (95% CI 2.6-7.9) in urban and rural areas, respectively. The risk of clustering was higher with increasing age [Dyad: OR 1.26 (CI 1.1-5.73) in urban, OR 2.2 (CI 1.56-3.7) in rural; ? 3 risk factors: OR 2.3 (CI 1.98-4.11) in urban, OR 1.52 (CI 1.21-4.9)]. Conclusions: Clustering of the risk factors was prevalent among urban as well as rural adolescents emphasizing the importance of developing primary prevention strategies which can be effective across all demographic and socioeconomic backgrounds.
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    A study of COVID-19 infection, severity and associated factors among the patients admitted at a tertiary care center in southern Rajasthan
    (Medip Academy, 2023-02) Hirani, J.; Dixit, M.; Verma, A.; Mathur, M.
    Background: Since December 2019, there has been various outbreaks of corona virus disease 2019 (COVID-19) disease. Whole world is combating this virus, but its reported clinical characteristics as well as outcomes vary greatly amongst studies. This study was conducted to study the clinical features, laboratory findings, comorbidities and severity of the disease among the patients admitted in tertiary care centre in Rajasthan. Methods: It was a hospital-based cross-sectional study conducted from 1st January 2021 to 30th June 2022 in a tertiary care hospital in Udaipur, Rajasthan. All the patients diagnosed with the help of reverse transcription polymerase chain reaction (RTPCR) for COVID-19, during the study period were included in the study. After taking consent, pre designed questionnaire was used to collect the personal, demographic and clinical information. Radiological, laboratory and mortality data were collected from hospital record. Results: A total of 400 patients were included in the study. Mean age of the patients was 46.83±17.09 years. Fever (88%) and cough (80%) were the most common symptoms followed by breathlessness (65.8%). About 31.8% (127) patients were found to have severe covid. Severity was found to be significantly associated with increasing age, urban area, breathlessness, co morbidities and D dimer, CRP and IL-6 levels (p value <0.05). Conclusions: India being a diverse country with a range of sociodemographic characteristics existing within the population, needs a robust approach to control the COVID 19 pandemic. This study presents the factors associated with severe disease and can help to formulate preventive and control strategies.