Sanjay Dixit

A Study to Evaluate Mobile Phone Dependence Among Students of a Medical College and Associated Hospital of Central India

Nomophobia(1) literally means no mobile phobia that is the fear of being out of mobile phone contact. If a person is in an area of no network, has run out of balance or even worse run out of battery, the persons gets anxious, which adversely affects the concentration level of the person. In recent times there seems to have been a transformation of the cell phone from a status symbol to a necessity because of the countless perks that a mobile phone provides like personal diary, email dispatcher, calculator, video game player, camera and music player.(2) Indian market has emerged as the second-largest market after China for mobile phone handsets. Our study was undertaken to find out the prevalence of nomophobia in the Indian scenario considering the tremendous increase in the number of mobile phone users in the past decade. We decided to conduct the study in our college since the younger generation is the latest consumer of the mobile phones, and the under 25 year age group in professional colleges like medical colleges use mobile phones quite frequently since most of them reside in hostels. Day scholar students too want to be in constant touch with their family members and friends since they are out of their homes for the whole day and at nights while studying in colleges and working in hospitals.

A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of indore and ujjain divisions of the state of madhya pradesh (India).

Background: The state of Madhya Pradesh has 1.3 million severely malnourished children. Nutrition rehabilitation centers (NRCs) were started in the state to control severe malnutrition and decrease the prevalence of severe malnourished children to less than 1% among children aged 1–5 years. Materials and Methods: The present study was conducted from November 2008 to October 2009; 100 children admitted to seven different NRCs in Indore and Ujjain divisions of Madhya Pradesh were observed during their stay at NRCs and the follow-up period to analyze the effect of interventional measures on select anthropometric indicators. Mothers of the children were interviewed on health issues and therapeutic feeding practices at the NRCs using a predesigned and pretested interview schedule. Results: The study group consisted of 48 boys and 52 girls; 60% were between 13 and 36 months of age. 93 children were analyzed for anthropometric indicators following a dropout rate of 7%. A statistically significant difference was obtained between the weight of children at admission and discharge (t=14.552, P<0.001); difference of mid upper arm circumference (MUAC) at admission and discharge was statistically significant (t=9.548, P<0.001). The average weight gain during the stay at the centers was 9.25 ± 5.89 g/kg/day. Though the number of severe malnourished children decreased from 85 to 43 following the stay at NRCs (χ2 = 44.195, P<0.001); 48.78% of the children lost weight within 15 days of discharge from the NRCs. Dropout rates of 9.89%, 23.07%, 42.65%, and 61.76% for the study group were obtained during the follow-up period of 6 months for the four follow-up visits conducted 15 days, 1, 3, and 6 months after discharge. The mothers of the children lacked adequate information on health issues and composition and preparation of therapeutic diets at the centers. Conclusion: The NRCs were effective in improving the condition of admitted children, but the effects were not sustained following discharge due to high drop-out rate and lack of adequate parental awareness. There is an urgent need to link these centers with community-based models for follow-up and improve health education measures to maintain the gains achieved.

A study of organizing organ transplant across states in India

Organ donation is the gift of an organ to a person with end stage organ disease and who needs transplant for therapeutic purpose. In central India particularly in the state of Madhya Pradesh, there was no concrete & streamlined mechanism operational, pertaining to organ donation after Brain Stem Death. A society called Indore Society for Organ Donation (ISOD) was established exclusively for the cause of popularizing and facilitating organ tissue & body donation in Indore division of Madhya Pradesh. In a span of almost 2 years ISOD has achieved many milestones. It has successfully coordinated and created inter-state Green Corridors involving different states besides multiple Green Corridors within city and outside it. With the first Organ Donation Indore become the first city of central India to be able to execute such a case, second case was first in M.P. for simultaneously creating two Green Corridors to transport organs harvested froma brain dead patient. In Case 3 it is first time in the country that two crucial organs like liver and heart were flown to two different states simultaneously & four corridors were created first time in central India. The case 4 was a first case in central India when 12 years of boy donated his organs & also a first case of central India when Green Corridor was created at night for transportation of organs. With the fifth Organ Donation, Indore has become the second city in the country barring the Southern states with the maximum number of organ donation. In The sixth case, this was first time in central India when three Green corridors were created for transferring Heart, Liver and Kidney and three different organs like Heart, Liver and Kidney donated to three different States Maharashtra (Mumbai), Delhi and Madhya Pradesh. In Case 7 Indore has become a First City in Central Zone with this seventh such successful operation during the past six months which saved more than four lives. In this case donor belonged to a tribal community this shows that now even the tribal areas of Indore Division are showing the light. With the Case 8 globally Indore got an identity as a first city in which three Green corridors were created in a week.

A cross-sectional study to assess the awareness of the presence of trans-fat in packaged food items and their harmful effects in a metropolitan city of central India -

Background: Trans-fat has been shown to be consistently associated, in an intake-dependent way, with risk of coronary heart disease, which is the main contributor to the global burden of disease. Objectives: To assess the level of awareness about trans-fat in packaged foods among college students and to increase their awareness about trans-fats and their health hazards and to encourage students to go through the nutritional profiles of packaged food before consuming it. Material and Methods: An educational intervention cross-sectional study was conducted upon 100 students aged 18–22 years randomly selected from two colleges of Indore city. Qualitative interviews were taken from those who gave informed consent. Pre- and post-interventional questionnaire containing questions related to awareness, knowledge, and practices regarding trans-fat was used as study tool. Educational intervention was done by using pamphlets and lectures with audio visual aids. All statistical analyses were conducted in SPSS (version 20). Statistical differences were examined using a Mc-Nemar test for dichotomous data and Wilcoxon sign rank test was used for non-parametric data; p-value < 0.05 was considered statistically significant. Result: In total, 88% subjects were aware about nutrition labels on back of packaged items. But only 13% go through them showing that only written information is not sufficient to reduce the consumption of trans-fatty products. Conclusion: The study signifies the importance of knowledge, awareness, and consumption behavior of trans-fat among young generation which significantly improves the health of the heart of young generation.

Assessment of Stress, Anxiety and Depression among PG Aspirants of Medical Colleges of Indore City

Background: It is well known that Medical education is highly challenging and mind exhausting field which affect the mental health of Medical students. Stress is an external constraint which upsets an individual both mentally and physically and Medical education is perceived as stressful. The postgraduate students of Medical field suffer from higher stress that definitely affects the mental wellbeing of these students. Methods: This cross-sectional study was conducted in January 2014 on 300 Medical students to assess the level of stress, anxiety and depression in Postgraduate Medical aspirants, belonging to different Medical Colleges of Indore with the help of Predesigned semi-structured questionnaire schedule. Graded using Mental Health Inventory Scale. Results: It was found in present study that out of randomly selected 300 students, 24% students had depression, 42% had anxiety, 27% experienced change in behaviour, only 35% had general positive effect & life satisfaction and 49% had emotional ties. Conclusion: The present study concluded that depression, stress and anxiety are the major growing mental problems among the medical post graduate aspirants students. Student counselling services need to be made available and accessible to come out from this morbidity.

A cross-sectional study to evaluate the functioning and infrastructure of DEIC, and client satisfaction Ujjain and Indore districts established under RBSK.

Background: Rashtriya Bal Swasthya Karyakram (RBSK) is newly launched programme under NRHM, under which screening of 0 to 18 yr children is done and The DEIC promptly responds and manages all issues related 4Ds. Objective: To evaluate the functioning and infrastructure of DEIC, and client satisfaction. Materials and Methods: Observational Check List according to norms used for assessment of facilities, staffing pattern, and Semi structured questionnaire used for client satisfaction.. Result: DEIC of Indore and Ujjain district were deficient in staff and infrastructure. Among all referred cases to various facility 10.24% were referred to DEIC Indore while in Ujjain 20.1% were referred to DEIC among all the referred cases only 5.2% and 6.01% reached the DEIC Indore and Ujjain respectively, among which birth defect were found 0.7% and 0.8% , deficiency disease cases were 0% and 0.2% respectively in Indore and Ujjain district, childhood disease were 1.49% and 3.48% respectively in Indore and Ujjain district and developmental delays and disease were 3.46% and 1.62% respectively in Indore and Ujjain district. 76.92% beneficiaries were dissatisfied with the referral service and DEIC Staff (Behavior and Availability) in Indore while in Ujjain 65.3% were dissatisfied. Beneficiaries remained dissatisfied with regard to expenses, 71.1% in Indore and 63.4% in Ujjain. Conclusion: There was a deficiency of staff and infrastructure in DEICs of both Indore and Ujjain, There was lack of proper referral system between MHTs and DEICs in both the districts thus affecting the rendition of services to beneficiaries under RBSK program. The beneficiaries were dissatisfied with the Referral services and Availability and Behavior of DEIC Staff.

A study to assess the needs of people living with HIV/AIDS reporting to an ART Center of Central India

Abstract Effectively addressing the needs of people living with HIV/AIDS (PLHA) and providing them with adequate care and support services are an essential intervention necessary to address the problem of HIV. The current study analyzed the needs of PLHA, the support received and the support required, to help frame comprehensive and focused programs for HIV infected individuals. The study was cross-sectional in design, incorporating quantitative analysis techniques and was conducted at the Anti Retroviral Therapy (ART) Center of MGM Medical College Indore, India, from February 2009 to January 2010. A semistructured interview schedule was used to interview 420 respondents currently on ART and the data was analyzed using SPSS software. Males and females constituted 69 and 31% of the study participants, respectively. The major support received by the respondents was care and help from families and friends, free ART, medicines for opportunistic infections (OI) and monthly health check-up at the ART Center. Other support received included nutritional supplements, traveling allowance to travel to the ART Center for availing the monthly dose of ART and educational help for children. The major support required was regular availability of medicines for various OI and associated diseases at ART centers, free laboratory investigations at hospitals, educational help for children, employment opportunities, development of a vaccine, facility of households, availability of second line ART drugs at ART centers, decentralization of ART centers, strengthening of existing PLHA networks and support groups, and better and effective counseling services. Coordinated efforts by governmental, non-governmental sources and PLHA themselves will result in the development of a comprehensive package of care and support for PLHA, to cater to their needs and requirements.