Vivek Kashyap

Pattern of burn injury among patients admitted in a Tertiary Care Hospital of Jharkhand

In this contemporary world with many advances in medical care, one of the highly preventive injury, burn, account for an estimated 180 000 deaths annually and hence exist as a global public health problem. The majority of these occur in lowand middle-income countries and almost two thirds occur in the WHO African and South-East Asia regions. Burns are among the leading causes of disability-adjusted life-years (DALYs) lost in low and middle-income countries. 1 In the world second most populous country, India, over 1 000 000 people are moderately or severely burnt every year with one death every 4 minutes due to burn and the most common cause being household injury. 2 Unsafe stoves, open fire cooking, cylinder explosion and interpersonal violence besides other factors make women the most vulnerable group. Burns are also a significant cause of mortality and morbidity among infants and children being dependent on their caretaker as they are unable to recognize the hazardous situations leading to burn injury. It is the fifth most common cause of nonfatal childhood injuries. 1 The elderly population also remains at higher risk for burn injury due to several predisposing factors associated with increased age such as reduced reaction time, decreased mobility, incorrect assessment of risks, impaired senses and higher incidence of pre-morbid conditions such as chronic debilitating ABSTRACT

A Study on Socio Demographic Profile of Pulmonary Tuberculosis Patients Attending Dots Centre of Field Practice Area of Rajendra Institue of Medical Sciences, Jharkhand

Background: Tuberculosis remain a worldwide public health problem despite the fact that the causative organism was discovered more than 100 years ago and highly effective drugs and vaccine available making tuberculosis a preventable and curative disease. India is highest tuberculosis burden country in the world in the term of absolute number of incident cases that occurs each year. Aims and objectivesTo study sociodemographic profile of pulmonary tuberculosis patients attending DOTS centre. Material and method: A cross-sectional, descriptive and community based study was conducted at field practice area(Kanke Block) of RIMS, Ranchi. A total of 300 patients of age group 14 years and above were included in the study. Pre tested, semi structured questionnaire were used for data collection. Data were entered in MS excel and analysed in spss software. Results: Out of 300 patient’s majority were male (70%), between age group of 15-25 years (27.7%), Hindu (42.7%), nontribal (52%), from rural area (83.7%), educated upto secondary (33.3%), self employed (22.7%), married (56.3%), having joint family (60.3%), belonged to class IV socio economic status (B G Prasad) (58.7%). Conclusion: An overall improvement in living condition, education, socioeconomic status and sanitation is necessary to decrease the prevalence of tuberculosis.

Profile of Beneficiaries Attending DOTS Centre of A Tertiary Care Hospital of Jharkhand

Background: India has the highest burden of tuberculosis in the world accounting for one-fourth of the estimated global incident TB cases. DOTS (Directly observed treatment short course) chemotherapy is defined as a strategy to ensure cure from tuberculosis by providing the most effective medicines and confirming that it is taken. Objectives: This study aims to describe the socio-demographic profile and smoking & drinking habits of patients attending DOTS centre of Rajendra Institute of Medical Sciences (RIMS), Ranchi. Materials and Methods: This is a cross sectional hospital based study. All registered TB patients coming to DOTS centre of RIMS, Ranchi during our study period and willing to participate in study were included. Duration of study was 3 months. Total sample size for this period was 211. Templates were generated in MS Excel and data analysis was done using SPSS software. Result and conclusion: After analysis of 211 subjects it was found that majority were males (71.57%) in the age group 21-40 years (48.82%) belonging to non tribal communities (81.04%) having literacy level of primary grade(43.60%). Overcrowding accounted to 68.25% cases. Smokers accounted to 56.40% cases whereas alcoholics were 42.19%. TB is far more common in non tribal males in the age group 20-40. Half of the cases are smokers.