Innovative Journal of Medical and Health Science ijmhs en-US Innovative Journal of Medical and Health Science 2277-4939 All paper submissions must carry the following duly signed by all the authors:<br />“I certify that I have participated sufficiently in the conception and design of this work and the analysis of the data (wherever applicable), as well as the writing of the manuscript, to take public responsibility for it. I believe the manuscript represents valid work. I have reviewed the final version of the manuscript and approve it for publication. Neither has the manuscript nor one with substantially similar content under my authorship been published nor is being considered for publication elsewhere, except as described in an attachment. Furthermore I attest that I shall produce the data upon which the manuscript is based for examination by the editors or their assignees, if requested.” Evaluation of Indications and Adoptions of Contraceptive Practices in M.T.P. seekers from Sangli-Miraj-Kupwad Corporation area, Maharashtra. <p><strong><span style="text-decoration: underline;">Abstract</span></strong></p><p><strong>Introduction: </strong>Subject  of  Termination  is  charged  with  emotions,  superstitions  and  religious  beliefs.  This  study  evaluates  both  medical  and  social  characters  of  M.T.P  acceptors. <strong>Objective: </strong>To  study  the  medico-demographic  characteristics  of  women  coming  for  M.T.P.</p><p><strong>Material and methods: </strong>Pre-tested  questionnaire  was  used  with  informed  written  consent,  government  recognized  M.T.P  centers  in  Sangli-Miraj-Kupwad Corporation  area  were  selected   and   cross-sectional   study  was   done.  All women seeking M.T.P were included in the study. Bi-variate  and  multivariate  analysis  by  using  Z test  and  conditional  logistic  regression  analysis  for  predicting  risk  factors. <strong>Results: </strong>Total of 311 cases of M.T.P acceptors were studied. Inadequate spacing and willing to complete family size were the most important indicators for M.T.P. Among  parity,  38.58%  had  3  or  more  living  children  while  36.1%  had  2  living  children  and  one  child  norm  was  seen  in  only  highly  educated  couples.  Acceptance  of  family  planning  method  after  M.T.P  shows  that  52.19%  accepted  permanent  method.  As  per  male to female  ratio,  maximum  couples  had  1  or  more  than  1 male  child  or  more  than  2  females  awaiting  for  male  issue.  Majority of subjects accepting M.T.P. (28.57%) had equal no. of male and female children (1:1), while 26.27% had more no. of male children as compared to female. <strong>Conclusion:</strong>  It can be concluded   that inadequate spacing and completion of the family are the most important indicators of M.T.P. The couples seeking M.T.P. prefer  male  sex  child  irrespective  of  family  size,  educational  status  and  rural/urban  status. </p><p align="left"><strong>Keywords: </strong>Abortion Seekers; Legal Abortions; Birth Spacing; Sex Discrimination; Family Planning.</p> Sanjay R Quraishi Vivek Baliram Waghachavare Alka Dilip Gore Girish B Dhumale ##submission.copyrightStatement## 2014-04-02 2014-04-02 4 2 Assessment of Postnatal Depression among mothers following delivery in rural area of Wardha District: A cross sectional study <p><strong>Background:</strong> Postnatal depression represents a considerable health problem affecting women and their families.  Recent studies, shows postnatal depression have a substantial impact on mother–baby interactions, longer-term emotional and cognitive development of the baby, especially when depression occurs in the first postnatal year of life. It is now considered a major health concern for women from diverse cultures.</p><p><strong>Objectives:</strong> To find out prevalence of postnatal depression among mothers following delivery and to study factors responsible among participants.<strong></strong></p><p><strong>Methods:</strong> Community based cross-sectional study conducted in Seloo village, which is field practice area of Jawaharlal Nehru medical college, Wardha. Mothers were interviewed using EPDS (Edinburgh Postnatal Depression Scale) and Multidimensional scale questionnaire with cut of score of 12 for EPDS</p><p><strong>Results: </strong>24% of mothers were found to be chronically depressed at 6 months after childbirth with mean age 24.34 years and 53% have monthly income less than 5000 rupees. Economic deprivation and poor marital relationships were important risk factors for the occurrence and chronicity of depression.<strong></strong></p><p><strong>Conclusion: </strong>Analyses show that there is a strong interaction among many risk factors, such as economic deprivation, and the infant’s gender.</p><p> </p><p><strong>Keywords</strong>: Postnatal Depression, Edinburgh Postnatal Depression Scale, women’s health</p> Nikhil Dhande Meenakshi Khapre Smrutiranjan Nayak Abhay Mudey ##submission.copyrightStatement## 2014-04-01 2014-04-01 4 2 A CASE REPORT ON THE PRE HILAR BRANCHING OF RIGHT RENAL ARTERY WITH VARIATIONS IN THE HILAR ARCHITECTURE OF THE RIGHT KIDNEY AND THE ORIGIN OF RIGHT TESTICULAR ARTERY. <p>The renal arteries are a pair of branches from abdominal aorta. Variations are very common in the anatomy of renal arteries because of their complex embryological development. During routine dissection in a 60 year old adult male cadaver, multiple variations were found in the right renal artery and the hilar vascular architecture of the right kidney. The origin of right testicular artery was different from the normal anatomy. Knowledge regarding such variations is very important for the urologists and interventional radiologists.</p> Amudha Govindarajan*, Vimala Vellaichamy ##submission.copyrightStatement## 2014-04-01 2014-04-01 4 2 BILATERAL DUPLICATION OF RENAL ARTERY: EMBYOLOGICAL BASIS Knowledge of the variations of renal vascular anatomy has importance in exploration and treatment of renal trauma, renal transplantation, renal artery embolization, surgery for abdominal aortic aneurysm and conservative or radical renal surgery. The present case shows bilateral     duplication of renal artery in 60-year-old male cadaver during routine dissection of abdomen. On right side, the first renal artery was arising from abdominal aorta just below the origin of superior mesenteric artery. The artery was running laterally for a distance of 6 cm and reached the hilum of right kidney. The second renal artery was also taking origin from abdominal aorta 2 cm below the origin of superior mesenteric artery at the level of L1 vertebra, proceeding laterally and also entered the hilum of right kidney. On left side, the first renal artery was taking origin 1.5 cm below the origin of superior mesenteric artery from abdominal aorta while the second renal artery was arising from abdominal aorta at the level of L3 vertebra. Both the arteries were running laterally to enter the hilum of left kidney. archana rani Anita Rani Jyoti Chopra Garima Sehgal Punita Manik ##submission.copyrightStatement## 2014-04-01 2014-04-01 4 2 Students’ Feedback on the Utility of Gross Anatomy Manual in Learning Anatomy <p><strong>Objective:</strong> Gross anatomy manual is a mandatory activity in most of the medical schools in India as well as abroad. As large part of anatomy is the spatial relationship between various parts of human body, drawing can be very useful tool in learning complex anatomical facts or relation. This will help in integrating the knowledge more effectively and also reinforcing information and performing better during their examinations. In our department, diagrams drawn in gross anatomy manual are evaluated and marks scored in it make an essential component of formative assessment of the students.</p><p><strong>Methods:</strong> A questionnaire based study was conducted involving 236 first year MBBS students, to know how the students perceive the role of gross anatomy manual in their study.</p><p><strong>Results:</strong> Analysis of the results depicted that 71.61% of students accepted that drawing diagrams help them in understanding the spatial relationship of anatomical facts while 28.39% of students were of opinion that it is a useless activity. Few students also suggested some other possibilities to improve existing trend.<strong> </strong></p><p><strong>Conclusion: </strong>The study concludes that maximum numbers of students were in favor of drawing the gross anatomy manual as it helps in better understanding of the subject.</p><p><strong>Key words: </strong>Gross anatomy manual, learning, drawing, assessment</p> Archana Rani, Anita Rani, Jyoti Chopra, Garima Sehgal, R K Diwan, AK Pankaj, RK Verma ##submission.copyrightStatement## 2014-04-02 2014-04-02 4 2 Non-rotation of Midgut - a case report with Embryology and Review of literature <p>Nonrotation of gut a subtype of Malrotation is an anomaly of intestinal rotation which is most often asymptomatic or incidental finding. Its incidence is 1 in 500 live births and has been described in 0.5 % autopsies. In intestinal nonrotation, the small bowel is located predominantly on the right side within the peritoneal cavity and the colon is located on the left side.During routine dissection for undergraduate teaching the nonrotation of midgut was found and studied in detail. Location of appendicitis pain, Midgut volvulus &amp; small bowel obstruction with necrosis are common complications of nonrotation of midgut. Because of its rare presentation, embryological perspectives and its complications the case was presented.</p><p> </p><p>Key words: Nonrotation, Malrotation, Midgut volvulus, appendicitis</p> Nirmaladevi M ##submission.copyrightStatement## 2014-04-02 2014-04-02 4 2 PROTECTIVE EFFECTS OF SOLANUM LYCOPERSICUM FRUIT EXTRACT ON CYCLOPHOSPHAMIDE INDUCED MICRONUCLEI IN BONE MARROW CELLS OF MICE. <p>In the present investigations the antimutagenic effect of <em>solanum lycopersicum</em> fruit extract has been evaluated against cyclophosphamide (CP) induced micronuclei in bone marrow cells of mice. Single i.p administration of <em>solanum lycopersicum</em> fruit extract at various test doses namely 250, 500 and 1000 mg/kg b.w have given protection when 24hr prior administration of single doses of cyclophosphamide (50mg/kg b.w). A dose dependent inhibition of micronuclei was observed when animals were primed with <em>solanum lycopersicum</em> fruit extract. Thus the results indicate preventive effects of <em>solanum lycopersicum</em> fruit extract against cyclophosphamide induced genotoxicity in bone marrow cells of mice. Therefore the data showed <em>SL </em>fruit extract is a safer dietary component in cancer chemo preventive strategy.</p> K. Rudrama devi Sri Vani, Minny Jael .P ##submission.copyrightStatement## 2014-04-02 2014-04-02 4 2 RETROSPECTIVE ANALYSIS OF SEGMENTAL EPIDURAL ANAESTHESIA FOR ABDOMINAL SURGERIES A retrospective analysis of segmental epidural anaesthesia for upper and lower abdominal surgeries in 30 patients was undertaken. Epidural anaesthesia is a regional anesthetic technique that has a specific advantage in that selective segments can be blocked along with providing postoperative analgesia. We explored this advantage in selective cases. The patients were within the age group of 26-70 yrs with 67% females. Upper abdominal surgeries included open cholecystectomy, epigastric hernia repair, pyelolithotomy, upper ureterolithotomy, duodenal perforation. Lower abdominal surgeries like loop colostomies, umbilical and incisional hernia repairs with abdominoplasty were studied. Both routine (76.67%) and emergency (23.33%) cases were included into the study group. Patients with comorbidities like diabetes mellitus, chronic hypertension, respiratory disease, muscular dystrophy were part of the study group. The epidural catheter was placed at a level appropriate for the surgery to be undertaken and the segments required to be blocked. Local anaesthetic (lignocaine and bupivacaine) dose was as per the weight of the patient with appropriate age related reduction in geriatric patients. All patients were supplemented with oxygen. 23.33% of the patients required sedation. 23.33% developed hypotension which responded to IV fluids and vasopressors. 50% required post-operative epidural analgesia. In 23% of the patients in whom lower thoracic segments were blocked, none complained of any respiratory difficulty. To summarise, all our patients were operated under segmental epidural anaesthesia without any intraoperative complications. The regional technique was supplemented with light sedation. Thus, segmental epidural should be considered as a very good choice in patients with respiratory problems, muscular dystrophy or in the geriatric patients. The surgeries under segmental epidural anaesthesia have better outcome with surgeon’s &amp; patient’s cooperation. Pooja Bhosle, Shubhada Aphale, Arunima PrasadShubhada Aphale, Arunima Prasad, ##submission.copyrightStatement## 2014-04-02 2014-04-02 4 2 INTRATHECAL NALBUPHINE: AN EFFECTIVE ADJUVANT FOR POST OPERATIVE ANALGESIA Various adjuvants have been used along with local anaesthetics for prolongation of analgesia post operatively in neuraxial blockade. The frequently used adjuvants are opioids, midazolam, neostigmine, ketamine etc. Neuraxial opioids bind to intrathecal opioid receptors and produce effective pain relief post operatively with minimal untoward effects. However, certain adverse effects like pruritis, post operative nausea and vomiting, urinary retention and respiratory depression have been observed with the use of majority of opioids. Nalbuphine is an opioid drug with mixed μ antagonist and κ agonist properties. Thus we conducted a prospective, randomized study to observe the effect of intrathecal nalbuphine on pain relief after lower limb and lower abdominal surgeries. Sixty patients of ASA grades I and II of either sex in the age group of 18-65 years were randomly allocated to one of the two groups. Group B (n = 30) received 0.5% hyperbaric bupivacaine intrathecally; group N (n = 30) received 0.5% hyperbaric bupivacaine + 0.8 mg nalbuphine (preservative free) intrathecally. The onset of sensory and motor blockade, highest level of sensory blockade, duration of motor blockade and analgesia, VAS score, hemodynamic and respiratory changes, side effects were recorded, tabulated, and analyzed. Onset of sensory and motor blockade was faster in group N. The VAS scores showed that post operative analgesia lasted significantly in patients in group N than in group B. No significant side effects were observed in either of the two groups. Thus we conclude that intrathecal nalbuphine improved the quality of intraoperative and postoperative analgesia, with minimal side effects. Shehla Shakooh Pooja Bhosle ##submission.copyrightStatement## 2014-04-02 2014-04-02 4 2 A COMPARATIVE EVALUATION OF BUTORPHANOL WITH PETHIDINE FOR TREATMENT OF POSTSPINAL SHIVERING. <p><strong>Background</strong>: Shivering is a common occurrence in anesthesia practice. It is an involuntary,  rhythmic and intermittent muscle contraction beginning in the head &amp; neck, extending to the extremities and culminating in generalized shaking. <strong>Objective</strong>: The present study was conducted with the aim of comparing response time and efficacy of pethidine and butorphanol for relief of postspinal shivering.We also compared the relapse of shivering and associated side effects. Methods: 60 patients of American Society of Anesthesiologist grade I and II, aged 18-60 yrs, belonging to either sex, scheduled for elective surgery under spinal anesthesia were included in the study. Patients were  randomly allocated to three groups of   twenty each to receive  either pethidine 25mg (Group A), butorphanol 1 mg (Group B) or normal saline 0.9% (Group C) in equal volume, on occurrence of shivering. <strong>Result</strong>: It was observed that the mean response time  was significantly less in Group B (1.59±0.79min) compared to  Group A (3.83±1.7min) and Group C (13.53±1.5min).  Success rate  of  butorphanol (Group B) was 95% compared to pethidine (Group A) 85% and saline (Group C) 15%.  Relapse of shivering was observed more in  patients  of Group A (11.7%) as compared to Group B (5.3%) while shivering reappeared in all the patients who responded to  saline treatment. Among the side effects, nausea was seen  only in   Group A (10%)   while sedation was found more with group B (20%) compared to Group A (10%) and Group C(0%).<strong>Conclusion</strong>: Butorphanol is better than pethidine for control of postspinal shivering with  more rapid response  and lesser recurrence rate but is more sedating.</p><p><strong> </strong></p><strong>Key words</strong>: Regional anesthesia, Perioperative shivering, Butorphanol, Pethidine. Dr Suman Saini ##submission.copyrightStatement## 2014-04-03 2014-04-03 4 2 NUTRITIONAL STATUS OF ADOLESCENT GIRLS FROM SELECTED RURAL AREA OF A DISTRICT FROM CENTRAL INDIA Introduction: Adolescence is an intense anabolic period when requirements for all nutrients increase. The ultimate intention of nutritional assessment is to improve human health. There is a need to develop a database on the diet and nutritional status of the adolescents from different parts of the country to enable the governments and other nongovernmental agencies to formulate policies and initiate strategies for the well-being of adolescent children.<br />Objective: To assess the nutritional status of adolescent girls (15-19 years) using anthropometric measures.<br />Methodology: Cross sectional community based study was conducted in the rural part of Wardha district. With the help of household questionnaire, information was collected for socio-demographic information and anthropometric indices.<br />Results: The average age of study population was 16.72 years with standard deviation of ± 1.47 years. The majority if the study participants were of class IV (37.14%), as per modified B. G. Prasad classification. Prevalence of wasting was found to be 48.05% where as 30.39% individuals were stunted.<br />Conclusion:Taking into consideration, the prevalence of under nutrition, window period for intervention is quite short. Though beginning has been made for improvement of adolescent girl’s health, still much more needs to be done to address the issue of adolescent mal-nutrition at the national level. VarunGaiki, Vasant Wagh ##submission.copyrightStatement## 2014-04-03 2014-04-03 4 2 KNOWLEDGE AND ATTITUDE REGARDING PCPNDT ACT AMONG MEDICAL UNDERGRADUATES A STUDY CONDUCTED IN TEACHING INSTITUTE MUMBAI Despite of population explosion in India majority of the students believed that family size should be completed by having two children; one of each sex. There is a need to create awareness among medical fraternity &amp; the general population by health education. subita patil ##submission.copyrightStatement## 2014-04-03 2014-04-03 4 2 evaluation of effectiveness of various combination of penicliin group evaluation of effectiveness of various combination of penicliin group akeem agboke ##submission.copyrightStatement## 2014-04-25 2014-04-25 4 2 THE CORRELATION OF INFANT MORTALITY RATE AND SEX RATIOS IN INDIAN STATES <p><strong><em>Background:</em></strong> Infant mortality rate and sex ratio are invaluable health and socioeconomic indicators. There have been considerable gains in both indices. However the gains are not uniform and consistent. <strong><em>Aims:</em></strong> To determine if the change in infant mortality rate has positively influenced the sex ratio and to study the regional variations of these parameters. <strong><em>Materials and Methods:</em></strong> Sex ratio and infant mortality rate data from the past 4 censuses from 1981 to 2011 on 24 states were collated and analyzed. <strong><em>Results:</em></strong> There is a significant regional variation among the states and ranges from a sex ratio of 1084 for Kerala and 868 for Delhi. The infant mortality rate ranges from 11 for Goa and Manipur and 59 for Madhya Pradesh. States which have a low IMR do not necessarily have a better balanced sex ratio. <strong><em>Conclusion:</em></strong> There is significant regional variation in these parameters and the gains of a falling IMR are not equitably distributed. </p> Anil Shetty Shraddha Shetty ##submission.copyrightStatement## 2014-04-17 2014-04-17 4 2