Background: Adolescence, a period of transition between childhood and adulthood, occupies a crucial position in the life of human beings. The primary causes of under nutrition in India are its large population, socio-economic differences and inadequate access to health facilities. Nutritional assessments among adolescents are important as they are the future parents and constitute a potentially susceptible group. Studies on the assessment of nutritional status of adolescents are less in number and a National database has not yet been developed. Methods: The present hospital based cross sectional study was conducted in year 2013 among 344 rural adolescents of 10-19 years age (166 boys and 178 girls) attending the outpatient department at rural health training centre (RHTC) Dhaura Tanda, district Bareilly, Uttar Pradesh, belonging to the Muslim and Hindu caste communities. The nutritional status was assessed in terms of under nutrition (weight-for-age below 3rd percentile), stunting (Height-for-age below 3rd percentile) and thinness (BMI-for-age below 5 th percentile). Diseases were accepted as such as diagnosed by pediatrician, skin specialist and medical officer. Results: The prevalence of underweight, stunting and thinness were found to be 32.8%, 19.5% and 26.7% respectively. The maximum prevalence of malnutrition was observed among early adolescents (28%-47%) and the most common morbidities were URTI (38.6%), diarrhea (16.8%), carbuncle / furuncle (16%) and scabies (9.30%). Conclusion:The study concluded that the most common morbidities among adolescents were related to nutrition and personal hygiene. Regular health programmes should focus to educate and promote health among adolescent.

Background: One of the key strategies under the National Rural Health Mission is having a community health worker who is an Accredited Social Health Activist (ASHA) for every village with a population of 1000. These ASHA workers should preferably be female, in the 25-45 years age group and have a qualification of at least eighth class. The knowledge about health services of ASHA is crucial for the success of National Health Mission. Methods: A cross sectional study was planned in Bhojipura village. Total 48 villages ASHAs were interviewed using predesigned semi-structured questionnaire including brief socio-demographic information of ASHA along with details of their knowledge regarding child care. Results: Out of 64 ASHA, 25 (39.15) ASHA told that new-born babies given bath immediately after birth. 40 (62.5%) ASHA replied that nothing should be applied on umbilical stump of new-born. Mostly 62 (96.9%) ASHA knew that breastfeeding should be given first to the new-born and 61 (95.3%) ASHA were known that breastfeeding should be initiated within one hour of delivery. Conclusions: Majority of ASHAs know their role and details of their practices in new-born and child care except bathing of new born and additional supplements.

Objective: To compare the changes in dento-skeletal structures between the conventional twin block and the modified Essix twin block and also to assess the patient's compliance with both the appliances. Material and Methods: A total of 14 female patients in the age group of 10 to 13 years were selected. They were divided into two groups, Group 1 was given the conventional twin block and the other group was given the modified Essix twin block. Lateral cephalograms were taken at two stages-pre-treatment and post treatment (after the completion of myofunctional therapy, 11 months). At the end of the functional treatment the patient's were asked to fill a questionnaire regarding the usage with both types of appliances. Results: The conventional twin block showed slightly greater retroclination of upper incisors SNA increased post treatment in the Essix group but remained nearly constant in the conventional group. The increase in SNB and ANB as well as beta angle change was greater in the Essix group. The Essix group also showed greater proclination of the lower incisors as an adverse effect. The Jarabaks ratio appeared to increase in the Essix patients whereas in the conventional group it decreased. From the questionnaire it was clear that the patients found the Essix twin block more comfortable, esthetic. Conclusion: The Essix twin block produces a greater advancement of the mandibular apical base and more favorable direction of growth. It also shows prospects of better patient acceptability and compliance. The observed dentoskeletal effects indicate that the appliance may be particularly beneficial in patients with an anterio-posteriorly normal maxilla and a vertical growth pattern.

Background: The term "diabetes mellitus" describes a metabolic disorder of multiple aetiology characterized by chronic hyperglycemia. The GOI’s NPCDCS has a focus on awareness generation for behaviour and life-style changes, screening and early diagnosis of persons with high level of risk factors and their referral to appropriate treatment facilities. Earlier studies have reported that knowledge of patients about diabetes care leads to better glycemic control.Methods: A cross-sectional study conducted over a period of 3 months among diabetic patients coming to private OPD in Bareilly city. Patients with any other serious morbidity were excluded from the study.Results: Mean age was 61.8±13.4 years. Mostly subjects did not know the type of diabetes they had (42, 75.0%) amongst those who knew, majority had type-2 diabetes (9, 16.1%).  Majority had no known history of diabetes in the family (31, 55.4%). Most of the study subjects had diabetes diagnosed for five years or less (26, 46.4%). Most common co-morbidity was hypertension (33, 58.9%) followed by obesity (29, 51.8%). Majority of subjects (23, 41.1%) followed some dietary advice and a little less than half performed exercise daily. Approximately two-third of the subjects (38, 67.9%) did not have blood sugar testing in the previous week and most subjects (31, 55.4%) did not care for their feet. Majority (39, 69.6%) took regular medicine.Conclusions: It is evident that better education is related to good self-care. Masses need to be made aware regarding self-care emphasizing on foot care and regular blood sugar testing.

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