Introduction:Depression is common in adolescents and especially in high school students and is one of the most frequent mental disorders among teenagers. Depression in adolescents is an under recognized mental health problem because they remain indecisive to disclose their feelings and seldom seek psychiatric help. One of the factors that make depression so difficult to diagnose in adolescents is the common behavioural changes that are normally associated with the hormonal changes of this period. It has only been in recent years that the medical community has acknowledged childhood depression and viewed it as a condition which requires intervention.Materials and Methods:Aschool based cross-sectional study among adolescents was conducted by using self-administered structured "Patient Health Questionnaire-9 modified for Adolescents (PHQ-A) questionnaire" in rural field practice area of A.J.Instituteof Medical Sciences & Research Center, Mangaluru.Results:Total 284 students participated in the study and prevalence of depression was 49%. Prevalence of depression increased with age (p-value:0.001) and was higher among females (p-value:0.02).Discussion:Prevalence of depression in this study matched with other studies conducted in India. Majority of the students suffered from mild depression which indicates early diagnosis is crucial in prevention of progression to moderate and severe forms of depression.Conclusion:Prevalence of depression among adolescents is high. There is an urgent need for incorporation of simple screening methods for depression in school health program.
Background: Sepsis still remains an important cause of morbidity and mortality posing a diagnostic challenge to clinicians across the globe. Lack of a single specific and sensitive test paved the way to many researches. Our study evaluated clinical significance of cell population data (CPD) as biomarkers in sepsis. CPD assesses morphological and functional characteristics of leucocytes using automated hematology analyzer. Methods:The study population consisted of 100 healthy subjects and 100 clinically suspected cases of sepsis with quick sequential organ failure assessment (qSOFA) score >2. The various cell population data (CPD) were collected using automated hematology analyzer, Sysmex XN1000 during a span of 6 months from January to June 2018 in a tertiary care center and the results were statistically analyzed using Z test. Result:The WBC count and CPD parameters were assessed. Except for neutrophil , monocyte cell size (NE-FSC, MO-Z) and lymphocyte fluorescence intensity(LY-Y) all other CPD parameters show significant difference (p<0.001) in sepsis group compared to healthy controls. Conclusion:This study suggested utility of CPD parameters which provide details of size and internal structure of leucocytes to be considered as an important biomarker for diagnosis and management of sepsis.
Despite improvements in access to health care in India, inequalities related to socioeconomic status, geography and gender continue to exist. This is further compounded ABSTRACT Background: Remedial action that a person takes to treat his or her perceived illnesses, is called health-seeking behaviour. Understanding health seeking behaviour (HSB) in a community and the factors which influence their decision, are crucial for planning a "need based" comprehensive health care programmes for the people, especially for underprovided and rural population. The objective of present study was to determine HSB and its determinants in a defined rural population. Methods: A community based cross -sectional study was conducted in rural field practice area of A. J. Institute of Medical Sciences and Research Centre, Mangalore (Karnataka) from 1st October 2017 to 31st July 2018. A total of 866 heads of households were included in the study, using universal sampling method. A pre-tested, validated questionnaire was used to collect the data. p values of <0.05 were considered significant. Results: Among 866 participants, almost all (98.03%) heads of families were males, while majority of them (35.68 %) were farmers. Further, majority (48.15%) of the households preferred to visit government hospitals for their ailments, while among those visiting private practitioners, majority of them (55.54%) preferred Allopath system of medicine. Health insurance subscription rates were found to be low (18.93%). Main determinants of HSB were observed to be cost of treatment, convenience of approach, quality of services and life threatening emergencies. Conclusions: Present study brings out higher utilization of government health care facilities among the study subjects, while cost of treatment and life threatening emergencies were the main predictors of HSB.
Prevalence of over weight (BMI 23-25 kg/m(2)) and obesity (BMI > 25 Kg/m(2)) was found among individuals of 22 years and above. Non smokers had decreased odds (OR = 0.041, CI = 0.015-0.107) and also increase in LDL Cholesterol (OR = 1.05, CI = 1.021-1.055) and BMI (OR = 1.42, CI = 1.244-1.631) were significantly contributing towards the risk of CVD. Localite students had decreased odds of developing CVD in the next 10 years (OR = 0.27, CI = 0.092-0.799) as compared to students residing in hostel or paying guests.
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