Background: Cost effective and feasible instrument is required to assess the health promoting behaviours of Medical students from the stressful and hectic schedule of their training in the Medical College. Hence with the help the of HPLP-II questionnaire, lifestyles of first year MBBS students were assessed. The primary objective of this cross-sectional study was to assess the health promoting behaviors of 287 medical students in Bhopal using HPLP II questionnaire.Methods: This cross-sectional self-administered health Promotion Lifestyle Profile II (HPLP-II) questionnaire study was undertaken among the MBBS first year students, aged 18-22 year, in the region of Bhopal to find out the health promoting behaviors among them.Results: Out of total 324 medical students from 3 different medical colleges, 248 completed the HPLP-II questionnaire. The mean score of this scale was 2.47(SD=0.34) for male and 2.41(SD=0.27) for female students. The highest mean out of a scale of 4, was 2.96(SD=0.55) & 2.96(SD=0.49) for spiritual growth in male and female students respectively. The lowest mean score for female was 1.96(SD=0.53) in term of Physical activity subscale. Except for Physical activity subscale, there was no major difference between other subscales by gender.Conclusions: By adopting a healthier lifestyle, Health status of an individual can be significantly improved. Since this study shows low health promoting behaviors in medicos, there is need to develop guidelines, interventions and periodic investigation for the students for their good health.
It is of interest to compare the hematological profile (using Complete blood count) of COVID patients admitted in ICU, private ward, and isolation ward with varying severity. This data will help predict the severity of infection at peripheries and rural areas. Detailed history and CBC was performed for all the cases. Different ratios and indexes such as systemic inflammatory index (SII), Neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR) were assessed. A total of 862 cases with a mean age of 49.9ą17.4 years were enrolled. Hemoglobin level, lymphocyte (count per liter and percentage) were significantly lower in patients admitted in ICU as compared to patients admitted in the isolation ward and private ward (p<0.05). However, TLC, neutrophils, platelet count were higher in patients admitted to ICU (p<0.05). The Various ratios such as SII, NLR, and PLR showed significantly higher value in cases admitted in ICU (p<0.05). The TLC, neutrophil count, neutrophil percentage, SII, NLR, and PLR were significant predictors of severe disease (admission in ICU) with high diagnostic accuracy. We show that complete blood count method is a simple, readily available, rapid, and inexpensive tool that can be utilized for diagnosis and can predicting the severity of COVID 19 where RTPCR or trained staff is not available. Thus, NLR (%), SII, PLR, and TLC can predict severe illness with high accuracy.
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