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Background: Multiple choice questions find important place in assessment in medical curriculum. Each MCQ is called item. Item analysis is quality check of MCQs after valuation of response sheets. This serves to recognize flaws in MCQs so that the given questions can be preserved in question bank, modified or deleted. Methods: 140 medical students of second MBBS were assessed pharmacology through 20 single best response type MCQ. Post exam validation of MCQs was done by item analysis. Each item was analyzed for level of difficulty, ability of the question to discriminate between poor and good performing students and distracter effectiveness.Results: Score ‘1’ was given for correct and ‘0’ for incorrect or no response. The mean score of the test was found to be 10.58±2.48, with a range 5-18. The whole test had an acceptable difficulty level with 43.25±17.81 mean difficulty index. The discrimination index of the whole test was found to be 0.123±0.184 mean PBI correlation coefficient, which is not satisfactory. Out of 60 distractors, 51 were found to be functional, hence distractor efficiency of the given test was 85%±19.96% which is acceptable.Conclusions: 60% questions were found to be ideal and 25% were acceptable with revision of stem or options. One question was easy with poor discrimination which needs major modification in construct or subject to be placed in question bank while another one question was difficult but had negative biserial index which needs to be deleted from the question bank.

Background: Menstruation is a normal physiological process to the females but sometimes it is considered as unclean phenomenon in the society. Hence this community based study was carried out with the objective to assess the difference in level of knowledge and practice regarding menstrual hygiene among school going adolescent girls of government and private school.Methods: A community-based cross-sectional study was conducted from July 2017 to April 2018 to find out the difference in prevailing knowledge and practices regarding menstrual hygiene between private and government school going adolescent girls of Jaipur city. Data were collected by the predesigned and pretested structured questionnaire.Results: 87.57% girls from private schools were aware of menstruation prior to attainment of menarche. The difference in knowledge regarding menstruation in students of private and government school was significant. More than three fourth of the participants (76.95%) were from private school use sanitary pad.Conclusions: Knowledge and practice regarding menstruation was better in private school girls as compared to those of government school. Significantly more number of girls in the private schools was using sanitary pads as compared to government school girls.

Background: There is lack of information on the process of menstruation, the physical and psychological changes associated with puberty and proper requirements for managing menstruation. Hence this community based study was carried out with the objective to assess the level of knowledge and practice regarding menstrual hygiene and their association with sociodemographic factors among school going adolescent girls.Methods: A descriptive, cross sectional study was conducted among 996 adolescent girls of senior secondary schools of Jaipur city.Results: It was evident that 80.72% participants were aware about menstruation before their menarche. Majority (68.07%) used sanitary pad as absorbent material. 34.53% changed the pad at least 3 times or more in a day. 29.21% cleaned the genitalia twice or more than 2 times a day. 86.14% participants were restricted to do religious activities. Significant association was found between type of absorbent used socio economic status, mother’s education.Conclusions: There is strong need to improvise and promote good menstrual hygiene knowledge and practices among adolescent girls. Improving mother’s knowledge on menstrual hygiene management can go a long way in improving menstrual hygiene practice.

We hereby report the results of a prospective randomized study where we compared efficacy of mifepristone and prostaglandin (PGE2) gel for pre-induction cervical ripening.

Background: Adolescents constituting 21% of India’s population. Most mental disorders begin before age 14, though they are often first detected later in life. Detecting these disorders and individual prone to these disorders at earlier ages can facilitate better treatment. With this in mind the present study was planned to find out the prevalence and pattern of mental health problem and their association with socio-demographic factors (age, gender, religion and socio-economic status) in school going adolescents in Jaipur.Methods: A cross-sectional study was conducted on 994 school going adolescents (11-17 years) studying in 6th to 12th class of Jaipur city, Rajasthan. The simple random sampling and self reported version of Strength & Difficulty questionnaire (SDQ) were used to assess mental health. Chi-square was used to test significance.Results: The 8.35% school going adolescents had abnormal SDQ score indicating probable mental disorders. The borderline and normal adolescents on total difficulty score were 14.19%, 77.46% respectively. Conduct Problem was the most prevalent (12%), followed by emotional (10%), peer (7%), hyperactivity (6%) and prosocial problem (5%). Impact of total difficulty was abnormal in 13.78% adolescents. The age and SES were found significantly associated with mental health problems (p