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There is sparsity of studies evaluating blood pressure in children with sickle cell disease (SCD), which have shown inconsistent results. Few of the studies have documented lower office blood pressure (BP) in SCD patients, whereas, others have shown presence of masked hypertension and abnormal ambulatory blood BP monitoring (ABPM). Thus, the present study was conducted to examine 24 h ABPM parameters and renal dysfunction in children with SCD and compare them with healthy controls. A cross-sectional study was conducted on 56 children (30 children having SCD and 26 controls). ABPM and evaluation of renal functions including serum creatinine, serum urea, urinary creatinine, urinary protein and specific gravity was performed. Spot urinary protein to creatinine ratio was found to be higher in patients with SCD (63.3%) as compared to controls (p

Background: India is in the grab of COVID pandemic, understanding the clinical profile, comorbid condition, vaccine status of COVID patient, will help in better prevention, treatment strategies, especially in local context, therefore present study is designed to describe, the clinical profile, comorbid conditions and factors determining the death and recovery of patient both in home and hospital setting.Methods: It is a retrospective record based study of COVID-19 patient from September 2020 to May 2021 who underwent treatment either home or at hospital. Results: Majority 90% patient were hospitalised, with male preponderance, 96.4% patient were non vaccinated at the time of data collection, risk of death about 83% were more >45years age, with associated breathlessness and comorbidity.Conclusions: Higher age, comorbidity, non -vaccinated status was associated with risk of death among COVID-19 patient.

Background: ART centres provide the comprehensive care to the people living with HIV (PLHIV) in public sector. Patients’ satisfaction is one of the commonly used outcome measures of patient care. The objective was to assess the level of satisfaction of PLHIV and factors associated with PLHIV satisfaction with the services at ART centre.Methods: The study was a cross-sectional design carried out at a tertiary level health care centre, Raipur during March 2016 to May 2016. A total of 320 PLHIV were selected into the study using systematic sampling. A pre-designed, pre-tested questionnaire was used to obtain data from the participants.Results: The mean age of the PLHIV was 37.76 years±8.59. The highest score was in “satisfaction with interaction with the pharmacist” (15.38±2.786), and the lowest in “satisfaction with general services” (13.67±2.822). 61.3% of all 320 respondents were satisfied with the overall services provided at ART centre. Older, less educated, those who take lesser time to reach ART centre and adherent respondents were more likely to be satisfied with the services.Conclusions: The study shows generally high satisfaction with services but there is still need for improvement of services in some areas where the patients showed dissatisfaction.

Background: In spite of the progress in therapeutic science, the mortality among patients with Oral cancer is still high when compared to other cancers. However, early diagnosis and treatment are still key to improve prognosis, if a correct diagnosis is made at the initial stage of the disease. The objective of this study is to assess the health seeking behaviour and factors affecting it among oral cancer patients seeking radiotherapy at Regional cancer centre, Dr. B.R. Ambedkar Hospital, Raipur.Methods: This hospital based cross sectional study was conducted in Regional cancer centre, Dr. B.R. Ambedkar Memorial Hospital, Raipur. Data was collected from previous patient records and by interview method regarding demographic details and health seeking behaviour including various delays in presentation of the study subjects.Results: The most common primary presenting complaint among the study subjects was Ulcer (61.59%) followed by Mass (33.02%). The majority of the subjects sought care at Private hospitals (41.72%) followed by government public health care facilities (33.11%) as first health care provider. Among clinic-epidemiological factors, place of residence (p=0.001), distance from RCC, Raipur (p=0.035), Socio-economic status (p=0.01) and initial healthcare provider (p=0.027) were found to be significantly associated with delay in diagnosis and treatment of oral cancer.Conclusions: The patient health seeking behavior can be improved by proper health education and increasing accessibility to primary health care.

Lymphangiomas are fluid-filled thin-walled cysts formed due to malformations in the lymphatic system. It is usually seen in children and is rarely present in adults. Majority of the cases of lymphangiomas are seen in head and neck region with occasional extension in mediastinum. We present a case of an adult with macrocystic lymphangioma in the left posterior triangle of neck. FNAC and MRI are important modalities of investigation for diagnosis of lymphangioma. Surgical excision is the main modality of treatment in case of macrocystic lymphangioma. In case of a soft cystic swelling in head & neck region, a differential diagnosis of lymphangioma should be kept in mind.

Background: Tobacco consumption in various forms in recent years is a proven risk factor and contributes substantially to the emerging epidemic. Increasing tobacco use and its impact on physical and psychosocial health is a worldwide public health concern affecting the early youth and whole life of the individuals. Tobacco is used in different forms and health effects are seen irrespective of the form in which it is used. Smokeless tobacco is found to be as addictive and harmful as smoking. Objectives: To assess the prevalence and factors influencing smokeless consumption among high school students in Raipur city. Methods: Study design: Cross-sectional, Study area: 16 selected high schools of Raipur city, in which 12 were government schools and 4 private schools. Study subjects: 1006 high-school students, Sampling technique: Two stage cluster sampling according to probability proportional to size, Study tool: Predesigned pretested questionnaire. Statistical analysis: Data was entered in Microsoft excel sheet and analyzed in Epi info 7 software. Results: The mean age of students in the study was 15 years. The prevalence of smokeless tobacco consumption was 10%. Majority male 80.9% were users, mean age of initiation was 13 years (SD 7.07), Peer pressure (76%) was the reason for initiation. Pocket money 57.1% found to be the major source of purchasing. Strong association of family member tobacco use and promotional advertisement were found. Conclusion: Study reflects smokeless tobacco use was prevalent among adolescent students and there is a need for targeted interventions to reduce the risk and deleterious consequences.