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Introduction: Chronic kidney disease (CKD) is confirmed chronic abnormalities of kidney structure or function, present for > 3 months with implications for health (albuminuria or proteinuria). With increasing prevalence and risk factors, there is progressive loss of kidney function, cardiovascular morbidity and premature mortality, decreased quality of life. In a CKD patient, the problems of malnutrition also encompass the economic status and pattern of diet, in addition to that imposed by the disease per se. Sub optimal nutritional intake is common among the population of CKD and ESRD posing a direct risk for protein malnutrition. Objectives: To study the socio-demographic profile, the co-morbid conditions and assess the nutrition status of CKD patients undergoing hemodialysis. Methods: A total of 105 patients participated in the study. A pre-tested semi-structured questionnaire will be administered to the study population. Data regarding socio-demographic profile, dietary practices etc. will be collected. The PG-SGA score and anthropometric measurements like height, weight, BMI, will be used to assess the nutritional status. Other variables like age, gender, socio-economic status, height, weight, BMI, metabolic demand, chronic energy deficiency, nutritional triage etc. are taken into consideration. Results: Based on the study conducted, education and occupation status were significantly associated with nutrition status of CKD patient. With the higher levels of education, the number of subjects decreased and was found to have suspect/moderate malnutrition. With higher levels of occupation status, the number of subjects decreased and was found to have suspect/moderate malnutrition. Conclusion: According to the demographic study of CKD patients - low literacy rate, poor income, tobacco use, alcohol consumption, older age are some of the reasons for malnutrition that are independently associated with CKD. Co-morbidities such as hypertension are predictors for chronic kidney disease. Nutritional status is observed to be at baseline with linear progression towards deterioration in > 3/4 patients under study. Thus, malnutrition continues to be an under diagnosed condition in CKD. [ABSTRACT FROM AUTHOR]

Background & Objectives: Postpartum depression (PPD) is defined as presence of depressive symptoms in the postpartum period. A seemingly innocuous disorder, if untreated can lead to foeticide or maternal suicide. Furthermore, there is currently no screening tool designated for use in clinical practice and no data are routinely collected on the proportion of perinatal women with postpartum depression. Hence the current study is taken to accurately estimate the burden of postpartum depression using valid tool. To assess the prevalence of postpartum depression among postnatal mothers in rural India Methods: A cross-sectional study was done among the 110 postnatal mothers attending immunization clinics and general OPD in the field practice area of department of Community Medicine, GMC, Srikakulam. Modified EPDS scale validated in local language was used to collect data. Results: The mean age of the mothers 23.7 ±2.6,most(42.7%) of them were intermediate educated and upper lower class(70%) of SES. The prevalence of possible depression (score ≥10) is 19.1% and the prevalence of Depression of varying severity (score >13) is 10%. Post partum depression is associated with age, SES, type of delivery, immediate outcome of delivery. Conclusion: EPDS tool can be effectively used to screen post partum depression at primary health care level. [ABSTRACT FROM AUTHOR]