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Introduction: Anxiety is a normal adaptive reaction to stress. Preoperative anxiety around cataract surgery affects a large proportion of patients, despite advances in technique and anesthesia administration. Thus, cancellation of cataract surgery due to anxiety is a challenge in the preoperative care of patients. Psychoneurobics is a meditation technique through complete involvement of mind, body and soul in which cosmic energy is inhaled through the power of mind and then transferred to the body’s neuro system. So the objective of the present study was to assess the effect of psychoneurobics on anxiety level of patients undergoing cataract surgery. Materials and Methods: A prospective randomized control study was carried out in a private eye hospital. One hundred patients undergoing cataract surgery were enrolled and randomized into two groups, namely, experimental group (receiving psychoneurobics and counseling both, n=50) and control group (receiving counseling only, n=50). Anxiety was measured using Amsterdam Preoperative Anxiety and Information Scale (APAIS) preoperatively before and after the psychoneurobics and counseling. Result: In the study, during first assessment, done before psychoneurobics/counseling, anxiety level of experimental group was found higher than the control group. However, in second assessment (after intervention), experiment group receiving psychoneurobics showed a higher decrease in anxiety (APAIS score) than control group. This finding was statistically significant (7.74±2.15 vs. 12.2±2.64, p

Background: Psychological well-being is a multidimensional concept, including both individual capacities of the adolescents and social competencies. Good overall adjustment and a sense of psychological well-being are very crucial factors for the adolescent’s positive contribution to the society. The objective of this study was to assess the status of psychological well-being and its socio-demographic determinants among adolescent school students of Raipur city.Methods: A cross-sectional observational study was done on 576 adolescent school students of Raipur city to assess their psychological well-being using Ryff’s scale of psychological well-being along with their socio-demographic characteristics. Association and regression analysis were done.Results: Overall, 79.9% of study subjects were scored as having average psychological well-being followed by 20.1% study subjects having good psychological well-being according to Ryff’s scale. Study subjects with female gender, studying in english medium, private school, following non-state board syllabus, belonging to unreserved category, having educated father or mother, working father or mother, at least one parent working at distant place, residing in joint family whose parents are living together, who gets attended by someone after returning from school are having higher psychological well-being than the other group.Conclusions: Socio-demographic determinants has a significant role to predict the psychological well-being of the study subjects. These determinants are mostly non modifiable displaying the need for integrating key behavioural factors on positive health promotion policies and programs.

Background: According to WHO, adolescence is the population of 10-19 years of age. According to NFHS III, in Chhattisgarh, 58.7% adolescent girls and 34.6% adolescent boys aged between 15-19 years were anemic. So, to combat anemia MoHFW launched weekly iron and folic acid supplementation (WIFS) programme with the objectives to reduce the prevalence. Thus the present study was in attempts with the objective to assess anemia status among school going adolescent of Raipur and Jashpur districts of Chhattisgarh.Methods: It was a school based cross-sectional study conducted in the two districts of Chhattisgarh during 2017-18 among the students aged between 12-19 years and the sample size was 480. By using simple random sampling method, four schools from each district and from each school total 60 students i.e. 10 students from each class 7th -12th were selected by using systematic random sampling method. Permission from DEO of the respective district followed by permission from the principal of each schools and consent from parents of the student was taken and then study was proceeded.Results: In the present study, the mean age of the students in Raipur and Jashpur district was 15.1±1.8 years and 15.2±1.8 years respectively. Out of all the students, in Raipur district, 101 (42.1%) students were found to be anemic and mean Hemoglobin level was 12.5±1.9 gm/dl. In Jashpur district about two third 147 (61.2%) of the students were anemic and mean Hemoglobin level was 11.9±1.9 gm/dl.Conclusions: This study concluded that anemia is still high among adolescent boys and girls.

Background: Under nutrition is significant health problem in India as well as in Chhattisgarh, recent NFHS 4 data shows that there is increase in number of children who are severely wasted from 5.6% in NFHS 3 to 8.4% in Chhattisgarh. Literature shows appropriate feeding practices and break in malnutrition infection cycle help malnourished child to recover, so present study was planned with the objective to find out the role of mother knowledge regarding feeding practices and management of minor ailments related to improvement of severe acute malnourished children discharged cured from nutritional rehabilitation centres in Chhattisgarh.Methods: A community based study was planned among children discharged as cured from NRC between March to December 2017. They were followed in community to find out socio-demographic factor, feeding practice after discharge, mother knowledge score, household dietary diversity using 24 hour recall method & anthropometric measurements.Results: Out of 156 children discharged as cured from March to December 2017, total 132 children were covered during the survey from January to June 2018. It was observed that improvement in nutritional status after discharge was significantly associated with increasing knowledge score for mother regarding nutrition and children who were separately feed after discharge from NRC.Conclusions: Mother knowledge regarding nutrition and management of minor ailments and feeding practice to child after discharge are important factors associated with the improvement of children from SAM.

Background: The health benefits of breastfeeding are well documented in public health and medical literature worldwide. It is reported in various studies that early lactation supported by correction of positioning and attachment of breastfeeding improves the rate of effective suckling. However, related to breastfeeding technique, no studies were conducted in Chhattisgarh, Therefore, this study was undertaken to assess the improvement in breastfeeding technique (positioning & attachment) after intervention(health education and support) among mother-early neonate units admitted in postnatal ward immediately after delivery in a tertiary level health institute.Methods: A Quasi-experimental (Single group pre and post design) carried out in hospital settings from August to September 2014. This study involved 414 both preterm and term babies who were born during the study period at Dr. BRAM hospital, Raipur with their mothers.Mothers were observed for breast feeding technique on first day followed by correction and post interventional observation.Results: After intervention statistically significant improvement was seen in overall body positioning status and attachment during breast feeding 43.3%, 42.1% respectively.Conclusions: Present study indicate that educating and supporting the mothers regarding correct breastfeeding technique is important to help them in the stage when they are establishing breastfeeding. This also avoids early and late problems related to breastfeeding.

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.

Background: Obesity is now an important emerging public health problem in India. It is one of the major risk factor for hypertension. Overweight persons have two to six fold increase in the risk of developing hypertension. This study was carried out with objective to find out prevalence of Hypertension and assess its association with four obesity-related indices- body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR).Methods: A cross-sectional community-based study was done among 640 study subjects of age group 25-59 years during July 2015 to June 2016. Multi stage random sampling method was used. Data collection was done using WHO STEPS instrument V 3.1. Privacy and confidentiality of data was maintained. Data was entered in the Microsoft excel, collected data was checked for its completeness and correctness before data analysis with the help of PSPP software.Results: Prevalence of hypertension among study subjects was found to be 22.19% (142 out of 640).With respect to body mass index, waist circumference, waist hip ratio and waist height ratio, 4.38%, 64.35%, 85.33%, 76.2% were found to be obese respectively. Hypertension was strongly associated with BMI (p

Background: Understanding the attitude toward rural health care among future medical graduates, the health workforce of the near future, is an important exercise. Objective: The objective of this study is to understand the attitude of third year MBBS students in a Government Medical College of Chhattisgarh toward rural health services. Methodology: A cross-sectional study was conducted in 2014 using a semi-open-ended questionnaire. The analysis was primarily descriptive, and nonparametric test of significance was used. Results: Of a total of 293 students, 263 (89.7%) rated the current rural health services to be unsatisfactory. Nearly 44% students were willing to serve in the rural area. There was no statistical difference among willing and nonwilling 3rd year Part I students regarding willingness to join rural services but mostly not willing among 3rd year Part II. Majority (66.2%) were only willing to work in rural areas for