Archive for November, 2012

Abstract Overweight and obesity are recognized as an “escalating epidemic” affecting both developed and developing countries. WHO has declared obesity as a disease of pandemic significance Objectives To assess the relationship of obesity indices with blood pressure and blood glucose level among young adult  medical students.Materials and methodsThe present cross sectional study was conducted in department of Physiology, J N Medical College, Belgaum from January 2009 to December 2009, with a sample size of 427 young adult medical students aged 17 – 20 years. Obesity indices measured were BMI, WC, WHpR and WHtR using standard protocol. Blood pressure and fasting blood glucose levels were measured using standard techniques.Data analysis was done using unpaired ‘t’ test to compare the mean of two groups. Chi-square test was used to compare the rates of different groups. Differences were considered significant at p < 0.05 level. ‘F’ test (ANOVA) was used to compare means of more than two groups followed by Bonferroni multiple comparison test.ResultsThe results of the present study revealed a significant correlation of BMI with both systolic and diastolic blood pressure. WC and WHtR were significantly associated with systolic and diastolic blood pressure among males while there was statistically significant correlation between WHpR and systolic blood pressure among females.ConclusionResults of present study reveal the increased risk of development of hypertension in young adult age group at an earlier age. Hence, it’s necessary for implementing an effective prevention and health promotion programs targeted towards young adult age group.

AbstractIntroduction: Health Care Workers (HCW) are at an escalating risk of acquiring blood borne pathogens. Of all, HBV is the one which is vaccine preventable but still sizeable proportion of HCWs never get vaccinated. Further, awareness about HBV and vaccine compliance are poor. The level of immunity after vaccination,  in this population is also  not known. AIM: To study the sero prevalence of HBsAg, anti HBs among vaccinated and unvaccinated HCWs. Materials & Methods: A total of 208 blood samples were collected from HCWs (104 vaccinated and 104 non-vaccinated) from May – July 2011 and tested for anti HBs and HBsAg by ELISA.            Results: Of the 104 vaccinated only 28(27%) had all three doses. Among the  vaccinated 61% (17/28 Three doses), 43% (17/40 Two doses) and  47%  (17/36 single dose) had >100mIU/mL. Of the 104 non- vaccinated, 10 (10%) had >100mIU/mL. Among the vaccinated, 69% (35/51) of <60 kg wt and 30% (16/53) of > 60 kg had more than 100mIU/mL. Of the 52 male, 14(27%)  and among the 52 female, 37(71%) had >100mIU/mL.  Among the fully vaccinated, within 5 years of vaccination, 65%(13/20) and 50% of  more than 5years of vaccination (4/ 8) had > 100mIU/mL.One  incompletely vaccinated and   another one in non vaccinated were positive for HBsAg. Conclusion: This study highlights poor compliance of HBV among HCW. Steps need to be taken to create awareness and the vaccination should be made mandatory for all the persons in health care settings.

SUPERIOR MESENTERIC ARTERY SYNDROME – Supriya Garapati*, S. Saritha**, Praveen Kumar M***.

Abstract The knowledge of anatomical variations in superior mesenteric artery is of importance to surgeons and radiologists while performing complicated procedures. Superior mesenteric artery syndrome is rarest life threatening Gastro vascular disorder characterized by a compression of the third part of Duodenum by Abdominal Aorta and the overlying Superior Mesenteric Artery. Superior mesenteric artery syndrome is triggered when there is narrowing of the mesenteric angle and shortening of the distance.We report a case of SMA syndrome which sharply exemplifies its clinical and anatomical features which was identified during routine radiological studies of the Dept. of Radiology, KIMS, Narketpally. The aetiology, presentation, diagnosis and management of this unusual condition are discussed.