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I

Indian Journal of Public Health Research & Development www.ijphrd.com CONTENTS Volume 8, Number 1

January-March 2017

1. Effect of Short Term Yoga on Cardiorespiratory Fitness in Middle Aged Females .......................................... 01 Anuradha Rajiv Joshi 2. Study of Primary Infertility in Cases of Bilateral Vaginal Hydrocele ................................................................ 05 A K Srivastava, Sudhir Kumar Thakur 3. Television Viewing Pattern among Adolescents of Udupi District .................................................................... 08 Riny Ann John, Binu Margaret E, Ansuya 4. Study of Hyponatremia and its Prognostic Implications in Hospitalized Patients ............................................. 13 with Cirrhosis of Liver Sushma Trikha, Neelima Singh, Jigdel Tenzing Wangdi, Tshering Dolkar 5. A Study of Xerophthalmia and Associated Bio-social Factors in a Population of Tribal .................................. 18 Residential School Children of Odisha Manas Ranjan Behera, Sibabratta Patnaik, Nalinikanta Sahoo 6. A Portrayal of Childhood Injury among Under-Five Year Children .................................................................. 24 Renu G, Anice George, Baby S Nayak, Mamatha S Pai, Suneel C Mundkur, Dinesh M Nayak, Shashidhara Y N 7.

Prevalence of Anaemia among Urban High School Children in Belagavi ........................................................ 29 Abhishek Prayag, Girija S Ashtagi, Mahesh D Mallapur

8. Knowledge, Attitude and Prevalence of Blood Donation among College Students in Chennai ........................ 35 A R Parveen Gani 9. A Study to Assess the Mobile Phone Dependence Level and Sleep Quality among .......................................... 41 Students of Selected Colleges of Moradabad Neha Bhatt, N V Muninarayanappa, Nageshwar V 10. A Study on Body Mass Index among College Students and its Association with Anaemia .............................. 46 and Hypertension R Indira, K Chandra Sekhar, K Madhavi Rani , Sr. Mercy. P , N Lakshmi Prasanna, G Suneetha 11. A Study to Find the Effectiveness of Structured Teaching Programme on Knowledge ..................................... 51 Regarding Medico-Legal Aspects in Care of Terminally Ill Patients among Staff Nurses at Selected Hospitals, Moradabad Sheeba Annie Chacko, Nageshwar V 12. The Prevalence of Internet Addiction among the Students in a Western U.P. Medical College ........................ 55 Jitendar Singh, Tarun Pal, Prakash Chandra

II 13. Prevalence of Musculo-skeletal Disorders in Army Personnel in Meerut, ........................................................ 61 India- A Cross Sectional Study Nalina Gupta 14. Clinical Profile of Chronic Hepatitis B in Patients Co-infected with Human .................................................... 64 Immunodeficiency Virus Ajai Kumar Garg, G D Sharma 15. An Interventional Study on Smartphones Usage Pattern among Dental Student of District Meerut, (UP) ...... 68 Amit Mohan Varshney, Arvind Kumar Shukla, Sartaj Ahmad, Shalki Mattas 16. Strategies for Retaining Health-Care Professionals in Rural Areas of India ...................................................... 73 Manas Ranjan Behera, Chardsumon Prutipinyo, Nithat Sirichotiratana, Chukiat Viwatwongkasem 17. Clinical Predictors of Associated with Influenza A (H1N1) during Epidemic 2015 at ...................................... 80 Tertiary Care Hospital, Ahmedabad Gamit Mital, Vegad M M, Soni S T, Patel K J, Prajapati Khyati 18. Psychological Distress among Infertile Couples in a Rural Area ....................................................................... 86 Shilpa, Chethana R 19. Comparative Evaluation of Delmopinol with Chlorhexidine Mouthrinse as an ................................................ 93 Anti-plaque Agent-a Clinical Study Khushboo Rastogi, V K Arora, Rajesh K Thakur, Ellora Madan 20. Efficacy of Levamisole as a Steroid Sparing Drug in Children Suffering from Frequently .............................. 99 Relapsing and Steroid Dependent Nephrotic Syndrome Alok Khanna, Sanjiv Nanda, Jitender Jakhar, Kapil Bhalla, Anjali Verma, Raman Wadhera, Manish Swami 21. Methamphetamine Injection among People Who Inject Drugs in Bangkok, Thailand .................................... 103 Duangta Pawa, Chitlada Areesantichai 22. Role of MRI and MR Spectroscopy in Carcinoma Prostate ............................................................................. 110 Yasmeen Usmani, Alok Maheshwari, Arun Kumar Singh, Ritesh Nayak, Vishnu Datt Pandey, Bindu Agrawal 23. Evaluation of Student’s Hand Washing Knowledge, Practices and Skills in a College Setting ....................... 115 Keerthana K, Laxmish Mallya, Kundabala M, Ramya Shenoy 24. A Study to Assess the Effectiveness of Awareness Programme in Term of Knowledge ................................. 120 Regarding Early Symptoms of Myocardial Infarction among Bank Employees of Selected Banks at Moradabad, U.P Sukhpreet Kaur, N V Muninarayanappa 25. Generation of District Level Life Table for India ............................................................................................. 126 Barnali Thakuria, Labananda Choudhury, Rajan Sarma 26. An Assessment of Injection Practices of Health Care Providers in a Semiurban Areas of .............................. 132 Ghaziabad UP Gagan Agrawal, Arvind Kumar Shukla, Sartaj Ahmad, Amit Yadav 27. Evaluation of the Effect of RC-Prep, Canalizer, Maleic Acid and Citric Acid on the ...................................... 138 Microhardness of Root Canal Dentine- An in vitro Study Alok Kumar Basaiwala, Kundabala Mala, Neeta Shetty, Kartik Shetty

III 28. Road Traffic Accidents and Road Safety Behavior in India ............................................................................. 143 Krishan Kumar Meena 29. An Exploratory Analysis of HIV Infection in Tribal Population of Bilaspur Division, Chhattisgarh .............. 145 Tembhurnikar Pankaj, Tembhurnikar Rajesh, Nigam Prashant, Bagde Sadhana 30. The Effect of Food Simulating Liquids on the Flexural Strength of Three Composite ................................... 148 and One Polyacid Modified Composite Restorative Ayush Razdan Singh, B Rajkumar, K K Dixit, Gayathri S Jethwani, Rahul Shrivastava, Prerna Tripathi 31. Embryological Considerations and Demonstration of Imaging Findings in a Case of ..................................... 151 Diastometamyelia with Associated Spinal Anomalies Sandeep S, Reddy Ravikanth 32. Exploring the Dietary Habit of Medical Students’ and their Perception about its Effect on Health ................ 154 Piyushkumar C Parmar, Rahul B Damor, Anjali M Modi, Dhaval Patel, Naresh R Godara, JK Kosambiya 33. A Clinicopathological Study of Enteric Fever in Children ............................................................................... 159 Hemant Kumar , Neeraj Kabra, Satish C Agrawal, Shivani Bansal 34. Get the GIST: A Case Series on Gastrointestinal Stromal Tumors ................................................................... 163 Reddy Ravikanth, Partha Sarathi Sarkar, V Ravi Hoisala, Babu Philip 35. A Comparative Study on the Prevalence and Severity of Anemia among Urban and Rural ............................ 166 Pregnant Mothers in Davangere City, India Pai Divya Venkatesh, A H Suryakantha 36. Qualitative Analysis of Articular Cartilage of the Knee Joint on a 1.5 T MRI is Highly ................................. 172 Sensitive and Correlates with Arthroscopic Assessments Sandeep S, Reddy Ravikanth 37. Socio Demographic Profiles and Drug Use Patterns of People Who Inject Drug in ........................................ 178 Bangkok, Thailand Duangta Pawa, Chitlada Areesantichai 38. Awareness of Staff Nurses and Nurse Educators on Research and its Utilization ............................................ 183 Shashidhara YN, Shakuntala BS 39. A Study of Nutritional Status of Pre School Children in Muzaffarnagar District (Uttar Pradesh) ................... 187 Ravindra Kumar Jain, Neeraj Kabra, Hemant Kumar, Yogesh Goel 40. Evaluation of Depression and Stress among Nurses Working in Teaching Hospitals ...................................... 193 Affiliated with Zahedan University of Medical Sciences Zaynab Poodineh, Mahin Badakhsh, Maryam Khamari, Mehrbanoo Amirshahi, Mohammad Raesi, Mohammad Rigi 41. Prevention of Post-Operative Nausea and Vomiting Using Granisetron and Ondansetron in .......................... 198 Laparoscopic Surgeries in a Comparative Clinical Study Shailja Sharma, Ratan Kumar Chaudhary, Lokesh Gupta, Neel Kamal 42. Problems of Elderly Age Group in the Rural Area of Haryana (India): A Community based Study ............... 204 Ramesh Verma, Pragya Dixit, Avneet Singh, Abhas Khurana, Manoj Kumar, Ranvir Singh

IV 43. Study of Factors Associated with General Health of Menopausal Women in Zahedan ................................... 210 Zaynab Poodineh, Mahin Badakhsh, Maryam Khamari, Mehrbanoo Amirshahi Mohammad Raesi, Mohammad Rigi 44. A Study on the Effects of Anaemia on Pregnancy Outcome in an Urban Health Centre Practice ................... 215 Area of Tirupati D S Sujith Kumar, K Keerthinmayee 45. Correlation of Curve of Spee and other Dental Variables in Western Uttar Pradesh Population: .................... 221 An in Vitro Study Khushboo Rastogi, Stuti Mohan, Shalu Jain 46. Effect of Rajyoga Meditation on Affective, Cognitive and Somatic Clusters of Depression .......................... 226 Gaurav Aggarwal, Ramesh Kumar Sharma, Sonali Sinha 47. Relationship between the Resilience and Psychological Hardiness with the Spiritual Intelligence ................ 232 in a Sample of Female Students Kobra Darvishzadeh, Zahra Dasht Bozorgi 48. Cranial Noncontrast Computed Tomography in Acute Cerebrovascular Stroke, with Special ........................ 237 Reference to Circadian Variation in Stroke Alok Maheshwari, Bindu Agrawal , Sandeep A, S K Sharma, Anupam Varshney 49. Comparison of Coping Strategies and Pain Intensity between Cancer Patients and Healthy Subjects ............ 243 Hosien Shahdadi, Ameneh Shaeikh, Abbas Balouchi, Esmat Bandadni 50. Factors that affect the Attitude of Dental Students towards People Living with HIV/AIDS ...........................249 Manuel S Thomas, Ramya Shenoy 51. Efficiency of High Blood Flow in Increasing Dialysis Efficacy versus Dialysis Complications .................... 256 Hosien Shahdadi, Maryam Jahantigh Haghighi, Eghlima Sharafi, Mahdieh Poodineh Moghadam, Abbas Balouchi, Esmat Bandadni, Abdolghani Abdollahimohammad 52. Use of Alternative System of Medicine other than MDT by Leprosy Patients ................................................ 261 Sunil Kumar, S S Pandey, P Kaur 53. Imaging Spectrum of Extranodal Lymphoma Manifestations .......................................................................... 265 Sandeep S, Reddy Ravikanth, V Ravi Hoisala 54. The Effect of a Self-care Training Program based on Orem Model on Anxiety in Patients ............................ 269 with Multiple Sclerosis (MS) Hosien Shahdadi, Hanieh Dahmardeh, Saadat Salari, Sudabeh Ahmadidaresima 55. Chest Ultrasound in the Diagnosis of Pneumothorax- A Prospective Study .................................................... 275 Neema Agarwal, Hari Mohan Kansal 56. The Effect of a Self-Care Instructional Program based on Orem’s Model on the Stress of ............................. 280 Multiple Sclerosis Patients Hosien Shahdadi, Hanieh Dahmardeh, Saadat Salari, Sudabeh Ahmadidarehsima 57. A Study of Patterns of Breast Lesions on Fine Needle Aspiration Cytology in Hapur Region, ...................... 286 Uttar Pradesh Amit Kumar Nirmal, Kirti Nirmal, Amit Kumar Saxena, Sumit Giri

V 58. Pilomatricoma Called “Tumor Perplex”- Perplexity Continues with this Large .............................................. 292 Pilomatricoma – Still a Diagnostic Pitfall Surabhi Tyagi, Sanjay Singhal 59. Lived Experience of Intubated Patients: A Phenomenological Study .............................................................. 296 Mina Pakmehr, Mozhgan Rahnama, Mohammadreza Firouzkouhi, Abdolghani Abdollahimohammad 60. Prevalence of ABO and Rhesus Blood Groups in District Hapur, Uttar Pradesh - An Institutional Study ...... 302 Surbhi Solanki, Maninder Jeet Singh, Abhinav Akshat Sharma, Meenu, Sumit Giri, Abhiman Raghav 61. Evaluation of the Relation between Occupational Burnout and General Health of Operating ........................... 307 Room Employees in the Hospitals of Zahedan in 2014 Mahan Mirmortazavi, Aboozar Ghafari 62. Barriers to Patient Education from the Viewpoint of Nurses in Emergency .................................................... 312 Department in the Hospitals Affiliated with University of Medical Sciences in 2015 Hanieh Dahmardeh, Farzaneh Barati, Hosien Shahdadi, Abbas Balouchi, Sudabeh Ahmadidaehsima 63. Analysis of Job Engagement and its Impact on Turnover Intention with Reference to IT Sector, .................. 317 Chennai, Tamil Nadu Sandhya Manjunathan, S Vasantha 64. Prevalence of Hypertension and their Risk Factors in Bank Employees in Kanchipuram District ................. 323 Dhananjaya Sharma, Mustafa Ahmed, Ashok B 65. Levander a Plant for Medical Uses: A Literature Review ................................................................................ 328 Hosien Shahdadi, Raziyeh Sadat Bahador, Abdulsamad Eteghadi, Soad boraiinejad 66. Examining the Quality of Prenatal Care Received by Women Attending Health Centers of ........................... 333 Jiroft During 2015 Behnaz Aflatoonian, Saadat Salari, SiedehFatemeh Hoosieni, Sudabeh Ahmadidarrehsima, Azadeh badakhsh, Motahare Pilevarzadeh 67. Effect of Self-Care Program based on Orem’s Model on Complications of Disease in ................................... 337 Patients with Multiple Sclerosis Hanieh Dahmardeh, Raziyeh Sadat Bahador, Farzaneh Barati, Hosien Shahdadi, Abbas Balouchi 68. Examining the Health-Promoting Lifestyle and its Related Factors among the Nursing ................................ 342 Students of Jiroft University of Medical Sciences Saadat Salari, Motahare Pilevarzadeh, Fereshteh Daneshi, Sudabeh Ahmadidarrehsima 69. The Comparative Study of Clinical Nurses and Nursing Students’ Opinions about Effective Factors ............... 347 on Patients Training in Instructional Hospitals of Zahedan Fatemeh Kiani, Alireza Shahsavani 70. Examining Muscular Relaxation Technique Effect on Fatigue of Parents Having Children with ....................... 352 Leukemia Under Chemotherapy Treatment In Instructional Hospitals of Zahedan Fatemeh Kiani, Zeynab Podineh

DOI Number: 10.5958/0976-5506.2017.00001.8

Effect of Short Term Yoga on Cardiorespiratory Fitness in Middle Aged Females Anuradha Rajiv Joshi Associate Professor, Department of Physiology, Bharati Vidyapeeth Deemed University Medical College, Pune

ABSTRACT Context: Regular and continuous yoga exercise is one of the most important nonpharmacological method of improving aerobic capacity and physical fitness. Aims: The present study was conducted to ascertain whether a short-term practice of yoga training had improvements in cardiorespiratory functions in middle aged females. Materials and method: This interventional study was conducted in the Department of Physiology of local Medical College, Pune Thirty five females in the age group of 30-40 years, fulfilling the inclusion and exclusion criteria underwent sixty minutes of daily yoga programme for 8 weeks taught by a certified yoga teacher. Pre and post yoga cardio respiratory functions, were assessed by recording pulse rate, systolic blood pressure, diastolic blood pressure and ventilatory lung function tests. Statistical analysis: The parameters were analyzed by paired ‘t’ test. Results: Results showed statistically significant reduction in pulse rate and systolic blood pressure. FVC, FEV1 / FVC and MVV showed definite improvement which was also statistically highly significant. Conclusion: This study showed significant improvement in cardiorespiratory parameters after training course for two months. These changes highlight the positive effect of short duration yoga training on physical fitness in sedentary females. Keywords: Blood pressure, pulse rate, ventilatory lung function tests, FVC, FEV1, MVV

INTRODUCTION Yoga is the cultural heritage of India from time immemorial. It is an unparallel, distinctly recognized system of mental and spiritual culture. Yoga is a practice of the mind and body with its roots deeply implanted in the ancient Hindu culture. Initially yoga was practiced mainly for meditative purposes but it also provided strength and flexibility to the body while relaxing the mind as well.1 Corresponding author: Dr Anuradha Rajiv Joshi Associate Professor, Department of Physiology, Bharati Vidyapeeth Deemed University Medical College, Pune, Contact No -9422884006 E mail: [email protected]

The practicing of Asana & Pranayama is also called as Hathayoga. Asanas are different postures of the body stabilizing mind & body where as pranayama regulates respiration.2 In a professional college teaching is very demanding both physically and mentally. Teachers are engaged all the time in academic and administrative activities. Most of the day time, they are busy at working place. Also lack of exercise and environmental pollution affects the respiratory system in urban area. Cardiovascular diseases are more prevalent after 40 years in females. Thus in order to make them aware about their health status and encourage them to improve the fitness a training program in yoga was conducted in a professional college.

2

Indian Journal of Public Health Research & Development, January-March 2017, Vol. 8, No. 1

The aim of the study was to ascertain whether a short-term practice of yoga training had improvements in cardiorespiratory functions in middle aged females.

MATERIALS AND METHOD The healthy teaching and non-teaching female staff members (n = 35) who volunteered to engage in the practice of yoga were included in the study. They were subjected to clinical examination. Data on physical characteristics was obtained such as age, height and weight. Nobody was involved in any other active exercise during or before the period of yogic training. On detail history, all subjects were nonalcoholic, non-smokers, not taking any drug and were having similar dietary habits, physical and mental activities in working atmosphere. Those having been clinically diagnosed with asthma, chronic obstructive pulmonary disease or other chronic pulmonary diseases, hypertension, diabetes and taking any treatment for cardiac or respiratory diseases were excluded. All study participants gave written informed consent. The research protocol was approved by the Institutional Ethical committee. 25 Yogic postures & 5 ways of pranayama were taught to the subjects. These were practiced for 60 minutes per day for 5 days in a week for two months.

Each 60-minute yoga session included 10 minutes of warm-up and breathing exercises, 40 minutes of yoga postures, and 10 minutes of cool down exercises. The postures were performed with closed eyes in order to have full concentration and to avoid competitive element or any distraction. At the end of the practices shavasana was performed for 5 minutes. Pre and post yoga training cardiorespiratory fitness tests were repeated. cardiovascular functions were assessed by recording pulse rate, systolic blood pressure and diastolic blood pressure. All the volunteers were asked to relax physically and mentally for 15 minutes in supine position in a silent room after which the pulse rate and the blood pressure were recorded. The pulse rate in beats per minute was recorded in the right radial artery by palpatory method for whole one minute. The arterial blood pressure was recorded with a sphygmomanometer (Diamond), in the right upper limb by auscultatory method. Pulmonary functions were recorded on a computerized portable Schiller lung function unit SP-

1(RS 232). The recorded parameters were compared with the inbuilt pulmonary function norms for the Indian population depending upon the age, sex, height, and weight. The spirometer was calibrated daily using calibration syringe of 2 liters. Recording of static and dynamic pulmonary function tests was conducted on motivated volunteers in standing position. For each volunteer three satisfactory efforts were recorded according to the norms given by American Thoracic Society. These tests were recorded at noon before lunch, as expiratory flow rates are highest at noon.3 The essential parameters obtained were, forced vital capacity (FVC), timed vital capacity (FEV1), and maximum ventilatory volume (MVV). Pulmonary function tests were conducted in one sitting on the same day before beginning of the study and after completion of yoga practices.

RESULTS The average age of the volunteers was 30+ 4.5 years, average weight was 57 + 3.3 Kg and average height was 153+3.2 cm . Table - I: Effect of yoga on physical fitness parameters Parameter

Before (n=35)

After (n=35)

P value

Pulse Rate/min

81.7 ± 7.7

73.5 ± 17.4