Dhruvendra Pandey

• MBBS, MD (Community Medicine), PGDEPI (Epidemiology) ACME Fellow
• Professor (Associate) at Government Medical College, Ratlam (Madhya Pradesh)

To assesses the coverage, adherence, reasons for non-initiation and non-completion of tuberculosis preventive treatment (TPT) among household child contacts (HHCC) of pulmonary tuberculosis (TB). This cross-sectional study was conducted across eight sites in India. Estimated sample size was 200 per site. Information was collected through record rev...

Vitamin D is a fat-soluble vitamin involved in the regulation of calcium homeostasis and thus is essential for a healthy skeletal system. The blood samples from pregnant females coming at the facility were tested for Vitamin D levels as a part of routine Ante natal care (ANC). We report that 130 (61.9%) pregnant women had insufficient Vitamin D lev...

This book offers readers a dynamic learning experience that combines theory, practical, and critical thinking through a collection of engaging and diverse case studies. Aimed at the under graduate medical students, it will also serve adequately the post graduate students of community medicine through their training.

Objective: The objective of the study is to assess the knowledge of skilled birth attendants (SBAs) in providing antenatal care, intranatal care, management of complications, and postnatal care. Methods: A cross-sectional study was done at primary and secondary level of health-care delivery centers of Indore district in Madhya Pradesh. Health cente...

Objective: The study aimed to assess the effectiveness of intralesional autologous serum therapy in Melasma. Methods: A total of 30 patients over 18 years of age were enrolled in the study with prior approval from the institute’s ethical committee. Serum was injected intradermally into the melasma lesions of the patient every 2 weeks with a 30G ins...

Objectives: To identify prevalence of pulmonary tuberculosis (TB) in severely malnourished children admitted to nutritional rehabilitation centers. Methods: A multicenter cross-sectional study involving 41 nutrition rehabilitation centres (NRCs) across India was carried out to document prevalence of pulmonary tuberculosis in acute severe malnour...

Background: Nowadays technology covers us all around it required for all works. But some also use this smart phone for their entertainment in gaming which ultimately leads to addiction. Aims & Objective: To estimate the internet gaming addiction among adolescents. To assess the perception of Non/Less users towards regular internet gaming users. Mat...

Objectives: The objectives of study are to assess the magnitude of hypertension and identify various factors associated with hypertension among participants. Methods: A cross-sectional study done on attendees and patients coming to medicine OPD in a tertiary care hospital in Madhya Pradesh. The earlier diagnosed hypertensive cases were excluded fro...

A sudden outbreak of pneumonia of unknown cause occurred worldwide which later confirmed as the corona virus disease 2019 (COVID-19) infection has posed significant threats to international health and the economy. On 30 January, 2020, the World Health Organization (WHO) declared it to be a Public Health Emergency of International Concern. Initially...

Background:-Human papilloma virus (HPV) infection is the most important cause of cervical cancer.Since Herpes Simplex Virus (HSV) and HPV are transmitted sexually and infect the same cell type, both viruses have the potential to interact with each other, impacting neoplastic progression. Aimand Objective: - This study was conducted to find out asso...

Background: A non-histone nuclear protein tightly associated with the cell cycle is Ki-67 which is seen in cell cycles phase mid-G1, G2, mitosis, and S phase. However, Ki-67 is not seen in early G1, G0, and resting or quiescent cells. Ki-67 is a reliable indicator of prognosis and proliferation of the tumor in subjects with carcinoma breast. Aims:...

Introduction: Hematological abnormalities are relatively common in severe pulmonary and extra-pulmonary tuberculosis and it is emphasized that body weight loss, white blood cell count, hemoglobin level and erythrocyte sedimentation rate are useful indices of severity of tuberculosis and the return of these indices to a normal level is a good indica...

Background: For the evaluation and assessment of both non-gynaecologic and gynaecologic specimens, extensive use of LBC (Liquid-based cytology) has gained popularity in the recent past. Better assessment morphologically is possible owing to the monolayer cell suspension. Also, LBC allows assessment of nucleolar prominence, smaller cell size, fragme...

Background & objectives: To eliminate tuberculosis (TB), the National TB Elimination Programme (NTEP) has given an algorithm for diagnosis and treatment of TB in children. This study was carried out to assess the prevailing practices to identify TB in severely malnourished children admitted to various nutrition rehabilitation centres (NRCs). Method...

Introduction The intrauterine device (IUD) is the world’s most widely used spacing method of reversible birth control. It iseasily available and has many advantages but is still underused in many settings. This study principally aims toassess the quality of services regarding IUD insertion and client support. Methods A cross-sectional study was con...

Objectives: The present observational study was conducted to evaluate and assess the ocular emergency prevalence in the rural Indian population and to elucidate health care professionals concerning better prevention and management of these emergencies.Material and Methods: Thisclinicalobservationalretrospectivestudy was carried outOphthalmologydepa...

Background: Sex ratio is important demographic figure to explain status of specific gender in any country. Declining sex ratio and gender preference are always need a concern. Aims and Objectives: This study aims to know attitude of married women toward their gender preference and to find out the level of awareness regarding sex determination. Mate...

Background: Dengue disease is typically found in tropical and subtropical regions, where environmental and socioeconomic conditions favor the development of vector, the mosquito Aedes aegypti. Due to changing climate, urbanization, poor living conditions and inadequate waste management, vector borne diseases like dengue fever are becoming more comm...

Background: Postnatal period is a vulnerable time, because most maternal and new born deaths occur during this period, especially immediately after childbirth. Postnatal care in the first hours and days after childbirth could prevent the great majority of these deaths. The objective of study was to assess the utilization of post-natal care and asso...

The intrauterine device (IUD) is the world's most widely used spacing method of reversible birth control. Though it has too many advantages still its use not reaches up to mark. A lot of client was not satisfied with this method and seeks for early removal. This study principally aims to satisfaction level among the beneficiaries. A cross sectional...

Background: Antenatal and post natal care are important component of maternal mortality rate. Antenatal facilities provided to mothers form the base of their future outcome. The services provided to mothers are still poor in India. A proper and effective program implementation is depending on understanding of basic factors that affect maternal and...

Introduction: Cancer is rapidly increasing in all parts of world and causing mortality in all age groups. Breast cancer is one of them that 1 became leading cause of death among women globally. In India breast cancer is coming next to cervical cancer in term of incidence 2 and mortality. Its incidence is relatively low as compare to western 3 provi...

Background: Antenatal and post natal care are important component of maternal mortality rate. Antenatal facilities provided to mothers form the base of their future outcome. The services provided to mothers are still poor in India. A proper and effective program implementation is depending on understanding of basic factors that affect maternal and...

Abstract: Introduction: Diabetes also known as a "silent disease," exhibiting no symptoms until it progresses to severe target organ damage. Because of increasing burden of the diabetes and its iceberg nature, active and opportunistic effort was attempted for early diagnosis of diabetes by means of screening with the objectives to find out the prev...

Objective: To study the correlation between oxidative stress markers and Aminotransferases in patients of dengue fever with hepatic manifestations. Background: Manifestation of viral infection may be contributed by the alteration of oxidation/reduction (Redox) status in virus infected patients and this alteration starts prior to symptoms of disease...

Head injuries are the most serious injuries in the term of morbidity and mortality. The objective of this study is to find out age, sex, pattern and distribution of scalp injuries, skull fracture and intracranial haemorrhage in fatal road traffic accident victims. This study was conducted in Mahatma Gandhi Memorial Medical College and M.Y. Hospital...

Self-medication is rapidly evolving major public health concern. Pharmacists or pharmacy attendants play an important role in fostering self-medication among the public and this is supported with the increasing consultation cost.

Background: Micronutrient deficiency is a significant public health problem in the developing world. Fortification of foods with micronutrients is a technologically, programmatically and economically-effective method of increasing micronutrient intake in populations. Objective: To assess the knowledge of fortification and awareness of fortified soy...

Sexually transmitted infections are recognized as major public health problem. This is not only a medical problem but also a social and behavioral problem. This requires preventive strategies to be more focused and consolidated.

Breast cancer is the most common cancer among women both in developed and developing countries. The current study was conducted to correlate the molecular sub-typing of breast cancer with the Histological typing, Bloom Richardson grading and TNM staging. A cross sectional study was conducted on 70 invasive breast carcinoma samples from November 201...

Leptospirosis is an emerging public health problem in India which affects both human and animals. A 62 years old male, resident of rural area presented in out patient department of a private super specialty hospital with complaints of fever with chills, pain in abdomen and difficulty in breathing. His initial investigation showed plasmodium vivax p...

Background: Domestic accidents are emerging as a new epidemic. They result in significant mortality and morbidity. Majority of the domestic accidents are preventable. Objective: To study the occurrence of domestic accident and awareness on its prevention in an urban community. Materials and Methods: A community-based cross-sectional study was condu...

Background: As year passes, numbers of vehicles on road are increasing at the same time numbers of accidents are increasing. One of the major contributors for these accidents is the distraction created by headphone use during driving. Youngsters which are the major contributor for any nation’s development are lost due to these accidents. Aims: To e...

Background: An effective contraception is the only way to stop this population explosion. There are too advantages and side effects associated with the IUCD, But most of side effects are effectively controlled by proper selection of clients and counseling process. Objective: To know the pattern of side effects and reason for removal among beneficia...

An effective contraception is the only way to stop this population explosion. There are too many advantages and side effects associated with the IUD, but most of women having side effects had previous history of menstrual irregularities. The objective of the study was to know the pattern of side effects and reason for removal among beneficiaries of...

Background: Iron deficiency anaemia (IDA) is the most common nutritional deficiency in pregnancy. Prophylactic oral iron is recommended during pregnancy to meet the increased requirement. In India, women become pregnant with low baseline haemoglobin level resulting i therapy cannot meet the requirement. Pregnant women with moderate anaemia are to b...

Background: In India, Alcohol abus consumption has decreased with for alcoholic beverages in the world. within 100 meter vicinity of wine shop. residential colony situated within 100 meter range of wine shop. 150 participa informed consent to participate in study. Household were selected using sequential sampling method, all adult member of family...

Background: Safe maternity with improved neonatal outcomes is predi-cated on proper antenatal care services. Exercise has become a funda-mental aspect of women's lives and an important constituent of antenatal care.

Background: The lives of millions of adolescents worldwide are at risk because they do not have the information; skills, health services and support which they need to go through sexual development during adolescence. Aims& Objective: To assess knowledge of school students towards HIV/AIDS Awareness, Prevention & Control. Material& Method: An educa...

Introduction: This clinical study is being done to compare and evaluate the drugs, with Bupivacaine 0.5% heavy and Fentanyl with Bupivacaine 0.5% heavy, Abdominal and Lower Limb sur randomly so that each group comprised 30 patients. (15mg)Bupivacaine 0.5% heavy and Tramadol hydrochloride 25mg heavy and Fentanyl citrate 25mg (0.5 ml) significant for...

Introduction: ASHAs (Accredited Social Health Activist) act as a 'bridge' between the rural people and health service outlets and play a central role, in achieving national health and population policy goals. Their effectiveness largely depends on the training and support from health system and the community. Training is the backbone of capacity bu...

Background: Nutritional anemia is a major public health problem worldwide particularly in developing countries among women of reproductive age. WHO Hemoglobin Color Scale is easy, quick and handy technique to estimate hemoglobin level at field. Objective: To find out prevalence of anemia using WHO hemoglobin color scale among the females of repro...

Background: Hepatitis B is a global public health problem. In India the carrier rate of hepatitis B is higher among health care personnel. Nurses are probably the most commonly exposed health care staff exposed to needle prick, injuries and contact with infectious fluids. Objective: To assess the levels of awareness regarding infectivity of hepatit...

Background: Tuberculosis (TB) is a global health concern, India ranks first among the world's high-burden tuberculosis (TB) countries. Non-compliance to self administered multi drug tuberculosis treatment regi-mens is common and is the most important cause of failure of initial therapy and relapse.

Family is where our roots take hold and from there we grow. In India , the joint family system has been in existence since ancient times. However , with the passage of time , the joint family system has disintegrated , giving rise to the nuclear family system. AIMS & OBJECTIVE: To Study socio demographic pattern of different types of family of Indi...