Browsing by Author "Uttam Singh"

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Maternal determinants of immunization status of children aged 12-23 months in urban slums of Varanasi, India
(Elsevier, 2015) Ashish Awasthi; C.M. Pandey; Uttam Singh; Sarvesh Kumar; T.B. Singh
Problem considered: The risk of health problems from vaccine-preventable diseases is highest in those who experience barriers in accessing immunization services. These barriers could be cost, location, lack of awareness of immunization services and their health benefits or other limiting factors. Material & methods: The present study was conducted to identify the determinants of complete immunization status among children aged 12-23 months in urban slums of Varanasi in India. A modified WHO EPI cluster sampling method has been used for sample selection. Data on 384 children were collected using pretested questionnaire through house to house visit. Chi-square test, bivariate and multivariate logistic regression were used to assess the factors associated with complete immunization status in the urban slums of Varanasi. Results: Only 57.03% children have received the complete recommended immunization schedule under universal immunization program. Significant determinants of the complete immunization were maternal age (OR. = 1.86, 95% CI 1.54-3.23), parity less than three (OR. = 2.84, 95% CI 1.98-3.73), employment status of mother (OR. = 1.39, 95% CI 1.21-2.63) and mother's education higher than secondary level (OR. = 1.59, 95% CI 1.30-2.88). Conclusion: More than half the way is complete to achieve the target of universal immunization against vaccine preventable diseases among children, but there is need to address the issue of dropout. Mother's education, low parity, maternal age and employment status of mothers are main factors associated with adherence of immunization schedule. It is necessary that interventions should be strengthened to minimize immunization dropout in the vulnerable children. © 2014 INDIACLEN.
Patterns and determinants of dyslipidaemia in 'Young' versus 'Not so Young' patients of coronary artery disease: A multicentric, randomised observational study in northern India
(Elsevier B.V., 2012) Nakul Sinha; Sudeep Kumar; Himanshu Rai; Neha Singh; Aditya Kapoor; Satyendra Tewari; R.K. Saran; V.S. Narain; R.P.S. Bharadwaj; R.K. Bansal; P.C. Saxena; P.R. Sinha; P.R. Gupta; Mukul Mishra; Praveen Jain; C.M. Pandey; Uttam Singh; S.S. Agarwal
Aims: The aims of the study were to ascertain difference in lipid levels of 'Young' onset of coronary artery disease (CAD) (≤ 45 years) vs. 'Not so Young' onset of CAD (≥ 55 years) among north Indians and also to investigate determinants of 'dyslipidaemia' in CAD patients. Methods: This was a prospective, multicentric, randomised, observational study carried in eight cen- tres of UP, India. All blood investigations were performed employing a central laboratory. Results: Out of a total 435 patients studied, 218 were in the 'young group' (YG) and 235 were in the 'Not so Young Group' (NSYG). Dyslipidaemia was more common in YG as evident by significantly higher levels of total cholesterol, triglycerides, low- and very low-density lipoprotein cholesterol as compared to NSYG. Diabetes, hypertension, urban lifestyle, and family history of CAD were found to be important determinants of dyslipidaemia in YG. Conclusion: We conclude that lipid levels among north Indians are significantly higher in younger patients with CAD when compared with elderly. © 2012, Cardiological Society of India. All rights reserved.