Introduction:Acute respiratory infection (ARI) is an infection of the respiratory tract. It may interfere with normal breathing of the individual and is communicable in nature. There are several modifiable risk factors that predispose younger age group of children to ARI. The aim of this study is to evaluate the risk factors that contribute to occurrence of ARI among the under 5 children.Methods:This community based cross sectional study was carried out among 380 rural under five children in Kancheepuram district, by systematic random sampling method. A pretested structured questionnaire was used for data collection that was analyzed using SPSS software version 16. The analytical statistics such as Chi – square test, Odds Ratio, and Confidence Interval were used to determine the association of ARI with its determinants.Results:In this study, the prevalence of ARI among under five children was 41.6%. The prevalence of ARI was predominant among boys (50.6%) and those residing in semi pucca and kutcha type of house (50.3%) with poor ventilation (61.3%), history of parental smoking (57%), respiratory infection among family members (51.1%) children who did not cry immediately after birth because of any complication (60.9%), and malnourished children (66.4%). These factors contributed to increased prevalence of ARI with a statistically significant association with a P value < 0.05.Conclusion:The high prevalence of ARI in this study was contributed by multiple factors. The primary care physician can play a vital role to create awareness on hazards because of exposure to the various contributing factors by lifestyle modifications, good nutrition, and healthy and safe environment.

Introduction:An “Inter-Arm Difference” (IAD) in blood pressure (BP) is defined as a variation in systolic BP of >10 mmHg. Various studies conducted in different population show that there are wide variations in the prevalence of IAD, which ranges from 5% to 46%. The aim of this study is to evaluate the prevalence of IAD in BP among adults and its association with risk factors.Methods:This community-based cross-sectional study was carried out among urban adults in Kancheepuram district. The study sample size of 1634 was calculated, and simple random sampling method was used. Data analysis was performed using SPSS software version 16. Prevalence of IAD in BP was calculated using percentages, and statistical significance was tested to look for an association.Results:This study shows that 26.2% were at moderate risk for vascular events with IAD in systolic BP of 10–15 mmHg and 17.3% were at high risk with IAD >15 mmHg. About 14.2% had diastolic BP difference of 10–15 mmHg indicative of moderate risk and 6.1% had a difference of >15 mmHg indicative of high risk for vascular events. The statistical significant association was found between IAD in systolic BP and risk factors such as hypertension, smoking, alcoholism, and between IAD in diastolic BP with overweight/obesity (P < 0.05).Conclusion:This study outcome shows that the prevalence of IAD in BP is on the higher side. Hence, specific guidelines should be brought in to practice for measuring BP in both arms to detect IAD in every health-care settings.

Background: Intestinal parasitic infections are globally endemic and is a major public health problem of concern. The prevalence is high in developing countries like India probably due to poor sanitary conditions and improper hygiene. Among the various intestinal parasites, the prevalence of Entamoeba, Ascaris, Ancylostoma, Giardia and Trichuris have been studied in this research.Methods: This is a cross sectional study which involves 205 urban and 185 rural populations. The data was collected from the Urban and Rural health training centres in Anakaputhur and Padappai of Kancheepuram district respectively over a period of three months from August 2017 to October 2017. Data entry was done in MS Excel and analysis was carried out in SPSS software version 22. The analysis was done using descriptive and analytical statistical methods.Results: Among the rural and urban population, 185 stool samples from the rural population showed nearly 50.8% intestinal parasites (E. histolytica 40%, A. lumbricoides 2%, A. duodenalae 5%, Giardia 1%, T. trichura 3%). On the contrary 205 stool samples from urban population showed 23.4% of intestinal parasites (E. histolytica 18%, A. lumbricoides 2%, A. duodenalae 5%, Giardia 0%, T. trichura 0%). The increase in the prevalence of intestinal parasites among rural population than the urban population was statistically significant.Conclusions: The stool samples collected from rural population showed high prevalence of intestinal parasite infestation when compared to urban population, hence necessary interventions like health education, awareness creation and medical intervention should be undertaken particularly among the rural population.

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