Background: Chronic obstructive pulmonary disease, a common preventable and treatable disease has been a major public health problem in this century and is one of the leading causes of morbidity and mortality in the industrialized and the developing countries. Irrational use of drugs is a major concern in modern clinical practice; more than half of all medicines are prescribed, dispensed inappropriately. This was a prospective study with an aim to analyze the drug prescribing pattern in chronic obstructive pulmonary disease patients. Materials and Methods: The study was conducted in 163 patients of either sex admitted in the general and pulmonary medicine departments over six months from September 2017 to February 2018 at NMCH and RC, Raichur, Karnataka. Results: Out of 163 study population male patients were more (82%) and majority of the patients were from the age group of 58-68 years (45.73%). It was found that smoking was more prominent in study population (39.63%). Bronchodilators were mostly prescribed class of drugs (31.94%) in the management of COPD followed by antibiotics (25.58%). Salbutamol with budesonide combination therapy was given in majority of prescriptions. Hypertension (19.63%) was the most common co-morbidity. Generic drug prescriptions were found low (1.42% drugs). Conclusion: The study concludes that symptomatic treatment was given for COPD patients in our hospital. Combination therapy was preferred over monotherapy. Bronchodilators were the mostly prescribed class of drugs among COPD drugs. Antimicrobial therapy was given for all patients. Polypharmacy was found in all prescriptions. Diagnosis of COPD lacked spirometry.

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We are living in a fast-developing society. Every day we are exposing to new technology and development in our locality. The communication system and transportation mechanism connect people around the world so easily with utility of less time, cost and comfort. This kind of development also increases the standard of living of people. Rapid urbanization and intense commercial developments in the recent past have resulted in steep rise in travel demand, putting Kochi's transport infrastructure to stress. Experience has shown that, in cities like Kochi where roads do not have adequate width and which cater to mixed traffic conditions comprising slow-and fast-moving vehicles, road transport can optimally carry 8,000 persons per hour per direction (PHPDT). There is an urgent need to introduce a light Metro system in the city to provide fast, safe, economic, and environment-friendly mode for mass movement of passengers. With growing population and mega development plans coming up for this port city, the travel demand is expected to grow steeply. With inadequate public transport services, passengers will shift to private modes, which is already evident from the high ownership trends in the region. This will not only aggravate the congestion on the city roads but will also increase the pollution level. Here is the study focusing on the factors affecting the performance of the Kochi Metro Construction Project.

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