Background: Hypertension is growing rapidly to epidemic levels in the developing countries, that’s why described by some clinicians as a ‘silent killer’. The objective of the study was to study the prevalence of hypertension among adults in urban area of Indore city.Methods: A community based survey was conducted among the 375 residents of urban population of Indore.Results: In our study 157 subjects were found to be hypertensive with the prevalence of 41.9%. Where; new cases of hypertension were found to be with prevalence of 15.7%. Out of which males were 44 (20.3%). Whereas, previously diagnosed 98 (62.4%) subjects were on anti-hypertensive medication and 59 (37.6%) newly diagnosed subjects who did not know they were having hypertension.Conclusions: The prevalence of hypertension in study subjects was 41.9%. 15.7% subjects didn’t know that they were having hypertension. 31.6% of hypertensive subjects were on irregular medication. It was found that lack of awareness, negative attitude of people for practicing modifiable risk factors associated with hypertension.

Background: The purpose of this study is to compare the effect of various concentration of ketamine-propofol (ketofol) on LMA insertion condition and hemodynamic parameters.Methods: Hundred patients of ASA I, II, aged between 18-65 years, were randomized in group A, B, C and D, each consist of 26, 25, 25, 24 patients respectively. They were premedicated with injection GPL, injection midazolam, injection fentanyl and induced with ketofol in 1:1, 1:2, 1:3 and 1:4 ratio in Group A, B, C, D respectively. 60 seconds after induction LMA insertion condition including mouth opening, swallowing, coughing, head and body movements, laryngospasm, ease of LMA insertion, apnea time, and time of LMA insertion were recorded. They were scored 1 to 3. Hemodynamic parameters- heart rate, noninvasive blood pressure and SPO2 were recorded before induction (T1), immediately following induction (T2), immediately after LMA insertion (T3), 5mins after LMA insertion (T4) and 10 mins after LMA insertion (T5).Results: Total 100 patients were included in this prospective randomized double-blind study between April 2017 to March 2018. Pulse rate at (T3) was significantly lower (P-0.06) in group C and D. Diastolic BP was found lower at (T2) time (P-0.04) in group C and D. Apnea time was longest in group A (P-0.002) LMA insertion time was minimum in group B (P-0.008).Conclusions: Addition of low dose of ketamine in propofol favour LMA insertion, due to opposite effect on muscle tone, better relaxation but heart rate, blood pressure remains stable with 1:1, 1:2 ratio of ketofol.

Background: Food borne diseases, usually either infectious or toxic in nature. Agents that enter the body through ingestion of food pose global health threats, endangering everyone with an underlying illness which is particularly vulnerable. The objective of the study was to assess the awareness of safe food among non-teaching and teaching staff in tertiary care center.Methods: A cross-sectional study conducted among 457 study subjects where 268 (58.6%) were Non-teaching staff and 189 (41.35%) were teaching staffs. Study subjects were those who were presently working; interviewed by using predesigned and pre-tested modified WHO pro-forma.Results: Mean percentage score for the good awareness was 60.32%. While comparing among study subjects it was found that overall awareness was higher among teaching staff. Awareness about death occurs due to food-borne diseases, followed by preventing cross-contamination by keeping separate raw and cooked food was found to be significant (p<0.05) among teaching staff while compared to non-teaching staff. Whereas rinse by running water is more practiced among (p<0.05) non-teaching staff compared to teaching staff in the study.Conclusions: The lack of awareness regarding safe food was being served as potential risk in our tertiary care center. There is an urgent need of training programme for both teaching and non-teaching staff in tertiary care center.