Introduction: Severity of illness assessments is a critical part of ICU management. Study aimed at validiting the Pediatric Risk of Mortality score (PRISM) score in predicting mortality in a tertiary care Pediatric Intensive Care Unit in North India. Material and Methods:It was a Prospective observational study in a Pediatric Intensive Care Unit of a tertiary care hospital in North India. 411 patients were enrolled in the study. We divided patients into two categories based on PRISM-III 24 score -Patients with PRISM score >8 and those with a score of ≤8. Three hundred twenty-three (323) patients had a PRISM score ≤8, and 38 patients died in this category (11.8% mortality). In contrast, 88 patients had a PRISM score >8, and 32 patients died in this category (36.4% mortality).Results: Prism score >8 was a significant predictor of mortality (chi-square value of 29.615 and a p-value of <0.001). The odds ratio for dying in the presence of prism score >8 was 9.28 (9 times more risk of dying compared to patients with a prism score >8) with a 95% CI of 2.47-7.43. Cox regression analysis showed that PRISM score >8 was an independent predictor of mortality. Conclusion:PRISM score is a significant predictor of mortality.

Introduction: Presbyopia, a physiological insufficiency of accommodation, impairs the ability to perform near task. Considered as a disease of the forties, it reduces functional efficiency of the individual as well as the society since it affects the majority of working population. This study was an effort to evaluate the risk factors that can lead to its earlier onset. Purpose of the study was to evaluate the frequency of risk factors associated with premature presbyopia in a hospital-based study in Sundergarh district, Odisha.