Background: Stunting or low height-for-age is failure to reach linear growth potential, and is a key indicator of chronic under nutrition. The objectives of the study were to assess the status of stunting among children attending outpatient department and to evaluate the demographic profile of such children.Methods: A hospital based cross sectional study conducted over a period 6 months from August 2015 to January 2016 among children within age group of 2 to 12 years attending outpatient department of GB Pant Hospital, Port Blair. Height-for-age z-scores (HFAz) was generated using the WHO Anthro software (version 3.2.2).Results: Overall 444 students’ were included in the study which included 213 male children (48%) and 231 female children (52.0%). Out of this 21.70% children were stunted and 6.3% children were severely stunted. Among the socio demographic factors shunting and severe stunting is seen among lower/upper lower class (82.14%) followed by middle/lower middle class.Conclusions: Collective effort by government, non-government organizations is required to plan long term and short term strategies addressing the risk factors.

Background and Aims:The sniffing position has been most commonly used for positioning of the head and neck to facilitate tracheal intubation. However, the optimum degree of head elevation for the optimal laryngeal view is not well studied, especially in non-Western countries. The present study was aimed to compare the use of a fixed height pillow versus a customised pillow (CP) height for head elevation, in terms of glottis visualisation and time required for tracheal intubation.Methods:With research and ethics committee approval from the institute, this randomised study was conducted among patients of both sexes aged 16 years or more and American Society of Anesthesiologists physical Status I to IV. A total of 134 patients were randomly allocated into routinely used fixed-sized pillow (FP) and CP group (to achieve horizontal alignment of external auditory meatus [EAM] and sternal notch). Primary and secondary outcomes were Cormack–Lehane (C–L) grade of glottic visualisation and time required for tracheal intubation, respectively. They were compared using unpaired t-test and Fisher's exact test as applicable; P < 0.05 was considered statistically significant.Results:One hundred and nineteen patients completed the study. Both groups were similar in terms of demographic and external airway measurements. The mean ± standard deviation height of pillow required in Group CP was 6.26 ± 0.97 cm. Group FP had C–L Grade 3 view more often than Group CP (28.33% vs. 13.56%). In patients with modified Mallampati (MMP) Grade ≥3, the C–L grades and time required for intubation were both significantly lower in group CP. The time required for tracheal intubation was significantly lower in group CP (P = 0.04), even though the C–L grades were similar.Conclusion:Customising pillow for head elevation to horizontally align the EAM and the sternal notch gives better glottic visualisation and intubating conditions in patients with higher MMP grades.

Co-morbid patients have more abnormal results than non-co-morbid patients, but impacts of such tests are nearly indifferent. Routine testing is not favourable even in co-morbid patients. Selective or co-morbid disease-specific tests are having more significant impacts and should replace the 'routine testing' even in co-morbid patients.