AIM AND OBJECTIVESCross-sectional study to compare the peak expiratory flow rate with the help of "Mini-Wright" peak flow meter among females, normal healthy subjects and subjects who are asthmatics of age group 20-40 years. METHOD60 adult females of age group 20-40 years (30-Healthy and 30-Asthmatics) for whom baseline pulmonary function testing was done to differentiate normal and asthmatic. All cases were clinically examined to rule-out any obvious cardiopulmonary diseases. Subjects were provided one mini Wright's peak expiratory flow meter, were individually trained for measuring their own PEFR in L/min and were instructed to record the readings with Wright's portable peak

OBJECTIVESThe aim and objective of this study is to compare the pulmonary function variables with the help of spirometer among beedi smokers, cigarette smokers and subjects who smoked both beedi and cigarette. BACKGROUNDSmoking is a major public health problem and a major cause of many preventable diseases and premature deaths all over the world. Pulmonary function variables will differ based on the type of smoking i.e. Beedi smokers, cigarette smokers, subjects who smoked both beedi and cigarette.

BACKGROUND The Acute Physiology and Chronic Health Evaluation (APACHE II) is the severity score and mortality estimation tool developed for use in ICU's around the world. It is calculated during the first twenty four hours of admission of the patient to an ICU. An integer score ranges from values 0 to 71. During the stay, the score is not recalculated; and by definition, is an admission score. METHODS This is a cross sectional study done on 100 patients admitted in the medical ICU in Sri Ramachandra Institute of Higher Education and Research. RESULTS Our results showed an APACHE II score of 16.5 which was significant and values equal to and higher than that correlated with the severity of illness. CONCLUSIONS APACHE II score is a good predictor of mortality in acute respiratory failure patients. It is a useful audit tool which helps the healthcare professionals to interpret and compare their care performance over time.

Asthma is one of the chronic respiratory conditions. A large Number of patients still experience a high level of morbidity .Much of the morbidity from Asthma is believed to be due to factors such as a chronic condition, poor knowledge of the disease process and medication understanding on the use of and poor self-management. Patient education is becoming an essential area of service provision. In this study30 Patients who were diagnosed as asthma with PFT and attending Pulmonology OPD at SRMC were included and were given a mini AQLQ questionnaire containing 15 questions regarding the level of asthma and limitations of activities, to test their knowledge about Asthma and quality of life, with particular reference to the knowledge about the disease and answers were analyzed to test the knowledge of the Patients about Asthma. It was done twice, first visit and after 3 weeks. These patients were prescribed with bronchodilators (SABA or LABA), Breathing exercises were explained and Inhaler technique was checked and proper technique is taught to the patient. Results showed Educating the patient about disease and teaching inhaler technique, breathing exercise resulted in more improvement in both PFT and quality of life of asthma patients with significant improvement in lung function.

Background: Peak expiratory flow rate (PEFR) reflects the strength and condition of respiratory muscles and the degree of airflow limitation in large airways. PEFR is recorded in Mini Wrights Peak Flow Meter and it is commonly used for screening the individuals who are asthmatics. PEFR shows hour to hour variation that follows a specific pattern in asthmatics and healthy individuals. Circardian oscillations in the sympathetic activity may have impact on the airway smooth muscles. Materials and Methods: Peak expiratory flow rate was recorded in 60 young healthy females in the age group of 18-25years in Sri Ramachandra Institue of Higher Education and Reasearch. Mini Wright's peak flow meter was used to measure the peak expiratory flow rate. PEFR was recorded at 6-7am, 9-10am, 1-2pm, 5-6pm, 10-11pm in a single day. Results: Our results showed PEFR values were low in the morning, followed by progressive rise peaking in the afternoon and evening and a small fall at night time. Highest PEFR is seen around afternoon. Conclusion: Comparing the PEFR readings there ia diurnal variation there is a diurnal variation in healthy young females showing a overall dip in the morning PEFR at 6 A.M, peaking in the evening PEFR at 6P.M, eventually decrease in night PEFR at 10P.M. But there is no significant in the afternoon (2P.M) and night (10.P.M).