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Context: Under nutrition has long been a major public health concern in developing country like India as a leading cause of child morbidity and mortality. The study was aimed to assess the malnutrition and factors associated with it. The study was conducted to assess under nutrition in under five children and various associated factors affecting it. Methodology A community based cross sectional study was conducted among 400 under five children of rural and urban Rishikesh. Multistage sampling method was used to select the areas and systematic random sampling was used to select households. A predesigned, pre tested & semi structured questionnaire was used to collect information on various associated factors and status of under nutrition in study participants. Data was entered into excel sheets and analyzed using SPSS utilizing appropriate statistical test. Results: The prevalence of underweight was 37.3%, stunting was 43.3% and wasting was 24.5% respectively. Socio-demographic factors, child birth weight and birth order, hand washing practice by mother and common morbidity emerged as significant predictors of under nutrition. Conclusion: The burden of common morbidities and prevalence of malnutrition among under-five children in this community is very high. Our policies should aim to improve child health nutrition and growth.

Context: The Bhore Committee in 1946 gave the concept of PHC as comprehensive primary health care to the community and maintain an acceptable standard of quality of care. The study was conducted to assess the implementation of National Health Programmes at PHCs in Uttarakhand. Methodology: An observational cross-sectional study was conducted at two PHCs (Thano and Raiwala) from March 2019 to April 2019. Interviews of health functionaries and beneficiaries of national health programmes were done based on standard Indian Public Health Standards (IPHS) guidelines and check list, for both PHCs. Beneficiaries under each programme were also observed. Result: Various programmes such as Universal Immunization Programme, School Health Programme, and Pulse Polio Programme, National nutrition Programme, National family welfare Programme, NPCDCS and Jansankhya Niyantran Yojna were implemented successfully at both PHCs. Although knowledge among peripheral health workers was found to be little inadequate. Conclusion: The functioning and execution of some of the National Health Programs at PHCs Thano and Raiwala were found to be inclined with IPHS guidelines.

Introduction: ICDS scheme was launched on October 2nd 1975 to address high infant mortality, malnourishment and poor learning outcomes. Since its inception was playing its role effectively, but still there were some shortcomings which were needed to be addressed. Uttarakhand was one among the states with poor health indicators with respect to child and mother, there is need to search for reasons effecting the implementation of programs intended for woman and child development. The present study aims to asses functioning of ICDS scheme in select Uttarakhand. Methodology: A cross sectional study was conducted selected areas of Uttarakhand state during October 2018 to June 2019, among 16 anganwadi centers from urban and rural areas of Dehradun and Haridwar districts. Results were expressed in percentages and proportions with 95% confidence interval. Relevant statistical tested applied wherever necessary. Results: Functioning of ICDS scheme in Uttarakhand varied for different services provided under it. Supplementary nutrition service was uninterrupted but medicine kits and referral slips were not supplied to anganwadi centers at the time of study. Conclusions: Study identified various insufficiencies regarding the functioning of ICDS scheme. There is a need to improve facilities at anganwadi centers for proper implementation of ICDS scheme.

Context: Elderly have increased frequency of awakenings of longer durations, lower sleep efficiency, early bedtimes and wake times as compared to younger subjects. The study was conducted to assess the quality of sleep using Pittsburgh Sleep Quality Index (PSQI), sleeping habits and changing sleep pattern among elderly and their associated factors. Material and Methods: A cross-sectional study was conducted for a period of 3 months among all the elderly population residing in village Thano situated in Raipur block of district Dehradun, Uttarakhand. A total of 96 elderly were surveyed. Data was collected on sociodemographic characters of elderly as well as questions on Quality of sleep was asked based on PSQI questionnaire. Data was collected using Epi-collect5 application on phone. Data was analysed and presented utilizing appropriate statistical methods. Results: Among the 96 elderly, 57.3% of the participants were females and 40.6% were from 60-69-year age group. The mean PSQI score was 5.6±1.9. Sleep quality was poor among females, smokers, widow and those with no physical activity. With advancing age sleep quality came out to be significantly poor. Conclusions: Sleep disturbances are commonly seen among the elderly. Treatment of primary sleep problems can improve the quality of life.

Context: The use of Geographic Information System (GIS) as a real-time monitoring system for the control and management of accident events is well known as it provides a platform to perform various spatial and network analysis and also in the presentation of descriptive data. Aim and Objective: This paper presents a GIS-based approach to find out areas prone to road traffic accidents based on spatial analysis and to analyze the spatial accessibility using network analysis Material and Methods Accident particulars like date, location, time and outcome for the year 2015 were included in the GIS database. Moran’s I method of spatial autocorrelation was used for the assessment of spatial clustering of accidents and hotspots spatial densities. The clusters of high and low values of the severity of accidents were obtained using cluster and outlier analysis. Location-allocation was performed as part of network analysis to find the nearest hospital to these high-value clusters. Results: Spatial autocorrelation showed that there was overall clustering present, cluster and outlier analysis gave clusters of severe accidents at NH-1 and Fortis hospital was the nearest facility to these clusters. Conclusion: This system is highly useful and provides information about accident locations, accident and service diagnosis and fast delivery of emergency services.

Background Catheter ablation is an effective treatment for ventricular arrhythmia (VA) in ischemic cardiomyopathy (ICM). However, results in non‐ICM (NICM) patients are not satisfactory, and studies comparing differences between NICM and ICM are limited. We conducted a meta‐analysis of procedural characteristics and long‐term outcomes of catheter ablation for VA, comparing results between ICM and NICM. Methods Studies in the PubMed, EMBASE, and Cochrane databases were systematically reviewed. Four studies reporting comparison of catheter ablation of VA between ICM and NICM were examined. The Newcastle‐Ottawa Scale was used to appraise study quality. A random‐effects model with inverse variance method was used for comparisons. Results Epicardial approach was significantly more undertaken for the NICM group than in the ICM group (odds ratio [OR]: 0.13; 95% confidence interval [CI]: 0.09‐0.18; P

Background: In India, the active case-finding (ACF) strategy began in 2017 under the Revised National Tuberculosis Control Programme to find its missing tuberculosis (TB) cases. Few studies have been conducted in India to assess the treatment outcome of TB patients detected by ACF. Aim: The aim of this study was to assess the treatment outcomes of patients detected through ACF campaigns during the year 2018 in Haridwar district, Uttarakhand. Study Design: This was a cross-sectional study which used the existing data and records. Materials and Methods: The ACF campaign records of 2018 were extracted from six TB units of Haridwar district. Details of sociodemographic, clinical profile, and treatment outcome of 100 diagnosed patients were obtained and analyzed. Results: Out of the total 100 TB patients detected, the site of disease was pulmonary in 98% of patients. Almost all (92%) the patients were diagnosed microbiologically and treatment was initiated by 78% of the patients. The proportion of successful treatment outcome was found in 64% of the patients. The median time interval from diagnosis to treatment was found to be 2 days. Conclusion: In spite of these efforts of ACF, a high proportion of initial loss to follow-up (22%) and unsuccessful treatment outcome (18%) among ACF patients is a major concern. Findings of ACF campaign pose a concern for active follow-up after diagnosis and close monitoring during treatment.

Aims Studies comparing the outcome of percutaneous coronary intervention (PCI) along with optimal medical therapy (OMT) versus OMT alone in treatment of chronic total occlusion (CTO) are limited by observational design, variable follow-up period, diverse clinical outcomes, high drop-out and cross-over rates. This study aims to conduct a meta-analysis of published data of observational as well as randomized studies comparing long term outcomes of PCI+OMT versus OMT alone. Methods and results PubMed, Embase and Cochrane databases were systematically reviewed. 15 studies meeting criteria were included in the meta-analysis. The New-castle Ottawa scale was used to appraise the overall quality of the studies. Random-effects model with inverse variance method was undertaken. Major adverse cardiovascular events (MACE) which comprises of cardiac death, myocardial infarction, stroke, and un-planned revascularization were significantly lower in the PCI+OMT group (RR:0.76; 95% CI:0.61 to 0.95; P=, In this largest meta-analysis consisting of 15 studies, comparing 6093 patients in PCI group and 4943 patients in OMT group, it has been found that, PCI of CTO has a better long term outcome in terms of MACE, cardiac death and all causes of mortality with similar unplanned revascularization. Higher age, TVD, CKD independently contribute to higher MACE in CTO patients undergoing PCI in multivariate logistic meta-regression analysis.

Background: Right to health is one among the important components of basic human rights. The Government of India had announced “Ayushman Bharat for a new India-2022”, during 2018-19 parliament budget sessions with two components namely, Health and wellness centers for strengthening primary care and national health protection scheme now known as Pradhan Mantri Jan Arogya Yojana (PMJAY) for enabling access to secondary and tertiary health care by giving health (6). Current study was conducted to assess awareness and readiness of the health care workers in implementation of Pradhan Mantri Jan Arogya Yojana in tertiary care hospital, in Rishikesh. Material and Methods: A hospital based cross sectional study was conducted with estimated sample size calculated of 236, with treating consultants and residents as study participants. Participants filled a self-administered pretested semi structured questionnaire by which their awareness and readiness in implementing PMJAY was assessed. Data was entered and analyzed using EPI Info 7 software. Result: Total number of respondents was 181. Mean awareness score was 4.5±1.96 and mean readiness score was 16±5. Mean awareness and readiness score among medical and surgical branches was not statistically significant. There was significantly high awareness score among faculty compared to senior residents. Relation between awareness and readiness was found to be correlated with Pearson’s correlation of 0.206 and was statistically significant. Linear regression model demonstrated an increase of 0.531 units in readiness for every unit increase in awareness score. Conclusion: Mean awareness score of the doctors was just around half of maximum possible score. Awareness is more among the faculty members than residents. With increase in awareness there is an increase in readiness among the study population. There is a need to organize workshops on PMJAY for stakeholders.

The practice of infant and young child feeding (IYCF) is critical for a child's growth and development throughout the first two years of life. Poor feeding habits in early childhood contribute to malnutrition and child mortality in India.To assess the IYCF practices in children under the age of 2 years.In rural Uttarakhand, India, a cross-sectional study was undertaken from March 2021 to May 2021. A probability proportional to size (PPS) method was used to select 400 children under the age of 2 years. The World Health Organization IYCF questionnaire, was used to collect house to house data. An appropriate statistical test was used for analysing the data.According to the findings, 47.5 percent of babies under the age of six months were nursed within the first hour of delivery. About 73.9 percent of babies were exclusively breastfed. Approximately 22 percent infants were given pre-lacteal feeds and 20 percent were bottle fed. In addition to breast milk, half of babies aged 6 to 8 months had solid, semi-solid, or soft meals, however minimum acceptable diet was provided to only 33.5 percent children. Odds of male child who were bottle fed in the age group of 6-23 months were 2.02 times higher to that of female child. Also the odds of male child in the age group of 6-8 months to be introduced with solids, semi-solid, or soft food were 4.91 times higher to that of female child. Similarly, odds of male child received minimum dietary diversity (2.35), minimum meal frequency (1.82), and minimum acceptable diet (2.35) in the age group of 6-23 months were found to be higher to that of female child in the similar age group. Total of six mothers reported coronavirus disease (COVID) positive status and only two of them breastfed their babies using COVID appropriate behavior.Exclusive breastfeeding (EBF) has been practiced in more than two-thirds of children, but early breastfeeding is practised in less than half of children. Only one third children of more than six months of age are getting minimum acceptable diet.

National Health Mission intended to achieve decentralization and community participation through creating and supporting Village Health Sanitation and Nutrition Committees (VHSNCs). The services offered through VHSNC include maternal and child health, family planning, sanitation, communicable diseases and health promotion, and nutrition. The study was carried out to assess awareness on the implementation of the functioning of VHSNC implementation among village-level functionaries in the Dehradun district.A community-based cross-sectional study was conducted in the Doiwala and Raipur blocks of Dehradun district from June 2019 to July 2019. Members of VHSNC with at least 3 months of membership were included in the study. A pretested semi-structured questionnaire was used to collect sociodemographic variables and questions about their awareness and responsibilities in implementing VHSNC. Data were collected by personal interviews using Epi-Collect and analyzed by SPSS 23.Out of 69 members, 64 (92.4%) had formal education until high school. Only around 50% of members knew about the essential documents related to the VHSNC. Sixty-five members (98.48%) believed that the committee had the primary role in health-related services in the village, 54 (81.82%) members also marked providing safe drinking water as a function, 48 (72.73%) were in favor of access to clean public toilet and sanitation facilities while some others added role in Public Distribution System.Around half of the members were partially or completely aware of the functioning of VHSNCs. Providing them with further awareness is required.

Background: Undernutrition has long been a major public health concern in developing country like India as a leading cause of child morbidity and mortality. Aim & Objectives: To assess undernutrition in under five children and various associated factors affecting it. Methods and Material: A community based cross sectional study was conducted among 400 under five children in Rishikesh. Results: The prevalence of underweight was 37.3%, stunting was 43.3% and wasting was 24.5% respectively. Common morbidity emerged as significant predictors of under nutrition. Conclusion: The burden of common morbidities and prevalence of malnutrition among under-five children in this community is very high.

Introduction: Most of the developing country facing growing number of elderly population because of decrease in fertility and increase in longevity. Elderly age (≥ 60 years) is a period in which people are prone to chronic diseases and their functional independency is probably restricted by physical and mental disabilities. Aim & Objectives: To find out the prevalence of physical dependency among elderly in Uttarakhand, India. Material & Methods: Activities of daily living (ADL) comprise the basic actions that involve caring for self and body, including personal care, eating and mobility. Results: In the present study population of 400, 112 (28%) study population were found to be physically dependent for their daily activities and out of them 63.39 % had moderate to severe dependency. Conclusion: High level of physical dependency in this study population need urgent attention towards good quality home care and geriatric health care services in India at primary, secondary and tertiary level.

Introduction: Tobacco is the most common form of substance abuse. Commonest evil of modern society is use of tobacco, though alcohol is equally harmful as tobacco but the accessibility of tobacco and its product are far easier for any individua. Aim & Objective: To determine the prevalence of tobacco abuse in the community and its association with sociodemographic factors of study participants. Materia & Methods: A community based cross-sectional study was conducted among 804 study participants of age group 15 – 60 years in Rishikesh, Uttarakhand. Since the population of urban and rural area is almost equal, so to get equal representative 402 study participants were selected from each area. Data was collected in MS Excel and analyzed using SPSS version 23 using appropriate statistical techniques like percentage, chi-square test and p-value. Results: Overall prevalence of substance abuse was found to be 37.4% out of which the prevalence of current users was 31.34%. Conclusion: Present study revealed that in spite of having strict law for prohibition of substance abuse, people are still addicted. There is a need to change either in law or in behavior of people at large.

Background: ICDS scheme has been playing its role effectively since 1975 when it was launched, but still there are some short comings which need to be addressed. Uttarakhand being one of the states with poor health indicators with respect to child and mother there is need to increase research on implementation of programs. Aims & Objectives: The present study was conducted to see utilization of services provided under ICDS scheme in Uttarakhand. Material & Methods: A cross sectional study was conducted in selected areas of Uttarakhand from October 2018 to June 2019. 505 households from 16 Anganwadi centers, from both urban and rural areas of Dehradun and Haridwar districts were included. Assessment of utilization of services was done by household interviews. Data was analyzed using SPSS V 23 software. Results: Availing supplementary nutrition services was the most utilized service (94.5%) followed by health education services (88.3%), health and referral services (83.2%), preschool education services (76.7%) and least utilized service was immunization service (69.3%). Conclusion: Various factors independently affecting utilization of services were identified. Overall utilization of services is highest among pregnant women and least among adolescent girls and women of reproductive age group.

It is well-documented that during a war, a natural disaster or a pandemic, women bear the worse brunt of the crisis. Worldwide, mental stress, domestic violence and cybercrime against women are widespread and under-reported during Covid-19. Creating boundaries in such situations is extremely important. It is imperative that policy-makers adopt a gender perspective to understand and analyse the effects of the pandemic and the lockdown on the economy, livelihoods and social structures. United Nations has called for urgent action and for governments to put women’s safety first as they respond to the pandemic.

The outbreak of coronavirus disease (COVID-19) has triggered changes and reforms in the health sector in India. As the pandemic points to a gap in the industry, it has led to the creation of new opportunities to solve problems. To help the country repair the damage caused by the virus pandemic, the Government of India announced that in the health budget 2021, promotion of health and well-being will be one of the six pillars. Investment in health infrastructure in the 2021 budget has increased significantly to welcome the much-needed increase in budget allocations of Rs. 2.3 lakh crore. Three areas will also be strengthened, including preventive health care and therapeutic health care. Special emphasis is placed on prevention, treatment, and health care. To promote primary health care, the country will establish 17,000 rural and 11,000 urban health care centers. Provision of affordable quality medical insurance will be provided by the government. The integrated and collaborative model of the public and private sectors in the provision of health services has led to a rapid expansion of work. This is an attempt to demonstrate the planned reforms in the health budget, especially during the COVID-19 pandemic. The budget of 2022-23 is about to be announced soon. It is to be seen how the financial allocation for the health sector impacts the health of the Indian people.

Background: Health which is multidimensional in nature and difficult to measure, often captured througha range of indicators like mortality and morbidity. The data on morbidity is easy to collect but difficult tomeasure without subjective bias. A bulk of the research has been done for standardization of definitions ofmorbidity at National and local levels by various researchers.Objective: This study attempts to find out the pattern of morbidity of people along with their age, sex, typeof family and religion who are permanent residents of Dehradun, Uttarakhand.Materials and Methods: This Cross-sectional study was done from December 2018 to February 2019 fora period of 3 months. A door-to-door survey was conducted amongst all residents of Raiwala and Rishikeshblock, Dehradun, Uttarakhand. All residents were interviewed and data related to the socio-demographicscharacteristics, co-morbidities, alcohol consumption and tobacco use was collected. SPSS software wasused for analysis.Results: A total of 3198 were included in the study. The case rate was highest (86.7%) for ?60yrs age group.Among communicable diseases, upper respiratory tract infections (URTI) (6.71%)) and acute gastroenteritis(5.8%) had maximum burden. Musculoskeletal pains (31.4%) and hypertension (8.1%) were the mostreported diseases among non-communicable diseases. Females outnumbered males in most of the diseases.Conclusion: The relatively higher burden of non-communicable diseases hints towards entering of thetransition phase in India, an eye opener for the health planners to equip themselves against these diseasesand develop appropriate health care policies and practices

Background An ideal strategy for radiofrequency ablation (RFA) of atrial fibrillation (AF) in the left atrium should be efficient enough to achieve transmural lesions in left atrium with no or minimal collateral tissue damage. Resistive heating of high power short duration (HPSD) RFA has been found to result in lesions larger in width but lesser in depth compared to lower power longer duration (LPLD) RFA in some experimental studies. Purpose This meta-analysis was performed to compare procedural, short-term and long-term outcomes of HPSD versus LPLD RFA of AF. Methods PubMed, Embase and Cochrane databases were systematically reviewed. Five observational studies meeting criteria were included in the meta-analysis. All the studies scored six or more points in the New-castle Ottawa scale. There were considerable variations in the ablation strategies across the studies. However, radiofrequency power more than 40W was considered as high power. Hypergeometric model with exact likelihood function was utilized for statistical analysis. Results Baseline parameters and ablation details have been depicted in Table 1. 740 patients with HPSD and 287 patients with LPLD ablation strategies, were followed up from 6 to 30 months. Total procedural time (P value Conclusion Newer HPSD and conventional LPLD RFA, both the strategies are very safe procedure for treatment of RFA with low to no procedural complications. AF recurrence rates were reasonably high irrespective of ablation strategies, however, no strategy scored statistically better over the other one. Large randomized multi-centric studies with long-term follow up are needed to test the theoretical advantage of HPSD ablation over the traditional ablation strategy of AF. Funding Acknowledgement Type of funding source: None

Adolescence can be described as a transitional period from childhood to adulthood. WHO defines adolescence as the period of life between 10-19 years (1). India alone is home to more than 250 million adolescents or 20% of the global adolescent population (1). It is critically important stage of life as they face rapidly changing challenges in their social, physical mental and psychological environments. Their cultural beliefs, family structure and support, peer relationships and educational opportunities influence their behaviour and adjustment. During this stage of life, they not only develop autonomy, self-control, social interaction and learning, but also the capabilities formed in this period directly influence their mental health for the rest of their lives as many of these tend to run a chronic or relapsing course in adulthood (2).

Distributed Energy Resources (DER) are being used to support the energy requirement in the power system and to feed the local loads in remote area, where the utility grids are not available. DER, as a microgrids can also be used to regulate active and reactive power requirement as well as to fulfil the power quality requirement of the power system. In this paper, a grid interactive wind energy conversion system has been discussed and analyzed by connecting with IEEE-9 bus system in normal working condition as well as in faulty network condition. Mathematical modelling and simulation of the system has been done in MATLAB-RT-LAB and results have been validated in real time simulation environment.

To analyze the role of tamponade in vitrectomy for proliferative diabetic retinopathy with vitreous hemorrhage.A retrospective chart analysis of patients who underwent vitrectomy for proliferative diabetic retinopathy (PDR) between 2006 and 2013, with a minimum follow-up of six months, was done. The data collected included age, gender, control of diabetes, pre- and postoperative best-corrected visual acuity (BCVA), retinal detachment, type of tamponade, and recurrence of vitreous hemorrhage (VH). Statistical analysis was done using SPSS software version 2.0 and p values0.05 were taken as significant.A total of 73 eyes of 73 patients were included. The patients were analyzed in four groups: Group 1: no tamponade; Group 2: air; Group 3: gas; Group 4: silicone oil (SO). Eighteen (24.7%), 18 (24.7%), 15 (20.5%), and 22 (30.1%) patients were in the four groups, respectively. The mean preoperative BCVA in logMAR was 1.61, 1.84, 2.25, and 2.03 and the mean change in BCVAs at six months was -0.98, -0.94, -0.97, and -0.19 in four groups, respectively. Recurrent vitreous hemorrhage was noted in 11.1%, 11.1%, 6.7%, and 9.5% of patients of four groups; it was not statistically significant. The retina remained attached in 100%, 100%, 93%, and 90% of patients in the four groups, respectively, at six months.The use of an intraocular tamponade in eyes with vitreous hemorrhage due to PDR was not found to be superior to no tamponade in reducing recurrent vitreous hemorrhage. Therefore, the use of a tamponade in eyes without retinal break is not beneficial.

Context: Anaemia is defined as a decreased concentration of blood haemoglobin. It is one of the most common nutritional deficiency diseases observed globally affecting both developing and developed countries. Aims: To find out the prevalence of anaemia among the beneficiaries of Anaemia Mukt Bharat and its association with age and gender. Settings and Design: A cross-sectional study was conducted in Uttarakhand by AIIMS Rishikesh in a month-long campaign including 5,776 beneficiaries. Camps were organized at the hospital campus, schools, district hospitals, Community Health Centre (CHC), Primary Health Centre (PHC), subcentres (SC), Anganwadi Centres (AWCs), slum areas, adolescent health day celebration sites and Village Health and Nutrition Day (VHND) sites. Methods and Material: Data on age and gender along with haemoglobin level using HemoCue Haemoglobinometer was collected. Statistical Analysis Used: These data were entered into Microsoft Excel and analysed to calculate the prevalence of anaemia and its association with age and gender using Epi Info software version 7. Pearson's Chi-square test was applied. P value < 0.05 was considered as significant. Results: Out of 5,776 participants 53.2% were anaemic. Females (54.6%) were more anaemic than males (45.1%). 33.5% of pregnant females were found to be anaemic. Conclusions: Prevalence of anaemia was very high among the study participants. It shows that anaemia is a major public health problem so efforts should be taken to reduce the prevalence of anaemia and promote the health of an individual, community as well as the country.

Background Menstruation is a normal physiological process among reproductive age group females. Although some of them show the abnormal menstrual pattern, which is influenced by several factors, including sociodemographic status, psychosocial stress, improper sleep level, etc. The identification of these risk factors associated with abnormal menstrual patterns may permit risk stratification among adolescent girls. This study was planned to determine various factors which depict menstrual cycle pattern among adolescent girls in urban India. Materials and methods A school-based case-control study was carried out in urban India from May to December 2019. Urban locality and schools were randomly selected, and data were collected in two phases. Adolescent girls in the age group of 10-19 years studying in government and private (both Hindi medium and English medium) schools of urban India were screened for the abnormal menstrual pattern. Equal numbers of age-matched controls were also enrolled. Data were collected with the help of self-administered predesigned pretested semi-structured questionnaire. Chi-square test, Fisher's exact test, unpaired t-test, and McNemar tests were used to analyze data using SPSS version 23.0. Results A total of 100 cases and 100 age-matched controls (mean age 14.8 ± 1.5 years) were included in the study, almost half of the cases and controls have normative menarche. Improper sleep patterns increased stress levels, and low education status of mothers show statistically significant (P = 0.047) association with abnormal menstrual patterns. Conclusion More stress, improper sleep levels, and low education status of mothers among school-going adolescent girls were strongly associated with abnormal menstrual patterns with more symptoms during menstruation.

Context: Population of elderly in India is growing day by day. Elderly population of India is 8.6% and in Uttarakhand it is 8.9%. Health needs of geriatric people differs from others. This study was an attempt to study the morbidity profile of geriatric people that may serve as a baseline data and also help in planning the health services. Aims: To study Morbidity profile of geriatric population in Uttarakhand. Settings and Design: Acommunity-based cross-sectional study was conducted among geriatric people in rural and urban areas of Uttarakhand. Study participants aged 60 years and above were included in the study and a sample size of 400 was calculated. Methods and Materials: Predesigned, pretested and semistructured questionnaire was used to collect information on sociodemographic characteristics and morbidity status of study participants. Statistical Analysis Used: Data was entered into excel sheets and analyzed using SPSS version 23 utilizing appropriate statistical methods. Results: Among 400 elderly people most common organ system affected was musculoskeletal (77.20%). Other commonly affected health systems were psychological (75.90%), digestive (73.60%), eye (56.67%), endocrine (35.90%), cardiovascular (33.08%), general and unspecified health problems (32.05%), ear (24.62%) and respiratory system (19.74%). Very few elderlies had neurological (6.67%) and urological (1.28%) problems. Conclusions: As shown in the present study very high percentage of morbidities were found in the study population. As a result, there is a need to further strengthen existing geriatric health care services at primary, secondary and tertiary level.

Power Electronic Converters has become a key component for many applications such as electric drive system, renewable based generation system, microgrid etc. Power electronics are the integral part of most of the distributed energy technologies, for converting the power generated into useful power that can be directly used in the grid or for any other applications. Power electronic convertersacquiredsignificance as an active system for improving quality of power asit offers a great flexibility and can be configured as universal compensators for compensating load harmonics, unbalances, reactive power, flicker, etc. In this paper, different topologies of power converters such as AC-DC, DC-DC and DC-AC have been discussed and results are validated in the real-time simulation.

The 21st century has witnessed multiple public health emergencies (viz. Fukushima nuclear disaster, the Ebola outbreak in West Africa, civil wars, natural calamities, etc.), which are mostly associated with many adverse consequences locally, nationally, and internationally. (1,2) Simultaneously, an unexpected rise in the global magnitude of noncommunicable diseases (NCDs) has also been observed. The Lancet Commission on Global Health 2035 foresees that the threat of pandemics, antimicrobial resistance and noncommunicable diseases will represent the greatest threats to global public health in the future. (3) The disease burden in India is changing. While communicable diseases remain a significant threat, non-communicable diseases (NCDs) are also posing threat to country’s public health and wellbeing. (4)

Wind energy conversion system (WECS) is interfaced with the utility system through power electronic converters which plays an important role in the integration of wind power into the electric grid. The main power quality disturbances due to integration of WECS to grid are variation in power and harmonics. To maintain grid synchronization and to keep total harmonic distortion (THD) within operational limits, appropriate control schemes are required for the grid side converter. The main objective of grid side controller is to control the power delivered to the grid, grid synchronization, to supply high quality power to grid and to meet grid code compliance. In this paper control schemes used in grid interfaced wind energy conversion system for generator side and grid side converter control, are reviewed thoroughly. The paper presents a comparative study of rotor flux oriented control and direct torque control (DTC) techniques applied in generator side converter of permanent magnet synchronous generator (PMSG) drives for wind turbine application. For grid side converter, various control schemes are developed mainly based on voltage oriented control (VOC) or on direct power control (DPC). The performance of VOC based control system basically depends on method applied for current control. A comparative study is done among them and findings are tabulated. Integration requirements of wind turbine to grid, grid synchronization and requirement of monitoring unit are also discussed.

Recently renewable energy resources especially wind power integration has been far increased in the electric power distribution system. To utilize wind power more effectively, wind energy conversion system is interfaced to grid through power electronics interfaces. In this paper, monitoring of various power quality disturbances at the point of common coupling in grid connected wind energy conversion system have been done. Discrete wavelet transform and wavelet energy function are used for detection of power quality disturbances. The grid connected wind energy conversion system is simulated in MATLAB environment. Power quality disturbances such as voltage sag, voltage swell, interruption and harmonics are investigated. A new diagnostic method in which signal is processed using discrete wavelet transform and wavelet energy function is proposed. Simulation results show the usefulness of the proposed method to find out the power quality disturbances in grid-connected wind energy conversion system accurately and quickly. Voltage signal extracted directly at the point of common coupling is used for detection of power quality disturbances.

Most of the renewable energy generation systems, such as wind power generation system do not have constant power generation pattern due to their dependence on climate conditions. Therefore, it becomes impractical to install them as an isolated system without an optional power generation unit or battery backup for getting consistent output power. In remote areas, the grid electrification may not always be feasible. Above factors have led to conceptualization of isolated wind power generation system (IWPGS) working under varying wind and load conditions. However, the harmonics generated due to the power electronic interface, non-linear loads connected to the system and reactive power consumption by all such loads, leads to power quality deterioration. This paper deals with one such solution to the power quality problems associated with IWPGS in form of active power filter (APF) and its performance is demonstrated through comparison on various indices. Keywords- Active power filter (APF), Battery energy storage unit (BESU), isolated wind power generation system (IWPGS), permanent magnet synchronous generator (PMSG), total harmonic distortion(THD)