Gajra Raja Medical College (or GRMC) is the first medical college in Madhya Pradesh, India established in 1946. It was inaugurated on 1 August 1946 by Jiwaji Rao Scindia. The college building was inaugurated by Deputy Prime Minister of India Sardar Vallabhbhai Patel on 5 December 1948. It has 200 undergraduate seats for MBBS course, 68 seats for post graduation courses and 36 seats for diploma courses.
Materials & Methods: This cross-sectional study analyses a primary mortality dataset (N=100) documented between 2020 and 2023 across seven North-Central Indian states/UTs. Data was sourced through community-based networks within the Ravidassia community. Descriptive statistics were applied to a subset of 36 individuals aged 19–30 to identify mortality patterns, including accidental, biological, and psychosocial factors. Findings: Within the youth subset (n=36), the mean age of mortality was 25.36 (sigma = 3.32), with a stark male predominance (86%). Primary causes included External Trauma (n=14), specifically road traffic accidents and agrarian hazards such as electrocution. Fatalities of Undetermined Intent (n=10) and Substance-Related Disorders (n=4) represent significant mortality categories. Furthermore, Disease Complications (n=5), such as early-onset diabetes and Pulmonary tuberculosis—exacerbated by suboptimal clinical management—indicate critical health vulnerabilities. The modal age of 30 represents a mortality concentration accounting for 36% of the total dataset. Conclusion: The findings reveal a multifaceted public health crisis within the Ravidassia community. High premature mortality, driven by occupational hazards, suboptimal clinical management, and psychosocial stressors, suggests deep-seated structural vulnerabilities. These results underscore the urgent need for enhanced agrarian safety, improved healthcare retention, and community-led health frameworks. Prioritizing these protective environments is essential to mitigate premature loss and safeguard the community’s future potential.
To develop evidence-based guidelines for the prevention, identification, and management of growth failure in infants under 6 months (U6M), ensuring early detection and intervention to improve health outcomes. Growth failure in the first 6 months of life significantly increases the risk of acute malnutrition and stunting in later childhood. Unlike older children, management in this age group prioritizes establishing exclusive breastfeeding and addressing feeding challenges. There are no standardized guidelines for identifying and managing growth failure in this vulnerable population. A national consultative committee of experts was convened to formulate these guidelines. The committee conducted extensive discussions, dividing key areas among six working groups. The process included four virtual and one in-person meeting between August and October 2024. A draft guideline was developed, reviewed, and approved by all committee members. Early growth failure is a significant public health concern. Timely identification of at-risk infants through mother-infant dyad assessments during routine health visits is essential. Weight-for-age is the most reliable anthropometric indicator for recognizing at-risk infants U6M. The term “infant at risk of poor growth and development” is recommended to identify at-risk infants needing intensified support. Community-based interventions should support at-risk infants without medical complications, while those with complications need facility-based care with skilled lactation support. Severely wasted infants require close monitoring for hypothermia, hypoglycemia, and sepsis. Establishing exclusive breastfeeding should be prioritized in all cases, and when not feasible, F-100D (Catch-up D) should be used to ensure safe nutritional rehabilitation while minimizing renal solute load.
ATLS adherence in 250 polytrauma patients in India is of interest. While airway control and cervical spine immobilization were timely, delays in CT imaging and suboptimal transfusion ratios (PRBC: FFP = 1.5:1) were noted. Patients with ISS > 25 had significantly longer imaging times and higher mortality (21% vs. 9%). Overall, in-hospital mortality was 14%. Dedicated trauma teams and protocol optimization are recommended for improved outcomes.
Background & Aims: Patient positioning in posterior fossa surgery significantly affects intraoperative anesthetic management and postoperative outcomes. This study compares the anesthetic implications, complications, and clinical outcomes of the sitting and park-bench positions in patients undergoing posterior fossa surgery. Methods: A retrospective analysis of 300 adult patients undergoing posterior fossa surgery was conducted. Patients were categorized into two groups: sitting position (n = 220) and park-bench position (n = 80). Intraoperative variables, including hemodynamic stability, venous air embolism (VAE) incidence, CO₂ variations, and postoperative complications, were analyzed. Multivariate logistic regression was used to adjust for confounders. Results: The sitting position was associated with higher anesthetic complication rates (91.77% vs. 71.08%, p < 0.001), increased hypotension (61.9% vs. 16.87%, p < 0.001), and greater CO₂ decrease (35.06% vs. 15.66%, p < 0.001). However, postoperative mortality was higher in the park-bench position (6.03% vs. 1.3%, p < 0.05). Hypoxemia (8.43% vs. 1.73%, p < 0.05) and prolonged mechanical ventilation were also more frequent in the park-bench group. Conclusions: The sitting position presents a higher risk of intraoperative anesthetic complications but is associated with lower postoperative mortality. These findings highlight the importance of individualized positioning strategies in posterior fossa surgery
Background: Type 2 diabetes mellitus is a chronic, debilitating disease characterized by insulin resistance, impaired insulin secretion and hyperglycaemia. It represents more than 90% of total prevalence of diabetes in the world and is responsible for 9% of the global mortality corresponding to four million deaths per year. The objective of the study was to assess the prevalence of diabetes mellitus type-2 in a rural population of age 30 years and above. Methods: Acommunity based cross sectional study carried out in population 30 years and above in rural area of Gwalior district in Madhya Pradesh, during the study period from 1st May 2023 to 30th April 2024. Atotal of 250 sample aged 30 years or more were included in study Results: This study, conducted on 250 individuals, revealed an overall prevalence of diabetes mellitus of 14.8%, with 20% of the population showing impaired fasting glucose. A notable finding was the significant association with family history and modifiable risk of diabetes and its prevalence. Individuals with a family history of diabetes had a significantly higher prevalence of diabetes (29.7%) and impaired glucose (14.1%) compared to those without a family history, where the prevalence was 9.7% and 22%, respectively (P< 0.001). Among individuals with overweight BMI, 18.8% had diabetes, 14.1% had impaired glucose regulation, and obese BMI category, diabetes prevalence was significantly higher at 30.5%, with 28.8% having impaired glucose regulation. Conclusion: Focus on Public health initiatives should prioritize early screening and lifestyle counselling for individuals, and Implement policies and campaigns to reduce tobacco use and alcohol consumption. Smoking cessation programs and counselling services should be widely available. For alcohol, promote moderation and offer support for those seeking to reduce or quit.
