International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - Vol 03 Issue 03, March, 2011

Pages: 59-64

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NUTRITIONAL COUNSELLING AND SUPPLEMENTATION: NEED OF THE HOUR IN NATIONAL TUBERCULOSIS CONTROL PROGRAMME IN INDIA

Author: Padma Shetty, Shobha Kowli

Category: Healthcare

Abstract:Background: The magnitude of malnutrition is high in India, which easily predisposes the individuals to risk of developing TB and Tuberculosis in turn further aggravates wasting. This
vicious cycle results in high morbidity and mortality. Anti TB drug causes nausea, vomiting, poor
appetite that further knocks down dietary intake considerably.
Aim:
The aim of the present study is to highlight the importance of nutrition in TB patients by assessing the percentage of underweight TB patients and caloric intake using the 24 hour recall
method.
Methods and Material:
The study was conducted in the urban slum area of Mumbai, covering a population of approximately 72000. Fifty consecutive TB patients who came to DOTS centre
were interviewed to assess the dietary intake. Pre-Treatment weight was compared with the
standard reference weights of Indian Council of Medical Research?s (ICMR). The caloric intake
was calculated as percentage of recommended dietary allowance (RDA) for specific age and
occupation as per ICMR standards.
Results:
Tuberculosis patients interviewed were predominantly females (54%) and in the age group of 20-29 years (42%). The mean age of the patients was 28.56 \?1.79yrs. Except for two
females, all the TB patients were underweight. The mean weight of the TB patients was 36.82
kilograms. Almost all the TB patients were consuming less than 50% of RDA.
Conclusions:
Poor nutritional status predisposes the individual to tuberculosis. It is important
therefore that the health care workers while giving priority to drug compliance should not forget
to counsel on balanced diet and developing linkages with NGO?s to provide food
supplementation for filling in the dietary gap, in an effort to improve the nutritional status.

Keywords: Tuberculosis, Thinness, Energy intake, Diet

Full Text:

INTRODUCTION

Tuberculosis (TB) is a global public health problem, responsible for more than 2 million deaths each year [1]. The association between TB and malnutrition is well recognized [2] , since pre chemotherapeutic era when cod liver oil was given to TB patient to strengthen the host defense [3] . Various studies have reported that TB coexists with NUTRITIONAL COUNSELLING AND SUPPLEMENTATION: NEED OF THE HOUR IN NATIONAL TUBERCULOSIS CONTROL PROGRAMME IN INDIA Padma Shetty1 , Shobha Kowli1 1Department of Community Medicine, K. J. Somaiya Medical College, Mumbai E-mail of corresponding author: shettypadma@hotmail.com 60 International Journal of Current Research and Review www.ijcrr.com Vol. 03 issue 03 Mar 2011 malnutrition at the time of starting treatment [4, 5, and 6]. It is well known fact that TB is associated with various socio demographic factors like poverty; poor housing, economic deprivation and these are some of the factors predisposing to poor nutritional status and impaired immune system. Generally malnourished and immunological compromised patients contract TB and TB in turn causes anorexia and wasting. This vicious cycle results in high morbidity and mortality. Also deterioration of nutritional status leads to reactivation of latent TB. Anti TB drug causes nausea, vomiting, poor appetite that further knocks down dietary intake considerably. Randomized controlled trial that provided an energy-protein supplement to TB patients receiving treatment showed gains in lean mass, and greater grip strength so faster recovery[6] . The magnitude of malnutrition is widely prevalent in India, as evident by several studies that have shown low weight for age amongst under-five, and low BMI for school children, adolescents, and adults. There are several reasons for malnutrition varying from a low birth weight, inadequate caloric intake due to poor socio-economic conditions or dietary fads, occupations involving travelling or odd hours at jobs etc. According to NFHS III 39.5%, 36% and 34% of under-five children, adult women and men respectively are malnourished [7] . The Revised National TB control programme (RNTCP) using the strategy of Directly Observed Treatment Short course (DOTS) is being implemented throughout India since 2006. The RNTCP quarter I, 2010 report reveal that the case detection rate of New Smear Positive cases is > 70% and treatment success rate of > 85%. A total of 3,73,655 TB cases were registered for treatment during the first quarter 2010, of which nearly 70654 were retreatment cases. In Mumbai itself, RNTCP covers a population of 137 lakhs. The annualized TB case detection cases is 237 per lakh population for Mumbai, which means about 170 TB cases per year [8] . However the programme does not emphasis on nutritional supplementation or counselling, nor are any efforts made to discuss these aspects by the DOTS strategy. Hence the present study was conducted to highlight the need for incorporating nutrition counselling / supplementation in RNTCP programme with the objective to find out the percentage of TB patients on DOTS who are underweight and assess the nutritional intake of the TB patients through 24 hour recall method.

SUBJECTS AND METHODS

Study settings: The city of Mumbai, called financial capital of India spreads over an area of 437.71 sq. km and is a merger of 7 islands in city area and 4 islands in suburbs. The population of Mumbai is about 1.19 crores with a population density of 27209/sq. km. The city accounts for 1.2% of the Indian population and 12% of the Maharashtra population [9] . The city of Mumbai is divided into wards for administrative purpose. Each of the wards has several health posts, dispensary, maternity home, post-partum centres and hospitals of BMC to cater to the needs of the community. Apart from the government and the municipal infrastructure there are several private practitioners, private hospitals and charitable trusts catering to the health needs of the Mumbaikars. Health posts are amongst many of the functional DOT centres.

The study was conducted in the urban slum area of Mumbai, Chembur Naka, which falls under the Jurisdiction of the Ramabai health post of M/W ward of the Municipal Corporation of Greater Mumbai (MCGM).The study area has a population of approximately 72000, with an estimated household of 14,400.

MATERIAL AND METHOD

Fifty consecutive TB patients who came to DOTS centre were selected irrespective of their status of TB and treatment and were interviewed using a structured questionnaire. The interviewer collected data on demographic profile, last 24 hr dietary intake and nutritional advice received by them during course of treatment. Other data like sputum results, type of TB, treatment category etc. was recorded from the TB treatment card. Pre-Treatment weight recorded on the TB treatment card was compared with the weight which is used for calculating ICMR recommended dietary intake. Using the 24 hour dietary recall method, dietary intake was expressed in kilocalories (Kcal) per day. It was further calculated as percentage of recommended dietary intake for specific age and occupation as per ICMR standard [10] .

RESULTS The TB patients interviewed were mostly in the age group of 20-29 years (42%). Eight of the TB patients were adolescents and two were below the age of 10 years. Four patients were aged 50 years and above. The mean age of the patients was 28.56 ±1.79yrs. The study population was predominantly females (54%), and amongst the adolescent TB patients again there wasdisproportionately higher percentage of females (87.5%) as compared to males (Table 1). The preponderance of females was also found in the age group of 20-29 years. In the age group of 30 and above, the number of male patients was higher than females. Only 5 of the 50 TB patients were extrapulmonary of which two was abdominal TB, two lymph node TB and one ileo-caecal TB. Twenty of the TB patients were sputum positive TB. 14% of the TB patients reported of a family member having suffered from TB in the past or has reported a death due to TB. 20% of the patients also gave a past history of TB. Except for two females in the age group of 20-24 years, all the TB patients were underweight as per the ICMR standards. The mean weight of the TB patients was 36.82 with Standard error of 1.34 (Table 2).

The dietary assessment using the 24 hour recall method revealed that the patient?s were consuming less than 50% of their daily caloric intake. The reasons for poor dietary consumption was not only due to socioeconomic conditions but also due to loss of appetite, likes and dislikes for different food items, irregular working hours, nonavailability of home -made food etc.. Many patients were scared to eat because of nausea and vomiting, which further affected the drug compliance.

DISCUSSION

Nutritional status determines normal health and functioning of all body system including immune system which is responsible for various infectious diseases. General malnutrition compromises cell mediated immunity leading to TB. Though nutrition has proven importance, the Revised National Tuberculosis Control Programme, does not emphasise nor focus on the nutrition of the TB patients. 96% of the TB patients were undernourished. A study in Malawi and Ghana found that 57% and 51% of the TB patients admitted to the district hospital were having less than 18.5 kg/m2 . [11,12] A study in Ajmer in India, found that 75% of the patients had low BMI. [13] Dietary intake was less than 50% of RDA in all the patients in the present study which was almost similar to the findings of the study conducted in Ajmer [13] . Dietary intakes was very low due to poor appetite, likes and dislikes for different food items, irregular working hours, non-availability of home -made food , nausea, vomiting, side effects of anti TB drugs etc. Though TB treatment improves the nutritional status, it is limited to gain in fat mass. Thus even a balanced diet is inadequate to support lean body mass repletion. A majority of the patients (94%) reported that they did not receive nutritional counseling. Since the focus is only on ensuring drug compliance, health workers are counseling on regular intake of drugs and no effort was made to assess the dietary intake and explore reasons for poor weight gain. Nobody can deny the role of a balanced diet even in normal healthy individuals. Therefore, it is all the more relevant to have a proper diet for a sick person whose rate of metabolism is high and wasting is pronounced. Though no special emphasis on diet is required in the modern management of a TB patient whose general health condition is satisfactory and who is able to take his usual diet, but drugs alone cannot help a patient if his general health condition is poor and is unable to take a proper diet. While giving priority to drugs, we must not forget the importance of a basic, balanced diet in the management of TB.

In conclusion it may be said that proper drugs, diet, improved living conditions and health awareness all play vital roles in handling the problem of TB. Some recommendations that we want to suggest are Nutritional assessment for determination of nutritional status at time of registration of patient. Nutritional counseling/education on symptom management and improved dietary intake during/after TB treatment. Food supplementation to fill in the dietary gap.

 

 

 

References:

1. Christopher Dye, DPhil; Suzanne Scheele, MS; Paul Dolin, DPhil; Vikram Pathania, MBA; Mario C. Raviglione, MD; Global Burden of Tuberculosis : Estimated Incidence, Prevalence, and Mortality by Country ; JAMA. 1999;282:677-686

2. Macallan D. Malnutrition in tuberculosis. Diagnostic Microbiology and Infectious Diseases. 1999; 34:153–157.

3. Goldberg G. Clinical Tuberculosis 1946:E3-E45 F. A. Davis Philadelphia, PA.

 4. Van Lettow M, Kumwenda JJ, Harries AD, et al. Malnutrition and the severity of lung disease in adults with pulmonary tuberculosis in Malawi. Int J Tuberc Lung Dis. Feb 2004; 8(2):211-217.

5. Harries AD, Nkhoma WA, Thompson PJ, Nyangulu DS, Wirima JJ. Nutritional status in Malawian patients with pulmonary tuberculosis and response to 63 International Journal of Current Research and Review www.ijcrr.com Vol. 03 issue 03 Mar 2011 chemotherapy. Eur J Clin Nutr. May 1988; 42(5):445-450.

6. Paton NI, Chua YK, Earnest A, Chee CB. Randomized controlled trial of nutritional supplementation in patients with newly diagnosed tuberculosis and wasting. Am J Clin Nutr. Aug 2004; 80(2):460-465.

7. Nutrition and Anaemia, http://www.nfhsindia.org/chapters.html, website accessed on 25/01/2011.

8. RNTCP Performance report, Quarter 1, 2010 , Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare, Nirman Bhavan, New Delhi 110108 http://www.tbcindia.org. Accessed on 10/11/2010.

9. Aamchi Mumbai, http://mcgm.gov.in/irj/ portal/anonymous?NavigationTarget= navurl://c4b79f15e55f98176905a7c2c7d 910ee accessed on 10/11/2010.

10. ICMR (1990), recommended dietary intakes for Indians, New Delhi.

11. Zachariah R, Spielmann M.P., Harries A.D. and Salaniponi M.L.; Moderate to severe malnutrition in patients with tuberculosis is a risk factor associated with early death. Transactions of the Royal society of Tropical Medicine and Hygiene (2002) 96, 291-294

12. Evaluation of Nutritional Status of New Tuberculosis Patients at the EffiaNkwanta Regional Hospital, Ghana Med J. 2008 March; 42(1): 22–28.

13. Rakesh C. Gupta, Mayank Vats, Pramod Dadhich, Neeraj Gupta, Mukesh Taylor and Vinita Singh, Nutritional status of young pulmonary tuberculosis patient at tertiary care teaching hospital, Chest, / 124 / 4 / OCTOBER, 2003 SUPPLEMENT , 209S.

 

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Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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