practice question regarding protein rich diet among mothers of underfive children

“A descriptive study to assess the practice regarding protein rich diet among mothers of under five children in Rishikesh, Uttarakand”

questionery: 

Practice	Yes	No
Animal products: (have more essential amino acids) 1.      Do you feed meet to your child? If yes how frequently? 2.      Do you feed egg/egg white to your child? If yes how frequently? See foods (rich of essential amino acids) 3.      Do you feed fish/tuna to your child? If yes how frequently? Dairy Products: (rich of proteins, essential minerals and vitamins) 4.      Do you give milk to your child? If yes how frequently? 5.      Do you give curd to your child?  6.      Does your child take cheese and creams?  Legumes: 7.       Do you feed beans to your child? Nuts (amino acids and omega 3 fatty acids) 8.      Does your child take cashew/almonds/peanuts? Fruits and juices: 9.      Does your child eat guavas? 10.  Does your child eat apple? 11.  Does your child eat bananas? 12.  Does your child like to eat mango? 13.  Does your child eat grapes/custard apple/melon/dates/jackfruit? 14.  Does your child drink coconut water? Vegetables and green leafs: 15.  Does your child take sabji made with cauliflower? 16.  Does your child take sabji made with broccoli? 17.  Does your child eat cabbage? 18.  Does your child eat sweet corn? 19.  Does your child eat spinach? Protein Supplementation: 20.  Do you feed protein powder/protein shakes/protein bars to your child?
Total

PROTEIN RICH DIET AND QUANDITY

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Lean beef	36 g	5.3
Turkey and Chicken Breast	32 g	4.5
Beef cooked	16.91 g to 40.6 g	9.6
Lamb cooked	20.91 g to 50.9 g	6.8

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Soy bean	36 g	12.5
Kidney beans	24 g	2.5
Black beans	21 g	16.1
Chickpeas	19 g	19.1
baked beans	6 g	25.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Nuts and seeds	33 g	15.8
Almonds	21 g	27
Peanut butter	8 g	23.2
Pistachios	8 g	28.1
Sunflower Seeds	6 g	27.1
Flaxseed	5 g	29.6

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
cheese or paneer	16 g	20
parmesan cheese	10 g	15.3
Romano cheese	9 g	12.2
Low fat Swiss cheese	8 g	14.7
yo ghurt and milk	6 g	18

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
halibut	46 g	4.8
Fish	26 g	4.5
Tuna	24 g	4.1
salmon	20 g	10.4
cod fish	18 g	4.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
guavas	3 g	26.6
Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
cauliflower	3 g	11.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Dates	2.5 g	11.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Broccoli	2.8 g	13.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Spinach	2.9 g	7.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Brussels Sprouts	4 g	8.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Sweet Corn	4 g	21.5

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Egg Whites	26 g	5.2

Food Source of Protein	Amount of Protein in 100 grams	Protein to Calorie Ratio
Apples	0.3 g	12.5

diabetic neuropathy tool and methodology

PProblem statement

A descriptive study to assess the prevalence of diabetic neuropathy among diabetic client who visit to diabetic OPD in AIIMS Rishikesh. UK

Objectives:

1.      To assess the prevalence of diabetic neuropathy among diabetic client who visit to diabetic OPD in AIIMS Rishikesh. UK

2.      To associate the selected demographic variables with prevalence of diabetic neuropathy among diabetic client who visit to diabetic OPD in AIIMS Rishikesh. UK

Methodology

Research approach: quantitative approach

Research design: non experimental descriptive study

Target population: Diabetic Clients

Accessible population: client who visit to diabetic OPD AIIMS Rishikesh

Sample size: 100

Sample design: non probability sampling technique

Sampling technique:  purposive sampling technique

Instrument used: standard scale of sensory and reflex assessment or Semmes Weinstein Monofilament Testing

Data collection method:  Bio-physiological (invitro)

Analysis and interpretation of data:  descriptive and inferential statistics.

Discussion

Report writing

Demographic variable:

1.      Age:

a)      31 to 40 yrs

b)      41-50 yrs

c)      51-60 yrs

d)     >60 yrs

2.      Sex

a)      Male

b)      Female

3.      Educational status:

a)      Uneducated

b)      Primary

c)      Secondary

d)     Higher secondary

e)      Under graduate

f)       Post graduate

g)      Others

4.      Place of living

a)      Rural

b)      urban

5.      Duration of illness (Diabetes mellitus)

a)      <5 yrs

b)      5 -10 yrs

c)      11-15 yrs

d)     16-20 yrs

e)      >20yrs

6.      Suffering with any of  given illnesses

a)      Kidney disease

b)      Vitamin B12 deficiency

c)      Neither a and b

7.      Habits

a)      Just alcoholism

b)      Just smoking

c)      Both Alcohol and smoking

d)     None

Standard tools for Sensory, motor and   Reflex assessment

1.      light touch  (kinesthetic)

2.      sharp and blend test  (pain)  (if perceived don’t go for further test)

3.      hot and cold test (temperature)

4.      vibration sensation

5.      Muscle strength and movement

6.      Ankle reflexes or Achilles Reflex 

(If possible Semmes Weinstein Monofilament Testing can be used)

Sensory Assessment	Well Perceived	Moderately perceived	Slightly perceived	Not perceived	Remarks
Score	3	2	1	0
light touch (kinesthetic sensation)
sharp and blend test  (pain)
hot and cold test (temperature)
vibration sensation

Muscle strength and movement	Normal motor power	Able to overcome the gravity with resistant	Able to overcome the gravity without resistance	Unable to overcome the gravity	Flicker movements	Total paralysis
Score	5	4	3	2	1	0

Ankle/Achilles reflexes	Hyperactive	Brisker than normal	Normal	Diminished	Absent
Score	4+	3+	2+	1+	0