In Indonesia since the reforms, political participation of women, especially women's representation in decision-making become an important agenda of the government and the legislature. Affirmation and strengthening policies continue to be pursued. In the representation of women in decision-making, of course, one must have followed with a mindset, as well as the ability of the competent. But the fact is, the condition of women's political participation in some Asian developing countries such as Indonesia is still concerning as their participation rates are low due to Social and cultural processes that are more likely to exclude women, especially in government. Therefore, efforts need to change the mindset of society on women's lives. This urges the author to study the problem further in research using a Normative-Juridical Research Method which is literature research. The Result shows that indeed the mindset that men are the one who should be in the seat of government and women stays in the “kitchen” are very deeply rooted in the Indonesian Culture as seen by the fact that in 2014–2019, growth in the number of women as members has stalled, and even gone backward as the proportion of the total, to 97 out of 560, that is 17.3%, therefore efforts is needed substantially, structurally and especially Culturally so that Woman emancipation in politics can be realized.
ORIGINAL RESEARCH ARTICLE | Dec. 26, 2021
Whole Body Mr-Dwibs vs. [18F]-FDG-PET/CT in Oncology Patients Coming to Pravara Rural Hospital, Loni
Dr. Prerna Ajwani, Dr. Yogendra Pishorilal Sachdev, Dr. Ganesh Vikhe, Dr. Manohar Pravin Sachdev
Page no 428-434 |
10.36348/sjm.2021.v06i12.006
Background: Over the past twenty years, advances in our understanding of tumour biology have led to the development of improved treatment strategies for many cancers. As a result, many patients are living longer with metastatic disease and the incidence of metastasis is continuing to rise. Based on post-mortem findings, approximately 70% of patients with breast or prostate cancer have bone metastases. Commensurate with the increased prevalence of bone metastasis, there is potential for significant comorbidities such as pain, limited mobility, hypercalcaemia, spinal cord or nerve root compression, myelosuppression and pathologic fracture. Therefore, early detection of skeletal metastasis is critical for accurate staging and optimal treatment; to allow the implementation of treatment strategies such as surgical fixation, radiotherapy, or bisphosphonate therapy to reduce the risk of complications and improve quality of life. Material and methods: The evaluation of diagnostic tests was carried out on50patients in the Department of Radiodiagnosis, Rural medical college, PIMS (D.U) Loni for duration of 2 years (2019-2021). Study population included all patients referred to Department of Radiodiagnosis for DWIB to look for metastases. The ethical clearance was obtained from the Ethics Committee, Rural Medical College and Hospital, Loni. All the patients fulfilling the selection criteria were explained about the purpose of study and a written informed consent was obtained to participate in the study before enrolment. Results: In our study out of 50 patients, 29 were males and 21 females. The most common age group were of 40 to 50 yrs. The sensitivity of DWIBS was 97.87%, specificity was 100%, positive predictive value of 100%, negative predictive value of 75% and accuracy was 98% in detecting metastases. Conclusion: Present study concluded that MR-DWIBS is useful in detection of metastases in patients with a low level of suspicion and normal or nonspecific and [18F]-FDG-PET/CT finding. DWIBS is a radiological modality devoid of radiation exposure like with [18F]-FDG-PET/CT. MR- DWIBS is a particularly useful modality in diagnosing metastases due to its high specificity, and accuracy as compared to [18F]-FDG-PET/CT.
ORIGINAL RESEARCH ARTICLE | Dec. 26, 2021
Tinea Capitis: Experience of the Parasitology Mycology Department at the Avicenna Military Hospital in Marrakesh: 4 year Review (2016—2019)
ELGHOUAT Ghita, SBAI Mohamed, LAZRAK Fatima-Zahrae, EL MEZOUARI El Mustapha, MOUTAJ Redouane
Page no 470-474 |
10.36348/sjpm.2021.v06i12.006
Introduction and objectives: Tinea capitis are benign cosmopolitan mycoses caused by dermatophytes. They are frequent in developing countries including Morocco. The objective of this work is to study the epidemiological and clinical profile of this pathology at the Avicenna military hospital in Marrakesh. Patients and methods: This is a retrospective study over a period of 4 years (1st January 2016 to 31st August 2019) on 193 suspected ringworm of the scalp consulting the Parasitology Mycology department at the Avicenna military hospital in Marrakesh. All patients underwent direct hair examination, supplemented by culture. Results: The direct examination and the culture made it possible to conclude with a tinea capitis in 112 patients, i.e. an overall prevalence of 58%. The average age of our patients was 7.2 years, with a predominance of men (male / female sex ratio: 3.48). %). The notion of contact with animals was found in 38% of cases. The culture, positive in 78.58% of cases, allowed the isolation and identification of 8 species of dermatophytes: Microsporum (M) canis was the predominant species (71.59%), followed by Trichophyton (T) violaceum (11, 36%), T. mentagrophytes (10.22%), T.rubrum (2.27%), T. verrucosum, T. tonsurans, M. audouinii and T. schoenleinii with a percentage of 1.14% each. We confirm by our study that ringworms are the prerogative of school-aged children. Zoophilic dermatophytes are becoming more and more frequent. This change could be related to a modification of the behavior of the population which adopts more domestic animals. Conclusion: Tinea capitis are a public health problem in Morocco. Mycological examination is essential to make the diagnosis and identify the agents responsible for tinea capitis, thus allowing better therapeutic management.
ORIGINAL RESEARCH ARTICLE | Dec. 26, 2021
“Role of Spirometry in Lung Function Assessment in Post COVID-19 Pneumonia Cases: Correlation with CT Severity, Duration of Illness, Oxygen Saturation and Ventilatory Support in Critical Care Setting in Tertiary Care Setting in India.”
Patil Shital, Uttareshvar Dhumal, Abhijit Acharya
Page no 441-448 |
10.36348/sjm.2021.v06i12.008
Background: Although Lung is the primary target organ involvement in corona virus disease-19 (COVID-19), post-covid lung pathology and its impact on lung functions is still uncertain. Material and methods: Prospective multicentric study conducted during May 2020 to September 2021, to find pulmonary function assessment in post-COVID-19 recovered pneumonia cases irrespective of their symptoms, included 600 cases in symptomatic and asymptomatic group and subjected to inclusion and exclusion criteria. All cases were subjected to Spirometry analysis. Statistical analysis was done by using chi-test. Results: In Spirometry assessment of post-COVID-19 pneumonia cases at 12 weeks post discharge form hospital, abnormal lung function in 77.5% post covid-19 pneumonia cases; restrictive pattern was predominant type and documented in 43.33% cases, normal lung functions were documented in 22.5% cases. In age and gender assessment in normal and abnormal lung functions assessment, statistically significant association in males 90/150 versus females 45/315 [p<0.00001]; and in age of population in study cases as below 50 years 110/300 versus above 50 years 25/165 [p<0.0001]. CT severity score has shown negative impact on lung function after recovery at 12 weeks post-discharge; cases with score <8, 8-15 and >15 documented normal and abnormal lung functions as in 36/54, 60/80 and 39/331 respectively of total 600 study cases [p<0.00001]. Duration of illness has associated negative impact on lung function; <7 days, 8-15 days and >15 days of onset of symptoms documented normal and abnormal lung functions in 108/132, 22/168 and 5/165 cases respectively [p<0.00001]. Low oxygen saturation at entry point has negative impact on overall outcome on lung function; cases with oxygen saturation <75%, 75-90% and >90% observed as normal and abnormal lung functions in 92/18, 35/135 and 6/314 cases respectively [p<0.00001]. Timing of BIPAP/NIV has significant association in attaining normal lung functions after post-COVID19 pneumonia recovery; cases received BIPAP/NIV at entry point <1 day, 3-7 days and after 7 days of hospitalization were documented normal and abnormal lung functions in 30/150, 40/35 and 5/50 cases respectively [p<0.00001]. Conclusions: Pulmonary functions abnormality in post-COVID-19 pneumonia cases has been documented and should be assessed cautiously to have successful treatment outcome. Restrictive lung disease is the predominant lung function impairment in post-COVID 19 recovered lung pneumonia cases. Age above 50 years, male gender, Diabetes, High CT severity, longer duration of illness, proper timing of initiation of BIPAP/NIV therapy, has documented significant impact on post covid lung functions at 12 weeks assessment.
ORIGINAL RESEARCH ARTICLE | Dec. 26, 2021
Assessment of the Effect of Biopesticides ASTOUN 50 EC and NOSTAG 50 EC on Fusarium Wilt Pathogen (Fusarium sp.) and on Some Agro-morphological Parameters of Common Bean (Phaseolus vulgaris L.)
Kouame Koffi Gaston, Kouame Konan Didier, Coulibaly Lacina Fanlegue, TUO Seydou, Dongo Roger Fulgence Kouassi, Yao Kouadio Jacques, Kone Daouda
Page no 320-328 |
10.36348/sjls.2021.v06i12.005
Fusarium wilt caused by the fungus Fusarium sp. is rife in all common bean production areas in Côte d'Ivoire. It causes wilting and/or death of plants and yield losses. Chemical control is the most widely used method against this pathology. But the misuse of this method results in environmental pollution, pathogen resistance and human health problems. The search for an alternative solution to chemical control is necessary. It is in this context that this study was initiated. It aims at assessing in vitro and on-farm the effectiveness of the bio-pesticides ASTOUN 50 EC and NOSTAG 50 EC against common bean fusarium wilt pathogen. For this purpose, in vitro, five (5) doses (100, 200, 500, 1000 and 2000 µL/L) of each of the two biopesticides were tested by the method of incorporation into the PDA medium. Under natural conditions, the IC90 and MIC of each bio-pesticide were tested. The results showed that the two bio-pesticides completely inhibited the mycelial growth of Fusarium sp. at doses of 500 μl/L. NOSTAG 50 EC showed an IC90 at 300 μl/L and ASTOUN 50 EC at 400 μl/L. The biopesticides, on-farm, influenced the germination and growth parameters and reduced the wilting of the plants. In short, the 500 μl/L dose of the two biopesticides can be recommended in fusarium wilt control.
ORIGINAL RESEARCH ARTICLE | Dec. 26, 2021
Anthropometric Profile of Type II Diabetes Patients Enrolled in a Lifestyle Modification Programme in Rural Medical College
Bharat Kumar Bhoi, Deepak Phalke, Rutuja Pundkar, Jyoti Bhoi, Vidya Bhoi
Page no 435-440 |
10.36348/sjm.2021.v06i12.007
Background: Diabetes promises to be the most daunting public health challenge for India in the near future. The global figures on diabetes, released by the International Diabetes Federation (IDF), have raised a serious alarm for India. India is presently home to 62 million diabetics — an increase of nearly 2 million in just one year. By 2030, India's diabetes numbers are expected to cross the 100 million marks. Aim: To evaluate the Anthropometric profile of type II diabetes patients enrolled in a lifestyle modification programme. Material and methods: Present study was a Descriptive longitudinal study carried out among 120 diabetic patients in Ahmednagar district in Western Maharashtra. All patients coming to Urban health centre and known case of type II diabetes on OHA were considered for the study. Patients were followed up upto 12 months. Baseline anthropometric measurement were noted. Age, gender, Weight, height, BMI, waist circumference, hip circumference, Waist to hip ratio were calculated. This patients were told about lifestyle modification skills like, antigravity exercises, diet, deaddiction, yogasanas etc. then they were followed up at 6 months and 12 months. Again anthropometric parameters were measured and final analysis was done. Results: The mean age was 52.60 years (SD=9.52). In present study, anthropometric parameters like weight, BMI, waist circumference, hip circumference and waist to hip ratio were observed over a period of 1 year. For this, type II diabetes mellitus patients were included in the study and change in anthropometric parameters were observed at the end of 6th month and then at the end of 12th month. Conclusion: Present study showed that lifestyle modifications play a very important role in manging the anthropometric parameters among obese/ Diabetic patients. Antigravity exercises and diet show very good impact on the physical as well as mental wellbeing of the individual. Lifestyle modifications and skills should be promoted and added as a part of standard treatment protocols in manging the Diabetic cases.
ORIGINAL RESEARCH ARTICLE | Dec. 24, 2021
Compliance of Dental Health Care Providers on Infection Control Standard Precautions Guidelines in Primary Health Care Centers, Makkah, Saudi Arabia, 2018
Bassam Bandugh, Mulham Korani, Ammar Albokhari, Suhaib Alsulimani, Thamer Alsufyani, Abdulrahman Alzamzami, Ghayda Alqurashi, Mutaz Alandonisi, Ammar Abuseer, Maha Alluqmani
Page no 569-580 |
10.36348/sjodr.2021.v06i12.007
Introduction: Infection Control measures are based on how an infectious agent is transmitted and include standard, contact, droplet and airborne precaution. Infection Control is an important part in the dentistry. Provision of dental care is a risk of transmitting infectious diseases. The main aim of this study is to assess the knowledge and compliance of Dental health Care Providers on infection control standard precautions guidelines in Primary Health Care Centers in Makkah, Saudi Arabia. The output of this study is helpful for higher authorities to develop appropriate and sound policies to increase knowledge and compliance on this issue. The main objective of the study is to determine the level of compliance of Dental Health Care Providers on infection control standard precautions guidelines in Primary Health Care Centers in Makkah, Saudi Arabia, 2018. Methods: A questionnaire based cross sectional survey was conducted in dental clinics of 42 Primary Health Care Centers in 4 major sectors, Makkah, Saudi Arabia. A total of 82 Dental Health Care Providers were assessed for Compliance on infection control standard guidelines and the factors that can relate to it. Descriptive analysis was performed to determine mean and standard deviation for continuous variables and proportion for categorical variables. Bivariate analysis was performed to explore the relationship between compliance of Dental Health Care Providers on infection control standard precautions guidelines and knowledge of DHCPs on infection control standard precaution guidelines, age, gender, history of chronic diseases, smoking status, marital status, type of job and CBAHI accredited PHCCs were assessed by chi square test at a 95% confidence level and P-value ≤0.05 was taken as significant. Results: Descriptive statistics showed that the mean age of the DHCPs was 34 ± 5.05 SD. Majority (74.4%) were female providers. About 43.9 % of the DHCPs were dentist and 56.1 were dental assistants. This study showed that 78 % DHCPs classified as adequate knowledge. Among all DHCPs, 93.9 % aware about infection control standard precautions guideline while 56.1 % of the DHCPs received basic infection control skill license. Bivariate analysis showed that, among all DHCPs, 19.5 % classified as adequate compliance. There was no statistically significant difference between compliance of Dental Health Care Providers on infection control standard precautions guidelines and knowledge of DHCPs on infection control standard precaution guidelines, age, gender, history of chronic diseases, smoking status, marital status, type of job and CBAHI accredited PHCCs. Conclusion: This study showed very low compliance of Dental Health Care Providers on infection control standard precautions guidelines.
REVIEW ARTICLE | Dec. 24, 2021
Zoological Approaches for Biochemical Investigation of Viral Infections and COVID-19
Muhammad Iqbal, Asma Habib, Muhammad Zameel Khan, Muhammad Khan, Kamran Ullah, Shah Masood Khan, Haq Nawaz, Anwar Zaib Khan, Hilal Ahmad
Page no 465-469 |
10.36348/sjpm.2021.v06i12.005
Biosensors for virus and bacterial detection and control have been developed over the last thirty years as a result of various biotechnological breakthroughs. With the exception of avian species, cell-lines offers certain advantages and are accessible for domestic animals. Current diagnostics rely on ELISA or RT-PCR, whereas these procedures frequently have limitations in terms of speed and sensitivity. Amplification techniques of nucleic acid are extremely beneficial for detecting viruses which are difficult and dangerous to culture, viruses that develop slowly in culture, and viruses with antigenic variants such as HCV (hepatitis C virus), Zika virus, dengue virus, EBV, influenza viruses, HIV, Ebola virus and coronavirus. Pathogen isolation and characterization, RT-PCR and sequencing-analyses are common. LAMP (Loop mediated isothermal amplification) has evolved into an important alternative for simplifying infectious illness diagnosis. Diagnostic assays are employed to determine present, functional SARS-CoV-2 infections. Diagnostic techniques can be antigen based for specific proteins on the virus's surface, or molecular based like LAMP, CRISPR and PCR. The gold-standard for the testing of COVID-19 is RT-PCR, that identifies SARS-CoV-2 genetic-information in nasopharyngeal specimens.
CASE REPORT | Dec. 24, 2021
A Case Report- Therapeupic Plasma Exchange in a Case of Alcohol Induced Acute On Chronic Liver Failure
Amarnath Pandey, Gita Negi, Rohit Gupta, Ajay Kumar, Sujay Kumar Das
Page no 419-421 |
10.36348/sjm.2021.v06i12.004
A Case Report: A 26 year old, male admitted under Department of Gastroenterology, AIIMS Rishikesh with complaint of Jaundice since 25 days associated with fatigue & malaise. Patient also complained of gradual abdominal distention with pedal edema & decrease in urine output for 3 days & altered sensorium for 1 day. Patient was a chronic alcoholic consuming 100gms/day for 18years. Initially, on admission patient had stable vitals but increased prothrombin time, with raised serum bilirubin (44mg/dl). Serum electrolytes on admission were also altered. Patient was managed with TPE along with diuretics, antibiotics, steroids & protein supplements. 5 TPE procedures were done every alternate day with Fresh Frozen Plasma & 4% Albumin as replacement fluids. In this case, prothrombin time and serum bilirubin improved significantly after 5th procedure. Urine output and sensorium were also improved. Patient was discharged from the hospital with improved clinical symptoms and stable vitals.
REVIEW ARTICLE | Dec. 24, 2021
Biomaterials for Orbital Reconstruction
Ikbal Hossain, PK Chattopadhyay, S Jayanth Perumal
Page no 581-591 |
10.36348/sjodr.2021.v06i12.008
Managing orbital floor injuries is often a multifaceted issue. Repair of these defects essentially aims to restore the continuity and stability of orbital floor providing an adequate support to the orbital contents. Several bio-materials and implants have been used over the years in the hope of achieving the best result. Traditionally autografts are considered to be the ‘gold standard’. In order to overcome the drawbacks of autografts, researchers’ and surgeons’ attention has been progressively attracted by alloplastic materials which are commercially produced and can be easily tailored to fit a wide range of clinical needs. In this review the advantages and limitations of the various biomaterials proposed and tested for orbital floor repair are critically assessed and discussed. A thorough electronic search was carried out in February 2018 for pertinent English language literature without any time restrictions. The inclusion criteria were prospective or retrospective studies including randomized or quasi-randomized controlled trials (RCTs), controlled clinical trials (CCTs), retrospective studies and review articles with the aim of evaluating biomaterials for orbital reconstruction.
ORIGINAL RESEARCH ARTICLE | Dec. 22, 2021
Awareness Regarding Hepatitis C among Dental Students in Bangalore, India: A Cross-Sectional Survey
Manish Kumar, Shafi Ahmad, Rajkumari Surbala Devi, Kundan Shah, Aruna CN, Raj Kumar Jha, Divya Jyoti
Page no 414-418 |
10.36348/sjm.2021.v06i12.003
Background and Objective: Hepatitis C virus infection is a major cause of chronic liver disease and cirrhosis. The infection is transmitted by exposure to blood or body fluids. Since dental healthcare professionals have numerous patients and are exposed to blood, they are likely to have the maximum risk. The present study was conducted to assess the level of awareness and knowledge of Hepatitis C among third year and fourth (final) year dental students of various dental colleges in Bangalore city, Karnataka, India. Materials and Methods: A descriptive cross-sectional study was conducted among 400 students studying in third year and fourth (final) year in various dental colleges of Bangalore city. A close-ended structured questionnaire was administered which contained 11 questions. The responses were analyzed to evaluate the level of awareness regarding Hepatitis C, its mode of transmission, steps to prevent infection, associated complications and status of availability of vaccine against HCV. Results: The results of our study revealed that most of the students (72.5%) were aware of Hepatitis C vaccine but have less knowledge in terms of its mode of spread of infection, steps to prevent spread of Hepatitis C infection, associated complications and status of availability of vaccine against Hepatitis C virus. Conclusion: The present study shows that the students had poor level of awareness regarding Hepatitis C indicating need for education about HCV infection among dental students.
CASE REPORT | Dec. 22, 2021
Chronic Myeloid Leukemia Mimicking Primary Myelofibrosis: A Case Report
Anju S, Jayalakshmy PL, Sankar Sundaram
Page no 460-464 |
10.36348/sjpm.2021.v06i12.004
Bone marrow fibrosis leading to dry tap aspiration and often associated with blast crisis has previously been reported in both chronic myeloid leukemia and Primary myelofibrosis. The similarities between these two conditions in terms of clinical presentation and morphology can really create a diagnostic dilemma. Here we present a case of chronic myeloid leukemia in fibrosis and blast crisis in a 32 year old lady which closely resembled Primary myelofibrosis in transformation. All myeloproliferative neoplasms can undergo blast transformation. In this case, the detection of Philadelphia chromosome helped to distinguish chronic myeloid leukemia from other myeloproliferative neoplasms.
ORIGINAL RESEARCH ARTICLE | Dec. 22, 2021
Study of Serum Magnesium, Calcium and Phosphorus Levels in Subclinical and Overt Hypothyroidism
Sharmin Akter, Mohammad Maruf Reza, Md. Rezaul Alam
Page no 410-413 |
10.36348/sjm.2021.v06i12.002
Background: Hypothyroidism is one of the most common forms of hormonal dysfunction resulting from deficiency of thyroid hormone or its impaired activity. Various electrolyte and mineral disturbances have been observed in many studies. The role of thyroid hormones on mineral metabolism and its complications have not been established. Objective: To assess the alterations in the levels of serum magnesium, calcium and phosphorous levels in subclinical hypothyroidism. Materials and Methods: A descriptive case control study was done with a total 100 subjects in the department of Internal Medicine, Rangpur Medical College Hospital, Rangpur, Bangladesh from January 2008 to December 2008. 25 subclinical hypothyroidism cases, 25 overt hypothyroidism cases and 50 controls were taken. Blood sample for analyzing serum free T3, free T4, TSH, calcium, magnesium and phosphorus was taken and estimated in all subjects. Results: In this study the mean age of hypothyroidism (subclinical and overt) cases was 35.46 ± 7.26. A significant hypocalcaemia (P = 0.002) was observed in cases with overt hypothyroidism and a significant (P = 0.01) hyperphosphatemia was observed in cases with subclinical hypothyroidism. Conclusion: The present study showed a significant hypocalcaemia in overt hypothyroidism cases than controls and showed significant hyperphosphatemia in subclinical hypothyroidism. It can be concluded that there are various electrolyte disturbances in both subclinical and overt hypothyroidism, hence such disturbances need to be monitored prospectively to avoid further complications and needs to be treated accordingly.
This study investigates heads of compound verbs in Urhobo. The study classified Urhobo compound verbs using Lexicalist criteria as a theoretical frame work. Lexicalism is a theoretical standpoint in modern generative linguistics, according to which the processes that form complete words (derivation and compounding) are accounted for by a set of lexical rules, independent of and different from the syntactic transformation. Headedness refers to a relationship between the positions of units in a linguistic constituent structure. That is, it is the argument of the compound that projects in the compound verb formed. In this regards the verb is taken as the head of the compound verb assigning its features and the properties to the compound formed. The study reveals three groups of compound verb heads, namely: left headed compound verbs, right headed compound verbs, as well as both left and right headed compound verbs. The study also reveals that, there is no overt morphological head in a V-V compound; all the components being verbs, the result become the same category as the head. it is equally reveals that in the Urhobo language, compound verb heads position is determined by the verbs (V1 or V2) that predominantly convey the meaning of the compound. This means that the heads of compound could be left headed; when the first verb conveys the message in the argument, and head right headed when the second verb conveys the message in the argument structure; and both left and right when the pair of verbs jointly convey the message in the argument structure. It therefore means that compound verb formation in Urhobo could be in prefix position, suffix as well as both initial and final positions.
ORIGINAL RESEARCH ARTICLE | Dec. 21, 2021
Factors Influencing Smoking among School Children
Dr. Mohammad Shafiqul Alam Chowdhury, Professor Abid Hossain Mollah, Professor Dr. Ahamed Murtaza Chowdhury, Zebun Nesa Hyder, Dr. Md. Delwar Hossain
Page no 311-316 |
10.36348/sjbr.2021.v06i12.006
Introduction: Smoking is the single most preventable health risk and important cause of premature death worldwide. According to WHOM about one third of entire population of the world are smokers. Objective: To determine the risk factors of influencing smoking among schoolchildren in Dhaka city. Material & Methods: This cross sectional study was conducted in high schools of Dhaka city during June 2006 to December 2006. Students of class VIII, IX, X and 12 schools were selected by random table selection. A total of 2474 participants were included for the study. The collected data were analyzed by using Statistical package for Social Science (SPSS-24) programme for windows version 10.0. Results: Age of the study children was between 12 to 18 years. Male and female students were 1876 (75.8%), 598 (24.2%) respectively. Among 1950 male students 702 (36.0%) were smoker and 524 female students 90 (17.0%) were smoker. Five hundred and four (63.6%) started their smoking due to curiosity, 184 (23.2%) stared smoking because their friends also do smoke, 40 (5%) smokers smoke because their father smoke. Friends know about smoking in 545(68.2%) cases, near relatives in 33 (4.2%) cases, mothers in 47 (6.0%) cases and father in 15 (2%) case. Eighty-one (10.4%) students smoke to get friends cooperation and 183 (23%) students smoke to be more acceptable to his or her friends. 573 (72.8%) were willing to leave smoking because smoking was injurious for health. Conclusion: It has been identified that friends influence, curiosity and a belief that ‘smoking relieves anxiety’ played a major contributory role in initiation of smoking. Adolescents should be careful in selecting friends, as friends influence is the prime initiator of smoking behavior.