Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"

Dr Mohan Z Mani,
Professor & Head,
Department of Dermatolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018

Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."

Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018

Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."

Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018

Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."

Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
On Sep 2018

Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."

Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata

Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
On Aug 2018

Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".

Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
On Aug 2018

Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".

Dr. Mamta Gupta
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018

Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.

Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."

Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
On May 11,2011

Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."

Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
On April 2011

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.

Dr. Anuradha
On Jan 2020

Important Notice

Letter to Editor
Year : 2009 | Month : June | Volume : 3 | Issue : 3 | Page : 1611 - 1614 Full Version

Nutritional And Health Status Of Rural School Children In Ratnagiri District Of Maharashtra.

Published: June 1, 2009 | DOI:

*,**B. K. L. Walawalkar Hospital Diagnostic & Research Centre Shreekshetra Dervan, Tal: Chiplun, Dist: Ratnagiri – 41560 Maharashtra,(INDIA).

Correspondence Address :
Dr.Vinod Wasnik,
Community Health Physician, Community Health Department,
B. K. L. Walawalkar Hospital Diagnostic & Research Centre,
Shreekshetra Dervan, Tal: Chiplun, Dist: Ratnagiri – 41560 Maharashtra, (INDIA).
Phone : (02355) 264137, 264149. Fax : 02355-264181, E - mail :

The health problems of school children vary from one place to another. The common health problems are malnutrition, dental caries, infectious diseases, diseases of the skin, eye and ear diseases and infestation by intestinal parasites (1).

Undernutrition, the primary cause of illness and premature mortality among children in developing countries (2), is prevalent among children in almost all the states in India (3). Children residing in rural areas of India, disproportionately suffer more from undernutrition when compared to their urban counterparts (4). Although several recent studies have assessed the problem of undernutrition among rural children in different parts of India, there is scanty information regarding undernutrition among the rural school children of Ratnagiri District in Maharashtra.

Three commonly used indicators of under nutrition among children are stunting (low height for age), thinness (low body mass index for age) and that of being underweight (low weight for age). Stunting is an indicator of chronic under nutrition, the result of prolonged food deprivation and/or disease or illness; thinness is an indicator of acute under nutrition, the result of more recent food deprivation or illness; being underweight is used as a composite indicator to reflect both acute and chronic under nutrition, although it cannot distinguish between them. Over 40% of Indian children are found to be afflicted with dental caries, a common dental disease among children, a large percentage of them residing in rural areas and most of them are in need of dental care(5). Keeping this in mind, the present study was undertaken to assess the nutritional status and identify the common health problems of the rural school children of Ratnagiri District.

This descriptive study was carried out (during the period of June 2008 to October 2008) at two primary and secondary schools in Ratnagiri District. All 5-12 years old students enrolled at these schools were invited to participate in this study. Information on the ethnicity and age of all subjects was obtained from questionnaires and was verified from school records. The completion of questionnaires and measurement of subjects were done during school working hours. Permission for the study was obtained from the school authorities prior to commencement of the study. Ethical permission was also obtained from School authorities. The sample size of the study was 201 (96 boys and 105 girls). The age range of the subjects was 5-12 years. The samples were classified into eight age groups by keeping one-year intervals. Anthropometric Measurements like Height and weight measurements were taken by one observer, following the standard techniques. The body mass index (BMI) was computed by following the standard formula:

BMI (kg/m 2) = Weight (kg) / Height 2 (m 2).

Teeth showing discoloration, chalky or softened appearance of enamel or appearance of the broken surface of teeth by visual examination or on probing were designated as carious.

Evaluation Of Nutritional Status
Three commonly used undernutrition indicators, i.e., underweight, stunting and thinness were used to evaluate the nutritional status of the subjects. The age and sex specific – 2 z-scores of the United States National Centre for Health Statistics (NCHS) (6),were followed to define underweight, stunting and thinness. The following scheme was utilized:
Underweight: < - 2 WAZ (Z-score for weight-for age)
Stunting : < - 2 HAZ (Z-score for height-for age)
Thinness : < - 2 BMIZ (Z-score for BMI-for-age)

Where WAZ, HAZ and BMIZ refers to Z score for Weight for age, Z score for height for age and Z score for BMI for age respectively. As per NCHS it considered to be age and sex specific z scores respectively, of NCHS (7).

The WHO (8) classification (Table/Fig 1) was followed for assessing the severity of malnutrition by the percentage prevalence ranges of these three indicators among children.

Material and Methods

Statistical Analyses
The distributions of height and weight were not significantly skewed, therefore not necessitating their normalization. Technical errors of measurements (TEM) were found to be within reference values and were thus not incorporated in the statistical analyses. Between the sexes, differences in the means of height and weight were tested by the student’s t-test. P values < 0.05 were considered to be statistically significant.


The total number of respondents were 201 (105 were boys and 96 were girls). The age-wise means and standard deviations of weight, height and BMI in both sexes are presented in (Table/Fig 2). There were no significant sex differences in mean height and BMI. There were significant (p < 0.05) sex differences in the mean weight at the age of 6 years (t = 5.77).

(Table/Fig 3) and (Table/Fig 4) reveal the prevalence of being underweight, stunting and thinness by age and sex. The overall age and sex combined prevalence of being underweight; stunting and thinness were found to be 19 %, 30.3 % and 16.8 %, respectively. Both sexes had similar rates of underweight (boys = 19.5%; girls = 18%), stunting (boys = 30.4%; girls = 30.1%), and thinness (boys = 16.9%; girls = 16.6%). Based on the WHO classification of severity of malnutrition among children, the overall age and sex combined rates of underweight, stunting and thinness were medium (10-19%), high (30-39) and very high (15%), respectively. Overall systemic examination revealed that 146 (72.6%) children were found to be suffering from dental caries, followed by 18(9%) with respiratory problems, 13(6.5%) from parasitic infestation, 9(4.5%) with skin infections and 12(6%) of the children had problems with their vision.


Improved child health and survival are considered as universal humanitarian goals. In this respect, understanding the nutritional status of children has far-reaching implications for the better development of future generations (9) . However, reports have stated that child malnutrition has risen in recent years in India (10). Malnutrition continues to be a problem of considerable magnitude in most developing countries of the world (3). Several studies (11), (12) have shown that dietary and environmental constraints are the major determinants of differences in the growth performance between children of developing and developed countries.

In the present study, it was seen that the prevalence of dental caries was very high. The prevalence of dental caries in the present study was found to be much higher as compared to other studies conducted in India (13), (14), (15). These findings were dissimilar to the present study.Rao A et al found that the prevalence of caries was 76.9% (16). These findings are similar to the present study where about 72.6% of the children of the age group of 5–12 years had dental caries.

While stunting reflects a failure to reach the linear growth potential due to suboptimal health and/or nutritional conditions, underweight reveals a low body mass relative to chronological age, which is influenced by both, a child's height and weight. Underweight thus cannot distinguish between a child that is small in weight relative to his/her height and a child that is low in height relative to his/her age, but who may be normal in weight-for-height. On the other hand, thinness is an indicator of acute undernutrition and the result of more recent food deprivation (9). Dental caries is a multifactorial disease and the complex interaction of several aetiological factors result in the occurrence of caries.

In conclusion, this study provided evidence that these children were under acute and chronic nutritional stress .Hence, the screening for common health problems and the assessment of nutritional status should be an essential part of school health services. Early detection and appropriate treatment of malnourished children must be done prior to school entry, to avoid complications like stunting and wasting. Children found to have a health problem, mostly dental caries, should be appropriately dealt or referred. School nutrition programmes should also be included to improve the health and nutritional status of school children.


. Health problems of school Child, Text book of preventive and Social Medicine by K.Park 18 th edition, ( pg 425).
. Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. Poverty, child undernutrition and morbidity: new evidence from India. Bull World Organ 2005; 83 (3): 210-16.
. Som S, Pal M, Bhattacharya B, Bharati S, Bharati P. Socieconomic differentials in nutritional status of children in the states of West Bengal and Assam. J Biosoc Sci 2006; 38 (5): 625-42.
. Rajaram S, Zottarelli LK, Sunil TS. Individual, household, programme and community effects on childhood malnutrition in rural India. Matern Child Nutr 2007; 3 (2): 129-40.
. West Indian med. j. vol.56 no.1 Mona Jan. 2007 DENTAL FORUM.
. World Health Organization. Measuring Change in Nutritional Status. Geneva: World Health Organization, 1983.
. National Center for Health Statistics. NCHS growth curves for children birth-l8 years: United States. Hyattsville, MD: US Department of Health, Education and Welfare, 1977. [Vital and health statistics series II, DHEW publication (PHS) 78-1650.]
. World Health Organization. Physical Status: the Use and Interpretation of Anthropometry: Technical Report Series no. 854. Geneva: World Health Organization, 1995.
. Rajaram S , Sunil TS,Zottarelli LK.An analysis of Childhood Malnutrition in Kerala and Goa.J Biosoc Sci 2003;35(3) 335-51.
. Chaterjee P. Child malnutrition rises in India despite economic boom. Lancet 2007; 369: 1417-18.
. Graitcer PL, Gentry EM. Measuring children: one reference for all. Lancet 1981; 2:297-9.
. Dugdale AE, Muller M, Alsop-Shields L. Patterns of weight growth in Aboriginal children on Queensland communities. J Pediatr Child Health 1994; 30:55-8.
. Rao SP, Bharambe MS. Dental caries in periodontal disease among urban; Rural and Tribal School Children". Indian Pediatrics 1993; 30: 759–64.
. Bhowate RR, Borle SR, Chinchkhede HD, Gondhalekar RV. "Dental health amongst 11–15 year-old children in Sevagram Maharashtra. Indian Journal Dental Research 1994; 5: 65–8.
. Rao SS BP "Oral Health status and treatment needs of a rural community JPFA 1996; 10: 7–20.
. Rao A, Sequeira SP, Peters S. Prevalence of dental caries among school children of Moodbidri. J Ind Soc Pedod Prev Dent 1999; 17: 45–8.

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