Universal access to quality healthcare is a dream we all share. Fitto aims to make this a reality. A handshake between the technical expertise of software engineers and the medical prowess of reliable doctors has made Fitto a unique solution to accessing quality healthcare. The COVID-19 pandemic has made online consultations or telemedicine a must for most healthcare providers across the globe. However, while most physicians agree to certain limitations of telemedicine, very few have strived to bridge the gap between a patient and the virtual doctor. We, at Fitto, have introduced “Fitto Peripherals”. These devices shall remove many barriers of telemedicine and aid better diagnosis and treatment. But even with these peripherals, some patients might need the physical touch of a doctor. For them we have our Fitto Clinics. The 1st one was set up in Kolkata, the 2nd in Bengaluru; these polyclinics are equipped to deal with almost any and every non-emergency case. Doctors outside the Fitto Family can also book our clinics at an hourly rate to consult with their patients. We shall support them with all the medical equipment and support staff necessary. Finally, for those patients who are not comfortable with either of these facilities, Fitto brings the option of Housecalls, where a doctor will visit the patient at their preferred location. Across the three avenues of Telemedicine, Clinic & Housecall, we have a wide range of departments, each guided by experienced doctors; on the other hand, Block Chain and 64-bit encryption technology ensures security of patient records. Fitto will aim to grow with every opportunity and very soon make universal access to quality healthcare a reality in India.

nSARS-CoV-2 has caused a worldwide pandemic since 2019. Majority of patients suffering from COVID-19 have reported respiratory symptoms like fever, cough and shortness of breath as their main symptoms. Among the patients suffering from non-respiratory symptoms of COVID-19 infection, anosmia has been one of the most common complaints. The reason behind loss of smell in COVID-19 may be explained by the fact that the nasal mucosa is rich in ACE-2 receptors. Since nSARS-CoV-2 enters the body through these receptors, involvement of the nasal mucosa is the chief cause of anosmia. This problem can range from 10-14 days with spontaneous remission, while some patients have not yet recovered and the damage seems to be permanent. A trial was conducted with 300 patients (all tested RT-PCR positive for COVID-19) who complained of anosmia. All of these patients were given multivitamin tablets twice daily for 15days. Each of these tablets contained:

• • Thiamine (Vitamin B1) 10mg
  • Riboflavin (Vitamin B2) 10mg
  • Niacin (Vitamin B3) 45mg
  • Pantothenic acid (Vitamin B5) 50mg
  • Pyridoxine (Vitamin B6) 3mg
  • Methylcobalamin (Vitamin B12) 15mcg

  201 patients (67%) reported their anosmia cured within 10 days of onset of symptoms whereas the median time of patients not receiving multivitamin is 18days. The results clearly show beneficial effects of Vitamin B complex.

Systemic lupus erythematosus, an autoimmune connective-tissue disorder with a wide range of clinical features, predominantly affects women especially from certain ethnic groups. Diagnosis is based on clinical assessment supported by investigations, including the finding of autoantibodies. Treatments range from antimalarial agents like hydroxychloroquine to corticosteroids and immunosuppressive agents. Despite advances in the treatment, patients with SLE often experience disease exacerbations (flares) of varying intensity followed by periods of remission. Their diagnosis is primarily made on clinical grounds after exclusion of other diseases or disturbances, primarily infections. Serological tests such as serum complement fractions and anti-dsDNA autoantibodies, are helpful in monitoring SLE activity. Flares are more frequent in patients with persistent immunological and clinical activity, and have been described as a significant risk factor for development of irreversible end-organ damage.

School food environments are considered to be influencing the health status of school going children. There is an alarming increase in childhood ill-health worldwide. Childhood obesity and undernutrition as well is becoming epidemic. Dietary practice of a child depends upon the food available near his/ her environment. School food environment includes the food consumed at school and even what the child is consuming while going to school and coming back home. Short-term hunger is a common practice observed during childhood which is mostly met by consuming low nutrient energy dense snack food items. Now-a-days media has a great impact on the diet choices of children. Parents should help their children in selecting the proper nutritious food. Government has implemented various school feeding programmes to control malnutrition among school children especially benefitting children belonging to low socio-economic groups. Teachers can inculcate good feeding habits through these school lunches provided by the government. After the broad discussion on primary and secondary data it was revealed that due to excess consumption of junk food children are suffering from obesity. It was also revealed that children who are neglecting breakfast before coming to school have a negative effect on their academic performance and prolonged consumption of calorie and protein deficit diet children belonging to poor economic families are suffering from undernutrition.