Digital Commons Network^™

Audio-Visual Training Intervention Improves Knowledge, Skill, Confidence, And Performance Of Barefoot Nurses For Screening Noncommunicable Disease, Shankarling Mallappa Timmapur, Biswamitra Sahu, Tn Sathyanarayana, Achala Gopalkrishna Pai

Indian Journal of Health Sciences and Biomedical Research KLEU

CONTEXT:

In India, the primary health system is inadequate to screen noncommunicable diseases (NCDs) at a population level due to sub-centers being short-staffed and underequipped. Training barefoot nurses (BFNs) to screen NCD is an important strategy of task shifting. Again, there is paucity of studies exploring the effectiveness of training program using technology for training BFNs in the screening of NCDs.

AIMS:

The aim of the study was to assess the effectiveness of audio-visual-based training to improve knowledge, skill, confidence, and performance (number screened and completeness of data entry) of BFNs to strengthen NCD screening.

SETTINGS AND DESIGN:

This study …

Should The Ayush Doctors Be Underutilized At Subhealth Centers Under Ayushman Bharat While They Prove Effective At Higher Facilities Under National Health Mission?, Janmejaya Samal

Indian Journal of Health Sciences and Biomedical Research KLEU

AYUSH systems of medicine are the six different indigenous systems of medicine prevalent and practiced in India. Postindependence, these individualized and healer-based systems got government patronization and legal support and converted into medical systems and evolved with time to the present form. From being the department of Indian Systems of Medicine in March 1995 to the Department of AYUSH in 2003 and most recently the ministry of AYUSH in 2014, these systems of medicine have evolved continuously with the growing need of time. With the initiation of National Rural Health Mission in 2005 under the scheme of mainstreaming of AYUSH …

Molecular Description Of Fibroblast Growth Factor And Mechanisms By Which Fibroblast Growth Factor-21 Mediating Biological Actions And Acting As A Biologic Biomarker Of Cardiovascular Diseases, Leta Shiferaw Melaku, Negeri Debela

Indian Journal of Health Sciences and Biomedical Research KLEU

Fibroblast growth factor (FGF) family members are mostly secreted as signaling proteins with diverse functions in development and metabolism. FGFs can be classified as intracellular, paracrine, and endocrine FGFs by their action mechanisms. FGF-21 is a novel member of endocrine FGF subfamily with pleotropic actions. Recent findings indicate that FGF-21 can act as a cardiomyokine; that is, it is produced by cardiac cells and acts in an autocrine manner on the heart itself. The heart is sensitive to the effects of FGF-21, both systemic and locally generated, owing to the expression in cardiomyocytes of β-Klotho, the key coreceptor known to …

Utilization Of Accredited Social Health Activists In The Community-Based Assessment Of Noncommunicable Diseases Experiences From A Tribal District Of Chhattisgarh, Janmejaya Samal

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Prevalence Of Obesity Among Type 2 Diabetes Mellitus Patients In Urban Areas Of Belagavi, Jambulingam Vasanthakumar, Sanjay Kambar

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Diabetes is a major disease burden in India, and we are home to the second largest number of diabetes cases in the world with currently over 72 million cases of diabetes. The reported prevalence of obesity in type 2 diabetes mellitus (T2DM) was 60%–90%. Obesity and overweight pose a major risk for chronic diseases and are considered to be a strong risk factor for the development of T2DM.

AIMS:

The aim of the study was to determine the prevalence of obesity among T2DM patients.

MATERIALS AND METHODS:

This community-based cross-sectional study was conducted among T2DM patients residing in areas …

Assessment Of Knowledge And Awareness About Utilization Of Janani Shishu Suraksha Karyakram A Community-Based Study In A Rural Block Of Himachal Pradesh, Priya Sharma, N. L. Gupta, H. S. Chauhan

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

In view of the difficulty being faced by the pregnant women and parents of sick newborn along with high expenditure on delivery and treatment of sick newborn, the Ministry of Health and Family Welfare has taken a major initiative to ensure better facilities for women and child health services through the Janani Shishu Suraksha Karyakram (JSSK) on June 1 2011. It is an initiative to provide completely free and cashless services to pregnant women.

OBJECTIVES:

The objective of this study was (1) to find out the awareness level about JSSK among pregnant women and lactating mothers and to determine …

Age-Appropriate Feeding Practices Of Mothers And Nutritional Status Of Infants In An Urban Community In Kano State, North West Nigeria, Umma Abdulsalam Ibrahim, Amole Taiwo Gboluwaga, Zubairu Iliyasu, Mahmud Gambo Jahun

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Age-appropriate infant feeding practice, a major determinant of child growth, development, and survival, remains suboptimal in many developing countries.

OBJECTIVES:

This study determined the mother's nutritional knowledge, infant feeding practices, nutritional status of their infant, and factors associated with infant feeding practice in an urban community in Kano State.

MATERIALS AND METHODS:

A cross-sectional study was conducted in selected communities in Kano Municipal, one of the urban local government areas in Kano State. Using mixed method of data collection, a semi-structured questionnaire was administered to 440 mothers and their infants, and three focus group discussions (FGDs) with ten participants …

Bio-Medical Waste Disposal In India From Paper To Practice, What Has Been Effected, S. Ramesh Kumar, N. Venkata Abinaya, Alaga Venkatesan, Mohan Natrajan

Indian Journal of Health Sciences and Biomedical Research KLEU

Bio-medical waste (BMW) disposal is a very important but challenging task. Health-care waste contains potentially harmful microorganisms, which can infect hospital patients, health workers, and the general public. Exposure to hazardous health-care waste can result in disease or injury. The Government of India has been laying down rules, namely, Bio-Medical Waste (Management and Handling) Rules, in 1998, The draft of Bio-Medical Waste (Management and Handling Rules 2011,), and recently Bio-Medical Waste Management Rules, 2016. Evidence from different parts of India show that the knowledge on BMW disposal among health-care personnel is low, and the practice of the same is not …

Pediatric Airway Diseases, Santosh Kumar Swain, Jasashree Choudhury

Indian Journal of Health Sciences and Biomedical Research KLEU

The diseases of the pediatric airway is often challenging to the clinician. It needs a dedicated team of clinicians for evaluation and treatment. Obstructing lesions of the pediatric airway due to congenital or acquired causes often create fatal situations. Majority of the pediatric airway lesions are due to prolonged intubation or tracheostomy and prematurity. Management of the pediatric airway lesions often complicated with additional congenital malformations or severe comorbidities. It is often important for the pediatrician to understand the different pediatric airway lesions and its issues relevant to the airway management of the pediatric patients. This review article will give …

Gene Therapy For Childhood Neuromuscular And Neurodegenerative Disorders An Update, Prateek Kumar Panda

Indian Journal of Health Sciences and Biomedical Research KLEU

The central nervous system is a rather complex site for gene therapy as it contains neurons, astrocytes, and oligodendrocytes, and they have discrete and intricate interconnections between them, establishing a delicate balance. However, with significant advances in scientific technology and development of new viral vectors, now, gene therapy has a greater promise for pediatric neurological disorders, especially for certain neurodegenerative diseases, which still remains to be invincible by other pharmacological modalities. Adeno-associated virus (AAV) vector is the predominant vector used for gene therapy currently. Gene editing therapy using antisense oligonucleotides has been successfully implemented in neuromuscular diseases such as dystrophinopathy …

Role Of Curriculum Committee In The Planning, Implementation, And Evaluation Of Integrated Teaching In Medical Education In India, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

The Prevalence Of Hypocalcemia In Children With Dengue Infection A 1-Year Cross-Sectional Study, Anshika Rajendra Singh, D. K. Dnyanesh

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

According to WHO, Dengue is fast emerging pandemic-prone viral disease affecting mainly urban poor areas in tropical and subtropical countries. One of the important electrolyte disturbance documented in critical phase of severe dengue is hypocalcaemia. Hypocalcaemia is seen in cases with severe dengue and has been claimed to be linked with the immune response and severity of infection.

OBJECTIVES:

To study the prevalence of hypocalcaemia in children suffering from dengue infection. To study the association between the degree of hypocalcaemia and the severity of the illness.

SETTINGS AND DESIGN:

This study was a one year cross sectional study, conducted …

A Community-Based Cross-Sectional Study About Knowledge, Attitude, And Practices Of Food Safety Measures Among Urban Households, Shilpa Reddy Ganta, Deepti M. Kadeangadi

Indian Journal of Health Sciences and Biomedical Research KLEU

OBJECTIVE:

The objective of this study was to assess knowledge, attitude, and practices of food safety measures among urban households of Belagavi using the World Health Organization (WHO) “Five keys for food safety.”

MATERIALS AND METHODOLOGY:

A community-based cross-sectional study was conducted from January 1, 2017, to December 31, 2017 among 400 women aged above 18 years who were involved in food preparation at urban households in the field practice area of Ashok Nagar, Belagavi, Karnataka, India. Data were collected using pretested and predesigned questionnaire based on the WHO five keys for food safety. Households were selected based on systematic …

Prescribing Patterns Of Virechana Karma In Terms Of Shuddhi Lakshana, Shawan Barik, Buduru Sreenivasa Prasad

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

The widespread use of various drugs in a single procedure and the increasing recognition of

Shuddhi

achieved as per the classics to provide the best result have stimulated interest in the manner in which physicians prescribe drugs. The main sources of this information can be found at the institutional-level like hospitals. These sources reveal a varied prescribing patterns in terms of drugs used for

Snehapana

, drugs used for

Sarvanga abhyanga

, and also in terms of drug selection for

Virechana karma

. It also reveals the pattern in the selection of dose and the duration of the treatment …

Knowledge And Perceptions Of Mothers Of Under-Five Children Attending A Tertiary Care Hospital About Childhood Diarrhea A Cross-Sectional Study, Dipak Kumar Dhar, Nilratan Majumder

Indian Journal of Health Sciences and Biomedical Research KLEU

CONTEXT:

Diarrhea is a major cause of morbidity and mortality among young children. The incidence of diarrhea has remained almost unchanged over the years, highlighting the scope of prevention. A mother is the primary caregiver of a child. Her perceptions and knowledge of a disease determine her care-seeking behavior and health of the child by extension.

AIM:

The aim of the present study was to assess the level of knowledge of mothers about different aspects of childhood diarrhea.

SETTINGS AND DESIGN:

A hospital-based, descriptive cross-sectional study was carried out in the Department of Paediatrics, Agartala Government Medical College and G. …

Impact Of Refractive Error Correction On Mental And Visual Development In Children With Global Developmental Delay, K. S. Smitha, V. D. Patil, Mahesh D. Kamate, Madhav Prabhu, Umesh Harakuni, O. P. Rakshitha

Indian Journal of Health Sciences and Biomedical Research KLEU

PURPOSE:

The purpose of the present study is to evaluate visual acuity and refractive status in children with global developmental delay (GDD) and to study the effect of early correction of refractive errors on vision and developmental quotient (DQ).

METHODS:

In this case series data with pre–post design, 100 consecutive children from 1 to 5 years of age diagnosed with GDD attending the child development clinic and referred to ophthalmology were evaluated for ocular complaints, status of visual acuity, and type of refractive error. Glasses were prescribed on the basis of cycloplegic retinoscopy. Etiological diagnosis and DQ were documented. Follow-up …

Clinical Pharmacist Assessment In Monitoring And Resolving The Adverse Drug Reaction In Bipolar Disorder Patients A Prospective, Observational Study At Tertiary Care Teaching Hospital, Parihar Ashish Singh, S. Ganachari Madiwalayya, V. Tekkalaki Bheemsain

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Adverse drug reaction (ADR) is a noxious, unintended effect of the drug which may occur due to pharmacotherapy of the disease. Bipolar disorder is a chronic mental illness represented by mania, depression and cyclic episode. The treatment of Bipolar disorder is lifelong. Hence, there are increased chances of ADRs.

METHODOLOGY:

An observational, prospective study was performed on 286 patients, to identify, monitor, and resolve the ADR with bipolar disorder patients. The patients aged 18–65 years of either gender or diagnosed with bipolar disorder were enrolled in the study. Patient-related data had been collected from the patient record; probability of …

Evaluation Of Effect Of An Open Clinical Trial, Shubham Brajesh Gupta, Pradeep S. Shindhe, R. R. Hiremath

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Constipation (

vibandha

) is a common clinical problem and symptoms of many diseases. It is not described as a separate disease in the classical text. Westerned life style, mental stress and diets are play major role in occurring in constipation (

vibnadha

). The diagnostic and evaluation of

vibandha

includes an proper history and investigation to exclude any other abnormalities and disease.

OBJECTIVE:

The objective of this study was to evaluate the effect of

kalyanaka kshara

in

vibandha

.

MATERIALS AND METHODS:

A clinical trial was conducted on a group of 30 patients diagnosed with the help of …

An Empirical Understanding On The Concept Of, Govardhan Belaguli, H. P. Savitha

Indian Journal of Health Sciences and Biomedical Research KLEU

Sattvavajaya Chikitsa

(SC) (

Ayurveda

Psychotherapy) is one among the brainchild concepts of

Acharya Charaka

(father of Indian medicine). In

Ayurveda

, SC is considered to be having the psychospiritual approach with a nonpharmacological treatment modality which solely deals on the mind and its related attributes. SC has 5 methodology, 2 principles, 3 dimensions, 3 psychotherapeutic domains, and 5 techniques. This psychotherapy helps in controlling

Manas

(mind) away from

Ahita Artha

(distractible, unwholesome objects/thoughts/perceptions). Withdrawal of the bothered mind from unwholesome objects is the prime focus of SC. Mainly focusing on the intelligence, consciousness, memory, and spiritual aspects of the …

Predatory Journals A Threat To Evidence-Based Science, Mamta Choudhary, Nancy Kurien

Indian Journal of Health Sciences and Biomedical Research KLEU

One of the latest threats emerged to the integrity of academic publishing is predatory journals. These journals have paved the way for low-quality articles by exploiting gold open-access publishing, threatening standards of evidence-based science. These journals lack the authentication of legitimate scholarly journals such as peer review, editing, editorial boards, editorial offices, and other editorial standards, imposing a number of new ethical issues in publishing research papers. Some of these claim to assess submissions within 72 h and digitally publish them on acceptance and receipt of the fee, showing their only motivation of procurement of evaluation and publication fees. While …

Effect Of Dexmedetomidine On Hemodynamic Changes During Laryngoscopy, Intubation, And Perioperatively In Laparoscopic Surgeries, Suman Gupta, Shilpa Agarwal, D. D. Jethava, Bhanu Choudhary

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Laryngoscopy and intubation lead to mechanical and chemical stimuli, resulting in hypertension and tachycardia. The pneumoperitineum and CO

2

insufflation with positional changes result in significant hemodynamic and respiratory changes. These sudden changes may lead to myocardial ischemia, pulmonary edema, and cerebral hemorrhage. Many modalities such as propofol infusion, beta-blocker, high-dose opioid, benzodiazepine, and vasodilators have been tried to obtund these changes. Dexmedetomidine is highly selective alpha-2 agonist, has been effective in attenuating sympathomimetic response during laryngoscopy, intubation as well as during laparoscopic surgeries.

OBJECTIVE:

In a randomized, prospective, double-blind, control study, we evaluate the safety and efficacy of …

A Cross-Sectional Study On Knowledge And Practices Regarding Birth Preparedness And Complication Readiness Among Pregnant Women Attending Antenatal Clinic At Kle's Dr. Prabhakar Kore Hospital And Medical Research Center, Belagavi, Iravva F. Padaguggari, M. S. Shivaswamy, Sanjeev B. Chougule

Indian Journal of Health Sciences and Biomedical Research KLEU

OBJECTIVE:

The objective is to assess the level of knowledge and practices regarding birth preparedness and complication readiness (BP and CR) among pregnant women.

MATERIALS AND METHODS:

The study was carried out in 2400-bedded tertiary care teaching hospital, Belagavi, over a period of 3 months from September to November 2017. A total of 384 pregnant women attending the antenatal clinic at the tertiary care teaching hospital were included in the study by purposive sampling. A descriptive approach was adopted, including collection of information from the pregnant women through a pretested and structured interview questionnaire and the data were analyzed using …

The Role Of Fundus Fluorescein Angiography In Classification And Diagnosis Of Macular Diseases A Hospital-Based Study, Sangameshwarayya Salimath, Shivanand B. Patil, Arvind L. Tenagi, Umesh Harakuni, S. C. Bubanale, B. K. Rekha

Indian Journal of Health Sciences and Biomedical Research KLEU

AIMS AND OBJECTIVES:

The aims and objectives of this study is to assess the role of fundus fluorescein angiography (FFA) in classification and diagnosis of macular diseases.

SETTING AND DESIGN:

This was an 1-year hospital-based study conducted at KLES, Dr. Prabhakar Kore Hospital, Belagavi, Karnataka.

METHODOLOGY:

The present study was conducted in the Department of Ophthalmology, KLES, Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, on 66 participants from January 1

st

, 2016 to December 31

st

, 2016.

METHODS:

An 1-year hospital-based study was conducted on 66 patients who attended the outpatient department. A detailed history was …

A Study On Safe Driving Performance Using Biofeedback Therapy Among Drivers In Delhi, Neelima Chakrabarty, Kumar Sumit, Kamini Gupta

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Biofeedback therapy is essential for releasing the stress, gain awareness, and to control over psychophysiological processes. The current study deals with the impact of biofeedback therapy on drivers by comparing the performances of drivers on “Decision Time” (DT) test before and after the use of biofeedback therapy.

METHODOLOGY:

For this study, as a special case 40 drivers from special protection group were selected for administering the decision time (DT) from “Vienna Test System” before and after applying biofeedback therapy with respiratory training.

RESULTS:

The results of this study reveal the beneficial effects of biofeedback in reducing negative effects, thereby …

Cutaneous Manifestations In Neonates A 1-Year Cross-Sectional Study In A Tertiary Care Hospital, Swathi Shivakumar, B. S. Manjunathswamy, Tanmaya Metgud, Bhavana Doshi

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Skin lesions in neonatal period range from transient self-limiting conditions to serious dermatoses requiring specific therapies. They can cause significant psychological distress to parents. The awareness of the fact that most of these conditions are benign and transient is important so that parents can be reassured. Since studies on neonatal dermatoses are limited, this study has been planned to know the spectrum of cutaneous lesions in neonates, both physiological and pathological.

MATERIALS AND METHODS:

All neonates <28 days old, attending KLEs Dr. Prabhakar Kore Hospital and MRC, Belgaum, were recruited into the study. Newborns admitted in the Neonatal Intensive Care Unit were excluded from the study. A written informed consent was obtained from the mother. The study design was nonrandomized cross-sectional study. A sample size calculation was done using the Chi-square test. Analysis of data was performed by STATA 11.2. An Ethical Committee clearance was obtained before the start of the study.

RESULTS:

One hundred and four neonates were enrolled in the study, out of which 49 (47%) neonates were male and 55 (53%) were …

Retrospective Analysis Of All Patients Undergoing Blood Transfusion In Obstetrics At A Tertiary Care Hospital, Belgaum A Cross-Sectional Study, Deshpande Madhushree, Mrityunjay C. Metgud, Kamal Patil

Indian Journal of Health Sciences and Biomedical Research KLEU

OBJECTIVES:

This study was conducted to know the various indications of blood transfusion (blood and blood products) in obstetrics and to know transfusion reactions if any.

METHODOLOGY:

This study was done from September 2014 to September 2015 in the Department of Obstetrics and Gynaecology, KLE Dr. Prabhakar Kore Charitable Hospital and Medical Research Centre, Belagavi. All women who received blood and blood product transfusion for any obstetric cause during this period were analyzed to know the indications for transfusion and to know transfusion reactions.

RESULTS:

A total of 204 women received blood and blood products transfusion in this study. The …

Bed Wetting, R. B. Nerli

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Ayurvedic Management Of A Case Report, Mahesh P. Savalagimath, Jyoti Rani, Santosh F. Patil

Indian Journal of Health Sciences and Biomedical Research KLEU

Vicharchika

(Eczema) is a type of

kshudrakustha

often encountered by Ayurvedic Dermatologists characterized with symptoms, namely,

kandu

(itching),

srava

(discharge),

Pidaka

(vesicles), and

Shyava varna

(discoloration).

Vicharchika

is often correlated to eczema based on the clinical presentations. No satisfactory treatment is available in contemporary medical practice except antihistamines and topical steroids. Main line of treatment for

vicharchika

in Ayurveda is

Shodhana

and

shaman oushadhis

. A patient approached to outpatient department with chief complaints of discharge, edema, and erythematous skin lesions with intense itching at the ankles and dorsum of both foot, dorsal aspect of the hands, and on cheeks …

Prevalence Of Menopausal Symptoms Among Postmenopausal Women Of Urban Belagavi, Karnataka, Nidhi Pathak, M. S. Shivaswamy

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

According to the World Health Organization (1981), natural menopause is defined as no menses for 12 consecutive months with no obvious intervening cause. During the menopause, women may experience vasomotor, psychosocial, physical, as well as sexual dysfunction. Studies on menopausal issues and health demand priority in Indian scenario due to the growing population of menopausal women as a result of their increased life expectancy.

OBJECTIVE:

To know the prevalence of menopausal symptoms in the postmenopausal women aged 40–60 years.

METHODOLOGY:

A community-based cross-sectional study was conducted between January 1, 2016, and December 31, 2016, using a predesigned, pretested, structured …

Knowledge And Practice Of Needlestick Injury Preventive Measures Among Nurses Of Sana'a City Hospitals In Yemen, Gawad M. A. Alwabr

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

A needlestick injury is an accidental skin-penetrating stab wound from a hollow-bore needle containing another person's blood or body fluid, leading to infection of diseases transmitted by blood such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. The purpose of this study is to assess the level of knowledge and practice of needlesticks injury prevention measures and to estimate the incidence of exposure to needlestick injury among nurses working in the governmental hospitals in Sana'a city, Yemen.

MATERIALS AND METHODS:

A cross-sectional study among a random sample of nurses (

n

= 259) were conducted. A …