Advanced Research Publications: Medical Journals
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A Cross-Sectional Study to Assess Birth Preparedness and Complication Readiness (BPACR) Status in Antenatal Mothers of Selected Primary Health Centre of New Delhi
Full text linkIntroduction: Motherhood is a time of anticipation of joy for a woman, her family and her community. In spite of this fact, it is not as enjoyable as it should be because of numerous reasons. Insufficiency or lack of birth preparedness and complication readiness is the most common reason. Birth preparedness & complication readiness (BPACR) is a strategy that effectively plan birth and deals with emergencies.Objective: This study aimed to assess the Birth Preparedness and Complication Readiness (BPACR) status in antenatal mothers and its relationship with selected demographic variables and disseminate information booklet regarding BPACR.Materials and Methods: An exploratory cross-sectional study was carried out in selected PHCs of New Delhi in October-November 2017. A total of 200 women were randomly selected and interviewed using pretested structured interview schedule and the data was analysed using a computer program of SPSS version 25.Results: 50.4 percent of the respondents were found to have prepared for birth and its complications. In present study BPACR status of 156 antenatal mothers i.e. 78% was adequate and 22% (44) was found to be inadequate. Less than half of the respondents were aware on birth preparedness (44.6%) and complication readiness (43.4%). There is statistically significant relationship of BPACR with age of the mother (p=0.043), education status of the mother (p=0.037) and parity (p=0.027) at 0.05 level of significance.Conclusion: This study identified that poor knowledge, inadequate birth preparedness, and complication readiness were prevalent among mothers in the study area. Community participation and health care providers in the areas of maternal and child health should operate together to maximize birth preparedness and complication readiness practices
An Experimental Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge of Adolescents Girls of Higher Secondary School Age Group (14-17 Years) Regarding Polycystic Ovarian Syndrome at Vijaya Raje Government Girls School, Ujjain, Madhya Pradesh
Full text linkIntroduction: Adolescents youthful citizens between the period of 12 and 19 year - are often thinking of as a in good physical shape group. It is the transition stage between babyhood and adolescence. Also many grave diseases in maturity have their ancestry in adolescent. For e.g. Tobacco use sexually transmitted disease together with HIV and deprived intake and exercise behaviour direct to illness or early death afterwards in life. Adolescence and young women make up approximately the 40 % residents of India. It covers about 22.5 % of total population. It is the most fascitinating and changeover period between babyhood and adolescence. The quick bodily, sexual, physiological, and emotional changes causes anxiety and stress, also many serious diseases in adolescence have their root in adolescence.Material & Method: Quantitative approach with one group pre test post test Experimental design was used .Total 30 adolescents’ girls of 10th standard students of Vijaya Raje government schools were selected by convenient sampling technique. Pre test conducted then planned teaching given on polycystic ovarian syndrome then after one week post-test done on same group, and analysis done by using descriptive and inferential statistics.Result: The result revealed that in pre test 50% girls had poor knowledge, 40% girls had average knowledge and 10% girls had good knowledge. In post test knowledge score75% girls had good knowledge, 25% girls had average knowledge and 0% girls had poor knowledge. Study also showed that there is no association between pre test knowledge score on PCOS and demographic variables but in Post test knowledge score some variables showed significant association.Conclusion: The study concluded that planned teaching programme on polycystic ovary syndrome is useful tool for improving knowledge of adolescent girls and it may be used by health care provider for improving knowledge regarding any areas of education
An Exploratory Study to Assess the Reproductive Sexual Health Behaviour and its Relationship with Academic Performance among Adolescent Students in the Selected School of Manipur
Full text linkIntroduction: Adolescence is a period when the individual is vulnerable and exposure to sexually implicit/ explicit programs on television and internet can influence their sexual behaviour and make them more permissive towards premarital sex, which is known to influence their academic performance. Keeping this in view, an exploratory study was done to assess the reproductive sexual health behaviour and its relationship with academic performance among adolescent students in the selected school of Manipur. The main objectives of the study were to identify sexual health behaviour among adolescent students, to study the factors responsible for the development of risky sexual health behaviour among adolescent students, to assess the academic performance of the adolescent students and to establish relationship between risky sexual health behaviour and academic performance.Materials and Methods: The study was conducted in Jawahar Navodaya Vidyalaya located in Chandel District of Manipur State. A quantitative research approach was used to achieve the objectives of the study. A non-probability sampling method was adopted and a convenience sampling technique was employed for the study. Data was collected via structured questionnaire from 100 students belonging to the age group of 16-18 years studying in 11th and 12th class.Results: 75 per cent of adolescent students were found to be in romantic relationship, 25 per cent of the students reported to have dropped out from school due to unplanned/ premarital pregnancy, 12 per cent of the students reported having indulged in sexual intercourse and these same students used condoms as a protective measure during the intercourse and 50 per cent of the students reported having watched porn. There was significant relationship between reproductive sexual heath behaviour and academic performance among adolescent students.Conclusion: Sexual health education helps students protect their sexual health and avoid these negative outcomes. By providing sexual health education programs, schools can support student health and foster their academic achievement
Unani Perspective on Etiopathogenesis of Ziabetus Sukkari (Diabetes Mellitus): A Review
Full text linkDiabetes mellitus is a group of metabolic disorders sharing the common feature of hyperglycemia. In Unani system of medicine, it is known as Ziabetus Sukkari. Etiopathogenesis of Ziabetus Sukkari is complex and still partially unknown. In the genesis and development of Ziabetus Sukkari, in the great majority of subjects, the contemporary lifestyle characterized by inadequate physical activity and an excessive energy intake is of basic importance. Sedentary life style and stressful mental conditions nowadays have called for many distressing diseases, foremost amongst them being Ziabetus Sukkari - a perfect example for a lifestyle disorder. Greco-Arab physicians believed that Sue Mizaj Kuliya Haar (Hot derangement in temperament of kidney), Zo’fe Kuliya (Weakness of Kidney), Ittesae Kuliya wa Majra-e-Baul (Dilatation of Kidney and Tubules), Burudate Badan, Kabid wa Kuliya (Cold derangement in temperament) were the factors responsible for the disease. The various classical textbooks of Unani medicine contain detailed descriptions of this disease. In this review paper, an attempt has been made to discuss the etiopathogenesis of Ziabetus Sukkari described by ancient physicians
An Outcome of Nursing Intervention Strategies on Health Problems among Chronic Kidney Patients in A Tertiary Care Hospital of Shere Kashmir Institute of Medical Sciences Soura Srinagar Kashmir
Full text linkChronic kidney disease (CKD) is a global threat to health in general and for developing countries in particular, because therapy is expensive and life-long. It is considered as a devastating medical, social and economic problem for patients and their families. The clinical manifestations of chronic kidney disease occur due to overt metabolic derangements resulting from inability of failed kidney to regulate electrolyte, fluid and acid-base balance as well as due to accumulation of toxic products of amino acid metabolism in the serum which leads to various health problems such as: poor appetite, lassitude, pruritus, drowsiness, dyspnea, bone and joint pain, dryness and ulceration in the mouth, muscle cramps, poor concentration, dry skin, constipation and so on. As chronic kidney disease progress, these problems become worsened and lead to anxiety, irritability and depression, thereby gradually deteriorating the quality of life. Such problems can be curtailed in intensity and life of CKD patients can be improved if they are educated to practice various nursing intervention strategies such as: dietary control, massaging, muscle relaxation techniques and deep breathing exercises in addition to treatment. Hence the present study was undertaken to assess the outcome of nursing intervention strategies on health problems such as: - oliguria, poor appetite, vomiting, joint pain, breathlessness, muscle cramps, mouth ulceration, itching and irritability among chronic kidney disease patients admitted in nephrology ward of a tertiary care hospital of Shere Kashmir Institute of Medical Sciences, Soura Srinagar, Kashmir from 5th March 2012 to 31st July 2013. A quasi-experimental non-equivalent two group pre-test post-test design was used to conduct study on 200 adult chronic kidney disease (CKD) patients who were randomly selected and assigned to experimental and control groups (experimental = 100; control = 100). The CKD patients in the experimental group received the ‘Nursing Intervention Strategies’ including: dietary advice, progressive muscle relaxation therapy, deep breathing exercises, leg massaging therapy, leg elevation therapy and talk therapy, while as those in the control group received the routine care. The findings revealed that the patients in experimental group, who received ‘Nursing intervention strategies’ in addition to their treatment showed improvement due to substantial reduction (p ≤0.05) in all the 9 health problems (oliguria, poor appetite, vomiting, joint pain, breathlessness, muscle cramp, mouth ulcer, itching and irritability). Whereas the control group subjects who received only routine care and prescribed treatment reported a considerable reduction in 6 health problems (oliguria, poor appetite,vomiting, joint pain, breathlessness and muscle cramp). Hence, it can be concluded from the results of the study that ‘Nursing intervention strategies’ such as: Dietary advice, progressive muscle relaxation, deep breathing, leg massaging, leg elevation and talk therapy were effective in minimizing health problems among chronic kidney disease patients. However, the long-term efficacy of these strategies needs to be investigated
Lobbying in Nursing: Overcome the Hurdles to Flourish
Full text linkLobbying is the act of persuading law makers professionaly by a lobbyist. It is the need of the time in nursing to adopt the principles of lobbying to enjoy the rights and social status in India. As lobbying is not a legal practice in India, professional and labour organisations have vital role in convencing government authorities during amendment of law for the benifits of nursing professionals. Identify and develop professionals to practice lobbying is very important to survive and flourish
Effect of Video Assisted Teaching on Knowledge of Staff Nurses regarding non-pharmacological Interventions during First Stage of Labour to Improve Maternal and Fetal Outcome among Primi Parturient Mothers
Full text linkThe present study was conducted to assess the effect of video assisted teaching on knowledge gain of staff nurses on non pharmacological interventions during first stage of labour. An experimental design was chosen with pre test and post test of experimental and control group. The sample size was 60 registered staff nurses divided into two groups as 30 in experimental and 30 in control group. The tools used for conducting the study included demographic variables, self structured questioner to assess knowledge of experimental and control group. The experimental group was given video assisted teaching as an intervention and the control group was used for comparison only. The data were analyzed with the help of descriptive and inferential statistics. The study clearly shows that there was a significant gain in knowledge of staff nurses in experimental group with video assisted teaching which emphasizes that non pharmacological intervention during first stage of labour are safe and improve maternal and fetal outcome. Therefore the staff nurses can be benefited with video assisted teaching to improve knowledge and practice on non pharmacological interventions during first stage of labour and they can practice these interventions in clinical area in future
Surat-e-Nou’ya - An Analytical Description with Special Reference to Unani Medicine
Full text linkThe era in which the Unani Medicine was conceptualize, the only applied science exist was Falsafa (Philosophy), hence whatever knowledge exist at that time the ancient Unani scholars validate it through philosophical proposition and discernment. This is the reason behind philosophical dominancy embodied in the classical literature of Unani Medicine. The rhetoric philosophy of Unani Medicine is having numerous concept those are either unexplored or explored but not understood to the extent of its insight to modern scientific world. Hence validation and explanation of such concepts will pave the modern scientific world to understand Unani Medicine better and to the extent of it discern. Surat-e-Nou’ya is one such concept in Unani Medicine which requires to be analyzed intellectually and explaining scientifically. This study is an attempt to explore the semantic of Surat-e-Nou’ya, its understanding in the Unani Classics and in its interpretation in modern day’s scientific world
A Clinical Evaluation of Management of Amavata with Rasonadi kwatha, w.s.r. to Rheumatoid Arthritis
Full text linkPurpose: To evaluate the role of Rasonadi kwatha, a classical medicament in the management of Amavata, w.s.r. to Rheumatoid Arthrits, which is attributed with best Amavatahara property, considering a trend of progressively increasing incidence of the condition.Methods: The trial drug Rasonadi kwatha was prepared as per the classical method of Kashaya kalpana. Total of 47 patients of Amavata fulfilling the inclusion criteria were registered, of which 30 completed the course of intervention, in a single armed, prospective, open label, cohort study, with pre and postintervention analysis design. Descriptive data including Mean, Standard Deviation (SD), Standard Error (SE), t-value and percentages were calculated for all variables in the trial group. The post treatment changes were assessed by paired Student t-test, taking 0.05 as the level of significance.Results: Effect of the intervention on Subjective criteria including Signs and symptoms of Amavata and objective criteria including Disease Activity Score 28, Grip strength, Foot Pressure and Range of Movement was statistically significant with P value 0.001 after completion of treatment. The trial drug showed 36.67% of Moderate improvement and 53.33% of mild improvement in subjects of Amavata in the present study.Conclusion: The formulation Rasonadi kwatha is efficacious in management of the disease Amavata w.s.r. to Rheumatoid Arthritis. The formulation is Ruksha (Dry) and Ushna (Hot potency) and thus it is a potent Amapachaka (digesting the Ama), breaking the primary pathogenesis of the disease. It showed statistically significant improvements in Samanya lakshanas and good results in Pradhana lakshanas of Amavata