International journal of health sciences
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Effectiveness of breast crawl method on selected new born and maternal outcomes
Get PDFThe world health Organization (WHO) and UNICEF recommend initiation of breastfeeding within the first hour after birth.1 The deaths of 8,23,000 children and 20,000 mothers each year could be saved by promoting Universal breastfeeding, along with the economic savings of US $ 300 billion.2 The present study was undertaken with the aim to assess the effectiveness of breast crawl method on selected new-born and maternal outcomes at govt. hospital, Dehradun, Uttrakhand. A Quantitative Approach with a quasi-experimental design using non-probability convenient sampling was used. The results depict that at the p< 0.001l level, the breast crawl method had a significant favorable impact on Newborn Temperature at 1 hour, time of placental expulsion, episiotomy pain perception, and involution of uterine II PPD. There was a statistically significant difference in newborn and maternal outcomes between the experimental and control groups at the p<0.001level. The study concluded that Breast crawl was found to be an efficient approach for maintaining effective body temperature, shortening the duration of placental expulsion, reducing episiotomy pain perception, and assisting in early uterine involution
A retrospective study on uterine rupture at a tertiary hospital, India
Get PDFObjective: The study aims to understand the causes and the outcomes of uterine rupture in a 1-year retrospective study at a tertiary hospital in Raigarh, India. Methods: This study is a retrospective study of the patients who were diagnosed with the uterine rupture at the department of obstetrics (Gynecology) at GMC Raigarh Chhattisgarh from March 2015 to April2016.Data collection was done from the clinical assessments and with different exams of 61 participants following which the statistical analysis was done. Results: as per the findings, there were certain conditions such as the hemoperitoneum and the fetus outside uterus are the riskiest ones when it comes to uterine rupture. Conclusion: the most important findings were related to the frequent problems and risk factors associated rupture of uterus and certain age groups are more prone to this medical emergency which is why, right medical care is needed
SIFT and SURF features based classification of yoga hand mudras using machine learning techniques
Get PDFYoga is an unique spiritual discipline of self-development and self-realization that teaches us how to live our lives to the fullest. Yoga's integrative approach brings deep harmony and unwavering balance to body and mind to awaken our dormant capacity for higher consciousness, which is the true purpose of human evolution. The numerous documented physical and mental benefits of yoga have played a large part in the interest in yoga. Due to a lack of datasets and thus the necessity to identify mudra in real time, distinguishing yoga hand mudras seems to be a tough undertaking. The yoga hand mudras are used as input in the proposed study, and the two components Scale Invariant Feature Transform (SIFT) and Speeded Up Robust Features (SURF) are extracted, followed by classification utilising machine learning techniques including Support Vector Machine (SVM) and Random Forest. By comparing the experimental results the performance of SIFT with SVM yields better results
Transfer learning based classification of MSI and MSS gastrointestinal cancer
Get PDFGastrointestinal and Colorectal cancers are treated with chemotherapy and its other forms which are not able to provide higher survival rates [1]. Immunotherapy is increasingly becoming popular due to its promising response especially to mutated tumors such as MicroSatellite Instability (MSI) cancers with deficient DNA Mismatch-Repair system (dMMR). Generally, 85% of all the cases related to gastrointestinal and colorectal cancers have proficient DNA Mismatch-Repair system (pMMR) which are also called MicroSatellite Stability (MSS). Only about 15% of the gastrointestinal and colorectal cancer patients have deficient DNA Mismatch-Repair system (dMMR) causing MicroSatellite Instability (MSI) in their tumors. While Immunotherapy responds well to patients with MSI tumors, it is resistant to MSS tumors [2]. Hence, it’s important to classify MSI vs. MSS tumors so that appropriate treatment can be given to the patients. Clinically MSI cancers are difficult to be detected after stage III due to their sensitivity to pembrolizumab inhibitors [3] [4]. In this work, deep learning based transfer learning approach is detailed that can accurately classify MSI vs. MSS cancers using histological images which are derived from formalin-fixed paraffin-embedded (FFPE)
Risk factors of tuberculosis (TB) among homeless population in Chennai city
Get PDFBackground: Tuberculosis (TB) is a major concern among high-risk populations such as the homeless. Tuberculosis (TB) is a major public health problem. The Chennai City has a large population of homeless persons and caregivers and is estimated to be the largest TB-endemic area in the intermediate-prevalence country, India. However, there have been few studies of homeless persons and caregivers. The objective of this study to assess the prevalence and risk factors for pulmonary TB among homeless population around Chennai. Methods: We conducted a cross-sectional study for screening TB symptoms using questionnaire. The study participants were recruited from 15 zones, which included 47-night shelters around Chennai under the control of the Chennai City in Tamil Nadu. Data was collected from homeless people who were living in night shelters in the northern, central, and southern regions of Chennai City. Results: Complete responses were available from 484 individuals (263 homeless persons and 173 caregivers). Four active TB cases (1.5%) among homeless persons were found, while there were no cases among caregivers
Effectiveness of mindfulness meditation on bio-psychological parameters among adolescence in selected nursing colleges at Madurai
Get PDFBackground: There is a correlation between self-esteem in adolescents and depression, Anxiety and stress and Mindfulness meditation is effective to reduce these factors and gives relaxation among adolescents. The study was conducted to determine the effectiveness of mindfulness meditation on low self-esteem, depression, anxiety and stress among Students from selected Nursing colleges at Madurai, Tamilnadu, India. Methods: An Experimental design was employed for this study with participation of 300 students in Madurai in Tamilnadu. A structured DASS scale applied to ask about depression, anxiety and stress, and Rosenberg scale was administer to find the level of Self-esteem before and after Administration mindfulness meditation. Results: Students with low self-esteem were revealed that there is significance different in mean score of depression among experimental group that 15.2 in pre test and post test 8.6 where as in control group there is no significance difference subsequently Anxiety, stress, self esteem pre test score was 15.0, 17.8, 22.1 and post test score was 9.9, 12.7, 28.3. This shows significant change after administration of mindfulness meditation. Conclusions: Self-esteem is associated with anxiety, depression, and stress, which significantly affect students’ quality of life
Correlative evaluation of temperaments and proportions in smile for invocation of customized smile in young individuals using photography
Get PDFA prosthesis can be said to be successful only if it fulfils all the components of replacement including Esthetic. Esthetics play a prime role in the success of the prosthesis. The knowledge of concept and proportions used in dental Esthetic can be used to enhance esthetics of the prosthesis. For improving the communication, confirming the diagnosis and thereby enhancing the certainty of the treatment, a conceptual tool that can be used is Esthetic smile design. Since smile analysis is an vital part of the complete facial examination carried out by dental domains. Evaluating the patient’s smile benefits the dentist in many ways.it allows the clinician to see what needs to be done, what can be done, and what should be accepted. This study aims to evaluate and correlate the temperaments and various proportions in smile of young individuals for invocation of customized smile using digital photography. Study comprising of 140 participants. All the participants will be given a self-reporting type of questionnaire. Their temperament will be identified after the analysis of the questionnaire. Dental proportions (Golden proportions, RED, Golden percentage) will be evaluated by taking the photograph of the patient. A digital camera will be used for capturing the photographs
Study the efficacy of Duhsparshadi Leha and Kantakari Avaleha in the management of Vataja Kasa
Get PDFBackground: Kasa is an independent disease of Pranvaha Strotas. Kasa is an independent disease and it is not life threatening but it interferes with the quality of routine activity of an individual. Prevalence of Vataja kasa is remarkable. Vataja Kasa is one of the type of Shuskakasa dominated by Vata and Pran Vayu Dusthi. Congested Vayu causes the production of abnormal sound, which may be dry or productive. Aim - Comparative efficacy of Duhsparshadi Leha and Kantakari Avaleha in Vataja Kasa. Material and method –In this study, 40 patients of Vataja Kasa will randomly divided into two groups (20 in each) having typical signs and symptoms of Vataja Kasa were treated. In Group A (Experimental)-10 gms Duhsparshadi Leha will administered twice a day with lukewarm water before meal and Group B (Control) will given 10 gms Kantakari Avaleha twice a day with lukewarm water before meal for 15 days. Subjective criteria like Kasavega, Uraha-parshwashool, Shirshool, Swarbheda TLC (Total Leukocyte Count), Neutrophils, and Absolute Eosinophil Count (AEC) are examples of laboratory measures were assessed before and after treatment. Assessment will be recorded in every week (7th day and 15th day). After treatment, there was a significant improvement in all indicators
Effectivity of in-house developed sandwich ELISA for antigen detection in resource constraint settings
Get PDFIntroduction: Around 26% of World’s Tuberculosis (TB) cases are in India. In resource constrained settings, it is difficult to use diagnostic tests like nucleic acid amplification technique and mycobacterial culture due to their complexity and expensiveness.Developing an assay using polyclonal antibody may help to solve this problem. On the basis of that we worked to detect tubercular antigen developing Sandwich ELISA from the serum of tuberculosis patients. Materials & Methods: For the study 50 cases, 50 disease controls, 30 healthy control subjects were taken. Commercially available reagents were used for the development of Sandwich ELISA. The data was statistically analyzed with the help of software SPSS version 16.0. Results: Our effectively developed test had 82% area under the ROC curve. 81% (n=35) patients of PTB cases with non-HIV infection detected by our Sandwich ELISA and 57% cases with the co-infection of HIV-TB. Developed test had 70.91% positive predictive value and 75.56% negative predictive value. Conclusion: We successfully developed Sandwich ELISA for tubercular antigen detection. To increase the sensitivity and specificity of the Sandwich ELISA, as per the WHO guidelines, further work is needed
Clinical study of upper one third leg defects
Get PDFLarge soft tissue leg defect involving upper and middle third remains a therapeutic challenge. Clinical study of management of upper one third defects was done to analyze the various reconstructive procedures for leg defects and also to enhance the quality of work done to produce good results with minimal complications as possible. This Prospective Clinical study conducted in the department of Plastic and Reconstructive surgery, includes 20 cases of upper one third of leg defects admitted. Patients >15years of age with Soft-tissue defects of upper one third leg requiring flap cover are included in this study. The operative procedure was chosen according to the nature and size of the defect. The earliest flap cover was given within 1 week of trauma. Primary flap cover was given in 10 (50%)patients, delayed primary flap cover in 9 (45%) patients and secondary flap cover in 1 (5%) patient. In 14 (70%) patients Gastrocnemius flaps were done, of which Gastrocnemius muscle flaps with SSG were done in 9 patients (45%) and Gastrocnemius Myocutaneous flap in 5 patients (25%). Fasciocutaneous Flaps in 4 patients (20%), Venous flap in one patient (5%) and Advancement Flap in 1 patient (5%) were done