52 research outputs found
Dose related efficacy of gabapentin in acute herpetic neuralgia among geriatric patients
No full textBackground: Herpes zoster is an intractable painful condition, more severe in elderly patients. The pain during the first 30 days of onset is known as Acute Herpetic Neuralgia. Multiple treatments using non-steroidal anti-inflammatory drugs (NSAIDs), opioids, and tricyclic anti-depressants are available, but their side effects limit their use in geriatric patients. Gabapentin is also used in chronic neuropathic pain; however, its role in acute herpetic neuralgia is less explored. Aim : This study was aimed to determine dose related efficacy and safety of gabapentin in reducing pain of acute herpetic neuralgia in geriatric patients. Materials and Methods: In this placebo-controlled, four-week trial including 56 subjects, 42 patients received gabapentin in the dosage of 300 mg (n=15), 600 mg (n=14), and 900 mg(n=13) per day in divided doses and 14 patients received placebo within 72 hours of onset of herpes zoster. Results: Subjects receiving gabapentin had a statistically significant reduction (P0.05). Conclusion: The results of this study show that gabapentin is effective in acute herpetic neuralgia in different doses with 600 mg/day being the more appropriate dose in terms of safety and efficacy
KAP Study on Reproductive Tract Infections (RTIs) Among Married women (15-44 years) in rural area of Etawah, Uttar Pradesh
No full textBackground: High level of gynaecological morbidity, especially RTIs/STIs, if untreated, it can lead to adverse health outcomes such as infertility, ectopic pregnancy and increases vulnerability to transmission of HIV/AIDS. Sexually transmitted infections are worldwide major concern in developing countries. The major aspect of the control and prevention of disease and health protection is health education. Since knowledge plays an important role in people attitude and behaviours.
Aims & Objectives: To assess the Knowledge, Attitudes and Practices about RTIs among married women age 15-44 years in rural Etawah.
Material Methods: A cross sectional study was done on 370 married women of rural area of Etawah district. Multi stage random sampling was adopted. A structured questionnaire was used to assess the knowledge, Attitudes and Practices about RTIs among married women. Chi -square test used for analysis. Data collection on morbidity pattern among married women was based only on symptoms.
Result: In the present study 42.16 % were aware about RTIs. As per their knowledge about symptoms, mode of transmission and source of infections 35.41 % women told vaginal discharge as commonest symptom of RTIs, 40.0% women perceived sexual contact with multiple partner as the main route of transmission and 29.46% married women gained knowledge about RTIs from health worker followed by doctors 28.10%.
Conclusion: Only 42.16% had knowledge of RTIs and only 61 infected women sought treatment out of 173 symptomatic women. There is need to educate women on preventive strategies as women are less likely to seek treatment for symptomatic infections because of stigma associated with RTIs
Industrial portfolio responses to macroeconomic shocks : an econometric model for developing countries
No full textThis study identifies the macro conditions under which industrial growth and financial stability are most likely, and those conditions which are most prone to create disaster. The paper models interest rates, exchange rates, and aggregate demand conditions as affecting industrial growth and financial risk through two channels. First, because these variables affect firms'income, they affect firms net worth expansion. Second, because the link between macro variables and income depends upon the proportions in which firms hold fixed capital, inventories, financial assets, and debts, changes in macro variables also induce portfolio adjustments. The paper then develops an empirical model which allows one to calibrate the strength and timing of each effect. The paper is composed of two sections; one to develop the model, and one to report an application to Uruguayan data. There is also a brief summary section.Economic Theory&Research,Environmental Economics&Policies,International Terrorism&Counterterrorism,Banks&Banking Reform,Fiscal&Monetary Policy
Anaesthetic management of a child with "cor-triatriatum" and multiple ventricular septal defects - A rare congenital anomaly
No full textCor-triatriatum is a rare congenital cardiac anomaly. It accounts for 0.1% of congenital heart diseases. Its association with multiple ventricular septal defects (VSD) is even rarer. A five-month-old baby was admitted with respiratory distress and failure to thrive. Clinical examination revealed diastolic murmur over mitral area. Chest X-ray showed cardiomegaly. Haematological and biochemical investigations were within normal limits. Electrocardiogram showed left atrial enlargement. 2D echo showed double-chambered left atrium (cor-triatriatum), atrial septal defect (ASD) and muscular VSD with moderate pulmonary arterial hypertension. The child was treated with 100% oxygen, diuretics and digoxin and was stabilized medically. We used balanced anaesthetic technique using oxygen, air, isoflurane, fentanyl, midazolam and vecuronium. Patient was operated under cardiopulmonary bypass (CPB) with moderate hypothermia. Through right atriotomy abnormal membrane in the left atrium was excised to make one chamber. VSD were closed with Dacron patches and ASD was closed with autologous pericardial patch. Patient tolerated the whole procedure well and was ventilated electively for 12h in the intensive care unit. He was discharged on the 10 th postoperative day
Assessment of knowledge and skills of nursing staff working in a tertiary care hospital of Western Uttar Pradesh
No full textBackground: Nurses are the most vital part of the health system. Having adequate knowledge, awareness and desired clinical skills among them can decrease the risk of infection or complications, can shorten the stay of patients in hospital, decrease the morbidity and mortality of patients and decrease the disease burden.Material & Methods- Nursing staff from the wards of a private tertiary care hospital were interviewed for knowledge and observed for skill assessment. Aim & Objective: To assess the knowledge, skills and practices of nursing staff working in a tertiary care hospital. Results: Knowledge of nurses is good regarding routine investigations, universal precautions, work ethics but poor in pharmacovigilance. Nurses are found to be good having skills in patient care, clinical skills but are poor in practice of biomedical waste management and vital monitoring. Nurses are having good communication with patient &doctors but response time on patients’ call is more.Conclusion: Retraining of nursing staff at regular intervals to upgrade their knowledge regarding universal precautions, work ethics, bio medical waste management and improve upon clinical skills should be made mandatory in a hospital setting
Client satisfaction and quality of health care in a rural medical institute of central Uttar Pradesh
No full textBackground: Consumer satisfaction is recognized as an important parameter for assessing the quality of patient care services. Satisfaction regarding the attitude of providers toward these services is expected to affect treatment outcome and prognosis. Out Patient Departments (OPDs) need to monitor the quality of care and patient satisfaction for continuous quality improvement. A major component of quality of health care is patient satisfaction. Present study has been conducted to assess consumer satisfaction with regard to clinical care in the Out Patient Department of Rural Medical Institute of Central Uttar Pradesh. Materials and Methods: The present study was an Outpatient- based cross sectional study conducted in Out Patient Department of UP Rural Institute of Medical Sciences & Research, Saifai, Etawah (UP) between January- June, 2013. A total of 600 patients were selected at random for exit interviews during Out Patients Department hours. Results: The socio-demographic profile of study subjects showed that 57.17% respondents were male and mostly were Hindu (79.67%). A total of 65% were in the age group between 15-59 years. Respondents were patients themselves (86.17%) and accompanying relatives for pediatric patients younger than 15 years old (13.83%). Forty percent of respondents were house wife by occupation. For most of the patients (58.83%) waiting time for consultation was between 15-30 minutes, in 55.17% patients, doctor spent only 5-10 minutes for consultation. A total of 98.67% of the respondents were satisfied with the outpatient department timings
A Comparative Assessment of Knowledge and Awareness Regarding Breast Cancer among Women of Reproductive Age Group in District Etawah
No full textIntroduction: Late presentation has been observed as the hallmark of breast cancer, due to lack of awareness and non-existent breast cancer screening programmes. Breast cancer is the most common female cancer worldwide including India. The study was conducted to assess the awareness about breast cancer among the reproductive women and to find out the factors responsible for increased awareness.
Methodology: A cross-sectional descriptive study was carried out among 250 reproductive age group females of rural and urban area of Etawah district. Information was collected under following broad headings:-Educational Status, socio-demographic profile and knowledge of various risk factors, preventive measures and screening.
Result: Majority of the participants were illiterate (23%) and belong to upper lower (34%) and lower class (33%).Out of 250 participants 147(59%)were unaware about breast cancer. On comparing knowledge, rural females were more unaware about breast cancer, its warning symptoms, signs and its preventive measures. Also awareness of Self Breast Examination was very low in both urban and rural population.
Conclusion: The present study hereby concludes that knowledge about breast cancer among reproductive females was low. In comparison to urban area this knowledge is very low in rural area
Morbidity Pattern Among Primary Schoolchildren in A Rural Area Of Uttar Pradesh
No full textBackground: Health of the child is viewed as absence of disease not as comprehensive health in the developing Countries. The present study was conducted with the objectives to assess the morbidity pattern among school children in rural area of Mainpuri and to find out the status of personal hygiene among primary school children.
Methods: The present study was a field based cross-sectional study carried out for a period of 3 months from December 2013 to February 2014 in a randomly selected primary school of block karhal in rural area of district Manipuri, Uttar Pradesh. A list of all the students was obtained and days were fixed for examination of the students after consultation from the principal. For data collection we used predesigned, pretested structured questionnaire. .
Result: A total of 171 children were examined, amongst them 71 (42.71 %) children were having more than one ailment at the time of examination. Main problems observed were dental problems (35.78%), wax in the ear (33.91%), nutritional anemia (26.90%) and poor personal hygiene (34.5%) among children.
Conclusion: Dental problems, nutritional anaemia and poor personal hygiene were more common among school children. Therefore, there is need for parents and teachers as agent of health promotion to enshrine the value of personal hygiene in school children
The Political Economy of India’s Fiscal Federal System and its Reform
No full textThis article examines recent and potential reforms in India’s fiscal federal system. We summarize key federal institutions in India, including tax and expenditure assignments, and mechanisms for Center-state transfers. We discuss the institutional process by which reforms can and do take place, including the role of academics, political influences, and especially institutions such as the Finance Commission. In contrast to the past, recent commissions have played a greater role in articulating an agenda for fiscal federal reform, which then proceeds through political bargaining. This change has taken place in the context of, and been influenced by, broader economic reform in India.intergovernmental transfers; economic reform; federalism; regional inequalities
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