69 research outputs found
Acupressure to reduce labor pain: a randomized controlled trial
No full textObjective. To evaluate the effect of acupressure administered during the active phase of labor on nulliparous women's ratings of labor pain. Design. Randomized controlled trial. Setting. Public hospital in India. Sample. Seventy-one women randomized to receive acupressure at acupuncture point spleen 6 (SP6) on both legs during contractions over a 30-minute period (acupressure group), 71 women to receive light touch at SP6 on both legs during the same period of time (touch group) and 70 women to receive standard care (standard care group). Methods. Experience of in-labor pain was assessed by visual analog scale at baseline before treatment, immediately after treatment, and at 30, 60 and 120 minutes after treatment. Main outcome measure. Labor pain intensity at different time intervals after treatment compared with before treatment. Results. A reduction of in-labor pain was found in the acupressure group and was most noticeable immediately after treatment (acupressure group vs. standard care group p < 0.001; acupressure group vs. touch group p < 0.001). Conclusion. Acupressure seems to reduce pain during the active phase of labor in nulliparous women giving birth in a context in which social support and epidural analgesia are not available. However, the treatment effect is small which suggests that acupressure may be most effective during the initial phase of labor
From a Problem to the Problem System
No full textThis case study brings to the fore designer‘s experience and challenges of intervening in a complex social system. The presentation refers to the “Need Assessment Study of Occupational and Health Hazards Faced by Desludging Workers in a City in India.” This study marked the first milestone towards understanding the safety concerns of sanitation workers in the larger context of safe sanitation practices in small and medium towns in India, where faecal sludge management is emerging as a viable way forward under the larger system of faecal sludge management. This paper focuses on the research methodology and processes used in the study in order to better understand how these might be replicated or used in other similar contexts. In particular, the presentation shall discuss the interrelationships at length to understand the dynamic, multicausal, and unpredictable nature of the complex social system as found during the study. Conducted in two Indian cities, the de-sludging operators offer cleaning services to households, establishments, and industries. (Mamta Gautam et al,19).
This presentation discusses the research design, its implementation, and findings leading to systemic design. This is being discussed from the perspective of the author as the lead design researcher for the project commissioned by IIHS
FDI Spillovers, Innovation and the Role of Industrial Clusters: Evidence from Innovative Indian Manufacturing Firms
No full text© 2025, Elsevier B.V. The attached document (embargoed until 08/09/2026) is an author produced version of a paper published in Economic Modelling uploaded in accordance with the publisher’s self-archiving policy. The final published version (version of record) is available online at the link. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it
The dynamics of Australian commodity prices
No full textThe study uses Johansen’s (1988, 1991) cointegration technique and vector error correction model to understand the dynamic interactions between Australian commodity prices and other fundamental macroeconomic variables. The author has been formulated the econometric models by using seasonally adjusted monthly time series from January 2000 to December 2015. The study shows that the real interest rate (rr), real exchange rate (rer) and the industrial production (ip) have an adverse effect on Australian real commodity price (rci). Moreover, the model of this study shows that all the variables are helping to restore the divergence from the long-run equilibrium in commodity prices of Australi
Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome
No full textBackground: Posterior reversible encephalopathy syndrome (PRES) is an unusual clinical entity seen associated with blood
pressure (BP) fluctuations presenting with acute neurological symptoms. This is an unusual case of PRES due to severe preeclampsia, with clinical presentation of cortical blindness and hypertension, with absence of headache or seizures.
Case Presentation: A primigravida, with no significant medical history, presented with significant proteinuria and worsening
generalized itching and normotensive at 37 weeks 6 days of gestation. Due to elevated urate and raised urine protein induction
of labor was planned. Ten minutes after vaginal delivery, patient reported sudden loss of vision with only being able to perceive
light. She developed hypertension, hyperreflexia, and clonus. Aggressive management for severe pre-eclampsia was initiated.
Her vision started improving as soon as her BP started normalizing. Imaging revealed the possibility of PRES with a superimposed
focus of acute ischemia. She was discharged on antihypertensives and followed up by renal physicians. Within 2 months she
recovered very well.
Conclusion: This is an unusual case of PRES due to severe pre-eclampsia, with clinical presentation of only cortical blindness with
absence of headache or seizures. Prompt recognition and aggressive management of severe pre-eclampsia resulted in resolution
of symptoms
Ethnobiology, Phytochemistry and Pharmacology of Usnea Longissima: A Review
No full textLichenized fungi or lichens are believed to be one of the most inconspicuous living forms on the earth. The traditional knowledge of numerous benefits which lichens possess has been transcended over the centuries within and among the humans. All the different growth forms of lichens have been used by man in one way or the other. These find their use as source of different medicines, food, fodder, dye and as ingredients in perfumery. They are pioneers in ecological succession and also serve as indicators of pollution. Usnea longissima is a fruticose form of lichen that has been used as a traditional medicine for centuries. Scientific studies have proved that the pharmacological properties of the species are due to presence of several important secondary metabolites. These secondary metabolites possess antioxidant, anticancer, antimicrobial activity and thus can be used for the control and treatment of several diseases. The present communication gives a review of the multifarious benefits associated with Usnea longissima along with the emphasis on its pharmacological properties.
 
Determinants of gestational diabetes mellitus: A case control study in a district tertiary care hospital in south India
No full textObjective: To study the determinants of Gestational Diabetes Mellitus (GDM). Design: Case-control study. Setting: Sri Avittom Thirunal Hospital, Thiruvananthapuram district, Kerala, South India. Participants: 300 GDM women as cases and 300 age-matched controls. Study variables: Sociodemographic characteristics, pre-pregnancy Body Mass Index (BMI), menstrual history, obstetric history, infertility history, family history of diabetes in first degree relatives, recurrent urinary tract infection (UTI), and moniliasis. Statistical analysis: T-test, Fishers Exact Test, Chi square test, Adjusted Odds Ratio with 95% CI. Results: Pre-pregnancy BMI >= 25 (P < 0.001, OR = 2.7), irregular menstrual cycle (P = 0.006), treatment for infertility (P = 0.001, OR = 3.3), family history of diabetes (P = 0.001, OR = 4.5), history of diabetes in mother (P = 0.003), previous pregnancy losses (P = 0.04), past GDM (P = 0.035), prematurity (P = 0.01), pre-eclampsia (P = 0.04), polyhydramnios (P < 0.001, OR = 6.0), UTI (P < 0.001, OR = 3.2), and moniliasis (P < 0.001, OR = 7.6) were significantly associated with present GDM. Conclusion: Early identification of women at risk of GDM and prompt treatment is recommended to prevent complications
Study of thickness and uniformity of oxide passivation with DI-O3 on silicon substrate for electronic and photonic applications
No full textImpact of patient outreach methods on human papillomavirus (HPV) vaccination
No full textPurpose of the Project: The purpose of this quantitative, quality improvement (QI) project was to improve initiation rates of human papillomavirus (HPV) vaccination among children ages 9 through 13 at a federally qualified health center (FQHC) in Hudson County.
Methodology: Two educational seminars and electronic health record (EHR) facilitated automated voice and patient portal messages were implemented over a 2-week period with a total of two attempts recommending the HPV vaccine. A 2-month retrospective and prospective analysis was conducted to evaluate the impact of the interventions on HPV vaccination.
Results: The total sample size in the preintervention (September - October 2021) and postintervention (September - October 2022) cohorts were 236 and 520, respectively. The total number of first dose HPV vaccine recipients in the pre- and postintervention cohorts were 66 and 115, respectively. There were insignificant statistical results of the first dose HPV vaccination in the pre- and postintervention, X 2 = 3.05 (1), p = 0.08. In the preintervention, 22.4% (n = 35) of 9-year-olds did not receive the first dose of HPV vaccine compared to 53.2% (n = 83) in the postintervention. Thus, statistical significance was noted only for age 9 compared to all other age groups (X 2 = .5.25 (1), p = .022).
Implications for Practice: Based on the findings in this study, future recommendations include implementation of EHR-facilitated interventions to reduce missed opportunities, as well as educational campaigns focused on strong provider recommendation and vaccine hesitancy to improve first, second, and/or third dose of HPV vaccination.D.N.P.Includes bibliographical reference
Vesico-vaginal fistula presenting as overactive bladder in a case of Gellhorn pessary for vault prolapse
No full textAn 81-year-old woman with early dementia was on a regular follow-up for change of Gellhorn pessary every 6 months for vault prolapse. She presented with frequency and urgency for 10 months duration 5 years into conservative management. Her symptoms did not improve on anticholinergics and lifestyle modifications. She underwent an opportunistic change of pessary under general anaesthesia coincidental to scalp wound debridement. On removal of the pessary, a gush of urine was noted followed by confirmation of a large vesico-vaginal fistula (VVF). In the initial period of follow-up, she was reviewed by the urogynaecology team and considered to be a poor surgical candidate for a major surgical procedure and was offered conservative measures with incontinence pads and possible indwelling catheter. Serious complications like fistulae can still occur despite well-managed pessary treatment. Earlier presentation with overactive bladder symptoms masked the VVF resulting in delayed diagnosis
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