28 research outputs found
Equivalent 1D Ground Response Analysis (GRA) of Black Cotton Soil for Three Different Sites Near Indore City
Examination and Appraisal of Liquefaction Vulnerability Between Idriss–Boulanger Method and Andrus–Stokoe Method
Lateral Response of 2 x 2 Pile Group Embedded in Cohesive Soil Near Slope
This work studies the response of a 2 x 2 pile group near a slope subjected to lateral load. Three-dimensional, non-linear finite element analysis is carried out. The entire code is developed in FORTRAN 90. Bending-dominated pile and pile caps are represented by 20 node elements with quadratic shape function, and shear-dominated soil elements are represented by eight-node elements with linear shape function. Sixteen node interface element of zero thickness is used for stress transfer between pile and soil. The outcome highlights the influence of slope parameters like slope angle and edge distance on the response of the 2 x 2 pile group near a slope. The lateral displacement and maximum bending moments are increased with an increase in slope. However, its effect reduces with an increase in slope distance. The point of zero-shear along the pile's depth shifts deeper with an increase in slope
Process evaluation of child health services at outreach sites during health and nutrition day (Mamta Day) in urban slums of Western India
Introduction: Health indicators of rural and urban India show a wide variation. Rural areas have received large focus in child health services, but on the flip side, urban areas have been the last to receive such attention. Materials and Methods: A cross-sectional study was conducted to include one randomly selected outreach session from all the 19 urban primary health centers of Vadodara city from April 2013 to May 2014. Nineteen session sites were observed for the process evaluation of three components of child health care, namely, “planning of Health and Nutrition Day,” “availability of vaccines/logistics,” and “direct observation of actual immunization process” at the site using a structured checklist. Results: Most of the vaccines and logistics were present at all 19 sites visited, but adverse events following immunization kit were observed at ten sites (52%) only. Open vial policy, no-touch technique, and immediate cutting of syringe with hub cutter were implemented at all sites; however, completely filled Mamta Card was observed at 9 (47%) sites only. All four key messages were given at 5 (26%) sites only. Conclusion: Immunization services such as proper vaccine administration with no-touch technique and open vial policy were mainly focused; however, other services such as biomedical waste management, record keeping, and delivery of all four key messages need to be strengthened during Mamta Divas. Strengthening of other child health care services such as growth monitoring, Integrated Management of Neonatal and Childhood Illnesses, and referral services is required in urban areas
Readiness to quit addiction! A study among patients attending tertiary care hospital in Western India
Background
Tobacco use has been an important public health problem in India. Tobacco cessation is considered a cost effective intervention in controlling the tobacco epidemic in terms of preventable morbidity and mortality. Readiness to quit is one of the key steps in the process towards tobacco cessation. However, it is important to know the addiction pattern in the particular region so as to initiate de-addiction initiatives. So the current study was carried out with an objective to find the addiction habits and readiness to quit addiction among patients visiting GMERS Gotri General Hospital, a tertiary care hospital attached to Medical College in Gujarat, India.
Methods
All the patients at the registration desk of the hospital were randomly selected during May 2015. A total of 626 patients having any form of addiction were enrolled in this cross sectional study after taking written informed consent. They were interviewed in vernacular language using a validated semi-structured questionnaire. After counseling them for quitting tobacco use, their readiness to quit was enquired and those willing were referred to de-addiction clinic in Psychiatry department. Data was entered and analysed using Epi Info Software.
Results
Out of 626 addictive patients registered, 97% were males, 50.8% in the middle age group and 59.3% from rural areas. The most common form of addiction was tobacco chewing (66.4%) followed by smoking (32.7%) and alcohol (19.4%). Among them 428 (68.4%) showed readiness to quit. Out of those ready to quit 198 (46.2%) were actually registered at the de-addiction clinic.
Conclusions
Majority of patients were ready to quit addiction, so there is a need to have an ongoing program for awareness among patients about the de-addiction services already available within the hospital to improve quit rate. An awareness kiosk at the outpatient department can be explored in further studies
