. Kaur, Amanpreet; Sharma, Mahendra P; Chaturvedi, Santosh K 2018-01-01 Being a professional care provider at cancer palliative care settings is demanding and stressful. Literature has indicated the prevalence of high burnout (BO) and distress; however, there is a dearth of studies in India, with no study available on professional quality of life in the field of palliative care.
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The aim of the present study was to explore the professional quality of life, namely-compassion satisfaction CS, burnout BO, and secondary traumatic stress STS among professional care providers at cancer palliative care centers. A cross-sectional, descriptive, and quantitative study was carried out at four cancer palliative care centers in Bengaluru after the permissions and ethical approvals. The tools used were brief sociodemographic datasheet and professional quality of life (ProQoL)-Version 5 administered with 65 participants (mean age = 32.5 and standard deviation = 11.78) with work experience of at least 6 months.
A descriptive, correlational, and inferential analysis of the quantitative data was undertaken. The results revealed that an average level of CS and BO was reported by 32 (49.2%) and 35 (53.8%) study participants, respectively, while 62 (95.4%) participants reported higher STS on ProQoL scale-Version 5. Significant differences in levels of CS, BO, and STS were found based on additional training taken in palliative care ( P = 0.01), designation type ( P 0.05).
The incidence of PIH, diabetes mellitus and intrahepatic cholestasis of pregnancy was similar in both groups. Mean birth weight was significantly lower in neonates of HIV-infected women (2593.60±499g) than HIV-uninfected women (2919±459g) P-value=0.001. Neonatal intensive care unit admissions were also significantly higher in infants born to HIV-infected women (P-value=0.002). HIV-infected women on ART had decreased incidence of PTB and IUGR. Conclusion and Global Health Implications: Good antenatal care and multidisciplinary team approach can optimize pregnancy outcomes in HIV-infected women.
PMID:28798896. Winston A, Blessed; Das Adhikari, Debasis; Das, Saibal; Vazhudhi, Kaysina; Kumar, Aniket; Shanthi Fx, Margaret; Agarwal, Indira 2017-02-01 This study was performed to determine the incidence, demographic distribution, types and outcomes across various drug poisonings among children from south India. This retrospective study included children less than 16 years who presented to the Pediatric Emergency Department with drug poisoning from the 1st of October 2004 to the 30th of September 2013. Out of the total 997 poisoning cases, 366 (36.71%) were contributed by drugs; mainly antiepileptics, central nervous system depressants, psychotropics, analgesic-antipyretics and natural drugs. Males and children of 2, and early bacterial coinfection. The mean Intensive Care Unit and hospital stay were 7 days (range; 1–16) and 9 days (range; 4–21), respectively. The overall mortality was 22.7% and reached 50% in those requiring invasive ventilation.
The mortality was higher among patients with qSOFA 3, mean arterial blood pressure. Singh, Akashdeep; Parkash, Siddharth; Gupta, Sunil K; Soni, R K 2018-03-01 Varicella pneumonia is a rare but a serious complication of chickenpox in adults.
There is paucity of data on varicella pneumonia from India. The aim of this study is to describe the clinical manifestations, hospital course, treatment, and outcome of adult patients with severe varicella pneumonia. This was a retrospective, observational study of patients with severe varicella pneumonia attending a tertiary care teaching hospital. The cases of varicella were identified by a computerized search of the medical record for the period between January 2010 and December 2016. During this period, 137 patients got admitted with varicella of which 22 had severe varicella pneumonia. Mean and standard deviation were computed.
Fisher's Z-test of proportions and analysis of variance were applied. There were 17 (77.3%) men and 5 (22.7%) women.
The mean age of the patients was 33.4 ± 10.8 years. History of contact with an infected person followed by high-grade fever and typical rash was present in all patients. Forty-five percent (10/22) of patients were immunosuppressed. All the patients received intravenous acyclovir. Forty-five percent (10/22) of patients received invasive mechanical ventilation. The various factors associated with the need for mechanical ventilation were partial pressure of oxygen:fraction of inspired oxygen ratio 2, and early bacterial coinfection. The mean Intensive Care Unit and hospital stay were 7 days (range; 1-16) and 9 days (range; 4-21), respectively.
The overall mortality was 22.7% and reached 50% in those requiring invasive ventilation. The mortality was higher among patients with qSOFA 3, mean arterial blood pressure. Kumari, Varsha; Banerjee, Tuhina; Kumar, Pankaj; Pandey, Sulekha; Tilak, Ragini 2013-01-01 The purpose of this study was to determine the prevalence of various Candida species and study some of their virulence factors among thevulvovaginal candidiasis(VVC)patients. The study was conducted in a Tertiary Care University Hospital in North India.
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This study was carried out prospectively for a period of 1 year. High vaginal swabs (HVSs) were collected from women in childbearing age group attending the gynecology and obstetrics out-patient departments with the complaints suggestive of vulvovaginitis.
Samples were plated on Sabouraud's dextrose agar slope. Isolated was further speciated based on microscopy, biochemical tests and culture characteristics on special media. Virulence factors of these strains were determined by biofilm formation and phospholipase activity. A total of 464 HVS from 232 patients with the complaints of vulvovaginitis were included in this study.
Following laboratory workup, 71 specimens were positive for genus Candida (30.6%). Further speciation showed 32.4% as Candida albicans, 45.07% Candida parapsilosis and 22.53% of Candida glabrata.
Biofilm production was shown by 50 candidal strains (70.4%) and phospholipase activity was given by 41 candidal strains (57.74%). Our study suggests increasing prevalence of non-albicans Candida among the VVC cases along with their virulence factors. Therefore, we recommend that microbiological investigation upto species level should be mandatory to determine the emergence of non-albicans Candida as a major cause of VVC. Ambiya, Vikas; Das, Taraprasad; Sharma, Savitri; Chhablani, Jay; Dave, Vivek; Jalali, Subhadra; Narayanan, Raja; Joseph, Joveeta 2016-12-01 The purpose of the study is to compare the clinico-microbiological profile and treatment outcome of in-house vs referred cases of post cataract surgery endophthalmitis in a tertiary eye care facility in South India. The clinical records of 50 culture-positive cases each of in-house (group A) and referred (group B) post cataract surgery endophthalmitis were analyzed.
The management protocol was similar in both groups. The time to report to the institute was longer in group B (group B 13.63 ±11.67; 95% CI, 9.95-17.31 days; group A 6.83 ±7.61; 95% CI, 4.57-9.09 days; P = 0.002). The average inflammatory scores in presentation were comparable (group A 17.85 ± 5.83; group B 18.18 ± 7.35; P = 0.243). The final visual outcome was clinically superior in group A (≥20/200-group A 60.42% and group B 44%, P = 0.11; ≤20/400-group A 37.5% and group B 52%, P = 0.62), but statistically not significant.
There were more gram-positive organisms in group A (62% vs 38%; P = 0.027) and more gram-negative organisms in group B (52% vs 24%; P = 0.007). Gram-positive bacteria were mostly sensitive to vancomycin (95.24% to 96.67%), but gram-negative bacteria were partly sensitive to ceftazidime (58.33% to 64%). One could suspect gram-negative infection more often in the referred cases of endophthalmitis. While vancomycin could continue to be the antibiotic of choice in gram-positive bacteria, specific antibiotic following due sensitivity for gram-negative bacteria should replace the empiric use of ceftazidime.
Paul S, Arun; Simon S, Sibu; Kumar, Saurabh; Chacko, Rabin K 2018-01-01 Patients perception of treatment outcomes are invaluable assessment tools and are effective indicators for future prognosis. Various tools of measurement have been used to assess the same. The oral health impact profile questionnaire (OHIP 14) has been effectively used to evaluate the oral health-related quality of life (OHRQoL) with regards to individual perceptions.
This study was conducted to assess OHRQoL in patients who have had dental implants to replace missing teeth in the Department of Dental Surgery, Unit 1, Christian Medical College and Hospital, Vellore, TN, India by using the OHIP 14 questionnaire. A total of 107 patients who had treatment with dental implants were sent a modified form of the OHIP 14 questionnaire. An attempt was made to draw an inference by correlating scores of the OHIP 14 with data pertaining to key independent variables. Gamma regression was applied to the results as the outcome score distribution was skewed. All statistical analyses were performed using SPSS Version 21.0. The mean score for the OHIP 14 was 16.82 with the highest score of 30 for a total score of 70. OHIP 14 scores were higher in patients with implant-supported fixed dental prosthesis as compared to patients with single implant supported crowns (P = 0.0069).
Patients with no complaints scored 9% lesser than those who reported complaints (P = 0.0438). Assessing quality of life with regards to specific treatment interventions may help to draw critical inferences that determine overall success. Results from the study enabled us to delineate and appreciate the success imparted by esthetics and function from the general well being imparted by treatment with dental implants. Social media could be used to positively improve responses in questionnaire based studies. Future studies using implant specific OHRQoL questionnaire may help to elicit unbiased patient perception in dental implant patients.
Thakur, N A; Humne, A Y; Godale, L B 2015-01-01 Despite lower incidence of breast cancer in India, the total number of cases and the net mortality is high. To reduce this increasing load of mortality due to breast cancer we need to lay emphasis on early detection and increased use of systemic therapy. Early detection itself depends on early presentation to a health facility; thus, it is important to identify factors affecting delay in a presentation to hospital. To study the clinico-social profile of breast carcinoma patients attending a tertiary care hospital and to study the time lag since detection of lump by women and presentation to the hospital and factors affecting them. A total of 120 primary breast cancer patients visiting a tertiary care hospital over a period of 7 months (August 2010 to February 2011) were taken up for study.
A detailed retrospective analysis of patients was done according to planned proforma. Maximum study subjects were in the age group of 41-50 years. Right and left breasts were equally affected. The most common histo-pathological type of breast carcinoma observed was invasive ductal carcinoma (NOS) in 105 (87.50%) cases. Majority of the cases were in stage III or stage II.
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The median time lag self-detection of lump in the breast by women and presentation to the hospital was 6 months. Women living in a rural area, those with lower socio-econ.
Vision of the Department of Mechanical Engineering The vision of the Department of Mechanical Engineering, National Institute of Technology Silchar is as follows:. To envisage an ambience of excellence, inspiring value based education, research and development in Mechanical Engineering with a commitment to train students with world-class competency and cutting-edge proficiency to face challenges of global market with confidence;. To create, disseminate and apply the state-of-the-art technologies and practices to societal problems. To build top of the line faculty through appropriate human resource policies and to create effective interface with industries, business and community to make education responsive to changes.
Program Educational Objectives (PEOs) of the Department of Mechanical Engineering The objectives of the B.Tech. In Mechanical Engineering programme of National Institute of Technology Silchar are as follows:.
To deliver comprehensive education in Mechanical Engineering to ensure that the graduates attain the core competency to be successful in industry or excel in higher studies in any of the following fields: Thermal Engineering, Mechanical Design, and Manufacturing Science and Technology. To provide the students with foundation in mathematical and engineering fundamentals required to solve engineering problems and also to pursue higher studies and research. To train the students to work as teams to comprehend, analyze, design and create innovative solutions of real life problems. To inculcate a sense of ethics, professionalism and effective communication skills amongst graduates.
To provide an academic environment that gives adequate opportunity to the students to cultivate lifelong skills needed for a successful professional career. Program Outcomes (POs) of the Department of Mechanical Engineering Program Outcomes (POs) of the B. In Mechanical Engineering are as follows:. Graduates will be able to apply knowledge of mathematics, science and engineering in the solution of Mechanical Engineering problems. Graduates will demonstrate an ability to identify, formulate, analyze and solve Mechanical Engineering problems. Graduates will demonstrate ability to design mechanical systems, conduct experiments, analyze and interpret the resulting data. Graduates will demonstrate an ability to design a system, component to meet desired needs within the context of Mechanical Engineering and considering realistic constraints.
Graduates will demonstrate an ability to visualize and work on laboratory and multidisciplinary task. Graduate will demonstrate skills to use modern engineering tools, software and equipment to analyze problems. Graduates will have an understanding of professional and ethical responsibilities. Graduates will be able to communicate effectively. Graduates will show the understanding of impact of engineering solutions on the society and environment. Graduates will develop confidence for self-education and ability for lifelong learning.
Graduates will be able to participate and succeed in competitive examinations. Graduates will have awareness on contemporary issues. Date of Joining: 1983-09-05 Academic Qualifications Qualifications Details: B.E. (Mechanical Engineering), M.Tech., Ph.D. Currently Teaching Subject: Experience Experience Duration: 33 Years Area of Interest/Specialization: Fluid Mechanics, Power Plant Engineering, Hydraulic Machines, CFD Entrepreneurship Development, System Design, Non-Conventional Energy, Thermo-fluids. Research Interests: His research areas include among others, Fluid Mechanics, CFD, Non-Conventional Energy, Thermo-fluids, Studies on Low Speed Wind Turbine etc.
Biographical Sketch: Prof. Rajat Gupta joined as the Director of NIT Mizoram on the 3rd July, 2017. He was also holding additional charge of Director, NIT Silchar. A National Scholarship holder and a Ph.d in Engineering from Indian Institute of Technology, Delhi, Prof. Rajat Gupta, 1959 born, is a Professor of Department of Mechanical Engineering of NIT Silchar since 1996. He served at NIT Silchar in various capacities like Incharge Director, Dean (R & C), Dean (SW), Head of the Department (Mechanical Engineering), Chief Warden etc before joining as the Director of NIT Srinagar in 2011. He completed his 5 years of tenure w.e.f October 2011 to October 2016 as the Director, NIT Srinagar.
Since October 2016, he has been appointed by the MHRD as the officiating Director of NIT Silchar. He has published more than 160 research papers in various National/International Journals/ Conferences and also written 05 Chapters in books. He has produced 07 Ph.D scholars. Presently 06 Ph.D scholars are working under his guidance. His research areas include among others, Fluid Mechanics, CFD, Non-Conventional Energy, Thermo-fluids, Studies on Low Speed Wind Turbine etc. He chaired various National/International Conferences and delivered keynote addresses. He was the Chairman of Direct Admission of Students Abroad (DASA), a programme of MHRD for the year 2016.
He is associated with various organizations and member of various Committees of MHRD, Engineering Accreditation Evaluation Committee EAEC of NBA, AIB-UGET, AICTE, J&K State Advisory Council for Higher Education, IIM, ASME, National Research Advisory Committee, NIF- Ahmadabad, Court of Central University of Kashmir etc. He has received many awards like Education Leadership Awards, Rajiv Gandhi Education Excellence Awards etc. Awards/Achievements:. National Scholarship Award. Ist Class 3rd. Awarded Education Leadership award by Headlines Today.
Rajiv Gandhi Education Excellence Award by Indian Solidarity Council. Best Educational Award by International Institute of Education and Management, Delhi. Publications Journals (International): Journals (National): Conferences (International): Conferences (National).