S. Srivastava, M. Agarwal, Syed Nawaz Zaidi, D. Agrawal
{"title":"A study of antenatal, intranatal, and postnatal care of mothers in index pregnancy","authors":"S. Srivastava, M. Agarwal, Syed Nawaz Zaidi, D. Agrawal","doi":"10.4103/sujhs.sujhs_11_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_11_23","url":null,"abstract":"Background: Most newborn deaths are preventable by improving quality of care during antenatal period and at delivery. Optimum maternal healthcare utilization, such as antenatal care (ANC) visits, skilled birth attendants or intranatal care, and postnatal care (PNC) services are associated with maternal health outcomes. Objectives: To study antenatal, intranatal, and PNC of mothers in index pregnancy. Materials and Methods: A descriptive cross sectional study was carried out among mothers of 360 neonates. Study was conducted in three government Sick newborn care units (SNCUs) of Lucknow district, which were randomly selected. The schedule was pretested on 10% of the total sample of mothers of neonates admitted to SNCU in Lok Bandhu Shri Raj Narayan Combined Hospital, Lucknow, to see for the accuracy of responses and to estimate the time needed. Three days a week were selected randomly for data collection. These 3 days were randomly allocated to collect data from three different SNCUs. One day was dedicated to collect data from one SNCU. Results: 95.8% mothers had at least one ANC checkup during index pregnancy. Majority (62%) of the mothers had more than 4 ANC visits during index pregnancy. Majority (69%) of mothers had their first ANC checkup in 1st trimester, 25.8% in 2nd trimester, only 5.2% had their first ANC checkup in 3rd trimester. Only 28.3% mothers received counseling on newborn care during index pregnancy. Majority (92.5%) of the deliveries were attended by doctor. It was seen that 72.8% mothers got counseling on newborn care in postnatal period. Conclusion: Extra efforts are needed to sensitize ASHA to counsel women regarding early registration, birth preparedness, adequate ANC, safe delivery, PNC, immunization of children etc and to mobilize the community and facilitate them in accessing these services.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"187 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129642532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial intelligence in medical imaging technology: A clinical update","authors":"A. Khajuria, Nahida Bilal, Diksha Bhanot","doi":"10.4103/sujhs.sujhs_6_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_6_23","url":null,"abstract":"Artificial intelligence (AI) has become a very popular Recently, experimental results, particularly in the field of image analysis and processing. In medicine, specialties where images are central, like radiology, pathology or oncology, have provide the opportunity and considerable efforts in research and development have been deployed to transfer the potential of AI to clinical applications. With AI becoming a more mainstream tool for typical medical imaging analysis tasks, such as diagnosis, treatment or classification, and for a safe and efficient use of clinical AI applications relies. By using AI in medical imaging, physicians can identify conditions much quicker, promoting early intervention can accurately detect and diagnose cancer by analyzing tissue scans in a better way.The aim of this review is to present the basic technological pillars of AI.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123531576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shubhangi Mishra, Manisha Gupta, Neelima Agarwal, A. Agrawal, A. Shukla
{"title":"Assessment of color Doppler flow metric indices in first-trimester threatened abortion and to study their outcome at 20 weeks","authors":"Shubhangi Mishra, Manisha Gupta, Neelima Agarwal, A. Agrawal, A. Shukla","doi":"10.4103/sujhs.sujhs_21_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_21_23","url":null,"abstract":"Background: Threatened abortion is one of the major problems in obstetrics and applies to one-third of all pregnancies. Aims and Objectives: The aim of the study was to study the color Doppler flow metric indices of spiral artery blood flow in the first trimester (6–10 weeks) in cases of threatened abortion and normal pregnancies and to study their outcome at 20 weeks. Patients and Methods: Spiral artery was sonographically evaluated in 113 patients comprising two groups of 55 cases and 58 controls. The first group comprised patients presenting with threatened miscarriage. The second group included females who had no complications. Spiral artery flow velocity measurements were performed using color Doppler (pulsatility index [PI], resistive index [RI], and systolic/diastolic ratio) in the first trimester (between 6 and 10 weeks of gestation). Patients were followed till 20 weeks and color Doppler was performed. Color Doppler in the first trimester and at 20 weeks was studied and their relation and association with adverse pregnancy outcome at 20 weeks were studied. Significant differences were noted in the spiral artery Doppler values in the two groups in first trimester and at 20 weeks. In particular, the RI and PI were higher in cases of women with threatened miscarriage in first trimester. Statistical significance of RI and PI was seen with adverse pregnancy with Doppler indices at 20 weeks. Doppler values of spiral artery may be used as a useful factor in assessing the prognosis in cases presenting with threatened miscarriage. Conclusion: Doppler flowmetry can be used, as a routine screening test to identify the high-risk women in early first trimester to offer effective prophylactic management strategies and for close monitoring and follow-up of these patients so as to have a successful pregnancy.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133316490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of inflammation in neurological diseases","authors":"J. Rissardo, Ana Letícia Fornari Caprara","doi":"10.4103/sujhs.sujhs_13_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_13_23","url":null,"abstract":"","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132397305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shikha Pawaiya, S. Aggarwal, Somesh Ranjan, Aarav Jawa, Shivang Patel
{"title":"A case of Crouzon syndrome with papilloedema and exotropia","authors":"Shikha Pawaiya, S. Aggarwal, Somesh Ranjan, Aarav Jawa, Shivang Patel","doi":"10.4103/sujhs.sujhs_9_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_9_23","url":null,"abstract":"Early fusion of skull bones is the root cause of craniosynostosis. Nonsyndromic craniosynostosis affect only one suture of the skull while syndromic craniosynostosis affects multiple sutures and are associated with craniofacial dysmorphisms also abnormalities of extremities and other bony anomalies. 90% of cases are attributed to fibroblast growth factor gene 2 on chromosome 10p 25-q26, is responsible for more than. Crouzon syndrome is an autosomal dominant cause that constitutes 4.5% of craniosynostosis patients incidence of which is 0.16/10,000 population worldwide, most commonly involving coronal and frontosphenoidal suture. There is increased antero-posterior diameter of skull, hypoplasia of maxilla, and shallow orbits. Other features being brachycephaly, mid-face hypoplasia, and wider skull base anteriorly causing hypertelorism. Compensatory growth of uninvolved structure causes frontal bossing. Hydrocephalus, parrot beak-nose, hypoplasia of the maxilla, and high-arched palate is also noted. Relative proptosis is seen in most of the cases due to orbital hypoplasia. Ocular findings include vision impairment, strabismus, glaucoma, nystagmus, occasionally, corneal size abnormalities, keratoconus, corectopia, or aniridia. This case report is unique as it describes a 12 year old female of crouzon syndrome which presented with papilloedema and divergent squint which is rearely associated with this syndrome.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117273332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anuradha Singh, M. Puri, Swati Agrawal, Brijesh Saran
{"title":"Rudimentary horn: Miseries of missed diagnosis – A case series","authors":"Anuradha Singh, M. Puri, Swati Agrawal, Brijesh Saran","doi":"10.4103/sujhs.sujhs_15_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_15_23","url":null,"abstract":"A unicornuate uterus with a noncommunicating rudimentary horn is a rare uterine anomaly. The usual presentation is often asymptomatic; however, it can have catastrophic sequelae and long-term morbidity if not diagnosed. A case series of three cases with a varied clinical presentation of noncommunicating rudimentary horn was discussed. All cases had undergone a primary surgery, wherein the rudimentary horn was either unattended or undiagnosed, and later, they had to suffer with long-term morbidities due to complications related to noncommunicating rudimentary horn and had to undergo repeat surgery for definitive management. It should be routine for a surgeon to look for normal anatomy of the uterus and position of the uterine appendages, insertion of round ligaments in any pelvic surgery, and common operations like cesarean sections.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127276061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of the outcome of diathermy versus scalpel skin incision in surgical cases","authors":"N. Khan, Shalabh Gupta, Tripta Bhagat","doi":"10.4103/sujhs.sujhs_12_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_12_23","url":null,"abstract":"Aim and Objectives: The present study compared the outcome of diathermy versus scalpel skin incision in surgical cases. Materials and Method: The present Prospective interventional study was done at Santosh Medical College & Hospital for a period of 1.5 years. Group A included 100 patients treated with Scalpel and Group B included 100 patients treated with Diathermy. Results: The mean Incision time (s), Incision time (s/cm2) and Pain VRS score at day 1 and 2 was significantly more among Scalpel group compared to Diathermy group. The mean Blood loss in incision (ml) was significantly more among Diathermy group compared to Scalpel group. Conclusion: Due to shorter incision times, less blood loss, and less early postoperative discomfort, diathermy incisions have substantial benefits over scalpels in both elective and emergency general surgery.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130224519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utility of bone turnover markers in metabolic bone diseases","authors":"J. Aggarwal, M. Modi, Raj Gupta, E. Pasha","doi":"10.4103/sujhs.sujhs_38_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_38_23","url":null,"abstract":"Bone turnover markers (BTMs) are biochemical indicators that provide information about the rate of bone remodeling, which involves the continuous process of bone formation and bone resorption. BTMs are measured in blood or urine samples and are used in the diagnosis, monitoring, and management of various metabolic bone diseases. They aid in the diagnosis of metabolic bone diseases by providing information about the bone turnover status. Abnormal levels of BTMs can indicate increased bone resorption or decreased bone formation, which are characteristic of certain conditions such as osteoporosis, osteomalacia, or Paget's disease. BTMs can provide insights into the severity of metabolic bone diseases. For example, in osteoporosis, elevated levels of bone resorption markers such as C-terminal telopeptide of type I collagen (CTX) or tartrate-resistant acid phosphatase 5b (TRACP-5b) indicate increased bone breakdown and higher fracture risk. Similarly, low levels of bone formation markers like procollagen type I N-terminal propeptide (PINP) or osteocalcin can indicate reduced bone formation and decreased bone strength. BTMs are valuable tools for assessing the response to treatment in metabolic bone diseases. Changes in BTM levels over time can indicate the effectiveness of interventions such as pharmacotherapy, lifestyle modifications, or surgical interventions. Decreased levels of bone resorption markers or increased levels of bone formation markers suggest a positive response to treatment, whereas persistent abnormal BTM levels may indicate the need for treatment adjustment.It's important to note that BTMs should be interpreted in conjunction with other clinical factors and imaging studies. They provide valuable information about bone turnover dynamics but should not be relied upon as standalone diagnostic or prognostic tools.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128787798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Basic point-of-care ultrasound in the emergency department","authors":"Sakshi Yadav, Mohd Yaseen, Mohit Sharma","doi":"10.4103/sujhs.sujhs_29_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_29_23","url":null,"abstract":"Intensivists who manage critically sick patients frequently employ point-of-care ultrasonography (POCUS), which allows them to precisely and quickly check for a variety of diseases, including pneumothorax, pulmonary edema, hydronephrosis, hemoperitoneum, and deep vein thrombosis, among others. It enables front-line practitioners to decide on diagnosis and treatments in real-time. The reader will receive a thorough overview of this significant subject in this article.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"26 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113942213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Burnout among health-care workers in an emergency setup","authors":"Saksham Kumar, Nandita Yadav, Sachin Bhatti, Brijesh Saran, Amoolya Seth","doi":"10.4103/sujhs.sujhs_18_23","DOIUrl":"https://doi.org/10.4103/sujhs.sujhs_18_23","url":null,"abstract":"Burnout among health-care workers, which is on the rise, has recently drawn attention as a potential risk to patient safety and the standard of care. Together with strain and stress, inadequate hospital resources and safety measures are the main contributors to burnout. A lower sense of self-worth, cynicism, and a loss of enthusiasm for one's career is characteristics of burnout. During work and on the job, the person is exposed to various stressful conditions. According to the Collins English Dictionary, “to become or cause to grow fatigued by overwork or dissipation” is the definition of burnout. There are many worries regarding burnout and physician suicide. While social cohesiveness, belonging, and a sense of future stability are all felt by workers at work, long hours, pressure, and stress make their suffering worse. An avoidant decision-making style and difficulty recognizing and explaining feelings are both significant indicators of numerous features of burnout (a challenge similar to alexithymia but not as severe). Individual-focused interventions, such as educational interventions and mindfulness-based therapy, may be able to reduce occupational stress and/or burnout for staff members working in emergency departments (ED). Burnout should be prevented if stress is the main factor; hence efforts should be taken to alleviate stress. Spreading knowledge to ED medical staff with professional education and training. Hospitals can guarantee social support for staff members and enhance ED resources to lessen workload stress.","PeriodicalId":326476,"journal":{"name":"Santosh University Journal of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123005763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}