Browsing by Author "Goyal, Rajat"

Now showing 1 - 3 of 3
  • No Thumbnail Available
    Item
    Early Vs. Conventional Stoma Closure Post-Bowel Surgery: A Randomized Controlled Trial
    (Indian Society for Health and Advanced Research, 2024-10) Kanojiya, Rajkamal; Goyal, Rajat; Sharma, Dhruv; Purohit, Aman
    Background/Aim: This study aims to evaluate early stoma closure versus conventional stoma closure following defunctioning diversion stoma surgery. The focus is on complications frequency, health-related quality of life (QoL), and length of hospitalization (LoH). Patients and Methods: We conducted a prospective, parallel-arm, randomized controlled trial including patients who underwent temporary stoma surgery from December 2022 to November 2023. We assessed postoperative complications, QoL, and LoH. A total of 80 patients participated, with 40 in eachResults: group. Postoperative complications showed laparostoma rates of 5% in the early closure group versus 2% in the conventional group, wound infections at 36% versus 20%, intra-abdominal collections at 16% versus 22%, and anastomotic leaks at 6% versus 10%. Medical complications were comparable between the groups (26% vs. 30%). The hospital stay duration and overall mortality and morbidity rates were similar (62% vs. 46%). However, the early closure group experienced a signi?cant reduction in stoma care costs (90% vs. 6%) and a notable improvement in QoL. Conclusion: Early stoma closure does not increase the risk of postoperative complications, reduces stoma care costs, and signi?cantly improves QoL.
  • Thumbnail Image
    Item
    Growth Faltering Among Discharged Babies from Inpatient Newborn Care Facilities: Learnings from Two Districts of Himachal Pradesh
    (Indian Academy of Pediatrics, 2022-10) Joseph, Jessy; Jalal, Ruchita; Nagrath, Monal; Dasgupta, Rajib; Chellani, Harish; Pandey, RM; Sood, Mangla; Goyal, Rajat; Ramji, Siddarth
    Objective: To determine the burden of early growth faltering and understand the care practices for small and sick babies discharged from newborn units in the district. Study design: Observational and follow-up study. Participants: 512 babies discharged from two Special Newborn Care Units (SNCUs) and four Newborn Stabilization Units (NBSUs) in two districts of Himachal Pradesh. Methods: Anthropometric assessments, interview of mothers and Accredited Social Health Activists (ASHAs) conducted between August, 2018 and March, 2019. Change in weight-forage z-score (?WAZ) of <-0.67SD between birth and assessment was used to define growth faltering. Outcomes: Proportion of growth faltering (or catch-down growth) in small and sick babies discharged from SNCUs and NBSUs, and infant care practices. Results: Growth faltering was observed in a significant proportion of both term (30%) and preterm (52.6%) babies between 1 to 4 months of age. Among babies with growth faltering (n=180), 73.9% received a home visit by ASHA, and only 36.7% received a follow-up visit at a facility. There were 71.3% mothers counselled at discharge (mostly informed about breast feeding). Most (96.7%) mothers did not perceive inadequate weight gain in their babies post-discharge. During home visits, ASHAs weighed 61.6% of the infants with growth faltering. Amongst infants who had growth faltering, only 49.6% of mothers had been provided information about their infant’s growth and 57.1% mothers had received breastfeeding counselling. Conclusion: Small and sick newborn infants (both term and preterm babies) discharged from special care newborn units are at increased risk of early growth faltering. Follow-up care provided to these infants is inadequate. There is a need to strengthen both facility-based and home-based follow up of small and sick newborn infants discharged from newborn care facilities.
  • Thumbnail Image
    Item
    Study the iron status in children with febrile seizures: a hospital based cross sectional study
    (Medip Academy, 2020-09) Goyal, Rajat; Gupta, Alpa; Pandita, Neerul; Sharma, Anita
    Background: Febrile seizures are most common among childhood seizures, accounts to 2% to 5% in children below 5 years of age. Iron deficiency can cause many neurological deficits and may lower the seizure threshold. The present study was conducted to determine the iron status in children with febrile seizures.Methods: The present cross-sectional study was conducted in the Department of Pediatrics, HIMS, Dehradun, over a period of 12 month from January 2018 to December 2018. A total of 105 children of age group 6 month to 5 years, coming to pediatrics department were included in the study. Total study subjects were divided into two groups, Group I (febrile seizure) and Group II (other than febrile seizure).  A consecutive sampling method was done for selection of study subjects.Results: In Group I (febrile seizure), the number of males were 71.7% while females were 28.3% with male: female ratio of 2.5:1. In Group I (febrile seizure), 61.7% of subjects had deficient iron level while 38.3% of subjects had normal serum iron level. Our study shows significantly low mean serum ferritin and mean serum iron level in subjects with febrile seizures.Conclusions: We concluded that iron deficiency is more common in febrile seizures and there is a positive association between serum iron level and febrile seizures.