Browsing by Author "Singh, J. K."

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    Clinical Features, Laboratory Parameters, Treatment and Outcome analysis of COVID-19 Patients admitted to a Referral Hospital at Nepalese Terai Region during Second Wave
    (Janaki Medical College, 2023-08) Mishra, R.; Singh, J. K.; Jha, B. K.; Priya, K.; Khanal, A.; Anand, A.; Yadav, A. K.
    Background & Objective: COVID-19 pandemic has tested health care systems worldwide. The massive wave of infection in Nepal between March to April 2021 overwhelmed the health care institutions throughout the country. This study describes the demographic, clinical, laboratory parameters and outcome of patients hospitalized in a secondary level facility during second wave of infection. Material and Methods: The data was extracted from admitted patients at Janaki Health Care and Teaching Hospital (JHCTH) with COVID-19, between 9th April to 14th June 2021. Demographic, clinical, laboratory parameters, treatment and outcome were recorded from the medical records and analyzed. Results: Out of 122 admitted patients,11%, 18.03%, 33.60% and 35.24% presented with mild, moderate, severe and critical illnesses respectively, with the median saturation of peripheral oxygen (SPO2) at admission was 89(34-99)% and 17 deaths were recorded a mortality rate of 20.4%.A significantly high mortality rate was found among ventilated patients (73.3%), against non ventilated (7.2%). Mortality rates among critically and severely ill patients were 38.46 % and 6.9% respectively. Mean C reactive protein (CRP) was 51.13(±30.50)mg/dl. Statistically significant CRP levels were observed in patients who presented with mild illness (32.53±10.85 mg/dl) and those who died in hospital (61.08±30.00 mg/dl). Remdesivir use did not offer any mortality benefit. Conclusion: A very high mortality rate (20.40%) observed in this study due to COVID-19 in hospitalized patients, may be associated with a high proportion of severe and critical cases (68.70%) admitted. Further upgrading of health resources should be prioritized to manage severe COVID-19 related mortalities, because of the possibility of a future waves.
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    Effect of Herbicides and Nitrogen Levels on Phalaris minor and Its Impact on Nutrient Uptake in Wheat (Triticum aestivum L.)
    (Ms. M. B. Mondal, 2023-04) Jeevan, N.; Singh, J. K.; Singh, M. K.; Sharma, P. K.
    In the agricultural research farm of Banaras Hindu University, Varanasi, a field research study was carried out during the winter (Rabi) season of 2018–19 to examine the impact of levels of nitrogen and herbicides on associated weeds and wheat production. Nine weed species, including Phalaris minor, Anagallis arvensis, Cynodon dactylon, Melilotus indicus, Chenopodium album, Vicia sativa, Medicago denticulata, Solanum nigrum, and Cyperus rotundus, were frequently seen infesting wheat fields. Among these, Phalaris minor was the major weed. Application of Sulfosulfuron (25 g ha-1) + 2, 4-DEE (750 ml ha-1) significantly recorded the lowest weed density and biomass and higher weed control efficiency. HW twice (30&60 DAS) in combination with 180 kg N ha-1 followed by application of Sulfosulfuron (25 g ha-1) + 2, 4-DEE (750 ml ha-1) in combination with 180 kg N ha-1 performed significantly with respect to reduction in density, the biomass of Phalaris minor, as well as increased weed control effectiveness. Nutrient uptake was significantly highest under HW twice plot (30&60 DAS) followed by application of sulfosulfuron (25 g ha-1) + 2, 4-DEE (750 ml ha-1). The overall intake of N, P, and K in wheat grain and straw increased when nitrogen levels were high (180 kg ha-1), but uptake of these nutrients was low when nitrogen levels were low, which was ascribed to reduced plant biomass (grain and straw) and a low proportion of these nutrients in the plant.
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    A study on birth preparedness and complication readiness in the field practice area of RHTC of a tertiary care establishment in Central India
    (Medip Academy, 2023-09) Banerjee, M. I.; Arora, V.; Banerjee, S.; Madhwani, K. P.; Singh, J. K.; Sahasrabuddhe, A.
    Background: Every pregnant woman faces the risk of sudden, unpredictable complications that could end in death or injury to herself or to her infant. Birth preparedness and complication readiness is a strategy that encourages pregnant women, their families, and communities to effectively plan for births and deal with emergencies, if they occur. Objectives were to study the Knowledge of Birth Preparedness & Complication Readiness among the study subjects in the field practice area of RHTC of a tertiary care establishment in Central India. Methods: This cross-sectional study was carried out from January 2016 to June 2017 in the field practice area of RHTC of a tertiary care establishment in Central India. In the study d 420 women were included as per criteria. Data was recorded in the predesigned and pre tested proforma and were analysed by using SPSS V.20 software. Results: Out of the total 420 mothers, 75% belonged to the age group 20-25 years. Maximum study subjects (33.1%) belonged to General Category while 23.1% of mothers were Schedule Caste. Maximum mothers (70%) were homemakers, the rest were occupied in various capacities. The BPCR index overall was 49.86, with 85% institutional deliveries; ANC visits initiation at 68%. General awareness shows certain gaps which needs attention of health care workers. Conclusions: Lack of awareness about possible complications during the time of pregnancy, that of time of delivery or post-natal period was observed while interviewing the mothers.