Browsing by Author "Verma, R."

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    Association of serum iron and serum calcium levels in children with febrile seizures
    (Scientific Scholar, 2024-04) Gupta, H; Sharma, B; Verma, M; Singh, VK; Verma, R.
    Objectives: The current case–control study was conducted to investigate the relationship of iron deficiency anemia and calcium levels with febrile seizures (FSs) in children. Materials and Methods: The study included 200 children ranging in age from 6 to 60 months. One hundred cases had FSs, including simple FSs and rest; 100 controls had a short history of febrile illness (<3 days) without seizures. A statistical analysis of the data was carried out using Statistical Package for the Social Sciences version 23. Results: The mean weight, height, and head circumference of cases and controls are 9.73 ± 2.51 kg and 10.63 ± 3.34 kg, 79.66 ± 11.08 cm and 85.43 ± 15.55 cm, and 46.37 ± 2.79 cm and 46.83 ± 3.72 cm, respectively. As per the Indian Academy of Pediatrics, 27% of cases and 37% of controls had protein energy malnutrition (PEM). In cases and controls, the mean hemoglobin, mean corpuscular volume, mean corpuscular hemoglobin, and red cell distribution width values were 9.23 ± 1.30 and 10.78 ± 1.60 gm/dL, 68.83 ± 8.86 and 78.59 ± 9.82 fl, 25.40 ± 3.47 and 28.50 ± 3.60 pg, and 18.73 ± 1.77 and 16.44 ± 1.76, respectively, and are statistically significant. Patients had lower serum ferritin levels than controls. The mean blood calcium levels in cases and controls were 9.13 ± 0.64 and 9.05 ± 0.93 mg/dL, respectively (P = 0.507). Iron deficiency anemia was found in 26% of cases and 7% of controls (P value <0.001). Hypocalcemia was reported in only 18% of patients and 23% of controls (P = 0.38). Conclusion: There is a clear correlation between FSs and iron deficiency. The majority of data suggests that hypocalcemia is unlikely to be the cause of FSs. Early detection and intervention of iron deficiency in children could help in the prevention and recurrence of FSs.
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    Carrier preference after graduation among AIIMS nursing students: higher education or government job as nursing officer
    (Medip Academy, 2024-01) Phalswal, U.; Dixit, P.; Verma, R.; Rathee, A.
    Background: Career by choice means that a student chooses a career of their own choice according to their interests and the demands of time. The present study aimed to investigate the preferences of pursuing government jobs or higher education among final-year nursing undergraduates and perceived barriers to pursuing higher education in nursing. Methods: A descriptive cross-sectional web-based study was conducted among 207 final-year B.Sc. nursing students from May 2021 to June 2021 at the various All India Institutes of Medical Sciences of India. Data collection was done using total enumerative sampling techniques by self-structured questionnaire. A descriptive statistic was applied to prepare the results. Results: Findings suggested that the government job after graduation was the priority among students (63.3%), and only (30.4%) of students were highly motivated to pursue higher education in nursing. The majority (42.9%) of respondents given a reason to choose a nursing course were not selected in NEET-UG. Further data revealed that the reason for choosing the job over higher education was financial independence. Findings also reported that the student's perspectives towards the nursing profession were a lack of respect as compared to other medical professions, stigma in society, socially less accepted professions, fewer opportunities in research and education, and gender discrimination in the profession. Conclusions: The findings necessitate the need for a sensitization program to develop awareness of the benefits of pursuing higher education. This may change the stigma and improve the social image of the profession.
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    Coping up mechanism and financial aid scheme for cancer treatment at a tertiary care hospital in Lucknow
    (Medip Academy, 2023-05) Verma, R.; Ahmad, N.; Singh, V. K.; Akhtar, N.
    Background: Cancer treatment has one of most expensive disease treatment due to its chronicity and expertise. In a region where per capita income of persons/ annual income of household is low, they have to depend on some coping up mechanism or financial aid schemes for successful completion of treatment. But awareness and proportion of utilization of the financial benefit for cancer patient is doubtful. The present study aims to study coping up mechanism and financial benefits availed by cancer patients at a tertiary care hospital in Lucknow. Methods: The study was done in a tertiary care hospital in Lucknow. 120 cancer patients who had undergone treatment and come for follow-up were taken from surgical oncology OPD. Data was collected using an interview-based pre-tested, self-administered questionnaire and analyzed using MS excel 2017 and SPSS v 23. Results: About 64 % of participants borrowed money from social net, 3% took loans, 10% mortgage assets, and 20% sold their assets to cope up with high expenditure on cancer treatment. Financial benefit of schemes was availed by about 1/3rd of participants and 20% availed concessions in rail/road travel fare and 16% availed concessions in income tax. Conclusions: Large number of people had to use some of the coping up mechanism for treatment of cancer this further pushes them into viscous cycle of poverty And at same time they are unable to avail benefits of financial aid schemes by government and others for cancer patients. Thus, an increase in utilization and coverage of government financial aids or insurance is needed.
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    Prospective case–control study on prevalence of anxiety disorders in chronically transfused hemophilia patients of age group 8–15 years and their parents
    (?Eldaghayes Publisher, 2024-01) Sharma, H; Sodhi, MK; Aggarwal, S; Verma, R.
    Background: Hemophilia is a hemoglobinopathy with significant impact on mental health of the patients as well as their families. Aims and Objectives: The aims and objectives are to assess the prevalence of anxiety disorders in chronically transfused hemophilia patients and their parents. Materials and Methods: 100 dyads of hemophilia patients of age group 8–15 years who are on regular transfusion of clotting factors and their parents were compared with 100 age and sex-matched controls who are pediatric patients from the outpatient department or ward but not suffering from hemophilia or any other chronic disorder. Pre-validated Hamilton Anxiety Score was used to evaluate anxiety level among the participants. Results: Participants suffering from hemophilia had anxiety prevalence of 32% while among the controls, anxiety prevalence of 16% was observed. Among parents of adolescents suffering from hemophilia, 45% showed anxiety as compared to 24% prevalence in the parents of control group. It was observed that anxiety was significantly more in elderly patients and in those patients who had lesser gap in transfusion of clotting factors. Conclusion: Hemophilia patients as well as their parents are at risk of developing anxiety disorders more than the normal counterparts. Therefore, identification followed by treatment at earlier stages warrants better prognosis of the patient.
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    Stress, dietary patterns, and emotional eating: A cross sectional study among Indian High School students
    (?Eldaghayes Publisher, 2025-04) Khurana, V; Verma, R.
    Background: The relationship between stress and dietary patterns is a significant factor influencing student well- being. Stress and emotional states can trigger physiological responses that alter eating behaviors, leading to either an increase or decrease in appetite. Aim: This study aimed to investigate the association between stress, dietary patterns, and emotional eating among high school students in Amritsar, India. Methods: A cross-sectional study was conducted with 475 high school students (261 females and 214 males). The survey utilized the perceived stress scale and the emotional eater questionnaire to assess stress levels and emotional eating behaviors. Data on general characteristics, Body Mass Index (BMI), dietary habits, and sleep patterns were also collected. Results: The average weight, height, and BMI of the female participants were 53.18 kg, 163.50 cm, and 21.77 kg/ m², respectively, whereas those of the male participants were 61.22 kg, 167.94 cm, and 19.63 kg/m². Females had higher average stress and emotional eating scores (23.25 and 11.57, respectively) than (19.95 and 9.23, respectively). A positive correlation was observed between stress scores and emotional eating tendencies. Stress levels tended to increase as students progressed to higher grades, with 12th graders experiencing the highest levels of stress. Conclusion: Higher stress levels are associated with increased emotional eating among high school students. Effective stress management strategies are essential to promote healthier eating habits and overall well-being in this population. Further research is required to explore intervention strategies and the impact of cultural factors on these behaviors.
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    A study of feto-maternal outcome in case of premature rupture of membrane at a tertiary care center
    (Medip Academy, 2023-02) Shah, Sushma R.; Patel, Aastha H.; Doshi, Haresh U.; Sindhav, Gaurang; Verma, R.; Mehta, Ami V.; Raval, Bina M.; Vaghela, Riya B.; Jadhav, Amit R.
    Background: Premature rupture of membranes is the rupture of the fetal membranes in the absence of uterine contraction or before the onset of labor. When this occurs before 37 weeks of gestation, it is termed as preterm premature rupture of membranes. Management depends upon gestational age and the presence of complicating factors. An accurate assessment of gestational age and knowledge of the maternal, fetal and neonatal risks are essential to appropriate evaluation, counselling, and care of patients with PROM. The purpose of the study is timely diagnosis and appropriate management of the cases of PROM and PPROM to improve maternal and neonatal outcomes.Methods: A Prospective study was performed at the department of obstetrics and gynecology, at a tertiary care center from August 2020 to December 2021. A clinical data sheet was made for recording all information about the pregnant women after taking their consent. And their maternal and neonatal outcomes were recorded.Results: a total of 150 cases of PROM and PPROM were taken during our study out of which 53.33% belong to the younger age group, 43.33% were primi gravida, 66.66% belonged to the lower socioeconomic class, 25.33% had a previous history of abortion followed by dilatation and evacuation, rate of cesarean delivery was 34.66% and rate of NICU admission of neonates was 15.78% and 57.87% babies had low birth weight and rate of stillbirth was 1.97%. whereas 34.66% of cases had various complications related to PROM.Conclusions: Individualized management of PROM cases depending on the gestational age and risk of complications and antibiotic coverage is the best way to achieve a good fetomaternal outcome.
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    A study to assess the effectiveness of clinical teaching on the level of knowledge regarding nursing care bundle to prevent ventilator associated pneumonia among ICU nursing officers at AIIMS Bhopal
    (Medip Academy, 2024-05) Verma, R.; Phalswal, U.; Joseph, S.; Nanhelal, Y. P.; Kumari, S.; Sharda; Kumari, S.; Kumari, S.; Rani, G.
    Background: Healthcare is a professional area bound to the ethical foundation of “do no harm.”, But in the current scenario, a rush to promote the curative scenario has led to the total downplay of the preventive aspect of care. The aim of this study was to assess the knowledge regarding nursing care bundle for the prevention of VAP among nursing officers before and after clinical teaching and to evaluate the effectiveness of clinical teaching. Methods: This pretest-post-test study was conducted on nursing officers working in the ICU of the All-India Institute of Medical Sciences, Bhopal, Madhya Pradesh. 100 nursing officers were enrolled in the study via convenience sampling technique. The self-structured tool was validated by 10 experts with a mean CVI value of 0.94. The reliability of the self-structured knowledge questionnaire was determined by the test-retest method and found to be 0.87. The collected data was analysed for frequency, mean, standard deviation, t-test, and association. Results: Findings showed that the mean knowledge score was 18.46±3.543 before intervention. After the intervention of video-assisted clinical teaching, a post-test was conducted, and the mean post-test knowledge scores was 25.07±2.801 at the p value <0.01. Knowledge of subjects about nursing care bundle for prevention of VAP was found to have a significant association with only educational qualification. Conclusions: This study's findings concluded that educational interventions are necessary for the enhancement of knowledge and better compliance of nursing officers with guidelines regarding the bundle of care for the prevention of ventilator-associated pneumonia.
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    Tuberculosis health services during advent of COVID-19 pandemic in Sonipat district of Haryana
    (Medip Academy, 2023-10) Narendran, M.; Punia, A.; Verma, R.; Kataria, D.; Singh, J.
    Background: India put efforts to achieve TB free status by 2025 but, advent of COVID-19 Pandemic compelled to repurposing of health facilities and services to manage the situation, which greatly affected the TB management in the country. This study was aimed to find out the situations faced by Health care providers in diagnosis and initiation/continuation of ATT under NTEP during the COVID-19 pandemic period. Methods: This descriptive cross-sectional study conducted in Sonepat District of Haryana State among Medical officers posted in Health Centres and Lab Technicians posted in Designated Microscopy Centres, responsible for managing Tuberculosis during second and third quarters of 2020. Data were collected using separate, pretested semi-structured schedules and results were compiled and described in percentages and proportions. Results: Almost half (54%) of the LTs were posted at DMCs daily. Only three of the facilities had CB-NAAT facilities, of which two (66.66%) were partially diverted for COVID-19 testing. Majority (68.2%) of the MOs reported regular OPD facilities at their facilities during lockdown, with regular TB diagnostic lab facilities (68.2%). More than 81% of the MOs reported non-availability of In-Patient (IP) facilities during lockdown, and diversion of staff for COVID-19 was observed as the major reason (66.7%) for facility non-availability. Conclusions: The pandemic affected the provision of TB services in the region. Preparedness, timely interventions on regular feedbacks can mitigate such difficulties in future.