Browsing by Author "Yadav, K."
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Item Angioembolization of rectal stent induced inferior mesenteric artery pseudoaneurysm(Medip Academy, 2023-10) Yadav, K.; Bansal, A.; Yadav, K. S.Bleeding is a lesser-known complication of rectal self-expandable metal stents (SEMS). Most of these bleedings are self-limiting. Life threatening bleeding as a complication of SEMS reported only rarely. In the present paper, we are reporting a rare case of near fatal intraluminal bleeding from rectal SEMS. Traumatic pseudoaneurysm formed in superior rectal branch of the inferior mesenteric artery because of pressure induced by rectal stent. Severe bleeding leads to haemorrhagic shock. Patient was stabilized and angioembolization of pseudoaneurysm with superior rectal branch of inferior mesenteric artery was done. Bleeding stopped post procedure and patient discharged in stable condition. This case presentation highlights the fact that we should decide management strategy for a patient in multidisciplinary meeting and utilize the available resources in best possible ways. Though rectal stents are good alternatives, they have their own set of complications. These should be considered while deciding strategy for the upfront stoma versus rectal stent. For cases as in this article upfront stoma may have avoided the associated complication.Item Assessment of nutritional status of elderly in rural field practice area of Jhalawar medical college, Jhalawar, India(Medip Academy, 2023-07) Yadav, K.; Dubey, D. K.; Shukla, U. S.; Sharma, A.Background: Worldwide, the population of elderly people is constantly increasing. Elderly population is at risk of under nutrition due to age related physical, cognitive, functional decline and lack of financial support. Malnutrition contributes to decline in health status, increased utilization of healthcare services and increased mortality. Aim of this study was to assess nutritional status of the elderly by MNA and to find association between nutritional status and socio- demographic profile of elderly. Methods: After ethical approval, a community based cross sectional study was conducted among elderly people residing at Mandawar village, rural field practice area of JMC, Jhalawar during August to October 2022. Complete enumeration technique was used to enrolled participants in study. Door to door household survey was conducted using predesigned questionnaire. Nutritional status was assessed by using standard mini nutritional assessment questionnaire. The data was analyzed through SPSS28.0 (trail version). Results: Out of 287 elderlies, 139 (48.4%) were male and 148 (51.6%) were female. According to MNA, 73 (25.4%) were found malnourished while 119 (41.4%) were at risk of malnutrition and 95 (33.1%) were well nourished. A statistically significant (p<0.05) association was found between nutritional status with increasing age, gender, marital status, education, occupation, morbidity, financial dependance and substance abuse. Conclusions: This study showed that malnutrition has multidimensional background. So, to improve nutritional status of elderly approach should be focus on those who are older, illiterate or low educational status, female gender and financially dependance.Item Biosynthesis and characterization of silver nanoparticles using root extract of Saussurea lappa (Decne.) Clarke and their antibacterial activity(Triveni Enterprises, 2019-09) Groach, R.; Yadav, K.; Sharma, J; Singh, N.Aim: To synthesize and characterize stable silver nanoparticles (AgNPs) from the root extract of Saussurea lappa, a medicinally important plant. The AgNPs was further evaluated for their antibacterial activity. Methodology: The biosynthesised AgNPs were characterised by change in colour pattern and confirmed by UV–Visible spectroscopy, Transmission Electron Microscopy (TEM), X-Ray Diffraction (XRD) and Fourier Transform Infrared Spectroscopy (FTIR). Results: UV-Vis spectroscopy study showed characteristic surface plasmon band (SPR) of synthesized AgNPs at 418 nm. FTIR studies revealed presence of some biomolecules responsible for reduction, stabilization and capping agents towards these synthesized AgNPs. TEM analysis revealed that the size of AgNPs ranged between 7.13 – 24.0 nm and had spherical shape. XRD data showed face-centered cubic (fcc) nature of AgNPs. The synthesized AgNPs showed significant antibacterial activity against one Gram positive (Bacillus cereus) and one Gram negative (Escherichia coli) bacterial strain. Interpretation: The biologically synthesized nanoparticles from the root extract of S. lappa were stable and showed enhanced antibacterial activity against both type of bacterial strains and could be utilized for industrial and remedial purposes.Item Dietary Diversity and its Association with Anaemia among Adolescents of Central India: Findings from Baseline Cross Sectional Study(Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi- 221005, India., 2022-06) Bali, S.; Vantepaka, S.; G, R.; Yadav, K.Background: Anaemia continues to be a major public health concern in the country owing to varied dietary practices, socio-demographic and cultural influencers. Poor nutrition as a principal underlying factor is less explored among the adolescents among the high focus states in India. Objectives: To study the dietary diversity i.e., food habits, preferences, frequency of food consumption among adolescents and its association with anaemia. Material and Methods: This cross-sectional study, from a baseline adolescent health survey (November 2017 – March 2018) included 3213 adolescents (10-19 years). The participants were selected using multi-stage stratified random sampling technique from 6 districts of Madhya Pradesh. Data collection was done by filed investigators through paperless real time method that included sociodemographic details, anthropometric measurements, haemoglobin food frequency questionnaire. Results: The most common daily consumed food items were cereals, tea and pulses by adolescents. Overall prevalence of anaemia was 1715 (53.4%). Those consuming occasional fruits, green non leafy vegetables, red and yellow vegetables, roots and tubers and milk products were at higher risk of developing anaemia compared to other food items regularly. Conclusion: Although association exists between occasional consumption of certain food groups, their temporal relationship needs to be established.Item Response of arbuscular mycorrhizal fungi along with Trichoderma viride and Pseudomonas fluorescens on the growth, biochemical attributes and vase life of Chrysanthemum indicum(Triveni Enterprises, 2019-03) Saini, I.; Yadav, K.; Aggarwal, A.Aim: The present study aimed to investigate the effects of two dominant arbuscular mycorrhizal (AM) fungi along with Trichoderma viride and Pseudomonas fluorescens on the growth and vase life of Chrysanthemum indicum ('Garden Mum'- Kathleen Dark Red). Methodology: An experiment was conducted to evaluate the effect of G. mosseae (G) and A. laevis (A) along with T. viride (T) and Pseudomonas fluorescens (P) on the growth and vase life of C. indicum L. under polyhouse conditions. The experiment was laid in a randomized block design with five replicates. Results: AM fungi along with other bioinoculants showed maximum root colonization leading to increased water absorption and various important nutrients, especially phosphorous, thereby enhancing the growth and different biochemical attributes. For the vase life experiment, bioinoculants treated plants showed better result with minimum peroxidase activity, thereby delaying flower senescence. Interpretation: AMF inoculation should be recommended at nursery level as biofertilizers are cost effective and also a substitute for chemical fertilizersItem A Systematic review of factors affecting compliance toward oral iron-folic acid supplementation among pregnant women in India.(MRI Publication Pvt. Ltd., 2022-12) Khanam, A; Vohra, K; Achary, TMG; Ranjith, A; Bharti, H; Ghosh, R; Kaur, R; Yadav, K.Background: Iron-folic acid deficiency is the most common complication during pregnancy. Iron deficiency is responsible for various health complications among pregnant women. Compliance with IFA supplementation is variable across India several factors are associated with compliance with IFA supplementation. Objective: The objective of this systematic review is to assess the factors affecting compliance toward oral iron-folic acid supplementation among pregnant women in India. Methods: The primary search was carried out using PubMed, Google scholar, the WHO website, and Research Gate which provide access to full?text research articles from January 2012 to 25th January 2022 published data were searched. Result: A total of 74 studies were identified, and 20 were included in this review. Out of the 20 studies, sixteen were cross-sectional, two mixed methods, and two randomized control trials. knowledge of IFA, education, socioeconomic status, the timing of registration and number of antenatal visits, type of family, and age of the pregnant women were the factors that affect the compliance of IFA supplementation. Conclusion: Knowledge of iron-folic acid supplementation, Timing of registration and number of Antenatal Care visits, educational level of the pregnant women, and age of the pregnant women were factors associated with the compliance of IFA supplementation among pregnant women in India.