Paripex - Indian Journal Of Research

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Understanding The Complexities Of Iron Metabolism And Assessment For Effective Primary Prevention Of Iron Deficiency Anemia
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Thorat, Sandhya
Iron deficiency anemia (IDA) is a widespread nutritional disorder affecting individuals globally. This article elucidates the complexities of iron metabolism, regulation, and assessment, highlighting the crucial role of hepcidin in iron homeostasis. The clinical manifestations, risk factors, and diagnostic markers of IDA, including serum ferritin, transferrin saturation, and emerging markers like erythroferrone are discussed. Effective prevention strategies, such as promoting healthy feeding practices, iron-fortified foods and drinks, and nutrition education, are emphasized. Early detection and management of IDA are critical to mitigating its adverse effects on cognitive function, physical performance, and overall well-being. This review aims to provide healthcare providers with a comprehensive understanding of iron metabolism and primary preventive strategies of IDA.
Lipid Profile And Cardiovascular Parameters Modulation By Doing Regular Practice Of Om Chanting And Yoga Nidra For 6 Month In Hypertenson.
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Verma, Rahul; Rajak, Chanda
Hypertension (HTN) is a major public health concern, and elevated blood pressure (BP) is a distinct risk factor for all - causes of morbidity and mortality. Considering the growing evidence of Om chanting and yoga nidra interventions in the management of hypertension, The objective of the current randomized controlled study is to assess the effect of OM chanting and yoga nidra (Relaxation technique) on BP and lipid profile in individuals with HTN. Hypertension is a major global problem which is exacerbated by stress. The prevalence of stress is increasing day by day..Yoga is a mind-body relaxation technique that has been used as preventative and therapeutic tool. The aims of this study was to investigate whether regular practice of OM chanting and yoga nidra for six month can improve the lipid profiles and cardiovascular parameters function in hypertension.
Blood Management In Orthopaedic Surgery
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Sree, B. Kavya; KG, Varaprasad; Venugopal, SM; Deepak, K.
Blood management in orthopaedic surgery has become an essential component in modern surgical practice, aiming to minimize the need for allogeneic blood transfusions and improve patient outcomes. Blood transfusions, though life- saving, are associated with several risks, including infections, immune reactions, iron overload, and increased hospital stay. Effective blood management strategies in orthopaedic surgery focus on optimizing preoperative blood conditions, reducing anticipated blood loss, and utilizing the patient's own blood or blood substitutes. Key elements in reducing transfusion requirements include the correction of preoperative anemia (erythrocyte shock), assessing anticipated and acceptable blood loss, and tailoring transfusion thresholds to individual patient needs. Methods to reduce blood transfusion include preoperative optimization of erythrocyte stock through iron supplementation, erythropoiesis- stimulating agents, and autologous blood donation. Intraoperatively, techniques such as minimally invasive surgery, tranexamic acid, haemostatic agents, and cell salvage systems are employed to minimize blood loss. Additionally, the use of blood substitutes, such as haemoglobin-based oxygen carriers and perfluorocarbons, presents potential alternatives to allogeneic blood. Overall, blood management strategies in orthopaedic surgery aim to enhance patient safety, reduce transfusion-related risks, and optimize recovery. By minimizing blood loss and optimizing the use of the patient's own blood, orthopaedic surgeons can reduce the complications associated with transfusions and improve clinical outcomes in surgeries like total hip replacements (THR), total knee replacements (TKR), and major trauma surgeries.
Demonstration Of Biofilm Formation By Gram-Negative Bacteria And Study Their AST Pattern At MGMMC, Jamshedpur, Jharkhand.
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Pawar, Kalyani; Baxla, Vineeta; Biswas, Sumangala; Biswas, Binita
Introduction: Gram- negative bacteria are attributable to matrix- enclosed aggregates known as biofilms. The development of biofilms is currently recognised as one of the most relevant drivers of persistent infections and constitutes as a major challenge for clinical microbiologist and clinicians. Bacteria living in a biofilm can exhibit a 10 to 1,000-fold increase in antibiotic resistance compared to similar bacteria living in a planktonic state. Aims & Objective: The purpose of this study is to detect the biofilm formation by gram-negative bacilli and determine their antimicrobial susceptibility pattern. A cross-sectional study was conducted from January 2024 to November 2024 on 246Methods: bacterial isolates from various clinical samples to demonstrate biofilm formation by Tube Method and an antibiogram was drawn. Escherichia coli (34.15%) was the predominant gram-negative bacteria encountered, followed byResult: Pseudomonas aeruginosa (28.05%), Klebsiella pneumoniae (22.36%) and Acinetobacter baumannii (10.16%). AST revealed higher resistance to Ampicillin, Trimethoprim/ sulfamethoxazole, Amoxicillin clavulanic acid, Gentamicin and Cefepime. Biofilms are rapidly becoming a major contributor to Hospital Acquired Infections (HAI)TheConclusion: knowledge of biofilm formation and antibiogram of bacterial isolates contributing to its formation is of utmost importance for rendering reliable empirical antibiotic therapy to the patients.
A Study On Challenges Faced By People Towards The Purchase Of Two-Wheeler Electric Vehicles In Coimbatore
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) N S, Tharanitharan
The rising focus on the sustainability has propelled the Electric Vehicles (EVs) into a spotlight, with Electric Two- Wheeler vehicles emerging as a potential alternate to the traditional fuel-based vehicles. The study looks into the challenges, concerns and the factors influencing the purchase decisions of the prospective buyers in Perur Taluk and Madukkarai Taluk, Coimbatore district, since despite growing awareness, the adoption of Electric Two-Wheeler in the area remains limited. The analysis from the primary data obtained from the respondents reveal key barriers like lack of trust in new technology, high maintenance costs and limited charging facilities. Finding highlights that improved battery life, reduced costs and expansion in charging infrastructure can increase the adoption of EVs. The study also highlights the need for targeted strategies like after-sale assistance and government incentives in form of subsidies to accelerate the adoption of Electric Two-Wheeler vehicles to support sustainable transportation.
Pandemic Period: The Role Of Media And Product Promotion
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Nagraj, A
Media was at the forefront during the coronavirus pandemic and played a vital role in alerting and creating awareness about the events and issues related to different variants of coronavirus mutating during the same period in various parts of the world. If one watched the television very closely during the lockdown period in India, one could see almost all the top brands stopped playing their advertisements on the television, especially the top brands of cars, motorcycles, jewellery, fashion, and many other brands of FMCG were missing in action. It has been found that many advertisements were misleading as per the Advertising Standards Council of India (ASCI), only a few were found to be true. The likeness in ads during the lockdown period is something the researchers would like to look at, especially the words used by the brands during the pandemic lockdown period, but the public took the ads and message very well.
Evaluating User Authentication Protocols And Security Algorithms For Networks
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Garg, Naveen; Shashank
This paper addresses the want for evaluating consumer authentication protocols and protection algorithms for networks. Specially, this paper specializes in the effectiveness and safety of the authentication protocols and algorithms in use and highlights any ability vulnerabilities that may be exploited by means of malicious actors. A critical review of authentication protocols and protection algorithms is performed to pick out possible design flaws and weaknesses in an effort to manual their use in networks and enhance consumer believe. Sensible recommendation is likewise supplied for community administrators and cease-customers to efficaciously protect user credentials and records. Ultimately, the dialogue highlights the want for more complete authentication protocols and progressed safety algorithms to be able to make certain the safety of the records on the network. This technical summary specializes in the evaluation of consumer authentication protocols and security algorithms for networks. Numerous techniques, such as authentication protocols, cryptographic algorithms, and different authentication technology are employed in the evaluation system. The evaluation method involves determining the results of different varieties of person authentication protocols and safety algorithms at the overall performance and protection of the network. It also includes validating the authentication algorithms and strategies in various community situations and towards extraordinary attack fashions. Furthermore, the assessment method includes assessing the consumer enjoy of the authentication system; analyzing the price, scalability, and value of the authentication system; and testing the device for protection vulnerabilities. Sooner or later, the assessment takes into account the modern-day industry requirements for authentication and protection algorithms.
A Study Of Demographic Profile And Clinical Outcome Of Snake Bite In Children In A Tertiary Care Hospital, In South India
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Mallasure, Soumya B; Devadas, Sahana
Introduction: Snakebite is one of the neglected tropical diseases that the World Health Organization aimed to eradicate [1]. However, it has been excluded from WHO report of 2010 and 2013 on neglected tropical diseases. Currently, snakebite has been included along with other neglected non-tropical diseases such as strongyloidosis, scabies, mycetoma, etc [2,3].Unlike the other public health problems, which have received a lot of attention from both the policy makers and health care providers, snake bite has been grossly neglected by many. Hence, the current study was conducted with the objective of assessing the clinical and epidemiological profile of snake bite victims admitted to a tertiary care hospital To assess the clinical outcome and demographic profile of snake bite in children.Objective: Materials And Methods: This is a retrospective observational study of 30 patients admitted to Vanivilas Children's Hospital, attached to Bangalore Medical College and Research Institute, Bengaluru, with a history of snake bites during the study period between January 2023 & August 2023. Clinical data of these children were analysed for demographic details, type and site of the bite, kind of snake, clinical presentations, requirements for ASV, complications, duration of hospital stay and outcomes were analysed. Males had higher incidence of snake bites (n=17, 56.7%). HigherResults: incidence was noted in the age group of above 10 years old children with 19 patients (63.3%). Lower extremity was the most common site of bite with 25 patients (83.3%). Most common clinical features at presentation were local edema and pain found in 12 patients (40%). Cellulitis (n=10, 30%) was found to be the most common complication. 26 patients (86.7%) were discharged with no residual complications and one death was noted in the patient with uncontrolled, frank systemic bleeding at presentation. Snake bite still remains a major public health problem in this part of theConclusions: world. Awareness has to be raised regarding the presentation of snake bites through community health programmes.
Moving Towards Cashless Economy: Digital Payment- Awareness And Challenges
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Rooplata; Bakyashri, S. R.
Modern payment methods were made possible by the development of information and communication technologies. People's lives were made easier by the proliferation of smartphones and internet access, which also ushered in digitalization. In addition to enhancing trade and commerce, digitization also made the payment process is quick and easy. An attempt has been made to explore the various digital payment options which are available, its awareness and what are the challenges faced by people when they use digital payment methods. Data was collected from 151 respondents from Coimbatore city. It was found that people are very much aware about different digital payment options and they express their issues or challenges faced while making payment through internet. Chi-square test was also conducted to find the association between awareness and challenges faced by respondents.
The Impact Of Psycho-Social Factors In Physical Rehabilitaion Adherence
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Mathur, Nikhil; Kabra, Anuj; Mathur, Ankita; Mathur, Suhani
Non-adherence to rehabilitation protocols is a pervasive issue in healthcare, leading to suboptimal recovery outcomes, increased healthcare costs, and long-term functional impairments. This paper explores the impact of psycho-social factors on physical rehabilitation adherence, focusing on both psychological and social determinants. Psychological barriers, such as depression, anxiety, low motivation, and fear of pain, significantly impede patient engagement, while social factors, including family support, socio-economic status, and cultural beliefs, further influence adherence. The paper also highlights the distinction between chronic and acute conditions, with psycho-social factors affecting rehabilitation differently in each context. Additionally, socio-economic considerations, such as financial constraints and health literacy, are examined. To address these barriers, a biopsychosocial approach is recommended, emphasizing the role of physiotherapists in psycho-social assessment and collaboration with mental health professionals. Tailored rehabilitation programs and behavioural interventions, such as cognitive-behavioural therapy (CBT), are suggested to enhance adherence and improve patient outcomes.
Key Factors Influencing Urinary Leak After Percutaneous Nephrolithotomy: Insights And Implications
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Reddy, Guddety Sreenivasa; Pudakalkatti, Sanjay R; Ramaiah, Keshavamurthy
Background: Percutaneous nephrolithotomy (PCNL) is the standard treatment for large or complex renal stones. Despite its high success rates, complications such as prolonged urinary leakage (PUL) are significant concerns, occurring in 5–15% of cases. This study investigates predictors of PUL following PCNL, focusing on anatomical and procedural factors. A retrospective cohort study of 225 PCNL patients was conducted. Data on demographic,Methods: anatomical (hydronephrosis grade, parenchymal thickness), stone characteristics (volume, location), and procedural factors (surgery time, number of punctures) were analyzed. Urinary leakage was categorized as leakage persisting >24 hours post-nephrostomy removal. Statistical analyses included t-tests, chi-square tests, and multivariate logistic regression. Prolonged urinary leakage occurred in 23 patients (10%). Key predictors included higherResults: hydronephrosis grade (mean: 2.39 vs. 0.98, p<0.001), thinner parenchymal thickness (mean: 15.97 mm vs. 20.11 mm, p<0.001), larger stone volume (mean: 810.14 mm³ vs. 684.56 mm³, p=0.04), and longer surgery time (mean: 92.4 min vs. 81.0 min, p=0.01). Multiple punctures and lower calyceal access were also associated with increased risk. Skin-to- parenchymal length showed no significant correlation with leakage. Higher grades of hydronephrosis,Conclusion: reduced parenchymal thickness, larger stones, prolonged surgery, and multiple punctures are significant predictors of urinary leakage after PCNL. Preoperative imaging and meticulous surgical planning can mitigate these risks.
A Study Of Associated Injuries Of Posterior Cruciate Ligament Tear
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) M., Muni Sankar Reddy; J., Jishnu; Venugopal, S. M.; Bajjuri, Avinash; Dusaa, Tejaswi
Background And Aim: Posterior cruciate ligament (PCL) tears, though less common than anterior cruciate ligament (ACL) tears, are significant knee injuries that often occur with associated damage to other knee structures. This aimed to investigate the incidence of associated injuries in patients with confirmed PCL tears A prospectiveMethodology: observational study was conducted at BIRRD Hospital, Tirupati, a tertiary care orthopaedic hospital over a period of one year (October 2023 – September 2024). All patients presenting with confirmed PCL tears (either isolated or combined with other knee injuries) were included. The study involved both clinical evaluation and imaging studies to diagnose PCL tears and any associated injuries. The study included 45 subjects. The data on demographics, causes ofResults: injury, and associated injuries was collected through clinical assessment and MRI imaging and analysed. The results demonstrated that the most common associated injuries were ACL tears (20%), medial meniscal tears (18%), and collateral ligament injuries (10%). This study provides valuable insight into the nature and frequency ofConclusion: associated injuries in PCL tears, highlighting the common occurrence of ACL tears, meniscal injuries, and collateral ligament damage. Our study results reinforces the importance of considering multi-ligament involvement in patients with PCL tears.
The Impact Of Zumbadance Intervention On The Enhancement Of Activities Of Daily Living Skills In Children With Autism Spectrum Disorder
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Varghese, Jensy; Naomi, G. Victoria
Children with Autism Spectrum Disorder (ASD) frequently encounter significant obstacles in mastering Activities of Daily Living (ADL) skills, which are vital for cultivating independence and improving overall quality of life (Schneider et al., 2015). These difficulties can hinder self-care routines, impede social interactions, and disrupt communication, often resulting in increased reliance on caregivers. Traditional intervention strategies, such as behavioural therapies, while effective in some contexts, may not sufficiently engage children or promote a comprehensive developmental approach. Zumba dance presents a compelling alternative due to its engaging rhythmic movements and group dynamics. This form of structured physical activity has shown promise in addressing the unique challenges faced by children with ASD. Research indicates that participation in enjoyable and organized physical activities can significantly improve motor skills, enhance social interactions, and foster emotional regulation (Cameron & O'Rourke, 2019). The energetic and interactive nature of Zumba allows children to experience movement in a fun and motivating way, potentially leading to increased participation and enthusiasm. Furthermore, Zumba emphasizes non-verbal communication through dance, providing a unique opportunity for children with ASD to practice social skills in a low-pressure environment. Given these factors, investigating Zumba as a strategic intervention could yield significant benefits in enhancing ADL skills and promoting holistic development for children with ASD. Ultimately, this approach could pave the way for more sustainable independence and improved quality of life for affected individuals.
Socio-Economic Factors, Working Environment, And Physical Hazards Affecting Agricultural Workers In Aligarh District, Uttar Pradesh, India
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Ishaq, Mohd; Khan, Mohd Arif
Background: Agriculture is the primary occupation in rural India. Agricultural workers are indispensable to rural economies, playing a significant role in ensuring food security and economic stability. However, they are among the most vulnerable occupational groups, facing numerous health and safety challenges. This study seeks to examine their socio-economic and working conditions, with a particular emphasis on the physical hazards common in their work environment. This cross-sectional study was conducted among 380 agricultural workers in Aligarh district,Method: Uttar Pradesh, India. Information on demographic details, work-related characteristics, and physical hazard factors was gathered using a structured interview schedule between November 2023 to March 2024 through multistage sampling. The descriptive data were presented in the form of categories, along with their corresponding numbers and percentages. Agricultural workers face many challenges, especially those from disadvantaged groups likeResults: Scheduled Castes and Other Backward Classes. Low education levels make these problems worse. About 30% of workers could not read or write, and very few have studied beyond high school. Financial struggles are common, with 63.6% of workers reported that their earnings from farming are not enough. The hard physical labour also takes a toll on their health. Over 84% of workers often feel tired and weak, and many suffer from sunstroke due to working long hours in the sun. The findings emphasize the importance of implementing proper health and safety measures,Conclusion: including training programs and providing protective equipment. Addressing these issues can improve the health and quality of life of agricultural workers while creating a safer workplace in the farming sector.
Institutional Finance For Agribusiness Enterprises: A Study In Mandya District
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Kumara, K. S. Veerendra
Agribusiness activities are important sources of double farming income in India. it is profited immensely from technical advance as well. So, that the financial intuitions are important role in agribusiness activities. These are very much needful for lending operations for agricultural sector, having more enormous potential growth and subsequently enhance the more significant for the banks finance. The present study deals with the performance commercial banks, co-operative banks and Regional Rural Banks in agribusiness activities viz., water resources or minor irrigation, farm mechanization, plantation of horticulture crops and sericulture, dairy development and poultry development in Mandya district during the period of 2017-18 to 2021-22. This paper found the RRBs loan providing to dairy development has tremendous increased from Rs.1192.80 lakhs in the beginning 2017-18 to Rs.21872.35 lakhs at the end of 2021-22 with CAGR of 146.40 per cent. However, the same period the co-operative banks performance of water resources or minor irrigation has been negatively declined -79.10 per cent. Therefore, the financial institutions are commercial banks, co-operative banks and regional rural banks and also including RBI and NABARD need to take action on the basis of priority to agribusiness activities in rural backwardness areas.
Effect Of Different Digital Impression Techniques On Marginal Fit Of Zirconia Crowns
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Elfar, Mahmoud; Alzafarani, Leena; Alzafarani, Farah
Purpose: This study was performed to evaluate the effect of different methods of digital impression techniques on the marginal adaptation of monolithic zircon crown restorations. Three groups of zirconia crowns,Materials and Methods: 10 crowns in each group, were as follows:1)First group (G1) :Optical scanningof the stainless steel die (represent the natural tooth) using Zirkonzahn S600 ARTI®.optical scanner after it is sprayed with scanning spray gave us an optical impression from which we fabricated zirconium crowns directly. 2)Second group (G2): Polyvinylsiloxane impression material was used for fabrication of the conventional impression then digitized by optical scanning, then CAD/CAM was used to get zirconium crowns. 3)Third group (G3): Dental stone die, was scanned to produce the zirconium crowns. Results: The marginal gap (M ± S.D., ?m) of zirconia crowns fabricated using the digital impression for the master die (G1) was 21.62 ± 9.62, those fabricated from scanning the conventional impression (G2) was 22.13 ± 8.48, and those fabricated from scanning the stone die (G3) was 18.30 ± 7.18. A one-way ANOVA test was used to compare the marginal gaps of the three groups, where the P value was 0.09. It was considered that there is no-significant difference between them. While there was no significant difference, the highest marginal gap was observed in the crowns fabricated from conventional impression scanning (Group II), and the lowest gap was observed in the crowns fabricated from stone die scanning (Group III). HO: There is no difference in the marginal fit of the three groups of crownResearch hypotheses: restorations. HA: There is a difference in the marginal fit of the three groups.
Competency Mapping And Its Impact On Organisation Effectiveness Towards Knowledge And Skills With Special Reference To Selected IT Industries In Chennai
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Ramki, R.; Rohit, R.
Competency mapping is an integral aspect of Human Resource Development practices, as it emphasizes that only competent employees significantly contribute to an organization's success. This concept plays a crucial role in enhancing organizational effectiveness by harnessing collective efforts and the dynamic potential of the workforce, transforming these positive energies into a powerful tool for development. Many industries have made concerted efforts to identify valid job competencies and skill sets essential for nurturing future leaders. Both primary and secondary data has been collected for the study. The primary data were collected from IT Employees. The sample size for the study is 385.The findings of the study shows that most important Impact on organisation effectiveness of Competency Mapping towards Knowledge and Skills of IT Employees such as by finding the requiring skill of employees organization is able to perform other core functions effectively and Mapping identifies the key knowledge an employee should possess to achieve organizational target.
Beyond Merging Numbers: The Non-Financial Drivers Of M&A Hurdles
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Mounika, Lukalapu
Mergers & Acquisitions are quite popular now in the business field where big organizations are coming together to create great synergies. But many reports stated that the failure of M&A is more than the success. When the reasons for failures are analyzed from various reports, it mainly arises from non-financial factors. Many of the papers are focused on financial aspects of M&A. Even companies during M&A focus more on financial aspects like valuations, synergies. But many mergers between big organizations, having promising financial prospects often fail because they overlook non- financial factors. This paper focuses on how non-financial factors play very important role as financial factors in M&A. Using qualitative approach, I analyzed and explained four case studies of big organizations M&A which had promising success from financial point of view but faced hurdles and failed due to non- financial factors. I also presented other cases in brief for more information. This paper highlights how overlook of non-financial factors like Cultural factors, due diligence, leadership factors, communication led to hurdles and collapse of big M&A even if they sound promising financially. From each case study implications of these factors are discussed. This paper underscores the necessity of focusing on both financial and non-financial factors during M&A to succeed financially and ensure long-term growth by focusing on employee satisfaction.
The Impact Of Verbal And Non-Verbal Communication In The Digital Age
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Sethi, Jayaashish
This paper explores the transformative impact of digital technology on verbal and nonverbal communication in the digital age. By examining various digital platforms, such as emails, instant messaging, and video conferencing, as well as tools like emojis and avatars, the study assesses how technology has revolutionized interpersonal exchanges. The analysis reveals both the opportunities, such as enhanced connectivity, collaboration, and creativity, and the challenges, including information overload, social isolation, and cyberbullying, associated with digital communication. Furthermore, the research delves into the effects on interpersonal relationships, emphasizing changes in communication dynamics, intimacy, and the formation of new communities. On a broader societal level, the study highlights the democratization of information and cultural exchange, alongside evolving power dynamics. The findings underscore the necessity of understanding the complexities of digital communication to facilitate meaningful human interactions and encourage positive societal progress.
Study To Assess Clinical And Sociodemographic Profile Of Acute Respiratory Infection In Children Admitted To Tertiary Care Center : A Retrospective Observational Study
(INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH, 2024-12) Pattanshetty, Neha; Devadas, Sahana; Chinnappa, Gayathri Devi; Rangaiah, Ambica; GB, Shantala; K, Lakshmi; P, Sujatha
Objective : To assess the clinical and sociodemographic profile of children with acute respiratory infection admitted to a tertiary care centre. In this retrospective observational study, all paediatric patients who met theStudy Design: specified inclusion criteria were enrolled in the research during a period of six months. Data pertaining to demographics such as age, gender, parental occupation, parental educational background and housing situation was gathered. Respiratory specimens (Nasopharyngeal/Throat swabs) were obtained from all patients. Reverse transcription polymerase chain reaction (RT-PCR) technique was employed on the respiratory specimens. The outcomes were assessed based on the length of hospitalization, necessity for intensive care unit (ICU) intervention, occurrence of complications, and patients' immunization statuses. In the 6 month study period, there were 450 childrenResults: admitted with ARI, out of which 186 nasooropharyngeal swabs were sent and RSV was confirmed through RT -PCR in 0/23 in March, 0/31 in April, 0/23 in May, 12/23 in June(52%), 20/36 in July(55%),35/50 (70%) swabs sent in August. 310/450 (68.8 %) children developed pneumonia. 320/450 (71%) cases had malnutrition and 342/450 (76%) cases were immunized upto date. 210/450 (46.6%) and 180/450 (40 %) cases belonged to Lower middle and Upper lower Socioeconomic class as per Modified Kuppuswamy Classification respectively. Out of overall cases, 190/450 (42%) cases had received an antibiotic course for superadded bacterial infection and rest 260/450 (57.7 %) cases were managed symptomatically. All patients recovered completely and were discharged from the hospital. Conclusion: Increased preventive methods and treatment which includes good nutrition and immunization are key strategies to reduce outbreak of the disease.

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