JMRH Vol. 4 No. 1 (October 2017)
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Item A Quasi Experimental Study to Compare the Effect of Semi-Sitting Versus Left Lateral Position on Maternal and Foetal Bio-Physiological Parameters Among Antenatal Women Undergoing Non Stress Test in Tertiary Care Hospital of Patiala, Punjab(Chitkara University Publications, 2017-10-02) Gurpreet Kaur; Preety Narula; Harpreet KaurBackground of the study NST is a simple, non invasive test performed in pregnancy over 28 weeks of gestation. Pregnant women are generally positioned in the supine position because this position allow easy administration of the test. But supine position cause aortacaval compression which decrease blood supply to the fetus hence shows non reactive results. Hence position is one of the main factor which should be considered during non stress test. Methodology Aquasi experimental design was used. Total 60 antenatal women (30 experimental group I, 30 experimental group II) was selected by purposive sampling technique. Data collection method- Baseline maternal foetal bio-physiological parameters were assessed by performing NST for 10 minutes in baseline position(supine position) among experimental groups and then after a gap of 10 minutes semi-sitting and left lateral position was given to experimental group I and II respectively. Maternal and foetal bio-physiological parameters were assessed after 10 minutes of NST in both experimental groups I and II. Results Result of the present study revealed that baseline (supine) when compared with Semi-sitting position had significant effect on maternal foetal bio-physiological parameters at (p<0.05) level of significance however when baseline (supine) compared with left lateral position had no significant effect on maternal bio- physiological parameters except on pulse rate at (p<0.05) level of significance whereas left lateral position had significant effect on foetal bio-physiological parameters except baseline heart rate and deceleration at (p<0.05) level of significance. When semi-sitting compared with left lateral had no significant effect on maternal foetal bio-physiological parameters at (p<0.05) level of significance. Conclusion Baseline position(supine) when altered to semi-sitting or left lateral position influence the maternal foetal bio-physiological parameters. Semi-sitting when compared with left lateral had no significant effect on maternal and foetal bio- physiological parameters.Item Formulation And Characterization of Carageenan Gels Encapsulating Amphotericin B And Lactobacillus acidophilus Against Candidal Vaginitis(Chitkara University Publications, 2017-10-02) R. Kaur; M. Khurana; M. Bindal; A. SharmaThe present study is concerned with the development and characterization of bioadhesive carageenan gel encapsulating Amphotericin B and Lactobacillus acidophillus, prepared by graft co-polymeriztion against Candidal vaginitis. Intravaginal gel systems based on bioadhesive polymer (carrageenan) were characterized with respect to swelling index, bioadhesive strength, percent encapsulation and in vitro drug release antimicrobial studies. A marked increase in swelling index of gel encapsulating Lactobacillus was found to be 1.9±0.35. The percent encapsulation of drug was found to be 98.63%±.0.2% and that of Lactobacillus was 91.81 ±0.01. The viability was observed for interval of 6 hrs on trypton soya agar and showed that viability was highly conserved till 4 hrs. The antimicrobial study of gels encapsulating Amphotericin B and Lactobacillus showed that carageenan gel can inhibit Candida albicans upto a maximum extent. Bioadhesivity study also conducted for gels that showed a bioadhesivity of 84.66% ±.0.5% with drug, 88.66% ±.02% with Lactobacillus. In-vitro drug release showed a sustained type release of drug from the polymer i.e. there was initial burst of Amphotericin B up to 5 hours, after which there was a sustained release upto 10 days. Thus it has been concluded from the present study that bioadhesive gels encapsulating Amphotericin B can act as promising drug carriers along with Lactobacillus against candidal vaginitis.Item Identification of Success Factors for Indian Healthcare(Chitkara University Publications, 2017-10-02) Sunil DasThis Paper aims at evaluation of Critical Success Factors (CSF) and its attributes in Indian healthcare. Various problems of health care industry through analysis of factors and its attributes using factor analysis, correlation and other framework parameters has been done. It was found that Human Resource Capability, Infrastructural Resources were the most significant CSFs apart from Operational process, Team management and culture. Surprisingly findings revealed that factors namely Top Management and Leadership were least significant. As there is no clear framework for excellence in healthcare, where stakeholders are an integral part of complete service, developed CSF and its connectivity to attributes may help to resolve the service level issues of Indian Hospital.Item Assessment on Storage Conditions of Medical Laboratory Commodities and KAP of Store Managers at Government Hospitals in Addis Ababa, Ethiopia(Chitkara University Publications, 2017-10-02) Habtamu Molla Tesfaw; Kelemework HussienBackground Medical laboratory commodity management system especially storage system of laboratory supplies is a challenge for health professionals. Lacks of proper storage condition for laboratory commodities causes damaging commodities and stock out of essential supplies. The need of proper store management has gained a great attention for better laboratory service. Methods A Cross sectional study was conducted to assess storage conditions of commodities in eleven hospital medical stores in Addis Ababa from 1 January 2014 to 1 February 2014. A structured questionnaire was used to collect the data. Data was entered to EPI INFO version 3.1statistical software and analyzed with SPSS version 20 statistical analysis software. Graphs and tables were used to present the result. Results Data obtained from eleven governmental hospitals was analyzed. From these more than 45% of hospitals stores served for more than 12 years without amendments. Around 18% of hospital stores didn’t have adequate protection from sunlight whereas more than 90% didn’t have frozen storage of either -20oC or -70oC. But all of the stores had cold storage of 2-8oC. Only 36.36% of the hospital stores have separate flammable chemicals and 54.45% of hospital stores have separate hazardous chemicals. All store managers in this study are pharmacist and most of them are degree holders. Conclusion The storage conditions of majority of the hospitals have problems. Lack of adequate space and infrastructures to store medical laboratory commodities were challenges in half of the facilities. Adequate and regular training should be given to the responsible personnel for better storage of medical laboratory commodities.Item Improving Communication Between Health Care Professionals and Parents: A Quality Improvement Initiative(Chitkara University Publications, 2017-10-02) Poonam Joshi; Meena Joshi; Aakansha Sharma; Anu Sachdeva; Rajesh Sagar; Ashok Kumar DeorariThis quality improvement initiative was undertaken in a tertiary care neonatal intensive care unit (NICU) to improve communication between the HCP and parents related to the sick neonates admitted in NICU as measured by increase in parental satisfaction score from base line (34.5%) to 80% in 3 months time. A team was formulated to evaluate the reasons for low parental satisfaction resulting from communication between HCP and the parents of sick neonates and to further plan strategies for improving the same. Multiple PDSA cycles were implemented. The results of the all PDSA cycles were discussed amongst team members. Satisfaction of parents related to communication with HCP increased to more than 80% in 3 months time followed by increase up to 90% in sustenance phase. Multiple simple feasible interventions led to improvement in communication between the HCP and parents as evident by increase in satisfaction score (40.8 ± 4.3 vs. 40.8 ± 4.3 vs. 91.3 ± 4.8, p < 0.001). There was significant improvement in the satisfaction scores of the mothers on communication related to sick neonate in NICU at the end of intervention phase as well as in the sustenance phase. Multiple simple doable and feasible interventions had led to the improvement in communication between the HCP and parents hence improving the satisfaction of parents related to their communication with HCP.