Prakash Mahala - Academia.edu (original) (raw)

Papers by Prakash Mahala

Research paper thumbnail of Seven day continuous ambulatory electrocardiographic telemetric study with pocket electrocardiographic recording device for detecting hydroxychloroquine induced arrhythmias

Journal of Family Medicine and Primary Care

Objective: The use of hydroxychloroquine (HCQ) for COVID-19 treatment and prophylaxis raised issu... more Objective: The use of hydroxychloroquine (HCQ) for COVID-19 treatment and prophylaxis raised issues concerning its cardiac safety owing to the possibility of QT prolongation and arrhythmias. There was no study on long-term electrocardiographic telemetry monitoring of patients taking HCQ. We planned a continuous electrocardiographic Holter telemetry of these patients for 7 days. Material and Methods: Health care workers taking HCQ as pre exposure prophylaxis and patients on HCQ were monitored using seven day Holter electrocardiographic telemetry with continuous beat to beat analysis. Telemetry can instantly convey any arrhythmic event or significant QT prolongation to the medical faculty. Results: Twenty-five participants with a mean age of 42.4 ± 14.1 years were included in the study; 40% were females. Twenty percent of participants needed to stop HCQ. Four patients developed QT prolongation >500 ms and needed to stop HCQ, one patient had accelerated idioventricular rhythm and stopped treatment, and one had short episodes of atrial fibrillation. No malignant arrhythmia or ventricular arrhythmia, or torsade de pointis were noted. No episode of significant conduction disturbance and arrhythmic death was noted. Baseline mean QTc was 423.96 ± 32.18 ms, mean QTc corrected at 24 h was 438.93 ± 37.95, mean QTc was 451.879 ± 37.99 at 48 h, and change in baseline mean QTc to max QTc was 30.74 ± 21.75 ms at 48 h. All those who developed QTc prolongation >500 ms were greater than 50 years of age. Conclusion: Ambulatory telemetry ECG monitoring detects early QT prolongation, and stopping drugs prevents malignant arrhythmias. HCQ seems to have less risk of QT prolongation in young, healthy individuals.

Research paper thumbnail of Effectiveness of labor support measures on the pain perception of mothers in labor

International Journal of Medical Science and Public Health, 2018

Childbirth represents the most painful event in women's lifetime. During labor, women have some d... more Childbirth represents the most painful event in women's lifetime. During labor, women have some degree of stress

Research paper thumbnail of Effects of Tuberculosis in Pregnancy

Journal of Nurse Midwifery and Maternal Health, 2019

Research paper thumbnail of Effectiveness of a “home care model” for oral cancer patients on the home care competency of their caregivers

International Journal of Medical Science and Public Health, 2020

Background: Cancer can occur to everyone regardless of sex, age, culture, socioeconomic status, a... more Background: Cancer can occur to everyone regardless of sex, age, culture, socioeconomic status, and geographical area. Various forms of cancer strike at different age, ethnic, gender groups with severity, and varying frequency. Objective: The study objectives were as follows: (1) To develop and implement a home care model on home care competency of caregivers and (2) to evaluate the effectiveness of home care model on home care competency of caregivers. Materials and Methods: For this study, a quantitative research approach was used to develop and implement a home care model on home care competency (knowledge and practice) of caregivers. A quasi-experimental one-group pre-test and post-test design was used in the study. The study was conducted in a selected hospital, Dehradun, Uttarakhand. Consecutive sampling technique was used to select the study subject. Data were collected from 40 caregivers of oral cancer patients using a structured knowledge questionnaire, structured self-report nutritional practice checklist, and structured observational wound care checklist. Results: The mean post-test practice scores and knowledge scores (18.75, 12.82, and 7.55) were higher than mean pre-test practice scores and knowledge scores (11.95, 8.85, and 4.23) which were found statistically significant at P < 0.05. The mean percentage area-wise distribution of knowledge regarding nutritional management at pre-test was 51% and wound care management was 55%, which was improved for both (81%) at post-test. No significant association was found between knowledge and practice except occupation. Minor correlation was found between post-test knowledge and post-test practice scores. Conclusion: It is concluded that home care competency program was found effective to improve the knowledge and practice of caregivers of oral cancer patients.

Research paper thumbnail of Successful outcome of pregnancy in bicornuate uterus: a case report

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019

Bicornuate uterus is a major cause of spontaneous abortion. The recurrent pregnancy loss has been... more Bicornuate uterus is a major cause of spontaneous abortion. The recurrent pregnancy loss has been reported to the range of 15% to 27%. There is different type of congenital uterine abnormalities like Bicornuate uterus, septate uterus, arcuate uterus, unicornuate uterus, didelphys uterus. It is important to consider this diagnosis in recurrent miscarriages, malpresentation, intra uterine growth restrictionand preterm deliveries. This report is about self at the age of 25-year-old pregnancy with a history of missed abortion. I was not diagnosing with a bicornuate uterus in my first pregnancy. However, I was diagnosed with a bicornuate uterus based on transvaginal ultrasound and hysterosalpingogram. A successful caesarean section was donein the 38th week of gestation. According to the results, successful outcome could be achieved with bicornuate uterus. The outcome of bicornuate uterus was successful.

Research paper thumbnail of Factors influencing compliance to directly observed treatment, short course therapy and effectiveness of awareness program on knowledge and compliance

International Journal of Medical Science and Public Health, 2019

Background: Tuberculosis (TB) is one of the most infectious diseases if not treated properly it m... more Background: Tuberculosis (TB) is one of the most infectious diseases if not treated properly it may lead to mortality. The directly observed treatment, short course (DOTS) therapy is the choice of the treatment of TB. Objectives: The objectives of the study were (1) to determine the factors influencing compliance of persons with TB to DOTS, (2) to evaluate the effectiveness of an awareness program on knowledge and compliance to DOTS among persons with TB, (3) to find the association between pre-test level of knowledge with selected sociodemographic variables, and (4) to find the association between pre-test level of compliance to DOTS with selected sociodemographic variables. Materials and Methods: An evaluative approach with one group pre-test and post-test design was used as a research design in the study. 50 participants were selected as a sample using purposive sampling technique. The data were collected using structured knowledge questionnaire and compliance checklist through interview schedule Results: The study result showed that the mean post-test knowledge score (17.32 ± 1.58) was higher than the mean pre-test knowledge score (10.80 ± 2.05) and “t” value is 27.22 at P < 0.05. Similarly, the mean post-test compliance score (8.92 + 0.72) was higher than the mean pre-test compliance score (6.00 ± 1.05) and “t” value is 9.369 at P < 0.05. The sociodemographic variable such as age and educational status was significantly associated with pre-test knowledge score (χ² = 5.993, P < 0.05, and χ² = 11.49, P < 0.05), respectively, and gender was significantly associated with pre-test compliance score (χ² = 4.482, P < 0.05). The main reason for noncompliance to DOTS therapy was difficult to take multiple drugs for a long period and data showed that family support (29.55%) was highly influencing to comply with DOTS therapy. Conclusion: The awareness program was highly effective in increasing knowledge among TB person and compliance to DOTS therapy. Therefore, the knowledge and compliance of the TB person to DOTS therapy can be further improved by providing on-going awareness programs.

Research paper thumbnail of Electrocardiographic Abnormalities predicting mortality in COVID-19 pneumonia patients

Journal of Family Medicine and Primary Care

Research paper thumbnail of The Prevalence and Associated Risk Factors of Fear of Fall in the Elderly: A Hospital-Based, Cross-Sectional Study

Cureus, 2022

Background Falls are one of the most common but serious health issues faced by the elderly popula... more Background Falls are one of the most common but serious health issues faced by the elderly population. Falls-related injuries not only add to the morbidity and economic burden they also have a significant negative impact on psychological health and the quality of life of the elderly. In this study, we assess the prevalence of fear of falling among the geriatric population and the risk factors associated with fear of falling. Methodology This prospective, cross-sectional study was conducted among geriatric patients aged more than 60 years attending the medical outpatient department of a tertiary care hospital in Uttarakhand, India. This study aimed to determine the prevalence of fear of falling among the geriatric population and compare various demographic and clinical parameters in elderly patients with and without fear of falling. Fear of fall was assessed using a questionnaire by asking the elderly if they had fear of falling, how often they had fear of falling, and under which circumstances did they have fear of falling. Information regarding demographics, history of daily activities, and chronic diseases was collected and assessed from all geriatric patients with and without fear of falls. Results Almost half (334; 42%) of the geriatric population had a history of fear of falling. Demographic parameters such as age over 80 years, female gender, living alone, and rural background were significantly associated with fear of falling. Similarly, a history of chronic diseases such as stroke, hypertension, and history of visual and motility impairment was significantly related to fear of falls among geriatric patients. Around 70% (571) of geriatric patients aged over 60 years had associated health problems. Conclusions This study reinstates that fear of falls is a significant health issue in the elderly age group. It also highlights multiple risk factors related to fear of falling which if controlled can significantly improve the quality of life of the geriatric population.

Research paper thumbnail of Current scenario, future possibilities and applicability of telemedicine in hilly and remote areas in India: A review protocol

Journal of Family Medicine and Primary Care

In India telemedicine is ideal because of its diverse landmass, difficult terrain and huge popula... more In India telemedicine is ideal because of its diverse landmass, difficult terrain and huge population. India, a developing country is witnessing an increase in economic growth but growing health expenditure is still posing a challenge. Telemedicine offers a solution to bridge the gap between resources available and growing needs in the health care set up. It offers an opportunity for effective collaboration of primary and secondary health care setups and to reach population staying in underserved areas. The purpose of this article is to discuss current scenario, future possibilities and applicability of telemedicine in hilly and remote areas in India.

Research paper thumbnail of Effect of back massage on relieving pain during labour: a systemic review

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Managing labour pain is a challenging concern for nurses who involved in care of mothers during l... more Managing labour pain is a challenging concern for nurses who involved in care of mothers during labour and child birth. Massage is a primordial method that has been generally employed during labour, however, relatively little study has been assumed examining the effects of massage on women during labour. The study insistent pain allied with labour may negatively impact mother further transforming to foetus, frequently varying the childbirth course. The techniques of health care humanisation mention that women in labour should have the chance to relieve their pain with pharmacological and non-pharmacological methods. The systemic review examines literature on effectiveness of back massage to relieve labour pain from 2013 to 2019. The electronic database reviewed for the systemic review included PubMed, Medline, nursing health journal, Google scholar etc by including relevant key words. Ten studies were included in the systemic review. The available literature on non-pharmacological m...

Research paper thumbnail of Role of Palliative Care at the End of Life: To Enhance the Quality of Life and Positively Influence the Course of Illness

Pondicherry Journal of Nursing

The palliative care goal is to relieve the patients' suffering and their families by assessment o... more The palliative care goal is to relieve the patients' suffering and their families by assessment of the comprehensive treatment of physical, psychosocial, and spiritual symptoms felt by the patients. It helps patients and their relatives to conclude suitable medical care and to support the goal of patient care with healthcare professionals. Finally, palliative care establishing the requirement of a proxy, resuscitation status, and advance directives is an essential part of palliative care at the end of life. This review aims to recognize the role of palliative care at the end of life. As death approaches, the symptom burden of a patient may worsen and require more aggressive palliation. As ease measures strengthen, so does the care provided to a dying patient's family. Once death has occurred, the role of palliative care focuses primarily on the support of the patient's family and bereavement.

Research paper thumbnail of Association of haematological biomarkers with severity of COVID-19 pneumonia

Journal of Family Medicine and Primary Care

Research paper thumbnail of Utility of early warning scores to predict mortality in COVID-19 patients: A retrospective observational study

International Journal of Critical Illness and Injury Science

Research paper thumbnail of Role of Mass Media on Mankind: Time to Rethink

Pondicherry Journal of Nursing

In the era of 21st century, mass media is important part of everyone's life which includes e-mail... more In the era of 21st century, mass media is important part of everyone's life which includes e-mails, online marketing, education sites, etc. Media and computer facilitated new skills that enable the formation and discussion of ideas, problems, data, and views and in another way of presence via network and communities. This review covers all features of mass media with its positive as well as negative aspects. With the emphasis of media on areas such as education, community, children, adolescent, obesity, sexuality, and business, etc., therefore, this research review describes how mass media will comprehensively affect all aspects. Since 2000, mass media has blossomed to prospect and is still growing limitlessly sideways with media sharing, and several other entries that offered real-time updates were announced by the example of Twitter, Facebook, etc. It has become the vital part of everyone's life. Search strategy: Articles were extracted using MESH keywords, such as children, adolescents, human, electronic mail, mass media, marketing, and health education, etc., from Embase, PubMed, and Google Scholar search engine. For additional information, we also used literature to obtain information on mass media impact in several fields. Mass media use has grown up exponentially over the past era, and this growth is expected to continue. It has a drastic impact on lives of all age-groups. Mass media is an essential or significant force in this modern civilization which has an impact on several aspects of human life. Overall, mass media has both positive effects and negative effects, but overuse of mass media may lead to a tendency of antisocial behavior.

Research paper thumbnail of Yield and Quality of rabi Onion (Allium cepa L.) Influenced by Integrated Nutrient Management

International Journal of Current Microbiology and Applied Sciences

Research paper thumbnail of Models of maternity care: a continuity of midwifery care

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Pregnancy and birth are significant life events for women and their families and midwife supports... more Pregnancy and birth are significant life events for women and their families and midwife supports a woman throughout pregnancy, birth and the postnatal period. So, the demand for services that are family friendly, women focused, safe and accessible is increasing. Evidence has shown that midwifery care is associated with lower cost, higher satisfaction rates among women, and less intervention. Because pregnancy and childbirth involve every part of feelings, physical and practical needs, hopes, religious and spiritual beliefs can all affect pregnancy and birth. So, model of maternity care addresses all these aspects to help give birth safely, naturally and confidently. The aim of this review is how midwives working in different model care constructed their midwifery role in order to maintain a positive work-life balance. Evidence from high income countries found such models to be a cost-efficient way to improve health outcomes, reducing medical interventions and increasing satisfactio...

Research paper thumbnail of Seven day continuous ambulatory electrocardiographic telemetric study with pocket electrocardiographic recording device for detecting hydroxychloroquine induced arrhythmias

Journal of Family Medicine and Primary Care

Objective: The use of hydroxychloroquine (HCQ) for COVID-19 treatment and prophylaxis raised issu... more Objective: The use of hydroxychloroquine (HCQ) for COVID-19 treatment and prophylaxis raised issues concerning its cardiac safety owing to the possibility of QT prolongation and arrhythmias. There was no study on long-term electrocardiographic telemetry monitoring of patients taking HCQ. We planned a continuous electrocardiographic Holter telemetry of these patients for 7 days. Material and Methods: Health care workers taking HCQ as pre exposure prophylaxis and patients on HCQ were monitored using seven day Holter electrocardiographic telemetry with continuous beat to beat analysis. Telemetry can instantly convey any arrhythmic event or significant QT prolongation to the medical faculty. Results: Twenty-five participants with a mean age of 42.4 ± 14.1 years were included in the study; 40% were females. Twenty percent of participants needed to stop HCQ. Four patients developed QT prolongation >500 ms and needed to stop HCQ, one patient had accelerated idioventricular rhythm and stopped treatment, and one had short episodes of atrial fibrillation. No malignant arrhythmia or ventricular arrhythmia, or torsade de pointis were noted. No episode of significant conduction disturbance and arrhythmic death was noted. Baseline mean QTc was 423.96 ± 32.18 ms, mean QTc corrected at 24 h was 438.93 ± 37.95, mean QTc was 451.879 ± 37.99 at 48 h, and change in baseline mean QTc to max QTc was 30.74 ± 21.75 ms at 48 h. All those who developed QTc prolongation >500 ms were greater than 50 years of age. Conclusion: Ambulatory telemetry ECG monitoring detects early QT prolongation, and stopping drugs prevents malignant arrhythmias. HCQ seems to have less risk of QT prolongation in young, healthy individuals.

Research paper thumbnail of Effectiveness of labor support measures on the pain perception of mothers in labor

International Journal of Medical Science and Public Health, 2018

Childbirth represents the most painful event in women's lifetime. During labor, women have some d... more Childbirth represents the most painful event in women's lifetime. During labor, women have some degree of stress

Research paper thumbnail of Effects of Tuberculosis in Pregnancy

Journal of Nurse Midwifery and Maternal Health, 2019

Research paper thumbnail of Effectiveness of a “home care model” for oral cancer patients on the home care competency of their caregivers

International Journal of Medical Science and Public Health, 2020

Background: Cancer can occur to everyone regardless of sex, age, culture, socioeconomic status, a... more Background: Cancer can occur to everyone regardless of sex, age, culture, socioeconomic status, and geographical area. Various forms of cancer strike at different age, ethnic, gender groups with severity, and varying frequency. Objective: The study objectives were as follows: (1) To develop and implement a home care model on home care competency of caregivers and (2) to evaluate the effectiveness of home care model on home care competency of caregivers. Materials and Methods: For this study, a quantitative research approach was used to develop and implement a home care model on home care competency (knowledge and practice) of caregivers. A quasi-experimental one-group pre-test and post-test design was used in the study. The study was conducted in a selected hospital, Dehradun, Uttarakhand. Consecutive sampling technique was used to select the study subject. Data were collected from 40 caregivers of oral cancer patients using a structured knowledge questionnaire, structured self-report nutritional practice checklist, and structured observational wound care checklist. Results: The mean post-test practice scores and knowledge scores (18.75, 12.82, and 7.55) were higher than mean pre-test practice scores and knowledge scores (11.95, 8.85, and 4.23) which were found statistically significant at P < 0.05. The mean percentage area-wise distribution of knowledge regarding nutritional management at pre-test was 51% and wound care management was 55%, which was improved for both (81%) at post-test. No significant association was found between knowledge and practice except occupation. Minor correlation was found between post-test knowledge and post-test practice scores. Conclusion: It is concluded that home care competency program was found effective to improve the knowledge and practice of caregivers of oral cancer patients.

Research paper thumbnail of Successful outcome of pregnancy in bicornuate uterus: a case report

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019

Bicornuate uterus is a major cause of spontaneous abortion. The recurrent pregnancy loss has been... more Bicornuate uterus is a major cause of spontaneous abortion. The recurrent pregnancy loss has been reported to the range of 15% to 27%. There is different type of congenital uterine abnormalities like Bicornuate uterus, septate uterus, arcuate uterus, unicornuate uterus, didelphys uterus. It is important to consider this diagnosis in recurrent miscarriages, malpresentation, intra uterine growth restrictionand preterm deliveries. This report is about self at the age of 25-year-old pregnancy with a history of missed abortion. I was not diagnosing with a bicornuate uterus in my first pregnancy. However, I was diagnosed with a bicornuate uterus based on transvaginal ultrasound and hysterosalpingogram. A successful caesarean section was donein the 38th week of gestation. According to the results, successful outcome could be achieved with bicornuate uterus. The outcome of bicornuate uterus was successful.

Research paper thumbnail of Factors influencing compliance to directly observed treatment, short course therapy and effectiveness of awareness program on knowledge and compliance

International Journal of Medical Science and Public Health, 2019

Background: Tuberculosis (TB) is one of the most infectious diseases if not treated properly it m... more Background: Tuberculosis (TB) is one of the most infectious diseases if not treated properly it may lead to mortality. The directly observed treatment, short course (DOTS) therapy is the choice of the treatment of TB. Objectives: The objectives of the study were (1) to determine the factors influencing compliance of persons with TB to DOTS, (2) to evaluate the effectiveness of an awareness program on knowledge and compliance to DOTS among persons with TB, (3) to find the association between pre-test level of knowledge with selected sociodemographic variables, and (4) to find the association between pre-test level of compliance to DOTS with selected sociodemographic variables. Materials and Methods: An evaluative approach with one group pre-test and post-test design was used as a research design in the study. 50 participants were selected as a sample using purposive sampling technique. The data were collected using structured knowledge questionnaire and compliance checklist through interview schedule Results: The study result showed that the mean post-test knowledge score (17.32 ± 1.58) was higher than the mean pre-test knowledge score (10.80 ± 2.05) and “t” value is 27.22 at P < 0.05. Similarly, the mean post-test compliance score (8.92 + 0.72) was higher than the mean pre-test compliance score (6.00 ± 1.05) and “t” value is 9.369 at P < 0.05. The sociodemographic variable such as age and educational status was significantly associated with pre-test knowledge score (χ² = 5.993, P < 0.05, and χ² = 11.49, P < 0.05), respectively, and gender was significantly associated with pre-test compliance score (χ² = 4.482, P < 0.05). The main reason for noncompliance to DOTS therapy was difficult to take multiple drugs for a long period and data showed that family support (29.55%) was highly influencing to comply with DOTS therapy. Conclusion: The awareness program was highly effective in increasing knowledge among TB person and compliance to DOTS therapy. Therefore, the knowledge and compliance of the TB person to DOTS therapy can be further improved by providing on-going awareness programs.

Research paper thumbnail of Electrocardiographic Abnormalities predicting mortality in COVID-19 pneumonia patients

Journal of Family Medicine and Primary Care

Research paper thumbnail of The Prevalence and Associated Risk Factors of Fear of Fall in the Elderly: A Hospital-Based, Cross-Sectional Study

Cureus, 2022

Background Falls are one of the most common but serious health issues faced by the elderly popula... more Background Falls are one of the most common but serious health issues faced by the elderly population. Falls-related injuries not only add to the morbidity and economic burden they also have a significant negative impact on psychological health and the quality of life of the elderly. In this study, we assess the prevalence of fear of falling among the geriatric population and the risk factors associated with fear of falling. Methodology This prospective, cross-sectional study was conducted among geriatric patients aged more than 60 years attending the medical outpatient department of a tertiary care hospital in Uttarakhand, India. This study aimed to determine the prevalence of fear of falling among the geriatric population and compare various demographic and clinical parameters in elderly patients with and without fear of falling. Fear of fall was assessed using a questionnaire by asking the elderly if they had fear of falling, how often they had fear of falling, and under which circumstances did they have fear of falling. Information regarding demographics, history of daily activities, and chronic diseases was collected and assessed from all geriatric patients with and without fear of falls. Results Almost half (334; 42%) of the geriatric population had a history of fear of falling. Demographic parameters such as age over 80 years, female gender, living alone, and rural background were significantly associated with fear of falling. Similarly, a history of chronic diseases such as stroke, hypertension, and history of visual and motility impairment was significantly related to fear of falls among geriatric patients. Around 70% (571) of geriatric patients aged over 60 years had associated health problems. Conclusions This study reinstates that fear of falls is a significant health issue in the elderly age group. It also highlights multiple risk factors related to fear of falling which if controlled can significantly improve the quality of life of the geriatric population.

Research paper thumbnail of Current scenario, future possibilities and applicability of telemedicine in hilly and remote areas in India: A review protocol

Journal of Family Medicine and Primary Care

In India telemedicine is ideal because of its diverse landmass, difficult terrain and huge popula... more In India telemedicine is ideal because of its diverse landmass, difficult terrain and huge population. India, a developing country is witnessing an increase in economic growth but growing health expenditure is still posing a challenge. Telemedicine offers a solution to bridge the gap between resources available and growing needs in the health care set up. It offers an opportunity for effective collaboration of primary and secondary health care setups and to reach population staying in underserved areas. The purpose of this article is to discuss current scenario, future possibilities and applicability of telemedicine in hilly and remote areas in India.

Research paper thumbnail of Effect of back massage on relieving pain during labour: a systemic review

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Managing labour pain is a challenging concern for nurses who involved in care of mothers during l... more Managing labour pain is a challenging concern for nurses who involved in care of mothers during labour and child birth. Massage is a primordial method that has been generally employed during labour, however, relatively little study has been assumed examining the effects of massage on women during labour. The study insistent pain allied with labour may negatively impact mother further transforming to foetus, frequently varying the childbirth course. The techniques of health care humanisation mention that women in labour should have the chance to relieve their pain with pharmacological and non-pharmacological methods. The systemic review examines literature on effectiveness of back massage to relieve labour pain from 2013 to 2019. The electronic database reviewed for the systemic review included PubMed, Medline, nursing health journal, Google scholar etc by including relevant key words. Ten studies were included in the systemic review. The available literature on non-pharmacological m...

Research paper thumbnail of Role of Palliative Care at the End of Life: To Enhance the Quality of Life and Positively Influence the Course of Illness

Pondicherry Journal of Nursing

The palliative care goal is to relieve the patients' suffering and their families by assessment o... more The palliative care goal is to relieve the patients' suffering and their families by assessment of the comprehensive treatment of physical, psychosocial, and spiritual symptoms felt by the patients. It helps patients and their relatives to conclude suitable medical care and to support the goal of patient care with healthcare professionals. Finally, palliative care establishing the requirement of a proxy, resuscitation status, and advance directives is an essential part of palliative care at the end of life. This review aims to recognize the role of palliative care at the end of life. As death approaches, the symptom burden of a patient may worsen and require more aggressive palliation. As ease measures strengthen, so does the care provided to a dying patient's family. Once death has occurred, the role of palliative care focuses primarily on the support of the patient's family and bereavement.

Research paper thumbnail of Association of haematological biomarkers with severity of COVID-19 pneumonia

Journal of Family Medicine and Primary Care

Research paper thumbnail of Utility of early warning scores to predict mortality in COVID-19 patients: A retrospective observational study

International Journal of Critical Illness and Injury Science

Research paper thumbnail of Role of Mass Media on Mankind: Time to Rethink

Pondicherry Journal of Nursing

In the era of 21st century, mass media is important part of everyone's life which includes e-mail... more In the era of 21st century, mass media is important part of everyone's life which includes e-mails, online marketing, education sites, etc. Media and computer facilitated new skills that enable the formation and discussion of ideas, problems, data, and views and in another way of presence via network and communities. This review covers all features of mass media with its positive as well as negative aspects. With the emphasis of media on areas such as education, community, children, adolescent, obesity, sexuality, and business, etc., therefore, this research review describes how mass media will comprehensively affect all aspects. Since 2000, mass media has blossomed to prospect and is still growing limitlessly sideways with media sharing, and several other entries that offered real-time updates were announced by the example of Twitter, Facebook, etc. It has become the vital part of everyone's life. Search strategy: Articles were extracted using MESH keywords, such as children, adolescents, human, electronic mail, mass media, marketing, and health education, etc., from Embase, PubMed, and Google Scholar search engine. For additional information, we also used literature to obtain information on mass media impact in several fields. Mass media use has grown up exponentially over the past era, and this growth is expected to continue. It has a drastic impact on lives of all age-groups. Mass media is an essential or significant force in this modern civilization which has an impact on several aspects of human life. Overall, mass media has both positive effects and negative effects, but overuse of mass media may lead to a tendency of antisocial behavior.

Research paper thumbnail of Yield and Quality of rabi Onion (Allium cepa L.) Influenced by Integrated Nutrient Management

International Journal of Current Microbiology and Applied Sciences

Research paper thumbnail of Models of maternity care: a continuity of midwifery care

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Pregnancy and birth are significant life events for women and their families and midwife supports... more Pregnancy and birth are significant life events for women and their families and midwife supports a woman throughout pregnancy, birth and the postnatal period. So, the demand for services that are family friendly, women focused, safe and accessible is increasing. Evidence has shown that midwifery care is associated with lower cost, higher satisfaction rates among women, and less intervention. Because pregnancy and childbirth involve every part of feelings, physical and practical needs, hopes, religious and spiritual beliefs can all affect pregnancy and birth. So, model of maternity care addresses all these aspects to help give birth safely, naturally and confidently. The aim of this review is how midwives working in different model care constructed their midwifery role in order to maintain a positive work-life balance. Evidence from high income countries found such models to be a cost-efficient way to improve health outcomes, reducing medical interventions and increasing satisfactio...