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A Rajeev

Publications and source records attributed to A Rajeev.

8 recordsLinked to original sources
PubMed2006

Scaling up of facility-based neonatal care: a district health system experience.

With proportion of neonatal mortality increasing within under-five deaths, innovative approaches and stronger health systems are needed in neonatal care. We present data of a scaled-up neonatal facility in a District Government Headquarters hospital in Southern India. The special care neonatal unit (SCNU) was a community propelled, public private partnership worked out on the principles of private funding of public institutions and effective budgeting of the public health care system. In the first phase the unit was optimized over 3 years with non-governmental organizations (NGO) and government support from a basic nursery to a SCNU. The unit was operational through fixed maintenance budget from government and mobilized funds from NGOs and beneficiaries. Community health workers were motivated for effective utilization. In the second phase the unit's performance was studied and statistically analyzed in two time frames before and 5 years into the upgradation process. Neonatal admissions from the district increased by 14.65%. Hospital stillbirth, early neonatal and perinatal mortality rates showed significant decline (p < 0.05). There was a 48.59% (CI: 25.46-77.80) increase in antenatal referrals from community health centers. Caesarian sections for neonatal parameters that affect obstetric decisions showed percent changes of 163.25 (CI: 31.18-430.45) and 73.4 (CI: 14.15-164.39) for prematurity and low birth weight (LBW), respectively. Significant decline in case fatality rates for LBW, sepsis and birth asphyxia (p < 0.001) were observed. The district perinatal mortality rate showed a decline. Within the purview of financial constraints of the public health system, private funding, public-private cooperation and effective budgeting may become significant. Motivation of health workers and community to effectively utilize public health care services sets an evolutionary process of referral and vertical linkage of health care system.

Hospitals, Public↗
PubMed1997

Distribution of malarial parasites: effect of gender of construction workers.

The city of Mangalore in South India was having increasing number of malaria cases from 1990. Concerned over the import of cases through migrant construction workers, a screening was done among them using clinical and parasitological methods. This demonstrated 6.28% slide positivity rate with statistically insignificant difference in prevalence of infection between males and females. There were many asymptomatic individuals reporting positive only on peripheral smear examination. Yet, clinical symptoms like fever were found to have good predictive value on logistic regression. It was more so with the P. falciparum which is a relatively new entrant to Mangalore.

Adolescent↗
PubMedDate not supplied

Exponential model for weight using 'RJ index'.

We screened a sample of 204 children between the age of 3 months to 5 years and 3 months were during a general health survey conducted by the Department of Community Medicine, Kasturba Medical College, Mangalore from March 1992 to December 1993 at Kumpala village under PHC Ullal about 10 kms from Mangalore City. We developed a new index RJ as RJ = Mid upper Arm Circumference x (Height)2 x 10(-4) and tested the correlation of RJ index and weight for age. We found the correlation coefficient (r = 0.8) to be very significant (P < 0.001). Thus we propose the model as Weight = A x exp (RJ x B). We found that the available data fit in this model. We hope that this study will be a new step in looking at arm circumference as a tool in estimating weight of pre-school children.

Anthropometry↗
PubMedDate not supplied

Finite element analysis of a three unit fixed partial denture cast with nickel-chromium alloy.

A two dimensional mathematical model was generated, representing a three unit fixed-fixed partial denture and its supporting structures. Second premolar and second molar were used as abutments with first molar as pontic. A load of 1 kg was applied to the occlusal surface of the casting. Stresses and displacement developed at various regions were analyzed with STAAD III/ISDS program. Maximum stresses were developed in the pontic and connectors with distal connector experiencing the maximum stresses. Stresses transmitted to the dentin were comparatively lower and more of compressive in nature. The underying bone experienced moderate amount of both compressive and tensile stresses but the displacement in this tissue were minimal compared to the rest.

Chromium Alloys↗
PubMedDate not supplied

Oral health status of the institutionalized elderly in Mangalore, India.

This study was carried out among 287 institutionalized elderly aged 60 years and above residing in Mangalore. The oral health status was assessed using the modified Oral Health Assessment Form. The most frequently observed periodontal condition was shallow pockets seen in 32.29% of the dentate subjects. None of the subjects were found to have a completely healthy periodontium. The dental caries prevalence was found to be 77.6%. The mean DFT of the dentate subjects was 3.64 with the mean DT and FT being 3.58 and 0.06 respectively. The mean DFT was found to increase with advancing age. Findings also suggest that edentulousness is directly proportional to the period of stay in the old age home and inversely proportional to the mobility of the individual.

Aged↗
PubMedDate not supplied

Trends of acute poisoning in south Karnataka.

BACKGROUND: In recent times poisoning with agricultural chemicals either accidental or suicidal has become common due to easy availability and low cost. So it has become essential to find out the burden of poisoning to the victims, family and to hospital and morbidity and mortality among the victims. AIMS: To determine the trends of poisoning along with various parameters such as mode of poisoning, type of poison used, outcome of the poisoning, the most vulnerable age group, occupation of the victim, and the marital status. METHOD: A 5 year retrospective study in which all the patients of acute poisoning admitted to Govt. Wenlock Hospital, Mangalore during the period from 1st Jan 1999 to 31st December 2003 were included. A total of 546 cases were admitted due to acute poisoning during the study period. RESULTS: Three hundred and eighty (69.6%) males and one hundred and sixty six (30.4%) females were admitted to the hospital due to poisoning. Organophosphates were the most commonly used suicidal poison irrespective of age, sex and occupation of the victim. There were two hundred and thirty five cases of male suicidal poisoning and one hundred and twenty six female cases of suicidal poisoning. Majority of poisoning cases were seen in manual labourers. The increasing trend of poisoning was observed for the period of 1999 to 2003 except for the year of 2003. CONCLUSION: The study highlights about the problem of poisoning in the region. Since the majority of the victims of the poisoning are from low socio economic status. There is economic burden on the family members of the victim of poisoning as the earning member of the family becomes ill (for treatment), dies (loss of earning member) and also emotional setback and disturbance.

Adult↗