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Research & Reviews: A

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STM JOURNALSScientific Technical Medical

ISSN : 2348-9537

(RRJoHP)

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Research & Reviews: A Journal of Health Professions

Research & Reviews: A Journal of Health Professions

(ISSN: 2348-9537)

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Industrial Tribology Machine Dynamics & Maintenance

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Indian Institute of Technology Delhi, India

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Chandigarh, India.

STM Journal (s) Advisory Board

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Prof.(Dr.) Jugal KishoreProfessor Community Medicine, Maulana

Azad Medical College, India.

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Health Education Public Health Foundation of India, New Delhi, India.

Abdulrahman Obaid MusaigerDirector of Arab Center for Nutrition,

Bahrain Professor of Nutrition and Public Health, University of Bahrain, Bahrain.

Swinder Pal SinghHuman Biology Department, Punjabi

University, Patiala, India.

Dr. Kaushik Sankar BoseDepartment of Anthropology, Vidyasagar

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Immunology, New Delhi, India.

Mohan Chander PrasantProfessor in Dental College

Ams Aosmi, India.

I take the privilege to present the hard copy compilation for the [Volume 4 Issue (1)] of Research &

Reviews: A Journal of Health Professions (RRJoHP). The intension of RRJoHP is to create an

atmosphere that stimulates creativeness, research and growth in the area of Health Professions.

The development and growth of the mankind is the consequence of brilliant Research done by

eminent Scientists and Engineers in every field. RRJoHP provides an outlet for Research findings

and reviews in areas of Health Professions found to be relevant for National and International recent

developments & research initiative.

The aim and scope of the Journal is to provide an academic medium and an important reference for

the advancement and dissemination of Research results that support high level learning, teaching and

research in the domain of Health Professions.

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their continued support and invaluable contributions and suggestions in the form of authoring write-

ups/ reviewing and providing constructive comments for the advancement of the journals. With

regards to their due continuous support and co-operation, we have been able to publish quality

Research/Reviews findings for our customers base.

I hope you will enjoy reading this issue and we welcome your feedback on any aspect of the Journal.

Dr. Archana Mehrotra

Director

STM Journals

Director's Desk

STM JOURNALS

1. Clinical Spectrum and Prognosis of Patients with Septic Shock M Rajneesh Reddy, B Raj Kumar Prakash, M Vinod, P Jayaram, A Satya Prasad, MF Gopinath 1

2. Guidelines for Withdrawal of Anti-Epileptic Drugs in Seizure-Free Patients Lomati Venkata Pavan Kumar Reddy, Lomati Sandya, Lomati Vidya 5

3. Living with Infertility: A ReviewPoonam Sheoran, Jyoti Sarin 9

4. Road Accidents among AdolescentsGaurav Kohli, Malar Kodi Aathi, Manu Sethi 15

5. Socio-Economic Status and Patient Rehabilitation in India: A Community Physiotherapist's OdysseyPavithra Rajan 22

ContentsResearch & Reviews: A Journal of Health Professions

RRJoHP (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: A Journal of Health Professions ISSN: 2348-9537 Volume 4, Issue 1

www.stmjournals.com

Clinical Spectrum and Prognosis of Patients

with Septic Shock

M Rajneesh Reddy*, B Raj Kumar Prakash, M Vinod, P Jayaram,

A Satya Prasad, MF Gopinath Mamatha Medical College, Khammam, Andhra Pradesh, India

Abstract Septic shock is the leading cause of mortality in hospital patients. Closer observation and early treatment can influence the outcome. The present study is undertaken to study the

pattern of sepsis and the factors affecting morbidity and mortality in adult patients with septic shock in the ICU. Adult patients admitted in ICU, Mamata General Hospital,

Khammam, with diagnosis of sepsis during one-year period from August 2012 to September

2013 were included in the study and patients with no evidence of infection and nosocomial sepsis were excluded from the study. Blood samples and the samples from suspected primary

foci were collected for culture and sensitivity. Patients were followed for a minimum of 28 days from the time of diagnosis. During the study period, 50 patients fulfilled the

inclusion and exclusion criteria. 74% of patients were males and 26% females and mean age

was 54.68 years. Incidence of sepsis was the highest in patients aged 65–74 years, 44% had severe sepsis and 16% had septic shock, and mortality was 31% and 75% respectively. Most

common organ dysfunction was renal followed by cardiovascular and respiratory

involvement. The commonest focus of sepsis was respiratory tract followed by urinary tract. Prognosis is good in initial stages of sepsis and worse in septic shock. Hence, early

recognition and prompt treatment are of paramount importance.

Keywords: Septic shock, sepsis, mortality, ICU, renal, cardiovascular, respiratory

RRJoHP (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: A Journal of Health Professions ISSN: 2348-9537

Volume 4, Issue 1

www.stmjournals.com

Guidelines for Withdrawal of Anti-Epileptic Drugs

in Seizure-Free Patients

Lomati Venkata Pavan Kumar Reddy*, Lomati Sandya, Lomati Vidya Department of Pharm-D, P. Rami Reddy Memorial College of Pharmacy, Kadapa-516003, India

Abstract The ultimate goal of epilepsy treatment is to become seizure free and live a healthy life

without the need to take antiepileptic drugs may cause several tricky and sometimes serious side-effects. There is no class I evidence that is based on randomized double-

blind trials for withdrawal of antiepileptics in adults who become seizure-free while

taking such drugs. Whether or not antiepileptic drugs should be withdrawn after a patient has been seizure-free is a challenging concern for several years. Certain studies advise

that the total risk of seizure recurrence is approximately 30%, if treatment is withdrawn. The clinical factors associated with a greater chance of successful withdrawal include

childhood onset epilepsy, monotherapy, being seizure-free for more than two years, a

normal electroencephalogram prior to drug withdrawal, normal neuroimaging and normal intellect. Withdrawal should be gradual and take place over roughly 6 months.

Several useful review articles, guidelines, and meta-analyses have been published on the

subject of antiepileptic drug withdrawal. Tapering the dose plays essential role in while

withdrawal of an antiepileptic drug. The discontinuance of antiepileptic drugs

may be patient or parent/guardian meets a profile by considered the

physician.

Keywords: Antiepileptic drugs, epilepsy, seizure-free, withdrawal

RRJoHP (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: A Journal of Health Professions ISSN: 2348-9537

Volume 4, Issue 1

www.stmjournals.com

Living with Infertility: A Review

Poonam Sheoran*, Jyoti Sarin

Principal, MM Institute of Nursing, Mullana, Ambala, India

Abstract Human fertility is one of the most complex processes. It is influenced by a set of social

and biological factors. Most couples achieve pregnancy within one year of trying, with the greatest likelihood of conception occurring during the earlier months. Infertility

refers to the biological inability of an individual to contribute to conception, or to a

female who cannot carry a pregnancy to full term. In India, one in every five couples is childless. The infertility experience involves many hidden losses for the individuals, their

loved ones and society as a whole. The society often fails to recognize the grief caused by infertility; therefore, individuals denied parenthood often tend to hide their sorrow.

Infertility exerts a negative psychological impact on individuals and couples. The extent

of the impact, however, may vary which is influenced by a number of factors such as desire for a child/family; past experience; family history; relationships past and present;

diagnosis; cultural beliefs; and treatment outcome. Fortunately, the development of assisted reproduction technique (ART) methods in the recent years has made parenting

possible for a substantial number of infertile couples.

Keywords: Fertility, infertility, psychological impact, assisted reproductive technique

RRJoHP (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: A Journal of Health Professions ISSN: 2348-9537

Volume 4, Issue 1

www.stmjournals.com

Road Accidents among Adolescents

Gaurav Kohli1*, Malar Kodi Aathi

1, Manu Sethi

2

1M. M. Institute of Nursing, M. M. University, Mullana, Ambala (Haryana)-133207, India

2Mai Bhago College of Nursing, Tarantaran (Punjab)-143401, India

Abstract A systematic investigation will provide dynamic understanding about the road accidents,

incidence, causes and actions for traffic safety among adolescents according to

demographic and clinical data on all accident victims admitted age between 12 and 20 years. There were 257 (95.2%) males and 13 (4.8%) females. There were 12 (4.4%)

deaths, 9 (75%) due to traumatic brain injuries [1]. Due to vast mechanization of today’s

world, youngsters have been provided so many facilities. On one hand all these things are new, fast, attractive, and adventurous and time-saving but on the flip side all these

things are very harmful to new generation. While planning traffic safety initiatives, policy makers and leaders need to recognize children’s vulnerabilities as well as their

inexperience, developmental needs and exuberance for life. Road crashes are not

“accidents” we need to challenge the notion that traffic crashes are unavoidable and make room for a proactive, preventive approach to reducing death on the roads. Doing is

a better route to better traffic safety [2].

Keywords: Road traffic accidents, adolescents, traffic safety, crashes, fatalities,

speed, safety rules, safety signs

RRJoHP (2014)© STM Journals 2014. All Rights Reserved

Research & Reviews: A Journal of Health Professions ISSN: 2348-9537

Volume 4, Issue 1

www.stmjournals.com

Socio-Economic Status and Patient Rehabilitation in

India: A Community Physiotherapist’s Odyssey

Pavithra Rajan* Research Associate, Institute for Social and Economic Change, Bangalore, India

Abstract Rehabilitation of patients belonging to lower socio-economic status in India can be

challenging. This is due to many reasons. Some of the commonly found causes are lack of

adequate health care facilities, patient overload and lack of skilled physiotherapists and lack of awareness among the patients. Given the time and resource constraints in a

country like India, it is important to look for cost-effective solutions that could help in

alleviation of the symptoms of these patients. One of the cost-effective ways to tackle these issues could be greater emphasis on community-based rehabilitation as opposed to

institution-based rehabilitation. There are various advantages of community-based rehabilitation, taking into consideration its cost-effectiveness and time-saving strategies.

It can thus be concluded that community-based rehabilitation could be viewed as an

effective solution to tackle health issues affecting larger populations, especially those that lack access to institution-based health care facilities.

Keywords: Rehabilitation, health care, physiotherapist, community-based

rehabilitation, institution-based rehabilitation