Effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital

Background: Antenatal Care (ANC) utilization facility is available but poorly utilized because of many factors which play indirect role in inadequate utilization of antenatal care facility: low social status of women in the society, less opportunity for basic education, less ability to make decisions. Therefore, the present study is an attempt to study the effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital.Methods: A prospective study was carried out on 525 cases delivered during period of one year at Dayanand Medical College and Hospital, Ludhiana, Punjab, India; a tertiary care hospital catering both urban and rural population. All cases were categorized into two groups: booked and unbooked. The age, parity and education of each patient in booked and unbooked cases was noted. Further, its impact on antenatal care utilization, maternal and perinatal outcome was studied.Results: On studying education pattern, among illiterate subjects 50% were booked and 50% were unbooked; For graduate and above were 80.6% and 19.4%respectively. Among mothers who were illiterate 90.9% had low birth weight babies and 13.6% had stillborn. Among those graduates and above 38.7% had low birth weight babies,1.5 % stillborn and 1.2% neonatal deaths.Conclusions: The educational status of the women came out as a significantly important variable and predictor of perinatal outcome. Hence, whole hearted efforts should be directed in educating women population and also improving health care facilities in rural areas to provide early referral to higher centers

An evaluation of a violence reduction partnership network:mixed methods network analysis

Purpose: The purpose of this paper was to report on the evaluation of the network and resources for violence prevention and reduction in the chosen area of focus. This area had experiences deprivation, significant implications due to Covid-19 restrictions and a lack of outdoor recreation space. Design/methodology/approach: Network analysis methodologies are increasingly being used in criminological research and evaluations to assess the structures of social and economic networks. This study explored, using a mixed-methods network analysis methodology, the nature of the established violence reduction network in a specific geographical location in West Midlands. Findings: A breadth of network activity is taking place across the community; however, the network analysis highlighted gaps in terms of specialist provision for early years and support from those with lived experience. It was perceived that a lack of continuity, in terms of changes in key roles, has affected the network. Funding mechanisms were perceived ineffective, and not encouraging of development of localisation services. Relationships between network members were predominantly positive with organisations having good communication and accessing support from one another; however, identifying shared goals and better collective working would benefit the network. Originality/value: This study pioneers using an innovative, mixed methods network analysis to explore a public health approach to violence prevention and reduction. Quantitative data collection and analysis allowed for assessment of the networks capacity and density, whereas qualitative data provided insights and detailed accounts of how the network functions.</p

A systematic review of evidence capturing efficacy of community and school-based approaches to knife crime intervention and prevention programs

This is an accepted manuscript of an article published by Emerald in Journal of Criminal Psychology on 28/03/2024, available online: https://doi.org/10.1108/JCP-09-2023-0054 The accepted version of the publication may differ from the final published version.Purpose Knife crime and serious violent crime (SVC) among youth has been growing at an alarming rate in the UK (Harding and Allen, 2021). Community and school-based intervention and prevention services to tackle knife crime are being developed with some evaluation; however, these are independent and of varied quality and rigour. Therefore, the purpose of this study is to record the approaches being developed and synthesise existing evidence of the impact and effectiveness of programmes to reduce knife crime. In addition, the complex factors contributing to knife crime and SVC are discussed. Design/methodology/approach A systematic approach was used to conduct this knife crime intervention evidence review using two search engines and four databases. Inclusion and exclusion criteria were applied to ensure focus and relevance. The results of searches and decisions by the research team were recorded at each stage using Preferred Reporting Items for systematic reviews and meta-analyses (PRISMA). Findings Some evidence underpins the development of services to reduce knife crime. Much of the evidence comes from government funded project reports, intervention and prevention services reports, with few studies evaluating the efficacy of intervention programmes at present. Some studies that measured immediate impact in line with the programme’s aims were found and demonstrated positive results. Originality/value This systematic review specifically synthesised the evidence and data derived from knife crime and weapon carrying interventions and preventions, integrating both grey and published literature, with a novel discussion that highlights the importance of outcome evaluations and issues with measuring the success of individual level interventions and their contributions to the overall reduction of violence.This work was undertaken as part of the work commissioned by the West Midlands Violence Reduction Partnership.Published onlin

Fetomaternal outcome in high-risk parturients receiving epidural analgesia using fentanyl with ropivacaine versus iv tramadol: a comparative study

Background: Labour analgesia has been recommended but sufficient data on use of labour epidural analgesia with ropivacaine and fentanyl combination during labour is not available.Methods: A comparative study was conducted on 40 high risk labouring partuirents, randomly allocated to group A (iv tramadol) and group B (epidural analgesia with ropivacaine plus fentanyl). Assessments were done for fetal heart rate abnormality, mode of delivery, duration of labour, and Apgar score. The VAS score, patient satisfaction score, and complications were recorded.Results: Group A had more number of instrumental deliveries compared to group B, the later had higher number of caesarean sections. No difference was observed in vaginal deliveries in both the groups. Pain relief was significant in patients of epidural group. The neonatal outcome was same in both the groups. Significant number of patients had a higher degree of satisfaction score in group B compared to group A.Conclusions: Tramadol and epidural analgesia in labour are safe and effective. Patient satisfaction is significantly higher in epidural group as compared to the tramadol group

Energy Efficient IoT-Sensors Network for Smart Farming

The experience of smart farming can be improved using IoT-based applications. Still, the performance of IoT networks may be degraded due to different factors, i.e., the coverage area of the farm/location (surface or underwater)/environmental conditions etc. Network operations over heterogeneous environments may cause excessive resource consumption and thus may reduce the IoT sensor’s lifespan. To optimise energy consumption, in this paper, an energy-efficient method will be introduced for smart farming, and its performance will be analysed using different parameters (i.e., Throughput/energy consumption/residual energy etc.) using two different IoT standards (Long Range Low powered technology (LoRa)/SigFox)

An evaluation of a violence reduction partnership network: mixed methods network analysis

This is an author's accepted manuscript of an article published by Emerald on 27/09/2023 available online: https://doi.org/10.1108/SC-07-2023-0028 The accepted manuscript may differ from the final published version.Purpose The purpose of this paper was to report on the evaluation of the network and resources for violence prevention and reduction in the chosen area of focus. This area had experiences deprivation, significant implications due to Covid-19 restrictions and a lack of outdoor recreation space. Design/methodology/approach Network analysis methodologies are increasingly being used in criminological research and evaluations to assess the structures of social and economic networks. This study explored, using a mixed-methods network analysis methodology, the nature of the established violence reduction network in a specific geographical location in West Midlands. Findings A breadth of network activity is taking place across the community; however, the network analysis highlighted gaps in terms of specialist provision for early years and support from those with lived experience. It was perceived that a lack of continuity, in terms of changes in key roles, has affected the network. Funding mechanisms were perceived ineffective, and not encouraging of development of localisation services. Relationships between network members were predominantly positive with organisations having good communication and accessing support from one another; however, identifying shared goals and better collective working would benefit the network. Originality/value This study pioneers using an innovative, mixed methods network analysis to explore a public health approach to violence prevention and reduction. Quantitative data collection and analysis allowed for assessment of the networks capacity and density, whereas qualitative data provided insights and detailed accounts of how the network functions.This work was funded by the Home Office via the West Midlands Violence Reduction Partnership core grant for Evaluation 2021-22.Published versio

An Insight into Application of Land Use Land Cover Analysis towards Sustainable Agriculture within Jhajjar District, Haryana

The increasing population, depletion of natural resources, semi-arid climatic and poor soil health conditions in Jhajjar district of Haryana have drawn major attention towards the changes in Land Use/Land Cover (LULC). The region's increasing population is mainly dependent upon the agrarian economy; thus, sustainable agricultural production is a major thrust area of research. The present study analyses the LULC changes in the area during two decades 2000 – 2020, using remote sensing and Geographic Information System (GIS). Landsat satellite images (Landsat-7 and Landsat-8 satellites) for 2000 and 2020 were analyzed for mixed classification based on unsupervised classification followed by supervised classification. The study area has experienced an increase in agricultural land, surface water bodies and built-up land by 16.89%, 79.73% and 56.41%, respectively. There is a decrease in barren land and fallow land by 48.53% and 36.97%, respectively, as per the five major LULC classes. The LULC analysis indicates an increase in built-up land, which is responsible for controlling agricultural productivity and unsustainable agricultural activities. The study provides a comprehensive understanding of the land use trajectory in a specific region in two decades and associated unsustainable changes in the agrarian economy through pressure on the increase in agricultural production and conversion of land mass into croplands. It also signifies climate-resilient agriculture and the management of sustainable agriculture