Ph.D Thesis

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A study of financial performance of commercial Banks in post Demonetization period A comparative study of Public and Private sector Banks
(SRHU, 2024-06-27) Dobhal, Jyoti
Banks play an important role in the economic development of a country. The banking system serves as the financial engine of the nation's economy. It meets the financial needs of the economy, industry, and agriculture. Small changes in government policy can have a significant impact on the banking sector's operations, which can directly affect the growth and development of the nation's economy. The demonetization of the 500- and 1000-rupee notes took place in India on 8 Nov. 2016. The various banking operations underwent significant changes as a result of the sudden demonetization. Demonetization had affected many sectors of the nation, but banking sector was the most affected one because it served as a primary source via which the entire process carried out. It becomes necessary to understand the demonetization impact on banks performance. The present study is an attempt to evaluate the financial performance of public and private sector banks during demonetization period. Three public sector banks (SBI, PNB, BOB) and three private sector banks (HDFC, ICICI, AXIS) are chosen for analysis. With the help of ratio analysis, the financial performance of public and private sector banks is compared in pre and post demonetization period. The findings indicated that private banks performed better than private sector banks in pre and post demonetization period.
A study of the impact of Risk factors on portfolio returns
(SRHU, 2023-09-01) Ali, Alin S.
The study examines the efficacy and applicability of various asset-pricing models by testing them against single-sorted and double-sorted portfolios comprising of companies listed on the National Stock Exchange from December 2000 to January 2020. The study also focuses on studying the significance of impact that various factors included in the aforementioned models have on portfolio returns. Going by the results, there is significant size and value effect. The observations also indicate a significant Profitability effect; however, its magnitude is found to be lesser than the Size and Value effects. The same cannot be said of the Investment effect. The study also finds a persistent twelve-month Momentum effect that remains unexplained by asset-pricing models not comprising of a momentum factor. Moreover, no significant evidence was found which would favor the FFFF model over other models. Even though the FFTF model performs comparably against other asset-pricing models that are tested here, the study concludes in favor of the FFTF model as the superior amongst all, owing to the parsimonious nature of the model.
A study on barriers related to prevention and management of acute respiratory infection among mothers of under five children with a view to develop and evaluate a need based interventional package in selected rural community of Delhi
(SRHU, 2024-10-01) Bajwan, Deepika
Early childhood is a sensitive period of child’s development which makes foundation for well-being and learning of children throughout their entire life. Acute respiratory infection constitutes a significant global health burden particularly among under five children and cause of sickness and deaths in this vulnerable age group.
A study on risk factors of Malnutrition and effectiveness of family based intervention Program (FBIP) on nutritional Status of children and Knowledge and practices of mothers in selected villages of Nainital district Uttarakhand
(SRHU, 2022-11-29) Haldar, Pratiti
Introduction Nutrition is very essential for the children below five years of age. Insufficient nutrients intake during early phases of development, predisposes them to develop nutritional deficiencies and altered growth and development. In order to overcome the problem of malnutrition it is necessary to have an intervention which is not only effective but also it is reachable, feasible, culturally acceptable and can also be combined with local health services. The present study focuses on developing and testing a nutritional intervention specific to the needs of children in the hilly areas of North India. The objectives of the study were to assess the nutritional status of children, explore the risk factors of malnutrition and evaluate the effectiveness of Family-Based Intervention Program (FBIP) on nutritional knowledge and nutrition related practices of mothers. Materials & Methods The present study was conducted in two phases. In phase I, exploratory approach with cross-sectional survey design was adopted to identify the nutritional status of children and to explore the risk factors related to malnutrition. Muti-stage cluster random sampling technique was adopted to select a sample of 703 children, aged 1-3 years, from four sub-centers selected as clusters. Door-to-door survey was done for assessment of nutritional status of children and to explore the risk factors. All the children identified as malnourished in the Phase I were recruited for the Phase II of the study. The research approach used for phase II was experimental approach with cluster randomized control trial design. The four selected sub-centers were randomly allocated to intervention (two sub-centers with 75 children) and control group (two sub-centers with 74 children). Nutritional status was estimated from anthropometric measurements, and semi-structured questionnaires were used to assess the risk factors of malnutrition, nutritional knowledge and nutrition related practices. The intervention group received Family Based Intervention Program. Post-tests were conducted at 1st, 3rd month, 6th and 9th month. xxv Results The result of the study shows that, 76 (11%) children were underweight, 74 (10.8%) children in mild to moderate category and 2 (0.2%) in severe category. About 39 (5.5) children were found to have wasting, 28 (4%) with mild wasting and 11(1.5%) with moderate wasting. Stunting was found in 88 (12.6%) children, 87 (12%) in mild to moderate category and 1 (0.14%) in severe category. The overall prevalence of malnutrition was 152 (21.6%). The common risk factors of malnutrition identified in the study were anemia during pregnancy, birth weight of child below 2.5 kg, non-initiation of breast feeding within one hour of birth, weaning before six months, bottle feeding, recurrent illness during childhood, skipping of meals, not enjoying meals while eating, open drainage, not having pucca house, not having toilet and not sowing own vegetables were significant factors related of nutritional status of children. A significant difference was observed in the nutritional status between groups in terms of weight gain. The mean weight of intervention group was significantly higher than the control group at 6th (10.79 + 0.81, 10.32 + 1.01, t = 3.08, p < 0.05) and 9th month (11.32 + 1.51, 10.68 + 2.26, t = 3.08, p < 0.05). No significant difference was observed in height. The post-test nutritional knowledge and nutrition related practices were also significantly higher among the experimental groups (p < 0.05). Conclusion Malnutrition in under five children is very significant problem affecting their health. The present study shows that Family Based Intervention is effective in improving the weight of children. So, interventions like screening of children at regular intervals, exploring the risk factors of malnutrition and providing need-based intervention involving the active participation of parents can be adopted as a measure to reduce malnutrition prevalence in children.
A study to assess the effectiveness of nurse led cognitive stimulation program (NLCSP) on cognitive functions and quality of life among elderly in the selected rural community of Panipat, Haryana
(SRHU, 2023-09-01)
Background: Aging is natural unrestrictive and irreversible process and elderly population is increasing day-by-day, and their number will increase twice by 2050 and approximately will get up to 2 billion as per national aging report. In old age there is loss in number and functioning of neurons which ultimately leads to decrement in cognitive functions with several causes. This decrement of cognitive functions (attention, memory, orientation, and executive function etc.) is known as cognitive impairment which changes overall personality of the elderly. Prevalence of decline cognitive functioning is directly related with age and is increasing rapidly. Apart from the pharmacotherapy, there are other approaches and programs like cognitive stimulation therapy found effective in improving cognitive functions and quality of life. Cognitive stimulation is considered as “involvement in a range of activities and discussion (generally in a group) which target at general building up of cognitive and social abilities.” Aim: To explore and gain understanding about various problem related with decline cognitive functions among elderly population and also to promote and strengthen their cognitive functions and quality of life. Methods: Mixed method approach with a sequential exploratory design was adopted for the study. Study was conducted in two phases. In first qualitative phase problem related to declining cognitive abilities were explored in elderly and their caregivers by adopting techniques of focused group discussion till the point of data saturation. Following this phase intervention was developed and in second quantitative phase planned Nurse-Led Cognitive Stimulation Program (NLCSP) was taught to the experimental group biweekly for seven weeks in 14 sessions to groups of elderly. In this study multi-stage sampling technique was used to gather 100 elderlies from selected villages of district Panipat (Haryana). Tools used in the study were—socio-demographic proforma; semi-structured interview schedule for focused group discussion; and Mini Mental State Examination of Hindi version and QOL-AD scale, which were standardized tools to assess the cognitive functions and quality of life. After the seven-week intervention immediate post-test was done followed by follow up after three months and one year of intervention in both experimental and control group to assess the retention of the program. The gathered data was edited, tabulated as well as analyzed and interpreted statistically. Results: Elderly in both groups had similar demographic characteristics and also indistinguishable in pre-cognitive and quality of life scores. In thematic analysis in first phase, the reported experience was that decline in cognitive functioning is an age-related process, which has an adverse impact on life of the elderly and their caregivers. In the quantitative phase, mean post-test cognitive function score of post-test1 and follow ups at three months and one-year post intervention within the experimental group, as analyzed by repeated measure ANOVA, was significantly higher than baseline score. Also, while comparing pre-test and post-test of cognitive functions score in between groups unpaired t test result reveals remarkable differences. Mean quality of life score in control group remained same and even decreased slightly from baseline to immediate post-test score and follow up at three months and one-year post intervention; but, within experimental group the mean post-test quality of life score was increased significantly from baseline. Comparison of quality-of-life score between groups also exhibits statistical differences at p<0.05. Conclusions: Nurse Led Cognitive Stimulation Program (NLCSP) was effective in building the level of cognitive functions score as well as improving the quality of life among elderly. The findings also reveal that age is having an impact on quality of life.
A study to develop and evaluate the effectiveness of a need- based, interventional package on awareness and self-efficiency of primary caregivers in care of children during primary immunizations in selected health facilities
(SRHU, 2024-10-01) Sharma, Neeti
Immunization is an important aspect of child’s health. It protects the child from various vaccine preventable diseases (VPDs), reduces their severity and gives a long lasting immunity to a child. In absence of vaccination these infections can otherwise become very severe and sometimes fatal. India’s vaccination coverage is far behind from the global vaccination coverage of 81%. Due to this millions of children succumb to these VPDs due to low coverage. Parents and caregivers awareness and timely decision making hold to key to this problem. The current study was planned to assess effectiveness of an interventional package in terms of primary caregivers’ awareness and their self-efficiency. As timeliness and adherence to immunization schedule is necessary for the child to develop age specific immunity. It also aimed at quantifying the vaccine related problems among children and immunization compliance among primary caregivers
Bio remediation of Monocrotophos Pesticides by Actinobacteria
(SRHU, 2024-03-26) Rani, Ankita
The persistent use of pesticides in agriculture is an issue of global concern due to their potential environmental impact and adverse health effects. Despite their efficacy in controlling pests and improving crop yields, pesticides can disrupt ecosystems, contaminate soil and water, and endanger non-target species. Additionally, the widespread reliance on these chemicals can lead to pesticide resistance in pests, reducing their effectiveness over time. These challenges underscore the need for more sustainable and environmentally friendly pest management strategies. This study introduces Actinobacteria as a potential solution to these challenges. Actinobacteria, a diverse group of Gram-positive bacteria, have been recognised for their potential in agricultural applications due to their unique metabolic capabilities. Remarkably, some Actinobacteria strains have demonstrated the ability to degrade various pesticides, mitigating their environmental impact. This study examines the feasibility of utilising indigenous Actinobacteria strains to degrade monocrotophos, a commonly used pesticide in agricultural practices. The findings provide valuable insights into the potential of these microorganisms as a sustainable alternative to conventional pesticide use.
Bioprocess development for the biological removal of iron from subsurface drinking water in Uttarakhand
(SRHU, 2024-10-01) Rani, Usha
Uttarakhand is a state in India's northern Himalayas that is blessed with magnificent natural splendour and abundant mountain springs. Even so, during the summer, there is a severe lack of potable water in clusters of hilly villages, there is a severe water shortage, particularly in the summer and in years with less rainfall. In Uttarakhand, the springs serve as the natural source of domestic water. The ionic chemistry of surface and groundwater can vary significantly due to several factors, the most significant of which are urbanization, industrialization, and agricultural development. The strategy for the development and management of water resources as part of the water resources development programme includes an evaluation of the impact that industrialization and urbanization have had on water resources. As a result, in the Haridwar district of Uttarakhand, comprehensive research on the sub-surface and groundwater quality has been carried out to evaluate the water's quality and determine whether or not it is suitable for drinking, residential, or agricultural use.
Comparison of two fluoride application regime in oral cancer patients a randomized controlled trial
(SRHU, 2022-11-29) Kandwal, Abhishek
Introduction: Oral cancer ranks first among males and second overall in the Indian population as per GLOBOCAN 2020. In these patients Supportive oral care lack as an integrated part of cancer care. The most prevalent side effect of chemoradiotherapy (CT-RT) is Radiation caries and their sequel. This results in increased dental disease burden and poor oral health-related quality of life scores (OHRQOL). Aim: Present Randomized controlled trial was conducted to evaluate the effect of fluoride on dental disease burden in terms of DMFT scores in patients who have received CT-RT in the region of the oral cavity. Oral health-related quality of life in terms of OHIP-14 scores was also assessed. Materials& Methods: 111 patients participated in the randomized controlled trial as per the CONSORT statement. Two regimens, Monthly, and quarterly application were further divided into varnish and gel subgroups. This resulted in a total of four groups including monthly varnish application (AV), monthly gel application (AG), quarterly varnish application (BV), and quarterly gel application (BG). These were analyzed for DMFT and OHIP-14 scores at baseline, one month, six months, and one-year recall post chemo-radiotherapy (CT-RT). Results: Median and Interquartile range of DMFT scores for the AV group were 2(0.25-6), 2(1-6), 3(1-7.7), and 4(1-9) at baseline, one month, six months and one xviii year recall respectively. For the AG group, it was 2(1-5), 2(1-5), 4(1-8), and 5(1-8) respectively. For BV Group it was 3(1-4), 3(1-4), 3(2-6), and 4(2-6) respectively, while for BG Group it was 2(0-4), 2(0-4), 391.5-4.5) and 4(2-5) respectively for four recall points. These values were highly significant P<0.001. OHIP-14 score’s Median and Interquartile range at baseline, one month, six months, and one year recall were 14(11-25.7), 35(28.2-40), 5.5(0-6) respectively. For AG group it was 13(2-24), 29(26-36), 6(0-12) and 0(0-6) respectively. For BV group it was 15(10-24), 34(27-46), 3(0-14) and 0(0-7) respectively. While For BG it was 11(5-18.5) 29(23.5-40), 3(0-11) and 0(0-6.5) respectively. These values were highly significant with P<0.001. Intergroup comparison was not significant for DMFT and OHIP-14 scores for four intervention groups. OHIP-14 score’s Mean and standard deviation values for sufficient mouth opening and insufficient mouth opening were 20.6 ±9.5 and 12.8 ±9.8 respectively, which was highly significant with p <0.001. Conclusion: DMFT scores reported a significant and minimal constant increase in patients at one-year recall from baseline. Fluoride application was effective in controlling the DMFT scores at one-year recall in these patients. OHIP-14 scores significantly improved at recall visits from baseline by use of fluoride as part of the Supportive Oral Care Protocol (SOCP). Fluoride varnish and gel applied either monthly or quarterly provided similar changes in DMFT and OHIP-14 scores. Hence any combination of these can be considered effective in the care of these patients. Insufficient mouth opening drastically reduces oral health-related quality of life scores in these patients and hence they required more care. xix Clinical Recommendation: Fluoride application as per supportive oral care protocol (SOCP) is recommended as an integral part of the oral care needs of head and neck cancer patients including oral carcinoma. Monthly topical fluoride application during the first year post CT-RT and thereafter-quarterly application lifelong is advised. Involvement of a Dental supportive care expert from the point of diagnosis of cancer is needed. A Dental expert as a part of the multidisciplinary team for cancer care of head and neck cancer patients is recommended.
Dosimetric evaluation in carcinoma lung by intraluminal brachytherapy and correlation in phantom model
(SRHU, 2024-10-01) Kant, Ravi
In the carcinoma lung patient, endobronchial brachytherapy (EBBT) is used as treatment modality. The radiation dose to the tumor is planned in the treatment planning system (TPS) on the CT scan of the patient and treatment delivered by the machine. Treatment plan verification, dosimetric, volumetric analysis is necessary to perform for accurate treatment delivery to the patient, which requires a tissue equivalent phantom model mimicking the actual thoracic body structure because in the actual patient, dosimetry is not possible. In this study, the dosimetric analysis is performed in the locally fabricated human tissue equivalent thorax phantom with the help of Radiochromic film dosimeters. Dosimetric and volumetric analysis is performed on patients treated with EBBT technique.
Effectiveness of a comprehensive breastfeeding promotion program on breastfeeding self efficacy practices and outcomes among Primigravid mothers a randomized controlled trial
(SRHU, 2024-06-27) Frederick, Neha
Breast milk is the complete and best nutrition of all the babies. Both mothers and newborns can benefit from breastfeeding in terms of health. Additionally, breastfeeding can assist mothers and the baby ward off several ailments and disorders. The present study focuses on developing a breastfeeding promotion program specifically for the primigravid mothers of Uttar Pradesh. The objectives of the study to assess the breastfeeding knowledge practices and problems related to breastfeeding among the postnatal mothers and to assess the effectiveness of the comprehensive breastfeeding promotion program on breastfeeding self-efficacy, practices and outcomes among primigravid mothers.
Effectiveness of an individualized communication protocol on clinical outcomes of comatose patients in selected intensive care unit of tertiary care hospital
(SRHU, 2023-09-01) Thakur, Pooja
Background: Communication with patients is one of the important aspects of nursing care in critical care settings. Nurses play an important role in communicating with seriously ill patients Objectives: To assess the effectiveness of Individualized Communication Protocol (ICP) on clinical outcomes of comatose patients in terms of physiological adverse events, consciousness, agitation & sedation and pain level. Methods: A “quasi-experimental” was adopted to conduct the study on 113 comatose patients admitted in ICU. Initially, 58 patients were enrolled in the control group and their clinical outcomes viz. physiological adverse events, consciousness, agitation & sedation and pain level were collected twice daily till 14 days or transfer out of patients from ICU/Death/LAMA, whichever was earlier. Training was imparted to ICU nurses regarding Individualized Communication Protocol (ICP) consisting of environmental preparation, verbal and nonverbal communication with patients in coma by nurses and family members. After training of staff nurses, patients were enrolled in experimental group (n=55) and similar outcome variables were collected for experimental group. xxxi Results: Study results revealed that patients in experimental and control group were homogenious in term of their socio-demographic and clinical variables. The study findings showed that nurses’ knowledge and practice regarding individualized communication increased in post test. The conscious level improved in experimental group on 4th day as compared to control group (p<0.0001). It was observed that patients in experimental group required less sedation as compared to control group. Pain score also decreased in experimental group compared to control group. Conclusions: The ICP developed by the researcher facilitated communication with comatose patients by staff nurses in ICU. Therefore, it is recommended that ICP should be incorporated as a routine care.
Effectiveness of Comprehensive Nursing interventions on well being and quality of life among Senior Citizens in Rural community Nepal
(SRHU, 2024-06-27) Mainali, Shila
Aging is a physiological and degenerative process causing generalized degradation of body functions, raising the risk of age related disorders, affecting well- being and quality of life. Comprehensive nursing interventions address the needs and problems of the rapidly accelerated ageing population.
Effectiveness of Home Based Newborn Care HBNC on knowledge attitude and practices among ASHAs Accredited Social Health Activists working in rural areas of Uttarakhand
(SRHU, 2022-09-07) Devi, Rajkumari Sylvia
Neonatal mortality stays high regardless of a decline in under-five deaths. About 40% of all under-five deaths are among infants.1 Almost all (99%) of these neonatal deaths were happened in developing nations with the most elevated rates in sub-Saharan Africa.2 More than 50% of child deaths occur below the age of five years. In 2008, the number of death of under-five children was 1,829,826 out of which 1,003,767 (54.8%) died in the neonatal period. Preterm birth, neonatal infections, asphyxia, sepsis, diarrhea, malnutrition, etc. are the main reasons for most neonatal deaths.3-5 India ranks second with the largest population, accounting for about 17% of the global population and 20% of worldwide births. India accounts for a fifth of the global under-five child death. Around 27 million live births and two million deaths of under-five children are reported each year. The annual mortality rate of under-five children in India represents a quarter of the global child mortality. Therefore control of child death is very crucial if the world is destined to achieve the targeted Sustainable Development Goal (SDG).6 Indian Academy of Pediatrics (IAP) has critically examined numerous health programs of children started by state and central government. Mission 20/20 by IAP has come up to further decrease IMR. With this mission, IAP conveys its zeal to commit its endeavors and assets to catalyze the decrease of IMR in India. This activity supports all necessary requirements to achieve the objective of the mission, IMR of 20 by 2020.7 2 The present neonatal mortality rate is still far from achieving the targeted goal of less than 20/1000 live births.8 Control of neonatal death is crucial to attain the targeted sustainable development goal of WHO. The government of Indian, through the Ministry of Health and Family Welfare (MoHFW) and the National Health Mission (NHM), has initiated various health programs to control newborn mortality in both villages and cities.9-10 Under the scheme “Janani Suraksha Yojana”, institutional deliveries have been intended to improve by health professionals through cash rewards to the mothers.9,11 This may further encourage providing children with good food and quality health care. However, the achievement concerning the control of neonatal mortality rate is still far from the targeted rate. Significant inequalities of NMR are found in rural and urban, and different socioeconomic classes. The neonatal mortality in villages is just double as compared to developed cities (31 vs 15 per 1000 live births).8 The failure may be due to the way of functioning of the health departments. At this point of time, it is imperative to execute sincere and collaborative services from all related departments i.e. government and private health sectors, and society organizations. Various factors influence the survival of children after birth that include proper breastfeeding, maintaining a warm body temperature, periodic medical check-ups and getting treatment, etc. The early few years of birth of children is a stage of life where possible maximum care must be provided as they are exposed all of a sudden to a polluted external environment from the sterile condition. The children need to be protected in all respects in the new environment. As a result, a huge number of neonates fall under prey in economically least developed and developing countries. Under-five 3 deaths are mainly due to premature birth, neonatal sepsis, birth asphyxia, pneumonia, diarrhea, etc in rural areas of India.12-13 Efforts have been made to reduce the death rate by incorporating new strategies with respect to premature birth, asphyxia, pneumonia, etc. in several child survival programs.14-17 Reports are available on the successful implementation of some effective measures related to child health care being taken up by rural health care workers. Management of pneumonia in under-five children using cotrimoxazole could result in a 20% reduction in neonatal mortality that hints the importance of possible home-based care in the management of child mortality
Effectiveness of nurse led intervention on self-care behavior psychological symptoms and quality of life among kidney transplant recipients in a selected tertiary care hospital of New Delhi
(SRHU, 2022-11-29) Dahiya, Ujjwal
Background: Chronic disease of kidney is an important cause of global mortality & morbidity. It has become a fast expanding global problem related to health in all the nations. Patients with end stage renal disease prefer kidney transplantation as the treatment over dialysis due to increased expectancy & quality of life but a costly choice in developing countries. Therefore, strict adherence to therapy and lifestyle modification is required for improved graft survival. Objectives: To determine the effectiveness of nurse led intervention on self care behaviour, psychological symptoms and quality of life among kidney transplant recipients. Materials and Methods: A prospective randomized controlled with time series design was adopted for the study. The study was carried out according to Consolidated Standards of Reporting Trials (CONSORT). The consecutive sampling technique was used to recruit 120 kidney transplant recipients attending transplant clinic who had completed three months after transplantation and fulfilling the eligibility criteria. The subjects were randomized to receive either standard care (N=60) or standard care plus nurse led intervention (N=60) by concealed randomization. The nurse led intervention included the components of formal health education, relaxation therapy, counselling and telephonic reinforcement. The intervention comprised of three sessions of 45 minutes each and telephonic reinforcement weekly for two months. Sociodemographic xxi and clinical data was collected using structured questionnaire, self care behaviour was assessed by self care practice checklist and Morisky Green Levine adherence scale.Psychological symptoms & quality of life were assessed by DASS 21 and WHOQOL Bref respectively. The outcome measures were assessed at baseline and at six months and nine months post kidney transplant. Results: The mean age of participants was 40.05±10.91 years in experimental and 39.45± 10.09 years in control group. Baseline characteristics in the groups were comparable. There was statistical significant difference in the total self care practice scores between experimental & control group (p=0.001). Adherence to immunosuppressive therapy scores showed there was statistical significant difference between experimental and control group in Posttest 1(p=0.03) and Posttest2 (p=0.001). There was statistical significant difference for psychological symptoms of stress
Effectiveness of parenting skill program on child’s adaptive behavior, parental self-efficacy and mental well-being among the parents of children with intellectual developmental disability in selected special schools of Delhi
(SRHU, 2024-10-01) Thakur, Nancy
Caring for children with IDD is a challenging and demanding extra care and attention due to deficiency in their adaptive skills. Parenting skill program designed to empower parents to assist their children with IDD in strengthening their adaptive abilities.
Efficacy of Comprehensive childbirth preparation package on childbirth experiences and Maternal-Neonatal outcomes among Primigravidae in selected Health Center of Noida, Uttar Pradesh
(SRHU, 2023-09-01) Bist, Lekha
Introduction Childbirth causes physical and mental changes to pregnant women. The woman's childbirth experience is very important and her childbirth memories remain alive for lifetime. Childbirth preparation programs have shown to promote women knowledge, expectation and experience of childbirth. Childbirth preparation program can make a symbolic difference to a women childbirth experience. The purpose of the study was to assess the efficacy of comprehensive childbirth preparation package on childbirth experiences and maternal-neonatal outcomes among primigravidae in selected health center of Noida, Uttar Pradesh. Methodology The present study was conducted in two phases. In phase I, exploratory research approach was adopted to explore childbirth preparedness and childbirth experiences based on which a need based comprehensive childbirth preparation package was developed and in phase II a randomized control trial was conducted to evaluate efficacy of comprehensive childbirth preparation package on childbirth experiences and maternal-neonatal outcomes. Primigravidae between 28-34 weeks were allocated to experimental and control group by simple random sampling technique. Data collection procedure was started after obtaining ethical, administrative permission and consent from the participants. Pre-test was conducted in both the groups and intervention was delivered once a week for a period of three weeks. Post-test was conducted on 15th day of the intervention to assess childbirth preparedness, childbirth expectation. On 3rd day of delivery post-test was done to assess childbirth experiences, childbirth fear, labour outcome and breast-feeding self-efficacy. On 7th day and 6th week of delivery postnatal outcomes of mother and baby was assessed. Results There was no significant difference in the mean pre-test scores of childbirth preparedness between groups (p = 0.37) and a statistically significant difference was observed in post test scores of childbirth preparedness (p = 0.03). The pre-test childbirth expectation scores had no significant difference between experimental and control group (p = 0.75), whereas, statistically significant difference was observed in post-test childbirth expectation scores between experimental and control group (p ≤ 0.001). This reveals that comprehensive xxvi childbirth preparation package was effective in terms of childbirth expectation. A statistically significant difference among study participants in experimental and control group in childbirth fear scores (t =7.85, p= 0.001) whereas no difference was observed at pre intervention level in childbirth fear (t =1.19, p=.23) between groups. Significant difference was observed in mean score of labor and birth experience between experimental (113.9 ±5.7) and control group (85.9±6.5) at p=.001. Maternal−neonatal outcomes between experimental and control group in terms of labor outcome and breast-feeding self-efficacy found to be significant at (p<0.5). Conclusion The comprehensive childbirth preparation package was effective in terms of childbirth experiences and maternal-neonatal outcome. From the findings of the study conclusion can be drawn that primigravidae who were exposed to comprehensive childbirth preparation package were having significantly positive childbirth experiences and better maternal-neonatal outcome than the control group.
Enhancement of iron and zinc Bioavailability in finger millet (Eleusine coracana) using bacterial endophytes
(SRHU, 2024-10-01) Chaudhary, Renu
Food security is a global concern exacerbated by deficiencies in essential micronutrients, impacting human health, especially in low- and middle-income nations. This thesis addresses the prevalent issues of zinc and iron deficiency in Indian soils, focusing on their impact on crop growth, quality, and subsequent human health. A comprehensive exploration of iron and zinc-solubilizing endophytic bacteria as a potential solution for enhancing the nutrient content and bioavailability in finger millet (Eleusine coracana) is presented. The study begins with the isolation and analysis of 112 endophytic bacteria from three finger millet cultivars, selecting six based on their ability to solubilize iron and zinc salts. These isolates were characterized for plant growth-promoting attributes and adaptability to various abiotic stresses.
Exploitation of microalgae for bioproducts production using dairy effluent
(SRHU, 2024-10-07) Dhillon, Nisha
This study investigates the potential of microalgae in the sustainable remediation of dairy effluent, emphasizing the generation of valuable biomolecules. Dairy effluent, rich in nitrogen, phosphorus, and trace metals, serves as an excellent medium for cultivating microalgae, which play a dual role as bioremediators and producers of compounds such as lipids, proteins, and carbohydrates. The study focuses on autochthonous microalgal strains isolated from dairy effluent, exploring their capacity for waste-to-bioproducts transformation.
Impact of Employee Engagement and work life balance on job satisfaction in Aviation industry
(SRHU, 2024-06-24) Dubey, Deepti
In today’s dynamic environment, aviation industry faces difficulty in retaining their talented employees. There is a growing disengagement among employees today, and there is deterioration in WLB and EE. Engaged employees with full workforce can make the difference between a company organization's survival and success during a downturn in the economy. The relationship between WLB, JS and EE in aviation industry is main emphasis of this study. This study aims to investigate how WLB and EE affect aviation industry employees' JS. In order to do this, study was carried out on 739 workers in Indian aviation sector. Study uses step-wise multiple regression analysis, factor analysis, and Pearson's to ascertain how employee involvement affects work satisfaction. The results indicated a strong and favourable correlation among WLB, EE and JS. This research offers significant insights into the relationship between WLB, JS, and EE, making it useful for practitioners and scholars alike.