ABSTRACT
Background: Assessment of the subjective perception of the women regarding satisfaction of oral intake during labor and the effect of oral intake on cervical dilatation rates and labor duration in low-risk laboring women.Methods: A prospective observational study was conducted from January 2021-July 2022 in a tertiary care hospital with 176 low risk laboring women. Satisfaction of oral intake in labor was assessed by a questionnaire post-delivery and the answers were analysed among various parous groups and were correlated with cervical dilatation rates in active and latent phase and duration of labor.Results: Based on the satisfaction of oral intake in labor, the patients were divided into very satisfied, satisfied, neutral and dissatisfied group. Only 6.7% of primigravidas and 25% of multigravidas were very satisfied with oral intake. Patients who were dissatisfied and not satisfied with oral intake had slower median rates of cervical dilation of 0.45 cm/hour and 1.25 cm/hour in latent and active phase respectively compared to the very satisfied group who had a rate of 0.5 cm/hour and 2.4 cm/hour in the latent and active phase in primigravidas. The mean duration of the first and second stage of labor was 15.5 hours and 50 minutes in the dissatisfied group which was prolonged compared to the patients who had very satisfied oral intake in labor with a duration of 9.6 hours and 30.8 minutes respectively among the primi-gravidasConclusions: In primi-gravidas the cervical dilation rates were faster in the group who were very satisfied and satisfied with their oral intake compared to the group who were dissatisfied. The labor duration was also prolonged among the dissatisfied group.
ABSTRACT
The purpose of the study is to test the impact of supply chain management practices on productivity of the organisation. Additionally, investigated the relationship between supply chain management practices and organisational productivity. The type of research used is descriptive in nature.. The study was conducted on the basis of various factors like risk management, process, delivery and planning and how organisational productivity can be improved through these factors of supply chain management practices. The paper revealed that there is a relationship between supply chain management practices and organisational productivity. It also revealed that there is an impact of supply chain management practices on organisational productivity. As far as the researcher is aware,this paper is rst to investigate the impact of supply chain management practices on organisational productivity with factors like quality management, inventory management and transportation and the researcher has done the study on different factors like risk management, planning, process and delivery
ABSTRACT
Objective To assess the trichoscopic features of alopecia areata, and determine correlation between the findings and the severity of alopecia tool [SALT] score
Methods A cross-sectional study was done on 67 patients in Amrita Institute, Kochi, who were clinically diagnosed with alopecia areata of scalp. Patients were examined using Heine Delta 20 Plus dermoscope
Results Yellow dots were the most common finding on trichoscopy, seen in 86.6 percent of patients. Black dots were next most common finding, seen in 68.7 percent of patients, followed by broken hair [59.7 percent], vellus hair [49.3 percent] and tapering hairs [25.4 percent]. Grey hair was seen in 11.9 percent and coiled hair in 7.5 percent patients. There was a significant relationship between vellus hair and lower SALT score. This study did not find any significant association between the other trichoscopic features of alopecia areata and clinical type or SALT score
Conclusion Scalp lesions in alopecia areata show characteristic features on trichoscopy, such as yellow dots, black dots, broken hair, vellus hair and tapering hair. Trichoscopy is a quick, easy tool in the diagnosis of alopecia and it can be a non-invasive alternative to skin biopsy