M K Vainu Bappu

Bhattacharyya, J. C.

doi:10.1007/bf02836019

Cited by 4 publications

(8 citation statements)

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“…In citing both preventive and curative activities as being routine practices, graduates indicated that they struggled less than other CHWs with the tension of balancing the two forms of care 7 . Moreover, CLHTC graduates' activities comprised pastoral care (counselling, prayer, other) in addition to the common role description of a CHW.…”

Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

“…Participation in the course had also had an overall positive impact on candidates' self-confidence as well as their relationships with family members and villagers, echoing the experience of ASHAs in Manipur and CHWs abroad. 2,3,7 The activities of CLHTC graduates had also engendered a strengthening of relationships with local service providers, mainly in health but also in local governance roles. This was achieved in part through their activity within community structures and institutions: participating in (or initiating) village meetings, collaborating with local health practitioners, and establishing links with local schools.…”

Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

“…12,15 However, the interest of health personnel in supervising CHWs was often minimal and an early study found that the influence of the community was, in fact, greater in assuring CHW motivation and performance than supervision by the health system. 1,7,16 Therefore, an appropriate literature review and contextual analysis of the various influencing factors need to be conducted before establishing any post-graduation support structure.…”

Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

“…Both supervision-based and recognition-based incentives can help CHWs feel supported and motivated, and post-graduation support can take on innovative forms, such as use of mobile technology, as suggested by one of the respondents. 7,15,17 It is important to note, meanwhile, that CHW motivation is optimised when multiple incentives are rolled out over time.…”

Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

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Impacts of community lay-leader health worker training and practice (Uttarakhand, India)

Butcher¹,

Grills²

2017

han-j-cjgh

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This study investigated the impacts of the Community Lay-Leaders Health Training Certificate course on trainees and their communities in the state of Uttarakhand, North India. A suite of semi-structured interviews and focus group discussions were conducted among course stakeholders and graduates, respectively, and textual data was added to the data set. Thematic analysis of the results revealed four themes, including: (1) the effectiveness of course design and delivery, together with the key role of the coordinating facilitator; (2) the match between graduates' practices, the providing institution's objectives and general expectations of community health workers; (3) the strengthening of the health system through skills multiplication, collaboration with existing authorities, and advocacy for higher quality in professional practice; and (4) the need for ongoing support and training post-graduation. The findings are consistent with literature concerning community health workers' roles and challenges, although some potentially unique outcomes were noted with respect to the pastoral support provided to trainees and the pro-active transfer of graduates' knowledge and skills to fellow villagers.

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Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

Section: More Systematic Follow-up Support and Training Neededmentioning

confidence: 99%

See 2 more Smart Citations

Impacts of community lay-leader health worker training and practice (Uttarakhand, India)

Butcher¹,

Grills²

2017

han-j-cjgh

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“…Bovine blood consists mainly of hemoglobin, serum albumin, globulins, and fibrinogen, with an overall a-helix content of about 62%. 20 When BM is produced, heating results in protein denaturation and water is evaporated leaving dehydrated polymer chains. Secondary structures that have been assigned to specific absorption frequencies within the amide I region are shown in Table II.…”

Section: Secondary Structurementioning

confidence: 99%

Structural changes as a result of processing in thermoplastic bloodmeal

Verbeek¹,

Berg²

2012

J of Applied Polymer Sci

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Bloodmeal (BM) can be thermoplastically processed resulting in a material with good mechanical properties by using a correct combination of additives. In this article, combinations of water, sodium sulfite (SS), sodium dodecyl sulfate (SDS), and urea were compounded with BM, and water absorption, solubility, thermal stability, and protein secondary structure were assessed. Thermal stability of processed plastics was reduced when using 2 or 3 pphbm (parts per hundred parts BM) SS and 20 pphbm urea, mostly indicative of a reduction in covalent crosslinking. SS was required for chain mobility during processing, however, without sufficient plasticization degradation will occur instead of melt formation. SDS further improved processability and consolidation leading to increased water absorption and solubility, indicative of a reduction in chain interactions. It was found that BM proteins are highly denatured and thermoplastic processing reduced ordered structures further. Additional minor structural changes occurred as a result of reduced covalent and noncovalent interactions after processing. It was concluded that the increase in water absorption and solubility was due to changes in intermolecular and intramolecular interactions, rather than substantial structural changes. © 2012 Wiley Periodicals, Inc. J Appl Polym Sci, 2012

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Stabilization of the T‐state of ferrous human adult haemoglobin by chlorpromazine and trifluoperazine

Paolo,

Alberto,

Massimo

et al. 1999

Biotech and App Biochem

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In the present study, the effect of the neuroleptics chlorpromazine (2‐chloro‐N,N‐dimethyl‐10H‐phenothiazine‐10‐propanamine) and trifluoperazine {10‐[3‐(4 ‐ m e t h y l p i p e r a z i n ‐ 1 ‐ y l) ‐ p r op y l ] ‐ 2 ‐ (t r i f l u o r o m e t h y l) ‐10H‐phenothiazine} on the EPR‐spectroscopic properties of ferrous human adult nitrosylated haemoglobin (HbNO) is reported. Addition of the two drugs to HbNO shifted the conformational equilibrium from the high‐ to the low‐affinity form of the ligated tetramer, as observed for 2,3‐D‐glycerate bisphosphate, the physiological modulator of haemoglobin action. The effect of chlorpromazine and trifluoperazine on the EPR‐spectroscopic properties of HbNO was enhanced by inositol hexakisphosphate. The binding of neuroleptics to ferrous human adult haemoglobin may represent an important undesirable side effect. In fact, oxygen affinity for ferrous human adult haemoglobin decreases on increasing chlorpromazine and trifluoperazine concentration. In addition, red blood cells may act as neuroleptic scavengers.

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M K Vainu Bappu

Cited by 4 publications

References 0 publications

Impacts of community lay-leader health worker training and practice (Uttarakhand, India)

Impacts of community lay-leader health worker training and practice (Uttarakhand, India)

Structural changes as a result of processing in thermoplastic bloodmeal

Stabilization of the T‐state of ferrous human adult haemoglobin by chlorpromazine and trifluoperazine

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