A Study to Assess the Effectiveness of Abdominal Breathing Exercise in Reduction of Blood Pressure Among Hypertensive Patients in Selected Hospitals at Bhopal
Background Abdominal breathing exercise is one among these. It reduces blood pressure by increasing baroreflex sensitivity and reducing sympathetic activity and chemo reflex activation. In India, it is reported that there are around 42 people are with pre hypertension, 15 are newly diagnose to have Hypertension and 31 are with known case of hypertension, and it kills nearly 8 million people every year worldwide. The noncompliance with treatment, stress and life style are found to be major reason for this doubling of disease within a decade, there “arises need for new therapies ‘and’ remedies. Objectives The study aimed to assess the effectiveness of abdominal breathing exercise in reducing mean blood pressure among hypertensive patients. Methods Pre experimental one group pre test – post test design was adopted for the study. 60 hypertensive patients from male and female medical general ward had been selected by convenient sampling. Tool comprised of Demographic proforma contained 9 items and sphygmomanometer, stethoscope and blood pressure monitoring table contained 3 items to record the readings. The reliability of the tool was tested by inter rater method and it was found to be r = 0.99. Abdominal breathing exercise was administered to the samples after pre assessment of mean blood pressure for ten minutes and post assessment of mean blood pressure is done at the gap of 5 minutes which is repeated 3 times a day and monitored for minimum of 3 days. ‘t’ test was used for finding the effectiveness, and Chi square test was used for finding out the association between mean blood pressure and selected demographic variables. Results It revealed that the mean differences in pre and post assessment was5.61 and ‘t’ value was 19.39 which is more than the ‘t’ table value. The overall findings of the study revealed that the Conclusion the study concluded that abdominal breathing exercise is found to be very effective in reducing the mean blood pressure. Arvind Singh Baghel | Dr. Neha Dubey | Bhoori Singh | Sunita Singh "A Study to Assess the Effectiveness of Abdominal Breathing Exercise in Reduction of Blood Pressure Among Hypertensive Patients in Selected Hospitals at Bhopal" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd42598.pdf Paper URL: https://www.ijtsrd.commedicine/nursing/42598/a-study-to-assess-the-effectiveness-of-abdominal-breathing-exercise-in-reduction-of-blood-pressure-among-hypertensive-patients-in-selected-hospitals-at-bhopal/arvind-singh-baghel
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The document discusses nutritional considerations for three clinical scenarios involving critically ill patients, including guidelines for determining nutritional needs, initiating enteral or parenteral nutrition, monitoring patients on nutrition support, and potential complications. It also addresses factors such as appropriate tube feeding routes and formulas based on patient conditions.
Quality assurance in community health nursingJobin Jacob
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This document provides information on chronic kidney disease (CKD) and its treatment with dialysis. It discusses the physiological functions of the kidneys, causes of CKD including diabetes, stages of CKD and associated signs/symptoms. It also describes different treatment options for stage 5 CKD including kidney transplantation and dialysis (hemodialysis and peritoneal dialysis). The document outlines components of Mrs. Joaquin's medical nutrition therapy and assesses her weight and calculates her edema-free weight.
Florence Nightingale's Environmental Theory of NursingRaksha Yadav
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This document outlines learning objectives and content about disorders of the oral cavity, teeth, jaw, and salivary glands. The learning objectives cover using the nursing process to care for patients with these conditions, describing relationships to nutrition, managing abnormalities, cancers, and surgeries. The content sections define dental plaque, caries, tooth disorders, malocclusion, temporomandibular disorders, parotitis, sialadenitis and their prevention, manifestations, assessment, and nursing management.
This document discusses various topics related to end of life care, including palliative care, hospice care, end of life in the ICU, common symptoms at end of life, and their management. It addresses pain management, including assessment of pain and the WHO pain ladder. It also discusses management of other common symptoms like nausea/vomiting, dyspnea, fatigue, anorexia/cachexia, depression, delirium, and euthanasia. Important court cases related to passive euthanasia in India and other countries are also summarized.
Dietary Recommendations, Food Guides, and Food Labels to Plan MenusPearl Jamaldin
Dietary recommendations, food guides, and food labels are tools used to plan healthy menus. Dietary recommendations provide guidelines on foods and food groups for optimal health, while food guides like the plate model and food pyramid translate these into specific proportions. Food labels list a product's ingredients and nutrition information to help consumers make informed choices in achieving a balanced diet. Together, these resources aim to promote desirable eating habits at a population level.
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FAO - FOOD AND AGRICULTURE ORGANIZATION -Power Point PresentationTheRoyAshish
The Food and Agriculture Organization (FAO) was established in 1945 as the first specialized agency of the UN. Headquartered in Rome, Italy, FAO leads international efforts to defeat hunger by serving both developed and developing countries. It has 194 member states and focuses on helping eliminate hunger, increasing agricultural productivity, and promoting sustainable forestry and fisheries practices.
Faye Glenn Abdellah was a pioneering nurse who developed a "typology of 21 nursing problems" to identify and classify common patient needs and guide nursing care. Her framework categorized problems into physical, sociological, emotional needs; nurse-patient relationships; and elements of patient care. Abdellah believed this typology would provide a method to evaluate nursing students' experiences and competencies. Some of the 21 problems addressed basic needs like hygiene, activity, and safety, as well as sustaining needs such as nutrition, elimination and regulatory functions, and remedial needs such as communication and spiritual goals. Abdellah's theory stated that nursing involves using problem-solving to address patients' health needs through key nursing
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- Nutrition support aims to meet caloric and protein goals to reduce catabolism and support anabolism while avoiding overfeeding. Standard enteral formulas are preferred over specialty formulas.
- Careful monitoring is needed to optimize delivery of nutrition and minimize risks like aspiration while the patient's condition and ability to tolerate feeds is changing.
This document discusses cost effective nursing care and the role of nurses in providing cost effective healthcare. It begins by defining cost effectiveness analysis as an economic study that measures the consequences of different interventions using a single outcome like life years gained. It then discusses how cost effectiveness analysis can help decision making by indicating the best value interventions. The document outlines nursing actions, roles, approaches and management strategies that can enhance cost effective care, such as preventative care, reducing infections and hospital stays. It reviews literature on nurses improving outcomes in areas like mental health, chronic conditions and domestic violence. Finally, it provides ICN recommendations for promoting cost effective care through nursing education, leadership, research and professional networks.
The document discusses nutrition interventions and food-drug interactions. It describes different approaches to nutrition care like food/nutrient delivery, nutrition education, and counseling. It also outlines how to incorporate nutrition care into nursing care plans. The document also discusses dietary modifications like modified diets to address different medical needs and ensuring proper energy intake. Finally, it examines potential interactions between drugs and nutrients that can impact absorption, metabolism, and excretion.
The document outlines the key phases of health assessment:
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nformation, Education and Communication, abbreviated as IEC, is a strategy to spread awareness through communication channels to a target audience to achieve a desired positive result.
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1) The study assessed the readiness of lifestyle modification among 50 hypertensive patients in Karachi, Pakistan through a survey.
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3) The study concluded that while patients understand the importance of lifestyle modification for hypertension, they lack knowledge on how to properly adopt lifestyle changes. Education is needed to help patients modify their lifestyle in a healthy way to manage their blood pressure.
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This daily health update email contains summaries of recent studies on various health topics:
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Obesity and hyperlipidemia is international /worldwide problem causing heart disease leading to major predisposing factor for morbidity and death. Conventional medicine used in allopathy include statins, fibrates, niacin and resins but are going to defame due to their adverse effects. Herbal medicine ginger has proved itself as one of the potent anti hyperlipidemic and anti obesity herb with least adverse effects. We did try to compare its hypolipidemic effects with placebo effects when used in mild to moderate hyperlipidemic patients. It was placebo-controlled single blind research study. Research was conducted at National hospital, Lahore, from July to November 2016. Consent was taken from sixty hyperlipidemic patients age range from 25 to 60 years. Both gender male and female patients were enrolled. Patients were randomly divided in two groups, 30 patients were on drug ginger pasted-powder advised to take 5 grams in divided doses with their normal diet for the period of three months. Thirty patients were on placebo pasted-wheat powder, with same color as of ginger powder, advised to take 5 grams in divided doses with their normal diet for the period of three months. Their base line lipid profile and body weight was recorded at start of treatment and were advised to come for check-up, fortnightly.
International Journal of Medical Science in Clinical Research and Review Vol 03, Issue 02,April – 2020 Page |
229
When duration of study was over, their lipid profile and body weight was measured and compared statistically with pre-treatment values. Three months treatment with 5 grams of ginger decreased total cholesterol from 233.11±1.53 mg/dl to 198.44±1.23 mg/dl, LDL cholesterol reduced from 202.21±1.88 mg/dl to 187.72± 1.98 mg/dl, reduced body weight from 76.01±2.66 kg to 72.80±1.87 kg. Both plasma total cholesterol and LDL cholesterol reduction was statistically significant, but body weight decrease was non-significant when analyzed biostatistically.
A study of 23,000 Americans over age 45 found that maintaining seven healthy lifestyle factors can significantly reduce the risk of stroke. These factors included regular physical activity, low cholesterol, a healthy diet, controlled blood pressure, ideal weight, controlled blood sugar, and not smoking. Participants were categorized based on their adherence to these factors, and those with optimal adherence had an 8% lower stroke risk than those with inadequate adherence. Within 5 years, 432 strokes occurred, and controlled blood pressure showed the strongest influence in reducing risk by 60%. Adopting a healthy lifestyle through diet, exercise, weight control and not smoking can best minimize one's stroke risk.
Hypertension, also known as high blood pressure, can lead to damage of blood vessels and increase the risk of heart attack, stroke, and other conditions if left untreated. Treatment of hypertension involves lifestyle changes like healthy diet, exercise, reducing alcohol intake, as well as drug therapy. This paper argues that incorporating both lifestyle modifications and medical treatment is crucial for effective management of high blood pressure.
The current study, which was conducted in the district Dir (Upper) in Khyber
Pukhtunkhwa Pakistan, investigated the relationship between dietary patterns and
the prevalence of hypertension. A total of three hundred and thirty one sample size
was determined from 2500 respondents as per the Sekarn criteria. The sampled
respondents were recruited from Rural Health Centers (RHC) and other clinics and
dispensaries in Tehsil (Sub-division) Sheringal of district Dir Upper, Khyber
Pukhtunkhwah Pakistan using a convenient sampling method. Further, the data
were collected through a structured questionnaire covering the study variables,
which were dietary habits (independent variable) and hypertension (dependent
variable). Moreover, the selected data were analyzed by the application of SPSS
(25 version) by applying descriptive statistics and chi-square test statistics
analysis. Furthermore, all the attributes of hypertension were indexed and crosstabulated to expose the association with dietary habits at bivariate level analysis.
With descriptive statistics, the results indicated that majority of the respondents,
with regards to gender identity, who suffered from hypertension were male,
between the age group of 40-59 years, with a high illiteracy level. At bivariate level
a significant association was found between hypertension and lack of proper food;
less vegetable consumption; and excessive usage of salty food was the major
cause of hypertension. Based on the aforementioned findings, it is possible to
conclude that the respondents' poor daily food habits were the root cause of their
hypertension. Furthermore, the consumption of fatty and salty foods rather than
vegetables was discovered to be additional contributing factors to hypert
A Study to Assess the Effectiveness of Hibiscus Sabdariffa on Hypertensive Pa...ijtsrd
The present study aim was the assess the effectiveness of hibiscus sabdariffa on hypertensive patients in rural area. A Quantitaive research approach and Quasi experimental pre test and post test control group design have adopted for the present study. 60 participants were selected who are satisfied with inclusion criteria whereas 30 samples in experimental group other 30 sample were in control group, they were selected by convenient sampling technique. A structured questionnaire method to collect the demographic variables and clinical variables, blood pressure is assessed by the sphygmomanometer. Among 60 patient, 30 hypertensive patient participated in the reveals the pretest mean score was 1.83±0.36 and the post test mean score was 1.23±0.66 in systolic blood pressure and the pretest mean score was 1.4±0.48 and post test mean score was 0.5±0.40 in diastolic blood pressure. Paired t test to compare the pre and posttest level of blood pressure among experimental group. The present study regard to the pre and post test level of systolic blood pressure among experimental group it was found that the t value was5.86, With regard to the pre and post test level of diastolic blood pressure among experimental group it was found that the t value was 12.3, indicating that the rewash a highly significant reduction in post test level of blood pressure among the experimental group at p 0.05level. The present study reveals the pretest mean score was 1.83±0.53 and the post test mean score was 1.96 ±1.6 in systolic blood pressure and the pretest mean score was 1.26 ±0.49 and post test mean score was 0.22 ±0.71 in diastolic blood pressure. paired t test to compare the pre and post test level of blood pressure among control group. With regard to the pre and post test level of systolic blood pressure among control group it was found that the t value was 2.35, With regard to the pre and post test level of diastolic blood pressure among control group it was found that the t value was 2.48, indicating that there was no significant reduction in post test level of blood pressure among the control group at p 0.05 level. Sathiyabama. G | Narmadha K | Nivetha. S "A Study to Assess the Effectiveness of Hibiscus Sabdariffa on Hypertensive Patients in Rural Area" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-6 , October 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52202.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/52202/a-study-to-assess-the-effectiveness-of-hibiscus-sabdariffa-on-hypertensive-patients-in-rural-area/sathiyabama-g
Effects of yogic practices on polypharmacy Dr. Balaji P.A Dr. smitha r varne.pdfDrBalaji8
The occurrence and concurrency of Noncommunicable chronic diseases increase
with age, and therefore, the number of medications used increases
correspondingly. Polypharmacy is a scenario in which five medications or more
are consumed concurrently (regardless of dose and duration of consumption),
which leads to reduced quality of life, physical problems, increased drug
interactions, adverse effects, and medical complications and increases the cost
of treatment. Moreover, polypharmacy increases the incidence of falls, frequency
of hospital admission, length of stay, and the death rate among patients, especially
in the elderly population. This would allow therapies like Yoga, pranayama,
and meditation to act as an effective mainstay or adjunctive or alternative therapy
for many disorders, as it can be cost-effective, patient-compliant, and clinically
efficacious with the most negligible side effects. However, very few studies
have focused on the impact of yogic practices on reducing drug dosage or
polypharmacy among patients. Hence, a Medline English literature search was
planned to review all the studies demonstrating a dose-response effect between
yogic practices and the number/dosage of medication reduction in different
disorders. Data extracted and analyzed depicted that the practice of Yoga,
pranayama, and meditation can result not only in reducing the number of
medications but also the dosages in hypertension, type 2 diabetes mellitus,
bronchial asthma, arthritis, sleep disorders, obsessive-compulsive disorder
(OCD), gastrointestinal disorders like constipation and irritable bowel syndrome
This document summarizes a study that aims to use a mobile app and behavioral intervention to help lower blood pressure by following the DASH diet plan. Participants will use the app to track their diet, weight, blood pressure and activity levels over 12 weeks. They will also receive weekly counseling from health coaches. The main goal is to see if this mHealth approach can successfully reduce blood pressure and improve healthy behaviors. Materials for the study include a custom mobile app, web portal, Bluetooth devices to track metrics, and health coaches trained in the DASH plan and motivational interviewing.
Satish K. Gupta, Ramesh C. Sawhney, Lajpat Rai , V. D. Chavan, Sameer Dani, Ramesh C. Arora,
W. Selvamurthy, H. K. Chopra, Navin C. Nanda
Indian Heart Journal 2011; 63:461-469
Systematic Review on Eat Less and Move More Is the Chemistry of Lifeijtsrd
"Dieting must be combined with exercise" This review explain the physical activity and exercise training are play vital role for weight loss or weight maintenance. To see prevention is better than cure, the patient is carried out 60 different tests by giving one time blood sample after fasting 12 14 hours. Eat less is the probable basic advice to lose weight. Increasing your vegetable intake can help you to lose weight. In this particular discussion, we focus on weight loss from different types of exercise training programs and calorie consumes. Clinically required weight loss is unlikely to occur. Patients wishing to lose weight should participate in physical activity and caloric restriction to improve the chances of weight loss. The less you consume, the faster you lose. At the same time, it is very important to follow a healthy, well balanced diet plan, so that you do not become ill or lose lean muscle. In ideal condition the advice of doctor, dietitian and nutritionist is must essential. The tests such as eosinohils, MCV, MCHC, RDW SD, Total cholesterol, LDL cholesterol, Non HDL cholesterol, TC HDL cholesterol ratio, LDL HDL ratio etc shows some deviations from the reference ranges as per the guidelines. S. M. Landge | M. G. Landge "Systematic Review on Eat Less and Move More; Is the Chemistry of Life?" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd30909.pdf Paper Url :https://www.ijtsrd.com/engineering/mechanical-engineering/30909/systematic-review-on-eat-less-and-move-more-is-the-chemistry-of-life/s-m-landge
- The study aimed to correlate breathing rate with likelihood of eating noodles. 123 students participated and had their breathing rates measured. 85 students were found to be "noodle delineated" while 38 were not.
- Students with lower breathing rates (average 19.24 breaths/min) tended to be noodle delineated, while those with higher rates (average 19.60 breaths/min) were not noodle delineated.
- The results suggest that breathing rate may impact preferences for noodles, with those breathing at a slower pace more inclined to eat noodles.
CLINICAL INQUIRIES From theFamily PhysiciansInquiries Networ.docxclarebernice
This study explored how patients' explanatory models of hypertension and their social contexts relate to reported daily hypertension self-management behaviors through qualitative interviews. The researchers found that patients' perceptions of the cause and course of hypertension, experiences of hypertension symptoms, and beliefs about treatment effectiveness related to different self-management behaviors. Additionally, patients' daily lived experiences like an isolated lifestyle, serious competing health issues, lack of routines, barriers to exercise, and lifestyle priorities interfered with optimal management. The study proposes a new conceptual model that incorporates explanatory models and daily experiences to improve understanding of self-management behavior.
Managing DM and thyroid disease in shift workersNemencio Jr
Shift work is associated with higher risks of subclinical hypothyroidism and diabetes due to changes in circadian rhythm. Night shift work can increase TSH levels and the risk of subclinical hypothyroidism in women. It is also associated with higher risks of obesity, type 2 diabetes, and poorer glucose control, possibly because shift work promotes unhealthy eating behaviors and weight gain over time. Screening for thyroid disorders and managing weight are important for shift workers' health.
Using theory to guide policy health promot. int.-1996Samuel Lima
Uma abordagem do conceito de promoção da saúde que vai além das estratégias para mudar comportamentos individuais, incluindo no modo de vida, as condições dos contextos, incluindo as características físicas, sociais e
ambientes econômicos em que saúde e comportamento
são moldadas. O núcleo da estratégia é estimular a ação
contra as causas da falta de saúde nas comunidades.
Similar to A Study to Assess the Effectiveness of Abdominal Breathing Exercise in Reduction of Blood Pressure Among Hypertensive Patients in Selected Hospitals at Bhopal (20)
‘Six Sigma Technique’ A Journey Through its Implementationijtsrd
The manufacturing industries all over the world are facing tough challenges for growth, development and sustainability in today’s competitive environment. They have to achieve apex position by adapting with the global competitive environment by delivering goods and services at low cost, prime quality and better price to increase wealth and consumer satisfaction. Cost Management ensures profit, growth and sustainability of the business with implementation of Continuous Improvement Technique like Six Sigma. This leads to optimize Business performance. The method drives for customer satisfaction, low variation, reduction in waste and cycle time resulting into a competitive advantage over other industries which did not implement it. The main objective of this paper ‘Six Sigma Technique A Journey Through Its Implementation’ is to conceptualize the effectiveness of Six Sigma Technique through the journey of its implementation. Aditi Sunilkumar Ghosalkar "‘Six Sigma Technique’: A Journey Through its Implementation" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64546.pdf Paper Url: https://www.ijtsrd.com/other-scientific-research-area/other/64546/‘six-sigma-technique’-a-journey-through-its-implementation/aditi-sunilkumar-ghosalkar
Edge Computing in Space Enhancing Data Processing and Communication for Space...ijtsrd
Edge computing, a paradigm that involves processing data closer to its source, has gained significant attention for its potential to revolutionize data processing and communication in space missions. With the increasing complexity and data volume generated by modern space missions, traditional centralized computing approaches face challenges related to latency, bandwidth, and security. Edge computing in space, involving on board processing and analysis of data, offers promising solutions to these challenges. This paper explores the concept of edge computing in space, its benefits, applications, and future prospects in enhancing space missions. Manish Verma "Edge Computing in Space: Enhancing Data Processing and Communication for Space Missions" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64541.pdf Paper Url: https://www.ijtsrd.com/computer-science/artificial-intelligence/64541/edge-computing-in-space-enhancing-data-processing-and-communication-for-space-missions/manish-verma
Dynamics of Communal Politics in 21st Century India Challenges and Prospectsijtsrd
Communal politics in India has evolved through centuries, weaving a complex tapestry shaped by historical legacies, colonial influences, and contemporary socio political transformations. This research comprehensively examines the dynamics of communal politics in 21st century India, emphasizing its historical roots, socio political dynamics, economic implications, challenges, and prospects for mitigation. The historical perspective unravels the intricate interplay of religious identities and power dynamics from ancient civilizations to the impact of colonial rule, providing insights into the evolution of communalism. The socio political dynamics section delves into the contemporary manifestations, exploring the roles of identity politics, socio economic disparities, and globalization. The economic implications section highlights how communal politics intersects with economic issues, perpetuating disparities and influencing resource allocation. Challenges posed by communal politics are scrutinized, revealing multifaceted issues ranging from social fragmentation to threats against democratic values. The prospects for mitigation present a multifaceted approach, incorporating policy interventions, community engagement, and educational initiatives. The paper conducts a comparative analysis with international examples, identifying common patterns such as identity politics and economic disparities. It also examines unique challenges, emphasizing Indias diverse religious landscape, historical legacy, and secular framework. Lessons for effective strategies are drawn from international experiences, offering insights into inclusive policies, interfaith dialogue, media regulation, and global cooperation. By scrutinizing historical epochs, contemporary dynamics, economic implications, and international comparisons, this research provides a comprehensive understanding of communal politics in India. The proposed strategies for mitigation underscore the importance of a holistic approach to foster social harmony, inclusivity, and democratic values. Rose Hossain "Dynamics of Communal Politics in 21st Century India: Challenges and Prospects" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64528.pdf Paper Url: https://www.ijtsrd.com/humanities-and-the-arts/history/64528/dynamics-of-communal-politics-in-21st-century-india-challenges-and-prospects/rose-hossain
Assess Perspective and Knowledge of Healthcare Providers Towards Elehealth in...ijtsrd
Background and Objective Telehealth has become a well known tool for the delivery of health care in Saudi Arabia, and the perspective and knowledge of healthcare providers are influential in the implementation, adoption and advancement of the method. This systematic review was conducted to examine the current literature base regarding telehealth and the related healthcare professional perspective and knowledge in the Kingdom of Saudi Arabia. Materials and Methods This systematic review was conducted by searching 7 databases including, MEDLINE, CINHAL, Web of Science, Scopus, PubMed, PsycINFO, and ProQuest Central. Studies on healthcare practitioners telehealth knowledge and perspectives published in English in Saudi Arabia from 2000 to 2023 were included. Boland directed this comprehensive review. The researchers examined each connected study using the AXIS tool, which evaluates cross sectional systematic reviews. Narrative synthesis was used to summarise and convey the data. Results Out of 1840 search results, 10 studies were included. Positive outlook and limited knowledge among providers were seen across trials. Healthcare professionals like telehealth for its ability to improve quality, access, and delivery, save time and money, and be successful. Age, gender, occupation, and work experience also affect health workers knowledge. In Saudi Arabia, healthcare professionals face inadequate expert assistance, patient privacy, internet connection concerns, lack of training courses, lack of telehealth understanding, and high costs while performing telemedicine. Conclusions Healthcare practitioners telehealth perceptions and knowledge were examined in this systematic study. Its collection of concerned experts different personal attitudes and expertise would help enhance telehealths implementation in Saudi Arabia, develop its healthcare delivery alternative, and eliminate frequent problems. Badriah Mousa I Mulayhi | Dr. Jomin George | Judy Jenkins "Assess Perspective and Knowledge of Healthcare Providers Towards Elehealth in Saudi Arabia: A Systematic Review" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64535.pdf Paper Url: https://www.ijtsrd.com/medicine/other/64535/assess-perspective-and-knowledge-of-healthcare-providers-towards-elehealth-in-saudi-arabia-a-systematic-review/badriah-mousa-i-mulayhi
The Impact of Digital Media on the Decentralization of Power and the Erosion ...ijtsrd
The impact of digital media on the distribution of power and the weakening of traditional gatekeepers has gained considerable attention in recent years. The adoption of digital technologies and the internet has resulted in declining influence and power for traditional gatekeepers such as publishing houses and news organizations. Simultaneously, digital media has facilitated the emergence of new voices and players in the media industry. Digital medias impact on power decentralization and gatekeeper erosion is visible in several ways. One significant aspect is the democratization of information, which enables anyone with an internet connection to publish and share content globally, leading to citizen journalism and bypassing traditional gatekeepers. Another aspect is the disruption of conventional media industry business models, as traditional organizations struggle to adjust to the decrease in advertising revenue and the rise of digital platforms. Alternative business models, such as subscription models and crowdfunding, have become more prevalent, leading to the emergence of new players. Overall, the impact of digital media on the distribution of power and the weakening of traditional gatekeepers has brought about significant changes in the media landscape and the way information is shared. Further research is required to fully comprehend the implications of these changes and their impact on society. Dr. Kusum Lata "The Impact of Digital Media on the Decentralization of Power and the Erosion of Traditional Gatekeepers" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64544.pdf Paper Url: https://www.ijtsrd.com/humanities-and-the-arts/political-science/64544/the-impact-of-digital-media-on-the-decentralization-of-power-and-the-erosion-of-traditional-gatekeepers/dr-kusum-lata
Online Voices, Offline Impact Ambedkars Ideals and Socio Political Inclusion ...ijtsrd
This research investigates the nexus between online discussions on Dr. B.R. Ambedkars ideals and their impact on social inclusion among college students in Gurugram, Haryana. Surveying 240 students from 12 government colleges, findings indicate that 65 actively engage in online discussions, with 80 demonstrating moderate to high awareness of Ambedkars ideals. Statistically significant correlations reveal that higher online engagement correlates with increased awareness p 0.05 and perceived social inclusion. Variations across colleges and a notable effect of college type on perceived social inclusion highlight the influence of contextual factors. Furthermore, the intersectional analysis underscores nuanced differences based on gender, caste, and socio economic status. Dr. Kusum Lata "Online Voices, Offline Impact: Ambedkar's Ideals and Socio-Political Inclusion - A Study of Gurugram District" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64543.pdf Paper Url: https://www.ijtsrd.com/humanities-and-the-arts/political-science/64543/online-voices-offline-impact-ambedkars-ideals-and-sociopolitical-inclusion--a-study-of-gurugram-district/dr-kusum-lata
Problems and Challenges of Agro Entreprenurship A Studyijtsrd
Noting calls for contextualizing Agro entrepreneurs problems and challenges of the agro entrepreneurs and for greater attention to the Role of entrepreneurs in agro entrepreneurship research, we conduct a systematic literature review of extent research in agriculture entrepreneurship to overcome the study objectives of complications of agro entrepreneurs through various factors, Development of agriculture products is a key factor for the overall economic growth of agro entrepreneurs Agro Entrepreneurs produces firsthand large scale employment, utilizes the labor and natural resources, This research outlines the problems of Weather and Soil Erosions, Market price fluctuation, stimulates labor cost problems, reduces concentration of Price volatility, Dependency on Intermediaries, induces Limited Bargaining Power, and Storage and Transportation Costs. This paper mainly devoted to highlight Problems and challenges faced for the sustainable of Agro Entrepreneurs in India. Vinay Prasad B "Problems and Challenges of Agro Entreprenurship - A Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64540.pdf Paper Url: https://www.ijtsrd.com/other-scientific-research-area/other/64540/problems-and-challenges-of-agro-entreprenurship--a-study/vinay-prasad-b
Comparative Analysis of Total Corporate Disclosure of Selected IT Companies o...ijtsrd
Disclosure is a process through which a business enterprise communicates with external parties. A corporate disclosure is communication of financial and non financial information of the activities of a business enterprise to the interested entities. Corporate disclosure is done through publishing annual reports. So corporate disclosure through annual reports plays a vital role in the life of all the companies and provides valuable information to investors. The basic objectives of corporate disclosure is to give a true and fair view of companies to the parties related either directly or indirectly like owner, government, creditors, shareholders etc. in the companies act, provisions have been made about mandatory and voluntary disclosure. The IT sector in India is rapidly growing, the trend to invest in the IT sector is rising and employment opportunities in IT sectors are also increasing. Therefore the IT sector is expected to have fair, full and adequate disclosure of all information. Unfair and incomplete disclosure may adversely affect the entire economy. A research study on disclosure practices of IT companies could play an important role in this regard. Hence, the present research study has been done to study and review comparative analysis of total corporate disclosure of selected IT companies of India and to put forward overall findings and suggestions with a view to increase disclosure score of these companies. The researcher hopes that the present research study will be helpful to all selected Companies for improving level of corporate disclosure through annual reports as well as the government, creditors, investors, all business organizations and upcoming researcher for comparative analyses of level of corporate disclosure with special reference to selected IT companies. Dr. Vaibhavi D. Thaker "Comparative Analysis of Total Corporate Disclosure of Selected IT Companies of India" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64539.pdf Paper Url: https://www.ijtsrd.com/other-scientific-research-area/other/64539/comparative-analysis-of-total-corporate-disclosure-of-selected-it-companies-of-india/dr-vaibhavi-d-thaker
The Impact of Educational Background and Professional Training on Human Right...ijtsrd
This study investigated the impact of educational background and professional training on human rights awareness among secondary school teachers in the Marathwada region of Maharashtra, India. The key findings reveal that higher levels of education, particularly a master’s degree, and fields of study related to education, humanities, or social sciences are associated with greater human rights awareness among teachers. Additionally, both pre service teacher training and in service professional development programs focused on human rights education significantly enhance teacher’s knowledge, skills, and competencies in promoting human rights principles in their classrooms. Baig Ameer Bee Mirza Abdul Aziz | Dr. Syed Azaz Ali Amjad Ali "The Impact of Educational Background and Professional Training on Human Rights Awareness among Secondary School Teachers" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64529.pdf Paper Url: https://www.ijtsrd.com/humanities-and-the-arts/education/64529/the-impact-of-educational-background-and-professional-training-on-human-rights-awareness-among-secondary-school-teachers/baig-ameer-bee-mirza-abdul-aziz
A Study on the Effective Teaching Learning Process in English Curriculum at t...ijtsrd
“One Language sets you in a corridor for life. Two languages open every door along the way” Frank Smith English as a foreign language or as a second language has been ruling in India since the period of Lord Macaulay. But the question is how much we teach or learn English properly in our culture. Is there any scope to use English as a language rather than a subject How much we learn or teach English without any interference of mother language specially in the classroom teaching learning scenario in West Bengal By considering all these issues the researcher has attempted in this article to focus on the effective teaching learning process comparing to other traditional strategies in the field of English curriculum at the secondary level to investigate whether they fulfill the present teaching learning requirements or not by examining the validity of the present curriculum of English. The purpose of this study is to focus on the effectiveness of the systematic, scientific, sequential and logical transaction of the course between the teachers and the learners in the perspective of the 5Es programme that is engage, explore, explain, extend and evaluate. Sanchali Mondal | Santinath Sarkar "A Study on the Effective Teaching Learning Process in English Curriculum at the Secondary Level of West Bengal" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd62412.pdf Paper Url: https://www.ijtsrd.com/humanities-and-the-arts/education/62412/a-study-on-the-effective-teaching-learning-process-in-english-curriculum-at-the-secondary-level-of-west-bengal/sanchali-mondal
The Role of Mentoring and Its Influence on the Effectiveness of the Teaching ...ijtsrd
This paper reports on a study which was conducted to investigate the role of mentoring and its influence on the effectiveness of the teaching of Physics in secondary schools in the South West Region of Cameroon. The study adopted the convergent parallel mixed methods design, focusing on respondents in secondary schools in the South West Region of Cameroon. Both quantitative and qualitative data were collected, analysed separately, and the results were compared to see if the findings confirm or disconfirm each other. The quantitative analysis found that majority of the respondents 72 of Physics teachers affirmed that they had more experienced colleagues as mentors to help build their confidence, improve their teaching, and help them improve their effectiveness and efficiency in guiding learners’ achievements. Only 28 of the respondents disagreed with these statements. With majority respondents 72 agreeing with the statements, it implies that in most secondary schools, experienced Physics teachers act as mentors to build teachers’ confidence in teaching and improving students’ learning. The interview qualitative data analysis summarized how secondary school Principals use meetings with mentors and mentees to promote mentorship in the school milieu. This has helped strengthen teachers’ classroom practices in secondary schools in the South West Region of Cameroon. With the results confirming each other, the study recommends that mentoring should focus on helping teachers employ social interactions and instructional practices feedback and clarity in teaching that have direct measurable impact on students’ learning achievements. Andrew Ngeim Sumba | Frederick Ebot Ashu | Peter Agborbechem Tambi "The Role of Mentoring and Its Influence on the Effectiveness of the Teaching of Physics in Secondary Schools in the South West Region of Cameroon" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64524.pdf Paper Url: https://www.ijtsrd.com/management/management-development/64524/the-role-of-mentoring-and-its-influence-on-the-effectiveness-of-the-teaching-of-physics-in-secondary-schools-in-the-south-west-region-of-cameroon/andrew-ngeim-sumba
Design Simulation and Hardware Construction of an Arduino Microcontroller Bas...ijtsrd
This study primarily focuses on the design of a high side buck converter using an Arduino microcontroller. The converter is specifically intended for use in DC DC applications, particularly in standalone solar PV systems where the PV output voltage exceeds the load or battery voltage. To evaluate the performance of the converter, simulation experiments are conducted using Proteus Software. These simulations provide insights into the input and output voltages, currents, powers, and efficiency under different state of charge SoC conditions of a 12V,70Ah rechargeable lead acid battery. Additionally, the hardware design of the converter is implemented, and practical data is collected through operation, monitoring, and recording. By comparing the simulation results with the practical results, the efficiency and performance of the designed converter are assessed. The findings indicate that while the buck converter is suitable for practical use in standalone PV systems, its efficiency is compromised due to a lower output current. Chan Myae Aung | Dr. Ei Mon "Design Simulation and Hardware Construction of an Arduino-Microcontroller Based DC-DC High-Side Buck Converter for Standalone PV System" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64518.pdf Paper Url: https://www.ijtsrd.com/engineering/mechanical-engineering/64518/design-simulation-and-hardware-construction-of-an-arduinomicrocontroller-based-dcdc-highside-buck-converter-for-standalone-pv-system/chan-myae-aung
Sustainable Energy by Paul A. Adekunte | Matthew N. O. Sadiku | Janet O. Sadikuijtsrd
Energy becomes sustainable if it meets the needs of the present without compromising the ability of future generations to meet their own needs. Some of the definitions of sustainable energy include the considerations of environmental aspects such as greenhouse gas emissions, social, and economic aspects such as energy poverty. Generally far more sustainable than fossil fuel are renewable energy sources such as wind, hydroelectric power, solar, and geothermal energy sources. Worthy of note is that some renewable energy projects, like the clearing of forests to produce biofuels, can cause severe environmental damage. The sustainability of nuclear power which is a low carbon source is highly debated because of concerns about radioactive waste, nuclear proliferation, and accidents. The switching from coal to natural gas has environmental benefits, including a lower climate impact, but could lead to delay in switching to more sustainable options. “Carbon capture and storage” can be built into power plants to remove the carbon dioxide CO2 emissions, but this technology is expensive and has rarely been implemented. Leading non renewable energy sources around the world is fossil fuels, coal, petroleum, and natural gas. Nuclear energy is usually considered another non renewable energy source, although nuclear energy itself is a renewable energy source, but the material used in nuclear power plants is not. The paper addresses the issue of sustainable energy, its attendant benefits to the future generation, and humanity in general. Paul A. Adekunte | Matthew N. O. Sadiku | Janet O. Sadiku "Sustainable Energy" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64534.pdf Paper Url: https://www.ijtsrd.com/engineering/electrical-engineering/64534/sustainable-energy/paul-a-adekunte
Concepts for Sudan Survey Act Implementations Executive Regulations and Stand...ijtsrd
This paper aims to outline the executive regulations, survey standards, and specifications required for the implementation of the Sudan Survey Act, and for regulating and organizing all surveying work activities in Sudan. The act has been discussed for more than 5 years. The Land Survey Act was initiated by the Sudan Survey Authority and all official legislations were headed by the Sudan Ministry of Justice till it was issued in 2022. The paper presents conceptual guidelines to be used for the Survey Act implementation and to regulate the survey work practice, standardizing the field surveys, processing, quality control, procedures, and the processes related to survey work carried out by the stakeholders and relevant authorities in Sudan. The conceptual guidelines are meant to improve the quality and harmonization of geospatial data and to aid decision making processes as well as geospatial information systems. The established comprehensive executive regulations will govern and regulate the implementation of the Sudan Survey Geomatics Act in all surveying and mapping practices undertaken by the Sudan Survey Authority SSA and state local survey departments for public or private sector organizations. The targeted standards and specifications include the reference frame, projection, coordinate systems, and the guidelines and specifications that must be followed in the field of survey work, processes, and mapping products. In the last few decades, there has been a growing awareness of the importance of geomatics activities and measurements on the Earths surface in space and time, together with observing and mapping the changes. In such cases, data must be captured promptly, standardized, and obtained with more accuracy and specified in much detail. The paper will also highlight the current situation in Sudan, the degree to which survey standards are used, the problems encountered, and the errors that arise from not using the standards and survey specifications. Kamal A. A. Sami "Concepts for Sudan Survey Act Implementations - Executive Regulations and Standards" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd63484.pdf Paper Url: https://www.ijtsrd.com/engineering/civil-engineering/63484/concepts-for-sudan-survey-act-implementations--executive-regulations-and-standards/kamal-a-a-sami
Towards the Implementation of the Sudan Interpolated Geoid Model Khartoum Sta...ijtsrd
The discussions between ellipsoid and geoid have invoked many researchers during the recent decades, especially during the GNSS technology era, which had witnessed a great deal of development but still geoid undulation requires more investigations. To figure out a solution for Sudans local geoid, this research has tried to intake the possibility of determining the geoid model by following two approaches, gravimetric and geometrical geoid model determination, by making use of GNSS leveling benchmarks at Khartoum state. The Benchmarks are well distributed in the study area, in which, the horizontal coordinates and the height above the ellipsoid have been observed by GNSS while orthometric heights were carried out using precise leveling. The Global Geopotential Model GGM represented in EGM2008 has been exploited to figure out the geoid undulation at the benchmarks in the study area. This is followed by a fitting process, that has been done to suit the geoid undulation data which has been computed using GNSS leveling data and geoid undulation inspired by the EGM2008. Two geoid surfaces were created after the fitting process to ensure that they are identical and both of them could be counted for getting the same geoid undulation with an acceptable accuracy. In this respect, statistical operation played an important role in ensuring the consistency and integrity of the model by applying cross validation techniques splitting the data into training and testing datasets for building the geoid model and testing its eligibility. The geometrical solution for geoid undulation computation has been utilized by applying straightforward equations that facilitate the calculation of the geoid undulation directly through applying statistical techniques for the GNSS leveling data of the study area to get the common equation parameters values that could be utilized to calculate geoid undulation of any position in the study area within the claimed accuracy. Both systems were checked and proved eligible to be used within the study area with acceptable accuracy which may contribute to solving the geoid undulation problem in the Khartoum area, and be further generalized to determine the geoid model over the entire country, and this could be considered in the future, for regional and continental geoid model. Ahmed M. A. Mohammed. | Kamal A. A. Sami "Towards the Implementation of the Sudan Interpolated Geoid Model (Khartoum State Case Study)" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd63483.pdf Paper Url: https://www.ijtsrd.com/engineering/civil-engineering/63483/towards-the-implementation-of-the-sudan-interpolated-geoid-model-khartoum-state-case-study/ahmed-m-a-mohammed
Activating Geospatial Information for Sudans Sustainable Investment Mapijtsrd
Sudan is witnessing an acceleration in the processes of development and transformation in the performance of government institutions to raise the productivity and investment efficiency of the government sector. The development plans and investment opportunities have focused on achieving national goals in various sectors. This paper aims to illuminate the path to the future and provide geospatial data and information to develop the investment climate and environment for all sized businesses, and to bridge the development gap between the Sudan states. The Sudan Survey Authority SSA is the main advisor to the Sudan Government in conducting surveying, mappings, designing, and developing systems related to geospatial data and information. In recent years, SSA made a strategic partnership with the Ministry of Investment to activate Geospatial Information for Sudans Sustainable Investment and in particular, for the preparation and implementation of the Sudan investment map, based on the directives and objectives of the Ministry of Investment MI in Sudan. This paper comes within the framework of activating the efforts of the Ministry of Investment to develop technical investment services by applying techniques adopted by the Ministry and its strategic partners for advancing investment processes in the country. Kamal A. A. Sami "Activating Geospatial Information for Sudan's Sustainable Investment Map" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd63482.pdf Paper Url: https://www.ijtsrd.com/engineering/information-technology/63482/activating-geospatial-information-for-sudans-sustainable-investment-map/kamal-a-a-sami
Educational Unity Embracing Diversity for a Stronger Societyijtsrd
In a rapidly changing global landscape, the importance of education as a unifying force cannot be overstated. This paper explores the crucial role of educational unity in fostering a stronger and more inclusive society through the embrace of diversity. By examining the benefits of diverse learning environments, the paper aims to highlight the positive impact on societal strength. The discussion encompasses various dimensions, from curriculum design to classroom dynamics, and emphasizes the need for educational institutions to become catalysts for unity in diversity. It highlights the need for a paradigm shift in educational policies, curricula, and pedagogical approaches to ensure that they are reflective of the diverse fabric of society. This paper also addresses the challenges associated with implementing inclusive educational practices and offers practical strategies for overcoming barriers. It advocates for collaborative efforts between educational institutions, policymakers, and communities to create a supportive ecosystem that promotes diversity and unity. Mr. Amit Adhikari | Madhumita Teli | Gopal Adhikari "Educational Unity: Embracing Diversity for a Stronger Society" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64525.pdf Paper Url: https://www.ijtsrd.com/humanities-and-the-arts/education/64525/educational-unity-embracing-diversity-for-a-stronger-society/mr-amit-adhikari
Integration of Indian Indigenous Knowledge System in Management Prospects and...ijtsrd
The diversity of indigenous knowledge systems in India is vast and can vary significantly between different communities and regions. Preserving and respecting these knowledge systems is crucial for maintaining cultural heritage, promoting sustainable practices, and fostering cross cultural understanding. In this paper, an overview of the prospects and challenges associated with incorporating Indian indigenous knowledge into management is explored. It is found that IIKS helps in management in many areas like sustainable development, tourism, food security, natural resource management, cultural preservation and innovation, etc. However, IIKS integration with management faces some challenges in the form of a lack of documentation, cultural sensitivity, language barriers legal framework, etc. Savita Lathwal "Integration of Indian Indigenous Knowledge System in Management: Prospects and Challenges" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd63500.pdf Paper Url: https://www.ijtsrd.com/management/accounting-and-finance/63500/integration-of-indian-indigenous-knowledge-system-in-management-prospects-and-challenges/savita-lathwal
DeepMask Transforming Face Mask Identification for Better Pandemic Control in...ijtsrd
The COVID 19 pandemic has highlighted the crucial need of preventive measures, with widespread use of face masks being a key method for slowing the viruss spread. This research investigates face mask identification using deep learning as a technological solution to be reducing the risk of coronavirus transmission. The proposed method uses state of the art convolutional neural networks CNNs and transfer learning to automatically recognize persons who are not wearing masks in a variety of circumstances. We discuss how this strategy improves public health and safety by providing an efficient manner of enforcing mask wearing standards. The report also discusses the obstacles, ethical concerns, and prospective applications of face mask detection systems in the ongoing fight against the pandemic. Dilip Kumar Sharma | Aaditya Yadav "DeepMask: Transforming Face Mask Identification for Better Pandemic Control in the COVID-19 Era" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd64522.pdf Paper Url: https://www.ijtsrd.com/engineering/electronics-and-communication-engineering/64522/deepmask-transforming-face-mask-identification-for-better-pandemic-control-in-the-covid19-era/dilip-kumar-sharma
Streamlining Data Collection eCRF Design and Machine Learningijtsrd
Efficient and accurate data collection is paramount in clinical trials, and the design of Electronic Case Report Forms eCRFs plays a pivotal role in streamlining this process. This paper explores the integration of machine learning techniques in the design and implementation of eCRFs to enhance data collection efficiency. We delve into the synergies between eCRF design principles and machine learning algorithms, aiming to optimize data quality, reduce errors, and expedite the overall data collection process. The application of machine learning in eCRF design brings forth innovative approaches to data validation, anomaly detection, and real time adaptability. This paper discusses the benefits, challenges, and future prospects of leveraging machine learning in eCRF design for streamlined and advanced data collection in clinical trials. Dhanalakshmi D | Vijaya Lakshmi Kannareddy "Streamlining Data Collection: eCRF Design and Machine Learning" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd63515.pdf Paper Url: https://www.ijtsrd.com/biological-science/biotechnology/63515/streamlining-data-collection-ecrf-design-and-machine-learning/dhanalakshmi-d
The membership Module in the Odoo 17 ERPCeline George
Some business organizations give membership to their customers to ensure the long term relationship with those customers. If the customer is a member of the business then they get special offers and other benefits. The membership module in odoo 17 is helpful to manage everything related to the membership of multiple customers.
Slide Presentation from a Doctoral Virtual Open House presented on June 30, 2024 by staff and faculty of Capitol Technology University
Covers degrees offered, program details, tuition, financial aid and the application process.
Principles of Roods Approach!!!!!!!.pptxibtesaam huma
Principles of Rood’s Approach
Treatment technique used in physiotherapy for neurological patients which aids them to recover and improve quality of life
Facilitatory techniques
Inhibitory techniques
Credit limit improvement system in odoo 17Celine George
In Odoo 17, confirmed and uninvoiced sales orders are now factored into a partner's total receivables. As a result, the credit limit warning system now considers this updated calculation, leading to more accurate and effective credit management.
How to Configure Time Off Types in Odoo 17Celine George
Now we can take look into how to configure time off types in odoo 17 through this slide. Time-off types are used to grant or request different types of leave. Only then the authorities will have a clear view or a clear understanding of what kind of leave the employee is taking.
Views in Odoo - Advanced Views - Pivot View in Odoo 17Celine George
In Odoo, the pivot view is a graphical representation of data that allows users to analyze and summarize large datasets quickly. It's a powerful tool for generating insights from your business data.
The pivot view in Odoo is a valuable tool for analyzing and summarizing large datasets, helping you gain insights into your business operations.
No, it's not a robot: prompt writing for investigative journalismPaul Bradshaw
How to use generative AI tools like ChatGPT and Gemini to generate story ideas for investigations, identify potential sources, and help with coding and writing.
A talk from the Centre for Investigative Journalism Summer School, July 2024
How to Store Data on the Odoo 17 WebsiteCeline George
Here we are going to discuss how to store data in Odoo 17 Website.
It includes defining a model with few fields in it. Add demo data into the model using data directory. Also using a controller, pass the values into the template while rendering it and display the values in the website.
The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdfJackieSparrow3
we may assume that God created the cosmos to be his great temple, in which he rested after his creative work. Nevertheless, his special revelatory presence did not fill the entire earth yet, since it was his intention that his human vice-regent, whom he installed in the garden sanctuary, would extend worldwide the boundaries of that sanctuary and of God’s presence. Adam, of course, disobeyed this mandate, so that humanity no longer enjoyed God’s presence in the little localized garden. Consequently, the entire earth became infected with sin and idolatry in a way it had not been previously before the fall, while yet in its still imperfect newly created state. Therefore, the various expressions about God being unable to inhabit earthly structures are best understood, at least in part, by realizing that the old order and sanctuary have been tainted with sin and must be cleansed and recreated before God’s Shekinah presence, formerly limited to heaven and the holy of holies, can dwell universally throughout creation
The Value of Time ~ A Story to Ponder On (Eng. & Chi.).pptxOH TEIK BIN
A PowerPoint presentation on the importance of time management based on a meaningful story to ponder on. The texts are in English and Chinese.
For the Video (texts in English and Chinese) with audio narration and explanation in English, please check out the Link:
https://www.youtube.com/watch?v=lUtjLnxEBKo
Split Shifts From Gantt View in the Odoo 17Celine George
Odoo allows users to split long shifts into multiple segments directly from the Gantt view.Each segment retains details of the original shift, such as employee assignment, start time, end time, and specific tasks or descriptions.
How to Install Theme in the Odoo 17 ERPCeline George
With Odoo, we can select from a wide selection of attractive themes. Many excellent ones are free to use, while some require payment. Putting an Odoo theme in the Odoo module directory on our server, downloading the theme, and then installing it is a simple process.
Traces of the Holocaust in our communities in Levice Sovakia and Constanta Ro...
A Study to Assess the Effectiveness of Abdominal Breathing Exercise in Reduction of Blood Pressure Among Hypertensive Patients in Selected Hospitals at Bhopal
2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42598 | Volume – 5 | Issue – 4 | May-June 2021 Page 1404
among the hypertensive patients. Recent studies have
shown that abdominal breathing exercise patients have
stopped taking antihypertensive drugs and stick on the
exerciseregimen.
With regular practice you will breathe from the abdomen
most of the time, even while asleep. Breathing deeply can
help lower blood pressure. It relaxes the body and
lowers the heart rate, reducing the chronic stress and
tension that raises the blood pressure. Deep breathing
may also help the body to process the salt that
contributes to high blood pressure more effectively.
Need For the Study:
A report states that in India there are 42% people with
pre-hypertension, 15% are with newly diagnosed
hypertensive and 31% of people are known case of
hypertensive. In Karnataka it was reported that 54% of
people are with pre-hypertension, 10% of people are
newly diagnosed hypertension and 23% of people are
known case of hypertension.
In a study it has been reported that 26.4% of the overall
global population had hypertension in 2000, a number
that was projected to increase to 29.2% by 2025.
According to Indian statistics there are 195,785,036
people suffering with hypertension. Hypertension is
reported to be the fourth contributor to premature death
in developed countries and the seventh in developing
countries.
Hypertension related cardiovascular diseases caused 2.3
million deaths in India in the year 1990; this is projected to
double by the year 2020. Hypertension kills 8 million
people every year, worldwide and nearly 1.5 million people
in the South East Asia region.
Complications of hypertensions are kidney disease, heart
disease and hardened arteries. The measures to control
hypertension include antihypertensive drugs, diet
control and exercise. Among these measures a
complementary therapy is also considered to be effective
in reducing blood pressure. Many researchers have been
done and proved to be effective and worldwide people
are adopting this complimentary therapy. High Blood
pressure is largely preventable by adopting lifestyle
modifications at early stages. Reduces and manage
mental stress through yoga, meditation and other
relaxation techniques.
An experimental study regarding the effect of abdominal
breathing exercise on hypertension was done 40
hypertensive patients and it was found that there was a
significant reduction in post-test means systolic blood
pressure and diastolic pressure after abdominal
breathing exercise between experimental group that
controlgroup.
PROBLEM STATEMENT:
A study to assess the effectiveness of abdominal
breathing exercise in reduction of blood pressure among
hypertensive patients in selected hospitals at Bhopal.
OBJECTIVES:
1. To assess the effectiveness of abdominal breathing
exercise in reducing mean blood pressure among
hypertensivepatients.
2. To test the association between the mean blood
pressure and selected demographic factors of
hypertensivepatients.
HYPOTHESIS:
H1: There will be a significant difference in pre
assessment mean blood pressure and post
assessment mean blood pressure among
hypertensive patients.
H2: There will be a significant association between
mean blood pressure and selected demographic
factors of hypertensivepatients.
OPERATIONAL DEFINITIONS:
Effectiveness: refers to the reduction in blood
pressure due to abdominal breathing exercise
measured bycomparing the mean blood pressure.
Abdominal breathing exercise: abdominal
breathing is the act of breathing deep into one’s lungs
by flexing one’s diaphragm, which is marked by
expansion of the abdomen rather than the chest
while breathing.
Reduction of Blood pressure: It refers to decrease
in the blood pressure after abdominal breathing
exercise.
Hypertensive patients: Refers to those patients
whose blood pressure is >120/80 mmHg.
MATERIAL AND METHODS:
Research approach:
Evaluative research approach.
Research design:
Pre-Experimental with one group pre-test post-test
design.
Variables:
Dependent variable- blood pressure among
hypertensive patients.
Independent variable- Abdominal breathing exercise
Demographic variable- Such as Age, gender, education,
occupation, physical activity, antihypertensive drugs,
exercise, hours of sleep per day, quality of sleep.
Research setting:
The study was conducted in RKDF medical college
and research centre Hospital, Bhopal, and BMHRC,
Bhopal.
Population:
Target population: Patients who had diagnosed as
hypertensive
Accessible population: Patients who is admitted for
three days
Sample:
patients who had been diagnosed as hypertensive.
Sample size: 60 hypertensive patients.
Sample techniques:
Non probability convenient sampling.
Criteria for sample selection:
Inclusion criteria:
1. Patients whose blood pressure were
>120/80mmHg.
2. Patients who were diagnosed as hypertensive.
3. Both male and female patients.
Exclusion criteria:
1. Patients who were not willing to participate in the
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study
2. Patients who had severe respiratory problems and
critically ill patients.
Tool and method of data collection:
Section A. Demographic variable.
Section B. Blood pressure recording table,
sphygmomanometer, and stethoscope
Selection and development of tool: In this study
Demographic Performa, blood pressure monitoring
table, sphygmomanometer and stethoscope were used to
measure and observe accurately. The tool was developed
after extensive review of literature, internet search and
expert advice.
Description of the tool: The tool comprised of two
sections:
SECTION A: Demographic data- consisted of 9 items,
which comprised of Age of the patient, gender,
education, occupation, physical activity, hypertensive
drugs,exercise, hours of sleep per day, quality ofsleep.
SECTION B: Blood pressure recording table,
sphygmomanometer, and stethoscope- In this section
sphygmomanometer, stethoscope and blood pressure
monitoring table are included. The blood pressure
recording table consisted of four columns to record the
time, pre assessment mean arterial blood pressure,
intervention and post assessment of mean blood
pressure. Researcher records the blood pressure and
enters the mean blood pressure readings in the specified
column. Maximum of three mean readings are recorded
per day.
Reliability of tool: Inter-rater method was used to test
reliability of the sphygmomanometer and stethoscope.
The tool was administered to 6 samples and was rated by
two people. The reliabilitycoefficients found to be high r =
0.99. Hence the tool was foundreliable.
Data collection procedure-:
Formal administrative permission was obtained
from the RKDF medical college and research center
Bhopal, BMHRC Bhopal to conduct the study.
Total 60 patients were selected by using convenient
sampling for the intervention. The intervention was
administered to 30 samples in RKDF medical college
hospital and research center Bhopal,30 samples in
BMHRC Hospital.
The intervention was administered for three days.
Three observations were done each day dividing in
the morning, afternoonand eveningbefore the meal.
The procedure followed by pre assessment of mean
blood pressure and providing the intervention for
ten minutes followed by post assessment of mean
blood pressure at five minutesgap.
An informed consent was also obtained from the
subjects. The investigator gathered the information
through interview method and blood pressure
recording table to collect the necessarydata.
Ethical consideration:
Formal permission was obtained from the directors of
the hospitals. Confidentiality was ensured. An informed
consent was obtained from the individual hypertensive
patients. The individual had rights to refuse to
participate in the study. No physical and psychological
pain was caused.
Plan for data analysis:
The plan for data analysis includes-
Demographic variables would be analyzed by using
Frequency and percentage.
‘t-test’ will be used for the significance.
Chi squire test used for association between the
mean blood pressure and demographic variables.
RESULTS:
Table-1: Distribution of subjects according to their demographic variables n = 60
Sl. No. Demographic factors Frequency Percentage
1 Age
35-45 3 5
46-55 20 33.33
56-60 17 28.33
>60 20 33.33
2 Gender
Male 40 66.66
Female 20 33.33
3 Education
Graduate 19 31.66
PUC 6 15
Elementary 17 28.33
Illiterate 18 25
4 Occupation
Heavy worker 4 6.66
Moderate worker 16 26.66
Sedentary worker 40 66.66
5 Physical activity
Sitting 42 70
Walking 18 30
6 Anti hypertensive drugs
Yes 55 95.66
No 5 8.33
7 Exercise
Cycling 0 0
Walking 21 35
Swimming 0 0
Yoga 9 15
Nil 30 50
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8 Hours of sleep per day
< 5 hrs 36 60
5-6hrs 16 26.66
6-7hrs 5 8.33
7-8hrs 3 5
>8hrs 0 0
9 Quality of sleep
Sound 13 21.66
Disturbed 47 78.33
Table 1 described about the frequency, percentage distribution of demographic variable. Distribution of the subject by age
revealed that majority of the subject, i.e. The patients between 35-45 years of age group are very less representing only
5% and the patients between 46-55 and > 65 years of age group are more representing 33.33%, whereas the patients
between 56-60 years of age represents 28.33% in the total sample size. With regards to gender. Male gender is widely
suffering from hypertension with 66.66% as compare to female gender with 33.33%. With regards to education 31.66%
of the patients were graduate, 10% of the patients are PUC, 28.33% of the patients and 30% of the patients are illiterate.
With regards to the occupation majority of patients suffering with hypertension are sedentary worker with 66.66%,
26.66% of the patient are moderate worker and 6.66% of the patients are heavy worker. As per the finding of the study
70% of the hypertensive patients were sitting and doing their physical activities where as 30%of the patients were
walking and doing their physical activity. With regards to the medication. It revealed that 91.66% of patients are on anti-
hypertensive medications and 8.33% of the patients are not taking any anti-hypertensive drugs. According to the
exercise 50% of the patients are not doing any exercise, 35% of the patients are on walking, and 15% of the patients
are going for yoga classes. With regards to the hours of sleep per day 60% of the patients sleep < 5 hours, 26%of the
patients sleep for 5-6 hours, 8.33% of the patients sleep for 6-7 hours, 5% of the patients sleep for 5 hours per day.
According to the quality of sleep. It reveals that 78%of the patients have disturbed sleep and 21% of the patients have
sound sleep.
Table 2- describes the data on Mean, SD, & pre-test, post-test & paired’ test scores.
Overall Pre-test and
Post-test mean
blood pressure
Pretest Post test Mean difference Paired ‘t’ test values
Mean SD Mean SD
5.61
‘t’ = 19.39
p = 0.0001
(S)
116.77 7.57 111.16 7.41
S – Significant
Table 2: Shows that the mean value of pre-test of is 116.77,the SD is 7.57 and mean value of post test of is 111.16, the
SD is 7.41 and the ‘t’ value t =19.39. The obtained ‘t’ value is greater than table value of t (59) = 2.OO1. Since the obtained ‘t’
value is more than ‘t’ table value, so that the research hypothesis H1 is accepted. By this, it is inferred that there will be
significant difference in the blood pressure after doing abdominal breathing exercise.
Fig: The line diagram above shows that there is a decrease in post blood pressure comparing to pre-test blood
pressure.
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Table: 3 Data on association of mean blood pressure with demographic factors.
n = 60
Sl.
No.
Demographic factors Frequency
Median
Chi square Value
Less than or
equal to median
Greater than
Median
1 Age
35-45 3 3 0
χ2= 4.53
df = 3
p= 0.210 NS
46-55 20 9 11
56-60 17 10 7
>60 20 8 12
2 Gender
Male 40 21 19 χ2 = 0.300
df = 1
p= 0.584 NS
Female 20 9 11
3 Education
Graduate 19 10 9
χ2 = 1.18
df = 3
p= 0.757 NS
PUC 6 2 4
Elementary 17 10 7
Illiterate 18 9 9
4 Occupation
Heavy worker 4 2 2 χ2= 0.334E-01
df = 2
p= 0.983 NS
Moderate Worker 16 8 8
Sedentary worker 40 21 19
5
Physical activity
Sitting 42 25 17 χ2= 3.46
df = 1
p= 0.063 NS
Walking 18 6 12
6
Anti hypertensive drugs
Yes 55 29 26 χ2 = 0.974E-01
df = 1
p= 0.755 NS
No 5 3 2
7 Exercise
Cycling 0 0 0
χ2 = 3.33
df = 2
p= 0.189 NS
Walking 21 13 8
Swimming 0 0 0
Yoga 9 6 3
Nil 30 12 18
8 Hours of sleep per day
< 5 hrs 36 20 16
χ2= 1.84
df = 3
p= 0.605 NS
5-6hrs 16 6 10
6-7hrs 5 3 2
7-8hrs 3 2 3
>8hrs 0 0 0
9 Quality of sleep
Sound 13 5 8 χ2= 1.16
df = 1
p= 0.282 NS
Disturbed 47 26 21
NS- Not significant
The obtained chi square value is less than the table value and so research hypothesis (H2) is rejected. Therefore, it is
inferred that there are no selected demographic factors associated with mean difference of blood pressure.
DISCUSSION:
Data on effectiveness of abdominal breathing
exercise in reducing blood pressure.
In this study Data shows that the mean value of pre-test
of is 116.77, the SD is 7.57 and mean value of post-test is
111.16 the SD is 7.41 and the ‘t’ value is 19.39. The
obtained ‘t’ value is greater than table value of t (59) = 1.96.
Therefore, the abdominal breathing exercise is effective in
reducing blood pressure among hypertensive patients.
These findings were strongly supported by study on the
effect of abdominal breathing exercise on hypertension.
There was a significant reduction in post-test mean
systolic blood pressure (t=3.45, p=0.001) and diastolic
pressure (t=3.5, p=0.001) after abdominal breathing
exercise between experimental group that control group.
This study tested that the abdominal breathing exercise
can be used as a part of nursing management of
hypertensivepatients.
Conclusion: This study was aimed to help the
hypertensive patients to reduce the high blood pressure
through an abdominal breathing exercise. Since the
abdominal breathing exercise is easy to perform and cost
effective, the nurses who provide secondary care to the
hypertensive patients should implement to provide the
comprehensive nursing care.
Recommendations:
A similar study can be replicated on a large sample
in a different setting to strengthen the findings.
Further research could be carried out to identify the
occurrence of increased blood pressure by adopting
probability random sampling of all hypertensive
patients.
A study can be conducted to assess the factors
which influence in hypertension.
Conflict of interest: No
Financial support: Self
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