Bupropion is an oral antidepressant which acts by inhibiting the reuptake of dopamine and noradrenaline from synapse. Apart from treatment of depressive disorders, it is used off-label for smoking cessation, treatment of attention-decit hyperactivity disorder and obesity. Bupropion is generally well-tolerated and has a favorable safety prole. Till date there have only been few case reports of allergic skin reactions associated with bupropion. Apart from being a rare adverse reaction, the unique feature of delayed onset of allergic reaction may lead to underreporting of the phenomenon. Here we present a case report of a 30 years old male who presented with generalized urticaria after twenty-three days of bupropion initiation. This report serves to promote awareness among the clinicians about the association of delayed-onset allergic phenomenon with use of Bupropion.
{"title":"BUPROPION INDUCED DELAYED ONSET URTICARIA: A CASE REPORT","authors":"Sriparna Bhattacharyya, Suresh Chakravarty","doi":"10.36106/ijar/6103235","DOIUrl":"https://doi.org/10.36106/ijar/6103235","url":null,"abstract":"Bupropion is an oral antidepressant which acts by inhibiting the reuptake of dopamine and noradrenaline from synapse.\u0000Apart from treatment of depressive disorders, it is used off-label for smoking cessation, treatment of attention-decit\u0000hyperactivity disorder and obesity. Bupropion is generally well-tolerated and has a favorable safety prole. Till date there have only been few case\u0000reports of allergic skin reactions associated with bupropion. Apart from being a rare adverse reaction, the unique feature of delayed onset of\u0000allergic reaction may lead to underreporting of the phenomenon. Here we present a case report of a 30 years old male who presented with\u0000generalized urticaria after twenty-three days of bupropion initiation. This report serves to promote awareness among the clinicians about the\u0000association of delayed-onset allergic phenomenon with use of Bupropion.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140791797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Progressing digital technology and the immersion of articial intelligence along with the evolving social media marketing platforms have led to the enhancement of e-commerce. These techniques have aided businesses in developing strategies to capture a big audience across geographical borders and also develop probable customers at a reasonable price. Furthermore, these current technologies promote and publicize the launch of new products, evolve inuential brand leadership strategies, assist in building brand loyalty, anticipate consumers' demands and behavior practices heighten special deals and augment sales by enhancing consumer participation.This research paper discusses the evolution of social media marketing platforms and the growth of digital marketing tools. The study highlights the myriad social media marketing channels namely - Facebook, Twitter, Instagram, Pinterest, LinkedIn and YouTube; how these platforms operate utilizing their tools to enhance e-commerce and also illustrate a SWOT analysis on social media marketing platforms. Additionally, it analyzes digital marketing tools and online marketing strategies via websites, search engine optimization, email crusades and afliate marketing systems. The research paper concludes with the impact of the advancement of articial intelligence and social media marketing behavior on e-commerce.
{"title":"SOCIAL MEDIA AS A NEW MARKET","authors":"Gargi Agarwal","doi":"10.36106/ijar/7809982","DOIUrl":"https://doi.org/10.36106/ijar/7809982","url":null,"abstract":"Progressing digital technology and the immersion of articial intelligence along with the evolving social media\u0000marketing platforms have led to the enhancement of e-commerce. These techniques have aided businesses in developing\u0000strategies to capture a big audience across geographical borders and also develop probable customers at a reasonable price. Furthermore, these\u0000current technologies promote and publicize the launch of new products, evolve inuential brand leadership strategies, assist in building brand\u0000loyalty, anticipate consumers' demands and behavior practices heighten special deals and augment sales by enhancing consumer\u0000participation.This research paper discusses the evolution of social media marketing platforms and the growth of digital marketing tools. The\u0000study highlights the myriad social media marketing channels namely - Facebook, Twitter, Instagram, Pinterest, LinkedIn and YouTube; how these\u0000platforms operate utilizing their tools to enhance e-commerce and also illustrate a SWOT analysis on social media marketing platforms.\u0000Additionally, it analyzes digital marketing tools and online marketing strategies via websites, search engine optimization, email crusades and\u0000afliate marketing systems. The research paper concludes with the impact of the advancement of articial intelligence and social media\u0000marketing behavior on e-commerce.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"696 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand stitching, a craft that was practiced for constructing garments in ancient times has lost its demand due to the advent of machines. More and more people get engaged in the use of machines rendering hand-stitching obsolete, as it is strenuous and time-consuming compared to machine stitching. The handcrafted garments do hold a good potential with the use of the right techniques to assemble and embellish them. This research was taken up to examine the fundamental qualities of hand stitches and their use for creative clothing seams, surface ornamentation, and decorative elements. Running stitches were explored at length for variation to be used for both decoration as surface ornamentation and seam construction. The researcher also trained the women without formal education in three sessions so that they could convert the skill for economic independence. The results were so encouraging that self-help groups for women were established where they learned the variety of basic hand stitches for ornamental purposes, which added to the value of the garments. The reversible elements that can be worn on either side of the garment were designed. As the extension of the work, designs (motifs) were prepared by the researcher and developed by the trainees, which were prepared to keep in mind the commercial market.
{"title":"ENTREPRENEURIAL OPPORTUNITIES: INNOVATION THROUGH HAND STITCHES","authors":"Rinku Agrawal, Madhu Sharan","doi":"10.36106/ijar/5109889","DOIUrl":"https://doi.org/10.36106/ijar/5109889","url":null,"abstract":"Hand stitching, a craft that was practiced for constructing garments in ancient times has lost its demand due to the advent\u0000of machines. More and more people get engaged in the use of machines rendering hand-stitching obsolete, as it is\u0000strenuous and time-consuming compared to machine stitching. The handcrafted garments do hold a good potential with the use of the right\u0000techniques to assemble and embellish them. This research was taken up to examine the fundamental qualities of hand stitches and their use for\u0000creative clothing seams, surface ornamentation, and decorative elements. Running stitches were explored at length for variation to be used for\u0000both decoration as surface ornamentation and seam construction. The researcher also trained the women without formal education in three\u0000sessions so that they could convert the skill for economic independence. The results were so encouraging that self-help groups for women were\u0000established where they learned the variety of basic hand stitches for ornamental purposes, which added to the value of the garments. The\u0000reversible elements that can be worn on either side of the garment were designed. As the extension of the work, designs (motifs) were prepared by\u0000the researcher and developed by the trainees, which were prepared to keep in mind the commercial market.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"151 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140769120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Providing appropriate nutrition in the hospital settings is a challenging task due to diverse dietary need of the population. (i) to assess different dietary package in the kitchen (ii) to nd out the challeng Objectives: es due to increasing patient load during pandemic. This was a record based cross sectional study conducted in Methodology: the Central kitchen of st th Rajendra Institute of Medical Sciences (RIMS), Ranchi for a period of four weeks (1 August to 28 August,2020). Collected Data was entered in Microsoft Excel Sheet and was analysed using SPSS software version 20. The mean (SD) population tha Result: t was served by the hospital kitchen 838.86(75.60). The proportion of total patient with respect to total patient was 0.256. The main dietary difference for pandemic patient was found in terms of high protein content, change in rice quality and use of butter to increase palatability. Due to limited human Conclusion: resource and increasing pandemic patient kitchen staffs were pressurized. The hospital administration must get prepared for unpredictable exponential load due to pandemic or any outbreak.
导言：由于人们的饮食需求各不相同，在医院环境中提供适当的营养是一项具有挑战性的任务。(i) 评估厨房中的不同饮食包 (ii) nd out the challeng Objectives: es due to increasing patient load during pandemic.这是一项基于记录的横断面研究。研究方法：在兰契拉金德拉医学科学研究所（RIMS）中央厨房进行为期四周（2020 年 8 月 1 日至 8 月 28 日）的研究。收集的数据输入 Microsoft Excel 表格，并使用 SPSS 软件版本 20 进行分析。结果：医院服务的平均（标清）人数为 838.86（75.60）人。病人总数占病人总数的比例为 0.256。大流行病患者的膳食差异主要体现在高蛋白含量、米饭质量的改变以及使用黄油增加适口性等方面。由于人力资源有限，加上大流行病患者不断增加，厨房工作人员的压力很大。医院管理部门必须做好准备，应对大流行或任何疫情造成的不可预测的指数级负荷。
{"title":"CHALLENGES FACED BY THE KITCHEN STAFFS DURING PANDEMICS IN TERTIARY CARE HOSPITAL OF JHARKHAND: A DISCRIPTIVE STUDY","authors":"Anju Prabha Kumari, Soma Oraon, Dilip Kumar Paswan","doi":"10.36106/ijar/5604861","DOIUrl":"https://doi.org/10.36106/ijar/5604861","url":null,"abstract":"Introduction: Providing appropriate nutrition in the hospital settings is a challenging task due to diverse dietary need of\u0000the population. (i) to assess different dietary package in the kitchen (ii) to nd out the challeng Objectives: es due to\u0000increasing patient load during pandemic. This was a record based cross sectional study conducted in Methodology: the Central kitchen of\u0000st th Rajendra Institute of Medical Sciences (RIMS), Ranchi for a period of four weeks (1 August to 28 August,2020). Collected Data was entered in\u0000Microsoft Excel Sheet and was analysed using SPSS software version 20. The mean (SD) population tha Result: t was served by the hospital\u0000kitchen 838.86(75.60). The proportion of total patient with respect to total patient was 0.256. The main dietary difference for pandemic patient\u0000was found in terms of high protein content, change in rice quality and use of butter to increase palatability. Due to limited human Conclusion:\u0000resource and increasing pandemic patient kitchen staffs were pressurized. The hospital administration must get prepared for unpredictable\u0000exponential load due to pandemic or any outbreak.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"24 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sheeba Parvez, Gazala Shamin, Sana Parvez, Arvind Khajuria
AIM: The present study was undertaken with an aim to investigate the sero prevalence of HIV and hepatitis in blood donors. Introduction: Blood transfusion constitutes of an important part of patient care, as up to 10% of hospitalized patients are transfused. But unsafe blood transfusion have the potential to transmit a diversity of infections to blood recipients. These infections could be due to viruses, bacteria, protozoans , and/or prions . Viral agents include human immunodeciency virus (HIV) , Hepatitis B virus (HBV) and Hepatitis C virus (HCV). Material And Methods: The present study was undertaken with an aim to investigate the sero-prevalence of HIV and hepatitis in blood donors. This is a cross sectional study of 200 blood donors in of Acharya shree Chandra college of medical sciences and hospital with age ranging from 18 to 49 years from time period October 2023 to March 2024. Result: Out of 200 donors, only 18 were positive for hepatitis.( 13 male and 5 female). Also 8 out of 200 were positive for HIV ,out of which 8 were male and 1 was female. It is Conclusion: necessary to estimate the prevalence of infections in the donor community using more sensitive and specic tests than the early tests used.
{"title":"PREVALENCE OF HIV AND HEPATITIS VIRUS IN BLOOD DONORS INACHARYA SHRI CHANDRA COLLEGE OF MEDICAL SCIENCES AND HOSPITAL.","authors":"Sheeba Parvez, Gazala Shamin, Sana Parvez, Arvind Khajuria","doi":"10.36106/ijar/3903972","DOIUrl":"https://doi.org/10.36106/ijar/3903972","url":null,"abstract":"AIM: The present study was undertaken with an aim to investigate the sero prevalence of HIV and hepatitis in blood\u0000donors. Introduction: Blood transfusion constitutes of an important part of patient care, as up to 10% of hospitalized\u0000patients are transfused. But unsafe blood transfusion have the potential to transmit a diversity of infections to blood recipients. These infections\u0000could be due to viruses, bacteria, protozoans , and/or prions . Viral agents include human immunodeciency virus (HIV) , Hepatitis B virus (HBV)\u0000and Hepatitis C virus (HCV). Material And Methods: The present study was undertaken with an aim to investigate the sero-prevalence of HIV\u0000and hepatitis in blood donors. This is a cross sectional study of 200 blood donors in of Acharya shree Chandra college of medical sciences and\u0000hospital with age ranging from 18 to 49 years from time period October 2023 to March 2024. Result: Out of 200 donors, only 18 were positive\u0000for hepatitis.( 13 male and 5 female). Also 8 out of 200 were positive for HIV ,out of which 8 were male and 1 was female. It is Conclusion:\u0000necessary to estimate the prevalence of infections in the donor community using more sensitive and specic tests than the early tests used.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"40 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Komirisetti Anjaneyulu, N. Madhavi, D. Manikyamba, V. V. Lakshmi
Introduction: Sickle-cell anemia (SCA), a severe form of sickle-cell disease, is a global hemoglobinopathy with a signicant on affected individuals. The disease is characterized by a single point mutation in the β-globin gene, leading to the synthesis of unstable sickle haemoglobin (HbS). This results in HbS polymerization, oxidative stress, inammation, and endothelial activation. Despite advancements in treatment strategies, mortality remains high in this population. Cardiac complications, although recognized, are not well-explored. This study aims to investigate the clinical prole of children with SCA and assess cardiac function using 2D echocardiography. Aims & Objectives: 1.To assess clinical prole of children with sickle cell anemia 2.Evaluation of cardiac function in them using 2D Echocardiography. Materials and Methods: This prospective observational study was conducted at a Government General Hospital, enrolling children aged 5 to 12 years with SCA.Detailed demographic information, family history, and clinical data were collected. All enrolled children underwent investigations, including complete blood count (CBC) and 2D Echocardiography was performed by a cardiologist. Data was analysed with appropriate statistical methods. Results: The study included 100 children with SCA, with a mean age of 8.7 years. Clinical presentations revealed a prevalence of vascular occlusion (73%), splenomegaly (14%), infections (7%), and hepatomegaly (6%). Electrocardiographic parameters indicated sinus bradycardia (24%), left atrial enlargement (19%) and diastolic dysfunction (84%). Mean values of echocardiographic parameters were also reported. Hydroxyurea therapy showed statically signicant improvement in haemoglobin levels, number of blood transfusions, hospital admissions and other clinical parameters. This study provides valuable insights into the clinical prole especially cardiac abnor Conclusions: malities among children with SCA.All SCA childrens should be routinely screened for cardiac abnormalities and counselled appropriately. The clinical benits of hydroxyurea therapy highlights the importance of early initiation of this drug in all childrens with SCA.
导言：镰状细胞性贫血（SCA）是镰状细胞病的一种严重形式，是一种全球性的血红蛋白病，对患者的cant。该病的特征是β-球蛋白基因发生单点突变，导致合成不稳定的镰状血红蛋白（HbS）。这导致 HbS 聚合、氧化应激、ammation 和内皮细胞活化。尽管治疗策略有所进步，但这一人群的死亡率仍然很高。心脏并发症虽然已被认识到，但尚未得到很好的研究。本研究旨在调查镰状细胞性贫血患儿的临床原le，并使用二维超声心动图评估心脏功能。Aims & Objectives:1.To assess clinical prole of children with sickle cell anemia2.Evaluation of cardiac function in them using 2D Echocardiography.材料与方法：本前瞻性观察研究在一家政府综合医院进行，共招募了5至12岁的镰状细胞性贫血患儿。收集了详细的人口学信息、家族史和临床数据。所有入组儿童均接受了包括全血细胞计数（CBC）在内的检查，并由心脏病专家进行了二维超声心动图检查。数据采用适当的统计方法进行分析。结果：该研究包括100名患有SCA的儿童，平均年龄为8.7岁。临床表现为血管闭塞（73%）、脾肿大（14%）、感染（7%）和肝肿大（6%）。心电图参数显示窦性心动过缓（24%）、左房扩大（19%）和舒张功能障碍（84%）。此外，还报告了超声心动图参数的平均值。羟基尿疗法在血红蛋白水平、输血次数、入院次数和其他临床参数方面都有显著的改善。这项研究为了解SCA患儿的临床，尤其是心脏异常提供了宝贵的见解。所有SCA患儿都应接受常规的心脏异常筛查，并给予适当的指导。羟基脲治疗的临床良，凸显了对所有SCA患儿尽早使用该药物的重要性。
{"title":"STUDY OF CLINICAL PROFILE OF CHILDREN WITH SICKLE CELL ANEMIA AND EVALUATION OF CARDIAC FUNCTION IN THEM USING 2D ECHOCARDIOGRAPHY","authors":"Komirisetti Anjaneyulu, N. Madhavi, D. Manikyamba, V. V. Lakshmi","doi":"10.36106/ijar/2303450","DOIUrl":"https://doi.org/10.36106/ijar/2303450","url":null,"abstract":"Introduction: Sickle-cell anemia (SCA), a severe form of sickle-cell disease, is a global hemoglobinopathy with a\u0000signicant on affected individuals. The disease is characterized by a single point mutation in the β-globin gene, leading\u0000to the synthesis of unstable sickle haemoglobin (HbS). This results in HbS polymerization, oxidative stress, inammation, and endothelial\u0000activation. Despite advancements in treatment strategies, mortality remains high in this population. Cardiac complications, although\u0000recognized, are not well-explored. This study aims to investigate the clinical prole of children with SCA and assess cardiac function using 2D\u0000echocardiography.\u0000Aims & Objectives:\u00001.To assess clinical prole of children with sickle cell anemia\u00002.Evaluation of cardiac function in them using 2D Echocardiography.\u0000Materials and Methods:\u0000This prospective observational study was conducted at a Government General Hospital, enrolling children aged 5 to 12 years with SCA.Detailed\u0000demographic information, family history, and clinical data were collected. All enrolled children underwent investigations, including complete\u0000blood count (CBC) and 2D Echocardiography was performed by a cardiologist. Data was analysed with appropriate statistical methods. Results:\u0000The study included 100 children with SCA, with a mean age of 8.7 years. Clinical presentations revealed a prevalence of vascular occlusion\u0000(73%), splenomegaly (14%), infections (7%), and hepatomegaly (6%). Electrocardiographic parameters indicated sinus bradycardia (24%), left\u0000atrial enlargement (19%) and diastolic dysfunction (84%). Mean values of echocardiographic parameters were also reported. Hydroxyurea\u0000therapy showed statically signicant improvement in haemoglobin levels, number of blood transfusions, hospital admissions and other clinical\u0000parameters. This study provides valuable insights into the clinical prole especially cardiac abnor Conclusions: malities among children with\u0000SCA.All SCA childrens should be routinely screened for cardiac abnormalities and counselled appropriately. The clinical benits of\u0000hydroxyurea therapy highlights the importance of early initiation of this drug in all childrens with SCA.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"72 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patients with rheumatic heart disease (RHD) undergoing non-cardiac surgeries present a challenge for anesthesiologists. This case report discusses the anesthetic management of a 56-year-old female with severe mitral stenosis, posted for acetabulum fracture xation. The patient's history revealed RHD with severe mitral stenosis, mild mitral regurgitation, and severe pulmonary hypertension. Considering the risks associated with neuraxial anesthesia in mitral stenosis, general anesthesia (GA) with a Pericapsular Nerve Group (PENG) block was chosen. The patient was carefully premedicated, induced with appropriate drugs, and monitored intraoperatively. The PENG block, performed under ultrasound guidance, aimed to reduce hip pain without causing motor blockade. The patient remained hemodynamically stable throughout the surgery, and postoperatively, the combination of GA with PENG block provided effective pain control, reducing the need for opioids. This approach contributed to an early recovery, emphasizing the importance of tailored anesthesia strategies for valvular heart disease patients undergoing non-cardiac surgeries.
{"title":"ANAESTHETIC MANAGEMENT OF A PATIENT WITH RHEUMATIC VALVULAR HEART DISEASE POSTED FOR FIXATION OF ACETABULUM FRACTURE","authors":"Surhud Vijaysingh Patil, Vasanti Sasturkar (Kelkar)","doi":"10.36106/ijar/6201529","DOIUrl":"https://doi.org/10.36106/ijar/6201529","url":null,"abstract":"Patients with rheumatic heart disease (RHD) undergoing non-cardiac surgeries present a challenge for anesthesiologists.\u0000This case report discusses the anesthetic management of a 56-year-old female with severe mitral stenosis, posted for\u0000acetabulum fracture xation. The patient's history revealed RHD with severe mitral stenosis, mild mitral regurgitation, and severe pulmonary\u0000hypertension.\u0000Considering the risks associated with neuraxial anesthesia in mitral stenosis, general anesthesia (GA) with a Pericapsular Nerve Group (PENG)\u0000block was chosen. The patient was carefully premedicated, induced with appropriate drugs, and monitored intraoperatively. The PENG block,\u0000performed under ultrasound guidance, aimed to reduce hip pain without causing motor blockade.\u0000The patient remained hemodynamically stable throughout the surgery, and postoperatively, the combination of GA with PENG block provided\u0000effective pain control, reducing the need for opioids. This approach contributed to an early recovery, emphasizing the importance of tailored\u0000anesthesia strategies for valvular heart disease patients undergoing non-cardiac surgeries.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"117 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140783529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background of the study: Self-esteem is the inner state of a person's abilities, capacities, capabilities & aptitude, to feel worthy, respected & valued. This should promote condence and necessary parameter of the development of one's personal & professional identity. To assess the level of self-esteem among 1st year nursing student Aim: Method: s. Using quantitative research approach and descriptive research design. 110 samples were collected through convenient sampling method. result show that majority of Result: nursing students i.e.102 (92.7%) have normal self-esteem level, 1 (0.91%) students have high self-esteem level, and 7 (6.36%) students have low self-esteem level. There was signicant association of level of self-esteem with demographic variables i.e. age, caste, religion, type of family and adaptation of the course. The study concluded that majority of participants have normal self-esteem Conclusion: and there is signicant association between level of self-esteem and demographic variables i.e. age, caste, religion, type of family and adaptation of the course.
{"title":"A DESCRIPTIVE STUDY TO ASSESS THE LEVEL OF SELF-ESTEEM AMONG B.Sc AND GNM 1ST YEAR NURSING STUDENTS OF NEMCARE INSTITUTE OF NURSING SCIENCES,NEMCARE FOUNDATION, MIRZA, KAMRUP ®, ASSAM.","authors":"Siddhartha Lodh, Priyanka Porh, Nurija Parbin, Sadhana Baishya","doi":"10.36106/ijar/2502485","DOIUrl":"https://doi.org/10.36106/ijar/2502485","url":null,"abstract":"Background of the study: Self-esteem is the inner state of a person's abilities, capacities, capabilities & aptitude, to feel\u0000worthy, respected & valued. This should promote condence and necessary parameter of the development of one's\u0000personal & professional identity. To assess the level of self-esteem among 1st year nursing student Aim: Method: s. Using quantitative research\u0000approach and descriptive research design. 110 samples were collected through convenient sampling method. result show that majority of Result:\u0000nursing students i.e.102 (92.7%) have normal self-esteem level, 1 (0.91%) students have high self-esteem level, and 7 (6.36%) students have low\u0000self-esteem level. There was signicant association of level of self-esteem with demographic variables i.e. age, caste, religion, type of family and\u0000adaptation of the course. The study concluded that majority of participants have normal self-esteem Conclusion: and there is signicant\u0000association between level of self-esteem and demographic variables i.e. age, caste, religion, type of family and adaptation of the course.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"48 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rameshwar Alane, Venkatesh Khadke, Saleem Tamboli, P. Jadhav, Rahul Parsode
Introduction- Recently, a novel coronavirus (2019-nCoV), ofcially known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), caused a severe pandemic infection worldwide with considerable morbidity and mortality. A relatively high mortality of severe coronavirus disease 2019 (COVID-19) is worrying, and the application of heparin in COVID-19 has been recommended by some expert consensus because of the risk of disseminated intravascular coagulation and venous thromboembolism. However, its efcacy remains to be validated.We aim to Correlate the association between prophylactic and therapeutic dosages of low molecular weight heparin (LMWH) on mortality and other morbidity outcomes in critically ill patients of COVID-19 . Consecutive Methodspatients admitted to Dr. S. C.GMC Medical college and hospital Nanded with laboratory-conrmed COVID-19 were included in this retrospective observational study. The diagnosis of COVID-19 was established according to World Health Organization interim guidance and conrmed by RNA detection of the SARS-CoV-2 in the microbiology laboratory of the hospital. Outcomes between COVID-19 patients treated with standard prophylactic LMWH enoxaparin dosage (subcutaneous enoxaparin 40–60 mg daily) or Therapeutic LMWH enoxaparin dosage (subcutaneous enoxaparin 40–60 mg twice daily) for 7 days were correlated. Out of 100 patients 50 re Results - ccived P-LMWH & 50 reccived T-LMWH among that 12 % patients expired in prophylactic group & 22% in therapeutic group. It was observed that the levels of D-dimer before & after of P-LMWH group were (D-dimer: 2.63±1.77, 0.63±1.19) and those of T-LMWH group were(D-dimer: 3.14 ± 2.15, 1.07 ±1.56 ). the length of hospital stay was (11 ± 2.21) days in the P-LMWH group and (11 ± 3.99 ) Days in the T-LMWH group. Simillarly the saturation level of oxygen ware (SPO2 98% ) in P-LMWH group & (SPO2 97%) in T-LMWH group. 26% patients shows adverse effects to P-LMWH group & 32% patients to T-LMWH group. Study demonstrates that if you start earlier prophylactic LMW Conclusion- heparin to critically ill patients of covid 19 with raised D-dimer level the level of d-dimer will not further increased and comes down to normal value. Simillarly patients recover earlier and reduces hospital stay of patients with improvement in oxygen saturation.
{"title":"CORRELATION OF PROPHYLACTIC AND THERAPEUTIC DOSE OF LMW HEPARIN WITH RESPECT TO OUTCOME IN CRITICALLY ILL PATIENTS OF COVID-19.","authors":"Rameshwar Alane, Venkatesh Khadke, Saleem Tamboli, P. Jadhav, Rahul Parsode","doi":"10.36106/ijar/6003165","DOIUrl":"https://doi.org/10.36106/ijar/6003165","url":null,"abstract":"Introduction- Recently, a novel coronavirus (2019-nCoV), ofcially known as severe acute respiratory syndrome\u0000coronavirus 2 (SARS-CoV-2), caused a severe pandemic infection worldwide with considerable morbidity and\u0000mortality. A relatively high mortality of severe coronavirus disease 2019 (COVID-19) is worrying, and the application of heparin in COVID-19\u0000has been recommended by some expert consensus because of the risk of disseminated intravascular coagulation and venous thromboembolism.\u0000However, its efcacy remains to be validated.We aim to Correlate the association between prophylactic and therapeutic dosages of low\u0000molecular weight heparin (LMWH) on mortality and other morbidity outcomes in critically ill patients of COVID-19 . Consecutive Methodspatients admitted to Dr. S. C.GMC Medical college and hospital Nanded with laboratory-conrmed COVID-19 were included in this\u0000retrospective observational study. The diagnosis of COVID-19 was established according to World Health Organization interim guidance and\u0000conrmed by RNA detection of the SARS-CoV-2 in the microbiology laboratory of the hospital. Outcomes between COVID-19 patients treated\u0000with standard prophylactic LMWH enoxaparin dosage (subcutaneous enoxaparin 40–60 mg daily) or Therapeutic LMWH enoxaparin dosage\u0000(subcutaneous enoxaparin 40–60 mg twice daily) for 7 days were correlated. Out of 100 patients 50 re Results - ccived P-LMWH & 50 reccived\u0000T-LMWH among that 12 % patients expired in prophylactic group & 22% in therapeutic group. It was observed that the levels of D-dimer\u0000before & after of P-LMWH group were (D-dimer: 2.63±1.77, 0.63±1.19) and those of T-LMWH group were(D-dimer: 3.14 ± 2.15, 1.07 ±1.56 ).\u0000the length of hospital stay was (11 ± 2.21) days in the P-LMWH group and (11 ± 3.99 ) Days in the T-LMWH group. Simillarly the saturation\u0000level of oxygen ware (SPO2 98% ) in P-LMWH group & (SPO2 97%) in T-LMWH group. 26% patients shows adverse effects to P-LMWH\u0000group & 32% patients to T-LMWH group. Study demonstrates that if you start earlier prophylactic LMW Conclusion- heparin to critically ill\u0000patients of covid 19 with raised D-dimer level the level of d-dimer will not further increased and comes down to normal value. Simillarly patients\u0000recover earlier and reduces hospital stay of patients with improvement in oxygen saturation.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID19 pandemic has led to signicant changes in daily routines and lifestyle worldwide and mental health issues have emerged consequently. The aim to assess the presence of sleep disturbances before and after the pandemic in the adolescents and young adults age groups in the general population. Methods: Survey data were collected by using snowball sampling method in the general populations. Participants included 234 in total, in those 100 subjects were adolescents(13-24years) and 130 subjects were belonging to age group of 25-44years. Cross sectional study was proceeded and the prevalence rate of various components of sleep pattern was assessed using the Pittsburgh sleeping quality index questionaries. Interpretation: Although, the quality of sleep doesn't show variation among adolescent, but the other domains of sleep pattern are changed aggressively. The % sleep latency was increased which indicates poor sleep pattern. Sleeping duration are also greatly decreased, which leads to fall in the efciency of the sleep. Moderate sleep disturbances were greatly affected. Overall good sleeper prevalence rate was drastically falls among adolescents after the pandemic period. The sleep quality and sleep latency among young adults of bad sleepers was improved after the pandemic. while the other components of the PSQI of sleep was drastically affected. The duration of sleep was greatly affected. The efciency among good sleepers was highly affected. The prevalence rate was doubled on severe sleep disturbance in young adults. Mild daytime dysfunction persistently high in both periods. Overall moderate severely sleep disturbers rate was increased. Lifestyle changes and sleep disturbances have been occurring in hand Conclusion: and hand, it's needed to evaluate the psychological aetiology of sleep disorders because sleeping is the most important indicator of mental wellbeing and treat the patients accordingly to prevent the mental illness among adolescents and young adults.
{"title":"IMPACT OF PANDEMIC ON SLEEP DISTURBANCE AMONG ADOLESCENTS AND YOUNG ADULTS","authors":"V. S. Devi, S. A. Begum, A. S. Rani, G. M. Latha","doi":"10.36106/ijar/2401363","DOIUrl":"https://doi.org/10.36106/ijar/2401363","url":null,"abstract":"The COVID19 pandemic has led to signicant changes in daily routines and lifestyle worldwide and mental health issues\u0000have emerged consequently. The aim to assess the presence of sleep disturbances before and after the pandemic in the\u0000adolescents and young adults age groups in the general population. Methods: Survey data were collected by using snowball sampling method in\u0000the general populations. Participants included 234 in total, in those 100 subjects were adolescents(13-24years) and 130 subjects were belonging\u0000to age group of 25-44years. Cross sectional study was proceeded and the prevalence rate of various components of sleep pattern was assessed\u0000using the Pittsburgh sleeping quality index questionaries. Interpretation: Although, the quality of sleep doesn't show variation among\u0000adolescent, but the other domains of sleep pattern are changed aggressively. The % sleep latency was increased which indicates poor sleep\u0000pattern. Sleeping duration are also greatly decreased, which leads to fall in the efciency of the sleep. Moderate sleep disturbances were greatly\u0000affected. Overall good sleeper prevalence rate was drastically falls among adolescents after the pandemic period. The sleep quality and sleep\u0000latency among young adults of bad sleepers was improved after the pandemic. while the other components of the PSQI of sleep was drastically\u0000affected. The duration of sleep was greatly affected. The efciency among good sleepers was highly affected. The prevalence rate was doubled\u0000on severe sleep disturbance in young adults. Mild daytime dysfunction persistently high in both periods. Overall moderate severely sleep\u0000disturbers rate was increased. Lifestyle changes and sleep disturbances have been occurring in hand Conclusion: and hand, it's needed to\u0000evaluate the psychological aetiology of sleep disorders because sleeping is the most important indicator of mental wellbeing and treat the patients\u0000accordingly to prevent the mental illness among adolescents and young adults.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"50 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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