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A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Management and Prevention of Breast Engorgement among primigravida Mothers in Selected Hospitals at Rohtas District 评估罗赫塔斯区选定医院初产妇乳房膨胀管理和预防知识结构化教学方案有效性的研究
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10519
A. Rani, Ashutosh Kumar, Atahar Equbal, Lincy Joseph
Breast engorgement is common among postnatal mothers especially in primigravida mothers. Breast engorgement is triggered by intensified lactogenesis causing from a reduced blood level of steroid hormone in postpartum women and with increased prolactin concentrations. The incidence rate of breast engorgement throughout the world is 1:8000 and in India 1:6500. Objectives Of The Study: To assess the knowledge of primi mother’s regarding breast engorgement through pretest.To find out the effectiveness of structured teaching programme on knowledge regarding breast engorgement problem among primi mother’s through post-test.To find out the association between post-test knowledge score with selected demographic variables. Materials And Methods : The research approach used in the present study is quantitative research approach and the research design is one group pretest and post test design is chosen for conducting the study , where there is no randomization and control group . In this design all the subjects were selected by convenience sampling technique and were given a pre-test and then post-test were conducted after they receive an intervention. The setting of the study were selected hospitals of Rohtas District. The target population comprises of all the primigravida mothers . The accessible population in this study are all the primigravida mothers in selected hospitals of rohtas district . Structured questionnaire was prepared containing a set of questions , were asked by the sample. The investigator collected the data from the 50 primigravida mothers , who came for antenatal checkup or who was admitted in ward of Sadar Hospital and NMCH. Results: Nearly 70% of the mothers are of the age group 19-25 years , 30% of the age group 26-35 years, no mother are below age of 18 years and no mothers are above 35 years.About 22% of the mother are not having any formal education, 8% of the mother’s qualification was diploma, 50% of them are graduated , 6% are postgraduated and 14% have other qualification.Approx. 92% of the primigravida mothers are housewife , 3% are teacher and 1% have other occupation.About 40% of the mothers belong to nuclear family , 50% are from joint family and 10% of mothers belong to extended family. About 92% of the primi mother are hindu and remaining 8% to muslim religion.About 2% of the primi mothers have previous information from internet , 4% have previous information from books and 94% have previous information from health professionals.The mean score of concept of breast engorgement is raised from 8.74 (SD=2.365) in pretest( Margin of error = 8.74 ±0.655 at 95% confidence interval ) to 17.58 ( SD=1.69) in post-test ( Margin of Error = 17.58 ± 0.468 at 95% confidence interval ) . The t test computed between the pre-test and post-test knowledge of primigravida mothers ( t=22.7870) was highly significant at 1% level. Conclusion: The obtained findings of the study led to the following conclusions:Majority of the primigravida moth
乳房充盈在产后母亲中很常见,尤其是在初产妇中。由于产后妇女血液中类固醇激素水平降低和催乳素浓度增加,导致乳生成加剧,从而引发乳房充盈。全世界乳房膨胀的发生率是1:8000,印度是1:6500。研究目的:通过前测了解原母对乳房膨胀的认知。通过后测,了解结构化教学方案对初级母亲乳房膨胀问题知识的有效性。目的探讨学生测验后知识得分与所选人口学变量的关系。材料与方法:本研究采用的研究方法为定量研究方法,研究设计为一组前测和后测设计进行研究,没有随机分组和对照组。在本设计中,所有被试均采用方便抽样法,在接受干预后分别进行前测和后测。本研究选取罗赫塔斯区的医院为研究对象。目标种群包括所有原始鱼母亲。本研究的可及人群为罗赫塔斯区选定医院的所有初产妇。结构化的问卷是准备包含一组问题,由样本提出。研究者收集了50名初产妇的数据,她们来做产前检查或在Sadar医院和NMCH病房住院。结果:近70%的母亲年龄在19-25岁,30%的母亲年龄在26-35岁,没有母亲年龄在18岁以下,没有母亲年龄在35岁以上。约22%的母亲没有接受过任何正规教育,8%的母亲的资格证书是文凭,50%的母亲是大学毕业生,6%是研究生,14%是其他资格证书。92%的初产妇是家庭主妇,3%是教师,1%是其他职业。大约40%的母亲属于核心家庭,50%来自联合家庭,10%的母亲属于大家庭。大约92%的原始母亲是印度教徒,剩下的8%是穆斯林。大约2%的原始母亲从互联网上获得了以前的信息,4%的人从书本上获得了以前的信息,94%的人从卫生专业人员那里获得了以前的信息。乳房膨胀概念的平均得分从前测的8.74 (SD=2.365)(95%置信区间误差范围为8.74±0.655)提高到后测的17.58 (SD= 1.69)(95%置信区间误差范围为17.58±0.468)。在1%的水平下,原居期母亲测验前与测验后知识水平的t检验(t=22.7870)极显著。结论:本研究得出以下结论:初产妇多数存在乳房膨大。在各学习需求区,不同程度的初产妇均存在乳房膨胀预防和管理知识不足的情况。
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引用次数: 0
Case Report and Literature Review of Juvenile Ossifying Fibroma and Differentiating It from Other Fibro-Osseous Lesions of Jaws 幼年骨化性纤维瘤与颌骨其他骨性纤维病变的鉴别分析
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10514
P. Gupta, P. Dubey, Nitish Gupta, Apoorva Mowar
Juvenile ossifying fibromas (JOF) are rare, locally aggressive tumours with high potentials of recurrence, most commonly affecting children and young adults. Trabecular and psammomatoid types are the two distinctive variants found.The psammomatoid is a rare variant, affecting paranasal sinuses and orbits. It'saetiology remains unknown and it is characterized by substitution of normal bone by mineralized fibrous tissue. These lesions are usually asymptomatic, well defined clinically and radiologically amenable for enucleation. It is often confused with malignant condition because of its clinical behaviour. CT-scans and preoperative biopsy play an important role. It is distinguished from other fibro-osseous lesions primarily by its age of onset, clinical presentation and aggressive behavior. It is a well-demarcated lesion that differentiates it from fibrous dysplasia. The treatment of choice is a surgical resection.In specific locations, it poses a great treatment challenge so that early diagnosis and multidisciplinary treatment are crucial to improve the prognosis and delay clinical sequelae. Long term follow-up is necessary, considering the high recurrence nature of this tumour. Reported here is a case of a massive juvenile ossifying fibroma of the maxilla in a 26 years old female. A titanium mesh was used to reconstruct the facial contour and orbital floor after surgical resection of involved maxilla, achieving a satisfactory facial appearance.
青少年骨化纤维瘤(JOF)是一种罕见的局部侵袭性肿瘤,复发可能性高,最常见于儿童和年轻人。小梁型和沙瘤样型是两种不同的类型。类沙瘤是一种罕见的变异,影响鼻窦和鼻窦炎。其病因尚不清楚,其特点是正常骨被矿化纤维组织取代。这些病变通常无症状,临床和放射学上定义明确,适合去核。由于其临床表现,常与恶性疾病混淆。ct扫描和术前活检起着重要作用。它与其他纤维骨性病变的区别主要在于发病年龄、临床表现和侵袭性行为。这是一个界限分明的病变,可与纤维性发育不良区分开来。治疗的选择是手术切除。在特定部位,对治疗提出了很大的挑战,因此早期诊断和多学科治疗对于改善预后和延缓临床后遗症至关重要。考虑到该肿瘤的高复发率,长期随访是必要的。本文报告一例26岁女性上颌骨的巨大幼年骨化纤维瘤。手术切除受累上颌骨后,使用钛网重建面部轮廓和眶底,获得满意的面部外观。
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引用次数: 0
Research Essay on Power of Palaeo~Sedimentology 古沉积学力量研究论文
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10520
Yamini, Ajit Pal, S. Subramanian, Pratik Kumar Patra
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引用次数: 0
Quest for Identity, Pessimism, and Spiritual Crisis in Eugene O’Neill’s The Hairy Ape 尤金·奥尼尔《毛猿》中的身份追寻、悲观主义与精神危机
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2023.112231820
Dr. Sarvjeet Kaur
The theme of the spiritual crisis afflicting modern man runs through all the major plays of O’Neill imparting to them a coherent body. The Hairy Ape can be regarded as one of the most representative plays in this regard as it presents powerfully the journey of a soul from innocence to experience, from a world of harmony to that of spiritual crisis. This article will focus on the different dimensions of the disintegration besetting the materialistic society of modern America. Besides analysing Yank’s illusory experience of harmony with the world around him, it will map out the gradual process of awareness which brings to him a clear view of the world as a heap of broken images. The spiritual and psychological crisis generated by the stark view of real human conditions will be examined in some detail. The playwright’s depiction of this experience, with both its aspects of dark nihilism as well as a struggle to search for some flickering ray of hope, will constitute an important part of this discussion.
困扰现代人的精神危机这一主题贯穿于奥尼尔的所有主要戏剧之中,赋予它们一个连贯的整体。《毛猿》可以被认为是这方面最具代表性的戏剧之一,因为它有力地展现了一个灵魂从纯真到经验,从和谐的世界到精神危机的旅程。本文将集中讨论困扰现代美国物质主义社会的解体的不同方面。除了分析扬克与周围世界和谐相处的虚幻体验外,它还将描绘出他逐渐意识到世界是一堆破碎图像的清晰视角的过程。对真实的人类状况的赤裸裸的看法所产生的精神和心理危机将在一些细节上加以审查。剧作家对这段经历的描述,既有黑暗虚无主义的一面,也有寻找闪烁希望之光的挣扎,将构成本次讨论的重要部分。
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引用次数: 0
Neurotransmitters speed synopsis and psychology relating to perceptions 神经递质加速概要和与感知有关的心理学
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10505
Apoorv Raj Arya
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引用次数: 0
Impact of Social Media Psychologically on high School Students 社交媒体对高中生心理的影响
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10623
Katika Moulali Basha, V. Chavan
Social media attacks the human brain’s mental state, triggering mood swings, the failure to think and act rationally, a loss of confidence, and a decline in overall quality of life. If you compare your parent’s life to those of today’s generation, it’s clear that they had a less emotional and psychological effect. Why? You already know the answer, i.e., social media. According to the survey, 27 percent of teenagers who used social media extensively showed high psychological tension. While teens who used social media less often showed only 17 percent of psychological stress. Most students start using social media to communicate. But the more time they spend on social media, the more possibility of them getting addicted. Instead of opening books, they are likely to use social media, leading to psychological effects such as depression and anxiety, isolation, lack of confidence, self-harm, failure to recognize their worth. So, the present study is aimed at finding the psychological impact of social media on high school students in relating to their demographical variable like gender, class, locality, type of school, medium, religion, category, parent’s income, parents occupation, parents education and type of family. The Investigator prepared standardized personal data sheet and collected data by interview method. They have selected 3 governments, 3 government aided and 3 private high schools of kurnool district, Andhra Pradesh. The sample size is 630. Percentage analysis, Mean, Standard deviation and t – test statistical techniques are used for Analysis and Interpretation. Further findings indicate that social media influence psychologically on high school students. The researcher collected the data by interview method. It is observed that social media influence psychologically on high school students. The psychological impact of social media is high on girls compare to the boys. urban area high school students' psychologically influenced by social media in comparison to rural area high school students. It is also found that there is significant social media impact on private school students, English medium and nuclear family students. There is no significant difference Religion, category, parent’s income, parent’s qualification and education.
社交媒体攻击人类大脑的精神状态,引发情绪波动,无法理性思考和行动,失去信心,整体生活质量下降。如果你把你父母的生活与今天这一代人的生活进行比较,很明显,他们在情感和心理上的影响要小一些。为什么?你已经知道答案了,即社交媒体。调查显示,在广泛使用社交媒体的青少年中,有27%的人表现出高度的心理紧张。而较少使用社交媒体的青少年只有17%的心理压力。大多数学生开始使用社交媒体进行交流。但他们花在社交媒体上的时间越多,上瘾的可能性就越大。他们很可能会使用社交媒体,而不是打开书本,从而导致抑郁和焦虑、孤立、缺乏自信、自残、无法认识到自己的价值等心理影响。因此,本研究旨在发现社交媒体对高中生的心理影响与性别、阶级、地区、学校类型、媒介、宗教、类别、父母收入、父母职业、父母教育程度、家庭类型等人口统计变量有关。研究者编制标准化的个人资料表,采用访谈法收集资料。他们选择了安得拉邦kurnool区的3所政府高中、3所政府资助高中和3所私立高中。样本量为630。百分数分析、平均数、标准偏差和t检验统计技术被用于分析和解释。进一步的研究结果表明,社交媒体对高中生的心理影响。研究者采用访谈法收集数据。我们观察到社交媒体对高中生的心理影响。与男孩相比,社交媒体对女孩的心理影响更大。城市高中生与农村高中生相比,社交媒体对其心理的影响。社交媒体对私立学校学生、英语中等学校学生和核心家庭学生的影响也显著。宗教信仰、类别、父母收入、父母学历、受教育程度无显著差异。
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引用次数: 0
Solubility Enhancement of Piroxicam Using Co-Crystallization Technique 用共结晶技术提高吡罗昔康的溶解度
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10605
Shubham G. Wagh, S. Pande
Co-crystallization is an effective crystal engineering technique for modifying the crystal structure and physiochemical properties of drugs. Pharmaceutical co-crystals are nonionic supramolecular complexes and can be used to altered physiochemical properties such as solubility, stability and bioavailability in pharmaceutical development without affecting chemical composition of API. Piroxicam is a Non-selective COX inhibitors (traditional NSAIDs) used to reduce the pain, inflammation, and stiffness caused by rheumatoid arthritis and osteoarthritis. Piroxicam belongs to class II drug in BCS classification i.e. low solubility and high permeability. The major problem of this class drug is its low solubility in biological fluids, which results into poor bioavailability after oral administration. The purpose of this study was to prepare pharmaceutical co-crystals of Piroxicam to enhance solubility and dissolution rate by using co-crystallization technique. The co-former used in this study is Para-Aminobenzoic acid, Acetamide and Thiourea. The Optimized co-crystal was characterized by DSC, FTIR, XRPD, SEM and other pharmaceutical properties like solubility and melting point were also evaluated.
共结晶是一种有效的改变药物晶体结构和理化性质的晶体工程技术。药物共晶是一种非离子超分子复合物,在药物开发过程中可以改变诸如溶解度、稳定性和生物利用度等理化性质,而不会影响原料药的化学组成。吡罗昔康是一种非选择性COX抑制剂(传统的非甾体抗炎药),用于减轻由类风湿关节炎和骨关节炎引起的疼痛、炎症和僵硬。吡罗昔康在BCS分类中属于ⅱ类药物,即低溶解度和高通透性。这类药物的主要问题是其在生物液体中的溶解度低,这导致口服给药后生物利用度差。本研究的目的是利用共晶技术制备吡罗昔康的药用共晶,以提高其溶解度和溶出速度。本研究使用的共成体是对氨基苯甲酸、乙酰胺和硫脲。通过DSC、FTIR、XRPD、SEM对优化后的共晶进行了表征,并对其溶解度、熔点等理化性质进行了评价。
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引用次数: 0
LCA of Primary Embodied Energy and Carbon emissions of a Commercial High Performance Building Structure and Envelope 某商用高性能建筑结构与围护结构初级隐含能量与碳排放的LCA
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10524
D. Kumar, Parvinder Kaur Marwah
The Building’s material embodied energy plays major role in Carbon Emissions at its production stage. Assessment of Carbon emissions at initial stages for a high performance commercial building is overlooked and the building life cycle has not found an eminent place in the country mandatory norms. An early LCA can be instrumental in taking key decisions in design and material choice to lower building Carbon emissions. This paper aims at comprehensively evaluating and analyzing a fully glazed Certified high performance Office building in Gurgaon, Haryana. Process based Life Cycle Assessment of Building Envelope and Structure for Embodied energy and Carbon emissions is done by applying recently published Indian Database. The Building is modelled using Autodesk Revit Architecture for Bill of quantities extraction. Thereafter, LCA is done in tabular format as per Global standards for two cases, Base case with conventional material and As-built case with used material. Major reductions in emissions are due to Building Envelope material and not Structure. Concrete and Steel are major contributors. Fly Ash block and Gypsum plaster play major role in carbon emission reduction whereas double glazing, Aluminum and ACP contribute towards increasing emissions. Analysis done at early stages can be beneficial in exploring more design optimized techniques that are less Carbon intensive.
建筑的材料隐含能量在其生产阶段的碳排放中起着重要作用。在高性能商业建筑的初始阶段对碳排放的评估被忽视,建筑生命周期在国家强制性规范中没有找到突出的位置。早期的LCA可以在设计和材料选择方面做出关键决策,以降低建筑碳排放。本文旨在全面评估和分析哈里亚纳邦古尔冈的全玻璃认证高性能办公大楼。基于过程的建筑围护结构生命周期评价的隐含能量和碳排放应用最近出版的印度数据库。该建筑使用Autodesk Revit架构进行工程量清单提取建模。此后,根据全球标准,LCA以表格形式完成两种情况,使用常规材料的基本情况和使用过的材料的建成情况。主要的减排是由于建筑围护结构材料,而不是结构。混凝土和钢铁是主要的贡献者。粉煤灰砌块和石膏在减少碳排放方面发挥了主要作用,而双层玻璃、铝和ACP则有助于增加碳排放。在早期阶段进行的分析有助于探索更低碳密集的设计优化技术。
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引用次数: 0
Machine Learning Techniques for Detecting and Identifying Significant Autism Spectrum Disorder Speech Characteristics 检测和识别显著自闭症谱系障碍言语特征的机器学习技术
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2023.111231647
Dr. P. Maragathavalli, Mr. Suresh Kumar Samarla
Autism spectrum disorder (ASD) is a group of neuro-developmental disorders that has a lifelong effect on social and communicative behaviors, and restricted and repetitive behaviors. Even though there is no cure, initial stage identification of ASD can help improve the patient’s life expectancy Conventional diagnosis of ASD is commonly performed through observation of behaviors and interview of a patient with medical experts by following standard procedures. In any case, these finding strategies are time-consuming. By integrating Machine Learning with neuroscience, a conclusion strategy might potentially be laid out to identify ASD subjects from typical development (TD) subjects. In this study, our main aim is to detect significant features that are associated with speech of ASD subjects by apply machine learning models on a cross-linguistic corpus (English and Danish. These mechanisms can help in earlier diagnosis The speech features from recordings are analyzed by various machine learning algorithms (like “Support Vector Machines (SVM), Random Forest Classifier (RFC), Logistic Regression (LR), XGBoost”) to build a classification model that classifies ASD and TD. In this process we achieved 97% accuracy with XGBoost in classifying ASD and TD. The model recognizes the important features in the order quasi-open-quotient (QoQ), jitter, pitch, duration, Dominant frequency (F2, F1, and F3), creak probability. Additionally, the findings support the use of voice and speech analysis as cutting-edge diagnostic tools for autism in young preverbal children.
自闭症谱系障碍(ASD)是一组神经发育障碍,对社会和交流行为以及限制性和重复性行为有终身影响。尽管无法治愈,但ASD的早期识别可以帮助改善患者的预期寿命。常规的ASD诊断通常是通过观察患者的行为,并按照标准程序与医学专家进行面谈。在任何情况下,这些寻找策略都是耗时的。通过将机器学习与神经科学相结合,可能会制定出一种结论策略,从典型发育(TD)受试者中识别ASD受试者。在这项研究中,我们的主要目的是通过在跨语言语料库(英语和丹麦语)上应用机器学习模型来检测与ASD受试者语音相关的重要特征。通过各种机器学习算法(如“支持向量机(SVM)、随机森林分类器(RFC)、逻辑回归(LR)、XGBoost”)对录音中的语音特征进行分析,建立分类模型,对ASD和TD进行分类。在这个过程中,我们使用XGBoost对ASD和TD的分类达到了97%的准确率。该模型识别出了准开商(QoQ)、抖动、音高、持续时间、主导频率(F2、F1和F3)、裂纹概率等重要特征。此外,研究结果支持使用声音和言语分析作为自闭症的前沿诊断工具,用于学龄前儿童。
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引用次数: 0
A Remote Sensing and GIS Based Stormwater Management Layout Plan to Mitigate the Impact of Flash Rain as a Result of Climate Change; A Case Study of Aliganj, Lucknow 基于遥感和GIS的雨水管理布局方案缓解气候变化导致的暴雨影响以勒克瑙阿利甘为例
Pub Date : 1900-01-01 DOI: 10.56025/ijaresm.2022.10601
Sachin Verma, Dr. K. K. Singh, Dr. Sudhakar Shukla
In the era of sustainable development of smart cities, Remote Sensing and GIS is playing a key role in the development and transforming of ordinary cities into smart cities. One of the major objectives of this research work was for the people facing various problems related to improper drainage, sewer, storm water management thereby providing a better infrastructure for living. Here, in this study a storm water management layout plan was prepared using the techniques of Remote Sensing and GIS to mitigate the impact of flash rain as a result of climate change in a part of Aliganj, Lucknow. The results of this study will be beneficial for future urban planning and development of sustainable storm water management layout plan by the various governmental agencies.
在智慧城市可持续发展的时代,遥感和GIS在普通城市向智慧城市的发展和转型中发挥着关键作用。这项研究工作的主要目的之一是为面临各种与排水,下水道,雨水管理不当有关的问题的人们提供更好的生活基础设施。在这里,本研究利用遥感和GIS技术编制了暴雨管理布局规划,以减轻气候变化对勒克瑙阿利甘吉部分地区的暴雨影响。本研究结果可为未来城市规划及各政府机构制定可持续雨水管理规划提供参考。
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引用次数: 0
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International Journal of All Research Education & Scientific Methods
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