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Pentalogy of cantrell, type 2- A rare entity cantrell五联症,2型-一种罕见的实体
Pub Date : 2022-04-15 DOI: 10.18231/j.ijpns.2022.006
Satyendr Sonkariya, Deepali Bangalia, Chandradeep Mastan, D. Barolia
Pentalogy of Cantrell is rare congenital disorder which present with ectopic cordis, diaphragmatic defect, pericardial defect, supra umbilical abdominal wall defects and congenital heart defect.: We are reporting here a case of Pentalogy of Cantrell, Type 2 in a female child. Pentalogy of Cantrell, its rarity and unknown etiology is the reason of reporting.
Cantrell五联症是一种罕见的先天性疾病,主要表现为心异位、膈肌缺损、心包缺损、脐上腹壁缺损和先天性心脏缺损。我们在此报告一例Cantrell五联症,2型在一个女孩的孩子。本病罕见,病因不明,是本文报道的原因。
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引用次数: 0
Physical growth in thalassemic children of 2-12 years with multiple transfusions 多次输血对2-12岁地中海贫血儿童身体发育的影响
Pub Date : 2022-01-15 DOI: 10.18231/j.ijpns.2021.028
K. Datta, Subhayan Mukherjee, K. Mandal, Asraf Uz Zaman, Oishik Roy
The hemoglobinopathies are the most common single-gene defect in man. The thalassemia syndromes are a heterogeneous group of hereditary disorder due to decreased synthesis of either α or β globin chain of Hb A. There are 3 phases of growth disturbances and have three different etiologies. First phase: growth disturbances is mainly due to hypoxia, anaemia, ineffective erythropoiesis and nutritional factors; the Second phase: During late childhood, growth retardation is mainly due to iron overload affecting the GH-IGF-1 axis and other endocrinal complications. Third phase: after the age of 10-11 years, delayed or arrested puberty is an important contributory factor to growth failure in adolescents thalassemic who does not show any growth spurt. Cross-sectional, observational, single-centre, tertiary hospital-based study. Children of thalassemia major of 2-12 years with multiple transfusions was taken over 1 year. Study population was divided into 2 groups: Group1-irregularly transfused; Group 2-regularly transfused. Clinical settings, anthropometry, laboratory tests like serum ferritin, pre-transfusion haemoglobin, total leucocyte count etc. were taken into consideration. Thalassemia children with other comorbidities like tuberculosis, chronic kidney disease, chronic heart diseases etc. were excluded from the study.Among the 200 children, 143 (71.5%) were taking regular (2-4 weekly) transfusion therapy and 57 (28.5%) were taking irregular transfusion (>4weekly). Mean age of diagnosis was 18.66 ± 7.443months in Group 1 (Irregularly transfused) and 18.93 ± 7.218 months in Group 2 (Regularly transfused). Among the regularly transfused thalassemic 17.7% children had W/A < 3 percentile and among the irregularly transfused children it was 15%. Among the irregularly transfused children, 27. 1% and among the regularly transfused children 21.6% had H/A <3rd percentile. In the present study children 61% had normal BMI and only 5.4 % had BMI less than 3rd percentile overall. Among irregularly transfused thalassemic children >10years of age, 86.7% have not attained puberty yet. Among the regularly transfused thalassemic children 96.7% have not attained puberty yet. US and LS individually affected resulting in stunting but it was proportionate innature so US: LS ratio was according to age. A positive correlation between pre-transfusion haemoglobin and W/A and H/A suggested that with decreasing pre-transfusion haemoglobin concentration more child had growth retardation. Mean value of serum Ferritin was 941 ± 608.490 ng/ml in Group 1(Irregularly transfused) and Mean value of serum Ferritin was 1403 ± 685.584ng/ml in Group 2(Regularly transfused). MUAC in the present study was 12.44cm suggesting mild-moderate malnutrition. Extremely variable clinical and haematological findings were observed in these patients. Growth retardation has found in both regularly and irregularly transfused patients. These findings are almost comparable to other Indian studies. Appropriat
血红蛋白病是人类最常见的单基因缺陷。地中海贫血综合征是由于血红蛋白a α或β珠蛋白链合成减少而引起的异质性遗传性疾病,有3个生长障碍阶段,有3种不同的病因。第一阶段:生长障碍主要由缺氧、贫血、红细胞生成和营养因素无效引起;第二阶段:在儿童后期,生长迟缓主要是由于铁超载影响GH-IGF-1轴和其他内分泌并发症。第三阶段:10-11岁以后,青春期延迟或停滞是导致没有任何生长突增的地中海贫血青少年生长衰竭的重要因素。横断面、观察性、单中心、三级医院研究。2 ~ 12岁重度地中海贫血患儿多次输血1年以上。研究人群分为两组:第一组不规则输血;第二组定期输血。临床环境、人体测量、实验室测试如血清铁蛋白、输血前血红蛋白、总白细胞计数等都被考虑在内。伴有肺结核、慢性肾病、慢性心脏病等其他合并症的地中海贫血儿童被排除在研究之外。200例患儿中,常规输血(2 ~ 4周)143例(71.5%),不规则输血(>4周)57例(28.5%)。1组(不定期输血)平均诊断年龄为18.66±7.443个月,2组(定期输血)平均诊断年龄为18.93±7.218个月。在定期输血的地中海贫血患儿中,17.7%的患儿W/A < 3百分位数,而在不定期输血的患儿中,这一比例为15%。在不规律输血的儿童中,27例。在经常输血的儿童中,21.6%在10岁时发生H/A, 86.7%尚未进入青春期。在定期输血的地中海贫血儿童中,96.7%尚未进入青春期。US和LS分别影响发育迟缓,但这是成比例的,所以US: LS比是根据年龄的。输血前血红蛋白与W/A和H/A呈正相关,提示输血前血红蛋白浓度越低,生长发育迟缓的儿童越多。1组(不定期输血)血清铁蛋白平均值为941±608.490 ng/ml, 2组(定期输血)血清铁蛋白平均值为1403±685.584ng/ml。本研究的MUAC为12.44cm,提示轻度至中度营养不良。在这些患者中观察到非常不同的临床和血液学表现。在定期和不定期输血的患者中均发现生长迟缓。这些发现几乎与印度的其他研究相当。有关产前咨询、早期诊断、定期输血和全面治疗的适当知识有助于更好地管理这类患者。
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引用次数: 0
Benefits of breast milk for prevention of sore nipple & association with their demographic variables: A quasi-experimental study 母乳对预防乳头疼痛的好处及其与人口统计学变量的关联:一项准实验研究
Pub Date : 2022-01-15 DOI: 10.18231/j.ijpns.2021.027
Javaid Ahmad Mir, Nadiya Rashid
A newborn baby has only three demands. They are warmth in the arms of his mother, food from her breasts and security in the knowledge of her presence. Breastfeeding satisfies all three. While breastfeeding may not seem the right choice for every parent, it is the choice for every baby because it fulfills the physical needs as well as psychotic complementary of the child. The study aimedto find out the association of nipple soreness in experimental group and comparison group in terms of sample characteristics of postnatal mothers. A quasi experimental study was conducted on 70 postnatal mothers, (35 in experimental group and 35 in the comparison group) who breast feeds their babies were selected conveniently. Feeding pattern was assessed by LATCH scale four times in a day followed by the application of hind milk minimum four times in a day for three or four days as per discharge day of mother. The mother was asked to rub hind milk on nipples after feeding the baby and letting it air dry in front of researcher and nipple soreness scale was used to check the sore nipple at third and fifth day or at the day of discharge. Follow up of postnatal mothers was done telephonically by using interview questionnaire on day 15 in both groups. Study findings revealed that on 3rd day, the mean nipple soreness score was higher in comparison group (1.45) than experimental group (0.10) and thus there was significant difference (t value = 3.87) in nipple soreness score.Study concluded that breast milk application was effective in preventing sore nipples among postnatal mothers. Hence, it can be recommended to use breast milk for the prevention of sore nipple.
新生婴儿只有三个要求。他是母亲怀中的温暖,是母亲怀中的食物,是他知道母亲同在时的保障。母乳喂养满足这三个要求。虽然母乳喂养似乎不是每个父母的正确选择,但它是每个婴儿的选择,因为它满足了孩子的身体需求和精神补充。本研究旨在从产后母亲的样本特征出发,找出实验组与对照组乳头疼痛的关联。对70名方便母乳喂养的产后母亲(实验组35名,对照组35名)进行准实验研究。喂养方式通过LATCH量表进行评估,每天4次,然后根据母亲出院日,每天至少4次使用后乳,持续3或4天。在喂养婴儿后,母亲被要求在婴儿乳头上摩擦母乳,并在研究人员面前让其风干,并在第三天和第五天或出院当天使用乳头疼痛量表检查乳头疼痛。在第15天采用电话访谈问卷对两组产后母亲进行随访。研究结果显示,第3天,对照组乳头疼痛平均评分(1.45)高于实验组(0.10),乳头疼痛评分差异有统计学意义(t值= 3.87)。研究得出结论,母乳的应用是有效的预防产后母亲乳头痛。因此,可以建议使用母乳来预防乳头疼痛。
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引用次数: 0
Simulation in pediatric nursing education: Are there enough evidence for future practice? 模拟儿科护理教育:是否有足够的证据为未来的实践?
Pub Date : 2022-01-15 DOI: 10.18231/j.ijpns.2021.026
Bindu John, Usha Marath
Research on simulation is still a developing field in nursing and simulation-based learning is gaining momentum with its application over the past two decades in nursing education. Simulation is utilized as a method of training, by helping the learners for competent practice and to improve patient safety, but not much evidence is available for its application in pediatric nursing education.This study aimed to (1) describe the application of simulation in teaching pediatric nursing education and (2) explore the evidence for its application in developing clinical competencies and skills in nursing students taking pediatric courses.A literature search was conducted in Google Scholar, PubMed, Medline, Science Direct & ProQuest for the relevant articles available on the internet. Descriptive, experimental, and systematic reviews concerning simulation in pediatric nursing were included.Mixed results were cited in studies about imparting the knowledge concerning the applicability of simulation in pediatric nursing courses. Available evidence shows that simulation can improve the competency of students in clinical practice and in improving patient care outcomes and communication skills. There is a paucity of studies about the applicability of simulation in pediatric nursing education. Simulation is found to be a useful strategy in providing a near-to-real experience for the students to practice high-risk, rare procedural skills in pediatric nursing education. However, further, evidence is required to replace clinical practice experience with simulation, for sustained improvement in patient care outcomes, and in critical thinking and knowledge retention in nursing students.
在护理学中,模拟的研究仍然是一个发展中的领域,在过去的二十年中,基于模拟的学习在护理教育中的应用得到了蓬勃发展。模拟作为一种训练方法,通过帮助学习者胜任实践和提高患者安全,但在儿科护理教育中的应用证据不多。本研究旨在(1)描述模拟在儿科护理教育教学中的应用;(2)探索其在儿科课程护理学生临床能力和技能培养中的应用证据。在Google Scholar, PubMed, Medline, Science Direct & ProQuest中进行文献检索,查找互联网上可用的相关文章。包括了关于儿科护理模拟的描述性、实验性和系统性综述。关于模拟在儿科护理课程中适用性的知识传授的研究结果不一。现有的证据表明,模拟可以提高学生在临床实践中的能力,改善病人的护理结果和沟通技巧。目前关于模拟教学在儿科护理教学中的适用性的研究较少。在儿科护理教育中,模拟是一种为学生提供接近真实经验的有用策略,可以让学生练习高风险,罕见的程序技能。然而,进一步的,需要证据来代替临床实践经验的模拟,以持续改善病人的护理结果,并在护理学生的批判性思维和知识保留。
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引用次数: 0
Organization and management of nursing services in NICU, levels of transport 新生儿重症监护室护理服务的组织与管理,运输水平
Pub Date : 2022-01-15 DOI: 10.18231/j.ijpns.2021.031
Onaisa Aalia Mushtaq, Javaid Ahmad Mir, Bushra Mushtaq
Neonatal Intensive Care is defined as, “care for medically unstable and critically ill newborns requiring constant nursing, complicated surgical procedures, continual respiratory support, or other intensive interventions.” A NICU is a unit that provides high quality skilled care to critically ill neonates by offering facilities for continuous clinical, biochemical and radio logical monitoring and use of life support systems with the aim of improving survival of these babies. Intermediate care includes care of ill infants requiring less constant nursing care, but does not exclude respiratory support. Care of ill infants requiring less constant nursing care, but does not exclude respiratory support. When an intensive care nursery is available, the intermediate nursery serves as a “step down unit” from the intensive care area.
新生儿重症监护被定义为“对需要持续护理、复杂外科手术、持续呼吸支持或其他强化干预的医学不稳定和危重新生儿的护理。”新生儿重症监护室是一个为危重新生儿提供高质量专业护理的单位,通过提供持续的临床、生化和无线电逻辑监测设施,并使用生命支持系统,以提高这些婴儿的存活率。中间护理包括需要较少持续护理的患病婴儿的护理,但不排除呼吸支持。照顾需要较少持续护理的患病婴儿,但不排除呼吸支持。当重症监护室可用时,中间托儿所作为重症监护室的“下台阶单元”。
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引用次数: 0
Role of pediatric nurse in management of child with special needs 儿科护士在特殊需要儿童管理中的作用
Pub Date : 2022-01-15 DOI: 10.18231/j.ijpns.2021.030
Mir Uzma Ashraf, Priyanka Choudhary
Children facing life with chronic illness and disability are increasing in number. There are multiple factors which are responsible for that. Most of the children survive well into adulthood with early intervention, treatment and care. Pediatric nurses may create excellent professional roles caring for children with special health care needs and their families. The main responsibility will be to provide the children medical care and developmental training so that they can handle basic daily functions and lead happy, healthy lives. The role of a pediatric nurse in this field is not fixed. They may have to carry out different kinds of responsibilities based on the type and extent of special need. Pediatric nurses are responsible for helping children adapt to a hospital setting and prepare them for medical treatment and procedures. These nurses have special training to provide expert care to the child with special needs while working with the family to address their concerns, problems and help them to understand different treatment options and services available for the child with special needs. Pediatric nurses not only focus on the child with special needs but involve themselves in the wellbeing of other family members. They have special training in caring of children, good interacting skills, good empathy, immense love for children, flexibility, having control over their own emotions and stress management skills.
患有慢性疾病和残疾的儿童人数正在增加。这是由多种因素造成的。通过早期干预、治疗和护理,大多数儿童都能很好地活到成年。儿科护士可以创造优秀的专业角色,照顾有特殊保健需求的儿童及其家庭。主要责任将是为儿童提供医疗照顾和发展训练,使他们能够处理基本的日常事务,过上幸福、健康的生活。儿科护士在这个领域的角色是不固定的。他们可能必须根据特殊需要的类型和程度承担不同的责任。儿科护士负责帮助儿童适应医院环境,并为他们的医疗和程序做好准备。这些护士接受过特殊培训,为有特殊需要的儿童提供专业护理,同时与家庭合作,解决他们的担忧和问题,并帮助他们了解为有特殊需要的儿童提供的不同治疗方案和服务。儿科护士不仅关注有特殊需要的孩子,还关心其他家庭成员的健康。他们在照顾孩子、良好的互动技巧、良好的同情心、对孩子的巨大爱、灵活性、控制自己的情绪和压力管理技能方面受过特殊训练。
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引用次数: 1
A descriptive study to assess the knowledge regarding post COVID complications among adults in the state of Maharashtra 一项描述性研究,旨在评估马哈拉施特拉邦成年人关于COVID后并发症的知识
Pub Date : 2022-01-15 DOI: 10.18231/j.ijpns.2021.029
Priyanka Kasare, Rokade Sarika, Neha G. Wasnik, Ankita Mhaske, Swati Gaikwad
A non experimental survey study was conducted to assess the satisfaction of student nurses’ worked at Covid-19 areas during pandemic situation. 116 student nurses’ have participated in this study. The non-probability convenient sampling technique was used. Data was collected by means of Google form. The tool contain two sections, demographic data and likert scale to assess satisaction level of student nurses’. Objectives of study were to assess the student nurses’ satisfaction level related to clinical posting at covid-19 areas, and to find out the association of satisfaction level with selected demographic variables. The study reveals that out of 116 student nurses’ 28 (24.13%) of them were very satisfied with the clinical posting at covid- 19 areas, 53(45.68%) of them were satisfied, whereas 30 (25.86%) of them were neither satisfied nor dissatisfied, and only 5 (4.31%) of them were dissatisfied. The study concludes most of the student nurses’ were satisfied with all the aspects but dissatisfaction was also noticed. 22(18.96%) of student nurses’ were dissatisfied with the administrative support at assigned hospital. In regard to availability of resources at the hospital and use of PPE kit during working hours 26 (22.41%) 0f student nurses’ reported as dissatisfied. 21(18.10%) of student nurses’ were dissatisfied with covid-19 screening carried out before and after clinical. Also in provision of facilities in quarantines period were reported as dissatisfied by 30(25.86%) of student nurses.
采用非实验调查研究方法,对疫情期间在新冠肺炎疫区工作的护生满意度进行评估。共有116名护生参与本研究。采用非概率方便抽样技术。数据采用谷歌表格收集。该工具包括两个部分,人口统计数据和李克特量表,以评估学生护士的满意度。本研究的目的是评估2019冠状病毒病区实习护士对临床岗位的满意度,并探讨满意度与所选人口学变量的关系。研究结果显示,116名护生中,对新冠地区临床岗位非常满意的28人(24.13%),满意的53人(45.68%),不满意的30人(25.86%),不满意的只有5人(4.31%)。研究结果表明,大多数护生对护理的各个方面都感到满意,但也存在不满意的情况。22名(18.96%)护生对所在医院行政支持不满意。关于医院资源的可用性和工作时间个人防护装备的使用,26名(22.41%)学生护士表示不满意。21名(18.10%)护生对临床前后的COVID-19筛查不满意。此外,有30名(25.86%)护生对隔离期间设施的提供不满意。
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引用次数: 0
Assessment of common infections related to steroidal treatment among children in selected hospitals, in view to develop an information booklet 对选定医院儿童中与类固醇治疗有关的常见感染进行评估,以便编写一份资料小册子
Pub Date : 2021-10-15 DOI: 10.18231/j.ijpns.2021.021
Priya Vijay Bhorge
Corticosteroids are potent medications that have been extensively used to treat many inflammatory and autoimmune conditions. They have been used in a variety of life-threatening and disabling conditions and have saved or improved many lives. However, they cause numerous side effects on various body systems. Corticosteroids inhibit the immune system and increase susceptibility to infections. A regular dose of corticosteroids for 1-2 weeks can make the patient prone to infection.Therefore the study was conducted to assess the common infections related to steroidal treatment which are commonly associated with long-term use of these agents and provide practical recommendations for patient monitoring and the prevention and management of these infections. For this study, quantitative research approach was considered appropriate. A research design was Non-experimental exploratory design. This study was conducted in selected hospitals of city. The samples selected was Children on steroidal treatment admitted in hospitals who meet the inclusive and exclusive criteria. Sample size was 60 and non- probability purposive sampling was used. Self-structured infection assessment checklist format was found to be the most appropriate instrument to assess common infections related to steroidal treatment among children. Descriptive and inferential statistics used for data analysis Majority 38.3% of them had respiratory tract infection followed by 25% of them had skin infection, 15% of the children had gastrointestinal tract infection and 1.7% of them had Urinary tract infection. Duration of steroidal treatment and education of the parents were found to have significant association with gastrointestinal tract infection among children. Developmental stage of child and duration of steroidal treatment were found to have significant association with respiratory tract infection among children. None of the demographic variable was found to have significant association with urinary tract infection among children. Developmental stage of child and Education of the parents were found to have significant association with gastrointestinal tract infection among children.
皮质类固醇是一种有效的药物,广泛用于治疗许多炎症和自身免疫性疾病。它们已被用于各种危及生命和致残的情况,并挽救或改善了许多生命。然而,它们会对不同的身体系统产生许多副作用。皮质类固醇抑制免疫系统,增加对感染的易感性。常规剂量的皮质类固醇1-2周可使患者容易感染。因此,本研究旨在评估与类固醇治疗相关的常见感染,这些感染通常与长期使用这些药物有关,并为患者监测和预防和管理这些感染提供实用建议。对于本研究,定量研究方法被认为是合适的。一项研究设计为非实验性探索性设计。本研究在选定的城市医院进行。选择的样本是在医院接受类固醇治疗的儿童,符合包容性和排他性标准。样本量为60例,采用非概率目的抽样。发现自结构感染评估清单格式是评估儿童中与类固醇治疗相关的常见感染的最合适工具。数据分析采用描述性统计和推断性统计,以呼吸道感染为主,占38.3%,其次为皮肤感染,占25%,胃肠道感染占15%,尿路感染占1.7%。类固醇治疗的持续时间和父母的教育程度与儿童胃肠道感染有显著的关系。发现儿童发育阶段和类固醇治疗持续时间与儿童呼吸道感染有显著相关性。没有发现人口统计学变量与儿童尿路感染有显著关联。儿童的发育阶段和父母的教育程度与儿童胃肠道感染有显著的相关性。
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引用次数: 0
A review on awareness of first aid among students 学生急救意识调查述评
Pub Date : 2021-10-15 DOI: 10.18231/j.ijpns.2021.018
G. Konwar., N. Gogoi, A. Goswami, Bidyashori Konjengbam
Knowledge of first aid, which constitutes life-saving treatments for injuries or unexpected illnesses, is important for every individual at every age. First aid and basic life support are so important that teaching basic first aid should be compulsory in all schools. According to world health organization (WHO), injuries related to traffic accidents were ninth among the first 10 causes of global disease burden in 1990. They are expected to be ranked in third place after ischemic cardiac disease and unipolar major depression in 2020. Basic first aid training prepares students to react to situations and provide immediate, efficient management for a wide variety of incidents. Providing of knowledge and training about correct management of injuries and illnesses to students is important to improve their health knowledge which in turn may lead to healthy and save life. It is necessary to strengthen school health services through full participation of teachers and educators, providing them training sessions and update them by regularly interacting with them. Literature demonstrates that the widespread dissemination of first aid may have benefits for injury prevention in terms of reducing traffic crashes, lowering rates of workplace incidents, and increasing safety awareness. The present study revealed a perceived need for knowledge regarding first aid among school students and thus advocates that first-aid education should be made compulsory in school syllabus. It is reasonable to conclude that the ultimate goal of the first aid is neither to treat, nor to diagnose, but to stabilize the patient.
急救知识对每个年龄的人都很重要,它是对受伤或意外疾病的救命疗法。急救和基本的生命支持是如此重要,所以在所有的学校都必须教授基本的急救知识。根据世界卫生组织(卫生组织)的资料,1990年,与交通事故有关的伤害在全球疾病负担的十大原因中排名第九。预计到2020年,它们将排在缺血性心脏病和单极重性抑郁症之后,位居第三。基本的急救训练使学生能够对各种情况作出反应,并为各种各样的事件提供即时、有效的管理。向学生提供有关正确处理伤害和疾病的知识和培训,对提高他们的健康知识非常重要,这反过来又可能导致健康和挽救生命。有必要通过教师和教育工作者的充分参与加强学校保健服务,为他们提供培训课程,并通过定期与他们互动来更新这些课程。文献表明,在减少交通事故、降低工作场所事故发生率和提高安全意识方面,急救的广泛传播可能对预防伤害有好处。本研究揭示了在校学生对急救知识的感知需求,因此主张急救教育应成为学校教学大纲中的必修课。可以合理地得出这样的结论:急救的最终目的既不是治疗,也不是诊断,而是稳定病人的状态。
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引用次数: 0
Opinion of students on Mobile learning as a tool for classroom teaching and learning 学生对移动学习作为课堂教学工具的看法
Pub Date : 2021-10-15 DOI: 10.18231/j.ijpns.2021.019
M. Navaneetha, M. K
Mobile learning, also known as m-Learning, is defined as the need and ability to learn through virtual media, such as personal electronic gadgets, social interactions, and content. A mixed method research was conducted using Concurrent mixed method research design among PG students to know their opinion on m-learning. Google forms were used for collecting data. Themes identified were self learning, convenient/practical, new experience and stress free. The study concludes that m-learning can be used as teaching learning tool and students have positive opinion on its use even though the role of teacher is inevitable.Mobile technology is the future for higher education.
移动学习,也被称为m-Learning,被定义为通过虚拟媒体学习的需求和能力,如个人电子产品、社交互动和内容。采用并行混合方法研究设计对PG学生进行混合方法研究,了解他们对移动学习的看法。谷歌表格被用来收集数据。确定的主题是自我学习,方便/实用,新体验和无压力。研究得出结论:移动学习可以作为教学的学习工具,尽管教师的角色不可避免,但学生对其使用持积极态度。移动技术是高等教育的未来。
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引用次数: 1
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IP Journal of Paediatrics and Nursing Science
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