Volume 10 | Issue 7 |

 Abstract

Background: Cardiovascular Disease is the top leading cause of death in a south-Asian country like India. Cardiothoracic surgery is one of the treatments of choice in severe morbidity condition to reduce mortality rate and disability. Despite recent advances and updated technical instrumentation postoperative pulmonary complication is a critical problem. Physiotherapy works efficiently to minimise postoperative complication to improve the health status of the patient. Aims and objectives: The purpose of the study is to evaluate the immediate effect of Stacked Breathing technique on Peak Expiratory Flow rate[PEFR] and Oxygen Saturation[SpO2] in Cardiothoracic surgery Patient. Methodology: Out of a total of 119 screened patients, only 105 were able to complete the intervention. Stacked Breathing was performed by the patient twice daily [Morning and Afternoon] for 1st, 2nd and 3rd postoperative days termed as six-session [ IA, IB, IIA, IIB, IIIA, IIIB where, A=morning, B= afternoon and I to III is Postoperative day 1 to 3] pre and postexercise outcome were measured and data collected. Statistical analysis: Instant software was used for statistical analysis. As data is not normally distributed Dunn test [Non-Parametric repeated measure ANOVA] were used followed by post hoc test. Result: Comparing IA Vs. IIIB, net 40.73% change in PEFR value is observed. Statistically significant improvement in PEFR with p-value <0.001 is seen. Oxygen saturation shows statistically significant improvement with p-value <0.001 with each session daily. Conclusion: Stacked Breathing can be used as a treatment tool to increase Peak Expiratory Flow Rate and Oxygen Saturation in a patient with cardiothoracic surgery in their early postoperative days. Keywords: Stacked Breathing, Cardio-thoracic surgery, Peak Expiratory Flow Rate, Oxygen Saturation. Trial registration: Indian National Institute of Medical Statistics (Indian Council of Medical Research) was done. CTRI registration no. CTRI/2018/05/014193.

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

stacked breathing, physiotherapy, cardiac rehabilitation, Peak expiratory flow rate, oxygen saturation

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Creative Commons Attribution 4.0 and The Open Definition

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Creative Commons Attribution 4.0 and The Open Definition

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Sundarbans, livelihood, migration, alternative women

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Creative Commons Attribution 4.0 and The Open Definition

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Creative Commons Attribution 4.0 and The Open Definition

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Siddha Medicine, Arutha chooranam, Thookkaminmai, Pharmacological activity.

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Creative Commons Attribution 4.0 and The Open Definition

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Marble powder is pollution in modern times. In order to prevent emissions to a great extent, we are suggesting a solution that includes partially substituting cement with marble powder. Humanity is seriously threatened by global warming. Replacement of non-renewable, non-degradable, and synthetic materials with renewable, biodegradable, and natural materials is necessary to halt and reverse the effects of global warming. Utilizing or coming up with creative uses for agricultural waste that may be used in banana trunks is the best method to effect change. Pipe stems can be used to extract fibre, which is widely used in the textile, paper, and composite materials industries. Banana fibre is an excellent substitute for synthetic fibre. The building material marble is frequently employed. Why? Because it is a byproduct of the marble industry, which has negative consequences on both the environment and human health. By reducing these effects, we can conserve natural resources. With banana fibre added as an additive, cement can be substituted with marble dust powder in the following percentages: 0%, 5%, 10%, 15%, 20%, and 25%. By these percentages, the maximum compressive strength and split tensile strength of concrete at ages 7 and 28 days both rise by 15%

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Creative Commons Attribution 4.0 and The Open Definition

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Compressive strength; marble powder; Banana fibre Split tensile strength

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Creative Commons Attribution 4.0 and The Open Definition

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In this article we discuss the Right to privacy and Media. We discuss in detail about right to privacy, the role of media, media trials, right to privacy and social media and statutory laws which have been enacted in India regarding this aspect of rights. A need for media houses and journalists to abide by their ethical principles and values is highest today when compared to anytime in history. I hope that this article will provide an insight about the right to privacy and media and will help you to build an idea on this topic.

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Creative Commons Attribution 4.0 and The Open Definition

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Right to privacy and Media

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Creative Commons Attribution 4.0 and The Open Definition

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There is an explicit and implicit association between pandemic and cashless payment in India. It is strongly and sufficiently linked to the expansion of cashless transactions across the country. COVID-19 has paved the way for converting the Indian economy into a cashless economy. A significant increase has been observed in credit card-operated transactions due to pandemics. This article examined how the respondents or individuals suffered during Covid-19 and the factors that influenced the household to borrow funds to fulfill their essential requirements during the covid-19. Additionally, the study aimed at classifying what kind of consumer credit was used by the individual before and after the covid-19 or pandemic situation. For this article, the descriptive method was used, and it is open-ended and close-ended questions were asked for the respondents during the survey. Anova and Correlation were used to analyze the data and conclusion according to the result

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Creative Commons Attribution 4.0 and The Open Definition

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Consumer credit, Installment credit, Revolving credit, pandemic and households

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Creative Commons Attribution 4.0 and The Open Definition

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Creative Commons Attribution 4.0 and The Open Definition

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Diwani, Chuar, Parganas, Jungle Mahal, Hungama, Bhumij, Barabhum.

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Creative Commons Attribution 4.0 and The Open Definition

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Abstract: Stories have been an integral part of the Indian culture since ancient times. Before modern psychotherapy came into being, stories had served as a medium of solving complex and day to day problems of the common man. Stories have been extensively used by Yug Rishi Pt Shriram Sharma Acharya throughout his vast literature to illustrate the most difficult concepts. Acharya has at many places suggested the feasibility of using stories as an effective medium for psychological development and healing. Of late there has been an increasing interest in the psychological fraternity to utilise indirect methods of psychotherapy for mental healing. This paper attempts to explore the possible utilisation of Indian stories as a tool for psychotherapy.

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Creative Commons Attribution 4.0 and The Open Definition

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stories, psychotherapy, tool, healing, psychological.

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Creative Commons Attribution 4.0 and The Open Definition

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The Chennai to Bangalore is one of the profitable and busiest train route in India. The NHRCL identified 9 stations between Chennai to mysuru high speed rail project. Poonamallee is the second station next to the Chennai terminal. The detailed project report for the Chennai to mysuru high-speed rail project is under progress. I have selected the poonamallee location for the proposed high-speed rail station for my thesis project. The proposed high-speed rail station at poonamallee will facilitate in and around the western suburban population of Chennai city. The commercial development revenue will provide the financial backbone for the proposed high-speed rail station development include the shopping center, multipurpose hall, office, and hotel. It is not only provides the passenger facilities and provide commercial facilities it is required for the neighborhoods. The proposed development formulated after thorough study of existing land use around station influence area. Hence, the proposed high-speed rail station and supporting commercial facilities will way forward for the successful high speed rail station model for the similar future projects proposed in India.

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Creative Commons Attribution 4.0 and The Open Definition

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High-Speed Rail, Station influence area, Primary flow, Secondary flow.

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

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Creative Commons Attribution 4.0 and The Open Definition

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Work life balance, Job Satisfaction, Job Security, WLB policies, Work-life Conflicts

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Creative Commons Attribution 4.0 and The Open Definition