Volume 12 | Issue 9 | September-2024

 Abstract

Amavata is the most crippling and disabling joint disorder that affects the general population. Patients complains of pain, stiffness, and swelling in multiple joints, which makes it difficult for them to do daily work. According to clinical presentation, Pravriddha Amavata closely resembles with Rheumatoid arthritis (R.A) in accordance with their similarities on clinical features like pain, swelling, stiffness, fever, redness, general debility. Now a days Rheumatoid arthritis has been more common and distressing among all joints problem. It affects approximately 0.8% of the population (ranges from 0.3-2.1%) worldwide.1 The prevalence of RA in India is 0.7%.2 Acharaya Chakradutta has described the principles of treatment for the disease Amavata, which includes Langhana, Swedana, use of Tikta, Katu, and Deepaniya drugs, Virechana, Snehapana, and administration of Anuvasana as well as Kshara Basti.3 Acharaya Yogaratnakar have added Ruksha Sweda with Baluka Pottali and Upanaha without Sneha along with these measures4. The case presented here is a 27-year-old female who came with complaints of Pain and Swelling in multiple joints and Stiffness in whole body from 2-3 months. Vaitarana Basti was given to the patient for about 2 months. The response to this treatment was recorded and therapeutic effects were evaluated through symptomatic relief.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Amavata, Rheumatoid arthritis, Vaitarana Basti

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

The most significant and fundamental component of any nation's existence is its culture and identity. The original Sanatan culture, the basis of which is the Indian nation's identity, is what Deendayal Upadhyaya and culture are all about. Deendayal Upadhyaya discusses a culture that encompasses every facet of life and its evolution. He broadly covers in his ideas the nation's foreign policy, nationalism, and political philosophies wherein calmness, security, and equality exist. In his writings and ideas, Deendayal Upadhyaya has not placed particular emphasis on any one facet of life. Deendayal Upadhyay's philosophy is based on a holistic perspective, which considers the individual, the group, and the creation holistically. His conception of culture is likewise based on a comprehensive framework.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Culture, Identity, Foreign Policy, Nationalism

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

ABSTRACT INTRODUCTION Pain is one of the most frequent complaints of patients during Arterio-venous fistula vein puncture. Pain inflicted by insertion of large cannula into Arterio-venous fistula on regular hemodialysis is a significant cause of concern for both children and adult patients. Pain is unpleasant sensory and emotional experience associated with actual or potential damage of tissue with physiological or psychological responses. The aim of the study is to compare the effectiveness of selected Topical Anesthetic agent versus Cutaneous stimulation on level of pain at AV Fistula puncture site in patients undergoing Hemodialysis in selected hospitals of a Metropolitan city. OBJECTIVES: The objectives of this study were: 1- To compare the pain scores of patients during AV Fistula puncture between Topical anesthetic agent and Cutaneous stimulation groups. 2- To elicit opinion from pt. undergoing Hemodialysis about effect of Topical Anesthetic agent vs cutaneous stimulation on pain during AV Fistula cannulization. 3- To associate the physiological variables with pain scores in pt. undergoing dialysis using Topical anesthetic agent and Cutaneous stimulation groups. METHODOLOGY: In this study, a Quasi Experimental Non-equivalent 2 group research design was used to recruit hemodialysis patients undergoing AV Fistula puncture. Based on the selection criteria 74 patients were conveniently assigned into two groups, experimental group 1 (n=37) and experimental group 2 (n=37) from AKD units of multispecialty hospitals. On the day of hemodialysis during AV Fistula puncture, the experimental 1 group was provided with the application of Topical anaesthetic agent (Prilocaine and Lidocaine) prior 30 minutes of AV Fistula puncture and Cutaneous stimulation (application of ice pack done on the web between the thumb and index finger of the hand having AV Fistula) prior 10 minutes of AV Fistula puncture in Experimental group 2. This intervention was continued for three consecutive dialysis sessions in each experimental groups. RESULT- Comparison of average of total pain score in each groups was taken, it is found that for topical anesthetic mean pain score was more (10.06) with standard deviation (SD) 1.07, as compared with the cutaneous stimulation group where the mean pain score was (9.49) with standard deviation (SD) was 1.33. When both averages were analyzed by Mann Whitney U test, calculated value was 0.009. As both the interventions are not making any changes in the physiological parameters both can be used as an intervention in reducing pain in AV fistula puncture. The subjects strongly agreed to the fact that Cutaneous stimulation is more effective in reducing AV fistula puncture pain as compared to Topical anesthetic agent. CONCLUSION- The present study aimed to examine the effect of Topical anesthetic agent vs cutaneous stimulation on reducing the level of pain during Arteriovenous Fistula puncture among Hemodialysis patients. The findings of the study show that even modest difference in pain reduction is also important in management of pain. Both the interventions will reduce pain and improve the quality of life which includes the stability in physiological, psychological and life style aspects. As Cutaneous stimulation is found to be a non-pharmacological, cost effective and time saving intervention, so it can be used as an alternative therapy and independent nursing intervention to ease the level of pain in AV Fistula puncture in patients undergoing hemodialysis.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Hemodialysis, Cutaneous Stimulation, Topical anesthetic agent, Pain reduction during AV Fistula puncture.

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

????? ?????? ?? ??????????? ???? ???? ????????? ?????? ???? ?????? ?? ????????? ??????? ?? ????? ?? ????????? ?? ?????? ???? ?? ??? 26 ?????? 2018 ?? ?????????? ???? ?????? ????? ????? ???? ???? ?? ????? ??? ?? ???????? ?? ?? ???? ???????? ?? ??????? ???? ?? ??? ???????? ?? ????????????? 10 ???? ????? ?? ???? 10 ??? ????? ?? ?? ?????? ?????? ?????? ???? ???????? ????? ??? ????? ?????, ???????, ?????, ???????????, ?????, ????, ???, ?????, ???? ? ????? ??? ???????? ???????? ? ????????? ?? ???????? ???? ???? ?? ? ?????????? ???? ?????? ????? ?? ??? ?????????? ???? ?????? - ???????? ???????? /????????? ?? ???? ???? ?? ????????? ,????? ????? ?? ?????? ?? ????? ?? ?????? ?????? ?? ??? ??? ??????? ?? ?? ???????? ??? ? ?????????? ???? ?????? ????? ?? ???????? ?????? ???? ???? ???? ????????? ???????? ?? ? ???? ???? ????? ?? ????? ????? ?????????? ?? ?????? ???????????? ?? ?????????? ?? ???? ???? ?? ? ????? ?????? ????? ?? ?? ???????? ??? ????? ?????? ?????? ???????????? ?? ????? ??????? ???? ? ???? ???????? ?????? ?? ???????? ???? ?? ????? ?? ?????? ????? ??? ???? ?????? ?? ????????? ???? ?? ? ?? ????? ??? ????????? ?????? ?? ???? ?????? ???? ?? ????????? ?? ???????? ?? ? ??? ?? ???? ??? ????? ???? ????? ????? ?????? ??? ???? ?????????? ??????? ????????, ??????????? ?????? ?? ?????? ?? ????? ?? ???? ??? ?????? ???????? ??? ?????? ?? ???? ?????? ???? ?????? ????? ?????? ???????? ?? ???????? ??????????? ?? ?????? ????????? ?? ???? ?????? ?????????? ?? ????? ??? ??? ??????????? ???? ?? ?????? ???? ??? ?? ???? ???? ??????? ??????????? ????????? ???? ??? ?? ??????? ????? ????? ?????????? ???? ?? ???????? ?? ???????? ??? ????? ?????? ?????????? ???? ?????? ????? ??????? ?????????? ?????? ????????? ?? ???? ?? ?

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

??????? ??????, ?????????? ???? ?????? ?????,??? ?????? ,?????? ?????????

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

Background:-Adhesive capsulitis is a nonspecific chronic inflammatory reaction of tissues in the Glenohumeral joint which causes synovial thickening. This Thickening results in limited range of motion (ROM) most commonly seen in Shoulder abduction and external rotation. The onset can be insidious or occur after an injury. Aim:-The purpose of this case report is to describe proprioceptive neuromuscular facilitation with scapular stabilization exercise Interventions on pain, range and function for a patient with adhesive capsulitis. CaseDescription:-The patient was a 50-year-old right-handed male who presented with left Shoulder pain and limited range of motion (ROM) The diagnosis of adhesive capsulitis was determined following mechanism of Injury, past medical history, and physical therapy examination and evaluation. Intervention:-The patient was seen for a total of 12 physical therapy sessions over the Span of 3 weeks. Interventions included a proprioceptive neuromuscular facilitation, Scapular stabilization exercise including Scapular clock exercise,shoulder sling exercise and Lawnmower exercise .Outcome measures included ROM measurements, pain Ratings, the Shoulder Pain and Disability Index (SPADI)Conclusion:-ProprioceptiveNeuromuscular Facilitation with Scapular stability exercise were found to be effective interventions for a patient with adhesive capsulitis.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Keywords:- Adhesive capsulitis, Scapular stability, Proprioceptive Neuromuscular facilitation

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

ABSTRACT:- Primary schools in Uttar Pradesh are facing numerous challenges in improving primary education to achieve the universal goal of education for all. One of the most pressing problems is the deficiency of teachers. Due to this shortage, the proper functioning of schools becomes very difficult, and all stakeholders face various issues. This paper explores the functioning and challenges faced by primary schools in Uttar Pradesh, India that are experiencing a shortage of teachers. The aim is to provide a comprehensive understanding of how these schools operate with limited human resources and to identify the problems impacting educational quality and student outcomes. The findings indicate that teacher deficiency leads to increased student-teacher ratios, overburdened teachers, compromised teaching and learning processes, poor learning outcomes, and reduced student engagement and performance. Furthermore, the paper highlights systemic issues such as inadequate recruitment processes, insufficient training programs, and poor working conditions that exacerbate the problem. The paper concludes with policy recommendations aimed at addressing teacher shortages through targeted recruitment drives, improved teacher training, and enhanced support mechanisms, ultimately aiming to improve the overall educational landscape in primary schools of Uttar Pradesh, India.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

KEYWORDS:- Primary Schools, Functioning, Problems, Deficiency of Teachers.

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

Artificial Intelligence (AI) has currently emerged as a transformative technology with the potential to revolutionize various sectors, including higher education. By harnessing the power of AI, universities and colleges can unlock new opportunities to enhance learning experiences, improve student outcomes, and streamline administrative processes. In this article, we explore the various methods by which AI can be used effectively in higher education to benefit students, teachers, and institutions. The use of AI can make the learning experience personalized and more effective. AI adapts teaching content and methods to each student's specific needs, abilities, and preferences through a variety of technologies and tools. The aim is to analyze the benefits and drawbacks of AI in education. The use of AI in education is rapidly increasing, and it is important to understand its impact. To examine the current scenario of Artificial Intelligence in education, we have to look at various aspects, such as how AI is being used, what are its major applications, and what are its impacts. Artificial Intelligence based tools and platforms are being widely used to improve various aspects of education. These tools are helping in making teaching, evaluation, and administrative tasks more effective and efficient.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Artificial Intellignece, Online Education, technology.

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

The aim of the study is to assess the knowledge on PCOS among Nursing college students in Dharmapuri. OBJECTIVES OF THE STUDY 1)To assess the level of knowledge regarding PCOS among nursing students 2)To find out the association between level of knowledge and their selected demographic variables. Methodology The research methodology is the systemic analysis of the procedures applied to a field of study. This chapter deals with the steps taken to conduct the present study in order to assess the level of knowledge on PCOS among Nursing college students in Dharmapuri, Tamilnadu. It consists of Research approach, design, population setting, sample size, sampling technique, Criteria for sample selection, pilot study, description of tool, data collection and data analysis. Results: The maximum number of samples (49%) had good knowledge, 42% of samples had average knowledge, 6% of samples had poor knowledge, and only 3% had excellent knowledge regarding PCOS. Statistically, no association was found between the level of knowledge and demographic variables such as age in years, educational status, type of family, living area, father's occupation, mother's occupation, family monthly income, and family history except religion. Conclusion: The study concludes that less than half of the nursing students (49%) have good knowledge. These results shows that extensive health awareness programs were required to bring awareness and enhance the knowledge among nursing college students. So, nurses ought to empower to progress information among college students on PCOS by organizing the health awareness programs in colleges to bring down the mortality and morbidity to create country sound.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Assess, level of knowledge, PCOS (poly cystic ovarian syndrome), nursing college students, Self-administered knowledge questionnaire.

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

This paper examines the role of machine learning in enhancing the accuracy of sensor fusion within Advanced Driver Assistance Systems (ADAS). By leveraging data from multiple sensors like cameras and radar, ML algorithms can improve vehicle localization, real-time data processing, and decision-making accuracy. The review highlights recent studies, including the use of cloud-based Digital Twin information and deep learning approaches, which reduce errors in object detection and classification. Furthermore, it addresses the persistent challenges of false positives and negatives in ADAS and discusses the impact of advanced ML techniques on optimizing system performance. The findings suggest that ML-driven sensor fusion has significant potential to enhance ADAS reliability and safety in autonomous driving environments.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

ADAS, Sensor Fusion, Machine Learning, Autonomous Vehicles, Real-time Data Processing, False Positives, False Negatives, Vehicle Localization, Decision-making, Advanced Driver Assistance Systems.

  License

Creative Commons Attribution 4.0 and The Open Definition

 Abstract

? In this retrospective study ,75 cases of lymph node FNAC from Aug 2022 to Aug 2024 were taken from department of pathology NSC GMC KHANDWA. Cases from both gender and all age groups were included. Cytology slides were retrieved and reevaluated as per the new reporting system and Statistical analysis was done. ? In this retrospective study ,75 cases of lymph node FNAC from Aug 2022 to Aug 2024 were taken from department of pathology NSC GMC KHANDWA. Cases from both gender and all age groups were included. Cytology slides were retrieved and reevaluated as per the new reporting system and Statistical analysis was done. The aim of the present study is to analyse and classify lymph node pathology as per new proposed Sydney system for classification via fine needle aspiration cytology. Its application helps to screen infectious diseases and to differentiate between benign and malignant conditions.

Licence: creative commons attribution 4.0

  License

Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Inadequate/ Non diagnostic Blood only , Necrosis Benign, Acute lymphadenitis, Reactive hyperplasia, Granulomatous lymphadenitis, Necrotizing granulomatous lymphadenitis Atypical non-lymphoid cell, Atypical lymphoid cell Atypical cells of undetermined significance Suspicious for malignancy Malignant, Metastatic squamous cell carcinoma, Metastatic adenocarcinoma , Metastatic breast carcinoma , Metastatic small cell carcinoma, Metastatic melanoma, Metastatic poorly differentiated carcinoma , Metast

  License

Creative Commons Attribution 4.0 and The Open Definition