Volume 11 | Issue 12

 Abstract

Introduction: Health care associated infections (HCAIs) or hospital acquired infections (HAIs) are infections that occur after 48 hours of hospitalization but are neither present nor incubating upon hospital admission. Health care-associated infections (HAIs) have become a global patient safety concern. Device-associated infections (DAIs) like ventilator-associated pneumonia (VAP), central line-associated blood stream infections (CLA-BSIs) and catheter-associated urinary tract infections (CA-UTIs) together account for the majority of these infections. Aims and objectives--Medical device-associated candida infections at a tertiary care teaching hospital of U.P. India? with an aim to evaluate rate of medical device-associated candida infections. Materials and methods: This study was conducted in Department of Microbiology, Rama Medical College Hospital & Research Centre Kanpur from January 2018 to December 2018. In this study, the following three commonly encountered medical devices associated infections (MDAI), ventilator-associated pneumonia (VAP), central line associated blood stream infections (CLABSI) and catheter associated urinary tract infection (CA-UTI), as per the definition of CDCs National Nosocomial Infection Surveillance (NNIS) system criteria, were included. Results: During the study period, a total of 928 patients were exposed to different types of medical devices for a total duration of 3334 days. Out of these, 41 (4.4%) patients developed different types of Medical device associated infection (MDAI). Bacterial infection was noted in 31 (3.3%) patients, where candida spp. were isolated from 10 (1.0%) cases. The overall rate of MDAI in our hospital was 12.2 per 1000 devices days. The overall rates of bacterial and candida MDAI (1000 devices days) were 9.2 and 2.9 respectively. Conclusion: Systematic surveillance of device-associated infections has facilitated a reduction in the rates of DAIs and an increased compliance to preventive bundles and hand hygiene. Identification of priority areas, focused interventions and prompt information dissemination have aided in this reduction.

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VAP, CLABSI and CAUTI.

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In the dynamic landscape of the hotel industry, the traditional manual checkout processes are being revolutionized by the proposed project leveraging Radio-Frequency Identification (RFID) technology and NodeMCU microcontrollers. This research introduces a transformative solution aimed at enhancing guest experiences and operational efficiency. The innovative system issues RFID cards to guests, containing personalized booking and payment information, eliminating the need for conventional room keys and manual verification at the front desk. NodeMCU facilitates seamless communication between RFID readers and the hotel's web interface, creating a secure and efficient bridge between hardware and software components. By comparing the existing manual checkout systems with this RFID-based approach, the research harnesses the potential of technology to redefine the guest checkout experience. The project not only expedites the checkout process but also minimizes errors associated with manual procedures, significantly improving overall security. This groundbreaking solution reflects a paradigm shift in the hotel industry, addressing the evolving expectations of modern travelers for streamlined, contactless, and personalized services. The integration of RFID technology with NodeMCU positions hotels to embrace digital transformation, offering a more secure, efficient, and guest-centric approach to checkout procedures, thus contributing to the continual evolution of the hospitality sector.

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RFID Technology, NodeMCU Microcontroller, Guest Checkout, Operational Efficiency

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The Intelligent Task Manager is a cutting-edge software application designed to optimize task organization, allocation, and execution in both personal and professional settings. Leveraging advanced artificial intelligence algorithms, this innovative tool revolutionizes conventional task management systems by offering dynamic prioritization, intelligent scheduling, and contextual recommendations.This System is a sophisticated software solution designed to streamline task organization and execution, ultimately boosting individual and team productivity. Leveraging state-of-the-art artificial intelligence techniques, the system introduces novel features such as dynamic prioritization, intelligent scheduling, and adaptive recommendations. This innovative approach transcends traditional task management frameworks, providing users with a dynamic, context-aware platform to optimize their workflow.Task Management System represents a monumental leap forward in task management, empowering individuals and teams to achieve heightened levels of productivity, efficiency, and collaboration. With its cutting-edge AI capabilities and user-centric design, this application is poised to redefine how tasks are managed and executed in today's fast-paced work environments, setting a new standard for productivity enhancement tools.

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Task Management Intelligent System Requirement Analysis User Persona Use Case System Design Architecture Database Schema Class and Module Design Natural Language Processing (NLP) Machine Learning (ML) User Interface (UI) Development Implementation Prioritization Scheduling Recommendation System User Authentication Authorization API Development Testing Bug Fixing Integration Deployment User Experience (UX) Scalability Security Functional Requirements Non-functional Requirements Stakeholder Interv

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Early adolescence might be broadly considered to stretch between the ages of 10 and 14. They are otherwise called as middle school children. Adolescence is widely recognized as a period of social, religious, political, and vocational adjustments as well as a period of striving for increasing emotional and financial independence from parents. In early adolescence period the children should undergone dramatic changes in all the aspects. Because of this change the children not able to adjust with their life. It is the responsibility of everyone to help the children. Family plays a vital role. So it is important to educate the parents. Methods of Study: An experimental study was conducted to determine the level of knowledge regarding adjustment disorder among parents of middle school children in panchayath union middle school. The research design was one group pre test and post test experimental design. The sample size was 50, purposive sampling technique was used to select the people of parents of middle school children. Major Finding of The Study: From the finding of the study pre test 27 (54%) had inadequate knowledge, 23 (46%) had moderate knowledge and none of them had adequate knowledge. during post test 32 (64%) had adequate knowledge, 18 (36%) had moderate knowledge and none of them had inadequate knowledge. Comparison of mean and standard deviation score of level of knowledge and effectiveness of structured teaching program among parents of middle school children during pre-test and post-test. In parents pre test mean level of knowledge score was 10 with the standard deviation of 3.68 and post test mean level of knowledge score was 19.92 with the standard deviation of 3.77. The mean difference between the pre test and post test value was 33.18. The paired "t" test value of level of knowledge was 19.16 in the parents. the statistically significant value was P<0.05. It is interpreted that structured teaching program can improve the level of knowledge regarding adjustment disorder. Association of the demographic variables with the level of knowledge among parents of middle school children. The chi square test shown that there was no significant association between the selected demographic variables of gender of children, religion, marital status, relationship with their children, source of information and there was a significant association between the age of the children, gender of the parents, educational status of father and mother, occupational status of father and mother, family income per month, residential area, sharing of personal problem with their parents, problematic students should be helped. Conclusion: Based on the findings mean post test knowledge level was higher than the mean pre test knowledge level. This result indicates structured teaching program was found to be significantly effective in improving the knowledge level of the parents regarding adjustment disorder and its management.

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assess, effectiveness, Information, Education, Communication, knowledge,

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An in-depth examination of Corporate Social Responsibility (CSR) programs across businesses and sectors is the goal of this research study. It looks at how the idea of corporate social responsibility is developing and how important it is to contemporary business operations. The research considers the many CSR frameworks, tactics, and best practices that are used by companies all around the world. It sheds light on the significance of CSR in the contemporary business landscape by examining the possible effects of effective CSR initiatives on corporate performance, societal welfare, and issues faced by businesses. In addition to addressing the challenges that businesses confront and the positive results of CSR strategies in terms of social welfare and corporate profitability, the review evaluates the possible impacts of CSR initiatives on corporate behavior throughout implementation.

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Corporate Social Responsibilities, Practices, Challenges, Implications

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India is the biggest consumer nation in the world, in the present era the globalization of business, infrastructure bottlenecks, increasing uncertainty of supply chain networks, shortening of product life cycles and rapid increase in the production variety have force to influence the firms to look beyond the walls. Increase the food production continuously in agricultural sector, which have to create big issues for storage and regulated market in the country. Big population country like India around 121 crore census 2011 census, which is necessary for supply chain management for big trust among the system and the customer. In this paper, we give the picture of only agri-business supply chain management in India. Industry and academic estimates the put the logistics and the supply chain management spend more at 13 % of the GDP, but actually this expenditure is going towards in such a manner or not? The marketing scenario of India both agricultural production and marketing is inter twist with each other, through cost effective of supply chain, effective marketing system, supply of commodities, government interventions from time to time, there are imperfections of marketing system and the regulated market in the country. Some of the such reforms are kept to mind by both government as well as private organization in the right corner.

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agricultural marketing scenario, supply chain of horticulture, supply chain of dairy, poultry farm management.

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Infertility is not merely a health problem but, it is also a matter of social injustice and inequality. Infertility also complicates with marital dynamics, leading to marital instability, occasionally divorce, polygamy and remarriage. As motherhood is considered a mandatory status, infertile women may be harassed and tormented. Infertility, being a medical condition also has a social dimension. It is a poorly controlled and also a chronic stressor with severe long-lasting negative social and psychological consequences. It is true that some people never want to have children. However, for most people who want children, infertility is devastating. Part of this is a sociological problem. Society encourages couples to have children and looks down upon those that don't, calling them selfish and childless. The suffering of infertility is a product of a pronatal society, which values women largely for their ability to bear children. Source of Data-The infertile women of selected hospitals of C.G. Research approach-Quantitative approach. Research design-Pre - experimental one group pre- test post- test design. Sampling technique-Non probability Purposive Sampling Technique The above table depicts the information regarding association between the age and the pre test knowledge score , and it has been revealed that the value found to be 16.35 at degree of freedom 6 .Thus , it can be concluded that the age is dependent factor of pre test knowledge score. While analyzing the data, regarding the association of education with the samples pre test knowledge score , it has been revealed that the value found to be 41.68 at 9 degree of freedom. Thus the educational level has a significant associating with the pre test knowledge score . While analyzing the data, regarding the association of reason for infertility with the samples pre test knowledge score , it has been revealed that the value found to be 39.52 at 3 degree of freedom. Thus the reason for infertility level has a significant associating with the pre test knowledge score .Conclusion Thus the above chapter the data analysis regarding the effectiveness of health care package regarding improvement in knowledge , attitude and practice score regarding management of infertility among the infertile women.

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Infertility, Indore, Antenatal

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Many women experience minor ailments during pregnancy. These ailments should be treated properly as they may escalate and become life threatening. Minor ailments may occur due to hormonal changes & accommodation changes of every system of the body. The mother needs knowledge to cope with the experience of pregnancy. An important nursing responsibility during the prenatal period is educating the client regarding the discomforts, that occur during pregnancy and the remedies to these will make them more comfortable. Another important aspect is counselling on the discomforts of pregnancy will help the pregnant women distinguish between a normal discomfort and a real problem in the pregnancy This study used one group pre-test post-test pre-experimental design and non- probability purposive sampling technique to select the samples. The results showed that the respondents gained knowledge and practice After the teaching, the pre-test mean score of knowledge was 12.81and post test score was 16.08 and 12.768. The pre-test mean score of practice was 19.78 and post test score was 23.81 and the value is 12.579. There is no association of the post-test knowledge and practice with the demographic variables. The result concludes that the self-instructional module on the managing of common discomforts during pregnancy is useful to improve the knowledge and practice of the primi mothers.

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Self-instructional module, common discomforts during pregnancy, primi mothers

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Adolescence in girls is a turbulent period, which includes stressful events like menarche, considered as a landmark of female puberty. The girl might receive the menarche positively however negative responses such as shame, fear, anxiety and depression are more common. The study made use of one group pretest and posttest design. Convenient sampling method was used to select 150 samples. Video assisted teaching program was administered to the samples and the effectiveness of video assisted teaching program was evaluated. (122) 81.33% had inadequate knowledge and (28) 18.67% had moderately adequate knowledge in the pre-test. 74.67% had adequate knowledge and 25.33% had moderately adequate knowledge in post-test.The mean post-test knowledge score was significantly higher than the mean pre-test knowledge score at 0.001 levels. This indicated that the video assisted teaching program has helped the samples to improve their knowledge on puberty. The present study finding shows that the samples who were attending the video assisted teaching program have shown improvement in the level of knowledge which was proved statistically. The respondents expressed their gratitude for the knowledge they gathered regarding puberty. This feedback led the future researcher to use the questionnaire as a guide for assessing knowledge on puberty. The Headmistress and teachers were appreciated the topic and video compact disc.

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Video Assisted Programme, Girls, Puberty

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Memory plays a very important role in our learning and psychological growth. Through memory of our past experiences, we handle new situations, it helps us in our relearning problem solving and thinking. Memory loss is an unusual forgetfulness in which person may not be able to remember new events, recall one or more memories of the past. Memory loss affects the individual"s day to day functioning, professional and social life. Middle and older adults have a high risk for developing memory loss. So the best way of reducing the risk of developing memory loss is to provide IEC regarding memory loss among middle age people and it is found to be more valuable in creating awareness.A pre-experimental one group pre-test post-test design was adopted and Non-probability convenient sampling technique was chosen for this study. The total number of samples for the present study was 60 middle aged adults. The study was conducted in a selected rural area at Indore. Data were collected by means of structured knowledge questionnaire was used to assess the knowledge and three point likert scale was used to assess the attitude regarding memory loss. The subjects received Information Education Communication (IEC) regarding memory loss. The collected data were analyzed by using both descriptive statistics and inferential statistics. Independent ,,t" test was used to evaluate the effectiveness of Information Education Communication (IEC) on knowledge and attitude regarding memory loss. The obtained ,,t" value for knowledge 42.90 and for attitude 33.55 was significant at p<0.05 level. Conclusion : The findings of the study revealed that Information Education Communication (IEC) was effective in improving knowledge and attitude regarding memory loss among middle aged adults.

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Effectiveness, Information Education Communication (IEC), Memory Loss, Middle

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Polycystic Ovarian Syndrome is the most common endocrine disorder among women between the age of 18-44. It affects approximately 2% to 20% of this age group. It is one the leading endocrine disease which affects one in 15 women in worldwide. The main aim of the present study was to evaluate the effectiveness of Information Education and Communication regarding Polycystic Ovarian Syndrome among adolescent girls. A quantitative approach using pre-experimental one group pre-test post- test design. 60 adolescent girls was selected using non probability convenient sampling in College of Arts and Sciences. Structured multiple choice questionnaire on demographic variables and knowledge regarding Polycystic Ovarian Syndrome, are used for data collection. Information Education and Communication on Polycystic Ovarian Syndrome was given for 45 minutes on the second day. After the Information Education and Communication, Majority of 86.7% of the adolescent girls had adequate knowledge, moderate Knowledge observed on the 11.7% from adolescent girls and only 1.7% had inadequate knowledge. Analysis used paired 't'test found significant value at p <0.01 level. This study finding conclude that Information Education and Communication was effective in improving knowledge regarding Polycystic Ovarian Syndrome among adolescent girls.

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assess, effectiveness, Information, Education, Communication, knowledge, Polycystic Ovarian Syndrome.

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Chronic lower back pain is a common and disabling condition that can significantly impact an individual's quality of life. Exercise therapy is a recommended treatment for chronic low back pain, but there is limited evidence on which types of exercises are most effective in reducing pain and disability in this population Exercise therapy is the most commonly endorsed treatment for chronic non-specific low back pain in clinical guidelines and systematic reviews .However, it is important to note that not all types of exercise have the same level of effectiveness in individuals with chronic low back pain . Some types of exercise are more effective than others in people with chronic low back pain. Overall, while exercise therapy is beneficial for individuals with chronic low back pain, it is important to consider which types of exercises are most effective in reducing pain and improving function in this population.

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Pain Management, lower back pain, EXERCISES

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Abstract:It is known that the composition of phytochemicals in fruits and vegetables is beneficial to human health. It is also known that phytochemicals can alter the absorption properties of drugs by interacting with drug transporter and drug metabolizing enzyme systems, thus affecting drug pharmacology. This effect occurs mainly in the intestines and liver, where phytochemicals are abundant. Changes in the activity of cytochrome P450 and other enzymes may affect the fate of metabolic drugs. Plants have been used for centuries to treat many conditions, including diabetes. Many people with diabetes are known to use herbs that contain antidiabetic drugs, as well as their main treatments, which may help cure the disease but also have the potential to be dangerous. In this review, weevaluated clinical and experimental data on herbal pharmaceutical interventions in the treatment of diabetes. Pharmacokinetic and pharmacodynamic interactions between drugs and herbs are discussed, focusing on some herbs that can be used to interact with anti-inflammatory drugs.

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Key words: Phytochemicals, Cytochrome, diabetes, pharmacokinetic and pharmacodynamics interactions.

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A pot culture experiment was conducted at Forest College and Research Institute, Mettupalayam with an objective of influence of seedling growth and its parameters by foliar application of fish and chicken waste on Kapok (Ceiba pentandra. L) with different treatment. The experiment was laid out in Randomized Block Design (RBD), with three replications viz., T1 -1% Fermented fish waste, T2 -1% Fermented chicken waste, T3 - 1% Fermented fish and chicken waste, T4 - 2% Fermented fish waste ,T5 -2% Fermented chicken waste , T6 - 2% Fermented fish and chicken waste, T7 - 3% Fermented fish waste,T8 - 3 % Fermented chicken waste ,T9 - 3% Fermented fish and chicken waste, T10 - Control. Foliar application was done once at 15 days interval. Totally three foliar applications were done. Observations on seedling height, number of leaves, stem girth, root shoot ratio, root volume were recorded. The results revealed that foliar application of 1% Fermented chicken waste registered significantly higher growth parameters than other treatments. It was on par with 2% Fermented fish waste. Foliar spray of 1% Fermented chicken waste could be recommended as liquid organic input to get higher growth of seedlings.

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Fish waste; chicken waste; Kapok; seedling; Performance

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The term Value refers to a set of basic principles we are expected to follow, which includes honesty, integrity, compassion, devotion, bondage etc. The present days of materialism, concept of individualism and self-centered attitude are some reasons the basic values are getting degenerated. It will be a total loss to the society if there is depreciation in values. Hence the aspects of reinforcing value education in secondary schools become imperative. So the present study culminating the aspect of values drawn from Vedas, Puranas, Epics, Upanishads, Bhagwat Gita was expected to be listed out by 40 student teachers who were the samples for the study, through activities like dance, drama, narration, storytelling etc. and finally the value framework was developed. It is expected that these student teachers using their hand on experience will implement when they become teachers and these value framework could be suggested for secondary school students as a part of the curriculum.

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Value Education, Glorious Past

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Antifungal activities, Psidium guajava, Anacardium occidentale, gastroenteritis, fungi

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This research delves into the critical role of Information Technology (IT) in optimizing logistics supply chain management (SCM) at Shadowfax Technologies, Bangalore. Focused on evaluating IT significance, identifying influential variables, and uncovering advantages for SCM, the study aims to enhance planning strategies for IT inputs. Through a dual-method approach, this research contributes insights essential for adapting to the evolving logistics industry landscape. Moreover, the research investigates the transformative impact of Information Technology (IT) on Logistics Supply Chain Management (SCM) within the context of Shadowfax Technologies, Bangalore. The primary objectives of the study are to comprehensively assess the role and significance of IT in optimizing supply chain operations, identify the key variables influenced by the adoption of IT in the logistics sector, and explore the substantial contributions and advantages that IT brings to SCM within this industry. Additionally, the research aims to enhance planning strategies for IT inputs to further augment SCM efficiency in the logistics sector. Through a combination of quantitative and qualitative analyses, this study seeks to provide valuable insights into the evolving landscape of logistics SCM in the era of technological integration, with implications for both academic research and practical applications within the logistics industry.

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IT-Enabled Dynamic, SCOR Model, supply chain management

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This research aims at reviewing the factors which contribute to the success of a company's penetration to the international market. It comprehensively review on companies' Export Performance From The Points Of View Of Export Market Expansion Strategy, International Product Adaptation Strategy and Standardization Of International Strategy . The method used in this research is the Systematic Literature Review. We attempt to gather literatures which correlate with export performance and the factors that influence and analyze current actual strength and issues. there are many researches which found that Export Market Expansion Strategy, International Product Adaptation Strategy and Standardization Of International Strategy correlate and influence a company's export performance. Finally, open problems for future research are also comprehensively discussed.

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Export Performance, Export Market Expansion Strategy, International Product Adaptation Strategy and Standardization Of International Strategy.

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The Internet of Things (IoT) serves as a vital bridge between the physical world and computer-based systems, allowing for the integration of existing networks. Its foundation lies in extending the capabilities of the Internet to incorporate physical objects, enabling them to provide smarter and more efficient services. As the demand for accessible data continues to grow, IoT facilitates the seamless exchange of information between devices, creating a more interconnected and responsive environment. An exemplary application of IoT is the implementation of a real-time fire alarm system. This system operates by continuously monitoring the presence of smoke, triggering an alert when the predefined threshold is exceeded. Upon detection, the smoke sensor initiates a warning to indicate the potential fire hazard, simultaneously activating a buzzer to alert occupants. Furthermore, the system is designed to send a notification, ensuring timely communication and necessary actions. Leveraging the capabilities of IoT, this FIRE DETECTION system has been successfully integrated into Home Automation using Arduino Uno, underscoring the power of interconnected technologies in enhancing safety and security measures.

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IOT, Computers, Fire Detection

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In India, information and communication technologies are sophisticated enough to create the platform needed for virtual classes, self, and collaborative learning. The training program can have a serious lacuna if the, expertise and its effective dissemination. The teacher is at the center of the transformation in a learning process. Exposure of learners to telecommunication system, recent and widely used information technology related to satellite services, such as fax, e-mail, Tele-conferencing, Intranet, Internet, Tele-teaching are proving as an added advantage. Teachers empowered by technology create an environment and conditions in which students enjoy learning and learn to learn and intangible benefits is enough to plead the case teaching pedagogy is not matched with the learning environment. Technology transforms learning experiences. It plays a crucial role in innovative learning and takes advantage of access to information, knowledge of technology-driven training strategies for educators. It is imperative for teachers to become 'digitally fluent' rather than merely 'digitally literate'. Technology plays a crucial role in the learning of 21 st century, therefore educator must integrate modern technology into classroom instruction and also professional development programs targeting educational technology must be developed. This paper advocates the need for teacher professional development programs to handle 21st-century students in professional colleges.

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Professional training, 21st century, Digital literate, teaching skills.

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