A STUDY OF ADAPTABILITY OF NEW TRENDS IN HIGHER EDUCATION

How far has this research throws light on new trends, innovative practices on education to be relevant in present situation. Recent trends in education encompass various developments, innovations, and shifts in teaching and learning practices. These trends reflect the evolving needs of learners, advancements in technology, changes in societal dynamics, and new insights into effective pedagogical approaches. New innovations and technique pooled with Liberalization, Globalization and privatization (LPG) have accelerated the pace to change to jet speed. The support or modern system argue that the Technology is double edged word and it depends entirely on the user for its constructive or destructive applications Grate fully, that control of learning is being shifted from teachers into the hands of standout to suit their appetite and pace of learning. The teacher can now cater to more students through virtual classroom and at adjust the teacher methods for micro groups of students based on their needs. There are, a large section of students our country that are deprived of these advantages’ fighter due to a cost barrier for technology or lack of awareness. The ultimate goal of education system is to create students who can transform the world into a better place through constant learning. Teaching learning has undergone transformation in the recent decade mainly with initiative of teacher's forceful entry of technology and increasing accessibility of higher education to our population. Innovation for innovation sake is not in not the say but how it benefits the learners is the main criteria. To promote innovation national levels initiative shall be there to disseminate the innovative practices in India Innovations in India should be based on our strong roots of socialism and egalitarianism. If India has to become knowledge and technology super power only blended approaches to Teach the subject developed by all the stakeholders are to be employed which is sensitive to learner need and interest. The new trends, innovations also help these learners to be more adjustable with their teaching learning process. In this regard, this research is very helpful to develop teaching learning process. The investigator attempted to carry out a descriptive study on adaptability of new trends in higher education under the study area of South Goa district of Goa. Both primary and secondary data were collected, analyzed and interpreted them to validate formulated objectives

Regional inequity in complete antenatal services and public emergency obstetric care is associated with greater burden of maternal deaths: analysis from consecutive district level facility survey of Karnataka, India.

BACKGROUND: This equity focused evaluation analyses change in inter-district inequity of maternal health services (MHS) in Karnataka state between 2006-07 & 2012-13, alongside association of MHS inequity with distribution of maternal deaths. METHODS: Repeated cross-sectional analysis of inequity and decomposition was done on nine district level MHS indicators using Theil's T index. Data was obtained from population linked district level facility surveys and health information systems. RESULTS: Inequity in births attended by skill birth attendants decreased the most (83.16%) among six other MHS indicators. Community provision of comprehensive emergency obstetric care strategy remained stagnant. Districts with higher complete antenatal care share and C-sections in public settings had lesser share of state's maternal deaths (R2 = 0.29, p = 0.004). 5 districts suffered perpetual inequity of MHS with relatively greater burden of maternal deaths. CONCLUSION: First 6 years of national rural health mission increased coverage of MHS and decreased regional inequity albeit non-uniformly. Distribution of system driven interventions of complete ANC and C-sections appear to determine decrease of maternal mortality in Karnataka

General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multi-centre observational study

There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients' (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best-practice recommendations. Consenting patients who received general anaesthesia for obstetric surgery in 72 hospitals from May 2017 to August 2018 were included. Baseline characteristics, airway management, anaesthetic techniques and major complications were collected. Descriptive analysis, binary logistic regression modelling and comparisons with earlier data were conducted. Data were collected from 3117 procedures, including 2554 (81.9%) caesarean deliveries. Thiopental was the induction drug in 1649 (52.9%) patients, compared with propofol in 1419 (45.5%). Suxamethonium was the neuromuscular blocking drug for tracheal intubation in 2631 (86.1%), compared with rocuronium in 367 (11.8%). Difficult tracheal intubation was reported in 1 in 19 (95%CI 1 in 16-22) and failed intubation in 1 in 312 (95%CI 1 in 169-667). Obese patients were over-represented compared with national baselines and associated with difficult, but not failed intubation. There was more evidence of change in practice for induction drugs (increased use of propofol) than neuromuscular blocking drugs (suxamethonium remains the most popular). There was evidence of improvement in practice, with increased monitoring and reversal of neuromuscular blockade (although this remains suboptimal). Despite a high risk of difficult intubation in this population, videolaryngoscopy was rarely used (1.9%)

Computer-aided design and computer-aided manufacturing ceramic biomaterials in dentistry: Past to present

Esthetic dentistry, driven by a high demand for esthetically appealing and naturally looking restorations, especially, all-ceramic restorations, has become a segment of dentistry which has experienced tremendous improvements in the recent years. The increasing use of polycrystalline alumina and zirconia as framework materials and the increasing popularity and variety of computer-aided design and computer-aided manufacturing (CAD-CAM) systems seem to be mutually accelerating trends. In fact, CAD-CAM technology opens up a new opportunity for dental biomaterials scientists in the research field. Newer and improved materials are available at every moment. The present review gives an overview on the different materials available in ceramics used in dental CAD/CAM technology. A search of English language peer-reviewed literature was undertaken using MEDLINE and PubMed with a focus on CAD-CAM ceramic articles published between 1996 and 2014. A hand search of nonindexed literature was, also, completed. Search terms included: CAD/CAM; All Ceramics; Zirconia. The literature demonstrates that multiple all-ceramic materials and systems are currently available for clinical use and there is not a single universal material or, system for all clinical situations

Mitigation of NOx and smoke emissions in a diesel engine using novel emulsified lemon peel oil biofuel

Lemon peel oil (LPO) is considered to be a viable alternative fuel for diesel engine applications due to its wider availability, renewable nature, easy extraction process, almost equivalent calorific value as neat diesel, and low viscosity. The present work aims to investigate the effect of novel emulsified LPO in a diesel engine in order to reduce the NOx emission without compromising the engine performance. A new ionic surfactant is introduced in the present study, namely methyl-dihydroxy propyl imidazolium chloride due to its higher hydrophilic-lipophilic balance value which helps to prepare stable water in oil emulsion. Also, Span 80 has been selected as another suitable surfactant for water in oil emulsion. Four emulsified fuel samples have been prepared using LPO, water, and different concentrations of surfactants. All the fuel samples are tested for their stability through gravitational technique for 7 days. Among the emulsified samples, 92% LPO + 5% water + 2% Span 80 + 1% methyl-dihydroxy propyl imidazolium chloride by volume (LPOE2) and 93.5% LPO + 5% water + 1.5% surfactant Span 80 by volume (LPOE4) have showed better stability when compared to other emulsion fuel samples. It is also revealed that the stability of LPO emulsion is improved by the addition of two emulsions. The experimental results showed that the brake thermal efficiency of LPO emulsion is reduced to 29.87 from 34.58% of pure LPO at full load condition. Oxides of nitrogen emission and smoke emission are reduced by 21–32 and 6–15% for the LPO emulsion samples compared to pure LPO. Moreover, the diesel engine operation with emulsified form of LPO increases the HC emission about 0.1 g/kWh for LPOE4 and 0.15 g/kWh for LPOE2 fuels from 0.053 g/kW for pure LPO at maximum power output condition. The reformulation of LPO into emulsified form increases the CO emission by 25–53% compared to pure LPO. Moreover, the reformulation of LPO into emulsions has resulted in lower cylinder pressure and heat release rate compared to pure LPO and diesel fuels

Implementation of the comprehensive unit-based safety program to improve infection prevention and control practices in four neonatal intensive care units in Pune, India

Objective: To implement the Comprehensive Unit-based Safety Program (CUSP) in four neonatal intensive care units (NICUs) in Pune, India, to improve infection prevention and control (IPC) practices. Design: In this quasi-experimental study, we implemented CUSP in four NICUs in Pune, India, to improve IPC practices in three focus areas: hand hygiene, aseptic technique for invasive procedures, and medication and intravenous fluid preparation and administration. Sites received training in CUSP methodology, formed multidisciplinary teams, and selected interventions for each focus area. Process measures included fidelity to CUSP, hand hygiene compliance, and central line insertion checklist completion. Outcome measures included the rate of healthcare-associated bloodstream infection (HA-BSI), all-cause mortality, patient safety culture, and workload. Results: A total of 144 healthcare workers and administrators completed CUSP training. All sites conducted at least 75% of monthly meetings. Hand hygiene compliance odds increased 6% per month [odds ratio (OR) 1.06 (95% CI 1.03-1.10)]. Providers completed insertion checklists for 68% of neonates with a central line; 83% of checklists were fully completed. All-cause mortality and HA-BSI rate did not change significantly after CUSP implementation. Patient safety culture domains with greatest improvement were management support for patient safety (+7.6%), teamwork within units (+5.3%), and organizational learning-continuous improvement (+4.7%). Overall workload increased from a mean score of 46.28 ± 16.97 at baseline to 65.07 ± 19.05 at follow-up (p \u3c 0.0001). Conclusion: CUSP implementation increased hand hygiene compliance, successful implementation of a central line insertion checklist, and improvements in safety culture in four Indian NICUs. This multimodal strategy is a promising framework for low- and middle-income country healthcare facilities to reduce HAI risk in neonates