Job stress among nurses in tertiary care hospital: identifying risk factor of poor mental health

Background: Occupational stress may have a negative effect on an employee's health when workplace stresses outweigh the capacity of an employee to exercise some control over their job or cope in those other ways. Nurses experience stress and health difficulties as a result of the nature of their employment, their interaction with patients, and their exposure to mortality. Given that emotions may influence job results, emotional intelligence (EI) may help explain why individuals respond differently to work stress. Methods: The approach adopted for this study is quantitative research approach. A descriptive research design was taken to identify the study sample which were 105 staff nurses selected by non-probability purposive sampling technique. Occupational stress assessment was measured using the Srivastava and Singh (1984) occupational stress index. Results: It was seen that occupational stress level among staff nurses. 60% participants showed the moderate stress level score (116-161) followed 36.2% in high level (more than 161) and 3.8% depicted low stress (71-115). No one expressed that there is no stress. Type of hospital administration showed a significant association with occupational stress.Conclusions: The study concluded that the present study emphasis that majority of the nurses working in hospital at Pune city are affected with occupational stress and don’t bear good psychological wellbeing. Occupational Stress has become the most important factor influencing individual efficacy and satisfaction in modern day work environment. Nursing profession is increasingly characterized by high occupational stress

Building Language Proficiency at the Secondary Level

This portfolio is a collection of work submitted for the Master of Second Language Teaching (MSLT) program at Utah State University. The author outlines his teaching philosophy as it pertains to the secondary classroom. Also included in this work are three artifacts which serve to strengthen and elaborate on the teaching philosophy. The artifacts are manifestations of the author’s beliefs on how culture, literacy, and language can be addressed in the L2 classroom. The final section of the portfolio is an annotated bibliography in which the author summarizes and reacts to the most influential books and articles that he read during the course of The Master’s program

COMPARATIVE PHARMACOGNOSTIC AND PHYTOCHEMICAL STUDIES OF OCIMUM TENUIFLORUM L. AND ITS SUBSTITUTE VITEX NEGUNDO L.

India is endowed with a rich wealth of medicinal plants which have been a valuable source of natural products for maintaining human health. A large number of these medicinal plants are used in various formulations for the treatment of several disease caused by microbes. Medicinal plants constitute an effective source of traditional and modern medicines. Ayurveda a system of Indian traditional form of alternative medicines. A major aspect of conservation of medicinal plants is their considerable economic and social value. Natural source of medicinal plants are often unable to meet demand for popular herbal products. Populations of many species have limited distribution in their natural habitats, led to genuine or arbitrary substitution by other plants. Unavailability of such medicinal plants has led to arbitrary substitution and adulteration in the raw drug market. Aromatic plants are prime economic importance because of the continuous increased demands for their products by local foreign markets. At present the adulteration and substitution of herbal drugs is the burning problem in herbal industry and it has caused a major advancement in the research on commercial natural products. The article throws light on preliminary pharmocognostic and phytochemical investigation of one pair of Abhava Pratinidhi Dravya viz. Tulasi and Nirgundi.

A Temperature Insensitive Strain Sensor using Long Period Grating Photonic Crystal Fiber.

We present a study of strain and temperature sensitivities of long period gratings written on photonic crystal fiber. The role of dispersion factor ? into the sensitivities is elaborated. The polarity of the dispersion factor determines the polarity of the sensitivity. The effect of variation in the waveguide properties due to the structure of photonic crystal fibers to the sensitivities is explained. By selecting a proper LPG period and mode order a temperature insensitive strain sensor is realized. DOI: 10.17762/ijritcc2321-8169.150510

Interactive Malayalam Question Answering System: A Neural Word Embedding And Similarity Measure Based Approach.

This innovative system operates as an automated, domain-specific knowledge repository designed specifically to furnish reliable Malayalam responses to inquiries pertaining to COVID-19. Leveraging advanced Natural Language Processing (NLP) algorithms, both Malayalam documents and questions undergo meticulous processing. The semantic modelling and document conversion stages employ the Word Embedding approach, specifically Continuous Bag of Words (CBOW), to enhance the system's understanding of the language nuances. Subsequently, the retrieved results for a given query are meticulously ranked using the cosine similarity measure, ensuring that the most relevant and accurate information is presented to the user. Integral to the system's efficacy is our proprietary Malayalam question-answering dataset. This dataset has been meticulously curated, drawing from reliable and publicly accessible sources related to COVID-19. It serves as the foundation for experimentation, reflecting the system's ability to provide accurate responses. The system's performance is quantified using the F1 score, a metric that combines precision and recall, yielding a comprehensive evaluation. In our experimentation, the F1 score of the Semantic Malayalam Question-Answering System is found to be 76%, attesting to its robustness and effectiveness in delivering trustworthy information in the Malayalam language within the context of COVID-19

The prevalence of ocular manifestations in road traffic accidents treated at a rural tertiary care hospital in south india: a cross sectional study

Background: Ocular injuries following road traffic accidents (RTA) is one of the common causes of ophthalmological morbidity and unilateral blindness. The aim of this study was to document the epidemiological pattern of ocular injures caused by RTA in a cross-sectional population brought to a tertiary care centre in rural southern India.Methods: After receiving institutional ethics committee approval, all patients over the age of 10 years, who came to the emergency department (ED) of this rural tertiary care centre with alleged history of RTA, during the period, July-December 2015 were serially enrolled to participate in the study after obtaining written informed consent. The sample size for 95% confidence level and precision of 5% was calculated to be 191.Results: Out of the 832 cases of RTA presenting to the ED, 191 (23%) had ocular injuries. There were 186 (97.38%) closed globe injuries and 5 (2.6%) open globe injuries. Eight (4.1%) patients with ocular injuries had no perception of light in the affected eye after the accident. The commonest injury was periorbital edema and ecchymosis (68.6%) followed closely by eyebrow laceration (63.9%) and lid laceration (48.2 %). The commonest anterior and posterior segment injuries were traumatic optic neuritis (6.3%) and vitreous or retinal haemorrhage 4 (2.09%) respectively.Conclusions: In this study, the prevalence of ocular involvement in RTA was is 23%. Most of the injuries were closed globe injuries and periorbital edema and ecchymosis were the commonest type of injury occurring followed by eyebrow and lid laceration.

Clinical perspective: caesarean hysterectomy for placenta accreta spectrum and role of pelvic packing

Caesarean hysterectomy (CH) is considered the gold standard for management of morbidly adherent placenta, now termed as placenta accreta spectrum (PAS). If bleeding is not controlled following removal of uterus, it is sometimes necessary to pack the pelvis and continue monitoring with correction of bleeding and physiological parameters in operating room and intensive care unit. This now comes under the damage control approach, being driven primarily by abnormal physiology rather than anatomical reconstruction. The pelvic packs are removed after about 48 hours. This retrospective study was done in patients with antenatal diagnosis of PAS who required CH, comparing those who required pelvic packing with those who did not. The variables compared were pre-operative (clinical and radiological), intra-operative (duration of surgery, blood loss and transfusion requirements of whole blood and blood products), and the final histopathological diagnosis. Outcome variables in terms of duration of hospital stay, re-admissions, re-laparotomy and complications were also compared. Over two years, three of eight patients with PAS required pelvic packing following CH. There were no differences between the two patient groups with any of the predictor variables or outcomes other than requirement of blood products. This suggests pelvic packing is a safe and efficacious procedure in intractable haemorrhage following CH for PAS. Pelvic packing needs greater awareness amongst obstetricians as the incidence of PAS is likely to increase

Microfluidic Flow Sensing Approaches

Precise flow metrology has an increasing demand in many microfluidic related applications. At the scale and scope of interests, Capillary number instead of Reynold number defines the flow characteristics. The interactions between fluid medium and flow channel surface or the surface tension, cavitation, dissolution, and others play critical roles in microfluidic flow metrology. Conventional flow measurement approaches are not sufficient for solving these issues. This chapter will review the currently available products on the market, their microfluidic flow sensing technologies, the technologies with research and development, the major factors impacting flow metrology, and the prospective sensing approaches for future microfluidic flow sensing