Evaluation of performance factors of FMS by combined decision making methods as AHP, CMBA and ELECTRE methodology

Present research is aimed to analyze the performance factors of flexible manufacturing systems by combined decision-making methodologies like analytical hierarchy process (AHP), combinatorial mathematics-based approach (CMBA) and improved ELECTRE. Six variables affecting the three factors of performance of flexible manufacturing systems viz. productivity, flexibility and quality are considered for the evaluation of performance factors. The weights of the attributes are calculated with AHP and the index score is calculated with CMBA methodology. CMBA methodology is the fusion of AHP and GTMA. ELECTRE approach has been used for the outranking of factors. The results show that productivity had the maximum impact on the performance of manufacturing systems. A high Spearman’s rank correlation also exists among the methods used

Application of MADM methods as MOORA and WEDBA for ranking of FMS flexibility

Flexibility has been cited as a key factor to enhance the performance of flexible manufacturing sys-tem (FMS). The main aim of this paper is to rank the flexibility of FMS. The ranking decisions are complex in the manufacturing field to analyze a number of alternatives based on a set of some attributes. In this research, two MADM methods i.e. MOORA (i.e. multi-objective optimization on the basis of ratio analysis) and weighted Euclidean distance based approach (WEDBA) are used for ranking of flexibility in FMS for new part development. MOORA approach can give de-cision with or without considering relative importance of attributes i.e. attribute weights. While in WEDBA, integrated attribute weights are used for evaluation which included the subjective and objective weights of attributes. Objective weights are calculated by entropy method and subjective weights are calculated by analytic hierarchy process. MOORA is applied in two ways i.e. ratio based and reference point analysis. Ranking of fifteen flexibility of FMS done on the basis fifteen variables which effect flexibility of FMS. The results of MOORA and WEDBA approach shows that product flexibility has the top most flexibility in fifteen flexibilities and programme flexibility has the least impact in fifteen flexibilities

Impact of telehealth interventions on physiological and psychological outcomes in breast cancer survivors: A meta-analysis of randomised controlled trials

IntroductionThe use of telehealth interventions has been evaluated in different perspectives in women and also supported with various clinical trials, but its overall efficacy is still ascertained. The objective of the present review is to identify, appraise and analyze randomized controlled trials on breast cancer survivors who have participated in technology-based intervention programs incorporating a wide range of physical and psychological outcome measures.Material and methodsWe conducted electronic search of the literature during last twenty years i.e., from 2001 till August 10, 2021 through four databases. Standardized mean difference with 95% confidence interval was used.ResultsA total of 56 records were included in the qualitative and 28 in quantitative analysis. Pooled results show that telehealth interventions were associated with improved quality of life (SMD 0.48, 95% CI 0.03 to 0.92, p=0.04), reduced depression (SMD -1.27, 95% CI =-2.43 to -0.10 p=0.03), low distress and less perceived stress (SMD -0.40, 95% CI =-0.68 to -0.12, p=0.005). However, no significant differences were observed on weight change (SMD -0.27, 95% CI =-2.39 to 1.86, p=0.81) and anxiety scores (SMD -0.09, 95% CI =-0.20 to 0.02, p=0.10) between the two groups. Improvement in health care competence and fitness among participants was also reported.ConclusionStudy concludes that telehealth care is a quick, convenient and assuring approach to breast cancer care in women that can reduce treatment burden and subsequent disturbance to the lives of breast cancer survivors

Quantifying the variables affecting Indian medical tourism sector by graph theory and matrix approach

India has turned out to be one of the most favorite destinations for the patients who want to undertake cost effective medical care for various medical problems and who have infuriated from the long waiting lists for medical and diagnostic procedures in their home countries. This research aims to analyze different factors along with their intensity affecting medical tourism industry in a developing country like India so that managers and policymakers can take better decisions which will help in growth & promotion of Indian health tourism market. The study has been done by performing a cross-sectional survey within major hospitals in India and exploratory factor analysis and graph theory and matrix approach have been used to evaluate the intensity of variables affecting Indian medical tourism sector. Nineteen variables have been identified through review of literature, and four factors have been extracted including cost, quality of treatment and care, availability of experts, competitive advantage and political, legal and visa related factors. With the understanding of the intensity of different variables suitable precautions can be taken by the healthcare managers so that these variables can be handled very carefully

Health and fitness of postmenopausal women in urban versus rural gurugram: A cross-sectional study

Context: Throughout that process of menopause, a slew of health and fitness problems arise, all of which have a major effect on a woman's standard of living. Health-related physical fitness has been described as an individual's cardiac fitness (aerobic capacity), musculoskeletal fitness, and body composition. Aim: To investigate and compare the health and fitness of postmenopausal women in rural and urban Gurugram. Settings and Design: The postmenopausal women of Gurugram, both urban (n = 175) and rural (n = 175), who attended the outpatient department of SGT Hospital in the urban area and a house-to-house survey in the rural area, were the subjects of a cross-sectional survey that was carried out using interviews and a pretested semi-structured questionnaire. Levels of physical activity (PA) were assessed using the International PA Questionnaire (short form). The evaluation of body composition, which was the following step, included determining one's body mass index, waist circumference, and waist–hip ratio. Six-minute Walk Distance Test was used to assess cardiopulmonary fitness. Through chair squat tests, sit-and-reach tests, and grip tests, researchers were able to measure the lower limb strength, flexibility, and upper limb strength of participants. Results: The mean age of subjects was 53.61 ± 5.08 years. Most commonly reported health problems were hypertension (31.3%), hyperlipidemia (21.2%), and diabetes (13.4%). Odds of urban women developing hypertension, hyperlipidemia, and myocardial infarction (MI) were found to be 0.61, 0.42, and 0.96 times higher than rural women. There was a statistically significant difference for the squat test, grip test, body composition parameters, and aerobic capacity; however, no statistically significant difference was seen for sit-and-reach test (P > 0.05). Conclusions: The current research shows that postmenopausal women living in metropolitan areas may face higher health risks since they are more prone to develop hypertension, hyperlipidemia, and MI. Furthermore, all fitness metrics – aside from flexibility – were higher for rural women. The results of the current study highlight the urgent need for health promotion initiatives to enhance the health and fitness of urban postmenopausal women

Impact of Physical Activity on Physical and Mental Health of Postmenopausal Women: A Systematic Review

Introduction: Menopause is associated with a variety of physical and mental issues. It’s critical to pay attention to postmenopausal women’s health issues and develop prevention strategies. Aim: To evaluate association between physical activity and physical and mental health problems in postmenopausal women. Materials and Methods: In the present systematic review, relevant studies were searched in international electronic databases such as, Cochrane Central Register of Controlled Trials (CENTRAL), PubMed and Google Scholar from 2004 to 2021. Terms like physical activity, physical health, mental health, bone mineral density, exercise training, and postmenopausal women were searched. All papers were screened for eligibility. Inclusion criteria of the study was, studies with atleast one exercise group versus one control group, should include women who were postmenopausal at the time of the study, studies that examined effect of physical activity on physical and mental health of postmenopausal women, full text articles written in English language. Results: Total 27 studies were included in the present review. The results revealed that resistance, aerobics, walking, pilates and aquatic exercises have shown benefits in improving physical and mental health parameters of postmenopausal women. Conclusion: Physical activity plays a great role in maintaining overall health and Quality of Life (QOL) of Women. To avoid fractures, these women should engage in workouts with prudence. Physical and mental fitness can be achieved by incorporating exercise into daily routine of postmenopausal women

Development of a Reliable and Valid Questionnaire to Identify Factors Affecting Health of Postmenopausal Women in Selected Areas of Gurugram, India

Introduction: Postmenopause is the period when a woman misses her menstrual cycles for the entire year. A host of issues involving health, fitness and psychological problems come up in this phase which effect quality of a life of a woman significantly therefore a substantial degree of care is needed for them. There are various factors that affect the physical and psychological health of postmenopausal women. Aim: To develop a self-structured questionnaire that would identify and address various factors that affect health of postmenopausal women in Gurugram India. Materials and Methods: A thorough literature search related to the subject matter was done along with the interview of researchers working on the health status of postmenopausal women to arrive at a questionnaire, and a pilot study was conducted on 60 postmenopausal women (average age 52±3.44 years) from September 2019 to March 2020. Expert opinion was taken twice before preparing first draft of questionnaire. Questionnaire had 4 sections with questions related to demographic details, medical history, physical activity status and psychological health status. The scores were evaluated and subjected to reliability and validity tests. SPSS software version 20 was used to calculate Cronbach’s alpha value for ensuring reliability of the questionnaire. Results: The questionnaire possesses good content and face validity. Cronbach’s alpha value was 0.772 which indicated acceptable degree of correlation between different items of questionnaire. The final questionnaire consists of 24 questions. Numerical coding of responses was done from 0-2. A score of 0-10, 11-20 and >21 indicated mild, moderate and severe effect respectively on health of postmenopausal women. Conclusion: The questionnaire can be utilised to evaluate factors affecting physical and mental health issues of postmenopausal women