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Pulmonary rehabilitation has proven to be an effective therapeutic intervention for people with chronic respiratory disease. Considering the highly contagious nature of coronavirus disease (COVID-19), it becomes imperative to develop a method which can effectively improve clinical disease outcomes of these patients without any physical contact. The purpose of the study was to investigate the impact of tele rehabilitation on dyspnoea, endurance and quality-of-life in patients recovering from COVID 19. Thirty-two participants (age: 42.5 +/- 13.94, height: 165.8 +/- 10.06, weight: 68.5 +/- 9.63, body mass index: 25.0 +/- 3.61) who are recovering from COVID-19 were recruited as per the eligibility criteria. They were randomly allocated into two groups, Tele rehabilitation (n=16) and Control (n=16) by lottery method. All the selected participants were assessed at baseline for perceived dyspnoea, endurance and quality-of-life. Patients in the Tele rehabilitation group received 14 sessions of rehabilitation on alternate days online via google meet over a period of 28 days. Control group received usual care during the study period. Standard statistical tests were employed to test the study hypothesis. Results suggested a significant improvement in both dyspnoea (P=0.001) and endurance (P<0.001) in response to tele rehabilitation. Domains of quality-of-life such as physical role (P=0.02), vitality (P=0.04), emotional role (P=0.03), mental health (P=0.02) and physical components score (P=0.007) also showed significant improvement with tele rehabilitation in patients recovering from COVID-19. Findings of this preliminary study concludes that tele rehabilitation may be considered a treatment of choice in patients recovering from COVID-19 for improving outcomes of dyspnoea, endurance and quality-of-life.
ABSTRACT
Development of Technological knowledge has been moving towards the nation and international future classroom, after pandemic COVID-19. There are teachers all around the world and world of knowledge has become content of teaching. Today, teachers need to be preparing to provide technology supported opportunities for their students in teaching and learning process. Education is a lifelong process should be reachable by anyone at anytime and anywhere .The quality of education depends upon the quality of teaching and the good academic performance and achievement of the learners. Teachers who are equipped with technology resources and skills can effectively teach the necessary subject matter/content is required in digital era. The educational instructions are required to teach new technological skills, develop new insights and approaches to the new learning society. The purpose of this study is to determining the Utility of Digital Tech Classroom Instruction in the Classroom of CBSE School Teachers from selected CBSE schools in Gurgaon District. A descriptive method was used with normative survey technique was adopted. The study was administered to261 Teachers with reference to Gurgaon district. The study found that the level of Utility of Digital Tech Classroom Instruction among CBSE Teachers is at moderate. Further, it was found that there exists significant difference in Utility of digital classroom technology instruction mean score among CBSE school teachers with respect to gender, locality, discipline and teaching experience
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Introduction: For the diagnosis of Coronavirus Disease 2019 (COVID-19)disease,Real-TimeReverseTranscriptase-Polymerase Chain Reaction (RT-PCR) is a laboratory-based technique and is considered a gold standard test, but is time consuming. A Rapid Antigen Test (RAT) is used for screening which is an immunoassay that identifies the presence of a viral antigen causing infection at the point of care. The RAT is quick, inexpensive, easily accessible and doesn’t need lab handling or sample preprocessing. Aim: To measure the sensitivity, specificity, Negative Predictive Value (NPV) and Positive Predictive Value (PPV) of RAT in comparison to RT-PCR. Materials and Methods: This retrospective study was conducted in Department of Community Medicine at Government Medical College (tertiary care centre), Surat, Gujarat, India, using secondary data from 1st July 2020 to 5th Dec 2020. The samples were collected from all the patients of Acute Respiratory Illness (ARI), Severe Acute Respiratory Illness (SARI), Influenza Like Illness (ILI), the suspected COVID-19 cases and all walk in patients for testing or treatment purposes. A total of 264 participants enrolled in the study underwent both the RAT and RT-PCR tests. The sensitivity, specificity, Positive Predictive Value (PPV) and Negative Predictive Value (NPV) were calculated using MS Excel Statistical Package for the Social Sciences (SPSS) version 17.0. Results: Total 264 cases were analysed, amongst which 161 (60.9%) were males and 103 (39.1%) were females and the mean age of the patient was 41.6 years and 36.8 years for males and females, respectively. The overall sensitivity was 52.47%, specificity was 87.11%, PPV was 71.62% and the NPV was 74.73%. While among symptomatic patients sensitivity was 55.55%, specificity was 88.54%, PPV was 76.97% and NPV was 74.35%. Conclusion: Because of the low sensitivity of the RAT, if used alone a high number of false negative cases will be resulted. Hence, it is employed in community and clinical settings as sequential screening in conjunction with RT-PCR, which results in improved net gain and aids in disease transmission control.
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Several factors hinder information retrieval in the medical profession. Consumers (layman people) often struggle to learn medical terms. Because medical terms are more evident to professionals, it is difficult for consumers to construct a query using medical terms. Consumers would find it easier to access relevant medical information if medical words relevant to their query were automatically added. Various kiosksuse approaches using machine vision toform the user queries and monitor their health. This work proposes a hybrid approach to term selection by expanding user queries with medical terms relevant to the medical query. The selection of terms is based on fuzzy similarity reasoning based on two primary term selection strategies.WordNet semantic filtering is applied for preventing query drift, followed by the calculation of BERTScore. The retrieved documents were ranked using Okapi-BM25. For evaluation purposes, six benchmark datasets have been used: CACM, CISI, MEDLINE, ADI, FIRE, and TREC (Covid-19). The results indicate that the suggested technique outperforms the current state-of-the-art.
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Managing building water systems is complicated by the need to maintain hot water temperatures high enough to control the growth of Legionella spp. while minimizing the risk of scalding. This study assessed water quality management practices in large buildings in the United States. Surveys conducted with building water quality managers found that more than 85% of buildings have hot water temperatures that are consistent with scald risk mitigation guidelines (i.e., < 122..F/50..C). However, nearly two thirds and three quarters of buildings do not comply with the common temperature guidance for opportunistic pathogen control, i.e., water heater setpoint > 140..F (60..C) and recirculation loop > 122..F (50..C), respectively;median values for both setpoint and recirculation loop temperatures are 10..F (6..C) or more below temperatures recommended for opportunistic pathogen control. These observations suggest that many buildings are prone to Legionella spp. risk. The study also found that 27% of buildings do not comply with guidelines for time to equilibrium hot water temperature, over 33% fail to monitor temperature in the recirculation loop, more than 70% fail to replace or disinfect showerheads, more than 40% lack a written management plan, and only a minority conduct any monitoring of residual disinfectant levels or microbiological quality. Given the rise in Legionellosis infections in recent years, coupled with highlighted water quality concerns because of prolonged water stagnation in plumbing, such as in buildings closed due to COVID-19, current management practices, which appear to be focused on scald risk, may need to be broadened to include greater attention to control of opportunistic pathogens. To accomplish this, there is a need for formal training and resources for facility managers.
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Digitalization is growing like never and e-learning is a major part of it. Over the last decade, a significant growth has been seen in e-learning. The advancements and innovations in technology have created the option of distance learning for people which incorporates different mediums of learning, e.g., video tutorials, slideshows, etc. Moreover, ever since the COVID-19 pandemic has started, the concept of online classes has become an integral part of many people. This coronavirus has compelled to cease the normal functioning of schools, colleges, and universities, and thus, the use of online learning has enhanced. The objective of this work is to develop a robust virtual platform for the students which would work as an alternative for the offline college classes. Many analysis techniques have been incorporated for teachers to evaluate the students’ performance and also to classify them according to the special skills and abilities they possess. We have used J2EE technologies and Bootstrap framework while developing the system. MySQL is used for the database requirement. This system would help the students and teachers to manage their daily study pattern. Most importantly, it gives the benefit of studying at your own pace, anytime, and anywhere. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Quantification of 25-hydroxy vitamin-D-3 (25-OHVD3) is important because its deficiency is related to numerous diseases, including osteoporosis, depression, diabetes, heart disease, certain autoimmune conditions, and even Covid-19. In the present study, noble metal-metal oxide nanohybrid based on L-cysteine functionalized gold decorated zirconia nanoparticles (Cys-Au@ZrO2 NPs) were synthesized with the objective of enhanced electrochemical behavior, stability, availability of functional group to covalently bind with biomolecules, and developing an efficient immunosensor for 25-OHVD3 detection. The formation of Au@ZrO2 NPs and further Cys functionalization was validated by various characterizations. Cys-Au@ZrO2 NPs were electrodeposited onto ITO substrate and further modified with antibodies specific to 25-OHVD3 (ab-25VD(3)) and bovine serum albumin (BSA) to build an immunosensing platform for 25-OHVD3 detection. The fabricated BSA/ab-25VD(3)/Cys-Au@ZrO2/ITO immunosensor demonstrated an improved sensitivity of 2.01 mu A ng(-1) ml cm(-2), LOD of 3.54 ng ml(-1) for the linear detection range of 1-50 ng ml(-1) with regression constant of 0.98. Moreover, the analytical performance of the BSA/ab-25VD(3)/Cys-Au@ZrO2/ITO immunosensor in determining 25-OHVD3 in human serum samples collected from four healthy people yielded satisfactory results that were highly correlated with the conventional enzyme-linked immunosorbent assay (ELISA).
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The banking industry is important to a country's economic growth. With a large network of branches and a diverse range of financial services, India's banking system is large. The aim of this research is to study the financial results of India's two largest private and two public banks. The financial performance of banks was analyzed using net profit, assets, liabilities, income, expense, margin ratio, and return on equity ratio. After evaluating financial data from 2015 to 2019, the study concluded that the private banks performed better than public banks. The results of this study will benefit bank, shareholders and customers, as well as bank management.
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Background As the pandemic COVID-19 (due to novel Corona virus) is widely spreading across the globe, it is creating extensive fear, anxiety, apprehension and stress. These are all inevitable and growing reactions to the changing and uncertain situation in which all of us find ourselves. Objectives This study was carried out to assess the psychological impact of the novel, unprecedented situation arising due to pandemic in adult Indian population. Method The data was collected with self-reported questionnaire based survey. The survey was circulated in social media as Google form and participation was completely voluntary. Data was statistically analysed by using chi square test for the calculation of significance. Results The responders had moderate level of perceived stress and anxiety 71%;63.1% were found to be above average in terms of wellness, 80% were reported to smoke/chew tobacco/consume alcohol and 98.1% were well aware of COVID-19 and seriously followed social distancing. Conclusion Since disruptive effect of COVID-19 social distancing is dominating our daily lives, it is important to maintain connection. Anxiety and fears of each and every individual should be acknowledged and better understood by other individuals, communities and caregivers.