ABSTRACT
The banking sector in India is one of the paramount drivers for the magnification event of the economy. The word digitalization is almost used in every sector of the economy and banking is no exception to it. The twenty-first centur in which we are living is highly regulated by the digitalization process. The govt. of Indian also announced Digital India Programme with the vision that the financial sector move to increase their knowledge with technological innovation. The process of digitalization in banking is also important for the smooth functioning of transactions and enhanced customer satisfaction. The digitalization process in banking helped in the process of financial inclusion. Keeping a similar objective the Prime Minister Mr. Narender Modi also started the Jan Dhan Yojana for opening the saving account for the unbanked person. In the scenario of Covid 19, most of the banks in the pandemic time have reduced the banking hours for their customers and insist them to go for digital banking, but fulfilling the customers demand and their expectations is a big challenge for the banks. Banks to ensure their continuity and to mitigate the impact of this pandemic have to make structural and operational changes in the delivery of the banking services online and also increased their digital offerings, including an enhancement in the number of digital touchpoints offered to their customers. After this Covid 19, it's been expected that the Indian public will experience new digital banking apps with a simplified interface and enhanced security features along with the fast execution of banking services. Further, these changes will change the behavior of the bank customers, such as shifting from physical banking to online banking. This implies that if banks want to grasp the opportunities that emerged out of this Covid-19 banks will have to re-devise their strategies and shift their efforts and resources towards digitization. © 2022 American Institute of Physics Inc.. All rights reserved.
ABSTRACT
Tele medicine or Tele health services are available in the world before 1970. Recent surge has been observed in the tele medicine during Covid 19. It is observed that tele health services usage has increased from 11% to 70% and the satisfaction level among the patients is around 78% in US and China. As per the Press information bureau report, in India around 35000 patients use E Sanjeevni portal for tele health services. The purpose of the study is to assess the knowledge perception and attitude towards tele health services by the students because they are young generation and their adoption rate of technology and skill set in technology is very high. A questionnaire was floated through Google forms to students of various colleges in Uttarakhand primarily in the district of Dehradun, Haridwar and Nainital. Around 1000 students were targeted through their Gmail accounts and WhatsApp groups. It was found that there is lack of awareness among students about telemedicine apps and related aspects;there perception towards it is positive as they want to use it as well as willing to refer it as well. It is concluded that the tele health services can be boon for the state like Uttarakhand as the health infrastructure is poor in the state because of its geography. If the organisation providing tele health services will try to improve the awareness, the willingness to adapt tele health services will be very high. © The author(s) 2021.
ABSTRACT
Tele-health services area very old facility available, but it never became a forefront technology or option for patients. During Covid 19 lockdown, when all the hospitals OPD and Private Clinics were closed then there was certainly a need for a therapy that could be available, keeping the social distancing in mind. This study on Tele-health is both a primary and secondary data-based study. The first objective of the study is based on a survey of patients and service providers. The other two objectives are studied through secondary data. Options left for chronic patients were explored, their awareness and satisfaction regarding these options were studied if there is a surge in Tele-health services usage, then what strategies should organizations adopt for the continuous use of these services after covid was also studied. The study shows a surge in the usage of Tele-Health services and remote monitoring of patients. Approximately 80% of the patients have cancelled their personal visits to doctors, and patients' satisfaction rate is more than 70%. A survey on service providers was also carried out, and the satisfaction level of doctors in providing Tele-health services were more than 65%. The study reflects that Tele-health services can be a boon for a state like Uttarakhand, where health services are scarce and were treating patients in remote areas is challenging. © 2021 The authors.
ABSTRACT
Background: Little is known about AKI epidemiology, causes, management and outcome in Kuwait. We report that. Methods: Demographics, comorbidities, treatment and 4 weeks outcome data for nephrology referrals for AKI in 7 public hospitals from 1/Jan-30/Apr/2021 prospectively collected and analyzed Results: Total number of AKI referrals was 1298, that is 3.3% of hospital admissions. Community acquired cases were 12.5%. Males were 57%, mean age 64 (52% > 65), and Kuwaiti citizens 65%. DM affected 71%, HTN 74%, and cardiac disease 36% of patients. Mean baseline eGFR before AKI was 62. Baseline eGFR < 60 seen in 52%, and those compared to patients with eGFR > 60, had mean baseline eGFR of 35 (vs 90), were older (68 vs 60 with 61% above age 65 vs 41%), 81% had DM (vs 60%), 85% had HTN (vs 63%), 46% had cardiac disease (vs 24%). Cause of AKI was pre-renal / ischemic ATN in 87%, COVID-19 related in 8%, contrast-associated in 6%, drug-induced AIN in 5% of cases. Many had more than one possible cause. Sepsis was most common precipitating factor seen in 67% then volume depletion in 50%. Many had more than one factor. IV fluids used in 73% (less in lower eGFR group), IV diuretics in 46% (more in lower eGFR group), IV vasopressors in 40% (less in lower eGFR group) and steroids in 33%. KRT needed in 33%, more in patients who used diuretics or vasopressors. Volume overload and electrolytes / acid-base disorders were most common indication (75% and 79% respectively). CKRT was modality of choice in 85%, however, in 52% of CKRT, conventional HD not used due to lack of dialysate source in some sites. At 30 days, mean eGFR was 42%, with complete recovery in 34%, and 38% failed to recover at all. Death occurred in 31%, 55% had baseline eGFR > 60, and 50% of deaths occurred while still on KRT. Non-survivors were older and had higher use of vasopressors. AKI associated mortality in 25% of total hospital mortality and in 31% of ICU / CCU mortality. Conclusions: AKI is common. Most cases hospital-acquired. Use of resources (medications, critical care, KRT) and rates of mortality are high. Kuwaiti citizens represent 1/3 of the population and 2/3 of AKI cases and almost 70% of deaths.