Volume 12 | Issue 3 |

 Abstract

"EFFECTIVENESS OF STP ON KNOWLEDGE REGARDING CARE OF PATIENT WITH INTRA-AORTIC BALLOON PUMP (IABP) AMONG NURSES IN SELECTED HOSPITALS OF GUWAHATI, ASSAM: A PRE-EXPERIMENTAL STUDY." NEELIAM BANGSIA1, MITALI BARMAN2 1MSc.Nursing, Departmentof Medical Surgical Nursing (CTVS),Asian Institute of Nursing Education, North Guwahati, Assam, India 2Associate Professor, Department of Medical Surgical Nursing, Asian Institute of Nursing Education Guwahati, Assam, India Corresponding Author: Neeliam Bangsia ABSTRACT BACKGROUND Intra-aortic balloon pump (IABP) is the most widely used temporary mechanical circulatory assist device for supporting failing circulation since its introduction by Kantrowitz and colleagues in 1960s. The IABP assists the heart indirectly by decreasing the afterload and augments diastolic aortic pressure with subsequent enhancement in diastolic blood flow resulting in better perfusion of the peripheral organ as well as a possible improvement in the coronary blood flow. IABP is an effective mean of supporting the failing circulation in patient, but it is also associated with complications - ischemia, injury to artery, rupture of the balloon, injury to kidney, low platelet count leading to bleeding, infection, stroke, catheter migration, compartment syndrome, aortic dissection and liver ischemia. Cardiovascular nurses caring for these patients require skills and knowledge that enable prompt recognition and treatment of sometimes life-threatening complications associated with balloon pump therapy. OBJECTIVES OF THE STUDY o To assess the level of pretest-posttest knowledge regarding care of patient with IABP among staff nurses in selected hospitals of Guwahati, Assam before and after administration of STP. o To determine the effectiveness of STP regarding care of patient with IABP by comparing the pretest and posttest level of knowledge among nurses in selected hospitals of Guwahati, Assam. o To find the association between the pre-test level of knowledge regarding care of patient with IABP, with selected demographic variables (age, professional qualification, total work experience, work experience in CTVS, any special training). METHODS AND MATERIALS Pre experimental one group pre-test post-test design was used to accomplish the objectives. Study was undertaken on 60 staff nurses working in CTVS ICU of selected hospitals of Guwahati, Assam by using non probability purposive sampling technique and quantitative approach was adopted to achieve the study objectives. Staff nurses were selected on the basis of inclusion criteria. Pre-test knowledge was checked using structured knowledge questionnaire. The post-test was conducted on the seventh day after the administration of STP in the same manner. RESULTS Out of 60 staff nurses, majority 30(50%) belongs to 21-25 years of age, 52(86.7%) were female, 39(65%) of the staff nurses were GNM, 29(48.3%) had one to five years of total working experience in CTVS ICU, 54(90%) have not attended any special training on care of patient with IABP and 42(70%) have not handled patient with IABP. In the pre-test knowledge, majority 31(51.67%) had moderately adequate knowledge with mean score of 16.56 (SD 4.58). In post-test knowledge, majority 37 (61.67%) had moderately adequate knowledge with a mean knowledge score of 21.66 (SD 3.32) and 23(38.33%) had adequate knowledge. The calculated value of paired 't' (13.089) was more than the tabulated value (1.64) at 0.05 level of significance which indicated that the STP regarding care of patient with IABP was effective in improving the knowledge of the staff nurses. CONCLUSION Based on the analysis of the findings of the study, the following inferences were drawn. There was evident increase in the knowledge after administration of structured teaching programme on care of patient with IABP. Thus it was proved that the structured teaching programme was an effective teaching method for creating awareness on importance of care of patient with IABP.

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Knowledge, Structured Teaching Program, IABP, CTVS ICU nurse

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INFLUENCING FACTORS OF NURSE-PHYSICIAN COLLABORATIVE RELATIONSHIP IN SELECTED HOSPITALS, GUWAHATI, ASSAM WITH A VIEW TO DEVELOP STRATEGIES TO ENHANCE COLLABORATIVE RELATIONSHIP: A DESCRIPTIVE STUDY NEHA RAI1, MITALI BARMAN2 1MSc.Nursing, Department of Medical Surgical Nursing(CTVS), Asian Institute of Nursing Education, North Guwahati, Assam, India 2Associate Professor, Department of Medical Surgical Nursing(CTVS) , Asian Institute of Nursing Education North Guwahati, Assam, India Corresponding Author: Neha Rai ABSTRACT: BACKGROUND: Effective teamwork between healthcare professionals is recognized to be a critical element of patient safety and quality of care. Collaborative relationships between nurses and physicians in healthcare settings are crucial for optimizing patient care, promoting effective communication, ensuring resource efficiency, and facilitating shared decision-making. These relationships are essential for delivering high-quality, patient-centered care. These relationships are essential for delivering high-quality, patient-centered care. El Sayed and Sleem (2011) view collaboration as a partnership between both parties in a relationship.These authors defined collaboration "as the process of joint decision-making among independent parties, involving joint ownership of decisions and collective responsibility for outcomes".Collaboration in this definition involves not only partnership in the decisions made but also shared responsibility for the decisions made. OBJECTIVES: ? To identify the key influencing factors of nurse-physician collaborative relationship in selected hospitals, Guwahati, Assam. ? To develop strategies to enhance nurse-physician collaborative relationship in selected hospitals, Guwahati, Assam. ? To find association between levels of nurse-physician collaborative relationship with selected demographic variables. METHODS AND MATERIALS:The research approach adopted was quantitative approach. A non-experimental descriptive design was used in this study to accomplish the objectives. Study was undertaken on 154 nurses and 24 physicians of selected hospitals of Guwahati, Assam using Multistage Convenience sampling technique. The data were collected using semi-structured questionnaire on influencing factors of nurse-physician collaborative relationship. Self report was the technique used for it. RESULTS:The findings revealed that out of 154 nurses and 26 physicians, the demographic results shows that majority 82(45.6%) were in the age group of 21-25 years , 165(91.7%) were female, 120(66.7%) were GNM, 89(49.4%) had 1-5years of working experience, 150(83.3%) were unmarried, 60(33.3%) were working in Intensive care unit.Out of 154 nurses and 26 physician majority 172(95.56%) agreed to effective induction class, 61(33.89%) were uncertain to lack of recognition from organizational support factors , 146(81.11%) agreed in open communication from communication factors, 167(92.78%) agreed in cultural respect and valuing each other's contributions, , 95(52.78%) disagreed on blaming one another from mutual respect factors and 166(92.22%) agreed in effective teamwork, 106(58.89%) disagreed to ego from interpersonal relationship.The demographic variables gender (p=0.001), professional qualification (p=0.0001) and marital status (p=0.0001) had statistically significant association with influencing factors of collaboration between nurses-physician relationship at p<0.001 level. The demographic variable age (p=0.030) and total years of working experience (p=0.022) had statistically significantassociation with influencing factors of collaboration between nurses-physician relationship at p<0.05 level. CONCLUSION The present study showed that the level of nurses- physician collaborative relationship is highly influenced by the factors like effective induction class , open communication ,cultural respect and valuing each other's contribution and effective teamwork..The developed strategies based on the factors identified will help to build a positive nurse-physician collaborative relationship.

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Collaboration, nurse, physician, influencing factors

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An air handling unit is a device that distributes and conditions air throughout a building. HVAC systems need a combination of Good Manufacturing Practices (GMP) and Good engineering practices (GEP). By automating an outdated HVAC system it is possible to operate the air conditioning in many zones and lower the power cost. Advanced technology like a sensors, automation and algorithms for machines learning may be integrated into smart HVAC system to enhance comfort, energy saving and overall performance.

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Automization, AHU, HVAC, Filters.

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In this paper, we have proposed one more estimation to find ideal responses for the fuzzy transportation problem. Here, situating technique is used to defuzzify the Hexagonal fuzzy numbers. This article gives framework that chops down the best game plan. The numerical model diagrams the authenticity of our proposed procedure.

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Transportation, Fuzzy, Optimality, Ranking, Hexagonal Fuzzy Numbers.

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It is true to say that the world is becoming complex and multifaceted day by day with rising tensions of deglobalization and ongoing wars. Survival and Profit making remains as one of the major concerns for various business houses across the nation and for that organizations are focusing on various techno-structural changes within the organization for better health. On the other hand, with the rising level of pollution, nurturing a green environment and crafting a green business is the call of the hour. Environmental consciousness now strikes us almost every day in the current times. Resource limitation concerns and environmental concerns did raise a question on the very concept of sustainable use of assets and pollution. (Wang and Song, 2014) Opinions were that developments pertaining to the economy and pollution reduction could not go hand in hand. Striking a proper balance between constant high consumption of resources in order to develop the economy and at the same time also thinking about eco-friendly environmental concerns is a challenge (Chan et al., 2012). The excessive consumption and usage of the non-renewable resources with an aim of speedy economic developments did adversely affect the environment and raised huge concerns (Atlin and Gibson, 2017). In the opinion of (Chen, 2008b; Chang, 2011) it is the manufacturing sector across the globe that is the highest waste producing sector. The very concept of Green Innovation can be further bifurcated into green products, green marketing, green processes, and green management that are focused and oriented towards eco-friendly initiatives and work practices like recycling, controlling the pollution emission levels at large (Seman et al., 2019). Gupta, R. (2011) in his study stated that the awareness level amongst the Indian customers are not that much aware about the eco-friendly products and its benefits. Moreover the Indian customers were very less aware about the initiatives taken by companies as such for the cause. Agarwal, Sutra Dh?r, S.P. and Agarwal, R. (2020) in their study found that the majority of the respondents in their study are moderately aware of the concept of Sustainability and Green Initiatives. Research gaps found in literature surveys were that very little study has been found which focused on organizations "Green Initiatives" practices with respect to Sustainability and what exactly they were doing to educate the mass population about "Green Products". Secondly, it has been found that the majority of the population in general only have moderate knowledge about the concept of Sustainability, Green Initiatives and Green Products. Research objectives for this study are set as to study the degree and extent of the various green initiatives practices with respect to sustainability practiced by major organizations and also to study the degree and extent of initiatives taken by the organizations to aware the mass populations regarding Green Initiatives and Sustainability. Research Methodology: This Qualitative study is based on secondary data. The secondary data were obtained from various journals, statements, newsletters and social media platforms. The paper will focus on the innovation and practices of the same in current business context. With respect to the same green initiatives of few organizations like Oracle, Hindustan Unilever, Reliance and Flipkart will be discussed in this chapter as to how these companies are balancing both development on one hand and environmental conscious initiatives on the other hand. Also how such initiatives are contributing towards overall business development which can be used for further study. Touching in brief upon the grave scenarios of textile wastes and used clothes disposal reality of the fast fashion consumer segment which is adversely affecting the environment

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Pollution, Resources, Innovation, Practices, Green Business, Sustainability.

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Our project is aimed to enhance the efficiency and durability of wind turbine blades while reducing their weight. Carbon fiber-reinforced thermoplastic materials are selected for their high strength-to-weight ratio and ease of manufacturing. Computational fluid dynamics (CFD) simulations will be conducted to analyze the aerodynamic performance of the blades, considering various wind speeds and angles of attack. Furthermore, the thermoplastic nature of the composites allowed for efficient manufacturing processes, contributing to cost-effectiveness and sustainability. This project will signify a promising avenue for advancing wind turbine technology, offering enhanced performance and reduced environmental impact.

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Turbine Blade, Carbon composites, FEA, fluid flow analysis

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This research explores the creation of biodiesel fuel from mahua oil, a plant-based source. The process focuses on a chemical reaction called transesterification. The paper examines factors like how much amount of biodiesel is produced. This esterification process transforms mahua oil into methyl esters, the key component of biodiesel. The resulting biodiesel boasts properties similar to diesel fuel, including flashpoint, viscosity, and density. Notably, the viscosity of neem biodiesel is close to regular diesel, while its energy output (calorific value) is about 15.38% lower. Overall, this study strengthens the case for mahua oil, a non-edible resource, as a practical alternative to diesel fuel.

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Mahua oil, Transesterification, Biodiesel, Sodium Hydroxide.

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This study delves into the risk and return profiles of prominent companies within the IT sector over the period 2019-2023. Amidst the dynamic landscape of the IT industry characterized by rapid technological advancements and intense competition, understanding the performance dynamics of companies is crucial for investors. Through a comparative analysis of companies including Redington, LTI Mindtree, Persistent, Oracle Finance Service, Coforge Ltd, HCL Tech, Sun Pharma, Larsen & Turbo, Infosys, and Wipro, this research aims to assess the variability of returns, identify contributing factors to stock price fluctuations, and evaluate the risk-return relationship in IT sector investments. Findings reveal diverse performance trends across the companies, with some demonstrating consistent growth while others exhibiting fluctuations. Insights drawn from these study aid stakeholders in comprehending the relative performance and volatility within the IT sector, facilitating informed investment decisions.

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Risk, Returns, Standard Deviations

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Gear transmission is a major form of power transmission, of which the reliability greatly affects the life of many mechanical devices. Gears have two main failure modes, namely tooth surface pitting and tooth root fracture. Tooth surface pitting is mainly due to excessive contact stress and tooth root fracture is mainly due to excessive bending stress. In spur gears, the maximum bending stress concentration is known to occur in the gear tooth fillet region. This study focuses on the geometric optimization of symmetric involute gears to alleviate stress concentrations near the fillet. Stress relief is achieved by incorporating strategically placed holes in the area between adjacent teeth. The size and location of these features are varied to reduce bending stresses, leading to increased load capacity, extended gear lifetime, reduced manufacturing costs, and minimized noise and vibration. CATIA V5 software are used to model spur gears and ANSYS software are used for geometric optimization process to achieve the desired stress distribution

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KEYWORDS: Spur Gear , Stress , CATIA V5, ANSYS

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This study focuses on producing and characterizing biodiesel derived from mahua (Madhuca longifolia) oil for sustainable energy applications. Mahua biodiesel was produced through transesterification using a base catalyst. The biodiesel's physical and chemical properties were analyzed and compared with ASTM standards. The study also investigates the potential of mahua biodiesel as an alternative fuel for diesel engines, considering its performance, combustion characteristics, and emission profiles. The results demonstrate that mahua biodiesel meets the required standards for biodiesel fuel properties and exhibits promising performance as a renewable and environmentally friendly fuel option for various energy applications.

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Mahua biodiesel, production, characterization, sustainable energy, alternative fuel, transesterification, diesel engine, performance, emissions

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Creative Commons Attribution 4.0 and The Open Definition