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ABSTRACT Aim of Study: The objective of the study was to assess the retrospective observational comparative study on drug utilisation of Proton Pump Inhibitors (PPI) vs H2Receptor Blockers (H2RB). Methodology: 150 patients are included in the study. All the patients were undergoing proton pump inhibitors and H2 receptor blockers therapy and /or co-morbidities were included in the study. The study was conducted in General Medicine Unit (IPD), Intensive Care Unit, Surgery, Orthopaedic and all other departments in a multi-speciality tertiary care hospital. The patient’s demographic status like name, age, gender, occupation, IP number, date of admission, etc., was collected. The appropriateness of PPIs and H2RBs drugs like dose, dosage form, duration of treatment, route and frequency of administration with standard guidelines was also recorded. Result: Results of patient population included in the study are 150, out of males are 98(65%) and female are 52(35%) are using Anti-Ulcer drugs. In total study population based on dose and dose frequency Pantoprazole (PPI) 40mg, OD is prescribed in 17% of prescriptions and Ranitidine (H2RB) 150mg, BD is prescribed in 14% of prescriptions. Conclusion: Gender, Age, Social habits, Occupation and Education status influence the occurrence of GIT problems. Based on this study, in our area, PPIs are prescribed more often than H2RBs. In PPIs Pantoprazole (PPI) 40mg was the highest prescribed as prophylaxis to GIT damage than Ranitidine (H2RB) 150mg. KEYWORDS: Proton Pump Inhibitors (PPIs), H2 Receptor Blockers (H2RBs), NSAID Prophylaxis, Anti-Ulcer drugs.
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ABSTRACT Background Information: Due to low base rate of complete healing in the natural history, exuding wounds have a significant impact on the health and quality of life of patients. Evidence suggests that exuding wounds impose significant and often underappreciated burden to the individual, the healthcare system and the society as a whole. Cadexomer Iodine contains 0.9% w/v iodine within a three-dimensional starch lattice, formed into spherical microbeads and is available as an ointment in India. In this study, topical cadexomer iodine was used to determine its effect in the healing process of acute and chronic exuding wounds. Aim of the Study: To compare the effectiveness of topical cadexomer iodine and saline dressing in the management of exuding wounds. Materials and Methods: It is an observational cohort study which involves 100 patients suffering from various types of exuding wounds and were divided into two cohorts : test cohort - topical cadexomer iodine treated patients and control cohort – normal saline treated patients. Bates-Jensen wound assessment tool was used for the comparision of effectiveness of the test and control treatments on wound healing. Results: After 10 weeks of observation, topical cadexomer iodine demonstrated significant changes in all the parameters involved in wound healing like – wound size, wound size, depth, edges, undermining, necrotic tissue type and amount, exudate type and amount, skin color surrounding wound, peripheral tissue edema and induration, granulation and epithelialization; reduction in pain and odour. The wound status continuum comparision was done with t-test procedure using SAS-9.2. The folded F value of 0.0490 infers that the test is statistically significant. Conclusion: Topical cadexomer iodine is significantly more effective in the management of various types of exuding wounds when compared to normal saline dressing which is the standard dressing being used currently for exuding wounds. KEYWORDS: Topical Cadexomer Iodine, Saline Dressing. Acute and Chronic Exuding Wounds.
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ABSTRACT It is estimated that in India about 25% population is suffering from severe mental illness and 10% have minor mental illnesses. In India, with its mix of rural and urban environment and cultural diversity, the proportion of the patients attending the psychiatric consultation, once the disorder is recognized is limited. Prevention of psychiatric disorders is complex due to its multifactorial etiology, such as genetic factors, life stressors, and neurochemical changes in the body. Though it is difficult to control all of these factors in order to prevent psychiatric disorders, the progression of the psychiatric illness can be interrupted by early identification and intervention. Early detection and intervention of the condition can shorten the duration of mental illness. Early treatment can also prevent complications and deterioration, i.e. severe disability, increased recurrence of episodic disorders, death due to suicide, and care giver burden. This study was conducted to detect the delay duration and various reasons for delay in first psychiatric consultation, in the patients attending the psychiatric out-patient department. KEYWORDS: First Psychiatric Consultation, Economic Burden, Multifactorial Etiology, Diagnosis and Duration of Delay, Traditional Healing.
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Diyarbakır Bebek Düşürme Yöntemleri( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Bebek Düşürme Hapı( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Çocuk Düşürme Hapı ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Çocuk Düşürme Yöntemleri ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Düşük İlacı ( 0545 661 53 89 ) İLETİŞİM:7/24 WhatsApp Diyarbakır Cytotec Etkileri ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Fiyatı ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Kaç Para ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec kullananlar( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Nedir ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Ne İşe Yarar ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Satın Al ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Sipariş ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Sipariş Hattı ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Cytotec Düşük Hapı ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük Hapı Eczane ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük İlacı ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük İlaçları ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Kürtaj Hapı ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük Nasıl Yapılır ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Evde Düşük Yapma ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük Hapı Fiyatı ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük Hapı Fiyatları ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük Hapı Cytotec ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Çocuk Nasıl Düşürülür ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır hamileliğe Nasıl Son Verilir ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Diyarbakır Evde Çocuk Düşürme Yolları ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Kürtaj Olmadan Nasıl Düşük Yaparım ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Düşük Yapmak İstiyorum ( 0545 661 53 89 ) İLETİŞİM: 7/24 WhatsApp Diyarbakır Kürtaj Olmak İstemiyorum ( 0545 661 53 89) İLETİŞİM: 7/24 WhatsApp Çocuk Düşürme Hapı , Çocuk Düşürme Yöntemleri , Cytotec , Cytotec Düşük ilacı , Cytotec Etkileri , Cytotec Fiyatı , Cytotec Kullananlar , Cytotec Nedir , Cytotec Düşük Hapı , Düşük Hapı , Düşük Hapı Eczane , Düşük Hapı Eczane , Düşük ilâcı , Düşük ilaçları , Düşük Nasıl Yapılır , Evde Düşük Yapma , Düşük Hapı Fiyatı , Düşük Hapı Fiyatları , Düşük Hapı Cytotec ,
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Düşük hapı satın al -0545 661 53 89- Düşük hapı Düşük hapı satın al -0545 661 53 89- Ülkemizde bilindiği üzere gebeliğin 10. haftasına kadar kürtaj yaptırmak mümkündür. Kürtajın sözlük anlamı kazımak olduğu açık bir gerçektir. Düşük Hapı Satın Al İstenmeyen gebeliklerin ortaya çıkması durumunda genelde kürtaj olmak istemeyen veya hamileliğini kimsenin bilmesinden korkan kadınlar halk arasında düşük yaptıran ilaçlara yani düşük haplarına ilgi göstermektedir. Peki düşük hapları ne kadar etkili, gerçekten işe yarar mı? Ve sağlığa zararı var mı? bunlar hakkında bilgiler verelim. Düşük hapı olarak bilinen Cytotec Misoprostol ilacı mide ülserleri tedavisinde kullanılan bir ilaçtır. 2012 yılına kadar ülkemizde her eczanede kolayca bulunurken çıkarılan kürtaj kanun düzenlemesi nedeniyle satışı durdurulmuştur. Hamile kalan kadınların bu ilacı kullanarak düşük yaptığından dolayı satışı yapılamamaktadır. Cytotec eczanelerde satılır mı diye sormanıza gerek yok. Cytotec hapı yurt dışına gidip gelenlerin internet ortamında satışını yaptığı bilinmektedir. Cytotec ilacı ülkemizde halen hastanelerin kadın doğum bölümlerinde heyet raporu taşıyan hastalar da riskli gebeliklerin sonlandırılmasında kullanılmaktadır. Cytotec ilacı kullanım aşamasında dil altında emilerek kullanıldığında %95 etkilidir, düşükle sonuçlanır. Dünya’da 50’den fazla ülkede satışı yapılmakta ve aktif olarak kullanılmaktadır. Düşük İlacı Satın Al Cytotec ilacı FDA (Amerika Sağlık Bakanlığı) onaylıdır, aynı zamanda Dünya Sağlık Örgütü (WHO) tarafından desteklenmektedir. İnsan sağlığına herhangi zararı yoktur. Sadece hamile kadınlar da doz artışı nedeniyle yan etki olarak düşük yapmaktadır. Düşük işlemi adet döneminden biraz daha ağrı ve kanamalı geçmektedir.
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ABSTRACT The total success of education depends on the quality workforce equipped with high-quality standard, competence, and excellence. Supervisors, principals, school heads and teachers all work in synergy to ensure pupils get the best education. This study aimed to determine the job satisfaction and quality of work-life of public elementary teachers in Quezon Province, Philippines, with the end view of proposing reinforcement mechanisms. This covered the demographic profile of respondents in relation to age, gender, civil status, educational attainment, and length of service; assessment on their job satisfaction in terms of teaching assignment, designation, promotion, training, and fringe benefits and quality of work-life with regard to work environment, interpersonal skills, professional relationship, and time management. Likewise, this looked into the significant difference in the assessment of respondents on job satisfaction and quality of work life. The descriptive method of research was used with the questionnaire as its main tool in gathering data complemented with the unstructured interviews. The statistical tools used in the analysis of data were percentage, weighted mean, and t-test. Results revealed that the majority of teachers are 29 years old and below, female, married, and have a bachelor’s degree, with five years and below in service. Also, the teachers assessed job satisfaction as moderately evident in terms of teaching assignment, designation, promotion, training, and fringe benefits and assessed quality of work-life as moderately evident in terms of the work environment, interpersonal skills, professional relationship, and time management. Moreover, there is a significant difference in the assessment of the respondents’ job satisfaction relative to the mentioned variables when grouped according to educational attainment. Similarly, there is a significant difference in the evaluation of the respondents’ quality of work-life relative to the work environment, professional relationship, interpersonal skills, and time management when grouped according to age, sex, civil status, educational attainment, and length of service.
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The updated genome sequence which was replaced gaps with the completely filled sequences using GFSRE in tomato reference genome (SL2.50 version).
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The Equilibrium Beach Profile (EBP) means a profile along which local, time-averaged net cross-shore sediment transport is everywhere nil under a given wave condition and water level for a sufficiently long time. Analysis of the equilibrium profile of a sandy beach is important for coastal engineering design. Previous studies focused on establishing empirical beach shape relations, which do not support us to understand the underlying equilibrium morphodynamic mechanisms. In this study, detailed hydraulic and sediment transport processes on an equilibrium profile are revealed based on a process-based numerical model. It is found that the equilibrium is achieved by the balance between onshore sediment transport induced by wave nonlinearity and current-induced offshore transport. A dimensionless parameter is proposed so that we can measure the ‘distance’ from equilibrium for a beach based on sufficient wave recordings. These findings can enrich basic hydrodynamics theory and guide coastal engineering and practice.
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En este estudio se indaga en el sistema de creencias de futuros profesores chilenos de educación infantil y de educación primaria respecto de sus competencias para incorporar la Educación para el Desarrollo Sostenible (EDS) en el aula escolar, específicamente, en la clase de matemáticas. Para ello, se aplicó una encuesta a 87 posibles docentes de educación primaria y 58 futuros maestros de educación infantil, la cual se analizó desde un enfoque interpretativo. Los resultados evidencian poca claridad respecto de la EDS y su alcance, pese a ser valorada. Asimismo, se muestra una determinada necesidad de formación al respecto y el potencial de la educación matemática como herramienta para incorporar la EDS en el aula escolar. Se concluye que es importante incorporar competencias vinculadas a la EDS en los programas de formación inicial y permanente del profesorado de manera transversal, en nuestro caso, desde la educación matemática.
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In the present paper, the failure of a pressure armour in a flexible riser under fretting wear loading is analysed. Fretting lifetime is evaluated through the multiaxial fatigue criterion by Carpinteri et al., implementing the critical direction method proposed by Araujo et al. to define the orientation of the critical plane. The fretting map (in terms of number of loading cycles to failure against displacement amplitude) is build starting from the simulation results of some fretting wear tests in partial slip regime. Then, such a map is compared with that determined by means of the results derived through a combined experimental and numerical methodology available in the literature.
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