ABSTRACT: Evaluation of morbidity profile among elderly people will help in the application of intervention to improve the health status of elderly. Communicable diseases do not show a fixed pattern of change with the age of man. However,non-communicable diseases like hypertension, Diabetes Mellitus ,musculoskeletal disorders,refractive errors, etc and their related complications become more prevalent in the elderly. Research showed that average number of morbidities per person was 2.77 among the elderly people of rural India. Elderly people are suffering from various physical,mental ,social and economical problems.It is essential to havegeriatric units with specialized professionals in the health care centres. Regular health check-up camps should be organized at old age homes. Insurance scheme should be implemented. Health problems of elderly should be tackled with psycho-social intervention. The present study was done to review the literature on geriatric morbidity. KEY WORDS: morbidity, geriatrics, review
Background and objective: One of the diseases that increase the risk of seizures in the person is multiple sclerosis. Several studies have reported multiple sclerosis as a risk factor for seizure. This study was conducted to determine the frequency of seizure types in patients with Multiple Sclerosis (MS) referred to Alavi hospital in Ardebil city north-west of Iran.
Impact of cerebrovascular accident (CVA) and its associated disabilityK M Kamrul Hasan
Stroke is the third leading cause of death in the world wide and a major cause of disability in the elderly. Stroke remains the leading cause of serious, long-term neurologic impairment and functional disability. Stroke is often a catastrophic event affecting all aspects of an individual’s life. The impact of stroke on a patient is usually unanticipated and often devastating, requiring major adjustment in lifestyle and psychology of stroke survivors. Estimating and understanding disability following stroke should be a high priority in health care. To better characterize stroke-related disability, health care professionals should use a conceptual model of disablement and measure functions across all domains of disablement.
Knowledge, Attitude and Practice of Unintentional Injuries Among Old People i...Scientific Review SR
Objective: To describe the KAP (knowledge, attitude and practice, KAP) and explore the influence factors for UIs (unintentional injuries, UIs) among the elderly (aged>﹦60 years) in urban districts of Zunyi, China. Methods: Using random cluster sampling method, a survey was conducted with questionnaires, to collect UIs and related KAP in the elderly and analyze its influencing factors. Results: The annual incidence of UIs (falls, burns, traffics, etc.) was 17.46% in some urban districts of Zunyi. Among them, 27.94% elderly regarded UI as a type of disease; the channels to acquire related knowledge through TV (79.05%), listening to others’ narration (56.83%), community publicity (26.03%), books or newspapers (22.86%) and internet (9.84%). While 76.51% of the elderly believed that UIs were preventable; 81.59% old people worried about UIs; 93.97% of the elderly chose to seek help when they suffered UIs; and 95.25% of elderly people followed traffic rules when crossing the road. In the case of gas use, 25.77% of the cases were checked and closed each time, 40% and 20% old people would check the time before taking the medicine, and purchasing food. Factors affecting the occurrence of UIs were age, heart disease (both P<0.05). Moreover, the living condition had an effect on “whether considering UIs as a kind of disease” (P=0.003). Conclusion: The KAP of UIs in the elderly is not optimistic, though most elderly people think the damage can be prevented; prevention on UIs related behavior needs to be enhanced. We should arouse the public to pay more attentions to keep elderly people far away UIs risk factors in this area.
Background and objective: One of the diseases that increase the risk of seizures in the person is multiple sclerosis. Several studies have reported multiple sclerosis as a risk factor for seizure. This study was conducted to determine the frequency of seizure types in patients with Multiple Sclerosis (MS) referred to Alavi hospital in Ardebil city north-west of Iran.
Impact of cerebrovascular accident (CVA) and its associated disabilityK M Kamrul Hasan
Stroke is the third leading cause of death in the world wide and a major cause of disability in the elderly. Stroke remains the leading cause of serious, long-term neurologic impairment and functional disability. Stroke is often a catastrophic event affecting all aspects of an individual’s life. The impact of stroke on a patient is usually unanticipated and often devastating, requiring major adjustment in lifestyle and psychology of stroke survivors. Estimating and understanding disability following stroke should be a high priority in health care. To better characterize stroke-related disability, health care professionals should use a conceptual model of disablement and measure functions across all domains of disablement.
Knowledge, Attitude and Practice of Unintentional Injuries Among Old People i...Scientific Review SR
Objective: To describe the KAP (knowledge, attitude and practice, KAP) and explore the influence factors for UIs (unintentional injuries, UIs) among the elderly (aged>﹦60 years) in urban districts of Zunyi, China. Methods: Using random cluster sampling method, a survey was conducted with questionnaires, to collect UIs and related KAP in the elderly and analyze its influencing factors. Results: The annual incidence of UIs (falls, burns, traffics, etc.) was 17.46% in some urban districts of Zunyi. Among them, 27.94% elderly regarded UI as a type of disease; the channels to acquire related knowledge through TV (79.05%), listening to others’ narration (56.83%), community publicity (26.03%), books or newspapers (22.86%) and internet (9.84%). While 76.51% of the elderly believed that UIs were preventable; 81.59% old people worried about UIs; 93.97% of the elderly chose to seek help when they suffered UIs; and 95.25% of elderly people followed traffic rules when crossing the road. In the case of gas use, 25.77% of the cases were checked and closed each time, 40% and 20% old people would check the time before taking the medicine, and purchasing food. Factors affecting the occurrence of UIs were age, heart disease (both P<0.05). Moreover, the living condition had an effect on “whether considering UIs as a kind of disease” (P=0.003). Conclusion: The KAP of UIs in the elderly is not optimistic, though most elderly people think the damage can be prevented; prevention on UIs related behavior needs to be enhanced. We should arouse the public to pay more attentions to keep elderly people far away UIs risk factors in this area.
Epidemiology of Hypertension among Adults in Al-Azhary Area in Khartoum-State...inventionjournals
Hypertension (HT) is one of the most important risk factors in cardiovascular disease which causes early death in adults. Hypertension is a common disease associated with high mortality and morbidity. Hypertension a silent killer as it is symptomless and remains undiagnosed, and not controlled if diagnosed. This is a descriptive cross - sectional community based study was conducted in Al-Azhary area in Khartoum StateSudan, with aim to estimate the prevalence of hypertension and to identify the possible risk factors associated with hypertension among adults. Data were collected from 303 participants (53.5% females and 46.5% males) using structured pretested questionnaire and blood pressure. The prevalence of hypertension was 19.1% (95% CI 0.61-1.93).There was no significant sex difference in the prevalence rate OR 1.09 (95% CI 0.61-1.93, P = 0.767). The results showed there was strong association between age group and hypertension (P = 0.0001), also there was statistical association between marital status, family history and hypertension positivity P.values =(0.0001 and 0.027) respectively. There was a significantly higher prevalence of hypertension among participants with diabetes, Vascular diseases and kidneys problems OR= (5.44(95% CI 1.89- 15.69, P = 0.017), 4.4(95% CI 0.86 - 2.39, P = 0.074) and 3.56 (95% CI 0.92-13.68, P = 0.05) respectively. Conclusion: one out of every five respondents of the study had hypertensive (19.1%). Age group, marital status, family history, history of (diabetes, vascular diseases and kidneys problems)were statistically significant predictors of hypertension positivity.
How much do you know about the most prevalent diseases that affect us as Americans everyday? Do you know how to prevent them? How about what actions to take when you see someone suffereing from one, like a stroke of a heart attack? You don't need to be a doctor to know that these diseases are important and knowing some basic medical information can be nothing but beneficial.
Scott Letendre, MD, of the UC San Diego HIV Neurobehavioral Research Program, presents "Overview of HIV & Aging" for AIDS Clinical Rounds at UC San Diego
Factors that affect the Quality of Life of Patients with Behcet's DiseaseMinistry of Health
Objective: To assess the quality of life in patients with Behçet's disease, and to address the factors impact the domains of Quality of Life.
Methods: We surveyed101 patients with Behcet's disease no less than 3 months before the study. Data were collected using Short Form 36 Quality of life Scale. Results: The quality of life scores in patients with Behçet's disease were low and were adversely influenced by socio-demographic characteristics such as gender, age, work status and education status. Furthermore, disease manifestations such as oral and genital ulcerations, arthritis, and skin lesions affected the quality of life scores. Moreover, patients who experienced pain, poor sleep and fatigue lower the quality of life scale and patients whose social relations were influenced by the disease had significantly lower the quality of life scores. Conclusion: Patients with Behcet's disease reported a low level of quality of life.
Keywords: Behcet's disease, Factors affecting, Quality of life, Jordan.
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital B...CrimsonpublishersMedical
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital Based Study by Manjunadh Muralleedharan in Research in Medical & Engineering Sciences
Slides on Diabetes in the South Focus on Prevention.2018hivlifeinfo
Learn how to overcome common barriers to diabetes prevention with this downloadable slideset.
Richard E. Pratley, MD
Format: Microsoft PowerPoint (.ppt)
File Size: 3.16 MB
Released: October 23, 2018
A Study of the Prevalence of Cardio-Vascular Diseases and Its Risk Factors (B...inventionjournals
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Introduction: The objective of this work is to study the epidemiological and clinical aspects of erectile dysfunction in a population of diabetic patients in the Thies region.
Epidemiology of Hypertension among Adults in Al-Azhary Area in Khartoum-State...inventionjournals
Hypertension (HT) is one of the most important risk factors in cardiovascular disease which causes early death in adults. Hypertension is a common disease associated with high mortality and morbidity. Hypertension a silent killer as it is symptomless and remains undiagnosed, and not controlled if diagnosed. This is a descriptive cross - sectional community based study was conducted in Al-Azhary area in Khartoum StateSudan, with aim to estimate the prevalence of hypertension and to identify the possible risk factors associated with hypertension among adults. Data were collected from 303 participants (53.5% females and 46.5% males) using structured pretested questionnaire and blood pressure. The prevalence of hypertension was 19.1% (95% CI 0.61-1.93).There was no significant sex difference in the prevalence rate OR 1.09 (95% CI 0.61-1.93, P = 0.767). The results showed there was strong association between age group and hypertension (P = 0.0001), also there was statistical association between marital status, family history and hypertension positivity P.values =(0.0001 and 0.027) respectively. There was a significantly higher prevalence of hypertension among participants with diabetes, Vascular diseases and kidneys problems OR= (5.44(95% CI 1.89- 15.69, P = 0.017), 4.4(95% CI 0.86 - 2.39, P = 0.074) and 3.56 (95% CI 0.92-13.68, P = 0.05) respectively. Conclusion: one out of every five respondents of the study had hypertensive (19.1%). Age group, marital status, family history, history of (diabetes, vascular diseases and kidneys problems)were statistically significant predictors of hypertension positivity.
How much do you know about the most prevalent diseases that affect us as Americans everyday? Do you know how to prevent them? How about what actions to take when you see someone suffereing from one, like a stroke of a heart attack? You don't need to be a doctor to know that these diseases are important and knowing some basic medical information can be nothing but beneficial.
Scott Letendre, MD, of the UC San Diego HIV Neurobehavioral Research Program, presents "Overview of HIV & Aging" for AIDS Clinical Rounds at UC San Diego
Factors that affect the Quality of Life of Patients with Behcet's DiseaseMinistry of Health
Objective: To assess the quality of life in patients with Behçet's disease, and to address the factors impact the domains of Quality of Life.
Methods: We surveyed101 patients with Behcet's disease no less than 3 months before the study. Data were collected using Short Form 36 Quality of life Scale. Results: The quality of life scores in patients with Behçet's disease were low and were adversely influenced by socio-demographic characteristics such as gender, age, work status and education status. Furthermore, disease manifestations such as oral and genital ulcerations, arthritis, and skin lesions affected the quality of life scores. Moreover, patients who experienced pain, poor sleep and fatigue lower the quality of life scale and patients whose social relations were influenced by the disease had significantly lower the quality of life scores. Conclusion: Patients with Behcet's disease reported a low level of quality of life.
Keywords: Behcet's disease, Factors affecting, Quality of life, Jordan.
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital B...CrimsonpublishersMedical
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital Based Study by Manjunadh Muralleedharan in Research in Medical & Engineering Sciences
Slides on Diabetes in the South Focus on Prevention.2018hivlifeinfo
Learn how to overcome common barriers to diabetes prevention with this downloadable slideset.
Richard E. Pratley, MD
Format: Microsoft PowerPoint (.ppt)
File Size: 3.16 MB
Released: October 23, 2018
A Study of the Prevalence of Cardio-Vascular Diseases and Its Risk Factors (B...inventionjournals
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Introduction: The objective of this work is to study the epidemiological and clinical aspects of erectile dysfunction in a population of diabetic patients in the Thies region.
A Study of Clinical and Socio-Demographic Profile of Patients with Dissociati...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Introduction: Stroke is an even more dramatic major public health problem in young people. Goal of the study: Contribute to the knowledge of strokes in young people. Methodology: This was a retrospective study carried out over a period of 02 years (January 2017 to December 2018) including the files of patients aged 18 to 49 years hospitalized for any suspected case of stroke in the Neurology department of the University Hospital
Center of the Sino-Central African Friendship (CHUSCA) of Bangui.
Static and Acoustic Characteristics of Various Compressive Strength Concrete ...journal ijrtem
ABSTRACT:Steel fiber reinforced concrete (SFRC) was developed in volume fraction up to 1.5%. The static and acoustic behaviors of these composites under various loads were investigated. The mechanical properties such as: compressive and flexural strength were enhanced up by reinforcing with steel fiber. Moreover sonic parameters of these composites such as pulse velocity weredetermined usingultra sonic technique. The results showed that pulse velocity inversely proportional to subjected load, and enhanced with curing age. Keywords:Acoustic, Characteristics, Concrete Composites, Compressive Strength, Static
Barriers and facilitators for regular physical exercise among adult females n...Dr. Anees Alyafei
What stimulates and prevents females from regular physical exercise. Updated Comprehensive narrative review.
https://www.researchgate.net/publication/341220204_Citation_AlYafei_A_Albaker_W_2020_Barriers_and_Facilitators_for_Regular_Physical_Exercise_among_Adult_Females_Narrative_Review_2020
The effect of functionalized carbon nanotubes on thermalmechanical performanc...journal ijrtem
The new approaches for preparing nanocomposite coating by modificated carbon nanonotubes
(CNTs) and epoxy resin was done in the study. thermal-mechanical performance of nanocomposite coating was
investigated and the results were reported in this paper. The physic-chemical techniques such as Differential
scanning calorimetry (DSC) and Thermal gravimetric analysis (TGA) were used to characterize the thermal
performance of Epoxy nanocomposite coating. The test techniques for mechanical properties of paint coating as
adhesion, hardness, impact resistance and bending strength were employed in the work. The results indicated
that CNTs were dispersed in epoxy coating with only ratio of 0.1 wt% enhanced the Glass Transition
Temperature (Tg), decomposition temperature of epoxy coating and improved mechanical properties
significantly. Also functionalized CNTs can be reinforced thermal-mechanical of the epoxy coating better than
neat CNTs.
Development Issues and Problems of Selected Agency in Sorsogon, An investigat...journal ijrtem
: The study venture on the developing issues and problems of selected agency in the province of
Sorsogon with an end-view of identifying solution towards achieving effective delivery of services to the
public. The agencies covered by the study are the employers of the students enrolled in Public Administration
512 subject in the graduate school program of the Sorsogon State College 1st semester SY 2016. Guided by a
structured matrix questionnaire and checklist, the class spearheaded by the assigned focal person per
identified respondent-agency conducted a focus group discussion covering sequentially the issues and
problems besetting the organization. It likewise pursued how does it affects the management & performance of
the office and ultimately identifying possible solutions out of the issues and problems. Result revealed that
most pressing problems and issues of the selected agency in the province of Sorsogon covers; (a) understaffed,
(b) poor communication, (c) poor implementation of the policy, and (d) poor performance feedback
mechanism in the system
Positive and negative solutions of a boundary value problem for a fractional ...journal ijrtem
: In this work, we study a boundary value problem for a fractional
q, -difference equation. By
using the monotone iterative technique and lower-upper solution method, we get the existence of positive or
negative solutions under the nonlinear term is local continuity and local monotonicity. The results show that we
can construct two iterative sequences for approximating the solutions
Organic foods refer to products that are grown naturally or produced by methods that comply
with the standards of organic farming. They are not only environmentally friendly, they are also healthy. Many
people believe organic foods are healthier than conventional food. Today, organic foods have become very
popular and everyone wants to know about their benefits. This paper provides a brief introduction on organic
foods and their pros and cons.
Molecular computers are systems in which molecules or macromolecules individually mediate
information processing functions. Molecular computing provides an alternative to computing using silicon
integrated circuits. It aims at developing intelligent computers using biological molecules as computational
devices. It is a promising means of unconventional computation owing to its capability for massive parallelism.
It offers to augment digital computing with biology-like capabilities. This paper provides a brief introduction to
molecular computing.
Industry 4.0 refers to the current trend of automation and deployment of Internet technologies
in manufacturing. This includes using machine-to-machine and Internet of Things (IoT) deployments to help
manufacturers implement increased automation, improved communication and process monitoring. This trend
of Industry 4.0 (sometimes referred to as the 4th Industrial Revolution) affects most processes and people
throughout society. This paper provides a brief introduction to Industry 4.0.
With mounting concerns over the state of our planet, there is continuing demand that chemists
and chemical engineers should develop greener chemical processes and products. In the 1990s, with the
growing awareness of the hazardous impacts of the chemical industry, the green chemistry revolution was
launched by American chemists Paul T. Anastas and John Warner. Green chemistry is the kind of chemistry that
seeks to minimize pollution, conserve energy, and promote environmentally friendly production. This paper
provides a brief introduction to green chemistry
Rural Livelihood and Food Security: Insights from Srilanka Tapu of Sunsari Di...journal ijrtem
Food security is the foremost need of every human society. It is a fundamental right and
government responsibility but still food insecurity is prevalent in rural areas of least developed nations. To cope
with food insecurity, undertaking diverse income generating activities is common as well as key strategy adopted
by rural people. The objective of this study is to assess rural livelihood and food security status of a remote island
named Srilanka Tapu of Sunsari district. A random sampling technique was used to collect primary data from 40
rural household heads using semi-structured questionnaire. Descriptive methods were used for analyzing. The
findings revealed that the food security situation of the Tapu is insecure. Most basic infrastructures and social
services needed for people livelihood such as road, electricity sufficient food availability, education, healthcare,
sanitation, etc. were found to be extremely poor. Most of the households are small scale farmers involving
themselves in diverse livelihood activities which are mostly temporary, low-skilled and low paying. However,
people are fulfilling their food needs at every cost but are highly vulnerable to food insecurity. Also, their lives
security is equally vulnerable because of disastrous Koshi River flooding which occurs every year in the Tapu.
The findings therefore critically suggest that food security of remote and vulnerable human settlements should be
at top priority in policy formulation and implementation level. The study also recommends a need for an in-depth
research for making evidence based policy interventions for improvement of diversify rural livelihood along with
sustainable environment
Augmented Tourism: Definitions and Design Principlesjournal ijrtem
After designing and implementing several iterations of implantations of augmented reality(AR) in
tourism, this paper takes a deep look into design principles and implementation strategies of using AR at
destination tourism settings. The study looks to define augmented tourism from past implementations as well as
several cases uses designed and implemented for tourism. The discussion leads to formation of frameworks and
best practices for AR as well as virtual reality(VR) to be used in tourism settings. Some main affordances include
guest autonomy, customized experiences, visitor data collection and increased electronic word-of-mouth
generation for promotion purposes. Some challenges found include the need for high levels of technology
infrastructure, low adoption rates or ‘buy-in’ rates, high levels of calibration and customization, and the need for
maintenance and support services. Some suggestions are given as to how to leverage the affordances and meet
the challenges to implementing AR for tourism
A study on financial aspect of supply chain management journal ijrtem
The more common approaches used in the SCM consider only the physical logistic operations
and ignore the financial aspects of the supply chain. The main objective to incorporate financial aspects in
supply chain management is to strengthen managerial decisions concerning financial flows in supply chains,
while empirical knowledge about financial supply chain management (FSCM) is in its early stages. This paper
presents a model for FSCM which financial planning in addition to operation planning is decided in it. The
main contribution of this paper is to define two approaches for Financial Supply Chain Management and to
compare them. This financial approaches are: Traditional financial approach and new financial approach.
Traditional financial approach integrates physical goods flows and financial flows. New financial approach
considers in making decisions other financial indicators such as market to book value, liquidity ratios, capital
structure ratios, and return on equity, sales margin, turnover ratios and stock security ratios, among others.
Moreover, the new approach applies the change in equity instead of the traditional approach measures of profit
as the objective function to be maximized in the presented model. To show the attributes of the presented
approaches, the results of the new approach and the traditional approach is compared. The findings indicate
that the traditional approach leads to lower change in equity compared to the financial approach. Also, the
results clearly reveal the better improvement of using the new approach over the traditional approach, and
convince the decision makers to take advantage of the new approach
Existence results for fractional q-differential equations with integral and m...journal ijrtem
This paper concerns a new kind of fractional q-differential equation of arbitrary order by
combining a multi-point boundary condition with an integral boundary condition. By solving the equation which
is equivalent to the problem we are going to investigate, the Green’s functions are obtained. By defining a
continuous operator on a Banach space and taking advantage of the cone theory and some fixed-point theorems,
the existence of multiple positive solutions for the BVPs is proved based on some properties of Green’s functions
and under the circumstance that the continuous functions f satisfy certain hypothesis. Finally, examples are
provided to illustrate the results.
The following Project shows the benefits of a research established into a multi-products
warehouse belongs to an automotive industry supplier. The main goal was applied a tool recognizing the rules
for distribution and material storage. Once the research was completed, the benefits were, the idle times
reduction per hours/week by the two initial processes. The politics for storage assignment and location, propose
a system to improve the space into this areain order to avoid material management and flow issues. It is
important to mention, the system proposed could be applied into warehouses with storage size and space
restricted by sorting area, also different material types, production settings and physical specifications for
which set warehouses with traditional management of distribution without slack, involves lack of materials,
pieces without records, incorrect location assigned, stock error.
Study of desalination processes of seawater from the desalination plant of La...journal ijrtem
: The use of water for food purposes requires excellent physicochemical quality. To contribute to
the control of water quality. Water treated by reverse osmosis is aggressive and demineralize can not be used
directly as a source of drinking water. The objective of this work is to study, physics-chemical analyzes of raw
water, pretreated osmosis and treated (permeate) and produced water (reservoir) at the desalination plant of
seawater Laayoune (SDL), located in southern Morocco. For this, we have followed several qualitative
parameters such as pH, conductivity, turbidity.
Effect of Cash Management on The Financial Performance of Cooperative Banks i...journal ijrtem
This paper analyses the effect of cash management on the financial performance of cooperatives
banks in Rwanda. A descriptive research design was used. The population comprised of 148 employees of ZIGMA
CSS from which a sample of 108 employees was determined using Solvirn and Yemen’s formula. Data was
collected from both primary and secondary sources using questionnaires and document analysis. Data was
presented using frequency tables from which analysis was made. A multi regression analysis was used to analyse
relationship between the variables. The results from the survey revealed that ZIGMA CSS uses various cash
management techniques in the cash management. The results further revealed a strong relationship between cash
management and financial performance of ZIGMA CSS. The study concludes that cash management is a key tool
in the financial management of the banks since cash forms the biggest asset of the bank. Cooperatives banks
should ensure that they develop policies in effective cash management.
Technical expertise on the cause of engine failure of the Mitsubishi Pajero S...journal ijrtem
The article concerns the case of the damage to the Mitsubishi Pajero Sport engine and the
methodology a technical expert applied to identify a direct cause of failure. The engine failure occurred while a
vehicle was being repaired to eliminate air conditioning malfunction and engine overheating. When repairing, it
was necessary to replace a cylinder head and the pistons were checked removing the pully from a crank shaft.
After the repair had been completed and after 16-day vehicle operation, engine timing belts got damaged. To
eliminate this malfunction, damaged belts were replaced. Thirty (30) days after the vehicle had been put into
operation, emergency engine failure occurred, and a technical expert was called upon to assess the quality of the
repairs having been performed. The article describes the procedures and methodology a technical expert applied.
In the conclusion, the findings are stated. To determine the cause, a vehicle was on the car service station
premises, where a technical expert was present and according to his instructions, diagnostic and subsequent
disassembly works have been done. The procedure of evaluating the key characteristics on individual parts, their
display, and the resulting evaluation are described.
Clustering based Time Slot Assignment Protocol for Improving Performance in U...journal ijrtem
Recently, numerous approaches have been proposed for designing medium access control (MAC)
in underwater acoustic networks (UANs). Some of those works tried to adapt MAC protocols proposed for
terrestrial networks. However, unique environmental characteristics of UANs make the MAC protocols hard to be
used in the UANs and degrade network performance. In order to improve network performance, COD-TS MAC
protocol was proposed. COD-TS focuses on both single hop and multi-hop mode and utilizes CDMA for
exchanging schedule information between cluster heads. COD-TS has shortcomings such as collisions, additional
energy consumption by exchanging schedule information and near-far effect of CDMA. To overcome above
shortcomings, we propose a clustering-based time slot assignment protocol. In the proposed protocol, nodes are
clustered, and each cluster head performs two-hop neighbor cluster discovery operation. And then, a cluster head
obtains its own relative position information. Finally, the cluster head assigns its own time slot for data
transmission based on the information. Simulation results show that the proposed protocol has always better
performance compared to the COD-TS.
Design and Implementation of Smart Bell Notification System using IoT journal ijrtem
Smart phones have become part of our daily life. People using smart phones have increased
rapidly. The proposed paper is to provide a security system that combines the functions of smart phone and home
network system. It enables the users to check the image of the visitor who is present at the door. It also saves all
the images in their drive. We send an alert message to the Owner whenever the doorbell is pressed. Furthermore,
the owner can call to the visitor with the help of our app. We are also providing a link in the SMS sent so that it
redirects the user to the app
Assessment of the Water Quality of Lake Sidi Boughaba (Ramsar Site 1980) Keni...journal ijrtem
Sidi Boughaba Lake, part of a wetland complex of Morocco (Ramsar site in 1980) is located on
the Atlantic coast of northwestern Morocco, oriented NNE - SSW and located in an interdunal depression. The
existence of this body of water is due to the fact that the topographic surface is at a lower cost than that of the
piezometric surface of the coastal water table, rainwater and runoff water. The objective of this study is to
determine the physical and chemical characteristics of the waters of this lake. Thus, several water samples were
taken monthly in the period 2016-2017. Parameters such as: temperature, pH, electrical conductivity (EC),
chloride (Cl-
), turbidity (NTU), calcium (Ca2+) and magnesium (Mg2+). The results obtained show that the
distribution of the analyzed elements in Lake waters is quite variable between seasons, as well as between stations.
However, the analysis showed that the studied waters are very mineralized, with an EC between 7 g/l and 14.8
g/l. This mineralization is essentially evaporitic and is controlled by various processes, such as evaporation and
marine influence by aerosol.
The case of a cyclist and tractor traffic accident journal ijrtem
When assessing the cause of a traffic accident, it is also necessary for the technical expert to
take into account the real influences that affect individual participants. This is especially important for accidents
in which one of the participants is cyclist. Technical expert must consider all the circumstances necessary to
assess the cyclist´s behavior. Negligible is not even the age of a cyclist, since in the case of a child or an old man
the driver overtaking bicycle should take this into consideration. The article deals with case of traffic accident
between tractor with the trailer and a bicycle which was riding by cyclist at the age of 80. Apart from the described
procedure by expert in the calculations, the influences on participants' behavior are also discussed
: This paper is aimed at designing a density based dynamic traffic signal system where the timing
of signal will change automatically on sensing the traffic density at any junction using the IoT technology. Traffic
congestion is a severe problem in most cities across the world and therefore it is time to shift more manual mode
or fixed timer mode to an automated system with decision making capabilities. To optimize this problem, we have
made a framework for an intelligent traffic control system. Sometimes higher traffic density at one side of the
junction demands longer green time as compared to standard allotted time. We therefore propose here a
mechanism in which the time period of green light and red light is assigned on the basis of the density of the
traffic present at the time. This is achieved by using LIDAR sensors.
Hierarchical Digital Twin of a Naval Power SystemKerry Sado
A hierarchical digital twin of a Naval DC power system has been developed and experimentally verified. Similar to other state-of-the-art digital twins, this technology creates a digital replica of the physical system executed in real-time or faster, which can modify hardware controls. However, its advantage stems from distributing computational efforts by utilizing a hierarchical structure composed of lower-level digital twin blocks and a higher-level system digital twin. Each digital twin block is associated with a physical subsystem of the hardware and communicates with a singular system digital twin, which creates a system-level response. By extracting information from each level of the hierarchy, power system controls of the hardware were reconfigured autonomously. This hierarchical digital twin development offers several advantages over other digital twins, particularly in the field of naval power systems. The hierarchical structure allows for greater computational efficiency and scalability while the ability to autonomously reconfigure hardware controls offers increased flexibility and responsiveness. The hierarchical decomposition and models utilized were well aligned with the physical twin, as indicated by the maximum deviations between the developed digital twin hierarchy and the hardware.
Welcome to WIPAC Monthly the magazine brought to you by the LinkedIn Group Water Industry Process Automation & Control.
In this month's edition, along with this month's industry news to celebrate the 13 years since the group was created we have articles including
A case study of the used of Advanced Process Control at the Wastewater Treatment works at Lleida in Spain
A look back on an article on smart wastewater networks in order to see how the industry has measured up in the interim around the adoption of Digital Transformation in the Water Industry.
Student information management system project report ii.pdfKamal Acharya
Our project explains about the student management. This project mainly explains the various actions related to student details. This project shows some ease in adding, editing and deleting the student details. It also provides a less time consuming process for viewing, adding, editing and deleting the marks of the students.
Explore the innovative world of trenchless pipe repair with our comprehensive guide, "The Benefits and Techniques of Trenchless Pipe Repair." This document delves into the modern methods of repairing underground pipes without the need for extensive excavation, highlighting the numerous advantages and the latest techniques used in the industry.
Learn about the cost savings, reduced environmental impact, and minimal disruption associated with trenchless technology. Discover detailed explanations of popular techniques such as pipe bursting, cured-in-place pipe (CIPP) lining, and directional drilling. Understand how these methods can be applied to various types of infrastructure, from residential plumbing to large-scale municipal systems.
Ideal for homeowners, contractors, engineers, and anyone interested in modern plumbing solutions, this guide provides valuable insights into why trenchless pipe repair is becoming the preferred choice for pipe rehabilitation. Stay informed about the latest advancements and best practices in the field.
Cosmetic shop management system project report.pdfKamal Acharya
Buying new cosmetic products is difficult. It can even be scary for those who have sensitive skin and are prone to skin trouble. The information needed to alleviate this problem is on the back of each product, but it's thought to interpret those ingredient lists unless you have a background in chemistry.
Instead of buying and hoping for the best, we can use data science to help us predict which products may be good fits for us. It includes various function programs to do the above mentioned tasks.
Data file handling has been effectively used in the program.
The automated cosmetic shop management system should deal with the automation of general workflow and administration process of the shop. The main processes of the system focus on customer's request where the system is able to search the most appropriate products and deliver it to the customers. It should help the employees to quickly identify the list of cosmetic product that have reached the minimum quantity and also keep a track of expired date for each cosmetic product. It should help the employees to find the rack number in which the product is placed.It is also Faster and more efficient way.
Water scarcity is the lack of fresh water resources to meet the standard water demand. There are two type of water scarcity. One is physical. The other is economic water scarcity.
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1. Invention Journal of Research Technology in Engineering & Management (IJRTEM) ISSN: 2455-3689
www.ijrtem.com ǁ Volume 1 ǁ Issue 9 ǁ
| Volume 1 | Issue 9 | www.ijrtem.com | 27 |
Review Article on Geriatric Morbidity
Dr. Uzma Eram
Assistant professor in the Department of Community Medicine,J.N.M.C.H,A.M.U.,Aligarh
ABSTRACT: Evaluation of morbidity profile among elderly people will help in the application of intervention to improve the health
status of elderly. Communicable diseases do not show a fixed pattern of change with the age of man. However,non-communicable
diseases like hypertension, Diabetes Mellitus ,musculoskeletal disorders,refractive errors, etc and their related complications become
more prevalent in the elderly. Research showed that average number of morbidities per person was 2.77 among the elderly people of
rural India. Elderly people are suffering from various physical,mental ,social and economical problems.It is essential to
havegeriatric units with specialized professionals in the health care centres. Regular health check-up camps should be organized at
old age homes. Insurance scheme should be implemented. Health problems of elderly should be tackled with psycho-social
intervention. The present study was done to review the literature on geriatric morbidity.
KEY WORDS: morbidity, geriatrics, review
INTRODUCTION
Health status is an important factor that has a significant impact on the quality of life of an elderly population.Evaluation of morbidity
profile among elderly people will help in the application of intervention to improve the health status of elderly. Communicable
diseases do not show a fixedpattern of change with the age of man. However,non-communicable diseases likeHypertension, Diabetes
Mellitus ,musculoskeletal disorders,refractiveerrors, etc and their related complicationsbecome more prevalent in the
elderly.Numerous studies have examined the distribution of multimorbidity among older persons in developed nations but the studies
are scanty of developing countries(11).Research showed that average number of morbidities per person was 2.77 among the elderly
people of rural India(12). Elderly people are suffering from various physical,mental ,social and economical problems.
The present study was done to review the literature on geriatric morbidity.
REVIEW OF LITERATURE
In a study (1),regarding personal habits,61% of the elderly group chewed tobacco,33.3% of males were smokers and 28.7% regularly
consumed alcohol. General health awareness regarding common causes of prevalent illness and their prevention (respiratory
infections, diarrhoea) was found only among 20.3% .Complaints of joint pains/joint stiffness was found in 43.4% , followed by dental
and chewing problems (45.3%). Visual problems due to cataract and refractive errors were seen in 68%..Hypertension was found in
25.9% and diabetes in8.3%. Gastrointestinal complaints/diarrhoea in 12%, dermatological in 9.4%, heart illnesses in 9% and
respiratory in 7.3%)were less common.Laboratory investigations on the studypopulation reveals only 47.5% of the subjects had
normalHaemoglobin (of over 12 gm%) whereas in theremaining (52.5%) anaemia was prevalent invarying severity. Elevated ESR was
found in (36.9%). Random blood sugar above 180 mgm% was observed in (12.8%). ECG readings of (32.4%)were interpreted as
abnormal indicative of cardiacvascular, rheumatological, muscular andrhytm abnormalities.
Another Study(2) shows that 70% elderly were suffering from one or other ophthalmic problems followed by 48% with hypertension
and 42% had psycho-social problems and in this case number of females was high (49%) and 36% were suffering from respiratory
diseases and the others were living with musculoskeletal, GIT, ENT and nervous system problems.In this study, total 42% elderly had
psycho-social problems in which 21.05% males and 27.3% females had the problems of loneliness, 15.8% males and 20% females
feltneglected/ignored by their kins. The leading cause of diminished vision in developing countries is cataract, which was found in this
study in 34.7% and 60% males and females respectively, followed by refractive errors in 24.7%. 36% elderly were found to have
respiratory diseases;6.3% males had chronic bronchitis and 11.5% had bronchial asthma. 14.6% elderly persons had musculoskeletal
problems in which 8.42% males and 17.3% females were suffering from arthritis of knee joints and 2.6% males and 2.7% females
were suffering from spondylitis.
Another cross-sectional study(3) reported that the major cause of morbidity was hypertension in 41.10% subjects which was equally
distributed among males and females.17.81% subjects were found to be diabetic of which 53.85% were males and 46.15% were
females.16.44% population was found to be suffering from some or the other kind of joint pain of which 41.67% were males and
58.33% were females.8.22% population was found to be suffering from asthma of which 83.33%were males and 16.7% were females.
Another study(4) reported the prevalence of morbidity in study population to be 87.4% and hypertension (52.8%) was the foremost
morbidity found in geriatric population.Prevalence of diabetes was found to be 32.3%.Association of sociodemographic determinants
with morbidity status was found statistically significant also in this study.Anemia, osteoarthritis, cataract, urinary problems, skin
diseases, psychiatric problems, and constipation predominantly affect the women population whereas hypertension, ischemic diseases,
2. Review Article on Geriatric Morbidity
| Volume 1 | Issue 9 | www.ijrtem.com | 28 |
diabetes, hearing impairment, blindness, and chronic obstructive pulmonary diseases (COPD) were more common among men.
Geriatric population residing in nuclear family had more chances to get multiple morbidities (78.4%)in comparison to persons with
joint family (41.4%). Overall,most of the population (55.7%) had multiple morbidities with 31.7% geriatrics having single morbidities
and only 12.6%with no morbidity.
A study in Karnataka(5) reported that the commonest morbidity among study population was psychosocial problems i.e.
37.30%.The next commonest morbidities were cataract in 35.40%, hearing impairment in 22.43% and followed by cardiovascular
problems in 17.56% of study population. Cardiovascular problems morbidity was more (20%) in urban are as compared rural area
(15.14%). Musculoskeletal morbidity(9.19%), respiratory morbidity (5.42%), cataract 40% and hearing impairment 24.86% were
more in rural area as compared to urban area. Miscellaneous morbidity includes diabetes, filariasis, typhoid, dental caries, hernia,
varicose veins, and hemi paralysis. The relation between age and cataract and also between age and hearing impairment was
statistically highly significant (p< 0.001). Psychosocial problems were more common in females (40.41%) compared to males
(34.25%). 10.05% females and 3.86% males had musculoskeletal problems which was statistically significant (p < 0.05). 19.33%
males had cardiovascular problems and 5.52% had GIT problems which were more when compared to females. 35.97% of females
had cataract and 23.28% had hearing impairment which were more in comparison with males.Cardiovascular diseases were 21.80%,
respiratory diseases were 4.51%, genitourinary (2.25%), cataract 36.09% hearing impairment 15.78% were more in upper
socioeconomic class i.e. class I, class II and class III. Psychosocial 40.60%, musculoskeletal 6.01 %and GIT problems 3% were more
in lower socioeconomic classes.
In a study in Uttar Pradesh(6),vision abnormality was detected more commonly as compared to hearing impairment.As much as
62% of the hospital geriatric attendees had either low vision or blindnesswhile 15% had hearing problem. Whilehypertension,
respiratory problems (chroniccough and others) and musculoskeletalsymptoms were more common among the studysubjects
altogether, discharge per vaginum wasthe commonest (41.4%) among gynecologicalmorbidities. Diabetes mellitus was
significantlycommoner among males while respiratory complaints,osteoarthritis, rheumatoid arthritis and low backache was more
common in females as comparedto males.
It was found in a study in southern India(7) that 63% of elderly were suffering from one or more eye problems.Most of the
morbidities are common among elderly people aged more than 75 years, female gender, respondent who lived alone. 44% of the
elderly were suffered from hypertension.Musculoskeletal disorders including arthritis, one of the commonest disorders affecting
elderly and the causative factors leading to them are poorly understood. This study found nearly one fourth (23.6%) of the elderly are
affected by these disorders and osteoarthritis ranked first among these disorders.
In a study in Karnataka(8),diseases of the eyes were most prevalent (51.7%)among all morbidity conditions and cataract (19.6%)
was reported most common among eye disorders.In the age group more than 75 years, in illiteratesand in unemployed eye diseases
were found to besignificantly high. Prevalence of endocrine, nutritional &metabolic diseases was 38.4%. Diabetes was seenin 13.9%
of the aged which was observed moreamong women and prevalence of anaemia was found to be 21.9% in thisstudyDiseases of
circulatory system were reported by 33.1% of the elderly. Among CVS disorders, prevalence of hypertension was observed
among29.3% which was seen more among elderlyfemales than males. Circulatory diseases werefound to be more significant in
persons of higherage group and persons having high blood pressure in this study. The overall prevalence of musculoskeletal
diseasesobserved was 30.2%. Among musculoskeletal diseases osteo-arthritis (15.4%) was found to behigher for females(16.9%) than
males (13%).Diseases of oral cavity werenoted in about 32.3% of the elderly. Dental carieswas reported by 23.7% of the male
respondentsagainst 7.8% of the female respondents. 10.8% prevalence of diseases of digestive systemwas observed. Constipation
wasthe major problem seen among study population. Other problems seen were gastritis, anorexia, indigestion and abdominal pain.
Skin disorders were seen in 6.8% of the studypopulation. Common diseases noted were eczema, scabies, psoriasis and allergic
reaction. Hearing impairment was noted in about 5% in this study which was equally distributedamong elderly men and women
Diseases of genitourinary system were reported in 4.3% and UTI wasreported by only female respondents. Diseases ofnervous system
were found to be only 3% in this study.
In another study(9),we found that61 %oftheelderly population (60 years and above) were mentally ill.Social-psychological
perspectives is the high rate of morbidity amongst the widowed persons .Stressful factors like isolation and low socioeconomic status
are closely associated with widowhood.We found that in our sample, 41.9% of the mentally ill persons were also physically ill.
In a study(10) in Rajasthan,17.67% respondents had no health problems while (82.33%) observed one or other health problems,the
most common being impaired vision, hypertension, insomnia, anaemia, gastrointestinal or tuberculosis. It is seen thatmost of the
respondents had more than one health problem. Except DM and TB, all health problems were found to be more common among
female. Nearly half of the female were suffering from insomnia and anaemia.Almost half of the respondents felt that old age had
affected their day-to-day life. Among these(27.33%) felt that age had partially affected their daily activities. (34.34%) of the people
interviewed felt neglected by their family members, while (48.33%) felt unhappy in life and (45.0%) felt they were a burden to the
3. Review Article on Geriatric Morbidity
| Volume 1 | Issue 9 | www.ijrtem.com | 29 |
family. An unfavourable attitude was observed to be more among female than male. Regarding perception of elderly towards their
health (41.67%) told that they have minor illnesses against (40.66%) having serious illnesses, only (17.67%) felt, on the whole good,
females were more sufferers.
CONCLUSION
It is essential to havegeriatric units with specialized professionals in the health care centres. Regular health check-up camps should be
organized at old age homes. Insurance scheme should be implemented. Health problems of elderly should be tackled with psycho-
social intervention.There should be separate geriatric clinics in the government hospitals.The elderly should be encouraged for routine
check ups in the hospitals.Indigenous and allopathic doctors should be trained to manage geriatric cases.
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