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Singh, Pragya
- Role of Low Acid Diet in Chronic Kidney Disease
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Authors
Affiliations
1 Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, VARANASI (U.P.), IN
2 Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, VARANASI (U.P.), IN
3 Department of Nephrology, Institute of Medical Sciences, Banaras Hindu University, VARANASI, IN
1 Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, VARANASI (U.P.), IN
2 Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, VARANASI (U.P.), IN
3 Department of Nephrology, Institute of Medical Sciences, Banaras Hindu University, VARANASI, IN
Source
International Journal of Medical Sciences, Vol 9, No 1 (2016), Pagination: 37-42Abstract
Introduction- Acid-base balance is maintained by normal elimination of carbon dioxide by the lungs (which affects the partial pressure of carbon dioxide (PCO2) and normal excretion of non-volatile acid by the kidneys (which affects the plasma bicarbonate concentration). The role of dietary acid also should be given greater consideration in CKD patients. Objective- The objective of the study was to know the effect of dietary intervention of Low Acid Diet on (CKD) Chronic kidney disease outcomes. Methodology- It is a hospital based interventional study. Patients were recruited from nephrology OPD of Sir Sunderlal Hospital IMS BHU Varanasi, India in the age group of eighteen years and above who were ready to give written consent. Follow-up has been done for six months. Study variables were BMI, Demographic profile, Glomerular filtration rate, bicarbonate level by ABG, Blood levels of Urea, Creatinine. Investigative variables were obtained by standard methods as used in the hospital. Study tools used were Interview Schedule, Electronic weighing scale, Measuring tape, Food frequency questionnaire (FFQ) and 24hr. dietary recall method were applied for dietary assessment. Data were analyzed by trial version of SPSS 16 software. Results- Results shows that serum bicarbonate was increased from less than 23mmol/L in 5 patients to more than 23mmol/L in 8 patients. Reduction was found in CKD stages 2 and 5. In dietary habits fruit intake was found increased who were taking 2-4 servings per day likewise frequency of 3 servings per day of vegetable intake was found increased from 4 patients to 12 patients. Conclusion - Present study suggest that intervention of low acid diet by increasing fruits and vegetable intake holds promise to be an additional kidney-protective strategy in CKD management.Keywords
Metabolic Acidosis, Dietary Intake, Bicarbonate, Chronic Kidney Disease, ABG.References
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- Goraya, N., Simoni, J., Jo, C. and Wesson, D.E. (2012). Dietary acid reduction with fruits and vegetables or bicarbonate attenuates kidney injury in patients with a moderately reduced glomerular filtration rate due to hypertensive nephropathy. Kidney Int., 81(1):86–93.
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- Narins, R.G.,Moe, O.W., Rector, F.C. and Alpern, R.J. (1994). Renal regulation of acid–base metabolism. In: Narins, R.G., editor. Maxwell and Kleeman’s Clinical Disorders of Fluid and Electrolyte Metabolism. New York: McGraw-Hill, Inc.; 203-242pp.
- Rajapurkar, M. and Dabhi, M. (2010).Burden of disease - prevalence and incidence of renal disease in India. Clin. Nephrol.,74 (1) : 9-12.
- Reddy, S.T., Wang, C.Y., Sakhaee, K., Brinkley, L. and Pak, C.Y. (2002). Effect of low-carbohydrate high-protein diets on acid-base balance, stone-forming propensity and calcium metabolism. Am. J. Kidney. Dis., 40 (2) : 265 274.
- Scialla, J.J. and Anderson, C.A. (2013). Dietary acid load: a novel nutritional target in chronic kidney disease? Adv. Chronic Kidney Dis., 20 (2) : 141-149.
- Analysis of Android Vulnerabilities and Modern Exploitation Techniques
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Authors
Affiliations
1 MS (Cyber Laws and Information Security) Division, Indian Institute of Information Technology, Allahabad, IN
1 MS (Cyber Laws and Information Security) Division, Indian Institute of Information Technology, Allahabad, IN
Source
ICTACT Journal on Communication Technology, Vol 5, No 1 (2014), Pagination: 863-867Abstract
Android is an operating system based on the Linux kernel. It is the most widely used and popular operating system among Smartphones and portable devices. Its programmable and open nature attracts attackers to take undue advantage. Android platform allows developers to freely access and modify source code. But at the same time it increases the security issue. A user is likely to download and install malicious applications written by software hackers. This paper focuses on understanding and analyzing the vulnerabilities present in android platform. In this paper firstly we study the android architecture; analyze the existing threats and security weaknesses. Then we identify various exploit mitigation techniques to mitigate known vulnerabilities. A detailed analysis will help us to identify the existing loopholes and it will give strategic direction to make android operating system more secure.Keywords
Android, Vulnerability, Exploit, Malware, Linux Kernel.- A Study to assess the effectiveness of Video Assisted Teaching regarding the knowledge of Cardio Pulmonary Resuscitation among B.Sc. 2nd year students, Ambikapur, Chhattisgarh
Abstract Views :142 |
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Authors
Affiliations
1 Bachelor of Science, Mother Teresa Nursing College, Ambikapur, Chhattisgarh., IN
1 Bachelor of Science, Mother Teresa Nursing College, Ambikapur, Chhattisgarh., IN
Source
International Journal of Advances in Nursing Management, Vol 10, No 4 (2022), Pagination: 405-414Abstract
Introduction Sudden death occur when heartbeat and breathing stop suddenly or unexpectedly. The major role pf CPR is to provide oxygen to heart, brain and the other vital organ until medical treatment (advance cardiac life support-ACLS) can restore normal heart action. Angela Morrow RN cardiopulmonary resuscitation (CPR) is a procedure used when a patient’s heart stops compressions of the chest or electrical shocks along with rescue breathing. Mosby Medical Dictionary CPR is basic emergency procedure for life support consisting of artificial and manual external cardiac massage. There were some techniques to keep people alive developed in the 18th century, both in Japan and in Europe, but it was well into the 20th century before Elam and Safar discovered and published the truly effective method known as CPR. Safar conducted research on existing basic life support procedure including controlling a person's breathing airway by tilting back his or her head with an open mouth; and using mouth to mouth breathing. He combined these with a procedure known as closed-chest cardiac massage to become and basic life support method of CPR. Safar also created the first guidelines for community- wide emergency medical Services, or EMS; he founded the International Resuscitation Research Centre at the University of Pittsburgh, which he directed until 1994; and he was nominated three times for a Nobel Prize. Method According to Polit and Hungler - purposive sampling is a type of non probability sampling method in which the Researcher select the subjects for the study on the basis of personal judgement about which one will be most representative or productive. Sampling is the process of selecting a portion of the population to represent the entire population. In which study the purposive sampling technique was used to collect the data from the available samples falling under inclusive criteria. Result and conclusion Pretest knowledge score among B.Sc. nursing 2nd year students of experimental group are 7(14%) having inadequate knowledge. 43 (86℅) having moderate knowledge and none of them are 0(0%) having adequate knowledge. With mean 9.64. mean percentage 15.68% and standard deviation 5.346 respectively. Post test knowledge score among B.Sc. nursing 2nd year student are having inadequate knowledge 2(4%) and B.Sc. nursing 2near student are having moderate knowledge 13(26%) and none of them are having adequate knowledge 35(70%).The B.Sc. nursing 2nd year student score mean of 17.06 mean percentage 44.12% and standard deviation 9.5628 in the level of knowledge assessment.Age of B.Sc. nursing 2nd year students 44% (22) are belongs to 18-19 year of age group 44% (22) B.Sc.2nd year student belongs to 20-21 years of age groups. Religion of B.Sc. nursing 2"year student reveals that 70% (35) B.Sc. nursing are belongs to Hindu religion and 28% (14) B.Sc. nursing 2nd year student belongs to Christian religion, and 2%(1) B.Sc. nursing 2nd year student belong to Muslim. A source of information reveals that 6% (3) B.Sc. nursing 2nd year students gain knowledge through magazine. 2% (1) B.Sc. nursing 2nd year students gain knowledge through newspaper, 18% (9) gain knowledge through T.V.,74% (35) gain knowledge through others. Shows the responses of B.Sc. nursing 2nd year students on structured knowledge questionnaire which is consist of 20 items and under four areas. This area comes under pre test knowledge. First areas mean score is 3.1, mean percentage is 2.6, SD 1.3153. second areas mean score 1.22, mean percentage 2.44, SD 0.3450. third areas mean score1.64, mean 3.28. SD 0.0028. fourth areas mean score 3.68, mean 7.36, SD 3.6430, Overall pretest result are mean (9.64), mean (15.68), SD(5.3461). This area comes under post test knowledge. first areas mean score is 4.88, mean percentage is 9.76, SD 2.0705. second areas mean score 3.7, mean percentage 7.4, SD 1.0465. third areas mean score 1.98, mean 13.96, SD 0.0098. Fourth areas mean score 6.5. mean 13, SD 6436, Overall posttest result are mean (17.06), mean o. (44.I2), SD (9.5628). Difference mean % of the pre test and post test knowledge score are: - first areas mean %7 second areas mean % 4.96, third areas mean 10.68. Fourth areas 5.64 and overall difference mean % 28.28. Reveals that the mean pretest knowledge score was only 9.64 and the post test knowledge score was 17.06. SD 4.21, -paired t value 1.508 and table value 3.365. The paired 't' test was used to find out the effectiveness of between pretest and post test it's shows structured teaching programme on CPR was highly effective at the significance level P (t-1.508).Keywords
Evaluate, Effectiveness, Knowledge, Video assisted teaching, CRP, Indication of CPR, Procedure of CPR.References
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