Journal for ReAttach Therapy and Developmental Diversities (JRTDD)
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Management of Difficult Airway in Pediatrics with Laryngomalacia
Get PDFIntroduction: Laryngomalacia is a condition in which the larynx (the base of the throat) does not develop normally, leading to breathing difficulties in children. The condition of laryngomalacia invites intubation to overcome airway obstruction that has the potential to cause laryngeal stenosis. Laryngeal stenosis in children, which can result from various factors including prolonged intubation, repeated intubation procedures, and laryngomalacia, is a major contributor to airway obstruction in children.
Objectives: This case report aims to explain the presence of laryngomalacia in a child, which was later found to have progressed to laryngeal stenosis.
Case: A 1-year and 5-month-old female patient, weighing 8.5 kg and measuring 74 cm in height, was presented as a case. The patient had a prior diagnosis of postoperative stoma status following a limited PSARP procedure and was concurrently affected by an anorectal malformation vestibular fistula. Additionally, the patient exhibited congenital anomalies, including mesocardiac abnormalities, a single right kidney, hypothyroidism, and laryngomalacia. The patient also had the history of prolonged and intubation when she was 3 months old due to pneumonia, and the history of repeated attempts of intubation for the first two surgeries. The preoperative assessment revealed signs of pneumonia, right lung atelectasis, and a history of laryngomalacia. In the preoperative assessment, the patient was found breathing spontaneously, with respiratory rate around 24-28 times per minute, no desaturation was found. The patient has inspiratory stridor, which worsens during feeding and moderate activity. No retraction of the chest or use of respiratory accessory muscles were found. The patient was evaluated for postoperative ICU care during the preoperative consultation as a precaution for chances of laryngeal edema post intubation and unanticipated airway event during anesthesia.
Results: In specific cases, as described in this manuscript, anesthesia procedures become crucial, and specialized equipment such as LMA (Laryngeal Mask Airway) and fiberoptic laryngoscope are used to address difficult airways. However, the use of LMA also has potential pitfalls, such as requiring a large tidal volume and not allowing the use of NGT (Nasogastric Tube) for abdominal decompression. Moreover, a history of repeated intubation attempts can lead to laryngeal edema, which requires management with steroids and adrenaline nebulization. However, the use of steroids and adrenaline does not always yield valid therapeutic effects, and there is a debate regarding the best approach. In specific patient cases, observation for one hour after extubation is necessary before deciding on reintubation.
Conclusions: In the cases described in the manuscript, the patient showed improvement after the use of adrenaline nebulization and intravenous steroids for 24 hours post-extubation. This allowed the patient to be transferred to a lower level of care after five days of treatment
Influential Impact of Parent-Child Interaction on Adolescent Depression Levels
No full textThis research aims to explore the correlation between adolescent depression and parent-child interaction. A sample of 150 school students aged 14-17, encompassing both genders, was conveniently selected. To assess the level of interaction between parents and adolescents in terms of time spent, the researcher utilized the \u27Quality-time\u27 Parent-Child Interaction Questionnaire (with a Chronbach’s alpha coefficient of m = .827), developed specifically for this study. Additionally, the Beck Depression Inventory by Aaron T. Beck (1977) was employed to measure depression levels. The collected data underwent analysis using Pearson\u27s correlation coefficient \u27r\u27 to determine the relationship between the qualities of time spent with parents and adolescent depression
Analysis of Demographics and Knowledge Towards Covid-19 In Kaimur District, Bihar.
No full textPurpose: This research aims to present a more complete picture of COVID-19 dynamics among women in Kaimur district by investigating the intersection of demographics and knowledge towards COVID-19. It aims to inform focused public health strategies towards creating awareness about the disease and its symptoms.
Design/Methodology/Approach: This research is based on the data available from conducting a survey through a schedule of 660 women respondents. Demographic information and knowledge of women respondents (aged 18 to 45 years) towards COVID-19 was examined through knowledge scores (categorised into low, medium and high). The mean scores of 60 respondents from each community development block of Kaimur district was categorised under low, medium and high which showed the spatial pattern of knowledge scores in the study area. Cross tables and percentage depicts the interplay of demographics and knowledge towards COVID-19.
Findings: The findings show intricate interactions between demographics and knowledge among women respondents in response to COVID-19. Socioeconomic status, educational background, and spiritual beliefs all have a substantial impact on perceptions, moulding varied attitudes and behaviours and giving crucial insights for focused public health efforts.
Conclusion: Finally, this study sheds light on the intricate interplay of demographics and knowledge towards COVID-19. These thorough understanding guides focused public health initiatives that promote adaptability and resilience in India\u27s complex socio-cultural milie
"Mastering the Art of Strategic Planning: A Blueprint for Success"
No full textPlanning involves establishing goals and devising a series of steps to attain those objectives. This systematic approach serves as a guiding framework, significantly increasing the likelihood of success. This is particularly advantageous for members of a company\u27s management team, as efficient planning is instrumental in realizing management goals. Acquiring the skill of effective planning is, therefore, a valuable asset for achieving success in a managerial role. Planning serves as the compass for organizations, guiding them toward the realization of their goals. The process initiates by scrutinizing the current organizational operations, identifying areas that require operational enhancements in the upcoming year. Subsequently, planning entails envisioning the desired outcomes the organization aspires to achieve. It involves charting the course toward success, whether measured in financial terms or through goals such as becoming the top-rated organization in customer satisfaction. The essence of planning lies in strategically determining the necessary steps to reach the intended destination
A Multi Scale Approach In Understanding The Impact Of Gender Diversity On Performance Effectiveness Among Female Advocates
No full textWhen it comes to improving overall performance across a wide variety of professions, including business, academics, politics, and social involvement, the existence of gender diversity among female champions is very necessary. It is possible to considerably increase the comprehensiveness and complexity of the decision-making process by incorporating the many viewpoints and experiences that are supplied by female advocates. It is not just a demonstration of a strong commitment to social justice and equality that the inclusion of women in advocacy roles demonstrates, but it also provides actual advantages for companies as well as for society as a whole. There is a significant benefit that arises from the existence of gender variety within the group of female activists, and that advantage is the multiplication of viewpoints because of this diversity. The participation of women in conversations and lobbying activities results in the development of distinctive points of view that are formed by the life experiences, difficulties, and achievements that are unique to each individual woman. This not only contributes to the enhancement of the conversation but also results in the creation of advocacy methods that are more complete and efficient. Within fields such as the legal and social justice sectors, the incorporation of female advocates is of the highest relevance in order to guarantee that the rights and concerns of all persons are effectively handled. The presence of female advocates is especially important because of the need for compassion and an in-depth awareness of the many points of view that are present in these areas. When female voices are taken into consideration, it is possible to establish a more thorough and balanced approach, which will eventually result in a society that is more equal and just
Formulation And Evaluation Of Medicated Soft Lozenges Of Montelukast Sodium
No full textLozenges are solid dosage forms that include one or more medications that are supposed to dissolve or disintegrate slowly in the mouth, or medicated candies that dissolve slowly in the mouth to lubricate and soothe sensitive throat tissue. The objective of the present study was formulation and evaluation of Medicated Soft Lozenges of Montelukast sodium by using PEG 1500 as a lozenges base while Dextrose as a sweetener. The drug excipients interaction study was done by FTIR, the compatibility of Montelukast sodium with PEG 1500 and Dextrose the studies of FTIR showed that all above characteristic peaks of Montelukast sodium were observed near about their respective values so it has been concluded that there is no incompatibility between excipients and pure drug. Formulations were prepared by melting and moulding technique. The Medicated Soft lozenges of Montelukast sodium were evaluated for physical appearance, thickness, weight variation, hardness, friability test, drug content, disintegration time, in- vitro drug release and stability study. All prepared batches showed good in- vitro dissolution studies. The best result from lozenges batches was from F2 which gives Thickness of 5.12 mm, Weight variation of 0.24 mg, Hardness of 6.5 kg/cm-1, Friability of 0.695%, Drug content of 98.32%, Disintegration time of 30 min and In- vitro drug release of 80%. The main selection criteria for the best formulation was in-vitro drug release of the formulations equal to the in-vitro drug release of the pure drug which is not less than 70%, which complies with the IP standards and hardness of the formulation batches. Hence it can be concluded that Medicated Soft Lozenges of Montelukast sodium can be successfully formulated by melting and mould techniqu
Effect Of Six-Week Hop Stabilization Exercise Program On Balance And Lower Limb Power In Amateur Volleyball Players: Randomized Controlled Trial
No full textBackground: Volleyball is one of the popular sports across the globe. The major actions carried out in volleyball sports are serving, forearm passing, setting the ball, jumping which are mainly influenced by the athlete’s ability to control their dynamic balance. Hopping exercises are one of the many skilled controlled stability exercises effective in improving ability to control balance. Hence this study aimed to find the effect of Hop stabilization exercise program (HSEP) on balance and lower limb power in amateur volleyball players.
Objective: To find the effect of (HSEP) on balance and lower limb power in amateur volleyball players.
Methodology: After designing the study Institutional Ethical Approval was taken. Consent was obtained from all the participants. 58 samples were screened based on eligibility criteria, 6 were excluded and 52 were further divided into Group A (experimental group) and Group B (control group). Pre-assessment was done at Week 0. The experimental group received the HSEP and regular exercise program for 3 sessions per week for 6 weeks, receiving total 18 sessions. The control group received regular exercise program. Post-assessment was done at week 6. Result: The Shapiro-Wilk test was used to assess the normality of data distribution. Analysis of variance (ANOVA) was used for comparison of mean at different time intervals. One participant from the experimental group and one from the control group did not complete the study. After 06 weeks the mean between-group difference for the balance was -0.96 and vertical jump height was -0.12 at (95% CI).
Conclusion: The study concludes that 4 weeks of HSEP is effective in improving balance and lower limb power in volleyball players.
Trial Registration: Clinical Trials Registry-India (CTRI) registration no is CTRI/2023/04/05176
Role Of Individual Participation And Organization Support In Career Success: Mediating Role Of Perceived Employability
No full textThe level of competency and skills possessed by an individual determines the scope of growth opportunities available to that individual both within and outside of the organization. They can advance their careers and achieve success because of it. The purpose of this study was to investigate the role that individual participation plays in competency development initiatives and their organizational support on his career success. Moreover, the indirect effect of perceived employability is also examined. The data was gathered from the various branches of three leading banks in Lahore, Pakistan. The results of the study reported that there is a significant relationship between employee participation, organization support in competency development, and career success. Moreover, perceived employability mediates the relationship between employee participation, organization support in competency development, and career success. There are important implications for practitioners who are looking for ways to increase the employability of workers and who want to benefit from the advantages of employability for both the organization and the employee. Further, it highlights the importance of competency development for both individuals and organizations
Factors Influencing Personality Trait On Job Satisfaction Towards Private Bank Employees In Tamilnadu
No full text This study investigates the personality traits and job satisfaction of banking industry personnel using the Big Five Model and this study falls under descriptive in nature. For this purpose, 415 private bank employees were approached to collect the data. A random sampling technique has been adopted to identify the respondents. Mean and Standard deviation, corelation and Regression statistics are used for the analysis using SPSS 26. From this analysis it is found that conscientiousness, emotional stability, agreeableness, openness experience, and extraversion are high level relationship with job satisfaction among the employees. The results that the Conscientiousness and Extraversion are positively influencing the job satisfaction.
 
The Influence of GST on the Indian Economic Landscape: An Exploratory Study
No full textThe implementation of Goods and Services Tax (GST) in India marked a significant turning point in the country\u27s economic landscape. This exploratory study delves into the multifaceted influence of GST on the Indian economy, with a focus on its impact on various sectors, the Consumer Price Index (CPI), and the financial well-being of the average individual. The first objective of this study is to examine the effects of GST on diverse sectors operating within the Indian markets. GST sought to simplify the tax structure, reduce the cascading effect of taxes, and promote a more unified market. We investigate how this transformative tax reform has affected sectors such as automobile, real estate, consumer goods, information technology, and telecom, using statistical data to provide insights into the changes observed in these sectors. The second objective centers on investigating the influence of GST on the Consumer Price Index (CPI). The introduction of GST initially led to fluctuations in inflation rates, but subsequent adjustments aimed to stabilize prices. We utilize statistical data to analyze inflation trends and the impact of GST on the purchasing power and cost of living for the common man. The third objective is to assess the implications of GST on the financial well-being of the average individual. We examine how GST has influenced savings, expenditure patterns, and tax compliance for the common man, considering the impact on essential items and the ease of doing business. Through this exploration, we aim to provide a comprehensive understanding of the consequences of GST on the economic landscape and the everyday lives of Indian citizens