Volume-5, Issue-5, May 2019

Abstract

The purposes of this study were to find the academic adjustment problems faced by undergraduate students; to determine the helpfulness of guidance and counseling services with students‟ academic adjustment problems; and to interview lecturers on how they do provide supervision and guidance to help undergraduate students who challenged academic adjustment problems. This study was done at Rajamagala University of Technology Thanyaburi, Pathum Tani Province, Thailand by using Mooney Problem Checklist, College Form and applying the Guidance and Counseling Services. For this study sample was 240 randomly selected undergraduate students from eight difference faculties and for qualitative study of procedures for supervision, guidance and counseling six lecturers (3 males and 3 females) were interviewed. This study observed that as per Mooney (1950)'s Problem Check List majority of students had experience one or the other type of problem on this ten item scale. Maximum problem was found ' Not know how to study effectively' in 92.5%, 219 (91.25%) students easily distracted from their schools‟ work, 206 (85.83%) students were not planning their schools‟ work ahead, 197 (82.08%) students were having a poor background for some subjects, 190 (79.17%) students were inadequate high school training, 167 (69.58%) students were forgetting things they have earned in school,166 (69.17%) students were getting low grades, 163 (67.92%) students were not spending enough time in study, 156 (65.00%) students were not getting studied done on time and153 (63.75%) of them were unable to concentrate well. 92.92% students agreed with the helpfulness of guidance and counseling services. On further analysis on Chi-square test significantly (p<0.001) higher proportion of students were agreed on helpfulness of counselling and guidance on ever scale studied. Six lecturers in this study claimed that they provided the responsibilities for the roles of supervision and supporting students with guidance and counseling services when they faced academic adjustment problems.

Keywords: Academic Adjustment Problems, Supervision, Guidance and Counseling Services.

References

Keywords: Academic Adjustment Problems, Supervision, Guidance and Counseling Services.

Abstract

Coronary artery disease has evolved to be the leading cause of death and morbidity in this era of urbanization and industrialization. Coronary Artery Bypass Grafting (CABG) is the definitive treatment of choice in Coronary artery diseases. Routine Chest Physiotherapy techniques employ various breathing exercises alongwith coughing techniques. Recent advancements in Cardiopulmonary Physiotherapy, clubbed with alternative breathing strategies, combinely prove to be effective in improving oxygenation and augmenting the mucociliary and cough clearance mechanism of the lungs thereby preventing post-operative respiratory complications. The aim of present study was to compare the effect of Anulom Vilom Pranayam (AVP) with Positive Expiratory Pressure (PEP) Device, in respiratory outcomes, following uncomplicated CABG. Study was conducted on 30 subjects including 28 males and two females (with mean age 56 years) who had undergone uncomplicated CABG. The subjects were randomly divided in 2 groups. Group A performed AVP with Incentive spirometry (IS) whereas group B performed breathing exercise with Positive Expiratory Pressure (PEP) with IS. Outcomes were recorded in the form of changes in Respiratory Rate (RR), Mucociliary Clearance Time (MCT) through Saccharin Test, Peak Expiratory Flow Rate (PEFR), Partial pressures of Oxygen and Carbon dioxide (PaO2 and PaCO2) through ABG analysis and arterial Oxygen Saturation (SpO2) on the first and seventh post-operative day. Improvement in all respiratory parameters was found after treatment in both groups but significant improvement was found in PaO2 with AVP group in comparison with PEP (p =0.038). Hence AVP can be considered beneficial in improving respiratory outcomes following cardiac surgery if practiced properly on a long term basis.

Keywords: Anulom Vilom Pranayam (AVP), Incentive Spirometry (IS), Positive Expiratory Pressure (PEP), Coronary Artery Bypass Grafting (CABG).

References

Keywords: Anulom Vilom Pranayam (AVP), Incentive Spirometry (IS), Positive Expiratory Pressure (PEP), Coronary Artery Bypass Grafting (CABG).

Abstract

Scrub Typhus is a public health importance because of its complication. It is prevalent in many parts of India. So this record base study was conducted to find out burden of scrub typhus in a tertiary level hospital in year 2018 with special reference to its seasonal trend. Total 106 cases of Scrub Typhus came in year 2018 with maximum cases (34 i.e. 32.08%) in September followed by August, December, November, October, April, January, march, may, February, June and July. In February, June and July fortunately none of case was there. In Seasonal trend peak was with 63 (59.43%) cases in August and September i.e. in Monsoon season.

Keywords: Scrub Typhus, Seasonal Trend.

References

Keywords: Scrub Typhus, Seasonal Trend.

Abstract

Alcohol consumption is associated with a wide range of adverse health and social consequences. Alcoholic Hepatitis is one of the consequence of alcoholism. So an observational study was designed over the period of one year to study clinical profile and effects of Alcoholic Hepatitis. The study was carried out in 100 consecutive patients admitted to tertiary care hospital with alcoholic hepatitis. Data entry and analysis was done in Microsoft excel through Descriptive statistic and chisquare tests. It was observed that most patients with Alcoholic Hepatitis drinks more than 100 g/d with 150-200 g per day being common. In the present study 92% of patients were heavy alcoholics i.e. more than 80gm/day. This suggests that alcoholic hepatitis mostly occurs in heavy drinkers. Present study suggests that Discriminate Factor score does not associate with complications like hepatic encephalopathy and ascites. SGOT, SGPT, serum bilirubin, prothrombin time and serum albumin didn’t associate well with amount of alcohol intake. This study also observed that patient with Glasgow Alcoholic Hepatitis Score of more than 9 have more chance of complications like hepatic encephalopathy and ascites. It can be concluded from this study that most of the alcoholic hepatitis patients were young adults and middle age population, who were is active and productive mass of society. Early detection of alcoholic liver disease can decrease both morbidity and mortality due to alcoholic liver disease.

Keywords: Alcohol consumption, Alcoholic Hepatitis, Discriminate Factor, Liver Function Test.

References

Keywords: Alcohol consumption, Alcoholic Hepatitis, Discriminate Factor, Liver Function Test.