Background Limited comprehension of the concept of palliative care and misconceptions about it are barriers to meaningful utilisation of palliative care programs. As caregivers play an integral role for patients with terminal illness, it is necessary to assess their perceptions and attitudes towards the palliative care approach. Method A cross-sectional survey was conducted. Data was collected from the Aga Khan Hospital in-patient and out-patient departments and home-based palliative care services. All adult caregivers who met the inclusion criteria and consented, completed a questionnaire till the sample size was reached. Univariate and multivariate multivariable analysis was done and results were reported as crude prevalence’s, crude and adjusted prevalence ratios with 95% confidence intervals using Cox-proportional hazard algorithm. Mean difference of knowledge and attitude scores by caregiver variables were assessed using one-way ANOVA. SPSS version 18 was used and a p-value of less than 5% was treated as significant. Results Out of 250 caregivers more than 60% were 40 years or less, majority were males and at least graduates. Approximately 70% of the respondents agreed with the statement that the person suffering from cancer should be informed about the diagnosis and disease progression. About 45% (95% C.I.: 39.03, 51.37%) of the study respondents had enhanced understanding about palliative care. Individuals under 40 years old, those with an education level of at least grade 10, children or relatives were found to have significantly more enhanced knowledge about palliative care. The majority believed that the patient should be informed about the diagnosis and should be facilitated to carry out routine activities and fulfill their wishes. Conclusion Nearly half of the caregivers had enhanced understanding of the palliative care approach. They showed consistent understanding of two foundational aspects indicating correct knowledge across age groups, gender, education level, and relationship with the patient. Firstly, that palliative care should be offered to everyone suffering from a terminal illness and, secondly, that this approach encompasses not just physical, but also psychological and social needs of the patient and the family. These findings will help inform the establishment of a palliative care program that fills the gaps in comprehension and knowledge of caregivers.

No abstract

Cloud computing has transformed the delivery and management of IT services, and with the advent of the Internet of Things (IoT), cloud platforms have become even more crucial for developing and managing IT solutions. This critical review article presents the latest research on cloud computing platforms with IoT capability and their impact on IT management and development. The review covers the advantages of cloud computing platforms, including their cost-effectiveness, scalability, and flexibility. It also provides an in-depth analysis of six leading cloud platforms with IoT capability: ThingSpeak, Ubidots Platform, AWS IoT, IBM Watson, ThingWorx, and Salesforce Platform. The review focuses on their features, capabilities, and limitations. The article concludes by emphasizing the crucial role of cloud computing platforms with IoT capability in IT management and development and their potential for future growth and development. The insights provided by this review are essential for researchers and practitioners who seek to comprehend the emerging trends in cloud computing platforms and their impact on IT management and development.

The innovation of e-metering (Electronic Metering) has experienced fast mechanical progressions and there is expanded interest in a solid and effective Automatic Meter Reading (AMR) framework. GSM Based shrewd vitality meter perusing framework replaces conventional meter perusing techniques. It empowers remote access to the existing vitality meter by the vitality provider. A GSM-based remote correspondence module is incorporated with the electronic vitality meter of every element to have remote access to the utilization of power. A PC with a GSM recipient at the opposite end, which contains the database goes about as the charging point. Live meter perusing from the GSM-empowered vitality meter is sent back to this charging point intermittently and these subtle elements are refreshed in a focal database. The total month-to-month utilization and the due bill are informed back to the client after handling this information. So, GSM-based remote AMR framework is a more successful approach for a traditional charging framework. This framework additionally gives specialists to power organizations to take activities against tolerant clients who have a remarkable contribution; generally, the organization has the ideal to detach the power supply, and it can reconnect the control supply after the affidavit of duty. So, we thought about building such an automatic system. This research is GSM-Based on a smart energy meter reading system to eliminate the conventional way of the reading system. In this paper, the GSM module sends reading information through SMS to the related Authority. There are no chances of any unethical mistake by using this modern technique.

BACKGROUND As care-giver’splay an integral role for patients as disease progresses, it is necessary to assess their knowledge and understanding of palliative care to ensure meaningful uptake before developing an appropriate palliative care program.METHODS A cross-sectional survey was conducted. Data was collected from the Aga Khan University Hospital in-patient and out-patient departments and home-based palliative care services from mid 2015 to 2016. All adult care-giver’swho met the inclusion criteria and consented completed a questionnaire till the sample size was reached.Univariate and multivariable analysis and results were reported as crude prevalence’s, crude and adjusted prevalence ratios with 95% confidence intervals using Cox-proportional hazard algorithm. Mean difference of knowledge and attitude scores by care-giver variables was assessed using one-way ANOVA. SPSS version 18 was used and a p-value of less than 5 percent was treated as significant.RESULTS Out of 250 care givers more than 60% were 40 years or less and the majority were males and at least graduates. Approximately 70% of the respondents agreed with the opinion that the person suffering from cancer should be informed about the diagnosis and disease progression. About forty five percent (95% C.I.: 39.03%, 51.37%) of the study respondents had enhanced understandingabout palliative care. Individuals aged <40 years, with an education level of Grade 10, children or relations of the patient were found to have significantly more knowledge and understanding about palliative care. The majority believed that the patient should be informed about the diagnosis and should be facilitated to carry out routine activities and fulfill wishes.CONCLUSION Nearly half of care giver’s of patients affected by incurable conditions have enhanced understanding of the PC approach.Two foundational aspects showed a consistently enhanced understanding across age groups, gender, education level, and relationship with the patient. Firstly, that palliative care should be offered to everyone suffering from an incurable disease and, secondly, that this approach encompasses not just physical, but also psychological and social needs of the patient and the family. These findings should help inform the establishment of a palliative care program that fills the gaps in knowledge and understanding of this beneficial approach in care givers.