Background: Adequate oxygenation to treat hypoxia by suitable oxygen delivery pattern is the essence of pediatric critical care medicine. Monitoring oxygen saturation (SpO 2) is thus essential in order to decide course of treatment. It is commonly carried out using painless sequential non-invasive pulse oximetry as well by severely painful random arterial blood gas (ABG) analysis. Methods: This study compared both methods to determine the impact of various oxygen delivery patterns upon SpO 2 at bedside for meaningful and continuous evaluation. In a prospective cohort adopted for study, 60 children from acute pediatric wards of an academic tertiary referral hospital were observed. Children were eligible for enrollment using cross sectional approach, if the treating pediatricians ordered an ABG, on pulse oximetry monitoring with oxygen support by any oxygen delivery device using a validated checklist. Results: Among all the samples, 60 % were infants and 55 % were male. Complaints on admission were vomiting (35%), shortness of breath (33%), diarrhea (28%), lethargy (31%) and Kussmaul breathing (30%). SpO 2 was > 90% for 88% of children. Oxy hood box was used to deliver oxygen to 73% of children. SpO 2 had positive correlation with oxygen delivery methods (r = 0.8) and partial pressure of oxygen (PaO 2) by ABG analysis had positive correlation with SpO 2 by pulse oximetry (r = 0.9). Conclusions: Pulse oximetry can be used as a reliable bed side tool to evaluate oxygen delivery patterns and diagnose early respiratory failure in emergency settings where ABG analysis facility is not available.
Heart Failure is a common cardiovascular condition with increasing incidence and prevalence. Congestive cardiac failure continues to be a major cause of death throughout the world despite dramatic advances made in the treatment over the last 25 years. As it is growing and people are affected by it, the nurse has an important role in helping the people to live with the disease and control it through various preventive and therapeutic measures. Exercise and education programs are designed to improve the patient’s quality of life after a heart failure or another heart problem. It includes a program of structured exercise that is now generally believed not only to improve morbidity but also to reduce mortality in patients who have suffered a CCF. Material and Method: A Quasi-experimental post-study only design without a control group approach was undertaken in Pravara Rural Hospital. A total of 30 congestive cardiac failure patients were randomly assigned to receive the intervention of the Exercise program. The nurse investigator provided 05 minutes exercise program. Assessment of effectiveness is performed by evaluating Quality of Life. The data were analyzed with descriptive and inferential statistics, wherever required. Results: It was found that the exercise program significantly improved QOL. A statistically significant difference was found between the group QOL (t=15.47) there was a significant association found between socio-demographic characteristics (0 . 840 dna 8.8.0 ) at p<0.05 level. Conclusion: The study outcome revealed that the exercise program was found to be effective in improving the QOL among congestive cardiac failure patients. Hence it should be emphasized that exercise programs should be practiced for the vulnerable CCF patient with routine care.
Digital marketing became an effective way to create a relationship with the consumers having its depth and relevance widely used in day-to-day lifestyle. The work associated with this paper is carried out in the marketing department of STYLETRENDZ. It will help to get an idea about digital marketing and how the digital marketing has an impact on revenue generation for digital marketing companies. The paper highlights the methodology of study and analysis of an online media and companies growing economically to sustain in the competitive market. Index Terms: Digital marketing, revenue generation.
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