Volume 8 | Issue 10 |

 Abstract

Arun Joshi deals with various fictional themes as alienation and involvement, east-west encounter and compromise, existentialism and materialism, and quest and complacence. In his novels, he delineates the spiritual agony of his lonely questers. They are absolutely puzzled fellows restlessly searching for their roots and trying to know the purpose of their existence on this planet. A deep study of the novel of Arun Joshi that is The Foreigner, reveal that the central experience of his fiction is crisis and quest his leit motif. Dealing with Sindi Oberoi�s journey from detachment from the world to his involvement in it in The Foreigner, the novelist depicts Sindi�s anguish resulting from his loneliness and his so-called rootlessness. Sindi is a born foreigner who is trying to detach himself from the world. He makes relationship with a number of women but with June he is brought face to face with his hypocrisy, cowardice, vanity and stupidity. The deaths of June and Babu deepen his sense of alienation, but they also act as a peripetia. He comes to India in search of his identity. Throughout his quest for self-realization Sindi experiences pains and finally he feels his soul to be coming out renewed and purified. He comes to know the purpose of his existence on this planet. He realizes the real meaning of the detachment theory as depicted in The Gita that detachment means not renunciation but selfless action. The novel, in its final implication is a bitter indictment of both- Sindi�s alienation and his distorted concept of detachment.

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Arun Joshi, alienation, self-existence, materialism, identity

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Creative Commons Attribution 4.0 and The Open Definition

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�HEART� is the great pumping organ. It is Vital organ of the body, which maintains the circulation throughout the body. Heart is muscular organ that pumps blood throughout the circulatory system. As Heart is vital organ of Body so it is important to maintain Healthy Heart. According to WHO 32. 4 million Myocardial Infarction and Strokes worldwide every year. Survivors MI are at increased risk of recurrent infarctions and have an annual death rate of 5 percent 6 times that in people of same age who do not have Coronary heart disease. So, significantly contribute to reduction in Cardio vascular diseases is necessary. Therefore by avoiding various risk factors(like Smoking, alcohol consumption, less exercise, etc.) we can reduce the risk of major Cardiac events. Evidence based interventions for secondary prevention include use of Aspirin, Beta blockers, Angiotensin converting enzyme inhibitors ; lipid lowering drugs and other anti hypertensive, as well as modifying lifestyle related risk behavior.

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 Keywords

Introduction, Anatomy and physiology, Cardiovascular Diseases, Medication.

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Creative Commons Attribution 4.0 and The Open Definition

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STRESS MANAGEMENT AMONG HEALTH CARE WORKERS: CARING FOR YOUR SELF & OTHERS DURING COVID-19 PANDEMIC: SYSTEMATIC REVIEW Dr. Khalil Ahmad Kakar1, Master of Public Health, Noida International University, Delhi-NCR-India, Lecturer at Malalay University, Medical Faculty, Kandahar-Afghanistan. Prof. Dr. NH Simon2, Director School of Nursing & Health Sciences (SONHS), Noida International University, Delhi-NCR-India. Dr. Ajoke Akinola3, Professor & HOD Public Health Department, SONHS, Noida International University, Delhi-NCR-India. Sponsored By: Malalay University ABSTRACT Introduction: Worldwide the United Nations for example the world health organization (WHO) has classified stress as a universal epidemic. Work related stress affects global expenditure yearly and has been considered to be of high health threat. In the Unites States, the projection revealed that a little above average (54%) illness was due to stress. Similarly reports have it that most of the psychological problems for example suicides and the thoughts of it was associated with stress and has led to diverse ill health around the world. Aim: Highlighted stress management (the wide range of techniques, therapies and changes an individual makes or needed to make to alleviate a better health and wellbeing) among health care workers, while caring for themselves and others �healing the healer� as some would say. Method: Involved the use of PRISMA strategy �the preferred reporting item for systematic reviews�. Search engines like PUMED CENTRAL, GOOGLE SCHOLAR, MEDLINE and open access journals retrieved between 2016 and August 2020. Inclusion criteria and exclusion criteria was applied. Data extraction and synthesis followed in a qualitative descriptive format by the consultants. Result: Initial result yielded 4515 identified through data base after duplicates removed (2500), screening (1570) and eligible articles (930) remained 12 articles included for this review finally. Of this 12, showed all the studies was identified with prevalence of stress. Three studies in the UK, three studies in USA, two in China, two studies in Italy, one study each was identified with Canada and India. Due to the current scenario of COVID19, study design was majorly cross-sectional non probability online, sampling technique was majorly online but the sampling size was identified among 6 articles. References reported fear, anxiety and depression, high rates of depressive symptoms and lack of governmental support. Stress management highlighted 9 studies and very few studies reflected the entire topic. However, due to lack of research and methodological draw backs we are unable to draw concrete conclusion. Conclusion: This COVID19 unprecedented situation has impacted several HCWs, and those around them. Regardless several interventions would be needed not limited to psychological support, increased screening, psycho-social education and government support to monitor, support and care for HCWs when caring for themselves and others during COVID-19. Keywords: HCWs, Stress management, Work stress, COVID19, prevalence of stress.

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

HCWs, Stress management, Work stress, COVID19, prevalence of stress.

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Creative Commons Attribution 4.0 and The Open Definition