Volume 11 | Issue 12 |

 Abstract

The global burden on multiple habitual conditions and quality of care for case. Multiple habitual conditions(MCC) is characterized by the presence of two or further habitual conditions, impacting one in three grown-ups around the world. Noncommunicable conditions(NCDs) kill 41 million people each time, original to 74 of all deaths' en- cyclopedically Each time, 17 million people die from a NCD before age 70; 86 of these unseasonable deaths do in low- and middle- income countries. Of all NCD deaths, 77 are in low- and middle- income countries. In addition to the particular and community costs, habitual conditions affect in a significant profitable burden because of the combined goods of health- care costs and lost productivity from illness and death. In the proposed frame, the relationship between multi-morbidity and quality of care is told by a case's number of habitual conditions, comorbidity characteristics(e.g., symptom intensity, clinical dominance) and comorbidity interrelatedness, all of which increase clinical complexity.

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 Keywords

Multiple chronic conditions, review, quality care of patient, medication use, cost, medication adherence.

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

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infrared sensors, thermocouple, temperature,robo, fire,aurdino

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Creative Commons Attribution 4.0 and The Open Definition

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Many literature suggests that there is increase in the Postural deviations among different occupational workers such as frequent computer workers, policeman, etc. This postural deviations can lead to Work related muscular disorders which affects the skills of the working.As many wedding and freelancer photographers often spend many hours at there work places by adapting different positions with holding camera and other objects with them. That's why it is very important to check if holding a position and repetitive stress over the muscles may cause changes in the Normal body alignment. The job of the photographer requires a significant amount of time and efforts. This can lead to changes in the normal postural alignment. Many photographers may experience physical discomfort and limitations that can negatively impact their skills of photography. Thus the assessment of the Postural deviations among photographers is important. Utilizing REEDCO POSTURE ASSESSMENT SCALE as a diagnostic tool in this study will provide an objective and quantitative measurement Postural deviations associated with Photographers. It will enhance the accuracy and reliability of the assessment.

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- REEDCO scale, Professional photographer, Posture

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Ion exchange resins (IER) are cross-linked water insoluble polymer carrying ionizable functional groups. Insoluble functional groups that contain acidic or basic functional groups and have the ability to exchange counter-ions within aqueous solutions surrounding them. Ion exchange resins are categorized as either cationic or anionic exchange resins based on the type of exchangeable ions they contain. These resins are composed of polymers with specific acidic groups like carboxylic or sulfonic for cation exchangers, and basic groups like quaternary ammonium for anion exchangers.The efficacy of ion exchange resins mainly depends upon their physical properties such as degree of exchange capacity, cross-linkage, ionization, porosity and swelling, particle size and form, purity, toxicity and equilibrium rate. Ion exchange resins (IER) have garnered significant interest among pharmaceutical scientists due to their versatile properties as carriers for drug delivery. Scientist over the last few years has revealed that IER are equally suitable for drug delivery technologies, including controlled release, transdermal, nasal, topical and taste masking. The drawback of sustained release or extended release is dose dumping, resulting in increased risk of toxicity. Ion exchange resins play a crucial role in the advancement of controlled or sustained release systems due to their effective drug retention properties and the prevention of dose dumping. Synthetic ion exchange resins have found applications in pharmacy and medicine, serving purposes such as taste masking and sustained or controlled drug release. This review addresses different types of ion exchange resin, their applications, role of IER in controlled drug delivery systems.

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Ion exchange resins, Drug release, Taste masking, Drug delivery.

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

This article explores the complex field of maritime law, emphasizing dispute resolution, safeguarding navigational rights, and influencing global ocean governance. Through in-depth case studies, it investigates effective dispute settlement techniques for complicated maritime conflicts, giving readers insightful information about diplomatic negotiations and judicial procedures. To balance national sovereignty with the demands of international trade, the preservation of maritime rights is examined, highlighting creative methods for keeping open and safe sea routes. We explore laws and cooperation to protect the environment and resources sustainably. Global collaboration is vital for ocean governance. We look at bioprospecting and deep-sea mining, considering ownership, environmental impact, and ethical exploration. Furthermore, the research paper dives into maritime security and law enforcement activities, highlighting recent developments and international alliances aimed at countering piracy and illicit maritime activities. By exploring these various aspects, this article gives an in-depth understanding of the expanding area of maritime law, acting as a valuable resource for policymakers, legal professionals, and researchers navigating the complexity of maritime conflicts and ocean governance.

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Maritime Boundaries, International Tribunal for the Law of the Sea (ITLOS), Sovereignty, Island Disputes, Maritime Law Enforcement, Naval Presence, Territorial Waters.

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Creative Commons Attribution 4.0 and The Open Definition

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This qualitative study delves into the often-overlooked fear of being known in children, exploring its intricate impact on emotional and social development within interpersonal relationships and school education. Grounded in prominent psychological theories, the research unveils key themes, including vulnerability, judgment, social comparison, and cultural influences, offering nuanced insights into how children navigate self-disclosure. Findings suggest potential implications for parenting and educational practices, emphasizing the importance of fostering open communication and inclusive environments. The study advocates for holistic interventions to address this fear, acknowledging its integral role in the complex emotional landscape of childhood.

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Fear of Being Known, Childhood Development, Education.

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Creative Commons Attribution 4.0 and The Open Definition

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Around the world, the buildings are hit by the seismic forces which leaves impact on the structures, school structures are the structures which are used as shelter in case of natural calamities so these structures are expected to take these seismic forces better than other structures. The effect of seismic forces can be minimized by various ways, one of this is plan shape of the structure. In this project, three different shaped plans of school structure have been analyzed for seismic loads in two different seismic zones, zone 3 and zone 4. The application Etabs 2020 is used to simulate and analyze structural data. Wind load is taken into account in accordance with IS 875 part 3 and seismic zone in accordance with IS 1893(Part 1): 2002. The Results of all three shaped building analysis are compared, and the results are shown in terms of story displacement, storey drift, base shear, and time period.

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Plan Irregularity, Displacement, Storey drift, Base Shear, Time Period, ETABS software.

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Creative Commons Attribution 4.0 and The Open Definition

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Chronic suppurative otitis media (CSOM) is an infection to middle ear cleft. Incidences are higher in lower social economic groups, poor nutrition and lack of health education. There are mainly 2 types of CSOM: Tubetymphanic and Atticoantral. Patient presents with complaints of ear discharge with partial hearing loss, perforation and bleeding occasionally. Homoeopathic approach involves in the overall well-being of the individual. Treatment plan includes a detailed case taking, analysis and evaluation of case with repertorial approach which includes the rubrics selection and reportorial analysis and then based on the mental, physical and particulars of the individual and remedy have been selected and administered.

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Chronic suppurative otitis media. Tubetymphanic Atticoantral Homoeopathic approach.` Repertorial approach Repertorial analysis

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Demand for herbal formulations has recently increased as a result of growing public interest in natural products. Herbal cosmeceuticals are more popular at the moment because they don't have any negative side effects. Scrubbing is very important because acne, whiteheads, and blackheads affect a lot of people. The primary goal of the current study was to formulate a face scrub gel using different herbs. Multani mitti, Orange peel, Cinnamon, Aloe vera gel, Rosewater, Neem, and Honey are utilized as active ingredients in this preparation and mixed to form a gel with the help of Carbopol. Along with this sodium lauryl sulfate, Hyaluronic acid, triethanolamine, and methyl para hydroxy benzoate were added to the gel. Design Expert software was used to optimize the formula with 12 trial batches and assistance from Box Behnken Design. The formulated gel passed all necessary characterizations after being tested for several factors, including appearance, pH, viscosity, spreadability, washability, and irritability. As a result, the gel can be administered as a powerful scrub to achieve healthy, radiant skin.

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Box Behnken Design, Face Scrub gel, Multani mitti

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Creative Commons Attribution 4.0 and The Open Definition

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The Concept of Six Sigma begins with a process model and its implementation is called Business Process Management (BPM) and the process of Six Sigma began at Motorola in the 1980's. Six Sigma is the letter ? in the Greek alphabet used to denote Standard deviation, a statistical measurement of variation. Standard deviation can be thought of as a comparison between expected results or outcomes in a group of operations versus those that fail. Bill Smith of Motorola Coined the term Six Sigma and is also called the father of Six Sigma; The Quality leader responsible for the term Total Quality Management is Feigen Baum; robustness in quality management was pioneered by Dr Taguchi; quality leader who did extensive work in Japanese industry is Dr Deming who paved the way for Quality Management Concept; Walter She wart is also one of the contributors in Six Sigma, he is sometimes referred to as father of Statistical Control he introduced the concept of control charts in 1924. In 1920s, contributions by Walter Shewhart, who showed the relation of process corrections based on three sigma deviations from the mean and introduced the control chart and distinction of special versus common cause variation. With Six Sigma Standard deviation we arrive at 3.4 defects per million opportunities or 99.9997 percent this would mean that at six sigma, an airline would only loose three pieces of luggage for every one million passengers that it handles. The Three primary elements of Six Sigma are Customers, Processes & Employees. The Italian Sociologist Vilfredo Alfredo Pareto demonstrated the 80/20 rule which signifies that 80 percent of your outcomes come from 20 percent of your inputs. Pareto 's rule is widely used in Six Sigma principles. Six Sigma is implemented in phases (DMAIC)-Define, Measure, Analyze, Improve and Control

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 Keywords

DMAIC, KPI, Defects, Standard Deviation, Bill Smith

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Creative Commons Attribution 4.0 and The Open Definition