Volume 7 | Issue 4 |

 Abstract

Acid suppressive medicine has been boosted up in day in an day out in last few years. The present data have been designated that recurrent use of acid suppressants for non-accepted hints is common. The objective of the study was to find out the signs and prevalence of acid suppressants used by patients during the time of admission and at clearance from the hospital. This study was accompanied with of 220 patients who were admitted to National Medical College. Relevant medical history of the patient, the use of acid suppressive medicine, and indications of symptoms were collected from both medical records and discharge medication lists of the patient. 220 patients were considered, and it was found that 26.9 % of the patient were taking acid suppressive drugs before admission, of which 38% of the patient use proton pump inhibitors (PPIs). As soon as the patients were self-confessed, acid suppressant use has been amplified by 73.1% (161 of 220), among 82.6%, 12.42%, and 6.9% PPIs, H2 antagonists and combination therapy correspondingly. On the basis of principles, It was noted that only 11.18% (18 of 161) of those patient using acid suppressive drugs were found to have an tolerable indication. The history of a patient of gastroesophageal reflux disorder (GERD) was supposed to have an indication (32 other patients), 31.05% (50 of 161) had another acceptable indication. The history of gastrointestinal bleeds more than 3 months since preliminary diagnosis was encompassed 7% of the population. The group of GERD patients were 27% of this group. Compared to the 26.9% of patients who were taking acid suppressive drugs prior to admission, 57% (125 of 220) of patients were prescribed to take acid suppressive drugs at time of discharge. In recent exacerbations of GERD were found having long-term indications, It was also noted that only 15% (12 of 125) of these patients were found to have accepted indications. If all GERDs were acceptable long-term indications, 27.26% (34 of 125) would have met criteria for acceptable outpatient use. The long-term usage of acid suppressive drug in both the inpatient and outpatient settings.

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 Keywords

proton pump inhibitors, ulcer. H2-receptor antagonists, GERD

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

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Creative Commons Attribution 4.0 and The Open Definition

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Achievement, Bloom's Taxonomy, Conventional learning, Critical Thinking skills, Dynamic Mathematics Software, GeoGebra, and ICT mediated Cognitive Apprenticeship model, Open-source Software.

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Creative Commons Attribution 4.0 and The Open Definition

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VICTORIAN LITERATURE AND THE CHANGING SOCIAL STRUCTURE

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Creative Commons Attribution 4.0 and The Open Definition

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prises as a mother ensures her kids against the en

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Creative Commons Attribution 4.0 and The Open Definition

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ONLINE SHOPPING- AN OPINION SURVEY OF 21ST CENTURY CUSTOMERS

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Creative Commons Attribution 4.0 and The Open Definition

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prises as a mother ensures her kids against the en

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Creative Commons Attribution 4.0 and The Open Definition

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banking sector has been facing serious problems of raising Non- Performing Assets (NPAs). The NPAs growth has a direct impact on profitability of banks. Non- performing assets are one of the major concerns for scheduled commercial banks in India. The recommendations of Narasimham committee and Verma committee, some steps have been taken to solve the problem of old NPAs

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Creative Commons Attribution 4.0 and The Open Definition

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prises as a mother ensures her kids against the en

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Creative Commons Attribution 4.0 and The Open Definition

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the Central Statistical Office considered to be the official department that releases projected, and actual growth figures (apart from the RBI or the Reserve Bank of India and the Finance Ministry) hints at a slowdown in the Indian economy even during the quarter before demonetization happened. While this is indeed cause for concern with projected growth figures revised downwards from 7.6 % to 7.1% for the financial year ending

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Creative Commons Attribution 4.0 and The Open Definition

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prises as a mother ensures her kids against the en

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Creative Commons Attribution 4.0 and The Open Definition

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for some purposes and self-rule for others within a single social system so that neither is subordinate to the other has been applied in different ways to fit different circumstances. Regionalism has remained perhaps the most potent force in Indian politics ever since independence (1947), if not before. As a study of the interaction between federalism and regionalism in India, this paper seeks to focus on Indian federalism as a method of accommodation of regionalism in India. Federalism

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Creative Commons Attribution 4.0 and The Open Definition

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prises as a mother ensures her kids against the en

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

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Creative Commons Attribution 4.0 and The Open Definition

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prises as a mother ensures her kids against the en

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Creative Commons Attribution 4.0 and The Open Definition

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India are in the rural and unorganised sectors. Socially the majority of Indian women are still tradition bound and are in a disadvantageous position. Since globalisation is opening up the Indian economy suddenly at a very high speed, without the required economic and social policies to provide the much required safety

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Creative Commons Attribution 4.0 and The Open Definition

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prises as a mother ensures her kids against the en

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Creative Commons Attribution 4.0 and The Open Definition

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Total Productive Maintenance (TPM) is a comprehensive approach to equipment maintenance that aims to maximize operational efficiency. By integrating TPM activities into process optimization strategies, organizations can improve machine reliability, reduce downtime, enhance product quality, and boost overall productivity. This paper explores the principles of TPM, its core pillars, and its role in process optimization. Through a review of existing literature, the study highlights key methodologies, benefits, and challenges associated with implementing TPM. The paper also provides suggestions for organizations seeking to leverage TPM for continuous improvement and sustainable operational efficiency.

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Creative Commons Attribution 4.0 and The Open Definition

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Total Productive Maintenance (TPM), Process Optimization, Equipment Efficiency, Lean Manufacturing, Continuous Improvement, Operational Excellence

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Creative Commons Attribution 4.0 and The Open Definition