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Integrated Health Care Delivery and Telemedicine: Existing Legal Impediments in India
The technological innovation in the healthcare sector has contributed to the growth of telemedicine in India. Health services fall under State responsibility as per the Indian Constitution by virtue of Schedule 7although policy and planning framework are under the scope of Central government. Telemedicine cannot not work as an autonomous service, rather, ought to be subjected to different regulations having complex ethical, medico-legal manifestations. As far as India is concerned, Ministry of Health and Family Welfare of India (MoHFW) is the body responsible for initiating the policy of digitization of healthcare. However the point ishow far digital health services going appropriately in India. Based on NDHBs comprehensive architectural framework of Federated National Health Information System in January 2020 and as the pandemic strategy Medical Council of India and the NITI Aayog released new guidelines on telemedicine with respect to registered medical practitioners, this research needed to be checked. Thus, the examination was done in these aspects. Guidelines were revisited to see how the hospitals in Delhi and NOIDA function based on the records submitted in medical consultation given to patients using telemedicine. It is felt that telemedicine being a nebulous concept in India, it needs to be analyzed in the light of prospective opportunities it would offer. There is a need for collaborative approaches on digital health, revision in the prevailing legal and ethical frameworks, the clinical practices corresponding to standing medical guidelines. Also, it is found that there exist no uniform telemedicine practices balancing the privacy norms, medico-legal responsibility and regulatory standards. To arrive at conclusion, the best practices prevailed in other countries are examined and adopted. It is felt that the policies existing in telemedicine need to be bifurcated as digital consultation, digital photography, remote patient monitoring (RPM) separately. 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. -
Sentiment Analysis of Online Hotel Reviews Employing Bidirectional GRU with Attention Mechanism
Online hotel reviews are a more reliable resource for potential hotel guests. Sentiment analysis is a branch of text mining, Natural Processing Language that seeks to identify personality traits, emotions, and other factors. Deep Learning algorithms such as LSTM and GRU have successfully generated context information in sequence learning. However, deep learning cannot focus on the words that contribute the most and cannot capture important content information. This research aims to overcome the inability of LSTM and GRU to capture information. The results are satisfactory, with 93.12% accuracy, 95% ROCAUC, and 95.28% precision recall. This research paper helps managers identify areas to improve their products and services, target marketing campaigns, and identify customer churn. 2024 IEEE. -
Medical aptitude and its assessment
The assessment of the suitability of an individual for the profession of medical science is carried out worldwide on the basis of several yardsticks. While a few methods assess domain knowledge of sciences, others focus on evaluating the cognitive aptitude skills of the candidate, while few others assess communicative skills. Though it has been considered that the possession of an aptitude for the profession is a prerequisite, considering its strenuous demands from the candidate, a comprehensive assessment of these areas under the construct of medical aptitude has not been analysed so far, though medical aptitude has been socially defined. This article attempts to develop a comprehensive construct to Medical aptitude, meant for the pre-medical student, which has been encapsulated with respect to the areas of its assessment. We did an extensive survey of the literature pertaining to the mode of selection of students towards medical profession and analysed their areas of assessments for admittance. This enabled to identify similarities in the areas of assessment which were then classified under several domains of assessment. Special reference to the keywords involving Aptitude and Medical Aptitude was made. We analysed the definitions to the construct of aptitude from the literature with respect to its relevance in the profession of medical science to be possessed by the premedical aspirantin context. From this, a new construct of medical aptitude was formulated incorporating the existing construct of medical aptitude. Medical aptitude is a comprehensive construct that encompasses the dimensions of a consistent core, a peripheral content and the support of a scaffold. Each of these dimensions have their importance and distinct objective in being assessed in the pre-medical student. A perfect intertwining of these 3 dimensions can prove beneficial in assessing individuals to be fit for the profession of medical science. The National Medical Journal of India 2018. -
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Self-esteem and self-efficacy among HIV-positive adolescents: an intervention study
Introduction: The aim of the present study was to understand the impact of comprehensive intervention program on self-esteem and self-efficacy among human immunodeficiency virus (HIV)-positive adolescents. Material and methods: Participants of the research were perinatally HIV-infected adolescent boys and girls, currently living in HIV care and support center. The study adopts a quasi-experimental non-equivalent control group design. Sample consisted of 97 adolescents (47 boys and 50 girls). Self-esteem was assessed using Morris Rosenbergs (1965) self-esteem scale, and self-efficacy was assessed using general self-efficacy scale (GSE) (1995) by Ralf Schwarzer & Matthias Jerusalem. It was hypothesized that there would be a significant improvement in the level of self-esteem and self-efficacy among participants of experimental group and no such improvement would be noticed in control group. Group intervention was conducted for experimental group focusing on four domains physical, cognitive, affective, and social, for 44 hours spread over 6 months. Comprehensive intervention was implemented through innovative expressive strategies. Participants were assessed pre and post-intervention. Results were analyzed using correlated t-test for self-esteem and Wilcoxon signed-rank test for self-efficacy scores. Results: There is a significant improvement in the level of self-esteem (t = 21.154; p < 0.001) and self-efficacy (z = 6.036; p < 0.001) post-intervention in the experimental group, and no such improvement was observed on both the variables in control group. Conclusions: The current study reveal that post-intervention there is a significant improvement in the level of self-esteem and self-efficacy among HIV-positive adolescents. 2022 Termedia Publishing House Ltd.. All rights reserved. -
Impact of Comprehensive Intervention Program on HIV Positive AdolescentsA Cross-Case Analysis
Background: This study was conducted to understand the impact of comprehensive intervention on HIV positive adolescents. Methods: Among the 97 adolescents who were screened, 48 HIV positive adolescents in the experimental group underwent intervention for 6 months focusing on physical, cognitive, affective, and social domains to create flourishing adolescence. The sample consisted of 2 who showed remarkable improvement and 2 who showed negligible improvement post-intervention. Multiple case study design was adopted, and the data was analyzed using thematic analysis. Results: The themes identified among the outliers at the higher end were increased self-awareness, self-esteem, coping skill, optimistic attitude, sense of gratitude, and availability of support. The themes gathered from the outliers at the lower end were low self-esteem, lack of support, lack of purpose, pessimistic attitude, and emotional vulnerability. Conclusions: Optimistic/pessimistic attitude, self-esteem and perception of support were the intersecting factors which were enhanced among the participants who showed improvement, and lack of these factors were seen among the ones who showed negligible improvement. 2023 The Author(s). -
The politics of the representation of Christian women characters in select Hindi films
This research will attempt to understand the politics of the representation of Christian women characters in Hindi films, Julie, and Bobby from a postcolonial feminist lens. This paper studies the portrayal of Christian women characters as westernized and common in Hindi films. To prove this argument, a postcolonial feminist approach with the theories of Partha Chatterjees idea of the role of nationalism in the representation of the westernized and common women; Gopal Gurus argument of the exclusion of the minorities from the mainstream imagination of the nation, and Diana Dimitrovas discourse of Otherism will be used. This research implies that the minority Christian women characters as the lead heroines in Hindi films are typecasted into the roles of immoral, sexually alluring, and unchaste woman who through her association with the Hindu hero poses a threat to the purity of Hindu dharma and hence the majoritarian idea of Indianness. 2021 Informa UK Limited, trading as Taylor & Francis Group. -
Human Resource Development Climate and its Impact on Stress Among Teachers in Unaided Education Institutions in Bangalore
Global Journal of Finance & Management, Vol-4 (4), ISSN-0975-6477 -
MnO2 anchored NTi3C2 MXene as a bifunctional electrode for enhanced water splitting
The domain of energy research is vigorously exploring a wide array of materials, from advanced carbon-based substances like graphene and carbon nanotubes to emerging contenders like MXenes. Ti3C2 MXene offers exceptional performance in electrochemistry, benefiting from its remarkable electronic conductivity, considerable surface area, chemical stability, cost-effectiveness, hydrophilicity, and eco-friendliness. However, it undergoes self-accumulation, which diminishes the number of electrochemically active sites, resulting in decreased performance. In this study, MnO2 particles are intricately anchored onto the surfaces and within the layers of nitrogen-doped Ti3C2 (NTi3C2), resulting in the creation of innovative interface engineered NTi3C2/MnO2 nanosheets. Due to its distinctive heterostructure and favourable interfacial interaction, the NTi3C2/MnO2 electrode shows better performance in both the hydrogen and oxygen evolution reactions, exhibiting low overpotentials of 130 mV and 289 mV, respectively, at a current density of 10 mA cm?2. Furthermore, it requires a cell voltage of 1.7 V to achieve a current density of 10 mA cm?2 during the overall water splitting process. The NTi3C2/MnO2 composite also maintains sustained durability for a period of 4 h. This enhanced electrochemical activity of NTi3C2/MnO2 can be due to the synergistic effects resulting from the intricate contact between NTi3C2 and MnO2. This research presents a simple methodology for designing MXenes-based multicomponent electrodes for electrochemical water splitting reactions and its potential application for electrochemical water splitting. 2024 Hydrogen Energy Publications LLC -
Rationally designed CeO2 decorated Ti3C2 MXene interface for efficient water splitting and enhanced supercapacitor performance
MXenes serve as competent electrodes for applications such as energy storage and conversion owing to their unique characteristics, which include substantial surface area, excellent conductivity, abundant surface-terminating groups, and high hydrophilicity. However, MXene nanosheets exhibit a pronounced tendency to restack via Van der Waals force, hindering the active sites and resulting in sluggish electronic and ionic kinetics. This phenomenon limits the capabilities, processability, and overall performance of MXene. In this study, CeO2 is utilized as an interlayer spacer for the Ti3C2 MXene substrate, providing a promising noble metal-free multifunctional electrode. The Ti3C2/CeO2 composite, synthesized via the hydrothermal method, efficiently mitigates restacking while exhibiting excellent conductivity, substantial surface area, and enhanced kinetics. The as-synthesized catalysts undergo diverse physiochemical characterizations and electrochemical measurements to understand their properties and potential multiapplications. The fabricated electrode material, Ti3C2/CeO2, shows excellent specific capacitance of 1908.5 Fg?1 at 1 Ag?1 in a three-electrode setup using 3 M KOH as electrolyte. It has a capacitive retention of 91% even after 4000 cycles. Besides, Ti3C2/CeO2 also functions as a proficient electrode material for overall water splitting, having a lower overpotential of 178 mV and 350 mV for hydrogen and oxygen evolution reactions, respectively, at a current density of 10 mAcm?2. It also displays a lower cell voltage of 1.78 V to obtain a current density of 10 mAcm?2. This study introduces the multi applications of a well-designed interface between Ti3C2 layers and CeO2 within the realm of electrochemical energy storage and conversion. 2024 Elsevier B.V. -
Strategic design of MXene/CoFe2O4/g-C3N4 electrode for high-energy asymmetric supercapacitors
MXenes are emerging as the next-generation materials for energy storage due to their substantial surface area, exceptional conductivity, and abundant surface-terminating groups. However, the tortuous path for ion transfer within the restacked layers significantly limits the electrochemical performance of multilayered MXenes. To overcome this, interlayer spacers have been introduced. These spacers help mitigate ion diffusion barriers and enhance the accessibility of active sites, thereby improving the overall efficiency and longevity of MXene-based supercapacitors and related devices. In this study, a rational material is designed by incorporating CoFe2O4 and g-C3N4 into the layers of MXene through ultrasonication for supercapacitor application. The physicochemical properties of the synthesized materials have been comprehensively characterized using diverse techniques, revealing that MXene/CoFe2O4/g-C3N4 has successfully evolved into a multilayered structure possessing enhanced surface area, low restacking tendency, high pore diameter, and excellent pore volume. Leveraging these properties, it performs as a viable material for fabricating the working electrode with a specific capacitance (Csp) of 1506.2 F g?1 at a current density of 5 A g?1 in 3 M KOH. It shows good stability with 89 % capacitance retention over 7000 cycles. An asymmetric supercapacitor (ASC) constructed with MXene/CoFe2O4/g-C3N4 as positive electrode and activated carbon as negative electrode exhibits an energy density of 79.8 Wh Kg?1 and power density of 1343.3 W Kg?1. Furthermore, it shows a capacitive retention of 91 % over 10,000 cycles. This MXene based composite, with excellent capacitance and outstanding stability, offers an appreciable performance in the field of sustainable energy storage. 2024 Elsevier B.V. -
Digital mental health interventions in India: Addressing challenges and expanding access
[No abstract available] -
Examining the relationship between e-service recovery quality and e-service recovery satisfaction moderated by perceived justice in the banking context
Purpose: The study focuses on the core issue faced by bankers on how to retain existing customers who have encountered an e-service failure and who are skeptical about the justice received through the service recovery process. It further endeavors to create an internal bench-marking model for assessing e-service recovery satisfaction. Design/methodology/approach: By the experimental study, the authors confirm a measurement model using structural equation modeling for examining the impact of perceived service recovery quality antecedents on e-service recovery satisfaction moderated by perceived justice. In total, responses from 399 e-banking customers, who had experienced a e-service failure, were recorded using a 5-point Likert scale with a structured questionnaire. Findings: The perceived e-service recovery quality antecedents identified were perceived information quality, digital commitment, perceived employee performance and perceived service orientation of organization. The empirical results revealed that perceived information quality was the most significant predictor of e-service recovery satisfaction. Perceived justice moderates the relation between perceived service recovery quality and e-service recovery satisfaction. Research limitations/implications: The research does not contemplate the e-service recovery satisfaction of customers who have undergone multiple service failures. Practical implications: The conclusions of the investigation suggest that the four antecedents of perceived e-service recovery quality model are suitable instruments for creating benchmarks for e-service recovery satisfaction for banks, and that perceived justice moderates the relationship between e-service recovery quality and e-service recovery satisfaction. Therefore, policymakers in banks can use this model to assess the e-service recovery quality, and they ought to enhance the perceived justice feel of the customers who have experienced a service failure. Originality/value: There remains scarcity of empirical research focusing on perceived information quality and digital commitment as antecedents of perceived e-service recovery quality and its effect on e-service recovery satisfaction in the banking context. Furthermore, similar studies within the banking sector have rarely considered perceived justice as a moderator variable. Hence, this paper attempts to accomplish the research gap by empirically testing the e-service recovery satisfaction level of a large sample of the population toward four antecedents of perceived e-service recovery quality rendered by banks and create a benchmark model to ascertain e-service recovery satisfaction. 2020, Emerald Publishing Limited. -
CoFe2O4/g-C3N4 intercalated Ti3C2 MXene for efficient electrocatalytic hydrogen evolution reaction
Seeking high-efficiency and stable electrocatalysts remains key to boosting electrocatalytic water splitting. Herein, a well-designed nontoxic MXene based composite, Ti3C2-CoFe2O4/g-C3N4 is prepared via ultrasonication for enhancing the hydrogen evolution reaction (HER). Intercalation of CoFe2O4 and g-C3N4 within the multi-layered Ti3C2 MXene results in improved properties such as high surface area, large pore volume, and a low restacking tendency that leads to enhanced electrochemical active sites, high charge carrier separation, and stability. The prepared composite is characterized via various physicochemical techniques. The amalgamated composite shows a lower overpotential of 223 mV in an alkaline medium at a current density of 10 mA cm?2. The Tafel slope and charge transfer resistance (Rct) value for the HER are 48.5 mV dec?1 and 3.94 ?, respectively. The heterojunction formation improves the efficacy of the MXene composite and provides a new perception that can be beneficial for water splitting applications. 2023 The Royal Society of Chemistry. -
Synthesis, mechanisms, challenges, and future prospects of Ti3C2 MXene and its heterojunctions for photocatalytic dye degradation efficiency: a comprehensive review
In recent years, significant attention has been given to developing novel two-dimensional (2D) materials, including MXenes. Titanium carbide (Ti3C2) is one such MXene with a bandgap ranging from 0.92 eV to 1.75 eV. MXenes possess unique physical and chemical properties that make them useful in various applications, including electrocatalysis, supercapacitors, semiconductors, batteries, sensing, biomedicine, water splitting, and photocatalysis. Research on environmental photocatalysis has focused on enhancing properties such as high conductivity, structural stability, and morphology. However, a single catalytic material may not be sufficient to achieve high catalytic efficiency. Hence, there is a need to modify MXenes. This review provides an overview of the various synthesis methods of MXene and their remarkable properties. It also discusses recent advances in MXene composites and catalytic mechanisms for dye degradation. To improve the catalytic performance of MXene, a heterojunction and Schottky junction are proposed. 2023 Elsevier Ltd -
Advanced electrochemical performance of N-Ti3C2/MnO2 MXene as a promising electrode for energy storage
In this study, we demonstrate a simple and efficient two-step synthetic strategy to design a high-performance N-Ti3C2/MnO2 composite for energy storage application. Nitrogen doping alters the electronic structure of electrode materials and enhances pseudocapacitance. N-Ti3C2 serves as a supporting substrate for MnO2, boosting the active surface area by preventing Ti3C2 layer stacking. Benefitting from the collaborative contribution and synergistic interaction within this multicomponent system, N-Ti3C2/MnO2 results in exceptional specific capacitance of 2107.1 Fg?1 at 1 Ag?1. It also exhibits a low internal resistance and maintains a capacitive retention of 94% over 3000 cycles. The asymmetric capacitor also delivers an energy density of 117.1 Whkg?1 at a power density of 1290.1 Wkg?1. This work presents a straightforward method for modifying Ti3C2 through nitrogen doping and the insertion of MnO2 as an interlayer spacer to enhance electrochemical performance. Qatar University and Springer Nature Switzerland AG 2024. -
A mathematical approach to the study on alkylating agents
There are several classes of anticancer drugs, among which our study focuses on alkylating agents. As a chemical graph invariant number, topological index, has crucial role in predicting the physical, chemical, biological and toxicity properties of a molecule. Different versions of Zagreb indices correlate well with various physio-chemical properties of a molecule. We are analysing physio-chemical properties of the class of alkylating agents using various Zagreb indices. In this paper we are able to predict the physico-chemical properties of a molecule which is not yet discovered using the Zagreb class. 2022 Author(s). -
Bounds for Zagreb class of indices on alkylating agents
The family of Zagreb indices have a pivotal role in predicting various physiochemical properties of molecules. Alkylating agents are some of the main classes of anticancer drugs. In this paper we find the bounds of some Zagreb indices. 2022 Author(s). -
Sentimental Analysis on Online Education Using Machine Learning Models
Sentimental analysis is a simple natural language processing technique for classifying and identifying the sentiments and views represented in a source text. Corona pandemic has shifted the focus of education from traditional classrooms to online classes. Students mental and psychological states alter as a result of this transition. Sentimental study of the opinions of online education students can aid in understanding the students learning conditions. During the corona pandemic, only, students enrolled in online classes were surveyed. Only, students who are in college for pre-graduation, graduation, or post-graduation were used in this study. To grasp the pupils feelings, machine learning models were developed. Using the dataset, we were able to identify and visualize the students feelings. Students favorable, negative, and neutral opinions can be successfully classified using machine learning algorithms. The Naive Bayes method is the most accurate method identified. Logistic regression, support vector machine, decision tree, and random forest these algorithms also gave comparatively good accuracy. 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. -
Methodical investigation of filtering algorithms for human brain MRI
Retrieving useful information from the given data through a systematic and organized way can help to learn more about the data in a much better and clear way. Information is hidden in medical images. The medical images like Magnetic Resonance Images (MRI), Computed Tomography (CT), ultrasound, X-ray are suggested by the physicians depending upon the available symptoms of the disease. These medical images contain valuable information about a particular disease in hidden format. Identification of that potentially useful information is crucial in further treatments of a particular disease. In image mining the images are processed and extraction or mining of knowledge is done, to get original, valid, potentially useful, and understandable patterns from the available images. The obtained patterns are a good source for further research work. This research work uses brain Magnetic Resonance Images (MRI) of human beings. Different image filtering algorithms were used to retrieve noise free images. International Science Press.