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Effectiveness of simulation-based learning regarding management of post-COVID complications in terms of knowledge,clinical decision-making ability,and self-efficacy among nursing students:A quasi-experimental study

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Journal of Acute Disease 2023年第3期12卷 96-101页

作者： Thakur Malvika Eenu Kumar Yogesh Sarin Jyoti Nitesh Kumawat Shatrughan pareek Department of Medical Surgical Nursing College of NursingMaharishi Markandeshwar(Deemed to be University)MullanaAmbalaIndia Department of Community Health Nursing College of NursingMaharishi Markandeshwar(Deemed to be University)MullanaAmbalaIndia College of Nursing Maharishi Markandeshwar(Deemed to be University)MullanaAmbalaIndia AIIMS JodhpurRajasthanIndia Indian Railway Health Services BikanerRajasthanIndia

Objective:To assess the effectiveness of simulation-based learning regarding the management of post-COVID complications in terms of knowledge,clinical decision-making ability,and self-efficacy among nursing ***:This was a quasi-experimental study conducted among 1152nd-year nursing *** participants were selected by a simple random sampling *** participants were divided into an experimental(n=56)and a comparison group(n=59)by a random table *** were analyzed using descriptive and inferential statistics with SPSS version ***:There were significant differences in mean post-test knowledge scores(P=0.03)and mean post-test self-efficacy scores(P=0.001)between the experimental and the comparison groups while the difference in mean post-test clinical decision-making ability scores between the two groups was non-significant(P=0.07).A positive correlation was found between knowledge and clinical decision-making ability in pre-test(P=0.03)and in post-test(P<0.001)and a non-significant correlation was found between pre-test knowledge and self-efficacy score(P=0.52)among the experimental ***:Simulation-based learning regarding the management of post-COVID complications is effective among nursing *** labs should be established in health care settings where simulation training can be provided for updating the knowledge,clinical decision-making ability,and self-efficacy of nursing personnel during program installment and continuous nursing education.

关键词： Simulation Knowledge Clinical decision making ability Self-efficacy Post-COVID complications

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Glycemic Indices of Multiple Oral Nutritional Supplements: A Randomized Cross-Over Study in Indian Adults

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Food and Nutrition Sciences 2023年第10期14卷 941-962页

作者： Deepti Khanna Jaladhi Bhatt Jayanti Gupta Simran Sethi Parth Joshi Manoj pareek Divya Agrawal Hindustan Unilever Limited R&D Department Gurugram India Independent Biostatistician & Researcher Mumbai India Cliantha Research Ahmedabad India

Background: A randomized cross-over study was conducted to assess the glycemic index (GI) of seven Oral Nutritional Supplements (ONSs). These ONSs are designed to support the nutritional requirements of different age-groups, physiological states, or health conditions among Indian adults. Methods: The study had two phases viz., phase1 (n = 18) studied two ONSs: A1 and B1 and phase 2 (n = 20) studied five ONSs: A2, B2, C2, D2 & E2. The subjects were healthy, non-diabetic adults, aged between 20 - 44 years with a mean Body Mass Index of 21.2 ± 1.52 kg/m2 (Phase 1) and 21.0 ± 1.45 kg/m2 (Phase 2). All these ONSs were compared with reference drinks (glucose). The carbohydrates in one serving of each ONS were matched to carbohydrates from 25 grams of glucose following ISO 2010 guidelines. Capillary blood was assessed for blood glucose response at baseline, 15, 30, 45, 60, 90 and 120 minutes. GI was calculated as the incremental area under the curve (iAUC) for the test drinks and expressed as a percentage of the average iAUC from glucose. Results: Phase 1 indicated that the high fiber diabetes-specific nutrition supplement A1 with higher protein (23% energy), higher fat (25% energy) and reduced carbohydrates (40% energy) had a significantly (p = 0.002) lower GI [34 (±6)] as compared to B1 [63 (±7)] (protein 19%, fat 7% and carbohydrates 60% energy) even with similar amount (22%) and type of fiber. Phase 2 reported that all test products [A2 (32 ± 5), B2 (37 ± 4), C2 (31 ± 5), D2 (31 ± 5) and E2 (55 ± 4)] had a low GI. As compared to phase 1, ONSs in phase 2 had lower fiber content (1.6% - 4.6% energy). Conclusion: The glycemic index of oral nutrition supplements is influenced not only by their fiber content, but also by the overall macronutrient composition including protein (≥17% energy), fat (≥10% - 27% energy) and carbohydrates (40% - 57.5% energy).

关键词： Glycemic Index Oral Nutritional Supplements Incremental Area under the Curve Diabetes

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零陵罗勒各生长期的含油量及其成分

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世界热带农业信息 1984年第4期 55-56页

作者： S.K.pareek 龚峥

零陵罗勒(Ocimum sanctum)是印度产的一种香料植物,其中一种生态型的油分中丁香酚的含量颇高。目前,丁香酚是从进口的丁香叶油和肉桂皮油提取的,零陵罗勒油可成为丁香酚的新来源。笔者以前的研究已经证明,丁香酚是零陵罗勒油的主要成分... 详细信息

零陵罗勒(Ocimum sanctum)是印度产的一种香料植物,其中一种生态型的油分中丁香酚的含量颇高。目前,丁香酚是从进口的丁香叶油和肉桂皮油提取的,零陵罗勒油可成为丁香酚的新来源。笔者以前的研究已经证明,丁香酚是零陵罗勒油的主要成分。本文就零陵罗勒整个生长期的茎叶产量、含油量和与丁香酚含量有关的油成分进行比较,以鉴定零陵罗勒在工业利用上的可能性。

关键词：生长期产量丁香酚解热镇痛药零陵罗勒绿叶蔬菜石竹烯含油量

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Efficacy of a Diabetes Specific Nutritional Supplement (DSNS) on Glycemic Response in Prediabetic Adults: A Two-Armed, Open-Labelled Randomized Controlled Study

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Food and Nutrition Sciences 2024年第7期15卷 612-643页

作者： Deepti Khanna Kejal Joshi Reddy Hema S. Gopalan Jaladhi Bhatt Jayanti Gupta Simran Sethi Parth Joshi Manoj pareek Department of R&D Hindustan Unilever Limited Gurugram India Mumbai India Cliantha Research Ahmedabad India

It is well known that Diabetes Specific Nutritional Supplements (DSNSs) are linked to improved glycemic control in individuals with diabetes. However, data on efficacy of DSNSs in prediabetics is limited. This was a two-armed, open-labelled, randomized controlled six-week study on 199 prediabetics [30 - 65 years;Glycosylated Hemoglobin (HbA1c) 5.7% - 6.4% and/or Fasting Blood Glucose (FBG) 100-125 mg/dl]. Two parallel phases were conducted: Acute Blood Glucose Response (ABGR) and Intervention phase. Prediabetic participants were randomized into test (n = 100) and control (n = 99). The primary objective was to assess the ABGR of DSNS versus an isocaloric snack, measured by incremental Area under the Curve (iAUC). Test and control received 60 g of DSNS and 56 g of isocaloric snack (cornflakes) respectively, both in 250 ml double-toned milk on visit days 1, 15, 29 and 43. Postprandial Blood Glucose (PPG) was estimated at 30, 60, 90, 120, 150 and 180 minutes. During the 4 weeks intervention phase, the test group received DSNS with lifestyle counselling (DSNS + LC) and was compared with the control receiving lifestyle counselling alone (LC alone). Impact was studied on FBG, HbA1C, anthropometry, body composition, blood pressure, nutrient intake, and physical activity. The impact of DSNS was also studied using CGM between two 14-day phases: CGM1 baseline (days 1 - 14) and CGM2 endline (days 28 - 42). DSNS showed significantly lower PPG versus isocaloric snack at 30 (p 12, and chromium were reported by DSNS + LC versus LC alone. No other significant changes were reported between groups. It may be concluded that DSNS may be considered as a snack for prediabetic or hyperglycemic individuals requiring nutritional support for improved glycemic control.

关键词： Diabetes Specific Nutritional Supplement Prediabetes Acute Blood Glucose Response Incremental Area under Curve Lifestyle Counselling

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The Impact of Multidisciplinary Care in a Large Volume Robot-Assisted Radical Prostatectomy Program: A Paradoxical Stage Migration toward More Aggressive Disease

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Open Journal of Internal Medicine 2014年第4期4卷 108-114页

作者： Jospeh F. Renzulli II Michael M. Maddox Omar Nadeem Simone Thavaseelan Gyan pareek Anthony E. Mega Warren Alpert Medical School Brown University Providence USA

Introduction: With the widespread use of robot-assisted radical prostatectomy (RARP), a stage migration to less aggressive prostate cancer (CaP) may be expected in pathological specimens due to over-treatment of low risk disease. It is unclear whether implementation of a multidisciplinary clinic (MDC) model would offset this phenomenon. We sought to analyze our database for possible stage migration in prostatectomy specimens in the setting of MDC. Methods: A total of 262 patients who underwent open prostatectomy (OP) from 2004 to 2006 and 757 patients who underwent RARP from 2007 to 2011 were identified from our prospective database. The implementation of MDC occurred concurrently at the time of RARP initiation. Demographic data, pathology, positive margin rates along with standard CaP reporting data were recorded. The two groups were compared with regards to percentage of cases stratified by Gleason grade. Results: The number of CaP cases managed at our institution increased considerably after the introduction of robotics and MDC. There was a significant decrease in the patients with Gleason 6 CaP undergoing RARP as compared with OP (p = 0.001). Additionally, RARP was performed on a significantly greater percentage of Gleason 7 disease (p < 0.001). When comparing pathological stage, there was a significant increase in the incidence of pT3 disease following RARP (p < 0.0001). Conclusions: The introduction of a MDC and minimally invasive radical prostatectomy did not result in an increased application of surgery for the treatment of low risk prostate cancer. This highlights the importance of MDC in a large volume RARP program.

关键词： Prostate Cancer Robotics Multidisciplinary Care

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玫瑰草的最适收获期

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热带作物译丛 1985年第3期 44-46页

作者： S.K.pareek 黄循精

玫瑰草(Cymbopogon martinii),又名马丁香茅。玫瑰草油是一种重要的香料。香味似玫瑰,广泛用于制造香皂、化妆品、盥洗用品和香烟等。目前,印度为满足国内外对玫瑰草油日趋增长的需要,又新辟了一些玫瑰草园。本文介绍的是不同收获期对... 详细信息

玫瑰草(Cymbopogon martinii),又名马丁香茅。玫瑰草油是一种重要的香料。香味似玫瑰,广泛用于制造香皂、化妆品、盥洗用品和香烟等。目前,印度为满足国内外对玫瑰草油日趋增长的需要,又新辟了一些玫瑰草园。本文介绍的是不同收获期对玫瑰草油产量和质量的影响。

关键词：玫瑰草油质量生长量植株第一次结籽始花期香叶醇

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毛织物印花:秘诀在于准备和预处理

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国际纺织导报 2014年第12期42卷 42-44页

作者： N.Bhosale V.pareek S.Eklahare 陈霏羽 D.K.T.E纺织与工程学院

概述了毛织物的数码印花,并强调了一些最重要的方面,如在预处理及数码印花前毛织物的准备和氯化防缩处理。这项研究和开发同时在澳大利亚的大学及研究机构(如CSIRO)中进行,旨在开发影响环境的毛织物印花的替代方法。简要介绍了氯化防缩... 详细信息

概述了毛织物的数码印花,并强调了一些最重要的方面,如在预处理及数码印花前毛织物的准备和氯化防缩处理。这项研究和开发同时在澳大利亚的大学及研究机构(如CSIRO)中进行,旨在开发影响环境的毛织物印花的替代方法。简要介绍了氯化防缩阶段的替代工艺。若该替代工艺能商业化,则可通过数码印花技术大规模提高毛织物印花产品的产量。

关键词：毛织物印花准备预处理

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Efficacy of a Diabetes Specific Nutrition Supplement on Glycemic, Anthropometric, Dietary and Gut Health Markers in Adults with Type 2 Diabetes: An RCT

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Food and Nutrition Sciences 2024年第8期15卷 846-867页

作者： Deepti Khanna Hema S. Gopalan Kuzhandaivelu Abirami Vasudevan Sudha Rajagopal Gayatri Kejal Joshi-Reddy Jaladhi Bhatt Raman Ganesh Jeevan Karthikeyan Parkavi Vadivel Deepika Manoj pareek Ranjit Mohan Anjana Viswanathan Mohan R&D Department Hindustan Unilever Limited Gurugram India Department of Foods Nutrition & Dietetics Research Madras Diabetes Research Foundation Chennai India Department of Diabetology Dr. Mohans Diabetes Specialities Centre Chennai India

With increasing incidence of diabetes, use of diabetes specific nutrition supplements (DSNS) is common for better management of the disease. To study effect of 12-week DSNS supplementation on glycemic markers, anthropometry, lipid profile, SCFAs, and gut microbiome in individuals with diabetes. Markers studied were glycemic [Fasting Blood Glucose (FBG), Post Prandial Glucose (PPG), HbA1c, Incremental Area under curve (iAUC), Mean Amplitude of Glycemic Excursions (MAGE), Time in/above Range (TIR/TAR)], anthropometry [weight, Body Mass Index (BMI), waist circumference (WC)], lipid profile, diet and gut health [plasma short chain fatty acids (SCFAs)]. N = 210 adults were randomized to receive either DSNS with standard care (DSNS + SC;n = 105) or standard care alone (SC alone;n = 105). After 12 weeks, significant differences between DSNS + SC versus SC alone was observed in FBG [−3 ± 6 vs 14 ± 6 mg/dl;p = 0.03], PPG [−35 ± 9 vs −3 ± 9 mg/dl;p = 0.01], weight [−0.6 ± 0.1 vs 0.2 ± 0.1 kg;p = 0.0001], BMI [−0.3 ± 0.1 vs 0.1 ± 0.1 kg/m2;p = 0.0001] and WC [−0.3 ± 0.2 vs 0.2 ± 0.2 cm;p = 0.01]. HbA1C and low-density lipoprotein (LDL) were significantly reduced in DSNS + SC [−0.2 ± 0.9;p = 0.04 and −5 mg/dl;p = 0.03] respectively with no change in control. Continuous Glucose Monitoring (CGM) reported significant differences between DSNS + SC versus SC alone for mean glucose [−12 ± 65 vs 28 ± 93 mg/dl;p < 0.01], TAR 180 [−9 ± 42 vs 7 ± 45 mg/dl;p = 0.04], TAR 250 [−3 ± 27 vs 9 ± 38 mg/dl;p = 0.05], iAUC [−192 (1.1) vs −48 (1.1) mg/dl;p = 0.03]. MAGE was significantly reduced for both DSNS + SC (−19 ± 67;p < 0.001) and SC alone (−8 ± 70;p = 0.04), with reduction being more pronounced for DSNS + SC. DSNS + SC reported a decrease in carbohydrate energy % [−9.4 (−11.3, −7.6) %;p < 0.0001] and amount [−47.4 (−67.1, −27.7) g;p < 0.0001], increased dietary fiber [9.5 (7.2, 11.8) g;p < 0.0001] and protein energy % [0.9 (0.5, 1.3) %;p < 0.0001] versus SC alone. DSNS + SC reported signi

关键词： Diabetes Specific Nutrition Supplement Standard of Care Diabetes Glycemic Markers HbA1C

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年龄和靶器官损害对24h动态血压预后价值的影响

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中华高血压杂志 2017年第10期25卷 977-977页

作者：黄洁叶鹏 Olesen TB Stidsen JV Blicher MK pareek M Rasmussen S Vishram-Nielsen JKK Olsen MH

靶器官损害标志物和测量24h动态血压可以改善心血管风险分层。随着年龄的增长，靶器官损害和血压升高的发病率增加。该研究目的是评估年龄和靶器官损害对动态血压预测预后价值的影响。

关键词： 24h动态血压靶器官损害预后价值年龄心血管风险血压升高标志物发病率

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