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      A Study to Evaluate Psychological Distress and Self-Esteem Among Patients with Hemodialysis

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          Abstract

          Background: Chronic kidney disease (CKD) is a progressive disease that affects more than 800 million people worldwide, representing more than 10% of the global population. It is more common in older people, women, and racial minorities, as well as in people with diabetes mellitus and high blood pressure. CKD has become one of the top causes of mortality worldwide, and is one of the few non-communicable diseases that have seen an increase in related deaths over the last few decades. The high number of affected people and the serious negative consequences of chronic disease should lead to increased efforts to improve prevention and treatment efforts. Around the world, there are an estimated 1,800-1,600 extra deaths per 10000 patients who are on dialysis.  Aim: The aim of the study is to determine the psychological distress and self-esteem among dialysis patients.  Research Methodology: A quantitative cross-sectional investigate plan was utilized to conduct a research study among 30 dialysis patients. Convenient sampling techniques were utilized to collect data from standardized tool using questionnaire techniques.  Result: Study showed that 36.7% of the samples were doing well, 23.3% had mild psychological distress, 23.3% of the samples had moderate psychological distress and severe distress is seen in 16.7% of the samples. 73.3% of them had normal self-esteem, 20% of the study population had low self-esteem and 6.7% had above average self-esteem. Significant relationship is seen between social and family support with self-esteem (p=0.033).  Conclusion: About half of the samples were having psychological distress which is of mild and moderate, severe psychological distress were seen in 16.7% of the samples, ordinal self-esteem were seen in 73% of the samples, 27% of samples had mild and average self- esteem.

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          Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease

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            Using Convolutional Neural Network to Design and Predict the Forces and Kinematic Performance and External Rotation Moment of the Hip Joint in the Pelvis

            In order to improve the dynamic and kinematic adaptability of the hip joint, this paper presented a control attitude and kinematics and torque of the hip joint with power based neural network control. The CNN neural network uses input data only from the limb designed by the medical software, and is trained by different natural and artificially altered step patterns of healthy individuals. This type of network has been used for deep learning to realize adaptive speed control, dynamic and motion attitude, as well as prediction of force and torque performance. Detailed movement and torque tests were performed using MIMICS and ANATOMY AND PHYSIOLOGY software, and the obtained data were checked and varied by a healthy person, and finally, the test results showed that the neural network control system was able to control the selection. It has a variable and high speed with proper adaptation in various conditions. Finally, MATLAB software was used to design and predict the data of the problem, and favorable results were obtained.
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              Services Integration in Tanzania e-Government Systems

              The interoperability of information systems for public organizations is a significant opportunity for improved delivery of e-government services. However, the lack of e-government services integration is one of the issues preventing services from effectively reaching citizens in many developing nations, especially in this era of information technology advancement. Consequently, this paper aims to provide background information and a framework for comprehending the relevance of Tanzania's integration of e-government services. To understand the current state of the art and the prospects for system integration in government procedures, a thorough government institution Information Systems analysis was done to understand the magnitude of the problem. The survey revealed that the absence of electronic data exchange between public information systems leads to information system silos, which hinder efficiency and synergy in the provision of electronic services. A framework for e-government service integration is proposed utilizing a design science research approach to explain the possibilities of service integration in the public sector. The framework suggests harmonizing public institutions in e-government project plans, communicating e-government systems through a unified network, and establishing the e-government service catalog.
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                Author and article information

                Journal
                International Journal of Innovative Science and Research Technology (IJISRT)
                International Journal of Innovative Science and Research Technology (IJISRT)
                International Journal of Innovative Science and Research Technology
                2456-2165
                April 11 2024
                : 2491-2501
                Article
                10.38124/ijisrt/IJISRT24MAR1998
                47de6afb-5e59-4c21-bc9c-168a2b904e2f
                © 2024
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