Audit of buying patterns of drugs from various pharmacies in Northern India

A study was conducted to gather data regarding drug buying practices in Delhi to compare the same in rural pharmacies in surrounding area. A cross sectional study was conducted as exit interviews using pretested Performa with customers visiting randomly selected pharmacies of Delhi and rural Haryana. Out of 280 consumers interviewed 140 belonged to urban areas and 140 to rural areas. In both areas male and younger consumers are significantly high. Most consumers in both set ups took medication after physician’s prescription in comparison to self medication. Source of information for self medication was media in urban and friends in rural areas. Alteration in brand name was more in rural areas. Antimicrobials and NSAIDs in rural areas and drugs for cardiovascular diseases and oral hypoglycemic drugs in urban areas are major purchased drug groups

Tension band wiring in a rare case of isolated acromion fracture: a case report

Fracture of the acromion process is an uncommon injury. The most common mechanism of injury is direct trauma to the acromion. Isolated acromion fractures are rare as usually they are associated with concomitant skeletal and soft tissue injuries of the shoulder. We present a case of a 45-year-old male with a type 3 fracture of acromion process with reduction of subacromial space. Patient was managed surgically and fracture was fixed using tension band wiring. Patient was followed up using UCLA, DASH and VAS scores and showed good radiological and functional outcomes. Minimally displaced fractures should be regularly followed up for displacement and sub-acromial space compromise. Although acromion fractures are usually treated conservatively, albeit a higher non-union rate, they should be treated surgically in the event of displacement or sub-acromial space reduction, in order to achieve good functional recovery.

Secure Authentication for Banking Using Face Recognition

With the increasing demand for online banking lack of security in the system has been felt due to a tremendous increase in fraudulent activities. Facial recognition is one of the numerous ways that banks can increase security and accessibility. This paper proposes to inspect the use of facial recognition for login and for banking purposes. The potency of our system is that it provides strong security, username and password verification, face recognition and pin for a successful transaction. Multilevel Security of this system will reduce problems of cyber-crime and maintain the safety of the internet banking sys-tem. The end result is a strengthened authentication system that will escalate the confi-dence of customers in the banking sector

Neglected fracture shaft femur presenting with pseudoaneurysm: a case report

A pseudoaneurysm is a collection of blood leaking from a damaged arterial wall. Development of the false aneurysm is due to either initial injury of the vessel or is a complication of internal fixation of the femoral fracture. Femoral artery pseudoaneurysms (FAPs) may close spontaneously if the tear is small enough to allow for clotting and sealing. On the other hand, rupture of the aneurysm can trigger thrombosis, distal embolization and compression of adjacent structures. We present a case of left superficial femoral arterial pseudoaneurysm in a 36-year-old male with fracture of left femoral shaft. A 36-year-old male with history of road traffic accident presented to our institute with pain and swelling in left thigh. Patient was investigated and diagnosed with fracture left femoral shaft with a pseudoaneurysm of the left superficial femoral artery (SFA). Stenting was done for SFA followed by open reduction and internal fixation of the femoral shaft fracture. Such cases require multidisciplinary approach and a proper planning with involvement of different medical specialities to achieve optimal results and to minimise any intraoperative and post operative complications

Case Report Three rooted maxillary first premolar-a case report

Abstract: Endodontic literature has described the standard anatomy of maxillary first premolar to have two roots and two canals. At the same time, there are many cases reports documenting numerous aberrations in its root canal morphology. This article showcases a documented case of an extracted three rooted premolar that was recovered during collections of samples for an in vitro study

Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial

SummaryBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatoryactions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19.Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospitalwith COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients wererandomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once perday by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatmentgroups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment andwere twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants andlocal study staff were not masked to the allocated treatment, but all others involved in the trial were masked to theoutcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treatpopulation. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936.Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) wereeligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomlyallocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall,561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days(rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days(rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, nosignificant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilationor death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24).Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or otherprespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restrictedto patients in whom there is a clear antimicrobial indication