42 research outputs found

    PRESURGICAL NASOALVEOLAR MOLDING ASSISTED PRIMARY RECONSTRUCTION IN 5-DAY OLD INFANT WITH UNILATERAL CLEFT LIP, ALVEOLUS AND PALATE USING PSIO-J HOOK APPLIANCE A CASE REPORT.

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    Introduction: Management of cleft patients is quite challenging and controversial. Advances in reconstructive surgery have significantly improved the quality of repair for cleft of the lip, alveolus and palate. This case report describes a new approach of presurgical nasoalveolar molding (PNAM) therapy in a 5 day old infant using PSIO-J hook appliance. Methods: Lip taping was started on the initial visit using 3M Steri- Strip. Initial impressions were made to fabricate the PSIO appliance. On second visit appliance was delivered to approximate the cleft alveolus. Once the cleft gap has been reduced to approximately 5 mm a J- hook modification was given to avoid bulkiness and thereby enhancing retention. Conventional nasal stent exerts a reciprocal intraoral molding force against the alveolar segments hence this drawback was eliminated by using J-hook modification appliance. Following surgical repair of lip, the lip was taped for several weeks and the use of PSIO-J hook appliance was discontinued. Results: There was significant improvement in nasal tip projection, columella size on cleft side and position of lower lateral cartilages as well as approximation of the lip segments. Additionally the alveolar defect reduced from 14mm to 3mm from pre NAM to post NAM. Conclusion: The pre-surgical nasoalveolar molding assisted primary reconstruction using PSIO-J hook appliance results is an overall improvement in the esthetics of the nasolabial complex in cleft conditions while minimizing the extent of surgery and the overall number of surgical procedures

    THIRTY FIVE YEARS OF OPERATIONAL RESEARCH PROJECT FOR DRYLAND AGRICULTURE : ACHIEVEMENTS AND IMPACTS (1976 to 2012)

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    Not AvailableAgriculture is the backbone of Indian economy and rainfed agro-ecosystem occupies an important place in Indian agriculture, covering 68 per cent of the cultivated area (96 m.ha) supporting 40 per cent human, 60 per cent livestock population and producing 44 per cent of the food requirements thus playing a pivotal role in Indiaā€™s food security. Five out of ten Agro-Climatic Zones in Karnataka were classified as dry zones covering 63 per cent of the total geographical area and 71 per cent of the net sown area, with substantial contribution to agricultural production from dry lands. About 57 per cent of food grain production in Karnataka comes from rainfed areas while, 97 per cent of total pulses and 80 per cent oilseeds were produced in dry land areas. Research on dryland agriculture in the red soil regions of Karnataka was started in 1970 with the establishment of All India Coordinated Research Project for Dryland Agriculture (AICRPDA) at Gandhi Krishi Vignana Kendra (GKVK), Bangalore,Not Availabl

    Parameter induction in continuous univariate distributions: Well-established G families

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    A Routing Protocol and Energy Efficient Techniques in Bluetooth Scatternets

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    In this paper, we propose a protocol for routing in Bluetooth scatternets. The protocol uses the available battery power in the Bluetooth (BT) devices as a cost metric in choosing the routes. We evaluate the throughput performance as a function of packet arrival rate and number of piconets. A throughput of about 120 Kbps/piconet is shown to be achieved in a 5piconet scatternet. We propose two techniques, namely a) battery power level based master-slave switch and b) distance based power control, to increase the network lifetime in scatternets. The master-slave switch technique is motivated by the fact that a piconet master has to handle the packet transmissions to/from all its slaves, and hence may drain its battery soon. We propose a role switching idea where each BT device in a piconet may have to play the master role depending on its available battery power. In the second technique, we propose that the BT devices choose their transmit powers based on their distances from their respective masters. Our performance results show that a considerable gain in network lifetime can be achieved using these two power saving techniques

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    Report of the Ravi and Beas Waters Tribunal

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