Efficiency of blood utilization and characteristics of patients receiving blood transfusion at an associated hospital in North India

Background: Blood is the liquid connective tissue composed of cells and plasma. It is the most precious and unique gift that one person gives to another. Blood banks are not the manufacturing factories. It can only be available on replacement basis. Periodic review of blood components usage is essential to assess the blood utilization pattern in hospitals. This study was conducted to analyse the efficiency of blood utilization and to minimize the inappropriate use of blood.Methods: A retrospective cross-sectional study was conducted in the department of blood transfusion and immunohematology, government medical college and associated hospital, Rajouri for a period of one year with effect from November 2019 to November 2020. Data was collected using blood bank record. Blood utilization was calculated using crossmatch to transfusion ratio (C/T), transfusion probability (T%) and transfusion index (TI) indices.Results: A total of 974 patients were requested to prepare 1270 crossmatched units. Of these 1141 blood units were transfused for 664 patients. The total donations during that period were 1197. 998 donors were replacement donors and 199 were voluntary non-remunerated blood donors donated at various blood donation camps. The overall values of C/T, T% and TI were 1.1:1, 68.1% and 1.1 respectively.Conclusions: Blood utilization indices show efficient usage of blood. However, a blood ordering policy (MSBOS) must be developed to guide the clinicians regarding blood usage which can decrease overordering of blood thereby reducing unnecessary usage of reagents, manpower and also wastage of blood due to outdating.

Incidence and risk factors of intra uterine fetal death: a retrospective study at a tertiary care centre in Kashmir, India

Background: Intrauterine fetal death (IUFD) is the tragic event contributing to high perinatal mortality in developing countries. So many risk factors have been seen associated with IUFD that can be prevented with better antenatal care and timely detection at the earliest so that the prevalence can be decreased. This study was done to identify the risk factors associated with IUFD.Methods: This is a retrospective study from done from March 2017 to March 2018 at skims maternity hospital. IUFD was defined as fetal death beyond 20 weeks of gestation. Records were analyzed and data was compiled.Results: In our study there were total of 2500 deliveries out of which 70 were IUFD. Incidence was 28 per 1000 live births. It was found more common in the age group of 20-29 year (65.71%)  %). Preeclampsia was the risk factor in 17.14% of cases , followed by abruption in 11.42% followed by placenta previa in 7.14% of cases. However, 20% of the cases had unidentified risk factor.Conclusions: Present study was an effort to compile common risk factors associated with IUFD at tertiary centre of Kashmir

Advances in Formulation and Manufacturing Strategies for the Delivery of Therapeutic Proteins and Peptides in Orally Disintegrating Dosage Forms

Therapeutic proteins and peptides (TPPs) are increasingly favoured above small drug molecules due to their high specificity to the site of action and reduced adverse effects resulting in increased use of these agents for medical treatments and therapies. Consequently, there is a need to formulate TPPs in dosage forms that are accessible and suitable for a wide range of patient groups as the use of TPPs becomes increasingly prevalent in healthcare settings worldwide. Orally disintegrating dosage forms (ODDF) are formulations that can ensure easy-to-administer medication to a wider patient population including paediatrics, geriatrics and people in low-resource countries. There are many challenges involved in developing suitable pharmaceutical strategies to protect TPPs during formulation and manufacturing, as well as storage, and maintenance of a cold-chain during transportation. This review will discuss advances being made in the research and development of pharmaceutical and manufacturing strategies used to incorporate various TPPs into ODDF systems

Structural Modifications of KrF Excimer Laser-Ablated Zirconium Correlated to the Surface and Mechanical Properties

The structural modifications of KrF excimer laser-ablated zirconium (Zr) have been investigated in correlation with its surface and mechanical properties after ablation in deionized water and ethanol. KrF excimer laser of pulse duration of 20 ns, wavelength of 248 nm, and repetition rate of 20 Hz has been utilized for this purpose. Irradiation of Zr was carried out for varying number of laser pulses ranging from 500 to 2000 for laser fluence value of 3.6 J/cm2. The structural and chemical analyses were performed by using X-ray diffraction (XRD), Raman spectroscopy, and energy dispersive X-ray spectroscopy (EDS) techniques. Scanning electron microscope (SEM) and Vickers hardness tester were utilized for the analysis of surface morphology and hardness of laser-irradiated Zr targets. Presence of surrounding liquids played substantial role in structural, chemical, and mechanical modifications of Zr targets after irradiation. Pressure gradients and convective bubble motion owing to the confinement effects of the surrounding liquids, several thermal and chemical phenomena produced by heating through laser at the solid-liquid interface results in the generation of various hydrides and oxides of Zr, which are responsible for the development of various surface features and increase in hardness of irradiated Zr

Determinants of organizational citizenship behavior: A case study of higher education institutes in Pakistan

This study empirically examines the relationship between altruism, conscientiousness, and civic virtue, three of the antecedents of organizational citizenship behavior, in higher education institutes in the Khyber Pakhtonkhuwa Province (KPK) of Pakistan. The study is based on primary data collected from ninety-five employees of various institutes in Pakistan. The data is analyzed using the techniques of rank correlation coefficient and multiple regression analysis. All the findings are tested at 0.01 and 0.05 levels of significance. The result concludes that altruism, conscientiousness, and civic virtue have strong positive impacts on the organizational citizenship behavior in the context of higher education institutes in Pakistan

A Systematic Review of Open Access Institutional Repositories (OAIRs)

The article tries to explore the existing literature on Open Access Institutional Repositories (OAIRs) so that the existing developments can be identified and research gaps can be investigated. This structured review was carried out with the aid of three indexing databases, Web of Science, Scopus, and Google Scholar. Different search terms showcasing multiple dimensions of OAIRs were executed across the three databases. After eliminating the duplicate records, the papers were scanned for final review. The paper tries to highlight the status, content management policies, and Web 2.0 use/ Interactive features of the OAIRs. How the OAIRs are used by academia is also a highlight of the paper. The paper also focuses on the studies that showcase the awareness of the users using the OAIRs. Furthermore, the studies featuring the problems, and challenges have also been incorporated. Studies that focus on the factors and motivators in the use of OA IRs also form a part of the paper

An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia: A proof-of-concept study

Intensive tilapia farming has contributed significantly to food security as well as to the emergence of novel pathogens. This includes Streptococcus agalactiae or Group B Streptococcus (GBS) sequence type (ST) 283, which caused the first known outbreak of foodborne GBS illness in humans. An oral, easy-to-administer fish vaccine is needed to reduce losses in fish production and the risk of zoonotic transmission associated with GBS. We conducted a proof-of-concept study to develop an oral vaccine formulation that would only release its vaccine cargo at the site of action, i.e., in the fish gastrointestinal tract, and to evaluate whether it provided protection from experimental challenge with GBS. Formalin-inactivated S. agalactiae ST283, was entrapped within microparticles of Eudragit® E100 polymer using a double-emulsification solvent evaporation method. Exposure to an acidic medium simulating the environment in tilapia stomach showed that the size of the vaccine-loaded microparticles decreased rapidly, reflecting microparticle erosion and release of the vaccine cargo. In vivo studies in tilapia showed that oral administration of vaccine-loaded microparticles to fish provided significant protection from subsequent homologous pathogen challenge with GBS ST283 by immersion compared to the control groups which received blank microparticles or buffer, reducing mortality from 70% to 20%. The high efficacy shows the promise of the vaccine platform developed herein, which might be adapted for other bacterial pathogens and other fish species

Oštećenja u aluminiju proizvedena zračenjem iz CO2 i Nd:YAG lasera

The change in the electrical properties of pure aluminium (Al 99.999%) after exposure to CO2 (energy = 2.5 J/pulse, wavelength = 10.6 µm, pulse duration = 200 nsec) and Nd:YAG (energy = 10 mJ/pulse, wavelength = 1.06 µm and pulse duration = 12 nsec) laser radiation is investigated. The samples were exposed to laser radiations for different numbers of pulses. The change in electrical characteristics of Al is studied under different ambient conditions, after irradiating the samples in air, vacuum and hydrogen at different pressures. After exposure, the electrical conductivity of Al is measured by the four probe method. The electrical conductivity decreases with increasing number of pulses. The damage in air and in hydrogen is more pronounced than in vacuum which can be attributed to collisionnal sputtering of Al by plasma ions of air molecules and hydrogen, respectively. The change in the conductivity in hydrogen is pressure-dependent. Some theoretical considerations are also made, e.g. the phonon speed in Al during the photon interaction, minimal melting and evaporation energy per volume, damage threshold energy, penetration depth, the mass of heated volume and average temperature rise at the Al surface during laser irradiation.Proučavamo promjene električnih svojstava čistog aluminija (Al 99.999%) nakon obasjavanja CO2 (energija = 2.5 J/puls, valna duljina = 10.6 µm, trajanje pulsa = 200 nsec) i Nd:YAG (energija = 10 mJ/puls, valna duljina = 1.06 µm, trajanje pulsa = 12 nsec) laserima. Uzorci su izloženi različitim brojevima pulseva. Proučavali smo promjene električne vodljivosti Al s uzorcima u zraku, vakuumu i u vodiku. Nakon obasjavanja mjerili smo električnu vodljivost metodom četiriju spojišta. Električna se vodljivost smanjuje nakon povećanog broja pulseva. Oštećenja u zraku i vodiku veća su nego u vakuumu, što se pripisuje sudarnom rasprašivanju Al ionima molekula zraka odnosno vodika u plazmi. Promjena vodljivosti uzoraka obasjanih u vodiku ovisna je o tlaku. Razmotrili smo neke teorijske rezultate, npr. fononsku brzinu u Al tijekom obasjavanja, minimalnu energiju taljenja i isparavanja po jedinici volumena, energijski prag oštećenja, dubinu prodiranja, masu zagrijanog volumena i prosječno povećanje temperature površine Al tijekom obasjavanja

Oštećenja u aluminiju proizvedena zračenjem iz CO2 i Nd:YAG lasera

The change in the electrical properties of pure aluminium (Al 99.999%) after exposure to CO2 (energy = 2.5 J/pulse, wavelength = 10.6 µm, pulse duration = 200 nsec) and Nd:YAG (energy = 10 mJ/pulse, wavelength = 1.06 µm and pulse duration = 12 nsec) laser radiation is investigated. The samples were exposed to laser radiations for different numbers of pulses. The change in electrical characteristics of Al is studied under different ambient conditions, after irradiating the samples in air, vacuum and hydrogen at different pressures. After exposure, the electrical conductivity of Al is measured by the four probe method. The electrical conductivity decreases with increasing number of pulses. The damage in air and in hydrogen is more pronounced than in vacuum which can be attributed to collisionnal sputtering of Al by plasma ions of air molecules and hydrogen, respectively. The change in the conductivity in hydrogen is pressure-dependent. Some theoretical considerations are also made, e.g. the phonon speed in Al during the photon interaction, minimal melting and evaporation energy per volume, damage threshold energy, penetration depth, the mass of heated volume and average temperature rise at the Al surface during laser irradiation.Proučavamo promjene električnih svojstava čistog aluminija (Al 99.999%) nakon obasjavanja CO2 (energija = 2.5 J/puls, valna duljina = 10.6 µm, trajanje pulsa = 200 nsec) i Nd:YAG (energija = 10 mJ/puls, valna duljina = 1.06 µm, trajanje pulsa = 12 nsec) laserima. Uzorci su izloženi različitim brojevima pulseva. Proučavali smo promjene električne vodljivosti Al s uzorcima u zraku, vakuumu i u vodiku. Nakon obasjavanja mjerili smo električnu vodljivost metodom četiriju spojišta. Električna se vodljivost smanjuje nakon povećanog broja pulseva. Oštećenja u zraku i vodiku veća su nego u vakuumu, što se pripisuje sudarnom rasprašivanju Al ionima molekula zraka odnosno vodika u plazmi. Promjena vodljivosti uzoraka obasjanih u vodiku ovisna je o tlaku. Razmotrili smo neke teorijske rezultate, npr. fononsku brzinu u Al tijekom obasjavanja, minimalnu energiju taljenja i isparavanja po jedinici volumena, energijski prag oštećenja, dubinu prodiranja, masu zagrijanog volumena i prosječno povećanje temperature površine Al tijekom obasjavanja