Observational assessment and correlates to blood pressure of future physicians of Bengal

Intoduction: Hypertension is a modern day epidemic and growing public health problem. A sizable proportion of world populations suffer from prehypertension or hypertension. Objectives: The present study was carried out to detect the prevalence of undiagnosed hypertension among undergraduate medical students and to identify the associated risk factors.Materials and Methods: The study was observational in nature and was done in medical colleges of Bengal. Study tool was a predesigned, pretested, validated, and semi-structured questionnaire containing both open-ended and closeended questions. Data were collected through self-administration, clinical, and anthropometric examination. The data were then tabulated, analyzed and interpretation was done by using percentage and Chi-square test.Results: Most of the students (63%) were young adults, predominantly males (67%) and day scholars (71%). Almost one-third of them either suffered from hypertension or at risk of hypertension. Hypertension was found higher among male students. Family history of hypertension or diabetes mellitus was not associated with hypertension. Vegetarian or nonvegetarian diet or extra-salt consumption was also not associated with hypertension. Smoking was shown positively associated with hypertension but alcohol consumption was not. Higher per capita monthly income and overweight or obesity were shown positively associated with hypertension.Conclusion: The overall prevalence of hypertension in this study was 13% and there were positive association of hypertension with multiple socio-demographic factors like age, sex, type of family, per capita monthly income, residence, BMI, smoking, etc.Keywords: Associated factors, hypertension, undergraduate medical studentsNigerian Journal of Clinical Practice • Oct-Dec 2013 • Vol 16 • Issue

A Unified Algebraic Approach to Few and Many-Body Correlated Systems

The present article is an extended version of the paper {\it Phys. Rev.} {\bf B 59}, R2490 (1999), where, we have established the equivalence of the Calogero-Sutherland model to decoupled oscillators. Here, we first employ the same approach for finding the eigenstates of a large class of Hamiltonians, dealing with correlated systems. A number of few and many-body interacting models are studied and the relationship between their respective Hilbert spaces, with that of oscillators, is found. This connection is then used to obtain the spectrum generating algebras for these systems and make an algebraic statement about correlated systems. The procedure to generate new solvable interacting models is outlined. We then point out the inadequacies of the present technique and make use of a novel method for solving linear differential equations to diagonalize the Sutherland model and establish a precise connection between this correlated system's wave functions, with those of the free particles on a circle. In the process, we obtain a new expression for the Jack polynomials. In two dimensions, we analyze the Hamiltonian having Laughlin wave function as the ground-state and point out the natural emergence of the underlying linear $W_{1+\infty}$ symmetry in this approach.Comment: 18 pages, Revtex format, To appear in Physical Review

Status of Groundnut Research and Production in South Asia

South Asia, comprising Bangladesh, Bhutan, India, Myanmar, Nepal, Pakistan, and Sri Lanka, accounts for about 43.4% of the world groundnut (Arachis hypogaea) area (8.6 million ha) and 35.7% of production (8.1 million t). The period coinciding with the Southwest monsoon is the main growing season in the region although the crop is grown in more than one season in India, Myanmar, and Sri Lanka. The low average yields of groundnut in the region result from: raising the crop mostly under rainfed conditions on marginal and submarginal lands with low levels of inputs, use of varieties with long maturity periods, susceptibility of the crop to a plethora of insect pests and diseases, and nonavailability of efficient farm machinery and quality seed. All countries in the region made sustained efforts in the development of improved technology, including development of high-yielding varieties, improved agronomic practices, new and efficient strains of Bradyrhizobium, and efficient and economical plant protection schedules for the control of major insect pests and diseases. When tested in the farmers' fields, the technology indicated much unrealized yield poten- tial. The future crop improvement research in the region aims to concentrate on the areas of crop duration. fresh seed dormancy, resistance/tolerance to major biotic stresses, seed quality and production. and design and development of efficient farm implements and machinery. To realizefull impact of research on groundnut production in the region, it is important to ensure adequate support price and market to the crop. The International Crops Research Institute for the Semi-Arid Tropics (ICRISAT) has contributed substantially towards the development of improved cultivars as well as offering training facilities to accomplish better human resource development in the region

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

A search for time-dependent astrophysical neutrino emission with IceCube data from 2012 to 2017

High-energy neutrinos are unique messengers of the high-energy universe, tracing the processes of cosmic-ray acceleration. This paper presents analyses focusing on time-dependent neutrino point-source searches. A scan of the whole sky, making no prior assumption about source candidates, is performed, looking for a space and time clustering of high-energy neutrinos in data collected by the IceCube Neutrino Observatory between 2012 and 2017. No statistically significant evidence for a time-dependent neutrino signal is found with this search during this period since all results are consistent with the background expectation. Within this study period, the blazar 3C 279, showed strong variability, inducing a very prominent gamma-ray flare observed in 2015 June. This event motivated a dedicated study of the blazar, which consists of searching for a time-dependent neutrino signal correlated with the gamma-ray emission. No evidence for a time-dependent signal is found. Hence, an upper limit on the neutrino fluence is derived, allowing us to constrain a hadronic emission model

LeptonInjector and LeptonWeighter: A neutrino event generator and weighter for neutrino observatories

We present a high-energy neutrino event generator, called LeptonInjector, alongside an event weighter, called LeptonWeighter. Both are designed for large-volume Cherenkov neutrino telescopes such as IceCube. The neutrino event generator allows for quick and flexible simulation of neutrino events within and around the detector volume, and implements the leading Standard Model neutrino interaction processes relevant for neutrino observatories: neutrino-nucleon deep-inelastic scattering and neutrino-electron annihilation. In this paper, we discuss the event generation algorithm, the weighting algorithm, and the main functions of the publicly available code, with examples.Comment: 28 pages, 10 figures, 3 table

Detection of astrophysical tau neutrino candidates in IceCube

High-energy tau neutrinos are rarely produced in atmospheric cosmic-ray showers or at cosmic particle accelerators, but are expected to emerge during neutrino propagation over cosmic distances due to flavor mixing. When high energy tau neutrinos interact inside the IceCube detector, two spatially separated energy depositions may be resolved, the first from the charged current interaction and the second from the tau lepton decay. We report a novel analysis of 7.5 years of IceCube data that identifies two candidate tau neutrinos among the 60 “High-Energy Starting Events” (HESE) collected during that period. The HESE sample offers high purity, all-sky sensitivity, and distinct observational signatures for each neutrino flavor, enabling a new measurement of the flavor composition. The measured astrophysical neutrino flavor composition is consistent with expectations, and an astrophysical tau neutrino flux is indicated at 2.8$\sigma$ significance

Measurement of the high-energy all-flavor neutrino-nucleon cross section with IceCube

The flux of high-energy neutrinos passing through the Earth is attenuated due to their interactions with matter. The interaction rate is determined by the neutrino interaction cross section and affects the flux arriving at the IceCube Neutrino Observatory, a cubic-kilometer neutrino detector embedded in the Antarctic ice sheet. We present a measurement of the neutrino cross section between 60 TeV and 10 PeV using the high-energy starting event (HESE) sample from IceCube with 7.5 years of data. The result is binned in neutrino energy and obtained using both Bayesian and frequentist statistics. We find it compatible with predictions from the Standard Model. While the cross section is expected to be flavor independent above 1 TeV, additional constraints on the measurement are included through updated experimental particle identification (PID) classifiers, proxies for the three neutrino flavors. This is the first such measurement to use a ternary PID observable and the first to account for neutrinos from tau decay

Measurement of Astrophysical Tau Neutrinos in IceCube's High-Energy Starting Events

We present the results of a search for astrophysical tau neutrinos in 7.5 years of IceCube's high-energy starting event data. At high energies, two energy depositions stemming from the tau neutrino charged-current interaction and subsequent tau lepton decay may be resolved. We report the first detection of two such events, with probabilities of $\sim 76\%$ and $\sim 98\%$ of being produced by astrophysical tau neutrinos. The resultant astrophysical neutrino flavor measurement is consistent with expectations, disfavoring a no-astrophysical tau neutrino flux scenario with 2.8$\sigma$ significance.Comment: This article is supported by a long-form paper that discusses the high-energy starting event selection titled: "The IceCube high-energy starting event sample: Description and flux characterization with 7.5 years of data.