Prospective, randomized, double blind, placebo controlled clinical study to different doses of ketamine for prevention of shivering during spinal anaesthesia

Background: Ketamine has better effect than other drugs like pethidine, fentanyl, clonidine, tramadol, midazolam in prevention of shivering during anaesthesia and has a role in thermoregulation by different means. The objective of this study was to evaluate the safety, efficacy of Ketamine injection and to compare the different doses (0.25 mg/kg and 0.5 mg/kg) of inj. Ketamine in prevention of shivering in operative patients under spinal anaesthesia.Methods: The present study was a prospective, randomized, double blinded and clinical study conducted in L.T.M.M.C & L.T.M.G.H, Mumbai, India during January 2012 to September 2013. 120 patients with American Society of Anesthesiologist (ASA) physical status of I or II, between the age of 18 – 65 years of either sex and height 150-170 cms were randomly selected and included in the study as per eligibility.Results: The study suggests that prophylactic administration of injection Ketamine at doses of 0.25 mg/kg and 0.5 mg/kg was producing a significant antishivering effect but an incidence of sedation and hallucination was observed in the Ketamine 0.5 mg/kg receiving group throughout the perioperative period.Conclusions: From this study we can conclude that prophylactic dose of Ketamine 0.25 mg/kg i.v. has lesser side effects comparison to Ketamine 0.5 mg/kg i.v. in prevention of shivering in patients, undergoing surgical procedure under spinal anaesthesia

WSN Based Power Monitoring for Smart Grids

Electrical power system consists of vast and complex network of transmission and distribution power lines. Transmission systems are managed by huge substations and are largely stable and operate within the limits. Distribution systems, on the other hand, are largely complex and are often pushed to the limits of its operation (operating voltages and currents). There is no ecient methodology for monitoring the large electrical distribution systems which are often exposed to faults, disturbances and interruptions. Along with ecient monitoring, an in-depth analysis of the behavior of the distribution systems is needed to design a more robust and ecient power system. The upcoming smart grid technology is a promising one to make the power systems more robust and ecient with the distributed energy sources supplying power to the grid. In this work, an ecient power monitoring system based on the wireless sensor network technology is proposed to enhance the functioning of large distribution systems

Stability prediction of residual soil and rock slope using artificial neural network

A sudden downward movement of the geomaterial, either composed of soil, rock, or a mixture of both, along the mountain slopes due to various natural or anthropogenic factors is known as a landslide. The Himalayan Mountain slopes are either made up of residual soil or rocks. Residual soil is formed from weathering of the bedrock and mainly occurs in gentle-to-moderate slope inclinations. In contrast, steep slopes are mostly devoid of soil cover and are primarily rocky. A stability prediction system that can analyse the slope under both the condition of the soil or rock surface is missing. In this study, artificial neural network technology has been utilised to predict the stability of jointed rock and residual soil slope of the Himalayan region. The database for the artificial neural network was obtained from numerical simulation of several residual soils and rock slope models. Nonlinear equations have been formulated by coding the artificial neural network algorithm. An android application has also been developed to predict the stability of residual soil and rock slope instantly. It was observed that the developed android app provides promising results in predicting the factor of safety and stability state of the slopes. © 2022 Mahesh Paliwal et al. This is an open access article distributed under the Creative Commons Attribution License

Hepaticoduodenostomy as a technique for biliary anastomosis in children with choledochal cyst: An experience with 31 cases

Objective The aim of this study was to investigate the efficacy and complications of hepaticoduodenostomy in the treatment of choledochal cyst in children. Summary background data The conventional treatment of choledochal cyst includes Roux-en-Y hepaticojejunostomy for biliary reconstruction. This procedure, however, disrupts normal bowel continuity and requires two anastomoses. We studied the technique of hepaticoduodenostomy as an effective alternative to this technique.Patients and methods A total of 31 children undergoing  hepatoduodenostomy for choledochal cyst over a period of 9 years were included in this study.Results The patients operated upon had outcomes similar to those treated by the Roux-en-Y technique in other studies.Conclusion Hepaticoduodenostomy is an effective alternative to the conventional Roux-en-Y anastomotic technique in cases of choledochal cyst in children. Keywords: choledochal cyst, hepaticoduodenostomy, pediatri

Spatial mapping of agricultural water productivity using the SWAT model in Upper Bhima catchment, India

The Upper Bhima River Basin is facing both episodic and chronic water shortages due to intensive irrigation development. The main objective of this study was to characterize the hydrologic processes of the Upper Bhima River Basin and assess crop water productivity using the distributed hydrologic model, SWAT. Rainfall within the basin varies from 450 to 5000 mm in a period of 3–4 months. The basin has an average rainfall of 711 mm (32 400 Mm3 (million cubic metres)) in a normal year, of which 12.8% (4150 Mm3) and 21% (6800 Mm3) are captured by the reservoirs and groundwater reserves, respectively, 7% (2260 Mm3) exported as runoff out of the basin and the rest (63%) used in evapotranspiration. Agricultural water productivity for sugarcane, sorghum and millet were estimated as 2.90, 0.51 and 0.30 kg m−3, respectively, which were significantly lower than the potential and global maximum in the basin and warrant further improvement. Various scenarios involving different cropping patterns were tested with the goal of increasing economic water productivity values in the Ujjani Irrigation Scheme. Analysis suggests that maximization of the area by provision of supplemental irrigation to rainfed areas as well as better on-farm water management practices can provide opportunities for improving water productivity. Copyright © 2011 John Wiley & Sons, Lt

An analysis of patterns of distribution of buprenorphine in the United States using ARCOS, Medicaid, and Medicare databases

Opioid overdose remains a problem in the United States despite pharmacotherapies, such as buprenorphine, in the treatment of opioid use disorder. This study characterized changes in buprenorphine use. Using the Drug Enforcement Administration\u27s ARCOS, Medicaid, and Medicare claims databases, patterns in buprenorphine usage in the United States from 2018 to 2020 were analyzed by examining percentage changes in total grams distributed and changes in grams per 100 K people in year-to-year usage based on ZIP code and state levels. For ARCOS from 2018 to 2019 and 2019 to 2020, total buprenorphine distribution in grams increased by 16.2% and 12.6%, respectively. South Dakota showed the largest statewide percentage increase in both 2018–2019 (66.1%) and 2019–2020 (36.7%). From 2018 to 2019, the ZIP codes ND-577 (156.4%) and VA-222 (−82.1%) had the largest and smallest percentage changes, respectively. From 2019 to 2020, CA-932 (250.2%) and IL-603 (−36.8%) were the largest and smallest, respectively. In both 2018–2019 and 2019–2020, PA-191 had the second highest increase in grams per 100K while OH-452 was the only ZIP code to remain in the top three largest decreases in grams per 100K in both periods. Among Medicaid patients in 2018, there was a nearly 2000-fold difference in prescriptions per 100k Medicaid enrollees between Kentucky (12 075) and Nebraska (6). Among Medicare enrollees in 2018, family medicine physicians and other primary care providers were the top buprenorphine prescribers. This study not only identified overall increases in buprenorphine availability but also pronounced state-level differences. Such geographic analysis can be used to discern which public policies and regional factors impact buprenorphine access

Report on the BTAS 2016 Video Person Recognition Evaluation

© 2016 IEEE. This report presents results from the Video Person Recognition Evaluation held in conjunction with the 8th IEEE International Conference on Biometrics: Theory, Applications, and Systems (BTAS). Two experiments required algorithms to recognize people in videos from the Point-and-Shoot Face Recognition Challenge Problem (PaSC). The first consisted of videos from a tripod mounted high quality video camera. The second contained videos acquired from 5 different handheld video cameras. There were 1,401 videos in each experiment of 265 subjects. The subjects, the scenes, and the actions carried out by the people are the same in both experiments. An additional experiment required algorithms to recognize people in videos from the Video Database of Moving Faces and People (VDMFP). There were 958 videos in this experiment of 297 subjects. Four groups from around the world participated in the evaluation. The top verification rate for PaSC from this evaluation is 0.98 at a false accept rate of 0.01 - a remarkable advancement in performance from the competition held at FG 2015

The soft power of popular cinema: the case of India

Among BRICS nations, India has the most developed and globalised film industry, and the Indian government as well as corporations are increasingly deploying the power of Bollywood in their international interactions. India’s soft power, arising from its cultural and civilizational influence outside its territorial boundaries, has a long history. Focusing on contemporary India’s thriving Hindi film industry, this article suggests that the globalisation of the country’s popular cinema, aided by a large diaspora, has created possibilities of promoting India’s public diplomacy. It examines the global imprint of this cinema as an instrument of soft power

Socioeconomic Inequalities in Childhood Undernutrition in India: Analyzing Trends between 1992 and 2005

India experienced a rapid economic boom between 1991 and 2007. However, this economic growth has not translated into improved nutritional status among young Indian children. Additionally, no study has assessed the trends in social disparities in childhood undernutrition in the Indian context. We examined the trends in social disparities in underweight and stunting among Indian children aged less than three years using nationally representative data.We analyzed data from the three cross-sectional rounds of National Family Health Survey of India from 1992, 1998 and 2005. The social factors of interest were: household wealth, maternal education, caste, and urban residence. Using multilevel modeling to account for the nested structure and clustering of data, we fit multivariable logistic regression models to quantify the association between the social factors and the binary outcome variables. The final models additionally included age, gender, birth order of child, religion, and age of mother. We analyzed the trend by testing for interaction of the social factor and survey year in a dataset pooled from all three surveys.While the overall prevalence rates of undernutrition among Indian children less than three decreased over the 1992-2005 period, social disparities in undernutrition over these 14 years either widened or stayed the same. The absolute rates of undernutrition decreased for everyone regardless of their social status. The disparities by household wealth were greater than the disparities by maternal education. There were no disparities in undernutrition by caste, gender or rural residence.There was a steady decrease in the rates of stunting in the 1992-2005 period, while the decline in underweight was greater between 1992 and 1998 than between 1998 and 2005. Social disparities in childhood undernutrition in India either widened or stayed the same during a time of major economic growth. While the advantages of economic growth might be reaching everyone, children from better-off households, with better educated mothers appear to have benefited to a greater extent than less privileged children. The high rates of undernutrition (even among the socially advantaged groups) and the persistent social disparities need to be addressed in an urgent and comprehensive manner

Transposing tirtha: Understanding religious reforms and locative piety in early modern Hinduism

The paper deals with a historical and hitherto obscure case of de-commercialisation of sacred geography of India. Sahajanand Swami, an eighteenth century religious leader from Gujarat who became popular as Bhagwan Swaminarayan took an initiative to eliminate corruption in Dwarka, one of the most sacred destination in Hindu imagination. He also attempted to transpose the piety of Dwarka and recreate a parallel religious experience at Vadtal, an important site in Swaminarayan Hinduism. This process of making sacred sites more egalitarian is classified here as a 'religious reform'. The paper assesses this bivalent pursuit as an institutional reform within religion as well as a religious process in the context of piety, authority and orthodoxy. Through the example of Sahajanand Swami, it is argued to calibrate the colonial paradigm of reform that was largely contextual to social issues and western thought and failed to appreciate the religious reforms of that era. By constructing a nuanced typology of 'religious reform' distinct from 'social reforms', the paper eventually calls for a reassessment of religious figures who have significantly contributed in reforming the Hindu tradition in the medieval and modern era