Smoking behaviour among young doctors of a tertiary care hospital in North India

Background:Tobacco use is one of the biggest public health threats the world has ever faced. There are more than one billion smokers in the world. Almost half of the world's children breathe air polluted by tobacco. Aim of current study was to study the smoking trends among young doctors in a tertiary care institute in north India.Methods:A descriptive observational cross-sectional epidemiological study was conducted among 250 doctors of a tertiary care Hospital in Jammu & Kashmir (Sheri Kashmir Institute of Medical Sciences, SKIMS) during the two months of February-March, 2014. The predesigned tool adopted during data collection was a questionnaire that was developed at the institute with the assistance from the faculty members and other experts.Results:Among 250 participants, (20%) were smokers; among smokers, (76%) were regular smokers and (24%) were occasional smokers. Majority of smokers were in the age group of 21-30 years (80%) & started smoking between 11-20 years (70%). All of them were male (100%). No significant difference was observed among urban and rural students. Among smokers, majority (60%) was in the practice of smoking for last 6 months to 1 year and 26% smoked for <6 months; & (14%) smoked for more than 5 years .It was found more than half of the responding (60%) students used to smoke 5-9 cigarettes per day; 14% is <5 and 26% consumed 10 or more per day .Among smokers, peer pressure was found in 80% cases. (χ2 = 107, P <0.001). Among smokers, almost 20% had other addiction and among non-smokers only 5% had .Effect of parental smoking  was significantly higher in smokers than non-smoker (χ2 = 66.2, P <0.001) .It was seen that peer pressure was the most important risk factor (60%) of initiation of smoking habit followed by parental influence (20%). Majority (78.4%) had no intention to quit in the next 6 months. Lack of Incentive (36.36%) and Addiction (27.27%) were the main reasons for not quitting.Conclusion:We need to create more awareness regarding hazards of smoking in general population especially in medical students, and afterwards provide psychological and pharmacological support for those who intend to quit, as medical students can themselves become a tool to fight this hazard at all levels.

Ruminal lactic acidosis in cow: clinical assessment

ABSTRACT Ruminal lactic acidosis is a condition that arises in ruminants due to the ingestion of excess quantities of easily digestible grains leading to diarrhea, anorexia and physiological derangements which can be fatal in severe cases. A clinical case of cow with history of rice flour ingestion showing signs of acute ruminal lactic acidosis was managed. The pH of ruminal fluid was 5.1. The number of live protozoa in the ruminal fluid was almost nil. Blood analysis confirmed marked alterations due to dehydration. Electrolyte imbalance was evident in biochemical tests. Cow was treated with intraruminal administration of Magnesium hydroxide and Sodium bicarbonate. Full recovery was achieved without any complications

Ruminal lactic acidosis in cow: clinical assessment

ABSTRACT Ruminal lactic acidosis is a condition that arises in ruminants due to the ingestion of excess quantities of easily digestible grains leading to diarrhea, anorexia and physiological derangements which can be fatal in severe cases. A clinical case of cow with history of rice flour ingestion showing signs of acute ruminal lactic acidosis was managed. The pH of ruminal fluid was 5.1. The number of live protozoa in the ruminal fluid was almost nil. Blood analysis confirmed marked alterations due to dehydration. Electrolyte imbalance was evident in biochemical tests. Cow was treated with intraruminal administration of Magnesium hydroxide and Sodium bicarbonate. Full recovery was achieved without any complications

Influenza vaccination in north Indian patients with heart failure

Background: No data exists regarding the uptake of influenza vaccination in patients with heart failure (HF) in India. The present study was designed to assess the uptake, knowledge, attitude and practices of the Indian HF patients towards influenza vaccination. Methods and results: Five-hundred patients with acute/chronic HF were approached for a personal interview and responses to an interview recorded in a pre-defined questionnaire depicting their knowledge, attitudes and practice regarding influenza vaccination. Of the 500 approached, 320 (64%, 174 male, age 3–90 years) consented to participate in the survey. Only 7.5% (n = 24) knew of influenza as an illness with adverse potential consequences for themselves or their family. Seventeen (5.3%) were aware of potentially serious nature of influenza and 40 (12.5%) knew of the availability of a vaccine against it and its local availability. However only 14 (4.4%) had actually received the vaccine 1–2 times in the past 5 years. Only 21 (6.56%) had been prescribed influenza vaccine by their respective physicians. Reasons for declining vaccination included misperceptions about safety and efficacy of the vaccine. Most of the participants, however, had not been prescribed vaccination at all. Conclusions: Poor influenza vaccination rates in HF mandate intense efforts to improve vaccination rates

Digital Transformation and Its Influence on Sustainable Manufacturing and Business Practices

The paper focuses on the relationship between businesses and digital transformation, and how digital transformation has changed manufacturing in several ways. Aspects like Cloud Computing, vertical and horizontal integration, data communication, and the internet have contributed to sustainable manufacturing by decentralizing supply chains. In addition, digital transformation inventions such as predictive analysis and big data analytics have helped optimize sustainable manufacturing by reducing overproduction or underproduction through predicting customer demands. It integrates digital technology to enhance business operations, consumer engagement, supply chains, and coordination, the manufacturing process, energy conservation, efficiency, and environmental conservation and culture to satisfy business needs. Businesses’ failure to embrace digital transformation in this era contributes to their demise. This research paper will analyze and contrast several businesses and the extent of digital transformation’s influence on them during COVID-19. A two-stage study is conducted, the first stage assesses a chosen exemplary business success over three years. The second stage investigates the reasons for success, or otherwise, and the connection to digitalization in the business. Our outcomes suggest that digital transformation strongly influences firms’ effectiveness and survival from a technology-centric and business model standpoint. Some essential generic recommendations are suggested based on the results obtained

Factors Affecting Weight Reduction after Intragastric Balloon Insertion: A Retrospective Study

Background and Objectives: Intragastric balloon (IGB) is a safe option for obesity management. However, studies determining the factors influencing the procedure’s outcomes are scarce. Therefore, our goal was to determine the factors affecting weight reduction after IGB insertion. Materials and Methods: This retrospective study included 126 obese patients who underwent IGB treatment using the ORBERA® Intragastric Balloon System. Patients’ records were retrieved; and demographic data, initial body mass index (BMI), complications, compliance with both diet and exercise programs, and percentage of excess weight reduction were recorded. Results: The study included 108 female (85.7%) and 18 male (14.3%) patients. The mean age was 31.7 ± 8.1 years. The percentage of excess weight loss (EWL) was 55.8 ± 35.7%. The mean weight loss was 13.01 ± 7.51 kg. A significant association was found between EWL and age, initial weight, initial body mass index, and the number of pregnancies. No major complications were observed. However, the balloon had to be removed early in two patients (1.59%) due to its rupture and in two other patients (1.59%) due to severe gastritis. Conclusions: IGB therapy is a safe and effective option for obesity management, associated with low rates of complications. The EWL after IGB insertion is significantly higher among older patients, those with a relatively low initial body mass index, those with a longer duration of IGB insertion, and female patients with less parity. Larger prospective studies are needed to support our results