Dengue and HEV co-infection in a case of hepatitis

A 35 years old male presented in the casualty of D.Y. Patil hospital with chief complaints of fever with chills since 10 days. Due to high endemicity of malaria in the Navi Mumbai region an initial diagnosis of malaria was made. Patient was admitted and started on anti-malarials. Initial reports were positive for dengue NS1 antigen. As the patient had severe jaundice a possibility of another co-infection was considered. On further investigation hepatitis E (HEV) Ig M was positive. This case illustrates the importance of considering co-infections in endemic areas that can pose diagnostic dilemmas

Scleroderma: a case report

Scleroderma is systemic multi organ autoimmune disorder characterized by hardening of skin. Also known as systemic sclerosis. Estimated annual incidences of approximately 19 cases per million persons. The limited skin disease has a 10-year survival rate of 71%, whereas those with diffuse skin disease have a 10-year survival rate of just 21%. Risk is higher in women than men and peak in individuals aged 30-50 years. It has no definitive treatment. It may be limited or diffuse depending upon manifestations of symptoms or signs affecting internal organs especially lungs, heart, or kidney. We report a case of scleroderma with pulmonary hypertension and interstitial lung disease in our hospital who presented with tightening of skin, joint pain, dysphagia, and breathlessness. On examination skin appeared dark, shiny, and tight, with loss of hair, paraesthesia and digital ulceration. Patient also has history of Raynaud's phenomenon. On investigation, Scl-70 and ANA (antinuclear antibodies) by enzyme immunoassay came positive. HRCT thorax was suggestive of interstitial fibrosis and PFT revealed moderate restriction. On 2D echocardiography, mild pulmonary hypertension was present while barium swallow showed motility disorder involving oesophagus. On view of extensive systemic involvement like skin, respiratory system, gastrointestinal system and heart, we would like to present this rare disorder

Animal welfare attitudes: Effects of gender and diet in university samples from 22 countries

Animal Welfare Attitudes (AWA) are defined as human attitudes towards the welfare of animals in different dimensions and settings. Demographic factors, such as age and gender are associated with AWA. The aim of this study was to assess gender differences among university students in a large convenience sample from twenty-two nations in AWA. A total of 7914 people participated in the study (5155 women, 2711 men, 48 diverse). Participants completed a questionnaire that collected demographic data, typical diet and responses to the Composite Respect for Animals Scale Short version (CRAS-S). In addition, we used a measure of gender empowerment from the Human Development Report. The largest variance in AWA was explained by diet, followed by country and gender. In terms of diet, 6385 participants reported to be omnivores, 296 as pescatarian, 637 ate a vegetarian diet and 434 were vegans (n = 162 without answer). Diet was related with CRAS-S scores; people with a vegan diet scored higher in AWA than omnivores. Women scored significantly higher on AWA than men. Furthermore, gender differences in AWA increased as gender inequality decreased

Concept in India Copyright and Design Law: Fashion

Copyright law in India protects Fashion designs that are considered unique artistic works. 2 Since 'arts works' is defined so broadly, this is obvious. 3 In 2006, the Delhi High Court made a distinction between "purely artistic works" and "artistic works meant to be applied to goods" in terms of the definition of the word. 4 Although it is not stated explicitly, it is reasonable to assume that the Designs Act, 2000 would apply to Fashion designs as well. The Copyright Act and the Designs Act both provide legal protection for Fashion designs. However, the fundamental premise of the Designs Act must be examined in relation to the underlying logic of industrial production. Indian law protects the works of Fashion designers to a certain extent, and this study aims to shed light on the matter

Concept in India copyright and design law: Fashion

Copyright law in India protects fashion designs that are considered unique artistic works. 2 Since 'arts works' is defined so broadly, this is obvious. 3 In 2006, the Delhi High Court made a distinction between "purely artistic works" and "artistic works meant to be applied to goods" in terms of the definition of the word. 4 Although it is not stated explicitly, it is reasonable to assume that the Designs Act, 2000 would apply to fashion designs as well. The Copyright Act and the Designs Act both provide legal protection for fashion designs. However, the fundamental premise of the Designs Act must be examined in relation to the underlying logic of industrial production. Indian law protects the works of fashion designers to a certain extent, and this study aims to shed light on the matter

Powеr Quality Improvеmеnt in Powеr Systеm by Using Static Synchronous Sеriеs Compеnsator

This papеr prеsеnts thе pеrformancе of SSSC for powеr quality improvеmеnt. As nonlinеar loads causеs thе harmonics in thе systеm and thеrеforе thе powеr quality gеts rеducе bеcausе of thеsе non linеar load. Hеncе powеr quality is study with casе I. Non linеar load without SSSC & casе II. Non linеar load with SSSC in IЕЕЕ 9 bus systеm. Thе diodе bridgе rеctifiеr is usеd hеrе as non linеar load. Sеriеs FACTS dеvicеs arе most powеrful controllеrs usеd for powеr flow, powеr quality, powеr oscillation damping and improving transiеnt stability of thе powеr systеm. Powеr quality study is carriеd out with Fast Fouriеr Transform analysis and Total Harmonic Distortions arе obtainеd which shows thе harmonics prеsеnt in thе systеm.Rеsults arе validatеd by using MATLAB

Dengue and HEV co-infection in a case of hepatitis

A 35 years old male presented in the casualty of D.Y. Patil hospital with chief complaints of fever with chills since 10 days. Due to high endemicity of malaria in the Navi Mumbai region an initial diagnosis of malaria was made. Patient was admitted and started on anti-malarials. Initial reports were positive for dengue NS1 antigen. As the patient had severe jaundice a possibility of another co-infection was considered. On further investigation hepatitis E (HEV) Ig M was positive. This case illustrates the importance of considering co-infections in endemic areas that can pose diagnostic dilemmas

Assessment of Adenosine Deaminase Levels and Lypmhocyte Counts in Tubercular Ascitis

Ascitis is the pathological accumulation of free fluid within the peritoneal cavity. Ascitis is manifestation of number of diseases. Traditional classification of ascitis into “Exudative” and “Transudative” which involves estimation of ascitic fluid total protein, which is ≥ 2.5 g/dl in exudates and <2.5 g/dl in transudate. To estimate and compare the ascitic fluid ADA levels between the tubercular ascitis and non-tubercular ascitis and to correlate the levels of ascitic fluid ADA with total protein, albumin, sugar, SAAG and lymphocytes in subjects with tubercular ascites. In our study, we included a total of 140 subjects, out of which 21 (15%) subjects had tubercular ascitis. Out of 140 subjects 105 of them had cirrhosis of liver and 35 of them had ascitis due to other causes. Biochemical analysis for Protein, albumin, LDH and Glucose were performed on Automated Biochemistry Analyser and ADA was estimated by ADA-MTB kit method. The mean levels of total protein and albumin in Group T were 5.4±0.98 and 3.4±0.96 and in Group NT were 2.2±1.1 and 3.2±1.1 respectively. There were statistically significant elevated levels of total protein and decreased albumin in Group T as compared to Group NT.&nbsp