Role of demographics as moderator in mobile banking adoption

The purpose of this paper is to analyze whether demographic characteristics influence user attitude towards mobile banking. Although earlier studies on technology adoption have received considerable empirical validation, most of the studies did not consider moderating variables. Among those which consider moderating variables, primarily explored are gender, age and income. By including other moderator variables in the model, we hope to lessen the inconsistencies found in past research studies. Two methods, viz. multiple linear regression and Fisher Z transformation have been used to test the moderating effects. The sample comprise of users of online banking in India. Results show that gender, age, qualification, experience, occupation, income and marital status were significant moderating variables. However, educational background did not show any moderating effect. Our results suggest that by extending the Technology Acceptance Model (TAM), Unified Theory of Acceptance and Use of Technology (UTAUT) and Diffusion of Innovations (DoI) theory, the research provide insights into the moderating effect of demographics

Mortality and morbidity profile of preterm very low birth weight infants: A prospective longitudinal observational study

Objective: To study the survival to discharge and immediate outcome of preterm very low birth weight (VLBW) infants. Materials and Methods: Design: Prospective observational longitudinal study. Setting: Level II neonatal intensive care unit in a tertiary care center. Subjects: All live born inborn babies with birth weight 401-1499 g or gestational age between 22 weeks 0 day and 31 weeks 9 days. Outcome: Key outcome was survival to discharge for preterm VLBW infants. Incidence of major morbidities was assessed. Results: Of 183 neonates enrolled in the study, 73.2% babies were alive at initial disposition. Respiratory distress syndrome was the most common morbidity, and infection was the most common cause of death. Lower gestational age and low APGAR score at 1 min were the most significant predictors of poor outcome. Conclusion: This study provides a baseline database for evaluating the efficiency of perinatal services in a tertiary care center. Further large-scale trials are needed to substantiate our findings and to study neurodevelopmental outcome of VLBW infants

Oral nifedipine versus nitroglycerine patch for tocolysis in preterm labour

Background: Preterm delivery is a major cause of neonatal mortality and morbidity. Various modalities have been used to prediction of patient at risk of preterm labor. But due to multi-factorial etiology these predictors are not always useful. Tocolysis has a major role in arresting preterm labor. The purpose of this study was to compare the safety and efficacy of oral nifedipine with transdermal nitroglycerine in the inhibition of preterm labour.Methods: This single blinded randomized control trial was conducted in the labour room of department of Obstetrics and Gynecology from January 2011 to June 2012. One hundred women with singleton pregnancy between 28 weeks to 34 weeks preterm labour and no contraindication for tocolysis were enrolled in the study. After taking the informed consent subjects were randomized into two groups. Randomization was done by random number table. Fifty-one subjects in nifedipine group received oral nifedipine (Tab Depin 10mg). Forty-nine subjects receiving transdermal nitroglycerine patch (Nitroderm Patch 10) were included in NTG group. The variables analysed were delay in delivery for 48 hours, 7 days or more than 7 days, period of gestation at delivery and side effect profile of drugs.Results: The percentage of women delivering after 48hours of administration of nifedipine group (52.9%) and nitroglycerine group (53.1%). Failure of tocolysis, defined as delivery within 48 hours, with nitroglycerine group (32.7 %) was comparable to nifedipine (33.3 %). Headache was significantly higher in nitroglycerine group as compared to nifedipine group (p≤0.001). Maternal tachycardia was more common in nifedipine group compared to NTG group (p=0.001).Conclusions: Oral nifedipine and transdermal nitroglycerine have similar efficacy as tocolytic agent in patients with preterm labour.

Neonatal dengue with enterococcus sepsis

Dengue infection is possible in all the three trimesters of pregnancy and is associated with various maternal and neonatal complications. The occurrence of subclinical infections may lend further confusion to the situation. Here, we report a case of neonatal dengue diagnosed with dengue NS1 antigen positive and IgM positive followed by secondary sepsis with Enterococcus faecium. Case studies like these may contribute to increased awareness of the suspicion of the associated life-threatening infections that can occur with neonatal dengue, their manifestations, and the management, thus improving their outcome

Drowsy Driver Detection System

Driver weariness is one of the key causes of road mishaps in the world. Detecting the drowsiness of the driver can be one of the surest ways of quantifying driver fatigue. In this project we aim to develop an archetype drowsiness detection system. This mechanism works by monitoring the eyes of the driver and sounding an alarm when he/she feels heavy eyed. The system so constructed is a non-intrusive real-time observing system. The primacy is on improving the safety of the driver. In this mechanism the eye blink of the driver is detected. If the driver’s eyes remain closed for more than a certain span of time, the driver is believed to be tired and an alarm is sounded. The programming for this is carried out in OpenCV using the Haar cascade library for the detection of facial features

Limb splinting for intravenous cannulae in neonates: A randomised controlled trial

Objective: To evaluate the efficacy of peripheral intravenous (IV) cannula site joint immobilisation by splint application on functional duration of peripheral IV cannula in neonates. Design: Randomised controlled trial. Setting: Neonatal intensive care unit of a tertiary care hospital. Participants: Neonates requiring continuous IV infusion for an expected duration of more than or equal to 72 hours. Intervention: Eligible cannulations were randomised to either “splint” or “no-splint” group. In the splint group, a cardboard splint was used to immobilise the joint at peripheral IV cannula site. No attempt was made to immobilise the limb in the no-splint group. Outcome measure: Functional duration of a peripheral IV cannula measured as interval from time of insertion to the development of predefined sign of removal (extravasation, blockage, inflammation). Results: A total of 69 peripheral IV cannulations in 54 neonates were randomised to either the splint (n = 33) or no-splint group (n = 36). Both groups were comparable in birth weight, gestation, site of cannulation and nature of fluids administered. Mean functional duration of cannula was lesser in the splint group compared to the no-splint group (h; 23.5 (SD15.9) vs 26.9 (SD15.5), mean difference: −3.3 h, 95% CI −11.02 to 4.3 h) although the difference was not statistically significant (p = 0.38). Extravasation at cannula site was found be the commonest indication for cannula removal in both the groups (84% vs 76.5%). Conclusion: Joint immobilisation with splint at cannula site did not improve the functional duration of peripheral IV cannula

Trends of steroid modified tinea at tertiary care hospital in India

Abstract—Dermatophytes are the common fungal agents implicated in superficial skin infections worldwide, commonly known as tinea. They include species of Trichophyton, Microsporum and Epidermophyton. Infections of this organism have dramatically increased in last one decade by misuse of topical corticosteroids cream alone or in combination with topical antibacterial and antifungal agents. So this study was conducted with the aim to study about culprits (prescribers) and various offending agents. This study was conducted on 1239 consecutive patients of tinea between ages 1-70 years. Tinea was diagnosed by detailed history and clinical examination. Detailed inquiry was made for topical steroid use by recall method or relevant prescriptions. It was found that out of 1239, 1000 (80.7%) patients were using topical corticosteroid in any form. Most common age group was 21-30 years (38.3%). Pharmacist appeared as chief culprit (50.4%) and Clobetasol was major offending agent (34.8%). Majority (55.3%) of patients applied these formulations for 4 week or more. Study concluded that use of topical corticosteroids in tinea has become menace because of unethical manufacture, sales, prescription and end misuse by patient

Synthesis and characterization of silver nanoparticles by Murraya Koenigii leaves

Nanoparticles have a size of 1nm-100nm in any one of the three dimensions. Smaller nanoparticles have different physical, chemical and biological properties than atoms and molecules. Metals, non-oxide ceramic materials, metal oxides, silicates, and polymers, and organic and biomolecular components can be used to create material nanoparticles. Nanoparticles come in various shapes, like spheres, platelets, cylinders, and tubes. Green synthesized nanoparticles are not costly due to unemployment of toxic and hazardous compounds. Plants are widely spread, freely accessible, and safe to touch. They also supply a variety of metabolic compounds which are advantageous in reducing, capping and stabilizing process throughout in synthesis process. The reduction mechanism is based on the phytochemicals present in plant extract. In present work we synthesize silver nanoparticles by using Murraya Koenigii leaves through ecofriendly method. For synthesis of Silver nanoparticles, Silver nitrate (AgNO3 ) used as metal precursor salt and green extract of Murraya Koenigii used as reducing and capping agent for formation of nanoparticles. The nanoparticles then formed characterized by X-ray diffraction, Scanning electron microscope, Energy dispersive spectroscopy, Dynamic light scattering, Fourier transform infrared spectroscopy and optical properties by UV-Visible spectroscopy. XRD revealed the crystalline structure of silver nanoparticles, FESEM and Dynamic light scattering reveled the particle size of 60 nm, FTIR revealed the presence of different functional groups which are attached with sample and Optical properties of sample revealed by UV-Visible spectroscopy that also satis ies different experimental results