A comparative study of in clinico-pathological profile in dengue shock syndrome versus other types children's at tertiary health care center

Background: Dengue a mosquito borne arboviral disease is caused by one of the serotypes of dengue virus (DEN-1, DEN-2, Den-3, DEN-4) belonging to the family Flaviviridae. The objective of this study was to study clinco-pathological profile of Dengue shock syndrome versus Other types children's at tertiary health care center.Methods: This was Cross sectional observational study was conducted in a tertiary care hospital in the Department of Pediatrics after obtaining approval from the institutional Ethical Committee. The study was carried out over a period of one & half years from January 2015 to June 2016 Statistical analysis done by Chi-square, ANOVA, Paired t test SPSS version 22 (IBM SPSS Statistics, Somers NY, USA) was used to analyze data.Results: Mean age of patients were 8.08±2.72 years, majority of cases were females (51.9%) and 48.1% were males, the clinical features like hepatomegaly, Ascites Pleural Effusion significantly present in DSS (P<0.001). In the study, there was no significant difference in symptoms and severity of dengue fever except for convulsion Thrombocytopenia (platelet<1lakh/cmm) was observed in 74% of cases, leucopenia (total leukocyte count <4000/cmm) was observed in 56% of cases, haemocrit more than 40 was observed in 21.27% cases. Dengue shock syndrome had acute kidney injury, CCF and encephalopathy. This observation of complications between dengue severity was statistically significant. There was significant difference in haematocrit values between three diagnoses of dengue fever from day 1 till day 4. Initially higher haematocrit was observed in Dengue shock syndrome, later goes on decreasing.Conclusions: It can be concluded from our study that significantly dengue shock syndrome had acute kidney injury, CCF and encephalopathy. There was significant difference in hematocrit values between three diagnoses of dengue fever from day 1 till day 4. Initially higher hematocrit was observed in dengue shock syndrome

Magnitude of thyroid dysfunction among antenatal women attending tertiary care centre

Background: Thyroid disorders constitute one of the most common endocrine disorders in pregnancy. However, there is no universal guidelines to screen every Pregnant Woman for Thyroid dysfunction in India. This study was conducted to evaluate the magnitude of thyroid dysfunction among ante natal mothers in a tertiary care centre.Methods: This was a cross sectional observational study conducted on ante natal mothers for a period of 6 months. All consecutive ante natal mothers in their first trimester were included in this study. Exclusion criteria was pre-gestational thyroid dysfunction, hypertension and diabetes mellitus. After obstetric examination and investigation, thyroid function test (Free T4 and TSH) was done in all patients.Results: Mean age of the patients enrolled was 26.2±3.54 years. Mean gestational age at which they underwent screening was 9±2 weeks. The mean BMI of the study patients was 21.7±4. The prevalence of hypothyroidism in antenatal mothers was 14.5%. 5 patients (5.5%) had hyperthyroidism. The calculated mean TSH value was 4.26 mIU/L.Conclusions: Universal screening for thyroid dysfunction during pregnancy should be made mandatory in India due to high prevalence, in order to prevent maternal and foetal complications

Epidemiology of type 2 diabetes: Indian scenario.

India leads the world with largest number of diabetic subjects earning the dubious distinction of being termed the "diabetes capital of the world". According to the Diabetes Atlas 2006 published by the International Diabetes Federation, the number of people with diabetes in India currently around 40.9 million is expected to rise to 69.9 million by 2025 unless urgent preventive steps are taken. The so called "Asian Indian Phenotype" refers to certain unique clinical and biochemical abnormalities in Indians which include increased insulin resistance, greater abdominal adiposity i.e., higher waist circumference despite lower body mass index, lower adiponectin and higher high sensitive C-reactive protein levels. This phenotype makes Asian Indians more prone to diabetes and premature coronary artery disease. At least a part of this is due to genetic factors. However, the primary driver of the epidemic of diabetes is the rapid epidemiological transition associated with changes in dietary patterns and decreased physical activity as evident from the higher prevalence of diabetes in the urban population. Even though the prevalence of microvascular complications of diabetes like retinopathy and nephropathy are comparatively lower in Indians, the prevalence of premature coronary artery disease is much higher in Indians compared to other ethnic groups. The most disturbing trend is the shift in age of onset of diabetes to a younger age in the recent years. This could have long lasting adverse effects on nation's health and economy. Early identification of at-risk individuals using simple screening tools like the Indian Diabetes Risk Score (IDRS) and appropriate lifestyle intervention would greatly help in preventing or postponing the onset of diabetes and thus reducing the burden on the community and the nation as a whole

Method Development and Validation for Simultaneous Estimation of Benidipine Hydrochloride and Metoprolol Succinate in Tablet

Present work focusing in developing and validating a new high performance liquid chromatography method for estimation of Metoprolol Succinate and Benidipine Hydrochloride in their combine tablet dosage form. The method was performed on Shimadzu LC-20AT instrument using C18 (250 mm x 4.6 mm, 5 µm) Hypersil BDS Column and Potassium Dihydrogen Phosphate Buffer (pH 4.0): Methanol (65: 35% v/v) as mobile phase at ambient temperature. Detection was carried out at 269 nm. Concentration range 4-12 µg/ml for Benidipine Hydrochloride and 25-75 µg/ml for Metoprolol Succinate . The Percentage recovery of Benidipine Hydrochloride and Metoprrolol succinate was found to be 99.59% and 99.39 respectively. Correlation coefficient for Metoprolol succinate and Benidipine Hydrochloride was found 0.9995 and 0.9997 respectively. The Rt values for Metoprolol succinate and Benidipine Hydrochloride were found to be 3.4 and 5.9 min respectively. The method was validated according to the guidelines of International Conference on Harmonisation (ICH) and was successfully employed in the estimation of commercial formulations. Keywords:  Metoprolol Succinate, Benidipine Hydrochoride, HPLC, Mobile Phase

Contribution of multidomain titanomagnetite to the intensity and stability of Mars crustal magnetic anomalies

Two basalts with compositions relevant to the crusts of Mars and Earth were synthesized at igneous temperatures and held at 650°C for 21 to 257 days under quartz‐fayalite‐magnetite fO2 buffer conditions. The run products are germane to slowly cooled igneous intrusions, which might be a significant volumetric fraction of the Martian crust and carriers of magnetic anomalies in the Southern Highlands. Both basalts acquired intense thermoremanent magnetizations and intense but easily demagnetized anhysteretic remanent magnetizations carried by homogeneous multidomain titanomagnetite. Hypothetical intrusions on Mars composed of these materials would be capable of acquiring intense remanences sufficient to generate the observed anomalies. However, the remanence would be easily demagnetized by impact events after the cessation of the Mars geodynamo. Coercivity enhancement by pressure or formation of single domain regions via exsolution within the multidomain grains is necessary for long‐term retention of a remanence carried exclusively by multidomain titanomagnetite grains

Contribution of multidomain titanomagnetite to the intensity and stability of Mars crustal magnetic anomalies

Two basalts with compositions relevant to the crusts of Mars and Earth were synthesized at igneous temperatures and held at 650°C for 21 to 257 days under quartz-fayalite-magnetite ƒO2 buffer conditions. The run products are germane to slowly cooled igneous intrusions, which might be a significant volumetric fraction of the Martian crust and carriers of magnetic anomalies in the Southern Highlands. Both basalts acquired intense thermoremanent magnetizations and intense but easily demagnetized anhysteretic remanent magnetizations carried by homogeneous multidomain titanomagnetite. Hypothetical intrusions on Mars composed of these materials would be capable of acquiring intense remanences sufficient to generate the observed anomalies. However, the remanence would be easily demagnetized by impact events after the cessation of the Mars geodynamo. Coercivity enhancement by pressure or formation of single domain regions via exsolution within the multidomain grains is necessary for long-term retention of a remanence carried exclusively by multidomain titanomagnetite grains

The effect of combining action observation in virtual reality with kinesthetic motor imagery on cortical activity

IntroductionIn the past, various techniques have been used to improve motor imagery (MI), such as immersive virtual-reality (VR) and kinesthetic rehearsal. While electroencephalography (EEG) has been used to study the differences in brain activity between VR-based action observation and kinesthetic motor imagery (KMI), there has been no investigation into their combined effect. Prior research has demonstrated that VR-based action observation can enhance MI by providing both visual information and embodiment, which is the perception of oneself as part of the observed entity. Additionally, KMI has been found to produce similar brain activity to physically performing a task. Therefore, we hypothesized that utilizing VR to offer an immersive visual scenario for action observation while participants performed kinesthetic motor imagery would significantly improve cortical activity related to MI.MethodsIn this study, 15 participants (9 male, 6 female) performed kinesthetic motor imagery of three hand tasks (drinking, wrist flexion-extension, and grabbing) both with and without VR-based action observation.ResultsOur results indicate that combining VR-based action observation with KMI enhances brain rhythmic patterns and provides better task differentiation compared to KMI without action observation.DiscussionThese findings suggest that using VR-based action observation alongside kinesthetic motor imagery can improve motor imagery performance

Detubularized isolated ureterosigmoidostomy in a complicated common cloaca: A case report

Urinary incontinence in a child secondary to a severe congenital anatomical disorder or due to complication of a previous surgery can be difficult to manage. Decisions can be especially hard when a redo procedure is being considered. We present one such case where a 6 year old girl previously operated for cloaca was brought with incontinence and after much consideration of options available, underwent a modified ureterosigmoidostomy to aid in her continence. The modification used was detubularized isolated ureterosigmoidostomy, described by Atta et al in 1996

Applications of Brain-Computer Interface in Action Observation and Motor Imagery

Motor imagery (MI) and action observation (AO) are vital elements in brain-computer interface (BCI) applications. MI involves mentally simulating movements and physical execution, while AO involves observing others perform actions. Both activate crucial brain areas linked to movement, making them valuable for BCI-assisted motor rehabilitation. This chapter explores studies in sports, occupational therapy, and neurorehabilitation, focusing on combining AO and MI (AO + MI) in BCI applications. Results show the positive impact of AO + MI interventions on motor performance aspects such as imagery ability, reaction time, and muscle activation across various tasks. The fusion of virtual reality (VR) with MI proves potent in neurorehabilitation, especially in stroke and Parkinson’s disease rehab and cognitive enhancement. Additionally, VR-based AO combined with kinesthetic motor imagery (KMI) influences cortical activity, refining brain patterns and task performance. These findings suggest that combining VR-based action observation with KMI can significantly enhance BCI-assisted motor rehabilitation for individuals with motor deficits. This approach holds promise for improving motor control and fostering neuroplasticity