Prevalence of anemia in type II diabetes mellitus patients

Background: Anemia is a common haematological finding in diabetic patients. The prevalence of anemia in the patients with diabetes is two or three times higher than in patients with comparable renal impairment and iron stores in the general population. As India is foreseen a diabetic capital of the world, it becomes imperative to recognize co-morbidities such as anemia at the earliest. The aim of this study was to determine the prevalence of anemia among patients with type 2 diabetes. Author conducted a prospective analysis of 100 diabetic patients visiting the outpatient clinic in our institution. Duration of study is One Year (November 2016 - December 2017). Study perform at Om Sai Hospitals, Balapur, Hyderabad, Telangana, India. A 100 patients suffering from type 2 Diabetes Mellitus, attending Outpatient Department of General Medicine, were included in the study.Methods: All the patients were subjected to detailed history, through clinical examination and investigation. Patients’ blood samples were analyzed for Glycated hemoglobin (HbA1C) values and hemoglobin (Hb) levels. The prevalence of anemia was then determined defining anemia by an Hb level <13.0 g/dL for men and <12.0 g/dL for women.Results: The prevalence of anemia in this study population was found to be 43%. The prevalence of anemia is significantly greater in diabetic females than in diabetic males and in poorly controlled diabetics than those with glycemic status under control.Conclusions: We conclude that anemia is a prevalent finding in patients with type 2 diabetes mellitus and represents significant unrecognised burden

Exploration On Structure Of Asphalt Road Through By Geo Substance

Usually when it comes to polypropylene or polyester, geosubstance come in three basic forms: bundles, nailed, or temperature controlled. The images and consistency used for geosubstance are wet cloth. Geosubstance have a wide range of applications and directly simplify architectural applications including streets, airways, embankments, staffing structures, reservoirs and system sites. Geosubstance play an important role in the construction of waterway barriers. A special application, concrete structure, is in the dry black board and encapsulation system, this helps to enhance the dance and spread the visual life on the street. Spraying asphalt is evidence of penetration. When it is just a seedling, the geographic tissue acts as a conduit for the flow of spray or gas in the plane of the geographic tissue. Some geo-fabrics used for shrinkage reduce damage and reduce carpeting. In this report, the different options that can be applied to local engineers using geo-textiles with a low footed structure are highlighted

A study of comparitive analysis of the outcome of Hardinge’s and Moore’s approach of hemi arthroplasty of hip

Background: The posterior (Moore) approach is generally considered to be easy to perform and has less tissue dissection, which leads to shorter operation times and less blood loss. The lateral (Hardinge) approach can provide generous exposure of the acetabulum, which facilitates cup positioning results may decrease rates of hip dislocation.Methods: In this study a prospective comparative study of outcome of Hardinge’s vs. Moore’s approach in hemi arthroplasty of hip done on 60 consecutive consenting cases who presented with a primary diagnosis of neck of femur fractures. The Selection of patients was randomized by selecting every alternate case of neck of femur fractures by Moore’s approach or Hardinge’s approach. Study recruited 30 cases in each group after the preoperative parameters like age, sex, side, mechanism of injury and the type of fracture.Results: 30 cases underwent hemi - arthroplasty of hip by Hardinge’s approach vs. Moore’s technique and we found that there was difference in duration of hospital stay, the duration of healing and the rate of complications were much higher in the Moore’s technique. In our study there was no mortality. Conclusions: Based on the findings of our study we recommend that between Hardinge’s and Moore’s approach, Hardinge’s approach is recommended as better than Moore’s approach due to number of complications is lower in Hardinge’s

Photoluminescence and EPR studies of ZnS nanoparticles Co-doped with Mn and Te

ZnS nanoparticles Co-doped with Mn and Te (x = 0.05 and 0.10) have been synthesized for the first time by chemical co-precipitation method, thiophenol is used to passivate the surface of the particles. The as-prepared samples were amorphous in nature. Nanocrystallinity was induced after calcining the samples at 300oC/2hrs. The obtained nanoparticles were subjected to X-ray diffraction (XRD), Energy Dispersive Analysis of X-rays (EDAX), Transmission Electron Microscopy (TEM), hotoluminescence (PL) and Electron Paramagnetic Resonance (EPR) studies. All the samples exhibited cubic structure and the particle size was found to be 3-5 nm. EDAX revealed that the compositions did not deviate much from the target compositions. The photoluminescence studies showed emission in the red region and the emission wavelength is varied with composition. The Electron Paramagnetic Resonance (EPR) spectra showed paramagnetic nature of the samples at room temperature. EPR and PL results were quite consistent with each other. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/2197

Lithium Disilicate Ceramics in Prosthodontics: Unveiling Innovations, Current Trends, and Future Horizons

In contemporary dentistry, ceramic restorations have experienced a surge in popularity. This paper aims to review the current state of literature and recommendations concerning the application of lithium disilicate glass-ceramic IPSTM e.Max. This comprehensive review also covers material science, mechanical intricacies, and optical properties of glass-ceramic material. Further, this review extends valuable clinical insights, presenting recommendations for the effective utilization of IPS e.Max CAD restorations in dental practices

Effect of organic mulches and foliar spray of kaolin on NPK uptake in enhancing yield and economics of dry land maize (Zea mays L.)

The hot and semi-arid region is prone to meteorological droughts; the lack of rain is frequently accompanied by hot temperatures, strong winds, and low humidity, which has the impact of limiting nutrient uptake and agricultural yields. To overcome this problem a field study conducted during June, 2020 kharif season at farmers field, Chinna Dudyala village, Muddanur, Kadapa district, Andhra Pradesh aimed to determine the effect of organic mulches and foliar spray of kaolin on NPK uptake in enhancing yield and economics of dry land maize (Zea mays). One of the most important techniques for preserving soil moisture was mulching, which also reduces evapotranspiration when anti-transpirants are used. The experiment comprised nine treatments (T1 to T9) with four types of organic mulches viz., Paddy straw, Ground-nut haulm, Coir-pith, and Sugarcane trash, with foliar spray of kaolin intervals on 40 DAS, 20 &amp; 40 DAS and farmers practice to minimize water stress and improve the nutrient uptake by plant. Among the application of the treatments, coir-pith mulch + foliar spray of kaolin @ 3.0% (T6) on 20 DAS &amp; 40 DAS had significant effect on NPK uptake with N (187.15 kg ha-1), P (69.60 kg ha-1) and K (156.22 kg ha-1) and enhanced grain yield (6976 kg ha-1) and stover yield (10980 kg ha-1), highest gross returns (138034 ₹. ha-1) and BCR (2.63) and was superior to all the other treatments. The present study would help to effectively utilise the available resources, enhance growth and productivity in maize crop and to make economically viable to the farmers of semi-arid regions

EFFECT OF MYOPIA ON PRIMARY OPEN ANGLE GLAUCOMA

Objective: It is a retrospective study to evaluate the effect of myopia on primary open-angle glaucoma by classifying the eyes into NMG (non-myopic glaucoma), HMG (highly myopic glaucoma) And MMG (mild to moderate myopic glaucoma). Methods: The study was performed on 120 patients with primary open-angle glaucoma who were medically treated. Any participant who had surgery done was excluded from the study. The relation between glaucoma and different myopia and progression were assessed on the basis of age, gender, risk factors. Results: Out of the 120 cases assessed, 46 [38 percent] were female and 74 [62 percent] were males. On the basis of age there were 9 cases between 31-40 y, 30 cases between the ages 41-50, 40 cases between 51-60, 32 cases between 61-70 and 9 cases between 71-80, on the basis of myopia 59 [49 percent] were NMG 47 [39 percent] were MMG and 14 [12 percent] were HMG. On the basis of risk factors,12 of them had Diabetes Mellitus, 7 had Hypertension, 7 had a history of steroid use, 3 had a history of migraines and 6 of them had a family history of glaucoma. In the observed one year period 73 percent if the cases were not progressive while 27 percent were progressive. In this study, it has been observed that the males are more commonly affected and the age group with the most cases was the 51 to 60 age group. The majority of the cases showed no risk factors though Diabetes Mellitus is the most common. The progression of the disease is seen more frequently in cases associated with Diabetes Mellitus and Hypertension. In MMG 12 out of the 47 cases were progressive and in NMG 15 out of the 59 cases were progressive. Conclusion: Though high myopia is important in the pathogenesis of glaucoma there was no evidence that high myopia increases the progression of the disease of the 14 cases, only 5 were progressive

Successful pregnancy outcome in grade IV lupus nephritis and secondary antiphospholipid antibody syndrome with recurrent pregnancy failures - challenging achievement of motherhood

Systemic lupus erythematosus (SLE) is a chronic multisystem autoimmune disease that occurs predominantly in women of childbearing age. The risk of complications and adverse fetal outcomes in pregnant women with lupus is high viz., increased risks of preterm birth, hypertensive diseases of pregnancy and lupus flares both during pregnancy and in the postpartum period. An additional association with Antiphospholipid antibody (APLA) syndrome is expected to multiply the pregnancy complications. Though improved understanding of the disease nature and greater number of therapeutic options in the treatment of SLE, made the medical community regard these patients with less trepidation, the risk of significant morbidity to both the mother and the fetus still exist. We report an interesting case of grade IV Lupus nephritis (LN) with secondary APLA syndrome and h/o recurrent pregnancy failures for twenty times but had a successful pregnancy and delivery in the 21st attempt though pregnancy was absolutely contraindicated in view of her medical illness. Many complications were encountered during her pregnancy which could be successfully tackled and a live male baby was delivered by Caesarean section

Signcryption scheme for Identity-based Cryptosystems

An Identity-based cryptosystem is a Public Key cryptosystem in which the public keys of the entities are their identities, or strings derived from their identities. Signcryption combines digital signatures and encryption with a cost significantly smaller than that required for signature-then-encryption. This paper proposes an ID-based signcryption scheme based on bilinear pairings on elliptic curves. It is shown that the new scheme is an improved version of the existing signcryption scheme [10] by comparing the computations in both the schemes