Digital Transformation in Insurance Sector

New technologies allow for a significant increase in efficiency, effectiveness and a reduction of costs. The life insurance industry in India has undergone massive changes since 2000 when the industry was liberalized. The future looks interesting for the industry with changes in the way business is conducted and the customer-friendly measures that have been put in place. Due to new entrants, changing consumer behaviors, and technological innovations need to innovate new business model in insurance. These papers discuss how insurers can use the digitization opportunity to deliver greater value to their customers and gain a competitive advantage. Insurers can engage more intensely with existing customers and attract newer customers with innovative products, improve both profitability and growth

ENHANCEMENT FOR DATA SECURITY IN CLOUD COMPUTING ENVIRONMENT

Cloud computing, a rapidly developing information technology, has aroused the concern of the whole world. Cloud computing is Internet-based computing, whereby shared resources, software and information, are provided to computers and devices on-demand, like the electricity grid. Cloud computing is the product of the fusion of traditional computing technology and network technology like grid computing, distributed computing parallel computing and so on. It aims to construct a perfect system with powerful computing capability through a large number of relatively low-cost computing entity, and using the advanced business model like SaaS (Software as a Service) to distribute the powerful computing capacity to end users’ hands. To address this longstanding limitation by building a multi-tenant system. Our system provides the environment for the user to perform his tasks, but with very high security. By using further facilities provided in this system user fill secure about his data and his account

A prospective study of management of tibial plateau fractures by locking compression plate in adults

Background: Tibial plateau fractures are one of the most complex and disabling fractures of the knee. The tibial plateau is important in transmitting load through the knee. These fractures need a meticulous management protocol in order to minimize patient's disability in range of movement, stability and reducing the risk of documented complications. The aim of the present study is to study the outcome of tibial plateau fractures managed with a locked compression plate.Methods: This study was conducted at a tertiary-care medical college and hospital, Aurangabad specializing in post-graduate training, where all patients who underwent surgical treatment between September 2018 and October 2020 were included. Patients were assessed using the knee society score (KSS). These evaluations were done at 1, 3, 6, 9 and 12 months.Results: In our study we included 55 patients out of which we found union in 98% of patients with 83% of patients showing good flexion at knee joint (>110 degrees). 85% patients achieved union within 6 months. An excellent KSS grade was seen in 38.2% patients with another 43.6% showing good outcome. 4 patients showed infection and 1 showed non-union. A single case of malunion was seen in our study.Conclusions: Locked compression plates in tibial plateau fractures has revolutionized the way these fractures are managed. Anatomic reduction is of utmost importance. Early physiotherapy which plays key role in preventing knee stiffness, use of bone grafts and good fixation are important for successful outcome

Management of intra-articular fractures of distal end radius in adults

Background: Incidence of intra articular fracture L/3rd radius is significantly on rise due to high velocity accidents in young and adults. Painless wrist function is of vital importance for functioning of upper extremity in almost all activities of daily living and precise function of hand. Intra articular fracture of L/3rd radius has generally gross comminution and so also small articular fragments. Orthopaedic community differ about specific implants to fix this complex injury. The present study was undertaken to know efficacy of different modalities of treatment for different fracture pattern. Comminuted intra articular fracture geometry varies widely, to fix these small fragments to achieve stable anatomical reduction is a challenging task.   Methods: It is a combined i.e. retrospective and prospective study conducted at Hardikar Hospital, Pune, India from 1999 to December 2000. Patients of intra-articular fracture of distal end radius by different modes of treatment are included in the study. 1 patient with unilateral fracture was lost for follow-up. Thus 50 fractures, in 49 patients. were included in study. Clinico-radiological assessment was carried out by Lidstrom's (1959) criteria.Results: Satisfactory early functional end results with plaster treatment is 72.2% whereas with other modality of treatment it rises to 87.5%, indicating superiority of other modalities of treatment as far as early functional end results are concerned.Conclusions: Manipulation and plaster cast method continues to be the treatment of choice in the stable intra articular distal radial fractures. Hence there is a need for a "differentiated therapy for distal radial fractures". The treatment plan for patients must be based not only on fracture pattern identified on plain radiographs but also on factors such as bone quality, bone comminution, energy of injury and associated soft tissue damage. Additional factors to be considered in individual patient are-life style associated medical conditions and compliance

Evaluation of percutaneous pinning in fracture proximal one-third humerus and fracture dislocation

Background: Proximal humerus fracture treatment is still an issue with lot of controversies and various treatment modalities had yielded mixed results. Our aim is to study percutaneous K-wires fixation as a modality of treatment, does not need extensive soft tissue dissection, so small fracture fragments & retains periosteal muscle & ligament attachments which held the fracture fragments together. Complications of open reduction are avoided.Methods: Fractures were classified according to Neer’s Classification system and were treated with closed reduction and K-wire Fixation. They were 16 males and 09 females, with a mean age of 40.5 years. Mean follow-up was of 20.5 months (range 9-24 months). Post-operative mean VAS score and Constant Score of patients was 2.1 (±0.73) and 78.1 (±9.61) at an average follow up of 6 months. Mean duration for union was 6.5 (±1.18) weeks. Patients were followed up at 4, 8, 12 weeks and 3, 6, 9 & 12 months interval.Results: Radiological and functional outcome assessed according to Constant-Murley Shoulder assessment. Complications treated accordingly. Percutaneous K-wire fixation is safe, limited invasive technique and following basic principles of anatomical reduction has excellent results & functional outcome.Conclusions: We concluded that the soft-tissue bridging of the fracture fragments was crucial for the reduction to benefit from the ligamentotaxis effect. This technique worked well for valgus-impacted or three-part fractures. The rate of osteonecrosis was low, and rehabilitation was easier. Overall, the results from these series are quite encouraging

A prospective study to evaluate functional results of PHILOS locking plate system in management of proximal humerus fractures in adults

Background: Various management options are available for management of proximal humerus fractures where PHILOS plating is one of them. But data available in literature on its use and efficacy in management of all types of proximal humerus fractures is still dicey. So, we through our study attempted to grow our knowledge regarding its functional results, complication rates, etc. for use in coming future.Methods: 30 patients with proximal humerus fractures classified on the basis of Neer’s classification were included in study who were operated from 2018 to 2020 at our institute. These patients were operated by PHILOS locking plate system with either delto-pectoral or trans-deltoid approach and they are followed up at regular intervals to assess them clinicoradiologicallly and functionally by Neer’s criteria.Results: In our study we found maximum incidence of these fracture between age group of 40-80 years (66.66%) with male to female ratio of 2:1 with 19 patients having left sided and 11 patients having right sided proximal humerus fracture. Complications were found in 11 patients (36.67%). Functional evaluation was carried out using Neer’s criteria at final follow up which came to excellent results in 3, satisfactory in 18, unsatisfactory in 7 and failure in 2 patients. Average time of fracture union was 12.62 weeks.Conclusions: PHILOS locking plate system serves good purpose in management of fractures of proximal humerus but requires trained faculty to do this operation who has detailed knowledge about shoulder anatomy and mechanism of injury to reduce complications associated with this type of modality

Photonic crystal spatial filtering in broad aperture diode laser

Broad aperture semiconductor lasers usually suffer from low spatial quality of the emitted beams. Due to the highly compact character of such lasers, the use of conventional intracavity spatial filters is problematic. We demonstrate that extremely compact photonic crystal spatial filters, incorporated into a laser resonator, can improve the beam spatial quality and, correspondingly, increase the brightness of the emitted radiation. We report the decrease in the M2 value from 47 down to 28 due to photonic crystal spatial intracavity filtering and the increase in the brightness by a factor of 1.5, giving a proof of principle of intracavity photonic crystal spatial filtering in broad area semiconductor lasers.Peer ReviewedPostprint (published version