An Empirical Research on Impact of HRD Climate on Infosys Pune

In current scenario of ever changing surroundings IT sector is an emergent and mounting solitary. IT sector being a part Service industry is extreme lyreliant on the proficiencies and enthusiasm of recruits. Thus it’s momentous to investigate Human Resource Development which is comprised of two elements i.e., climate and culture of such organizations. The current research is an attempt to identify the HRD-climate practices in Infosys Pune. The investigator has used standardized planned opinionaire together information from the 50 employees of Infosys opinionaire.The information collected was analyzed by applying Factor analysis, Friedmen-test, one-way anova, Correlations and mean score. The main aim of present research was to examine the temperament of HRD-climate in Infosys and identify the factors conducive towards HRD-climate. Here researcher makes an effort to pull out notable HRD-Climate components derived from the inter-relationship of variables of HRD-Climate. Based on belief of Infosys employee’s influence of HRD components is measured. The result of the study involves 50 respondents from Infosys. The correlation analysis it has been observed that all three components HRD Mechanisms, General climate and OCTAPACE Culture are highly correlated to each other the value of r is lies 0.687 to 0.834, which highlights that deviation in single component will have strong influence on other two components. HRD-mechanisms is the top influencing element with mean score of 2.14. On account of overall result research determines that employees are motivated in their organisation, there is high level of team spirit and employees are encouraged to bring creative ideas and are supported by top management of organisation

Anaesthetic management of tracheobronchial disruption during oesophagectomy

Although tracheobronchial injuries occur rarely during oesophagectomy, the outcome of such injuries is mostly unfavourable. We report the case of a 50-year-old female, American Society of Anesthesiologists (ASA) class 1, who suffered a tracheobronchial injury during transthoracic oesophagectomy. The defect was repaired with an intercostal muscle flap but tracheobronchial disruption occurred again on extubation. As a result, she developed a profuse air leak postoperatively, through the bilateral thoracic and abdominal drains. A second surgical procedure using a single-lumen endotracheal tube was undertaken. During the procedure the patient deteriorated, owing to an increase in the tracheal rent, which resulted in a severe impairment of ventilation. This crisis was initially managed through advancement of the endotracheal tube into the left main bronchus. Subsequently, oxygenation and ventilation of both lungs was achieved by intubating both the main bronchi with microlaryngeal tubes, with the patient in the left lateral position.Keywords: oesophagectomy, tracheobronchial disruption, thoracotomy, emphysema, iatrogenic, microlaryngeal tub

Evaluating serum bilirubin levels in acute appendicitis and appendiceal perforation

Background: Acute appendicitis is one of the commonest surgical emergencies. Authors undertook this study to evaluate serum bilirubin levels in acute appendicitis and appendiceal perforation.Methods: A retrospective study evaluating the serum bilirubin levels in acute appendicitis and appendiceal perforation was carried out for 6 years at three tertiary care hospitals at India from 2014 to 2019. Patients having acute appendicitis and appendiceal perforation, confirmed on histopathology, with no other medical or surgical comorbidity were included in the study.Results: The total number of our study subjects was 927. 306 patients had appendiceal perforation, amongst these, 226 (74%) had hyperbilirubinemia. Out of the 621 patients having acute appendicitis only 186 (30%) had hyperbilirubinemia. The lowest and the highest serum bilirubin levels of this study group were 0.6 and 3.1 mg/dl, respectively, with an average of 1.6 mg/dl. In patients diagnosed to be having acute appendicitis, the lowest and highest serum bilirubin levels were 0.6 and 2.4 mg/dl, respectively, with an average of 1.3 mg/dl. As for the patients having appendiceal perforation the lowest and highest serum bilirubin levels were 0.8 and 3.1 mg/dl, respectively, with an average of 1.8 mg/dl.Conclusions: Hyperbilirubinemia is seen in acute appendicitis but predominantly in appendiceal perforation, so serum bilirubin estimation may help us in diagnosing appendiceal perforation pre-operatively if and when used in conjunction with other available diagnostic modalities

Coastal management to protect the fisheries resources of Gujarat coast - a case study

Gujarat, a unique maritime state has the longest coastline of 1 ,663 km length and characterized by presence of two gulfs namely the Gulf of Kachchh and the Gulf of Khambhat. The four major rivers of Gujarat (Sabarmati, Mahi, Narmada and Tapti) discharged 70387 Mm3IYear to the Gulf of Khambhat as of 1975. Since then several dams have been constructed on these rivers and their tributaries reducing the volumes of the outflow. It can, safely be assumed that the outflow of nutrient-laden silt from these rivers has, also reduced proportionately/ significantly changing the hydrological cycles

The changing epidemiology of dengue in Delhi, India

BACKGROUND: A major DHF outbreak occurred in Delhi in 1996. Following this another outbreak was reported in the year 2003. In the years 2004 and 2005, though no outbreak was reported, a definitely higher number of samples were received in the virology laboratory of A.I.I.M.S. from suspected cases of dengue infection. This study was designed to compare the serological and virological profiles of confirmed dengue cases in the years 2003, 2004 and 2005. RESULTS: Out of 1820 serum samples received from suspected cases in all three years, 811 (44.56%) were confirmed as dengue infection serologically. Out of these confirmed dengue cases maximum cases, in all three years, were seen in the age group 21–30 years. There was an increase in the number of samples received in the post monsoon period (September to November) with a peak in the second and third week of October. More samples were received from DHF cases in the year 2005 than 2004 and 2003. All four dengue serotypes were seen co-circulating in the year 2003, followed by complete predominance of dengue serotype 3 in 2005. CONCLUSION: Epidemiology of dengue is changing rapidly in Delhi. Dengue infections are seen every year thus making it an endemic disease. After co-circulation of all serotypes in 2003, now dengue serotype 3 is emerging as the predominant serotype

Intussusception Caused by Yersinia enterocolitica Enterocolitis in a Patient with Sickle Cell Anemia

Yersinia enterocolitica intussusception is rarely encountered in patients without an underlying susceptibility and is most frequently reported in iron-overloaded patients. This is thought to be related to the unusual use of iron by this microorganism. We present a case of a 5-year old child with intussusception of the terminal ileum caused by Y. enterocolitica whose past medical history was significant for sickle cell disease. This type of presentation is extremely rare. His monthly blood transfusions may have put him at risk for Y. enterocolitica enterocolitis. The pathogenesis of this disease relates to the role of iron as an essential growth factor for Y. enterocolitica, and this patient’s transfusions left him in an iron overloaded state despite treatment with Deferoxamine. Our patient’s unusual presentation of intusssuception was secondary to the mass effect caused by lymphoid hyperplasia, specifically hypertrophied Peyer’s patches in the ileum caused by the Y. enterocolitica infection. We believe that our case demonstrates that Y. enterocolitica should be considered a possible pathogen in patients with sickle cell disease, especially if symptoms occur shortly after blood transfusion

Myelodysplastic syndromes/neoplasms: recent classification system based on World Health Organization Classification of Tumors – International Agency for Research on Cancer for Hematopoietic and Lymphoid Tissues

The myelodysplastic Syndromes (MDS) are a group of clonal hematopoietic stem cell diseases characterized by cytopenia(s), dysplasia in one or more of the major myeloid cell lines, ineffective hematopoiesis, and increased risk of development of acute myeloid leukemia. The classification and the diagnostic criteria have been redefined by the recent World Health Organization Classification of Tumors – International Agency for Research on Cancer for Hematopoietic and Lymphoid Tissues. The myelodysplastic syndromes are now classified into the following categories – refractory cytopenia with unilineage dysplasia, refractory anemia with ring sideroblasts, refractory cytopenia with multilineage dysplasia, refractory anemia with excess blasts, myelodysplastic syndrome associated with isolated del (5q), myelodysplastic syndrome – unclassifiable, and childhood myelodysplastic syndrome. The clinicopathologic features, morphology, differential diagnosis, immunophenotyping, cytogenetics, prognosis and predictive factors are presented in the light of recent World Health Organization Classification of Tumors – International Agency for Research on Cancer

Basal Cell Adenocarcinoma in the Tongue: An Unusual Presentation

We present a case of basal cell adenocarcinoma (BCAC) in the tongue in a 65-year old male. This is an extremely rare presentation. BCAC generally occurs in the parotid gland and rarely involves the minor salivary glands. Few cases have been reported in literature with a variable presentation. The biopsy was formalin-fixed and paraffin-embedded. The sections were stained with routine Hematoxylin and Eosin. Immunohistochemistry was performed. Hematoxylin and eosin staining showed tumour composed of variable sized and shaped, nests and sheets of basaloid epithelial cells having hyperchromatic to vesicular nuclei. Immunohistochemistry was positive for Pancytokeratin, Epithelial membrane antigen and p53. The clinicopathological features and the cellular immunophenotype addressed the diagnosis towards BCAC of the tongue. The goal of this report is to increase awareness of this rare disease and to review and discuss the differential diagnosis and important considerations in treatment