Urinary bladder agenesis with bilateral single system vaginal ectopic ureters in adult

Agenesis of urinary bladder is an extremely rare condition with only 60 cases and 22 live births being reported previously. Ureteric ectopia is a must for survival. We present a unique case of bladder agenesis detected in adulthood where bilateral single system ureters were draining ectopically in a grossly dilated vagina in normally developed female genital tract

Crop Planning using Stochastic Visual Optimization

As the world population increases and arable land decreases, it becomes vital to improve the productivity of the agricultural land available. Given the weather and soil properties, farmers need to take critical decisions such as which seed variety to plant and in what proportion, in order to maximize productivity. These decisions are irreversible and any unusual behavior of external factors, such as weather, can have catastrophic impact on the productivity of crop. A variety which is highly desirable to a farmer might be unavailable or in short supply, therefore, it is very critical to evaluate which variety or varieties are more likely to be chosen by farmers from a growing region in order to meet demand. In this paper, we present our visual analytics tool, ViSeed, showcased on the data given in Syngenta 2016 crop data challenge 1 . This tool helps to predict optimal soybean seed variety or mix of varieties in appropriate proportions which is more likely to be chosen by farmers from a growing region. It also allows to analyse solutions generated from our approach and helps in the decision making process by providing insightful visualizationsComment: 5 page

Successful outcome of pregnancy in uncorrected tetralogy of fallot

Tetralogy Of Fallot (TOF) is the most common cyanotic congenital heart disease. Most commonly, it is detected in the first year of life and it is rare for patients with the disease to reach adulthood without corrective surgery. Pregnancy in patients with uncorrected TOF is rare and is associated with high morbidity and mortality rates. This is due to increased maternal hypoxemia and cyanosis because of fall in systemic vascular resistance and rise in cardiac output which exacerbates the right to left shunt. Its management poses a challenge to the clinician because of the rarity of its occurrence and the paucity of literature. 22 year old woman, G3A2 with uncorrected TOF presented at 36 weeks gestation to the emergency room with breathlessness on routine daily activities (NYHA III) and severe fetal growth restriction. The patient had higher hemoglobin and hematocrit levels and lower platelet count. Oxygen saturation was low. Pregnancy was terminated by caesarean section under spinal anesthesia. Post caesarean patient had a febrile course and falling oxygen saturation (nadir 45.4%) which was intensively managed in consultation with cardiologist and physicians. She was discharged along with her baby in satisfactory condition on post-operative day twelve. Uncorrected TOF in pregnancy poses a therapeutic dilemma to the obstetrician, cardiologist and anesthetist.  Intensive multidisciplinary management is essential to optimize the fetomaternal prognosis. With adequate care, good outcome can be achieved

The Effect of Expected Benefit and Perceived Cost on Employees’ Knowledge Sharing Behavior: a Study of It Employees in India

In the increasingly turbulent business environment knowledge is considered to be the most important source of sustainable competitive advantage and to sustain it, an organization must create, share, and utilize the knowledge it possesses.  The critical knowledge is only available to the organization as long as employees are willing to cooperate. It can easily be lost if the employees decide to explore other opportunities outside the organization or employees fear to share knowledge with co-workers.  To achieve continuous growth, organizations need to understand the factors which motivate and de-motivate the employees to share knowledge. The present study examines the impact of employees’ perception of perceived benefits and cost of knowledge sharing on their knowledge sharing behavior. Data were collected from 228 employees of two major Information Technology organizations in India. The results of regression analysis showed that benefits mainly perceived increase in expected association with others and expected contribution to organization positively influences employees’ knowledge sharing behaviour. Perceived cost was found to influence negatively on knowledge sharing behaviour. The findings of the study are expected to provide significant inputs to organizations to design the practices which make knowledge sharing an integral part of the day-to-day conversation.  &nbsp

Self-monitoring, Cultural Training and Prior International Work Experience as Predictors of Cultural Intelligence - a Study of Indian Expatriates

The present study examined the role of self-monitoring, expatriate training, and prior international work experience on the cultural intelligence of expatriates. The data was collected from 223 Indian expatriates through a questionnaire survey. The results of data analysis indicated that self-monitoring has a significant impact on the cultural intelligence of the expatriates. Further analysis was done to examine the effect of these independent variables on individual dimensions of cultural intelligence. The findings signify that self-monitoring has a significant effect on all the three cultural dimensions, namely, cognitive, emotional/motivational and behavioral, and that expatriate training has a significant impact on the emotional/motivational dimension, but not on the other two. Prior international work experience was found not to have a significant effect on cultural intelligence and its dimensions. These findings provide significant insights into organizations for selecting and training the expatriates leading to their effective adjustment and performance in a different culture context. This paper contributes to expatriate management literature highlighting the effect of personality variables along with expatriate training. Further, it is a contribution to the research in cultural intelligence which is a relatively nascent area of research

Ruptured ovarian artery aneurysm in puerperium: a rare occurrence

We present a rare case of Ovarian Artery Aneurysm in a puerperium. It was managed by endocopic banding of the ovarian artery following failed attempts at endovascular embolisation. The patient remained stable on three months follow up. The pathogenesis of this rare condition is also discussed.

Duodenal perforation with Ascaris lumbricoides in a child: A case report

Gastrointestinal infestation with Ascaris lumbricoides is common in temperate and tropical countries. Although heavy worm infestation produces wide range of acute abdominal complications, duodenal perforation in association with ascariasis, especially in children, is rarely reported. We report a case of 5-year-old girl with duodenal perforation secondary to ascariasis

A comparison of platelet count in severe preeclampsia, mild preeclampsia and normal pregnancy

Background: Preeclampsia, the most common of hypertensive disorders of pregnancy is an idiopathic multisystem disorder affecting 2 – 10% of all pregnancies and together they form one member of the deadly triad, along with hemorrhage and infection that contribute greatly to the maternal morbidity and mortality rates. The identification of this clinical entity and effective management play a significant role in the outcome of pregnancy. Platelet count is emphasized to play a significant role in hemostasis mechanism of preeclampsia and the degree of thrombocytopenia increases with severity of preeclampsia. This study was conducted to find correlation of platelet count in severe preeclampsia, mild preeclampsia and normal subjects.Methods: Total 140 subjects, 70 control and 70 cases were enrolled in the study. Samples for platelet count were collected and estimation was carried out by the auto-analyzers. The statistical evaluation is done using SPSS version 22 along with Anova and student t-test.Results: The mean platelet count was significantly lower (p <0.05) in mild and severe preeclampsia than that in the normal pregnancy. Decreased platelet count in severe preeclampsia was significant compared to that in mild preeclampsia.Conclusions: The frequency of thrombocytopenia was found to be directly related with the severity of disease, so platelet count can be used as a simple and cost effective tool to monitor the progression of preeclampsia, thereby preventing complications to develop during the gestational period

Epidemiology and control strategies of novel coronavirus disease in the context of India

An outbreak of coronavirus disease (COVID-19) occurred for the first time in Wuhan, China which spread as a pandemic to various countries of the world, resulting in high morbidity and mortality. Death toll in India on 8th February 2021 was 1,55,080. India had implemented steps such as lockdown and advised social distancing, washing of hands, and wearing masks to reduce the burden of Covid-19. This review discusses the epidemiological features, the population at risk and control strategies of novel coronavirus disease in India. The data was collected from various sources on individual details of Covid-19 cases, population density and affluence percentage from the literature studied. The data was used to analyse the susceptibility of the population to this disease. It was found that Indian males, age group 20 to 40 (based on morbidity) and above 60 (based on mortality) were at high risk. The authors compiled epidemiology, management and control strategies of covid-19 in India. Therefore, because of various early implementations, India has managed the disease well earlier, but in the current scenario (30 Nov 2020) morbidity and mortality have been at peak. Immunization of frontline workers started on 16th January 2021. Initially, 7,017,411 doses of Covishield and Covaxin vaccines have been given by 10th February 2021. Thus, the existing strategies like proper diagnosis, treatment, and successful implementation of vaccine inoculation will reduce covid-19 burden and may lead to normalcy