Impediments to Sustenance and Revival of Vernacular Architecture in Rural Madhya Pradesh, India

[EN] Over the past couple of decades, building typology in rural India has seen an unprecedented shift away from vernacular material and construction techniques. The substitute - replicable, mass-produced, concrete structures fail to respond to the climatic and cultural context. In addition to being carbon intensive, inadequate knowledge about form and function of new construction methods and materials have led to poor quality construction that has a shorter life span. Compared to the existing vernacular buildings, such concrete structures are found to be uninhabitable by many end users.Studies done in the past on vernacular architecture of India focus on climate responsive design and execution, and traditional materials. However, there is insufficient research investigating the factors affecting the decline of vernacular practices.This paper assesses the reasons behind change in rural fabric of Madhya Pradesh, India, through primary focussed group discussions, key informant interviews & field observations. The study identifies diverse factors, ranging from individual preferences to policies and laws governing access to resources. It also uncovers unexpected factors such as changing food habits leading to lack of traditional construction materials. These wide-ranging factors are classified under social, technical, financial, and legal categories. The study develops a framework to analyse patterns emerging across different agro-climatic and geographic regions.  Based on the findings, the paper also recommends potential interventions for reviving sustainable vernacular architecture in the region.Tamhankar, A.; Gupta, V. (2022). Impediments to Sustenance and Revival of Vernacular Architecture in Rural Madhya Pradesh, India. Editorial Universitat Politècnica de València. 1005-1011. https://doi.org/10.4995/HERITAGE2022.2022.156951005101

Maternal outcome of caesarean section with or without eventration of the uterus: a prospective observational study

Background: Caesarean section is a commonest surgical procedure performed by an obstetrician. Many variations in technique of caesarean section have been devised with the intent of shortening the operating time, making the operation easier, safer and more efficient; and to decrease the blood loss, postoperative morbidity, other complications as well as to shorten the period of hospitalization. One such variation is in the technique of repair of the uterus, whether it is repaired in situ or taken out from the incision and repaired outside the abdomen before replacing it back in place. This study was designed to compare two techniques of uterine closure and determine the benefit of using one technique over the other.Methods: A prospective observational study on 100 women who underwent caesarean section. Technique of uterine repair was surgeon dependent and was not influenced by investigator.  Based on this, patients were assigned into two separate groups (exteriorised group and in situ repair group). Observation was made and recorded regarding the various preoperative, intraoperative parameters and the surgeon`s technique of uterine closure. The patients were then followed up and various postoperative outcome variables were recorded.Results: There were no statistically significant differences between the two groups with regards to any of the intraoperative or postoperative parameters except that there was a rise in diastolic pressure in exteriorization group during eventration which gradually came down during the suturing and reposition (P < 0.05).Conclusions: With this study, it can be concluded that clinical outcomes remain unaffected by any of the two methods of uterine repair. Both are equally safe. However, a caution must be exercised in intraoperative blood pressure monitoring, especially when the uterus is being exteriorized for repair as there is a statistically significant rise in diastolic blood pressure during eventration

Effect of obesity on autonomic nervous system

The present study was carried out on 100 volunteers of which 50 subjects with BMI > 30kg/m2 were included in study group and 50 subjects with BMI < 30kg/m2 (non obese) were included in control group. The functioning of Autonomic nervous system was evaluated by six non-invasive tests- four of which were based mainly on parasympathetic control (30:15 ratio, standing to lying ratio (S/L ratio), expiration/inspiration ratio (E/I ratio) and valsalva maneuver) and two on sympathetic control (Blood pressure response to standing and cold pressor test). The results of the present study showed significantly low (p=0.001) S/L ratio in study group (1.04 ± 0.12) when compared to controls (1.12 ± 0.11) indicating impaired parasympathetic function. The mean change in sytolic blood pressure before and after cold pressor test (CPT) was less in study group (7.12 ± 5.28) as compared to control group (10.38 ± 6.35) and this was statistically significant (p=0.006) indicating impaired sympatheitc function. Thus ,in obese both division of ANS are affected which may be the cause of various cardiovascular complications

Prioritized Service Scheme with QoS Provisioning in a Cloud Computing System

A priority scheme is proposed in which the prioritized customers get guaranteed Quality of Service (QoS) by the cloud computing system in terms of lesser response time. The concept of selection probability is introduced according to which the cloud metascheduler chooses the next query for execution. The prioritized customers are categorized into different priority queues which are modeled as M/M/1/K/K queues and an analytical model is developed for the calculation of selection probabilities. Two algorithms are proposed for explaining the processing at the users&rsquo; end and at the cloud computing server&rsquo;s end. The results obtained are validated using the numerical simulations

Audit of fresh frozen plasma usage, prospective study: a report from department of immunohematology and transfusion medicine, government medical college Jammu, Jammu and Kashmir, India

Background: Fresh frozen plasma is commonly used in tertiary care hospitals. These are used to manage conditions such as coagulation derangements. Unnecessary use of fresh frozen plasma (FFP) is known to increase the risk of side effects in plasma transfusing patients like anaphylaxis, transfusion related acute lung injury (TRALI) and risk of transfusion transmitted infections etc. So judicious use of plasma is extremely important where its benefits outweigh its potential risks.Methods: Prospective observational study conducted over a period of six month. The following data were collected; provisional clinical diagnosis, indication of FFP’S, coagulation profile and gender of the patients. We evaluated all FFP transfusions, classified them as appropriate or inappropriate according to fresh frozen plasma transfusion guidelines of Directorate general of health services (DGHS).Results: A total of 808 FFP units were issued (474 units to males and 334 units to females) over a period of 6 months. Out of these, 15% (122 units) of  FFP’s were issued to intensive care unit (ICU) patients, 12.87% (104 units) to paediatrics ward, 12.25%  (99 units) to emergency ward which include patients with upper GI bleed and lower GI bleed , 6.8% (55 units) to obstetrics patients, 6.18% (50 units) to orthopaedics, 4.45% (36 units)  to road traffic accident patients, 4.20% (34 units) to Hepatic failure patients, 3.09% (25 units) to Cardiothoracic and vascular surgery (CTVS), 2.97% (24 units) to oncology patients, 2.47% (20 units) to snake bite patients, 1.23 % (10 units) to dengue patients, 1.11% (9 units)  to Haemophilia  patients, 27.38% units were issued to the patients were indication for FFP transfusion was not known.Conclusions: study showed that 66.44% were appropriate and 33.56% were inappropriate use of FFP’s in patients. This highlights the pitfalls in use of FFP among clinicians and for that matter there is need of awareness and understanding the transfusion medicine by clinicians

A rare case of cervical fibroid presenting as retained placenta with postpartum hemorrhage

Fibroids during pregnancy are often asymptomatic but sometimes may lead to various complications and unusual presentations. We are reporting an unusual case of cervical fibroid during pregnancy that presented as retained placenta with postpartum hemorrhage following a full term normal vaginal delivery

Securing the Biometric through ECG using Machine Learning Techniques

In the current era, biometrics is widely used for maintaining the security. To extract the information from the biomedical signals, biomedical signal processing is needed. One of the significant tools used for the diagnostic is electrocardiogram (ECG). The main reason behind this is the certain uniqueness in the ECG signals of the individual.&nbsp; In this paper, the focus will be on distinguishing the individual on the basis of ECG signals using feature extraction approaches and the machine learning algorithms. Other than preprocessing approach, the discrete cosine transform is applied to perform the extraction. The classification between the signals of the individuals is carried out using the Support Vector Machine and K-Nearest Neighbor machine learning techniques. &nbsp;The classification accuracy achieved through SVM is 87% and K-NN has achieved a classification accuracy of 96.6% with k=3. The work has shown how machine learning can be used to classify the ECG signal

Unlocking the potential of loyalty programs in reference to customer experience with digital wallets

The emergence of digital technology has fundamentally transformed how businesses generate value for their customers. One of the critical components of this paradigm shift in digital transformation is improving customer experience, which benefits both consumers and organizations. This study aims to evaluate customer experience and its influence on customer satisfaction and loyalty in the digital wallet domain. It also analyzes the moderating role of loyalty programs. This study was conducted in the Indian context since, alongside advancements in technology and a focus on digitalization, there has been a substantial increase in the acceptance of cashless payment options. The data from 349 respondents using the snowball sampling technique were collected through Google Forms, and SmartPLS 4.0 was used for analysis.The results showed that loyalty and satisfaction are significantly influenced in the digital wallet domain if organizations work on factors affecting customer experience. The results also proved that loyalty programs moderate the relationship between customer experience and customer satisfaction.This analysis successfully unlocked the potential of loyalty programs and established that loyalty programs do not moderate customer loyalty. However, organizations must note that poorly designed loyalty programs are just like any other sale promotion scheme, which adds up to the promotional expense without achieving the overall long-term objective of sustaining loyal consumers

Integration Of Basic And Clinical Sciences In Health Professions Education

Part of the Journal of Dental Education\u27s series “Peer Education: Reviews of the Literature,” this manuscript details different aspects of the vertical integration technique of incorporating didactic knowledge into a clinical setting within dental education