Single Phase Reliable Timeout Based Commit Protocol

The enormous progress in applications of distributeddatabase systems necessitates formulation of an efficient atomiccommitment protocol. The efficiency of these protocols is vitalwhen higher transaction throughput is to be supported. Theexisting blocking commit protocols affect over the capacity ofsystem resources, which worsens in distributed database system.This paper proposes the Non Blocking Single Phase ReliableTimeout Based Commit Protocol (SPRTBCP), an extension to theModified Reliable Timeout Based Commit Protocol (MRTBCP ),maintains the atomicity and supports off -line executions anddisconnections during commitment; it decreases the cost ofwireless communication by reducing it to a single phasecommitment operation and does not maintain log agent. Hence itreduces message complexity and average commit time . It alsosupports disconnections and handoff in mobile environment

Effect of hyperglycemia on serum uric acid levels - A real world comparative study

Objective: - To determine the relationship between hyperglycaemia and uric acid levels. Material and methods:- Patients, with known diabetes or impaired glucose tolerance/newly detected patients of diabetes treated on OPD basis or in patients admitted in B.T.G.H over a period of 1yr from April 2017 to March 2018.Study design: - randomized, comparative, cross-sectional. Result: - 19 cases of type 2 DM had hypouricemia while 6 in controls .7 cases of IGT had hyperuricemia, 6 controls had hyperuricemia and none in patients with type 2 DM.Conclusion:- Serum uric acid concentration is slightly reduced in patients with type 2 DM. Serum uric acid concentration is increased in patients with IG

Effect of hyperglycemia on serum uric acid levels - A real world comparative study

Objective: - To determine the relationship between hyperglycaemia and uric acid levels. Material and methods:- Patients, with known diabetes or impaired glucose tolerance/newly detected patients of diabetes treated on OPD basis or in patients admitted in B.T.G.H over a period of 1yr from April 2017 to March 2018.Study design: - randomized, comparative, cross-sectional. Result: - 19 cases of type 2 DM had hypouricemia while 6 in controls .7 cases of IGT had hyperuricemia, 6 controls had hyperuricemia and none in patients with type 2 DM.Conclusion:- Serum uric acid concentration is slightly reduced in patients with type 2 DM. Serum uric acid concentration is increased in patients with IG

A prospective study of drug utilization in patients attending ophthalmology outpatient department at KBN teaching and general hospital of Gulbarga, India

Background: Drug utilization studies are an important part of rational use of drugs. Assessment of drug use pattern especially in developing countries is becoming increasingly necessary to promote the rational use of drugs. This study was planned to prospectively assess the drug utilization pattern in Ophthalmology outpatient department at KBN teaching and General hospital.Methods: After approval from Ethics Committee, the prescriptions of 1000 outpatients were analyzed using a predesigned form to record information from the OPD prescriptions. Mentioned WHO drug use indicators and additional indices were analyzed: Average number of drugs per prescription, number of encounters with antibiotics, percentage of encounters with injections, percentage of drugs prescribed by their generic names, percentage of drugs prescribed from the National Essential Drug List (NEDL), etc.Results: Prescription analysis showed that the average number of drugs per prescription was 2.6. The drugs were prescribed in the several forms, predominant dosage form been topical eye drops (69.58%) followed by tablets (11.98%), ointments (10.17%) and capsules (6.6%). The ‘dosage form’ was indicated for all of the drugs prescribed, the ‘frequency’ of drug administration was present in 96.5% of the drugs, and the duration of treatment for 82% of the drugs prescribed. Topical Antimicrobial agents were the most commonly prescribed drugs. followed by anti-inflammatory and anti-allergic, lubricants, anti-glaucoma drugs, etc. Percentage of drugs prescribed by generic name and from NEDL was 7.98% and 55 % respectively.Conclusions: The prescription writing errors were less, however, there was very low generic prescribing and inadequate information about the duration of therapy in many prescriptions. Generic prescribing can be improved. Duration of therapy should be mentioned in all prescriptions. It is essential that appropriate guidelines on the use of topical antimicrobials are required to ensure rational prescribing

Safety and efficacy of ferric carboxy maltose in pregnant women- a pilot study

Background: Iron deficiency is a common nutritional deficiency amongst women of childbearing age. It is associated with significant maternal, fetal and infant morbidity. Current options for treatment include oral iron, parenteral iron and red blood cell transfusions. Ferric carboxy maltose is a newer i.v. iron formulation which can be used at high doses with rapid administration. This study was undertaken to assess the safety and efficacy in pregnant women.Methods: Prospective observational study was conducted in VIMS Ballari. 50 pregnant women between 28-36 weeks of gestation having moderate anemia with confirmed iron deficiency were administered with 1000 mg of ferric carboxy maltose (FCM). These women were followed after 2 weeks, 4 weeks and till delivery. Safety and efficacy were assessed.Results: There was significant improvement in both hemoglobin and serum ferritin levels (p<0.01). None of them had significant reactions.Conclusions: Ferric carboxy maltose is well tolerated. Ability to transfuse in single high dose makes it a preferred drug for faster and higher replenishment of iron stores and correction of hemoglobin levels during pregnancy especially in third trimester

Use of proximal humerus internal locking system plate in proximal humerus fractures and its relation with the functional outcome

Background: Proximal humerus fractures are the fractures occurs at or proximal to the surgical neck of the humerus, which accounts for 7% of all fractures and 80% of all humeral fractures. Now a days most of these fractures are managed with internal fixation because of better availability of anatomical plates. The aim was to assess the functional outcome and complications of proximal humerus fractures treated with proximal humerus internal locking system (PHILOS).Methods: This is a prospective study of 30 patients with two, three, and four parts proximal humerus fractures treated with proximal humerus internal locking sysyem from 2016 to 2018 with 25 to 80 years of age in a tertiary care hospital. Functional outcome is assessed by using constant murley shoulder scoring system.Results: Functional outcome as per constant score, 10 patients (33%) got excellent outcome, 06 patients (20%) got very good outcome, 07 patients got (23%) good outcome, 05 patients got (17%) fair outcome and 02 patients got (07%) poor outcome. Complications observed were superficial infections, implant failure and axillary nerve neuropraxia.Conclusions: Open reduction and internal fixation by using PHILOS is the ideal method in treating displaced proximal humerus fractures mainly in two and three part proximal humerus fractures which provides stable fixation and less complications