Delayed Manifestation of Transurethral Syndrome as a Complication of Transurethral Prostatic Resection

Metabolic encephalopathy as a part of ‘transurethral syndrome’ is an immediate complication following transurethral resection of prostate. It occurs during or few hours after the surgery. However, delayed manifestation of this complication is rare. It is also possible that pretreatment with diuretics can exaggerate this problem by predisposing the patient to electrolyte abnormalities. Here we present a report of such a patient who manifested with neurological complications six days after the prostate surger

A study of Human resource Management and role of technology in Human resource Management

Human Resource Management (HRM) is the sector of business institution that handles the responsibilities like hiring employees, managing staff, their salary and many other relevant things in the organization. This division basically works to select the people who are capable for delivering the best work in the business industry. In this paper, we are going to focus on several important points comes under HRM. The paper include following contents

Development And Significance Of Social Networks In Sales Organizations For Enhancing Salesperson Performance

In recent years, there has been a noticeable shift in the study of salesperson performance, with a growing recognition of the significance of intra organizational dynamics alongside the traditional focus on customer relationships. This evolving perspective acknowledges the intricate web of connections and interactions within sales organizations that contribute to overall sales effectiveness (e.g., Royals and Humphries 2007). By delving into the realm of intra organizational relationships, researchers are uncovering valuable insights into the factors that drive salesperson performance beyond external customer-facing activities (e.g., Brown and Peterson 1994; Szymanski 1988). The study referenced here presents a nuanced exploration of the impact of intra organizational relationships on salesperson performance, drawing on data collected from a substantial sample of 286 sales professionals in Pune (Balkundi and Harrison 2006; Wasserman and Faust 1994). Through the lens of social network analysis, the researchers scrutinized the intricate patterns of interaction and influence within the organizational context. Their findings shed light on the pivotal role played by two distinct dimensions of social network characteristics: relational centrality and positional centrality. Relational centrality, (e.g., Plouffe and Gr´egoire 2011), which reflects the prominence of salespeople within the social fabric of the organization based on their relationships and connections, emerged as a significant determinant of salesperson performance. The study further illuminates the role of political skill—an individual's ability to effectively navigate organizational dynamics and influence others—in shaping relational centrality (Hughes, Le Bon, and Malshe 2012; Plouffe and Barclay 2007) . Surprisingly, however, the researchers observed that while political skill positively correlated with relational centrality, it did not exert a similar influence on positional centrality within the social network

Study of Treatment Modalities for Neonatal Pneumothorax in rural tertiary care hospital

Introduction: Neonatal pneumothorax, characterized by the accumulation of air in the pleural cavity, is a critical condition observed in up to 9.2% of neonates in neonatal intensive care units (NICUs). It poses risks such as respiratory distress, hemodynamic compromise, intraventricular hemorrhage, and increased mortality. Management strategies include conservative observation, needle aspiration (NA), and intercostal catheter (ICC) insertion, tailored to clinical severity, radiographic findings, and available resources. This study evaluates treatment modalities for neonatal pneumothorax in a rural tertiary care hospital. Methods: A descriptive longitudinal observational study was conducted from December 2020 to December 2022 at Dr. Balasaheb Vikhe Patil Rural Medical College, Loni. The study included 60 neonates diagnosed with pneumothorax in inborn and outborn NICUs. Exclusion criteria included neonates with major congenital malformations. Data collection encompassed clinical history, diagnostic findings, and management approaches, including observation, CPAP,NA, ICC placement. Statistical analysis evaluated treatment outcomes based on the pneumothorax's side (unilateral or bilateral) and severity. Results: Out of 60 cases, 48.3% had right-sided pneumothorax, 28.3% left-sided, and 23.3% bilateral. CPAP was used in 61.7% of cases, particularly in less severe presentations. Ventilator support was required in 73.3%, with a significantly higher demand among outborn neonates (p=0.03). Needle aspiration was performed in 31.7% of cases, with higher use in left-sided pneumothorax (57%). Chest tube insertion was necessary in 75% of cases, predominantly for right-sided (79.3%) and bilateral pneumothorax (78.5%). Discussion: The findings align with global studies, highlighting a higher incidence of right-sided pneumothorax due to anatomical predisposition. The study underscores the effectiveness of CPAP in mild cases and the necessity of ICC insertion in severe or bilateral cases. The outcomes advocate for individualized treatment strategies based on clinical severity and resource availability. Conclusion: Neonatal pneumothorax remains a significant NICU challenge, necessitating prompt diagnosis and tailored interventions. Advances in non-invasive respiratory support and judicious use of mechanical ventilation can mitigate risks. Further research on minimally invasive techniques and long-term outcomes is crucial to optimizing neonatal care and improving survival and neurodevelopmental follow-up

Risk Factors and Clinical Outcomes of Acute Kidney Injury in Pediatric Intensive Care Unit: A Prospective Observational Study

Background: Acute kidney injury (AKI) is a significant complication in pediatric intensive care units (PICU), associated with increased morbidity and mortality. Understanding its risk factors and outcomes is crucial for improving patient care. Objective: To evaluate the incidence, risk factors, and clinical outcomes of AKI in PICU patients through a prospective observational study. Methods: We prospectively studied 40 children aged 1 month to 18 years admitted to the PICU. AKI was defined and staged according to KDIGO criteria. Clinical parameters, laboratory values, and outcomes were monitored. Risk factors were analyzed using multivariate logistic regression. Results: AKI developed in 15 patients (37.5%), with 46.7% classified as Stage 1, 33.3% as Stage 2, and 20% as Stage 3. Significant independent risk factors included nephrotoxic medication exposure (adjusted OR 4.1, 95% CI 1.9-8.8), mechanical ventilation (adjusted OR 3.2, 95% CI 1.6-6.4), and sepsis (adjusted OR 2.9, 95% CI 1.4-6.0). AKI patients demonstrated longer PICU stays (median 12 vs 7 days, p=0.003), increased mechanical ventilation duration (median 8 vs 4 days, p=0.001), and higher mortality (26.7% vs 8%, p=0.04). Among survivors with AKI, 26.7% showed persistent renal dysfunction at discharge. Conclusion: AKI occurs frequently in PICU patients and is associated with worse clinical outcomes. Early recognition of risk factors and implementation of preventive strategies may help improve patient outcomes. Regular monitoring of renal function and post-discharge follow-up are essential for high-risk patients

Epicardial Fat Thickness and Its Impact on Maximum Oxygen Utilisation in Obese Adult Males: A Cross-Sectional Study

Introduction: Epicardial fat thickness (EFT) is an emerging marker of cardiovascular risk due to its proximity to the myocardium and its pro-inflammatory effects. Maximum oxygen utilisation (VO₂ Max) is a key indicator of cardiorespiratory fitness, which is often reduced in obesity. This study investigates the correlation between EFT and VO₂ Max in obese adult males to understand their interplay and implications for cardiovascular health.Methodology: This cross-sectional study was conducted over one year at a tertiary care hospital, including 120 obese males aged 30–50 years. EFT was measured using transthoracic echocardiography, and VO₂ Max was assessed via graded treadmill exercise testing. Statistical analyses, including Pearson correlation and multivariate regression, were performed to examine the relationship between EFT and VO₂ Max.Results: EFT showed a significant inverse correlation with VO₂ Max (r = -0.62, p < 0.001). Participants in the highest EFT quartile (8.1–10.0 mm) had a mean VO₂ Max of 24.8 ± 3.8 mL/kg/min, significantly lower than those in the lowest quartile (5.0–6.0 mm), who recorded 32.1 ± 4.2 mL/kg/min (p < 0.001). Multivariate regression confirmed EFT as an independent predictor of VO₂ Max (\u03b2 = -0.45, p < 0.001), even after adjusting for age, BMI, and waist-to-hip ratio. Left ventricular ejection fraction remained preserved in the study population.Conclusion: The study highlights a significant inverse relationship between EFT and VO₂ Max in obese males, suggesting that increased epicardial fat impairs cardiorespiratory fitness. EFT serves as a potential biomarker for cardiovascular risk in obesity. Targeted interventions, such as weight reduction and exercise, are recommended to reduce epicardial fat and improve cardiorespiratory health

Clinical study to evaluate the effectiveness of Gavakshi Moola (Citrullus colocynthis) Draava with Ksheera in Kamala (hepatocellular jaundice)

Hepatocellular jaundice is a sign that usually accompanies diseases of liver, the organ that detoxifies metabolites, synthesizes proteins, produces biochemicals necessary for digestion, decomposes red blood cells and produces hormones,[1] hence is constantly under the risk of various diseases. Causes of hepatocellular jaundice are numerous with the most common being viral hepatitis, alcohol and drug toxicity. Kamala described among the Pittaja Nanatmaja Vyadhi has Haridra Varna of Netra, Twak, Nakha, Anana, Mutra as the cardinal sign, hence analogous to jaundice. The administration of Gavakshimoola Draava for 3 days is described in the management of Kamala. A clinical trial was conducted on 15 subjects and the results obtained were statistically analysed. Statistically significant reduction of Lakshana of Kamala and serum levels of bilirubin with p-value < 0.05 was noted

A Comparative study of Accrediting Bodies in India with respect to Higher Institutes

The Quality of education in India is a issue of concern due to large number of Institutes starting their courses in the Country. Various bodies are set up to check the quality of education in higher educational Institutes. The study is related with comparing the quality parameters of various accrediting bodies in India and suggest best way to make these Institutes best in quality . These Institutes are playing the important role in quality management. The Higher educational Institutes are now trying hard to manage and maintain quality at levels of educational activities. The awareness of quality in higher education has forced the Institutions to go for accreditation from different bodies. The accreditation has proved to be the measure of quality and students community is asking grade of the Institute before taking admission in to the courses in the country. The strict polices, scales, parameters to grade the Institutes is the challenge before these agencies. The main focus of this paper is to study the procedure of the accreditation and their requirements. The Quality is important factor to study . The parameters used to measure the quality. The Authors have done the extensive study on NAAC procedure for accreditation of the Institutes. The comparative study of quality parameters followed by NAAC, ISO and NBA are tabulated in the paper and its results are highlighted. The accrediting bodies have main role to play in coming years to accredited maximum Institutions in India and bring quality awareness among these Institutions. The Quality has number of parameters to check

Study of the efficacy of Pathadi Ghanavati with Lajamanda in the management of Aamatisara

Acute Diarrhoea is an important public health problem worldwide. The World Health Organization estimates that there are more than 1000 million cases of Acute Diarrhoea. Loose motion less than 2 weeks that labelled as Acute Diarrhoea. Diarrhoea is described in Ayurvedic classics with the name of ‘Atisara’. It means passing of excessive flow of watery stool through anus. Most important factor in the pathogenesis of Aamatisara is Mandagni. In present study 50 patients of Aamatisara were selected from OPD and IPD of Kayachikitsa department. For the clinical study Pathadi Ghanavati and Lajamanda was selected as the trial drug which was given for the duration of 7 days in the dose of 1gm twice a day. It was observed that 32% patients were from the age group 51-60 years, 70% were females, 62% were from lower-middle socio economic class. Sama Jivha was found in all the patients. Among results loose motion showed 98.75% relief, 97.82% showed improvement in Udarashoola, 97.43% improvement in Agnimandya and Daurbalya each, 100% relief was seen in Aruchi. All the symptoms showed highly significant results. Hence it can be concluded that Pathadi Ghanavati and Lajamanda is very effective remedy in the patients of Aamatisara

Clinical Profile and Outcome of Infant of Diabetic Mother in Tertiary Care (NICU) in Rural Maharastra.

Background: Infants of diabetic mothers (IDMs) face unique challenges that require specialized care. The management of these high-risk neonates in rural tertiary care settings presents additional complexities due to resource limitations. This study aimed to evaluate the clinical profile and outcomes of IDMs in a rural tertiary care Neonatal Intensive Care Unit (NICU) in Maharashtra. Methods: This observational analytical study included 50 infants born to mothers with preexisting or gestational diabetes mellitus admitted to our rural tertiary care NICU. We analyzed maternal characteristics, neonatal complications, and short-term outcomes. The study evaluated various parameters including gestational age, birth weight, metabolic complications, respiratory morbidities, and immediate outcome. Results: Among the study population, 54% were male infants, with 30% being preterm. Birth weight distribution showed 16% small for gestational age, 62% appropriate for gestational age, and 22% large for gestational age infants. Major complications included hypoglycemia (36%), respiratory problems (38% combined, including 14% requiring surfactant), and hyperbilirubinemia (30%). Congenital anomalies were observed in 12% of cases. The survival rate was 94%, with a median NICU stay of 7 days. Poor maternal glycemic control significantly correlated with adverse neonatal outcomes (adjusted OR 2.8, 95% CI 1.4-5.6, p=0.003). Conclusion: Despite resource limitations, rural tertiary care centers can achieve favorable outcomes in managing IDMs through systematic protocols and vigilant monitoring. The study highlights the importance of maternal glycemic control and early intervention in preventing complications. The findings provide valuable insights for developing standardized protocols tailored to rural healthcare settings, though larger multicenter studies are needed to validate these results