Comparison of short-term outcomes following open and laparoscopic resections for colorectal malignancies

Background: The laparoscopic approach for colorectal cancers are still a matter of controversy. In the present study, we tried to compare the laparoscopy with open methods of colorectal resections.Methods: Retrospective study where patients diagnosed with colorectal cancer in our hospital from year 2014 January to December 2016 were taken. Total number of cases were 69 of which, the total number of right colon cases were 26. Out of twenty-six, 12 underwent open procedure and 14 underwent laparoscopic resections. Total number of left colon cancers were 09. Of these, 2 underwent open and 7 underwent laparoscopic procedure. Thirty-four (34) rectal cancers were included in the study. Of these, 12 underwent open rectal procedures and 22 underwent laparoscopic resections. Multiple parameters like duration of surgery, post-operative complications, postoperative stay, pathological T staging, lymph node yield, positive nodes, distal resection margins, circumferential radial margins were compared.Results: Operating time was significantly shorter in open procedure than laparoscopic surgery in both rectal resection and right hemicolectomies. The postoperative stay was significantly shorter in laparoscopic right hemicolectomy compared to open procedure. All other parameters like post-operative complications, T stage, lymph node yield, positive nodes, distal resection margins and CRMs were comparable in both groups. The lymph node yield was similar in upfront and post neoadjuvant carcinoma rectum cases.Conclusions: Laparoscopic colorectal resections have similar rates of complication, with shorter hospital stays with no compromise on oncological clearance with respect to lymph node yield, CRMs, distal resection margins compared to open procedures

PLANT DYNAMICS: Triticum Infection Disclosure

Agriculture being the pillar of the economy for a developing country like India has a vital role in the survival of living beings on earth. Wheat is the most widely consumed grain on the planet. Deep learning is an evolving technology that is having a significant effect in the field of agriculture, assisting farmers in modernizing their operations. One such application is the identification of plant diseases using image classification which is necessary for long-term agriculture sustainability. Wheat plants are susceptible to a variety of fungal diseases. Hence early identification of diseases of crops like wheat and rice that are staple food of people in many countries is critical. Using deep learning algorithms such as CNN, this proposed system aims to predict wheat diseases. We are introducing a deep learning-based model for image classification to predict wheat diseases. Previous approaches used machine learning algorithms for a general dataset that included all types of crop diseases. To achieve better precision, we built our own dataset and combined it with existing similar datasets to account for 4 major classes of wheat diseases. The dataset consists of 700 images of wheat plants. Based on the input, our system determines if the plant is healthy or diseased so that precautionary measures can be taken to prevent losses in wheat cultivation, which could lead to food shortage

Coefficient bounds for a subclass of Sakaguchi type functions using Chebyshev polynomial

In this work, considering a general subclass of bi-univalent Sakaguchi type functions and using Chebyshev polynomials, we obtain coefficient expansions for functions in this class

FRUIT PEEL SOAP AND ITS ANTIBACTERIAL PROPERTIES IN SKIN CARE

Objective: To prepare soap under laboratory condition using fruit peels of Citrullus lanatus, Citrus lemon, Citrus maxima, Carica papaya, Ananas comosus and Punica granatum., to view the antibacterial property and pH of the soap prepared and to study the phytochemical content of the fruit peels. Methods: The homemade soap is prepared in the laboratory using fruit peelings. Antibacterial properties of the prepared soap were then tested using disc paper inhibition method against Escherichia coli, Staphylococcus aureus, and Staphylococcus epidermidis. The Extract was prepared using distilled water and ethanol. The pH of the fruit peels was tested and screened for phytochemical properties. Results: Overall best results for the antibacterial property was shown by Citrullus lanatus, Carica papaya followed by Citrus aurantifolia and Ananas comosus for water extract. Citrus maxima followed by and Ananas comosus and Citrus aurantifolia for ethanol extract. All six fruit peels showed the presence of Alkaloids, Terpenes, Saponins, Glycosides, Quinones, and Tannins. pH of the soap ranges from 7-10. Conclusion: The peels of the fruit shows good results against the anti-bacterial activity for skin bacteria studied. Also, the soaps are less prone to the addition of the harmful chemicals and their derivatives

Generic local distinguishability and completely entangled subspaces

A subspace of a multipartite Hilbert space is completely entangled if it contains no product states. Such subspaces can be large with a known maximum size, S, approaching the full dimension of the system, D. We show that almost all subspaces with dimension less than or equal to S are completely entangled, and then use this fact to prove that n random pure quantum states are unambiguously locally distinguishable if and only if n does not exceed D-S. This condition holds for almost all sets of states of all multipartite systems, and reveals something surprising. The criterion is identical for separable and for nonseparable states: entanglement makes no difference.Comment: 12 page

A retrospective study of antimicrobial usage in wound healing

Background: Chronic wounds are responsible for increase in burden to healthcare systems. The evidence concerning effectiveness of antibiotic therapy or optimal regimens is insufficient. Patients with chronic wounds receive significantly more systemic and topical antibiotics. Current guidelines for antibiotic prescribing for such wounds are often based on expert opinion rather than scientific fact. As there is increasing prevalence of antibiotic resistance, the relationships between antibiotic resistance and rationales for antibiotic therapy have to be determined. Current practice of antibiotic usage for chronic wounds and postoperative wounds in a tertiary care setting should be studied.Methods: Retrospective study was conducted from February 2017 to February 2018 using medical records of patients with wound admitted in surgical departments in HIMS, Hassan, Karnataka. The inpatient records were analysed, which includes duration of stay in the hospital, number of drugs/products per person, percentage of antibiotics prescribed, percentage of antibiotic injection prescribed, and other modalities used to treat wounds.Results: In present study, amongst 100 antimicrobial prescriptions, 26 females and 74 males. The most commonly prescribed parenteral antibiotic was ceftriaxone (58%), followed by metronidazole (56%). The average number of antibiotics per prescription was 2.8. The mean duration parenteral antibiotics given was 4.26 days during their hospital stay oral antibiotics were 5.18 days after the discharge from the hospital.Conclusions: The information generated shall be used to decide the policies to govern the prescription of antibiotics in the management of chronic wounds and post-operative wounds

Prescribing pattern of antibiotics in pediatric department of a tertiary care teaching hospital

Background: Prescription is an order from doctor for medicine. Rational use of medicines requires that "patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community". Irrational use of medicines is a major problem worldwide. This leads to serious morbidity and mortality also leads to reduction in the quality of treatment due to antibiotic resistance. Evaluation of prescribing pattern will help in minimizing adverse drug reactions, resistance among children. Also help to know the attitude of the physicians towards prescribing. Aim of the present study was to evaluate the prescription pattern of antibiotics in paediatric inpatients of Hassan institute of Medical Sciences.Methods: A prospective study, conducted among 110 patients below the age of 18 years and being treated with antibiotics were included in our study. The results were analyzed using descriptive statistics.Results: Out of 110 patients, female (58) and male (52) are enrolled in the study from inpatient paediatrics department, majority of patients belonged to age group of 0-5 years (74%), respiratory tract infections 29 (35%) , gastrointestinal infections 26 (22%) and central nervous system in 9 (11%). Out of 227 antimicrobial agent, about 83.48% were cephalosporins, followed by ciprofloxicin (33.94%), amoxicillin (32.11%), and amikacin (6.42%).Conclusions: Cephalosporins (ceftriaxone) were most commonly used antibiotic, which covers gram positive, gram negative and anaerobic organism

Role of Duration of Diabetes on Ventilatory Capacities and Expiratory Flow Rates in Type 2 Diabetes Mellitus

Diabetes mellitus is a chronic debilitating problem with increasing incidence and long term complications such as diabetic nephropathy, diabetic neuropathy, diabetic retinopathy etc. These complications are mainly a consequence of macro vascular and micro vascular damages of the target organs. The magnitude of the complications of diabetes is related to its duration. Less has been known about the after effects of diabetes on lungs. So this work was carried out to know the relation between duration of diabetes and lung volumes and capacities in Type 2 DM patients. The presence of an extensive micro vascular circulation and abundant connective tissue in the lungs raises the possibility that lung tissue may be affected by Microangiopathy process and non-enzymatic glycosylation of tissue proteins, induced by chronic hyperglycemia, there by rendering the lung a “target organ” in diabetic patients.  This is a cross-sectional study, the test group were Type 2 Diabetes Mellitus patients (n=50) with duration of 2-35 years, the control group were staff of Narayana medical college (n=50). Written consent was obtained from them. The following lung function parameters were recorded: Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Forced Expiratory Volume percent (FEV1/FVC %), Peak Expiratory Flow Rate (PEFR), Forced Expiratory Flow 25-75% (FEF25-75%), Maximum Voluntary Ventilation (MVV). The mean FVC, FEV1, PEFR, FEF25-75%, MVV values are low in diabetics compared to controls (p value <0.001) and the parameters showed significant negative correlation with duration of diabetes. Key words: Chronic hyperglycemia, Diabetes mellitus, Microangiopathy, Micro vascular circulation, Pulmonary function test

Evaluation of clinical outcomes in neuropathic pain with combinations of anti-neuropathic drugs

Background: Much of the pharmacological treatment modalities especially individual drugs for treating neuropathic pain have unwanted side effects, multiple day to day dosing, modest efficacy of topical treatments, and their local side effects. Combination drug regimen has the advantage of offering relatively better pain relief at lower drug doses and lesser side effects.Methods: The study was conducted in the Department of Neurology at NRI General Hospital, Guntur. The patients who met the inclusion and exclusion criteria were enrolled and assigned into 3 groups of the study drug combinations. The baseline characteristics and post interventional scores of Toronto Clinical Scoring System (TCSS), visual analogue scale (VAS), Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D) and Medical outcome of sleep scale (MOS) and were analyzed using t test and mean difference.Results: A statistically significant reduction in neuropathic pain in all the three groups was found. The mean difference between the baseline and post interventional scores of TCSS and VAS of group I, II and III were 2.97, 2.75, and 1.97; 2.32, 1.12, and 0.95 respectively. There was a statistically significant improvement of HAM-A in all the three groups, HAM-D and MOS sleep scale were found significant only in group II.Conclusions: The study findings revealed that all the three drug combinations were effective in the management of neuropathic pain with pregabalin and oxcarbazepine combination being better with respect to efficacy and tolerability. Regarding the treatment of depression and sleep disturbances associated with NP pregabalin and duloxetine was more effective