58 research outputs found
The Scientific Society and the Spiritual Society in the Novel âIraiyuthir Kaaduâ
People's lives are intended to various changes in today's society. Novel literature is required in particular to record those changes because novel and society are intertwined. Indira Soundarrajan's âIrayuthir Kaaduâ is a testament to the social history novel which is a mix of historical and contemporary events. The research area of this article is the scientific society and the spiritual society of the above-mentioned novel. The Sociological Approach has been adopted for this research to analyze the dependency of people on technological gadgets and the state of spirituality in todayâs society
Bharathi and Parakalar Announcing Separation Unendurable
Some devotional literatures appeared by portraying the Lord as the superior male and the soul as a woman to make people to realize the philosophy of surrender. Bharati, who realized the aspiration of woman, and Thirumangaiyalwar (Parakalar), who realized the superiority of the Lord, created verses by assuming themselves as the heroine to express their devotion to Thirumal. The expression of love is manifested only in Separation unendurable. The purpose of this study is to compare the part of Kannan Pattu, âKannan â En Kaadhalanâ composed by Bharathiar with the Thirumadals âSiriya Thirumadalâ and âPeriya Thirumadalâ composed by Thirumangaiyalwar to reveal the inseparable sorrows caused to both of them by the separation of Kannan. The Descriptive Approach has been adopted for this research to express the sorrows of the departed heroines, the psychological approach to explore how the heroinesâ love is felt, and the comparative approach to compare the two's feelings of separation
A prospective study on blunt injury abdomen
INTRODUCTION:
Abdominal trauma continues to account for a large number of trauma related injuries and deaths. Motor vehicle accidents, accidental fall are leading causes of blunt and penetrating trauma to abdomen. Blunt abdominal trauma is one of the leading preventable causes of the unnatural death in developed and developing countries. Blunt trauma is particularly deceptive as the clinical manifestations of the injury may be delayed for hours or days even though internal damage is serious and sometimes lethal. In open cases of abdominal trauma the clinical manifestations, diagnosis and management will be easier but closed cases of abdominal trauma offers a great challenge to the treating surgeon. Injuries to the abdominal viscera, caused by blunt trauma, are particularly common in civilian life. The blunt trauma differs from penetrating trauma, as the different organs are characteristically injured by compression from blunt straining. The solid organs such as spleen, liver, kidney, pancreas, etc., are the most vulnerable, while the hollow viscera like stomach, intestines and bladder are less likely to be involved. The outstanding features of injury to solid organ are the haemorrhage and shock, while in hollow visceral injury shock follows with the development of peritonitis. The aim of this study is to analyse the incidence of hollow viscus perforation and solid organ injuries and find out the morbidity and mortality in blunt abdominal trauma.
AIM OF THE STUDY:
1. To evaluate the age and sex incidence of the involved patient population.
2. To evaluate the different organ systems involved in various modes of presentations as a primary tool in early diagnosis.
3. To find a possible treatment protocol cases of blunt trauma to the abdomen following road traffic accident.
MATERIALS AND METHODS:
162 cases of blunt trauma following road traffic accidents admitted in all the surgical units at Thanjavur Medical College Hospital during the period of September 2016 to September 2017 The cases were selected with accurate history of trauma including the mode of injury, the time elapsed since injury till admission and history of primary resusitation documented carefully. Based on a careful history and meticulous physical examination combined with adjunctive investigations, a decision to operate or to manage conservatively was taken. Baseline laboratory parameters like blood urea, blood sugar, serum electrolytes and blood grouping was done in all cases. Plain x-ray abdomen in an erect posture was taken for all stable patients. Other investigations appropriately taken for associated injuries. Ultra sonogram and CT scan abdomen was not done as a routine diagnostic investigation, however few cases were subjected to the same in view of special circumstances. A performa of each case including the case, sex, mode of injury, and an accurate history suggesting the mode of injury was compiled. Personal history of previous trauma or surgeries and alcohol or drug intoxication was specifically sought for. Plain skiagram of the abdomen and four quadrant aspiration was done in all the cases.
17 All the patients were resusitated with ringer lactate solution and blood before surgical intervention. All the patients were manadatorily maintained on nasogastric suction, intravenous fluid replacement and broad spectrum antibiotics. Selected cases were catheterised. Post operative complications were specifically sought for and treated appropriately.
DISCUSSION: In our study of blunt injury abdomen, caused due to road traffic accidents, 162 cases were admitted in thanjavur medical college and hospital from september 2016 to september 2017. Males accounted for 103 patients [45%]. Vijay malhotra et al also reported similar sex incidence in the landmark 1998 study. The proportionate majority of males could account for the male preponderance involved in road traffic accidents, also to a certain exten by their aggressive behaviour. Solid organ injuries like liver and spleen injuries due to direct compressive forces resulting from collision. Bowel injuries might have been contributed by deceleration shear stess and sudden increase in abdominal pressure. 49 cases [30.2%] were hemodynamically unstable at presentation and required aggressive reusitation. The connectialt and suffolk show a 44% shock incidence at presentation. 20 cases died among 162 cases, in which peritonitis waas the cause of death in 15 cases and 5 patients died due to hypovolemic shock, this is due to late presentation after which they have treated in mofsul hospitals and was referred to TMCH.
Physical examination revealed abdominal bruises in 62 cases, abdominal pain and distension in 70 cases. Guarding found in all cases. Rigidity was noticed in 20 patients. Davis et al reported abdominal pain in 75% of the patienst, rigidity and rebound tenderness in 25%
Dent-O-Myths Amid Young Community: A Cross-Sectional Study
INTRODUCTION: The word âMythâ is derived from the Greek word âMythosâ, meaning the stories passed by a group of certain population having a strong impact on seeking general and dental treatment even during illness. AIM: The aim of this study was to access the prevalence of dental myths among the young population and to interpret their level of knowledge, awareness and perception. MATERIALS AND METHOD: A cross-sectional questionnaire survey was conducted amongst 500 young population of age between 18-28 years between May to August 2020, COVID-19 pandemic period. A pretested validated questionnaire was formatted on Google forms and circulated in various social media platforms. The collected data was subjected to statistical analysis. RESULTS: The mean age of the study population was 22.66±2.38 years, and 59% were females and 41% were males. About 65% (325) and 56% (280) of the study subjects believed correctly that mouthwash alone will not maintain oral health and chewing gum will not clean their teeth, respectively. When asked about their responses in case of pain in oral cavity, most people 46% (230) reported they would visit a dentist and major segment of study subjects 56% (281) believed that there can be more methods for treating oral pain other than the extraction of the tooth itself.CONCLUSION: The result of this study revealed that the younger population are more aware and didnât believe much regarding various dental myths
A Framework for Securing Health Information Using Blockchain in Cloud Hosted Cyber Physical Systems
Electronic Health Records (EHRs) have undergone numerous technical
improvements in recent years, including the incorporation of mobile devices
with the cloud computing technologies to facilitate medical data exchanges
between patients and the healthcare professionals. This cutting-edge
architecture enables cyber physical systems housed in the cloud to provide
healthcare services with minimal operational costs, high flexibility, security,
and EHR accessibility. If patient health information is stored in the hospital
database, there will always be a risk of intrusion, i.e., unauthorized file
access and information modification by attackers. To address this concern, we
propose a decentralized EHR system based on Blockchain technology. To
facilitate secure EHR exchange across various patients and medical providers,
we develop a reliable access control method based on smart contracts. We
incorporate Cryptocurrency, specifically Ethereum, in the suggested system to
protect sensitive health information from potential attackers. In our suggested
approach, both physicians and patients are required to be authenticated.
Patients can register, and a block with a unique hash value will be generated.
Once the patient discusses the disease with the physician, the physician can
check the patient's condition and offer drugs. For experimental findings, we
employ the public Block chain Ganache and solidity remix-based smart contracts
to protect privacy. Ethers are used as the crypto currencies
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