Non-Clinical Perspectives on Sepsis: A Project for Enhanced Awareness

Problem: This project aimed to enhance non-clinical staff knowledge of sepsis through a targeted awareness campaign, while also seeking to uphold or enhance the organization\u27s sepsis-related performance. Context: Clinical Nurse Leader students conducted a microsystem assessment in five crucial non-clinical departments of an urban Bay Area hospital, each playing a vital role in the organization\u27s efficiency at different levels. Intervention: During Sepsis Awareness Month, a sepsis awareness campaign was implemented. This involved a concise presentation on sepsis, its consequences, and the significance of awareness in each department. Additionally, informational fliers detailing sepsis signs and symptoms were distributed. Measures: A pre-and post-intervention verbal survey assessed sepsis awareness. Participants were asked a direct question: Do you know what sepsis is? Respondents indicating awareness raised their hands, providing a tangible measure of comprehension. Results: Post-intervention assessment was feasible in only one department – environmental services. Unfortunately, none of the respondents reported awareness of sepsis, its signs or symptoms, or preventative measures. Conclusion: The limited post-intervention data highlights the need for further research to determine the broader impact of sepsis awareness campaigns on organizational performance. Additionally, investigations are warranted to assess whether such campaigns influence early sepsis recognition, prompting rapid diagnosis and treatment

DC Motor Dual Close-Loop PID Speed-Tuning System on The Basis of ABC Algorithm

The DC Servo Motors has top position in various servo motor mechanisms. It is important to study DC Servo motor stability for position control study. Generally transient responses of DC Servo Motor are improved by using PID controller. Currently, to provide workable initial value most tuning methods have been designed. DC servo motor stability for the speed get unstable without any controller . The stability of the system get unstable after 2 second . When the design system will work without PID controller then the stability of the current and speed of the motor is not stable . it is verifying in the form of sinusoidal waveform . For any good design system , system will work in a stable form for current and speed graph . As the graph is showing that the graphs of the DC servo motor is stable up to 2 sec. But the after 2 second the graphs will get unstable . This type of problem can damage the complete model where this type of motor will be used . In this paper we are improving the stability of the current and speed for the DC motor by apply PID controller

Assessment of Biomass and Carbon Stock of Trees within the Campus of IGNOU, New Delhi (India)

This study aims to assess the biomass and carbon stock of the trees within IGNOU campus situated at the Indian national capital, New Delhi for an enhanced understanding about the carbon sequestration potential of the university campuses in urban setting. The aim of the paper is centered on the need to assess terrestrial carbon pools within a campus situated in the semi-arid forests of India which is significant for building suitable action plans for the purpose of managing ecosystems amidst the threat of anthropogenic climate change occurring due to rapid urbanization. The assessment of the biomass and carbon stock of the trees of the selected species within the campus was done by non-destructive method using allometric equations used prominently in previous studies identifying a total of 20 species of the trees comprising 1260 individual trees belonging to 14 different families of the trees. Findings of this study on identified campus trees, which comprised 1,260 individual trees, demonstrated to have moderate maturity in terms of storing carbon in the form of their biomass with the average DBH 25.34 cm. The values of their estimated total biomass and carbon stock were 75.26446 t/tree  and 37.63223 tC/tree respectively. The maximum value of the total biomass 13.01 t/tree was of Ficus recemos, and of the carbon stock 6.50tC/tree was of Ficus recemosa. Azadirachta indica species were found to be the most dominant species and their sampled trees were found to be able to sequester 537.526 tons of carbon in their standing biomass. The Phyllanthus emblica had the lowest carbon sequestration potential with 10.9 tons. This paper offers valuable insight with respect to the carbon sequestration potential of university campus situated in urban settings of a semi-arid forest ecosystem of Delhi by assessing the above- and below ground carbon storage potential of the trees. The findings are of significance for different stakeholders including primarily future researchers, planners and decision-makers engaged in the process of urbanization. &nbsp

Clean coal technology—a technical response to the environmental challenges

Coal occurs in 70 countries of the world. Total proved reserve of coal in the world is about 909 billion tonnes. India contributes about 105 billion tonnes of proven coal reserves and ranks fourth in the world after USA, Russia and China. India is also the third largest producer of coal in the world, producing about 400 million tonnes annually. Jharkhand has 39480 million tonnes of proved coal reserve and ranks first in the country. Coal produces 40% of the world’s electricity and around 70% of the world’s steel. Coal is used in cement, paper, chemical, pharmaceutical industries and also used as liquid fuel in transportation and electricity. Coal is mined in over 50 countries and 7 million people are employed in coal mining sector. In developing countries the coal industry is export oriented and is a major source of foreign currency. Thus, coal makes a significant contribution to global economic development. Beside above facts mining of coal and its uses in different industries have a number of adverse environmental impacts. Use of coal causes emissions of oxides of nitrogen and sulphur, ash, trace elements and carbon dioxide. Ash from coal combustion can effect people’s respiratory systems and it also impacts local visibility. This ash also causes environmental pollution. Emissions of trace elements like selenium and arsenic can be harmful to human health and the environment. During the combustion process NO2 and SO2 gas formed and it can increase ground level ozone, acid rain, green house effect, smog and acidic aerosols. Similarly, coal mining, particularly surface mining, also raises a number of environmental challenges like soil erosion, dust, noise and water pollution etc. which has an impact on local biodiversity

Efficacy of prophylactic tranexamic acid administration in prevention of postpartum hemorrhage in placenta previa cesarean section: an interventional study

Background: Postpartum hemorrhage accounts for the major part of the mortality as well as morbidity like severe anemia, need for blood transfusion, hospital stay and infection. Aim and objectives of the study were to determine the efficacy and safety of prophylactic tranexamic acid and intravenous tranexamic acid in preventing postpartum hemorrhage in women undergoing caesarean section for placenta previa.Methods: Seventy women with placenta previa over 1 year, randomized into 2 groups: group 1 (n=35): Women who received 10 IU oxytocin intravenous infusion after placental delivery and group 2 (n=35): Women who received 1 gm (10 ml) tranexamic acid IV before skin incision plus 10 IU oxytocin intravenous infusion after placental delivery.Results: The mean age was similar in 2 groups i.e., 26.34±4.78 years in group 1 and 27.31±5.62 years in group 2. Most women in the present study presented with type IV placenta previa i.e., 34.3% in group 1 and 48.6% in group 2. Mean pre-operative hemoglobin was 9.57±1.54 g/dl in group 1 and 9.59±1.35 g/dl in group 2. Intra-operative mean blood loss was 729.31±172.45 ml in intravenous oxytocin group and 464.86±28.00 ml in intravenous tranexamic acid group. A total of 74.3% women in group 1 and 20% women in group 2 developed postpartum hemorrhage. Mean post-operative hemoglobin was 8.04±1.34 g/dl in group 1 and 8.85±1.26 g/dl in group 2. In group 1, 5.7% neonates were born with very low birth weight and while none in group 2. 51.4% neonates in group 1 and 45.7% in group 2 had low birth weight.Conclusions: It is concluded that tranexamic acid used prophylactically intravenously before skin incision in patients undergoing cesarean section for placenta previa significantly reduces intra-operative blood loss.

Experimental Evaluation of Routing Metrics in Wireless Multi-Hop Network

Routing protocols evaluate end-to-end path metrics which is conglomeration of individual link metrics to choose the best route. Routing protocols designed for wireless multi-hop constrained networks must optimally use the scare resources: bandwidth, battery power, memory, computing. Optimal paths are determined based on routing metrics. Analysis of routing metrics and impact of choice of routing metrics plays a major role on Quality of Service (QoS) parameters. This work mainly focus on empirical evaluation of signal strength based metric in indoor and outdoor environments to record Line Of Sight (LOS) and Non Line Of Sight (NLOS) radio characteristics. Analysis and experimentation is carried out using Xbee 802.15.4 modules and XCTU softwar

A Review on Extrapharmacopoeial Drugs beneficial in Vatavyadhi

Background: The literatures have emphasised the usage of locally available flora for prevention as well as treating diseases. Folklore practioners are successfully treating majority of diseases with the medicinal knowledge which was transferred from ancestors. Many researches are in process to incorporate such knowledge into treatment modality of Ayurveda and there by many drugs are added to Ayurveda materia medica through ethno-medico-botanical survey till date after several experimental and clinical trials. Aim: The present review focuses on research work of extra-pharmacopoeial drugs carried out at Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Udupi with main emphasis on the Vatavyadhi (Neuromuscular disorder). Materials and Methods: Critical analysis of the compiled literature for better understanding of the extrapharmacopoeial drugs research work with main emphasis on the Vatavyadhi. Results: Agnichikitsa Alepa is treatment modality practised in the Institute for the management of Pakshaghata and Amavata. Papata and Bandha are extrapharmacopoeial drugs used in Agnichikitsa alepa along with other drugs. Apart from this around 13 extrapharmacopoeial drugs were studied by Department of Dravyaguna and are found to be effective in Neuro-muscular disorder. Conclusion: Such attempt will certainly encourage young researchers to work on extrapharmacopoeial drugs for the development and promotion of Ayurveda materia medica

CHANGES IN SERUM TESTOSTERONE LEVELS IN MALES WITH PREDIABETES UNDERGOING METFORMIN THERAPY: A TERTIARY CARE HOSPITAL STUDY.

Introduction:  Hypogonadism is a commonly encountered condition observed in individuals presenting with both diabetes and prediabetes. Metformin, a pharmacological agent classified as an insulin sensitizer, has received regulatory approval as a therapeutic intervention for individuals who have received a diagnosis of prediabetes. The objective of this investigation is to assess the potential influence of metformin on serum testosterone concentrations in males who have been diagnosed with prediabetes. Materials and Methods:  The study comprised a cohort of 50 male individuals diagnosed with prediabetes. The participants were stratified into two distinct cohorts - Category A, comprising individuals with a baseline serum testosterone level exceeding 300 ng/dl, and Category B, consisting of individuals with a baseline serum testosterone level below 300 ng/dl. The patient's testosterone levels were reassessed following a 3-month course of metformin therapy.  Result:  Substantial improvement in serum testosterone levels was observed among prediabetic men in the hypogonadal group. Both cohorts of participants exhibited amelioration in the manifestation of erectile dysfunction.  Conclusion: Metformin therapy in males with prediabetes has been shown to contribute to the enhancement of testosterone levels.  Recommendation:  According to this study, metformin therapy may be an option for prediabetic men with baseline blood testosterone levels < 300 ng/dl. The improvement in blood testosterone levels and erectile dysfunction symptoms imply that metformin may help prediabetics manage hypogonadism. When contemplating metformin therapy for prediabetes, doctors should examine the patient's risk factors, health, and treatment goals. Further research and clinical studies may reveal metformin's long-term efficacy and safety in treating hypogonadism in this population

Phytosociological Assessment of Vegetation at Indira Gandhi National Open University (IGNOU) Campus at New Delhi

The paper aims to investigate the phytosociological attributes the vegetation of the managed campus area of Indira Gandhi National Open University (IGNOU) situated at New Delhi in India. The purpose of the study was to understand the diversity pattern of vegetation for its characterization. The vegetation sampling and data analysis were undertaken by adopting universally standard procedures. The findings of the study demonstrated that the study area had a total of 116 species of plants which belonged to 28 different families. Out of which 55 species of trees, 29 species of shrubs and 32 species of herbs were taken on record. The most common plant species based on importance value in tree, shrub and herb layers were found to be Azadiracta indica (IVI-66.87), Matricaria chamomilla (RVI-51.89) and Cynodon dactylon (RVI- 106.11), respectively. Amongst families, Fabaceae was found to be the most dominant. Results reflect dominance of higher trees over ground floras. This study provides baseline information for future studies on the managed and natural forest patches exiting in the campus, and suggests that suitable conservation and management of biodiversity can improve the natural floral and faunal value of institutional campus