Sustainability - is it for the CIO?

This article addresses the significant role that the Chief Information Officer (CIO) can play in improving the sustainability of the planet. Information Technology is a primary contributor to a company’s environmental footprint, but if managed the right way can provide solutions that help reduce the environmental footprint of a company, as well as reduce costs. This can be done through the use of green technologies and methods that allow corporations to assess, manage, and reduce their energy use, water use, and production of e-waste

COMPARATIVE STUDY OF ERECTOR SPINAE PLANE BLOCK VERSUS SYSTEMIC ANALGESIA FOR INTERLOCKING NAIL IN INTERTROCHANTERIC FRACTURE OF FEMUR: A RANDOMIZED CONTROLLED INTERVENTIONAL STUDY

Objective: The geriatric population is prone to multiple comorbidities, and their fragile bones and unsteadiness make them susceptible to fractures, commonly observed in the wrist and proximal end of the femur. Internal fixation of fractures under central neuraxial block allows for early mobilization. However, the presence of comorbidities in elderly patients puts them at higher risk for anesthesia and surgery. Methods: To manage postoperative pain following surgery for proximal femur fracture, opioid-sparing multimodal analgesia techniques are employed. Regional anesthesia techniques such as fascia iliaca block, femoral nerve block, and quadratuslumborum block are utilized as part of a multimodal approach. Pain is subjective, and the inability to communicate does not negate the need for appropriate pain relief. Results: Postoperative pain, if poorly managed, can result in complications, prolonged recovery, and chronic pain with reduced quality of life. Effective pain relief enhances patient satisfaction, reduces hospital stays and costs. Inadequate pain control activates the sympathetic nervous system, increases hormonal response, and contributes to adverse events. Opioids, though common, pose risks and adverse effects. Conclusion: The erector spinae plane block (ESPB) is a safe and easy-to-perform technique for postoperative pain management. It involves ultrasound-guided deposition of local anesthetic, allowing effective spread. Previous studies have shown its effectiveness for thoracic pain relief. This study evaluated lumbar ESPB and compared it with systemic analgesics in terms of ease of positioning and postoperative pain control

Assessment of variation in depth of brachial plexus using ultrasound for supraclavicular brachial plexus block in patients undergoing elective upper limb surgery

Background and Aims: Supraclavicular approach to the brachial plexus may be associated with complications such as pneumothorax, inadvertent vascular puncture, inter-scalene block and neurovascular injuries. The present study was conceived to find out the variation in depth of brachial plexus to suggest the minimum length of needle required to effectively perform the block, thus preventing possible complications. Methods: After approval from our Institutional Ethical Committee, informed and written consent was obtained from each of the ninety American Society of Anesthesiologists Physical Status I and II patients recruited, of either sex in the age group of 20–50 years. Supraclavicular fossa was scanned using a high-frequency linear probe, and the distances (shortest distance [SD] from skin to the most superficial neural element and longest distance [LD] from skin to the most deep neural element) were measured using on-screen callipers on optimal frozen image. Pearson correlation was used to find out the relation between these two distances and demographic parameters. Results: Mean SD was 0.60 ± 0.262 cm, and mean LD was found to be 1.34 ± 0.385 cm. We observed significant correlation between these two distances with weight and body mass index (BMI). Conclusion: Significant correlation was observed between SD and LD with weight and BMI. We suggest that a needle with a shaft length of 3 cm will be sufficient to reach the sheath of the brachial plexus during performance of the block

Lung isolation, one-lung ventilation and hypoxaemia during lung isolation

Lung isolation is being used more frequently in both adult and paediatric age groups due to increasing incidence of thoracoscopy and video-assisted thoracoscopic surgery in these patients. Various indications for lung isolation and one-lung ventilation include surgical and non-surgical reasons. Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker. Different issues arise in prone and semi-prone position. The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side

Crystal structure of a calix[4]crown ether-ester and molecular recognition of alkyl- and arylalkylamines

The crystal and molecular structure of3 has been determined by X-ray analysis. Thecrystal data are: triclinic, space group P'1,a = 12.999(2),b = 14.114(3),c = 16.132(3) Å,α = 91.62(2),β = 97.71(1),γ = 91.38(2)°,V = 2930.6(9) ų,Z = 2,Dm = 1.046 g cm^-3.Rotational disorder has been seen in the t-butyl groups whichwere refined isotropically. Least-squares refinementbased on F², using 4827 observedreflections with I > 2σ(I) and 18 restraints,led to R = 0.123. The calix is found in a coneconformation. The crown ether part of the molecule isnot in a fully extended conformation but has foldsin the chain. The calix[4]crown ether-ester exhibitsmolecular recognition properties toward alkylamines

An approach for developing an MBA curriculum to meet the career objectives of MBA students with engineering/science background

As more students with engineering background take management responsibilities in corporations, there is a need to develop a special track within the MBA programmes to help them bridge the gap between their engineering background and their required management skills. In this paper, we present a two-step approach for developing a special track in an MBA programme to help students with engineering/science background achieve their career goals. Our approach essentially relies on a dual study of the job market for engineers with an MBA degree so as to design a curriculum (courses, workshops, extracurricular activities) that best matches the supply and the demand on that market. We illustrate the proposed approach with the development of a specific track for students with an engineering/science background within the MBA programme at UCLA Anderson School of Management.engineering, science, career paths, content analysis, survey analysis, MBA curriculum, MBA students, career objectives, management skills,

Synthesis of new macrocyclic polyaza compounds containing 1-methylpyrazole

New macrocyclic polyaza compoundscontaining the 1-methylpyrazole moiety are synthesizedin high yield by [2+2]dipodal condensation andreduction. The ring contracted structure of the Schiffbase has been elucidated by NMR. Two of thesemacrocycles form dinuclear complexes with copper andsilver. Macrocyclic Schiff base 5a extracts74.5% silver from aqueous to organic phase

Nutritive investigation of plants used in dietetics: with special reference to <i>Yoga</i>

53-59The present study estimated the nutritive values and proximate analysis of some plants used in Ayurveda which are commonly available in the local market of Bangalore. Most of the plants evaluated are used as vegetable in the daily life of the local inhabitants of Bengaluru and adjoining area as recorded in our earlier study. Proximate analysis was done such as estimation of proteins, carbohydrates, vitamin C, calcium, iron, zinc, vitamin B1, B2, B3, fat, calories, crude fiber and other minerals. This paper also covers about the importance of Ahara in “Yoga” which is an age old tradition and has become one of the major holistic approaches for the management and well being around the globe. Apart from the physical activities it is also important to have a healthy and ‘Satvik’ diet which also includes vegetables and fruits. Plants mentioned as diet in classical Ayurvedic literatures also possesses broad spectrum of therapeutic activity. Some of the plants are also used as dietetics and consumed by different populations in India. The results revealed that all the vegetables and fruit selected in the study exhibits high calorific value, vitamin C, iron, etc. which are essential for the development of body

Pharmacognostical Standardization of Upodika- Basella alba L.: An Important Ayurvedic Antidiabetic Plant

Objective: To establish the pharmacognostic standards for the correct identification and standardization of an important Antidiabetic plant described in Ayurveda. Materials and Methods: Standardization was carried out on the leaf and stem of Basella alba L. with the help of the macro-morphological, microscopic, physicochemical and qualitative phytochemical studies. Results: Several specific characters were identified viz. clustered calcium oxalate crystals in the cortex region, absence of trichomes, succulent, thick, mucilaginous, fibrous stem. Rubiaceous type of stomata on both sides of the leaf. Quantitative microscopy along with physicochemical and qualitative phytochemical analysis were also established. Conclusion: The pharmacognostic standards could serve as the reference for the proper identification of the Basella alba L. which is an important anti-diabetic plant described in Ayurveda