The Use of Palliative Performance Score in Patients with End-Stage Liver Disease

● Palliative Care services are often underutilized in patients with End-Stage Liver Disease (ESLD) and often only initiated at the end of life ● The Palliative Performance Score (PPS) is an important tool used in Palliative Care to assess functional status ● PPS has five functional dimensions: ambulation, activity level and evidence of disease, self-care, oral intake, and level of consciousness ● The aim of this study is to determine if there is a correlation between Model for End-Stage Liver Disease (MELD) score and PPS in ESLD patients ● MELD is used to predict mortality and to prioritize liver transplant allocation in ESLD patientshttps://jdc.jefferson.edu/medposters/1011/thumbnail.jp

Improving the Patient Colonoscopy Prep Experience

AIM: To improve patient prep compliance, prep quality, and an overall better experience by designing a prep specific website that will address the most common prep questions and concerns Once launched, the website address will be placed on printed colonoscopy prep instructions and stated on the after hours GI clinic voicemail as an additional patient resourcehttps://jdc.jefferson.edu/patientsafetyposters/1049/thumbnail.jp

DINACHARYA MODALITIES - A REVIEW ON EVIDENCE BASED RESEARCH W. S. R TO ORAL HYGIENE

Ayurveda recognizes oral cavity as one of the nine openings of physical body and also stressed that these openings are full of blemishes with their secretions throughout day and night, hence it suggests cleaning these openings frequently and regularly. Oral cavity being the chief entrance of the main gateway, as it were to the body, should be kept healthy from the attack of enemies of health. Ayurveda prescribes Dinacharya modalities like brushing the tooth (Dantadhavana), gargling (Kavala and Gandoosha) to keep up the health of the oral cavity, prevention and treatment of diseases of the oral cavity. Researchers have shown that all kinds of chewing sticks (Dantadhavanakashta) and gargling especially with sesame oil (oil pulling) described in Ayurveda texts have anti- plaque and antimicrobial activity thus promote oral hygiene. Use of safe, quality products and practice must be ensured, based on available evidence and traditional medicine has to be acknowledged as part of primary health care. It is also required to ensure patient safety by upgrading the skills and knowledge of the traditional medicine providers. Scientific validation of the Ayurveda oral health practices given above could justify their incorporation in to modern oral health care. Publicity of these techniques using appropriate media would benefit the general population by giving more confidence in ancient practices, thus preventing the decay and loss. The preparation of standard protocol for implementation of these modalities in the community is need of the hour

INVESTIGATION OF CHEMICAL AND PHARMACOLOGICAL PROPERTIES OF ESSENTIAL OILS FROM TWO SYZYGIUM SPECIES OF ANDHRA PRADESH, INDIA

Objective: The present investigation is carried out to study the chemical composition, antimicrobial and antioxidant activity of essential oils of two Syzygium species i.e. Syzygium alternifolium (SA) and S. samarangense (SS) leaves.Methods: The essential oils from S. alternifolium (SA) and S. samarangense (SS) leaves were obtained by hydro-distillation and analyzed by GC and GC-MS. The oils were subjected to antimicrobial and antioxidant activities by using in vitro methods.Results: Essential oils (EOs) obtained by hydro distillation were analyzed through GC and GC-MS and resulted 25 compounds from each sample. SA leaf oil was dominated by monoterpene hydrocarbons (53.53%) of which, β-mercene (24.04%), β-pinene (9.23%), β-trans-ocimene (9.2%), cyclofenchene (7.21%) and β-cis-ocimene (2.1%). Whereas SS leaf oil was dominated by sesquiterpene components i.e. viridiflorol (15.05%) α-cubebene (7.71%) and monoterpenes, i.e. β-pinene (11.64%), α-pinene (9.61%) and α-terpineol (5.19%). Both essential oils exhibited strong and broad spectrum of antimicrobial activity. The antimicrobial results showed that SA-leaf oil strongly inhibited Candida rugosa (CR), Bacillus subtilis (BS) and Staphyloccus aureus (ST), whereas SS-leaf oil strongly inhibited CR and Escherichia coli (EC). Among the test organisms, CR was strongly inhibited by both oils by expression of the lowest minimum inhibitory concentrations (MIC). Further, both the test EOs exhibited concentration dependent DPPH scavenging activity indicating the significant antioxidant property.Conclusion: Syzygium alternifolium and S. samarangense leaf essential oils are the good source of natural antimicrobial and antioxidant compounds, which can be used as natural therapeutic agents against human pathogenic organisms.Â

Unsteady reactive magnetic radiative micropolar flow, heat and mass transfer from an inclined plate with joule heating: a model for magnetic polymer processing

Magnetic polymer materials processing involves many multi-physical and chemical effects. Motivated by such applications, in the present work a theoretical analysis is conducted of combined heat and mass transfer in unsteady mixed convection flow of micropolar fluid over an oscillatory inclined porous plate in a homogenous porous medium with heat source, radiation absorption and Joule dissipation. A first order homogenous chemical reaction model is used. The transformed non-dimensional boundary value problem is solved using a perturbation method and Runge-Kutta fourth order numerical quadrature (shooting technique). The emerging parameters dictating the transport phenomena are shown to be the gyro-viscosity micropolar material parameter, magnetic field parameter, permeability of the porous medium, Prandtl number, Schmidt number, thermal Grashof number, species Grashof number, thermal radiation-conduction parameter, heat absorption parameter, radiation absorption parameter, Eckert number, chemical reaction parameter and Eringen coupling number (vortex viscosity ratio parameter). The impact of these parameters on linear velocity, microrotation (angular velocity), temperature and concentration are evaluated in detail. Results for skin friction coefficient, couple stress coefficient, Nusselt number and Sherwood number are also included. Couple stress is observed to be reduced with stronger magnetic field. Verification of solutions is achieved with earlier published analytical results

The effect of tourism investment on tourism development and CO2 emissions:Empirical evidence from the EU nations

The objective of this study is to investigate the effect of tourism investment on tourism development and CO2 emissions in a panel of 28 EU countries using annual data from 1990-2013. The empirical results from a panel cointegration test confirm the presence of long-run equilibrium relationship among the variables. The long-run elasticities indicate that tourism investment has a significant positive and negative impact on tourism development and CO2 emissions, respectively. Finally, the short-run heterogeneous panel non-causality test results show the evidence of bidirectional causality between tourism investment and tourism revenue. These results therefore suggest that tourism investments not only increase tourism revenue but also reduce CO2 emissions. Given these findings, we suggest the policy makers of the EU nations to initiate more effective policies to increase the tourism investments. The increasing tourism investments will allow the industry to grow further by ensuring sustainable tourism development across the EU member countries

Natural Convection Flow of a Two-Phase Dusty Non-Newtonian Fluid Along a Vertical Surface

The aim of this paper is to present a boundary-layer analysis of two-phase dusty non-Newtonian fluid flow along a vertical surface by using a modified power-law viscosity model. This investigation particularly reports the flow behavior of spherical particles suspended in the non-Newtonian fluid. The governing equations are transformed into nonconserved form and then solved straightforwardly by implicit finite difference method. The numerical results of rate of heat transfer, rate of shear stress, velocity and temperature profiles and streamlines and isotherms are presented for wide range of Prandtl number, i.e, (0:7 ≤ Pr ≤ 1000:0), with the representative values of the power-law index n. A good agreement is found between the present and the previous results when compared with some special cases. The key observation from the present study is that the power-law fluids with (n > 1) are more likely to promote the rate of heat transfer near the leading edge

RECOGNITION OF PARKING AREAS BY USING IOT PLATFORM

The spreading of the choice of electric vehicles is added approximately problems of vehicles automobile parking at the exact area, particularly the auto car parking. This now not directly ends in net site traveller’s blockage. This is because of that existing day-day shipping facilities in addition to vehicle park middle are not efficient in looking after the arrival of a big form of Lorrie's when travelling. A primary headache in everyday lifestyles is Automobile Park of automobiles specially the cars and truck vehicle parking in the correct area. And additionally this problem in a periphrastic fashion stop results in internet site visitor’s jam. This paper will pay for the easy idea of utilising internet server or cloud-primarily based completely great car parking solutions in terrific cities as a important software of the Internet of Things (IoT) preferred. This system lets in improvisation the manipulate of car parking system with complying with guidelines of the government, for example of looking after superior parking lot in the town. The impulse of conveying this paper is to decrease innovative city trouble similarly to the internet web page site visitors at the roadway in addition to reduces the pollution inside the network in addition to the automobile park. The numerous movements related to this system are vehicle identification using RFID tag complimentary port discovery utilising IR sensing devices as well as price estimation is done on the premise of the length of the automobile park that's completed with the resource of the actual-time clock