Simillimum Selection Based on O. E. Boericke’s Approach for Cases with Type II Diabetes Mellitus

Diabetes is a growing public health problem. According to survey from World Health Organization (WHO) estimates that more than 180 million people worldwide have diabetes and its number is likely to more than double by 2030. Type 2 Diabetes mellitus are very common in the population with a high prevalence throughout the world. Diabetes becoming more common in children, teenagers and adolescents which is a serious emerging and public health problem. According to various epidemiological surveys, clinical trials and other studies suggest that improvement in the quality of life for people with Diabetes Mellitus. Healthy eating habits and lifestyle for the entire population especially those predisposed to DM like offspring of diabetics could decrease the burden of DM. This study aims at the effectiveness of Boericke’s approach indicating simillimum for Type II Diabetes Mellitus. This study has included 30 samples of cases through simple sampling technique. Each case are taken in detail and recorded according to the criteria’s. The sample of cases are worked out and analyzed by Rand SF 36 Score. The study concluded after Rand SF 36 Score with patient quality of life marked improvement. As a result concluded that the efficacy of Homoeopathic treatment with Boericke’s Repertory was effective and the simillimum selection of Boericke’s approach is very effective in the management of Type II Diabetes Mellitus

Reduction of Inpatient Fall Rate in an Adult Acute Care Setting

Practice Problem: Falls are among the most reported hospital-acquired conditions and can lead to severe injuries, increased length of hospital stays, pain, distress, and emotional trauma in the elderly. The Centers for Medicare and Medicaid Services (CMS) identifies falls as preventable and no longer authorizes reimbursement to healthcare systems for treating inpatient fall-related injuries. PICOT: The PICOT question that guided this project was: In adult, acute care patients admitted to the telemetry unit (P), how does implementing evidence-based multimodal fall prevention strategies (I) compared to routine fall prevention strategies (C) affect inpatient fall rate (O) over a period of 6-8 weeks (T)? Evidence: The literature review revealed that using multimodal risk prevention strategies effectively reduces fall risk and fall-related injuries and thus improves patient safety and outcomes. Intervention: A multimodal fall prevention strategy was developed, according to the Morse Fall Risk Assessment score, utilizing tools such as bed alarm on, lights on, a urinal within reach, purposeful hourly rounding, and bedside reporting during shift change. The oncoming shift nurse checked with the off-going shift nurse at the patient’s bedside to ensure that the fall risk patients’ fall precaution strategies had been initiated and maintained throughout the shift. Outcome: The EBP project did not result in an overall reduction in the fall rates; however, the fall rate with injury was low in the telemetry unit. The project resulted in an increase in the staff’s knowledge and awareness of multimodal fall prevention strategies. Conclusion: The reduction in the incidence of falls after the implementation of the EBP project in the telemetry unit was not statistically significant. However, the result indicated a clinically meaningful improvement in fall-related injury outcomes and increased staff knowledge and awareness of the fall prevention strategies

Hybrid Optical Fiber Sensors for Smart Materials and Structures

There has been a rapid growth in the use of advanced composite materials in a variety of load-bearing structures, for example in aviation for structures such as rotor blades, aircraft fuselage and wing structures. Composite materials embedded with fiber-optic sensors (FOS) have been recognized as one of the prominent enabling technologies for smart materials and structures. The rapid increase in the interest in composite materials embedded with FOS has been driven by numerous applications, such as intelligent composite manufacturing/processing, and safety-related areas in aircrafts. Research has been focused recently on using several optical sensor types working together to form so called “hybrid optical fiber sensors” in order to overcome the limitations of the individual sensor technologies. The main aim of the research described in this thesis is to investigate a hybrid sensing scheme that utilizes polarimetric sensors and FBG sensors working in a complimentary fashion to measure multiple physical parameters in a composite material, with a particular focus on measuring the complex indirect parameters thermal expansion and vibration. The research described in this thesis investigates the performance of a hybrid sensing scheme based on polarimetric sensors and FBG sensors after embedding in a composite material. It is shown that the influence of thermal expansion within a composite material on embedded polarimetric sensors is the main source of errors for embedded fiber sensor strain measurements and that for practical strain sensing applications buffer coated PM-PCF are more suitable for embedding in composite. Further, using a buffer stripped PM-PCF polarimetric sensor, a measurement scheme to measure a composite material\u27s thermal elongation induced strain is proposed. A novel hybrid sensor for simultaneous measurement of strain, temperature and thermal strain is demonstrated by integrating polarimetric sensors based on acrylate coated high bi-refringent polarization maintaining photonic crystal fiber (HB-PM-PCF), and a coating stripped HB-PM-PCF sensor together with an FBG sensor. Flexible demodulation modules that can be embedded or surface attached is a challenge for composite materials containing fiber-optic sensors. In this thesis an interrogation method that allows intensity domain operation of hybrid sensor is demonstrated. Further focusing towards the miniaturization of the hybrid sensor interrogator, a miniaturized flexible interrogator for the demonstrated hybrid sensing scheme embedded in a composite material is also designed. Low frequency vibration measurements are performed for glass fibre-reinforced composite material samples with two different strain-sensitive polarimetric sensor types embedded. It is shown that the strain sensitivity of polarimetric sensors limits the vibration measurements to a certain range of vibration amplitudes. A polarimetric sensor based buffer stripped HB-PM-PCF is demonstrated for monitoring the different stages of the curing process for a Mageneto-Rheological composite material. By providing information about multiple parameters such as strain, temperature, thermal strain, vibration amplitude and vibration frequency the proposed and demonstrated hybrid sensing approach has a high potential to change the paradigm for smart material design in the future

The Menace Of Plastic Waste- A Legislative Analysis From The Indian Perspective

Plastic debris may cause some ‘serious harm’ not only to humans but also to the natural environment. This is because, after its disposal, it may either emit harmful chemicals or absorb toxic pollutants as an aftereffect proven by scientists. There are various reasons for the increase in waste like rapid population growth, urbanization, industrial growth, and growth in the usage of plastic which has led to severe waste management problems around the world. To address the problems of the waste issues prevalent in society, an impactful legal system is required to make an action plan and to enforce the provisions of law, both internationally and within the domestic framework of our country. Similarly, to deal with the problem of plastic waste, Indian policymakers have brought much-sought legislation and amended them with the changing needs of society. The problem of plastic waste is contemporary in which plastic is not a problem, but waste is a problem. It started due to mismanagement and lack of awareness amongst the public and the manufacturer of plastic products. The problem started in the eighties when there was an absence of legislation, which could have dealt with the waste. And in India, the first legislation came into force in 2011. This Article seeks to reflect on plastic waste regulations and international conventions along with domestic legislation. It looks into the working of Waste Regulation Board actions and implementation along with the policies framed by the Government of India to regularize and then minimize the generation of plastic waste. It further discusses the questions arising out of amendments that need to be made to make the Swachh Bharat Mission a success as a part of India’s efforts to achieve Sustainable Development

Are we operating unnecessarily?: caesarean audit in a single unit of a private tertiary care hospital in North India

Background: Caesarean section emerged as a lifesaving surgery in situations where vaginal delivery could put the mother and fetus at risk. Over the years global rise in caesarean delivery rate has been alarming and may be attributed to changes in medical practice and societal expectations, especially in urban areas and developing countries. Rising caesarean rate is worrisome as it increases maternal morbidity, exposes the mother to future obstetric risks, besides increasing financial burden on the health care system. Caesarean audits could be an effective tool to analyse, understand and propose solutions to reduce caesarean rates. Hence, this retrospective study was conducted to audit caesarean sections done over a period of 5 years (2011 to 2015) in a single unit of a tertiary care private hospital in North India.Methods: The case records of all caesarean deliveries from January 2011 to December 2015 were analysed retrospectively for demographic profile, clinical parameters and recorded indication of caesarean section on the basis of Robson’s classification.Results: The caesarean section rate in the study was 61.8%. According to Robson’s 10 system classification, Group 2, 5 and 10 were the largest contributors. The commonest indication was previous LSCS (18.7%) followed closely by fetal distress (15.4%) and prolonged labor/failed induction (13.3%). Maternal request contributed 10.6% of the Caesarean deliveries.Conclusions: The caesarean section rate in our study is way higher than the national average. We need to re-duce caesareans in primigravidae and consider VBAC where appropriate. Use of Electronic fetal monitoring during labor needs to be optimized. Appropriate use of oxytocics, proper monitoring and using robust criterion to infer non progress of labor are important. Appropriate counselling and assured pain management during labor may help reduce caesareans on maternal request

Organisational receptivity for change:A multilevel approach

The main theoretical contribution of this thesis is in the development and advancing of the organisational receptivity for change (ORC) theory adopting a multilevel perspective. Organisational change is a multilevel, multifaceted and complex phenomena which require cohesiveness of all levels for effective change implementation (Pettigrew et al., 1987; Butler, 2003). The ORC theory has been around for a decade, still, there is not much development on the original model (Bennett and Ferlie 1994; Butler 2003). Butler and Allen (2008) argue that receptivity factors are ‘higher order capabilities’ that organisations use to achieve intended strategic agendas. According to them higher the receptivity to change, the more flexible the organisation is to adapt to the environmental pressures. Emerging economies and high pace changing industrial sector provide best opportunities for advancing the theory and research on organisational change (Meyer and Gelbuda, 2006). Therefore, the research context of this thesis is the renewable energy sector in India. This study adopts a cross-sectional multilevel research design, and quantitative methods of analysis for the survey based primary data, to assess how organisational receptivity for change affects performance outcomes at different levels within an organisation. The three key findings of this thesis are: (1) ORC factors as higher order dynamic capability interact across the levels and have potential to affect performance outcomes at individual perception and behavior towards change (e.g., resistance to change), project and organisational level. (2) ORC as higher order dynamic capability acts as an antecedent, influences, and foster ambidexterity by enabling a firm to alter its capability based by negotiating the fit between existing and new organisational practices. (3) the key moderators/factors (HR power and competence, social climate and daily work context) act as a process, practices, activities and/or mechanism at various unit levels within an organisation that works effectively along with ORC factors to impact performance outcome variables (including employees response to change)

Organizational initiatives for addressing climate change challenge -Winter School on Impact of Climate Change on Indian Marine Fisheries held at CMFRI, Cochin 18.1.2008 to 7.2.2008

Climate change, resulting from global warming, has been moving to the main stream administrative and political initiatives in the last two decades. To address humanity’s biggest test, several organisations, institutions, panels, networks, universities and non-governmental organisations have turned the spotlight on the man made problem of climate change

Wideband Radar Cross Section Reduction of Microstrip Patch Antenna using Polarization Converter Metasurface

Antenna is the key device of communication on stealth platform. It is the greatest contributor to the overall RCS. So, it is desired to reduce the radar signature of the antenna. In this paper, a novel antenna is designed using polarization converter metasurface. The polarization converter metasurface converts the polarization of the incident wave into its orthogonal component. This PCM structure is loaded around patch antenna to reduce the RCS of the antenna over wide frequency range. With this novel design, the overall RCS reduction bandwidth of 140.57%  is obtained for the frequency range of 3.49 GHz – 20 GHz. In addition to this, the 10 dB RCS reduction bandwidth is obtained for the frequency ranges of 8.84 GHz – 10.42 GHz (16.41%) and 16.99 GHz – 17.81 GHz (4.71%). The design shows excellent angular stability for both TE and TM polarization. Discernible Bistatic Radar Cross Section reduction is obtained over a wide frequency range. Simulation and experimental results show that there is no degradation in antenna radiation pattern and other parameters. So, with this novel design the problem of obtaining wideband RCS reduction of a microstrip patch antenna is addressed without degradation in radiation pattern along with excellent angular stability for both the polarization modes.&nbsp