Optimized Weight Point ADF using SOS Algorithm

Active dc filter (ADF) has become the most viable alternatives for the compensation of the harmonics in the power system analysis. These filters are capable enough to minimize the total harmonic distortion (THD) and provide compensation towards the power quality issues appearing in the transmission system. A simulated model of a HVDC system is designed in MATLAB and the disturbance is injected in the form of load change and the controller efficacy is checked. This paper basically deals with the operational characteristics of the active filter for specific voltage rating irrespective of load and used to reduce harmonics present in the output voltage of the HVDC converter when cascaded with the inverter. The gains of the ADF are optimized with Symbiotic Organism Search Optimization (SOS) with THD as a constraint

Study of diabetes mellitus among patients with sickle cell disease

Background: Type 2 diabetes mellitus (T2DM) occurs when impaired insulin effectiveness is accompanied by decreased insulin production by β cells. With 366 million people diagnosed in 2011 and a trend of increasing prevalence worldwide (Lyssenko and Laakso 2013), diabetes is one of the major threats to human health. Objectives of the study were to assess the occurrence of diabetes mellitus in sickle cell disease (SCD) patients and to study glycemic status of patients with SCD and clinical presentation.Methods: An observational study was done at department of general medicine and sickle cell clinic and molecular biology laboratory, Veer Surendra Sai institute of medical science and research, Burla between November 2014 to October 2016. All recorded data analyzed through standard statistical methods including standard diagram and groups and finding were discussed in detail to draw appropriate conclusion, through standard statistical methods including standard diagrams.Results: The study was taken on 137 cases of SCD patients admitted at VIMSAR, Burla. Sex distribution of SCD patient with male (68.81%) and female (31.38%) clinical feature of SCD patients shows VOC (vaso occlusive crisis) was the most common presentation for hospital admission followed by fever, anemia, jaundice, AVN (avascular necrosis), osteomyelitis, dactylitis. The most of SCD are having normoglycemic with most of diabetes mellitus are in control group. Glycemic status in SCD cases and controls with 6.57% cases of SCD, 13.14% of controls are hyperglycemic.Conclusions: The majority of patients in this SCD patients were between the age group 15-20 years. The occurrence of diabetes mellitus in SCD patients is low in compare to control population. Showing impairment of glucose tolerance in SCD but low presence of diabetes mellitus. presence of lower life span of RBC, hypermetabolic state and low body mass index in SCD patients

SITUATIONAL ANALYSIS OF ASHAS WITH RESPECT TO COMPREHENSIVE CHILD SURVIVAL PROGRAMME: A STUDY FROM CHIRAIGAON BLOCK OF DISTRICT VARANASI

Research question: What proportions of the ASHAs are performing according to the training they have received under the Comprehensive Child Survival Programme (CCSP)? Objective: To analyze the ASHAs’ practice with respect to CCSP in related situations. Study design: Cross-sectional study. Study location: Chiraigaon Community Development Block, Varanasi Material and method: 173 out of the total 240 ASHAs (~72%) in the selected Chiraigaon Community Development Block of Varanasi were randomly selected and interviewed using a pre-designed and pre-tested questionnaire pertinent to CCSP. Only the first response was recorded. Results: All the ASHAs interviewed claimed that the CCSP training has helped them perform better in the community. Ninety-eight percent of the ASHAs knew that a new born weighing >2.5 kgs at birth is considered to be normal. Only ~ 63% (109) of the ASHAs were found to be home-visiting such newborns as per the CCSP recommendation. The percentage was found to be just 43% for the properly scheduled home visits of LBW newborns. The difference was found to be statistically significant (p<0.001). Almost 80% ASHAs estimated that their average home visit spans for at least 30 minutes. Just about a third of the interviewees suggested that a baby should be bathed only after the first 6 days while one-third said that they advise massaging for the newborn only after the first week. ASHAs rarely used a thermometer to assess the baby’s temperature. Around 56% were confident about using a thermometer. Nearly 90% participants claimed of explaining about Kangaroo Mother Care to the parturient and/or family. Majority of the ASHAs (92%) emphasized upon non-discontinuation of breast feeding for the baby during diarrhoeal episodes. However, only 44% revisited such babies. Conclusion: In most cases it is well evident that CCSP training has been taken up well by the ASHAs. The training may be refreshed

Tracheal bronchus presenting with recurrent haemoptysis in an adult female

  Abnormal bronchus arising directly from the trachea or the main bronchus is a rare developmental anomaly of the tracheobronchial tree. In general, tracheal bronchus has been reported in less than 1% of adult patients undergoing bronchoscopy with a male predominance. Tracheal bronchus is classified as — ‘displaced’ and ‘supernumerary’, the former being the most common type reported. Most patients are asymptomatic; however, cases presenting with cough, haemoptysis or recurrent lung infections are not uncommon. The diagnosis is usually made through computed tomography or bronchoscopy. Awareness of this anomaly may help in timely identification or prevention of perioperative complications during general anaesthesia or resectional thoracic surgery. Herein we report a case of right-sided displaced tracheal bronchus in an adult female presenting with recurrent haemoptysis.

Actively caseating endobronchial tuberculosis successfully treated with intermittent chemotherapy without corticosteroid: a report of 2 cases

Tuberculous infection of the tracheobronchial tree confirmed by microbiological or histopathological evidence with or without parenchymal involvement is known as endobronchial tuberculosis. Chronic cough is the predominant symptom. Expectorated sputum examination for acid fast bacilli is often negative leading to delay in diagnosis. Therefore, bronchoscopy is crucial for early diagnosis and evaluation of the extent of disease. Bronchostenosis is a significant complication of endobronchial tuberculosis that may be present at the time of diagnosis or develops during the course of treatment. Previously, corticosteroids have been used along with antitubercular therapy to prevent or reduce the extent of bronchostenosis; however, their role is debatable as bronchostenosis often develops despite the use of corticosteroids. Furthermore, the duration of treatment varied from 6–9 months of daily therapy in previous series and little is known about efficacy of intermittent antituberculous therapy. Here we report two cases of actively caseating endobronchial tuberculosis successfully managed with six months of intermittent oral antitubercular therapy without corticosteroids

A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations

Melioidosis, caused by the environmental saprophyte, Burkholderia pseudomallei, is an important public health problem in Southeast Asia and Northern Australia. It is being increasingly reported from other parts, including India, China, and North and South America expanding the endemic zone of the disease. We report a case of systemic melioidosis in a 58-year-old diabetic, occupationally-unexposed male patient, who presented with chronic fever, sepsis, pneumonia, pleural effusion and subcutaneous abscess, was undiagnosed for long, misidentified as Pseudomonas aeruginosa infection elsewhere, but was saved due to correct identification of the etiologic agent and timely institution of appropriate therapy at our institute. A strong clinical and microbiological suspicion for melioidosis should be considered in the differential diagnosis of acute pyrexia of unknown origin, acute respiratory distress syndrome and acute onset of sepsis, especially in the tropics.Melioidosis, caused by the environmental saprophyte, Burkholderia pseudomallei, is an important public health problem in Southeast Asia and Northern Australia. It is being increasingly reported from other parts, including India, China, and North and South America expanding the endemic zone of the disease. We report a case of systemic melioidosis in a 58-year-old diabetic, occupationally-unexposed male patient, who presented with chronic fever, sepsis, pneumonia, pleural effusion and subcutaneous abscess, was undiagnosed for long, misidentified as Pseudomonas aeruginosa infection elsewhere, but was saved due to correct identification of the etiologic agent and timely institution of appropriate therapy at our institute. A strong clinical and microbiological suspicion for melioidosis should be considered in the differential diagnosis of acute pyrexia of unknown origin, acute respiratory distress syndrome and acute onset of sepsis, especially in the tropics

Effect of different growth regulators on in vitro micro-propagation of Kufri Frysona

In the present investigation, experiment was conducted for in vitro micro-propagation with different concentration of growth regulators in different explants Sprouts and Shoot tips of potato cultivar Kufri Frysona. The maximum survival percentage (40) of sprouts and (100%) of shoot tips were obtained when the explants were surface sterilized with 0.2% bavistin & 0.4% streptocyclin (45minutes) and 0.1% mercuric chloride (60seconds). Sterilized explants were inoculated on MS basal supplemented with various growth regulators and established successfully. The maximum shoot induction (62.5±1.44%) in 11.3±0.33 days and (74.0 ± 2.13 %) in 10.0 ± 0.50 days were reported on medium PM1 (BAP 0.25 mg/l) in sprouts and shoot tip explants respectively. The sprouted explants were further sub-cultured on MS media supplemented with various growth regulator alone and in combination for in vitro multiplication. In Kufri Frysona (11.2) shoots were obtained on MS medium fortified with 0.25mg/l BAP + 0.01mg/l IAA on 42th day of subculture. In vitro rooting was observed on MS basal medium supplemented with 2.0 mg/l NAA in Kufri Frysona after 10 days. Rooted plantlets were successfully hardened in green house using different types of potting mixture and finally transferred to field. The protocol will be very useful for large-scale production of disease free planting material of potato (S. tuberosum) in future

Powtarzające się krwioplucie u dorosłej kobiety z oskrzelem tchawiczym

Nieprawidłowe oskrzele wychodzące bezpośrednio z tchawicy lub oskrzeli głównych jest rzadką anomalią rozwojową drzewa tchawiczo-oskrzelowego. Oskrzele tchawicze zostało stwierdzone u mniej niż 1% dorosłych pacjentów, którzy mieli wykonywaną bronchoskopię; a większość z nich stanowili mężczyźni. Oskrzele tchawicze może być „przemieszczone” lub „nadliczbowe”, przy czym drugi rodzaj jest spotykany częściej. U większości pacjentów nie występują żadne objawy, chociaż zdarzają się osoby skarżące się na kaszel, krwioplucie lub nawracające infekcje płuc. Nieprawidłowość jest najczęściej rozpoznawana podczas badania tomografii komputerowej lub bronchoskopii. Świadomość istnienia anomalii może pomóc w identyfikacji lub uniknięciu okołooperacyjnych powikłań podczas ogólnego znieczulenia lub zabiegu chirurgicznego klatki piersiowej. W niniejszej pracy przedstawiono przypadek prawostronnego oskrzela tchawiczego u dorosłej kobiety skarżącej się na nawracające krwioplucie.Nieprawidłowe oskrzele wychodzące bezpośrednio z tchawicy lub oskrzeli głównych jest rzadką anomalią rozwojową drzewa tchawiczo-oskrzelowego. Oskrzele tchawicze zostało stwierdzone u mniej niż 1% dorosłych pacjentów, którzy mieli wykonywaną bronchoskopię; a większość z nich stanowili mężczyźni. Oskrzele tchawicze może być „przemieszczone” lub „nadliczbowe”, przy czym drugi rodzaj jest spotykany częściej. U większości pacjentów nie występują żadne objawy, chociaż zdarzają się osoby skarżące się na kaszel, krwioplucie lub nawracające infekcje płuc. Nieprawidłowość jest najczęściej rozpoznawana podczas badania tomografii komputerowej lub bronchoskopii. Świadomość istnienia anomalii może pomóc w identyfikacji lub uniknięciu okołooperacyjnych powikłań podczas ogólnego znieczulenia lub zabiegu chirurgicznego klatki piersiowej. W niniejszej pracy przedstawiono przypadek prawostronnego oskrzela tchawiczego u dorosłej kobiety skarżącej się na nawracające krwioplucie