FILLING THE GAP, BETWEEN THE THEORY AND PRACTICE, AND THE HELP OF EDUCATIVE NOVELTIES

The topic of this study is the gap between theory and practice and also the ways of avoiding it. New educational purposes concerning students, building up an air full of targets, abilities and expressions of research, ability of cooperation and dealing with changes are also the exact abilities that teachers need. The gap between theory and practice is caused by: policymakers seldom ask successful classroom educators for their ideas about creating a modern teaching profession. Despite the importance that historians have placed on teaching and collaboration, this partnership almost does not exist among teachers. The reality is particularly frightening and problematic in Albanian schools. Semi-structured interviews were conducted on 352 teacher candidates. We believe that schools need to embrace the rebels and turn them into leaders reform.The success of student depends on the success of teachers, which is necessary for the success of the society

Biodegradation of penicillin-G wastewater using Phanerochate chrysosporium – An equilibrium and kinetic modeling

An attempt was made in the present study to find out the biodegradation of the penicillin-G wastewater for the various operational conditions such as, initial substrate concentrations (13000, 10000, 6000, 4000 and 2000 mg of COD/l), agitation, addition of nutrients (glucose and ammonium chloride) and biomass dosages (2, 3, 4 and 5 g) in batch reactor using immobilized cells of Phanerochate chrysosporium, a white rot fungi. The highest COD removal efficiency was found at the initial substrateconcentration of 2000 mg COD /l, under static condition using 4 g of biomass in the absence of nutrients i.e., carbon and nitrogen sources. The Langmuir and Freundlich adsorption models fitted well with the equilibrium data of the process studied. It was also observed that the experimental kinetic data followed the first order rate expression

University of Manitoba GISHub: ESRI Site License Integration using ArcGIS Online, Hub and Enterprise

This review provides an outline of the solution the University of Manitoba Libraries has implemented to integrate their ESRI Educational Site License. In looking at the tools available the project came to encompass the following:1. Semi-automated management and integration of UM ESRI site license using campus authentication methods2. Discovery and access point for proprietary and open researcher data3. Secure local environment for active-use geospatial datasets using ArcGIS EnterpriseThe following discusses the software specifics, use cases, and lessons learned in a Canadian academic library context

A Study on Preoperative CT Findings and Peroperative Findings of Chronic Rhinosinusitis and It's Follow Up with Postoperative CT

INTRODUCTION: Rhino sinusitis refers to a group of disorders characterised by inflammation of mucosa of paranasal sinuses and nasal airway. 5 clinical categories :Acute rhino sinusitis - 4 weeks, Subacute rhino sinusitis- 4 to 12 weeks Chronic rhino sinusitis-more than 12 weeks recurrent acute rhino sinusitis - acute exacerbations of chronic rhinosinusitis. AIM OF THE STUDY: To study about cases of chronics sinusitis With preoperative CT scan. Its comparison with preoperative endoscopic findings, and to follow up with post operative CT. MATERIALS AND METHODS: Study population includes patients attending ENT Out Patient Department at Government hospital, TVMC. with clinical symptoms nasal obstruction, nasal discharge, headache and anosmia. Those patients with nasal symptoms are investigated with DNE & CT PNS. Selected patients are advised to undergo FESS. They are followed postoperatively for every 2 weeks for a minimum period of 6 months. They are assessed for crusting, discharge and synechiae formation, improvement of CRS and supported with CT evaluation. STUDY AREA: Department of ENT, Tirunelveli Medical College Hospital, Tirunelveli. STUDY PERIOD: NOV 2017 to SEP 2019. METHOD OF STUDY: Prospective study. SAMPLE SIZE: 150, randomly selected. INCLUSION CRITERIA: Age > 15 years. Sex-both. Patient with recurrent headache, nasal obstruction and nasal discharge. EXCLUSION CRITERIA: Age < 15 years. Biopsy proven cases of recurrent nasal rhino sporidiosis and sinonasal malignancy. Acute rhino sinusitis. RESULTS: A total of 150 cases was studied during the study period. Among the study population, 115 (76.66%) were males and 35 (23.33%) were females. Common age group of presentation in our study was between21-30 yrs followed by age group between 31-40 yrs 50% of patients with chronic sinusitis had clinical symptoms for 1 to5 yrs and 37.5% had symptoms for more than 5 yrs. 12.5% had symptoms for less than 1 yr. Deviated nasal septum, concha bullosa, onodi cells and haller cells were the common anatomical variants noted in 46.66%, 33.33%, 28.66% and 25.33% respectively. The less common anatomical variant noted was paradoxical middle turbinate. Overall 98.66% of maxillary, 68.66% of anterior ethmoid,46.66% of posterior ethmoid, 20.66% of frontal and 15.33% of sphenoid sinuses were found to have mucosal abnormality on CT scan. CONCLUSION: FESS is the accepted modality of surgical management of CRS with or without nasal polyps in the failure of medical management. The most common symptoms were nasal obstruction, headache, postnasal drip & nasal discharge. The symptoms that responded well were nasal obstructions and Headache. Post FESS after 6 months follow up no medical treatment required by the patients. The NCCT PNS preoperatively showed the pathology in maxillary sinus predominantly followed by anterior ethmoid, posterior ethmoid, sphenoid and frontal sinus

A heuristic multicast algorithm to support QoS group communications in heterogeneous network

2005-2006 > Academic research: refereed > Refereed conference paperVersion of RecordPublishe

Massive hemorrhagic pleural effusion - A rare presentation of acute pancreatitis

Acute pancreatitis typically presents with a sudden-onset severe epigastric pain radiating to the back. Presentation with respiratory distress secondary to massive pleural effusion has been rarely reported. We report a 12-year-old girl presenting with complaints of fever, cough, dyspnea, and chest pain. Her chest radiograph showed massive pleural effusion and the pleural fluid amylase was markedly elevated. The patient recovered gradually with conservative medical management and the right side chest tube drainage. This report highlights the rare presentation of pancreatitis which requires a high index of suspicion for prompt diagnosis

A study to assess the effectiveness of isometric exercise on neck pain and functional disability among computer professionals at selected it companies, Chennai

Neck pain is the most common complaint among working men and women. Computer professionals sit at a computer for prolonged periods of time for their job, one of the most common complaints for them is neck pain. Neck pain may originate from any of the structures in the neck, which includes muscles, nerves, spine and the cushioning disc. Non specific neck pain is the one which is not due to serious disease or neck problem and also there is no exact cause for this neck pain but the contributing factors for non specific neck pain include having poor posture while working with computer, placing computer monitor too high or too low, sleeping in an uncomfortable position. Various measures are available for reducing neck pain includes taking pain killers, maintaining proper body mechanics and exercises. One of the exercise is isometric exercise. It is found to be effective in contracting the muscle without appreciable change in length also it increases the strength and endurance of muscle, thereby reducing the discomfort and stiffness

An efficient multicast service switching protocol in mobile IP

2004-2005 > Academic research: refereed > Refereed conference paperVersion of RecordPublishe

Comparison of Intranasal Midazolam with Oral Midazolam for Premedication in Children

INTRODUCTION: Surgery and anaesthesia induce considerable emotional stress and psychological consequences in children. This stress may remain in the child’s psyche long after the hospital experience has passed, and it was first described by Duputyren in 1834. Age, parental anxiety level, previous hospital experiences and type of surgery are factors that can influence a child’s anxiety level and psychological well being. Preoperative anxiety stimulates sympathetic, parasympathetic and endocrine system leading to an increase in heart rate, blood pressure and cardiac excitability. These reactions reflect the child’s; • fear of separation from parents and home environment. • fear of physical harm. • fear of unfamiliar routines. • fear of surgical instruments and procedures. The preoperative interventions directed towards reduction of anxiety can be grouped into psychological and pharmacological methods. The introduction of new drugs and alternative routes of administration like transmucosal route in last decade by avoiding painful intramuscular injections, the most horrifying experience for a child, has facilitated a more rational approach to premedication for paediatric patients. In paediatric anaesthesia, premedication needs to be in an acceptable form, to have a rapid onset with minimal hangover effect and without side effects. Midazolam, a sedative with all the desirable properties of a benzodiazepine was introduced into clinical practice in 1980s. Midazolam, a water soluble benzodiazepine, may be administered by various routes. Oral and rectal routes are used widely and provide effective sedation. However, there are concerns about the wide bioavailability when given by these routes , ranging from 18% to 44% with an appreciable first pass effect. Intramuscular administration is painful and the sublingual route has poor compliance. The intranasal route for midazolam has been used since 1988 and has the advantage of rapid absorption directly into the systemic circulation with no first pass effect and a bio- availability of 55-83% Intranasal midazolam is absorbed from an area rich in blood supply and avoids the disadvantage of passing through the portal circulation, thus increasing the bio-availability of the drug. Tolerance to midazolam is good, and the duration of action is shorter and more predictable than other benzodiazepines. Intranasal midazolam has all the advantages of intravenous administration without the disadvantages of pain and fear associated with intramuscular and intravenous injections. AIM OF THE STUDY: The aim of the study is to compare the effectiveness of Intranasal and oral midazolam used as a premedication in paediatric patients undergoing minor elective surgical procedures. MATERIALS AND METHODS: Seventy paediatric patients belonging to ASA physical status I and II scheduled for elective minor surgical procedures were included in the study. Children belonged to age group of 2 to 8 years of both sexes. The children were randomly allocated into 2 groups with 35 patients in each group. (Group N and Group O). It was a comparative study. The study was approved by the Institutional Ethical Committee and parents provided written informed consent before premedication of their children. Inclusion Criteria: 1. ASA I and II physical status, 2. Age group 2-8 yrs, 3. weight < 20 kgs. Exclusion Criteria: 1. ASA III and IV, 2. Nasal Infection, 3. Nasal Pathology, 4. Nasal Allergy and URI, 5. Children with Seizure disorder, 6. History of adverse reactions to benzodiazepines, 7. patient taking other sedative drugs. MATERIALS 1. Nasal midazolam spray (Insed atomiser), 2. Oral midazolam. Preparation of the Patient: Written informed consent from the parent obtained. All patients fasted as per NPO guidelines. Demographic data including age, weight and sex of the children were recorded. The children were given premedication 30 minutes before surgery orally or nasally. The reaction of the children to the premedication was noted. SUMMARY: We compared the efficacy of midazolam as a paediatric premedication when used in two different routes. Midazolam was used as premedication in intranasal and oral routes in children undergoing minor surgical procedures and the efficacy of the drug in producing preoperative sedation, anxiolysis and cooperation during separation from the parents, venepuncture and face mask application was compared using separate scoring systems. The following observations were made during the study. There are no significant differences between the two groups in demographic data. The time of onset of sedation is 8.42 minutes with intranasal midazolam and 15.82 minutes with oral midazolam. We observed that intranasal midazolam has more rapid onset of action compared to oral midazolam, which is statistically significant. The sedation scores are better with intranasal midazolam than oral midazolam at 10 minutes, 20 minutes and30 minutes which are statistically significant. The anxiolysis is better with nasal midazolam group with statistical significance. There is no significant difference in the co-operation score for venepuncture, separation from the parents and mask application between the two groups. No patient was oversedated or drowsy postoperatively. No complications were observed in both the groups. CONCLUSION: In conclusion, Intranasal midazolam when used as a premedication in children, in a dose of 0.2 mg/kg has more rapid onset of action with satisfactory sedation and anxiolysis than oral midazolam. The rapid onset of action of nasal midazolam makes it an ideal route for premedication in children