Early Prediction of Diabetes Using Deep Learning Convolution Neural Network and Harris Hawks Optimization

 Owing to the gravity of the diabetic disease the minimal level symptoms for diabetic failure in the early stage must be forecasted. The prediction system instantaneous and prior must thus be developed to eliminate serious medical factors. Information gathered from Pima Indian Diabetic dataset are synthesized through a profound learning approach that provides features for diabetic level information. Metadata is used to enhance the recognition process for the profound learned features. The distinct details retrieved by integrated machine and computer technology, including glucose level, health information, age, insulin level, etc. Due to the efficacious Hawks Optimization Algorithm (HOA), the data's insignificant participation in diabetic diagnostic processes is minimized in process analysis luminosity. Diabetic disease has been categorized with Deep Learning Convolution Networks (DLCNN) from among the chosen diabetic characteristics. The process output developed is measured on the basis of test results in terms of error rate, sensitivity, specificity and accuracy

Comparison of clonidine and dexmedetomidine as an adjuvant to bupivacaine in supraclavicular brachial plexus block for upper limb orthopedic procedures

Background: Supraclavicular brachial plexus block is used commonly for upper limb orthopedic procedures. Among the adjuvants used to improve the quality of block induced by bupivacaine the alpha 2 agonists are of new interest. This study was done to compare dexmedetomidine and clonidine as adjuvants to bupivacaine for supraclavicular brachial plexus block in upper limb orthopedic surgeries.Methods: 60 ASA I/II patients aged between 20 and 50 years undergoing upper limb orthopedic procedures were selected and divided into two groups of 30 each. Group C received 35 ml of 0.375% Bupivacaine and clonidine 2µg/kg while Group D received 35 ml of 0.375% bupivacaine and dexmedetomidine 2 µg/kg. Onset time to sensory and motor blockade, vitals, complete duration of motor and sensory block, total duration of analgesia and side effects were noted.Results: The mean time of onset for sensory block and motor block in Group D was lower when compared to Group C. Except at 5th minute the pulse rate and mean arterial pressure were lower in Group D when compared to Group C. The mean time for total duration of sensory block and motor block was more in Group D when compared to Group C. The total duration of analgesia was higher in Group D than in Group C.Conclusions: The addition of dexmedetomidine to bupivacaine during supraclavicular brachial plexus block produces a shorter onset of time to sensory and motor block with prolonged duration of analgesia when compared to clonidine added to bupivacaine.

A clinical study of the effectiveness of continuous epidural labour analgesia for vaginal delivery with 0.0625% bupivacaine with 0.0002% fentanyl

Background: Pain in labour is an extremely agonising experience for most women. Unrelieved labour pain produces many physiological changes which are detrimental to both the mother and the foetus. Various methods have been used to alleviate this pain. It is now well recognized that the only consistently effective method of pain in labour is lumbar epidural analgesia. Using a higher concentration of local anaesthetic agent to produce analgesia can be associated with undesirable side effects such as motor block, haemodynamic disturbances or interference with the progress of labour. Hence, various adjutants like adrenaline, clonidine and particularly opioids have been used to reduce the amount of local anaesthetics used and yet provide satisfactory analgesia. In view of the above, the present study assesses the clinical effectiveness of continuous lumbar epidural analgesia for vaginal delivery by using 0.0625% bupivacaine with 2µg/ml of fentanyl.Methods: Forty parturient admitted to Chennai Medical College and Hospital, Trichy, for vaginal delivery and who were in active labor was given 8 ml of 0.0625% bupivacaine with 2µg/ml of fentanyl. The parturient were assessed with respect to onset and duration of analgesia, maximum level of analgesia, pain scores, homodynamic parameters, motor block, side effects, mode of delivery and neonatal outcome.Results: The onset of analgesia was significantly faster in 0.0625% bupivacaine with 0.0002% fentanyl (9.7 minutes). A greater proportion of parturient achieved a maximum level of analgesia unto T8. The duration of analgesia was also significantly longer. The effectiveness of analgesia was better. There were no significant cardiovascular changes or any motor blockade. The side effects were mild sedation and in the parturient who received fentanyl. The mode of delivery and the Apgar scores of the neonates at 1 and 5 minutes were comparable.Conclusions: It was concluded that continuous lumbar epidural analgesia with 8 ml of 0.0625% bupivacaine with 2 µg of fentanyl improved the quality and duration of analgesia without producing any adverse effects on the mother or on the neonate.

Comparative study of 0.5% hyperbaric bupivacaine with sufentanil (5µg) and 0.5% hyperbaric bupivacaine for spinal anesthesia

Background: In the present day practice of Anesthesiology, bupivacaine is the most commonly used drug for spinal anesthesia. To improve the quality of analgesia and prolong the duration of its action, many adjuvants have been tried. Intrathecal opioids have been found to fulfil both these objectives. This study was done to evaluate the effects of adding sufentanil to bupivacaine for spinal anesthesia.Methods: 100 ASA grade I/II patients aged between 20 – 60 years undergoing elective lower abdominal, urologic, lower limb surgeries were selected and divided into two groups of 50 each. Group A received 2.5 ml of heavy Bupivacaine, whereas the second group B received 2.5 ml of heavy Bupivacaine with 5 µg Sufentanil. Parameters - Onset and duration of sensory block and motor block, time for two dermatomal segments regression, duration of analgesia, vitals and side effects were assessed.Results: There was no variation in onset of sensory blockade and motor blockade. The time to achieve peak sensory level was 3 minutes earlier in group B. The time for two segment regression and the time to full sensory and motor recovery were prolonged in Group B. Duration of complete and effective analgesia prolonged by 40-60 minutes and the time for first request of analgesic postoperatively was delayed by 70 - 80 minutes in group B. The quality of analgesia was better in group B. Pruritus was the common side effect in group B.Conclusions: Sufentanil potentiates bupivacaine spinal anesthesia by increasing the duration and improving the quality of analgesia with minimal side effects.

Performance Analysis of CFRP Composite Strips Confined RC Columns under Axial Compression

In an attempt to mitigate the high cost of FRP composite strengthening, an experimental investigation was carried out that sought to achieve efficient and most favorable FRP strengthening using CFRP composite strips. 50 mm wide CFRP composite strips were used in two different spacings (20 mm and 40 mm) to confine columns. The test results of the column confined with smaller spacing (20 mm) showed significant restraint of axial deformation of the column and enhanced the strength capacity to a maximum of 99.20% compared to that of reference column. In contrast, the column confined by strips with larger spacing (40 mm) failed by crushing of concrete alone, which occurred even before the CFRP strips reached their ultimate strain. In addition, the embodied energy that exists in the CFRP strips could not be utilized effectively. The stress and strength enhancement ratio of this present study was compared with the previous research that has been conducted on columns confined with full wrapping. From the obtained results, it is recommended that CFRP strips with a spacing of 20 mm be used to improve the strength capacity of the RC column; in addition, this wrapping technique provides economic benefits compared to a column confined with full wrapping

Influence of electron releasing groups in benzylidene thiocarbohydrazide and their synergistic effect with iodide ions on acidizing corrosion inhibition of carbon steel in 15% HCl solution - Experimental and theoretical approach

385-401Influence of electron releasing groups in benzylidene thiocarbohydrazide and their synergetic effect with iodide ions on acidizing corrosion inhibition of carbon steel in 15% HCl using chemical and electrochemical methods has been studied. Tafel polarization measurements indicate that these compounds act as mixed-type inhibitors. The adsorption of these compounds obey Langmuir adsorption isotherm and the thermodynamic parameters are also calculated to explain their inhibitive action. The increase in synergism parameter (Sθ) indicates that the inhibition efficiency is improved in the presence of the iodide ions. Further, the density functional theory is used to validate the experimental results

Agglomeration State of Titanium-Dioxide (TiO2) Nanomaterials Influences the Dose Deposition and Cytotoxic Responses in Human Bronchial Epithelial Cells at the Air-Liquid Interface

Extensive production and use of nanomaterials (NMs), such as titanium dioxide (TiO(2)), raises concern regarding their potential adverse effects to humans. While considerable efforts have been made to assess the safety of TiO(2) NMs using in vitro and in vivo studies, results obtained to date are unreliable, possibly due to the dynamic agglomeration behavior of TiO(2) NMs. Moreover, agglomerates are of prime importance in occupational exposure scenarios, but their toxicological relevance remains poorly understood. Therefore, the aim of this study was to investigate the potential pulmonary effects induced by TiO(2) agglomerates of different sizes at the air–liquid interface (ALI), which is more realistic in terms of inhalation exposure, and compare it to results previously obtained under submerged conditions. A nano-TiO(2) (17 nm) and a non-nano TiO(2) (117 nm) was selected for this study. Stable stock dispersions of small agglomerates and their respective larger counterparts of each TiO(2) particles were prepared, and human bronchial epithelial (HBE) cells were exposed to different doses of aerosolized TiO(2) agglomerates at the ALI. At the end of 4h exposure, cytotoxicity, glutathione depletion, and DNA damage were evaluated. Our results indicate that dose deposition and the toxic potential in HBE cells are influenced by agglomeration and exposure via the ALI induces different cellular responses than in submerged systems. We conclude that the agglomeration state is crucial in the assessment of pulmonary effects of NMs