Thyroid Storm: Clinical Manifestation, Pathophysiology, and Treatment

Thyroid storm is a rare but life-threatening endocrine emergency. It is an acute exaggerated clinical manifestation of thyrotoxic state. The exact incidence is unknown. It occurs in 1–2% of patients admitted for thyrotoxicosis. It has a mortality of 10–20%. This chapter would help us to understand its clinical manifestations, pathophysiology, and effective treatment. Terminal learning objective would be to diagnose impending storm early and start prompt treatment in day-to-day practice. The chapter would cover pathophysiology including triggers, clinical features including various diagnostic criteria, diagnosis, and treatment of thyroid storm. Indications of surgical treatment in storm will be discussed

Curse of the technology-computer related musculoskeletal disorders and vision syndrome: a study

Background: Computer Related Musculoskeletal disorders and Vision Syndrome (CRMSKVS) is defined as symptoms due to prolonged use of Visual Display Terminal (VDT).Methods: A cross-sectional observational study was done among office-workers working on computer terminal. A self-reported questionnaire was distributed and Musculoskeletal (MSK) and visual symptoms in the preceding 12 months (01 October 2017 to 30 September 2018) were taken as dependent variable. Multivariate analysis was done to identify the determinants of CRMSKVS.Results: Responses from 1193 subjects were included in the study. CRMSKVS was present in 489 cases (40.98%; males - 37.5%, females - 58.29%).  The main MSK symptoms were pain/stiffness in neck (40.98%), shoulder (38.99%), lower back (35.6%) and elbow/wrist/hand/fingers (23.1%). The ocular symptoms were excessive watering (39.6%), pain (24.99), irritation (18.6%), burning/itching sensation (29.8%), redness (40.7%), blurring of vision (13.2%) and headache (40.9%). Female gender (OR-1.498(1.262-1.778)), long duration of working hours (OR-2.77(2.399-3.214)), poor break duration (OR-2.59(2.172-3.089)), excessive smart phone use (OR-2.071(1.834-2.338)), poor posture (OR-3.883(3.282-4.592)), inappropriate distance of computer screen (OR-2.173(1.829-2.582)), low height of screen (OR-1.936(1.527-2.454)), distance of keyboard (OR-3.161(2.528-3.953)) and distance of mouse (OR-5.785(3.932-8.512)) were identified as significant determinants of CRMSKVS.Conclusions: CRMSKVS is an emerging pandemic which needs urgent attention by medical and administrative authorities. The device factors, personal factors, environmental and ergonomic factors are the modifiable risk factors for CRMSKVS

IMPROVED WEIGHTED CLUSTERING ALGORITHM FOR MOBILE AD HOC NETWORKS

ABSTRACT The proposed weight-based distributed clustering algorithm takes into consideration the ideal degree, transmission power, mobility, and battery power of mobile nodes. We try to keep the number of nodes in a cluster around a pre-defined threshold to facilitate the optimal operation of the medium access control (MAC) protocol. The non-periodic procedure for cluster head election is invoked on-demand, and is aimed to reduce the computation and communication costs. The cluster heads, operating in "dual" power mode, connects the clusters which help in routing messages from a node to any other node. Key words: ad hoc networks, clusters, dominant set, load balancing INTRODUCTION Current wireless cellular networks solely rely on the wired backbone by which all base stations are connected, implying that networks are fixed and constrained to a geographical area with a pre-defined boundary. Deployment of such networks takes time and cannot be set up in times of utmost emergency. Therefore, mobile multihop radio networks, also called ad hoc or peer-to-peer networks, play a critical role in places where a wired (central) backbone is neither available nor eco-nomical to build, such as law enforcement operations, battle field communications, disaster recovery situations, and so on. Such situations demand a network where all the nodes includ-ing the base stations are potentially mobile, and communica-tion must be supported untethered between any two nodes. A multi-cluster, multi-hop packet radio network architecture for wireless systems should be able to dynamically adapt itself with the changing network configurations. Cer-tain nodes, known as clusterheads, are responsible for the formation of clusters each consisting of a number of nodes (analogous to cells in a cellular network) and maintenance of the topology of the network. The set of clusterheads is known as a dominant set. A clusterhead does the resource allocation to all the nodes belonging to its cluster. Due to the dynamic nature of the mobile nodes, their association and dissociation to and from clusters perturb the stability of the network and thus reconfiguration of clusterheads is unavoidable. This is an important issue since frequent clusterhead changes adversely affect the performance of other protocols such as scheduling, routing and resource allocation that rely on it. Choosing clus-terheads optimally is an NP-hard proble

Estimation of plant nitrogen content using digital image processing

A manually operated four wheel test trolley was designed and developed for acquiring outdoor color images of plant under controlled illumination to predict crop nitrogen content in field.  This set up consists of a camera to capture the plant image, four lights to control illumination and a laptop for processing the signal.  The developed unit was evaluated rigorously for paddy crop for four observations at fifteen days interval after transplantation.  The results were compared with the chlorophyll content of the crop measured by SPAD meter and the chemical analysis of plant leaf.  The processing of the color plant image was done in MATLAB 7.0 program.  Various features such as R, G, B, normalized ‘r’ and normalized ‘g’ were analyzed for both the processes.  Regression models were developed and evaluated between various image feature and the plant nitrogen content and observed that, the minimum accuracy was found to be 65% with an average accuracy of 75% (Standard Deviation +1.9), actual and predicted values of nitrogen percent were linearly correlated with R2 value (0.948), this showed that the plant nitrogen content can be successfully estimated by its color image feature.   Keywords: precision agriculture, digital image processing, site specific nitrogen applicatio

SYNTHESIS OF COPPER NANOPARTICLES USING ASCORBIC ACID AND CETYL TRIMETHYL AMMONIUM BROMIDE

Objective: The present study highlights the development of a method to synthesize copper nanoparticles (CuNPs).Methods: CuNPs were developed using 0.01 M copper penta sulfate and 0.11 M of ascorbic acid (AA) and 0.03 M of cetyl trimethyl ammonium bromide solution. The synthesized CuNPs were differentiated through filtration and washed by water (deionized). CuNPs were kept in dialysis bag 70 KD in a 250 mL glass beaker along with distilled water. The assembly was kept on a magnetic stirrer for 24 h at 500 rpm. Then, the dialysis bag containing CuNPs solution was filtered by a filter assembly with 0.2 μm nylon filter. The filtered CuNPs were spray dried with the help of spray drier.Results: The prepared CuNPs were found to be 440 nm with zeta potential of −10 mV and polydispersity index 0.314.Conclusion: The investigation deciphers the promising and material technique to synthesis of CuNPs by methods for synthetic reduction utilizing strategy using AA (0.2 M) and sodium hydroxide (1 M), and Syloid 244FP

DISCRIMINATORY POTENTIAL OF BIPHASIC MEDIUM OVER COMPENDIAL AND BIORELEVANT MEDIUM FOR ASSESSMENT OF DISSOLUTION BEHAVIOR OF TABLETS CONTAINING MELOXICAM NANOPARTICLES

ABSTRACTObjective: Dissolution test serves as a quality control tool for assessment of drug release from dosage form as well as a research tool to optimize newformulations. The existing guidelines by FDA, EMA, ICH, USP, etc., describe specifications for the dissolution of immediate release as well as modifiedrelease oral dosage form. However, none of them have discussed about the discriminatory potential of the medium to differentiate release profile of twoor more products that are pharmaceutically equivalent. It is pertinent to add here that the pharmaceutical equivalents are not always bioequivalent.Hence, a discriminatory dissolution procedure is a must requirement to differentiate the release behavior of drug from a pharmaceutically equivalentproduct that contains different types and amount of excipient in the formulation. This also becomes more cumbersome when it is desirable forprediction of in vivo behavior of a drug when it is converted into a novel delivery system like nanoparticles. The reason could be the presence ofexcipients used to formulate drug nanoparticles into solid oral dosage form, may change the drug disintegration as well as dissolution behavior, whichultimately may lead to altered bioavailability.Methods: In this study, the nanoparticles of meloxicam were prepared using wet media milling and the milled samples were dried using spray drier.The dried nanoparticles were converted into tablet dosage form by varying the type of diluent. To one batch lactose was used and another one wascontaining dicalcium phosphate (DCP). The assessment of release of meloxicam from these two batches was evaluated in various dissolution media.Results: The study revealed that in all the cases the nanoparticulate tablets of Batch 1 have given increased dissolution profile as compared tomarketed formulation (Muvera), Batch 2 and controlled tablets of meloxicam. This proved that the excipients also play a major role in the releasebehavior of drug otherwise if it was not so, the nanoparticulate tablets of Batch 1 and Batch 2 would have given the same dissolution profile in all thetried media. Batch 1 containing lactose with a higher surface area provided more and rapid wetting of the drug by the dissolution media compared toBatch 2 that contained DCP as a major diluent.®Conclusion: Among all the dissolution media tried to evaluate the discriminatory power and simulation with a biorelevant medium, the biphasicmedium of pH 1.8, 4.8 and 6.8 has promised to simulate with biorelevant media. However, the medium of pH 6.8 has shown the best dissolution profile.Keywords: Solubility, Compendial media, Biphasic media, Dissolution, Meloxicam

In vivo efficacy of natural essential oil of Syzygium aromaticum L. bud for protecting the Pisum sativum L. seeds

The mycological investigations on sixty samples of stored garden pea food seeds revealed presence of twelve and ten species of fungi by blotter and agar plate techniques respectively. The fungal species were associated with genera viz., Alternaria, Aspergillus, Botrytis, Chaetomium, Cladosporium, Curvularia, Fusarium, Penicillium and Rhizopus. The fungal species viz., Cladosporium herbarum (Pers.) Link and Penicillium italicum Wehmer did not show its appearance in agar plate method. It showed dominance of Aspergillus flavus, Aspergillus niger, Aspergillus ochraceous, Aspergillus terreus in blotter method in comparison to agar plating. Aspergillus tmarii, P. italicum and Rhizopus stolonifer did not grow on sterilized seeds in Blotter method. Pathogenicity tests of dominant fungi caused biodeterioration in garden pea seeds. The antifungal testing of essential oils revealed Syzygium aromaticum L. bud oil to be fungitoxic at 500 ppm (0.025 mL). The minimum inhibitory concentration of the S. aromaticum oil was found to be 300 ppm against four fungi viz., A. flavus, A. niger, A. ochraceous and A. terreus. At this concentration the oil was found to be fungicidal and thermostable. The oil activity was not affected by physical factors and showed broad spectrum. In vivo study depicted that clove oil was more effective in comparison to EDCT. It controlled a maximum of 4 fungi while the clove oil showed no growth of fungi even after 6 months storage

INFLUENCE OF FORMULATION PARAMETERS ON DISSOLUTION RATE ENHANCEMENT OF PIROXICAM USING LIQUISOLID TECHNIQUE

ABSTRACTObjective: This study revealed formulation of a liquisolid system of poorly soluble piroxicam to enhance its dissolution rate. To formulate a liquisolidsystem loaded with piroxicam, solubility study was carried out in various non-volatile liquids.Methods: In 1 ml of polyethylene glycol (PEG) 600, 100 mg piroxicam was added and stirred with gentle heating. To the above liquid medication, 1 gmicrocrystalline cellulose (MCC) 102 (as MCC has given better results), 1 g Syloid 244 FP, 2 g PEG 4000, 500 mg aerosil 200, and 0.255 g sodium starchglycolate (SSG) (5%) were added and mixed properly. The blend was compressed and subjected for quality control parameters.Results: Among all the non-volatile liquids evaluated, piroxicam was most soluble in PEG 600. Using this as liquid medication, several liquisolid compactswere prepared by varying the ratios of MCC PH 102 as carrier and Syloid 244FP as coating material and evaluated for precompression studies. To furtheraccelerate the release of drug, various additives were added in the formulation. Among them, PEG 4000 has shown better flow as well as compressionproperties. Hence, the final formulation (LS-16B) was prepared using a combination of MCC PH 102, Syloid 244 FP, PEG 4000 and SSG as superdisintegrant.The dissolution studies revealed that about 92.18% drug got released from liquisolid compacts in 120 minutes, whereas only 68.16% release wasobserved for pure piroxicam. X-ray diffraction and scanning electron microscopy images revealed the successful formation of liquisolid system.Conclusion: It was concluded that dissolution rate of poorly soluble piroxicam could be enhanced using liquisolid technique.Keywords: Piroxicam, Polyethylene glycol 600, Microcrystalline cellulose PH 102, Syloid 244 FP, Polyethylene glycol 4000

Delivery and Evaluation of Participatory Education for Animal Keepers Led by Veterinarians and Para-Veterinarians around the Kanha Tiger Reserve, Madhya Pradesh, India.

<div><p>Aim</p><p>We aim to investigate local perceptions of animal health challenges; current animal health knowledge; and methods to provide effective, relevant education to animal keepers in the Kanha Tiger Reserve area.</p><p>Materials and methods</p><p>A farmer education programme was undertaken in the Kanha Tiger Reserve area. Local animal health priorities were investigated through participatory village meetings (n = 38), individual animal keeper questionnaires (n = 100) and a written survey of local paravets (n = 16). Educational interventions were: veterinary surgeon led education meeting (VE); paravet led education meeting (PVE); distribution of printed materials (PM). 230 village meetings were carried out across 181 villages, contacting 3791 animal keepers. 20 villages received printed materials. Information was gathered on perceptions of local animal health challenges and current remedies. Efficacy of knowledge transfer was assessed four to five months later using a purposeful sample of 38 villages.</p><p>Results</p><p>Group meetings identified ticks (35/38), foot and mouth disease (FMD) (31/38) and diarrhoea (30/38) as the greatest animal health challenges. Individual interviews identified haemorrhagic septicaemia (HS) (87/100), blackquarter (BQ) (66/100) and plastic ingestion (31/100). Paravets identified FMD (7/16), BQ (6/16) and HS (6/16), and also indicated that animal husbandry and socio-economic factors were important. Current treatments were primarily home remedies and herbalism, but also included contacting a paravet, use of pharmaceuticals and faith healing. Animal treatment knowledge prior to intervention was not significantly different between groups (P = 0.868). Following intervention animal health knowledge was assessed: PVE performed better than controls (P = 0.001) and PM (P = 0.003); VE performed better than controls (P = 0.009). There was no significant difference between VE and PVE (P = 0.666) nor PM and controls (P = 0.060).</p><p>Conclusions and recommendations</p><p>Open access participatory village meetings are an effective way to provide animal health education. In this region distribution of posters and leaflets did not appear to be an effective way to contact animal keepers. Meetings led by paravets can be as effective as those led by veterinarians and paravets can rapidly and sustainably contact large numbers of animal keepers. Investigation of the local animal health situation is essential to ensure education is relevant and accessible to intended recipients. Interventions must be carefully planned to maximise engagement of all sections of the community, particularly women.</p></div

IN VITRO ANTI-INFLAMMATORY AND ANTIOXIDANT ACTIVITIES OF HINGULESWARA RASABASED HERBOMINERAL FORMULATIONS

Objective: The aims of the present investigation were to develop the herbal and/or herbomineral formulations of Hinguleswara rasa and to compare their anti-inflammatory and antioxidant activities, in vitro, with that of standard drug samples.Methods: This study was an interventional investigation in three samples: In the first sample, Hinguleswara rasa (HR1) was prepared as per methodology described in Rasatarangini using Shuddha Hingula (10 g), Shuddha Vatsanabha (10 g), and Pippali (10 g). In the second and third sample, respectively, Hinguleswara rasa was prepared by replacing Shuddha Hingula with Kajjali where Kajjali made from Hingulotha parada and Sodhita parada constitutes two varieties of Hinguleswara rasa, i.e. HR2 and HR3. In vitro antioxidant activity was studied using 2,2-diphenyl-1-picrylhydrazyl, and the absorbance was recorded at 517 nm. For evaluating the in vitro anti-inflammatory studies, the inhibition of albumin denaturation technique was performed.Results: The results showed that the formulation of Hinguleswara rasa has shown dose-dependent activity which was observed in 100 μg concentration. HR1, HR2, and HR3 showed 36.11, 17.22, and 16.11% radical scavenging activity.Conclusion: It could be concluded that the changes made in the formulations did not affect the in vitro anti-inflammatory and antioxidant effects of the herbomineral formulations