The changing dynamics of the Iran-Pakistan-Afghanistan relationship

Iran’s opening has shaken up the global International Relations discourse, creating new opportunities and uncertainties. Prateek Joshi writes that the power balance in South Asia is already shifting as a result, and looks specifically at how Iran could bring a new stability to the Af-Pak region

Gauging India’s Response to OBOR

The grand event on One Belt One Road (officially termed as the Belt and Road Forum) kicked off in Beijing this may, amidst a global fanfare witnessing participants from around 130 nations, along with 29 heads of states, notably from Russia and Turkey. Despite official representation from the US and other powers registering their presence, India’s conspicuous absence from the event did not go unseen by the hosts

The Chinese Silk Road in South & Southeast Asia: Enter "Counter Geopolitics"

The Chinese Silk Road projects signal towards a new era of the changing geopolitical order with infrastructure corridors that would span across the Asian landmass in the form of highways, railways, industrial parks, Oil & gas pipelines connecting the landlocked regions of hinterland China with the sea port

Massive complex Baker’s cyst treatment with open excision and arthroscopic partial meniscectomy: a case report

Baker’s cyst is known to be associated with intra articular pathologies such as meniscus tears, chondral lesions, synovitis, synovial plica and cruciate ligament injuries. Complex Baker’s cyst excision alone is known to have high chance of recurrence. Combined treatment strategies that addresses intra-articular pathologies with excision of the cyst and closure of the valve, are thought to reduce chances of recurrence of such cysts. We present a case of massive complex Baker’s cyst treated with arthroscopic partial medial meniscectomy, synovectomy, open cystectomy and closure of the valve

Analysis of Crank End of Connecting Rod using Finite Element Method

Connecting Rod is used practically in generally all varieties of automobile engines. Its acts as an intermediate link between the piston end and the crank end of an engine. It is responsible for transmitting the up and down motion of the piston end to the crankshaft of the engine, by converting the reciprocating motion of the piston end to the rotary motion of the crankshaft. Therefore, this study is carried out for the load and stress analysis of the crank end of the connecting rod. Also the results can be used for optimization for weight reduction and design modification of the bigger end of the connecting rod. For this the Pro-E software is used for modeling and analysis is carried out using ANSYS software. The results archived can help us identify the spot or section where chances of failure are high. Also the results obtained can be used to modify the existing designs so that better performance and longer life cycle can be archived. DOI: 10.17762/ijritcc2321-8169.150311

Understand the Similarity of Internet Service Providers via Peer-to-Peer User Interest Analysis

University of Minnesota M.S. thesis. June 2019. Major: Computer Science. Advisor: Haiyang Wang. 1 computer file (PDF); 63 pages.Internet traffic continues to exhibit exponential growth in the past few years. This forces Internet service providers(ISPs) to continuously invest in infrastructure upgrades and deploy traffic management techniques, such as caching and locality, to fulfill the increasing user demand. To help ISPs better manage their infrastructures, it is important to compare and understand the similarity of their user interests. However, such a comparison is challenging because the ISP data is hard to obtain, not to mention the related modeling and analysis issues. In this thesis, we aim to understand the ISP similarity through an extensive analysis of Peer-to-Peer(P2P) user interest. To collect the P2P dataset, we develop a tool to automatically download BitTorrent's meta-info(torrent) files on the Internet. This tool also helps us to collect important peer and content information in these BitTorrent swarms without uploading any copyrighted files. As a result, we successfully obtained 16,697 active peers from 1,721 torrents in 1,097 unique Autonomous Systems(ASes). After that, we adopt the classic statistical and clustering approaches to compare their different user interests. Our research for the first time shows the existence of cloud users in such real-world content distribution systems as BitTorrent. The model analysis further indicates that we can adopt similar traffic management approaches (e.g., caching similar contents) across geographically closer ASes

Integrating diversity into the medical curriculum

In the field of medical education, diversity refers to the presence and representation of persons from a diversified range of personal backgrounds, experiences, and characteristics across the student community, faculty members, and employees in the institution. The scope of diversity in medical education is immense and it plays a vital role in creating an effective learning environment. Once students are exposed to a group of diverse students and patients during their undergraduate training, there is a significant improvement in cultural competence, which becomes crucial in our mission to deliver patient-centered care. Considering the merits of diversity in the medical curriculum for medical students, there is an indispensable need to take specific measures to ensure that diversity is integrated in the curriculum, as it will also ensure the delivery of equitable and culturally competent medical care. As important is to ensure the integration of diversity into medical curriculum, equal importance has to be given to the measurement of various initiatives that have been taken to promote diversity in medical education. In conclusion, diversity in medical education is the need of the hour to create a fruitful learning environment for medical students. This calls for the need to take measures for the integration of diversity into the medical curriculum and subsequently identify strategies and indicators to measure and monitor the progress of diversity initiatives in medical institutions

Outcomes of patients treated with minimally invasive plate osteosynthesis in the management of distal tibial fractures

Background: Distal tibial fractures are a common injury, often caused by high-energy trauma, and can result in significant morbidity. Traditional surgical management with open reduction internal fixation (ORIF) is associated with complications including infection and soft tissue injury. Minimally invasive plate osteosynthesis (MIPO) has emerged as a potential alternative, with advantages including less soft tissue injury and a faster return to function.  The study aimed to evaluate the outcomes of MIPO for distal tibial fractures. Method: Sample size of 38 patients between 18-80 years of age with distal tibial fractures treated with MIPO was included. Patient demographics, fracture characteristics, surgical details and postop outcomes collected. Results: A total of 38 patients with distal tibia fractures with a mean age of 44.36 years were included in the study. The mean duration of hospital stay was 12.71 days, and the time required for a union was 18.61 weeks. The AOFAS score improved significantly from 3 to 6 months after surgery. However, 15 patients (34.88%) reported complications, with deep infection and skin necrosis being the most common. Out of 43 patients, 11 underwent culture and sensitivity testing, with no growth in 5 cases, and the remaining cases showed various bacterial infections. Seven patients underwent implant removal due to complications. Conclusions: The study provides valuable information about the use of MIPO in treating distal tibia fractures, as well as the risk of complications associated with this approach