The digital promise - pedagogy transformation using digital learning in tertiary education

This paper describes pedagogical transformation using digital learning, which promotes enhanced teaching and learning in tertiary education and evaluates the end-user computing (EUC) satisfaction of digital change using various tools like forum, online quizzes, distribution of lecture notes and file sharing. The research will use a quantitative method to analyse the effectiveness of digital learning among tertiary learners. The learners can be an important source of information in evaluating the quality of digital learning interface and its effectiveness. The research survey questionnaire will be distributed through a specific Learning Management System (LMS) and the effectiveness will be analysed upon the completion of data gathering. This study is important to analyse student’s expectation and to enhance digital learning utilisation

Comparison of pulmonary function tests in urban and rural children of Nagpur, Maharashtra, India

Background: Pulmonary function tests (PFT) are considered as an essential component for evaluation of lung functions. PFTs are influenced by various parameters like anthropometric, geographic, ethnic, socio-economic parameters. Anthropological parameters are affected by nutrition and physical activities in young age, which directly affect the lung size and function. The aim of this study was to compare PFTs in urban and rural children of same district and to find out significant difference, if any.Methods: It was observational study. 150 each healthy children in the age group of 10 to 14 years were selected from urban and rural schools. After recording anthropometric data, PFTs were measured in all the children of both the groups. PFTs were compared among urban and rural children using unpaired t-test.Results: All the independent variables like age, weight and height were having linear positive correlation with PFTs (p0.05)., but Peak Flow Expiratory Flow Rate (PEFR) was significantly more (p<0.05) in rural than urban students.Conclusions: We can conclude that during measurement of PFTs especially PEFR in children, the factor of urban and rural background must be considered in prediction equation

A Deep CNN Framework for UAV Intrusion Detection in Intelligent Systems

Unmanned Ariel Vehicle (UAV) s are dealing with several safety and protection issues including internal hardware/software and potential attacks. In addition, detecting UAV anomalies will be a crucial responsibility to defend against hostile enemies and prevent accidents. In this research, we present a UAV and an Automatic Dependent (AD) system using surveillance and Machine Learning (ML) algorithms to analyze data from their detectors in real-time. Proposed Improved Region based Convolutional Neural Network (IRCNN) model used to generate and acquire the characteristics of untreated sensor information and characteristics to facilitate AD. The proposed model creating an Inertial Measurement Unit (IMU) &amp; UAV sensors dataset using cyber security simulation system and Active Learning (AL) identifies aggressions based on the least probable interrogation method. This proposed model enables the identification to efficiently improve the occurrences of unexplained aggressions discovered of IRCNN at reduced labeling cost. A thorough trial showed that IRCNN-AL is effective at detecting unknown threats with frequency improvements of between 9% and 30% on comparison approaches. The AL methodology presented with as few as 1% of a labeled unexpected aggressions

An analytical study of 100 cases of penetrating injuries.

Nature offers protection to the eye, anatomically by its situation in the elastic fatty tissues of the orbital cavity and sturdy bony projections of the orbital rim and the nose, physiologically by the vigilance exercised by the blink reflex and the head – turning reflex on the approach of objects. Despite these protection injuries to the eyes are common and may involve any tissue1. Moreover, the effects of such injuries are much more severe than in any other parts of the body, because of the delicacy of the ocular tissues. Ocular injuries therefore assume marked social and economic importance involving a huge cost in human unhappiness and economic inefficiency. In our study males were predominantly affected by penetrating injuries The age group 16-45yrs was the most common group to get penetrating injuries. The majority of penetrating injuries were occupational. Metal was the most common object involved in causing penetrating injuries. Patients who presented immediately within 24hrs of injury had good visual prognosis than those presented late. Though Wound repair is the most common intervention in the primary procedure some patients underwent cataract extraction and IOL implantation, foreign body removal. Traumatic cataract was the most common complication associated with penetrating injuries. Five patients in our study had Endophthalmitis. Cataract extraction with IOL implantation is the most common secondary procedure in our study. Visual acuity at the time of presentation is one of the most important prognostic factors in predicting visual outcome. Patients who presented with RAPD had poor visual outcome. Zone I is the commonest location of laceration followed by Zone II and then Zone III. Patients who had Zone I injury had better visual prognosis than those with Zone II or Zone III injuries. Visual acuity at the time of presentation, presence of Relative afferent pupillary defect, Zone of involvement and the size of laceration are the important factors in predicting the visual prognosis. Importance should be laid on preventive measures by educating people on ocular trauma, use of protective eyewear and timely management

All Optical Packet Processing in Optical Network

No Abstrac

Venous thromboembolism after major gynecological cancer surgery: an analysis of cause and effect from the experience of a tertiary referral oncologic centre

Background: Patients undergoing extensive gynecological oncologic surgeries are at greater risk for developing deep vein thrombosis and pulmonary embolism than other oncological procedures. The anatomical confinement of vessels, lymphatics, and other structures in the restrictive pelvic space is contributory. We aimed to establish the etiopathogenesis of venous thromboembolism (VTE) with our practical experience. Methods: We present our experience from a tertiary referral oncologic centre in north India in patients with ovarian cancer undergoing cytoreductive surgery (CRS) with or without HIPEC, with a focus on the incidence and etiopathogenesis of deep venous thromboembolism (DVT), including anatomical barriers, restricted movement during surgical dissection, risk stratification and preventive measures. Results: Of 250 patients who underwent cytoreductive surgery (CRS) for ovarian cancer, 124 additionally underwent hyperthermic intraperitoneal chemotherapy (HIPEC). 20 (8%) patients were diagnosed with DVT within 30 days of surgery, and 3 (1.2%) were detected after 30 days. It is the most common significant postoperative morbidity. Conclusions: DVT is the most common postoperative complication in patients undergoing CRS+HIPEC for carcinoma ovary. Anatomical confinement, closed dependant spaces and more significant surgical trauma to pelvic vessels and lymphatics may be the leading cause. Detailed knowledge of anatomy and careful surgical dissection may prevent the development of DVT

1960 General Election: Representatives to Legislature

https://digitalmaine.com/tabulations_for_elections_1960s/1008/thumbnail.jp

An intensive audit on 250 patients of advanced ovarian cancer to improve quality of care in a tertiary referral oncology centre in India

Background: A clinical audit provides the framework to improve the quality of patient care in a systematic way. In this study, we intensively audited our 250 advanced epithelial ovarian cancer (EOC) patients aiming to improve our patient care.Methods: Ambispective study of 250 patients of advanced EOC was done from our prospectively maintained computerized database in the department of surgical oncology, AIIMS, New Delhi from 2013 to 2020.We audited the demographic profile, treatment patterns, perioperative and survival outcomes in different subgroups.Results: In this study, 83.6% stage III and 16.4% stage IV A. There was 62 (24.8%) upfront, 112 (44.8%) interval and 76 (30.4%) secondary group. 126 underwent cytoreductive surgery (CRS) and 124 CRS and hyperthermic intraperitoneal chemotherapy (HIPEC). There was 24.8% early and 8.4% late postop complications. Median follow up 50 months. Overall, the median disease-free survival (DFS) 39 months. PFS was 12 months among 68 patients with recurrence. Attrition rate 4%. In the upfront setting, the median DFS 44 months in CRS only group and DFS not reached (p=0.032) in CRS and HIPEC group still. In the interval setting, the median DFS 39 months in CRS only group and 44 months in CRS and HIPEC group (p=0.06). In recurrent setting, the median DFS 14 months in CRS group and 23 months in CRS and HIPEC group (p=0.02)Conclusions: Audit is an integral part of any clinical practice. It teaches us to improve the quality of care and thereby better outcomes. We recommend 6 monthly clinical audits in any cancer treatment for better outcomes in future

Inverted 'V' osteotomy excision arthroplasty for bony ankylosed elbows

<p>Abstract</p> <p>Background</p> <p>Bony ankylosis of elbow is challenging and difficult problem to treat. The options are excision arthroplasty and total elbow replacement. We report our midterm results on nine patients, who underwent inverted 'V' osteotomy excision arthroplasty in our hospital with good functional results.</p> <p>Materials</p> <p>Our case series includes 9 patients (seven males and two females) with the mean age of 34 years (13-56 years). Five patients had trauma, two had pyogenic arthritis, one had tuberculous arthritis, and one had pyogenic arthritis following surgical fixation.</p> <p>Results</p> <p>The average duration of follow up is 65 months (45 months-80 months). The mean Mayo's elbow performance score (MEPS) preoperatively was 48 (35-70). The MEPS at final follow up was 80 (60-95). With no movement at elbow and fixed in various degrees of either flexion or extension preoperatively, the mean preoperative position of elbow was 64°(30°to 100°). The mean post operative range of motion at final follow up was 27°of extension (20-50⁰), 116°of flexion (110⁰-130⁰), and the arc of motion was 88°(80⁰-100⁰). One patient had ulnar nerve neuropraxia and another patient developed median nerve neuropraxia, and both recovered completely in six weeks. No patient had symptomatic instability of the elbow. All patients were asymptomatic except one patient, who had pain mainly on heavy activities.</p> <p>Conclusion</p> <p>We conclude that inverted 'V' osteotomy excision arthroplasty is a viable option in the treatment of bony ankylosis of the elbow in young patients.</p