A PROSPECTIVE STUDY OF CLINICAL PROFILE OF STROKE IN A TERTIARY CARE HOSPITAL

ABSTRACTObjective: The objective of the work was to study the clinical profile of stroke in a tertiary care hospital.Methods: A prospective observational study on stroke was carried out for a period of 6-month (May 2015 to October 2015). A total of 241 inpatientsfrom Shri Preethi Hospital were incorporated in the study. The data were collected and evaluated by reviewing case files and patient interview.Result and Conclusion: Out of 241 patients, an incidence of ischemic stroke was found to be higher. The occurrence of stroke steeply rises with agewith male predominance. The burden of stroke tends to be more in rural, illiterate, and low socioeconomic status population. The study reveals riskfactors such as sedentary lifestyle, previous and family history of stroke, underlying disease like hypertension, diabetes. The circadian pattern in onsetshowed a significant peak in morning (6 am-12 pm) for Ischemic and afternoon (12 pm-6 pm) for hemorrhagic stroke. Topographic distribution ofcerebral infract and hemorrhage was found to be in parietal lobe and periventricular white matter, respectively. Mostly prescribed medication forischemic and hemorrhagic patients was antihypertensive and mannitol, respectively. The contraindication for thrombolytic therapy was found to below economic status and average delay in time of presentation to hospital. The study highlights the need for aggressive management of traditionalrisk factors, need for extensive work up in patient to find etiologies and need for more active interventions in community for the prevention of stroke.Keywords: Ischemic, Hemorrhagic, Circadian pattern, Antihypertensive

Subordination Properties for Certain Subclasses of Prestarlike Functions

Making use of generalized Saˇlaˇgean derivative operator in this paper, we define a unified class of starlike functions with negative coefficients and obtain subordination results, partial sums, integral transforms for this class. Further integral means and square root transformation results are discussed

Context-based Semantic Mediation in Web Service Communities

Communities gather Web services that provide a common functionality, acting as an intermediate layer between end users and Web services. On the one hand, they provide a single endpoint that handles user requests and transparently selects and invokes Web services, thus abstracting the selection task and leveraging the provided quality of service level. On the other hand, they maximize the visibility and use rate of Web services. However, data exchanges that take place between Web services and the community endpoint raise several issues, in particular due to semantic heterogeneities of data. Specific mediation mechanisms are required to adapt data operated by Web services to those of the community. Hence, mediation facilitates interoperability and reduces the level of difficulty for Web services to join and interact with communities. In this chapter, we propose a mediation approach that builds on 1) context-based semantic representation for Web services and the community; and 2) mediation mechanisms to resolve the semantic heterogeneities occurring during data exchanges. We validate our solution through some experiments as part of the WSMO framework over a test community and show the limitations of our approach