A Rare Case of Reversible Encephalopathy Syndrome Accompanying Late Postpartum Eclampsia or Hypertensive Encephalopathy-A Clinical Dilemma

Posterior Reversible Encephalopathy Syndrome (PRES) refers to a clinic-radiologic diagnosis. Clinically it is characterized by non specific symptoms such as headache, confusion, visual disturbances and seizures. The radiological findings in PRES are thought to be due to vasogenic oedema, predominantly in the posterior cerebral hemispheres, and are reversible with appropriate management. We report a case of reversible encephalopathy diagnosed by MRI scan occurring in atypical areas like the caudate and lentiform nuclei of the brain following an uneventful lower segment caesarean section in a normotensive patient, who was successfully treated with antihypertensives, anticonvulsants and supportive treatment. The differential diagnosis of convulsions in the post-partum period is discussed

Hyperbolic discounting in analyzing investment in groundwater irrigation in India

Researchers are often confronted with the choice of discount rate as well as the method of discounting for estimating the amortized cost of long-term investment in agriculture including groundwater irrigation. The obvious choice is to use the opportunity cost of capital, which is the prevailing interest rate of around 9 percent (compounded – exponential basis), charged on longterm agriculture loans. However, using the ‘exponential’ basis does not provide a realistic amortized cost of irrigation as it over estimates the value of investment due to ‘exponential’ basis as demonstrated above. In order to obtain an empirical estimate of this interest rate, using field data from farmers three dry agro-climatic zones of Karnataka (Shamsundar (1996), Sripadmini (2001), Chaitra (2002), Rajendra (2003)) nominal investment per irrigation well is considered (Table 3). The nominal investments were deflated using the index number of wholesale prices (1993-94 base year). Considering nominal and real growth in investment per irrigation well between the 1980’s and 2000’s in the three agro-climatic zones of Karnataka, using the exponential discounting, the nominal investment per well is found to be increasing between 3.7 and 5.7 percent. This shows that the amortization of groundwater investment cannot exceed say six percent. The real (exponential rate of) interest is computed by deflating the initial year investment and the terminal year investment per irrigation well using the 1993-94 as base all India wholesale price index numbers. It is found that in real terms the investment per well is falling between –2.5 percent and –0.17 percent.(Table 3). The fall in real investment is due to increased competition by rig owners in offering almost uniform rate of drilling over the years in several aquifers of Karnataka. For instance the price of drilling has been between Rs. 35 and Rs. 50 per feet between 1985 and 2005 for shallow bore wells. The phenomenon may not be very different in other states of peninsular India. A comparison of nominal investment in terminal year and the estimated cost of well in 2005 indicates that in EASTREN DRY ZONE the nominal interest rate is 3.7 percent, the real interest rate is –0.17 percent and the investment per well in 2002 (terminal year) being Rs. 53,478 and in 2005 (current year) being Rs. 59578 are comparable. But in CENTRAL DRY ZONE, while the nominal investment per well in 2000 is Rs. 45,000, the estimated investment in 2005 is Rs. 59,193, which is an unrealistically high exponential growth obtained by compounding the initial investment of Rs. 18,480 from 1984 to 2005. Similarly in EASTREN DRY ZONE, while the actual investment per well in 2000 is Rs. 75,095, the estimated investment per well in 2005 works to Rs. 97,702, which is again unrealistic. As the real interest rate is negative in irrigation wells, this could be one of the reasons for mushrooming of irrigation wells in Karnataka, since this makes investment affordable across different classes of farmers. Thus this analysis has two messages. One, that the nominal interest rate which has to be considered for amortizing investment on irrigation well can be around 3 to 6 percent, and that the real investment per well is falling.hyperbolic discounting, groundwater, exponential, Environmental Economics and Policy, Institutional and Behavioral Economics, Research Methods/ Statistical Methods, D9, Q25, M4,

ASSESSMENT OF LEVELS OF PHYSICAL ACTIVITY IN PERIMENOPAUSAL WOMEN

Aim: Various physical, psychological and hormonal changes during the perimenopause may affect their quality of life. It results in Joint pain, stiffness and urinary incontinence may limit the ability to take the exercise and to socialize. Poor sleep and mood changes can have an impact on women`s ability to work effectively. Objective: To categories level of physical activity in terms of light, moderate and vigorous through RAPA scale. Methodology: Questionnaire based survey was carried out in 100 perimenopausal women aged 45 to 55 years. After the anthropometric and demographic assessment RAPA was administered and then data was analyzed. Result: Out of 100 subjects only 17 women were categorized as active with moderate physical activity for 30 minutes on 5 or more days of week and 10 did vigorous physical activity for 20 minutes for 3 or more days a week and were called as active. Out of the 10 active only 4 did flexibility and no strengthening. Conclusion: Only 10 perimenopausal women could reach second level of RAPA. 22 were eliminated in question no. 1 i.e. they were inactive apart from daily household activities . KEY WORDS: Perimenopausal women; Rapid Assessment of Physical Activity

Survival of current in a periodically driven hard-core bosonic system

We study the survival of the current induced initially by applying a twist at the boundary of a chain of hard-core bosons (HCBs), subject to a periodic double $\delta$-function kicks in the staggered on-site potential. We study the current flow and the work-done on the system at the long-time limit as a function of the driving frequency. Like a recent observation in the HCB chain with single $\delta$-function kick in the staggered on-site potential, here we also observe many dips in the current flow and concurrently many peaks in the work-done on the system at some specific values of the driving frequency. However, unlike the single kicked case, here we do not observe a complete disappearance of the current in the limit of a high driving frequency, which shows the absence of any dynamical localization in the double $\delta$-functions kicked HCB chain. Our analytical estimations of the saturated current and the saturated work-done, defined at the limit of a large time together with a high driving frequency, match very well with the exact numerics. In the case of the very small initial current, induced by a very small twist $\nu$, we observe that the saturated current is proportional to $\nu$. Finally, we study the time-evolution of the half-filled HCB chain where the particles are localized in the central part of the chain. We observe that the particles spread linearly in a light-cone like region at the rate determined by the maximum value of the group velocity. Except for a very trivial case, the maximum group velocity never vanishes, and therefore we do not observe any dynamical localization in the system.Comment: 11 pages, 9 figure

Validation of Edinburgh post natal depression scale in post-natal woman from a tertiary referral center in South India

Background: Pregnancy and childbirth are two most important life-changing events. Post-partum depression can affect mother and has a wide spectrum of presentation depending upon various social factors. Studies suggest that the incidence of postnatal depression among women of high social strata is 13-19% while the incidence is 11-42% among women with limited social support. The present study aims to study postnatal depression and its causes in a postnatal mother in all the aspects of social, physical, cultural and psychiatric grounds in the Indian scenario with the help of the Edinburgh postnatal depression scale (EPDS).Methods: From 1st July 2019 to 31st December 2019, a total 300 postnatal women between 1 to 6 weeks of the postpartum period participated and during their stay in the hospital responded to EPDS. The study was purposive sampling, and full consent of the study subjects was taken before the start of the study.Results: In this study, we found 20.1% of a woman affected by post-partum in South India. The higher percentage of severe depression was seen in the primary gravida (20%). The risk factors such as availability of postnatal care (with NICU admission), the woman with medical complications, late childbirth or delayed childbirth after marriage, multiparity, delivery via caesarean and nuclear family showed significant relationship (p<0.005) with depression.Conclusions: The present study, with a Post-natal depression of 20.1% along with the enumerated risk factors, suggest that the causes for postpartum depression (PPD) among working Indian woman, reflect a change to an urban-centric lifestyle. Further evaluation of these risk factors needs to be made and a routine screening of Postpartum depression (PPD) can help in improving maternal and child health

ASSESSMENT OF LEVELS OF PHYSICAL ACTIVITY IN PERIMENOPAUSAL WOMEN

Aim:&nbsp;Various physical, psychological and hormonal changes during the perimenopause may affect their quality of life. It results in Joint pain, stiffness and urinary incontinence may limit the ability to take the exercise and to socialize. Poor sleep and mood changes can have an impact on women`s ability to work effectively. Objective: To categories level of physical activity in terms of light, moderate and vigorous through RAPA scale.&nbsp;Methodology: Questionnaire based survey was carried out in 100 perimenopausal women aged 45 to 55 years. After the anthropometric and demographic assessment RAPA was administered and then data was analyzed.&nbsp;Result: Out of 100 subjects only 17 women were categorized as active with moderate physical activity for 30 minutes on 5 or more days of week and 10 did vigorous physical activity for 20 minutes for 3 or more days a week and were called as active. Out of the 10 active only 4 did flexibility and no strengthening.&nbsp;Conclusion:&nbsp;Only 10 perimenopausal women could reach second level of RAPA. 22 were eliminated in question no. 1 i.e. they were inactive apart from daily household activities . KEY WORDS:&nbsp;Perimenopausal women; Rapid Assessment of Physical Activity

Two Level Security for Cloud Storage with Data Deduplication

Cloud computing provides number of services to client over internet. Storage service is one of the important services that people used now days for storing data on network so that they can access their data from anywhere and anytime. With the benefit of storage service there is an issue of security. To overcome security problem the proposed system contain two levels of securities and to reduce the unwanted storage space de-duplication technique is involved. To increase the level of security one technique is a session password. Session passwords can be used only once and every time a new password is generated. To protect the confidentiality of sensitive data while supporting de-duplication, the convergent encryption technique has been proposed to encrypt the data before outsourcing. Symmetric key algorithm uses same key for both encryption and decryption. In this paper, I will focus on session based authentication for login, encryption for files and duplication check for reduce space of storage on cloud. DOI: 10.17762/ijritcc2321-8169.150612

Relationship between nutritional status, respiratory performance and age : study among Tangkhul Naga females of Northeast India

The study aims to examine relationship between nutritional status, respiratory performance and age. Cross-sectional study was carried out among 346 Tangkhul Naga females of Northeast India, ranging in age from 20-70 years. Height, weight, body mass index (BMI), breath holding time, chest expansivity and dynamic lung function tests like forced expiratory volume in one second, force vital capacity, forced expiratory ratio and peak expiratory flow rate were studied. The results showed that both low and high BMI were associated with poor lung functions, and showed inverse relationship. Subjects with normal BMI had better respiratory efficiency as compared to underweight, overweight/obese subjects. Age plays an important role in structural and functional change. BMI and lung functions were also associated with age. BMI increased with advancing age till middle age. Values of FEV 1.0, FVC, FER, PEFR, BHT and CE declined with advancing age indicating negative association of respiratory performance with age. BMI was also independently associated with lung functions and age. Age and BMI were positively correlated, but both age and BMI has negative associations with respiratory performances. Nutritional disorder had negative impact on lung functions. Evaluating the effect of age and BMI on lung functions showed that ageing had greater impact on respiratory performance