Training Needs Analysis for Non-gazetted Police Personnel: an Empirical Study of Commissionerate Police in Odisha

A Training Needs Analysis (TNA) is used to assess an organization's training needs. The root of the TNA is the gap analysis. This is an assessment of the gap between the KSA components that the people in the organization currently possess and the KSA that they require to meet the organization's objectives. The training needs assessment is best conducted up front before training solutions are budgeted, designed and delivered. Professional policing promotes the rule of law and can support economic growth and improve the lives of the poor by protecting them from crime. The police personnel has a vital role in a parliamentary democracy. The society perceives them as custodians of law and order and providing safety and security to all. This essentially involves continuous police-public interface. In India, the police are often perceived as corrupt, ineffective and brutal, stemming from a plethora of systemic, organizational and behavioral challenges. Officers themselves report feeling unsatisfied, overworked and neglected by the system. The recommendations of the National Police Commission (1977-81) have suggested several measures to improve the standard of policing; however, seldom have they been implemented by successive governments. In the present study, four objectives have been formulated

Study on Efficacy of Expired and Active Forms of Various Antibiotics on Saccharomyces cerevisiae

Antibiotics are among the most frequently prescribed medications in modern medicines. The cell protection strategies in the organisms, development of resistance in previously susceptible microbes, the inevitable progression of microbes exposed to antibiotics to develop resistance, were the nesisities that ensures the need for continual cycles of discovery and development of new antibiotics. A large variety of antibiotics are available in the drug market today, several others being added regularly in combat with various pathogens that cause disease in humans as well as in animals. Our present study focused to investigate the change in efficacy of commonly used antibiotics such as amoxicillin, ampicillin, sparfloxacin, cefixime. We have collected antibiotics with before and after their expiry dates. A simple eukaryotic model organism Saccharomyces cerevisiae is used to study the comparative understanding of this microbe with these different antibiotics. In our investigation we found that response of Sacchromyces cerevisiae towards different antibiotics varied in its intricacies. Fresh forms of antibiotics have significantly inhibiting the growth of Saccharomyces cerevisiae as compared to expired forms. The observations revealed that expired forms of antibiotics loose their efficacy drastically

The predictive accuracy of PREDICT: A personalized decision-making tool for southeast Asian women with breast cancer

10.1097/MD.0000000000000593Medicine (United States)948e59

Near real time ionospheric monitoring system over Malaysia using GPS data: my-iono service

Recently, real time information on the local ionospheric condition is becoming an important need for space and ground based technological systems which are prone to be affected by the local ionospheric state. Knowledge on the impact from the sun activity to the equatorial and low latitude ionosphere is crucial for research and development purpose in all developing nations which are relying on space-based technology systems such as the Global Navigation Satellite System (GNSS). As the first action step to achieve deeper understanding and hands on experience on real time ionospheric monitoring, the National Space Agency of Malaysia (ANGKASA) in collaboration with Universiti Teknologi Malaysia (UTM) has developed the first near real time ionospheric and space weather monitoring system for Malaysia (My-Iono) in year 2015. This web-based platform operates based on the National R&D GPS Continuously operating reference station network (NRC-net). The system runs based on a locally derived algorithm called Equatorial Ionosphere Index (EIX). The EIX was formulated based on 10 years (2004 to 2013) GPS derived empirical Total Electron Content (TEC) data obtained frpm 78 My-RTKnet stations around Malaysia. The fundamental of My-Iono Service consists of vertical TEC maps with a latency of ∼ 2 mins over Malaysia and information on the current ionospheric status; Normal, Medium and Severe, time series of Mean VTEC for station specific, time series of RAte of Change of tEc (RACE) for station specific and time series of Ionospheric Zenith (Iz) Delay for station specific estimated in near real time using GPS observations. This paper presents on the development of My-Iono Service in terms of system design and architecture

Time-dependent risk and predictors of venous thromboembolism in breast cancer patients: a population-based cohort study

BACKGROUND: Venous thromboembolism (VTE) is a serious complication of cancer and its treatment. The current study assessed the risk and clinical predictors of VTE in breast cancer patients by time since diagnosis. METHODS: This Swedish population-based study included 8338 breast cancer patients diagnosed from 2001 to 2008 in the Stockholm-Gotland region with complete follow-up until 2012. Their incidence of VTE was compared with the incidence among 39,013 age-matched reference individuals from the general population. Cox and flexible parametric models were used to examine associations with patient, tumor, and treatment characteristics, accounting for time-dependent effects. RESULTS: Over a median follow-up of 7.2 years, 426 breast cancer patients experienced a VTE event (cumulative incidence, 5.1%). The VTE incidence was 3-fold increased (hazard ratio [HR], 3.28; 95% confidence interval [CI], 2.87-3.74) in comparison with the incidence in the general population and was highest 6 months after diagnosis (HR, 8.62; 95% CI, 6.56-11.33) with a sustained increase in risk thereafter (HR at 5 years, 2.19; 95% CI, 1.80-2.67). Independent predictors of VTE included the following: older age, being overweight, preexisting VTE, comorbid disease, tumor size > 40 mm, progesterone receptor (PR)-negative status, more than 4 affected lymph nodes, and receipt of chemo- and endocrine therapy. The impact of chemotherapy was limited to early-onset VTE, whereas comorbid disease and PR-negative status were more strongly associated with late-onset events. CONCLUSIONS: This study confirms the long-term risk of VTE in breast cancer patients and identifies a comprehensive set of clinical risk predictors. Temporal associations with patient, tumor, and treatment characteristics provide insight into the time-dependent etiology of VTE.Swedish Research CouncilFORTESwedish Cancer SocietyAccepte

Recurrence in skeletal muscle from squamous cell carcinoma of the uterine cervix: a case report and review of the literature

BACKGROUND: The occurrence of skeletal muscle metastases is a very rare event. Only two cases of late skeletal muscle recurrence from cervical cancer have been documented until now. CASE PRESENTATION: A 38-year old patient, submitted to radical hysterectomy and pelvic lymphadenectomy for a squamous FIGO stage IB1 cervical carcinoma, presented after 76 months with a palpable, and painless swelling on the left hemithorax. MRI showed a nodule located in the context of the intercostal muscles. Pathology revealed the presence of metastasis of squamous cell carcinoma of similar morphology as the primary. On the basis of FDG-PET findings, which excluded other sites of disease, surgical excision of the lesion was performed. The patient was triaged to chemotherapy plus external radiotherapy. CONCLUSION: A case of skeletal muscle recurrence from cervical cancer after a very long interval from primary diagnosis is reported. Muscular pain or weakness, or just a palpable mass in a patient with a history of cancer has always to raise the suspicion of muscle metastasis

Ethnic Differences in Survival after Breast Cancer in South East Asia

Background: The burden of breast cancer in Asia is escalating. We evaluated the impact of ethnicity on survival after breast cancer in the multi-ethnic region of South East Asia. Methodology/Principal Findings Using the Singapore-Malaysia hospital-based breast cancer registry, we analyzed the association between ethnicity and mortality following breast cancer in 5,264 patients diagnosed between 1990 and 2007 (Chinese: 71.6%, Malay: 18.4%, Indian: 10.0%). We compared survival rates between ethnic groups and calculated adjusted hazard ratios (HR) to estimate the independent effect of ethnicity on survival. Malays (n = 968) presented at a significantly younger age, with larger tumors, and at later stages than the Chinese and Indians. Malays were also more likely to have axillary lymph node metastasis at similar tumor sizes and to have hormone receptor negative and poorly differentiated tumors. Five year overall survival was highest in the Chinese women (75.8%; 95%CI: 74.4%–77.3%) followed by Indians (68.0%; 95%CI: 63.8%–72.2%), and Malays (58.5%; 95%CI: 55.2%–61.7%). Compared to the Chinese, Malay ethnicity was associated with significantly higher risk of all-cause mortality (HR: 1.34; 95%CI: 1.19–1.51), independent of age, stage, tumor characteristics and treatment. Indian ethnicity was not significantly associated with risk of mortality after breast cancer compared to the Chinese (HR: 1.14; 95%CI: 0.98–1.34). Conclusion: In South East Asia, Malay ethnicity is independently associated with poorer survival after breast cancer. Research into underlying reasons, potentially including variations in tumor biology, psychosocial factors, treatment responsiveness and lifestyle after diagnosis, is warranted

Relationship between home care service use and changes in the care needs level of Japanese elderly

<p>Abstract</p> <p>Background</p> <p>With the introduction of long-term care insurance (LTCI) in Japan, more home care services are available for the community-dwelling elderly. To deliver effective home care services, it is important to know the effects of service use. In this study, as the first step to determine this, we sought to describe different home service use in the sustained/improved group and deteriorated group in their care needs levels, and to report the relationship between the use of home care services and changes in care needs levels.</p> <p>Methods</p> <p>The participants included 624 of a total of 1,474 users of LTCI services in one city in Japan. Home care service users were stratified into a 'lower care needs level subgroup' and a 'higher care needs level subgroup' based on the baseline care needs level. Simple statistical comparison and multiple logistic regression analyses in which the change in care needs level was set as a dependent variable were performed. Gender, age, and baseline care needs level were designated as control variables. Home based services were treated as independent variables. In this study, home care services consisted of home help, home bathing services, a visiting nurse, home rehabilitation, nursing home daycare, health daycare, loan of medical devices, respite stay in a nursing home, respite stay in a health care facility, respite stay in a sanatorium-type medical care facility, and medical management by a physician.</p> <p>Results</p> <p>In the lower care needs level subgroup, age (OR = 1.04, CI, 1.01-1.08), use of respite stay in a nursing home (OR = 2.55; CI, 1.43-4.56), and the number of types of long-term care services (OR = 1.33; CI, 1.02-1.74) used during an 11 month period were significantly related to a deterioration of the user's care needs level. In the higher care needs level subgroup, use of medical management by a physician (OR = 6.99; CI, 1.42-41.25) was significantly related to a deterioration of the user's care needs level. There were no home based services significantly related to sustaining or improving the user's care needs level.</p> <p>Conclusion</p> <p>There were different home service use in two groups (the sustained/improved group and the deteriorated group). Respite stay in a nursing home service use and more types of service use were related to experiencing a deterioration of care needs level in lower care needs level community-dwelling elderly persons in Japan. Further, medical management by a physician service was related to experiencing a deterioration of care needs level in higher care needs level community-dwelling elderly persons.</p

Coffee, tea and decaffeinated coffee in relation to hepatocellular carcinoma in a European population: multicentre, prospective cohort study

Inverse associations of coffee and/or tea in relation to hepatocellular carcinoma (HCC) risk have been consistently identified in studies conducted mostly in Asia where consumption patterns of such beverages differ from Europe. In the European Prospective Investigation into Cancer and nutrition (EPIC), we identified 201 HCC cases among 486,799 men/women, after a median follow-up of 11 years. We calculated adjusted hazard ratios (HR) for HCC incidence in relation to quintiles/categories of coffee/tea intakes. We found that increased coffee and tea intakes were consistently associated with lower HCC risk. The inverse associations were substantial, monotonic and statistically significant. Coffee consumers in the highest compared to the lowest quintile had lower HCC risk by 72% (HR: 0.28; 95% confidence intervals (CI): 0.16 to 0.50, P-trend <0.001). The corresponding association of tea with HCC risk was 0.41 (95% CI: 0.22 to 0.78, P-trend=0.003). There was no compelling evidence of heterogeneity of these associations across strata of important HCC risk factors, including hepatitis B or hepatitis C status (available in a nested case-control study). The inverse, monotonic associations of coffee intake with HCC were apparent for caffeinated (P-trend=0.009), but not decaffeinated (P-trend=0.45) coffee for which, however, data were available for a fraction of subjects. Results from this multi-centre, European cohort study strengthen the existing evidence regarding the inverse association between coffee/tea and HCC risk. Given the apparent lack of heterogeneity of these associations by HCC risk factors and that coffee/tea are universal exposures, our results could have important implications for high HCC risk subjects