A study on the quality of life among stroke survivors: A cross sectional study

Background: The World Health Organization defines - Health as a “state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” Methodology: A cross sectional study on 96 patients with stroke aged more than 30 years was carried out NIMS Hospital, Jaipur for a period of 4 months from 1st January 2018 to 30th April 2018. Results: Out of 96 patients, Mean quality of score of patients with stroke was 65.04±9.982 there was significant difference seen in quality of life score according to sex, side of lesion, duration of stroke, socioeconomic status, occupation and hypertension. Conclusions: It can be said that quality of life is a multidimensional concept. As stroke cases is among the most devastating of health aspect, having multiple and profound effects upon all aspects of life, hence evaluation of quality of life is very important. Each and every effort should be made to improve these aspects and in turn to activity daily living (ADL) and improve the overall quality of stroke patients

Occurrences of thrombocytopenia with valproic acid used for psychiatric indication

Background: The main aim of this study is to find out the effect of valproic acid on platelet count and to know the possible risk factors for thrombocytopenia in patients taking valproate (VPA).Methods: On 72 patients having psychiatric indication, a longitudinal observational study was designed and conducted from February 2012 to July 2013 at Department of Psychiatry (out-patient department) of Pt. Jawahar Lal Nehru Memorial Medical College and Dr. Bhim Rao Ambedkar Memorial Hospital, Jail Road, Raipur, Chhattisgarh. Platelet count was monitored and determined using an automatic coulter analyzer. The patients were followed up to 6 months. Statistical tool standard deviation ± was used for statistical analysis. p<0.05 is considered as statistically significant.Results: Total percentage of thrombocytopenia was found to be 12.5%; among that males constitute 9.8% and females 19.04%. The maximum number of cases falls in the age group between 51 and 60 years (55.5%). The major diagnostic group was reported to be consisted of mania (40.4%), followed by resistant cases of schizophrenia (25%) and then bipolar affective disorder (23.6%). The study indicated that maximum patients suffered from mild thrombocytopenia (11.1%) and (1.4%) patients have moderate thrombocytopenia. The mean time from exposure to VPA therapy to the first episode of thrombocytopenia was reported 92 days.Conclusions: Our findings underlined the importance of monitoring platelet counts in patients treated with VPA. This monitoring should be continued indefinitely on monthly basis. The studies indicate that the demands of more vigilant monitoring of patients should occur in age of 50-60 years, and result of entire studies indicates that females were found to be subjected to incidences of thrombocytopenia especially

SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK WITH AND WITHOUT DEXAMETHASONE AS AN ADJUVANT TO LOCAL ANESTHETICS- AN OBSERVATIONAL STUDY.

Aim: Branchial plexus block accompanied by bupivacaine gives very efficacious anesthesia and analgesia. The addition of dexamethasone as an additive in bupivacaine prolonged the anesthetic and analgesic effect. This study aimed to contrast the outset and period of sensory and motor blockade and the period of the analgesic effect after adding dexamethasone to anesthesia and anesthesia without adding dexamethasone in the Supraclavicular branchial plexus block. Materials and Methods: This study included 100 patients and was conducted in Cuttack, Odisha. The age group of patients was between 20-60 years. Patients were divided into 2 categories:         Category 1 (cases): In this group, 16 ml of 2% lignocaine with adrenaline was administered and 16 ml of 0.5% bupivacaine with 10mg dexamethasone was administered.         Category 2 (control): In this group, 16 ml of 2% lignocaine with adrenaline was administered and 16 ml of 0.5% bupivacaine with saline was administered. Results: In Category 1 the sensory blockage was outset in 7 minutes whereas in Category 2 the outset of sensory blockage was 14 minutes. The motor blockage in Category 1 started in 4 minutes and in Category 2 it started in 19 minutes. There was no complication during the operative period and post-operatively. Conclusion: The addition of dexamethasone in 16 ml of 2 % lignocaine with adrenaline and 16 ml of 0.5% bupivacaine with 10mg dexamethasone increases the outset of sensory and motor blockage. It significantly increases the period of sensory and motor blockage and duration of analgesia. Recommendation: The in-plane approach is strongly recommended for this block; the needle tip and shaft should be continuously visualised in real-time to avoid inadvertent pleural puncture

A prospective observational study of prevalence, incidence, and prognostic implications of right-sided heart failure in acute respiratory distress syndrome patients

Background: Acute respiratory distress syndrome (ARDS) is a common reason for respiratory failure in critically unwell patients. Noncardiogenic pulmonary edoema that develops suddenly, acute hypoxemia, and the need for mechanical ventilation are its defining features. This study's major objective was to examine the likelihood of cor-pulmonale in ARDS patients receiving protective ventilation, as well as its prognosis over the long term. Methods: S. C. B. medical college in Odisha, India served as the setting for this prospective observational study. 100 consecutive patients with moderate to severe ARDS were included in the trial in accordance with the Indian criterion. With an average PEEP of 91 cm H2O and a plateau pressure cap of 31 cm H2O, these patients were ventilated. Results: There were 100 patients altogether, 63 males and 37 females, with a mean age of 59-19 years. The interval between the diagnosis of ARDS and TEE was typically 0.75-0.97 days. There were 100 cases of cor pulmonale, which was shown to be common (21.09%). Lung injury occurred more frequently in patients with cor pulmonale compared to other patients when an infectious cause was involved [37 (79.06%) vs. 67 (57.61%)]. Conclusions: The incidence of cor pulmonale in ARDS patients undergoing ventilation with restricted airway pressure is an interesting finding. In our investigation, it showed up as an independent risk factor for 28-day mortality and was linked to sepsis and high driving pressure readings

Synthesis and Structural Properties of Nanocrystalline (Pb1-xBix)S Thin Films

Nanocrystalline (Pb1-xBix)S thin films were successfully deposited on suitably cleaned glass substrate at constant room temperature, using the chemical bath deposition technique. After deposition the films were also annealed at 4000C for 1 hour in air. The crystal structures of the films were determined by X-ray diffraction studies. The films are adherent to the substrate and well crystallized according to cubic structure with the preferential orientation (200). The crystallite size of the pure PbS thin films at optimized deposition time 30 min was found to be 40.4 nm, which increased with Bi content in pure nanocrystalline PbS thin films. The surface roughness of the films was measured by AFM studies. Experiments showed that the growth parameters, doping and annealing influenced the crystal structure of the films. Key word: A. Thin films, B. Chemical synthesis C. Atomic force microscopy, D. X-ray diffraction Corresponding author. Tel: +91 788 2323997; Fax: +91 788 2210163 Email address: [email protected]

Studies on genetic variability for some metric traits in slender grain rice genotypes

An experiment was conducted to study genetic variability in forty-nine elite slender grain rice genotypes for thirteen component characters including grain yield.The experimental materials possessed a considerable amount of variability for all the traits. Majority of the traits showed the smaller difference between phenotypic coefficient of variation (PCV) and genotypic coefficient of variation (GCV). Both PCV and GCV were high for grain yield (gm) (PCV:27.14%, GCV:26.27%), and fertile grains per panicles(PCV:20.61%, GCV:20.52%), indicating less effect of environment on these characters. PCV and GCV were moderate for characters like harvest index (PCV:16.99%, GCV: 14.18%), 100 seed weight (gm) (PCV:14.57%, GCV:13.82%), fertility percentage (PCV:15.72%, GCV:15.05%), flag leaf area (cm2 ) (PCV:17.83%, GCV: 17.74%) and days to 50 % flowering (PCV:11.20%, GCV:11.17%) indicating that there is considerable amount of environmental effect on such characters. Moderate to a high degree of heritability estimates were observed for the majority of the traits under study except for a number of effective tillers/plant indicating the low or negligible influence of environment in the expression of these traits and may respond to selection for their improvement. High heritability (H2 )estimates were associated with moderate to high genetic gain over mean (GAM) for days to 50% flowering (H2 : 99.35%,GAM: 19.52%), plant height (H2 :93.89%,GAM:14.01%), panicle length (H2 :94.06%,GAM:14.04%), flag leaf area(H2 : 98.93%,GAM: 31.05%), fertile grains/panicle (H2 :99.20%,GAM: 35.98%), fertility percentage (H2 :91.57%,GAM:25.34%),100 seed weight (H2 :89.90%,GAM:23.06%)and grain yield per plant (H2 :93.71%,GAM:44.76%) indicating the presence of additive gene effect and hence selection based on phenotypic performance for these traits would be effective

PRIVACY DISPERSED DATA FINDING WITH BROADCASTING IN WSNS

Data resilience bolster fact a decidedly necessary send aside deduplication warehouse deal with as determined is thoroughly one copy through file specifically hoarded in reach steward reciprocal separately entire owners. Thus, assuring of high data solidarity not beyond de-duplication method is an eminent quarrel and the fortitude of preceding managements enrol single-waitress conditions. We make cornerstone practice to construe program of appropriated stable corporation and ask a wonderful dispersed rehearse by more forward compliance status data chunks are dispersed crosswise assorted fluster trip attendants. Most of the real work cannot precisely cope adherence yet tag adherence contends past dispersed storehouse industry’s. The safeguard requirements of data hide longer tag docility are nevertheless achieved by deterministic deserted disposal distribution not over appropriated structures, rather than applying merging encryption like in soon structures. Our techniques see about definitions described in ask exemption wear. Distinctive feature of our order is that data certainty, counting tag rationality is achieved