A study on Nidana and Chikitsa of Mootravaha Sroto Dushti Vikara with Ahara Vidhi of Charaka Samhita

In the present modern life style, we do not take care of our health and the consequences of our eating habits and other styles of life, which are harmful for us. Ahar Vidhi Vidhan described in our classics which are the foundation of dietetics. Which indicates the method of Ahara, these are Ushna, Snigdha, Matravat, is consumed after the digestion of previously ingested food, Virya Avirudha Ahara.[1] Any slight disturbance at the level of Mootravaha Srotas, either structurally or functionally leads to Sammurchana of Dosha and Dushya[2] and as a result disease manifests inside the body. Handling the faulty dietic habits, diseases may be originated and aggravated. To study the effect of Ahara Vidhi in detail with correlation with Mootrvaha Sroto Vikaras in this literary study. Thus properly convincing about the importance of Ahara rules to prevent from diseases is very necessary in present situation of time

Utilization of additives in biodiesel blends for improving the diesel engine performance and minimizing emissions through a modified Taguchi approach

Biodiesel from Jatropha oil is produced through catalyzed homogeneous transesterification. Hydrogen peroxide (H2O2) is considered as additive. Blends of Jatropha considered in the present study are 60% diesel, (40-A)% biodiesel and A% additive, varying A from 0 to 10. Identifying optimal input variables (such as additive volume percentage, injection pressure, and load) is important for improving the engine performance and reducing emissions. Air-fuel ratio; brake specific fuel consumption (BSFC); and brake thermal efficiency (BTE) are the engine performance characteristics. Carbon monoxide (CO); carbon dioxide (CO2); exhaust gas temperature (EGT); nitrogen oxide (NOx); and smoke opacity are the emission characteristics. 27 experiments need to be performed for the assigned 3 levels and 3 input variables. The Taguchi's L9 orthogonal array (OA) is chosen to perform only 9 experiments to obtain the optimal solution. The expected range of performance characteristics and emissions was obtained following a modified Taguchi approach. Empirical relationships are developed and verified through engine performance and emission characteristics

Essence of Thermal Analysis to Assess Biodiesel Combustion Performance

The combustion phenomena are always complex in nature due to the involvement of complex series and parallel reactions. There are various methods that are involved in analyzing combustion phenomena. Viscosity is the first and foremost factor that acts as the DNA of fuel. By evaluating the viscosity, it is possible initially to understand the combustion phenomena. Thermophysical and transport properties are helpful during the intensification of the combustion process. Combustion experiments are economically infeasible and time-consuming processes. Combustion simulations demand excellent computational facilities with detailed knowledge of chemical kinetics. So far, the majority of researchers have focused on analyzing coal combustion phenomena, whereas less work has been carried out on liquid fuels, especially biodiesel combustion analysis. Traditional engine testing provides only performance parameters, and it fails to have oversight of the thermodynamic aspects. The application of thermal analysis methods in combustion research is useful in the design, modeling, and operation of the systems. Such investigations are carried out extensively in the combustor, engine, and process industries. The use of differential scanning calorimetry (DSC) and thermogravimetry (TG) to assess the properties of biofuels has been attracting researchers in recent years. The main objective of this paper is to discuss the application of TGA and DSC to analyze heat flow, enthalpy, thermal stability, and combustion indexes. Moreover, this paper reviews some of the other aspects of the kinetics of combustion, transport properties’ evaluation, and combustion simulations for biodiesels and their blends. TG curves indicate two phases of decomposition for diesel and three phases for biofuel. The B-20 blend’s (20% biodiesel and 80% diesel) performance was found to be similar to that of diesel with the combustion index and intensity of combustion nearly comparable with diesel. It is thermally more stable with a high offset temperature, confirming a longer combustion duration. A case study reported in this work showed diesel and B20 JOME degradation start from 40 °C, whereas jatropha oil methyl ester (JOME) degradation starts from 140 °C. JOME presents more decomposition steps with high decomposition temperatures, indicative of more stable compound formation due to the oxidation process. The peak temperature of combustion for diesel, JOME, and B20 JOME are 250.4 °C, 292.1 °C, and 266.5 °C, respectively. The ignition index for the B-20 blend is 73.73% more than that of diesel. The combustion index for the B20 blend is 37.81% higher than diesel. The B20 blend exhibits high enthalpy, better thermal stability, and a reduced peak temperature of combustion with an improved combustion index and intensity of combustion nearly comparable to diesel

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research