The study for sources of stress and management among medical students

Background: In recent years there has been a growing appreciation of the issues of quality of life and stresses involved medical training as this may affect their learning and academic performance. This study was carried out to assess the prevalence of sources and severity of stress and coping strategies among medical students.Methods: A questionnaire-based study was carried out among the undergraduate medical students of Himalayan Institute of medical sciences, Jolly grant, Dehradun from July July 2015 to January 2016. The questionnaire consisted of questions on the basis of Academic, Intrapersonal, Interpersonal, Social Related Stressors and also various methods adopted by them to overcome stress.Results: Out of 150 students only 136 (90%) responded. All the participants were of first and second professional MBBS course. Overall 56% Students felt studies are contributing to stress followed by 26% due to college, 18% due to friends and 9% due to family pressure. Due to academic stress performance anxiety for upcoming examinations was felt by 59% of the students. Among the personal stressor 58% experienced health related issues and their effect on level of fitness. Stress relievers like 67% of the total students preferred watching movies, while their preference for listening to music was observed in 38% to relieve stress.Conclusions: It was concluded that students have a high level of academic stress followed by the social and personal stress. Since the stressors cannot be permanently eliminated, authors have to necessarily devise efficient methods for managing them

Potential use of sugar binding proteins in reactors for regeneration of CO(2 )fixation acceptor D-Ribulose-1,5-bisphosphate

Sugar binding proteins and binders of intermediate sugar metabolites derived from microbes are increasingly being used as reagents in new and expanding areas of biotechnology. The fixation of carbon dioxide at emission source has recently emerged as a technology with potentially significant implications for environmental biotechnology. Carbon dioxide is fixed onto a five carbon sugar D-ribulose-1,5-bisphosphate. We present a review of enzymatic and non-enzymatic binding proteins, for 3-phosphoglycerate (3PGA), 3-phosphoglyceraldehyde (3PGAL), dihydroxyacetone phosphate (DHAP), xylulose-5-phosphate (X5P) and ribulose-1,5-bisphosphate (RuBP) which could be potentially used in reactors regenerating RuBP from 3PGA. A series of reactors combined in a linear fashion has been previously shown to convert 3-PGA, (the product of fixed CO(2 )on RuBP as starting material) into RuBP (Bhattacharya et al., 2004; Bhattacharya, 2001). This was the basis for designing reactors harboring enzyme complexes/mixtures instead of linear combination of single-enzyme reactors for conversion of 3PGA into RuBP. Specific sugars in such enzyme-complex harboring reactors requires removal at key steps and fed to different reactors necessitating reversible sugar binders. In this review we present an account of existing microbial sugar binding proteins and their potential utility in these operations

Central Venous Obstruction Management

ABSTRACT A major challenge in the management of hemodialysis patients is central venous stenosis and obstruction. Placement of central venous catheters has been shown to result in a high incidence of central venous stenosis or obstruction. There has been extensive literature on the treatment of this important and prevalent problem. Treatment options include percutaneous balloon angioplasty and bare metal stents. Unfortunately, all the available treatment options have variable rates of patency, requiring repeated intervention. More recently, covered stents have been mentioned in the literature for the treatment of central venous stenosis and obstruction. There is very little data to date, and further randomized controlled trials will be needed to compare the efficacy of percutaneous balloon angioplasty, bare metal stents, and covered stents. It appears prevention of this difficult problem is paramount, by limiting use of central venous catheters

Central Venous Obstruction Management

A major challenge in the management of hemodialysis patients is central venous stenosis and obstruction. Placement of central venous catheters has been shown to result in a high incidence of central venous stenosis or obstruction. There has been extensive literature on the treatment of this important and prevalent problem. Treatment options include percutaneous balloon angioplasty and bare metal stents. Unfortunately, all the available treatment options have variable rates of patency, requiring repeated intervention. More recently, covered stents have been mentioned in the literature for the treatment of central venous stenosis and obstruction. There is very little data to date, and further randomized controlled trials will be needed to compare the efficacy of percutaneous balloon angioplasty, bare metal stents, and covered stents. It appears prevention of this difficult problem is paramount, by limiting use of central venous catheters

The study for sources of stress and management among medical students

Background: In recent years there has been a growing appreciation of the issues of quality of life and stresses involved medical training as this may affect their learning and academic performance. This study was carried out to assess the prevalence of sources and severity of stress and coping strategies among medical students.Methods: A questionnaire-based study was carried out among the undergraduate medical students of Himalayan Institute of medical sciences, Jolly grant, Dehradun from July July 2015 to January 2016. The questionnaire consisted of questions on the basis of Academic, Intrapersonal, Interpersonal, Social Related Stressors and also various methods adopted by them to overcome stress.Results: Out of 150 students only 136 (90%) responded. All the participants were of first and second professional MBBS course. Overall 56% Students felt studies are contributing to stress followed by 26% due to college, 18% due to friends and 9% due to family pressure. Due to academic stress performance anxiety for upcoming examinations was felt by 59% of the students. Among the personal stressor 58% experienced health related issues and their effect on level of fitness. Stress relievers like 67% of the total students preferred watching movies, while their preference for listening to music was observed in 38% to relieve stress.Conclusions: It was concluded that students have a high level of academic stress followed by the social and personal stress. Since the stressors cannot be permanently eliminated, authors have to necessarily devise efficient methods for managing them

Potential use of sugar binding proteins in reactors for regeneration of CO2 fixation acceptor D-Ribulose-1,5-bisphosphate

Sugar binding proteins and binders of intermediate sugar metabolites derived from microbes are increasingly being used as reagents in new and expanding areas of biotechnology. The fixation of carbon dioxide at emission source has recently emerged as a technology with potentially significant implications for environmental biotechnology. Carbon dioxide is fixed onto a five carbon sugar D-ribulose-1,5-bisphosphate. We present a review of enzymatic and non-enzymatic binding proteins, for 3-phosphoglycerate (3PGA), 3-phosphoglyceraldehyde (3PGAL), dihydroxyacetone phosphate (DHAP), xylulose-5-phosphate (X5P) and ribulose-1,5-bisphosphate (RuBP) which could be potentially used in reactors regenerating RuBP from 3PGA. A series of reactors combined in a linear fashion has been previously shown to convert 3-PGA, (the product of fixed CO 2 on RuBP as starting material) into RuBP (Bhattacharya et al., 2004; Bhattacharya, 2001). This was the basis for designing reactors harboring enzyme complexes/mixtures instead of linear combination of single-enzyme reactors for conversion of 3PGA into RuBP. Specific sugars in such enzyme-complex harboring reactors requires removal at key steps and fed to different reactors necessitating reversible sugar binders. In this review we present an account of existing microbial sugar binding proteins and their potential utility in these operations

Mossbauer, EPR, magnetic properties and thermally induced stereochemical studies on some double complex salts of cyclic ligand containing cationic copper(II) complexes and hexacyanoferrate(III) anion in the solid state

1604-1608Novel cyanide-bridged double complex salts of cationic copper(II) salts with cyclic ligand, viz., morpholine (Morph), N-methyl morpholine (Me-Morph) and homopiperazine (Hpz) and hexacyanoferrate(III) ion have been synthesized and characterized. Mossbauer spectra of the complexes have been recorded at 80 K and 300 K to investigate the metal-metal charge transfer and the impact of cyclic ligand present in the cationic part of the double complex salt on the Mossbauer spectra of hexacyanoferrate(III) ion. Metal-metal charge transfer transition has been supported by electronic spectra and magnetic susceptibility values. Variable temperature EPR spectra have been recorded to study the distortion of crystal systems. Activation energy and inception temperature for the thermochemical reactions show that the order of stability of the double complex salts follows the trend, Hpz>Me-Morph>Morph