Experience with Open Prostatectomy in Lomé, Togo

The average blood loss at surgery was 425.92 ± 38.2 ml with an average operating time of 66.05 ± 15.75 mins and the main complications were hemorrhaging and clot retention in 7 (13%), epididymo-orchitis in 9 (16.7%), and urinary incontinence in 6 (11.1%) patients. IPSS scores were under 7 in 92% of patients three months after surgery and the mortality rate was 3.7%. Conclusion: This study has shown that open prostatectomy in our environment is still the commonest surgical option for benign prostatic hyperplasia with good outcomes though with manageable complications

Personalized Rapid Transit Systems - An Approach Towards Solving Urban Transport Problems, A Case Study in Gurgaon City, Haryana

Personalised Rapid Transit (PRT) is one of the latest trends in urban public transport.It is a demand responsive, environment friendly, low cost system which can be implemented either in a particular route such as the one used in a mass rapid transit system (MRTS) or in a grid network. That is why it is a personalized transit and provides the traveler withthe joy of travelling in small module car with a seating capacity of 2 to 6 persons.Though the system was invented in 1964, it was never implemented properly except in Morgantown, U.S.A. Heathrow airport in London has also started to move passengers between various terminals. In India, the system is poised to take a leap. The city of Amritsar is planning a PRT system. Gurgaon, a satellite city of the national capital of Delhi, has proposed seven different routes to start a PRT operation as a local mode of transport. In this paper, an attempt is made to determinethe economic and financial viability of this new system in the Indian context. In order to carry out a rational and scientific study, various surveys were carried out and existing PRT systems across the world were studied. One of the proposed routes was selected and slightly modified to carry out the study. A household survey, a commuter survey, a user opinion survey, and the willingness-to-pay survey were carried out to make the assumptions more realistic. In order to make the results more rational and to find out the best system to adopt in Gurgaon’s situation, different scenarios were developed based on the growth of ridership and varying fare structure. Depending on changing ridership,a detailed cost benefit analysis was conducted for each scenario to find out the economic internal rate of return (EIRR) and the net present value (NPV) for Economic analysis, and the financial internal rate of return (FIRR) and NPV for financial analysis. Finally a set of different IRRs and NPVs for different scenarios were developed and sensitivity analysis was carried out to assess the economic and financial feasibility of PRT system in context of Gurgaon

L’extrophie vésicale : diagnostic et prise en charge au CHU-Tokoin, à propos d’une nouvelle observation

Les auteurs ont rapporté un nouveau cas de malformation de vessie chez un nouveau-né de 32 semaines ; les problèmes de diagnostic et de prise en charge ont été répertoriés et discutés à la vue des données de la littérature.Mots clés : Extrophie vésicale, diagnostic, traitementThe authors reported a new case of bladder malformation at a newborn of 32 weeks. The problems of diagnosis and hold in charge have been listed and have been discussed at the sight of the data of the literature.Key words: Bladder extrophy, diagnosis, treatment

Not Available

Not AvailableFood security of the country has been improved due to green revolution and enhancement of cereal production. However, recent surveys showed 35.8% of children suffer from malnutrition in India. The Indian Council of Agricultural Research has taken lead for the biofortification of cereal crops based on earlier national and international research efforts, targeting the enhancement of nutrients in staple food crops. In this article, the significant progress made in rice, wheat, maize and millets for identification of genotypes, development, evaluation and release of the varieties with high nutrient contents and their bioavailability studies is discussed.Not Availabl

Biofortification in cereals: progress and prospects

Not AvailableATTAINMENT of self sufficiency in food grains at national level, especially cereals, is one of the major achievements of the green revolution during mid-sixties in India. The nation’s food grains production increased markedly from 50.82 million tonnes in 1950–51 to 252.22 million tonnes during 2015–16, and a similar trend has been reported in the production of food grains since the past decade1 . Despite increased production of food grains, the 2016- Global Hunger Index (GHI) Report ranked India as 9th comprising 25% of world’s hungry population amongst the top 118 countries2 . According to Rapid Survey on Children (2013–14) conducted by the Ministry of Women and Child Development, New Delhi, about 18.6% of new borns, 34.6% of children up to 3 years and 62.5% of adolescent girls suffer from malnutrition3 (Figure 1). Food deficiency disorders directly affect the health of an individual and indirectly the economy of the nation by increasing the number of Disability-Adjusted Life Years (DALYs – a framework, which quantifies the economic impact of disability and disease)4 . According to the World Bank–South Asia report, micronutrient deficiencies are responsible for losses amounting to $2.5 billion in India every year. The Government of India has made several interventions to address malnutrition; however, the incidence of malnutrition among women and children remains severe. The issue of malnutrition in the country is compounded not only by access to food, but also by social and cultural issues. Conventional strategies to combat malnutrition include dietary supplements and food fortification programmes. Efforts are now being made to fortify rice and wheat flour for iron (Fe), vitamin B12 and folic acid5 . Some of the constraints with these interventions include poor dissemination to the target population especially those residing in rural areas; sustaining them over a period of time and addressing the symptoms rather than the cause of the problem. Dietary diversification is the ideal solution to alleviate malnutrition but not viable in the Indian situation considering the inadequate purchasing power of the poor people. Thus, the long-term solution lies in increasing the essential nutrient contents of the staple food crops, viz. cereals through crop biofortification strategy.Not Availabl

High-flow nasal cannula therapy: A multicentred survey of the practices among physicians and respiratory therapists in Singapore

10.1016/j.aucc.2021.08.001Australian Critical Car