Super refractory seizures with autoimmune encephalitis and ventilator associated pneumonia: a case report

Autoimmune encephalitis is an immune-mediated syndrome with sub-acute to chronic presentations, such as memory impairment, altered sensorium, behavioral abnormality, psychosis, and seizures. Treatment as such must not be procrastinated due to pending laboratory workup, as early recognition and initiation of therapy prevents long term neurological sequelae. This is a case report of an 11-year-old male who presented with neuropsychiatric symptoms, altered sensorium and high-grade fever which evolved into refractory status epilepticus and autonomic dysfunction. While his MRI had positive findings of encephalitis, he tested negative for infectious diseases and antibody panels.

Clinical management and outcome of extreme preterm infant with respiratory distress syndrome, early onset sepsis and necrotizing enterocolitis stage 1: a case report

Respiratory distress syndrome, although it is common in extreme preterm infants, early and effective management will aid in better outcome. Preterm also comes with multiple co- morbidities which has to be considered and stepwise treatment is utmost important in tackling them. Here, we report a case of an extreme preterm baby who experienced respiratory distress syndrome with early onset sepsis along with necrotizing enterocolitis. Early diagnosis and management helped in the discharge of the infant in stable condition

An approach of clinical pharmacist pertaining to solve drug related problems in pediatric patients

Background: The objectives of the study were to assess the outcomes of clinical pharmacist intervention in solving drug related problems in pediatric patients and to identify the drug related problems in accordance with the causes observed.Methods: It was a prospective observational study done over a period of six months (October 2019 to March 2020) at Apollo children’s hospital in Chennai.Results: Total of 480 subjects were enrolled into the study, out of which 248 were male children and 232 were female children. The patients were divided into 4 age groups. In this study 60.41% pediatric patients were prescribed with less than 5 drugs 290 (60.41%). Drug related problems which were identified during the study was classified according to Pharmaceutical Care Network Europe (PCNE) and drug-related problem (DRP) classification (v9.00). The most frequent DRP was drug choice problem 37 (33.33%). The total number of caused drug related problems was 73 and same number of interventions was given by clinical pharmacist. The most frequent cause of drug related problems was identified as dose selection 31 (42.46%). Outcomes of interventions revealed that 70 (95.89%) problems were solved overall.Conclusions: In this study, clinical pharmacist’s level of involvement has shown interesting results. Moreover, they play an essential role in improving patient safety and outcome, reducing cost and providing quality of care for ill patients

A characteristic study of humic acids isolated from Arctic fjord sediments

Humic substances are ubiquitous natural materials found in sediments as a product of biochemical transformation reactions representing a significant proportion of organic carbon cycle on earth. This study involves the analysis of humic substances with special emphasis on humic acids (HAs) in sediments collected from the Kongsfjorden System of Arctic region in June, 2017. The characterization of the isolated HAs were done using various spectroscopic techniques viz. UV-visible, Fluorescence, FTIR and NMR. Isolated HAs were also undergone for elemental analysis along with other characterization. The UV spectral analysis results with a lower E4/E6 ratio suggesting the presence of HAs with high degree of aromaticity and condensation. Indications for the presence of hydroxyl, methyl, methylene, carbonyl, carboxyl, phenol, alcohol and amide groups were obtained from the FTIR spectrums of HAs. NMR spectral characteristics also confirm the presence of OH group as well as the presence of CH protons adjacent to C=X, were X can be any electronegative element. This also confirms the presence of carbonyl group which is also evident in the FTIR spectral studies. Presence of aliphatic regions slightly more dominated with long chain and/or alicyclic moieties rather than methyl groups was also inferred from the results of NMR

Humic acids from an Arctic fjord, Krossfjorden, Spitsbergen

Humic substances are ubiquitous materials found in terrestrial and aquatic ecosystems. Humic acids, a diagenetic product can interact with various components present in aquatic sediments. The present research is on the evaluation of sedimentary humic acids from the Krossfjorden glacial fjord situated within the Svalbard archipelago. The results of this study are needed to understand the structural characteristics of humic acids isolated from the fjord. Surface sediment samples were collected from four stations throughout the fjord during a summer period in 2018. Various spectroscopic techniques such as UV-visible, Fourier-transform infrared spectroscopy (FTIR), and Nuclear magnetic resonance spectroscopy (NMR) were applied for studying the humic acids. The elemental composition as well as the presence of tannin and lignin were also analyzed. The results of this study revealed the variation in the structure of humic acids from aliphatic to aromatic from the outer to the inner region of the fjord. This change in humic acids was well supported by the FTIR and NMR results with differences in the spectrums

Abundance, geo-microbial role and community diversity of sulfate-reducing bacteria in tropical estuarine sediments

Sulfate-reducing bacteria (SRB), a diverse taxonomic group of anaerobic microorganisms that oxidize sulfur compounds as terminal electron acceptors, drive the key biogeochemical process of sulfate reduction. However, little is known about the diversity of SRB in tropical coastal habitats. Thus, the goal of this study is to explore and compare the community diversity of the Ashtamudi and Vembanad estuaries and evaluate the sedimentary sulfate reduction rate. The microbiome profiling of SRB was carried out using Next Generation Sequencing (NGS) techniques (Illumina sequencing) based on gene amplification of the dissimilatory sulfate reductase (dsr) enzyme to confirm the diversity and dominant taxa of SRB. The diversity of SRB represented by the Shannon alpha diversity index of the Ashtamudi estuary (6.55) was two-fold that of the Vembanad estuary. In the Vembanad estuary, the marine zone (4.09) harboured more diversity than the freshwater zone (1.825). Higher diversity and lower abundant taxa in the Ashtamudi estuary pointed out the presence of a rare biosphere that has not yet been studied. It was interesting to note that both estuaries have the same SRB phylum diversity. At the level of species, however, there was a noticeable difference. This differential diversity of SRB has an apparent influence on methane production during the breakdown of organic matter in addition to sulfate reduction. Several species of SRB have an important role in the biodegradation of persistent pollutants and the removal of heavy metals

Proceedings of International Web Conference in Civil Engineering for a Sustainable Planet

This proceeding contains articles of the various research ideas of the academic community and practitioners accepted at the "International Web Conference in Civil Engineering for a Sustainable Planet (ICCESP 2021)". ICCESP 2021 is being Organized by the Habilete Learning Solutions, Kollam in Collaboration with American Society of Civil Engineers (ASCE), TKM College of Engineering, Kollam, and Baselios Mathews II College of Engineering, Kollam, Kerala, India. Conference Title: International Web Conference in Civil Engineering for a Sustainable PlanetConference Acronym: ICCESP 2021Conference Date: 05–06 March 2021Conference Location: Online (Virtual Mode)Conference Organizer: Habilete Learning Solutions, Kollam, Kerala, IndiaCollaborators: American Society of Civil Engineers (ASCE), TKM College of Engineering, Kollam, and Baselios Mathews II College of Engineering, Kollam, Kerala, India