Information Systems in Bangalore Traffic: A Case Study

Year 2012, month of March, Monday morning 8.30 a.m. Ramesh, a techie1in his mid 30s with one of the popular software companies in Bangalore was on his way to office. He was waiting for the traffic signal to turn green in one of the busiest junctions of Bangalore city

Well-being and Self-transformation in Indian Psychology

This paper uses instances from literature covering a broad spectrum of Indian philosophies, art, medicine and practices—attempts to offer the components of a psychology that is rooted in transformative and transpersonal consciousness. Psychology, in this instance, refers to a systematic study of mind, behavior, and relationship, rather than the formal Western discipline as such. In the Indian approach to understanding consciousness, primary importance is given to the possibility of well-being. Such an approach facilitates an immediate comprehension of the unity of metaphysical opposites, such as matter and consciousness, and its experience as empathy, love and intuition. It involves a thinking that connects the gross and the subtle, the particular and the universal, the outer and the inner, the objective and the subjective, through a discipline of transcendence. This paper argues, based on carefully selected narratives from the Indian philosophical discourse, that the theories of the transpersonal developed in Indian wisdom traditions are founded on a practical body-mind discipline designed to lead to well-being and self-transformation

Interventions for gestational diabetes: impact of assisted reproduction

Background: This study was to assess whether assisted conception acts as a predictor for insulin therapy in gestational diabetes (GDM) treatment. The secondary aim of this study was to analyse the type of interventions that aided control of blood glucose. The role of ART as a risk factor that increases the risk of insulin therapy in GDM remains elusive. Many studies have established the increased association of GDM with ART conceptions. Factors like advanced maternal age, polycystic ovarian syndrome or obesity that increase GDM risk also contribute to subfertility. Increased level of  Hb A1C, elevated FBS values are considered as risk factors for antenatal insulin therapy in women with GDM. This study was to assess if assisted reproduction is an independent variable associated with insulin therapy.Methods: In this retrospective study, GDM was diagnosed by fasting blood sugar and 2 hours postprandial or 75 gms OGTT based on IADPSG criteria with FBS >90, 2hr >140. Among the 121 GDM mothers, 42 women were ART conceptions and 79 were spontaneous conceptions. The entire study population (121) was divided into 3 groups based on the treatment required. Diet and lifestyle modifications only, diet and life style modifications with OHA and OHA with or without insulin therapy. The demographic, clinical, biochemical data were compared between groups. Details were obtained from case notes and entered in an excel sheet and SSPS software was used for statistical analysis. Inclusion criteria was all GDM pregnancies in the study period (4 years; January 2014 to December 2017) for whom case notes were available. Exclusion criteria was women with diabetes prior to pregnancy, those who moved elsewhere for delivery and multiple gestations.Results: There was no difference in the insulin requirement between ART conception and spontaneous conceptions. Out of 121 women, 34 women (28%) required diet and life style management, 38 women required OHA (31%), 49 women required insulin (40%). 73% of women who were managed with diet were spontaneous conceptions. Preterm labor was the commonest complication encountered (17%). ART women had more number of perinatal complications, in all treatment groups.Conclusions: ART was not a predictor for insulin therapy in this study group. The largest group of intervention for GDM was with insulin, 40%. Perinatal complications were seen more in ART mothers with GDM compared with spontaneous conceptions. Spontaneous conceptions women had more percentage of management with diet and life style modifications

PREVALENCE OF ACUTE CARDIAC AND RENAL COMPLICATIONS IN POORLY CONTROLLED DIABETICS AND ROLE OF CLINICAL PHARMACIST IN MODIFYING DISEASE OUTCOME IN A TERTIARY CARE HOSPITAL

Objective: The main objective is to study the prevalence of acute cardiac and renal complications in poorly controlled diabetics and role of clinical pharmacist in modifying disease outcome by patient counselling in patients attending general medicine department.Methods: It is a non-experimental prospective observational study done for 6 months. Patients admitted with acute cardiac and renal complications are included in the study. Patient's knowledge on the disease was assessed at baseline using a structured KAP questionnaire and then counselled. At baseline and follow-up FBG and RBG levels were recorded.Results: A total of 511 patients were observed. Prevalence of acute renal complications was found to be 9.7% (n=50) and acute cardiac complications were found to be 2.9% (n=15). The prevalence of both acute cardiac and renal complications was found to be 0.97% (n=5). The knowledge of the patients on disease, complications, diet and lifestyle modifications was found to be increased which lead to significant improvement in FBG at baseline and follow-up with a mean of differences of-20.72 and with SD of differences 11.22; p value<0.0001 and for RBG at baseline and follow-up with mean of differences-25.86 and with SD of differences 20.19; p value<0.0001.Conclusion: Uncontrolled diabetes for the first few years can cause acute cardiac and renal complications which are life threatening. Comparison of blood glucose at presenting and follow-up in association with education and counselling led to betterment of disease, outcome.Â

Hemangioma in minor salivary glands: real or illusion

Hemangioma is a common soft tissue lesion in the head and neck region. Hemangioma in the context of minor salivary glands is rarely encountered in surgical pathology practice, and for this reason most pathologist are often unfamiliar with its histomorphological features. We report a rare histological finding of salivary gland structures within a cavernous hemangioma, which may or may not have originated in the minor salivary gland

Odnos između mikroskopski izmjerenog i na osnovi volumena izračunatog polumjera eritrocita u bivola.

In the present study the relationship between microscopically measured radius, Rm, and radius calculated from the volume (assuming that the cell is spherical), Rc, is described. Mean Rc value was greater than the Rm value. Application of chi-square test showed that there is no variation between these two. The t-statistic was higher than the tabulated value. The correlation coefficient between Rm and Rc was 0. 7057. The regression equations for Rc upon Rm and Rm upon Rc was Rc = 0. 849Rm+0. 594 and Rm = 0. 5866Rc+0. 79865, respectively.Opisan je odnos između mikroskopski izmjerenog polumjera eritrocita (Rm) i polumjera izračunatog na osnovi volumena (Rc) pod pretpostavkom da su stanice okrugle. Srednja vrijednost Rc bila je veća od Rm srednje vrijednosti. Pomoću hi-kvadrat testa nisu ustanovljene varijacije u spomenutim značajkama. Statistički je t-vrijednost bila veća od izračunatih vrijednosti. Korelacijski koeficient između Rm i Rc iznosio je 0,7057. Regresijske jednadžbe za Rc prema Rm i Rm prema Rc iznosile su Rc = 0,849 Rm + 0,594 i Rm = 0,5866 Rc + 0,79865

Trauma and the Periodontal Tissues: A Narrative Review

The health of the periodontium including the soft tissues – gingiva and periodontal ligament; and the hard tissues – cementum and alveolar bone is of key importance in the overall homeostasis of the dentition. Injury to the periodontal tissues in any form such as microbial, physical, thermal, chemical, mechanical, occlusal and habitual injury affects the harmony of the periodontal attachment apparatus thereby altering the entire functioning of the dentition. The type of tissue damage when trauma is unintentional and iatrogenic tends to be acute and self-limiting. On the other hand, mechanical and occlusal forces could result in chronic damage. This book chapter provides a review on the various forms of non-microbial trauma to the periodontal tissues, their clinical manifestations and its management