Leveraging Indian Space Capability through Military Diplomacy in South Asia

The Indian Space domain capability can be expanded in the South Asian Neighbourhood for offering solutions in the ISR, Communication, Meteorology, Navigation, Guest Astronauts for the Human space flight programme, and space infrastructure building. India’s South Asian communication satellite launched in 2017 was one such initiative leveraging the space capability for diplomatic outreach and developing the new space services market for Indian enterprises. The Indian Military has a strategic and friendly relationship with the neighbouring militaries and now the time has come to upgrade the existing security cooperation through Military Diplomacy and believe in the dictum of India’s ‘Neighbourhood First Policy’. India’s growth is tethered to a secure and well-governed South Asia and the emerging space market is one of the sunshine sectors which like India’s outreach to evolve the digital payments ecosystem can also be employed to improve the cooperation in South Asia

Leveraging Indian Space Capability through Military Diplomacy in South Asia

The Indian Space domain capability can be expanded in the South Asian Neighbourhood for offering solutions in the ISR, Communication, Meteorology, Navigation, Guest Astronauts for the Human space flight programme, and space infrastructure building. India’s South Asian communication satellite launched in 2017 was one such initiative leveraging the space capability for diplomatic outreach and developing the new space services market for Indian enterprises. The Indian Military has a strategic and friendly relationship with the neighbouring militaries and now the time has come to upgrade the existing security cooperation through Military Diplomacy and believe in the dictum of India’s ‘Neighbourhood First Policy’. India’s growth is tethered to a secure and well-governed South Asia and the emerging space market is one of the sunshine sectors which like India’s outreach to evolve the digital payments ecosystem can also be employed to improve the cooperation in South Asia

Visualizing Aquatic Species Movement with Spatiotemporal Data from Acoustic and Satellite Transmitters

Tracking an individual specimen can be a difficult task especially when one also has to keep track of the environmental factors that affect the tracked specimen’s behavior. The task of tracking these animals becomes impossible when they become submerged in water and their number increases to more than just one. The aquatic species that are being tracked by this project in Lake Pontchartrain and the Gulf of Mexico are: tarpon, scalloped hammerhead, whale shark, tiger shark, yellowfin tuna, spotted seatrout, redfish, and bull shark. We are tracking these fish using acoustic and satellite transmitters. The insertion of transmitters in the fish was handled by the Louisiana Department of Wildlife and Fisheries biologists. The acoustic transmitters were implanted on smaller fish that only swam in Lake Pontchartrain. Due to this, receivers were only implanted at locations across the lake on various types of attachments such as buoys, PVC pipes, and pilings. These receivers were positioned at more than ninety locations in order to maximize the acquisition of detections. These species were tracked in Lake Pontchartrain and the Gulf of Mexico. After this preliminary setup, a constant batch of data was generated on a regular basis and this data was process by the application developed in this project. A Ruby on Rails application was then setup in order to store this data and manipulate it to display an animated track. The application utilizes: Ruby, Rails, HTML, CSS, SQL, JavaScript and multiple third part libraries. Many optimizations were performed in order to ensure reliability and performance when loading a high volume of fish or if a high volume of users were to use the application

Uranium concentration in drinking water samples using the SSNTDs

Uranium concentrations in the drinking water samples collected mainly from hand pumps along the Amritsar to Bathinda track are presented. Uranium concentration values in these samples show a wide range of variation depending upon different factors like source, location, depth and local geology etc. The observed uranium content in water samples has been found to be varying from 0.9 ± 0.08 to 63 ± 0.21 ppb and even the radon activity in ground water observed in our earlier survey carried out in this area has been found to be increasing from Amritsar towards Bathinda. The higher values were observed from the ground water samples particularly of the areas falling in belt from Zira to Maur towards the Haryana border. The values observed at certain locations are found to be higher than the highest recommended value of 15 ppb [1]. The high uranium concentration observed particularly in certain areas along this track can be attributed due to interaction of ground water with the soil formation of this region and the local subsurface geology of the region.Harmanjit Singh*, Joga Singh, Surinder Singh and B S Bajwa Department of Physics, Guru Nanak Dev University, Amritsar-143 005, Punjab, India E-mail : [email protected] of Physics, Guru Nanak Dev University, Amritsar-143 005, Punjab, Indi

A rare case of caudal regression syndrome in a foetus of non-diabetic mother : a case report

Backgound: Caudal regression syndrome (CRS) is an uncommon disorder in which there is abnormal development of the caudal end of the foetal spine along with many associated anomalies. Manifestations of this syndrome can vary from the absence of a few terminal coccygeal segments to complete lumbosacral agenesis. Its overall incidence is 1 in 60000 live births. It is more commonly seen in infants of diabetic mothers, with a 200-fold increased risk as compared to the general population. Case Report: We present a case of CRS in a foetus of a non-diabetic mother and discuss the role of radiology in early diagnosis and timely management. We also correlate initial abnormalities of the nervous system found on imaging with postnatal clinical deficits. Conclusions: This case highlights the rarity caudal regression syndrome in a foetus of a non-diabetic mother. Early diagnosis of CRS is important for appropriate management

Viral Hepatitis in COVID-Era

The novel SARS-CoV-2 which originated in Wuhan and has spread worldwide is well known to cause severe acute respiratory syndrome. The most common clinical presentations that patients exhibited are fevers, shortness of breath, cough, diarrhea, loss of smell/taste. However, this virus has also been observed to cause multi-organ failure. We present the case of a 44yo F with a PMHx of GERD, Hashimoto’s thyroiditis, obesity, HTN, and neuropathy who presented to the hospital with the chief complaint of worsening shortness of breath. The patient was saturating 92% on room air and with ambulation her pulse oximetry dropped to 80%. Remaining vital signs were stable. Chest x-ray displayed patchy bilateral interstitial and alveolar airspace opacities. Prior to coming to the hospital, the patient had indeed visited an urgent care center and tested positive for COVID-19. On arrival, significant labs included ALT/AST 588/321, NA 133, Ferritin 712, CRP 6.3, LDH 284, WBC 3.4, absolute lymphocytes 0.60, and D-dimer 1.27. It was determined to admit the patient for acute hypoxic respiratory failure secondary to covid-19 infection. GI was consulted for the elevated liver enzymes. The patient had no prior history of hepatitis, blood transfusions, recent travel, diarrhea, alcohol abuse, IV drug use or family history of liver disease. She also had no recent medication changes or over the counter supplemental use. Extensive work-up was initiated for the elevated transaminases and results revealed a negative acute hepatitis panel, ANA, autoimmune liver panel, and no evidence of thrombosis. Given the lack of explanation for the patient’s continually rising liver enzymes, it was decided that a liver biopsy would be performed to be able to provide a valid cause for the elevated enzymes. During the patient’s hospitalization, she was placed on high dose steroids for her acute respiratory failure due to the COVID infection. The liver pathology report results were received after 4 days and reported that the liver lobular parenchyma demonstrated mild lobular inflammation with occasional hepatocyte drop-out and mild sinusoidal congestion without steatosis, granuloma or necrosis. These findings may be due to the patient\u27s SARS-CoV-2 infection. This virus has astonished the medical world and there is a great deal of medical knowledge that still needs to be learned about SARS-COV-2. Patients present with a spectrum of clinical presentations ranging from asymptomatic patients while others can develop grave complications such meningoencephalitis. In patients with elevated transaminases, it is essential to rule out acute hepatitis, autoimmune hepatitis, drug induced liver injury and thrombosis prior to proceeding with a liver biopsy to rule out other causes. In this patient, we had ruled out the above and the only explanation for the acute liver injury was in fact COVID-19.https://scholarlycommons.henryford.com/merf2020caserpt/1116/thumbnail.jp

Case series of abdominal sacral colpopexy

Background: Abdominal sacral colpopexy is a transabdominal procedure that suspends vaginal vault to the sacrum using natural or synthetic graft material. We can perform this procedure in patients who have Post hysterectomy vault prolapse. Primary indication of this procedure is to resuspend a prolapsed vaginal apex. Secondary indications include repair of the cystocele, posterior vaginal wall and apical segment descent. The goal of this study was to assess the complications of repair of post hysterectomy vaginal vault proplase with polypropylene mesh.Methods: This study was conducted on 8 patients scheduled to undergo abdominal sacral colpopexy in SVBP Hospital associated to LLRM Medical College, Meerut, UP, India from March 2011 to March 2016 who had vault prolapse after hysterectomy. When patients complained of something coming out of vagina, pelvic examination was done by consultant in OPD during valsalva manoeuvre and per speculum examination. Pelvic organ prolapse quantification classification was used to classify prolapse. Two consultants performed all operations based on a standardized surgical technique.Results: In our study, all patients were followed for up to one year (at 3 months, 6 months, one year) after surgery for following observations- recurrence of prolapse, mesh erosion, dyspareunia, lower abdominal pain, constipation. None of the patient had above complaints in the follow up period.Conclusions: Abdominal sacral colpopexy with polypropylene mesh is a safe, effective treatment in patients having post hysterectomy vaginal vault proplase. When done by experienced gynecologist, major post-operative complications seem to be very few in patients having normal BMI & no major systemic illnesses

Impact of EHR Technology Implementation on Physicians\u27 Job Satisfaction

The concept of an electronic health record (EHR) has been the solicitous subject of researchers’ discussion in recent times. The impact that a successful implementation of EHRs can have on physicians cannot be overstated. Factors which are critical to successful implementation of EHR systems are commonly known as crucial technology implementation factors (CTIFs). The present study investigates the CTIFs of EHR systems and also their impact on physicians’ job satisfaction and characteristics in North Indian multispecialty hospitals. The questionnaire has been distributed to physicians of 12 hospitals that have been using EHR technology. It has been concluded that five CTIFs—organizational support, training, software attributes, acceptance to change, and computer knowledge—play a more important role than that played by other factors. The factors have not been considered separately on the basis of preimplementation scenario and postimplementation phase. The study attempts to analyze the impact of EHR systems on job operational performance of physicians