Uniplanar nystagmus associated with perceptual and cognitive visual dysfunction due to presumed focal ischemic occipital cortical atrophy: a missed diagnosis and new observation

Uniplanar nystagmus has been described in relation to pathology of the brain stem, retina, optic nerve, sensory visual deprivation, periventricular leucomalacia, and drug toxicity. This paper describes a case of uniplanar nystagmus associated with features of higher visual dysfunction and a presumed focal insult to the occipital lobes following an episode of neonatal apnea

Evaluation and comparison of automated analysers on hepatic enzymes

Background:Clinical Biochemistry tests comprise over one third of all hospital laboratory investigation. The laboratory accreditation requirement has become an important aspect in selecting the analysers for analysing and evaluating the samples. Recently accrediting bodies are focusing on the importance of total quality management and assessment of trueness of laboratory measurements. The present study aimed to evaluate the hepatic enzymes using a single analytical methodology in 2 different automated analysers (semi autoanalyser and fully automated analyser) to understand the reliability of instrumentation on analytical methodology that would fit the laboratory performance standard.Methods:A total number of 50 serum samples from adult patients requested for liver function tests at Shri Sathya Sai medical college and research institute were analysed. The samples were evaluated for hepatic enzymes on (Cobasmira) Autoanalyser and (Biosystems) Semi Autoanalyser using the same analytical methodology and the values were compared between the 2 automated analysers. Data analysis was done by appropriate statistical methods.Results:No large differences were obtained in the values between the 2 automated analysers. Mean ± SD of each of the hepatic enzyme analysed by automated analysers were very close to each other indicating a minimum bias. Pearson’s correlation and scattered diagram showed significant positive correlation at 95% confidence interval between 2 automated analysers.  Conclusion:The findings of this study confirm that both the automated analysers were reliable for evaluation of hepatic enzymes.

Clinical and microscopic correlation of abnormal vaginal discharge

Background: Vaginal discharge in the reproductive age group is the most common complaint encountered everyday both by gynaecologists and general practitioners. The prevalence of vaginal discharge in India is estimated to be 30%. Bacterial vaginosis is the most common cause, followed by Candidiasis and Trichomonasis. Aims and objectives of the study were to correlate clinical and microscopic methods for diagnosing abnormal vaginal discharge and to find out the most common cause of abnormal vaginal discharge in our set up.Methods: The study was carried out in Gynaecological OPD of VIMS, Ballari. After thorough history and gynecological examination, three samples were collected from the posterior fornix of vagina using sterile cotton swabs. The first swab was used to detect trichomonas vaginalis using wet mount microscopy. The second swab was used to determine amine/fishy odour (Whiff test). The third swab was used for gram staining to diagnose Bacterial vaginosis and Candida. The Gram-stained slides was evaluated using Nugent’s scoring system for detection of BV.Results: Bacterial vaginosis constitutes the most common cause of vaginal discharge, followed by Candidiasis and then Trichomoniasis in our set up. The sensitivity of clinical diagnosis is 71.93%, 88.9%, and 33.3% and specificity are 54.65%, 92.15% and 99.49% for Bacterial vaginosis, Candidiasis, and Trichomoniasis respectively.Conclusions: The most ideal approach is the microbiological approach for the etiological diagnosis of symptomatic vaginal discharge. The most common cause of abnormal vaginal discharge is Bacterial vaginosis followed by Candidiasis and Trichomoniasis

Usage of Creative Dance as a pedagogy forexperiential learning in Indian primary school children.

In Indian schools, Dance is taught as an art form and much as a recreation to students. Aim : The main purpose of this research paper is to highlight the literature that states the benefits of using dance as a pedagogy to teach children in schools. The paper also aims to understand the benefits dance that can be used as an experiential learning among the age group of 5 to 10 years in mainstream CBSE schools in India. Methodology: Many databases were searched including the key words and it was concluded that creative dance as a pedagogy can be used as an experiential learning at schools. Results: The advantages of creative dance in cognition, physical, socio emotional aspects can be observed. Development of creative dance as experiential learning with right assessment parameters can be effective in carrying out the implementation of the curriculum

Positioning for regional anesthesia in femur fracture surgeries: how effective is femoral nerve block? a randomised control study

Background: Fracture of the femur is a common orthopaedic problem following trauma in patients of all ages. This study was undertaken to evaluate the effectiveness of femoral nerve block (FNB) in positioning the patients for regional anesthesia.Methods: 100 patients between the ages 18 to 80 years, of ASA grade I, II and III, scheduled for elective surgeries of femur fracture were evaluated in 2 groups. Group FNB (n=50) received femoral nerve block with 15ml of 1.5% lignocaine and Group. Non FNB (n=50) was not given any block. Assessment of pain was carried out using visual analog scale (VAS). This was rated before, during and after the procedure of positioning for spinal/combined spinal epidural anesthesia (CSE). Vital parameters were tabulated.Results: VAS scores were noted at 0, 2, 5,10,15 minutes and at the time of positioning. VAS scores at 15 minutes after FNB was 1.473 ±0.1639 and 8.250±0.3615 in patients without FNB. Time taken for CSE was significantly less in FNB group (13.026±0.4628) minutes as compared to non FNB group (19.660 ±0.3742) minutes. Patient satisfaction scores were significantly higher in FNB group (45/50) 1.4952±0.033 as compared to non FNB group (10/50) 0.3460±0.1786. Quality of patient positioning was better in FNB group (2.782 ±0.1273) as compared to non FNB (1.382±0.2473).Conclusions:This study concludes that FNB is highly effective in giving good pain relief for positioning for regional anaesthetic procedures improving performance time and offers higher acceptance among patients with femoral fractures.

Incidence and pattern of infections in pregnant women with bad obstetric history

Background: Adverse outcomes have been seen in pregnant women who had prior bad obstetric history along with infection with TORCH [toxoplasma, other infections (syphilis, varicella zoster, hepatitis B), rubella, cytomegalovirus, herpes simplex]complex and bacterial vaginosis. These infections are known to affect the health of the fetus. Objective was to study incidence and pattern of infections in pregnant women with bad obstetric history.Methods: A total of 190 patients with bad obstetric history fulfilling the methodology criteria were evaluated. Serological and molecular evaluations were carried out for TORCH complex and bacterial vaginosis was detected by both gram stain and gold standard clinical Amsel criteria and outcomes were followed.Results: Out of 190 pregnant women with bad obstetric history, a total of 36 (18.8%) were detected to have infections causing bad obstetric history. Toxoplasma was positive in 7 (20%) of the cases, 3 (51.92%) of them had abortions. Rubella in 12 (32%) of the cases, 7 (60%) cases had sensorineural deafness. Cytomegalovirus in 1 (2%) of the cases, 1 (100%) of the case had microcephaly. Herpes in 8 (22%) cases, 6 (71.1%) cases had abortions. Bacterial vaginosis in 8 (22%) of the cases, 4 (48.6%) cases had preterm delivery. The presence of infections with TORCH complex and bacterial vaginosis was related to adverse pregnancy outcomes.Conclusions: Women with bad obstetric history are prone to infections during pregnancy and have been found out to be associated with adverse pregnancy outcomes. Hence pregnant women should be screened so that early diagnosis and treatment of infections can be done to have better pregnancy outcomes

Effect of Bandwidth Scalability on System Performance in the Downlink LTE Systems

Long Term Evolution (LTE) system employs Orthogonal Frequency Division Multiple Access (OFDMA) in downlink in order to support network deployment using various system bandwidth configurations i.e., 1.4MHz, 3MHZ, 5MHz, 10MHz, 15MHz and 20MHz. The bandwidth scalability enables operator to access multiple channels to achieve higher peak data rates. Also, the bandwidth scalability allows operators to deploy LTE network with the existing spectrum or newly licensed band. Therefore the study on performance of LTE system with different bandwidth configuration becomes vital. Hence in this paper, an attempt has been made to study and compare the performance of LTE system with different spectrum configuration i.e., 1.4MHz, 3MHz, 5MHz, 10MHz, 15MHz and 20MHz for Constant Bit Rate (CBR) traffic scenario in the downlink. The performance metrics considered for simulation studies are aggregate bytes received, average throughput, average delay and average jitter

Discharge Distribution in Meandering Compound Channels

Magnitude of flood prediction is the fundamental for flood warning, determining the development for the present flood-risk areas and the long-term management of rivers. Discharge estimation methods currently employed in river modeling software are based on historic hand calculation formulae such as Chezy’s, Darcy-Weisbatch or Manning’s equation. More recent work has provided significant improvements in understanding and calculation of channel discharge. This ranges from the gaining knowledge to interpretation of the complex flow mechanisms to the advent of computing tools that enable more sophisticated solution techniques. When the flows in natural or man-made channel sections exceed the main channel depth, the adjoining floodplains become inundated and carry part of the river discharge. Due to different hydraulic conditions prevailing in the river and floodplain, the mean velocity in the main channel and in the floodplain are different. Just above the bank-full stage, the velocity in main channel is much higher than the floodplain. Therefore the flow in the main channel exerts a pulling or accelerating force on the flow over floodplains, which naturally generates a dragging or retarding force on the flow through the main channel. This leads to the transfer of momentum between the main channel water and that of the floodplain. The interaction effect is very strong at just above bank full stage and decreases with increase in depth of flow over floodplain. The relative “pull” and “drag” of the flow between faster and slower moving sections of a compound section complicates the momentum transfer between them. Failure to understand this process leads to either overestimate or underestimate the discharge leading to the faulty design of channel section. This causes frequent flooding at its lower reaches

A Collaborative Ambient Picture Selection System Based on Layered Attention

One of the most immediately noticeable advantages of one-on-one communication as of late is the creation of picture-based, easygoing affiliations. Those daily monster photo swaps learning about customers' tastes in user-generated images and influencing recommendations has developed into a pressing need. It's true that several mixed models have been offered to combine client thing documented lead with various types of ancillary data (like image visual delineation or social connection) to better execute suggestions. Despite this, the past evaluations fail to capture the amazing views that influence clients' propensities in a bound together structure due to the remarkable characteristics of the client-conveyed images in social picture composes. Furthermore, the vast majority of these hybrid models relied on predetermined stacks to combine different types of data, which, according to the guidelines, admitted faulty proposal execution. In this study, we do just that by constructing a robust model of ideas for putting out socially critical pictures. We see three key focuses (i.e., move history, social impact, and proprietor venerate) that effect every client's dormant preferences, where each perspective outlines a canny factor from the eccentric relationship between customers and pictures, despite the fact that essential apathetic client enthusiasm appears in the standard framework factorization based proposition