Pulmonary arteriovascular malformation: a rare cause of unexplained hypoxia and acute dyspnoea in young patients

2014 BMJ Publishing Group Ltd.Pulmonary arteriovenous malformations (PAVMs) are anomalous vascular connections between arteries and veins in the lung and comprise of two types, simple and complex. PAVMs are associated with congenital conditions such as hereditary haemorrhagic telengiectasia along with acquired causes. We present a case of a 26-year-old man who presented with dyspnoea, palpitations and decreased oxygen saturation as an initial presentation of PAVM, which was treated successively with embolisation

California bearing ratio tests of enzyme-treated sedimentary residual soil show no improvement

Environmental concerns have significantly influenced the construction industry regarding the identification and use of environmentally sustainable construction materials. In this context, enzymes (organic materials) have been introduced recently for ground improvement projects such as pavements and embankments. The present experimental study was carried out in order to evaluate the compressive strength of a sedimentary residual soil treated with three different types of enzymes, as assessed through a California bearing ratio (CBR) test. Controlled untreated and treated soil samples containing four dosages (the recommended dose and two, five and 10 times the recommended dose) were prepared, sealed and cured for four months. Following the curing period, samples were soaked in water for four days before the CBR tests were administered. These tests showed no improvement in the soil is compressive strength; in other words, samples prepared even at higher dosages did not exhibit any improvement. Nuclear magnetic resonance (NMR) spectroscopy tests were carried out on three enzymes in order to study the functional groups present in them. Furthermore, X-ray diffraction (XRD) and field emission scanning electron microscopy (FESEM) tests were executed for untreated and treated soil samples to determine if any chemical reaction took place between the soil and the enzymes. Neither of the tests (XRD nor FESEM) revealed any change. In fact, the XRD patterns and FESEM images for untreated and treated soil samples were indistinguishable

A study of adverse drug reaction profile of tuberculosis patients attending DOTS center at Dr. Bhim Rao Ambedkar memorial hospital, Raipur, Chhattisgarh, India

Background: Tuberculosis is second leading cause of death in the world. The causative organism is Mycobacterium tuberculosis. The objective was to study the adverse reactions of the patients attending the DOTS center and to assess their causality and severity of reported ADRs.Methods: Present study was a prospective observational study carried at the DOTS center of Dr. Bhim Rao Ambedkar Memorial Hospital, Raipur, Chhattisgarh, India between August 2011 to July 2012 (One year). The patients were monitored for adverse drug reactions. The assessment of ADRs were based upon the WHO assessment scale, Naranjo scale, European A.B.O scale.Results: Total number of patients attending DOTS center was 816. The number of males (428) exceeded that of females (388). Majority of patients in this study belonged to 21-30 years (26.96%) next 31-40 years (25.24%) and 41-50 years (16.5%) of age group. Prevalence of ADRs were more in males (57%) than in females 32 (43%). Majority of ADRs reported were moderate 33 (35.22%) followed by 29 (46,77%) were mild, no severe ADRs reported. According to severity of ADRs seen were gastritis 28 (45%) followed by 10 (16% ) rashes , 10 (16,12%) of arthralgia, 3 (4.83%) of hepatitis, 6 (9.7%) of peripheral neuropathy, 2 (3%) onsets of ADRs after starting anti-tubercular drug were 12 (19.35%) in 0-1 week followed by 19 (30%) ADRs showed onset in 1-2 week and 2-3 week, 8 (13%) in 3-4 week 3 (5%) in 4-5 week and 1 (2%) in 5-6 week.Conclusions: The casual link between the ADRs and the suspected anti-tubercular drug by Naranjo scale definitely relationship was established between the anti-tubercular drug and ADRs in 7 (11.25%) patient while 22 (35.45%) probable and 33 (53.22%) ADRs were categorized as possible

Rationality verses irrationality in fixed dose combinations: at a tertiary teaching hospital of rural Chhattisgarh, India

Background: Rational drug prescribing can be defined as appropriate drugs prescribed in the right dose, at correct time intervals and for a sufficient duration. Irrational drug use is a common problem in many countries of the world.Methods: A prospective observational study was conducted, total 300 patients attending various outpatient departments of tertiary health care rural hospital in Rajnandgaon district were interviewed and their prescriptions were analysed.Results: Total 350 drugs were prescribed 60 (17.14%) were prescribed by generic name and the rest 290 (82.86%) were prescribed by brand name. Only 18 (5.14%) drugs were not prescribed from hospital formulary. 264 (75.43%) drugs were dispensed from hospital pharmacy. On the basis of rationality score 53% prescriptions were rational, 30% semi rational and 17% irrational.Conclusions: In a rural hospital, where hospital formulary is based on WHO Essential medicine list, hundred percent utilization of hospital pharmacy service doctors and patients would ensure rational prescribing benefits of the patients coming from rural and uneducated background

Development of students\u27 critical thinking: The educators\u27 ability to use questioning skills in the baccalaureate programmes in nursing in Pakistan

Objective: To enhance the Critical Thinking skills of educators associated with the nursing baccalaureate programmes in Pakistan. By focusing on the type and level of questions asked by the educators.Methods: Ninety-one faculty members from 14 out of 17 schools participated in the study. Data on the faculty\u27s questioning skills was obtained through classroom observations and field notes. The duration of the observations was 45-60 minutes. Using Bloom\u27s Taxonomy for cognitive thinking, questions were categorised into high and low categories.Results: Most of the questions (68.9 %) asked by the participants were of lower levels, while some (5.37 %) were ambiguous. In many instances, the participants did not allow a sufficient wait-time for students to think and respond.Conclusion: The findings suggest that educators must learn to use the questioning strategy effectively. They should ask higher level questions if they wish to inculcate Critical Thinking in students

Assessment of knowledge of pharmacotherapeutics amongst medical undergraduates of a tertiary care teaching hospital of Chhattisgarh, India: a questionnaire based study

Background: Knowledge of pharmacology forms the basis of rational pharmacotherapy practice. Teaching the medical students about systematic application of pharmacology in patients’ care forms an essential component. It facilitates the medical students to develop a methodical approach in solving patients’ clinical problems.Methods: A questionnaire-based study was conducted, at Government Medical College Rajnandgaon involving second year MBBS students. Total 100 students participated in the study.Results: Hundred percent of the students responded that pharmacology was presently taught to them, seventy nine percent of them agreed with the fact that pharmacology was preferred to pass the MBBS, eighty eight percent of them responded that in pharmacokinetics was the least preferred topic, ninety seven of them were not aware of the essential drug list. Their suggestions regarding the change in teaching methodology was recorded.Conclusions: This study concludes that efforts are needed to develop a curriculum that encompasses important aspects of clinical pharmacology and therapeutics along with incorporation of the useful suggestions by the undergraduate students

Statistical Model Derivation and Extension of Hardy-Weinberg Equilibrium

The Hardy-Weinberg equilibrium law states that when a population is in equilibrium, the genotypic frequencies will be in the proportion p2 : 2pq: q2 . In a large random mating hypothetical population where the frequencies of alleles A1 and A2 are respectively is p and q, each genotype passes on both alleles with equal frequency over generations in the absence of evolutionary forces (Mutation, migration, and selection). In this paper, the Hardy-Weinberg equilibrium law is derived and extended to the third generation, and the corresponding proportion of frequencies is derived with all mating patterns. The mating frequency matrix is also given. Further, the law is generalized for multiple alleles and generations using binomial expansion

Statistical Model Derivation and Extension of Hardy – Weinberg Equilibrium

The Hardy-Weinberg equilibrium law states that when a population is in equilibrium, the genotypic frequencies will be in the proportion p2 : 2pq: q2 . In a large random mating hypothetical population where the frequencies of alleles A1 and A2 are respectively is p and q, each genotype passes on both alleles with equal frequency over generations in the absence of evolutionary forces (Mutation, migration, and selection). In this paper, the Hardy-Weinberg equilibrium law is derived and extended to the third generation, and the corresponding proportion of frequencies is derived with all mating patterns. The mating frequency matrix is also given. Further, the law is generalized for multiple alleles and generations using binomial expansio

Apparel 4.0: A Review of the Apparel Industry’s Adoption of Frontier Technologies

The Textile & Apparel (T&A) industry has been recognized for its modest shifts. This review paper, however, has examined the state of the apparel industry’s technology adoption, with special reference to 4IR technologies and fast-evolving market preferences in the post-pandemic era. Based on an extensive literature survey, the study concludes that the fourth industrial revolution (4IR) technologies have started gaining ground and disrupting the global apparel value chain. Likewise, Covid-19 too has brought considerable disruptions, driving organizational changes faster than ever. On one hand, Covid-19 has caused a significant adverse impact on the apparel industry, impacting brands, producers, and workers across the world. On the other hand, it has accelerated the adoption of frontier technologies by the industry. The Fourth Industrial Revolution (4IR) is transforming the apparel sector in design, development, production, supply chain, and marketing value segments. Besides process automation, frontier 4IR technologies such as 3D knitting and printing, robotics and intelligent manufacturing, virtual and augmented reality, artificial intelligence, business analytics, IoT, etc., have started shaping the future of the T&A industry. The paper should be of interest to both market actors (e.g., producers and marketers) and market facilitators (e.g., policymakers and academia). Keywords:Textile & Apparel (T&A) industry, Fourth Industrial Revolution (4IR), COVID-19, frontier technologies, fashion cycle, automation, biotechnology, apparel 4.0 DOI: 10.7176/EJBM/14-22-04 Publication date: November 30th 2022