DRUG UTILIZATION PATTERN IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE INPATIENTS AT A TERTIARY CARE HOSPITAL

Objective: Drug utilization studies provide useful insights into the current prescribing practices. In view of this, the present study was designed to establish the drug utilization pattern in hospitalized chronic obstructive pulmonary disease (COPD) patients.Methods: In this retrospective study, all patient data relevant to the study were obtained by examination of patient's medical records and hospital information system.Results: A total of 237 patients with acute exacerbation were evaluated. The population predominantly consisted of males (92.4%) and most of the patients were in the age group of 61 to 70 y (39.7%). Cough, sputum production and dyspnea were observed in 88.2%, 80.6% and 37.6% patients, respectively. Hypertension (49.4%) was the most common co-morbidity. Candida albicans (16%) and Pseudomonas aeruginosa (4.6%) were the most common microorganisms isolated from sputum samples. Majority of the patients were on multidrug therapy during both hospital stay (98.7%) and at the time of discharge (99.6%). During hospital stay, the most commonly prescribed drugs were ipratropium (91.6%) and levosalbutamol (88.2%); antibiotics and systemic corticosteroids were received by 96.2% and 83.1% patients, respectively. At discharge, antibiotics, inhaled corticosteroids, methyl xanthines, long acting beta-2 agonist and tiotropium were received by 94.1%, 93.7%, 92.4%, 86.1% and 56.5% patients, respectively.Conclusion: The prescribing trend observed at our hospital appears to be in concordance with the current guidelines for the management of COPD patients.Â

Seismic Pounding of Bridges due to Multi-Support Excitation with traveling wave

Abstract: -Among structural damages, seismic induced pounding has been commonly observed in severalearthquakes. When lateral and transverse movement of a structure occurs during earthquakes, it will hit adjacent structure and bounce back. This back and forth hitting of adjacent structures is known as pounding. The earthquake ground motion is usually assumed as uniform dynamic motion in seismic analysis. This assumption may be inadequate for structures placed at large areas like bridge, dam etc. Pounding in bridges is a result of the relative movement of the adjacent bridge superstructures at the expansion joints. This movement depends on different structural dynamic properties of the adjacent spans and characteristics of ground motions at the pier supports along the bridge. This paper includes a study of effect of pounding between bridge superstructures under the action of earthquake motion having multi-support excitation with traveling effect. The present study is a numerical investigation of pounding effect on a simply supported bridge using finite element method, using the software, OpenSees

Self Counseling for Mother of Children with Au- tism Spectrum Disorder

<p>Someone rightly said that the biggest tragedy a  mother can have is diagnosis of Autism Spectrum  Disorder (ASD) in her child. You may not totally  agree with this statement, but would not contest  if I say that in spite of all supportive services we  may  boast  of,  ultimately,  she  is  alone  to  'face  the music'. On one side her whole dream about  her child come to a standstill; she doesn't know  </p><p>how to handle the erratic behaviors of the child;  how to face unwanted criticism of people around;  worried  about  the  future  of  the  child  and  so  on</p&gt

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