333 research outputs found

    DETERMINANTS OF EMOTIONAL INTELLIGENCE – THEORETICAL PERSPECTIVE

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    Emotional intelligence is a talking point that is gaining a considerable amount of popular attention in all fields with abet of abundant international media attention. Emotional intelligence is the ability to sense, recognize, and efficiently apply the power and acumen of emotions as a source of human energy, information, association and influence. Exploration on Emotional Intelligence has initially appeared to be in scholarly articles in the beginning of 1980`s. The idea of emotional intelligence can be traced from the work of Darwin (1872) in his book entitled, on the origin of species by means of natural selection, discussed the importance of emotional expression for survival and adaptation. By the contribution of these dimensions one can easily find out the level of emotional intelligence that a particular individual posses

    An Ayurvedic approach in the management of Female Infertility - A Case Study

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    Infertility is a pathologic condition of both male and female, defined by the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. In an Ayurvedic perspective, Susrutha Acharya described four important factors; Garbha Sambhava Samagri necessary for conception, Ritu, Khsetra, Ambu, and Beeja. Vata Dosha has a major role in infertility condition - Vandhyatva. In this particular patient aged 36 years who had complaint of inability to conceive despite ten years of unprotected sexual life. From detailed investigations abnormalities were detected in luteinizing hormone (LH), Estradiol (E2), Anti Mullarian Hormone (AMH) and multiple intra mural uterine fibroids were also found. For managing this patient, the treatment principles followed are Agnideepana (correcting the Agni-Digestive power), Mootavatanulomana (Correcting the deranged Vatha Dosha), Apanavatavaigunyahara, Kaphapithakara, Manovikara Samana, Garbhasthapana (support for conceiving). Ayurveda treatment was given for the lady for a duration of eight month and finally she got conceived

    Maternal outcomes among emergency obstetric admissions at a tertiary care teaching hospital in Chitradurga, South India

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    Background: The maternal mortality is a vital index of the quality and efficiency of obstetric services prevailing in a country. The obstetric emergencies are unexpected occurrences during pregnancy or puerperium requiring immediate attention. Obstetric emergencies can either happen suddenly or they can develop as a result of complications that are not properly identified, monitored or managed. These emergencies, to a large extent, are preventable. The purpose of this study was to understand the contributing factors of obstetric emergencies, their clinical presentation, management and maternal outcomes.Methods: A cross sectional study was conducted among obstetric emergency admissions during October 2016 to September 2017, at a tertiary care hospital in urban area of central Karnataka.Results: A total of 100 emergency admissions were observed in the study period. A 41% of were un-booked antenatal cases. A 13% of patients reached with the longest delay of 10-12 hours duration. A 31% of emergency admissions were in compromised condition. The majority of the cases were delivered by LSCS (55%).Conclusions: In the study, nearly half of the pregnancies were unbooked. There were teenage pregnancies reported in the study. More than half of obstetric emergencies were from rural areas. In nearly 50% of admissions a delay of more than 5 hours in reaching this hospital was noted. Ignorance was a major factor which impeded the access of antenatal health care services. Health education to pregnant women about importance of accessing maternal health services, early ANC booking and regular checkups, identification of high-risk pregnancy and timely referral, availability of fully functional first referral units and transport facilities for these emergency patients. Availability of skilled medical professionals round the clock in these FRU’s are the need of the hour

    Two-dimensional model of nanoparticle deposition in the alveolar ducts of the human lung

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    In this paper a mathematical model for nanoparticle deposition in the alveolar ducts of the human lung airways is proposed. There were huge inconsistencies in deposition between ducts of a particular generation and inside every alveolated duct, signifying that limited particle concentrations can be much bigger than the mean acinar concentration. A large number of particles are unsuccessful to way out the structure during expiration. Finite difference method has been used to solve the unsteady nonlinear Navier–Stokes equations in cylindrical coordinate system governing flow assuming axial symmetry under laminar flow condition so that the problem efficiently turns into two-dimensional. An extensive quantitative study is performed through numerical computations of the preferred quantities having physiological importance through their graphical demonstration so as to authenticate the applicability of the current model

    Epley’s maneuver versus Semont’s maneuver in treatment of posterior canal benign positional paroxysmal vertigo

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    Background: Benign paroxysmal positional vertigo (BPPV) is characterized by brief but violent attacks of paroxysmal vertigo provoked by certain positions of the head. BPPV is the most common cause of vertigo, resulting from migration of otoconia into the semicircular canals. Majority of patients have posterior canal BPPV. Epley’s Canalith Repositioning and Semont Liberatory Maneuver have been shown to be highly efficacious in the successfultreatment of posterior canal BPPV. The main objective of this study was to compare the efficacy of Epley’s maneuver versus Semont’s maneuver in the management of benign paroxysmal positional vertigo.Methods: This study was conducted in the Department of Otorhinolaryngology of a rural Medical College in Kerala, for a period of one and half year, from January 2015 to June 2016. It was an observational prospective cohort study. 200 patients with posterior canal BPPV were enrolled in this study based on inclusion and exclusion criteria. Patients were allotted alternatively to Epley’s group and Semont’s group, 100 patients in each group based on the treatment maneuvers they underwent. Efficacy of maneuvers were assessed at the end of 1st week, 1st month and 3rd month on the basis of resolution of symptoms and Dix-Hallpike negativity.Results: Of the 100 cases managed by Epley’s maneuver 95 cases showed complete relief of symptoms after 3 months. Out of 100 cases managed by Semont’s maneuver, 94 cases showed complete recovery after 3 months. The results were compared by Chi square test, as the data was mainly qualitative in nature. The results of both the groups were compared at the end of 1st week, 1st month and 3rd month, which revealed that both the Semont’s and Epley’s maneuver are equally effective in the treatment of posterior canal BPPV.Conclusions: Both Epley’s and Semont’s maneuver are equally effective for treating the patients of posterior canal benign paroxysmal positional vertigo

    P16 expression and clinicopathological features of oral and oropharyngeal squamous cell carcinoma

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    Background: There is an epidemiological shift in head and neck squamous cell carcinoma (HNSCC) attributable to HPV infection. HPV positive HNSCC has unique biology, risk factors, clinicopathological characteristics and outcome. There is a large variation in the published prevalence of HPV-related HNSCCs in India ranging from 7 to 78.7%. This study aims to find the P16 expression in the oral cavity and oropharyngeal SCC, thereby prevalence of HPV in our setting and to define the clinicopathological characteristics of HPV positive tumours in our setting.Methods: 210 specimens of primary Oral squamous cell carcinoma (OSCC) and Oropharyngeal Squamous cell carcinoma (OPSCC) were included. Immunohistochemistry was done using monoclonal mouse p16 antibody. Clinical details of each case were collected. Analysis was done using SPSS software and the association of P16 and clinicopathological variables were calculated using Fishers exact test.Results: P16 positive expression is observed only in 1/122 (0.82%) of OSCC and 8/88 (9%) of OPSCC. P16 positivity showed significant association with Grade of tumor (p= 0.008) and histological variant of SCC (p=0.00). 77.7% of P16 positive tumours are Grade 2 and 66.6% of Basaloid SCC was P16 positive. There is no significant association between p16 expression and other variables (subsite, age, gender, alcoholism, smoking, betel chewing and stage).Conclusions: P16 positivity was higher in oropharyngeal than in oral cancer. However, the HPV positivity rates are lower than other parts of India

    Mathematical Formulation to Study the Thermal Post Buckling of Orthotropic Circular Plates

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    simple mathematical formulation to evaluate the post buckling load of orthotropic circular plates with both simply supported and clamped boundary conditions are presented in this paper. The formulation is on the basis of radial edge tensile load developed in the plate because of the large deflection of the plate. The numerical results achieved from the present formulation in terms of linear buckling load parameters for different orthotropic parameter values are compared with the results from the literature

    A study on the effect of adenoidectomy with tonsillectomy in otitis media with effusion in children

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    Background: The aural symptoms attributed to adenoid hypertrophy are Eustachian tube block (ET) and otitis media with effusion (OME). It is thought that adenoid hypertrophy causes a block in air flow through the ET, thus creating a negative pressure in the middle ear leading to effusion which acts as a focus of infection. The role of hypertrophied tonsils in the aetiology of OME is controversial. Adenoid and tonsillar hypertrophy and associated inflammation continue to be a major problem in paediatric age group despite the advances in medicine. Otitis media with effusion is a treatable cause of deafness which may hamper the learning ability of a child. This study was undertaken to study the effect of adenoidectomy with tonsillectomy on established otitis media with effusion in children.Methods: 35 children presenting to the department of ENT, Government Medical College, Thrissur, Kerala, India over one and a half years with features suggestive of secretory otitis media, tonsillar and adenoid hypertrophy who underwent adenoidectomy with tonsillectomy in Government Medical College, Thrissur, Kerala, India were included in the study. A predesigned questionnaire was prepared which included details on clinical symptoms, relevant investigations and preoperative and postoperative evaluation of hearing after 6 weeks and 3 months. Data collected was analyzed using paired t-test and chi square test to determine the improvement in hearing after 6 weeks and 3 months following surgery.Results: Out of the 35 children included in the study, it was seen that 56% of cases, after 6 weeks showed complete resolution of OME which improved to 67% after 3 months. This was assessed by PTA and tympanometry. 33% showed partial improvement with Type C curve in tympanometry and improvement in PTA values.Conclusions: All cases of OME associated with adenoid and tonsillar hypertrophy responded to our treatment with 67% showing complete cure of the condition. It can be assumed that, in the 33% partial responders there may be other factors like allergy, anatomical deformities, immunological which prevented the complete resolution of symptoms in OME.
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