Tele-rehabilitation of a middle-aged female with bronchiectasis as post COVID-19 sequelae: a case report

COVID-19 pneumonia causes dilatation of lung parenchyma which leads to destruction of segmental bronchi that can further progress into bronchiectasis. COVID-19 causes many sequels in the respiratory system and frequently presents with dyspnoea, fatigue, loss of strength, reduced functional capacity and sometimes severe multi-organ affection. Physiotherapy interventions through tele-rehabilitation have acquired a fundamental role in the recovery of the functions and quality of life. Pulmonary tele-rehabilitation which is done in this case report study includes patient education, respiratory care, exercise training, ambulatory program with supplementary oxygen, strengthening, endurance training and energy conservation. All these interventions play an important role in patent’s treatment protocol from hospital discharge to resuming work by assisting in weaning of supplementary oxygen, improving functional capacity of lungs and thus facilitating recovery. Rehabilitation of COVID-19 causing bronchiectasis in healthy individual has not been reported in literature yet. So, here we present a case report of tele-rehabilitation of a middle- aged female who developed progressive bronchiectasis as a sequela of COVID-19 pneumonia evident on serial chest CT scans

Elastic Scattering of Positrons by Helium Atoms

The differential and total cross sections for elastic scattering o f positrons by helium atoms are computed in the energy range 100 to 1000 eV. In the present study Umteriscd eikonal—Born series (UEBS) method is used. The comparison of present results with the other theoretical and experimental results shows that the present results are i.. better agreement with the experimental value

Price analysis of antianginal drugs available in Indian market

Background: Coronary artery disease (CAD) is one of the most common causes of cardiovascular mortality and morbidity in developing countries like India. Initial management includes use of many antianginal drugs. There is wide variation in market prices of these drugs. This study was planned to analyse the percentage variation in prices amongst monotherapy and combination therapy of antianginal drugs manufactured and sold under different brand names in Indian market.Methods: Price of antianginal drugs manufactured by different pharmaceutical companies, in the same strength and dosage forms was obtained from “Current Index of Medical Specialties (CIMS)” January-April 2016 and “Indian Drug Review (IDR)” Vol. XXII, Issue No.1, 2016. The difference in the maximum and minimum price of the same drug manufactured by different pharmaceutical companies and percentage variation in price per 10 tablets was calculated.Results: Percentage variation in price for antianginal drugs marketed in India was found to be amlodipine (5 mg) 1128.57% followed by amlodipine (10 mg) 1040% and amlodipine (2.5 mg) 780% as a monotherapy. Whereas atenolol (25 mg), atenolol (50 mg) and nicorandil (10 mg) also showed significant percentage variation in prices 525%, 426.66% and 350.84% respectively. For combination therapy, percentage variation in prices were seen with amlodipine + atenolol (5 + 50 mg) 700%, followed by atenolol + hydrochlorothiazide (50 + 12.5 mg) 362.5% and Isosorbide dinitrate + aspirin (5 + 75 mg) 300%.Conclusions: There is a wide variation in the price of different brands of antianginal drugs available in India. The clinicians prescribing these drugs should be aware of these variations to reduce the financial burden of drug therapy

Analysis of price variation amongst different formulations of anxiolytic drugs available in Indian market

Background: Cost of drug therapy is a very serious issue for people belonging to lower economic status in India. A single drug is manufactured by various pharmaceutical companies and sold under different brand names. The prices of these drugs vary in the Indian market. Anxiety is a symptom of many psychiatric disorders and surgical conditions for which anxiolytic drugs are commonly prescribed. This study was planned to study the price variation amongst the different brands of anxiolytic drugs available in India.Methods: Price of anxiolytic drugs manufactured by different pharmaceutical companies, in the same strength and dosage forms were obtained from “current index of medical specialties” Jan-April 2016 and “Indian drug review” Vol. XXII, Issue No.1, 2016. The difference in the maximum and minimum price of the same drug manufactured by different pharmaceutical companies and percentage variation in price per 10 tablets was calculated.Results: Out of 26 single drug formulations analyzed, maximum percentage variation in prices were seen with diazepam (5 mg) 371.42% followed by clonazepam (0.5 mg) 350%, lorazepam (1 mg) 328.57%, alprazolam (0.25 mg) 320% and clobazam (20 mg) 318.18% and out of 7 combination drug formulations analyzed, maximum percentage variation in prices were seen with the combination of chlordiazepoxide + amitriptyline (10 + 25 mg) 230.07% followed by combination of trifluperazine + trihexiphenidyl (5 + 2 mg) 150%.Conclusions: There is a wide variation in the price of different brands of anxiolytic drugs available in Indian market. Government of India should reduce the pricing of drugs by bringing them under drug pricing control order (DPCO).

DOP080 Increasing colectomy rates over time in ulcerative colitis and the impact of thiopurines: A nationwide cohort study

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Metal Cluster's Effect on the Optical Properties of Cesium Bromide Thin Films

Cesium Bromide films grown of glass substrates by thermal evaporation showed interesting optical properties. The UV-visible absorption spectra showed peaks which showed red shift with time. Structural and morphological studies suggested decrease in grain size with time which was unusual. Theoretical simulation shows the optical behaviour to be due to surface plasmon resonance resulting from Cesium clyindrical rods embedded in the films.Comment: 22 pages and 10 figure

Determination of ethambutol MICs for Mycobacterium tuberculosis and Mycobacterium avium isolates by resazurin microtitre assay

Objectives: To test susceptibilities of Mycobacterium tuberculosis (MTB) isolates to ethambutol by the Lowenstein-Jensen (LJ) proportion method and resazurin microtitre assay (REMA) and to evaluate REMA for the determination of ethambutol MICs for MTB and Mycobacterium avium isolates. Methods: A total of 50 MTB and 20 M. avium isolates were tested to determine the MICs of ethambutol by REMA and agar dilution method. MTB isolates were also tested by the LJ proportion method. Results: REMA provided ethambutol susceptibility results for all the isolates within 8-9 days. For MTB isolates, REMA showed 96.7% sensitivity, 100.0% specificity and 98.0% accuracy when LJ proportion results were taken as 'gold standard'. For both MTB and M. avium isolates, the MICs determined by REMA were lower than those determined in agar medium, indicating that MIC values determined by REMA are closer to the actual MICs for the isolates. Conclusions: REMA can be used as a rapid and inexpensive method for mycobacterial drug susceptibility testing against ethambutol. In comparison with the agar method, the MICs determined by REMA can more accurately be correlated with achievable plasma concentrations of antimycobacterial agents

Monitoring industrial effluents discharge along Gujarat coast by bio assay test and physico chemical parameters

GFASRI In consultation with Gujarat Pollution Control Board and on Its own undertook studies on chemical parameters of effluents of a few factories in the Saurashtra region and their effects on fish through bio-assay tests. In the case of M/s Tata Chemicals, LC-50 value ranges 0 4 to 5% cone vol; temperature 86.0 to 91.0°F; Ammonia 21.84 to 48 98 ppm and total solids from 184 to 234 g/litre. In the case of M/s Saurashtra Chemicals. Porbandar, LC-60 value varied 2-100%. In the case of M/s Indian Rayon, Veraval, pH was between 2 to 10.5 and LCeo value was from 20% to 100% conc/vol. For Billsshwar Sugar Factory, Kodinar pH was between 4.0 - 5.5, BOO was 450 to 1800 ppm and LC-50 value was 0.5 to 7

Co-evolution, opportunity seeking and institutional change: Entrepreneurship and the Indian telecommunications industry 1923-2009

"This is an Author's Original Manuscript of an article submitted for consideration in Business History [copyright Taylor & Francis]; Business History is available online at http://www.tandfonline.com/." 10.1080/00076791.2012.687538In this paper, we demonstrate the importance for entrepreneurship of historical contexts and processes, and the co-evolution of institutions, practices, discourses and cultural norms. Drawing on discourse and institutional theories, we develop a model of the entrepreneurial field, and apply this in analysing the rise to global prominence of the Indian telecommunications industry. We draw on entrepreneurial life histories to show how various discourses and discursive processes ultimately worked to generate change and the creation of new business opportunities. We propose that entrepreneurship involves more than individual acts of business creation, but also implies collective endeavours to shape the future direction of the entrepreneurial field