40 research outputs found
Thoracic segmental spinal anaesthesia vs general anaesthesia for laparoscopic cholecystectomy: a comparative study
Background: Regional anaesthesia techniques are now being preferred over General anaesthesia in patients with major medical problems and those at high risk for GA. Thoracic segmental spinal anaesthesia has recently gained popularity because of its safety and efficacy in procedures like laparoscopic cholecystectomy, breast surgeries etc.
Methods: A comparative study involving 50 patients of ASA grade I & II of both genders with age group of 25-55 years, weighing between 50-85 kg posted for lap. Cholecystectomy in GGH, Kakinada for a study period of 5 months. 50 Patients were divided into Group A & Group B with 25 patients in each group. After taking informed & written conscent, Group A patients were given Thoracic Segmental Spinal Anaesthesia at T10 level with Inj.0.5% isobaric Levo-bupivacaine 1.75 ml (13.75 mg) with Inj. Fentanyl 0.25 ml (25 mcg) and Group B patients were given GA with fentanyl, propofol, sevoflurane, succinylcholine and vecuronium.
Results: conscious patients with less hemodynamic variability, greater duration of post operative analgesia, greater duration for first rescue analgesia were observed in Group A. Whereas greater hemodynamic variability, intubation response, more requirement of intraoperative opioid, less duration of post operative analgesia, lesser time for first rescue analgesia were observed in Group B.
Conclusions: TSSA is safe alternative as it provides excellent analgesia. With TSSA, GA can be avoided in patents with comorbidities
Low latitude ionospheric response to March 2015 geomagnetic storm using multi-instrument TEC observations over India
The regional ionospheric models are successful in capturing the variability of ionosphere with the inclusion of local ground-based GPS observations and location dependent ionospheric dynamics. In this context, there is a need to develop regional ionospheric maps that aids in improving the consistency of global models. In this paper, an attempt is made to understand the potentiality of multi-instrument observations over Indian region. Four different Total Electron Content (TEC) data sources namely from network of GPS receivers, Ionosonde stations, space based COSMIC radio occultation profiles and SWARM mission data is utilized. The multi-source data is chosen for the geo-magnetic storm conditions prevailed during March 2015. Data from multiple-sources is observed over the period from 15th March 2015 to 20th March 2015. Validation of ground and space-based TEC data with International GNSS service (IGS) station data is significantly observed
Enhancement of pigeonpea productivity through adoption of drought mitigating strategies
Pigeonpea (Cajanus cajan (L.) Millspaugh) is an important drought
tolerant legume crop in Indian rainfed agriculture. Though India
accounts for nearly 90% of the world’s pigeonpea acreage (3.73
million ha) and production (3.07 million t), the productivity is lower
at 707 kg/ha than the world average. The Morocco India Food
Legumes Initiative in collaboration with the ICRISAT is aimed at
improving the livelihood of small farmers to strengthen food and
nutritional security through adoption of improved technologies.
This paper is focused on developing and disseminating strategies
to improve pigeonpea productivity in dryland regions which are
characterized by erratic rainfall, frequent and prolonged dry spells
and soil nutrient depletion. During 2013-16, demonstrations were
conducted in 1200 farmers’ fields in Mahabubnagar district, Telangana,
India, with an objective of enhancing the productivity of
pigeonpea using three drought mitigating strategies: (i) adoption
of short-duration cultivar PRG 176, a high-yielding and early-maturing
pedigree selection of ICPL 88034 x ICPL 88039 with a duration
of 130-135 days; (ii) foliar application of soluble fertilizer to
maintain vegetative growth and ultimately improve pod filling; (iii)
life saving irrigation at the rate of 20 mm with water harvested
from farm ponds during mid season drought and prolonged dry
spells. Adoption of PRG 176 resulted in an average yield of 1400
kg/ha compared to LRG 41 (1120 kg/ha). The yield improvement
of 25% can largely be attributed to the good branching habit (8-
13 primary branches) and high flower to pod conversion ratio of
PRG 176 under dryland conditions. Foliar application of multi-K
during flowering and pod formation stages enhanced the yield
to 1360 kg/ha compared to the yield of 1100 kg/ha obtained in
fields without foliar spray. Life saving irrigation in PRG 176 during
mid season dry spell which persisted for 17-21 days improved
the yields by 20 % compared to the yield of 1200 kg/ha obtained
in rainfed crop. In conclusion, the study demonstrated that the
productivity of pigeonpea in dryland regions can be enhanced to
an average 1560 kg/ha through an integrated drought mitigating
approach by exploiting the short-duration and high-yielding potential
of PRG 176, providing life saving irrigation during critical
growth stages and foliar application of nutrients at flowering and
pod formation stages
Influence of antioxidant (L- ascorbic acid) on tolbutamide induced hypoglycaemia/antihyperglycaemia in normal and diabetic rats
BACKGROUND: Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycaemia. Increased oxidative stress and decreased antioxidant levels are the leading cause of diabetes and diabetic complications. So it is felt that supplementation of antioxidants may be useful in controlling the glucose levels and to postpone the occurrence of diabetic complications. The objective of our study is to find the influence of antioxidant supplementation (L-ascorbic acid) on tolbutamide activity in normal and diabetic rats. METHODS: L- ascorbic acid/tolbutamide/L-ascorbic acid + tolbutamide were administered orally to 3 different groups of albino rats of either sex in normal and diabetic condition. Blood samples were collected from retro-orbital puncture at different time intervals and were analyzed for blood glucose by GOD-POD method. Diabetes was induced by alloxan 100 mg/kg body weight administered by I.P route. RESULTS: L-ascorbic acid/ tolbutamide produced hypoglycaemic activity in a dose dependant manner in normal and diabetic condition. In the presence of L-ascorbic acid, tolbuatmide produced early onset of action and maintained for longer period compared to tolbutamide matching control. CONCLUSION: Supplementation of antioxidants like L-ascorbic acid was found to improve tolbutamide response in normal and diabetic rats
Exploring efficient seamless handover in VANET systems using network dwell time
Vehicular ad hoc networks are a long-term solution contributing significantly towards intelligent transport systems (ITS) in providing access to critical life-safety applications and services. Although vehicular ad hoc networks are attracting greater commercial interest, current research has not adequately captured the real-world constraints in vehicular ad hoc network handover techniques. Therefore, in order to have the best practice for vehicular ad hoc network services, it is necessary to have seamless connectivity for optimal coverage and ideal channel utilisation. Due to the high velocity of vehicles and smaller coverage distances, there are serious challenges in providing seamless handover from one roadside unit (RSU) to another. Though other research efforts have looked at many issues in vehicular ad hoc networks (VANETs), very few research work have looked at handover issues. Most literature assume that handover does not take a significant time and does not affect the overall VANET operation. In our previous work, we started to investigate these issues. This journal provides a more comprehensive analysis involving the beacon frequency, the size of beacon and the velocity of the vehicle. We used some of the concepts of Y-Comm architecture such as network dwell time (NDT), time before handover (TBH) and exit time (ET) to provide a framework to investigate handover issues. Further simulation studies were used to investigate the relation between beaconing, velocity and the network dwell time. Our results show that there is a need to understand the cumulative effect of beaconing in addition to the probability of successful reception as well as how these probability distributions are affected by the velocity of the vehicle. This provides more insight into how to support life critical applications using proactive handover techniques
Improved linear parallel interference cancellers
In this paper, taking the view that a linear parallel interference canceller (LPIC) can be seen as a linear matrix filter, we propose new linear matrix filters that can result in improved bit error performance compared to other LPICs in the literature. The motivation for the proposed filters arises from the possibility of avoiding the generation of certain interference and noise terms in a given stage that would have been present in a conventional LPIC (CLPIC). In the proposed filters, we achieve such avoidance of the generation of interference and noise terms in a given stage by simply making the diagonal elements of a certain matrix in that stage equal to zero. Hence, the proposed filters do not require additional complexity compared to the CLPIC, and they can allow achieving a certain error performance using fewer LPIC stages
Large MIMO Systems: A low-complexity detector at high spectral efficiencies
Abstract — We consider large MIMO systems, where by ‘large’ we mean number of transmit and receive antennas of the order of tens to hundreds. Such large MIMO systems will be of immense interest because of the very high spectral efficiencies possible in such systems. We present a low-complexity detector which achieves uncoded near-exponential diversity performance for hundreds of antennas in V-BLAST (i.e., achieves near SISO AWGN performance in a large MIMO fading environment) with an average per-bit complexity of just O(NtNr), where Nt and Nr denote the number of transmit and receive antennas, respectively. With an outer turbo code, the proposed detector achieves good coded bit error performance as well. For example, in a 600 transmit and 600 receive antennas V-BLAST system with a high spectral efficiency of 200 bps/Hz (using BPSK and rate-1/3 turbo code), our simulation results show that the proposed detector performs close to within about 4.6 dB of the theoretical capacity. We also adopt the proposed detector for the low-complexity decoding of high-rate non-orthogonal spacetime block codes (STBC) from division algebras (DA). We have decoded the 16 × 16 full-rate STBC from DA using the proposed detector and show that it performs close to within about 5.5 dB of the capacity using 4-QAM and rate-3/4 turbo code at a spectral efficiency of 24 bps/Hz. The practical feasibility of the proposed high-performance low-complexity detector could trigger wide interest in the implementation of large MIMO systems