Identification of different personality traits among teenagers and their effect on behavioural conduct

To identify different personality traits among teenagers To give recommendations to help teenagers create a balance in personality development. METHODS: This research is based on a cross sectional study conducted at Services Institute of Medical Sciences, catering to the freshmen of MBBS. The tenure for the research lasted 8 months starting March 2017- October 2017.The estimated target population accounted to 100 teenage students who were incorporated for the research through convenient sampling. Selection criteria for the chosen sample was based on their age, institute and mental well-being. Any student over and above 19 years, not enrolled in SIMS or suffering through any diagnosed psychiatric illness was excluded from the research sample. To evaluate results from the sample population a questionnaire was generated based on the Big 5 personality assessment scale. All data was registered on the computer after screening for any errors. Data analysis was done by Statistical package for social science version 17. RESULTS: In order to incorporate all factors effecting one\u27s personality we collaborated 10 variables to be tested on a sample of 100 students.Each student from the sample was eligible to answer questions which helped us analyse that 70% of the students from the selected sample claimed to be talkative, where as 30 % were categorised as reserved, 25% of the lot said to bedepressed,32% affirmed to be helpful, 28% were said to be energetic, 31% said they were determined, 37% came out as moody, 34% were said to be ingenious whereas 31% were identified to beeasily distracted and 33%were stratified as politically liberal. CONCLUSION: In order to cater to the major personality traits in psychology we designed a questionnaire based on the BIG 5 personality assessment scale. We tested our target audience to analyse the factors that affect their general behaviour and attitude. The results we gathered from the selected sample were used to categorize the student\u27s personality based on the OCEAN theory

Modeling Wastewater Evolution and Management Options under Variable Land Use Scenarios

The development of a reliable decision support system and predictions for water quantity and quality often require a reasonable level of environmental and hydrological simulations at various geographic scales. The Soil and Water Assessment Tool (SWAT) model offers distributed parameter and continuous time simulation, and flexible watershed configuration and with the adoption of geographic information system (GIS) technology, a user-friendly and interactive decision support system can be developed for wastewater management. In this chapter, we evaluated the spatio-temporal evolution of wastewater contaminants in an environmentally degraded watershed through integrated field-based investigations and modeling approach. Later, management options were identified to improve the watershed health and agro-environment. The results of the modeling study exhibited variable responses of surface runoff and water quality to different scenarios of land use change. Temporal wastewater analysis indicated a significant impact of seasonality on the contaminants’ population levels. The adopted approach would prove effective in evaluating better management options to reduce negative impacts of wastewater and contaminants for sustainable agro-environment in future

Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial

Background: Tranexamic acid reduces surgical bleeding and reduces death due to bleeding in patients with trauma. Meta-analyses of small trials show that tranexamic acid might decrease deaths from gastrointestinal bleeding. We aimed to assess the effects of tranexamic acid in patients with gastrointestinal bleeding. Methods: We did an international, multicentre, randomised, placebo-controlled trial in 164 hospitals in 15 countries. Patients were enrolled if the responsible clinician was uncertain whether to use tranexamic acid, were aged above the minimum age considered an adult in their country (either aged 16 years and older or aged 18 years and older), and had significant (defined as at risk of bleeding to death) upper or lower gastrointestinal bleeding. Patients were randomly assigned by selection of a numbered treatment pack from a box containing eight packs that were identical apart from the pack number. Patients received either a loading dose of 1 g tranexamic acid, which was added to 100 mL infusion bag of 0·9% sodium chloride and infused by slow intravenous injection over 10 min, followed by a maintenance dose of 3 g tranexamic acid added to 1 L of any isotonic intravenous solution and infused at 125 mg/h for 24 h, or placebo (sodium chloride 0·9%). Patients, caregivers, and those assessing outcomes were masked to allocation. The primary outcome was death due to bleeding within 5 days of randomisation; analysis excluded patients who received neither dose of the allocated treatment and those for whom outcome data on death were unavailable. This trial was registered with Current Controlled Trials, ISRCTN11225767, and ClinicalTrials.gov, NCT01658124. Findings: Between July 4, 2013, and June 21, 2019, we randomly allocated 12 009 patients to receive tranexamic acid (5994, 49·9%) or matching placebo (6015, 50·1%), of whom 11 952 (99·5%) received the first dose of the allocated treatment. Death due to bleeding within 5 days of randomisation occurred in 222 (4%) of 5956 patients in the tranexamic acid group and in 226 (4%) of 5981 patients in the placebo group (risk ratio [RR] 0·99, 95% CI 0·82–1·18). Arterial thromboembolic events (myocardial infarction or stroke) were similar in the tranexamic acid group and placebo group (42 [0·7%] of 5952 vs 46 [0·8%] of 5977; 0·92; 0·60 to 1·39). Venous thromboembolic events (deep vein thrombosis or pulmonary embolism) were higher in tranexamic acid group than in the placebo group (48 [0·8%] of 5952 vs 26 [0·4%] of 5977; RR 1·85; 95% CI 1·15 to 2·98). Interpretation: We found that tranexamic acid did not reduce death from gastrointestinal bleeding. On the basis of our results, tranexamic acid should not be used for the treatment of gastrointestinal bleeding outside the context of a randomised trial

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Oviposition preference and two-sex life table of Plutella xylostella and its association with defensive enzymes in three Brassicaceae crops

The diamondback moth (Plutella xylostella) is a worldwide devastating pest specialized on Brassicaceae plants, including three main vegetables of China i.e., cabbage, Chinese cabbage, and radish. To develop a cost-effective control program, we compared the adult oviposition preference and life table parameters of P. xylostella on these three crops. In the no-choice and choice oviposition tests, P. xylostella females laid more eggs on Chinese cabbage than radish and cabbage. In addition, P. xylostella larvae consumed more leaves when feeding on Chinese cabbage compared with other plants. The age-stage two-sex life table indicated that the intrinsic rate of increase (r) of P. xylostella was higher on Chinese cabbage (0.233 d(-1)) than radish (0.203 d(-1)), and cabbage (0.135 d(-1)). The fecundity was the highest on Chinese cabbage, while developmental duration from egg to adult on Chinese cabbage was significantly shorter. Chinese cabbage leaves exhibited lower activities of defensive enzymes and significantly higher total protein content, which may account for the higher preference and performance of P. xylostella on Chinese cabbage. These results suggest that Chinese cabbage is highly susceptible to P. xylostella and needs more frequent monitoring and control strategies against this pest, although field trials are needed to confirm these findings

Detailed Structural Analysis of Cylindrical Steel Tank Subjected to Various Seismic Peak Ground Values Using FSI Approach

The seismic analysis of ground-supported cylindrical steel tanks subjected to lateral harmonic displacement loadings has been carried out. This paper numerically evaluates the structural response of various tank geometries due to resonant seismic sloshing. The numerical investigation is performed using a two-way fluid structural interaction approach that couples computational fluid dynamics analysis with finite element transient structural analysis. The results of the analysis have been validated using Seismic Design Code (Eurocode 8, part 4). Regarding tank aspect ratio (H/D), five geometries covering slender, medium, and broad structures are analyzed under ten harmonic base excitations. All the geometries are excited at their first convective frequency, whose shape and magnitude are evaluated using modal analysis. The seismic response curves have been developed for each tank model, which reveal the complex and peculiar structural response. It is observed from the tanks’ seismic response that they undergo three transitional stress zones named safe, yielding, and failure zones. The critical loadings and failure duration have also been evaluated for each tank model. This will help to avoid future structural damage by designing liquid-containing structures based on evaluated seismic failure loads

Effect of Sugarcane Straw and Goat Manure on Soil Nutrient Transformation and Bacterial Communities

Crop residue and animal manure as a soil amendment have been recognized as a feasible agricultural practice owing to its contribution in improving the soil fertility (SF). The primary advantages of this practice are determined by the activities of soil microorganisms. However, goat manure (M), sugarcane straw (S), and goat manure plus straw (MS) amendments influence soil bacteria, their activities, and SF in clay-loam soil remains undefinable. Therefore, this study distinguished the efficacy of M, MS, and S amendment on soil enzyme activities and the availability of nutrients, including various bacterial populations in clay-loamy soil with respect to two different phases (50 and 100 days). In order to analyze the bacterial structure and their activities, we employed high-throughput sequencing (HTS) and soil enzyme activity (SEA) tests. Soil amended with M and MS not only significantly enhanced nutrient availability, including C, P, and N, soil pH, as well as SEA for C and N cycles in both phases. Additionally, the increase in nutrient availability was greater in M- and MS-amended soils in the second phase (100 days) compared to the M- and S-amended soils in the first phase (50 days). Moreover, plant growth promoting and lignocellulose degrading bacterial genera were enhanced under M- and MS-amended soil compared to S-amended soil in both phases. Distance-based redundancy analysis (dbRDA) showed that soil pH, carbon-nitrogen ratio (C:N), and nitrates (NO3−) were inducing the fewest changes, while total nitrogen (TN), total carbon (TC), available nitrogen (AN), available phosphorus (AP), total phosphorus (TP), available potassium (AK), and ammonium (NH4+) were the main operators in terms of change in bacterial populations. In general, we observed that M and MS are better amendment sources as compared to S amendment in order to enhance the SF in the clay-loamy soil in both phases, but greater fertility was exhibited in the second phase