Clinical profile of dengue fever infection in patients admitted in NC Medical College, Haryana in the year 2019

Background: Dengue infections can result in a wide spectrum of disease severity ranging from an influenza-like illness (dengue fever; DF) to the life-threatening dengue hemorrhagic fever (DHF)/dengue shock syndrome (DSS). The study was aimed to compare the clinical profile of all patients diagnosed with dengue viral infection at NCMC.Methods: This retrospective study included 24 patients infected with dengue virus, aged 19 years to 45 years. Laboratory and haematological data were included.Results Peak of infection occurred in November 2019 and no cases were recorded in October 2019. Common clinical symptoms were fever, joint pains, headache and rash. Common haematological abnormalities were thrombocytopenia. All patients survived. There was no case of dengue hemorrhagic fever or dengue shock syndrome.Conclusions: Significant differences in the clinical profile is possibly because of infection with different serotypes of dengue virus (DENV), concurrent/sequential infection of more than one serotype, and differences in host immune responses associated with host genetic variations

Epidemiological characteristics of acute dehydrating diarrhea during an epidemic of cholera: a study from North India

Background: Cholera is an acute diarrheal disease which continues to be a public health problem since inception. It is a disease related to poverty, overcrowding, poor sanitation and inaccessibility to clean water. India forms a fertile ground for the sustenance and transmission of cholera. However the diagnosis of cholera doesn’t easily come to mind when dealing with cases of dehydrating diarrheas.Methods The study was a prospective cohort study conducted in a tertiary care center of North India. All patients presenting to the medicine department of this hospital with acute dehydrating diarrhea were enrolled for the study. Stool samples for hanging drop test and culture were sent in all patients to rule this cholera.Results: Eighty four patients presenting to the medicine department of this hospital with acute dehydrating diarrhea were included in this study. All the patients had loose watery stools but classical rice water stools were seen in only 20.2% of patients. Patients with rice water stools were more likely to be positive for stool culture (70.6%, n = 12/17) and hanging drop preparations (82.3%, n = 14/17) as compared to those with watery stools. The difference was found to be statistically significant for culture (70.6% vs 40.3%, p-value = 0.02) as well as hanging drop preparation (82.3% vs 47.8%, p-value = 0.01).Conclusions: The prevalence of culture positive cholera cases was found to be 46.4% out of all the cases presenting with acute dehydrating diarrhea which is quite high. Rice water stools which are considered characteristic for cholera were found in less than half of culture positive cases of cholera (43.6%, n = 17/39). Hanging drop preparation was found to have a sensitivity of 87.2% and a specificity of 86.5% in comparison to stool culture which is regarded as gold standard for diagnosis of cholera. Cholera may be considered as an ongoing epidemic with periodic surge in cases and should be suspected whenever cases of acute watery diarrhea present in increased numbers with features of severe dehydration, especially when the cases are clustered together and from a poor socio-economic background

Laubach in India: 1935 to 1970

Dr. Frank C. Laubach, missionary and adult educator, dedicated his life to the cause of literacy for development and world peace. During his travels to 103 countries, he worked toward helping some 60 to 100 million people become literate. In addition, he founded or helped found four literacy organizations, including Laubach Literacy International; wrote forty books on adult education, Christian religion, world politics, and culture; and co-authored literacy primers in more than 300 languages. He was awarded four honorary doctorates—one of them from Syracuse University. Although Laubach worked in many other countries, it is said that his heart was always in India, with her massive problem of illiteracy. He played a vital role in laying the foundations of Indian adult education, and his each one teach one approach continues to be used there. This paper, which draws on the Laubach Collection in the George Arents Research Library at Syracuse University, describes his contribution to India

A novel low complexity local hybrid pseudo-SSIM-SATD distortion metric towards perceptual rate control

The front-end block-based video encoder applies an Image Quality Assessment (IQA) as part of the distortion metric. Typically, the distortion metric applies uniform weighting for the absolute differences within a Sub-Macroblock (Sub-MB) at any given time. As video is predominately designed for Humans, the distortion metric should reflect the Human Visual System (HVS). Thus, a perceptual distortion metric (PDM), will lower the convex hull of the Rate-Distortion (R-D) curve towards the origin, by removing perceptual redundancy and retaining perceptual clues. Structured Similarity (SSIM), a perceptual IQA, has been adapted via logarithmic functions to measure distortion, however, it is restricted to the Group of Picture level and hence unable to adapt to the local Sub-MB changes. This paper proposes a Local Hybrid Pseudo-SSIM-SATD (LHPSS) Distortion Metric, operating at the Sub-MB level and satisfying the Triangle Equality Rule (≤). A detailed discussion of LHPSS's Psuedo-SSIM model will illustrate how SSIM can be perceptually scaled within the distortion metric space of SATD using non-logarithmic functions. Results of HD video encoded across different QPs will be presented showing the competitive bit usage under IbBbBbBbP prediction structure for similar image quality. Finally, the mode decision choices superimposed on the Intra frame will illustrate that LHPSS lowers the R-D curve as homogeneous regions are represented with larger block size

Review of standard traditional distortion metrics and a need for perceptual distortion metric at a (sub) macroblock level

Within a video encoder the distortion metric performs an Image Quality Assessment (IQA). However, to exploit perceptual redundancy to lower the convex hull of the Rate- Distortion (R-D) curve, a Perceptual Distortion Metric (PDM) modelling of the Human Visual System (HVS) should be used. Since block-based video encoders like H.264/AVC operate at the Sub-Macroblock (Sub-MB) level, there exists a need to produce a locally operating PDM. A locally operating PDM must meet the requirements of Standard Traditional Distortion Metrics (STDMs), in that it must satisfy the Triangle Equality Rule. Hence, this paper presents a review of STDMs of SSE, SAD and SATD against the perceptual IQA of Structural Similarity (SSIM) at the Sub-MB level. Furthermore, this paper illustrates the Universal Bounded Region (UBR) by block size that supports the triangle equality rule within the Sub-MB level, between SSIM and STDMs like SATD at the prediction stage

Optimal queue-size scaling in switched networks

We consider a switched (queuing) network in which there are constraints on which queues may be served simultaneously; such networks have been used to effectively model input-queued switches and wireless networks. The scheduling policy for such a network specifies which queues to serve at any point in time, based on the current state or past history of the system. In the main result of this paper, we provide a new class of online scheduling policies that achieve optimal queue-size scaling for a class of switched networks including input-queued switches. In particular, it establishes the validity of a conjecture (documented in Shah, Tsitsiklis and Zhong [Queueing Syst. 68 (2011) 375-384]) about optimal queue-size scaling for input-queued switches.Comment: Published in at http://dx.doi.org/10.1214/13-AAP970 the Annals of Applied Probability (http://www.imstat.org/aap/) by the Institute of Mathematical Statistics (http://www.imstat.org

Effect of some environmental factors on the acute toxicity of deltamethrin to common carp: a laboratory study under aerobic condition

The toxicity of xenobiotic in aquatic ecosystems is influenced by many factors such as ambient temperature, water hardness, pond soil type, etc. In the present study, it was observed that air temperature, water hardness and soil sediment have profound influence on the toxicity of deltamethrin to common carp fry (ay. length 3.5 ± 0.5 cm, ay. weight 0.58 ± 0.25 g); 96h LC(sub)50 values for common carp at 38.07 ± 2.20°C maximum and 27.86 ± 1.22°C minimum air temperature in soft and very hard water were 0.102 and 0.495 µg lˉ¹, respectively. This value had increased significantly to 2.37 and 3.02 µg at 30.55 ± 1.21°C maximum and 26.04 ± 0.61°C minimum air temperature, respectively. When sediment was included, 96h LC(sub)50 at 38.07°C maximum temperature in very hard water was 1.808 µg 1ˉ¹ and this had increased to 8.073 µg 1ˉ¹ when tested at 30.55°C maximum temperature. Due to the 7.5°C increase in maximum and 1.7°C in minimum temperature, toxicity increased significantly. Lower toxicity in very hard water in comparison to soft water may be due to the lower solubility of deltarnethrin and high level of calcium. Adsorption reaction of deltamethrin with clay, humus, FeOOH, MnOOH and particulate organic carbon, and complexation reaction with dissolved organic carbon were responsible for the lowered toxicity in the experiment with sediment. Exposure time had no significant effect on acute toxicity of deltamethrin

Study of absorption loss effects on acoustic wave propagation in shallow water using different empirical models

Efficient underwater acoustic communication and target locating systems require detailed study of acoustic wave propagation in the sea. Many investigators have studied the absorption of acoustic waves in ocean water and formulated empirical equations such as Thorp's formula, Schulkin and Marsh model and Fisher and Simmons formula. The Fisher and Simmons formula found the effect associated with the relaxation of boric acid on absorption and provided a more detailed form of absorption coefficient which varies with frequency. However, no simulation model has made for the underwater acoustic propagation using these models. This paper reports the comparative study of acoustic wave absorption carried out by means of modeling in MATLAB. The results of simulation have been evaluated using measured data collected at Desaru beach on the eastern shore of Johor in Malaysia. The model has been used to determine sound absorption for given values of depth (D), salinity (S), temperature (T), pH, and acoustic wave transmitter frequency (f). From the results a suitable range, depth and frequency can be found to obtain best propagation link with low absorption loss