Borderline oligohydramnios in term pregnancy and it's relation with pregnancy outcome

Background: Oligohydramnios can lead to contamination of amniotic fluid, fetal distress, neonatal asphyxia, aspiration pneumonia, increased perinatal mortality and adverse pregnancy outcomes. Because of atypical clinical symptoms, the critical point is to treat patients with oligohydramnios in late pregnancy. The objectives of the research were to study the mode of delivery/rate of operative interference/incidence of cesarean section due to fetal distress/non-reassuring fetal heart rate status in cases of term pregnancy with borderline amniotic fluid index (AFI), and to study the perinatal outcome in cases of term pregnancy with borderline AFI.Methods: The study is a prospective comparative study to be conducted in patients attending antenatal clinic at department of obstetrics and gynaecology, Tirunelveli government medical college hospital from from January 2018 till January 2019 (12 months). Data collected with regards to age, demographic characteristics, and socioeconomic status, detailed history including patient’s complaints, duration of complaints, menstrual and obstetric history, significant past, family and personal history. 265 cases of borderline oligohydramnios were detected of which 150 cases were selected for the study after applying exclusion criteria.Results: APGAR scores between the two groups. The mean APGAR scores of the normal group were 8.3±0.7 and the same of the borderline AFI group was 8.0±0.9. The difference between the means was statistically highly significant (p<0.01).Conclusions: Cumulative analysis of various studies, it will be reasonable to conclude that antepartum surveillance for borderline oligohydramnios is indicated in cases associated with fetal growth restriction or suboptimal fetal growth

A Survey on Cloud based Business Intelligence and Analytics

The paper discusses the issues of impact of Business Intelligence based on Cloud computing. Cloud computing has become hot topic to research because of the benefits it can provide to the business and one of the best technological developments in restructuring the business world. Being a key component of a company?s infrastructure, both small business and large businesses are able to profitable from cloud services that offer rapid scalability to meet demand, lower labor costs, lower infrastructure, lower investments and accessibility. As more companies relocate or move their data and applications to the cloud, business itself changes dramatically. It maintains the businesses finances and time by improving collaboration, improving productivity and promoting innovation

Adoption Behaviour of ELS cotton growers in Vellore district of Tamil Nadu

The present study was taken up to analyse the adoption behaviour of ELS cotton growers in Vellore district of Tamil Nadu. The study was taken up in two blocks of Vellore district namely, Tirupattur and Kandhili blocks. The data were collected from 132 cotton growers using a well structured interview schedule and analysed.The study revealed that less than two- thirds of the respondents had medium level of adoption followed by high and low levels

A Novel VLSI Design On CSKA Of Binary Tree Adder With Compaq Area And High Throughput

Addition is one of the most basic operations performed in all computing units, including microprocessors and digital signal processors. It is also a basic unit utilized in various complicated algorithms of multiplication and division. Efficient implementation of an adder circuit usually revolves around reducing the cost to propagate the carry between successive bit positions. Multi-operand adders are important arithmetic design blocks especially in the addition of partial products of hardware multipliers. The multi-operand adders (MOAs) are widely used in the modern low-power and high-speed portable very-large-scale integration systems for image and signal processing applications such as digital filters, transforms, convolution neural network architecture. Hence, a new high-speed and area efficient adder architecture is proposed using pre-compute bitwise addition followed by carry prefix computation logic to perform the three-operand binary addition that consumes substantially less area, low power and drastically reduces the adder delay. Further, this project is enhanced by using Modified carry bypass adder to further reduce more density and latency constraints. Modified carry skip adder introduces simple and low complex carry skip logic to reduce parameters constraints. In this proposal work, designed binary tree adder (BTA) is analyzed to find the possibilities for area minimization. Based on the analysis, critical path of carry is taken into the new logic implementation and the corresponding design of CSKP are proposed for the BTA with AOI, OAI

Lightly g-closed sets in intuitionistic fuzzy topological spaces

In this paper we introduce intuitionistic fuzzy lightly $\hat{\hat{g}}$-closed sets and intuitionistic fuzzy lightly $\hat{\hat{g}}$-open sets and study some of their properties with suitable examples are given

Ciprofloxacin induced fixed drug eruption

Fixed drug eruption (FDE) is a clinical entity occurring in the same site or sites each time the drug is administered. Acute lesions appear as sharply marginated erythematous plaques, which are usually found on lips, genitalia, abdomen, and legs. The eruptions usually occur within hours of administration of the offending agent and resolves spontaneously without scarring after few weeks of onset. Most common drugs causing FDE are sulfonamides, tetracyclines, salicylates, barbiturates, doxycycline, fluconazole, clarithromycin, etc. Ciprofloxacin, a widely used fluoroquinolone antimicrobial, induces cutaneous adverse drug reactions (ADRs) in about 1-2% of treated patients. Urticaria, angioedema, maculopapular exanthems, and photosensitivity are the most frequently documented cutaneous adverse reactions. In this case report, the patient soon after taking ciprofloxacin tablets, developed itching in the lips, palms and in scrotal region. On continuing the treatment, the next day he developed fluid filled lesions over palm, knuckle, and hyperpigmentation. He gives a history of severe itching and rashes in scrotal region. He gives a history of similar complaints in the previous month after taking ciprofloxacin medication. There was no history of intake of any other medication. On examination, bullous lesions and pustules in finger webs, hyperpigmentation on knuckles, and scrotal erosions were seen. In the present case report, the patient presented with FDE immediately after oral administration of ciprofloxacin and got completely cured after stopping the drug and taking adequate treatment. According to the Naranjo’s ADR probability scale (score=8), this ADR is categorized as a “probable” reaction to the drug

ANTIMICROBIAL ACTIVITY OF PANCHACAVYA AGAINST URINARY TRACK INFECTION

Objective: The present study analyzes the antibacterial activity of the natural product. Panchagavya is a term used in Ayurveda to describe five important substances obtained from cow namely Urine, Dung, Milk, Ghee Curd and the natural product of honey. Methods: The sample used as a different concentration of agar well diffusion technique. Results: Among the natural products, honey/100 µl given the maximum zone of inhibition against Staphylococcus aureus (33 mm), Pseudomonas spp. (31 mm), followed by Klebsiella spp. (28 mm)and Escherichia coli (28 mm). The crude extract of Lactobacillussp. (buttermilk and curd) showed the considerable zone of inhibition in all the four isolates such as Pseudomonas spp. Klebsiella spp. followed by Staphylococcus aureus and Escherichia coli. There is a considerable zone of inhibition for cow dung was observed only in Staphylococcus aureus. Among the natural products honey, milk, buttermilk was effective. Conclusion: All urine samples were aseptically inoculated on Eosine Methylene Blue agar (EMB), MacConkey Agar and Blood agar and incubated

Metasone furoate induced acneiform eruption

Acne is the chronic inflammatory disease of the pilosebaceous unit, characterized by the formation of comedones, erythematous papules and pustules. Steroid induced acne is an acneiform eruption characterized by sudden onset of follicular papules and pustules shortly after starting topical or oral corticosteroid. Here, we report a case of a 25-year-old female patient who presented herself to the Dermatology out-patient department with the complaints of acne all over the face after the application of mometasone furoate ointment

Strabismus in paediatric age (3-16 year): a clinical study

Background: Strabismus is a clinical condition in which the eyes are not aligned with each other properly. The main objective of the study was to study the prevalence, aetiology and the most common type of strabismus in children between 3- 16 years of age.Methods: This was a prospective study conducted from November 2012 to October 2014 at Government regional eye hospital Visakhapatnam. A total of 50 patients included in this study. Children between 3-16 years of age presenting with squint included in this study. All children below 3years and above 16 years excluded from this study. Detailed history regarding the complaint, birth history, developmental history was taken. Patients were thoroughly evaluated for Visual acuity, both distance and near vision with naked eye as well as best corrected visual acuity. Thorough anterior segment evaluation using slit lamp, cycloplegic refraction using atropine (7 years), fundus examination was don.Results: A total of 9678 children attended GREH during the period of the study. Among them total number of children with strabismus was 59.Thus the prevalence of strabismus is 0.6%. Children in the age group of 3-10 years of age are more involved 37 (62.7%).   Exotropia was seen in 34 cases and esotropia in 24 cases. Commitant esotropia was more common, seen in 16 (27.1%) of cases. In exotropia commitant exotropia was more common, seen in 32 cases and incommitant in 2 cases and divergence excess seen in 9 cases.  History of consanguinity present in 22% of cases.Conclusions: Prevalence of squint in children in 3 - 16 years age group was 0.6%. Commitant squint was more common than incommitant squint. Among commitant squint, exotropia was more common than esotropia. More research is needed to validate the role of consanguinity in strabismus.