The Use of Effective Risk Management in Cloud Computing Projects

Project management is one of the most important procedures that promote delivery of services. Examples of such projects include cloud computing projects. Despite the potential benefits associated with cloud computing projects, there are a number of security risks that when not properly managed, can always lead into the organization suffering major loses. In the adoption of cloud computing systems, project managers should have secure and well-configured platforms to reduce and control risks associated with cloud computing systems. There is a need for adopting the best risk management tools, techniques, and operations to achieve the desired results in the process of adopting cloud computing systems in project management. Risk management main elements include establishing the context, analysing the risks as well as evaluating and monitoring the risks and the communicating such risks to various stakeholders. There is need for integrated risks management to provide proper management, flexible planning as well as recovery plans in case of problems. The top management should always quantify the risks involved and evaluate its major effects on the firm business operations and activities. The present paper aims to achieve its primary objective and purpose by providing a comprehensive review of previous literature related to the use of effective risk management in cloud computing projects. The paper specifically looks at the use of effective risk management in cloud computing projects

A study assessing the knowledge, attitude, and practice of materiovigilance among medical professionals in the states of Tamil Nadu and Andhra Pradesh, India

Background: Medical devices are vital for healthcare diagnosis and treatment but pose inherent risks. Physicians and healthcare professionals play a crucial role in reporting adverse events associated with these devices. Despite this, there is a notable scarcity of literature addressing the knowledge, attitudes, and practices surrounding India's Materiovigilance (Mv) Program. This study aimed to evaluate the knowledge, attitudes, and practices of doctors and postgraduate residents in Andhra Pradesh and Tamil Nadu regarding the Materiovigilance program of India (MvPI). Methods: It was conducted as an observational, cross-sectional study, a structured self-administered Google Form survey was distributed among medical professionals and citizens of Andhra Pradesh and Tamil Nadu. The survey, comprising 22 questions on knowledge, attitudes, and Mv practices, was disseminated via various social networking sites. Results: Out of 700 doctors and postgraduate residents surveyed, 496 responded, yielding a response rate of 70.8%. The majority (96.8%) acknowledged the potential for adverse events from medical devices, with 91.1% agreeing on healthcare professionals' responsibility to report such events. Despite experiencing medical device-related adverse events in practice (63.3% of respondents), only a small fraction (12.1%) reported them, although 93.5% expressed willingness to report. Conclusions: The study underscores a knowledge gap among physicians and residents regarding MvPI in India, highlighting the necessity for educational interventions. To address this gap, MvPI coordinators should organize conferences and seminars aimed at enhancing awareness and reporting practices among healthcare professionals

Role of diagnostic laparoscopy in the management of female infertility

Background: With recent improvements in the assisted reproductive technology (ART), there has been a growing tendency that bypasses diagnostic laparoscopy and proceeds directly to ART. Therefore, the value of diagnostic laparoscopy in current fertility practice is under debate. The objective of this study was to study role of diagnostic laparoscopy in the management of unexplained infertility.Methods: 50 case of primary or secondary infertility with unknown etiology that underwent diagnostic laparoscopy in a tertiary care institute. Diagnostic laparoscopy was offered as a final option for patients with normal diagnostic workup for infertility like semen analysis, ovulation testing, ultrasound examination, hysterosalpingogram, and testing for ovarian reserve. Outcomes in terms of cause detected and immediate laparoscopic management done which is helpful in improving fertility.Results: Out of 50 cases studied, in 27 cases we found most probable cause of infertility and in remaining 23 cases we did not found any cause of infertility. Of the 27 cases, 11 cases had endometriosis, 5 cases had multiple pelvic adhesions, 5 cases of bulky cystic ovaries, 3 cases had combined endometriosis with pelvic adhesions and 2 cases had bilateral tubal blockade contrary to hysterosalpingographic findings, 1 case showed combination of cystic ovaries with pelvic adhesions. Intraoperative adhesiolysis, endometriosis ablation, and ovarian drilling were done in respective cases.Conclusions: We concluded that Laparoscopy has important role in the diagnosis and treatment of unexplained infertility. It also helps in Prediction and improvement of success rate of assisted reproductive technologies like IUI and IVF

Comparison of Anterior and Posterior Approches for Internal Jugular Vein Cannulation

ABSTRACT Central venous cannulation is a vital intervention in the critically ill and in patients undergoing elective and emergency surgeries. Success depends on proper choice of insertion site. Internal jugular vein has a valveless course to superior vene cava, possibility of repeated cannulation and low incidence of complications. Knowledge of various approaches for Internal jugular vein cannulation is imperative. AIM OF THE STUDY The aim of the study is Comparison of the Anterior and Posterior approaches for internal jugular vein cannulation, in terms of 1. No. of attempts, 2. Duration of cannulation, 3. Ease of insertion and, 4. Complications of each route. MATERIALS AND METHODS: It was a prospective randomised study. 60 patients of similar age group, weight and equal sex distribution were randomly classified into two groups. IJV cannulation was done by anterior approach in Group A and by posterior approach in Group P. The following parameters were compared - number of attempts, time for identification of vein, duration for cannulation, ease of threading, carotid puncture, haematoma, pneumothorax, hemothorax , catheter kinking, catheter displacement, thrombophlebitis and limitation of neck movements. A similar analysis was made in the pbose patients. STATISTICAL ANALYSIS: A sample size of 30 per group was decided during the pilot study.Randomisation of subjects to the two groups was done by using sealed envelopes. Data was expressed as mean ± SD. Quantitative analysis was compared with independent sample student’s t-test.Qualitative analysis was compared with chi-square test.When using these tests to compare mean among two groups,p-value of less than 0.05 was taken as significant.All analyses were done using SPSS version 11.5 statistical software.All values were rounded off to a maximum of two decimals. RESULTS: All the patients were comparable in terms of age, gender and body mass index. The number of attempts, time for identifying the vein and duration of cannulation was lessere in the posterior approach. The rate of carotid puncture, haematoma, pneumothorax, catheter kinking, displacement, thrombophlebitis and limitation of neck movements was less with the posterior approach. CONCLUSION: In conclusion, the posterior approach is better than the anterior approach for Internal jugular vein cannulation as it improves the success rate, permits easy threading of catheter, reduces the access time and duration of cannulation.It reduces the complications like carotid puncture, haematoma, pneumothorax, catheter kinking, catheter displacement,thrombophlebitis and limitation of neck movements.It permits easier access,improves the success rate and reduces the complications in obese patients

Antibiotic resistance pattern in patients with urinary tract infection: an observational study

Background: Urinary tract infection (UTI) is one of the most common diseases caused by bacteria in communities and hospital settings. With the irrational prescription of antibiotics and their misuse leads to constant increase in resistance. This study aims to evaluate the spectrum and antibiotic resistance pattern of uropathogens and to provide a basis for appropriate antimicrobial therapy in patients with UTI.Methods: A retrospective observational study was carried out for a period of 6 months from April 2018 to September 2018 at general hospital Kakinada. Data of 282 positive urine culture reports and their antibiotic susceptibility test results were collected from the records of the Microbiology department and were analyzed and depicted in percentages. Sample processing, identification of organisms, and pattern of antimicrobial sensitivity were carried out as per the Clinical and Laboratory Standards Institute guidelines.Results: Out of 282 positive reports, Escherichia coli was the most common isolated uropathogen with a total of 148 (52.4%) followed by Klebsiella 72 (26%), 20 (7.9%) each of Citrobacter and pseudomonas aeruginosa. E. coli were resistant to nalidixic acid (59.5%), cotrimoxazole (58.1%), ciprofloxacin (54%) amoxyclav (52.7%), ampicilin (45.9%), cefatoxime (37.8%), cefaperazone and salbactum (25.3%). Klebsiella were resistant to amoxyclav (77.7%), cotrimazole (50%), nalidixic acid (41.6%), ampicilin (44.4%), cefatoxime (27.7%), ciprofloxacin (25%). E. coli and Klebsiella were highly susceptible to nitrofurantoin, cefaperazone and salbactum, piperacillin and tazobactum, amikacin, imipenem, gentamicin.Conclusions: The majority of the isolated bacteria were resistant to many antibiotics commonly used in clinical practices. So prior culture reports and institutional antibiograms are necessary for prescribing antibiotics rationally

Automation for calibrating a precision current source by Ohm’s law method

We present the design of a program developed in LabVIEW for automating the calibration of a precision current source by the Ohm’s law method. The program in addition to automating the instrument setup and measurement performs uncertainty computations in accordance with guide to the expression of uncertainty in measurement (GUM) and produces the calibration report and saves a record of the calibration process with all relevant information. The program has been tested for calibrating Keithley 6430 remote source meter in the current range of 1nA to 100 mA. While there are several benefits from the automation, but the most significant one is the achievement of low uncertainties in calibrating the current source