91 research outputs found

    STUDY OF CHEDANA KARMA IN SURGICAL PRACTICE

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    Chedana Karma is the foremost surgical procedure. It is needed to study and update the principles of Chedana Karma. Chedana is the foremost procedure adopted in surgical practice. All the Brihat-trayees have given prime importance to Chedana Karma and have explained it in various contexts. The term Chedana in Ayurvedic classical texts and the term ‘excision’ used in modern surgical textbooks are having same meaning. While exploring the surgical disorders explained under the indications of Chedana Karma and excision, many of the days are missing under the list of indications. However Sushruta while enumerating the name of the diseases and their management has given scope to the surgeons to add as well as to redesignate the disorders by using their knowledge.Objective is to study the concept of Chedana Karma in detail and evaluate its role in surgical practice. 10 different surgical excisional procedures are observed regarding their clinical features and compared with the conditions explained by Sushruta. The conditions told by Sushruta are found in varying numbers but not a single disease without them.Chedana and excision are synonymous. Features mentioned by Sushruta bear importance as they cover all the surgical diseases indicated for excision. Conditions of Apaka, Kathinya, Sthirata and Kotha explain all the possible indications for excision in any disease. The principles of Chedana Karma are studied thoroughly and comparison is done with the principles of excision by reviewing the literatures in Ayurveda as well as modern textbooks of surgery

    Numerical Optimization of a Premixer for an Internal Combustion Engine using Producer Gas as a Fuel

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    269-275Gasification seems to be one of the sustainable green energy solutions to fulfill the current and future energy needs. For efficient utilization of producer gas on existing IC Engines, carburetor/premixer needs to be carefully designed and developed to achieve uniform mixing quality. A long radius nozzle type premixer has been designed for natural gas engine to be operated on producer gas as an alternate fuel. Different configurations of T – Type premixers with single air entry and twin air entry with different throat diameters and hole sizes are numerically analysed using ANSYS® CFX. Turbulence is modelled using RNG k - ε closure model. Mixer performance is compared in terms of constituents’ mass fraction, flow Uniformity Index (UI) and pressure penalty. Numerical analysis reveals that throat diameter, air entry type and air hole diameter governs mixing and pressure drop. Out of all configurations, twin air entry type premixer provides better mixing of producer gas and air. The optimized design of premixer shows that the absolute deviation in mass fraction of individual constituent lies in the range of ± 1.73% with respect to the actual mass fractions obtained. The average absolute deviation calculated is 1.37% with Uniformity Index 0.958 at the exit plane while the pressure drop across the premixer is 951 Pa

    Evaluating the Impact of Various Seed Priming Agents (SPAs) on Germination and Development Parameters of Okra (Abelmoschus esculentus L. Moench)

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    The present study has been conducted to study the effect of various primer treatments i.e., PEG (5%), PEG (10%), NaCl (2%), KCl (2%), CuSO4•5H2O (2%), NaOH (2%) and control on germination and growth of two okra (Abelmoschus esculentus) varieties (var. Arka Anamika and Clemson). Growth parameters were measured at 10, 20, and 30 DAS, while germination parameters were recorded over a period of seven days. Compared to Arka Anamika, Clemson showed better germination and growth metrics, which also showed significant differences in seed priming treatments. The use of different concentrations of PEG solution for seed priming proved to be particularly effective as evidenced by the highest germination percentage (79%), speed (95.95%), energy (76%), and Vigor index (2037.94 cm). Growth parameters also showed significant differences with these treatments. Similarly, seed priming with 2% NaOH and 2% CuSO4•5H2O had the lowest results for growth and germination metrics. The results highlight how priming can significantly improve the germination and growth of okra seedlings; the Clemson and PEG solution treatments stand out as particularly successful techniques. This highlights the potential for improved okra production through the use of these priming methods

    A First-Generation Multi-Functional Cytokine for Simultaneous Optical Tracking and Tumor Therapy

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    Creating new molecules that simultaneously enhance tumor cell killing and permit diagnostic tracking is vital to overcoming the limitations rendering current therapeutic regimens for terminal cancers ineffective. Accordingly, we investigated the efficacy of an innovative new multi-functional targeted anti-cancer molecule, SM7L, using models of the lethal brain tumor Glioblastoma multiforme (GBM). Designed using predictive computer modeling, SM7L incorporates the therapeutic activity of the promising anti-tumor cytokine MDA-7/IL-24, an enhanced secretory domain, and diagnostic domain for non-invasive tracking. In vitro assays revealed the diagnostic domain of SM7L produced robust photon emission, while the therapeutic domain showed marked anti-tumor efficacy and significant modulation of p38MAPK and ERK pathways. In vivo, the unique multi-functional nature of SM7L allowed simultaneous real-time monitoring of both SM7L delivery and anti-tumor efficacy. Utilizing engineered stem cells as novel delivery vehicles for SM7L therapy (SC-SM7L), we demonstrate that SC-SM7L significantly improved pharmacokinetics and attenuated progression of established peripheral and intracranial human GBM xenografts. Furthermore, SC-SM7L anti-tumor efficacy was augmented in vitro and in vivo by concurrent activation of caspase-mediated apoptosis induced by adjuvant SC-mediated S-TRAIL delivery. Collectively, these studies define a promising new approach to treating highly aggressive cancers, including GBM, using the optimized therapeutic molecule SM7L

    The Use of Preoperative Prophylactic Systemic Antibiotics for the Prevention of Endopthalmitis in Open Globe Injuries:A Meta-Analysis

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    Topic:This study reports the effect of systemic prophylactic antibiotics (and their route) on the risk of endophthalmitis after open globe injury. Clinical relevance:Endophthalmitis is a major complication of open globe injury, it can lead to rapid sight loss in the affected eye. The administration of systemic antibiotic prophylaxis is common practice in some health care systems, although there is no consensus on their use. PubMed, CENTRAL, Web of Science, CINAHL and Embase were searched. This was completed 6th July 2021 and updated 10th Dec 2022. We included randomised and non-randomised prospective studies which reported the rate of post-open globe injury endophthalmitis, when systemic pre-operative antibiotic prophylaxis (via the oral or intravenous route) was given. The Cochrane Risk of Bias tool and ROBINS-I tool were used for assessing the risk of bias. Where meta-analysis was performed results were reported as odds ratio. PROSPERO registration: CRD42021271271. Three studies were included. One prospective observational study compared outcomes of patients who had received systemic or no systemic pre-operative antibiotics. The endophthalmitis rates reported were 3.75% and 4.91% in the systemic and no systemic pre-operative antibiotics groups, a non-significant difference (p = 0.68). Two randomised controlled trials were included (1,555 patients). The rates of endophthalmitis were 17 events in 751 patients (2.26%) and 17 events in 804 patients (2.11%) in the oral antibiotics and intravenous (+/- oral) antibiotics groups, respectively. Meta-analysis demonstrated no significant differences between groups (OR 1.07 [95% confidence interval 0.54 – 2.12]). The incidences of endophthalmitis after open globe injury were low with and without systemic antibiotic prophylaxis, although high risk cases were excluded in the included studies. When antibiotic prophylaxis is considered, there is moderate evidence that oral antibiotic administration is non-inferior to intravenous
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