Volume 3, Issue 9

Posted on , by Savi Goyal

Volume 3, Issue 9

September, 2018

Case Study

1. Arterial Ischemic Stroke due to deficient Protein C and MTHFR 1298 mutation with implications of diazoxide use in a Neonate with refractory hypoglycemia

Stroke in neonates as compared to adults has complex and multifactorial etiology. We present a case of Neonatal Arterial Ischemic Stroke diagnosed on Diffusion-weighted MRI. Laboratory finding was suggestive of Protein C deficiency with mutant heterozygous sequence observed in 1298 position of MTHFR gene. Oral aspirin and folic acid were started. The baby was discharged on full feeds with subsequent follow-up visits advised for routine and neurological assessment. In this neonate, the combined effect of both Protein C deficiency and Heterozygous MTHFR 1298 gene mutation posed a risk of developing NAIS. And, also the use of diazoxide for refractory hypoglycaemia in this neonate may have potentiated the risk of thrombus formation and hence a stroke.

Published by: Dr. Harjot Bajaj, Dr. Saroja Balan, Vineet Bhushan Gupta, Vidya GuptaResearch Area: Neonatal

Organisation: Indraprastha Apollo Hospital, New Delhi, DelhiKeywords: NAIS- Neonatal Arterial Ischemic Stroke, PAIS- Perinatal Arterial Ischemic Stroke

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Research Paper

2. A study of Venous Thromboembolism in acutely ill medical patients admitted in tertiary care hospital

Background Each year millions of patients experience venous thromboembolic events. Due to significant morbidity and mortality associated with venous thromboembolism (VTE), prevention is critical. Deep Vein Thrombosis (DVT) is an unfortunate and potentially life-threatening condition as it can lead to fatal pulmonary thromboembolism (PTE). The objective we tried to determine the frequency of VTE in acutely ill medical patients admitted to a tertiary care hospital. The role of VTE prophylaxis, in the outcome of the acutely ill medical patient, admitted to the same hospital and to evaluate the safety profile of LMWH (Enoxaparin) administered for a period of 07-14 days or more if clinically indicated. Design and Participants. This study was conducted at the tertiary care hospital during the period 1 Jun 2017 to 30 Jun 2018. The study included 314 consecutive patients. These patients were admitted for acute medical illness were given thromboprophylaxis for 7-14 days or more. Key results Out of 314 patients who underwent thromboprophylaxis in our study, the frequency of VTE in patients of acute medical illness was 1.27 % in the prospective arm (thromboprophylaxis group) and sub-group analysis revealed higher frequency VTE in patients suffering from Acute Infection (Sepsis) as compared to various other co-morbid medical conditions. The frequency of VTE in patients of acute medical illness in the retrospective group of patients in whom thromboprophylaxis was not given was 3.5 % (p-value= 0.018). Conclusion Thromboprophylaxis with LMWH (Enoxaparin) for acutely ill medical illnesses was safe and effective. Thromboprophylaxis with LMWH (Enoxaparin) had significantly reduced the frequency of VTE in patients suffering from acute medical illness.

Published by: Munish Sharma, Anupam PanditResearch Area: Medicine

Organisation: Command Hospital, Kolkata, West BengalKeywords: Critical care, Deep vein thrombosis, Thromboprophylaxis

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Research Paper

3. A comparative cross-sectional study on the level of empathy between the freshmen to senior undergraduate student nurses

Appropriate communication is one of the important aspects of the nursing profession and it is a most challenging task. Among the therapeutic communication techniques, empathy plays a major role that helps nurses to understand and provide care to the client. Empathy is the capacity to understand or feel what another person experiencing from within their frame of reference that is the capacity to place oneself in another’s position. The study design adopted was a comparative cross-sectional design. Total Eighty students were enrolled 20 each from the freshmen to Senior undergraduate student nurses participated in the study. Tools used were Demographic data and Jefferson Scale of Empathy. Majority of the student nurses posses above the average level of empathy. High level of Empathy was found high in the sophomore. The average level of empathy was majorly noted among the Freshmen and 1 of the Senior students only. The comparison between the Freshmen to Senior students showed that overall the sophomores (second year) were possessing a high level of empathy. Comparatively, Seniors (Fourth year) students have lower empathy than the Sophomore and the juniors but higher than the Freshman. Whereas, the Freshmen’s were found to have lower empathy than the other three group of students. In the present scenario empathy is an essential skill expected of all the nurses. Improving the empathetical attitude and skills is very much necessary.

Published by: N. T. Aruna Devi, Anju Annie Eapen, L. S. S. ManickamResearch Area: Nursing

Organisation: JSS Academy of Higher Education & Research, Mysuru, KarnatakaKeywords: Empathy, Jefferson scale of empathy, Undergraduate student nurses

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Research Paper

4. A study to assess the effectiveness of Buerger Allen exercise on lower extremity perfusion among patients with type 2 diabetes mellitus in Saveetha Medical College and Hospital in Chennai

Diabetes mellitus is a metabolic disorder that is characterized by an increased level of glucose in the blood resulting from defects in insulin secretion, insulin action or both. Diabetes mellitus has increased the risk of peripheral vascular diseases by causing endothelial and smooth muscle cell dysfunction in peripheral arteries. The risk of developing lower extremity peripheral vascular disease is proportional to the severity and duration of diabetes. Most of the complications are preventable. It requires a lifelong commitment to staying healthy, maintaining weight, exercising, taking medications, as prescribed by the doctor. The research approach was the quantitative approach. The true experimental research design was used.60 samples were selected using non-probability purposive sampling technique.30 patients in the experimental group and 30 patients in the control group. Pre-test used to assess the demographic variable and Angle Brachial Index scale for both groups. After the intervention, the post-test was done on the sixth day by using the same scale. The data were analyzed using mean and standard deviation for descriptive statistics and chi-square was used for inferential statistics. And paired t-test was done.

Published by: Bhuvaneshwari S, Tamilselvi SResearch Area: Clinical

Organisation: Saveetha College of Nursing, SIMATS, Thandalam, ChennaiKeywords: Diabetes mellitus, Metabolic disorder, Effectiveness of Buerger Allen Exercise, Diabetes mellitus

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Others

5. Shades of mind

To know the personalities of the people around us so that we can be connected to good relationships which are very crucial to our happiness. DOPE is a self-assessment tool that enables a person to identify his unique and distinctive traits that clarify his personality and innermost being. Knowing the personality style of those around us helps us to partner better with them because we can see how they have a different perspective, strategy, and preference than us.

Published by: Dr. Gayathri B JResearch Area: Management

Organisation: Shree Devi Institute of Technology, Kenjar, KarnatakaKeywords: Personality type, DOPE, Dove, Owl, Peacock, Eagle

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Review Paper

6. The academic stress and adjustment for gender difference in adolescence, a case study of CBSE schools in urban and rural area of Manipur

An article in this paper is made to review the literature on the academic stress and adjustment on gender difference of adolescence students. The review points out about the stress and its coping techniques ( adjustment), its causal factor of stress like disturbed family, peer pressure, drug abuse, competition, inadequate studies and the problem related to stress academically of gender differences The academic stress is the most affected stress among the students of post-adolescents. The academic stress leads to weak academic performance and weak in mental health due to academic stress. The necessary to cope up with the stress in adolescents became mandatory to save the future of every nation. The objective of the study, is to study the causal factor of stress among the adolescence student of gender wise male and female, to study the impact of stress on the academic performance and mental health of the adolescents students of gender difference, to study the coping techniques of adjustment among the adolescent students of gender difference and to analyse the level of stress and adjustment experienced by adolescents male and female studying in the CBSE schools. Thus, in order to adjust with the stress various adjustment techniques should be given to students as well as parents, social support and motivation should adopt for the welfare of future pillar of every nation.

Published by: Kshetrimayum Sajina DeviResearch Area: Education

Organisation: Jayoti Vidyapeeth Women’s University, Jaipur, RajasthanKeywords: Academic stress, Adjustment, Adolescence, Gender difference, Students

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Research Paper

7. Strengthening and drainage of flexible pavements

Pavement should be strong enough to resist the external stresses and to distribute the external load and transfer the load through different layers to subgrade and the drainage system of roads should be good enough to discharge the rainwater as quickly as possible. The study highlights the need for strengthening of pavement and ways to improve the drainage system for the road pavement of Raipurrani to Naraingarh which is a part of state highway (SH-01) in Haryana state. This study also includes the collection of required field data like existing pavement structure, traffic data, pavement surface condition and rebound deflection by using Benkelman Beam Deflection (BBD) technique and finally on the basis of data analysis design for overlay has been discussed for the pavement. It also includes the drainage condition of the road length and need for improvement in the drainage system for a particular flexible pavement. The surface drainage system is discussed in this study, as it includes the interception and disposal of runoff water from the surface as well as subgrade.

Published by: Sachin Raina, Dr. Rakesh GuptaResearch Area: Haryana

Organisation: Shree Ram Mulkh Institute of Engineering and Technology, Panchkula, HaryanaKeywords: Overlay, Strengthening, Drainage, Rebound deflection

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Research Paper

8. Drug utilization study in patients with acute respiratory tract infections at a tertiary care hospital in Bhimavaram, India

Our study was aimed to focus on the trends in the drug utilization in acute respiratory tract infections and also to analyze the current prescription patterns of drugs used in the treatment of acute respiratory tract infections. A prospective observational study conducted in both in-patient and out-patient department of tertiary care hospitals. The institutional ethical committee of Shri Vishnu College of Pharmacy authorized this observational study. After obtaining verbal consent, patient demographics and drugs prescribed data were collected and analyzed. Along with this interaction with the patient was also done whenever required. Data obtained was analyzed using Sigma Graphed prism and Microsoft excel. A total of 150 patients were observed in our study. Of which, males were 54.6% and females were 45.4%. When the patients were classified according to age, children contributed for 4%, adolescents were 15.3, adults were 69.3%, elderly were 11.3% of the total population. Drug utilization of antibiotics can be observed by determining the PDD values of those drugs. PDD is greater than DDD for drugs Levofloxacin, Ofloxacin, Cefpodoximeproxetil, Linezolid. PDD is less than DDD for drugs Amoxicillin and Azithromycin. PDD is equal to DDD for drugs Moxifloxacin, Ciprofloxacin and Cefixime. Drug consumption value is determined by DDD/1000 inhabitants/day value. The value of DDD/1000 inhabitants/day is high (0.805) for Levofloxacin, followed by Cefpodoximeproxetil (0.177) and is low for Ofloxacin (0.007). In this project, we observed how the drugs are utilized by the physician. Antibiotics are most commonly prescribed for these ARTI’s. Symptomatic relief is preferred in these patients by prescribing antihistamines, antipyretics and analgesics, bronchodilators, Cold and Cough combinations. From this study, it is evident that antibiotics were commonly prescribed in the patients of URTI and is a matter of concern. The highest value of 0.805 DDD/1000 inhabitants/day was accounted for Levofloxacin indicating that it was the popular drug of choice as a broad spectrum antibiotic, followed by Cefpodoximeproxetil with the value of 0.177 DDD/1000 inhabitants /day. Most commonly used antibiotic was Levofloxacin followed by Cefpodoximeproxetil. Prescribing by generic names has to be encouraged.

Published by: Gogineni Vinutna, Mallela Babji, Reshma Namburi, Raj KumariResearch Area: Pharmacy

Organisation: Hillside College of Pharmacy, Bengaluru, KarnatakaKeywords: Drug utilization review, Respiratory tract infections, Prescribed daily dose, Defined daily dose, Antibiotics

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Research Paper

9. Economic and feasibility studies using an optimal control approach for enhanced oil recovery investment project

Current harsh economic conditions, scarcity of natural resources and high market competition causes the emphasis on performing at higher efficiency rates. A feasibility study is a tool for investigating the viability of the prospective projects. This paper proposes an optimal control approach for enhanced oil recovery investment project, to maximize the profit using the net present value (NPV) method. The present work discusses the operational, economic and financial feasibility studies used to assess the overall viability for the prospective project. The model is applied to a project being conducted by Egyptian petroleum research institute (EPRI) and the academy for scientific research and technology (ASRT). The total project budget is 20 million L.E. The costs are shared equally by EPRI and ASRT. The project financier is ASRT. The results shown that the proposed approach is accurate and given exact solutions.

Published by: H. M. Zaher, A. M. Al-Sabagh, M. A. Abo ShadyResearch Area: Engineering, Optimization

Organisation: Institute of Statistical Studies and Research, Giza, EgyptKeywords: Feasibility studies, NPV, Enhanced oil recovery, Semi-pilot, Steam-flooding, Optimal control, Closed loop optimal control, Petroleum, Gas projects

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Case Study

10. The role of transportation for the development of tourist places in India – A reality check

The Role of Tourism for Development of India, which has always been the dream destination for people who want to explore one of the earliest civilizations in the world. Tourism involves two elements that are, the journey to the destination and the stay. Various types of tourism are also explained along with the famous destinations. In this paper, the growth in the transportation system of India is also compared.

Published by: Bhadragiriyaiah K. C.Research Area: Humanities

Organisation: Government Women's First Grade College, Mysuru, KarnatakaKeywords: Meaning, History, Types, Role of tourism today and tomorrow

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Research Paper

11. Simulation of Campus Area Network using routing protocols

Campus Area Network is an interconnection of LANs in a limited geographical area serving a corporation, universities, or government agency. A routing protocol is to determine the choice of the best route from source to ultimate destination. IPv4 static and Default route, OSPF, RIP, and EIGRP are used from source to destination to transfer IP packets.

Published by: Daw Khin Aye ThuResearch Area: Computer Networking

Organisation: University of Computer Studies, Hinthada, MyanmarKeywords: IPv4 static and Default route, OSPF, RIP, EIGRP

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Research Paper

12. Solid waste management practices in PCMC and PMC area

Solid waste management has become a major development challenge in recent times. This deserves not only the attention of the Metropolitan Assembly and the waste management institutions but also concerns of corporate organizations and individuals to find a lasting solution to the problem. This is because, vital human resource could be lost through poor waste management and this will affect productivity in the Metropolis. The study therefore intends to explore appropriate strategies and recommendations in clearing solid waste in all segments in the Metropolis in a sustainable manner. Despite the immensity of the problem, very little research on solid waste management has been carried out in the Metropolis. The study will serve as a reference point to the Metropolitan Assembly and waste management institutions as far as solid waste management is concerned. In this case, it will give them an in-depth understanding of what the problems of solid waste management are and the strategies to tackle the problems. Additionally, the study will contribute to existing body of knowledge on solid waste management and also stimulates further research on the subject in other Metropolitan Areas.

Published by: Dr. Varsha Hemant BorgaonkarResearch Area: Environment And Management

Organisation: Manghanmal Udharam College of Commerce, Pimpri-Pune, MaharahtraKeywords: Solid waste management, Components of solid waste generated, Management practices

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Research Paper

13. Kashmir insurgency: It's changing trends

Separatism has always been a popular concept in the state of Jammu and Kashmir, especially in Kashmir. This discontentment among Muslims of the valley in particular (mainly those who were against the accession with India) could never be won over or even accommodated by the ruling people and has resulted in the revelation of militancy and insurgency. The paper is an analysis of the discontents among the people of Jammu and Kashmir. It will throw light on the blatant manipulation of the electoral process in 1987 that led Kashmiris to believe that they would remain permanently marginalized in the current political dispensation. They were led to feel that ‘the bullets will deliver when the ballot had failed’. The main thrust of the paper is to analyze the Kashmiri rebellion that began as a call for ‘Azadi’ or freedom in 1989 and was transformed into different trends in the succeeding years. This paper looks into the various reasons which could be identified for the proliferation of armed insurgency. It analyses the dominant militant groups like Hizbul Mujahideen, JKLF, Ikhwan or renegades, Jihadies and Fidayeen groups; the Lashkar-e-Toiba and Jaish-e-Mohammad; their organizational structures; support bases; strategies and objectives. The paper will also through light on popular disillusionment with increasing militancy and growing crime tendencies among proliferating armed groups. Finally, the paper also critiques the response of various governments at the center and the state.

Published by: Manzoor Ahmad ReshiResearch Area: Jammu and Kashmir

Organisation: University of Kashmir, Srinagar, Jammu and KashmirKeywords: India, Pakistan, Kashmir, Insurgency, Discontent, Separatism, Resentment, Alienation, Plebiscite front, Accord

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Others

14. Compressive and tensile behaviors of steel fiber reinforced concrete

Steel Fiber Reinforced Concrete (SFRC) is a concrete mixture containing discontinuous, discrete steel fibers that are randomly dispersed and uniformly distributed. The quality and quantity of steel fibers influence the mechanical properties of concrete. It is in general accepted that the addition of steel fibers significantly increases tensile toughness and ductility, also slightly enhances the compressive strength. The benefits of using steel fibers become apparent after concrete cracking because the tensile stress is then redistributed to fibers. The objective of this study is to investigate the compressive and tensile behavior of steel fibers in reinforced concrete by conducting an experimental program consisting of load testing on various specimens made from conventional concrete (CC) and steel fiber reinforced concrete (SFRC). Test series consisted of cylindrical compression (100×200 and 150×300 mm) and prismatic modulus of rupture (150×150×600 mm) specimens. Tensile tests on reinforcing bars surrounded by prismatic concrete specimens were also performed. The variables used in these tests were lengths (500, 1000, and 1500 mm) and cross-sectional dimensions (60×60, 100×100,150×150, 200×200 mm) of the prismatic concrete specimens around a reinforcing bar.

Published by: Alfadhil Abdussalam, Mohamed MashriResearch Area: Civil Engineering

Organisation: College of Technical Sciences, Bani Walid, LibyaKeywords: Steel Fiber Reinforced Concrete (SFRC), Compressive and tensile behavior

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