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Clinical Profile And Management Of Multiple Urolithiasis

ABSTRACT Background: Stone in the urinary tract has been challenge to human being since the dawn of the history. Research over years has shown that the incdence of bladder calculi has reduced and incidence of upper urinary tract calculi has gone up slowly. With developments in different radilogical modalities, the diagnosis of calculus disease has become more accurate and the better understanding of physiochemical principles underlying the stone disease , chemical composition of urinary calculi with advent of medical therapy have shown rays of hopes to the scientists for prevention of stone diseases. Method: The present series is a study of 48 patients admitted with urinary calculi in Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe during the period of two years (August 2008- July 2010). Results:In this it was observed that urinary calculi were most commonly seen in age groups from 21-30 years (19 cases) 39.50% and 31-40 years (13 cases) 27.33%, respectively followed by age groups from 41-50 years (5 cases) having incidence of 10.34%, with incidence of ureteric calculi was more i.e. 54 calculi as against renal calculi i.e. 38 calculi; bladder calculi i.e. 07 calculi and urethral calculi i.e. 03 calculi. It was observed that urinary calculi were more common in patients having mixed diet (66.7%) as compared to vegetarian diet (33.33%) and were more common in patients having milk (95.8%) in their diet as compared to patients not having milk (4.2%) in their diet. Blood urea levels were raised in 04 cases (8.33%) suggestive of altered renal functions. Serum creatinine was done in selected cases whenever indicated. 3 cases show the deranged creatinine. Urinary pH was acidic in 44 out of 48 cases i.e. 91.66% as against neutral and alkaline pH in 2 and 2 cases i.e. 4.16% and 4.16%, respectively. Urinary infection was present in 22 out of 48 cases i.e. 45.83% cases. Bacteria were present in 20 cases i.e. 41.66% cases. Microscopic Hematuria was present in 26 cases i.e. 47.91% cases. Albumin was present in 28 cases i.e. 58.33% cases. Crystals were detected in urine in 21 cases, out of which 18 were made up of calcium oxalate (37.5%), 1 were made up of triple phosphate (2.08%) and 2 were made up of uric acid (4.16%). Plain X Ray KUB could detect 96 urinary calculus out of 102 (i.e. 94.11% calculus identified). Hydrotherapy was done in 2 cases of ureteric calculi. Both Patients passed calculus in the ward 48-72 hours after starting hydrotherapy. Nephrectomy was done in 1 case of non- functioning kidney. Nephrolithotomy was done for 5 calculi. Extended pyelolithotomy was done for 5 calculi. Pyelolithotomy was done for 27 calculi.All cases were treated with antibiotics, daily-dressings and secondary suturing. Urinary leak occurred in 1 case. That case was treated conservatively. The urinary leak stopped with conservative management. One patient had secondary hemorrhage. The patient was treated conservatively. Follow-up Out of 48 cases, 35 cases came for follow-up in Out Patient Department. Thus, follow-up rate was 72.91%. Conclusion: Despite of limited resources and lack of recent techniques of ESWL, PCNL and Endourology multiple Urolithiais can be managed at rural setups

Published by: Dr. Pratik Hire, Dr. Suryapratap Singh Tomar, Dr. Kiran Kher

Author: Dr. Pratik Hire

Paper ID: V3I2-1322

Paper Status: published

Published: March 26, 2017

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A Survey on Partition Based Parallel Data Mining Algorithms for Clustering

Volumes of data are exploding in both scientific and commercial domains. Data mining techniques that extract information from the huge amount of data have become popular in many applications. Algorithms are designed to analyze those volumes of data automatically inefficient ways so that users can grasp the intrinsic knowledge latent in the data. Clustering is important in data analysis and data mining applications. Clustering is a division of data into a group of similar objects. Each group called a cluster consists of objects that are similar between themselves and dissimilar between comparing to objects of other groups. This paper is aimed to study of all the parallel data mining algorithms based on partition.

Published by: Monika Aal

Author: Monika Aal

Paper ID: V3I2-1317

Paper Status: published

Published: March 25, 2017

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Epidemic Disease Detection and Forecasting: A Survey

The objective of this paper is to present a precise methodology to project and forecast the spread behaviors of epidemic diseases well before they occur. With numerous cases of widespread outbreaks of epidemics being reported in densely populated areas, these methodologies can help restrict the outbreak only to a small confined area. This would ensure that a better coping mechanism is provided to study the spread of infectious diseases and adequate control mechanisms are provided to reduce casualties in the form of human death. Through the course of this paper, we hope to develop a well-defined prediction methodology that can predict the likeliness of an individual being affected by a particular epidemic through assessing of early symptoms.

Published by: Siddharth Satish, Smitha G. R

Author: Siddharth Satish

Paper ID: V3I2-1315

Paper Status: published

Published: March 25, 2017

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Extraction, Characterization and Utilization of Different Plant Pigments as PH Indicators in Titrimetric Analysis

Plant pigments are an alternative source for synthetic dyes which are generally toxic and costlier. Various plant parts contain different color pigments chemically either anthocyanins, xanthophylls, carotenoids etc. This chemical diversity exhibits different color reactions depends upon pH of the solution. In the present research work, an attempt has been made to understand the sensitivity of color solutions to acidic and alkaline environment and make use of such color reactions for titrimetric analysis. In present research work, we have selected carrot, Beetroots, watermelon, sweet almond fruits, red sandal bark, hibiscus, lantana and calendula flowers, pomegranate seeds. The fresh parts of all the selected plants were collected in their flowering seasons from the nearby area of Kolhapur and 5g each was macerated with ethanol: water (70:30) for 24h shaking frequently. The filtrate was evaporated to dryness at low temp (450C) and the residue obtained was subjected to pH sensitivity test of 1% w/v solutions at normal temp using digital pH meter. The different strength solutions of each plant extracts were tested for acid-base titrations as indicators along with commercial synthetic indicators. From the results, it was confirmed that watermelon, red sandal bark, pomegranate seeds show sharp end points in comparison with synthetic dyes. From the data obtained it is confirmed that natural plant pigments can serve as alternative indicators for various acid-base titrations at laboratory scale and is possible to develop pH indicator papers which are non-toxic, economical and biodegradable compare to synthetic dyes.

Published by: Trupti S. Ghatage, Suresh G. Killedar, Mayuri A. Hajare, Mrunalini M. Joshi

Author: Trupti S. Ghatage

Paper ID: V3I2-1314

Paper Status: published

Published: March 25, 2017

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Performance of Hydroxy Gas on Diesel Engine

Limited reserves of petroleum products are turning to be a major problem in developing countries. Hydroxy gas can be a solution for this problem when enriched with Air & Diesel. Hydrogen's physical and chemical properties make it a good candidate for a supplement fuel. At normal atmospheric conditions, hydrogen is a colorless and odorless gas. It is stable and coexists harmlessly with free oxygen until an input of energy drives the exothermic (heat releasing) reaction that forms water. The cell plates have an anode and a cathode. The electric current enters the anode and then passes to the cathode through the electrolyte. The anode and cathode are made of the same materials. The quantity of HHO should be 50% of total air intake .it must be continuous in nature with higher safety precaution by carrying out all respective tests. Current supply should be adequate to generate a required quantity of HHO. When the hydroxy gas is enriched with air in a diesel engine, the thermal efficiency for compression ratio 18 increases by 13.28% comparing to diesel combustion and the specific fuel consumption is reduced by 8.7% at full load condition.

Published by: Rahul R. Shitole, Sourabh S. Magdum, Nikhil S. Raut, Sanket Mane, P. B Borade

Author: Rahul R. Shitole

Paper ID: V3I2-1312

Paper Status: published

Published: March 24, 2017

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Ultrasound Applications in Medical Sciences

Ultrasound is becoming increasingly important in medicine both as a diagnostic tool, as a therapeutic modality and surgery. Most medical applications of ultrasound are based on the properties of longitudinal waves in the frequency range 1-15 MHz. Ultrasonic waves travel at similar velocities (about 1500 m s−1) in most biological tissues and are absorbed in a rate of about 1 dB cm−1 MHz−1. Absorption occurs chiefly due to relaxation processes. It leads to thermal effects in biological systems. Mechanical effects, such as streaming and cavitations, are also important in certain situations, particularly at low frequencies. Highly focused ultrasound is used in neurosurgery; it is the only method for producing trackless damage deep in the brain. Diagnostic imaging using ultrasound finds applications in all tissues. Although ultrasound has been used in medicine since the 1930's, it is only recently that these techniques have been widely used and their potential fully recognized. Medical ultrasonics is now in a period of rapid growth and is on the verge of making a significant impact on clinical medicine. This field offers an open proving ground to many technologies developed for other applications, gives inspiration to the development of new technological advances, and provides a host of challenging and important problems that are unique to medicine and biology. The future of ultrasound in medicine depends upon talented people from medicine and the physical sciences working in close collaboration and upon the emergence of a new breed of research scientist trained in both medicine and engineering and dedicated not to the technology of destruction but rather to the preservation of life and humanity. The object of this paper is to present a review of the principles of medical ultrasonics and an introduction to a variety of its applications.

Published by: Dr. S. V Ranganayakulu, Sanathana Ravi, K. Sudhakar

Author: Dr. S. V Ranganayakulu

Paper ID: V3I2-1311

Paper Status: published

Published: March 24, 2017

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