Comparative study of therapeutic efficacy of conservative management and ultrasound guided pigtail drainage of amoebic liver abscess
Liver abscess is a common condition in India which is associated with high morbidity and mortality. ALA is the most common extra intestinal site of infection but occurs in only less than 1% of E. histolytica infections. The mortality rate has been estimated to be around 0.2-2.0% in adults and up to 26% in children. There are many options in managing amoebic liver abscess such as medical management, percutaneous or open surgical drainage. Until now there have been no studies which have compared the therapeutic efficacy between pigtail drainage and conservative management in medium-sized (5 to 10 cm). Nor is there any prospective study aimed at identifying parameters for instituting medical management versus drainage procedure for abscesses measuring between 5.0 and 10.0 cm. The aim of this paper is to compare the efficacy of conservative medical management to ultrasound-guided pigtail drainage and establish objective criteria for the management of such abscesses. This is a prospective study of 100 cases of amoebic liver abscess (ALA) of medium size (5 to 10 cm) presenting to the Surgical Emergency and Surgical Outpatient Department of Hindu Rao Hospital from the period January 2014 to March 2015. All patients included were diagnosed as having an amoebic liver abscess (ALA) based on a history of anorexia, malaise, fever and pain abdomen with or without a preceding history of diarrhea and findings of tender hepatomegaly, intercostal tenderness, leucocytosis amoebic serology (ELISA) and ultrasound evidence of amoebic liver abscess. Patients were randomly allocated into two groups by double-blinded secret envelop method. Group, I patients consisted of 25 patients who were treated with antiamoebic (metronidazole 750 mg tid / IV 500mg 6 hourly) and antibiotic (ciprofloxacin 500 mg bd) drugs. Group II patients also consisted of 25 patients who were treated by ultrasound-guided indwelling pigtail catheter drainage in addition to antiamoebic (metronidazole) and antibiotic (ciprofloxacin) drugs. Improvement in pain, fever, anorexia and clinical signs of hepatomegaly, pulse rate, respiratory rate, and USG abdomen within 72 hours of an institution of therapy was considered as criteria for continuing that particular modality of treatment. At three to five days, patients’ outcome was assessed and if they did not respond to the first modality of treatment, the patient was subjected to the second modality of treatment, i.e. conservative converted to pigtail insertion and patients with pigtail insertion for drainage. A comparison was made between clinical signs and investigations to assess the patients It was found all patients of Study Group II (pigtail drainage) had earlier improvement of all parameters of response to than patients in Study Group I (conservative management) and this response was significant. Another significant finding of this study was abscesses of size > 10 cm should be aspirated or drained. This study showed that the abscesses of size between 6.0 cm to 10.0 cm should be taken up for pigtail catheter drainage at presentation as the time of resolution and improvement in clinical and investigative parameters were more rapid in Group II as compared to Study Group I with almost no complications associated with pigtail insertion. For abscesses >10 cm and in those ALA associated with complications insertion of pigtail was beneficial. Abscesses less than 6.0 cm could be managed with medical treatment alone.
Published by: Dr. Rajiv Nandan Sahai, Dr. Raju Patel
Author: Dr. Rajiv Nandan Sahai
Paper ID: V5I1-1180
Paper Status: published
Published: January 16, 2019
Preparation of polyurethane coating based on polyesteramide polyol of castor oil of fatty acid and isocyanate
Polyurethane networks based on polyesteramide polyol using castor oil and diethanolamide (DEA) were proposed to study doing this wide. To utilize oil in the preparation of polyesteramide polyol (PEA). The chemical structure of the synthesized resin was characterized by spectroscopic techniques like FTIR, NMR etc. Various physical properties such as acid value, saponification value, iodine value, hydroxyl value, the amine value of resin were also determined. CO was then converted into diethanolamide castor oil of mixed fatty acid using 0.5 % sodium methoxide as a catalyst and converted to polyesteramide resin after with various dibasic acid in presence of xylene as azeotropic solvent. PU themselves were prepared from the reaction of polyester amide polyol of castor oil (PEA) and isocyanate-terminated polyurethane prepolymer. The PU coating obtained was then analyzed for its physical-chemical, film performance properties and resistance to the various chemical.
Published by: Swapail Shrirame, Pradeep G. Shende
Author: Swapail Shrirame
Paper ID: V5I1-1137
Paper Status: published
Published: January 16, 2019
Assessment of noise pollution in Raipur city of Chhattisgarh, India
In developing countries like India Assessment of Noise pollution is an important task. Noise pollution adversely affects the health of human beings. The most important noises sources of noise are road traffic, aircraft, railways and industries, noise in the community from industrial and construction site and noise at home. Road traffic is by far the largest of these, and accounts for about 78 per cent of noise annoyance. In India, vehicular traffic is increasing rapidly, which has given birth to overcrowded roads and noise pollution. This study is primarily focusing on the monitoring of noise pollution at different places of Raipur City. In this study, noise monitoring was carried out with the help of sound level meter model (VA8080). Some important places of Raipur have been selected for noise level study purpose. All the places are categorized under different zones i.e. commercial zone, silent zone, industrial zone, and residential zone. All data were collected between 07:00 am to 09:00 p.m. Every hour the noise levels have been measured. To make the noise level more accurate each reading were taken in a gap of 6 minutes, that is, 10 readings per hour. And the average of the readings was taken as per hour sound intensity level. The study period of the survey was 15 days. Therefore this study reveals that the noise levels are higher than the standard level foe each zones.
Published by: Vishal Kumar, Vaishali Pendse
Author: Vishal Kumar
Paper ID: V5I1-1169
Paper Status: published
Published: January 16, 2019
Smarandache hyper (∩, ϵ)-filter on Smarandache hyper K-algebra
We introduce the notion of a Smarandache hyper (∩, ϵ)-filter and ω-reflexive in hyper K-algebra and some properties related to it.
Published by: Ameena Beave D., Fathima Bazeela S.
Author: Ameena Beave D.
Paper ID: V5I1-1164
Paper Status: published
Published: January 15, 2019
Data security in cloud computing
Cloud computing is a globalized concept and there are no borders within the cloud. Computers used to process and store user data can be located anywhere on the globe, depending on where the capacities that are required are available in the global computer networks used for cloud computing. Because of the attractive features of cloud computing, many organizations are using cloud storage for storing their critical information. The data can be stored remotely in the cloud by the users and can be accessed using thin clients as and when required. One of the major issue in the cloud today is data security in cloud computing. Storage of data in the cloud can be risky because of use of the Internet by cloud-based services which means less control over the stored data. One of the major concern in the cloud is how do we grab all the been ts of the cloud while maintaining security controls over the organizations' assets. Our aim is to propose a more reliable, decentralized lightweight key management technique for cloud systems which provides more e client data security and key management in cloud systems. Our proposed technique provides better security against Byzantine failure, server colluding and data modi cation attacks. Keywords: Cloud security; key management; server colluding attacks; Byzantine failure;
Published by: Kumar Kishan Chandra, Supriya Raj, Dr. Anand Kumar Pandey
Author: Kumar Kishan Chandra
Paper ID: V5I1-1171
Paper Status: published
Published: January 15, 2019
An evaluation of women empowerment through microfinance: Factor analysis
Financial inclusion of the Government through banking institutions particularly to empower rural/tribal women in India is endowed to focus upon such households which are left out in terms of employment avenues. However, rural/tribal unemployed women who have entrepreneurial capabilities, but are unable to pursue starting a business due to the shortage of financial sources, can avail financial support and succeed in the process of socio-economic development by generating employment avenues for their families. Keeping motive of microfinance for SHGs in mind, an attempt has been made to analyze to what extent; microfinance has proved instrumental in empowering tribal women of Himachal Pradesh.
Published by: Dr. Deepika Gautam, Dr. Alok Kumar
Author: Dr. Deepika Gautam
Paper ID: V5I1-1166
Paper Status: published
Published: January 14, 2019
