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A clinical study of peptic ulcer perforation

Perforation of the peptic ulcer is one of the common and lethal complications of the peptic ulcer. Unless the prompt diagnosis is made and early active surgical management is done the mortality is very high, it is the commonest cause of death resulting from surgical abdominal emergency next to intestinal obstruction. The patients who are brought to the hospital at a late stage, have the major concurrent illness and preoperative shock, do not improve with conservative treatment. In spite of the better understanding of the disease, effective resuscitation and prompt surgery under modern anesthesia techniques, there is high morbidity and mortality. Hence, an attempt has been made to analyze the various factors, which are affecting the etiology, incidence, postoperative morbidity/mortality of patients with peptic ulcer perforations. Our study comprises of 104 cases of perforated peptic ulcer that were admitted in the Department of General Surgery, National Institute of Medical Sciences and Research, Jaipur from January 2017-June 2018. This study on the cases of perforated peptic ulcer was carried out to study the various risk factors that can and do affect the operative outcome in perforated peptic ulcer. In our study, we found out that the highest incidence of perforated peptic ulcer was in the 4th decade. Males are the most affected gender(70.19%). Ingestion of NSAIDs increases the risk of peptic ulcer perforation. Duodenal perforations were commoner then gastric in present series. The classical symptoms of peptic ulcer like pain, periodicity, vomiting, and hematemesis were observed in present work. Most common postoperative complications were pulmonary complications(16.35%).All over mortality rate was 12.5%

Published by: Chandreshkumar Durlabhbhai Mangaroliya, Dr. Narayan Singh Shekhawat

Author: Chandreshkumar Durlabhbhai Mangaroliya

Paper ID: V5I1-1355

Paper Status: published

Published: February 20, 2019

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Research Paper

Study of prevalence of hypothyroidism in biliary stone patients

Biliary lithiasis is one of the most common biliary pathothogy with a reported prevalence of approximately 6%-12%. The pathogenesis of biliary lithiasis is complex and a multifactorial process involving factors which affect the bile content and bile flow. Hypersaturation of bile with cholesterol and biliary stasis have been shown to be crucial factors in development of biliary stones. Hypothyroidism has a worldwide population prevalence of 4%-5%. It leads to decrease in liver cholesterol metabolism causing serum hypercholesterolemia with 90% of hypothyroid patients having elevated cholesterol levels; approximately 50% higher than in euthyroid patients. This hypercholesterolemia may result in hypersaturation of bile with cholesterol. Cholesterol hypersaturation of bile results in impaired motility, decreased contractility and reduced filling of the gallbladder causing prolonged stay of bile in the gallbladder contributing to retention of cholesterol crystals which may lead to nucleation and continuous growth into mature gallstones. Biliary stasis is also caused by sphincter of Oddi dyskinesia leading to formation of gallbladder and bile duct stones. Several hormones have been shown to affect spincter of Oddi activity including thyroid hormones. Thyroid hormones have been shown to have a direct pro-relaxing effect on sphincter of Oddi and lack of this effect in hypothyroidism may result in delayed bile flow which may lead to the formation of biliary stones. An increased prevalence of hypothyroidism (13.3%) among biliary stone disease patients was found in our study, with prevalence rate being comparatively higher in CBD stone patients. Hypercholesterolemia was found in 91.67% of the patients having hypothyroidism.

Published by: Dr. Nikhil Dureja, Dr. Satyendra Pal Singh

Author: Dr. Nikhil Dureja

Paper ID: V5I1-1356

Paper Status: published

Published: February 19, 2019

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Research Paper

Experimental investigation on the properties of concrete with plastic pet (bottle) fibres as partial replacement of fine aggregates

Plastic bottles are major issue of solid waste disposal. Several things which were invented for our convenient life are responsible for polluting environment due to improper waste management technique. One of them is a plastic which has to be disposed or recycled properly to maintain the beauty of our nature. Polyethylene Terephthalate (PET, PETE or polyester) are routinely used for carbonated beverage and water bottles. This is an environmental issue as waste plastic bottles are difficult to biodegrade and involves processes either to recycle or reuse. In the Modern world, the construction industry is searching for cost-effective materials for enhancing the strength of concrete structures. This work is carried out with the possibility of using the waste PET bottles as the partial replacement of aggregate in Portland cement. Concrete with 1%, 2%, 2.5%, 3% and 5% PET bottle fibers for fine aggregate were produced and compared against control mix with no replacement. Cube specimens, cylinder specimens and prism specimens were cast, cured and tested for 7 day and 28 days strength. Tests such as Compression test, splitting tensile test and flexural strength tests were done and the results were compared with control specimens and results were compared. The observed results revealed an increase in compression and tensile strength hence with the increasing demand for fine aggregate, PET bottle fiber replacements can be adopted. This study was carried to investigate the properties of concrete with plastic pet (bottle) fibres as partial replacement of fine aggregates.

Published by: Younus Maqbool, Maqsood Yousf, Harmeet Kaur, Mir Shaid Majid, Arshied Hussain Bhat

Author: Younus Maqbool

Paper ID: V5I1-1328

Paper Status: published

Published: February 19, 2019

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Research Paper

Land administration through e-governance: A study on Bhoomi project

India is an agrarian economy, agriculture is the back bone, which supports the nation. These farmers who shoulder the noble responsibility of feeding the nation have been exploited from time immemorial. Legislation such as ‘tiller is the owner of land’, ‘imposition of land ceilings’ or ‘movement such as Bhoodana’ during the era of independence has no doubt brought some relief to the farming segment, but the socio-economic condition of the farmers community has not witnessed drastic improvement. The poor land management practices identified have adversely affected the productivity. Therefore, to address this issue, a well defined, more structured land right system needs to be developed. Government of Karnataka has initiated e-governance through services like Bhoomi (computerization of land records), Kaveri (registration after verification), Mojini (measurement of properties). Out of all these ‘Bhoomi’ is definitely a mile stone service, its planning and implementation is being applauded and replicated all over the world as this was seen as more effective and promising approach to address land rights related problems.

Published by: Thippeswamy, Dr. Ravindra Kumar

Author: Thippeswamy

Paper ID: V5I1-1339

Paper Status: published

Published: February 19, 2019

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Survey Report

Traffic control using computer vision

Now a days traffic density on the streets increasing around the world tremendously . It causes several problems on the day to day life of people. As we know that it is the era of speed, so that nobody wants to wait for a long time at any cost. Everybody prefers to low traffic density streets. This proposed system introduced a vehicle density-based traffic control system to avoid above issues. This problem can be resolved by controlling the traffic density on the roads. This system introduces a new method to control vehicle density by controlling the traffic lights using Image processing. Vehicle density is measured using predefined classifiers available in image processing. If the measured density is above the normal density (threshold value) it passes an indication to the microcontroller which controls the projector and thereby we can give appropriate traffic signal to display.

Published by: Greeshma C. A., Nidhindas K. R., Parvathi Kishore P., Sreejith P. S.

Author: Greeshma C. A.

Paper ID: V5I1-1338

Paper Status: published

Published: February 19, 2019

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Research Paper

A study on strength and durability of concrete made with saw ash dust

Saw dust is also known as wooden dust. It is the remains of cutting & drilling wood. It is composed of fine particles of wood, certain inserts which live in wood such as carpenter out. It is produced as small irregular chips or small garbage of wood during sowing the logs of wood into different sizes. In this study, saw dust ash prepared from uncontrolled burning of saw dust is evaluated for it suit ability as partial cement replacement in concrete. The strength parameters i.e. compressive strength of concrete with blended saw dust ash cement are evaluated & studied by replacing cement by 5%, 10%, 15%, and 20% by wt. to OPC. Utilizing saw dust waste this research will focus on saw dust wastes obtained from the wooden industry in India. Presently, much of ceramic industries production goes to waste, which is not undergoing the recycle process yet. Replacement of saw ash dust different percentage as 5%, 10%, 15% and 20% of saw dust as partial replacement of cement with M-25 grade of concrete. The age of concrete at 7, 14, 28 and 56days.From the results of the study, samples of concrete with 0 to 5% saw ash dust replacement have reached optimum strength. Findings showed that concrete containing saw ash dust 0 to 5% showed the highest amount of compressive strength, and split tensile strength of concrete and also find durability aspect of concrete as acid resistance test and alkalinity resistance is minimum effect of concrete up to 5 % replacement of saw ash dust with cement after increasing percentage of SAD in concrete than increasing loss of concrete mass and compressive strength respectively. Further studies can be carried out as this study only concludes that there is an increase in strength up to 5% replacement of cement by the saw ash powder. Further scope is to find out the optimal %age of saw ash powder to replace than increasing compressive strength as well tensile strength and also minimum loss of strength after acid and alkalinity resistance test.

Published by: Akansha Gangwani, Vijay Kumar Meshram

Author: Akansha Gangwani

Paper ID: V5I1-1347

Paper Status: published

Published: February 18, 2019

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