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Conventional steel frames are low rise steel frames with roofing systems of truss and roof coverings. Standard hot rolled sections are used for truss elements which are usually much heavier than what is actually required as per the design. Pre– Engineered steel frames are the steel frames in which excess steel is tapered as per the bending moment requirements. In present study, conventional (pratt type) steel roof truss and pre-engineered (portal type) steel roof frame with crane load is considered for an industrial warehouse construction located in Davangere city. 2D Modelling of both conventional and pre-engineered steel frame with crane load is done using STAAD Pro. software. Both the steel frames are subjected to different combinations of Dead load (DL), Live load(LL), Crane Load(CL) and Wind load(WL) as per IS 800 (2007) codal provisions. For the factored bending moments and shear force, referring IS 800 (2007) codal provisions, crane gantry girder is designed as a laterally unsupported member having a combination of I and channel sections. The members of both conventional and pre-engineered steel frames with crane load are designed for the worst load combination as per IS 800(2007) codal provisions. It is concluded that about 25% reduction in quantity of steel can be achieved by choosing pre-engineered steel frame than the conventional steel frame.

The ankle joint is the most common site for a ligament injury in the body. Some ankle joint injuries are minor and heal with some rest from activities, but some are serious and require immediate medical attention. An ankle sprain refers to ligament injuries of the ankle. In classics, there is no direct reference regarding sprain and its manage- ment. In Susrutha Samhitha Chikitsa Sthana 3rdchapter, Bhagna Chikitsitham, Acharya Susruta has mentioned the application of Manjishtadi Lepa for traumatic joint injuries. In the present case study, a 22 years old male pa- tient visited the OPD with severe pain and swelling of the right ankle following a twisting injury of the foot. He was diagnosed with a grade 1 ankle sprain and was bandaged with Manjishtadi Lepa. Management with Man- jishtadi Lepa has shown significant relief in pain and swelling as well as in the restoration of normal movements. Keywords: Ankle sprain, Manjishtadi Lepa

Purpose The purpose of this paper is to understand the customer sentiment towards telemedicine apps and also to apply machine learning algorithms to analyse the sentiments in the adoption during the COVID-19 pandemic. Design/methodology/approach Text mining that uses natural language processing to extract insights from unstructured text is used to find out the customer sentiment towards the telemedicine apps during the COVID-19 pandemic. Machine learning algorithms like support vector machine (SVM) and Naïve Bayes classifier are used for classification, and their sensitivity and specificity are found using a confusion matrix. Findings The paper explores the customer sentiment towards telemedicine apps and their adoption during the COVID-19 pandemic. Text mining that uses natural language processing to extract insights from unstructured text is used to find out the customer sentiment towards the telemedicine apps during the COVID-19 pandemic. Machine learning algorithms like SVM and Naïve Bayes classifier are used for classification, and their sensitivity and specificity are found using a confusion matrix. The customers who used telemedicine apps have positive sentiment as well as negative sentiment towards the telemedicine apps. Some of the customers have concerns about the medicines delivered, their delivery time, the quality of service and other technical difficulties. Even a small percentage of doctors feel uncomfortable in online consultation through the application. Originality/value The primary value of this paper lies in providing an overview of the customers’ approach towards the telemedicine apps, especially during the COVID-19 pandemic.

Background: Small pelagic species like white sardine gained importance due to their high demand in local markets over years has become important to sustainably harvest the available resources. Thus, the current study was aimed to decipher the stock structure studies based on chemometric analysis of natural signature fatty acid profile which plays an important role in stock identification to the formulation of better sustainable management plans and its conservation. Methods: Samples of Escualosa thoracata were collected from four locations each from two on the east coast (Chennai and Kolkata) and west coast (Mumbai and Kochi) of the Indian peninsula 2019-2020. Heart tissue from the specimen from each location was collected, preserved and fatty acid profiling was performed. The analysis comprised methanolysis, gas chromatography and multivariate statistics. Result: The profile showed a difference between southern and northern populations on both the coast. The trend was more obvious in SAFAs and PUFAs; SAFAs were high content in the southern populations and PUFAs were high content in the northern populations. The separation can be attributed to the latitudinal effects on the deposition of fatty acids.

Objective: To assess the improvement in functional activities of children with dyskinetic cerebral palsy after drug management along with physical and nutritional rehabilitation. Design: Observational analytical study. Setting: community based rehabilitation centre & a private medical college at Malappuram, Kerala. Methods: This is a follow up cohort study conducted at the community level. 34 Children with dyskinetic cerebral palsy aged 4-18 years were followed up with medications for dystonia along with physical and nutritional rehabilitation for 9 months. These children were assessed with Barry- Albright dystonia scale prior to medications and at intervals of 3 months prospectively up to 9 months. Results: Over the 9 months prospective study, 34 children were enrolled and started with medications on different occasions. 6 children were excluded (2 of them developed adverse reactions to drugs and 4 were lost to follow up). Out of 28 cases, 21 were males and 7 were females with an average age of 8 years. During the study period, all of them responded well with a significant improvement after 9 months. Conclusion: Optimal drug management of dystonia, physical and nutritional rehabilitation along with management of co morbid conditions are associated with significant improvement in functional abilities of children with dyskinetic cerebral palsy. Keywords: Dyskinetic cerebral palsy, Dystonia, Physiotherapy, Barry-albright dystonia scale.

Introduction: Globally 200 million children do not reach their developmental potentials in their first five years. The early identification of developmental delay is very critical . This study was undertaken to assess the developmental milestones of toddlers at selected areas of Nedumkandam, Idukki district, Kerala. Method: The present study was an explorative study of 120 toddlers between the age group of 30-36 months from selected areas of Nedumkandam. Data were collected by using Modified ages and stages questionnaire. It is a series of questionnaires designed to screen the developmental performance of toddlers in the areas of communication, gross motor skill, fine motor skill, cognitive, and social development. The scale was answered ‘yes’ or ‘sometimes’ or ‘not yet’. The total score is 60 and score range of 41-60 as normal development, 31-40 as mild delay and 0-30 as delayed. Result: The result indicated that 76.7% of toddlers are having normal development up to the age, 20% are having mild delayed development and 3.3% are having delayed development. Regarding the aspects of development it has been noted that mean score of gross motor development is 11.1 , fine motor development is 10.9, cognitive development is 9.3 social development is 10.7 and communication is 9.1. There is no association of developmental milestones with selected demographic variables. Conclusion: The study was concluded that majority of the toddlers achieved the developmental milestones as per the age. The study also revealed that there was no association with selected demographic variables.