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Background: Hysteroscopy is the gold standard for uterine cavity evaluation because it allows direct visualization of the uterine cavity, mitigate characteristics of lesions such as nature, size, shape, location and vascular pattern. Methods: This was a prospective observational study conducted in department of obstetrics and gynecology at Chirayu Medical College and Hospital, Bhopal (MP). Patients presenting to general gyne OPD with abnormal uterine bleeding at Chirayu Medical College and Hospital between January 2021 to May 2022 were studied. All patients selected for study had a thorough evaluation with detailed history, clinical examination, lab tests and sonography followed by hysteroscopy and endometrial biopsy. Results: Mean age of patients in our study was 44 years with majority of patients in 41-50 years age group. Predominant complaint reported was heavy menstrual bleeding (HMB) (47.50%) followed by HMB with frequent cycle (11.25%). Hysteroscopy detected intrauterine abnormality in 42.50% cases. Most common finding on hysteroscopy in our study was hyperplastic endometrium in 17.50% patients followed by endometrial polyp in 15% of patients. Atrophic endometrium was seen in 2.5% and 2.5% had submucous fibroid. Conclusions: Hysteroscopy allows diagnosis or exclusion of intracavitary pathologies, which are underdiagnosed on routine pelvic sonography. It also enables treatment in the same sitting with accurate tissue biopsy from the representative areas and facilitates planning of further management. When combined with endometrial biopsy and pelvic ultrasonography, it can establish an accurate diagnosis in a majority of patients thereby reducing the burden of hysterectomy.

Image mosaicing is a technique for combining many images of the same scene to generate a larger, seamless panoramic image. Image mosaicing can be traced back to the days of manually piecing images. Image-mosaicing techniques have been created to automate the process since the introduction of computer technology. The method consists of five phases, including feature matching and estimation of the homography matrix. Image mosaicing is commonly used in virtual tourism, video games, and photo editing. Despite the fact that the image panoramic feature is accessible in digital cameras, there is still potential for improvement, and more research in this sector is required.

Cancer has varied effects on mental health of the patients, their family and friends as well as the caregivers. The emotional, social, interpersonal, rehabilitative and psychological effects of cancer on all of them can contribute to psycho-social distress. Appropriately addressing psychological, social and behavioral issues through psycho-oncology services improves the physician-patient relationship, increase satisfaction to the ongoing treatment, create a positive attitude towards treatment and outcomes and improve the quality of life. It also has a role in preventive oncology as well as in cancer rehabilitation. Global recognition of the need of psycho-oncology services has led to establishment of a lot of international organizations and societies in the developed countries. On the other hand, there are no societies or standard guidelines for psychosocial care in India. Also, due to lack of awareness and cancer education, the stigma associated with this care compounded by the stigma associated with cancer is a major hindrance to availing mental health care in India. Identifying this unmet need, creating awareness about the need of distress management during key transitions in cancer care pathway and providing training and research opportunities in this field in India will pave the way to improve the outcomes of cancer treatment delivery and patient compliance as well as satisfaction to the provided care. Psycho-oncology services need to be integrated into the existing cancer care pathways in a structured manner so as to enable ease of availability of these services for the patients and their families when in need.

Background: In India, beta thalassemia is prevalent across the country, with an average frequency of carriers being 3-4%. Infection is the major cause of morbidity and mortality in thalassemia, so regular screening is required for this disease. Methods: Ethical clearance taken from institutional ethical committee. 150 thalassemia patients were enrolled in study after informed written consent. The medical histories were obtained from the patients and their files. Clinical examination was done including anthropometry, general examination, and systemic examination. MT and chest X-ray (CXR) were done for screening of tuberculosis infection. Blood samples were taken for S. ferritin, S. creatinine, serum glutamic pyruvic transaminase (SGPT), human immunodeficiency virus (HIV), and hepatitis B surface antigen (HBsAg) tests. Transfusion and other detail were taken like iron chelator, folic acid (FA) and calcium supplements. Results: In this study, out of 150 patients, 4 patients were RVD positive and 34 patients were HCV positive. No Patients found HBsAg positive. No patient had Montoux test reactive and chest X-ray positive finding. Conclusions: : Increase frequency of transfusion-related infection (hepatitis C, B, and HIV) in multi-transfused thalassemia. No correlation was found between tuberculosis infection and thalassemia patients in this screening study.

Machine learning proves to be effective in assisting in making decisions and predictions from the large quantity of data produced by the health care industry. This project aims to predict future heart disease by analysing data of patients which classifies whether they have heart disease or not using machine learning algorithm. Machine Learning techniques can be a boon in this regard. Even though heart disease can occur in different forms, there is a common set of core risk factors that influence whether someone will ultimately be at risk for heart disease or not. By collecting the data from various sources, classifying them under suitable headings & finally ana lysing to extract the desired data we can say that this technique can be very well adapted to do the prediction of heart disease.

Pandemic challenges demanded immediate solutions and continues improvement in solutions on field which motivated the entire world’s research community to find an opportunity to provide speedy solutions to problems. Agile developments provide immediate improvements which functioned on the grounds of assorted health care units, medical facilities, pharmaceuticals and variants of COVID 19 cases. Agile developments proved its effectiveness for immediate solutions which take full advantage of aids to health and pharmaceutical organizations and also exploits worth rapport with health stakeholders. This springs a thirst for carrying out the study on agile developments and its effectiveness for health and pharmaceuticals so, the study focuses to design generic adaptive emergency agile model for Health care and pharmaceuticals to deal with Crisis pressure which will support COVID 19 medical research field.

Surface Acoustic Wave (SAW) filters provide precise frequency filtering in RF and IF range with a tiny footprint. Metallic thin films are the essence of such modern SAW filter technology. However, SAW filters realized using NiCr/Al thin films are limited to power levels of ~5 dBm at RF frequencies. This limitation on power level is due to the acousto-migration phenomenon in thin films at higher power levels. In order to enhance the power durability of SAW filters, the preferred oriented growth of Al along (111) crystallographic direction is one of the methods to reduce acousto-migration. This paper explores the growth and characterization of different metallization schemes (NiCr/Al & Ti/Al) on different piezoelectric wafers to achieve oriented Al (111) film growth. Metallic thin films were deposited using electron beam evaporation technique. High Resolution X-Ray Diffraction (HR-XRD) and Four Point Probe Method were used for crystallographic characterization and Sheet Resistance (SR) measurement, respectively. Atomic Force Microscopy (AFM) and surface profiler were used to characterize the surface morphology of the deposited films. FWHM of 4.12 degree of rocking curve on Al (111) peak has been achieved for Ti/Al metal film deposited on ST-X Quartz piezoelectric wafer along with low sheet resistance of 124 mΩ/sq. A deposition rate of 1 Å/s for Ti and 7 Å/s for Al at a deposition temperature of 100 °C gave the best FWHM value for Al (111) orientation on ST-X Quartz wafer. Space qualification tests were also successfully performed on Ti/Al metalized wafers under extreme environmental conditions. The results obtained in this work demonstrate the suitability of Ti as an under layer to grow preferred oriented Al film along (111) orientation and thus to be used in the fabrication of high-power SAW devices for space applications.

Developing interest for tweaked pharmaceutics and restorative gadgets has the effect of added substance assembling expanded quickly as of late. The 3D printing has turned out to be one of the most progressive and integral asset filling in as an innovation of exact assembling of independently created measurements structures, tissue building and illness demonstrating. The present accomplishments incorporate multifunctional sedate conveyance frameworks with quickened discharge trademark, flexible and customized measurements structures, inserts and apparitions relating to explicit patient life systems just as cell-based materials for regenerative prescription. This survey outlines the most up to date accomplishments and difficulties of added substance producing in the field of pharmaceutical and biomedical research that have been distributed since 2015. As of now created procedures of 3D printing are quickly portrayed while far reaching examination of expulsion based techniques as the most seriously explored is given. The issue of printlets traits, for example shape and size is depicted with respect to customized measurements structures and medicinal gadgets fabricating. The irrefutable advantages of 3D printing are featured, anyway a basic view coming about because of the impediments and difficulties of the added substance assembling is likewise included. The administrative issue is pointed too.

Dry eye syndrome is a disease commonly seen in all age groups with a greater ration in elderly population. Large scale studies have determined that increasing age, female sex, and Asian race are all associated with higher DED prevalence. Their occurs tear deficiency and ocular surface disorders, which produces symptoms like discomfort, visual disturbance and tear film instability. Clinically and etymologically, similar entity to Dry eye syndrome is Shushkakshipaka. In modern ophthalmology, conventional approach for Dry eye syndrome is lubricating eye drops which are not satisfactory. Ayurveda has a holistic approach to deal with this problem. This clinical study was done to evaluate the effect of Jivaniya Ghritapana in Shushkakshipaka (dry eye syndrome). An open clinical trial for 10 patients was planned. They were presenting with clinical features of Shushkakshipaka (Dry Eye Syndrome). Snehapana was done in all patients with Jivaniya Ghrita. Results: On assessing the selected criteria, significant results were found in subjective parameters like Rukshta (feeling of dryness), Gharshana (gritty sensation), Daruna vartmakshi (hardness of eyelids), Karachaunmilana (difficulty in opening and closing of eyes), Daha (burning sensation) & intolerance to light. Significant result was found in all objective parameters. Conclusion: Thus we can conclude that, for successful treatment Shushkakshipaka (Dry Eye Syndrome), Snehapana can be advised in such patients.

Socioeconomic status is one of the most essential indicators to evaluate the health status and nutritional status of a family. Many composite indexes have been proposed. Few international scales are Hollingshead scale, Nakao and Treas scale, Blishen, Carroll, and Moore scale, In India, the scales can be categorised into those scales applicable in rural, urban or both. The various scales are Rahudkar scale, B. G Prasad scale, Udai Parikh scale, Jalota scale, Kuppuswamy scale, Gaur classification and Bhardwaj scale for children, SC Tiwari and Amrish Kumar and Agarwal scale. Updated modified Kuppuswamy scales is the most commonly and widely socioeconomic status scale in India in urban settings. But due to rapidly growing economic rate, the available scales have been ineffective. Therefore, in this review article the Kuppuswamy scale has been updated for the year 2022.

This work deals with development of android-based multiple-option questions and some fun and study related games. This application is developed for educational purpose, allowing the students to learn and boost memory power by learning with this app. Most of the parents sometimes want to test their children’s mental progress. Trivia and quiz games are an excellent way to test and flex of your brain. Our android app includes the best trivia that will provide your kids with all the vital knowledge related to different subjects and boost his practice skills. Whether you prefer general knowledge trivia quiz or specific topics on different subjects, we have the best quiz apps comprising of fun trivia game applications for little ones. Children will enjoy their learning session like never before with the kids trivia app. We will try to develop an amazing and Different kind of user interface so that students can enjoy endless trivia and have fun while learning.

Digital Image Processing domain is constantly contributing to make digital era more concise. Specifically Image Retrieval is the trending research area now-a-days. The main problem is, with the increasing volume of digital data the complexity of searching a specific image and retrieving the particular data associated with it is increasing. In recent years the content based image retrieval system has been developing at enormous speed. This paper color , gray level co-occurrence and histogram features are obtain better retrieval efficiency from large database using these feature vectors near about similarly matched images are retrieved. We have retrieved using Euclidian distance and ANN, among of both ANN Shows better result compare to Euclidian Distance based image retrieval.

Ocean Plastic pollution is considered as a critical anthropogenic concern.There are several land based and water based contaminants that are primary sources marine plastic pollution. The accumulated plastics in the ocean basins can be broadly classified into the following five levels based on their sizes: mega-, macro-, meso-, micro- and nono-plastics. Microplastics in primary and secondary forms reveal a major distribution in the water. Microplastics are consumed my marine animals through which they enter the food web and affect the lifecycle of every living organism. Socio-economic impacts, Ingestion, entanglement, starvation, suffocation, most probably leading to death of organisms are some of the profound amount of negative impacts of plastic debris in the oceans on the ecosystem.The global production of plastic has only increased within past years. Developing and developed countries contribute their parts in the pollution in their own ways. Asia remains to be the major plastic producer in the last decade. Immediate and appropriate steps have to be taken in order to stop marine plastic pollution. Existing and adopted policies, legislations and initiatives at global, national and even local levels play a crucial role in reducing plastic debris in the oceans. Preventing accumulation of plastic in the coastal area, abiding by the 4-Rs (Reduce, Reuse, Recycle and Refuse), waste management and water consumption are some of the ways by which marine plastic pollution can be prevented or at least be reduced. On the whole, this paper provides an overall view of the age old problem of plastic accumulation in the marine ecosystem and the hazardous impacts it can have on the life on earth. Towards the end it offers with some of the solutions to the problem that can be our first step towards healthy oceans and safe future.

Yersinia pestisis causative agent ofplagueand is considered one of the most likely pathogens to be used as a bioweapon. In humans, plague is severe clinical infection that can rapidly progress with a high mortality despite antibiotic therapy.Plagueis an acute infectious disease caused by gram-negative cocco-bacillusYersinia pestis. This review provides an overview of its clinical manifestation, diagnosis, treatment, prophylaxis and protection requirements for the use of clinicians. I discuss the likelihood of a plagiarism of plague in an online world, and the feasibility of obtaining, isolating, culturing, transporting and dispersing plague in the context of an attack aimed at a westernized country. The lethality of plague with the resurgent in number of cases, development of antibiotic resistance, recent occurrence in urban areas and the lack of a vaccine make it a disease not to be missed in the mortuary. An extensive literature search on the Medline and Web of science database was conducted to collect papers relevant to plague. In autopsy, organ may be lymphadenopathy, fulminant pneumonia and diffuse interstitial pneumonitis. Conversely, any organ may be affected by myocarditis, meningitis, pharyngitis and hepatic and splenic necrosis. Front-line clinicians should be aware of the potential of deliberate release of plague and prepared to instigate early isolation of patient.&nbsp

In this article, we consider a class of stochastic fractional differential equations (SFDEs) driven by L'evy noise in the sense of a newly defined OBC-fractional derivative. This is a generalized Caputo type fractional derivative introduced recently by Zaid Odibat and Dumitru Baleanu. Under some suitable sufficient conditions, we have employed fixed point theorem to obtain existence and uniqueness results for the considered equation. We have also presented anexample which illustrates the applicability of our obtained results.

It is still an unknown fact among many that tobacco harvesters are at a potential at a risk of suffering from “Green Tobacco Sickness (GTS)”, with its prevalence seen mostly among Asian and South American tobacco harvesters. These harvesters working in hot, wet conditions are likely to develop GTS, as in such climatic conditions, the wetness and high humidity causes nicotine to reside on the surfaces of the leaves, while the high ambient temperature increases skin absorption, thereby increasing plasma nicotine concentrations by 30-45%. Patients suffering from GTS report nausea, vomiting, pallor, dizziness, headaches, increased perspiration, chills, abdominal pain, diarrhea, increased salivation, prostration, weakness, cough with or without expectoration, breathlessness and occasional reduction in blood pressure or heart rate. GTS is self-limiting and of short duration and hence treatment is not always necessary and not often sought by the harvesters. This review educates readers about GTS as well as encourages their participation in making tougher regulations in their respective countries for the control of this disease.

Background: The positioning (trendelenburg) and pneumoperitoneum during laparoscopic gynecological surgeries may cause cephalad movement of diaphragm and subsequent endobronchial intubation. Patients & Methods: 50 ASA I/II patients posted for laparoscopic ligation were included in the study. Standardized anaesthesia technique was employed in all the patients. The distance of endotracheal tube to carina was measured in supine position, trendelenberg position, 5 min and 25 minutes post pneumoperitoneum and after deflation of pneumo-peritoneum. Results: The mean distance from the tip of the ETT to the carina was 3.41± 1.3 cm, 2.96 ± 1.4, 2.0 ± 1.5 and 1.7 ± 1.6 in supine position, trendelenburg position and 5min and 25 min post pneumoperitoneum. (P