Volume 9 | Issue 2 |

 Abstract

Introduction: Tuberculosis is an infectious disease that has plagued mankind since Neolithic times (8000 BC). Almost all cases of tuberculosis are caused by Mycobacterium tuberculosis. The key to the diagnosis of TB remains a high index of suspicion. A definitive diagnosis of abdominal tuberculosis is not always possible with non-invasive imaging tests including contrast radiology, CT scan, MRI and abdominal ultrasonography. Laparoscopy with tissue biopsy is seen to be having an added advantage in diagnosis. Methods: Our study was a prospective study conducted in the department of General Surgery, Govt. Medical College Jammu from 1st November 2017 to 31st October 2019. All patients suspected of abdominal tuberculosis who presented to OPD or Emergency of GMC Jammu were included in study and aim was to study the various diagnostic methods in abdominal tuberculosis. Results: In our study, 104 patients of abdominal tuberculosis who presented to emergency or OPD Department of General Surgery, GMC Jammu were studied. The most common chest x-ray finding was opacity/consolidation. The most common abdominal x-ray finding was multiple air fluid levels, followed by free gas under diagphragm. The most common USG finding in our study was free fluid which was closely followed by dilated bowel loops. Some of the patients required diagnostic laparoscopy and even laparotomy for final diagnosis. Conclusion: In non-emergency setting, patient may need a battery of investigations including CECT, special biochemical markers for making diagnosis of abdominal Kochs. Inspite of specialized investigations, some patients may require diagnostic laparoscopy for confirmation of diagnosis which aids in inspection of macroscopic lesions and obtaining tissue for histopathology.

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Abdominal Tuberculosis, Diagnosis of Abdominal Tuberculosis, Diagnostic workup of Abdominal Tuberculosis, Diagnostic Laparoscopy

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The Covid-19 pandemic provided an unparalleled opportunity for national health systems to make a concerted effort to expand telemedicine access and coverage. Telemedicine services have been integrated by health care providers to eliminate doctor-patient visits and help break the chain of infection transmission. In March 2020, the Medical Council of India issued practice guidelines in anticipation of the increased need for telemedicine from health care providers. The goal of this paper is to address the current scenario, potential prospects and applicability of telemedicine in India.

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 Keywords

COVID-19, health care, telemedicine

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Smart city has to be monitored with automatic garbage management which is necessary at large scale. In this scenario, we have developed a model to carry out the garbage monitoring and management through Internet of Things where the task of a trash container observing the level of input and out framework. It incorporates numerous innovations which incorporates the sensors, solar terminal based board and arduino. The principle point of this undertaking is to offer a practical and productive waste assortment and the board framework to give an all-around kept up and sound climate. This framework gives an instrument to distant checking of strong burn through canister in the continuous empowered with the Wi-Fi association, to help the waste administration action. The proposed framework is subject to remote sensor organization [WSN]. In this System there are three modules: Hardware Interface, Communication Interface, Data stockpiling and confirmation. The proposed IOT based shrewd, continuous trash checking framework utilizes a wide scope of advances which will yield a green and solid way of life which brings about a superior living climate for humanity.

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Wi-Fi hub, sensors, actuators, garbage restoral waste management, Internet of Things

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Manufacturing plants and industrial sites are opening up again after covid-19 lockdowns, but people returning to work will choice many changes in their safety protocols. There are some guide lines which is followed by the industries during covid 19 here is some main points are there, enforcing social distancing when possible, Discouraging the sharing of equipment and supplies, increasing the number of hand washing stations, implementing temperature checks and well-being assessments, restricting workplace visits .Now days, company companies recognized a need in the market and rushed to develop technologies that help employer screen their worker for sysptoms.businesses are frequently adopting these measures. This research is based on current pandemic situation how the industry is doing work as well as safety & precaution are major concerned during this time. Our research is based upon it.and also the employee of the company is satisfied with it or not.

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Employee safety, rules& regulation, employee health, pandemic situation

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Intra-EU, Secondary Movements, Migration, Refugee, Asylum

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Stock Market, International Stock Exchange, National Stock Exchange, Bombay Stock Exchange, Relationship and Comparison

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ABSTRACT The extension of COVID-19 is now expending globally almost 213 countries as per the data of World Health Organization (WHO) on 25 April 2020. There is brand new public health crises which is threatening the whole world as emergent condition and the spread of 2019 novel corona virus (2019-covid) or as severe acute respiratory syndrome corona virus 2 (SARS COV-2) . This covid-2019 is currently in focus since the starting of 2020 year. According to the data available this virus was originated in bird and bats species that are believed to behave as its natural hosts. This disease was transmitted through inhalation or when u comes in touch with an infected person's droplets. Its incubation duration is in between 2 days to 14 days with the usual symptoms for this disease are typically fever, cough, fatigue, breathlessness, sore throat. The disease remain mild in most the population; but in some (normally the elderly patients), it can cause serious consequences like pneumonia, multi organ disorder and acute respiratory misery syndrome (ARDS). Here lot many people remain asymptomatic disease for this. Now-a-days treatments which are being used are majorly supportive. Strict preventive measures are also being also followed includes domestic isolation of the suspected ones and people with mild symptoms and also strict disease spread control measures in hospitals like droplet precautions and avoiding touch with the diseased ones. This virus is spreading quicker than its last two ancestors that are, Middle East respiratory syndrome corona virus (MERS-CoV) and SARS-CoV, however its mortality rate is lower than both of them. The global effect of this virus is unpredictable till now.

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Keywords: COVID-19, Corona outbreak, SARS, MERS, Virus

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Uncertainty of safe egress time is an inherent problem during performance-based fire safety design. The two central concepts of performance-based design, ASET (available safe egress time) and RSET (required safe egress time), are separate degrees of freedom, each of which can be optimized to achieve performance objectives. Hence, development of a proper method of egress time estimation and improving accuracy of calculations by incorporating the risk tolerance is essential. The purpose of this research is to introduce a conceptual model of human behavior in fire. This model is based upon a theoretical framework of individual decision-making and response to emergencies, and from this foundation, is populated with behavioral statements or mini-theories predominantly from human behavior in fire. From these studies, the occupant characteristics are listed in terms of parameters to be used as input to the final evacuation models, that shall be simulated using a suitable software. The primary research is then carried out on a case study, where the occupants are surveyed and their characteristics are recorded. The results are inputted into a suitable simulation platform. The evacuation simulations are then performed for different cases, and are compared to record the deviation in the safe egress time graphs, as per current method, and when occupant characteristics are considered. The delays calculated from the simulations, are further validated against a real case scenario, from the secondary study, and conclusions are drawn on how to reduce the risk tolerability in performance-based fire and life safety designs.

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Evacuation time, Performance Based Design, ASET, RSET Occupant Behavior

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The Benign Prostatic Hyperplasia is an age related disorder in men. In which there is enlargement of the gland due to neoplastic changes which occur due to change in level of hormones. In ayurveda BPH is correlated with Astheela, which is a type of mutraghata. Astheela is a stony hard growth between the anal canal and bladder. The anatomical changes in of prostate gland may be of rubbery consistency with enlargement. Thus Atheela is more closely related to BPH than other types of Mutraghat.

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LITERATURE REVIEW OF ASHTHEELA WITH SPECIAL REFERENCE TO BENIGN PROSTATIC HYPERPLASIA

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The concept of 'Good Governance' plays a very big role in modern governmental system. No developmental schemes can be launched and no peaceful atmosphere can be maintained without good governance. Now-a-days, people are very conscious of and keep vigil at the day to day functioning of governmental activities of the country. To be the good governance, it should be a citizen friendly, citizen caring and responsive administration. It also tries to provide justice, empowerment, employment and efficient delivery of services to its citizens. It must be transparent, accountable and responsible to its people. Barber Conable, the President of World Bank (1986-91) refers to Good Governance as ' a public service that is efficient, a judicial system that is reliable and an administration that is accountable to its people.' The government must read the sentiments and attitudes of the people while framing any law and also understand the pulse of its people. There is a question in my mind whether the present government follows the path of good governance especially for the people of North East India. This paper tries to throw light on the concept of good governance and addresses the issues that challenges the good governance in India with a special reference to North East India and also tries to draw some suggestive measures to overcome this issue.

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 Keywords

Governance, Transparent, Accountable, Responsible, Empowerment and Judicial System

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