Suxamethonium is the drug of choice for muscle relaxation for endotracheal intubation with its rapid onset and short duration of action. The newly introduced non-depolarizing drug rocuronium has got rapid onset and intermediate duration of action. The aim of the present study was to compare the intubating conditions of rocuronium bromide with suxamethonium chloride. Aim: To compare the onset and duration of action of Rocuronium Bromide and Suxamethonium Chloride. Methods: it is prospective randomized controlled study carried on 90 adult patients with age groups of 20-60 years of either sex. They were posted for elective surgery in MGM’s Hospital Aurangabad. They were randomly divided into two groups of (n=45) each. Group I (R) patients received rocuronium at the dose of 0.9mg/Kg and Group II(S) patients received suxamethonium at the doses of 1.5mg/Kg. Results: In Group I (R) group there were 14 (31%) male patients and female were 31 (69%). In group II (S) there were 14 (31%) male and female were 31 (69%). In group II (S) suxamethonium showed acceptable intubating conditions in 100% of cases at 60 sec out of which 93.24% were excellent. In rocuronium group I(R) 100% cases had acceptable intubating conditions at 60 seconds out of which 77.7% excellent and 22.3% had good intubating conditions the P values were significant. In both the groups there was no significant difference jaw relaxation as well as vocal cord movements. There was the significant difference in response to intubation in Rocuronium group 6 (13%) patients had a mild cough on intubation whereas no patient in suxamethonium group II had any cough. In the Group I 24% patients had slight diaphragmatic movements on intubation and in group II 11% had diaphragmatic movements. There was no significant rise in HR difference in group I and group II preoperative, post muscle relaxant, 0 minutes after intubation, 5 minutes after intubation, and 10 minutes after intubation. Conclusion: Rocuronium bromide at the dose of 0.9 mg/Kg produces excellent and good intubating conditions in patients although slightly inferior to that provided by the Suxamethonium 1.5mg/Kg but there is more hemodynamic stability with rocuronium then suxamethonium. Therefore Rocuronium bromide may be considered as safe and good alternative to suxamethonium for endotracheal intubation. Hence rocuronium bromide can be used for a rapid sequence of induction and intubation if there is no prediction of difficult intubation

Ocular diseases have been documented as the most common health problems universally. Most of the chemicals and synthetic drugs currently in use have marked side effects. Hence, there has been an ideal shift from the use of modern drugs to the age old herbs. Randia dumetorum Lamk is one such important plant with various established medicinal properties. The aim of the present study was to evaluate the preliminary antibacterial activity of methanolic extract of Randia dumetorum Lamk. (Xeromphis spinosa Thumb) Against common ocular pathogens such as Serratia marcescens, S. agalactiae, Corynebacterium macbinleys and Propionibacterium acnes. Methanolic extract of the dried fruits of the plant was prepared. Different concentrations of the dried fruit extracts (R. dumetorum) were transferred to the nutrient agar plates, which had been previously inoculated with the test microorganisms. The plates were incubated at 37°C for 24 h in an incubator and the zones of inhibition were measured using well diffusion method. The extract showed potential antibacterial properties comparable with that of the standard streptomycin against the organisms tested. The methanol extract of R. dumetorum displayed a concentration related antibacterial activity. The results showed that the inhibition of the bacterial growth was more pronounced on Corynebacterium macbinleys as compared to the other tested organisms

Psoriasis is a common chronic, recurrent, immune mediated disease of the skin and joints. It can have a significant negative impact on the physical, emotional and psychosocial wellbeing of affected patients. Many Ayurvedic texts have explained skin diseases, which resembles Psoriasis. According these references, Psoriasis can be considered as the vitiation of Vata and Kapha. The “wrong diet” is the major link for disease manifestation. Hence elimination of this „wrong diet‟ & implementation of corrective diet plays a major role in breaking the „Samprapti‟. The Dietary interventions for Psoriasis or any skin disease can have the following seven components- Nidana Parivarjana, Avashta anusara ahara sevana, Matra consideration, avoiding unwholesome diet, observing proper mental status during food intake, Prescription of specific disease related diet, and very important one- Education about Aahara. The article intends to uplift the importance of holistic approach towards diet prescription rather than only disease specific diet.

Dermatoglyphics is the branch of science concerned with the study of prints on the fingers, palm, soles, and feet. This branch of science is an offshoot of anatomical sciences. Dermatoglyphics as an aspect of science has been studied widely by lots of ardent researchers and have been used to solve lots of problems relating to peoples’ identity and ancestry. Although, dermatoglyphics can be studied at three levels (1, 2, and 3) only level 1 (arches, loops, and whorls) have been explored. 99.9% of the works on dermatoglyphics is at level 1 but no Nigerian indigenous works have been done at level 2 (bifurcations, trifurcations, bridges, ridge ending, enclosures, dots, opposed bifurcations, double bifurcations, island etc). This raises the question, what about level 2 and 3 study? There exist a large vacuum at level 2 dermatoglyphics which should be filled by researchers especially indigenous authors which will help create database for level 2 details in Nigerian population. This to large extent could be used to solve problems relating to ancestral origin which has become an issue in most African populations especially Nigeria. This review serves to help provide a step by step procedure to doing a study on dermatoglyphics at level 2 in Nigerian indigenous populations and Africa at large. The review of papers on this subject serves to expose the gap in this area as compared to the several works done at level 1 and to spore researchers to do more studies on this subject to raise an indigenous data bank for Nigerian populations

Optimal management sequence for the primary tumor and the liver in synchronous colorectal liver metastases (SCLM) is still controversial. Except reviews, studies comparing the 3 surgical approaches are infrequent. The present study aimed to describe the surgical management of patients operated of SCLM. In particular, we compared short-term outcomes and survival according to the surgical strategy. A multicentric retrospective study was conducted on 125 patients with SCLM. Surgical strategy was defined as classic (colorectal first approach), combined and reverse (liver-first approach). Between 2008 and 2013, 87 patients completed the classic strategy, 24 combined strategy and 14 reverse strategy. The 3 groups were comparable regarding pre-operative data. Liver metastases involvement was significantly higher in reverse group. Severe cumulative postoperative morbidity was 39.2%, similar between the 3 strategies. Ninety-day mortality was higher in combined group (12.5%, p>0.05). Failure rate of liver first approach was 17%. The 3-year overall survival (OS) was 73% in classic group, 78% in combined group and 93% in reverse group. The 3-year disease free survival (DFS) was 29%, 30% and 19% for classic, combined and reverse strategy respectively. There was no significant difference with regard to OS and DFS between 3 groups. We demonstrated that liver first approach is safe and feasible with acceptable perioperative and survival outcomes despite initially worse prognostic criteria. Reverse strategy can be applied to a vast majority of patients independently to the liver tumor burden and should be considered progressively as a reference in the management of SCLM

Calcitonin is a sensitive tumor marker for medullary thyroid cancer and is useful in preoperative diagnosis and postoperative surveillance for recurrent disease. Rare cases of medullary carcinomas with a normal or undetectable calcitonin levels have been reported in the literature. We present the case of a 46-year-old woman with a metastatic thyroid carcinoma non-secreting calcitonin

The current clinical study was planned to assess the efficiency of Jeemootakaphala Avapeedaka and Pradhamana Nasya in Kosthashakhashrita kamala. The study was completed on 30 patients diagnosed with Kosthashakashrita kamala of either sex, among the age faction of 20 to 60 years who were arbitrarily chosen. The patients were categorized into 2 groups i.e Group A & group B. Jeemootaka phala Avapeedaka Nasya was given to group A, while Jeemootaka phala Pradhamana Nasya was administered in group B. The dosage of Nasya was -1.5 ml in every nostril in group A, 65 mg in every nostril in group B. The evaluation was made before the treatment and after treatment. Patients were followed up after 7 days of Nasya. Hence whole study period was 15 days. Both Nasya showed considerable improvement in Kosthashakhashrita kamala. Clinical efficiency of group A was better than to group B however statistically both groups showed similar efficacy.

Solid lipid nanoparticles (SLNs) are at the rapidly developed field of nanotechnology with a few potential applications in drug delivery, clinical medication and research, and additionally in other distorted sciences. Because of their small size-subordinate properties, lipid nanoparticles offer the likelihood to grow new therapeutics. The capacity to loaded drugs into nanocarriers offers another model in drug delivery that could be utilized for optional and tertiary levels of drug targeting on. Consequently, SLNs hold extraordinary advantage for achieving the objective of controlled and site specific drug delivery and henceforth have pulled in wide consideration of analysts. The current review describes the role of solid lipid nanoparticles on the pharmacokinetics of poorly soluble antihypertensive drugs. In the event that suitably examined, solid lipid nanoparticles may open new areas in treatment of hypertension with improved oral delivery

Taking the position that writing can be an important skill to foster knowledge building pedagogy; this article explores reading news through mobile applications as a supportive tool for this purpose. Fifteen language learners as participants of the experimental group used two popular news applications on their mobile phones for reading as a pre-task activity that made them outperform their counterparts in the control group in terms of using facts in essays. No significant difference, however, was observed in the overall writing ability of two groups despite considerable progress of the variable content in the experimental group’s favor.

Ankylosing spondylitis and rheumatoid arthritis are the most common chronic inflammatory rheumatism. Their localization at the level of the hip stresses severely the functional prognosis. We report a retrospective series of 40 total hip prostheses performed in 32 patients with inflammatory coxitis, collected in the Traumatology and Orthopedics Department at the Mohammed V Military Hospital in Rabat between 2008 and 2016. The average age at the time of the intervention was 42 years with a clear male predominance. All patients were followed in consultation with a clinical and paraclinical examination. Coxitis following ankylosing spondylitis is the most frequently encountered in our series (65.6%). The rating of Postel Merle d'Aubigné was used to assess the functional status of the hip before and after surgery. The total hip prosthesis was cementless in 37 cases and cemented in 03 cases. The clinical results for the 32 patients after a mean follow-up of 04 years were very satisfactory in (88%) of the cases. The objective of this study is to evaluate our functional results and to show the interest of total hip arthroplasty in this type of pathology, in order to improve the quality of life of these often young patients

This research investigates the impact of the global financial crisis on the performance of Nigerian stock market from 2004 to 2013. The main aim of the research was to examine the impact of global financial crisis on the performance of the N.S.E. Data for this research was sourced from a secondary source. The data were statistically analyzed using descriptive analysis and Kruskal-Wallis H test statistical tools. The analysis showed that Global Financial Crisis has no significant effect on Market Capitalization, value and volume of shares traded on the floor of the N.S.E. From the analysis, the researcher concludes that Global Financial Crisis has no significant effect on market capitalization, value of shares traded and the volume of shares traded in Nigerian stock exchange.

This complete enumeration, cross-sectional comparative record-based study was conducted at a municipal medical college in Maharashtra state, India. First-year MBBS students undergo formative assessment (one terminal examination and one preliminary examination) before they appear for First MBBS University examinations (summative assessment). Marks scored by the First-year MBBS students in terminal and preliminary practical examinations during the seven year period (2011-2017) were statistically analysed. In the terminal practical examination, the gender difference in the average marks scored in terminal practical examinations was statistically significant (Z=2.226; p=0.026) only for Batch 2013, while in the preliminary practical examination the gender difference was statistically significant for Batch 2011 (Z=2.094; p=0.036) and Batch 2017 (Z=2.139; p=0.032). The marks obtained in preliminary practical examination exhibited less variability as compared to that in the terminal practical examination. This study may serve as a springboard towards further research on student assessment in the subject of Physiology

The objective of the study was to observe the various clinical features, histopathological and immunofluorescence findings in patients with autoimmune vesiculobullous disorders. The overall M: F ratio of autoimmune vesiculobullous disorders in the study was 1: 1.4. Trunk was the most common site of involvement in all types of autoimmune vesiculobullous disorders. Overall trunk was the most common site of onset of lesions in autoimmune vesiculobullous disorders but in pemphigus vulgaris mucosal onset is more common than trunk and extremities. Incidence of autoimmune vesiculobullous disorder was 0.11% of the total number of patients attending the skin OPD. Pemphigus vulgaris constituted the most common subtype of autoimmune vesiculobullous disorder in this study, followed by pemphigus foliaceus. Pemphigus group of diseases were most common in the 4th decade while bullous pemphigoid was most common in the 7th decade. Histopathological examination showed features typical of each subtype of autoimmune vesiculobullous disorder.

A combination of ethinylestradiol and drospirenone is used as an oral contraceptive and also for the treatment of premenstrual dysphoric disorders, acne and hirsutism. In this study, a derivative spectrophotometric method has been developed and validated for the simultaneous determination of drospirenone and ethinylestradiol. First order derivative spectrum was used for the determination of ethinylestradiol at 211 nm and drospirenone at 298 and 302 nm. The developed method was linear over the concentration range of 0.25-2.5 μg/mL and 20-200 μg/mL for ethinylestradiol and drospirenone, respectively. The within-day and between-day precision and accuracy were acceptable for both compounds (CV<2.5% and error<2.4%). The proposed method was used for simultaneous determination of ethinylestradiol and drospirenone without any separation before analysis

Employees are the major drivers of any form of business and good employee performance is the most important need for the current competitive business environment to run successfully. Many organisations have started to attach a great emphasis towards the attitudes of workers towards the various instruments they use for performance appraisals. Performance Management and Performance Appraisal are very important tools; it helps to motivate employees to work hard and improves overall company’s productivity. The need to design instruments that motivate the employees through the entire of performance management process cannot be overemphasized.