It is a case report of 48-year-old male patient of chronic non-healing Venous ulcer. Five ulcers were found on inspection on medial aspect of left foot. Symptoms started as slight discoloration, before 30 years. As days progressed even a small scratch leads to ulcer formation. He managed the condition by taking allopathic medicine and got a satisfactory result. But the discoloration persisted, and the ulcers reoccurred with severe burning sensation and itching. Again, he took homeopathic medication and got symptomatic relief. Due to the recurrence of ulcers, Ayurvedic treatment was started on In-Patient basis followed by both external and internal medications. Externally, patient was treated by Patradaana(a type of wound healing treatment using leaves) with Jathyadi kera tailam (oil Preparation) and internally by Syp. Cardorium plus (Herbal formulation), Sahacharadi Kashaya (Medicated Decoction) and Triphala guggulu (Tablet). Sterile Lotus leaves smeared with Jathyadi kera taila were used for covering the ulcer site and the bandage was retained for 12hrs. Later the ulcer sites were covered with a gauze to avoid exposing to the uncleanness, until the next bandage. The procedure is continued for 8days. Sahacharadi Kashaya (Medicated Decoction) and Triphala guggulu (Tablet) were advice for a period of 3weeks and Syrup. Cardorium plus (Herbal formulation) was continued for 2months. This was an attempt to bring the concepts mentioned in Ayurveda classics for Vrana treatment and got a satisfactory result after following this treatment protocol.
Propolis is a resinous substance made by bees from various plant fragments. Bees add salivary enzymes to their composition and this partially digested material is mixed with wax and used to make the beehive (MARCUCCI, 1995; BANKOVA et al., 2000). She may exhibit varied coloration, such as dark brown, greenish tones and reddish brown. A recently discovered type in Brazil is the red propolis, originating from the mangrove plant, Dalbergia ecastophyllum (SILVA et al., 2008). However, the one that has gained international prominence is the one produced from the plant Baccharis dracunculifolia (Asteraceae), the green propolis (MARCUCCI, BANKOVA, 1999). Although many studies have been carried out to evaluate the characteristics of several propolis samples, none of them confirmed or allowed any relationship between the chemical composition of propolis and its therapeutic efficacy (BANKOVA, 2005a). Due to the importance of the biological properties of green propolis, in addition to its wide use. This study aimed to add existing data on the use of propolis during pregnancy, especially warning about the possible risks of using green propolis (Baccharis dracunculifolia) during this period.
Business professional ethics education is directly related to the adult talents of students. It is one of the important conditions for colleges and universities to provide qualified business talents for the society and employers, and to ensure the normal operation of the economy and social order in their industries and the entire country. From the perspective of literature research, this paper sorts out and analyzes the main characteristics of business ethics education in European and American universities, and puts forward some suggestions for Chinese business ethics education.
Novel Technique In Strangulated Para-Umbilical Hernia Repair Under Local Anaesthesia Block For High-Risk Patient : Case Report
Background: Strangulated hernia is one of the most emergency cases that require surgery under general anaesthesia. Here, we present a rare case of strangulated PUH repair done under rectus sheath block (RSB). Case Presentation: We report here a case of a 74-year-old male with diabetes mellitus, hypertension, ischemic heart disease with ejection fraction 20% who presented to our ER with peri-umbilical hernia (PUH) swelling and constipation. On examination, incarcerated PUH was found with massive ascites. Under local anaesthesia, rectus sheet block was performed. During midline laparotomy, there was a supra-umbilical hernia defect of about 3 cm narrow neck containing bowel loop about 5-7cm in length, initially appeared ischemic then regain Its normal colour, primary repair done for the defect. No complication was observed in the post-operative period. Discussion: Strangulated hernia is an emergency case that requires surgical intervention, hernia reduction and resection of necrotic tissue if needed. PUH repair as a day case by using local anaesthesia is a good option as it has advantages of low recurrence and infection rate. For patients with 3 to 4 ASA class, general or spinal anaesthesia is risky, and RSB is the best alternative option in such high-risk patients. Conclusion: Rectus sheath block is a good option for strangulated PUH patients.
Profile of cacao cultivated in Colombia: a study based on standardized methods, indicators of quality and variety
Several modifications have been reported for methods used to recognize varieties and the quality of cocoa during post-harvest. This situation has limited comparable and competitive profiles. For this reason, the aim of this study was to standardize the methodologies to evaluate the bromatological, and physicochemical profile of raw, fermented and dried cocoa of four clones from Colombia, in order to identify its quality during post-harvest and between varieties. Fat content: Six solvents were evaluated using Soxhlet and an alternative method assisted by Ultrasound. Total acidity: It was optimized with respect to time by using centrifugation. Antioxidant capacity: Two solvent systems were evaluated to obtain the higher recovery of cocoa extract in the determination of polyphenols and antioxidant capacity. Fermentation index: The difference among the varieties as well as raw and well-fermented cocoa was calculated by using the anthocyanins absorbance ratio. Finally, the experiments were conducted in a completely randomized design. One-way analysis of variance. Hexane was the most efficient solvent for the extraction of fat content. The use of centrifugation instead of filtration during the determination of total acidity reduced the time of analysis in 25 min. acetone:water: acetic acid (70:29.5:0.5) mixture was the best system for the extraction in the determination of the antioxidant activity. The ratio of anthocyanins
Evaluation of clinical anesthetic effect after tramadol hydrochloride addition to xylazine-ketamine total injectable general anesthesia in cats undergoing scrotal castration
Twenty adult male Egyptian local breed cats were divided into two equal groups and anesthetized using two different Ketamine based protocols. The first group received a mixture of Xylazine and Ketamine (XK) in a single syringe administered intramuscular. The other group received Xylazine-Ketamine-Tramadol mixture (XKT) in the same syringe. Non-significant variations in physiological parameters, induction, anesthesia or recovery periods were detected. Post-operative sedation and analgesia significantly increased in the XKT group. Seizures like convulsions were noticed during induction and recovery in XKT group. Anesthesia and recovery periods were slightly prolonged in the same group than in XK group. In conclusion, addition of tramadol in a dose of 2mg/kg to Xylazine-Ketamine combination didn’t depress the cardiopulmonary functions hence didn’t require further addition of anticholinergic premedication, produced better sedation and post-operative analgesia and slightly prolong the anesthesia duration.
Readiness of the Unioun Parishad for Achieving the Decent Work and Economic Growth Goal of SDGs: A Case Study of Chandanpath Union Parishad, Rangpur Sadar, Rangpur,Bangladesh
This After 2015 Sustainable Development Goals or UN Agenda-2030 is now a reality to go with this goals and targets for its all member countries. The purpose of this paper is to account for how lowest tier of our local government that is Union Parishad can help to achieve sustainable development Goals. In this paper my objective is to know whether our Union Parishad is ready to achieve SDGs Goal no 08 that is “Decent Work and Economic Growth” or not. To do this I have chosen a Union Parishd which is “Chandanpath” under Rangpur Sadar, Rangpur. I have collected my information through face to face interview of Public Representatives of Chandanpath UP, Focused Group Discussion with stakeholders and related document analysis. Combination of document analysis and information gained through interviews shows that our local governments are not in ready position to respond to and address today’s development challenges. After studying the different relevant documents we see that in developed countries local government playing a vital role in educating, mobilizing, cultural awareness, reduced prejudices and stereotypes, increased understanding of global inequality, and knowledge of the partner community and country responding to the public to promote decent work and contributing sustainable economic development. Though this practices on ground unequal, but in our country lack of knowledge and competence of public representatives, political unwillingness and insufficient resource are hindering the cooperation from having a larger impact in unemployment situation. This knowledge from study can be used to take further necessary steps from the policy planners and implementers of our country in a new light to achieve real economic growth.
Public transit whether it is buses, trains, or metros can be particularly frustrating for passengers. Although public transit is typically cheaper and more green than traveling by a private vehicle, public transit may not be as comfortable, convenient, or as quick as a private vehicle, passengers will have to plan their schedules around the public transit timetables, and unforeseen circumstances may disrupt public transit operations. However, the drawbacks of public transportation is slowly being eliminated; public transit is starting to become more comfortable, districts are offering more amenities for passengers such as internet access, and districts are starting to improve service by offering more trips and express service. Designing a computerized system has been introduced in this research which is based on the Internet to remotely reserve all types of tickets for the most important and essential types of transportation in Egypt. The covered transportation types in the suggested system should be trusted like private Buses companies like GO Bus, Blue eyes, West Delta, and East Delta, Underground Metro, and Railway Trains network. By generating QR-Code which will be sent to the customer on his own mail using any connected device to Internet including all details of the ticket. Whenever the customer reserves the ticket, he can deal with in a hard copy or electronic version. The suggested reservation system depends on using the databases of National IDs and Visa Card. So, it will be very easy and helpful systems which will leads to save time and money too, and in future it will minimize dealing with the tickets’ window in stations.
Corticoids are 21 carbon compounds having cyclopentanohydrophenanthrene nucleus. They are synthesised in adrenal Cortisol cells in the cholesterol. Corticoids are given exogenously to regulate various body functions like in the maintainenece of fluid electrolyte balance, cardiovascular and energy substrate homeostasis and functional status of skeletal muscles and nervous system.They help withstand body with the outside stimuli and noxious particles and stress during a diseased state. They mimic the action of the body’s Natural hormone Cortisol Taking too much of exogenous Cortisol when given in medication form of gluco-corticosteriod leads to exogenous Cushing syndrome. A condition that occurs from the exposure to high Cortisol levels for a longer period of time. Symptoms of Cushing Syndrome include: Moon face, Slow growth rate in children, Weight gain in fat accumulation, Skin Infection, Thin skin with easy bruising. Lab test conducted to Verify Cushing Syndrome are: Blood Cortisol Levels, Blood sugar levels, Dexamethasone suppression test, 24hr urine Cortisol and Creatinine levels, ACTH stimulation test. OBJECTIVE: To describe a case of Drug induced Cushing syndrome in a 40 year old female patient who was on the treatment of skin rashes under methyl prednisolone continuously for a period of one month.
This Urea is a vital source of nitrogen (N) to be supplied for plants but most of it is lost through processes including volatilization, denitrification, leaching and run-off. So, it is timely to find out an alternative source of nitrogen fertilizer. A field experiment was, therefore, carried out at Soil Science Field Laboratory of Bangladesh Agricultural University, Mymensingh during 2016-2017 with a view to investigating the effectiveness of NEB-26 (a liquid N fertilizer introduced by Advanced Chemical Industries (ACI) Limited) in combination with urea on the growth and yield of potato. The soil was silt loam in texture having a pH 6.4, organic matter 1.55%, total N 0.091%, available P 3.30 mg kg-1, available K 0.08 me 100-1 g soil, available S 6.46 mg kg-1 and available Zn 0.86 mg kg-1. The experiment consisted of five treatments laid out in a Randomized Complete Block Design with four replications. The treatments were T1: Control (no N fertilizer), T2: 100% N from urea, T3: 50% N from urea, T4: 50% N from urea + 500 ml ha-1 NEB-26 and T5: 50% N from urea + 750 ml ha-1 NEB-26. The potato variety used in the experiment was ‘Diamant’. The recommended doses of N (140 kg ha-1), P (25 kg ha-1), K (135 kg ha-1) and S (15 kg ha-1) were supplied from urea, TSP, MoP and gypsum, respectively. All the fertilizers except urea were applied as basal dose. Urea was applied in three installments and the NEB-26 was applied as per treatment at the time of second installment of urea application. The crop was harvested at maturity and the yield components and yields were recorded. The results indicate that the yield attributes, tuber yield and haulm yield of potato were significantly influenced by N supplied from urea and NEB-26. The tuber yield…