POSTOPERATIVE COMPLICATIONS AND ASSOCIATED MORTALITY IN PATIENTS BELOW 18 YEARS OF AGE WITH CONGENITAL HEART DISEASE

Congenital heart disease (CHD) is present in about 9 of every 1,000 live-born children. Children with CHD are surviving longer, and a better understanding of the long-term complications of CHD is continuously emerging. Hence, it is important to be comfortable with the primary care requirements for these children. A thorough understanding of the anatomy and morphology of complex congenital heart disease is essential for the successful management of patients with complex congenital heart disease and to avoid unwanted complications. A present retrospective observational study was designed to assess the rate of mortality associated with various complications postoperative in children with congenital heart disease. Total of 244 patients were included in the study. 84 were reported with various complications. And 48 patients were died early or late follow up after the operation. The percentage of mortality in patients with complex congenital heart disease was found to be higher

Study of clinical and surgical association in patients having combined coronary artery and cardiovascular diseases.

The association between coronary artery disease and non-coronary atherosclerosis is explained by cardiovascular risk factors. A large majority of patients with combined coronary and carotid disease live for more than 5 years. An increase in CIMT (carotid intima-media thickness) by carotid Doppler ultrasound examination is associated with the presence and extent of CAD. The present study is designed with an objective to study the association of coronary artery disease with various cardiovascular complications. This is a prospective study of patients with proven coronary artery disease or detected on workup for surgery along with significant non-coronary cardiovascular diseases. A total of 40 patients who met with the inclusion criteria were included as a subject for the study. Patients from both the genders from the age 31- 80 years were included. The youngest patient was a 38 yrs lady who presented with aorto bi iliac disease 2 years after undergoing CABG. All the selected subjects were assessed for the clinical presentation of the lesion and a maximum 30 patients were observed with Aortoiliac disease. Diabetes was the most common co-morbid factor which affected 36 patients among the selection. Post-operative observation revealed that 30% of patients were found to be diseased by Transient renal dysfunction. This evident that the patients with vascular disease have high concomitant coronary artery involvement with disease. Patients with significant associated carotid stenosis benefit by combined Carotid endarterectomy and CABG. Medically treated patients of ischemic VSD have grim prognosis; nevertheless, cardiogenic shock is an important predictor of surgical outcome

Crohns disease with central nervous system vasculitis causing subarachnoid hemorrhage due to aneurysm and cerebral ischemic stroke

Cerebral vasculitis secondary to Crohn′s disease (CD) seems to be a very rare phenomenon. We report a 39-year-old male who presented with headache, vomiting, and left-sided weakness in the known case of CD. Cross-sectional imaging (computed tomography and magnetic resonance imaging,) showed right gangliocapsular acute infarct with supraclinoid cistern subarachnoid hemorrhage (SAH). Cerebral digital substraction angiography (DSA) showed dilatation and narrowing of right distal internal carotid artery (ICA). Left ICA was chronically occluded. His inflammatory markers were significantly raised. Imaging features are suggestive of cerebral vasculitis. Arterial and venous infarcts due to thrombosis are known in CD. Our case presented with acute subarachnoid hemorrhage in supraclinoid cistern due to rupture of tiny aneurysm of perforator arteries causing SAH and infarction in right basal ganglia. Patient was treated conservatively with immunosuppression along with medical management of SAH

COVID-19 Awareness Among Healthcare Students and Professionals in Mumbai Metropolitan Region: A Questionnaire-Based Survey

BACKGROUND AND OBJECTIVES: The rapid and extensive spread of the COVID-19 pandemic has become a major cause of concern for the healthcare profession. The aim of this study is to assess the awareness of COVID-19 disease and related infection control practices among healthcare professionals and students in the Mumbai Metropolitan Region. MATERIALS AND METHODS: A total of 1562 responders from the Mumbai Metropolitan Region completed a questionnaire-based survey on the awareness, knowledge, and infection control practices related to COVID-19 infection in the healthcare setting. The questionnaire was adapted from the current interim guidance and information for healthcare workers published by the US Centers for Disease Control and Prevention (CDC). Convenient sampling method was used for data collection and the distribution of responses was presented as frequencies and percentages. Descriptive statistics were performed for all groups and subgroups based on the percentage of correct responses. Individual pairwise comparisons were done using the median test for the percentage of correct responses. RESULTS: The overall awareness for all subgroups was adequate with 71.2% reporting correct answers. The highest percentage of correct responses were from undergraduate medical students and the lowest was from non-clinical/administrative staff. Less than half of the total respondents could correctly define “close contact.” More than three-fourths of the responders were aware of the various infection control measures like rapid triage, respiratory hygiene, and cough etiquette and having a separate, well ventilated waiting area for suspected COVID-19 patients. However, only 45.4% of the responders were aware of the correct sequence for the application of a mask/respirator, and only 52.5% of the responders were aware of the preferred hand hygiene method for visibly soiled hands. CONCLUSION: There is a need for regular educational interventions and training programs on infection control practices for COVID-19 across all healthcare professions. Occupational health and safety are of paramount importance to minimize the risk of transmission to healthcare students and professionals and provide optimal care for patients

Electricity Generation by Vertical Axis Turbine

Abstract: Wind energy is the kinetic energy associated with movement of large masses of air. These motions result from uneven heating of atmosphere by sun creating temperature, density, pressure differences. It is an indirect form of solar energy The device used to convert kinetic energy of wind into electrical power is called a wind turbine. Vertical Axis wind power generators, represent a very promising future for wind power generation. In present study an attempt is made to utilize at low velocity wind below 4m/s for useful power generation using magnetic levitation for vertical axis wind turbine (VAWT) termed as Maglev turbine. A single large Maglev turbine can give output more than conventional horizontal axis wind turbine (HAWT). The rotor that is designed to harness enough air to rotate the shaft at low and high wind speeds while keeping the center of mass closer to the base of yielding stability due to Maglev effect. The efficiency of turbine is increased by replacing the conventional bearings by magnets in repulsion; the magnetic levitation helps the turbine to spin at much faster rate as it eliminates the stresses on the shaft of turbine. The major components are placed at the ground level which ensures the safety of turbine.</jats:p