Objective And Subjective Outcome Measures in Conventional Curettage Adenoidectomy vs Endoscopic Guided Microdebrider Assisted Adenoidectomy – A Prospective Randomised Single Blind Study

Adenoid hypertrophy is a common disease in the community. Adenoidectomy is the definite way of managing the disease, and it is one of the most common surgeries performed in the day-to-day practice of ENT surgeons. This study evaluated the merits and demerits of the conventional curettage method with the microdebrider-assisted adenoidectomy. This single-blinded randomized controlled trial was undertaken to study the Objective and Subjective outcome measures in conventional curettage adenoidectomy versus endoscopic guided microdebrider-assisted adenoidectomy. All the patients were divided equally into two groups based on simple random sampling numbers generated by computer. All the patients in Group A were subjected to adenoidectomy by conventional curettage method with the help of St. Clair Thomson adenoid curette and the patients in Group B were subjected to adenoidectomy with the help of the endoscopic guided microdebrider assisted adenoidectomy.All the patients were evaluated and compared between the two groups for the amount of blood loss occurring during the surgery, the operative time between the procedures, the presence of the residual tissues in the nasopharynx after the procedure, the recovery time, development of the intraoperative and the postoperative complications, comparison of the pain score on the first and seventh postoperative day between the two groups and the presence of the residual symptoms in the follow-up period. Although the microdebrider group is associated with increased bleeding during surgery and increased intraoperative time, it is associated with decreased intraoperative post operative complications, fewer residual tissues and improvement of the symptoms in the post operative period compared with the conventional curettage method. Microdebrider-assisted adenoidectomy has proven its importance by complete tissue clearance at the expense of increased bleeding and operative time

A cognitive science analysis of the Quaker Business Method: is how it works why it works?

The Quaker Business Method (QBM) has been in development for over 300 years. Quakers believe that the QBM is an effective means for making decisions. This paper develops a tripartite theoretical framework to analyze the QBM in order to examine its efficacy, both in terms of the quality of its processes and the morality of its decisions. The framework encompasses: (1) a decomposition of the QBM as a set of tools; (2) a selection of theories and models from cognitive science that explain how humans think; (3) a set of relational models that can be used to objectively judge the morality of different forms of human behavioural interactions. Overall, it appears that QBM tools may counter the deficits in natural human abilities to reason and solve problems, and that they may promote decision making practices that are moral and that the resulting decisions, themselves, may be moral

The role of conductivity and molecular mobility on the photoanisotropic response of a new azo-polymer containing sulfonic groups

This work was supported by the University Malaya under the UMRG grant RP038B-17AFR. NFKA and AMF would like to thank the Royal Academy of Engineering, U.K., and Academy of Science, Malaysia, for the grant NRCP1516/4/61, from the Newton Research Collaboration Programme, and the University of Aberdeen, for the award of the grant SF10192, corresponding to the Global Challenge Research Fund Internal Pump Priming Fund Round 2. AMF would like to acknowledge the Carnegie Trust for the Universities of Scotland for the award of one Scottish Research Incentive Grant (RIG008586).Peer reviewedPostprintPostprin

Nutraceutical therapies for atherosclerosis

Atherosclerosis is a chronic inflammatory disease affecting large and medium arteries and is considered to be a major underlying cause of cardiovascular disease (CVD). Although the development of pharmacotherapies to treat CVD has contributed to a decline in cardiac mortality in the past few decades, CVD is estimated to be the cause of one-third of deaths globally. Nutraceuticals are natural nutritional compounds that are beneficial for the prevention or treatment of disease and, therefore, are a possible therapeutic avenue for the treatment of atherosclerosis. The purpose of this Review is to highlight potential nutraceuticals for use as antiatherogenic therapies with evidence from in vitro and in vivo studies. Furthermore, the current evidence from observational and randomized clinical studies into the role of nutraceuticals in preventing atherosclerosis in humans will also be discussed

A rare case of posterior circulation stroke with anterior spinal artery involvement

A 36 year old gentlemen with diabetes mellitus and systemic hypertension with acute onset giddiness with weakness of both upper limbs, developed over a period of several hours with bilateral triceps weakness, wrist dorsiflexion and palmar flexion weakness with no sensory disturbance and cerebellar signs. MRI brain showed left cerebellar infarct, left lateral medullary infarct, non- visualization of left vertebral artery, T2 hyper-intensity of cervical cord from 4th cervical segment to 8th cervical segment, multiple areas are affected because of left vertebral artery occlusion

Soil Information System: Web-Based Solution for Agricultural Land-use Planning

The soil-forming factors, especially climate, vegetation and topography, act on a range of rock formations and parent materials leading to the development of different kinds of soils. Through concerted efforts, soil datasets generated earlier are used to develop maps and soil information systems at different scales. Progress in basic and fundamental research on the formation of Indian soils as related to climate, relief, organisms, parent materials and time has helped in developing the soil information system

Altitudinal variation in soil organic carbon stock in coniferous subtropical and broadleaf temperate forests in Garhwal Himalaya

<p>Abstract</p> <p>Background</p> <p>The Himalayan zones, with dense forest vegetation, cover a fifth part of India and store a third part of the country reserves of soil organic carbon (SOC). However, the details of altitudinal distribution of these carbon stocks, which are vulnerable to forest management and climate change impacts, are not well known.</p> <p>Results</p> <p>This article reports the results of measuring the stocks of SOC along altitudinal gradients. The study was carried out in the coniferous subtropical and broadleaf temperate forests of Garhwal Himalaya. The stocks of SOC were found to be decreasing with altitude: from 185.6 to 160.8 t C ha^-1and from 141.6 to 124.8 t C ha^-1in temperature (<it>Quercus leucotrichophora</it>) and subtropical (<it>Pinus roxburghii</it>) forests, respectively.</p> <p>Conclusion</p> <p>The results of this study lead to conclusion that the ability of soil to stabilize soil organic matter depends negatively on altitude and call for comprehensive theoretical explanation</p