bluuebunny/crossref_metadata_2025 huggingface dataset:
A comprehensive study on the incidence and management of incisional hernia
Authors: Malviya Ajay , Patel Arvind , Bhardwaj Girish , Bulchandani Hitesh P. , Saini Vivek
Published: June 2017

Background: Incisional hernia is a frequent complication of abdominal surgery. The reported incidence of incisional hernia following abdominal surgery ranges from 2-20%. It may be caused by flawed operative techniques, by postoperative complications such as wound infection, by increased abdominal wall tension or by a metabolic connective tissue disorder.Methods: The present study was conducted on patients of incisional hernias admitted in various surgical wards of the department of surgery, associated group of hospitals attached to Dr. Sampurnanand Medical College, Jodhpur over a period of 10 years extending from 2005 to 2015. Detailed history and clinical examination of all patients were obtained from the case sheets. Other risk factors like obesity, hypertension, diabetes mellitus and malignant disease were recorded. Routine investigations were also documented. Patients were closely monitored in pre, intra and post-operative periods. The data collected were systemically recorded and statistically analysed.Results: Maximum incidence (67.21%) of incisional hernia seen in 31-60years of age and mean age was 48.54years with twice common in female sex. Abdominal swelling was the commonest (90.57%) presenting symptom. 80% of patients present within 1 year. Of previous surgery, 50% of them were gynaecological. Midline vertical incision (70%) was most notorious to develop in incisional hernia. Wound infection (50%) was major risk factor. Mesh repair (laproscopic 3.68% & open 92%) was the procedure of choice.Conclusions: Incisional hernia is twice common in women than in men with gynaecological procedures mainly caesarean section contributing for half of the cases of incisional hernias. It more frequently develops in vertical midline incision and post-operative wound infection is the most important predisposing factor. Incisional hernia usually appears within 1 year of previous operation. Mesh repair of incisional hernia has of late become popular amongst surgeons.
Evaluation of various symptoms in subjects with mass in right iliac fossa
Authors: K. S. Balasubrahmanya , Pawar Praveen M. , M. Srinidhi , K. V. Jinumon , S. Shruthi , Tanga Vishal
Published: June 2017

Background:Mass in right iliac fossa is a very common condition a surgeon will come across in day to day practise. This study was aimed at assessing various symptoms with which subjects with mass in right iliac fossa present to clinician.Methods: 50 eligible subjects admitted in K. R. Hospital who were diagnosed to have mass in right iliac fossa clinically or radiologically were selected after informed valid consent. A proper history, thorough clinical examination and relevant investigations were done to diagnose the pathology. Various symptoms were assessed.Results:In our study, the various conditions which presented as mass in right iliac fossa were appendicular mass (42%), appendicular abscess (16%), ileocaecal tuberculosis (24%), carcinoma caecum (14%), ileopsoas abscess (4%). Various symptoms with which subjects presented were pain abdomen (88%), fever (78%), vomiting (30%), mass per abdomen (28%), weight loss (38%), bleeding per rectum (12%) and bowel disturbances (16%). Appendicular pathology was most common cause in younger age group and carcinoma caecum and ileocaecal TB was more prevalent in older age group.Conclusions:Various symptoms with which subjects presented were pain abdomen, fever, vomiting, mass per abdomen, weight loss, bleeding per rectum and bowel disturbances. Pain abdomen was the most common symptom in subjects with mass in right iliac fossa. Mass per abdomen as a symptom was found in 28% of the subjects.
Response to neoadjuvant chemotherapy in operable breast carcinoma and conversion of modified radical mastectomy to breast conservation surgery, long term results: an Indian perspective
Authors: Sharma Kunjan , Sharma Dhruv , Gupta Manoj , Seam Rajeev , MInhas S. S.
Published: June 2017

Background: This was a prospective study conducted in a tertiary care hospital over a period of one year w.e.f 01.09.06 to 31.08.07 and included 25 female breast cancer patients who were fine needle aspiration cytology proven. The objective of this study was to observe the response to neoadjuvant chemotherapy (NACT) in T1-T3, N0-N1, M0 patients and to determine the % of patients on whom breast conservation surgery could be performed. Majority of the patients were in 5th or 6th decades of life.Methods: Thorough clinical examination, bilateral mammography and ultrasound of the diseased breast was performed before administering CAF (cyclophosphamide, doxorubicin and 5-Fluorouracil) based NACT. Majority of the patients received three cycles of NACT. All patients tolerated the treatment well without any severe adverse effects.Results: Overall 84% of the patients showed response to NACT with 12% showing complete clinical regression of the primary tumour. The incidence of clinically negative axilla increased from 20% to 48% after NACT. The breast conservation surgery (BCS) rate increased from 12% to 64% after NACT.Conclusions: Of 16 patients who had undergone BCS, one patient had ipsilateral breast recurrence at four years and another one at six years of follow up; that proves the importance and success of BCS in carefully selected patients in our setup.
Rare case of synovial sarcoma of anterior abdominal wall in a young Indian male
Authors: Katyal Abhishek , Patel Yash
Published: June 2017

Synovial Sarcomas (synoviomas) are the fourth most common malignant soft-tissue tumours, and typically develop in para-articular locations of the extremities in close association with joint capsules, tendon sheaths, bursae and fascial structures. Other less common sites include the head and neck, abdominal wall, intra-abdominal cavity, and mediastinum. In this article, an interesting and rare case of a 25-year-old man with left upper abdominal lump is reported which was subsequently diagnosed as biphasic synovial sarcoma (spindle cell variety) of anterior abdominal wall.
Early gallbladder carcinoma with cholelithiasis: a rare case report
Authors: A. C. Senthil Kumar , S. Balamurali , S. Reshma
Published: June 2017

Gall bladder carcinoma is an exceedingly rare and fatal cancer with a high mortality rate.  Detecting gall bladder carcinoma in early stages can be difficult, despite improvements in ultrasound and computed tomography (CT) imaging. Most diagnoses of gallbladder carcinoma are made at advanced stages, with majority being found incidentally during surgery for cholelithiasis.  The presented case demonstrates suspicion of Gallbladder carcinoma pre-operatively.
An interesting case of faecolith intestinal obstruction
Authors: Agrawal Sujan Narayan , Joshi Vivek Kumar , Mittal Vineet
Published: June 2017

Intestinal obstruction is a common presentation in surgical wards. Faecolith causing intestinal obstruction are of rare occurrence that too in small bowel. We are herewith presenting a case of intestinal obstruction in small bowel due to Faecolith. It was treated by exploratory laprotomy and removal of Faecolith by enterostomy. This case is presented because of its rarity and emphasis on good history taking and pre-operative workup.
Multiple epidermal cysts of the scrotum: a rare case report
Authors: N. N. T. Yeshwant Kumar , S. Reshma , S. Deivanayagam
Published: June 2017

Multiple epidermal cysts over the scrotum is a rare condition and requires surgical intervention if infected or cosmetically unacceptable.  Grossly enlarged cysts require complete excision, followed by scrotoplasty.  We are reporting a case of multiple epidermal cysts on the scrotum.  Complete excision of the cysts followed by scrotoplasty was done in this case.
Challenges of care givers of children with cerebral palsy in a developing country
Authors: Eyong Komomo Ibor , E. Ekanem Emmanuel , A. Asindi Asindi
Published: June 2017

Background: The role of caregiving takes on an entirely different significance when a child experiences functional limitations and possible long-term dependence. The main challenges for parents of children with disabilities are their ability to cope with their children's chronic health problems and effectively carry on with daily requirements of everyday living. The aim of this study is to evaluate the challenges parents encounter in caring for children with cerebral palsy in a developing country.Methods: Consenting parents of children with cerebral palsy presenting in the neurology clinic of the University of Calabar Teaching Hospital, Calabar, south-south Nigeria were recruited for the study. The bio data of the parents were obtained. The challenges encountered by parents of children with cerebral palsy were determined using a semi structured questionnaire.Results: Seventy parents of children with cerebral palsy were recruited into the study. Majority of the subjects (61.4%) are from the low socio economic while the least represented was the high socioeconomic class. Sixty-four (91.4%) of the parents worry about the handicap and comorbidities of cerebral palsy. Similarly, 91.4% of parents admitted that their social life has been adversely affected by caring for these children. Also, more than half of the parents find it difficult to cope with their jobs or businesses and have their resources depleted. Family disharmony was found in over 40% of the parents. The task of caring for children with cerebral palsy is a daunting one as its negative impact on family, social and family resources are enormous especially in resource poor countries with little or no social support system. Parents caring for children with disabilities therefore need assistance and respite care to alleviate these challenges, since rehabilitation services are limited in most African countries, it has been suggested that community-based and outreach services are provided in order to decrease the burden of care.Conclusions: Effort should therefore be geared toward prevention. The provision of a social support system and rehabilitation centres at subsidized rates will significantly ease the burden encountered by these parents.
Profile of medico-legal cases registered at a tertiary care children’s hospital
Authors: Mina Shyam Sundar , Basu Srikanta , Kumar Virendra , Mina Deepika
Published: June 2017

Background: The aim of this study was to analyse the patterns, social factors and the clinical outcomes of medico legal cases in Delhi.Methods: In this study, 238 medico-legal cases were studied at tertiary care centre.Results: Out of 238 cases studied, 188(79%) were males and 58 (21%) were females and a majority of these cases were from the urban slum areas (53.78%). Majority of the medico-legal cases were due to routine medical examination for fitness of abandoned children’s (26.89%) followed by poisoning (23.10%), trauma (16%), road traffic accident (8%), assault (13.33%). Most of the MLC cases were reported in casualty within 1 hour through PCR police. In this majority of the MLC cases were discharged after treatment (78.99%) and 2 children (4.72%) expired.Conclusions: This study shows the prevalence of medico-legal cases in a tertiary care hospital. Majority of the cases were males and adolescents. There is an urgent need to focus more on this vulnerable age group. Moreover, there is a need of awareness on the part of treating pediatricians about these medico legal cases and to handle the victims empathetically and at the same time follow the legal procedures diligently as per the law of the land.
Prevalence of anaemia and visual impairment among primary school children of Ahmedabad City, Gujarat: a cross sectional study
Authors: Gunjana Geet , Upadhyay Nisha , Dixit Grishma , Thakor Nilesh
Published: June 2017

Background: Nutritional anemia and visual impairment among school age children are recognized as public health problem worldwide. The objective of the study was to prevalence of anemia and visual impairment among school going adolescents of Ahmedabad city, Gujarat.Methods: This cross-sectional study was carried during period from January 2012 to March 2012. 4 schools were selected by purposive sampling. After taking the permission from principals of schools and informed written consent of the parents of the children, 421 children from these schools of Ahmedabad city were examined for anemia and visual impairment. The data was collected by predesigned, pretested performa and analyzed using Epi Info.Results: Out of total 421 children 205 (48.7%) were female. Mean age of the study children was 7.9 ± 1.06 years. The prevalence of anemia in children in present study was 61.9 % (261 children). The prevalence of anemia in female (134, 62.9%) was higher than males (130, 60.1%). Moderate to severe visual impairment and blindness was 7.2% in girls and 10.5% in boys respectively and the gender difference was not statistically significant. Though 38 (8.9%) children had moderate to severe visual impairment to blindness only 10 (2.3%) children were wearing spectacles.Conclusions: High prevalence of anemia and visual impairment among these children needs great attention and health education.
A clinical study to determine the relationship between serum vitamin D levels and severity of asthma
Authors: Kumar Pragalatha , Gowdra Aruna , Arathi Arathi , Sampath Ananya
Published: June 2017

Background: Vitamin D deficiency has been rediscovered as a public health problem worldwide. Few studies have shown that vitamin D deficiency is associated with asthma severity. The objective of present work was to study the serum vitamin D levels and its relationship with asthma severity in children.Methods: A prospective cohort study of 100 children with asthma between the age group of 5 to 15 years and age and sex matched 40 healthy controls who had come to Indira Gandhi Institute of Child Health, Bengaluru was done. These children’s serum vitamin D levels were estimated and correlated with asthma severity.Results: A total of 100 children with asthma and 40 healthy age and sex matched controls were evaluated. The study group had lower vitamin D (34.95 ng/ml) levels as compared to the control group (57.94 ng/ml) which was statistically significant (p<0.05). 68.4% children had significantly low vitamin D levels and severe form of asthma (p value <0.001). There was also a marked rise in absolute eosinophil count in those who had low vitamin D levels (56.6%) (p-value <0.0001).Conclusions: Vitamin D deficiency is an important risk factor for asthma severity. It modifies the immune system and reduces the inflammation. In the present study, low serum vitamin D levels were significantly correlated with severe form of asthma. There was a significant rise in the absolute eosinophil count in those who exhibited deficiency of vitamin D.
Study of serum electrolytes with different clinical co-morbidities in complicated severe acute malnutrition children aged 6 months to 5 years
Authors: Meena Suresh K. , Suman Rameshwar L. , Jain Rupali , Meena Pradeep
Published: June 2017

Background: Severe acute malnutrition (SAM) is one of the most common health problem. SAM children are more prone to severe infections that culminates into different co-morbid conditions and consequentially leads to electrolyte derangements. Hence this study aims to find out the incidence of dyselectrolytemia (Na+ and K+) in malnourished children with different clinical co-morbid conditions.Methods: It was a hospital based prospective, case-control study conducted on 100 children of complicated as study group and 50 children of uncomplicated SAM as control group, over a period of six months in year 2016. The children included as per WHO reference criteria of SAM in 6 months to 5-years age group. All the enrolled children were assessed with detailed clinical examination according to different co-morbidities, including anthropometry and routine investigations along with serum electrolytes (Na+ and K+) and chest x-ray.Results: In our study, out of 100 complicated SAM children, dyselectrolytemia was present in 94.0% children. The SAM children with most co-morbidities had subnormal sodium ranging from 128-135 mEq/L while potassium was normal ranging from 3.68-4.34 mEq/L at the time of admission. We observed that mean sodium level was 131.82±6.66 mEq/L while mean potassium level was 4.17±1.03 mEq/L in complicated SAM children. In control group children mean sodium level was 135.90±4.26 mEq/L while mean potassium level was 4.14±1.11 mEq/L.Conclusions: To conclude that dyselectrolytemia is high in complicated SAM and it is mainly sodium disturbances in the form of hyponatremia in different co-morbid conditions. Hence, we recommend that due care is to be given for management of dyselectrolytemia in complicated SAM children.
Influencers of childhood over nutrition: a cross sectional study among primary school children in Kolkata, West Bengal, India
Authors: Dasgupta Aparajita , Bhattacharyya Aritra , Paul Bobby , Bandyopadhyay Lina
Published: June 2017

Background: Changing trends of dietary habits and lack of physical exercise force the world to face a modern era epidemic obesity which also affects our children counterpart. Childhood obesity is now a challenge of public health to combat with. Prevalence of childhood overnutrition (obesity and overweight) found to be rising in many developing countries including India in recent decades in many studies by different researchers, it is ranging from 2.9% to 14.3%, which makes our youth vulnerable to many life-threatening consequences.Methods: It was a school based cross sectional study done in primary schools of Barasat among 548 students of 3-11 years of age group. Parental perception towards child eating behaviour were assessed with the help of CEBQ questionnaire.Results: Among the total 548 students, as per BMI 38% were overweight and obese. Then hierarchical multiple logistic regression revealed that at Step one socio-demographic factors accounted for 16.9% of the variation in overnutrition status. Introducing the responses on selected life style factors in step two and CEBQ responses in final step explained an additional 9.9% and 5% of variation respectively. At all three-level model correctly predicted 62-70.3% of the dependent variables.Conclusions: The high proportion of over nourished children were found in our study, and this found to be related with parental perception about few lifestyle and child eating behaviour which calls for further research and interventional programme for this alarming topic in this age group.
Prevalence of metabolic comorbidities in obese children
Authors: Jacob Ambili Susan , G. Reetha
Published: June 2017

Background: Obesity has been defined as an excess of body weight due to chronic caloric imbalance with more calories consumed than expended each day. Objective of present study was to determine the prevalence of metabolic co morbidities in obese children in our local populationMethods: Hospital based cross-sectional study conducted in the endocrinology clinic of a tertiary care hospital for a period of 1 year. Obese children attending the clinic during the study period were included. Their clinical and metabolic parameters including hypertension, lipid profile, diabetes and thyroid status were evaluated.Results: A total of 65 children were included in the final analysis. Dyslipidemia was seen in 63% of the study subjects with high LDL cholesterol being the most frequent lipid abnormality.Conclusions: The prevalence of dyslipidemia among obese children in our population was similar to that in other parts of the country, though we got a higher prevalence of LDL cholesterol.
Comparison of various methods of temperature measurement in children admitted in the pediatric ward of a tertiary care center
Authors: Varadarajan Poovazhagi , Muthaiyan Jayakumar , Jayachandran Ganesh , Sankaran Anupama , Sankaran Suresh Kumar
Published: June 2017

Background: Temperature measurement is an important   procedure in the diagnosis and management of childhood illness. Rectal measurement of temperature is often done with resentment from the child, the parents as well as the physician.  Intra aural (Tympanic), temporal artery and axillary measurements are commonly undertaken for temperature recording in children. The aim of the study was to compare the various methods of temperature measurement (intra aural, temporal artery and axillary measurements) in children. This was a hospital based descriptive study (pilot study) from a pediatric tertiary care center.Methods: This was a hospital based descriptive study (pilot study) from a pediatric tertiary care center. 250 children admitted with history of fever in the pediatric ward. All consecutive children with fever were recruited for the study. Children with ear pain, ear discharge and wax in the ear were excluded.Results: Inter-group comparison was performed using student paired t-test. There was no difference in the temperature measured by axillary and temporal artery touch when compared with intra aural. Temperature measured by infra-red temporal at 3 cm showed significant lower temperature.  Temporal artery and    axillary measurements had a correlation coefficient of 0.74 and 0.64 respectively when compared    with intra aural measurement.Conclusions: Temporal artery and axillary measurements are not significantly different from intra aural measurement in children. For the ease of measurement, better correlation, better compliance of the child, temporal artery method   can be a reliable preferred temperature measurement in children with fever.
Evaluation of prevalence, clinical spectrum and outcome of acute ITP in children in a tertiary care centre in Odisha, India
Authors: Champatiray Jyotiranjan , Behera Deepak Kumar , Krishnamoorthy Akhil , Bhat Shreesh
Published: June 2017

Background: Idiopathic thrombocytopenic purpura (ITP), also known as immune thrombocytopenic purpura is one of the commonest bleeding disorders encountered in children between the ages of 2 to 10 years affecting both sexes. The objectives of the study were to collect the prospectively data including age, gender, bleeding type, platelet count and other laboratory tests, treatments, responses to treatment and outcomes in children with acute ITP from 1month to 14 years of age over a period of two years.Methods: The present study was conducted in the Department of Paediatrics Shrirama Chandra Bhanj, Medical College and Hospital and Sardar Vallabhbhai Patel Post Graduate Institute of Paediatrics, Cuttack during the period October 2011-Septmber 2013.Results: Total 36 cases of hospitalized acute ITP patients were studied out of 29200 cases. Prevalence of acute ITP was found to be 12.3 per 10,000 of all hospitalized children above 1 month. Male children outnumbered female children by Ratio 1.2. Past history of URTI was present in 78% of cases. Petechaie/purpura was the universal presenting features followed by Oral / Gum bleeding in 67% of cases. 8% of patient experienced clinical bleeding requiring blood transfusion and platelet transfusion. Mean duration of Hospital stay was 6.34 days. Maximum number of Patients (69%) had complete recovery and 14% each had persistent and chronic course.Conclusions: ITP is a common pediatrics disease presenting at any age with low morbidity and mortality. Most children with acute ITP recover in weeks to months. A long-term hospital based prospective study is suggested to know any significant risk factor in patient presenting with acute ITP.
Chediak Higashi syndrome presenting in accelerated phase: a case report and literature review
Authors: R. SHRAVANI M. , H. Murali B. , Chandrakala Chandrakala , Chaitra Chaitra , Varshini Varshini
Published: June 2017

Chediak Higashi syndrome (CHS) is a rare autosomal recessive lysosomal disorder characterized by frequent infections, oculocutaneous albinism, bleeding diathesis and progressive neurologic deterioration. In 85% of cases, CHS patients develop the accelerated phase characterized by pancytopenia, high fever, and lymphohistiocytic infiltration of liver, spleen, and lymph nodes. Treatment of accelerated-phase CHS is difficult and the prognosis is poor. Here, we report a case of CHS in a 1-year-old girl who presented in the accelerated phase of the disease. CHS diagnosis was made on the basis of clinical characteristics, hair analysis and identification of pathognomonic giant azurophilic granules in peripheral blood smear.
Impact of World Trade Organization on Indian Textile Industry
Authors: Dikshit J. R. , Basak P. C. , Vagrecha Kamal
Published: June 2017

No country in the world is self-sufficient. Therefore, there is need to trade with others. Economy was protected from external competition due to licensing system and high level of tariff.

In early 1990's with the birth of World Trade Organization (WTO) India started the process of liberalization of trade. WTO's objective is to ensure new open world trading system to benefit consumers. The Most Favoured Nation clause of WTO was in clash with the Multi Fibre Agreement (MFA), which placed quantitative restrictions on textile exporting countries. Hence MFA was gradually phased out by December 31, 2004.

The phasing out of Multi Fibre Agreement (MFA) was expected to result in an increase in the growth of output, efficiency, productivity and competitiveness of the textile sector.

The impact of abolition of MFA is studied with regard to export of yarn, fabric, and garments during MFA and Post MFA period. It has been concluded from the observations that the export of textile intermediates (i.e. yarn and fabric) and textiles and clothing have increased substantially after the abolition of MFA.
Prof. Abid Haleem President, Global Institute of Flexible Systems Management
Authors: Haleem Abid
Published: June 2017

Dr. Abid Haleem is Professor of Mechanical Engineering and is Honorary Director, Internal Quality Assurance of Jamia Millia Islamia (A Central University by an Act of Parliament) New Delhi, India. He has headed Mechanical Engineering and MBA (Evening) program in this University. Dr. Abid has also been Honorary Visiting Professor to IITD.
4th ICBED-2015 Conference in New York, USA
Authors: , ,
Published: June 2017

ICBED-2015 offers various tracks which include: The Finance, Accounting and Organisational structure, The Growth and Economic Development, the Globalisation and International Trade, Education and teaching for the Life Long Learning Sector, The HRM, Marketing & Information Technology, Health and Social care Management, Science and Engineering.

Authors are invited to submit their original research papers, case study, review, work in progress, reports, abstract, students' papers or research proposals within the broad scope of each conference.
Anti-Diabetic Activity of a Polyherbal Formulation in Streptozotocin Induced Type 2 Diabetic Rats
Authors: Nagja Tripathi , Kumar Vimal , Sanjeev Acharya
Published: June 2017

The aim of the present study was to determine the anti-diabetic activity of a polyherbal formulation in streptozotocin induced type 2 diabetic rats. The hydroalcoholic extracts of Eugenia jambolana, Gymnema sylvestre, Momordica charantia and Andrographis paniculata and sodhana processed extract of Myristica fragrans were prepared. The 2 day old neonatal rats were injected with 90 mg/kg of streptozotocin intraperitoneally to induce type 2 diabetes. After six weeks of streptozotocin injection, polyherbal formulation was daily administered at a dose of 400 mg/kg body weight to diabetic rats for a period of 28 days. Blood samples were collected from the retro orbital plexus of the eye and blood glucose level was estimated by glucose oxidase-peroxidase method. The study indicated that polyherbal formulation at a dose of 400 mg/kg body weight showed significant decline (p<0.001) in blood glucose level.
Hemoglobin Patterns in Sickle Cell Hemoglobinopathies- A Large Prospective Study in North Maharashtra
Authors: Punjaji Tambse Manjusha , Suresh Vasaikar Maya , Santaram Chavan Sunil
Published: June 2017

Introduction: Sickle cell haemoglobinopathy is an inherited hemoglobinopathy resulting from a mutation occurring in betaglobin gene, on chromosome 11. The gene is prevalent in some tribes of North Maharashtra. The main aim of the study is to determine haemoglobin patterns in cases with sickle cell hemoglobinoathies in North Maharashtra using HPLC testing system. Material and Methods: This is a prospective study done over a period of 6 years. 10081 patients having positive solubility test or negative solubility test but having clinical suspicion of Sickle cell hemoglobinopathies were studied in detail and all samples were subjected for HPLC testing. Results: Prevalence of sickle cell hemoglobinopathy in this study was 70.36%. Most common pattern of haemoglobin observed was SA (89.72%). A slight female preponderance (54%) was noted. Predominant age group was paediatric (39.96%), followed by12-20yrs (33.97%). Oldest case for HbSS was 55yrs male. Predominant category affected was ST (82.05%). Conclusion: A very high prevalence of Sickle cell hemoglobinopathy was noted in this study. This is because the study was done in areas where Pawara and Bhill community resides who have a high frequency of HbS gene. Solubility test was found to be cost effective and easy screening test (Sensitivity being70.36%). HPLC found to be Rapid and accurate test for diagnosis of hemoglobinopathy and had helped in diagnosis of some rare heterozygous disorders like SA-HBQ India, SA-Hereditary persistence of foetal haemoglobin, HBD-SA. This is one of the largest and first of its kind prospective study which will help in prevention and cost effective management in targeted population.
Histopathological Study of Ovarian Lesions at a Tertiary Health Care Institute
Authors: Sawant Amod , Mahajan Suresh
Published: June 2017

Background: Ovary is the commonest site of neoplastic and nonneoplastic lesion, can present in childhood to postmenopausal age group and accounts for the most prevalent cause of hospital admissions. Aim: This study was done to analyse the frequency of ovarian lesions their histological features in a tertiary health care centre. Materials and Methods: This is a prospective study of 143 ovarian lesions at tertiary care hospital over a period of 3yr. All the relevant data of patients analysed from hospital record file. Results: The total number of ovarian lesions studied during study period was 143 cases, amongst them 110 were non-neoplastic and remaining 33 were neoplastic. The most common non-neoplastic lesion seen was solitary follicular cysts i.e. 77 cases (70%), followed by corpus luteal cysts 14 cases (12.7%). Among the 33 neoplastic ovarian lesions 25(75.7%) cases were benign, 2(6.1%) case was at borderline and 6 (18.2%) cases were malignant. In benign ovarian neoplasm, most commonly seen lesion were serous cystadenoma followed by benign cystic teratoma. In malignant cases, maximum were of serous cystadenocarcinoma, followed by endometrioid carcinoma and 2 cases of sex-cord stromal tumours (fibromas) were observed metastatic tumours. Conclusion: Ovarian lesion possess wide gamut of histology. Specific diagnoses are made on routine gross and histological examination.
Clinical Profile of End Stage Renal Disease in Patients Undergoing Hemodialysis
Authors: Chaudhari Sandip T. , Sadavarte Ashwin V. , Chafekar Deodatta
Published: June 2017

Context: Chronic kidney disease is an increasing health problem worldwide and in its final stage (stage V) can only be treated by renal replacement therapy, mostly hemodialysis. Hemodialysis has a major influence on the everyday life of patients and many patients report dissatisfaction with treatment. Objectives: To study the clinical profile of patients with ESRD undergoing hemodialysis and to find out possible etiology which may have led to ESRD in these patients? Settings and Design: This is a prospective, observational study carried out in a tertiary care hospital. Methods and Material: 50 patients, older than 15 years who were on maintenance hemodialysis in this hospital on outpatient basis for more than 3 months were selected for the study. Detailed clinical history, general and systemic examination of all patients was performed. Two manifestations pertaining to each system was taken for study. Statistical Analysis Used: Descriptive as well as inferential statistics were used to analyze the data. Results: Most patients were in the age group of 51-60 with male: female ratio of 1.77:1. Diabetes and hypertension were most common causes for ESRD. Anemia and electrolyte disturbances like hyperkalemia along with hypocalcemia, hyperphosphatemia and hyperuricemia have common associations with ESRD. Conclusions: Lack of health awareness and lack of regular health checkup in general population is one of the culprit factor for progression of renal disease. Health awareness in general population may decrease the incidence of ESRD or postpone the development of ESRD.
Instrument development and validation: educator characteristics scale
Authors: Anitha J. , Krishnaveni R.
Published: June 2017

There are a number of factors based on which a teacher is assessed for performance and for best student outcome. This paper focuses on nine specific professional characteristics of educators and teacher efficacy, all of which has a significant impact on positive student outcome, to assess a teacher. A vigorous validation was made on the instrument to arrive at the Educator's Characteristics Scale. Content validity through expert opinion; construct validity through convergent and discriminant validity; and criterion validity was examined. The instrument had a reliability coefficient value 0.9172. The relationship between the variables was analyzed through path modeling and the strength was found as R2=43.4%.
Margin requirements and Stock Market Volatility in Bangladesh
Authors: Mainul Ahsan A. F. M. , Gani Mohammad Osman , Bokhtiar Hasan Md.
Published: June 2017

Officially margin requirements in bourses in Bangladesh were initiated on April 28, 1999, to limit the amount of credit available for the purpose of buying stocks. The goal of this paper is to measure the impact of changing margin requirement on stock returns' volatility in Dhaka Stock Exchange (DSE). The impact of margin requirement on stock price volatility has been extensively studied with mixed and ambiguous results. Using daily stock returns, we found mixed evidence that SEC's margin requirements have significant impact on market volatility in DSE.
Impact of Corporate Restructuring on Value Creation in the Nigerian Banking Industry
Authors: Maimako Sebastine Seddi , Oladele Kolawole Olugbenga
Published: June 2017

This study aims at determining the impact of corporate restructuring on the creation of shareholder value in the Nigerian banking industry. Secondary data are collected in respect of all the 21 banks listed on the Nigerian Stock Exchange. The data are analysed using the Difference in Means (Descriptive Statistics) Method. The study establishes the fact that in the Nigerian banking industry, mergers, acquisitions and capital restructuring have significant impacts on value creation; but capital restructuring has the greatest positive impact on the creation of shareholder value. It is also found that most banks have to restructure as a result of problems like weaknesses in corporate governance, weak ownership structure, conflict of interest between management and shareholders, environmental problems, and internal problems. The findings of this study imply that banks involved in mergers may not be able to create or enhance value for their shareholders. It is recommended that industry regulators and practitioners seeking to create value for shareholders should, among other things, focus on capital restructuring and acquisition and strategies that favour growth, expansion and performance improvement.
Awareness of and Attitude towards Learning of Non-english foreign Languages among Higher Secondary, Graduation and Post-graduation Students in the City of Kolkata - An Empirical Study
Authors: Bhattacharya Rajib , Maity Sharmila
Published: June 2017

The globalisation spree among the emerging economies is enhancing the integration of the economies of the world with their own economies. India is no exception as it is evidenced by the increasing FDI flow and cross-border mergers and acquisitions not only in monetary values but also in number of countries involved. This trend can be accelerated, if the work force of our country as well as those of other nations of the world become more appreciative of each others' cultural aspects. One way to augment mutual appreciation of each others' cultures is knowledge of foreign languages, i.e., languages of different nations. This facilitates cross-cultural management and synergistic utilisation of cultural diversities. With increasing degree of globalisation, more and more countries are coming in contact with each other through trade and commercial activities. The dependence on English as the global language is thus diminishing fast. Knowledge of different national languages offers significant benefits like harnessing overseas opportunities, accessing cultural riches of immigrant communities, and reducing cultural clashes. The benefits of knowing different foreign languages include assisting in grasping another way of thinking, enhancing memory, critical thinking, and study skills. In business, communication and negotiation skills improve with knowledge in foreign languages. Students form the future of any economy. This paper aims at assessing the awareness of and attitude towards learning non-English foreign languages among higher secondary, graduation and post-graduation students, both from professional and academic streams in the city of Kolkata and suburbs. The paper also suggests ways to motivate students to learn foreign languages along with their normal course of study. This will help them to enhance their employability not only in India but also abroad. Moreover, at a macro level, the quality of human capital in India will be held in higher esteem by the global community. Prospective sectors in India e.g. social work, medicine, law, international business, community organising, foreign service, journalism, hospitality, education, etc. will be highly benefited, if the linguistic capability of the work force is enhanced by the knowledge of other foreign languages as there will be more international participation both inward and outward in these sectors. This will pave the way for accelerated integration of the Indian economy with the global economy.
A Study on Employee Passion in Public Sector Banks
Authors: Subramoniam K.
Published: June 2017

Employee Passion results from overall satisfaction with the organization, its policies, procedures, products, and management practices. Hard measures of Employee Passion include retention, absenteeism, tenure, and productivity. Soft measures include employee perceptions of fairness, justice, and trust. Employee Passion is a positive emotional state of mind resulting from perceptions of worthwhile work, autonomy, collaboration, growth, fairness, recognition, connectedness to colleagues, and connectedness to leader—all of which lead to standards of behavior that include discretionary effort, long-term commitment to the organization, peak performance, low turnover, and increased tenure with the organization. The present study explores the factors which affect the Employee Passion in public sector banks. A survey was conducted among subordinate staff, award staff, and officers in five public sector banks operating in Kottayam, Kerala. The purpose of study is to understand what motivates them to continue in the job and deliver service to the satisfaction of the customers. The conclusion of the survey was that Employee Passion in public sector banks is a concept that extends beyond the meaning of some of the present research on employee engagement. It includes, but is not limited to, satisfaction, morale, and performance. Also, Employee Passion arises from a combination of hard and soft measures that include satisfaction, engagement, motivation, and willingness to exert discretionary effort.
Composite Portfolio Performance: An Investigation into Indian Mutual Funds
Authors: Janaki Ramudu P. , Kumar Krishna
Published: June 2017

Earlier in the 1960s, though they were aware of the concept of risk, the portfolio managers did not know as to how to measure and hence their performance was measured only in terms of rate of return. Though quite a few measures were developed in 1960s, it was Friend, Blume and Crockett who developed a mechanism to group portfolios into similar risk class. This in fact helped the portfolio managers to compare the performance of various funds more meaningfully in terms of risk-return relationship. Keeping the importance of two sides of investment coin: the Risk and the Return, we, in this paper attempted to analyze the performance of equity linked and diversified funds. We also tested if the portfolio managers' stock selection ability enhanced the performance. We have used measures like Treynor's, Sharpe's, Jensen's Alpha, the Information Ratio and Net Selectivity. Using these measures, we attempted to find out if the portfolio managers could generate above-average rate of return for a given risk class. The sample comprised equity linked savings and diversified funds in Indian context. The analysis was done on quarterly, half yearly, yearly and five yearly basis for each fund. This facilitated us to identify if the time factor played a role in the performance of a given fund. The results revealed that the performance of the fund managers primarily depended on the type of measure. While the fund(s) performed better according to a given method, than that of others in a given risk class, it was vice versa according to other measures. This reveals that the selection of performance measure matters a lot while assessing the performance of a fund. Analysis of Variance (ANOVA) revealed that the performance of a fund depended on time factor also. The results of our study carry very significant implications with respect to portfolio performance analysis.
Fooled by Randomness: The Hidden Role of Chance in Life and in the Markets
Authors: Sriram Shobha
Published: June 2017

We often mistake success as the outcome of skill, perseverance, and the application of knowledge, while it happens in all walks of life, that is, in business or politics; it is much more prevalent in stock market trading and investments. We attribute the personal wealth of investors to the application of their skillful analytical abilities based on formulaedriven and technically sound analysis. Nassim Nicholas Taleb, a Mathematics Professor, an Ivy League education and options trader, in his book, 'Fooled by Randomness' demonstrates a wondrous insight into the share markets, emphasizes disguised luck which can often be mistaken for skill and knowledge.
The Alchemy of KBC
Authors: Bala Bhaskaran P.
Published: June 2017

The case explores the choreography of the entertainment game-show by tracking the key elements and how they have been structured to achieve a successful business model. The case also traces the genesis of the game-show, its adaptation to the Indian context and its evolution over the successive versions. The case narrates how the positioning of the game-show is continuously altered to capture participation of wider spectrum of audience. The case demonstrates how the advancements in technology empower the media to connect segments of the people, and enables them to explore solutions to their socio-economic problems.
An Empirical Study of Stock Split Announcements of Select BSE Sectors Using Event Study Methodology
Authors: Nadig Asha
Published: June 2017

This study examines the stock market reaction to stock splits between 2002 and 2013 of 6 sectors of BSE-Auto, Bankex, Consumer Durables, FMCG, Health Care and IT sectors to find out if the Indian stock market is semi-strong efficient or not. The methodology used is event study under the market model. Samples of 14 stock splits are considered spread across 6 sectors. The results indicate that there are significant positive abnormal returns prior to split announcements. On the day of split announcement, 1 sector reacts positively (Health Care-3.3%) and the 5 react negatively (Auto -1%, Bankex -0.9%, CD -0.3%, FMCG -1%, and IT-1%). The results indicate that the null hypothesis, H01, that there is no significant AAR around the stock split announcement dates is accepted.
Strategies of Indian Firms in Coping With Forex Risk Management: An Inquiry Through Case-Research Method
Authors: Bala Bhaskaran P. , Priyan P. K.
Published: June 2017

More and more Indian firms are becoming global in their operations - through exports and imports, by setting up manufacturing plants abroad and through joint-ventures and tie-ups. In this process most of them are dealing with multiple currencies. This has increased the overall exposure of Indian firms to foreign exchange-rate fluctuations. How have they been coping with the risk associated with the exchange-rate fluctuations? In order to explore this, the authors have engaged the case-research method. The authors studied 64 cases for this purpose. Of these 27, firms have been handling forex exposure and/or have had at least one near-crisis situation in the past. The remaining 37 cases are Indian firms from sectors like Textiles, IT, Gems and Jewelry, Pharma, Engineering, FMCG and Energy. The study focused on the context of these firms, their business model, the sources of forex exposure and the policies and practices of managing forex exposure risk. The authors have tried to identify the basic factors underlying the forex exposure and to identify patterns, if any, in the coping-strategy. They conclude that the insights would help formulate a generic strategy.
Significance of Job Satisfaction Among Academicians
Authors: Krishnakumar Sheeja
Published: June 2017

In the present scenario, human resource managers face more challenges as many changes are happening in the present working and external environment. The entry of women into the work force has created an imbalance in the family and in the work place. When an increase in number of women joining the paid workforce, there is an increase in demand for the workplace flexibility, also demand for childcare and eldercare facility. In order to stabilize it or to reduce the imbalance many policies have been designed to balance personal and professional life for the employees. Some of the changes brought in the work place helped to increase job satisfaction, lessen absenteeism, increase productivity and help to retain the employees and found enhanced commitment towards the organization. There is a general perception that imbalance in the educational institutions for teachers are very less compared to other professions. But, studies have shown different results based on the various variables taken into consideration. This study is undertaken to explore the interference of work into the family life and the family aspects into the work for the teachers especially who teaches in the higher classes. The data is collected from women and men teachers to find out whether there is an imbalance in their life and its effect on job satisfaction. The data is collected from selected established colleges that run pre-degree courses. It is decided to collect the data from married male and female teachers with at least one kid. It is expected that this study will able to throw light on job satisfaction and work life balance among the teachers who are teaching in the higher classes. The expectations of teachers with different age, experience, income etc can be understood in detail. The findings of the study can be considered for designing future work-life balance policies and programmes for the teaching fraternity.
Why do I Need a Teacher When I've got Google? The Essential Guide to the Big Issues for Every 21st Century Teacher
Authors: Ganapathy Neetu
Published: June 2017

'Why do I need a teacher when I've got Google' is a thought provoking book by Ian Gilbert on the changes in the field of education in the 21 st century and the chal - lenges faced by teachers under the circumstances. The author is an educational innovator, writer, entrepreneur, founder of 'Independent Thinking' and an inspirational speaker. He trains teachers in schools and colleges in the UK and across the world to become better teachers who have the important task of bringing out the best in their students.