In ground water quality studies multivariate statistical techniques like Hierarchical Cluster Analysis (HCA), Principal Component Analysis (PCA), Factor Analysis (FA) and Multivariate Analysis of Variance (MANOVA) wer...In ground water quality studies multivariate statistical techniques like Hierarchical Cluster Analysis (HCA), Principal Component Analysis (PCA), Factor Analysis (FA) and Multivariate Analysis of Variance (MANOVA) were employed to evaluate the principal factors and mechanisms governing the spatial variations and to assess source apportionment at Lawspet area in Puducherry, India. PCA/FA has made the first known factor which showed the anthropogenic impact on ground water quality and this dominant factor explained 82.79% of the total variance. The other four factors identified geogenic and hardness components. The distribution of first factor scores portray high loading for EC, TDS, Na+ and Cl−(anthropogenic) in south east and south west parts of the study area, whereas other factor scores depict high loading for HCO3−, Mg2+, Ca2+ and TH (hardness and geogenic) in the north west and south west parts of the study area. K+ and SO42−(geogenic) are dominant in south eastern direction. Further MANOVA showed that there are significant differences between ground water quality parameters. The spatial distribution maps of water quality parameters have rendered a powerful and practical visual tool for defining, interpreting, and distinguishing the anthropogenic, hardness and geogenic factors in the study area. Further the study indicated that multivariate statistical methods have successfully assessed the ground water qualitatively and spatially with a more effective step towards ground water quality management.展开更多
Carbon footprint analysis is a method to quantify the life cycle Greenhouse Gases (GHGs) emissions and identify the measure to reduce climate change impacts. The Intergovernmental Panel on Climate Change (IPCC) has id...Carbon footprint analysis is a method to quantify the life cycle Greenhouse Gases (GHGs) emissions and identify the measure to reduce climate change impacts. The Intergovernmental Panel on Climate Change (IPCC) has identified that the global warming and climate change which is one of the most important issues in the domain of environment are caused by the excessive emission of Greenhouse Gases (GHG) mainly constituting Carbon dioxide (CO2), Methane (CH4) and Nitrous oxide (N2O). The municipal wastewater treatment plant receives wastewater for treatment and finally discharges the treated effluent. The emissions of GHG during the treatment of wastewater as well as during the treatment process of sludge and also for energy generation are known to be on-site GHG emissions. Off-site GHG emissions are generated due to transportation and disposal of sludge, off-site energy and chemical production. In Puducherry, the municipal wastewater is being treated using oxidation ponds, Upflow Anaerobic Sludge Blanket (UASB) and Sequencing Batch Reactor (SBR). Wastewater treatment using Sequencing Batch Reactor (SBR) technology is one of the state-of-the art wastewater management systems. In this technology equalization, biological treatment and secondary clarification are performed in a single reactor in a time control sequence. The emissions of GHG from the Oxidation ponds of 12.5 MLD, UASB reactor of 2.5 MLD and SBR of 17 MLD were assessed based on the IPCC guidelines and the total emissions of GHG in terms of equivalent of CO2 were compared. The performance of the SBR is more efficient and the emissions of GHG are less than the emissions in the UASB as well as in oxidation ponds. The emission of GHG in SBR is about 60% of the existing treatment systems of oxidation ponds and UASB thus a reduction of 40% GHG emission could be achieved.展开更多
Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a popu...Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a population-proportionate(7:3)distribution from urban and rural areas by grid sampling.One adult interview per household was conducted and the participants were selected using a KISH grid.A semi-structured questionnaire based on the Health Belief Model(HBM)with additional questions on knowledge assessment was used.Knowledge was assessed based on the correctness of answers and the HBM scores were calculated on a 5-point Likert scale.Participants were categorized based on the median score under each domain.Logistic regression was used for adjusted analysis and models were built to predict the performances in each domain.Results:Four percent of the participants lacked basic knowledge regarding dengue transmission.While 208(69.3%)participants did not consider themselves at risk of contracting dengue within the next year,majority perceived dengue as a disease with low severity.Around 49.3%(148)were skeptical about the benefit of time and money spent on dengue prevention.Inadequate government efforts were stated as the major barrier(47.0%)and frequent reminders(142,47.3%)as the major cue to action.Age above 50 years(aOR 1.78,95%CI 1.04-3.06,P=0.037)and rural locality(aOR 2.68,95%CI 1.52-4.71,P=0.001)were found to be significantly associated with poor knowledge scores.Urban participants had a significantly higher chance to perceive low susceptibility as compared to the rural counterparts(aOR 1.74,95%CI 1.05-2.9,P=0.03).Participants with less than a high school education had low perceived benefits(aOR 2.46,95%CI 1.52-3.96,P<0.001)and low self-efficacy scores(aOR 2.66,95%CI 1.61-4.39,P<0.001).Conclusions:This study identifies key gaps in dengue prevention,including low perceived susceptibility,mild disease perception,limited knowledge of breeding sites,and overreliance on government efforts.Tailoring interventions to community needs,stratified to factors influencing the community perspectives can significantly improve dengue prevention efforts.展开更多
During the COVID-19 pandemic,several studies have shown that severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection is associated with a substantial reduction in the risk of subsequent reinfection with a...During the COVID-19 pandemic,several studies have shown that severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection is associated with a substantial reduction in the risk of subsequent reinfection with antigenically-related variants of the virus for at least 6 months[1,2].展开更多
The change of land use plays a major role in the developmental activity of a developing country. Due to rapid growth of urbanisation and dramatic increasing population, the fertile agricultural land has been converted...The change of land use plays a major role in the developmental activity of a developing country. Due to rapid growth of urbanisation and dramatic increasing population, the fertile agricultural land has been converted to built-up area with respect to the demand for housing requirement and to the need for basic infrastructure facilities. The quantum of open space and surface water bodies has also been encroached. There has been a rapid growth of population in Puducherry city from 3.48 million in 1991 to 5.44 million in 2011. Hence the conservation of natural resources becomes one of the major challenges especially in small and medium town. This study was conducted to assess the effect of change on land use in urban agglomeration area of Puducherry city for the duration period from 1997 to 2017. There has been an increase in population in Puducherry city mainly attributed to higher scale of migration from adjoining rural areas and medium town for better education, job opportunities and quality life. Hence, it has been strongly recommended for stringent Development Control Regulations to quantify the urban sprawl and manage the impact of urbanisation of land use/land cover in Puducherry city.展开更多
With respect to groundwater deterioration from human activities a unique situation of co-disposal of non-engineered Municipal Solid Waste (MSW) dumping and Secondary Wastewater (SWW) disposal on land prevails simultan...With respect to groundwater deterioration from human activities a unique situation of co-disposal of non-engineered Municipal Solid Waste (MSW) dumping and Secondary Wastewater (SWW) disposal on land prevails simultaneously within the same campus at Puducherry in India. Broadly the objective of the study is to apply and compare Artificial Neural Network (ANN) and Multi Linear Regression (MLR) models on groundwater quality applying Canadian Water Quality Index (CWQI). Totally, 1065 water samples from 68 bore wells were collected for two years on monthly basis and tested for 17 physio-chemical and bacteriological parameters. However the study was restricted to the pollution aspects of 10 physio-chemical parameters such as EC, TDS, TH, , Cl-, , Na+, Ca2+, Mg2+ and K+. As there is wide spatial variation (2 to 3 km radius) with ground elevation (more than 45 m) among the bore wells it is appropriate to study the groundwater quality using Multivariate Statistical Analysis and ANN. The selected ten parameters were subjected to Hierarchical Cluster Analysis (HCA) and the clustering procedure generated three well defined clusters. Cluster wise important physio-chemical attributes which were altered by MSW and SWW operations, are statistically assessed. The CWQI was evolved with the objective to deliver a mechanism for interpreting the water quality data for all three clusters. The ANOVA test results viz., F-statistic (F = 134.55) and p-value (p = 0.000 2, low RMSE and MAE values but in Cluster 3 only ANN model fared well. Thus this study will be very useful to decision makers in solving water quality problems.展开更多
Understanding spatial patterns of plant species diversity and the factors(e.g.,climate and human)that drive these patterns is essential for biodiversity conservation.We used data from 1700.1-ha forest plots in the She...Understanding spatial patterns of plant species diversity and the factors(e.g.,climate and human)that drive these patterns is essential for biodiversity conservation.We used data from 1700.1-ha forest plots in the Shettihalli tropical forest landscape of the Western Ghats biodiversity hotspot,India,to analyse tree community composition and the drivers ofα-diversity(Shannon)andβ-diversity(LCBD).Compositional patterns were visualized using Non-Metric Multidimensional Scaling(NMDS),and hybrid feature selection with structural equation modeling(SEM)was employed to evaluate the direct and indirect effects of environmental variables on diversity.NMDS identified four distinct forest types in the Shettihalli landscape:semi-evergreen,dry deciduous,moist deciduous,and plantation forests,each with distinct plant composition.Shannon diversity and ecological uniqueness was significantly higher in semi-evergreen forest than in deciduous forest plots.The SEMs explained about 79%and 39–45%of the variation inα-diversity andβ-diversity.Our analysis indicated that current diversity patterns result from multiple processes,with structure,disturbance,and edaphic parameters exerting the strongest direct and indirect effects onα-diversity.β-diversity,in contrast,was largely influenced by climate,topography,stand structure,and edaphic factors.Overall,our findings indicate that various factors(e.g.,climate,topography,and human disturbance)interact to shape tree diversity patterns in tropical forests.These findings will help develop unique conservation and management strategies for distinct forest types in tropical forest ecosystems.展开更多
Musculoskeletal injuries are among the most common causes of disability worldwide,with early detection and appropriate intervention critical to minimizing long-term complications.Infrared thermography(IRT)has emerged ...Musculoskeletal injuries are among the most common causes of disability worldwide,with early detection and appropriate intervention critical to minimizing long-term complications.Infrared thermography(IRT)has emerged as a noninvasive,real-time imaging modality that captures superficial temperature changes reflecting underlying physiological processes such as inflammation and vascular alterations.This review explores the fundamental principles of medical thermography,differentiates between passive and active approaches,and outlines key technological advancements including artificial intelligence integration.The clinical utility of IRT is discussed in various contexts–ranging from acute soft tissue injuries and overuse syndromes to chronic pain and rehabilitation monitoring.Comparative insights with conventional imaging techniques such as ultrasound and magnetic resonance imaging are also presented.While IRT offers functional imaging capabilities with advantages in portability,safety,and speed,its limitations–such as lack of deep-tissue penetration and protocol standardization–remain significant barriers to broader adoption.Future directions include the integration of IRT with other imaging modalities and digital health platforms to enhance musculoskeletal assessment and injury prevention strategies.展开更多
Molecular hydrogen(H2)demonstrates selective antioxidant and anti-inflammatory properties with therapeutic potential across musculoskeletal conditions including osteoarthritis,rheumatoid arthritis,exercise-induced mus...Molecular hydrogen(H2)demonstrates selective antioxidant and anti-inflammatory properties with therapeutic potential across musculoskeletal conditions including osteoarthritis,rheumatoid arthritis,exercise-induced muscle damage,chronic pain syndromes,tendinopathies,and muscle atrophy.This review critically evaluates preclinical and clinical evidence for H2 therapy and identifies research gaps.A comprehensive search of PubMed,EMBASE,and Cochrane Library(up to April 2025)yielded 45 eligible studies:25 preclinical and 20 clinical trials.Preclinical models consistently showed reductions in reactive oxygen species,inflammatory cytokines,and improved cell viability.Clinical trials reported symptomatic relief in osteoarthritis,decreased Disease Activity Score 28 in rheumatoid arthritis,and accelerated clearance of muscle damage markers.Delivery methods varied-hydrogen-rich water,gas inhalation,and saline infusion-hindering direct comparison.Mechanistic biomarkers were inconsistently reported,limiting understanding of target engagement.Common limitations included small sample sizes,short durations,and protocol heterogeneity.Despite these constraints,findings suggest H2 may serve as a promising adjunctive therapy via antioxidant,anti-inflammatory,and cytoprotective mechanisms.Future research should prioritize standardized delivery protocols,robust mechanistic endpoints,and longer-term randomized trials to validate clinical efficacy and optimize therapeutic strategies.展开更多
BACKGROUND Orthobiologics-biological substances like platelet-rich plasma(PRP),bone marrow aspirate concentrate,and stem cells-are increasingly used in musculoskeletal care to promote tissue repair and reduce reliance...BACKGROUND Orthobiologics-biological substances like platelet-rich plasma(PRP),bone marrow aspirate concentrate,and stem cells-are increasingly used in musculoskeletal care to promote tissue repair and reduce reliance on invasive surgery.Despite global momentum,India's clinical adoption remains underexplored.AIM To inform education,policy,and resource allocation for the safe and effective adoption of orthobiologics in musculoskeletal care.METHODS A cross-sectional electronic survey was conducted from January to March 2025 among orthopaedic surgeons,academicians,and trainees across India.The questionnaire assessed demographics,knowledge of orthobiologics,attitudes toward training and subspecialization,usage trends,regulatory awareness,and perceived barriers.Data were analyzed using descriptive statistics andχ2/Fisher’s exact tests,with P<0.05 considered significant.RESULTS A total of 1280 valid responses were collected.Awareness of orthobiologics was high(97%),with PRP being the most familiar and widely used(80%).Formal training was reported by only 31%,though 85%showed interest in structured education,and 68%supported orthobiologics as a subspecialty.Satisfaction with clinical outcomes averaged 6.5±2.3 out of 10 points.Barriers included high treatment cost(64%),poor patient awareness(90%),and limited access to biologics labs(18%).Regulatory understanding was moderate,with academic-affiliated clinicians more informed about stem cell guidelines.CONCLUSION Indian orthopaedic professionals demonstrate strong awareness and optimism toward orthobiologics,but widespread gaps in training,infrastructure,and regulation hinder broader adoption.Strategic investments in education,standardized protocols,and accessible facilities are essential to support safe and evidence-driven integration of regenerative therapies into clinical practice.展开更多
The rapid advent in artificial intelligence and big data has revolutionized the dynamic requirement in the demands of the computing resource for executing specific tasks in the cloud environment.The process of achievi...The rapid advent in artificial intelligence and big data has revolutionized the dynamic requirement in the demands of the computing resource for executing specific tasks in the cloud environment.The process of achieving autonomic resource management is identified to be a herculean task due to its huge distributed and heterogeneous environment.Moreover,the cloud network needs to provide autonomic resource management and deliver potential services to the clients by complying with the requirements of Quality-of-Service(QoS)without impacting the Service Level Agreements(SLAs).However,the existing autonomic cloud resource managing frameworks are not capable in handling the resources of the cloud with its dynamic requirements.In this paper,Coot Bird Behavior Model-based Workload Aware Autonomic Resource Management Scheme(CBBM-WARMS)is proposed for handling the dynamic requirements of cloud resources through the estimation of workload that need to be policed by the cloud environment.This CBBM-WARMS initially adopted the algorithm of adaptive density peak clustering for workloads clustering of the cloud.Then,it utilized the fuzzy logic during the process of workload scheduling for achieving the determining the availability of cloud resources.It further used CBBM for potential Virtual Machine(VM)deployment that attributes towards the provision of optimal resources.It is proposed with the capability of achieving optimal QoS with minimized time,energy consumption,SLA cost and SLA violation.The experimental validation of the proposed CBBMWARMS confirms minimized SLA cost of 19.21%and reduced SLA violation rate of 18.74%,better than the compared autonomic cloud resource managing frameworks.展开更多
Trauma is a major cause of morbidity and mortality across the globe accounting for significant health burden.Relevance of trauma care revolves round prevention,planning and execution of safety regulations.Acquisition ...Trauma is a major cause of morbidity and mortality across the globe accounting for significant health burden.Relevance of trauma care revolves round prevention,planning and execution of safety regulations.Acquisition of the actual data regarding the type of trauma,affected age group,timings of trauma occurrence,involved part of the body constitute the initial steps in the building of the composite overview of the epidemiology of trauma.In succession,would be the measures directed towards avoidance of trauma and capacity building of trauma center.展开更多
Graphical abstracts(GAs)are emerging as a pivotal tool in medical literature,enhancing the dissemination and comprehension of complex clinical data through visual summaries.This editorial highlights the significant ad...Graphical abstracts(GAs)are emerging as a pivotal tool in medical literature,enhancing the dissemination and comprehension of complex clinical data through visual summaries.This editorial highlights the significant advantages of GAs,including improved clarity,increased reader engagement,and enhanced visibility of research findings.By transforming intricate scientific data into accessible visual formats,these abstracts facilitate quick and effective knowledge transfer,crucial in clinical decision-making and patient care.However,challenges such as potential data misrepresentation due to oversimplification,the skill gap in graphic design among researchers,and the lack of standardized creation guidelines pose barriers to their widespread adoption.Additionally,while software such as Adobe Illustrator,BioRender,and Canva are commonly employed to create these visuals,not all researchers may be proficient in their use.To address these issues,we recommend that academic journals establish clear guidelines and provide necessary design training to researchers.This proactive approach will ensure the creation of high-quality GAs,promote their standardization,and expand their use in clinical reporting,ultimately benefiting the medical community and improving healthcare outcomes.展开更多
Teacher education at the foundational and preparatory stages plays a crucial role in shaping early childhood learning experiences.The National Curriculum Framework for School Education(NCFSE)2023 provides a structured...Teacher education at the foundational and preparatory stages plays a crucial role in shaping early childhood learning experiences.The National Curriculum Framework for School Education(NCFSE)2023 provides a structured pedagogical approach to address challenges in these stages.However,despite these policy frameworks,teachers in Kendriya Vidyalayas(KVs)continue to face numerous pedagogical challenges.This paper aims to explore and analyze the pedagogical challenges encountered by KV teachers in foundational and preparatory stage classrooms and compare them with the challenges addressed in NCFSE 2023.Using qualitative research methods,data were collected through structured online interviews with 10 KV teachers from different campuses.This paper investigated various challenges,including classroom management,language barriers,a lack of inclusive education strategies,insufficient infrastructure,limited parental involvement,and difficulties in integrating technology into teaching practices.The findings highlight the gap between policy recommendations and ground-level implementation.Based on these insights,the study suggests recommendations such as specialized teacher training,recruitment of special educators,improved infrastructure,enhanced parental engagement,and policy-driven interventions to bridge the gap between policy frameworks and real-world classroom experiences.The study concludes that addressing these challenges through targeted reforms can create a more inclusive and effective learning environment,fostering holistic student development at the foundational and preparatory stages.展开更多
The number of children requiring renal transplants is on the rise,increasing the need for the availability of donor kidneys.It is a challenge to match the need and the available pool.Hence,a renal transplant recipient...The number of children requiring renal transplants is on the rise,increasing the need for the availability of donor kidneys.It is a challenge to match the need and the available pool.Hence,a renal transplant recipient undergoes rigorous scrutiny to ensure the best possible outcome.In this context,children with obesity harm the long-term outcome when they receive renal transplantation due to higher and more severe postoperative complications.In addition,reports indicate that renal graft survival appears to be compromised in recipient children who are obese.An in-depth review of the available evidence from the literature is required for better understanding.展开更多
Virtualization is an indispensable part of the cloud for the objective of deploying different virtual servers over the same physical layer.However,the increase in the number of applications executing on the repositori...Virtualization is an indispensable part of the cloud for the objective of deploying different virtual servers over the same physical layer.However,the increase in the number of applications executing on the repositories results in increased overload due to the adoption of cloud services.Moreover,the migration of applications on the cloud with optimized resource allocation is a herculean task even though it is employed for minimizing the dilemma of allocating resources.In this paper,a Fire Hawk Optimization enabled Deep Learning Scheme(FHOEDLS)is proposed for minimizing the overload and optimizing the resource allocation on the hybrid cloud container architecture for migrating interoperability based applications This FHOEDLS achieves the load prediction through the utilization of deep CNN-GRU-AM model for attaining resource allocation and better migration of applications.It specifically adopted the Fire Hawk Optimization Algorithm(FHOA)for optimizing the parameters that influence the factors that aid in better interoperable application migration with improved resource allocation and minimized overhead.It considered the factors of resource capacity,transmission cost,demand,and predicted load into account during the formulation of the objective function utilized for resource allocation and application migration.The cloud simulation of this FHOEDLS is achieved using a container,Virtual Machine(VM),and Physical Machine(PM).The results of this proposed FHOEDLS confirmed a better resource capability of 0.418 and a minimized load of 0.0061.展开更多
This paper presents an improved,energy-efficient Model Predictive Current Control(MPCC)strategy based on centroid-based virtual voltage vector synthesis for three-phase inverter-fed induction motor drives in electric ...This paper presents an improved,energy-efficient Model Predictive Current Control(MPCC)strategy based on centroid-based virtual voltage vector synthesis for three-phase inverter-fed induction motor drives in electric vehicle(EV)applications.Unlike conventional finite-set MPCC methods that rely on cost function evaluation over discrete switching states,the proposed approach eliminates the need for look-up tables by employing a pre-defined set of virtual vectors.These centroid-based virtual voltage vectors are synthesized by combining two adjacent active vectors and two nonzero voltage vectors in opposite directions adjacent to the sector replacing the traditional switching set.They approximate the reference voltage vector in both magnitude and phase angle,thereby reducing current tracking error through a simplified cost function.The number of candidate vectors is reduced,preserving computational efficiency.Furthermore,the scheme ensures zero average common-mode voltage(CMV)per sampling interval by completely avoiding zero-voltage vectors(ZVVs).The proposed method reduces torque ripple by up to 17%compared to the conventional approach and lowers stator current total harmonic distortion(THD)by 37%,while ensuring evenly distributed switching transitions among inverter legs.This results in reduced switching losses and enhanced drive efficiency-particularly advantageous in EV applications.Experimental validation under the high-speed extra urban driving cycle(EUDC)and low-speed ECE-R15 cycle,including torque ripple and energy consumption analysis,confirms the effectiveness of the approach,achieving an overall efficiency of 83.3%.展开更多
BACKGROUND Esophageal cancer is sixth leading cause of cancer deaths and the eighth most common cancer worldwide.In the recent times,the incidence and mortality rates have increased.To improve the survival in esophage...BACKGROUND Esophageal cancer is sixth leading cause of cancer deaths and the eighth most common cancer worldwide.In the recent times,the incidence and mortality rates have increased.To improve the survival in esophageal carcinoma,newer tactics have to be applied to improve outcomes.It is well established that in cases of carcinoma lung and stomach,presence of micrometastasis or spread of tumor cell following surgical manipulation has been shown to predict recurrence and poor prognosis.Similarly,spread of tumor cell during esophagectomy or presence of occult micrometastatic disease in esophageal carcinoma may lead to early tumor recurrence and poor prognosis.The actual incidence of pleural micrometastasis and tumor spillage following thoracoscopic esophagectomy is not clear.The presence of malignant cells in cytologic or immunocytochemical analysis may help in prognostication and further therapeutic decision making.AIM To assess the incidence of micrometastasis and tumor spillage among the patients undergoing thoracoscopic surgery for esophageal carcinoma.METHODS An observational study was done at Department of Surgical Gastroenterology,Jawaharlal Institute of Postgraduate Medical Education and Research,Puducherry.Nineteen patients aged 18 to 70 years with slight male preponderance,undergoing elective thoracoscopic esophagectomy for esophageal carcinoma were included in this observational study from June 2021 to June 2023.Pre and post dissection pleural cavity lavage was done with 200 mL saline and the fluid was subjected to cytologic and immunocytological examination.The cytology and immunocytological examination report was interpreted as positive for malignant cells or negative for malignant cells.Immunocytological examination was done and evaluated for presence or absence of tumor markers cytokeratin 7 and p40 signifying presence or absence of tumor spillage.RESULTS Rate of pre dissection fluid was negative for the malignant cell by cytological and immunocytological analysis in all cases indicating no micrometastasis in our group of patients.Rate of post dissection fluid was negative for the malignant cell by cytological and immunocytological analysis in all cases indicating no incidence of tumor spillage post-surgery in our patients.No significant association was found between age,gender,body mass index,site of lesion,histological type,neoadjuvant therapy and tumor-nodes-metastasis staging with pre and post dissection pleural fluid cytological and immunohistochemical analysis in our study.CONCLUSION This study assessed the incidence of micrometastasis and tumor spillage following minimal invasive esophagectomy could not find any tumor cells in both pre and post dissection samples.展开更多
Extracorporeal shock wave lithotripsy(ESWL)is recognised as the ideal noninvasive procedure for urolithiasis.However,the suitability of ESWL varies depending on the composition of the stone.The chemical structure of t...Extracorporeal shock wave lithotripsy(ESWL)is recognised as the ideal noninvasive procedure for urolithiasis.However,the suitability of ESWL varies depending on the composition of the stone.The chemical structure of the stone may not be uniform throughout the stone and this heterogeneity provides the clue in the form of variation coefficient of stone density.To be aware of the success of the stone breakage by ESWL is an advantage upfront,so that it is possible to apply the technology to the most appropriate patient.This is an important aspect in the successful management of urolithiasis.展开更多
The underlying molecular changes that result in minimal change disease(ne-phrotic syndrome)require an in-depth analysis.Current molecular studies have shown the involvement of zinc fingers and homeobox transcriptional...The underlying molecular changes that result in minimal change disease(ne-phrotic syndrome)require an in-depth analysis.Current molecular studies have shown the involvement of zinc fingers and homeobox transcriptional factors in its pathogenesis.The application of therapeutic drugs relies on understanding the cascade of molecular events to determine their efficacy in managing the clinical condition.展开更多
文摘In ground water quality studies multivariate statistical techniques like Hierarchical Cluster Analysis (HCA), Principal Component Analysis (PCA), Factor Analysis (FA) and Multivariate Analysis of Variance (MANOVA) were employed to evaluate the principal factors and mechanisms governing the spatial variations and to assess source apportionment at Lawspet area in Puducherry, India. PCA/FA has made the first known factor which showed the anthropogenic impact on ground water quality and this dominant factor explained 82.79% of the total variance. The other four factors identified geogenic and hardness components. The distribution of first factor scores portray high loading for EC, TDS, Na+ and Cl−(anthropogenic) in south east and south west parts of the study area, whereas other factor scores depict high loading for HCO3−, Mg2+, Ca2+ and TH (hardness and geogenic) in the north west and south west parts of the study area. K+ and SO42−(geogenic) are dominant in south eastern direction. Further MANOVA showed that there are significant differences between ground water quality parameters. The spatial distribution maps of water quality parameters have rendered a powerful and practical visual tool for defining, interpreting, and distinguishing the anthropogenic, hardness and geogenic factors in the study area. Further the study indicated that multivariate statistical methods have successfully assessed the ground water qualitatively and spatially with a more effective step towards ground water quality management.
文摘Carbon footprint analysis is a method to quantify the life cycle Greenhouse Gases (GHGs) emissions and identify the measure to reduce climate change impacts. The Intergovernmental Panel on Climate Change (IPCC) has identified that the global warming and climate change which is one of the most important issues in the domain of environment are caused by the excessive emission of Greenhouse Gases (GHG) mainly constituting Carbon dioxide (CO2), Methane (CH4) and Nitrous oxide (N2O). The municipal wastewater treatment plant receives wastewater for treatment and finally discharges the treated effluent. The emissions of GHG during the treatment of wastewater as well as during the treatment process of sludge and also for energy generation are known to be on-site GHG emissions. Off-site GHG emissions are generated due to transportation and disposal of sludge, off-site energy and chemical production. In Puducherry, the municipal wastewater is being treated using oxidation ponds, Upflow Anaerobic Sludge Blanket (UASB) and Sequencing Batch Reactor (SBR). Wastewater treatment using Sequencing Batch Reactor (SBR) technology is one of the state-of-the art wastewater management systems. In this technology equalization, biological treatment and secondary clarification are performed in a single reactor in a time control sequence. The emissions of GHG from the Oxidation ponds of 12.5 MLD, UASB reactor of 2.5 MLD and SBR of 17 MLD were assessed based on the IPCC guidelines and the total emissions of GHG in terms of equivalent of CO2 were compared. The performance of the SBR is more efficient and the emissions of GHG are less than the emissions in the UASB as well as in oxidation ponds. The emission of GHG in SBR is about 60% of the existing treatment systems of oxidation ponds and UASB thus a reduction of 40% GHG emission could be achieved.
基金This work was supported intramurally by Student thesis funding for Masters in public Health Entomology(2022)from the Indian Council of Medical Research-Vector Control Research Centre,Puducherry.
文摘Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a population-proportionate(7:3)distribution from urban and rural areas by grid sampling.One adult interview per household was conducted and the participants were selected using a KISH grid.A semi-structured questionnaire based on the Health Belief Model(HBM)with additional questions on knowledge assessment was used.Knowledge was assessed based on the correctness of answers and the HBM scores were calculated on a 5-point Likert scale.Participants were categorized based on the median score under each domain.Logistic regression was used for adjusted analysis and models were built to predict the performances in each domain.Results:Four percent of the participants lacked basic knowledge regarding dengue transmission.While 208(69.3%)participants did not consider themselves at risk of contracting dengue within the next year,majority perceived dengue as a disease with low severity.Around 49.3%(148)were skeptical about the benefit of time and money spent on dengue prevention.Inadequate government efforts were stated as the major barrier(47.0%)and frequent reminders(142,47.3%)as the major cue to action.Age above 50 years(aOR 1.78,95%CI 1.04-3.06,P=0.037)and rural locality(aOR 2.68,95%CI 1.52-4.71,P=0.001)were found to be significantly associated with poor knowledge scores.Urban participants had a significantly higher chance to perceive low susceptibility as compared to the rural counterparts(aOR 1.74,95%CI 1.05-2.9,P=0.03).Participants with less than a high school education had low perceived benefits(aOR 2.46,95%CI 1.52-3.96,P<0.001)and low self-efficacy scores(aOR 2.66,95%CI 1.61-4.39,P<0.001).Conclusions:This study identifies key gaps in dengue prevention,including low perceived susceptibility,mild disease perception,limited knowledge of breeding sites,and overreliance on government efforts.Tailoring interventions to community needs,stratified to factors influencing the community perspectives can significantly improve dengue prevention efforts.
文摘During the COVID-19 pandemic,several studies have shown that severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection is associated with a substantial reduction in the risk of subsequent reinfection with antigenically-related variants of the virus for at least 6 months[1,2].
文摘The change of land use plays a major role in the developmental activity of a developing country. Due to rapid growth of urbanisation and dramatic increasing population, the fertile agricultural land has been converted to built-up area with respect to the demand for housing requirement and to the need for basic infrastructure facilities. The quantum of open space and surface water bodies has also been encroached. There has been a rapid growth of population in Puducherry city from 3.48 million in 1991 to 5.44 million in 2011. Hence the conservation of natural resources becomes one of the major challenges especially in small and medium town. This study was conducted to assess the effect of change on land use in urban agglomeration area of Puducherry city for the duration period from 1997 to 2017. There has been an increase in population in Puducherry city mainly attributed to higher scale of migration from adjoining rural areas and medium town for better education, job opportunities and quality life. Hence, it has been strongly recommended for stringent Development Control Regulations to quantify the urban sprawl and manage the impact of urbanisation of land use/land cover in Puducherry city.
文摘With respect to groundwater deterioration from human activities a unique situation of co-disposal of non-engineered Municipal Solid Waste (MSW) dumping and Secondary Wastewater (SWW) disposal on land prevails simultaneously within the same campus at Puducherry in India. Broadly the objective of the study is to apply and compare Artificial Neural Network (ANN) and Multi Linear Regression (MLR) models on groundwater quality applying Canadian Water Quality Index (CWQI). Totally, 1065 water samples from 68 bore wells were collected for two years on monthly basis and tested for 17 physio-chemical and bacteriological parameters. However the study was restricted to the pollution aspects of 10 physio-chemical parameters such as EC, TDS, TH, , Cl-, , Na+, Ca2+, Mg2+ and K+. As there is wide spatial variation (2 to 3 km radius) with ground elevation (more than 45 m) among the bore wells it is appropriate to study the groundwater quality using Multivariate Statistical Analysis and ANN. The selected ten parameters were subjected to Hierarchical Cluster Analysis (HCA) and the clustering procedure generated three well defined clusters. Cluster wise important physio-chemical attributes which were altered by MSW and SWW operations, are statistically assessed. The CWQI was evolved with the objective to deliver a mechanism for interpreting the water quality data for all three clusters. The ANOVA test results viz., F-statistic (F = 134.55) and p-value (p = 0.000 2, low RMSE and MAE values but in Cluster 3 only ANN model fared well. Thus this study will be very useful to decision makers in solving water quality problems.
基金supported by the Department of Biotechnology,Ministry of Science and Technology,Govt.India,under grant No.BT/Coord.II/10/02/2016/22.03.2018the Indian Council of Social Science Research,New Delhi,India,for providing a short-term doctoral fellowship(RFD/Short-Term/2022-23/ENV/ST/66).
文摘Understanding spatial patterns of plant species diversity and the factors(e.g.,climate and human)that drive these patterns is essential for biodiversity conservation.We used data from 1700.1-ha forest plots in the Shettihalli tropical forest landscape of the Western Ghats biodiversity hotspot,India,to analyse tree community composition and the drivers ofα-diversity(Shannon)andβ-diversity(LCBD).Compositional patterns were visualized using Non-Metric Multidimensional Scaling(NMDS),and hybrid feature selection with structural equation modeling(SEM)was employed to evaluate the direct and indirect effects of environmental variables on diversity.NMDS identified four distinct forest types in the Shettihalli landscape:semi-evergreen,dry deciduous,moist deciduous,and plantation forests,each with distinct plant composition.Shannon diversity and ecological uniqueness was significantly higher in semi-evergreen forest than in deciduous forest plots.The SEMs explained about 79%and 39–45%of the variation inα-diversity andβ-diversity.Our analysis indicated that current diversity patterns result from multiple processes,with structure,disturbance,and edaphic parameters exerting the strongest direct and indirect effects onα-diversity.β-diversity,in contrast,was largely influenced by climate,topography,stand structure,and edaphic factors.Overall,our findings indicate that various factors(e.g.,climate,topography,and human disturbance)interact to shape tree diversity patterns in tropical forests.These findings will help develop unique conservation and management strategies for distinct forest types in tropical forest ecosystems.
文摘Musculoskeletal injuries are among the most common causes of disability worldwide,with early detection and appropriate intervention critical to minimizing long-term complications.Infrared thermography(IRT)has emerged as a noninvasive,real-time imaging modality that captures superficial temperature changes reflecting underlying physiological processes such as inflammation and vascular alterations.This review explores the fundamental principles of medical thermography,differentiates between passive and active approaches,and outlines key technological advancements including artificial intelligence integration.The clinical utility of IRT is discussed in various contexts–ranging from acute soft tissue injuries and overuse syndromes to chronic pain and rehabilitation monitoring.Comparative insights with conventional imaging techniques such as ultrasound and magnetic resonance imaging are also presented.While IRT offers functional imaging capabilities with advantages in portability,safety,and speed,its limitations–such as lack of deep-tissue penetration and protocol standardization–remain significant barriers to broader adoption.Future directions include the integration of IRT with other imaging modalities and digital health platforms to enhance musculoskeletal assessment and injury prevention strategies.
文摘Molecular hydrogen(H2)demonstrates selective antioxidant and anti-inflammatory properties with therapeutic potential across musculoskeletal conditions including osteoarthritis,rheumatoid arthritis,exercise-induced muscle damage,chronic pain syndromes,tendinopathies,and muscle atrophy.This review critically evaluates preclinical and clinical evidence for H2 therapy and identifies research gaps.A comprehensive search of PubMed,EMBASE,and Cochrane Library(up to April 2025)yielded 45 eligible studies:25 preclinical and 20 clinical trials.Preclinical models consistently showed reductions in reactive oxygen species,inflammatory cytokines,and improved cell viability.Clinical trials reported symptomatic relief in osteoarthritis,decreased Disease Activity Score 28 in rheumatoid arthritis,and accelerated clearance of muscle damage markers.Delivery methods varied-hydrogen-rich water,gas inhalation,and saline infusion-hindering direct comparison.Mechanistic biomarkers were inconsistently reported,limiting understanding of target engagement.Common limitations included small sample sizes,short durations,and protocol heterogeneity.Despite these constraints,findings suggest H2 may serve as a promising adjunctive therapy via antioxidant,anti-inflammatory,and cytoprotective mechanisms.Future research should prioritize standardized delivery protocols,robust mechanistic endpoints,and longer-term randomized trials to validate clinical efficacy and optimize therapeutic strategies.
文摘BACKGROUND Orthobiologics-biological substances like platelet-rich plasma(PRP),bone marrow aspirate concentrate,and stem cells-are increasingly used in musculoskeletal care to promote tissue repair and reduce reliance on invasive surgery.Despite global momentum,India's clinical adoption remains underexplored.AIM To inform education,policy,and resource allocation for the safe and effective adoption of orthobiologics in musculoskeletal care.METHODS A cross-sectional electronic survey was conducted from January to March 2025 among orthopaedic surgeons,academicians,and trainees across India.The questionnaire assessed demographics,knowledge of orthobiologics,attitudes toward training and subspecialization,usage trends,regulatory awareness,and perceived barriers.Data were analyzed using descriptive statistics andχ2/Fisher’s exact tests,with P<0.05 considered significant.RESULTS A total of 1280 valid responses were collected.Awareness of orthobiologics was high(97%),with PRP being the most familiar and widely used(80%).Formal training was reported by only 31%,though 85%showed interest in structured education,and 68%supported orthobiologics as a subspecialty.Satisfaction with clinical outcomes averaged 6.5±2.3 out of 10 points.Barriers included high treatment cost(64%),poor patient awareness(90%),and limited access to biologics labs(18%).Regulatory understanding was moderate,with academic-affiliated clinicians more informed about stem cell guidelines.CONCLUSION Indian orthopaedic professionals demonstrate strong awareness and optimism toward orthobiologics,but widespread gaps in training,infrastructure,and regulation hinder broader adoption.Strategic investments in education,standardized protocols,and accessible facilities are essential to support safe and evidence-driven integration of regenerative therapies into clinical practice.
文摘The rapid advent in artificial intelligence and big data has revolutionized the dynamic requirement in the demands of the computing resource for executing specific tasks in the cloud environment.The process of achieving autonomic resource management is identified to be a herculean task due to its huge distributed and heterogeneous environment.Moreover,the cloud network needs to provide autonomic resource management and deliver potential services to the clients by complying with the requirements of Quality-of-Service(QoS)without impacting the Service Level Agreements(SLAs).However,the existing autonomic cloud resource managing frameworks are not capable in handling the resources of the cloud with its dynamic requirements.In this paper,Coot Bird Behavior Model-based Workload Aware Autonomic Resource Management Scheme(CBBM-WARMS)is proposed for handling the dynamic requirements of cloud resources through the estimation of workload that need to be policed by the cloud environment.This CBBM-WARMS initially adopted the algorithm of adaptive density peak clustering for workloads clustering of the cloud.Then,it utilized the fuzzy logic during the process of workload scheduling for achieving the determining the availability of cloud resources.It further used CBBM for potential Virtual Machine(VM)deployment that attributes towards the provision of optimal resources.It is proposed with the capability of achieving optimal QoS with minimized time,energy consumption,SLA cost and SLA violation.The experimental validation of the proposed CBBMWARMS confirms minimized SLA cost of 19.21%and reduced SLA violation rate of 18.74%,better than the compared autonomic cloud resource managing frameworks.
文摘Trauma is a major cause of morbidity and mortality across the globe accounting for significant health burden.Relevance of trauma care revolves round prevention,planning and execution of safety regulations.Acquisition of the actual data regarding the type of trauma,affected age group,timings of trauma occurrence,involved part of the body constitute the initial steps in the building of the composite overview of the epidemiology of trauma.In succession,would be the measures directed towards avoidance of trauma and capacity building of trauma center.
文摘Graphical abstracts(GAs)are emerging as a pivotal tool in medical literature,enhancing the dissemination and comprehension of complex clinical data through visual summaries.This editorial highlights the significant advantages of GAs,including improved clarity,increased reader engagement,and enhanced visibility of research findings.By transforming intricate scientific data into accessible visual formats,these abstracts facilitate quick and effective knowledge transfer,crucial in clinical decision-making and patient care.However,challenges such as potential data misrepresentation due to oversimplification,the skill gap in graphic design among researchers,and the lack of standardized creation guidelines pose barriers to their widespread adoption.Additionally,while software such as Adobe Illustrator,BioRender,and Canva are commonly employed to create these visuals,not all researchers may be proficient in their use.To address these issues,we recommend that academic journals establish clear guidelines and provide necessary design training to researchers.This proactive approach will ensure the creation of high-quality GAs,promote their standardization,and expand their use in clinical reporting,ultimately benefiting the medical community and improving healthcare outcomes.
文摘Teacher education at the foundational and preparatory stages plays a crucial role in shaping early childhood learning experiences.The National Curriculum Framework for School Education(NCFSE)2023 provides a structured pedagogical approach to address challenges in these stages.However,despite these policy frameworks,teachers in Kendriya Vidyalayas(KVs)continue to face numerous pedagogical challenges.This paper aims to explore and analyze the pedagogical challenges encountered by KV teachers in foundational and preparatory stage classrooms and compare them with the challenges addressed in NCFSE 2023.Using qualitative research methods,data were collected through structured online interviews with 10 KV teachers from different campuses.This paper investigated various challenges,including classroom management,language barriers,a lack of inclusive education strategies,insufficient infrastructure,limited parental involvement,and difficulties in integrating technology into teaching practices.The findings highlight the gap between policy recommendations and ground-level implementation.Based on these insights,the study suggests recommendations such as specialized teacher training,recruitment of special educators,improved infrastructure,enhanced parental engagement,and policy-driven interventions to bridge the gap between policy frameworks and real-world classroom experiences.The study concludes that addressing these challenges through targeted reforms can create a more inclusive and effective learning environment,fostering holistic student development at the foundational and preparatory stages.
文摘The number of children requiring renal transplants is on the rise,increasing the need for the availability of donor kidneys.It is a challenge to match the need and the available pool.Hence,a renal transplant recipient undergoes rigorous scrutiny to ensure the best possible outcome.In this context,children with obesity harm the long-term outcome when they receive renal transplantation due to higher and more severe postoperative complications.In addition,reports indicate that renal graft survival appears to be compromised in recipient children who are obese.An in-depth review of the available evidence from the literature is required for better understanding.
文摘Virtualization is an indispensable part of the cloud for the objective of deploying different virtual servers over the same physical layer.However,the increase in the number of applications executing on the repositories results in increased overload due to the adoption of cloud services.Moreover,the migration of applications on the cloud with optimized resource allocation is a herculean task even though it is employed for minimizing the dilemma of allocating resources.In this paper,a Fire Hawk Optimization enabled Deep Learning Scheme(FHOEDLS)is proposed for minimizing the overload and optimizing the resource allocation on the hybrid cloud container architecture for migrating interoperability based applications This FHOEDLS achieves the load prediction through the utilization of deep CNN-GRU-AM model for attaining resource allocation and better migration of applications.It specifically adopted the Fire Hawk Optimization Algorithm(FHOA)for optimizing the parameters that influence the factors that aid in better interoperable application migration with improved resource allocation and minimized overhead.It considered the factors of resource capacity,transmission cost,demand,and predicted load into account during the formulation of the objective function utilized for resource allocation and application migration.The cloud simulation of this FHOEDLS is achieved using a container,Virtual Machine(VM),and Physical Machine(PM).The results of this proposed FHOEDLS confirmed a better resource capability of 0.418 and a minimized load of 0.0061.
文摘This paper presents an improved,energy-efficient Model Predictive Current Control(MPCC)strategy based on centroid-based virtual voltage vector synthesis for three-phase inverter-fed induction motor drives in electric vehicle(EV)applications.Unlike conventional finite-set MPCC methods that rely on cost function evaluation over discrete switching states,the proposed approach eliminates the need for look-up tables by employing a pre-defined set of virtual vectors.These centroid-based virtual voltage vectors are synthesized by combining two adjacent active vectors and two nonzero voltage vectors in opposite directions adjacent to the sector replacing the traditional switching set.They approximate the reference voltage vector in both magnitude and phase angle,thereby reducing current tracking error through a simplified cost function.The number of candidate vectors is reduced,preserving computational efficiency.Furthermore,the scheme ensures zero average common-mode voltage(CMV)per sampling interval by completely avoiding zero-voltage vectors(ZVVs).The proposed method reduces torque ripple by up to 17%compared to the conventional approach and lowers stator current total harmonic distortion(THD)by 37%,while ensuring evenly distributed switching transitions among inverter legs.This results in reduced switching losses and enhanced drive efficiency-particularly advantageous in EV applications.Experimental validation under the high-speed extra urban driving cycle(EUDC)and low-speed ECE-R15 cycle,including torque ripple and energy consumption analysis,confirms the effectiveness of the approach,achieving an overall efficiency of 83.3%.
文摘BACKGROUND Esophageal cancer is sixth leading cause of cancer deaths and the eighth most common cancer worldwide.In the recent times,the incidence and mortality rates have increased.To improve the survival in esophageal carcinoma,newer tactics have to be applied to improve outcomes.It is well established that in cases of carcinoma lung and stomach,presence of micrometastasis or spread of tumor cell following surgical manipulation has been shown to predict recurrence and poor prognosis.Similarly,spread of tumor cell during esophagectomy or presence of occult micrometastatic disease in esophageal carcinoma may lead to early tumor recurrence and poor prognosis.The actual incidence of pleural micrometastasis and tumor spillage following thoracoscopic esophagectomy is not clear.The presence of malignant cells in cytologic or immunocytochemical analysis may help in prognostication and further therapeutic decision making.AIM To assess the incidence of micrometastasis and tumor spillage among the patients undergoing thoracoscopic surgery for esophageal carcinoma.METHODS An observational study was done at Department of Surgical Gastroenterology,Jawaharlal Institute of Postgraduate Medical Education and Research,Puducherry.Nineteen patients aged 18 to 70 years with slight male preponderance,undergoing elective thoracoscopic esophagectomy for esophageal carcinoma were included in this observational study from June 2021 to June 2023.Pre and post dissection pleural cavity lavage was done with 200 mL saline and the fluid was subjected to cytologic and immunocytological examination.The cytology and immunocytological examination report was interpreted as positive for malignant cells or negative for malignant cells.Immunocytological examination was done and evaluated for presence or absence of tumor markers cytokeratin 7 and p40 signifying presence or absence of tumor spillage.RESULTS Rate of pre dissection fluid was negative for the malignant cell by cytological and immunocytological analysis in all cases indicating no micrometastasis in our group of patients.Rate of post dissection fluid was negative for the malignant cell by cytological and immunocytological analysis in all cases indicating no incidence of tumor spillage post-surgery in our patients.No significant association was found between age,gender,body mass index,site of lesion,histological type,neoadjuvant therapy and tumor-nodes-metastasis staging with pre and post dissection pleural fluid cytological and immunohistochemical analysis in our study.CONCLUSION This study assessed the incidence of micrometastasis and tumor spillage following minimal invasive esophagectomy could not find any tumor cells in both pre and post dissection samples.
文摘Extracorporeal shock wave lithotripsy(ESWL)is recognised as the ideal noninvasive procedure for urolithiasis.However,the suitability of ESWL varies depending on the composition of the stone.The chemical structure of the stone may not be uniform throughout the stone and this heterogeneity provides the clue in the form of variation coefficient of stone density.To be aware of the success of the stone breakage by ESWL is an advantage upfront,so that it is possible to apply the technology to the most appropriate patient.This is an important aspect in the successful management of urolithiasis.
文摘The underlying molecular changes that result in minimal change disease(ne-phrotic syndrome)require an in-depth analysis.Current molecular studies have shown the involvement of zinc fingers and homeobox transcriptional factors in its pathogenesis.The application of therapeutic drugs relies on understanding the cascade of molecular events to determine their efficacy in managing the clinical condition.
