Post-operative hearing loss is a very poorly understood complication in the medical field in general and in the Anesthesiology practice more specifically. This has been observed past three decades and yet, it still is a mystery and unresolved medical condition. Senso-neural hearing loss (SNHL) results in temporary deafness as a side-effect of a puncture during spinal (subarachnoid) anesthesia. Although it is also observed after general anesthesia, but the numbers are much less. In the present study, we report a case of 48 year old man who underwent a surgery for anal fistula incision with spinal anesthesia and complained about the hearing inability in both the ears (bilateral SNHL) started few hours after the surgery. His symptoms improved over a few days’ time with a conservative approach (rest, hydration and increased caffeine intake). There have been other reports on permanent type of hearing loss. Even though in a majority of cases, the patients recover, considering the threats from the minority, we believe that it is the responsibility of the medical staff to be aware of the patients’ condition before undertaking such surgeries and anesthesia

Sudden demonetization of 500 and 1000 rupee notes forming a major portion of circulating currency by the Indian Government in November, 2016 is a daring step in the national interest. It created an instant chaos in the country. Besides inflicting a major blow to holders of unaccounted money and counterfeit currency, it also caused suffering for the common man. It was opposed by some on this ground. Many felt that if a short-term suffering was the price for a substantial long-term gain, it would be justified. The present study is based on secondary data from an extensive consultation of sources of information on this topic. It attempts to analyze the pros & cons and the rationale for demonetization. Amidst conflicting ideologies, politics, and self-interests dividing intellectuals, leaders and economists on this move, an unbiased approach to study the available literature on demonetization and to arrive at conclusions has been made. After short-term set-back the long term benefits are showing up. A comprehensive survey of the long-term outcomes is beyond the scope and time-frame of this study, but is a fertile ground for future research. The learning from the study would offer guidance for reforms through demonetization and the needed course-corrections. Other developing, emerging and developed economies would gain useful insights from this study when contemplating such measures

Aviation industry is facing severe challenges such as increase in fuel prices, heavy competition, and changing customer needs. By giving importance to the human resource issues and strategically utilizing staff capabilities, firms in aviation industry can better addresses such challenges. In this context, in current study, our objective was to test the effects of High Performance Work System (HPWS) on employee’s perceived psychological empowerment and proactive behavior. Additionally, the employee’s perceived psychological empowerment is proposed as mediator between the relationship of HPWS and employee proactive behavior. Primary data for this study is collected using the survey measure adapted from previous sources. Through convenience sampling, data is collected from staff from selected airline firms located in the UAE region (n=177). Findings indicate that HPWS dimensions including training and compensation have positive and significant effects on employee’s proactive behavior. Similarly, the HPWS dimensions including recruitment and compensation have positive and significant effects on employee’s perceived psychological empowerment. Further, our findings indicate that psychological empowerment function as a mediator between the HPWS dimensions of recruitment and compensation and employee proactive behavior. Our findings have implications for the management of the aviation industry firms.

In order to make full use of data of stroke and find the potential characters, we use computer algorithm to model the stroke so as to comply with the evolution of stroke disease. In order to visual express the complex reason of stroke, we use complex network to model the stroke so as to express the complex reason and describe the relation of stroke structure and function. Computer model and complex network model should be combined with stroke standard method and custom index, which are more direct for clinical index and practice. Hybrid methods for research of stroke are a test to model, prevention, control and serve for stroke and other clinical disease

Heart failure is the end stage of all diseases of the heart and is a major morbidity and mortality. Unfortunately, heart failure may be difficult to diagnose clinically, as many features of the condition are nonspecific. The overall incidence is likely to increase in the future because of both an aging population and therapeutic advances in the management of acute myocardial infarction leading to improved survival in patients with impaired cardiac function. Aim: the various clinical manifestations of Chronic Heart Failure and to identify the major etiological and risk factors of Chronic Heart Failure. Methods: This study was conducted in the Department of General Medicine and Cardiology, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. Institutional Ethical committee Permission was obtained for the study. A total of 50 patients with symptoms of heart failure were included in the study. All patients selected were subjected to detailed history, clinical examination and investigations. Complete Hemogram, Serum electrolytes - Sodium, Potassium, Calcium, and Magnesium, Blood glucose levels, Renal function tests, Chest X-Ray, ECG, 2D ECHO, Serum fasting lipid profile, BUN, serum uric acid, Liver function tests, and complete urine analysis. Results: The most common sign on examination was pulmonary rales in 34(68%). Next was S3on auscultation in 31patients (62%), B/L ankle edema was noticed in 29 patients (58%), raised JVP in 24 (48%), tachycardia HR >120 bpm was noticed in 16 (32%), tachypnea RR >30 was seen in 19 patients (38%). Diabetes was noticed in 9 patients, five of them had and two were having previous h/o of IHD. Broad QRS complexes >120 msec was noticed in 12 patients (24%) had complete LBBB with very broad QRS complexes >140 msec. ...

Abstract: Polyhydramnios is an important obstetric complication with increased maternal morbidity. Undoubtedly, ultrasound is the best means to diagnose polyhydramnios USG has revolutionized the process of assessment of amniotic fluid thus becoming an integral part of fetal surveillance. In a low resource health facility as India with poor coverage of antenatal care and malnutrition it still becomes more important to screen pregnancies for such high risk factors. To determine the incidence and to assess the maternal outcome in patients diagnosed to have polyhydramnios in singleton pregnancies. The present study was conducted in Guahati Medical College for a period of one year from July 2017 to June 2018. All the patients were identified as having polyhydramnios using Largest pocket diameter method. The incidence of polyhydramnios in singleton pregnancy during the study period was 1.04 %. Majority of cases (76.61%) were mild, 14.03% moderate and 9.36 % severe polyhydramnios. Most common etiology was found to be idiopathic 69% followed by congenital anomalies19.8% and Diabetes Mellitus 10.52% Out of 171cases, 9 case was an abortion out of which 8 was induced due to fetal anomaly, 37 cases had preterm vaginal deliveries, 59 cases had full term vaginal deliveries, 66 cases had cesarean section. The most common maternal complication encountered was preterm labour and the most common malpresentations was breech. The study gives us the understanding of the impact of polyhydramnios on maternal outcome.

The present article investigated the previous body of research on trust in business negotiation, providing an extensive literature review on the subject. This study is helpful to students, practitioners, academics, managers, business negotiators, mediators, and other professionals in general, stimulating the reflection on their social and workplace business negotiation behaviors, as well as deepen the underlying process of self-awareness and thus provide an opportunity self-learning, behavior changes, and development, on business negotiations trust matter. This article investigated the following theoretical approaches: (a) Behavioral; (b) Psychological approach, encompassing: (b.1) unidimensional; (b.2) two-dimensional, and (b.3) transformational approaches, as well as the fundamental supportive theories to trust regarding the business negotiation process. This literature review is part of my doctoral thesis and aims at providing consolidated information on the subject Trust in Negotiation for academics, practitioners, and students in general, as well as presenting the newly theoretical academic contribution, the transformational Compelled-Based Trust Approach. Discussion and future research recommendations complete the present work

The objective of this study was to reveal the effects of opportunity, internal control, and management commitment on fraud opportunities. The samples were taken at some companies in Palembang, including PT. PLN UIP Sumbagsel, PT. PLN WS2JB, PT. Surveyor Indonesia and the Regional Mining and Energy Company totalling 154 respondents. Out of 154 questionnaires sent, 148 questionnaires were returned. The sampling was done using the purposive sampling technique. The data collected were the primary data which were first tested for their validity and reliability. The data analysis method used was the multiple regression analysis that had met the classical assumption testing requirements. The results of the study indicate that the opportunities have a significant effect on the fraudulent actions in the selected companies. Whereas the internal control and the management commitment have a negative effect on the fraudulent actions

Allopurinol is a drug indicated for the treatment of hyperuricemia. Its hepatic toxicity is rare. This is a case report about acute cytolytic hepatitis caused by allopurinol in a 62-year-old.

Proper reactive power management for improving the a.c power system performance always result in loss minimization. It is all about the supply of reactive power in a transmission line to increase the transmittable power thereby making it compatible with the prevailing load demand. In this paper, various factors contributing to loss minimization in a.c networks were examined, and include the use of: shunt capacitors and reactors, synchronous capacitors, tap changing transformers, series capacitors e.t.c. Recommendations to minimize losses in the system were proffered in this study to ensure good power quality and security in the network.

Abstract: Pre-eclampsia, is an obstetric disorder characterized by hypertension and proteinuria that prevails all over the world. It presents as a pressing peril for fetal and maternal lives. Though inflammation, increased levels of TXA2, ischemic placenta, dysfunction of endothelium are discerned, the exact pathophysiology yet remains a mystery. The absolute treatment is still to be discovered, however its prevention by low dose aspirin and calcium supplementation present as promising preventative measures for pre-eclampsia. To observe the effect of aspirin and calcium in prevention of preeclampsia. This was a prospective clinical trial study for evaluation of role of aspirin and calcium in prevention of pre-eclampsia in primigravidas. It was carried out at department of Obstetrics and Gynecology at AL-Wahda hospital Derna from Jan 2016 to Dec 2016. Three hundred and forty four primigravidae were included in the study. Their age ranged from 16 to 45 years with a mean 26.32 ± 4.88 years. Out of the 344 healthy primigravidae, 63 (18.3 %) developed preeclampsia. Both (aspirin and calcium) supplementations were associated with a reduction preeclampsia. There was significant difference between the group taken both (aspirin & calcium) group and prevent pre-eclampsia (X2= 6.07, P= 0.014). In Conclusion, It was noted in the present study that low dose aspirin and calcium might have beneficial effect in the prevention of preeclampsia.

Workplace turnover is destructive to nursing and patient outcomes as it leads to losing competent and qualified nurses. However, developments of coping strategies demand a clear understanding of workplace variables that either motivates nurses to remain employed or lead them to leave their current jobs. This study assessed the relationship between socio-demographic characteristics of members of nursing staff and their job satisfaction as well as perceived factors influencing turnover among nurses in Ahmadu Bello University Teaching Hospital Zaria, Nigeria. Cross-sectional study design was carried out on 304 nurses using quantitative data collection methods from 8th April, 2016 – 22nd April, 2016. The respondent’s age ranged between 20-63 years with a mean age of 39±10.97 years. Age, gender, marital status; and job satisfaction yielded a nonstatistical significant, weak and positive correlation with job satisfaction. Number of years worked, professional experience and unit of primary assignment were the only sociodemographic characteristics found to be significant predictors of job satisfaction in ABUTH (P < 0.05). Insufficient cohesion with colleagues, poor safety of the work environment; undervalued nurse’s opinion by medical staff and poor professional image of nursing were identified as perceived factors positively influencing nurse’s intension to leave the hospital. The study suggests that nurses’ opinion should be respected by other professionals and nurses professional practice judgement should not be relegated on the bases of sentiments.

The property of iron to get reversibly oxidized and reduced is essential for its metabolic functions. Severe iron deficiency can produce cardiovascular disease. Wide range of biochemical markers are implicated in the pathogenesis of anaemia like Serum Ferritin, Malondialdehyde and Homocysteine. The purpose of the study is to assess serum ferritin, homocysteine and plasma malondialdehyde levels in Iron deficiency anaemic patients and to find whether anaemic patients are prone to cardiovascular disease or not. A case control study was carried out at Lata Mangeshkar hospital, Nagpur in which serum malondialdehyde and homocysteine levels measured in 30 diagnosed patients of Iron deficiency anaemia in the age from 19 to 40 years were compared with healthy controls. Malondialdehyde was estimated by the method of Randox laboratory. Serum homocysteine was measured by using ELISA kits. The data was analysed for correlation between levels of homocysteine and malondialdehyde with serum ferritin in patients of Iron deficiency anaemia. Serum malondialdehyde levels in patients with Iron deficiency anaemia were higher i.e. 0.680+0.349 (ng/ml) than in controls which were 0.144+0.102 (ng/ml) with a statistically significant value of p <0.05.Statistically, there was also a significant rise in homocysteine levels in patients with Iron deficiency anaemia i.e.76.105+16.836(ng/ml) as compared to 27.57+12.11 (ng/ml) in controls. An inverse relation exists between serum ferritin and markers of oxidative stress. Iron deficiency anaemic patients have elevated levels of malondialdehyde and homocysteine than the control group and both these parameters may be common mediators in the pathogenesis of accelerated atherosclerosis.

Systemically reviewing the topic Mandibular Third Molar Impaction and its components: prevalence, causes, classifications, complications, and managements. All studies pertaining to the topic and its components were included. Exclusion criteria were applied to exclude studies that were not PubMed indexed. The materials and methods used for this systemic review were to search in the PubMed database, using specific words "Mandibular Third Molar Impaction, Prevalence, Causes, Classifications, Complications, and Managements” and published in the English language. The articles were reviewed, 25 papers were identified in PubMed but a total of 20 papers were included in the final systemic review according to the specific keywords and materials mentioned above. The occurrence of Mandibular Third Molar Impaction can be seen in everyday routine oral surgery practice. The prevalence of Mandibular Third Molar Impaction is remarkable but varied from one study to another. Causes were investigated showing a multifactorial tendency. Classifications are very essential for diagnosing different types of impaction. Diverse Complications related to Mandibular Third Molar Impaction are possible, yet avoidable. Management was reviewed showing a verity of treatment modalities.

Abstract: Caesarean scar Pregnancy (CSP) implanted in the caesarean section scar is a rare location among ectopic pregnancies that can be life-threatening. It can be classified at the same level of gravity as the placenta accreta. Hysterectomy is the gold standard treatment for massive bleeding. The diagnosis of pregnancy implanted in the caesarean section scar is a difficult diagnosis of the first trimester. It must be done as early as possible. Clinical manifestations are not specific, bleeding and pain is the most common symptoms. Endovaginal and pelvic ultrasound associated with Doppler is the first-line examination, provides optimal and panoramic vision, and studies reports of the gestational sac and its vasculature. Recent studies report the value of MRI in diagnosis because of its affinity for the study of pelvic tissue and the relationship of structures. The treatment remains non-consensual but it appears that the injection of methotrexate in situ by preferring the vaginal route is effective and not very morbid. We present here the case of a patient with CSP whose diagnosis was initially unknown.