Globally, cardiovascular diseases stand as the primary cause of mortality. In response to the imperative to enhance operational efficiency and reduce expenses, healthcare organizations are currently ...undergoing a transformation. The incorporation of analytics into their IT strategy is vital for the successful execution of this transition. The approach involves consolidating data from various sources into a data lake, which is then leveraged with analytical models to revolutionize predictive analytics. The deployment of IoT-based predictive systems is aimed at diminishing mortality rates, particularly in the domain of coronary heart disease prognosis. However, the abundant and diverse nature of data across various disciplines poses significant challenges in terms of data analysis, extraction, management, and configuration within these large-scale data technologies and tools. In this context, a multi-level fuzzy rule generation approach is put forward to identify the characteristics necessary for heart disease prediction. These features are subsequently trained using an optimized recurrent neural network. Medical professionals assess and categorize the features into labeled classes based on the perceived risk. This categorization allows for early diagnosis and prompt treatment. In comparison to conventional systems, the proposed method demonstrates superior performance.
We posit from our ecological analysis of COVID-19 trends that the focus on returning international emigrants helped the Indian State of Kerala to successfully mitigate transmission from emigrants. ...However, the state’s failure to prevent SARS-COV-2 seeding by returning domestic migrants from other states of India led to extensive community transmission.
India has the third-highest COVID-19 burden. Hosting the Sabarimala pilgrimage of an estimated 25 million can compromise the near-mitigated but fragile COVID-19 status of the host State of Kerala, ...accelerate the ongoing outbreaks in other states of India, and potentially in multiple countries with emigrants from Kerala.
Developmental delay is defined as significant delay in one or more developmental domains. Magnetic Resonance Imaging (MRI) is the best modality to investigate such patients. Evaluation of a child ...with developmental delay is important not only because it allows early diagnosis and treatment but also helpful for parental counseling regarding the outcome of their child and to identify any possible risk of recurrence in the siblings. Thus this study was undertaken to evaluate the developmental delay in Indian children which will help the clinicians in providing an estimation of the child's ultimate developmental potential and organize specific treatment requirement and also relieve parental apprehension.
To study the prevalence of normal and abnormal MRI in pediatric patients presenting with developmental delay and further categorize the abnormal MRI based on its morphological features.
It is a prospective, observational & descriptive study of MRI Brain in 81 paediatric patients (46 Males and 35 Females), aged between three months to 12 years; presenting with developmental delay in Deccan College of Medical Sciences, Hyderabad; over a period of three years (Sept 2011 to Sept 2014). MRI brain was done on 1.5T Siemens Magnetom Essenza & 0.35T Magnetom C with appropriate sequences and planes after making the child sleep/sedated/ anesthetized. Various anatomical structures like Ventricles, Corpus callosum, etc were systematically assessed. The MRI findings were divided into various aetiological subgroups.
Normal MRI findings were seen in 32% cases and 68% had abnormal findings of which the proportion of Traumatic/ Neurovascular Diseases, Congenital & Developmental, Metabolic and Degenerative, neoplastic and non specific were 31%, 17%, 10%, 2.5% and 7.5% respectively. The ventricles and white matter mainly the corpus callosum were the most commonly affected anatomical structures. The diagnostic yield was found to be 68% and higher yield was seen in patients presenting with developmental delay plus.
The clinical diagnosis of developmental delay should not be the end point, but rather a springboard for an effective search for causal factors. MRI is the best investigation with a high yield in such patients.
Due to the growing growth of circulating storage, more and more content owners are choosing to relocate their files to cloud servers, which can significantly restrict the capacity of the nearby ...infrastructure. Moving information out of the cloud has become essential for information owners wishing to transform cloud-based cooperatives since different cloud-based groups offer varying degrees of information inventory management, such as security, reliability, speed of access, and pricing. As a result, a major challenge for evidence owners is figuring out how to gradually transfer data from one cloud to another while instantly erasing the transferred data from the first cloud. In this paper, we suggest a method for counting books based on Bloom channels to address this issue. The suggested strategy can ensure super-permanent information eradication in addition to secure information transfer. Additionally, the suggested architecture might take care of the uncontested requirements of public status without a problem with outsourcing. Finally, we will run a model to assess the viability and efficiency of our suggestion.
Abstract
Background and Objectives
Dyspepsia is the commonest indication for upper gastrointestinal (UGI) endoscopy. This study was done to describe the UGI endoscopic findings and the risk factors ...like alcohol abuse, smoking, pan chewing, and drug intake and the endoscopic findings in patients with alarm symptoms.
Materials and Methods
This was an institution-based (Department of General Surgery at Government T.D. Medical College, Alappuzha) observational study (descriptive) on 250 dyspeptic patients who underwent UGI endoscopy for the duration of 1 year between November 2018 and October 2019.
Results
Among the patients, 130 were males and 120 were females. The mean age was 51.36 years. The majority were between 36 and 65 years (65.6%) of age. Precisely, 28.8% showed alarm symptoms. The commonest alarm symptoms were vomiting (26.8%), weight loss (7.6%), and gastrointestinal bleed (6.4%). Also, 237 (94.8%) patients had abnormal findings. The commonest abnormal findings included gastric erosions/erythema in 197 (78.8%), duodenal erosions/erythema in 69 (27.6%), and esophageal erosions/erythema in 56 (22.4%) patients. Substance use included smoking (29.6%), followed by alcoholism (27.2%) and pan chewing (14%). Dyspepsia along with alarm symptoms was seen in patients with malignant endoscopic findings. The commonest malignancy was stomach cancer (4.8%).
Conclusion
Dyspepsia was more common among males aged 36 to 65 years. Gastric, duodenal, and esophageal erosions/erythema were the commonest abnormal findings. Smoking and alcoholism were common in patients with dyspepsia. Malignant endoscopic findings were common in patients with alarm symptoms. UGI endoscopy is an effective and appropriate initial investigation to assess patients with dyspepsia.
Hypertension is a significant contributor to mortality in India. Achieving better hypertension control rate at the population level is critical in reducing cardiovascular morbidity and mortality.
...Hypertension control rate was defined as the proportion of patients with their blood pressure under control (systolic blood pressure <140 mmHg and diastolic blood pressure <90 mmHg). We conducted a systematic review and meta-analysis of community-based, non-interventional studies published after 2001 that reported hypertension control rates. We searched PubMed, Embase, and Web of Science databases, and grey literature, and extracted data using a common framework, and summarized the study characteristics. We conducted random-effects meta-analysis using untransformed hypertension control rates and reported the overall summary estimates and subgroup estimates of control rates as percentages and 95% confidence intervals. We also conducted mixed-effects meta-regression with sex, region, and study period as covariates. The risk of bias was assessed, and level of evidence was summarized using SIGN-50 methodology. The protocol was pre-registered with PROSPERO, CRD42021267973.
The systematic review included 51 studies (n = 338,313 hypertensive patients). 21 studies (41%) reported poorer control rates among males than females, and six studies (12%) reported poorer control rates among rural patients. The pooled hypertension control rate in India during 2001–2020 was 17.5% (95% CI: 14.3%–20.6%)—with significant increase over the years, reaching 22.5% (CI: 16.9–28.0%) in 2016–2020. Sub-group analysis showed significantly better control rates in the South and West regions, and significantly poorer control rates among males. Very few studies reported data on social determinants or lifestyle risk factors.
Less than one-fourth of hypertensive patients in India had their blood pressure under control during 2016–2020. Although the control rate has improved compared to previous years, substantial differences exist across regions. Very few studies have examined the lifestyle risk factors and social determinants relevant to hypertension control in India. The country needs to develop and evaluate sustainable, community-based strategies and programs to improve hypertension control rates.
Not applicable.
Background: Hypertension is a significant contributor to mortality in India. Achieving better hypertension control rate at the population level is critical in reducing cardiovascular morbidity and ...mortality. Methods: Hypertension control rate was defined as the proportion of patients with their blood pressure under control (systolic blood pressure <140 mmHg and diastolic blood pressure <90 mmHg). We conducted a systematic review and meta-analysis of community-based, non-interventional studies published after 2001 that reported hypertension control rates. We searched PubMed, Embase, and Web of Science databases, and grey literature, and extracted data using a common framework, and summarized the study characteristics. We conducted random-effects meta-analysis using untransformed hypertension control rates and reported the overall summary estimates and subgroup estimates of control rates as percentages and 95% confidence intervals. We also conducted mixed-effects meta-regression with sex, region, and study period as covariates. The risk of bias was assessed, and level of evidence was summarized using SIGN-50 methodology. The protocol was pre-registered with PROSPERO, CRD42021267973. Findings: The systematic review included 51 studies (n = 338,313 hypertensive patients). 21 studies (41%) reported poorer control rates among males than females, and six studies (12%) reported poorer control rates among rural patients. The pooled hypertension control rate in India during 2001–2020 was 17.5% (95% CI: 14.3%–20.6%)—with significant increase over the years, reaching 22.5% (CI: 16.9–28.0%) in 2016–2020. Sub-group analysis showed significantly better control rates in the South and West regions, and significantly poorer control rates among males. Very few studies reported data on social determinants or lifestyle risk factors. Interpretation: Less than one-fourth of hypertensive patients in India had their blood pressure under control during 2016–2020. Although the control rate has improved compared to previous years, substantial differences exist across regions. Very few studies have examined the lifestyle risk factors and social determinants relevant to hypertension control in India. The country needs to develop and evaluate sustainable, community-based strategies and programs to improve hypertension control rates. Funding: Not applicable.
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