This paper provides an optimality theoretic analysis of epenthesis patterns in Karam and Southeastern Pomo.
I show that the constituent internal epenthesis pattern in both languages, by which vowels are epenthesized following the initial consonant and preceding the final consonant, is closely tied with the distribution of marked syllable types, i.e. (V)σ and ((C)VC)σ at the edges of a morphological unit, the stem in Karam and MWd in Southeastern Pomo.
I propose that these properties are derived through the interaction of syllable structure constraints and faithfulness constraint, EDGE-INTEGRITY, which demands the edge segments of a morphological unit to appear at the edgemost positions invariantly in the input and the output.
It is argued that this is to satisfy EdgeDemarcation, a general function of phonology, which is to demarcate morphological constituency, by marking the beginning and the ending of the relevant morphological unit in phonology.
Aim of Study: The objective of the study was to assess the retrospective observational comparative study on drug utilisation of Proton Pump Inhibitors (PPI) vs H2Receptor Blockers (H2RB).
Methodology: 150 patients are included in the study. All the patients were undergoing proton pump inhibitors and H2 receptor blockers therapy and /or co-morbidities were included in the study. The study was conducted in General Medicine Unit (IPD), Intensive Care Unit, Surgery, Orthopaedic and all other departments in a multi-speciality tertiary care hospital. The patient’s demographic status like name, age, gender, occupation, IP number, date of admission, etc., was collected. The appropriateness of PPIs and H2RBs drugs like dose, dosage form, duration of treatment, route and frequency of administration with standard guidelines was also recorded.
Result: Results of patient population included in the study are 150, out of males are 98(65%) and female are 52(35%) are using Anti-Ulcer drugs. In total study population based on dose and dose frequency Pantoprazole (PPI) 40mg, OD is prescribed in 17% of prescriptions and Ranitidine (H2RB) 150mg, BD is prescribed in 14% of prescriptions.
Conclusion: Gender, Age, Social habits, Occupation and Education status influence the occurrence of GIT problems. Based on this study, in our area, PPIs are prescribed more often than H2RBs. In PPIs Pantoprazole (PPI) 40mg was the highest prescribed as prophylaxis to GIT damage than Ranitidine (H2RB) 150mg.
KEYWORDS: Proton Pump Inhibitors (PPIs), H2 Receptor Blockers (H2RBs), NSAID Prophylaxis, Anti-Ulcer drugs.
Contributors:Sahitya Uppada 1 *, Sri Priya Munnangi 1, Vijaya Sree Pokala 1, Sai Tejaswi Katta 1, Dr. S. Uma Shanker 2, Dr. Praveena Bandaru 3
Background Information: Due to low base rate of complete healing in the natural history, exuding wounds have a significant impact on the health and quality of life of patients. Evidence suggests that exuding wounds impose significant and often underappreciated burden to the individual, the healthcare system and the society as a whole. Cadexomer Iodine contains 0.9% w/v iodine within a three-dimensional starch lattice, formed into spherical microbeads and is available as an ointment in India. In this study, topical cadexomer iodine was used to determine its effect in the healing process of acute and chronic exuding wounds.
Aim of the Study: To compare the effectiveness of topical cadexomer iodine and saline dressing in the management of exuding wounds.
Materials and Methods: It is an observational cohort study which involves 100 patients suffering from various types of exuding wounds and were divided into two cohorts : test cohort - topical cadexomer iodine treated patients and control cohort – normal saline treated patients. Bates-Jensen wound assessment tool was used for the comparision of effectiveness of the test and control treatments on wound healing.
Results: After 10 weeks of observation, topical cadexomer iodine demonstrated significant changes in all the parameters involved in wound healing like – wound size, wound size, depth, edges, undermining, necrotic tissue type and amount, exudate type and amount, skin color surrounding wound, peripheral tissue edema and induration, granulation and epithelialization; reduction in pain and odour. The wound status continuum comparision was done with t-test procedure using SAS-9.2. The folded F value of 0.0490 infers that the test is statistically significant.
Conclusion: Topical cadexomer iodine is significantly more effective in the management of various types of exuding wounds when compared to normal saline dressing which is the standard dressing being used currently for exuding wounds.
KEYWORDS: Topical Cadexomer Iodine, Saline Dressing. Acute and Chronic Exuding Wounds.
Contributors:Dr. Darabadi Rispa 1 *, K Bindu Madhuri 2, Dr Shaik Faizan Ali 1, Dr Syed Ahmad Basha 3
It is estimated that in India about 25% population is suffering from severe mental illness and 10% have minor mental illnesses. In India, with its mix of rural and urban environment and cultural diversity, the proportion of the patients attending the psychiatric consultation, once the disorder is recognized is limited. Prevention of psychiatric disorders is complex due to its multifactorial etiology, such as genetic factors, life stressors, and neurochemical changes in the body. Though it is difficult to control all of these factors in order to prevent psychiatric disorders, the progression of the psychiatric illness can be interrupted by early identification and intervention. Early detection and intervention of the condition can shorten the duration of mental illness. Early treatment can also prevent complications and deterioration, i.e. severe disability, increased recurrence of episodic disorders, death due to suicide, and care giver burden. This study was conducted to detect the delay duration and various reasons for delay in first psychiatric consultation, in the patients attending the psychiatric out-patient department.
KEYWORDS: First Psychiatric Consultation, Economic Burden, Multifactorial Etiology, Diagnosis and Duration of Delay, Traditional Healing.
In this paper we propose a method for addressing the human operator's ergonomics during bilateral teleoperation. The method is based on human operator's musculoskeletal and fatigue models, whose input is the force produced by the operator through the haptic interface (master) in order to control the slave robot in the remote environment. The system then estimates the fatigue-based endurance time for producing the desired task force in different human arm configurations within the selected workspace. We perform an online optimisation process to find the optimal configuration that has the longest endurance time, which signifies that the operator can perform the task in that configuration for a longer period. Next, a trajectory is generated on the master robot in order to guide the human arm into the optimal configuration. The teleoperation is temporarily suspended by decoupling the master from the slave robot when the master robot is being reconfigured. The teleoperation will be resumed and the slave robot will be teleoperated again from where it stopped after the master robot guided the operator's arm to the optimised configuration. The main advantage of the proposed method is that the human operator can perform the task with less muscle fatigue, which increases the endurance time. To validate our approach, we performed proof-of-concept experiments on a teleoperation system composed of two Panda robots by Franka Emika, where one was serving as master and the other as slave. The main experimental task was for the human operator to produce a reference force with the slave robot on an object in a remote environment. A supplementary task involved putting an object of unknown mass on the slave robot end-effector.
Düşük hapı satın al -0545 661 53 89-
Düşük hapı satın al -0545 661 53 89-
Ülkemizde bilindiği üzere gebeliğin 10. haftasına kadar kürtaj yaptırmak mümkündür. Kürtajın sözlük anlamı kazımak olduğu açık bir gerçektir.
Düşük Hapı Satın Al
İstenmeyen gebeliklerin ortaya çıkması durumunda genelde kürtaj olmak istemeyen veya hamileliğini kimsenin bilmesinden korkan kadınlar halk arasında düşük yaptıran ilaçlara yani düşük haplarına ilgi göstermektedir.
Peki düşük hapları ne kadar etkili, gerçekten işe yarar mı? Ve sağlığa zararı var mı? bunlar hakkında bilgiler verelim.
Düşük hapı olarak bilinen Cytotec Misoprostol ilacı mide ülserleri tedavisinde kullanılan bir ilaçtır. 2012 yılına kadar ülkemizde her eczanede kolayca bulunurken çıkarılan kürtaj kanun düzenlemesi nedeniyle satışı durdurulmuştur. Hamile kalan kadınların bu ilacı kullanarak düşük yaptığından dolayı satışı yapılamamaktadır.
Cytotec eczanelerde satılır mı diye sormanıza gerek yok. Cytotec hapı yurt dışına gidip gelenlerin internet ortamında satışını yaptığı bilinmektedir.
Cytotec ilacı ülkemizde halen hastanelerin kadın doğum bölümlerinde heyet raporu taşıyan hastalar da riskli gebeliklerin sonlandırılmasında kullanılmaktadır.
Cytotec ilacı kullanım aşamasında dil altında emilerek kullanıldığında %95 etkilidir, düşükle sonuçlanır. Dünya’da 50’den fazla ülkede satışı yapılmakta ve aktif olarak kullanılmaktadır.
Düşük İlacı Satın Al
Cytotec ilacı FDA (Amerika Sağlık Bakanlığı) onaylıdır, aynı zamanda Dünya Sağlık Örgütü (WHO) tarafından desteklenmektedir. İnsan sağlığına herhangi zararı yoktur. Sadece hamile kadınlar da doz artışı nedeniyle yan etki olarak düşük yapmaktadır.
Düşük işlemi adet döneminden biraz daha ağrı ve kanamalı geçmektedir.