Sunday, May 19, 2013

PULMONARY TUBERCULOSIS WITH LEFT RECURRENT LARYNGEAL NERVE PALSY


A 36 year old female presented with dry cough ,irregular fever,progressive weakness and anorexia since last 6months and hoarseness of voice since 7 days. On examination there was a2*1.5cm lymph node in the right posterior cervical region.Her ESR was 92 and chest xray showed lt upper lobe opacity and elevated lt hemidiaphragm. Lymph node biopsy wasd consistent with granulomatous lymphadenitis with caseation necrosis. Sputum for AFB wasnegative.

So this case was dignosed as SPUTUM NEGATIVE PULMONARY TUBERCULOSIS with TUBERCULOUS LYMPHADENITIS with LEFT RECURRENT LARYNGEAL NERVE PALSY.

ACUTE FLUID OVERLOAD SIMULATING UPPER LOBE CONSOLIDATION



A 50 yr old female underwent an operation under ga for fracture rt olecranon.In the immediate postoperative period she started having respiratory distress and falling spo2.On examination bp was160/100,pulse96/min,regular,respiratory rate 46/min,afebrile,no pallor,jvp normal.auscultation revealed bl coarse crepts,more in the basal regions.On investigation tlc21400,n88,lft-wnl,rft-wnl,urine showed6-7 pus cells/hpf.Her chest xray revealed dense consolidation rul and streaky opacities lul.She had no cardiac or pulmonary ailment in the past.She was managed with niv,o2,antibiotics and diuretics. she was relieved within a few hours and the opacities in the chest xray disappeared in the same day. our diagnosis was fluid overload acute heart failure.However what appears confusing is the upper lobe distribution of the opacities,

If you observe carefully the initial xray was taken in the supine position.[ap view].In supine position there is equalization of blood flow in all the lung zones and the effect of gravity is abolished.This gave us the false impression of bacterial consolidation.The raised tlc was probably due to uti where urine c/s showed rich growth of Ecoli.

Friday, May 10, 2013

Invite to " Webinar on Global Accessibil​ity Awareness Day",May 9th 2013

UNDERSTANDING WEB ACCESSIBILITY!
On this Global Accessibility Awareness Day join us for a webinar on understanding web accessibility.
NASSCOM Foundation and BarrierBreak will be hosting a webinar to create awareness on web accessibility in India. We cordially invite you to join the webinar to understand how your products and services can be made accessible to a larger audience including persons with disabilities. The webinar will address issues like implementation of accessibility at the design, development and testing stages for aweb, mobile or cloud based application.
Webinar Platform: Google Hangout (Details will be provided shortly).
Register here
Topics:
  • Why accessibility and where do we need to take it?
  • How do persons with disabilities use technology?
  • Benefits of considering accessibility at the design stage
  • Implementing accessibility at the development phase
  • An essential step - Accessibility Testing

The new Volvo FH – a major challenge for Volvo Trucks’ designers


The new Volvo FH – a major challenge for Volvo Trucks’ designers

Truck design is about much more than just colour, shape and attractive lines. Behind the new, safer, larger and more ergonomically optimised Volvo FH lies a significant design challenge. “Coming up with solutions where design and function go hand in hand was one of our most important tasks,” says Rikard Orell, Design Director at Volvo Trucks. 

From the first stroke of his pen on the drawing board to complete truck, the process took just over five years. Several thousand hours and at least an equal number of decisions and procedures later it was finally ready – the new Volvo FH. 
“The design challenge we were given was to create something that was exciting and fresh, while at the same time retaining and carrying over all those elements that were so highly appreciated in the previous model,” relates Rikard Orell. 
In practice what the Göteborg-based design group had to do was to find solutions in which all the individual parts of the truck interlinked smoothly with each other and created a single cohesive feel. Every visible surface, inside as well as out, was examined in minute detail by the design department. So too were the sounds and tactile feel of the buttons and controls, the structure of the textiles and the in-cab lighting – all were tailored to meet the high demands and expectations of an all-new Volvo FH. Demands that are expressed in parameters such as tough standards regarding safety and driver’s environment.

“There is sometimes this misunderstanding regarding design – that it’s simply about appearance, about colour and shape. The reality is that design and function must go hand in hand. The designer’s task is to come up with solutions that make all the component parts of the truck – both the hardware and the software – join together in a single, cohesive visual and functional entity,” explains Rikard Orell. 

One early stage of the design process required the design team to find an expression and an identity for the new truck. Shapes and lines were exaggerated with the aim of finding the overall visual message that the team wanted to convey. 
“The first thing that was discussed was the various technical needs, but the basic drive during the concept phase has consistently been to advance and to increase the cab’s interior volume,” relates Rikard Orell.
Asok George, Chief Designer Exterior at Volvo Trucks and one of the team members, relates that work on the design of the new truck started with a pen on a sketchpad. And there was plenty of scope for giving his imagination a free rein. 
“My inspiration came from everything from new technology and nature to Volvo’s heritage and Scandinavian culture and design. But my biggest source of inspiration by far was the drivers who actually use our trucks,” he says. 
As the work progressed, the sketches moved into computer-generated models and the design took on more realistic lines. 
“In the field of design it’s often all about the details. When you look at the truck it should have a design that instinctively feels just right,” says Asok George. “It’s the basic shape, the stance and the proportions that are crucial. All lines and curves should flow naturally and there mustn’t be anything that disrupts the eye,” he says. 
In order to achieve this, the design group used physical clay models, both full-size and scale models. “Because even if modern computer programs help the designer to visualise his or her visions and ideas – the virtual tools are not always enough,” explains Asok George.

“In the computer the designer uses more of his or her analytical skills, but when working with clay models it’s more emotional, everything comes from the heart. For me it’s the combination of these two approaches that generates a perfect design,” he says.
Having said that, even if the creative aspect is an important part of the design of a new truck, it isn’t everything. The demands on the vehicle’s appearance must also dovetail with a variety of technical requirements and demands from the truck’s operating environment, for instance that the new FH must have a larger cab than its predecessor to enhance both comfort and driver safety. 

In order to monitor driver needs, an important part of the design process involved interviewing drivers at truck stops throughout Europe. They got to sit in early mock-up models of the new Volvo FH and their feedback was subsequently used to refine and modify the design to satisfy driver needs. 
“It makes no difference how many skilled designers or engineers we have at Volvo Trucks,” says Claes Hillén, who is responsible for driver interviews and customer clinics at the product development department. “We can never exactly understand precisely what a driver’s everyday working situation is like. The only way to gain an insight into their day-to-day reality is by asking them,” he says. 
All told more than 2000 drivers were interviewed over a five-year period and together they provided hundreds of years of first-hand experience from truck driving. 
One clear wish that the drivers expressed was for more and larger storage compartments. This meant the cab had to be bigger. And this in turn meant that the previously so characteristically raked-back A-pillars – a Volvo FH hallmark – had to be made more upright. So the design team worked hard on sloping lines and a slanting roof so as to retain the dynamic FH profile. The result is a cab that is now one cubic metre bigger and offers 300 litres more storage space. This also means the seat can slide back a further four centimetres, and in an accident there is more survival space than ever before. 
“This is precisely what design is all about for me: ensuring that the product we create actually is tailored to the specific needs of the people who will use it,” says Rikard Orell. “That means not only going with the rational choices, since we human beings are not only rational but also very emotional. For a driver it’s a matter of being able to live and operate comfortably in the truck and also about feeling a sense of pride in the job. The truck’s functional and dynamic design has the task of contributing to that,” he adds.

Another example of the way design and function go hand in hand to improve safety in the truck is the new rear-view mirrors. In the new model they are attached to slimmer arms than before and the large cover surrounding the glass has been deleted. 
“This solution reduces the number of blind spots for the driver so the safety gains are immense. What’s more, I feel the new design also gives significant aesthetic benefits,” says Rikard Orell. 
One important factor to bear in mind during the design process was that the new truck had to retain its distinctive Volvo profile. That typical Volvo design, based on low-key Scandinavian colours, simple elegance and efficient lines – played the lead role. 
“The result is a truck that is honest, straightforward, without unnecessary adornment. Everything you see is there for a reason. Although we’ve changed just about everything on this truck, we’ve nonetheless succeeded with our aim: to capture the heritage of the previous FH and at the same time give the new truck a more composed, self-assured attitude,” concludes Rikard Orell. 

Watch a film about the design process here: http://www.youtube.com/watch?v=Y194ZJioiwI

For further information, please contact: 

Ida Mattsson?PR and Media Relations
+46 31 323 63 42?E-mail: ida.mattsson@volvo.com

Tuesday, May 7, 2013

GE Volunteers partner Lead India 2020 launches a special programme for the differently-able youth in Chennai Donates computers to enhance training and skills of differently-abled youth


GE Volunteers partner Lead India 2020 launches a special programme for the differently-able youth in Chennai
Donates computers to enhance training and skills of differently-abled youth
India, May 07, 2013 – GE Volunteers, in collaboration with Lead India 2020 has launched a special programme in Chennai. In order to make a difference to the lives of ‘differently-abled young minds’, the Lead India 2020 team is leading this nationwide initiative where the team would provide computers to individuals and organizations. The Lead India 2020 in partnership with GE is bringing together an experienced set of individuals who would be contributing in providing the requisite training and skills.
Swanalakshmi, one of the beneficiaries of this programme studying with Little Flower Convent, Chennai; and who also represented India through the Children Parliament Programme in UN for International Women’s Day congratulated the efforts of GE volunteers. Expressing his joy, his father went on to compliment the initiative and said “The efforts of GE Volunteers to encourage the differently-abled will surely go a long way in enriching the lives of many young minds. Such noble gestures are instrumental in helping them realize their optimum potential.”
Several key dignitaries graced the occasion with their presence. Commenting on the noble initiative,Sylendrababu, ADGP, government official, said, “The future of India will be shaped by the youth of this country that symbolizes and represents and true driving force for India. The youth of this country can play a pivotal role in inspiring themselves and their peers.”
Mrs. Kannagi Packianathan, IAS, Secretary-Adi Dravidar & Tribal Welfare, Government of TN added, “We are extremely delighted to be associated with this initiative driven by GE. The government is always keen to provide support such initiatives which have a deeper impact on society.”
Highlighting the role of Lead India 2020,Dr. Ponraj, Scientific Advisor to Dr. APJ Abdul Kalam said, “Lead India 2020 is Dr. Abdul Kalam’s vision, focused on igniting and channelizing the potential of youth in driving the country’s growth. We look forward to our partnership with GE, and their instrumental role in supporting our partners in Hyderabad and Coimbatore as well”.
Joe Mastrangelo, Vice President & CEO, GE Power Conversion, one of the key dignitaries present at the event added “I feel extremely privileged and proud to be part of the occasion and wish all the children a very bright future ahead.”
The launch event was followed by a distribution of 22 desktops and 5 laptops to beneficiaries; differently abled individuals and several organizations including The Presidency College, The District Differently-Abled Welfare Office and The Special school for Muscular Dystrophy.
About GE Volunteers
GE Volunteers is a global community service organization with225 councils in 51 countries donating 1.3 million volunteer hours on 6,200 projects in 2011 to the communities where they live and work.GE Volunteers are committed to improving their communities, their company and their lives through volunteerism, leadership and camaraderie. The India Volunteers team has over 3,500 members and has grown to seven chapters - New Delhi, Bangalore, Hyderabad, Chennai and Mumbai, Kolkata and Baroda. In 2012, GE Volunteers spent over 25,000 volunteer-hours, partnering with 35 not-for-profit organizations to support projects across 12 Indian cities.
About GE's presence in India
Present in India since 1902, GE works to innovate, partner and develop technology solutions in energy, healthcare, infrastructure and financial services that improve the quality of life in the country. With about 15,000 employees, GE's imagination is taking the nation to the future with ideas designed and developed in India - for India and for the rest of the world.
The technologies that GE provides in India cover a diverse portfolio ranging from healthcare innovations; clean & efficient energy solutions, fuel-efficient and low-emission locomotives & diesel engines for rail; high quality, energy efficient lighting solutions and fuel efficient jet engines and financial services.
With around 6000 engineers, GE's research centers in Bangalore, Hyderabad, Mumbai and Chennai are developing new technologies for both India and the world while the 13 local manufacturing and service facilities bring products, services and technologies closer to the customers. GE in India has partnered with a number of Indian companies to develop localized solutions, meeting the needs of the country. Committed to social development across the world, GE in India is closely engaged with local communities on social and environmental issues.
For more information visit us atwww.ge.com/in

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Amartya Sen who is the Nobel Prize winning economist who is currently a professor of economics and philosophy in Harvard University has said that India should consider the number of deaths that can occur due to delay in clearing of the Food Security Bill.


Amartya Sen who is the Nobel Prize  winning economist who is currently a professor of economics and philosophy in Harvard University has said that India should consider the number of deaths that can occur due to delay in clearing of the Food Security Bill.

'State Of The World's Mothers 2013' published by the Save the Children ranked 176 countries on child and maternal mortality.Indian is ranked at the top of the list.


In a recent report titled 'State Of The World's Mothers 2013' published by the Save the Children ranked 176 countries on child and maternal mortality. Every year over 309, 300 children in India die in the very first day. This constitutes about 29% of the global figure. Indian is ranked at the top of the list. 

Thursday, May 2, 2013

Work Remote for safer loading


Remote control makes loading safer and more efficient for drivers 
For drivers, loading and unloading is a time-consuming activity. Volvo Trucks has therefore developed Work Remote, a wireless remote control device that streamlines the load handling process. The gains are lower costs for haulage firms and a better working environment for drivers. 

It is not exactly news that time equals money in a haulage firm. Nor does it come as a surprise to hear that time savings are a valuable commodity in everyday operation. 
“For a haulage firm, it is important to have high productivity, which is all about transporting freight from point A to point B in the safest and most efficient way possible,” says Christer Pehrson, Business Manager Long Haul at Volvo Trucks. 

One area in the transport sector where efficiency can be improved is loading. In order to check that the weight of the cargo is properly distributed, at present the driver has to climb up into the cab several times during the loading process to check the load indicator in the instrument panel. Other load-related functions, such as raising or lowering the truck, are also currently performed from inside the cab. This takes a lot of time, is very tiring and represents a risk of driver injury since he or she can trip or fall. 

Volvo Trucks developed Work Remote to help save time and reduce the risk factor. The new device is a wireless remote control unit which brings together all the functions that the driver requires while loading or unloading. With the Work Remote it is possible to control everything from raising and lowering of the truck’s air suspension system to kneeling the vehicle, activating the power take-off, regulating engine revs, switching off the engine and locking the truck. Extra controls fitted in the instrument panel via a Volvo Trucks accessory module can also be linked to the remote control, such as controls for a crane or pumps.
“In the remote control the driver can immediately see the indicated load weight and its distribution across the axles of both the truck and trailer. In other words, the driver has all the necessary information in his or her pocket instead of having to run back and forth. Loading is more efficient,” says Christer Pehrson. 

In addition to saving time, the Work Remote also saves the driver’s energy. This can help promote better traffic safety. 
“For many, loading is a stressful task, and stress leads easily to accidents. With the Work Remote we eliminate much of this stress since the driver doesn’t have to run back and forth the whole time. If loading is easier, this also means there’s a more relaxed driver behind the wheel. This leads indirectly to a more alert driver and promotes improved traffic safety,” says Christer Pehrson. 

Work Remote will be launched together with the new Volvo FH series and will be available on the market in 2013.

For further information, please contact: 
Ida Mattsson, Volvo Trucks Global Brand, phone +46 31 323 63 42
E-mail: ida.mattsson@volvo.com

Who Cares About Sustainability [webinar]


Learn more about how the current approach many organizations take on corporate environmental sustainability and why it is a failed model.

Shared with Sustain2Green by email from Enviance

A Method to Compare Facilities' Environmental Performance


Learn more about how to compare facilities' environmental performance by using environmental compliance and sustainability data, such as emissions and water, in a summary mode to produce "smart scores".

Shared with Sustain2Green by Enviance over email.
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