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Vatsal</title> <meta name="description" content="Search results for: Manu Vatsal"> <meta name="keywords" content="Manu Vatsal"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button class="d-block d-lg-none navbar-toggler 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id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="Manu Vatsal"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 23</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: Manu Vatsal</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">23</span> Comparative in silico and in vitro Study of N-(1-Methyl-2-Oxo-2-N-Methyl Anilino-Ethyl) Benzene Sulfonamide and Its Analogues as an Anticancer Agent</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Pamita%20Awasthi">Pamita Awasthi</a>, <a href="https://publications.waset.org/abstracts/search?q=Kirna"> Kirna</a>, <a href="https://publications.waset.org/abstracts/search?q=Shilpa%20Dogra"> Shilpa Dogra</a>, <a href="https://publications.waset.org/abstracts/search?q=Manu%20Vatsal"> Manu Vatsal</a>, <a href="https://publications.waset.org/abstracts/search?q=Ritu%20Barthwal"> Ritu Barthwal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Doxorubicin, also known as adriamycin, is an anthracycline class of drug used in cancer chemotherapy. It is used in the treatment of non-Hodgkin’s lymphoma, multiple myeloma, acute leukemias, breast cancer, lung cancer, endometrium cancer and ovary cancers. It functions via intercalating DNA and ultimately killing cancer cells. The major side effects of doxorubicin are hair loss, myelosuppression, nausea & vomiting, oesophagitis, diarrhoea, heart damage and liver dysfunction. The minor modifications in the structure of compound exhibit large variation in the biological activity, has prompted us to carry out the synthesis of sulfonamide derivatives. Sulfonamide is an important feature with broad spectrum of biological activity such as antiviral, antifungal, diuretics, anti-inflammatory, antibacterial and anticancer activities. Structure of the synthesized compound N-(1-methyl-2-oxo-2-N-methyl anilino-ethyl)benzene sulfonamide confirmed by proton nuclear magnetic resonance (1H NMR),13C NMR, Mass and FTIR spectroscopic tools to assure the position of all protons and hence stereochemistry of the molecule. Further we have reported the binding potential of synthesized sulfonamide analogues in comparison to doxorubicin drug using Auto Dock 4.2 software. Computational binding energy (B.E.) and inhibitory constant (Ki) has been evaluated for the synthesized compound in comparison of doxorubicin against Poly (dA-dT).Poly (dA-dT) and Poly (dG-dC).Poly (dG-dC) sequences. The in vitro cytotoxic study against human breast cancer cell lines confirms the better anticancer activity of the synthesized compound over currently in use anticancer drug doxorubicin. The IC50 value of the synthesized compound is 7.12 µM where as for doxorubicin is 7.2 µ. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Doxorubicin" title="Doxorubicin">Doxorubicin</a>, <a href="https://publications.waset.org/abstracts/search?q=auto%20dock" title=" auto dock"> auto dock</a>, <a href="https://publications.waset.org/abstracts/search?q=in%20silco" title=" in silco"> in silco</a>, <a href="https://publications.waset.org/abstracts/search?q=in%20vitro" title=" in vitro"> in vitro</a> </p> <a href="https://publications.waset.org/abstracts/20279/comparative-in-silico-and-in-vitro-study-of-n-1-methyl-2-oxo-2-n-methyl-anilino-ethyl-benzene-sulfonamide-and-its-analogues-as-an-anticancer-agent" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/20279.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">419</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">22</span> Analysis and Design of Offshore Met Mast Supported on Jacket Substructure</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Manu%20Manu">Manu Manu</a>, <a href="https://publications.waset.org/abstracts/search?q=Pardha%20J.%20Saradhi"> Pardha J. Saradhi</a>, <a href="https://publications.waset.org/abstracts/search?q=Ramana%20M.%20V.%20Murthy"> Ramana M. V. Murthy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Wind Energy is accepted as one of the most developed, cost effective and proven renewable energy technologies to meet increasing electricity demands in a sustainable manner. Preliminary assessment studies along Indian Coastline by Ministry of New and Renewable Energy have indicated prospects for development of offshore wind power along Tamil Nadu Coast, India. The commercial viability of a wind project mainly depends on wind characteristics on site. Hence, it is internationally recommended to perform site-specific wind resource assessment based on two years’ wind profile as a part of the feasibility study. Conventionally, guy wire met mast are used onshore for the collection of wind profile. Installation of similar structure in offshore requires complex marine spread and are very expensive. In the present study, an attempt is made to develop 120 m long lattice tower supported on the jacket, piled to the seabed at Rameshwaram, Tamil Nadu, India. Offshore met-masts are subjected to combined wind and hydrodynamic loads, and these lateral loads should be safely transferred to soil. The wind loads are estimated based on gust factor method, and the hydrodynamic loads are estimated by Morison’s equation along with suitable wave theory. The soil is modeled as three nonlinear orthogonal springs based on API standards. The structure configuration and optimum member sizes are obtained for extreme cyclone events. The dynamic behavior of mast under coupled wind and wave loads is also studied. The static responses of a mast with jacket type offshore platform have been studied using a frame model in SESAM. It is found from the study that the maximum displacement at the top of the mast for the random wave is 0.003 m and that of the tower for wind is 0.08 m during the steady state. The dynamic analysis results indicate that the structure is safe against coupled wind and wave loading. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=offshore%20wind" title="offshore wind">offshore wind</a>, <a href="https://publications.waset.org/abstracts/search?q=mast" title=" mast"> mast</a>, <a href="https://publications.waset.org/abstracts/search?q=static" title=" static"> static</a>, <a href="https://publications.waset.org/abstracts/search?q=aerodynamic%20load" title=" aerodynamic load"> aerodynamic load</a>, <a href="https://publications.waset.org/abstracts/search?q=hydrodynamic%20load" title=" hydrodynamic load"> hydrodynamic load</a> </p> <a href="https://publications.waset.org/abstracts/55062/analysis-and-design-of-offshore-met-mast-supported-on-jacket-substructure" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/55062.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">215</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">21</span> Dynamic Study of a Two Phase Thermosyphon Loop</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Selva%20Georgena%20D.">Selva Georgena D.</a>, <a href="https://publications.waset.org/abstracts/search?q=Videcoq%20Etienne"> Videcoq Etienne</a>, <a href="https://publications.waset.org/abstracts/search?q=Caner%20Julien"> Caner Julien</a>, <a href="https://publications.waset.org/abstracts/search?q=Benselama%20Adel"> Benselama Adel</a>, <a href="https://publications.waset.org/abstracts/search?q=Girault%20Manu"> Girault Manu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A Two-Phase Thermosyphon Loop (TPTL) is a passive cooling system which does not require a pump to function. Therefore, TPTL is a simple and robust device and its physics is complex to describe because of the coupled phenomena: heat flux, nucleation, fluid dynamics and gravitational effects. Moreover, the dynamic behavior of TPTL shows some physical instabilities and the actual occurrence of such a behavior remains unknown. The aim of this study is to propose a thermal balance of the TPTL to better identify the fundamental reasons for the appearance of the instabilities. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Two-phase%20flow" title="Two-phase flow">Two-phase flow</a>, <a href="https://publications.waset.org/abstracts/search?q=passive%20cooling%20system" title="passive cooling system">passive cooling system</a>, <a href="https://publications.waset.org/abstracts/search?q=thermal%20reliability" title="thermal reliability">thermal reliability</a>, <a href="https://publications.waset.org/abstracts/search?q=thermal%20experimental%20study" title="thermal experimental study">thermal experimental study</a>, <a href="https://publications.waset.org/abstracts/search?q=liquid-vapor%20phase%20change" title="liquid-vapor phase change">liquid-vapor phase change</a> </p> <a href="https://publications.waset.org/abstracts/153983/dynamic-study-of-a-two-phase-thermosyphon-loop" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/153983.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">112</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">20</span> Experimental Study of Mechanical and Durability Properties of HPC Made with Binary Blends of Cement</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vatsal%20Patel">Vatsal Patel</a>, <a href="https://publications.waset.org/abstracts/search?q=Niraj%20Shah"> Niraj Shah</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The aim of the research reported in this paper is to assess the Strength and durability performance of High Performance Concrete containing different percentages of waste marble powder produced from marble industry. Concrete mixes possessing a target mean compressive strength of 70MPa were prepared with 0%,5%,10%,15% and 20% cement replacement by waste marble powder with W/B =0.33. More specifically, the compressive strength, flexural strength, chloride penetration, sorptivity and accelerated corrosion were determined. Concrete containing 10% waste marble powder proved to have best Mechanical and durability properties than other mixtures made with binary blends. However, poorer performance was noticeable when replacement percentage was higher. The replacement of Waste Marble Powder will have major environmental benefits. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=durability" title="durability">durability</a>, <a href="https://publications.waset.org/abstracts/search?q=high%20performance%20concrete" title=" high performance concrete"> high performance concrete</a>, <a href="https://publications.waset.org/abstracts/search?q=marble%20waste%20powder" title=" marble waste powder"> marble waste powder</a>, <a href="https://publications.waset.org/abstracts/search?q=sorptivity" title=" sorptivity"> sorptivity</a>, <a href="https://publications.waset.org/abstracts/search?q=accelerated%20corrosion" title=" accelerated corrosion"> accelerated corrosion</a> </p> <a href="https://publications.waset.org/abstracts/33418/experimental-study-of-mechanical-and-durability-properties-of-hpc-made-with-binary-blends-of-cement" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/33418.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">345</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">19</span> A User Identification Technique to Access Big Data Using Cloud Services</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20R.%20Manu">A. R. Manu</a>, <a href="https://publications.waset.org/abstracts/search?q=V.%20K.%20Agrawal"> V. K. Agrawal</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20N.%20Balasubramanya%20Murthy"> K. N. Balasubramanya Murthy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Authentication is required in stored database systems so that only authorized users can access the data and related cloud infrastructures. This paper proposes an authentication technique using multi-factor and multi-dimensional authentication system with multi-level security. The proposed technique is likely to be more robust as the probability of breaking the password is extremely low. This framework uses a multi-modal biometric approach and SMS to enforce additional security measures with the conventional Login/password system. The robustness of the technique is demonstrated mathematically using a statistical analysis. This work presents the authentication system along with the user authentication architecture diagram, activity diagrams, data flow diagrams, sequence diagrams, and algorithms. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=design" title="design">design</a>, <a href="https://publications.waset.org/abstracts/search?q=implementation%20algorithms" title=" implementation algorithms"> implementation algorithms</a>, <a href="https://publications.waset.org/abstracts/search?q=performance" title=" performance"> performance</a>, <a href="https://publications.waset.org/abstracts/search?q=biometric%20approach" title=" biometric approach"> biometric approach</a> </p> <a href="https://publications.waset.org/abstracts/7131/a-user-identification-technique-to-access-big-data-using-cloud-services" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/7131.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">475</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">18</span> Study of Fire Propagation and Soot Flow in a Pantry Car of Railway Locomotive</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Juhi%20Kaushik">Juhi Kaushik</a>, <a href="https://publications.waset.org/abstracts/search?q=Abhishek%20Agarwal"> Abhishek Agarwal</a>, <a href="https://publications.waset.org/abstracts/search?q=Manoj%20Sarda"> Manoj Sarda</a>, <a href="https://publications.waset.org/abstracts/search?q=Vatsal%20Sanjay"> Vatsal Sanjay</a>, <a href="https://publications.waset.org/abstracts/search?q=Arup%20Kumar%20Das"> Arup Kumar Das</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Fire accidents in trains bring huge disaster to human life and property. Evacuation becomes a major challenge in such incidents owing to confined spaces, large passenger density and trains moving at high speeds. The pantry car in Indian Railways trains carry inflammable materials like cooking fuel and LPG and electrical fittings. The pantry car is therefore highly susceptible to fire accidents. Numerical simulations have been done in a pantry car of Indian locomotive train using computational fluid dynamics based software. Different scenarios of a fire outbreak have been explored by varying Heat Release Rate per Unit Area (HRRPUA) of the fire source, introduction of exhaust in the cooking area, and taking a case of an air conditioned pantry car. Temporal statures of flame and soot have been obtained for each scenario and differences have been studied and reported. Inputs from this study can be used to assess casualties in fire accidents in locomotive trains and development of smoke control/detection systems in Indian trains. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=fire%20propagation" title="fire propagation">fire propagation</a>, <a href="https://publications.waset.org/abstracts/search?q=flame%20contour" title=" flame contour"> flame contour</a>, <a href="https://publications.waset.org/abstracts/search?q=pantry%20fire" title=" pantry fire"> pantry fire</a>, <a href="https://publications.waset.org/abstracts/search?q=soot%20flow" title=" soot flow"> soot flow</a> </p> <a href="https://publications.waset.org/abstracts/50491/study-of-fire-propagation-and-soot-flow-in-a-pantry-car-of-railway-locomotive" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/50491.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">338</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">17</span> Durability Study of Binary Blended High Performance Concrete</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vatsal%20Patel">Vatsal Patel</a>, <a href="https://publications.waset.org/abstracts/search?q=Niraj%20Shah"> Niraj Shah</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper presents the results of a laboratory study on the properties of binary blended High Performance cementitious systems containing blends of ordinary Portland cement (OPC), Porcelain Powder or Marble Powder blend proportions of 100:00, 95:05, 90:10, 85:15, 80:20 for OPC: Porcelain Powder/Marble Powder. Studies on the Engineering Properties of the cementitious concrete, namely compressive strength, flexural strength, sorptivity, rapid chloride penetration test and accelerated corrosion test have been performed and those of OPC concrete. The results show that the inclusion of Porcelain powder or Marble Powder as binary blended cement alters to a great degree the properties of the binder as well as the resulting concrete. In addition, the results show that the Porcelain powder with 85:15 proportions and Marble powder with 90:10 proportions as binary systems to produce high-performance concrete could potentially be used in the concrete construction industry particular in lowering down the volume of OPC used and lowering emission of CO2 produces during manufacturing of cement. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=accelerated%20corrosion" title="accelerated corrosion">accelerated corrosion</a>, <a href="https://publications.waset.org/abstracts/search?q=binary%20blended%20cementitious%20system" title=" binary blended cementitious system"> binary blended cementitious system</a>, <a href="https://publications.waset.org/abstracts/search?q=rapid%20chloride%20penetration" title=" rapid chloride penetration"> rapid chloride penetration</a>, <a href="https://publications.waset.org/abstracts/search?q=sorptivity" title=" sorptivity"> sorptivity</a> </p> <a href="https://publications.waset.org/abstracts/21368/durability-study-of-binary-blended-high-performance-concrete" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/21368.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">386</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">16</span> Democracy Leadership and Good Governance in Nigerias Fourth Republic</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Salisu%20Adamu%20Abdullahi">Salisu Adamu Abdullahi</a>, <a href="https://publications.waset.org/abstracts/search?q=Yusuf%20Abdullahi%20Manu"> Yusuf Abdullahi Manu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nigeria returned to a democratically elected government on May 29, 1999. This signaled the beginning of the journey into the Fourth Republic. The return has received popular endorsement by the electorates as the level of enthusiasm was high due to the yearnings and expectations by the electorate that democracy will bring about the much-desired change required by the general mass. As democracy would allow for popular participation through periodic elections and so on. The paper examines democracy, leadership, and challenges of good governance in Nigerias Fourth Republic. It utilizes secondary source of data and content analysis as a methodology. It argues that Nigerias practice of democracy over the years is marred by flagrant abuse of the principles of good governance by the ruling elite. This has posed threats to the survival of democracy due to non-adherence to one of the cardinal principles of democracy which is good governance. The paper recommends among others that the anti-corruption law is amended in such a way that death penalties be issued to those found wanting by the law. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=democracy" title="democracy">democracy</a>, <a href="https://publications.waset.org/abstracts/search?q=democratic%20consolidation" title=" democratic consolidation"> democratic consolidation</a>, <a href="https://publications.waset.org/abstracts/search?q=challenges" title=" challenges"> challenges</a>, <a href="https://publications.waset.org/abstracts/search?q=good%20governance" title=" good governance"> good governance</a> </p> <a href="https://publications.waset.org/abstracts/51815/democracy-leadership-and-good-governance-in-nigerias-fourth-republic" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/51815.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">350</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">15</span> Efficient Utilization of Commodity Computers in Academic Institutes: A Cloud Computing Approach</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jasraj%20Meena">Jasraj Meena</a>, <a href="https://publications.waset.org/abstracts/search?q=Malay%20Kumar"> Malay Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=Manu%20Vardhan"> Manu Vardhan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Cloud computing is a new technology in industry and academia. The technology has grown and matured in last half decade and proven their significant role in changing environment of IT infrastructure where cloud services and resources are offered over the network. Cloud technology enables users to use services and resources without being concerned about the technical implications of technology. There are substantial research work has been performed for the usage of cloud computing in educational institutes and majority of them provides cloud services over high-end blade servers or other high-end CPUs. However, this paper proposes a new stack called “CiCKAStack” which provide cloud services over unutilized computing resources, named as commodity computers. “CiCKAStack” provides IaaS and PaaS using underlying commodity computers. This will not only increasing the utilization of existing computing resources but also provide organize file system, on demand computing resource and design and development environment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=commodity%20computers" title="commodity computers">commodity computers</a>, <a href="https://publications.waset.org/abstracts/search?q=cloud-computing" title=" cloud-computing"> cloud-computing</a>, <a href="https://publications.waset.org/abstracts/search?q=KVM" title=" KVM"> KVM</a>, <a href="https://publications.waset.org/abstracts/search?q=CloudStack" title=" CloudStack"> CloudStack</a>, <a href="https://publications.waset.org/abstracts/search?q=AppScale" title=" AppScale"> AppScale</a> </p> <a href="https://publications.waset.org/abstracts/18221/efficient-utilization-of-commodity-computers-in-academic-institutes-a-cloud-computing-approach" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/18221.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">272</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">14</span> Modeling Food Popularity Dependencies Using Social Media Data</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=DEVASHISH%20KHULBE">DEVASHISH KHULBE</a>, <a href="https://publications.waset.org/abstracts/search?q=MANU%20PATHAK"> MANU PATHAK</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The rise in popularity of major social media platforms have enabled people to share photos and textual information about their daily life. One of the popular topics about which information is shared is food. Since a lot of media about food are attributed to particular locations and restaurants, information like spatio-temporal popularity of various cuisines can be analyzed. Tracking the popularity of food types and retail locations across space and time can also be useful for business owners and restaurant investors. In this work, we present an approach using off-the shelf machine learning techniques to identify trends and popularity of cuisine types in an area using geo-tagged data from social media, Google images and Yelp. After adjusting for time, we use the Kernel Density Estimation to get hot spots across the location and model the dependencies among food cuisines popularity using Bayesian Networks. We consider the Manhattan borough of New York City as the location for our analyses but the approach can be used for any area with social media data and information about retail businesses. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Web%20Mining" title="Web Mining">Web Mining</a>, <a href="https://publications.waset.org/abstracts/search?q=Geographic%20Information%20Systems" title=" Geographic Information Systems"> Geographic Information Systems</a>, <a href="https://publications.waset.org/abstracts/search?q=Business%20popularity" title=" Business popularity"> Business popularity</a>, <a href="https://publications.waset.org/abstracts/search?q=Spatial%20Data%20Analyses" title=" Spatial Data Analyses"> Spatial Data Analyses</a> </p> <a href="https://publications.waset.org/abstracts/122957/modeling-food-popularity-dependencies-using-social-media-data" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/122957.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">115</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">13</span> Recycling of Plastic Waste into Composites Using Kaolin as Reinforcement</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Gloria%20P.%20Manu">Gloria P. Manu</a>, <a href="https://publications.waset.org/abstracts/search?q=Johnson%20K.%20Efavi"> Johnson K. Efavi</a>, <a href="https://publications.waset.org/abstracts/search?q=Abu%20Yaya"> Abu Yaya</a>, <a href="https://publications.waset.org/abstracts/search?q=Grace%20K.%20Arkorful"> Grace K. Arkorful</a>, <a href="https://publications.waset.org/abstracts/search?q=Frank%20Godson"> Frank Godson</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Plastics have been used extensively in both food and water packaging and other applications because of their inherent properties of low bulk densities and inertness as well as its low cost. Waste management of these plastics after usage is troubling in Ghana. One way of addressing the environmental problems associated with these plastic wastes is by recycling into useful products such as composites for energy and construction applications using natural or local materials as reinforcement. In this work, composites have been formed from waste low-density polyethylene (LDPE) and kaolin at temperatures as low as 70 ֯C using low-cost solvents like kerosene. Chemical surface modifications have been employed to improve the interfacial bonding resulting in the enhancement of properties of the composites. Kaolin particles of sizes ≤ 90µm were dispersed in the polyethylene matrix. The content of the LDPE was varied between 10, 20, 30, 40, 50, 60, and 70 %wt. Results obtained indicated that all the composites exhibited impressive compressive and flexural strengths with the 50%wt. composition having the highest strength. The hardness value of the composites increased as the polyethylene composition reduces and that of the kaolin increased. The average density and water of absorption of the composites were 530kg/m³ and 1.3% respectively. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=polyethylene" title="polyethylene">polyethylene</a>, <a href="https://publications.waset.org/abstracts/search?q=recycling" title=" recycling"> recycling</a>, <a href="https://publications.waset.org/abstracts/search?q=waste" title=" waste"> waste</a>, <a href="https://publications.waset.org/abstracts/search?q=composite" title=" composite"> composite</a>, <a href="https://publications.waset.org/abstracts/search?q=kaolin" title=" kaolin"> kaolin</a> </p> <a href="https://publications.waset.org/abstracts/99421/recycling-of-plastic-waste-into-composites-using-kaolin-as-reinforcement" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/99421.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">173</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">12</span> Evidence from the Ashanti Region in Ghana: A Correlation Between Principal Instructional Leadership and School Performance in Senior High Schools</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Blessing%20Dwumah%20Manu">Blessing Dwumah Manu</a>, <a href="https://publications.waset.org/abstracts/search?q=Dawn%20Wallin"> Dawn Wallin</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study aims to explore school principal instructional leadership capabilities (Robinson, 2010) that support school performance in senior high schools in Ghana’s Northern Region. It explores the ways in which leaders (a) use deep leadership content knowledge to (b) solve complex school-based problems while (c) building relational trust with staff, parents, and students as they engage in the following instructional leadership dimensions: establishing goals and expectations; resourcing strategically; ensuring quality teaching; leading teacher learning and development and ensuring an orderly and safe environment (Patuawa et al, 2013). The proposed research utilizes a constructivist approach to explore the experiences of 18 school representatives (including principals, deputy principals, department heads, teachers, parents, and students) through an interview method. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=instructional%20leadership" title="instructional leadership">instructional leadership</a>, <a href="https://publications.waset.org/abstracts/search?q=leadership%20content%20knowledge" title=" leadership content knowledge"> leadership content knowledge</a>, <a href="https://publications.waset.org/abstracts/search?q=solving%20complex%20problems" title=" solving complex problems"> solving complex problems</a>, <a href="https://publications.waset.org/abstracts/search?q=building%20relational%20trust%20and%20school%20performance" title=" building relational trust and school performance"> building relational trust and school performance</a> </p> <a href="https://publications.waset.org/abstracts/167970/evidence-from-the-ashanti-region-in-ghana-a-correlation-between-principal-instructional-leadership-and-school-performance-in-senior-high-schools" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/167970.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">107</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">11</span> Investigation of Flame and Soot Propagation in Non-Air Conditioned Railway Locomotives</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abhishek%20Agarwal">Abhishek Agarwal</a>, <a href="https://publications.waset.org/abstracts/search?q=Manoj%20Sarda"> Manoj Sarda</a>, <a href="https://publications.waset.org/abstracts/search?q=Juhi%20Kaushik"> Juhi Kaushik</a>, <a href="https://publications.waset.org/abstracts/search?q=Vatsal%20Sanjay"> Vatsal Sanjay</a>, <a href="https://publications.waset.org/abstracts/search?q=Arup%20Kumar%20Das"> Arup Kumar Das</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Propagation of fire through a non-air conditioned railway compartment is studied by virtue of numerical simulations. Simultaneous computational fire dynamics equations, such as Navier-Stokes, lumped species continuity, overall mass and energy conservation, and heat transfer are solved using finite volume based (for radiation) and finite difference based (for all other equations) solver, Fire Dynamics Simulator (FDS). A single coupe with an eight berth occupancy is used to establish the numerical model, followed by the selection of a three coupe system as the fundamental unit of the locomotive compartment. Heat Release Rate Per Unit Area (HRRPUA) of the initial fire is varied to consider a wide range of compartmental fires. Parameters, such as air inlet velocity relative to the locomotive at the windows, the level of interaction with the ambiance and closure of middle berth are studied through a wide range of numerical simulations. Almost all the loss of lives and properties due to fire breakout can be attributed to the direct or indirect exposure to flames or to the inhalation of toxic gases and resultant suffocation due to smoke and soot. Therefore, the temporal stature of fire and smoke are reported for each of the considered cases which can be used in the present or extended form to develop guidelines to be followed in case of a fire breakout. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=fire%20dynamics" title="fire dynamics">fire dynamics</a>, <a href="https://publications.waset.org/abstracts/search?q=flame%20propagation" title=" flame propagation"> flame propagation</a>, <a href="https://publications.waset.org/abstracts/search?q=locomotive%20fire" title=" locomotive fire"> locomotive fire</a>, <a href="https://publications.waset.org/abstracts/search?q=soot%20flow%20pattern" title=" soot flow pattern"> soot flow pattern</a>, <a href="https://publications.waset.org/abstracts/search?q=non-air-conditioned%20coaches" title=" non-air-conditioned coaches"> non-air-conditioned coaches</a> </p> <a href="https://publications.waset.org/abstracts/50482/investigation-of-flame-and-soot-propagation-in-non-air-conditioned-railway-locomotives" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/50482.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">293</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">10</span> Microwave Synthesis and Molecular Docking Studies of Azetidinone Analogous Bearing Diphenyl Ether Nucleus as a Potent Antimycobacterial and Antiprotozoal Agent</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vatsal%20M.%20Patel">Vatsal M. Patel</a>, <a href="https://publications.waset.org/abstracts/search?q=Navin%20B.%20Patel"> Navin B. Patel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The present studies deal with the developing a series bearing a diphenyl ethers nucleus using structure-based drug design concept. A newer series of diphenyl ether based azetidinone namely N-(3-chloro-2-oxo-4-(3-phenoxyphenyl)azetidin-1-yl)-2-(substituted amino)acetamide (2a-j) have been synthesized by condensation of m-phenoxybenzaldehyde with 2-(substituted-phenylamino)acetohydrazide followed by the cyclisation of resulting Schiff base (1a-j) by conventional method as well as microwave heating approach as a part of an environmentally benign synthetic protocol. All the synthesized compounds were characterized by spectral analysis and were screened for in vitro antimicrobial, antitubercular and antiprotozoal activity. The compound 2f was found to be most active M. tuberculosis (6.25 µM) MIC value in the primary screening as well as this same derivative has been found potency against L. mexicana and T. cruzi with MIC value 2.09 and 6.69 µM comparable to the reference drug Miltefosina and Nifurtimox. To provide understandable evidence to predict binding mode and approximate binding energy of a compound to a target in the terms of ligand-protein interaction, all synthesized compounds were docked against an enoyl-[acyl-carrier-protein] reductase of M. tuberculosis (PDB ID: 4u0j). The computational studies revealed that azetidinone derivatives have a high affinity for the active site of enzyme which provides a strong platform for new structure-based design efforts. The Lipinski’s parameters showed good drug-like properties and can be developed as an oral drug candidate. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=antimycobacterial" title="antimycobacterial">antimycobacterial</a>, <a href="https://publications.waset.org/abstracts/search?q=antiprotozoal" title=" antiprotozoal"> antiprotozoal</a>, <a href="https://publications.waset.org/abstracts/search?q=azetidinone" title=" azetidinone"> azetidinone</a>, <a href="https://publications.waset.org/abstracts/search?q=diphenylether" title=" diphenylether"> diphenylether</a>, <a href="https://publications.waset.org/abstracts/search?q=docking" title=" docking"> docking</a>, <a href="https://publications.waset.org/abstracts/search?q=microwave" title=" microwave"> microwave</a> </p> <a href="https://publications.waset.org/abstracts/92985/microwave-synthesis-and-molecular-docking-studies-of-azetidinone-analogous-bearing-diphenyl-ether-nucleus-as-a-potent-antimycobacterial-and-antiprotozoal-agent" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/92985.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">161</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">9</span> Determinants of Infrastructure Provision in Ghana</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Clifford%20Kwakwa%20Amoah">Clifford Kwakwa Amoah</a>, <a href="https://publications.waset.org/abstracts/search?q=De-Graft%20%20Owusu-Manu"> De-Graft Owusu-Manu</a>, <a href="https://publications.waset.org/abstracts/search?q=Prince%20Antwi-Afari"> Prince Antwi-Afari</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Infrastructure is the lifeline for economic development of any country. Hence, obtaining infrastructure quality cannot be overemphasized. Nevertheless, challenges of infrastructure quality persist, and it is worse in developing countries despite the diverse study on the subject matter. Therefore, this study was formulated to identify the prevalent determinants of infrastructure quality using synthesis of extant literature (to identify key variables), and analysis of survey questionnaire of data collected by means of the inductive methodology approach, mean score ranking and descriptive statistics. The variables “partner with the private sector, growth stimulation and poverty reduction, and adherence to procurement core principles” were the most significant challenges that the government faces. Moreover, it would be of utmost concern to adopt some stringent measures to help improve and accelerate on the growth and development of the nation, thereby achieving the best quality required. This study is novel conducted to provide insight into some of the punitive measures, considered in ensuring that quality infrastructure is obtained in both developing (specifically) and developed economies. The research findings therefore provide some guidance for overcoming the accumulative challenges. Application of the stated findings will help bridge the gap of infrastructure challenges; this is because the study found strong empirical evidence that infrastructure plays a pivotal role in the productivity enhancement. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=challenges" title="challenges">challenges</a>, <a href="https://publications.waset.org/abstracts/search?q=development" title=" development"> development</a>, <a href="https://publications.waset.org/abstracts/search?q=economic%20growth" title=" economic growth"> economic growth</a>, <a href="https://publications.waset.org/abstracts/search?q=government" title=" government"> government</a>, <a href="https://publications.waset.org/abstracts/search?q=infrastructure%20quality" title=" infrastructure quality "> infrastructure quality </a> </p> <a href="https://publications.waset.org/abstracts/129400/determinants-of-infrastructure-provision-in-ghana" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/129400.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">145</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">8</span> Numerical Simulations of Fire in Typical Air Conditioned Railway Coach</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Manoj%20Sarda">Manoj Sarda</a>, <a href="https://publications.waset.org/abstracts/search?q=Abhishek%20Agarwal"> Abhishek Agarwal</a>, <a href="https://publications.waset.org/abstracts/search?q=Juhi%20Kaushik"> Juhi Kaushik</a>, <a href="https://publications.waset.org/abstracts/search?q=Vatsal%20Sanjay"> Vatsal Sanjay</a>, <a href="https://publications.waset.org/abstracts/search?q=Arup%20Kumar%20Das"> Arup Kumar Das</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Railways in India remain primary mode of transport having one of the largest networks in the world and catering to billions of transits yearly. Catastrophic economic damage and loss to life is encountered over the past few decades due to fire to locomotives. Study of fire dynamics and fire propagation plays an important role in evacuation planning and reducing losses. Simulation based study of propagation of fire and soot inside an air conditioned coach of Indian locomotive is done in this paper. Finite difference based solver, Fire Dynamic Simulator (FDS) version 6 has been used for analysis. A single air conditioned 3 tier coupe closed to ambient surroundings by glass windows having occupancy for 8 people is the basic unit of the domain. A system of three such coupes combined is taken to be fundamental unit for the entire study to resemble effect to an entire coach. Analysis of flame and soot contours and concentrations is done corresponding to variations in heat release rate per unit volume (HRRPUA) of fire source, variations in conditioned air velocity being circulated inside coupes by vents and an alternate fire initiation and propagation mechanism via ducts. Quantitative results of fractional area in top and front view of the three coupes under fire and smoke are obtained using MATLAB (IMT). Present simulations and its findings will be useful for organizations like Commission of Railway Safety and others in designing and implementing safety and evacuation measures. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=air%20conditioned%20coaches" title="air conditioned coaches">air conditioned coaches</a>, <a href="https://publications.waset.org/abstracts/search?q=fire%20propagation" title=" fire propagation"> fire propagation</a>, <a href="https://publications.waset.org/abstracts/search?q=flame%20contour" title=" flame contour"> flame contour</a>, <a href="https://publications.waset.org/abstracts/search?q=soot%20flow" title=" soot flow"> soot flow</a>, <a href="https://publications.waset.org/abstracts/search?q=train%20fire" title=" train fire"> train fire</a> </p> <a href="https://publications.waset.org/abstracts/50490/numerical-simulations-of-fire-in-typical-air-conditioned-railway-coach" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/50490.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">284</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">7</span> Anticancer Lantadene Derivatives: Synthesis, Cytotoxic and Docking Studies</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20Monika">A. Monika</a>, <a href="https://publications.waset.org/abstracts/search?q=Manu%20Sharma"> Manu Sharma</a>, <a href="https://publications.waset.org/abstracts/search?q=Hong%20Boo%20Lee"> Hong Boo Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Richa%20Dhingra"> Richa Dhingra</a>, <a href="https://publications.waset.org/abstracts/search?q=Neelima%20Dhingra"> Neelima Dhingra</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nuclear factor-κappa B serve as a molecular lynchpin that links persistent infections and chronic inflammation to increased cancer risk. Inflammation has been recognized as a hallmark and cause of cancer. Natural products present a privileged source of inspiration for chemical probe and drug design. Herbal remedies were the first medicines used by humans due to the many pharmacologically active secondary metabolites produced by plants. Some of the metabolites like Lantadene (pentacyclic triterpenoids) from the weed Lantana camara has been known to inhibit cell division and showed anti-antitumor potential. The C-3 aromatic esters of lantadenes were synthesized, characterized and evaluated for cytotoxicity and inhibitory potential against Tumor necrosis factor alpha-induced activation of Nuclear factor-κappa B in lung cancer cell line A549. The 3-methoxybenzoyloxy substituted lead analogue inhibited kinase activity of the inhibitor of nuclear factor-kappa B kinase in a single-digit micromolar concentration. At the same time, the lead compound showed promising cytotoxicity against A549 lung cancer cells with IC50 ( half maximal inhibitory concentration) of 0.98l µM. Further, molecular docking of 3-methoxybenzoyloxy substituted analogue against Inhibitor of nuclear factor-kappa B kinase (Protein data bank ID: 3QA8) showed hydrogen bonding interaction involving oxygen atom of 3-methoxybenzoyloxy with the Arginine-31 and Glutamine-110. Encouraging results indicate the Lantadene’s potential to be developed as anticancer agents. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anticancer" title="anticancer">anticancer</a>, <a href="https://publications.waset.org/abstracts/search?q=lantadenes" title=" lantadenes"> lantadenes</a>, <a href="https://publications.waset.org/abstracts/search?q=pentacyclic%20triterpenoids" title=" pentacyclic triterpenoids"> pentacyclic triterpenoids</a>, <a href="https://publications.waset.org/abstracts/search?q=weed" title=" weed"> weed</a> </p> <a href="https://publications.waset.org/abstracts/90981/anticancer-lantadene-derivatives-synthesis-cytotoxic-and-docking-studies" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/90981.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">156</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">6</span> Comparative Study of Mutations Associated with Second Line Drug Resistance and Genetic Background of Mycobacterium tuberculosis Strains</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Syed%20Beenish%20Rufai">Syed Beenish Rufai</a>, <a href="https://publications.waset.org/abstracts/search?q=Sarman%20Singh"> Sarman Singh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Performance of Genotype MTBDRsl (Hain Life science GmbH Germany) for detection of mutations associated with second-line drug resistance is well known. However, less evidence regarding the association of mutations and genetic background of strains is known which, in the future, is essential for clinical management of anti-tuberculosis drugs in those settings where the probability of particular genotype is predominant. Material and Methods: During this retrospective study, a total of 259 MDR-TB isolates obtained from pulmonary TB patients were tested for second-line drug susceptibility testing (DST) using Genotype MTBDRsl VER 1.0 and compared with BACTEC MGIT-960 as a reference standard. All isolates were further characterized using spoligotyping. The spoligo patterns obtained were compared and analyzed using SITVIT_WEB. Results: Of total 259 MDR-TB isolates which were screened for second-line DST by Genotype MTBDRsl, mutations were found to be associated with gyrA, rrs and emb genes in 82 (31.6%), 2 (0.8%) and 90 (34.7%) isolates respectively. 16 (6.1%) isolates detected mutations associated with both FQ as well as to AG/CP drugs (XDR-TB). No mutations were detected in 159 (61.4%) isolates for corresponding gyrA and rrs genes. Genotype MTBDRsl showed a concordance of 96.4% for detection of sensitive isolates in comparison with second-line DST by BACTEC MGIT-960 and 94.1%, 93.5%, 60.5% and 50% for detection of XDR-TB, FQ, EMB, and AMK/CAP respectively. D94G was the most prevalent mutation found among (38 (46.4%)) OFXR isolates (37 FQ mono-resistant and 1 XDR-TB) followed by A90V (23 (28.1%)) (17 FQ mono-resistant and 6 XDR-TB). Among AG/CP resistant isolates A1401G was the most frequent mutation observed among (11 (61.1%)) isolates (2 AG/CP mono-resistant isolates and 9 XDR-TB isolates) followed by WT+A1401G (6 (33.3%)) and G1484T (1 (5.5%)) respectively. On spoligotyping analysis, Beijing strain (46%) was found to be the most predominant strain among pre-XDR and XDR TB isolates followed by CAS (30%), X (6%), Unique (5%), EAI and T each of 4%, Manu (3%) and Ural (2%) respectively. Beijing strain was found to be strongly associated with D94G (47.3%) and A90V mutations by (47.3%) and 34.8% followed by CAS strain by (31.6%) and 30.4% respectively. However, among AG/CP resistant isolates, only Beijing strain was found to be strongly associated with A1401G and WT+A1401G mutations by 54.5% and 50% respectively. Conclusion: Beijing strain was found to be strongly associated with the most prevalent mutations among pre-XDR and XDR TB isolates. Acknowledgments: Study was supported with Grant by All India Institute of Medical Sciences, New Delhi reference No. P-2012/12452. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=tuberculosis" title="tuberculosis">tuberculosis</a>, <a href="https://publications.waset.org/abstracts/search?q=line%20probe%20assay" title=" line probe assay"> line probe assay</a>, <a href="https://publications.waset.org/abstracts/search?q=XDR%20TB" title=" XDR TB"> XDR TB</a>, <a href="https://publications.waset.org/abstracts/search?q=drug%20susceptibility" title=" drug susceptibility"> drug susceptibility</a> </p> <a href="https://publications.waset.org/abstracts/105360/comparative-study-of-mutations-associated-with-second-line-drug-resistance-and-genetic-background-of-mycobacterium-tuberculosis-strains" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/105360.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">140</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">5</span> Study on the Effect of Pre-Operative Patient Education on Post-Operative Outcomes </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chaudhary%20Itisha">Chaudhary Itisha</a>, <a href="https://publications.waset.org/abstracts/search?q=Shankar%20Manu"> Shankar Manu </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Patient satisfaction represents a crucial aspect in the evaluation of health care services. Preoperative teaching provides the patient with pertinent information concerning the surgical process and the intended surgical procedure as well as anticipated patient behavior (anxiety, fear), expected sensation, and the probable outcomes. Although patient education is part of Accreditation protocols, it is not uniform at most places. The aim of this study was to try to assess the benefit of preoperative patient education on selected post-operative outcome parameters; mainly, post-operative pain scores, requirement of additional analgesia, return to activity of daily living and overall patient satisfaction, and try to standardize few education protocols. Dependent variables were measured before and after the treatment on a study population of 302 volunteers. Educational intervention was provided by the Investigator in the preoperative period to the study group through personal counseling. An information booklet contained detailed information was also provided. Statistical Analysis was done using Chi square test, Mann Whitney u test and Fischer Exact Test on a total of 302 subjects. P value <0.05 was considered as level of statistical significance and p<0.01 was considered as highly significant. This study suggested that patients who are given a structured, individualized and elaborate preoperative education and counseling have a better ability to cope up with postoperative pain in the immediate post-operative period. However, there was not much difference when the patients have had almost complete recovery. There was no difference in the requirement of additional analgesia among the two groups. There is a positive effect of preoperative counseling on expected return to the activities of daily living and normal work schedule. However, no effect was observed on the activities in the immediate post-operative period. There is no difference in the overall satisfaction score among the two groups of patients. Thus this study concludes that there is a positive benefit as suggested by the results for pre-operative patient education. Although the difference in various parameters studied might not be significant over a long term basis, they definitely point towards the benefits of preoperative patient education.  <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=patient%20education" title="patient education">patient education</a>, <a href="https://publications.waset.org/abstracts/search?q=post-operative%20pain" title=" post-operative pain"> post-operative pain</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20outcomes" title=" postoperative outcomes"> postoperative outcomes</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20satisfaction" title=" patient satisfaction"> patient satisfaction</a> </p> <a href="https://publications.waset.org/abstracts/51642/study-on-the-effect-of-pre-operative-patient-education-on-post-operative-outcomes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/51642.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">339</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4</span> Social Justice and Castes Discrimination: Experiences of Scheduled Castes Students in India</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Dhaneswar%20Bhoi">Dhaneswar Bhoi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In Indian History, the Dalits (Scheduled Castes) were exploited with caste, since the Vedic Age (1500 BCE). They were deprived of many rights in the society and their education was also restricted by the upper castes since the introduction of the Law of Manu (1500 BCE). The Dalits were treated as lower castes (Sudras and Ati-Sudra) in the society. Occupation of these caste groups were attached to some low profile and menial occupation. Whereas, the upper caste (Brahamins) declared themselves as the top most caste groups who chose the occupation of priests and had the supreme right to education. During those days occupation was not decided by the caliber of a person rather, it was decided by the upper caste Brahamins and kept on transferring from one generation to another generation. At this juncture of the society, the upper caste people oppressed and suppressed the lower caste people endlessly. To get rid of these social problems the emancipator and the charismatic leader (Prophet for the lower caste communities), Dr. Babasaheb Ambedkar appeard in the scene of Indian unjust society. Restlessly he fought against the caste oppression, social dogmas and tyranny on the basis of caste. Finally, he succeeded to affirm statutory safeguards for the oppressed and depressed or lower caste communities. Today these communities are scheduled as Scheduled Castes to access social justice for their upliftment and development. Through the liberty, equality and fraternity, he established social justice for the first time in the Indian history with the implementation of Indian Constitution on 26th January 1950. Since then the social justice has been accessed through the Constitution and Indian Republics. However, even after sixty five years of the Indian Republic and Constitutional safeguards the Scheduled Castes (SCs) are suffering many problems in the phases of their life. Even if there are special provisions made by the state aimed to meet the challenges of the weaker sections, they are still deprived of access to it, which is true especially for the Dalits or SCs. Many of the people of these communities are still not accessing education and particularly, higher education. Those who are managing to access the education have been facing many challenges in their educational premises as well as in their social life. This paper tries to find out the problem of discrimination in educational and societal level. Secondly, this paper aims to know the relation between the discrimination and access to social justice for the SCs in the educational institution and society. It also enquires the experiences of SCs who faced discrimination in their educational and social life. This study is based on the both quantitative and qualitative methods. Both of which were interpreted through the data triangulation method in mixed methodology approach. In this paper, it is found that the SCs are struggling with injustice in their social and educational spheres. Starting from their primary level to higher education, they were discriminated in curricular, co-curricular and extra-curricular activities. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=social%20justice" title="social justice">social justice</a>, <a href="https://publications.waset.org/abstracts/search?q=discrimination" title=" discrimination"> discrimination</a>, <a href="https://publications.waset.org/abstracts/search?q=caste" title=" caste"> caste</a>, <a href="https://publications.waset.org/abstracts/search?q=scheduled%20castes" title=" scheduled castes"> scheduled castes</a>, <a href="https://publications.waset.org/abstracts/search?q=education" title=" education"> education</a> </p> <a href="https://publications.waset.org/abstracts/35547/social-justice-and-castes-discrimination-experiences-of-scheduled-castes-students-in-india" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/35547.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">410</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">3</span> Homeostatic Analysis of the Integrated Insulin and Glucagon Signaling Network: Demonstration of Bistable Response in Catabolic and Anabolic States</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Pramod%20Somvanshi">Pramod Somvanshi</a>, <a href="https://publications.waset.org/abstracts/search?q=Manu%20Tomar"> Manu Tomar</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20V.%20Venkatesh"> K. V. Venkatesh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Insulin and glucagon are responsible for homeostasis of key plasma metabolites like glucose, amino acids and fatty acids in the blood plasma. These hormones act antagonistically to each other during the secretion and signaling stages. In the present work, we analyze the effect of macronutrients on the response from integrated insulin and glucagon signaling pathways. The insulin and glucagon pathways are connected by DAG (a calcium signaling component which is part of the glucagon signaling module) which activates PKC and inhibits IRS (insulin signaling component) constituting a crosstalk. AKT (insulin signaling component) inhibits cAMP (glucagon signaling component) through PDE3 forming the other crosstalk between the two signaling pathways. Physiological level of anabolism and catabolism is captured through a metric quantified by the activity levels of AKT and PKA in their phosphorylated states, which represent the insulin and glucagon signaling endpoints, respectively. Under resting and starving conditions, the phosphorylation metric represents homeostasis indicating a balance between the anabolic and catabolic activities in the tissues. The steady state analysis of the integrated network demonstrates the presence of a bistable response in the phosphorylation metric with respect to input plasma glucose levels. This indicates that two steady state conditions (one in the homeostatic zone and other in the anabolic zone) are possible for a given glucose concentration depending on the ON or OFF path. When glucose levels rise above normal, during post-meal conditions, the bistability is observed in the anabolic space denoting the dominance of the glycogenesis in liver. For glucose concentrations lower than the physiological levels, while exercising, metabolic response lies in the catabolic space denoting the prevalence of glycogenolysis in liver. The non-linear positive feedback of AKT on IRS in insulin signaling module of the network is the main cause of the bistable response. The span of bistability in the phosphorylation metric increases as plasma fatty acid and amino acid levels rise and eventually the response turns monostable and catabolic representing diabetic conditions. In the case of high fat or protein diet, fatty acids and amino acids have an inhibitory effect on the insulin signaling pathway by increasing the serine phosphorylation of IRS protein via the activation of PKC and S6K, respectively. Similar analysis was also performed with respect to input amino acid and fatty acid levels. This emergent property of bistability in the integrated network helps us understand why it becomes extremely difficult to treat obesity and diabetes when blood glucose level rises beyond a certain value. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bistability" title="bistability">bistability</a>, <a href="https://publications.waset.org/abstracts/search?q=diabetes" title=" diabetes"> diabetes</a>, <a href="https://publications.waset.org/abstracts/search?q=feedback%20and%20crosstalk" title=" feedback and crosstalk"> feedback and crosstalk</a>, <a href="https://publications.waset.org/abstracts/search?q=obesity" title=" obesity"> obesity</a> </p> <a href="https://publications.waset.org/abstracts/62958/homeostatic-analysis-of-the-integrated-insulin-and-glucagon-signaling-network-demonstration-of-bistable-response-in-catabolic-and-anabolic-states" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/62958.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">275</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">2</span> Early Initiation of Breastfeeding and Its Determinants among Non-Caesarean Deliveries at Primary and Secondary Health Facilities: A Case Observational Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Farhana%20Karim">Farhana Karim</a>, <a href="https://publications.waset.org/abstracts/search?q=Abdullah%20N.%20S.%20Khan"> Abdullah N. S. Khan</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohiuddin%20A.%20K.%20Chowdhury"> Mohiuddin A. K. Chowdhury</a>, <a href="https://publications.waset.org/abstracts/search?q=Nabila%20Zaka"> Nabila Zaka</a>, <a href="https://publications.waset.org/abstracts/search?q=Alexander%20%20Manu"> Alexander Manu</a>, <a href="https://publications.waset.org/abstracts/search?q=Shams%20El%20Arifeen"> Shams El Arifeen</a>, <a href="https://publications.waset.org/abstracts/search?q=Sk%20Masum%20Billah"> Sk Masum Billah</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Breastfeeding, an integral part of newborn care, can reduce 55-87% of all-cause neonatal mortality and morbidity. Early initiation of breastfeeding within 1 hour of birth can avert 22% of newborn mortality. Only 45% of world’s newborns and 42% of newborns in South-Asia are put to the breast within one hour of birth. In Bangladesh, only a half of the mothers practice early initiation of breastfeeding which is less likely to be practiced if the baby is born in a health facility. This study aims to generate strong evidence for early initiation of breastfeeding practices in the government health facilities and to explore the associated factors influencing the practice. The study was conducted in selected health facilities in three neighbouring districts of Northern Bangladesh. Total 249 normal vaginal delivery cases were observed for 24 hours since the time of birth. The outcome variable was initiation of breastfeeding within 1 hour while the explanatory variables included type of health facility, privacy, presence of support person, stage of labour at admission, need for augmentation of labour, complications during delivery, need for episiotomy, spontaneous cry of the newborn, skin-to-skin contact with mother, post-natal contact with the service provider, receiving a post-natal examination and counselling on breastfeeding during postnatal contact. The simple descriptive statistics were employed to see the distribution of samples according to socio-demographic characteristics. Kruskal-Wallis test was carried out for testing the equality of medians among two or more categories of each variable and P-value is reported. A series of simple logistic regressions were conducted with all the potential explanatory variables to identify the determining factors for breastfeeding within 1 hour in a health facility. Finally, multiple logistic regression was conducted including the variables found significant at bi-variate analyses. Almost 90% participants initiated breastfeeding at the health facility and median time to initiate breastfeeding was 38 minutes. However, delivering in a sub-district hospital significantly delayed the breastfeeding initiation in comparison to delivering in a district hospital. Maintenance of adequate privacy and presence of separate staff for taking care of newborn significantly reduced the time in early breastfeeding initiation. Initiation time was found longer if the mother had an augmented labour, obstetric complications, and the newborn needed resuscitation. However, the initiation time was significantly early if the baby was put skin-to-skin on mother’s abdomen and received a postnatal examination by a provider. After controlling for the potential confounders, the odds of initiating breastfeeding within one hour of birth is higher if mother gives birth in a district hospital (AOR 3.0: 95% CI 1.5, 6.2), privacy is well-maintained (AOR 2.3: 95% CI 1.1, 4.5), babies cry spontaneously (AOR 7.7: 95% CI 3.3, 17.8), babies are put to skin-to-skin contact with mother (AOR 4.6: 95% CI 1.9, 11.2) and if the baby is examined by a provider in the facility (AOR 4.4: 95% CI 1.4, 14.2). The evidence generated by this study will hopefully direct the policymakers to identify and prioritize the scopes for creating and supporting early initiation of breastfeeding in the health facilities. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bangladesh" title="Bangladesh">Bangladesh</a>, <a href="https://publications.waset.org/abstracts/search?q=early%20initiation%20of%20breastfeeding" title=" early initiation of breastfeeding"> early initiation of breastfeeding</a>, <a href="https://publications.waset.org/abstracts/search?q=health%20facility" title=" health facility"> health facility</a>, <a href="https://publications.waset.org/abstracts/search?q=normal%20vaginal%20delivery" title=" normal vaginal delivery"> normal vaginal delivery</a>, <a href="https://publications.waset.org/abstracts/search?q=skin%20to%20skin%20contact" title=" skin to skin contact"> skin to skin contact</a> </p> <a href="https://publications.waset.org/abstracts/81037/early-initiation-of-breastfeeding-and-its-determinants-among-non-caesarean-deliveries-at-primary-and-secondary-health-facilities-a-case-observational-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/81037.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">153</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1</span> Competence of the Health Workers in Diagnosing and Managing Complicated Pregnancies: A Clinical Vignette Based Assessment in District and Sub-District Hospitals in Bangladesh</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abdullah%20Nurus%20Salam%20Khan">Abdullah Nurus Salam Khan</a>, <a href="https://publications.waset.org/abstracts/search?q=Farhana%20Karim"> Farhana Karim</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohiuddin%20Ahsanul%20Kabir%20Chowdhury"> Mohiuddin Ahsanul Kabir Chowdhury</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Masum%20Billah"> S. Masum Billah</a>, <a href="https://publications.waset.org/abstracts/search?q=Nabila%20Zaka"> Nabila Zaka</a>, <a href="https://publications.waset.org/abstracts/search?q=Alexander%20Manu"> Alexander Manu</a>, <a href="https://publications.waset.org/abstracts/search?q=Shams%20El%20Arifeen"> Shams El Arifeen</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Globally, pre-eclampsia (PE) and ante-partum haemorrhage (APH) are two major causes of maternal mortality. Prompt identification and management of these conditions depend on competency of the birth attendants. Since these conditions are infrequent to be observed, clinical vignette based assessment could identify the extent of health worker’s competence in managing emergency obstetric care (EmOC). During June-August 2016, competence of 39 medical officers (MO) and 95 nurses working in obstetric ward of 15 government health facilities (3 district hospital, 12 sub-district hospital) was measured using clinical vignettes on PE and APH. The vignettes resulted in three outcome measures: total vignette scores, scores for diagnosis component, and scores for management component. T-test was conducted to compare mean vignette scores and linear regression was conducted to measure the strength and association of vignette scores with different cadres of health workers, facility’s readiness for EmOC and average annual utilization of normal deliveries after adjusting for type of health facility, health workers’ work experience, training status on managing maternal complication. For each of the seven component of EmOC items (administration of injectable antibiotics, oxytocic and anticonvulsant; manual removal of retained placenta, retained products of conception; blood transfusion and caesarean delivery), if any was practised in the facility within last 6 months, a point was added and cumulative EmOC readiness score (range: 0-7) was generated for each facility. The yearly utilization of delivery cases were identified by taking the average of all normal deliveries conducted during three years (2013-2015) preceding the survey. About 31% of MO and all nurses were female. Mean ( ± sd) age of the nurses were higher than the MO (40.0 ± 6.9 vs. 32.2 ± 6.1 years) and also longer mean( ± sd) working experience (8.9 ± 7.9 vs. 1.9 ± 3.9 years). About 80% health workers received any training on managing maternal complication, however, only 7% received any refresher’s training within last 12 months. The overall vignette score was 8.8 (range: 0-19), which was significantly higher among MO than nurses (10.7 vs. 8.1, p < 0.001) and the score was not associated with health facility types, training status and years of experience of the providers. Vignette score for management component (range: 0-9) increased with higher annual average number of deliveries in their respective working facility (adjusted β-coefficient 0.16, CI 0.03-0.28, p=0.01) and increased with each unit increase in EmOC readiness score (adjusted β-coefficient 0.44, CI 0.04-0.8, p=0.03). The diagnosis component of vignette score was not associated with any of the factors except it was higher among the MO than the nurses (adjusted β-coefficient 1.2, CI 0.13-2.18, p=0.03). Lack of competence in diagnosing and managing obstetric complication by the nurses than the MO is of concern especially when majority of normal deliveries are conducted by the nurses. Better EmOC preparedness of the facility and higher utilization of normal deliveries resulted in higher vignette score for the management component; implying the impact of experiential learning through higher case management. Focus should be given on improving the facility readiness for EmOC and providing the health workers periodic refresher’s training to make them more competent in managing obstetric cases. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bangladesh" title="Bangladesh">Bangladesh</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20obstetric%20care" title=" emergency obstetric care"> emergency obstetric care</a>, <a href="https://publications.waset.org/abstracts/search?q=clinical%20vignette" title=" clinical vignette"> clinical vignette</a>, <a href="https://publications.waset.org/abstracts/search?q=competence%20of%20health%20workers" title=" competence of health workers"> competence of health workers</a> </p> <a href="https://publications.waset.org/abstracts/81062/competence-of-the-health-workers-in-diagnosing-and-managing-complicated-pregnancies-a-clinical-vignette-based-assessment-in-district-and-sub-district-hospitals-in-bangladesh" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/81062.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">191</span> </span> </div> </div> </div> </main> <footer> <div id="infolinks" class="pt-3 pb-2"> <div class="container"> <div style="background-color:#f5f5f5;" class="p-3"> <div class="row"> <div class="col-md-2"> <ul class="list-unstyled"> About <li><a href="https://waset.org/page/support">About Us</a></li> <li><a href="https://waset.org/page/support#legal-information">Legal</a></li> <li><a target="_blank" rel="nofollow" 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