AN OUTCOME ANALYSIS OF SUSTAINABLE ENERGY AND ITS ROLE IN ELECTRICAL VEHICLE

The future of sustainable energy is bright, with continued advancements in technology and growing global awareness of the need to transition to renewable energy sources to combat future challenges. The electrical vehicle is new hope for the automobile industry where the deduction of carbon emission is the priority. The increasing level of carbon emission may be harmful to the environment and society. A qualitative exploration of sustainable energy and its role in electrical vehicles are other aspects of the study where green energy is another variable. The research design used in the study is exploratory in nature and covers the different dimensions of sustainable energy. Production of the batteries is also following certain protocols of natural sustainability and emission. This study will enunciate the role of sustainable energy sources under the aspects of green energy. Economic benets are also associated with the dened issue. Resultants are qualitative in nature where the crux of the previous study had been discussed. This study has concluded

Outcome Analysis of Ventriculoperitoneal Shunt in Terms of Complications In Patients of Congenital Hydrocephalus

Introduction: Ventriculo-peritoneal shunt is routinelyperformed in neurosurgery especially in PediatricNeurosurgery. This study is a retrospective study to analyzethe complications occurring in patients of congenitalhydrocephalous who got operated at our centre.Materials and Methods: This study was done by analyzing 90cases referred to Department of Neuro Surgery, SSG CivilHospital, Baroda Medical College, Baroda, Gujarat, India fromNovember 2017 to April 2019. A minimum follow-up of 6months was done. Hydrocephalus associated with Spaceoccupying lesions, Intracranial hemorrhages, Neural tubedefects were excluded.Results: Total number of cases operated during this periodwas 90. 59(65.6%) were male, 31 (34.4%) were female.Complications were observed in 30/90 (33.3%) cases. Out of30 cases shunt block 16 cases (53.4%) was a major cause ofcomplication followed by Infection i.e. 6 cases (20%). Therewas no mortality observed in our cases.Conclusion: This procedure has a high complication rate butnow due to again popular endoscopic third ventriculostomywhich can be safely used in certain cases above a set age, hasgiven us an option, but still in age group of 0-6 monthsventriculo-peritoneal shunt is still a more popular andprocedure of choice till any further alternative is available.

Risk factors and outcome analysis among young Filipino patients with nontraumatic intracerebral hemorrhage: A cross-sectional study

OBJECTIVES: To determine the prevalence, risk factors, etiology, location, and outcome of non-traumatic intracerebral hemorrhage (ICH) in young Filipino patients. To identify factors associated with poor outcome and mortality METHODOLOGY: Review of charts of patients age /- 45 years admitted for acute non-traumatic intracerebral hemorrhage with neuroimaging evidence of symptomatic ICH was done. Data regarding risk factors, location, etiology and outcome were analyzed using SPSS 9.01 for Windows and Epi 6 for univariate and multiple regression analysis RESULTS: Seventy subjects were included. 66 percent were males and 34 percent were females. The mean age of the subjects was 37 years old. Prevalence of non-traumatic ICH among stroke in young adults is 17 percent. The most frequent risk factors were hypertension, smoking, alcohol use, and family history of CVD. The common locations in order were basal ganglia/internal capsule (44 percent), thalamus (22 percent), lobar, and brainstem. The common causes of ICH were hypertension (46 percent), vascular malformations (16 percent) and hematologic/coagulation disorders (13 percent). Arteriography was done in 33 percent of cases. Overall in-hospital mortality rate was 8.5 percent in the acute stage of ICH. Factors independently associated with poor outcome and mortality on multivariate regression analysis were posterior circulation (p=0.005), presence of intraventricular extension (p=0.002), ICH volume 30 cc (p= 0.011), and smoking history (p=0.021) CONCLUSION: Non-traumatic intracerebral hemorrhage in young Filipino adults has a heterogenous etiology. Non-traumatic ICH occurred in 17 percent of young stroke patients. Posterior circulation involvement, presence of intraventricular extension, ICH volume of 30cc and smoking history were significant factors associated with poor outcome.

Urethroplasty for posttraumatic posterior urethral stricture: An outcome analysis.

To assess the outcome of urethroplasty for posttraumatic posterior urethral stricture. Materials and Methods : All male patients with posttraumatic posterior urethral stricture who underwent urethroplasty procedures in the urological unit at Siriraj hospital from January 1995-June 1998 were included in the study. The details of initial management by the primary hospitals, prior surgical manipulations carried out elsewhere, techniques of urethroplasty, results and complications, especially incontinence and impotence, were collected and analysed. Results : A total of 27 patients were included in the analysis. The follow-up period ranged from 2 to 34 months (mean 12.8 + 9 months). All patients had initial management for acute urethral disruptions from primary hospitals as follows : 21 patients (77.8%) had suprapubic cystostomy alone and 6 patients (22.2%) had suprapubic cystostomy plus urethral realignment. Fifteen patients (55.6%) had failed urethral surgery for stricture corrections when referred. Three techniques of urethroplasty; perineal urethroplasty; perineal urethroplasty with inferior pubectomy and combined abdomino-perineal transpubic urethroplasty were done in 16 (59%), 8 (30%) and 3 (11%) respectively. The success was not associated with either previous surgery or no previous surgery status. Incontinence occurred in 10 patients (37%), but in seven of these was mild. Impotence existed preoperatively in 19 cases (64%). Three of eight cases (37.5%) who were potent preoperatively developed impotence postoperatively. The potency outcome was not statistically between the suprapubic cystostomy alone group and suprapubic cystostomy plus urethral realignment group. Conclusion : The outcome of urethroplasty for posttraumatic posterior urethral stricture was acceptable. Although the incontinence rate was high, most of them were mild. Postoperative impotence rate was high and should be discussed with patients prior to surgery.