The palmaris longus is harvested as a tendon graft in various surgical procedures. We herein report the variations in the insertion of the palmaris longus tendon. During a routine dissection, a rare variation in the insertion of the palmaris longus tendon was observed. In the left forearm, the palmaris longus tendon bifurcated, while in the right forearm, the palmaris longus tendon trifurcated, giving rise to an accessory muscle, which passed superficial to the ulnar artery and ulnar nerve. The accessory muscle was supplied by a deep branch of the ulnar nerve, and the ulnar artery was observed to be tortuous. During reconstructive surgeries, surgeons should bear in mind the accessory muscle. Also, since the palmaris longus muscle provides a very useful graft in tendon surgery, every surgeon should be aware of the variations in the insertion of the palmaris longus tendon.

Context Insulin resistance (IR) and abnormal insulin secretion play a key role for the development of type 2 diabetes mellitus (DM). Aims We investigated the surrogate markers of IR, i.e., Homeostasis Model Assessment (HOMA), Quantitative Insulin Sensitivity Check Index (QUICKI), McAuley, and Fasting Insulin Resistance Index (FIRI) in type 2 DM patients. Also, fasting insulin (FI) levels were estimated in type 2 diabetics. Further, the correlation of FI with other surrogate markers of IR in type 2 DM was done. Settings and Design A hundred newly diagnosed patients with type 2 DM from Malwa population, Punjab, were considered for evaluation. Another 100 healthy individuals (age and sex-matched) were examined as controls. Methods and Material Fasting blood glucose, FI, and lipid profile were estimated, and IR was calculated using McAuley index (McA), HOMA, QUICKI, and FIRI. Statistical Analysis Used The statistical analysis was performed on the above-mentioned clinical interpretations. The Cohen’s kappa test was used to affirm the agreement. Results FI levels in patients with type 2 diabetes were significantly higher (20.8 ± 9.05 µIU/L) than controls (7.93 ± 1.01 µIU/L). IR by surrogate markers was found significant in the study group. The 76% patients with type 2 diabetes ended up as resistant to insulin by FI measurement, almost equivalent to McA, 80%; HOMA, 88%; FIRI, 88%; and QUICKI, 90%. A notable correlation was highlighted between FI and McA manifesting IR (p < 0.01, r = −0.85). We calculated the statistical correlation of FI with HOMA, QUICKI, and FIRI indices (p < 0.01, r = 0.93; p < 0.01 r = −0.92; and p < 0.01, r = +0.93, respectively). The agreement visible from Cohen’s kappa test also affirms the same (k = 0.9 for McA). Conclusion We concluded that all the surrogate markers for IR were specific when compared with FI, but in terms of sensitivity McA was found to be more sensitive as it includes markers of dyslipidemia, which is the precipitating factor of metabolic derangements so as the IR in type 2 DM.

Based on a review of available literature, this paper argues that the recently coined concept of employee engagement has a lot in common with the existing construct of employee motivation. Because of this similarity, these two concepts have been used interchangeably in this paper. Using a sample of 116 executives of a manufacturing organisation, an attempt was made to discover the drivers of employee engagement. The study used a specially designed structured questionnaire that covered, besides employee engagement, a measure of job content and nine dimensions of organisational climate. Using correlation and multiple regression as statistical techniques, a set of four critical predictors (drivers) of employee motivation (engagement) have been identified, which together explain almost three-fourth of the variance in engagement.

Cloud Computing is a set of IT Services that are provided to a customer over a network and these services are delivered by third party provider who owns the infrastructure and reduce the burden at user's end. Nowadays researchers devoted their work access control method to enhance the security on Cloud. RBAC is attractive access model because the number of roles is significantly less hence users can be easily classified according to their roles. The Role-based Access Control (RBAC) model provides efficient way to manage access to information while reducing the cost of security administration and complexity in large networked applications. This paper specify various policies in RBAC on clouds such as migration policy which helps the user to migrate the database schema and roles easily to the Cloud using XML with more security. Restriction policy provide the security enhancement in Role Based Access Model by restricting the number of transaction per user and if the number of transactions will increase the admin will come to know through its monitoring system that unauthorized access has been made and it would be easier to take action against such happening. This paper proposes backup and restoration policy in Role Based Access Model in which if the main cloud is crashed or not working properly then the backup and restoration facility will be available to avoid the lost of important data. In this case chances of loss of data are very less so enhance more security on Cloud Computing.

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