In this paper, the power delivered by the combined system component is compared with each other and various conclusions are drawn. The various advantages and disadvantages of the system are compared, and a cost analysis of the system is carried on with the present system. The power delivered by hybrid model of PV/WIND/biogas is much higher than the PV/WIND. The system is more reliable, environmental friendly and the waste products of this sys tem do not contain any harmful gases and acids. This model uses all the renewable energy sources for electric generations which are the need of the time. With the use of energy from wind, solar, biogas plant it will help to reduce our dependency on fossil fuels. Thus, as future development of the present work, it could be very useful to set up flexible tool to model and to simplify the task of evaluating design solutions for stand-alone and distributed generation’s applications. We have proposed a model of 3KW that contains 1 KW of biogas plant, 1 KW of solar plant and 1 KW of wind plant. We have prepared a cost analysis report that indicates it is profitable to go for such model as it satisfies our current and future energy demands. Moreover the electricity generated by the proposed model is available at a very lesser rate as compared to our current electricity tariff rates.

To assess the outcome of fracture in patients with cardiac diseases, evaluate delay in surgery & study the quality of life post hospital discharge. A prospective review of the medical records of 32 cases who underwent surgery at Dayanand Medical college & Hospital, Ludhiana was performed. Patients were selected with proximal femur fracture having cardiac diseases after fulfilling the inclusion and exclusion criteria. After taking detailed history and examination, the patients were followed up after 4-6 weeks and 3-4 months. A detailed structured performa was filled and functional assessment was done using HHS. We had final follow up of all 32 patients which were included in the study managed by PFN. Modified HHS was accessed at 4-6 weeks and 3-4 months and found to be 41.19 (SD =12.89) & 64.66 (SD =13.35) respectively. No mortality was observed during the follow up. Presence of cardiac comorbidities increased the chances of hip fracture and poor HHS was observed among the patients in the study. Although no significant difference on HHS was observed among the subtypes of cardiac diseases. Most common cause of delay in surgery was the use of antiplatelet agents and delay in surgery affected the HHS significantly in a way that more the delay, poor was the HHS. Presence of comorbidities like hypertension, diabetes mellitus decreased the mean HHS. Occurrence of complications also affected the HHS. More the complications, poor was the HHS. Patients with hip fracture with a diagnosis of CVD, have greater risk of hip fracture with longer length of hospital stay and hence higher cost per hospital stay. Presence of more comorbidities along with CVD shows a significant association in the functional outcome.