Introduction: Dengue rarely affects the heart but clinical symptoms of cardiac involvement mayrange greatly from silent illness to severe myocarditis resulting in death. Clinical features areasymptomatic and most are transient among patients with DF/DHF. Material and methods: It wasan observational study conducted at the Department of General Medicine, Peoples College of MedicalSciences and Research Centre, Bhopal. The total duration of the study was One and a half yearsfrom Dec 2018 to May 2020. All dengue patients presenting to People’s Hospital during one and halfyears from which data was collected using as per given proforma. Results: In the present studygroup of 58 patients, it was found that 49 patients (84.5%) have not shown any cardiacabnormalities and 9 patients have abnormal values (15.5%) but are not significant. It is also foundthat the incidence of cardiac manifestations was more common in DHF and dengue shock syndromewhich was 15.5% and 3.4%, respectively. Conclusion: Clinical manifestations of cardiacinvolvement can vary widely from silent disease to severe myocarditis resulting in death. Rhythmabnormalities, hypotension, arrhythmias, myocarditis, myocardial depression with symptoms ofheart failure and shock, and pericarditis have been reported. Involvement of multiple organs, as wellas the presence of metabolic derangement, can further confuse the picture.

No abstract

No abstract

Introduction: Dengue rarely affects the heart but clinical symptoms of cardiac involvement mayrange greatly from silent illness to severe myocarditis resulting in death. Clinical features areasymptomatic and most are transient among patients with DF/DHF. Material and methods: It wasan observational study conducted at the Department of General Medicine, Peoples College of MedicalSciences and Research Centre, Bhopal. The total duration of the study was One and a half yearsfrom November 2016 to APR 2018. All normotensive diabetic patients less than 45 years of agepresenting to the Department of General Medicine, Peoples College of Medical Sciences and ResearchCentre, Bhopal during one and half years from which data was collected using as per givenproforma. Results: In the present study, It was found that significant Pearson's correlation betweenage of diabetics and diastolic changes in ECHO, and serum creatinine and diastolic changes in ECHO.The rest of the parameters like blood urea, blood pressure, RBS, FBS, PPBS, and duration ofdiabetes were not significantly correlated. Conclusion: It was concluded that in the present study,diabetes mellitus is itself a risk factor for developing diastolic dysfunction though its prevalenceincreases with increasing age, serum creatinine and there is no association found between durationof diabetes and diastolic dysfunction. So screening of every young normotensive diabetic for diastolicdysfunction should be done to prevent early cardiovascular disease.

Skyline recommendation with uncertain preferences has drawn AI researchers' attention in recent years due to its wide range of applications. The naive approach of skyline recommendation computes the skyline probability of all objects and ranks them accordingly. However, in many applications, the interest is in determining top-k objects rather than their ranking. The most efficient algorithm to determine an object's skyline probability employs the concepts of zero-contributing set and prefix-based k-level absorption. The authors show that the performance of these methods highly depends on the arrangement of objects in the database. In this paper, the authors propose a method for determining top-k skyline objects without computing the skyline probability of all the objects. They also propose and analyze different methods of ordering the objects in the database. Finally, they empirically show the efficacy of the proposed approaches on several synthetic and real-world data sets.