Background: Intestinal anastomosis dates to ancient eras and hand sewn intestinal anastomosis is the most used technique worldwide. Various complications following bowel anastomoses are anastomotic leak resulting into peritonitis, abscess, fistula, necrosis, stricture. Various factors contribute to these complications including suturing technique. Leakage from the bowel anastomoses complication and accounts for about 1.3 to 7.7%, that is often associated with increased morbidity and mortality and prolonged stay. This comparative study endeavours to compare outcome of extra-mucosal interrupted single layer versus continuous all layers intestinal anastomosis in small and large bowel in terms of duration required to perform intestinal anastomosis, post-operative complications like anastomotic leak, duration of hospital stay in each group Aim of the present study was to compare time required to perform anastomosis and to compare the rate of postoperative complications and hospital duration.
Methods: Based on detailed history, clinical examination and radiological investigations; patients were allotted in either group A or B. Group A: Bowel Anastomosis done by single layer (20 Patients) and Group B: Bowel anastomosis done by double layer (20 Patients). Time required to perform anastomosis and post op complications was assessed and compared.
Results: In this prospective study of 40 patients, it was found that Group A required an average of 17 minutes and Group B required 24 minutes for anastomosis. The rate of postoperative complications were found to be similar in both groups. The mean hospital stay was also found to be similar.
Conclusions: Thus, from this prospective comparative study, we conclude that both extra mucosal interrupted single layer and continuous all layer anastomosis have operative technical challenges and similar postoperative outcomes.
Real Estate is a wide area consisting of a physical piece of land and the developments on it such as buildings, roads, and other infrastructures. Real Estate can be classified based on the purpose of usage of the property i.e. Residential, Commercial, or Industrial. Since longtime real estate is considered the most secure investment for good returns. But several issues arise in the field of property transactions which are based on the trust that the buyer or seller has in a third-party middleman/broker as well as frauds, inaccurate market statistics, time-consuming processes as well as high processing fees charged by the middlemen/broker. To provide a solution problem a decentralized web application for real estate transactions is proposed in the project. To attain the solution, in this project we propose to design and develop a decentralized web application using blockchain and smart contract technology that avails property buyers and sellers to interact with the help of a private Ethereum network and deploy smart contracts which create a precise and transparent digital property transaction process. This results in the advantages over traditional real estate systems by neglecting the requirement of non-trusted third-party entities, reducing transaction processes as well as transaction costs.
The field experiments were conducted in Agronomy Department Farm, College of Agriculture, Dapoli. Dist. Ratnagiri during Kharif seasons to study the “Nutrient status of soil after the harvest of pigeonpea as influenced by Intigrated nutrient Management”. Results showed that available N and P content of soil after harvest of pigeonpea were improved due to all the nutrient management treatments over their respective initial values. Application of 75 % RDF + Two foliar sprays of nutrients (Potassium nitrate 1% + DAP 1% + Boron 500 ppm at flowering and 20 days after first spray) + Biofertilizers (Rhizobium +PSB) and RDF + Biofertilizers (Rhizobium + PSB) remained at par and both the treatments significantly improved the available N and P status of soil after harvest of pigeonpea crop over rest of the nutrient management treatments. the values were rather higher compared to their initial levels indicating the increased production of pigeonpea without reduction in soil fertility.
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