The power of feedback.

Cause, conseguenze e strategie di mitigazione Proponiamo il primo di una serie di articoli in cui affronteremo l’attuale problema dei mutamenti climatici. Presentiamo il documento redatto, votato e pubblicato dall’Ipcc - Comitato intergovernativo sui cambiamenti climatici - che illustra la sintesi delle ricerche svolte su questo tema rilevante.

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Climate Change 2007: The Physical Science Basis.

2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular riskThe Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS)

Coronary artery disease (CAD) is a pathological process characterized by atherosclerotic plaque accumulation in the epicardial arteries, whether obstructive or non-obstructive. This process can be modified by lifestyle adjustments, pharmacological therapies, and invasive interventions designed to achieve disease stabilization or regression. The disease can have long, stable periods but can also become unstable at any time, typically due to an acute atherothrombotic event caused by plaque rupture or erosion. However, the disease is chronic, most often progressive, and hence serious, even in clinically apparently silent periods. The dynamic nature of the CAD process results in various clinical presentations, which can be conveniently categorized as either acute coronary syndromes (ACS) or chronic coronary syndromes (CCS). The Guidelines presented here refer to the management of patients with CCS. The natural history of CCS is illustrated in Figure 1.

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2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes.

The talk with present the key results of the IPCC Working Group III 5th assessment report. Concluding four years of intense scientific collaboration by hundreds of authors from around the world, the report responds to the request of the world's governments for a comprehensive, objective and policy neutral assessment of the current scientific knowledge on mitigating climate change. The report has been extensively reviewed by experts and governments to ensure quality and comprehensiveness.

Climate change 2014 - Mitigation of climate change

Precipitation is the most significant component of the global water and energy cycle associated directly with major Earth system processes- atmospheric circulation, clouds and water vapor and overall regulation of the biogeochemical cycle. Precipitation also has a major contribution in maintaining the socio-economic stability of the world as it is the primary source of freshwater and directly affects the food and water security. Extreme weather events associated with precipitation such as floods, droughts, landslides etc. are likely to intensify under current climate change scenarios which could induce mass migration and human conflicts due to unavailability of food and freshwater resources. Hence, accurate precipitation estimates are crucial in enhancing our understanding of the changing earth system processes and management of water resources through numerical weather predictions and hydrological forecasting. In this study, we evaluated the performance of a satellite-gauge merged rainfall product (GSMaP-IMD, 0.1&amp;#215;0.1) with a gauge based observational data (Indian Meteorological Department (IMD) daily gridded rainfall, 0.25&amp;#215;0.25) and two global satellite-based rainfall products- IMERG Final-run and GSMaP-CPC (standard JAXA product, GSMaP-Gauge) over 4 major river basins of Western India for the southwest monsoon period during 2000-2020.&amp;#160;&amp;#160; Results indicate that GSMaP-IMD better represents the overall distribution of rainfall over the river basins. The cumulative rainfall distribution over the study area is represented more realistically than other two datasets, especially at higher rainfall intensity (mm/day). GSMaP-IMD has smaller root mean squared error and higher correlation coefficient value than IMERG and GSMaP-CPC during the observation period. The distribution of low and moderate rainfall improved remarkably in case of GSMaP-IMD compared to the other products. Temporally, higher rainfall events are not represented accurately by IMERG and GSMaP-CPC which is improved in GSMaP-IMD. Overall, it is observed that IMERG overestimated the high rainfall events while GSMaP-CPC underestimated it whereas GSMaP-IMD showed improvement in estimating the events over the study area. The probability of detecting true rainfall events is further improved in GSMaP-IMD for all the basins. IMERG shows higher false rainfall bias over regions with high rainfall intensity which is reduced in GSMaP-CPC and further improved in GSMaP-IMD. The total ability of a dataset to capture actual rainfall events (Critical Success Index) is further enhanced for GSMaP-IMD. Finally, IMERG shows a large negative bias in detecting low rainfall events while GSMaP-CPC shows large positive bias in detecting high rainfall spatially. This systematic error is reduced in the GSMaP-IMD rainfall product. The results indicate that the IMERG and GSMaP-CPC have difficulties in detecting low and high rainfall events and further have systematic error which is due to the orographic effects and regional characteristics in southwest monsoon. Overall, satellite-gauge merged rainfall dataset performed better than the satellite-based products over major river basins of Western India. The integration of in-situ rainfall data from gauges and radars in future with satellite products at regional scale is found to improve the bias characteristics in IMERG and GsMAP-CPC which is significant in improving the availability of rainfall dataset for regional hydrological modelling applications, numerical weather predictions and water resource management.&amp;#160; &amp;#160; 

Analysis of Various Gauge Adjusted Merged Satellite Rainfall Products : A study for Major River Basins of Western India.

This paper presents a base defer blockage control in separated Service correspondence systems. The premium and normal entry administrations based liquid stream hypothesis is utilized to construct the proposed structure in high proficient oversee. The set up system is competent to skilfully oversee both the physical system asset constraints and inconclusive time postpone identified with systems administration system structure. The viability of the recommended blockage controller system is shown with scientific outcomes in formal system by utilizing altered sliding controller (MSMC) strategies. This method gives high usage and less deferral after adjusting the state criticisms controllers with sliding mode controller. The Quality of Service (QoS) necessities in term of compelling furthermore, dynamic guideline of system assets have been accomplished in the current plan. The limit and data transfer capacity confinements are considered as a limitation on the contribution of system. The consequences of this methodology are created and contrasted and a customary plan.

https://www.jetir.org/papers/JETIREY06133.pdf

Minimizing Congestion Delay in Wireless Communication

Theoretical and Numerical Studies of Boussinesq Equations for Onshore Shallow-Water Wave Propagation

Greengram (Vigna radiata L.) is also known as Mung bean in English and Mung in Hindi. Greengram is third most important pulse crop in India and it is highly valued as green legume. It is primarily grown during rainy season almost throughout India. Mung bean is excellent quality protein, low fat and good amount of minerals and vitamins and is easily digested. Mung bean is a legume crop and fix atmospheric nitrogen though symbiotic process. It provides excellent green fodder to cattle.

Effect of Zinc Sulphate on Yield and Yield Attributes of Green Gram (Vigna radiata)

Introduction: Comforting manoeuvres like hand holding and calming conversation with the parturients may decrease anxiety among them by establishing a rapport and building confidence and trust to alleviate fear. Aim: Evaluation of role and effectiveness of comforting manoeuvres (hand holding and calming conversation) in relieving patient’s anxiety and subjective satisfaction undergoing caesarean section in regional anaesthesia. Materials and Methods: This was a single centre randomised control trial conducted in the Department of Anaesthesiology and Critical Care, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India, from February 2022 to June 2022. There were 144 parturients, in the age group 18-40 years, American Society of Anaesthesiology (ASA) II, and admitted for Caesarean section under regional anaesthesia. Patients were randomised into four groups- control group (C)- group 1, only calming conversation (CC)- group 2, only Hand Holding (HH)- group 3 and Hand Holding and Calming Conversation (CH)- group 4. Demographic details of the patient, Visual Analogue Scale (VAS) for anxiety, Blood Pressure (BP), Heart Rate (HR), Respiratory Rate (RR) and patient satisfaction score on a 1-5 Likert scale were noted preoperatively. VAS was noted preoperatively and postoperatively for all groups. Patient Satisfication Score (PSS) was noted postoperatively. The HR, Mean Arterial Pressure (MAP), and RR were noted every 5 minutes for 20 minutes, then every 10 minutes till the end of the surgery, and 30 minutes after surgery. Any anxiolytic medication used intraoperatively was documented for all groups. Results: Total of 144 participants were analysed with 36 patients in each of four groups. Mean age (years) for group 1 was 23.36, group 2 was 23.25, group 3 was 23.17, and group 4 was 23.22. Baseline VAS was similar in all the groups. Postoperative VAS differed significantly - group 1 was 3.33±0.926, group 2 was 1.53±0.845, group 3 was1.47±0.845 and group 4 was 1.11±0.708. PSS also differed significantly - for group 1 was 2.42±0.732, group 2 was 3.50±0.697, group 3 was 3.67±0.717 and group 4 was 3.92±0.692. Stabilisation of hemodynamics in terms of BP, HR and RR was significantly better in all three interventional groups as compared to the control group. Conclusion: All three manoeuvres (hand holding, calming conversation alone and in combination) were equally effective in reducing perioperative anxiety, stabilising the hemodynamics and improving patient satisfaction in parturients undergoing caesarean section under regional anaesthesia. Comforting manoeuvres are simple, easy to practice and without any financial implication.

Prashant Kumar

Papers

Analysis of Various Gauge Adjusted Merged Satellite Rainfall Products : A study for Major River Basins of Western India.

Minimizing Congestion Delay in Wireless Communication

Theoretical and Numerical Studies of Boussinesq Equations for Onshore Shallow-Water Wave Propagation

Effect of Zinc Sulphate on Yield and Yield Attributes of Green Gram (Vigna radiata)

Efficacy of Comforting Manoeuvres in Reducing Anxiety in Patients Undergoing Caesarean Section under Regional Anaesthesia- Randomised Control Trial