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When a spleen weighs more than 1,600 grams or has a craniocaudal length larger than 21 cm, it is categorized as a supramassive spleen. Laparoscopic splenectomy for normal to moderately enlarged spleens has become the gold standard in elective splenectomy surgery. Its utility in large splenomegaly has not yet completely established, but has great advantage over open surgery. Here, we present a case of 17-year-old young male with a history of congenital heart disease who underwent a Rastelli open heart surgery in 2010 and pulmonary balloon valvulotomy in 2022 came with supramassive splenomegaly, hypersplenism and pancytopenia that was treated with laparoscopic splenectomy. Vaccinations were done two weeks prior to the surgery. Preoperative embolization of the splenic artery was performed 24 hours before splenectomy to reduce complications. The excised spleen measured about 24×15 cm.

The number of industries in a certain region is increasing year by year due to the increasing needs of people, and therefore intelligent industrialization automation can be used. Here the air quality in the industry and the number of products manufactured in the industry are monitored using gas detectors (to detect toxic or toxic gases) and IR sensors (to count the number of products manufactured) where there is no need for labor. Also to see estimated time of arrival of delivery vehicle GPS is used to get latitude, longitude and estimated time of delivery vehicle in real time. The branch of the delivery vehicle is displayed via the APP that can be built with Android Studio, this GPS is integrated in the NODE MCU. In the case of industrial fire accidents, this can be detected using the industry existing flame sensors built into the NODE MCU and the LCD screen where sprinklers are later activated.

The COVID-19 pandemic has caused more than 1.6 billion children and youth to be out of school in 161 countries. The crisis has highlighted flaws in educational programs while also providing opportunities to reshape schooling. Climate change, technological disruptions, and globalized communication are all increasing the likelihood of such crises. These issues have given rise to doubts and debates regarding the dilution of the educational systems and dubiousness being felt by the parents regarding the same. As a result of the transition of homes into classrooms, parental engagement and parental involvement have emerged as major influencing factors of online education. As parents are the major stakeholders in the online educational format. They have always played an important role in their children's education. However, in the aftermath of the pandemic, the parent's position has shifted dramatically. Parents now bear a significant amount of responsibility for their children's education. This has given rise to conflicting emotions in the parents regarding the dilution of the education system and more importantly the onus of child’s education shifting to the parents thereby reducing the responsibility of the schools and teachers. Often parents have been heard expressing their resentment at the reconfigured roles and responsibilities caused by the shift. The present study intends to focus in their perspectives on online education. The present study attempts to understand the dilemma being faced by the parents.

The primary goal of the current work is to carry out Malware Detection for IoT devices by comparing the performance of different classifiers. Malware is software that causes harm to our systems or network. Random Forest Algorithm (RFA) and Decision Tree Algorithm (DTA) are two types of algorithms that can be considered. The methods were built and evaluated on a 19612 record dataset. With 10 example sizes, emphasis was performed on each gathering to accomplish better precision. The error rate power was utilized as 80% to perform G-power testing. The experiment’s findings revealed that the Random Forest Algorithm had a mean accuracy of 99.0320 and the Decision tree had a mean accuracy of 98.5140 for malware detection. Using independent sample t-tests, the statistically significant variance in accurateness between the two models was obtained as p = 0.030. This research aims to apply a novel technique to present Machine Learning Classifiers for malware detection. When comparing the Random Forest Algorithm to the Decision Tree Algorithm, the findings signify that the RFA outperforms the DTA.

Photocatalysis is a process of clean technology where solar energy is converted into useful chemical reactions. There are confronted challenges and limitations when claiming the most efficient TiO photocatalytic activity. Scientists tend to break through the barriers of TiO photocatalysis by implementing different modification strategies for pure TiO in order to eliminate the encountered limitations and thereby enhance the efficiency for further development of photocatalytic applications. Charge carrier recombination is one of the major limitations in the photocatalytic process. Doping incorporated with metals and nonmetals owns the capacity to subdue the recombination of photogenerated electrons and holes by ensuring charge carrier separation. At the same time, this could enhance the capturing of photoenergy by narrowing the band gap of TiO. Dye sensitization is another branch of possible modification of TiO photocatalysis that is implemented in solar electricity generation, photocatalytic water splitting, and pollutant degradation. It assists in reduction of transparency in the visible range and obtaining a longer electron lifetime by efficient charge separation. Attention is given to the application of TiO photocatalysis based on environmental decontamination, biocidal applications, and energy-based applications. Hence, TiO photocatalysis plays a crucial role in reaching higher technological development while maintaining a balance with environmental sustainability.

The Alumni Info-Com Management System is able to manage alumni data of a college and provide easy access to the same. Alumni of college stay in touch with their immediate friends and it is hard to stay connected with college mates. Contact between alumni develops business connections and to gain insight in a new field. Current students will be initially given a student login id. Access to the system can help them to seek help in their projects or for placements. This single system can satisfy almost every requirement of the alumni. Usually, alumni associations are organized in colleges, but may also be organized in a place where the alumni can meet each other. Despite the fact that there are many existing systems in colleges to maintain the alumni information, they are manual and more time consuming to current students to reach out their alumni and maintaining the privacy of the alumni. To overcome these issues, we proposed a web application which allows alumni to update their information and students can connect with them and can view the filtered events posted by alumni and admin through support vector machine algorithm.

Purpose Outcomes after female cosmetic genital surgery (FCGS) performed by plastic surgeons working in a group practice setting have not been well documented. This article aimed to assess outcomes and to describe FCGS techniques used in a large group private plastic surgery practice. Methods A retrospective chart review identified patients who underwent FCGS from 2009 to 2018. Demographic, clinical, and operative information was reviewed and recorded. Outcomes were assessed by evaluating postoperative complications and the need for revision surgery. Results Seventy-seven women between the ages of 14 and 53 years underwent FCGS performed by 1 of 6 surgeons. Forty-five patients underwent central wedge excision for labia minora hypertrophy, whereas 32 patients underwent extended central wedge excision for labia minora and clitoral hood hypertrophy. Four patients underwent liposuction of the mons pubis as an additional procedure. Over a mean follow-up of 37.4 months, postoperative asymmetry/redundancy occurred in 12 patients, requiring revision in 10. Wound dehiscence occurred in 12 patients, requiring revision in 9. There was one hematoma postoperatively requiring evacuation, one case of dyspareunia, and one case of decreased sensation. A single-layer wound closure (P = 0.050) and mons liposuction (P = 0.011) were risk factors for wound dehiscence. Conclusions Central wedge excision and extended central wedge excision labiaplasty were the techniques used in a large group plastic surgery practice. Postoperative asymmetry and dehiscence were the most common complications, and the revision surgery rate was high. A single-layer wound closure and additional mons liposuction were risk factors for dehiscence after central wedge labiaplasty.

PURPOSE Patient-reported outcomes after female cosmetic genital surgery (FCGS) have been well documented; however, methods vary widely between studies and are often very detailed, time-consuming, and difficult to reproduce. The purpose of this study was to assess patient-reported outcomes after FCGS using a novel method and survey as well as to present the results of a pilot study aimed at validating this survey. METHODS A retrospective chart review identified patients who underwent FCGS. Demographic, clinical, operative, and outcome characteristics were recorded. A novel survey, including 14 items administered by telephone interview, was developed and extrapolated from the BREAST-Q for augmentation mammaplasty, to assess patient-reported outcomes after FCGS with regard to satisfaction with outcome and physical, psychosocial, and sexual well-being. RESULTS The survey response rate was 50.6% (39 patients). Over a mean time after surgery of 56 months, 14 complications occurred in 11 patients (28.2%), and 10 complications required revision surgery. Postoperative asymmetry and dehiscence were the most common complications. Despite the higher complication and revision surgery rates, 97.4% agreed that the surgery was a good experience and were satisfied with the results after surgery. In addition, patient-reported outcomes after FCGS showed significant improvement in physical well-being, psychosocial well-being, and sexual well-being (P < 0.001). CONCLUSIONS This novel survey can be used to assess patient-reported outcomes after FCGS in an efficient approach. Despite the potential complications and need for revision surgery, the vast majority of patients who undergo FCGS feel that it is a good experience, are satisfied with the results after surgery, and show significant improvement in physical, psychosocial, and sexual well-being after surgery.

Lime is the versatile mineral. Various forms of lime are used in environmental, metallurgical, construction, chemical/industrial applications, and more. It has been used for masonry mortars and plastering for centuries. Lime is usually obtained from lime stone. Places like Kerala where lime stone is scarce, lime is majorly obtained from seashells so they developed their own traditional method to extract lime. Shell lime was one of the major components in construction of most of the houses, temples, bridges, dams etc. in Kerala during the earlier days. People used shell lime not only as a replacement to cement but also as a plastering agent which helps to reduce temperature in the interiors. This dissertation is retrospection into the vernacular method of making lime mortar from seashells by visiting the workspace. The study also intends to analyse the challenges faced by this method and provide with necessary recommendations.

Addison ’s disease is a rare endocrine disease which is commonly due to autoimmune adrenalitis and tuberculosis. Usual manifestations involve chronic fatigue, muscle weakness, loss of appetite, nausea, vomiting, diarrhea, hypotension and hyper pigmentation of skin. A 64 year old female, presented with complaints of cough with expectoration, fever, breathlessness, darkening of skin and diarrhea. The treatment given for the patient was Inj. Dexamethasone for 4 days. Her symptoms resolved gradually after starting the therapy. Keywords: Addison’s disease, Cortisol, Autoimmune Adrenalitis, Treatment, Dexamethasone