This is a story of a little boy growing up in a remote village of Bengal in pre-independent India. Born to a rich family, the boy, Nimchand alias Nimu, enjoyed a privileged childhood in a huge mansion. After a few years, he lost his father, and the status of the family fell from grace. Nimchand found himself thrown in rough waters in a country torn apart by the freedom movements and religious conflicts. Mother Sarojini, a fiercely strong-minded woman, steadfastly stood against all hostile situations they faced and tried hard with the courage to rebuild her shattered family. Nimu, too, had to struggle hard to survive and get an education. This engrossing family saga is steeped in many strange phenomena—eerily suspenseful and piercingly fearful—occurring in traditional domestic settings. This true story, deep-rooted in rural Bengal and enriched by its many festive occasions, is elegantly written with unscarred authenticity. A fascinating account of many characters with fine details is painstakingly and meticulously described in lucid prose with excellent narrative skill. In a world overstuffed with books of many kinds, the readers may find Roads of Uncertainty to be a welcoming exception and a pleasure to read.
SECTION 1: Sepsis Diagnosis and Management 1. Precision Medicine in Septic Shock 2. Optimal Blood Pressure Target in Patients with Septic Shock 3. The Surviving Sepsis Campaign Guidelines in 2022: What is New and what has Changed? 4. Individualizing Hemodynamics in Septic Shock 5. Adjunctive Therapies in Sepsis: Current Status 6. Refractory Septic Shock: What are the Options 7. Steroids in Sepsis and Clinical Outcomes 8. Candida auris: Detection, Prevention, and Management 9. Empirical Antifungal Treatment: Is It Justified? 10. Role of Steroids in Severe Community acquired Pneumonia 11. Procalcitonin: Can It Differentiate Bacterial versus Fungal Infection SECTION 2: Antimicrobial Therapy in ICU 12. Optimizing Antimicrobial Dosing in the Intensive Care Unit 13. Antibiotic within 1 hour: Should this be Applied to all Patients with Sepsis? 14. Dark Side of Antibiotics 15. Optimal Duration of Antibiotic Therapy 16. Cefiderocol: Is this the Answer to Multidrug-resistant Gram-negative Infection? SECTION 3: Respiratory Critical Care 17. Management of Pneumonia in Intensive Care 18. Reverse Triggering during Controlled Ventilation: A Frequent Dysynchrony with Various Consequences 19. Use of Multiplex Polymerase Chain Reaction in Pneumonia 20. Management of Complicated Pleural Effusion 21. Hepatic Hydrothorax 22. Submassive Pulmonary Embolism 23. Role of Magnesium in Respiratory Failure 24. ARDS in Children: How is it Different? 25. Safe Tracheal Intubation in Intensive Care Unit 26. Lateral Positioning: Does it Work? 27. Dyspnea in Patients on Invasive Ventilation: Clinical Impact 28. Complications of Noninvasive Ventilation Failure SECTION 4: Mechanical Ventilation 29. Setting Optimum PEEP 30. Open Lung or Keep Lung Closed: Which Strategy to Choose? 31. Driving Pressure or Mechanical Power: Which One to Monitor? 32. Measuring Respiratory Drive and Muscle Effort 33. Oxygenation Targets in Mechanically Ventilated Critically-ill Patients 34. Ventilatory Ratio: A New Monitoring Tool 35. Helmet NIV: Is it a Game Changer? 36. Electrical Impedance Tomography: Current Application 37. Automatic Tube Compensation: Does it have a Role? 38. High-frequency Oscillatory Ventilation in Pediatric Acute Respiratory Distress Syndrome 39. Noninvasive Ventilation in Pediatrics: Current Status SECTION 5: Cardiovascular Critical Care 40. Crystalloid Resuscitation: Finding the Balance 41. Artificial Intelligence Tools to Optimize Hemodynamics in the ICU 42. Aggressive or Restrictive Fluid Resuscitation 43. Predicting Hypotension: Is It Useful? 44. Vasopressors: How Early? 45. Myocardial Injury after Noncardiac Surgery 46. Use of Vasopressin during Cardiac Arrest SECTION 6: Echocardiography and Ultrasound 47. Advances in Intensive Care Unit Echocardiography 48. Transesophageal Echocardiography: Is It Preferable in the Intensive Care Unit? 49. ECHO Features of Pulmonary Hypertension and Increased Left Atrial Pressures 50. Role of Echocardiography in Shock State 51. Use of Echocardiography in Assessing Fluid Responsiveness 52. Venous Excess Ultrasound Score (VExUS) SECTION 7: Nephrology, Fluids, Acid-Base Balance and Electrolytes Balance 53. Fluid Management in Acute Kidney Injury 54. Sepsis-associated Acute Kidney Injury: Common but Poorly Understood 55. Delayed versus Very Delayed Renal Replacement Therapy 56. Plasma Exchange in Intensive Care Unit: Current Status 57. Acute Kidney Injury Care Bundle 58. Biomarker-driven Therapy in AKI 59. How to Approach Dyselectrolytemias in a Patient on CRRT? SECTION 8: Neurocritical Care 60. Prognostication in
India was first betrayed by Jai Chand and then by Muslim Invaders followed by the East India Company and their British Rulers . However the most unfortunate part is that afterwards India was deliberately let down by its own people for sixty years. In such a situation whom can you blame ? You , me or all of us really who allowed ourselves to be deceived and looted and made second class citizens in our own country – despite clearly being the majority. Maximum Taxes were collected from Majority for benefit of all the citizens but were passed on to specific community disproportionately. Separate laws and rules were enacted purely for the advantage of this group . Now the time has come when we must rise to remove the shackles of slavery and live to cherish the fruits of our great country. It is hoped that the reader will find the different perspectives in the book to be interesting , enjoyable and eye opening.
This book presents a comprehensive, lucid, and accessible approach to environmental sociology. It traces the origin of environmental sociology and examines the realist–constructionist debate in ecology for a holistic exploration of the field. The volume: Presents a step-by-step systematic approach to the study of environmental sociology Includes case studies from Asia, Africa, Europe, and the Americas and introduces theoretical perspectives from Asia, Africa, and South America to provide a more comprehensive view of the field Has separate chapters on sustainable development and climate change Discusses ecological movements in India and highlights environmental issues of the Global South A key text for undergraduates, postgraduates, and civil services aspirants, this book goes beyond western scholarship to include indigenous approaches to the field. It will be indispensable for students of sociology, climate change, environmental studies, and sustainable development.
Biologically produced fuels are considered potential and viable alternatives to meet the world’s fuel requirements. In this context, algal-based oil is of significant importance due to its renewable and carbon-neutral nature. Biosynthesis of triglycerides by utilizing CO2 (by biofixation) or wastewater under stress conditions via photoautotrophic, heterotrophic (photo/dark), or mixotrophic mechanisms enumerates the potential of microalgae for generation of renewable biodiesel. In addition to the algal cultivation, the conversion of the accumulated lipids to biodiesel is gaining considerable interest. Though there exist some constraints, the process of harnessing biofuel from microalgae is both economically viable and environmentally sustainable compared to the other oil-producing terrestrial crops. This chapter explores biofuel production using microalgae. Concerted efforts are made in this chapter to discuss the biochemistry pertaining to algal lipid synthesis, nutritional modes of algae, cultivation systems used for algal oil production, and the cascade of steps involved, from biomass cultivation to transesterification of the fuel. The ability of microalgae to capture CO2 and its survivability in wastewater is also elaborated in the context of lipid synthesis.
Krishna, the only son of wealthy parents Gautam Seth and Shantai, secretly marries his classmate Elizabeth, the sole heir of the British royal family. While returning to India after attending the felicitation of Krishna, they meet with a fatal road accident, and Gautam gets killed. Krishna comes to India to meet Shantai and perform his father’s last rites. The family’s affairs are handled by their maternal uncles, Mahadev and Shakuntala, who have a daughter named Mohini. Mohini is in love with an employee from a poor family working in their business group. Shakuntala mami, arrogant and strict, conspires to remove the governor and her baby’s fork from the estate. The estate is worth around £250 million, and the heir has a right to the fort and state-of-the-art cars. When the trustees learn of an heir, they come to India in search of it. The novel explores the relationship between Krishna, Mohini, and their family, as well as the estate’s fate and the narrator’s marriage. The story ends with a happy or sad ending, highlighting the complex relationships and the complexities of family dynamics.
Natural scientists perceive and classify organisms primarily on the basis of their appearance and structure- their form , defined as that characteristic remaining invariant after translation, rotation, and possibly reflection of the object. The quantitative study of form and form change comprises the field of morphometrics. For morphometrics to suc
AFCAT Air Force Common Admission Test 2023 Comprehensive Guide The latest edition of AFCAT (Air Force Common Admission Test) 2023 Comprehensive Guide assures a thorough preparation with a combination of both theory and testing. This book is designed as an adequate and systematic study resource to pass the AFCAT. Highlights of the Book: • Latest Solved AFCAT Paper I/2022 • Subjects divided Chapterwise • Chapterwise Exercise(s) present • Combination of Theory & Practice Exercises (MCQs) • Answers with Explanations • Lucid Language Usage • Simplified and Thorough Learning This book is a comprehensive study resource that guides the student on understanding: what the test is about, what type of subjects it comprises, and how are the questions phrased. Then the final point of ‘how to succeed’ is accomplish as the aspirant starts following the book chapter by chapter, segregating the difficult and easy concepts and managing time accordingly. The entire syllabus is segmented subjectwise: English, General Awareness, Numerical Ability, Reasoning and Military Aptitude Test. The ‘Multiple Choice Questions’ based pattern of study is beneficial for quick and long-lasting learning. The aspirant will be able to deal with all the types of questions asked in exam, by solving the systematic concoction of questions. Along with thorough preparation, the book comes as a resource of Self-Assessment resource for the aspirants to gauge their progress.
This book picks 200 of the best Hindi films ever produced and catalogues them. Densely packed and visually appealing, the guide is written in a reader-friendly, accessible style to enable even those not familiar with Hindi to see and understand popular Bollywood films. Entries are arranged genre-wise as drama, comedy and romance, among other categories.
India is a timeless land of dynamic change and huge diversity. The social and political evolution over the centuries has greatly enriched the Indian culture and has given rise to great traditions and heritage. Its glorious history tells the tales of its prosperity despite destruction due to invasion by outside forces. This prosperity shines all over India especially, in palaces, temples and in many other monuments. More spectacular are the ruins of ancient India, which are still surviving to eagerly tell their stories to the patient listeners. The beauty of the sculptures and temple architecture of India are unparalleled; so are its natural beauty and its wild life. This book presents the travel experience of a couple that visits India to rediscover and explore the glorious vistas of the bygone era. They attempt to unravel the marvels of ancient India by digging inio the history, mythology and legends of every place they visit. This book is essentially a collection of travel stories presented in the fashion of a fiction, but with authentic facts and figures. Starting from the capital New Delhi and the exotic Himalayan towns of Haridwar and Hrishikesh, the travel continues to the colourful state of Orissa and then to the historical wonders and the magnificent sites of Karnataka and finally to the fascinating state of Tamil Nadu that gleams with vibrant spirituality around its countless temples. The reader will roam freely in the ruins, in the palaces and among the gorgeous temples with towering gopurams. The classic account of these travels allows the reader to stand up in a place where the present meets the past bridging time and space and surmounting all barriers, and to behold the most impressive evidence of the creative ability of the human mind.
There are several medical mycology textbooks that contain a chapter on direct microscopy. However, this textbook is the first of its kind, as it discusses the simple Gram stain procedure as a valuable tool for the detection of fungal elements. This book has been specifically designed for people working in the medical microbiology laboratory with little or no practical experience in medical mycology. The central idea presented in this textbook begins with the Gram stain for the detection of fungi; the most important and more frequently isolated opportunistic and potentially pathogenic fungal species have been included. The book contains more than three hundred color images, the majority of which come from direct smear examination, such as Gram stain and other staining procedures. The mold phase and the microscopic structure of the identified fungal species relating to the initial findings of the direct smear have been linked to avoid bias. When a fungal infection is present but not suspected clinically, the Gram stain may be the only clue to the true cause of the infection. Although there are better methods than the Gram stain for visualization of fungi, these methods are only performed if there is clinical suspicion for fungal disease. Clinicians often send specimens for bacterial culture, but they sometimes overlook requests for fungal culture. During such times, the Gram stain is the only technique available in the clinical microbiology laboratory for direct detection of fungi from these specimens. The presence of fungi should not be overlooked during the direct examination of the clinical specimens for bacteria. This book will guide the reader in the recognition and identification of fungal elements in gram-stained smears, especially when they are distorted and remain unstained and undetectable.This new textbook focuses on the detection and classification of fungal elements in Gram stains. Newly developed flowcharts, clues, and key details regarding structural characteristics have been added to guide the reader in the right direction.Throughout the years, the author has accumulated many scenarios in which fungal elements were not detected on the original Gram stain evaluation but were found to be positive upon review once the culture grew a fungus. Finally, the book contains a chapter with a practice examination including microscopic images representative of scenarios commonly encountered in the clinical microbiology laboratory.
The reading of the stories inside holds your hand and takes you on to show how the world is taking shapes. It also shows you that may happen in tomorrow.The characters all deal the human feelings blended with the time passing traces left behind.It does not teach you but it tries to remind us the thing we have forgotten or very close to it. It observes your silence laughs at your happiness and soothes you when you feel sad.
“.........This is some sort of a photo-feature, Subhash presents before us in a strikingly different poetic genre... .....He comes forth with this excellent breed where the pictures combine with the words in all elegance; very often the pictures holding an unmistakable edge over words........ ....... Photos are actually captured moments from the unending flux of life; and as such they have a link with slowness...... Only very few modern writers like Milan Kundera extol slowness and its nuances...” Excerpts from the preface of “ LIKE A MOVIE SUBTITLE” by Critic Asha Menon.
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