Publications by authors named "J P Agrawal"

Introduction: The brachial plexus block is one of the peripheral blocks, beneath which the majority of upper limb surgical procedures are carried out. During upper limb surgery, a supraclavicular nerve block is an excellent substitute for general anesthesia.

Aim: This is a clinical comparative study of dexmedetomidine, dexamethasone, and clonidine as adjuvants to local anesthetics in supraclavicular brachial plexus block.

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The high mobility and dynamic nature of unmanned aerial vehicles (UAVs) pose significant challenges to clustering and routing in flying ad hoc networks (FANETs). Traditional methods often fail to achieve stable networks with efficient resource utilization and low latency. To address these issues, we propose a hybrid bio-inspired algorithm, HMAO, combining the mountain gazelle optimizer (MGO) and the aquila optimizer (AO).

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Article Synopsis
  • Imaging utilization is rising, but many studies may not be suitable for specific clinical situations, prompting a need for better guidance.
  • This research examines the effectiveness of eight popular large language models (LLMs) in providing imaging recommendations for 24 common neuroradiology scenarios, as graded by expert neuroradiologists.
  • GPT-4 and ChatGPT performed the best, with GPT-4 achieving optimal recommendations in 23 out of 24 cases, while models like Llama 2 lagged significantly behind in accuracy and usefulness.
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Background: There is scarce knowledge on the use of structured positive psychology interventions for reducing work-stress and improving wellbeing of rural community health workers in India, particularly the Accredited Social Health Activists (ASHAs) who are village-level (resident women, incentivised) lay health workers. This trial will test the effectiveness of a 'character-strengths' based coaching intervention compared to routine supervision on wellbeing ('authentic happiness') of ASHAs.

Methods: This protocol is for a single-blind, parallel group randomized controlled trial comparing the effectiveness of a five-day residential workshop focusing on the use of character-strengths and subsequent 8- to 10-week remote telephonic coaching (weekly) to individually support ASHAs to improve their wellbeing, against routine health system support.

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