Kalyani Group (India)

Now that you have gone through the architectural and organizational considerations for assessing maturity and readiness for microservices, this chapter covers the design patterns that are used with microservices.

Congratulations, you have taken a step toward understanding microservices better. This book will help you decide when to use microservices and how to solve business problems using microservices. If you are reading this book, you must be interested in designing and developing microservices. Perhaps you are interested in exposing your business to new markets by building external-facing APIs for third parties or perhaps you want to develop and deploy software incrementally and more frequently with agility. Maybe you have no idea what microservices are, but you want to understand this new architectural style that everyone is talking about.

This exploratory study reports the prevalence of lipohypertrophy (LH) in insulin-treated type 2 diabetes patients attending a private tertiary hospital in Mumbai, India, and explores the factors associated with this condition. A total of 96 patients attending the outpatient department, completed an interviewer-administered questionnaire followed by an examination of insulin injection sites for the presence of LH by a trained diabetes nurse educator. Nearly 68% of the respondents had LH. Most patients (82%) had LH on at least two injection sites, with the frontal areas of the right and left side of the abdomen being the most common sites. Despite a high prevalence of LH, the majority of patients were unaware that they had the condition (77%) and could not identify the causes (74%). Half of the patients reported awareness about the different sites for injecting insulin, injection techniques, and the need for rotating injection sites. Only 26% always rotated injection sites, while 16% changed needles more than half of the time in the week prior to the interview. Bivariate analysis found higher number of years with diabetes and on insulin and a higher insulin dose per day as significant factors (p value < 0.05). Logistic regression showed a strong relationship between the presence of LH and the number of years on insulin (p value < 0.05). The number of years on insulin for patients with and without LH averaged 8.2 and 3.7, respectively. Findings highlight a gap in patients’ knowledge and management of LH, and call for a hospital-wide intervention encompassing patient education and provider sensitization.

Across the definitions of spirituality, the fulcrum and the focus have largely been on realizing meaning and purpose of life for upliftment and enrichment of the individual. But, the spiritual message that we get from Sikhism, a monotheistic religion established in Northwest India at the beginning of the sixteenth century AD, goes much beyond the focus on the spiritual elevation of an individual and lays an equally strong emphasis on the regeneration of the society.

Aim:To assess the comparative efficacy of fluoride varnish and casein phosphopeptide–amorphous calcium phosphate (CPP–ACP) complex visa viz. Streptococcus mutans in plaque, and thereby the role that these two agents could play in the prevention of dental caries.Materials and Methods:A cluster sample of 120 caries inactive individuals belonging to moderate and high caries risk group were selected from 3–5-year-old age group based on the criteria given by Krassee and were randomized to four groups, namely, fluoride varnish – Group I, CPP–ACP complex – Group II, mixture of CPP–ACP complex –Gourp III, and fluoride and routine oral hygiene procedures as control – Group IV. The results thus obtained were analyzed using Statistical Package for the Social Sciences (SPSS) version 16.Results:A statistically significant difference in the pre and post-application scores of S. mutans (P < 0.01) count was observed in all the groups with CPP–ACP plus fluoride group being the most proficient.Conclusion:Materials such as fluoride varnish, CPP–ACP, and CPP–ACP plus fluoride protects the tooth structure, preserving the integrity of primary dentition, with the most encouraging results being with CPP–ACP plus fluoride.

So far, topics discussed in this book have included configuration, batch analytics, data modeling techniques, performance tuning, and various utilities. One important topic yet to be discussed is Cassandra version upgrades. The past one and half years have seen quick development and multiple Cassandra releases. Some of the changes introduced in recent releases have backward compatibility issues, which makes Cassandra version upgrading an important topic that needs to be addressed. The most recent release, at the time of this writing, is version 2.1, which includes a couple important new features we have not covered elsewhere.KeywordsGarbage CollectionJava Virtual MachineOpen FilePerformance TuningRecent ReleaseThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.