The Impact of Palliative Care on Health Status in HIV-Positive Children

HIV-positive children in sub-Saharan Africa have numerous challenges to overcome. These challenges increase psychosocial stress as well as symptom burden including fatigue, weight loss, pain, and mental changes. The symptoms may persist even after initiation of antiretroviral therapy, so such children need additional care. Palliative care lays emphasis on holistic patient-centered care, including physical, psychological, social, and spiritual symptoms, alongside antiretroviral therapy. There is limited data on the impact of integrating palliative care with standard HIV care and treatment in children. The purpose of this study was to fill the gap in the literature by investigating the impact of palliative care on health status in HIV-positive children on antiretroviral therapy. The theoretical framework was based on the humanistic nursing theory. Using the Mann Whitney U and logistic regression tests, the health-related quality of life of 97 children who received palliative care in addition to standard HIV care was compared to 180 HIV-positive children who received standard HIV care only through chart reviews. According to study results, children receiving palliative care alongside antiretroviral therapy have better physical and psychosocial health compared to children receiving only antiretroviral therapy. Increasing age was a contributing factor to better psychosocial and physical health in patients receiving palliative care. Emotional, social, and school functioning are important factors that determine treatment outcomes in children on antiretroviral therapy, and addressing those factors through palliative care will create a positive social change by improving treatment outcomes, quality of life, and longevity

Kautilya, the Indian Machiavelli; On War and diplomacy in Ancient India

In the contemporary times because of a little fluctuation in the global situation different variations have likewise occurred in act of diplomacy. Previously the emphasis was actually on hard power as a method of diplomatic preparation. However with establishment of the notion of soft power diplomatic practice became modernized in light of the fact that the idea of soft power gives a contrasting option to the discretionary emissaries to lead conciliatory practice without relating to candy and twig method. Despite India’s long history of reflection on interstate relations, Western assessments and theorizations continue to dominate the modern scholarship on India’s IR, with Indians mostly reacting to foreign assessments. This paper will elucidate various diplomatic views of Kautiya in the ancient India period that are still valuable for the Indian and world diplomacy. This paper will also try to shed light on Kautilya’s view on spies, agents and interstate relations

Assessment of Computed Tomography Dose Index (CTDI) During CT Pelvimetry Using Monte Carlo Simulation

A pelvimetry examination is sometimes prescribed to a pregnant woman at the end of her pregnancy in order to assess the dimensions of her pelvis prior to childbirth. This examination has long been performed by using X-ray, but is now increasingly being replaced by CT-scan The objective of this study is to assess the radiation doses received during a practical CT pelvimetry examination performed using a Hitashi Supria 16-slice CT scanner. The radiation doses were estimated using Monte Carlo (MC)-based simulation with GATE code to model the 16-slice CT scanner machine. The GATE code operates using GEANT4 libraries. A polyymethyl metacrylate (PMMA) acrylic phantom of 32 cm diameter was modeled to represent the patient's body. X-ray energy spectrum generated using the SRS-78 spectrum processor was used for simulation. The simulation was executed with the same exposure parameters as the practical CT pelvimetry examination with dose parameters of 1 mGy, 0.9 mGy, and 36.6 mGy.cm, respectively, for the weighted CT dose index (CTDIw), the volume CT dose index (CTDIvol), and dose-length product (DLP). The MC simulation results provide dose parameters of 1.16 mGy, 1.07 mGy, and 43.6 mGy.cm, respectively, for the CTDIw, CTDIvol, and DLP. The differences between the simulation and the practical examination were 16 %, 18 %, and 18 %, respectively. These differences are considered in a quite good agreement. The results were also consistent with other similar studies. This work proves that the Monte Carlo simulation with the GATE code is usable to assess the patient doses during a CT pelvimetry examination

Influence of micro jets on the flow development in the enlarged duct at supersonic Mach number

In this paper, Computational fluid dynamics method is used to simulate the supersonic flow. Convergent-divergent (C-D) nozzle have been used with sudden expansion. The base pressure controlled by using the microjets of 1 mm of orifice diameter is arranged at ninety degrees at PCD 13 mm. The Mach number is 1.87, and the area ratio of 3.24 was considered for the present study. The L/D of the duct was used 10, and the nozzle pressure ratio (NPR) considered for simulation was from 3, 5, 7, 9 and 11. The two-dimensional planar model has been used using ANSYS commercial software. The total wall pressure distribution and Mach number variation from the inlet to the outlet was observed. From the results, it is found that the microjets are capable of controlling the base pressure, the loss of pressure and decreases in the drag. In the present study, the C-D nozzle designed and modeled: K-ε standard wall function turbulence model has been used and validated with the commercial computational fluid dynamics (CFD)

Role of Television in Child Development

Child development has been considered as a priority sector by the policy makers in India and other countries. A new generation of children has grown up with television exposure in modern society. The impact of television on the personality of the children needs to be examined scientifically and systematically in modern society. Children spend a sizeable chunk of their time on watching television programmes. Children are greatly influenced by television programmes. Parents and caregivers have a great responsibility of providing right kind of orientation to the children regarding the cultivation of television habits, choice of television programmes and impact of television on children. Communications media including television have a great Corporate Social Responsibility in promoting healthy personality in children. Practically all developing countries have accepted communication as an integral part of national development planning. The role of television in child development is also subjected to scientific investigation all over the world. Investigations dealing exclusively with the impact of television on child development are scanty as seen through the paucity of literature. Most behavioral scientists have observed that too much of television viewing by the children would result in the exclusion of other healthy activities

Details of Deformable Part Models for Automatically Georeferencing Historical Map Images

Libraries are digitizing their collections of maps from all eras, generating increasingly large online collections of historical cartographic resources. Aligning such maps to a modern geographic coordinate system greatly increases their utility. This work presents a method for such automatic georeferencing, matching raster image content to GIS vector coordinate data. Given an approximate initial alignment that has already been projected from a spherical geographic coordinate system to a Cartesian map coordinate system, a probabilistic shape-matching scheme determines an optimized match between the GIS contours and ink in the binarized map image. Us- ing an evaluation set of 20 historical maps from states and regions of the U.S., the method reduces average alignment RMSE by 12%