A Study on the Effectiveness of an Educational Package on the Knowledge of Mothers of Asthmatic Children on Bronchial Asthma

An evaluative study was conducted to determine the level of knowledge of mothers of asthmatic children on asthma and to determine the effectiveness of an educational package in terms of improvement in knowledge of mothers. A quasi experimental pretest posttest control group design was used. Purposive sampling technique was employed to select the subjects and they were randomized into either the experimental or control group using block randomization. Each group consisted of 40 mothers who fulfilled the sampling criteria. Baseline characteristics and a structured knowledge questionnaire on asthma were used to collect data. The findings of the study revealed that the difference from pretest to posttest knowledge scores in the experimental and control group was statistically significant (F = 444.35, p<0.01) and the difference between the experimental and control group was statistically significant (F= 223.663, p< 0.01). The Post Hoc Bonferroni test showed significant difference within the groups and also between the experimental and control groups (p< 0.01). There was significant improvement in knowledge among mothers in the experimental group than in the control group. Hence empowering mothers about asthma will help in adopting appropriate preventive measures and reduce asthma exacerbations in children. Keywords: Knowledge, Mothers of asthmatic children, Educational packag

Pediatric urolithiasis: What role does metabolic evaluation has to play?

Background Pediatric urolithiasis is a perplexing problem faced by pediatricians as well as urologists across the globe. By early diagnosis and treatment of these risk factors, future stone formation may be prevented. Aim: To evaluate the clinical, biochemical and metabolic characteristics of the patients and the interventions required to prevent recurrence.Methods: In this retrospective study, cohort of pediatric patients presenting with urolithiasis at Kasturba Medical College, Manipal formed the study population. Patient’s records served as study tools. Medical records department was approached and data was collected. Metabolic evaluation was done in all children. Urine tests included urinalysis, urine culture, 24 hours urinary pH, volume, calcium, oxalate, citrate, uric acid, and creatinine. Finally a total of 58 pediatric urolithiasis cases were included in this study.Results: Mean age of study subjects was 6.85±1.27 years. Top three presentations of pediatric urolithiasis were symptoms of Urinary tract infection (UTI), abdominal pain and flank pain in 29.3%, 24.1% and 17.2% children respectively. Gross hematuria was observed in 15.5% of cases. 82.6% of stones were renal stones. Calcium oxalate stone was most common (50%) variety found. Hyperoxaluria was the most common (79.3%) metabolic abnormality detected. 31% had stone recurrence during follow up and 8 of these had >1 metabolic abnormality. Only 6/28 (21.4%) patients managed conservatively had stone recurrence whereas 12/30 (40%) managed with a procedure had stone recurrence.Conclusions: Metabolic evaluation for urolithiasis helps us to identify children those at increased risk for recurrent stone disease. Thus metabolic evaluation is a must in all pediatric patients as it helps in segregating patients needing medical therapy.

Suppression of Brake Noise and Vibration Using Aramid and Zylon Fibers: Experimental and Numerical Study

Aramid pulp/fiber is the most vital ingredient of brake friction material (FM) formulation. It is perpetually added to achieve quality brake pads/shoes and improve the overall friction and wear performance. Additionally, novel Zylon fibers have a superior property to aramid fibers. However, no studies give insights on their influence on brake noise and vibration (NV) performance. In the current work, a series of six different types of eco-friendly brake pads was developed. The first five contain aramid pulp, aramid short fibers, and Zylon fibers of different sizes (1, 3, and 6 mm) as the theme ingredients (3 wt %) by keeping the parent composition identical. Additionally, one more pad was developed that contains no aramid/Zylon fibers (i.e., reference pad). The pads were characterized for physical and mechanical properties. The damping and natural frequencies of pads were measured experimentally and numerically. All brake pads were evaluated for detailed NV performance by following the SAE J 2521 test schedule. In addition, numerical simulation was performed to validate the experimental brake squeal results. Results revealed that aramid/Zylon fiber-based pads improved the porosity, damping, and compressibility. Overall, brake noise and vibrations were improved for aramid/Zylon fiber-based pads by 1.2-1.5 dBA and 20-25%, respectively, compared to the reference pad. The complex eigenvalue analysis (CEA) proved that squeal was mainly influenced by the damping and density of the pad materials. Thus, aramid/Zylon fiber-based pads can effectively suppress the instability of the brake system and reduce the brake squeal propensity

A prospective study on outcome of function after proximal row carpectomy

Background: Proximal row carpectomy (PRC) is a procedure with varied indications. The purpose of this study was to evaluate functional outcomes with PRC in wrist flexion deformities, neuromuscular disorders and also post-traumatic wrist arthritis.Methods: A prospective study was performed on all patients who underwent PRC between April 2015 and December 2017, in BIRRD (T) hospital, Tirupati, Andhra Pradesh with a minimum follow up of 6 months. Outcome was assessed in terms of range of motion (ROM), grip strength, quick disabilities of the arm, shoulder, and hand (QDASH) score and pain score. Data was analyzed using the Student t-test.Results: Thirty-two patients underwent PRC of which 12 are neuromuscular disorders, 10 are wrist flexion deformities, 10 are post-traumatic wrist arthritis. On the final follow-up, significant improvement in ROM was observed in wrist flexion deformities and neuromuscular disorders, whereas grip strength and QDASH scores showed a significant difference in post-traumatic wrist arthritis. Pain was studied only in post-traumatic wrist arthritis, all were very much pleased with pain reduction.Conclusions: PRC is fairly a reliable procedure for all the indications in our study. We consider that PRC is a promising procedure in correcting wrist flexion deformities. Though there has been significant improvement in all the parameters for all the cases, we consider this procedure is best suited for post-traumatic arthritis group

EyeArt + EyePACS: Automated Retinal Image Analysis For Diabetic Retinopathy Screening in a Telemedicine System

Telemedicine frameworks are key to screening the large, ever-growing diabetic population for preventable blindness due to diabetic retinopathy (DR). Integrating fully-automated screening systems in telemedicine frameworks will make DR screening more efficient, cost-effective, reproducible, and accessible. In this paper, we present the integration of EyeArt, an automated DR screening system, into EyePACS, a telemedicine system for DR screening used in diverse screening settings. EyeArt in- corporates novel image processing and analysis algorithms for assessing image gradability; enhancing images based on median filtering; detecting interest regions and localizing lesions based on multi-scale morphological analysis; and DR screening and thus achieves robustness to the large image variability seen in a telemedicine system such as EyePACS. EyeArt is implemented as a scalable, high-throughput cloud-based system to enable large-scale DR screening. We evaluate the safety and performance of EyeArt on a dataset with 434,023 images from 54,324 patient cases obtained from EyePACS. On this dataset, EyeArt’s screening sensitivity is 90% at specificity 60.8% and the area under the receiver operating characteristic curve (AUROC) is 0.883. In a setup where trained human graders review patient cases recommended for referral by EyeArt with low confidence, a workload reduction of 62% is possible. Therefore, EyeArt can be safely integrated into large real world telemedicine DR screening programs such as EyePACS helping reduce workload and increase efficiency and thus help in reducing vision loss due to DR through early detection and treatment

Extradigit Glomus Tumor Causing Abdominal Pain -A Case Report-

Glomus tumors are small vascular tumors that are usually benign and rarely occur. They originate from glomus bodies and present in the reticular dermis. They are clinically distinguished by their small size and their ability to cause extreme pain. Most of these tumors are subungually located. However, atypical locations of the tumors sometimes cause misdiagnosis, particularly when the lesion is rarely reported. Therefore, we report a case of glomus tumor which presented with chronic abdominal pain, found in the abdominal wall that has never been reported before