Comparison of health care seeking behavior in rural versus urban women in Uttarakhand

Background: Epidemiologists and social scientists have devoted increasing attention to studying care seeking behavior associatedwith two leading causes of death namely acute respiratory infections and diarrhea. Objective: This study was planned to assess andcompare the health care seeking behavior of urban and rural population in two districts, one with better and other with poor healthparameters. Materials and Methods: A cross-sectional study was planned in the state of Uttarakhand to assess the differences in careseeking behavior in its urban and rural population. Data were collected from two districts namely Dehradun and Uttarkashi. Mothers(140) having children up to 5 years of age were interviewed in both the districts and questionnaire was administered to evaluate thecare seeking behavior among mothers. Results: Children <1 year and more than 3 years were reported to fall ill more than childrenbetween 1 and 3 years in both Dehradun and Uttarakashi, with fever, cough, cold, diarrhea and vomiting, and pneumonia as the mostcommon reported diseases. The average number of symptoms care seeking pattern and hospital treatment was higher in Dehradundespite a similar level of education of mothers in both the regions. Conclusion: Dehradun, having better health facilities, could addressthe concerns in health of children

Mechanisms that Govern how the Price of Anarchy varies with Travel Demand

Selfish routing, represented by the User-Equilibrium (UE) model, is known to be inefficient when compared to the System Optimum (SO) model. However, there is currently little understanding of how the magnitude of this inefficiency, which can be measured by the Price of Anarchy (PoA), varies across different structures of demand and supply. Such understanding would be useful for both transport policy and network design, as it could help to identify circumstances in which policy interventions that are designed to induce more efficient use of a traffic network, are worth their costs of implementation. This paper identifies four mechanisms that govern how the PoA varies with travel demand in traffic networks with separable and strictly increasing cost functions. For each OD movement, these are expansions and contractions in the sets of routes that are of minimum cost under UE and minimum marginal total cost under SO. The effects of these mechanisms on the PoA are established via a combination of theoretical proofs and conjectures supported by numerical evidence. In addition, for the special case of traffic networks with BPR-like cost functions having common power, it is proven that there is a systematic relationship between link flows under UE and SO, and hence between the levels of demand at which expansions and contractions occur. For this case, numerical evidence also suggests that the PoA has power law decay for large demand

Flight Test of the F/A-18 Active Aeroelastic Wing Airplane

Successful flight-testing of the Active Aeroelastic Wing airplane was completed in March 2005. This program, which started in 1996, was a joint activity sponsored by NASA, Air Force Research Laboratory, and industry contractors. The test program contained two flight test phases conducted in early 2003 and early 2005. During the first phase of flight test, aerodynamic models and load models of the wing control surfaces and wing structure were developed. Design teams built new research control laws for the Active Aeroelastic Wing airplane using these flight-validated models; and throughout the final phase of flight test, these new control laws were demonstrated. The control laws were designed to optimize strategies for moving the wing control surfaces to maximize roll rates in the transonic and supersonic flight regimes. Control surface hinge moments and wing loads were constrained to remain within hydraulic and load limits. This paper describes briefly the flight control system architecture as well as the design approach used by Active Aeroelastic Wing project engineers to develop flight control system gains. Additionally, this paper presents flight test techniques and comparison between flight test results and predictions

Development and Testing of Control Laws for the Active Aeroelastic Wing Program

The Active Aeroelastic Wing research program was a joint program between the U.S. Air Force Research Laboratory and NASA established to investigate the characteristics of an aeroelastic wing and the technique of using wing twist for roll control. The flight test program employed the use of an F/A-18 aircraft modified by reducing the wing torsional stiffness and adding a custom research flight control system. The research flight control system was optimized to maximize roll rate using only wing surfaces to twist the wing while simultaneously maintaining design load limits, stability margins, and handling qualities. NASA Dryden Flight Research Center developed control laws using the software design tool called CONDUIT, which employs a multi-objective function optimization to tune selected control system design parameters. Modifications were made to the Active Aeroelastic Wing implementation in this new software design tool to incorporate the NASA Dryden Flight Research Center nonlinear F/A-18 simulation for time history analysis. This paper describes the design process, including how the control law requirements were incorporated into constraints for the optimization of this specific software design tool. Predicted performance is also compared to results from flight

COMPUTATIONAL FLUID DYNAMICS MODELING ANALYSIS OF COMBUSTORS

In the current fiscal year FY01, several CFD simulations were conducted to investigate the effects of moisture in biomass/coal, particle injection locations, and flow parameters on carbon burnout and NO{sub x} inside a 150 MW GEEZER industrial boiler. Various simulations were designed to predict the suitability of biomass cofiring in coal combustors, and to explore the possibility of using biomass as a reburning fuel to reduce NO{sub x}. Some additional CFD simulations were also conducted on CERF combustor to examine the combustion characteristics of pulverized coal in enriched O{sub 2}/CO{sub 2} environments. Most of the CFD models available in the literature treat particles to be point masses with uniform temperature inside the particles. This isothermal condition may not be suitable for larger biomass particles. To this end, a stand alone program was developed from the first principles to account for heat conduction from the surface of the particle to its center. It is envisaged that the recently developed non-isothermal stand alone module will be integrated with the Fluent solver during next fiscal year to accurately predict the carbon burnout from larger biomass particles. Anisotropy in heat transfer in radial and axial will be explored using different conductivities in radial and axial directions. The above models will be validated/tested on various fullscale industrial boilers. The current NO{sub x} modules will be modified to account for local CH, CH{sub 2}, and CH{sub 3} radicals chemistry, currently it is based on global chemistry. It may also be worth exploring the effect of enriched O{sub 2}/CO{sub 2} environment on carbon burnout and NO{sub x} concentration. The research objective of this study is to develop a 3-Dimensional Combustor Model for Biomass Co-firing and reburning applications using the Fluent Computational Fluid Dynamics Code

Prognostic value of the Sinonasal Outcome Test 22 (SNOT-22) in chronic rhinosinusitis

Studi in letteratura hanno evidenziato che il punteggio basale del Sinonasal Outcome Test 22 (SNOT-22) influenza l\u2019outcome chirurgico nella rinosinusite cronica (CRS) ed hanno suggerito che un approccio SNOT-22-mediato potrebbe migliorare la comprensione delle aspettative dei pazienti dopo il trattamento. Il presente studio mirava a verificare questa ipotesi in una popolazione italiana di CRS. In 457 pazienti con CRS, trattati con chirurgia endoscopica endonasale dopo fallimento della terapia medica massimale, sono stati calcolati la percentuale di raggiungimento della differenza minima clinicamente rilevabile (MCID) e la percentuale di miglioramento relativo dopo l\u2019intervento chirurgico. Inoltre, \ue8 stato studiato l\u2019impatto di diversi fattori sul punteggio dello SNOT-22 preoperatorio e postoperatorio. Il miglioramento dei sintomi si \ue8 verificato nella maggior parte dei pazienti ed era direttamente proporzionale alla SNOT-22 basale. Il 79,7% dei pazienti ha raggiunto l\u2019MCID e la percentuale di miglioramento relativo \ue8 stata del 50,1%. Le implicazioni psicologiche e sociali hanno influenzato significativamente i punteggi dello SNOT-22. Un\u2019analisi di regressione multipla ha mostrato che la storia di precedenti interventi chirurgici, asma, score endoscopico preoperatorio e SNOT-22 basale hanno statisticamente predetto il punteggio dello SNOT-22 postoperatorio (R2 = 0,229). Sottoporre i pazienti con CRS a SNOT-22 prima dei trattamenti chirurgici potrebbe quindi aiutare ad informarli sui probabili esiti, sebbene sia fortemente influenzato dalla percezione individuale. Sono necessari ulteriori studi per identificare un set efficace di parametri soggettivi e oggettivi per la valutazione dei risultati.Previous studies have highlighted that baseline Sinonasal Outcome Test 22 (SNOT-22) score affects surgical outcomes in chronic rhinosinusitis (CRS) and suggested that a SNOT-22- based approach might ameliorate patients\u2019 understanding of expectations after treatment. Our study aimed at verifying this hypothesis in an Italian CRS population. In 457 CRS patients treated with endoscopic sinus surgery after failure of maximal medical therapy, the percentage of achieving a minimal clinically important difference (MCID) and the percentage of relative improvement after surgery were calculated. Moreover, the impact of several factors on preoperative and postoperative SNOT-22 score was investigated. Symptom improvement occurred in the majority of patients and was directly proportional to baseline SNOT-22. 79,7% of patients achieved the MCID and the percentage of relative improvement was 50,1%. Psychological and social-functioning implications significantly affected SNOT-22 scores. Multiple regression analysis showed that history of previous surgery, asthma, preoperative endoscopic and SNOT-22 scores predicted the postoperative SNOT-22 score (R2 = 0,298). Submitting CRS patients to SNOT-22 prior to surgical treatments might help to inform about probable outcomes, although it is strongly influenced by individual perception. Further studies are needed to identify an effective set of subjective and objective parameters for evaluation of outcomes

Effect of a workplace-based group training programme combined with financial incentives on smoking cessation:a cluster-randomised controlled trial

Prevention, Population and Disease management (PrePoD)Public Health and primary car

Thermal and wind structure of the monsoon trough boundary layer

Radiosonde data from Jodhpur, taken at 0530, 1730 and around 1100 hr IST during MONTBLEX 1990, reveal that the distribution of virtual potential temperature0 v below about 500 hPa has a structure characterized by up to three layers each of approximately constant gradient. We are thus led to introduce a characterization of the observed thermal structure through a sequence of the symbolsN, S andU, standing respectively for neutral, stable or unstable conditions in the different layers, beginning with the one closest to the ground. It is found that, of the 29 combinations possible, only the seven classes,S, SS', SNS', NS, NSS', USS' andUNS are observed, whereS' stands for a stable layer with a different gradient of0 r. than in the layerS. It is also found that, in 90% of the launches at 0530 hr, 48% of the launches at 1730 hr and 69% of the launches around 1100 hr, the first radiosonde layer near the ground is stable; the classical mixed layer was found in only 11 % of the data set analysed, and, if present on other occasions, must have been less than 250 m in height, the first level at which radiosonde data are available. Supplementing the above data, sodar echograms, available during 82% of the time between June and August 1990, suggest a stable layer up to a few tens of metres 48% of the time. A comparative study of the radiosonde data at Ranchi shows that the frequent prevalence of stability near the surface at Jodhpur cannot be attributed entirely to the large scale subsidence known to be characteristic of the Rajasthan area. Further, data at Jodhpur reveal a weak low level jet at heights generally ranging from 400 to 900 m with wind speeds of 6 to 15 m/s. Based on these results, it is conjectured that the lowest layers in the atmosphere during the monsoons, especially with heavy clouding or rain, may frequently be closer to the classical nocturnal boundary layer than to the standard convective mixed layer, although often with shallow plumes that penetrate such a stable layer during daytime