Perception of Visually Impaired Youth about Familial, Academic and Caregivers Support

The present study was an endeavor to explore the perception of visually impaired about familial academic and caregivers support Study aimed to explore the difference in the perception of support of visually impaired youth living in the residential institute A questionnaire consisting of 28 items was develop through standardizes procedure and used for data collection The sample of the study was consisted of 100 students Among them 28 were boys and 22 were girls ages ranged from 15 to 22 years they belong to different socioeconomic status The present study unfold various aspects of familial academic and residential life of visually impaired male and female students experienced lack of social support by caregivers visually impaired male students experienced most of problems due to non cooperative attitude of caregivers students who stay longer hours in hostel face more difficulties students who are receiving higher education face more problems as compared to students of secondary and intermediate level Study indicates that visually impaired students perceived lack of social support due the people those are near to them Finding of the study confirm that the performance and attitude of caregivers are not satisfactory moreover residential facilities are also not enough On the basis of results it is suggested that the excellence of family unit and institutional psychosocial support may provided to visually impaired students because it play a vital role for their successive achievement and success in practical lif

Prevalence of depression among subjects with and without gestational diabetes mellitus in Bangladesh: a hospital based study

Background Data on association between depression and diabetes during the pregnancy period in Asia, specifically in Bangladesh are scarce. The study was designed to measure the prevalence of depression during pregnancy with or without Gestational Diabetes Mellitus (GDM). Methods Seven hundred and forty eight pregnant women (382 with GDM, 366 without-GDM) attending at the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders, participated in the study. Blood glucose was measured following both WHO and ACOG criteria; GDM was diagnosed within 24–28 weeks. Depressive symptoms were assessed following MADRS scale. Semi-structured questionnaire was used to record their socio-demographic status and clinical and family history. Blood pressure, height, weight were also measured. Results Overall prevalence of depression was 18.32 %. Depression was higher in GDM subjects (25.92 %) compared to without-GDM subjects (10.38 %) with mean age of of 28.34 and 27.17 years respectively. Prevalence of depression was alarming in both the extreme of age. Dwelling place (P < 0.009) and past history of GDM (P < 0.018) had strong association with Depression. Higher prevalence of depression was found in Primipara whereas the risk of GDM increased with parity. Other obstetrical factors did not show any significant association with depression and GDM. Income (self and total family), physical exercise, sedentary lifestyle and workload had no significant statistical association with depression or GDM. Conclusion Higher rate of depression in pregnancy deserves medical attention especially women diagnosed with GDM. Further studies should estimate adverse pregnancy outcome for untreated depression especially in GDM cases

Implementation of six sigma in Australian manufacturing small and medium enterprises

The present study discusses the status of quality management practices in manufacturing SMEs in Australia and investigates the reasons why they are not implementing the Six Sigma methodology. This study emphasises that Six Sigma can be implemented in manufacturing SMEs. Moreover, this study identifies the motivation for adopting Six Sigma by Australian manufacturing SMEs. A Six Sigma implementation framework is developed and presented

Control Plane Compression

We develop an algorithm capable of compressing large networks into a smaller ones with similar control plane behavior: For every stable routing solution in the large, original network, there exists a corresponding solution in the compressed network, and vice versa. Our compression algorithm preserves a wide variety of network properties including reachability, loop freedom, and path length. Consequently, operators may speed up network analysis, based on simulation, emulation, or verification, by analyzing only the compressed network. Our approach is based on a new theory of control plane equivalence. We implement these ideas in a tool called Bonsai and apply it to real and synthetic networks. Bonsai can shrink real networks by over a factor of 5 and speed up analysis by several orders of magnitude.Comment: Extended version of the paper appearing in ACM SIGCOMM 201

Dose Determination of Activated Charcoal in Management of Amitriptyline-Induced Poisoning by Reversed-Phase High-Performance Liquid Chromatography

Purpose: To assess the doses of activated charcoal currently used in the management of acute amitriptyline-induced drug poisoning and explore the possibility of using lower doses.Methods: Albino male Wistar rats, weighing 200 ± 20 g, were used for the study. The animals were divided into four groups of eight animals each. The concentration of amitriptyline in rat plasma was measured by high performance liquid chromatography (HPLC) for dose determination of activated charcoal. Chromatograms were established with acetonitrile: 70 mM KH2PO4 buffer (60: 40, v/v) solvent system on an Xterna® ms C18 SUM column (5 μm, 3.9 × 150 mm) and pH was adjusted to 4.5 with ortho-phosphoric acid. Mobile phase flow rate was 1 ml/min and ultraviolet (UV) detection was at 293 nm. Validation of the method was performed to determine its selectivity, linearity, precision, as well as limits of detection (LOD) and of quantification (LOQ).Results: Standard curves were linear, r2 = 0.996, for amitriptyline over the concentration range 10 - 60 ng/ml. Recovery (98.3 to 100.85 %) was in the selected concentration range of 10 - 60 ng/ml. The LOD and LOQ of the method for amitriptyline were 0.109 and 0.332 μg/ml, respectively. The validated method was successfully applied to measure plasma concentrations of amitriptyline and to measure the doses of activated charcoal currently used in the management of acute amitriptyline drug poisoning.Conclusion: The proposed RP-HPLC method enables determination of amitriptyline with good separation and resolution of the chromatographic peaks. Validation revealed that the method is sensitive, accurate and selective. Using half of the standard dose of the activated charcoal gave a comparable effect to the standard dose in reducing drug concentration in the blood. While, using quarter of the standard dose of activated charcoal does not have a cleared effect.Keywords: Amitriptyline, Activated charcoal, Drug poisoning, Reversed-phase high-performance liquid chromatograph

Causal Relationship between Monetary Policy and the Stock Market: a Bootstrap Rolling Window Approach

This study examines the causal relationship between the monetary policy and the stock price in Pakistan. We use bootstrap Granger full-sample causality test and sub-sample rolling window estimation test for the period of 1992:01 to 2015:06. The empirical result shows that there is a unidirectional causality from monetary policy to the stock price. However, considering the structural changes, we assess the parameter stability by using the full sample for short run relationship and find the short run instability for the full sample. This recommends that full-sample data cannot depend upon for the precise result. To address the structural changes issue, we propose rolling window approach is used to revisit the causal relationship between the two series and the result reports the bi-directional causal relationship between the monetary policy and the stock market. The relationship between the stock market and the money supply is not consistent, and the upward trend may cause serious policy implication on the stock market for future investment and profit

The Use of Social Media in Endourology: An Analysis of the 2013 World Congress of Endourology Meeting

Objective: To examine the use of social media within Endourology by reporting on its utilization during the 2013 World Congress of Endourology (WCE) annual meeting. Materials and Methods: Two social media platforms were analyzed for this study: Twitter (San Francisco, CA) and LinkedIn (Mountain View, CA). For Twitter, a third-party analysis service (Tweetreach) was used to quantitatively analyze all tweets with the hashtags #WCE2013 and #WCE13 during a 7-day period surrounding the WCE. Two reviewers independently classified tweet content using a predefined Twitter-specific classification system. Tweet sentiment was determined using sentiment analysis software (Semantria, Inc., Amherst, MA). Finally, the penetration of Twitter and LinkedIn within the WCE faculty was assessed by means of a manual search. Results: During the study period, 335 tweets had the hashtag #WCE2013 or #WCE13. Content originated from 68 users resulting in a mean of 47 tweets/day and 4.9 tweets/contributor. Conference-related tweets had a reach of 38,141 unique Twitter accounts and an online exposure of 188,629 impressions. Physicians generated the majority of the content (63%), of which 55.8% were not attending the meeting. More tweets were informative (56.7%) versus uninformative (43.3%), and 17.9% had links to an external web citation. The mean sentiment score was 0.13 (range ?0.90 to 1.80); 13.1%, 57.0%, and 29.9% of tweets were negative, neutral, and positive in sentiment, respectively. Of 302 WCE meeting faculty, 150 (49.7%) had registered LinkedIn accounts while only 52 (17.2%) had Twitter accounts, and only 19.2% tweeted during the meeting. Conclusions: Despite a relatively low number of Twitter users, tweeting about the WCE meeting dramatically increased its online exposure with dissemination of content that was mostly informative including engagement with physicians not attending the conference. While half of faculty at WCE 2013 had LinkedIn accounts, their social media footprint in Twitter was limited.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140078/1/end.2014.0329.pd

Statin Use and Risk of Sepsis After Percutaneous Nephrolithotomy

Purpose: To examine the association between statin medication use and sepsis risk after percutaneous nephrolithotomy (PCNL). Materials and Methods: Using medical claims data, we identified working-age adults with urinary stone disease who were treated with PCNL. Among this cohort, we determined which patients had a prescription fill for a statin agent that encompassed their surgery date. We then fitted logistic regression models to examine for differences in rates of postoperative sepsis between statin users and nonusers. In addition, we evaluated the frequency of nonfebrile urinary tract infections (UTIs) and intensive care unit (ICU) services utilization and hospital length of stay (LOS) as a function of statin use. Results: During the study period, at total of 2046 patients underwent PCNL, 382 (18.7%) of whom had a prescription fill for a statin agent preceding their surgery. The overall rate of sepsis in this population was 3.8%. After adjusting for patient health status and sociodemographic factors, the rate of postoperative sepsis was comparable between statin users and nonusers (5.3% vs 3.5%, respectively; P=0.105). In addition, UTI and ICU utilization rates did not relate to statin use (P>0.05 for all associations). Adjusted hospital LOS was shorter among statin users, but the difference was clinically trivial (3.6 vs 4.1 days; P=0.007). Conclusions: Statin use is not associated with reductions in postoperative sepsis, nonfebrile UTIs, ICU utilization, or hospital LOS after PCNL. To increase the safety of PCNL, urologists will have to consider other processes of care (e.g., clinical care pathways).Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140081/1/end.2015.0042.pd