18 research outputs found

    Application of Perturbation Theory in Heat Flow Analysis

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    Many physical and engineering problems can be modeled using partial differential equations such as heat transfer through conduction process in steady and unsteady state. Perturbation methods are analytical approximation method to understand physical phenomena which depends on perturbation quantity. Homotopy perturbation method (HPM) was proposed by Ji Huan He. HPM is considered as effective method in solving partial differential equations. The solution obtained by HPM converges to exact solution, which are in the form of an infinite function series. Biazar and Eslami proposed new homotopy perturbation method (NHPM) in which construction of an appropriate homotopy equation and selection of appropriate initial approximation guess are two important steps. In present work, heat flow analysis has been done on a rod of length L and diffusivity α using HPM and NHPM. The solution obtained using different perturbation methods are compared with the solution obtained from most common analytical method separation of variables

    Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: A qualitative study

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    Objectives: Paediatric pneumonia burden and mortality are highest in low-income and middle-income countries (LMIC). Paediatric lung ultrasound (LUS) has emerged as a promising diagnostic tool for pneumonia in LMIC. Despite a growing evidence base for LUS use in paediatric pneumonia diagnosis, little is known about its potential for successful implementation in LMIC. Our objectives were to evaluate the feasibility, usability and acceptability of LUS in the diagnosis of paediatric pneumonia.Design: Prospective qualitative study using semistructured interviews SETTING: Two referral hospitals in Mozambique and Pakistan PARTICIPANTS: A total of 21 healthcare providers (HCPs) and 20 caregivers were enrolled.Results: HCPs highlighted themes of limited resource availability for the feasibility of LUS implementation, including perceived high cost of equipment, maintenance demands, time constraints and limited trained staff. HCPs emphasised the importance of policymaker support and caregiver acceptance for long-term success. HCP perspectives of usability highlighted ease of use and integration into existing workflow. HCPs and caregivers had positive attitudes towards LUS with few exceptions. Both HCPs and caregivers emphasised the potential for rapid, improved diagnosis of paediatric respiratory conditions using LUS.Conclusions: This was the first study to evaluate HCP and caregiver perspectives of paediatric LUS through qualitative analysis. Critical components impacting feasibility, usability and acceptability of LUS for paediatric pneumonia diagnosis in LMIC were identified for initial deployment. Future research should explore LUS sustainability, with a particular focus on quality control, device maintenance and functionality and adoption of the new technology within the health system. This study highlights the need to engage both users and recipients of new technology early in order to adapt future interventions to the local context for successful implementation.Trial registration number: NCT03187067

    Serial lung ultrasounds in pediatric pneumonia in Mozambique and Pakistan.

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    Lung ultrasound (LUS) is a promising point-of-care imaging technology for diagnosing and managing pneumonia. We sought to explore serial LUS examinations in children with chest-indrawing pneumonia in resource-constrained settings and compare their clinical and LUS imaging courses longitudinally. We conducted a prospective, observational study among children aged 2 through 23 months with World Health Organization Integrated Management of Childhood Illness chest-indrawing pneumonia and among children without fast breathing, chest indrawing or fever (no pneumonia cohort) at 2 district hospitals in Mozambique and Pakistan. We assessed serial LUS at enrollment, 2, 6, and 14 days, and performed a secondary analysis of enrolled children's longitudinal clinical and imaging courses. By Day 14, the majority of children with chest-indrawing pneumonia and consolidation on enrollment LUS showed improvement on follow-up LUS (100% in Mozambique, 85.4% in Pakistan) and were clinically cured (100% in Mozambique, 78.0% in Pakistan). In our cohort of children with chest-indrawing pneumonia, LUS imaging often reflected the clinical course; however, it is unclear how serial LUS would inform the routine management of non-severe chest-indrawing pneumonia

    Performance of lung ultrasound in the diagnosis of pediatric pneumonia in Mozambique and Pakistan.

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    INTRODUCTION: Improved pneumonia diagnostics are needed in low-resource settings (LRS); lung ultrasound (LUS) is a promising diagnostic technology for pneumonia. The objective was to compare LUS versus chest radiograph (CXR), and among LUS interpreters, to compare expert versus limited training with respect to interrater reliability. METHODS: We conducted a prospective, observational study among children with World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) chest-indrawing pneumonia at two district hospitals in Mozambique and Pakistan, and assessed LUS and CXR examinations. The primary endpoint was interrater reliability between LUS and CXR interpreters for pneumonia diagnosis among children with WHO IMCI chest-indrawing pneumonia. RESULTS: Interrater reliability was excellent for expert LUS interpreters, but poor to moderate for expert CXR interpreters and onsite LUS interpreters with limited training. CONCLUSIONS: Among children with WHO IMCI chest-indrawing pneumonia, expert interpreters may achieve substantially higher interrater reliability for LUS compared to CXR, and LUS showed potential as a preferred reference standard. For point-of-care LUS to be successfully implemented for the diagnosis and management of pneumonia in LRS, the clinical environment and amount of appropriate user training will need to be understood and addressed

    Surface modification of EDM process using Carbon Nano tubes, A Review

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    Abstract:- Better surface finish demand is increasing from recent years for machining of tough and super alloys. Traditionally EDM Dielectric is mixed with either aluminum (Al), chromium (Cr), copper (Cu), and silicon carbide (SiC) powder to obtain high surface finish value. In new technology researchers mix Carbon nano tube (CNT) with dielectric fluid in EDM process because of high thermal conductivity of CNTs. The analysis of surface characteristics like surface roughness, micro cracks of work pieces are carried out and an excellent machined nano surface finish is attained. Keywords:- CNT, EDM, MWNT,PHEDM, SWNT, SR, I
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