562 research outputs found

    Feature Extraction Techniques for Human Emotion Identification from Face Images

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    Emotion recognition has been one of the stimulating issues over the years due to the irregularities in the complexity of models and unpredictability between expression categories. So many Emotion detection algorithms have developed in the last two decades and still facing problems in accuracy, complexity and real-world implementation. In this paper, we propose two feature extraction techniques: Mouth region-based feature extraction and Maximally Stable Extremal Regions (MSER) method. In Mouth based feature extraction method mouth area is calculated and based on that value the emotions are classified. In the MSER method, the features are extracted by using connecting components and then the extracted features are given to a simple ANN for classification. Experimental results shows that the Mouth area based feature extraction method gives 86% accuracy and MSER based feature extraction method outperforms it by achieving 89% accuracy on DEAP. Thus, it can be concluded that the proposed methods can be effectively used for emotion detection

    The experiences and beliefs of people with severe haemophilia and healthcare professionals on pain management, and their views of using exercise as an aspect of intervention: a qualitative study

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    Purpose: To explore the experiences, views and beliefs of people with severe haemophilia and healthcare professionals (HCPs) on approaches for pain management, as well as their views on exercise being used as an aspect of management. Methods: Taking a qualitative inquiry approach using focus groups and semi-structured interviews, participants included people with severe haemophilia living with chronic pain and haemophilia HCPs. Data were analysed using reflexive thematic analysis. Results: Fourteen men with haemophilia with a median age of 47 (range 23ā€“73) and six haemophilia HCPs agreed to participate. Of the people with haemophilia, 11 attended two focus groups and three were interviewed over telephone. Healthcare professionals were interviewed face-to-face. Two themes were conceptualised from the data: (i) haemophilia management and pain management is discordant (imbalance between good haemophilia care but poor pain management, historical medico-social influences on pain management, the need for trust); (ii) uncertain about exercise but clear on what matters (conflicting views on exercise, the need for proof of safety, personalised care). Conclusions: Options for effective pain management remain limited and what is used is heavily influenced by beliefs and experience. Exercise as a treatment option in pain management is conceptually acceptable for people with haemophilia. Effective pain management requires understanding of individual beliefs and fears, and a personalised approach supported by knowledgeable, trusted clinicians

    Physiotherapy interventions for pain management in haemophilia: A systematic review

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    Purpose: Approximately 35%-50% of people with haemophilia (PWH) report living with chronic musculoskeletal pain. Although exercise based rehabilitation is effective for pain in other arthritises, there are no published guidelines for management of chronic pain in PWH. This review aims to evaluate and appraise the current evidence of effectiveness of physiotherapy interventions on (a) pain intensity, (b) quality of life (QoL) and (c) function in PWH. Methods: A systematic review of five databases AMED and CINAHL, EMBASE and MEDLINE and PEDro, as well as trial registries, grey literature and hand searching key journals was completed. Included studies were critically appraised and evaluated for risk of bias. The GRADE approach was used to rate the quality of the evidence. Results: Nine trials consisting of 235 participants met the inclusion criteria. All studies had an overall risk of bias with low methodological quality. Meta-analysis was not possible due to heterogeneity across trials. Studies comparing a range of physiotherapy interventions against no intervention showed no clear beneficial effect on pain intensity or QoL. Only one study, investigating hydrotherapy or land-based exercise against control, showed positive effect for pain intensity, but rated very low on GRADE assessment. Studies comparing one physiotherapy intervention against another showed no clear benefit on pain intensity, QoL or function. LASER with exercise and hydrotherapy were shown to have some positive effects on pain intensity, but no clear benefit on function. Conclusions: At present, there is limited evidence for the use of physiotherapy interventions in addressing the issue of pain in PWH. Better designed trials with higher quality and explicit methodology along with user involvement are needed to assess the efficacy of any proposed intervention

    How does a lifetime of painful experiences influence sensations and beliefs about pain in adults with severe haemophilia? A qualitative study

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    Purpose: To explore the life experiences of pain in people with severe haemophilia and understand how such experiences influence beliefs and sensation of pain in adulthood. Methods: A qualitative inquiry approach using focus groups and semi-structured individual interviews was used. Participants included people with severe haemophilia living with chronic pain. Data were analysed using reflexive thematic analysis. Results: Fourteen men with a median age of 47 (range 23ā€“73) agreed to take part. Eleven participated in two focus groups and three were interviewed over telephone. Two themes were conceptualised from the data: (i) haemophilia and pain ā€“ an evolving life biography (the personal narrative, historical, social, and medical context, continuous adaptation of activity choices, surveillance of pain and its meaning); (ii) ā€œMy normal isnā€™t normalā€ ā€“ identity and self-agency (pain as a feature of life and identify with severe haemophilia, loss of enjoyable activities balanced against staying active, barriers to participation). Conclusions: Pain is a constantly evolving, lifetime feature for many adults with haemophilia and it is viewed as part of their identity with their condition. Healthcare professionals working in haemophilia should try to better understand the influence of an individuals lived experience with their haemophilia on beliefs and behaviours of pai

    Study of serum lipid profile and magnesium in preeclampsia

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    Background: A comparative study of serum lipid profile and magnesium levels in normal pregnancy versus preeclampsia (PE).Methods: A prospective study done for 2 years (October 2014 to October 2016) in the Department of Obstetrics and Gynecology, Narayana medical college and hospital, a tertiary care centre, Nellore, Andhra Pradesh, India. A sample size of 200 pregnant women, recruited and divided into group A and B. group A being women with PE and group B is normal pregnant women.A10ml of venous blood was collected in the fasting state and serum collected from clotted blood to measure lipid profile, magnesium, Apo lipoprotein A-I and Apo lipoprotein B 100.Serum Lipid profileĀ  measured by enzymatic method using commercially available kit Human (GmbH Germany) using humastar 600 chemistry analyzer (Human GmbH Germany). Serum magnesium measured by dye binding method using commercially available kit Human (GmbH Germany) using Humastar 600 chemistry analyzer (Human GmbH Germany). Serum ApoA-I and ApoB were measured by immune-turbidometry using commercial kits from Spinreact Spain. Urine albumin done by dipstick method.Results: Serum total cholesterol (TC), Triglyceride (TG), low density lipoprotein (LDL), very low-density lipoprotein (VLDL), Apo lipoprotein B 100 (Apo B100) were high and serum Magnesium, high density lipoprotein (HDL) and Apo lipoprotein A1(Apo A1) were low in the study group (group A) compared to controls (group B).Conclusions: Abnormal lipid profile (low HDL and increased TG concentration) and serum hypomagnesaemia may be contributing etiologies of preeclampsia, having good predictive value as a screening procedure for PE in high risk pregnant population

    Design and Development of Press Coated Pulsatile Release of Ketoprofen Tablets

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    The present study involved the Formulation and evaluation of Ketoprofen pulsatile tablets by using different polymers and in combination of synthetic and natural polymers. Organoleptic properties, Solubility, compatibility studies was carried out and found to be satisfied. By preformulation studies of granules of core tablet, angle of repose and compressibility index was found to be in the range, shown excellent flow property for compression. Evaluations studies was performed for the core tablet included friability, hardness, weight variation fall within SDĀ±2%, Content uniformity was complies Evaluation studies of coated tablet, friability, hardness, weight variation fall within SDĀ±2%. In vitro dissolution studies were performed for the formulation F1 to F9 and the formulation 8 gave a Pulsatile drug release at the end of 6th hrs. Here at once drug was released completely after predetermined time. The Stability studied was carried out for the formulation 8 for two months as per ICH guidelines and found to be stable. Conclusion Although sustained and controlled drug delivery systems have gained a lot of success and application in field of medication, these systems fail to deliver drug according to circadian behavior of diseases for which pulsatile systems are beneficial. There is a constant need for new delivery systems that can provide increased therapeutic benefits to the patients. Pulsatile drug delivery is one such system that, by delivering drug at the right time, right place, and in right amounts, holds good promises of benefit to the patients suffering from chronic problems like arthritis (In world mostly women are suffering with rheumatoid arthritis. Based upon the research F8 formulation was shown pulsatile release after completion of 6 hr i.e was suitable for the treatment of rheumatoid arthritis

    ASSESSMENT AND EVALUATION OF ENHANCED MULTICAST ROUTING MECHANISM FOR EVOLVING NETWORK TOPOLOGIES

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    Routing protocols of mobile ad-hoc network tend to need different approaches from existing Internet protocols, since most of the existing Internet protocols were designed to support routing in a network with fixed structure. In the academic and industrial world, those who think about such things have written quite a few papers proposing various routing solutions for mobile ad-hoc networks. In most wireless networking environments in productive use today the users devices communicate either via some networking infrastructure in the form of base stations and a backbone network, or directly with their intended communication partner, e.g. using 802.11 in ad hoc networks. In the proposed work, the evaluation of the distributed island multicast Protocol with AODV for news broadcasting and software distribution often has a large number of users is to be simulated and compared with CIM. It requires scalable and distributed solutions for data delivery. In DIM, hosts in the same island elect a unique leader. All leaders form an overlay tree. Based on the leader tree, leaders select bridge-nodes for their islands and construct a delivery overlay in distributed manner

    Using theory of change to co-create a programme theory for a telerehabilitation intervention for pain management in people with haemophilia

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    Background Improved approaches for chronic pain management are a clinical and research priority for people with haemophilia (PWH). Involving people with lived experience in the design of a complex rehabilitation intervention strengthens the credibility and plausibility of the intervention, particularly in relation to rare disorders. Here we describe using a ā€˜Theory of Changeā€™ (ToC) dialogue-based stakeholder process to create a programme theory for a telerehabilitation intervention. Methods An online workshop was convened and stakeholders received a briefing document in advance. Five stakeholders took part (3 PWH and 2 physiotherapists). At the workshop the group first agreed the overall aim of the intervention. Discussions then identified the resources, activities, barriers and enablers needed to achieve this outcome. All discussions were recorded and annotated by the workshop moderator. Behaviour change techniques were mapped for inclusion in the theory. Results A programme theory and narrative report were produced. All stakeholders reviewed these for clarity and to ensure a true refection of the workshop discussions. Agreement was based on how meaningful, well-defined, do-able, plausible, credible, and testable each component was. Stakeholders highlighted the importance of issues unique to PWH. Key components included the need for physiotherapists to be knowledgeable of the condition, a range of exercises that were inclusive of all abilities, and the need for people to feel safe and supported whilst taking part. Conclusions Co-developed theory based approaches to intervention design offer an inclusive and transparent way to develop novel and meaningful interventions for people with complex health conditions. The ToC is wholly transparent in its design and content. Together with the identified behaviour change techniques, the theory informs the protocol for a feasibility study evaluating a telerehabilitation intervention. Importantly, it allows the opportunity to revise, adapt and improve the programme theory for further implementation and evaluatio
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