Incidence and Parental Perception of Home Cardiorespiratory Monitor Use in Preterm Infants

Abstract Background: Achievement of physiological stability is essential for safe hospital discharge of a premature infant. While there is no scientific evidence that use of home cardiorespiratory (CR) monitoring decreases the incidence of Sudden Infant Death Syndrome (SIDS), the impact on the length of hospitalization and on parents’ experience has not been described in the literature. Methods: A retrospective patients record review was conducted to assess CR monitor use at discharge in preterm infants born at The University of Kansas Health System (TUKHS) from January 1, 2016, to December 31, 2017. Full-term infants, infants with a family history of SIDS, preterm infants discharged home on oxygen and those with major congenital/chromosomal anomalies were excluded. Data were collected on patient demographics, caffeine prescription, hospital readmission within 30-days of discharge and median length of stay (LOS). Eligible participants received a telephone survey administered by a research assistant post-discharge that examined parents’ CR monitor experiences and use. Results: Over the 2-year study period, forty-four infants were discharged home on CR monitor with the incidence of 8.1%. Of these, eight (18.2%) preterm infants were discharged home on caffeine for apnea of prematurity. Only four readmissions were noted within 30-days of discharge; one infant was readmitted due to bradycardia spells observed on CR monitor (2.8%). Total 28 responses out of 44 were received at the follow up telephone survey (63.6%). Most parents reported feeling secure (67.8%) but anxious (60.7%) using the CR monitor. Parents who reported experiencing false alarms frequently also reported having feelings of anxiety while using the CR monitor (χ² =5.1, p = 0.02). Conclusion: Readmissions due to false alarms while using CR monitors at home for preterm infants were rare in our cohort. Many parents reported feeling anxious in presence of frequent false alarms when using the monitor as prescribed by the neonatologists. Providers should monitor parental feelings of anxiety and provide interventions as needed

Diabetes Awareness & Its Challenges- A Hammering Issue

Diabetes is one of the most common non communicable diseases affecting many people of our country. India being a diabetic capital of world is facing a major epidemic of same. After Covid -19 pandemic its become more evident that person who were having deranged blood sugar level were more at risk of getting infections. So its very important to create awareness of same. According to National Family Health Survey -5 (NFHS-5) men & women with high or very high blood sugar level (>140mg/dl) who are taking medicines were 15.6 % & 13.5% respectively. Females 15 years & above whose blood sugar levels were high or very high were 6.1 & 6.3 % and men with same were 7.3 & 7.2 %(1). These findings were added first time in NFHS survey as more and more population are getting this silent but killer disease. The main risk factors for this disease are very well known like modifiable risk factors are obesity specially central obesity, gestational diabetes, sedentary life style, a highly saturated fat diet, reduced intake of dietary fibers, malnutrition related diabetes, excessive alcohol consumption etc (2)

An Ideal Approach for Detection and Prevention of Phishing Attacks

AbstractPhishing is a treacherous attempt to embezzle personal information such as bank account details, credit card information, social security number, employment details, and online shopping account passwords and so on from internet users. Phishing, or stealing of sensitive information on the web, has dealt a major blow to Internet security in recent times. These attacks use spurious emails or websites designed to fool users into divulging personal financial data by emulating the trusted brands of well-known banks, e-commerce and credit card companies.In this paper, we propose a phishing detection and prevention approach combining URL-based and Webpage similarity based detection. URL-based phishing detection involves extraction of actual URL (to which the website is actually directed) and the visual URL (which is visible to the user). LinkGuard Algorithm is used to analyze the two URLs and finally depending on the result produced by the algorithm the procedure proceeds to the next phase. If phishing is not detected or Phishing possibility is predicted in URL-based detection, the algorithm proceeds to the visual similarity based detection. A novel technique to visually compare a suspicious page with the legitimate one is presented

EVALUATING NEURAL NETWORK AND HIDDEN MARKOV MODEL CLASSIFIERS FOR HANDWRITTEN WORD RECOGNITION

ABSTRACT One of the most classical applications of the Neural Network and Hidden Markov Model is the Handwritten Word recognition. This system is base for many different types of applications in various fields, many of which we use in our daily lives. The proposed system would include a simple scheme for two different classifiers .An Neural Networks (NN) classifier based on Multi-Layer Perceptron (MLP) trained with Back Propagation algorithm and Hidden Markov Models (HMM) classifier with two states. HMM classifier is used to identify character in sequence of word with assigning a probability to each of them. NN classifier is used to generate a score for each segmented character. In the end the score from NN and HMM classifier will be compared to get optimized performance. To take the advantages of good properties of both methods, proposed approach will compare the result obtained by NN and HM

To Evaluate Performance of BF, DYMO and ZRP Protocols

Abstract: Wireless mesh networks are multihop systems in which devices assist each other in transmitting packets through the network, especially in difficult conditions. We can drop these adhoc networks into place with minimal preparation, and they provide a reliable, flexible system that can be extended to thousands of devices. The wireless mesh network topology developed is a point-to-point-to-point, or peer-to-peer, system called an ad hoc, multi-hop network. A node can send and receive messages, and in a mesh network, a node also functions as a router and can relay messages for its neighbors. network. In ad hoc networks, nodes do not start out familiar with the topology of their networks; instead, they have to discover it. The basic idea is that a new node may announce its presence and should listen for announcements broadcast by its neighbors. The routing can be categorized as: Pro-active (table-driven) routing Reactive (on-demand) routing Hybrid (both pro-active and reactive) routin

Laparoscopic Myomectomy with Uterine Artery Ligation: Review Article and Comparative Analysis

Uterine leiomyomas are one of the most common benign smooth muscle tumors in women, with a prevalence of 20 to 40% in women over the age of 35 years. Although many women are asymptomatic, problems such as bleeding, pelvic pain, and infertility may necessitate treatment. Laparoscopic myomectomy is one of the treatment options for myomas. The major concern of myomectomy either by open method or by laparoscopy is the bleeding encountered during the procedure. Most studies have aimed at ways of reducing blood loss during myomectomy. There are various ways in which bleeding during laparoscopic myomectomy can be reduced, the most reliable of which is ligation of the uterine vessels bilaterally. In this review we propose to discuss the benefits and possible disadvantages of ligating the uterine arteries bilaterally before performing laparoscopic myomectomy

Single-incision total laparoscopic hysterectomy

Single-incision laparoscopic surgery is an alternative to conventional multiport laparoscopy. Single-access laparoscopy using a transumbilical port affords maximum cosmetic benefits because the surgical incision is hidden in the umbilicus. The advantages of single-access laparoscopic surgery may include less bleeding, infection, and hernia formation and better cosmetic outcome and less pain. The disadvantages and limitations include longer surgery time, difficulty in learning the technique, and the need for specialized instruments. Ongoing refinement of the surgical technique and instrumentation is likely to expand its role in gynecologic surgery in the future. We perform single-incision total laparoscopic hysterectomy using three ports in the single transumbilical incision

Single-incision total laparoscopic hysterectomy

Single-incision laparoscopic surgery is an alternative to conventional multiport laparoscopy. Single-access laparoscopy using a transumbilical port affords maximum cosmetic benefits because the surgical incision is hidden in the umbilicus. The advantages of single-access laparoscopic surgery may include less bleeding, infection, and hernia formation and better cosmetic outcome and less pain. The disadvantages and limitations include longer surgery time, difficulty in learning the technique, and the need for specialized instruments. Ongoing refinement of the surgical technique and instrumentation is likely to expand its role in gynecologic surgery in the future. We perform single-incision total laparoscopic hysterectomy using three ports in the single transumbilical incision