Impact of health education on knowledge and attitude of self-breast examination among female nursing students

Background: Breast cancer is the most common cancer among women and a leading cause of death worldwide, including in India. Breast cancer usually shows a slow development rate, and when it is recognized in the early stages, successful treatment results can be achieved. Breast self-examination is a screening option for young women. Health awareness programs on screening and early detection are the cornerstones for reducing the morbidity and mortality resulting from breast cancer. Objective: To assess the impact of health education on knowledge and attitude of self-breast examination among nursing students. Study Design: The present interventional study was conducted between September and October 2019. Setting: This study was done among 79 nursing students of a tertiary care hospital situated in a central district of Uttar Pradesh. Main Outcome Measures: The self-reported pre-designed and structured questionnaire was used. It included three sections: 1. Sociodemographic profile 2. Knowledge regarding self-breast examination (SBE) 3. Attitude regarding self-breast examination (SBE). Knowledge and attitude scores were calculated and divided into the poor, average, and good categories. Results: There were 87.3% of girls had prior knowledge of the self-breast examination, while 12.7% of girls were not aware of the self-breast examination. Post-intervention, there was a significant increase (p<0.05) in their knowledge about self-breast examination. Conclusion and Relevance: Planned teaching intervention had a significant impact on the knowledge and attitude of self-breast examination. The knowledge and attitude were poor at the early stages, but it had increased significantly after the health education intervention

Dynamic Power Consumption and Delay Analysis for Ultra-Low Power 2 to 1 Multiplexer Designs

This paper highlights a comparative analysis of eight diverse techniques for 2 to 1 multiplexer implementation. The functionality is identical but significant differences in dynamic power consumption and propagation delay are observed. This paper aims to enable the designer to pick out the best fit structure for a specific application in keeping with their design requirement. The multiplexers are designed at 90 nm technology node and simulated at a supply voltage of 1V

Exploring the short-term variability of Hα\alpha and Hβ\beta emissions in a sample of M dwarfs

The time scales of variability in active M dwarfs can be related to their various physical parameters. Thus, it is important to understand such variability to decipher the physics of these objects. In this study, we have performed the low resolution ($\sim$5.7\AA) spectroscopic monitoring of 83 M dwarfs (M0-M6.5) to study the variability of H$\alpha$ / H$\beta$ emissions; over the time scales from $\sim$0.7 to 2.3 hours with a cadence of $\sim$3-10 minutes. Data of a sample of another 43 late-type M dwarfs (M3.5-M8.5) from the literature are also included to explore the entire spectral sequence. 53 of the objects in our sample ($\sim$64\%) show statistically significant short-term variability in H$\alpha$. We show that this variability in 38 of them are most likely to be related to the flaring events. We find that the early M dwarfs are less variable despite showing higher activity strengths (L$_{H\alpha}$/L$_{bol}$ \& L$_{H\beta}$/L$_{bol}$), which saturates around $\sim$10$^{-3.8}$ for M0-M4 types. Using archival photometric light curves from TESS and Kepler/K2 missions, the derived chromospheric emission (\ha and \hb emission) variability is then explored for any plausible systematics with respect to their rotation phase. The variability indicators clearly show higher variability in late-type M dwarfs (M5-M8.5) with shorter rotation periods ($<$2 days). For 44 sources, their age has been estimated using StarHorse project and possible correlations with variability have been explored. The possible causes and implications for these behaviors are discussed.Comment: There are 35 pages including 18 pages of supplementary material. The manuscript is accepted for publication in MNRA

First Results from MFOSC-P : Low Resolution Optical Spectroscopy of a Sample of M dwarfs within 100 parsecs

Mt. Abu Faint Object Spectrograph and Camera (MFOSC-P) is an in-house developed instrument for Physical Research Laboratory (PRL) 1.2m telescope at Mt. Abu India, commissioned in February 2019. Here we present the first science results derived from the low resolution spectroscopy program of a sample of M Dwarfs carried out during the commissioning run of MFOSC-P between February-June 2019. M dwarfs carry great significance for exoplanets searches in habitable zone and are among the promising candidates for the observatory's several ongoing observational campaigns. Determination of their accurate atmospheric properties and fundamental parameters is essential to constrain both their atmospheric and evolutionary models. In this study, we provide a low resolution (R$\sim$500) spectroscopic catalogue of 80 bright M dwarfs (J$<$10) and classify them using their optical spectra. We have also performed the spectral synthesis and $\chi^2$ minimisation techniques to determine their fundamental parameters viz. effective temperature and surface gravity by comparing the observed spectra with the most recent BT-Settl synthetic spectra. Spectral type of M dwarfs in our sample ranges from M0 to M5. The derived effective temperature and surface gravity are ranging from 4000 K to 3000 K and 4.5 to 5.5 dex, respectively. In most of the cases, the derived spectral types are in good agreement with previously assigned photometric classification.Comment: Accepted for Publication in MNRA

Imaging of Knee Joint Pathologies: A Comparative Study of Ultrasound and Magnetic Resonance Imaging

Background: Magnetic resonance imaging (MRI) has been accepted as the best non-invasive imaging modality for the evaluation of knee joint pathology but the advantages of ultrasound (US) over magnetic resonance imaging (MRI) are that the ultrasound is readily available, cheap and offers real-time imaging. Aim: To assess the accuracy of ultrasound in diagnosing knee joint pathologies using MRI as a reference. Materials And Methods: 50 patients were evaluated prospectively over a period of 1.5 years by USG followed by MRI of the affected knee. Accuracy of USG was calculated with MRI as reference. Results: In our study, the majority of patients were in age group 21-30 years. Perfect agreement was noted between ultrasound and MRI for detecting Baker’s cyst. Near perfect agreement was noted between ultrasound and MRI for detecting joint effusion, soft tissue edema and osteophytes. Substantial agreement was noted between ultrasound and MRI for Collateral ligaments tear and Meniscal injuries. Moderate agreement was noted between ultrasound and MRI for PCL tear. Fair agreement was noted between ultrasound and MRI for ACL tear. Conclusion: Knee USG has high accuracy in diagnosing pathologies like knee joint effusion, synovitis, popliteal/baker’s cysts, soft tissue edema/cellulitis, arthritic changes, collateral ligament and meniscal tears. Keywords: Knee joint pathologies, Ultrasound, MRI, Ligament

Molecular Assessment of Epiretinal Membrane: Activated Microglia, Oxidative Stress and Inflammation

Fibrocellular membrane or epiretinal membrane (ERM) forms on the surface of the inner limiting membrane (ILM) in the inner retina and alters the structure and function of the retina. ERM formation is frequently observed in ocular inflammatory conditions, such as proliferative diabetic retinopathy (PDR) and retinal detachment (RD). Although peeling of the ERM is used as a surgical intervention, it can inadvertently distort the retina. Our goal is to design alternative strategies to tackle ERMs. As a first step, we sought to determine the composition of the ERMs by identifying the constituent cell-types and gene expression signature in patient samples. Using ultrastructural microscopy and immunofluorescence analyses, we found activated microglia, astrocytes, and Muller glia in the ERMs from PDR and RD patients. Moreover, oxidative stress and inflammation associated gene expression was significantly higher in the RD and PDR membranes as compared to the macular hole samples, which are not associated with inflammation. We specifically detected differential expression of hypoxia inducible factor 1-alpha (HIF1-alpha), proinflammatory cytokines, and Notch, Wnt, and ERK signaling pathway-associated genes in the RD and PDR samples. Taken together, our results provide new information to potentially develop methods to tackle ERM formation

Technology Pipeline for Large Scale Cross-Lingual Dubbing of Lecture Videos into Multiple Indian Languages

Cross-lingual dubbing of lecture videos requires the transcription of the original audio, correction and removal of disfluencies, domain term discovery, text-to-text translation into the target language, chunking of text using target language rhythm, text-to-speech synthesis followed by isochronous lipsyncing to the original video. This task becomes challenging when the source and target languages belong to different language families, resulting in differences in generated audio duration. This is further compounded by the original speaker's rhythm, especially for extempore speech. This paper describes the challenges in regenerating English lecture videos in Indian languages semi-automatically. A prototype is developed for dubbing lectures into 9 Indian languages. A mean-opinion-score (MOS) is obtained for two languages, Hindi and Tamil, on two different courses. The output video is compared with the original video in terms of MOS (1-5) and lip synchronisation with scores of 4.09 and 3.74, respectively. The human effort also reduces by 75%

The IDENTIFY study: the investigation and detection of urological neoplasia in patients referred with suspected urinary tract cancer - a multicentre observational study

Objective To evaluate the contemporary prevalence of urinary tract cancer (bladder cancer, upper tract urothelial cancer [UTUC] and renal cancer) in patients referred to secondary care with haematuria, adjusted for established patient risk markers and geographical variation. Patients and Methods This was an international multicentre prospective observational study. We included patients aged ≥16 years, referred to secondary care with suspected urinary tract cancer. Patients with a known or previous urological malignancy were excluded. We estimated the prevalence of bladder cancer, UTUC, renal cancer and prostate cancer; stratified by age, type of haematuria, sex, and smoking. We used a multivariable mixed-effects logistic regression to adjust cancer prevalence for age, type of haematuria, sex, smoking, hospitals, and countries. Results Of the 11 059 patients assessed for eligibility, 10 896 were included from 110 hospitals across 26 countries. The overall adjusted cancer prevalence (n = 2257) was 28.2% (95% confidence interval [CI] 22.3–34.1), bladder cancer (n = 1951) 24.7% (95% CI 19.1–30.2), UTUC (n = 128) 1.14% (95% CI 0.77–1.52), renal cancer (n = 107) 1.05% (95% CI 0.80–1.29), and prostate cancer (n = 124) 1.75% (95% CI 1.32–2.18). The odds ratios for patient risk markers in the model for all cancers were: age 1.04 (95% CI 1.03–1.05; P < 0.001), visible haematuria 3.47 (95% CI 2.90–4.15; P < 0.001), male sex 1.30 (95% CI 1.14–1.50; P < 0.001), and smoking 2.70 (95% CI 2.30–3.18; P < 0.001). Conclusions A better understanding of cancer prevalence across an international population is required to inform clinical guidelines. We are the first to report urinary tract cancer prevalence across an international population in patients referred to secondary care, adjusted for patient risk markers and geographical variation. Bladder cancer was the most prevalent disease. Visible haematuria was the strongest predictor for urinary tract cancer