SMART LOCK SYSTEM USING OTP

Humans have invented locks since ancient times, to use them to protect their privacy and personal belongings. They are constantly evolving over the ages for better protection. But the problem is that locking the door these days is not safe and can be easily bypassed. Our doors can be forgotten, and this is a common occurrence for most people. Locks are trying these days to depends on technology by using a code or phone or by card to make our things safer. But there are limits, which are the lack of features to be combined in one place. also, the lack of high-security features. To solve this problem, we need to combine all the modern security features into one lock as well as monitoring features.Thus, we have high security, comfortable opening, and closing systems, and features that help us easier and faster, all requirements do not conflict and help to make our homes safer than before. Today, the provision of a home security system has become an important study in adopting the latest technology to achieve this goal. Wireless network is one of the technologiesused to provide remote monitoring and control of household items. This paper aims to propose a key departmental security system based on Raspberry pi technology where cameras, keypad and pi-lids are used to provide a terrific powerful system to notify the owner, and to inform visitors by giving them a User ID. For this reason, only authorized people will be allowed to enter the departments.The system works by capturing guests with a summary with a code and a camera mounted on the doors at the same time, such snippets will be sent to the owner. The proposed system could beexpanded to accommodate various facilities and services such as banks and offices

Bubble continuous positive airway pressure as a primary modality of respiratory support in meconium aspiration syndrome

Background: Approximately 3–4% of neonates with meconium-stained amniotic fluid (MSAF) develop meconium aspiration syndrome (MAS), of which nearly 30–50% need continuous positive airway pressure (CPAP) or mechanical ventilation (MV). Objective: The objective of the study was to evaluate the usefulness of bubble CPAP as a respiratory support in neonates admitted with MAS and to enumerate factors affecting the CPAP failure. Materials and Methods: A prospective study was conducted, involving all the neonates born with a history of MSAF with respiratory distress within 6 h of life (Downe’s score 4–7), SpO2 <90% with chest X-ray suggestive of MAS. Bubble CPAP was started with pressure and FiO2 adjusted to maintain a SpO2 between 89% and 95%, maximum pressure limit of 6 cm, and FiO2 of 100%, respectively. CPAP was removed when SpO2 was >90% with FiO2 requirement <25% and when respiratory distress was passive (Respiatory rate <60/min, no or mild retractions and no grunt). The primary outcome was measured in terms of improvement in Downe’s score and clinical condition of neonates. CPAP failure was defined as the need for MV, pulmonary leak syndrome, persistent pulmonary hypertension, and progression of Downe’s score. Results: Downe’s score at the start of CPAP was 6 which decreased to 4, 6 h post-CPAP. There was an improvement in FiO2, RR, and heart rate from 68%, 76/min, and 181/min to 84%, 48/min, and 123/min post-CPAP, respectively. The success rate of CPAP was 77% and failure rate was 23%. Conclusion: Early initiation of CPAP in MAS neonates decreases the need for MV and improves outcomes

Cerebral Venous Sinus Thrombosis (CVST): Long-Term Single-Center Experience

CVST is a rare location of thrombosis involving Dural/ cerebral venous sinuses. It affects around 5-10 people per million population annually. It is an uncommon but life-threatening form of stroke affecting younger individuals. Therefore, identifying and treating in a timely manner is critical. Rarer thrombotic disorders like paroxysmal nocturnal hemoglobinuria (PNH) or Janus Kinase 2 (JAK2) mutation positive myeloproliferative neoplasms (MPN) can rarely present with CVST. It can also present during pregnancy for the first time. Diagnosis is often established by Computed Tomography (CT) or Magnetic Resonance Imaging (MRI). Infections, certain medication use (asparaginase or birth control pills) could lead to CVST. Patients often present with headaches, seizures or neurological deficits. Management is often with systemic anticoagulation despite intraparenchymal hemorrhage. Reducing intracranial pressure by invasive approaches is sometimes needed.https://digitalcommons.unmc.edu/surp2022/1024/thumbnail.jp

Large-scale STI services in Avahan improve utilization and treatment seeking behaviour amongst high-risk groups in India: an analysis of clinical records from six states

<p>Abstract</p> <p>Background</p> <p>Avahan, the India AIDS Initiative, implemented a large HIV prevention programme across six high HIV prevalence states amongst high risk groups consisting of female sex workers, high risk men who have sex with men, transgenders and injecting drug users in India. Utilization of the clinical services, health seeking behaviour and trends in syndromic diagnosis of sexually transmitted infections amongst these populations were measured using the individual tracking data.</p> <p>Methods</p> <p>The Avahan clinical monitoring system included individual tracking data pertaining to clinical services amongst high risk groups. All clinic visits were recorded in the routine clinical monitoring system using unique identification numbers at the NGO-level. Visits by individual clinic attendees were tracked from January 2005 to December 2009. An analysis examining the limited variables over time, stratified by risk group, was performed.</p> <p>Results</p> <p>A total of 431,434 individuals including 331,533 female sex workers, 10,280 injecting drug users, 82,293 men who have sex with men, and 7,328 transgenders visited the clinics with a total of 2,700,192 visits. Individuals made an average of 6.2 visits to the clinics during the study period. The number of visits per person increased annually from 1.2 in 2005 to 8.3 in 2009. The proportion of attendees visiting clinics more than four times a year increased from 4% in 2005 to 26% in 2009 (p<0.001). The proportion of STI syndromes diagnosed amongst female sex workers decreased from 39% in 2005 to 11% in 2009 (p<0.001) while the proportion of STI syndromes diagnosed amongst high risk men who have sex with men decreased from 12% to 3 % (p<0.001). The proportion of attendees seeking regular STI check-ups increased from 12% to 48% (p<0.001). The proportion of high risk groups accessing clinics within two days of onset of STI-related symptoms and acceptability of speculum and proctoscope examination increased significantly during the programme implementation period.</p> <p>Conclusions</p> <p>The programme demonstrated that acceptable and accessible services with marginalised and often difficult–to-reach populations can be brought to a very large scale using standardized approaches. Utilization of these services can dramatically improve health seeking behaviour and reduce STI prevalence.</p