Effectiveness of selected nursing interventions on quality of life among weavers at selected village, Andhra Pradesh

Aims and objective: To assess effectiveness of selected nursing interventions on Quality of life among weavers. Methodology: A Pre experimental one group pre test and post test design study was conducted at Mangalagiri village, Andhra Pradesh. The weavers who satisfied the inclusion criteria were selected by purposive sampling technique. Selected nursing interventions comprising of psycho education which includes protection to eyes, clean home environment, balanced diet, sleep, and problems related to alcohol and smoking and supporting relations. Demonstration on range of motion exercises, breathing exercises, guided imagery and positive thinking. Pamphlet includes all the topics covered in psycho education as reinforcement. The assessment was done by using modified WHOQOL – BREF scale. Results: The findings of the study revealed that the pretest mean quality of life score was 16.25 with the SD of 5.70 and the post test mean score was 31.66 with the SD of 5.72. The calculated‘t’ value, t = 24.9 highly significant at p<0.001 level. Conclusion: The study findings revealed, after the selected nursing interventions there was a moderately significant improvement in Quality of life among weavers .Thus selected nursing interventions were effective in improving Quality of life of the weavers

Implementation of a person oriented nurse call system using WEKA

poster abstractHospitality is meant to be better three hours too soon than a minute too late. With the increasing population and growing pollution the hospitals tend to be occupied too. Providing best care at the right time is the goal set to all the nurses in hospitals. This can be done by considering lots of facts regarding the patient well known as the context information. Context information is becoming increasingly important in a world with more and more wireless devices that have to be in touch with the environment around them. Maintaining a myriad caregivers for the continuous care had become a hard task and this lead to the emergence of the Electronic healthcare (eHealth) solution. We focus on how this context information can be efficiently modelled by employing an ontology. The eHealth application used is the ontology-based Nurse Call System (oNCS), which assesses the priority of a call based on the current context and assigns the most appropriate caregiver to a call. Decision trees and Bayesian networks are used to learn and adjust the parameters of the oNCS. The two types of nurse calling systems are place oriented nurse calling system and the person oriented nurse calling system. The paper mainly focuses on the difference between the two systems and brings out the best nurse calling system with the simulation results. The ontology was developed by the OWL (web ontology language) and implemented using the machine learning tool WEKA. The ontology can be used by the reasoning algorithms which are based on the context information. Considering the two cases of place oriented and person oriented nurse calling system the comparison shows the person oriented nurse calling system to be much more better than the place oriented. The drawback of the nurse calling systems are well studied by the case studies in both cases. Implementation using WEKA is embedded with the knowledge of database concepts. A database is created by considering all the risk factors of patients and the availability of the nurses and the study shows the average rate at which a nurse can serve the patient as quick as possible. A web service interface was designed which allows the insertion or extraction of new information into the Knowledge Base. Finally the simulation was made to illustrate the advantages and the performance of the new person-oriented approach

Strength and durability characteristics of self compacting concrete (SCC) with recycled aggregate and manufactured sand

The investigations on self compacting concrete (SCC) with recycled coarse aggregate and Manufactured sand (M-Sand) were performed in this current study. The SCC mixtures were produced with the recycled coarse aggregate of proportions of 0 to 100% with step increment of 25% with a ratio of water binder at 0.36. In addition, the mixtures were also prepared by mixing it with M-Sand. The feasibility of utilizing the recycled coarse aggregate in SCC was evaluated through strength an&nbsp; durability studies. The obtained results demonstrated that the SCC produced from these materials can be effectively recommended for their usages in concrete industries

Anatomical and congenital variations of human dry sternum bone: its embryogenesis and clinical implications

Background: The sternum is one of the skeleton parts with frequently detected variation in cross-sectional images or autopsy series. The anatomical or congenital variations of the sternum in the anterior chest wall may involve malignancies, injuries or severe traumas. The aim of the study was undertaken to evaluate the incidence of anatomical and congenital variations of human dry sternum bones.Methods: This study was carried out on 120 dry human sternum bones irrespective of age and sex at Varun Arjun medical college- Banthra, UP, KMCT Medical College, Manassery-Calicut and Melaka Manipal Medical College-Manipal. All the sternum bones were macroscopically inspected for the anatomical and congenital variations of human dry sternum bones. Photographs of the anatomical and congenital variations were taken for proper documentation.Results: Complete sternal foramina in the body of the sternum were noted in 9 bones (7.5%), with an average vertical diameter of 17mm and transverse diameter of 16mm (The highest vertical diameter of 19mm and transverse diameter of 17mm was noted); Incomplete sternal foramina in the body of the sternum were noted in 4 bones (3.3%);Complete sternal foramina in the xiphoid process of the sternum were noted in 7 bones (5.8%) with an average vertical diameter of 6mm and transverse diameter of 8mm; Unusual complete sternal foramina in the body and incomplete sternal foramina in the xiphoid process of the sternum were noted in 8 bones (6.6%); Very rare longer xiphoid process (7.3 cm) with complete sternal foramina was noted in 7 bone (5.8%); Unusual Longer xiphoid process with an average length of 6.7cm with sharp bifid ends was noted in 8 bones (6.6%).Conclusions: The knowledge of existence of anatomical variants and congenital foramina of sternum and xiphoid process found in our study is essential, especially for bone marrow sampling, radiology (X - ray, CT, MRI, and USG) reporting, pathology autopsy and forensic medicine post-mortem reporting and patoacupuncture practice to avoid complications during various surgical procedures

Abnormal ossified structures around the hip joint and its clinical implications

Background: The hip joint is the body’s second largest weight-bearing joint forms a connection from the lower limb to the pelvic girdle. It is formed by an articulation between the pelvic acetabulum and the head of the femur. Ankylosis or fusion of the joint, ossification of the adjacent ligaments and calcific tendinitis of adjacent muscles can decrease the mobility of the joint. The study was undertaken to evaluate the incidence of abnormal ossified structures around the hip joint.Methods: This study was carried out on 228 dry human hip bones (right- 114 and left-114) and 228 dry human femur bones (right- 114 and left-114) irrespective of age and sex at Varun Arjun medical college-Banthra, UP, KMCT Medical College, Manassery-Calicut and Melaka Manipal Medical College-Manipal. All the hip and femur bones were macroscopically inspected for the abnormal ossified structures around the pelvic acetabulum and upper end of the femur. Photographs of the abnormal ossified structures were taken for proper documentation.Results: Very rare and unusual unilateral ossified and complete fused left hip joint was noted (0.43%). Unilateral ossified acetabular labrum with ossified transverse acetabular ligament was noted in seven right hip bones (3.07%). Unusual ossified fibrous capsule on the posterior aspect of neck of femur was noted in 4 left sided femur bones (1.75%). Unusual unilateral ossified deposits near the greater trochanter and intertrochanteric line of femur was noted in nine left sided femur bones (3.94%).Conclusions: Anatomical knowledge of ankylosis of hip joint, ossification of the ligaments and muscles tendons around the hip joint as found in the present study made this study unique such abnormal ossifications may be helpful for clinicians, radiologists and surgeons for differential diagnosis and can be implicated in the development of innovative treatments of hip joint and hip pains

Pathological study of non-neoplastic skin lesions by punch biopsy

Background: Accurate diagnosis of skin disorders is of utmost importance as treatment is varied for different skin disorders presenting with the similar clinical lesions. Thus biopsy becomes inevitable in various skin disorders to confirm diagnosis and initiate treatment. The present study was to analyse the age and sex distribution of dermatological disorders presenting to Bhaskar Medical College & Hospital (tertiary care centre), Telangana and assess their histo-pathological profile. The objective was to analyse the histo-pathological profile of skin disorders presenting to the Dermatology department of the hospital, determine the age and sex distribution of various skin diseases and to classify the most common disorders into their subtypes and thus assess the most common subtypes prevalent in the surrounding community.Methods: This was a prospective study carried out at the department of Pathology and department of Dermatology, Bhaskar Medical College & Hospital for a period of three years. Necessary clinical details were obtained in a proforma, punch biopsy taken and sent to the histopathology section for final report. Formalin fixed, paraffin embedded sections were prepared & slides were routinely stained with H & E and special stains applied wherever necessary. Data obtained was tabulated and analysed.Results: Total number of cases analysed were 92. The age group of 21-30 years constituted 31.5% of the total cases. There was a male predominance. Hyperpigmented patch/plaque was the most common clinical lesion (36.9%). Lichenoid lesions was the most common histopathological diagnosis reported (26%) followed by Hansen’s disease(23.9%). Lichen planus was the most common histopathological subtype of lichenoid lesion s(58.3%).

Use of a Thrombelastograph Platelet Mapping Assay for Diagnosis of Clopidogrel Resistance: A Case Report

A 62-year-old woman presented to the emergency department with sudden collapse, intractable ventricular fibrillation, and an inferior wall myocardial infarction (MI). An emergent cardiac catheterization showed a totally occluded right coronary artery (RCA). A bare-metal stent was placed in the stenosis, resulting in thrombolysis in myocardial infarction (TIMI)-III flow with 0% residual stenosis. Four days after stenting, the patient developed chest pain. A repeat cardiac catheterization showed a totally occluded stent. The patient was subsequently tested using a thrombelastograph (TEG) Platelet Mapping assay to exclude clopidogrel resistance. The assay confirmed the patient to be non-responsive to clopidogrel for the inhibition of platelet ADP receptors. In an attempt to increase ADP inhibition, the ADP antagonist was changed to ticlopidine. Further testing was confounded by the presence of abciximab; however, the patient has remained free of cardiac events

Anatomical and congenital variations of human dry sternum bone: its embryogenesis and clinical implications

Background: The sternum is one of the skeleton parts with frequently detected variation in cross-sectional images or autopsy series. The anatomical or congenital variations of the sternum in the anterior chest wall may involve malignancies, injuries or severe traumas. The aim of the study was undertaken to evaluate the incidence of anatomical and congenital variations of human dry sternum bones.Methods: This study was carried out on 120 dry human sternum bones irrespective of age and sex at Varun Arjun medical college- Banthra, UP, KMCT Medical College, Manassery-Calicut and Melaka Manipal Medical College-Manipal. All the sternum bones were macroscopically inspected for the anatomical and congenital variations of human dry sternum bones. Photographs of the anatomical and congenital variations were taken for proper documentation.Results: Complete sternal foramina in the body of the sternum were noted in 9 bones (7.5%), with an average vertical diameter of 17mm and transverse diameter of 16mm (The highest vertical diameter of 19mm and transverse diameter of 17mm was noted); Incomplete sternal foramina in the body of the sternum were noted in 4 bones (3.3%);Complete sternal foramina in the xiphoid process of the sternum were noted in 7 bones (5.8%) with an average vertical diameter of 6mm and transverse diameter of 8mm; Unusual complete sternal foramina in the body and incomplete sternal foramina in the xiphoid process of the sternum were noted in 8 bones (6.6%); Very rare longer xiphoid process (7.3 cm) with complete sternal foramina was noted in 7 bone (5.8%); Unusual Longer xiphoid process with an average length of 6.7cm with sharp bifid ends was noted in 8 bones (6.6%).Conclusions: The knowledge of existence of anatomical variants and congenital foramina of sternum and xiphoid process found in our study is essential, especially for bone marrow sampling, radiology (X - ray, CT, MRI, and USG) reporting, pathology autopsy and forensic medicine post-mortem reporting and patoacupuncture practice to avoid complications during various surgical procedures

A 3-year prospective clinical study to evaluate the outcome of single-piece implant-prosthetic complex after immediate nonfunctional loading in the maxillary anterior and mandibular posterior areas in varied bone densities

Context: There is limited evidence on the outcome of single-piece implant-prosthetic complex after immediate nonfunctional loading in varied bone densities. Aim: The aim of this study was to report the outcome of single-piece implant-prosthetic complex with a novel cervical platform design in the anterior and posterior jaws 3 years after loading. Setting and Design: Prospective clinical study. Materials and Methods: The present study included placement of 90 single-piece implants in the anterior and the posterior jaws in varied bone densities. After immediate loading, survival and marginal bone loss was recorded at regular intervals. Statistical Analysis: Independent sample t-test and paired t-test were done (P = 0.05). Results: Group I, annual marginal bone loss at the end of one, 2 and 3 years was 0.21, respectively, in both bone densities. Group II, annual marginal bone loss in D2 regions was 0.75,0.38 and 0.18; 0.64, 0.28 and 0.18 in D3 regions at the end of 1, 2, and 3 years, respectively. Group I showed no statistically significant difference in marginal bone loss between D2 and D3 bone annually in contrast to Group II. Intragroup comparisons of mean between baseline and various time intervals showed statistically significant bone loss in both bone densities. Conclusion: Three years after loading, single-piece implants with the novel cervical platform design provided survival rates of 93% in the maxillary anteriors and 91% in the mandibular posteriors. D3 bone showed more marginal bone loss than D2 bone