Patient safety issues in rehabilitation for person with locomotor disabilities: a review

Since the publication of the Institute of medicine report, To Err Is Human: Building a safer health system, notes that errors in health care are a significant cause of death and injury and the emphasis on patient safety has steadily increased. The rehabilitation professionals engaged for the management of patient with locomotor disabilities should incorporate elements of patient safety into their practices and also to stimulate research associated with prevalence of analysis of error/harm which occurs during the rehabilitation phase and also to develop and validate certain specific measuring tools and instruments for patient safety issues

Interrater reliability of fitness gram test to be used as a reliable tool for assessing physical fitness for school children in Guwahati urban society of North-East India

Background: The assessment of physical fitness using a specific tool has become an important part to find out the fitness level of children and adolescence. Fitness gram is a health-related fitness test that utilizes criterion-referenced standards on health-related components. Through the years research has shown that Fitness gram has become one of the most widely used programs in the United States, though it’s used in India is not popular.Methods: Seventy school students in the age group of 5 to 14 years were included in this study and randomly allocated for physical fitness test where 62 students have completed the test. Two physiotherapists as a rater were allotted and children were tested by them with Fitnessgram test battery in a gap of 1 week. Outcome measures includes Fitness gram test battery. Statistical analysis was done by Cronbach’s Alpha value has been computed for the Interrater reliability.Results: Sixty-two students with both gender (male 56.3% and female 43.7%, age -10.12±2.72) were assessed for physical fitness using Fitness gram test battery. All the test variables showed an excellent reliability (Cronbach’s alpha =0.91-0.95).Conclusions: The Fitness gram test battery has been found to be reliable tool and can be implemented for physical fitness test for the children

STUDY OF ELECTRONIC STRUCTURES AND CORRELATIONS IN GRAPHENE USING OPTICAL SPECTROSCOPIES

Ph.DDOCTOR OF PHILOSOPH

Optical conductivity study of screening of many-body effects in graphene interfaces

Theoretical studies have shown that electron-electron (e-e) and electron-hole (e-h) interactions play important roles in many observed quantum properties of graphene making this an ideal system to study many body effects. In this report we show that spectroscopic ellipsometry can enable us to measure this interactions quantitatively. We present spectroscopic data in two extreme systems of graphene on quartz (GOQ), an insulator, and graphene on copper (GOC), a metal which show that for GOQ, both e-e and e-h interactions dominate while for GOC e-h interactions are screened. The data further enables the estimation of the strength of the many body interaction through the effective fine structure constant, $\alpha_{g}^{*}$. The $\alpha_{g}^{*}$ for GOQ indicates a strong correlation with an almost energy independent value of about 1.37. In contrast, $\alpha_{g}^{*}$ value of GOC is photon energy dependent, is almost two orders of magnitude lower at low energies indicating very weak correlation.Comment: Main Article (4 pages, 4 figures); Supporting Online Material (12 pages, 9 figures

Magnetic Resonance Imaging Appearance of Giant Intracerebral Tuberculoma: A Retrospective Analysis

Background: Giant intracerebral tuberculomas are rare lesions but should be considered in the differential diagnosis of intracranial space-occupying lesion in an endemic region. Objective: The purpose of this study is to analyze the clinical data and magnetic resonance imaging (MRI) findings of giant intracerebral tuberculomas to improve the diagnostic precision. Material and Methods: The clinical and MRI findings of 22 patients of giant intracerebral tuberculoma were analyzed retrospectively. For the statistical analysis independent sample Student t-test was used. Results: For 22 patients included in this sample the giant intracerebral tuberculoma was of size more than 2.5cm. The majority of the giant tuberculomas (19 patients (86.4%))was located in the supratentorial area.T2-weighted hypointense core of giant tuberculoma was observed in 12 patients (54.5%) and T1 hyperintensities were observed in peripheral (wall) of the giant tuberculoma in 14 patients (63.6%). The mean ADC value of the peripheral (wall) of the giant tuberculoma was 1.034± 0.466[SD] x 10-3mm2/s and the core was 0.994± 0.455[SD] x 10-3mm2/s with a statistically significant difference (p-value <0.0005) in between. MR spectroscopy showed raised lipid peak at 0.9 to 1.33 ppm in 10 patients (45.5%),raised lipid-lactate peak in 12 patients (54.5%),raised Choline/Cr ratio more than 1.2 in 14 patients(63.6%) and Choline/Cr ratio less than 1.2 in 5 patients (22.7%). Associated involvement of lung was observed in the 6patients (27.3%), cervical lymph node in 1 patient (4.5%) and spine in 1patient (4.5%). Conclusions: MRI plays a vital role in distinguishing giant intracerebral tuberculomas from other intracranial space-occupying lesions, thereby allows the early institution of anti-tubercular treatment (ATT), decreased patient morbidity, mortality, and prevents unnecessary neurosurgical excision

Point Defects and Localized Excitons in 2D WSe2

Identifying the point defects in 2D materials is important for many applications. Recent studies have proposed that W vacancies are the predominant point defect in 2D WSe2, in contrast to theoretical studies, which predict that chalcogen vacancies are the most likely intrinsic point defects in transition metal dichalcogenide semiconductors. We show using first principles calculations, scanning tunneling microscopy (STM) and scanning transmission electron microscopy experiments, that W vacancies are not present in our CVD-grown 2D WSe2. We predict that O-passivated Se vacancies (O_Se) and O interstitials (Oins) are present in 2D WSe2, because of facile O2 dissociation at Se vacancies, or due to the presence of WO3 precursors in CVD growth. These defects give STM images in good agreement with experiment. The optical properties of point defects in 2D WSe2 are important because single photon emission (SPE) from 2D WSe2 has been observed experimentally. While strain gradients funnel the exciton in real space, point defects are necessary for the localization of the exciton at length scales that enable photons to be emitted one at a time. Using state-of-the-art GW-Bethe-Salpeter-equation calculations, we predict that only Oins defects give localized excitons within the energy range of SPE in previous experiments, making them a likely source of previously observed SPE. No other point defects (O_Se, Se vacancies, W vacancies and Se_W antisites) give localized excitons in the same energy range. Our predictions suggest ways to realize SPE in related 2D materials and point experimentalists toward other energy ranges for SPE in 2D WSe2