Implementing a Patient Resource Guide on Intimate Partner Violence (IPV) at a Connecticut Primary Care Practice

Intimate partner violence is an ongoing public health crisis in the United States. According to the Connecticut Coalition Against Domestic Violence, nearly 39,000 victims were served in 2021, which was a 5% increase from the year prior. As intimate partner violence continues to affect numerous lives in Connecticut and across the nation, the risks of seeking assistance in these situations prevent those experiencing domestic violence from accessing support services. The cost of intimate partner violence can range from an increase in health care utilization to restricted access to safe housing. The Ridgefield Primary Care practice does not currently have educational materials or resources displayed regarding domestic violence or sexual assault. By designing a brochure on intimate partner violence, primary care patients will have increased awareness of local and national services. The patient resource guide highlights how to identity intimate partner violence, including emotional abuse as well as physical or sexual abuse. By increasing awareness on this subject and including contact information to access support, patients are better equipped to seek assistance safely and connect with their medical provider

Design and Implementation of Low Power Time-To-Digital Converter using MGDI Technique

This paper introduces a novel Time to Digital Converter (TDC) architecture based on the Modified Gate Diffusion Input (MGDI) technique, which is derived from the well-established GDI method. Through the utilization of MGDI-based logic gates and digital circuitry, this innovative approach leads to a substantial reduction in the number of transistors required for implementation. As a result, it offers significant advantages in terms of circuit area, power consumption, and propagation delay, while simultaneously simplifying the complexity of the overall logic design. The functional blocks within the TDC have been optimized to efficiently process an internal clock frequency of 5MHz. This achievement is realized using cutting-edge 90nm MGDI technology, operating at a supply voltage of 1V. Practical implementation of this design can be carried out seamlessly with Cadence Virtuoso tools in the 90nm technology node. In essence, this research effort represents a promising advancement in the realm of time-to-digital conversion. By harnessing the capabilities of MGDI and its transistor-saving attributes, the proposed TDC not only enhances performance but also addresses critical concerns such as power efficiency and chip area utilization. These advancements make it a compelling choice for applications requiring precise time measurements, while the compatibility with contemporary technology nodes ensures its relevance and applicability in modern integrated circuit design

A comparative study of intra-cervical foley’s catheter and PGE2 gel for induction of labour at term

Background: In cervical ripening, before induction of labour, is needed to increase the success of labour induction, to reduce complications and to diminish the rate of caesarean section and duration of labour. Pharmacological preparations are in widespread use for cervical ripening but are not free from side-effects and complications. Mechanical methods, i.e. the use of Foley’s catheter balloon, though effective have not gained much popularity because of the fear of infection. Therefore, the study has been conducted to prove the efficacy and safety of extra amniotic Foley catheter balloon and to compare it with intra-cervical prostaglandin E2 (PGE2) gel. The objective of the study was to the success of induction of labor depends on the cervical status at the time of induction. For effective cervical ripening both Foley's catheter and PGE2 gel are used. The aim of this study was to compare the efficacy of intra cervical Foley's catheter and intra cervical PGE2 gel in cervical ripening for the successful induction of labor.Methods: A randomized, comparative study was conducted in the department of obstetrics and gynaecology, Civil hospital, B.J. Medical College Ahmedabad, during a period of 8 month from September 2018 to April 2019. 100 patients at term with a Bishop's score ≤5 with various indications for induction were randomly allocated to group F (intra-cervical Foley’s catheter) and group P (PGE2 gel) with 50 women included in each group.Results: The groups were comparable with respect to maternal age, gestation age, indication of induction and initial Bishop's score. Both the groups showed significant change in the Bishop's score, 5.10±1.55 and 5.14±1.60 for Foley's catheter and PGE2 gel, respectively, p <0.001. However there was no significant difference between the two groups. There was no significant difference in the side effects and caesarean section rate in both groups. The induction to delivery interval was 16.01±5.50 hours in group F and 16.85 ± 3.81 hours in group P (p=0.073). Apgar scores, birth weights and NICU admissions showed no significant difference between the two groups.Conclusions: The study shows that both Foley's catheter and PGE2 gel are equally effective in pre induction cervical ripening

Recognizing Facial Expression using PCA and Genetic Algorithm

This paper presents an efficient method of recognition of facial expressions in a video. The works proposes highly efficient facial expression recognition system using PCA optimized by Genetic Algorithm .Reduced computational time and comparable efficiency in terms of its ability to recognize correctly are the benchmarks of this work. Video sequences contain more information than still images hence are in the research subject now-a-days and have much more activities during the expression actions. We use PCA, a statistical method to reduce the dimensionality and are used to extract features with the help of covariance analysis to generate Eigen –components of the images. The Eigen-components as a feature input is optimized by Genetic algorithm to reduce the computation cost

Understanding pelvic floor in women

Change from quadruped to erect posture has resulted in changes in the human pelvis. This has resulted in pelvis supporting the abdominal viscera. The bony pelvis is deficient on inferior aspect. Muscles covered by fascia on superior and inferior aspect. A good knowledge of pelvic floor is very basic and mandatory for any gynecologist as pelvic floor is crucial to support the pelvic organs and is required to maintain urinary and fecal continence

Complete androgenin sensitivity syndrome presenting with primary amenorrhoea and inguinal mass: a case report

Androgen insensitivity syndrome (AIS), also known as testicular feminization, an X-linked recessive disorder comprises a wide range of phenotypes that are caused by various types of mutations in the androgen receptor gene. AIs can be classified as complete, partial, or mild based on the phenotypic presentation. The clinical findings include a female type of external genitalia, 46-XY karyotype, absence of Mullerian structures, presence of Wolffian structures to various degree, and normal to high testosterone and gonadotropin levels. We report this case as an interesting and rare syndrome. The patient is a 15-year-old phenotypic female who presented with primary amenorrhea and normal-appearing external genitalia. Orchidectomy was done after proper counselling and proper psychological support was given to her

Characterization of the evolution of underwater DBD plasma jet

An air plasma jet formed underwater using a coaxial DBD electrode configuration with gas flow is being studied for water treatment applications. The arc-like behavior of the discharge in the absence of any obvious return electrode is not well understood. This study seeks to understand the underlying nature of the arc-like jet mode by studying the evolution of the discharge from microdischarge to jet mode. Photographic and spectroscopic data are used to develop a phenomenological model of discharge evolution. Time-averaged spectra were used to assign an average plume and electron temperature. Calculated jet temperatures were consistent with observed affects such as melting and oxide layer formation on a downstream substrate. The capacity of the microdischarge mode to decompose organic dye in water as a function of time, confirmed previously in the jet mode, was also demonstrated in the absence of the jet.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90806/1/0963-0252_20_3_034018.pd

Isolation, screening and identification of amylase and catalase producing bacterial strains from marine sediments

853-860Marine sediments are valuable source of industrially useful enzymes. Here, we attempted isolation, screening and identification of bacterial strains from marine sediments which produce industrially important enzymes amylase and catalase. Marine sediment samples were collected and cultured on zobell marine agar medium. After incubation, the isolates that showed amylase and catalase activity were selected for the assay. The strains AM01 and Ca07 showed the highest amylase and catalase activity, respectively. The selected strains were further sequenced for identification. Morphological studies indicated that the isolates were Gram -ve, rod shaped and non-motile organism. The phenotypic characterization and 16S rRNA of the strains AM01 and Ca07 revealed them to be Klebsiella pneumoniae and K. quasipneumoniae, respectively

Isolation, screening and identification of amylase and catalase producing bacterial strains from marine sediments

Marine sediments are valuable source of industrially useful enzymes. Here, we attempted isolation, screening and identification of bacterial strains from marine sediments which produce industrially important enzymes amylase and catalase. Marine sediment samples were collected and cultured on zobell marine agar medium. After incubation, the isolates that showed amylase and catalase activity were selected for the assay. The strains AM01 and Ca07 showed the highest amylase and catalase activity, respectively. The selected strains were further sequenced for identification. Morphological studies indicated that the isolates were Gram -ve, rod shaped and non-motile organism. The phenotypic characterization and 16S rRNA of the strains AM01 and Ca07 revealed them to be Klebsiella pneumoniae and K. quasipneumoniae, respectivel

Evaluation of clinico-epidemiological factors and outcome of COVID-19 disease in perinatal period

Background: The coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is well accepted that pregnant women are at increased risk of infections, morbidity from known respiratory viruses like H1N1, varicella, influenza. COVID-19, a virus from the same family poses a greater and influential risk to the health of our mothers and their babies. Raised concerns of pregnant women, being physiologically immunocompromised with associated comorbidities like hypertension, diabetes, heart disease, anemia is very challenging for the obstetrician to conquer.Methods: We tested 405 pregnant women for PCR SARS CoV-2 during the pandemic out of which 59 pregnant women turned out to be positive, and were included in the study analysis. These women had singleton live pregnancy beyond 37 weeks and opted for in patient management. Study participants did not have any known obstetric complications.Results: 81% of women were delivered by cesearean section, indication being premature rupture of membranes and anhydramnios in 45 % of women reflecting the infective etiology of the disease. 60% women were asymptomatic, yet positive for the disease. Community spread was seen in 75% of the women. No ICU admissions were recorded.Conclusions: The substantial impact on the vulnerable groups like pregnancy has necessitated need for further studies and research and to build more service models as frontline obstetric COVID health care workers.