Prevalence of sensory peripheral neuropathy in diabetic patients at diabetes care centre: a cross sectional study

Background: Diabetic neuropathy is a nerve damaging disorder associated with diabetes; result from micro vascular injury involving small blood vessels that supply to the nerve (vas nervorum) in addition to macro vascular condition that can culminate in diabetic neuropathy. By the year 2025 hundreds of people were estimated to become diabetic. The rates of prevalence of neuropathy increasing worldwide which is directly related to the nonmodifiable risks like age, duration of diabetes, obesity, alcoholism, gender.Methods: A cross sectional interventional study was conducted on diabetic patients. Questionnaire, instruments and demographic details were used to collect data from patients. The diabetic neuropathy is conformed in patients by using biothesiometric analysis, tuning fork, monofilament, NSS and NDS.Results: Total 331 subjects included in the study, 200 cases diagnosed with DPN according to biothesiometry and prevalence percentage was found to be 60.4% and incidence was found to be 8.76% respectively. A significant greater proportion of males reported neuropathy more than females. The association between the obesity and the DPN was (r2=0.7922) low positive correlation. High positive correlation was confirmed with NSS, NDS respectively.Conclusions: It was concluded that there is a higher prevalence (60.4%) and incidence (8.76%) of neuropathy among the diabetic subjects and it may go on increasing as the age progress

Finite element computation of multi-physical micropolar transport phenomena from an inclined moving plate in porous media

Non-Newtonian flows arise in numerous industrial transport processes including materials fabrication systems. Micropolar theory offers an excellent mechanism for exploring the fluid dynamics of new non-Newtonian materials which possess internal microstructure. Magnetic fields may also be used for controlling electrically-conducting polymeric flows. To explore numerical simulation of transport in rheological materials processing, in the current paper, a finite element computational solution is presented for magnetohydrodynamic (MHD), incompressible, dissipative, radiative and chemically-reacting micropolar fluid flow, heat and mass transfer adjacent to an inclined porous plate embedded in a saturated homogenous porous medium. Heat generation/absorption effects are included. Rosseland’s diffusion approximation is used to describe the radiative heat flux in the energy equation. A Darcy model is employed to simulate drag effects in the porous medium. The governing transport equations are rendered into non-dimensional form under the assumption of low Reynolds number and also low magnetic Reynolds number. Using a Galerkin formulation with a weighted residual scheme, finite element solutions are presented to the boundary value problem. The influence of plate inclination, Eringen coupling number, radiation-conduction number, heat absorption/generation parameter, chemical reaction parameter, plate moving velocity parameter, magnetic parameter, thermal Grashof number, species (solutal) Grashof number, permeability parameter, Eckert number on linear velocity, micro-rotation, temperature and concentration profiles. Furthermore, the influence of selected thermo-physical parameters on friction factor, surface heat transfer and mass transfer rate is also tabulated. The finite element solutions are verified with solutions from several limiting cases in the literature. Interesting features in the flow are identified and interpreted

Processing parameters Optimization of Injection Moulding in DN20 Vent of Water Meter Manufacturing

The conventional optimization process in Injection Moulding includes actual shop floor trials in which melt temperature, mould temperature, injection time, injection pressure, pattern, feeder size, shape and location cores, mould layout, gating etc. are changed in each iteration which involves high machining cost, tooling cost, modification cost, melting cost, and transportation cost as well as, materials, energy, time are wasted in each trial until and unless the required results are obtained. Water meter component (DN20 Vent) is designed in CREO 5.0, and then components are 3D printed to cross check the dimensions and also to confirm whether all the other components can be accommodated or not. Then the mould flow analysis will be performed on a water meter components using different materials and changing the processing parameters. The input processing parameters considered are melt temperature, mould temperature and injection time, whereas the responses are warpage, volumetric shrinkage, cycle time and quality prediction. Grey relational analysis is carried out to determine the optimum injection moulding processing parameters.. The effort has been made to minimize the warpage, volumetric shrinkage, cycle time and maximize the quality prediction mould cavity and core for the components are designed in CREO 5.0 and manufactured using P20 tool steel. Then the water meter components are manufactured by inputting the optimal processing parameters in injection moulding machine to achieve high productivity and quality

On the End-to-end Call Acceptance and the Possibility of Deterministic QoS

ABSTRACT The issue of providing Quality of Service (QoS) guarantees in an Ad hoc wireless network is a very challenging problem. In this paper, we make the following contributions: (i) analytically derive bounds for the end-to-end call acceptance rate using existing queueing theory methods, (ii) study the impact of the routing scheme on the end-to-end call acceptance rate, and (iii) propose a differentiated services scheme for deterministically providing QoS guarantees. Unlike existing studies which analyze the transport capacity, we focus on the end-to-end call acceptance. The framework that we assume is that of a TDMA-based Ad hoc wireless network. The routing scheme employed influences the end-to-end call acceptance of the network. The metrics that we consider are the call acceptance probability and the system saturation probability (i.e., the probability that the network is in a state in which every new call is rejected). We derive general bounds on the call acceptance and the system saturation for the case of differentiated-classes of users in the network. These bounds indicate the number of calls of the highest priority class that can be admitted into the network. Simulation studies were carried out to study the effect of load, hopcount, and the influence of the routing protocol on the call acceptance. The increase in the call acceptance rate with the introduction of load-balancing highlights the importance of load-balancing in enhancing the system performance. From these studies, we arrive at the following results: (i) load-balancing leads to significant * This work was supported by iNautix Technologies India Private Limited, Chennai, India, Department of Science and Technology, New Delhi, India, and Microsoft Research University Relations India (Award Number 12715). † Author for correspondence Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. To copy otherwise, to republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. improvement in the end-to-end call acceptance rate, and is an important factor in attaining the maximum end-to-end call acceptance rate in a given network and (ii) it is indeed possible to provide deterministic QoS guarantees for a designated set of nodes which are characterized by "deterministic guarantee limit"

a survey of issues and solutions

of service provisioning in ad hoc wireless networks