Therapeutic Patient Education in Transgender Care

This communication visits the concept of therapeutic patient education (TPE), and explores its relevance to transgender health care. It suggests a novel term, therapeutic education (TE), and defines it as “educational activities essential to the optimization of health, offered by health care providers duly trained in the field of education, designed to help a transgender individual (or a group of individuals and their families) to manage their treatment and prevent avoidable complications, while maintaining or improving their quality of life. It describes the soft and hard skills required for TE, and suggests a classification that can help in structuring TE programs

Effects of Caustic Recovery on Pollution and Cost of Production in a Cotton Textile Industry

Textile manufacturing industry is uses substantial amount of chemicals not only in the production processes but also in manufacturing the raw materials. Chemicals used in textile production are generally classified as commodity chemicals and speciality chemicals. Former are used in Bulk and the later are used in small quantities. Caustic Soda (Sodium Hydroxide) is one of the major chemicals which are used in large quantities for producing cotton textiles. Caustic soda results in highly alkaline wastewater from the textile mills which makes the effluent toxic and poses difficulty in treatment of effluent. This study to assess the impact of caustic recovery from the mercerization plant was conducted in a cotton fabric manufacturing unit. A pilot-scale single effect evaporator was used to concentrate the effluent stream from mercerization process and the changes in the quality of effluent and concentration of caustic lye were studied over a period of one year. In addition to the improvements in the quality of effluent, the study has also focussed on the cost savings in terms of effluent treatment and production due to reuse of the recovered caustic

Malunited supracondylar femur fracture in haemophilia A: a case report on evaluation and management

Haemophilia is a rare inherited X-linked bleeding disorder associated with various levels of coagulation factor VIII (type A) or IX (type B) deficit. Hemophilic patients can be affected by trauma and fractures just like the general population. But due to their bleeding disorder, such patients need specific multidisciplinary management, from the emergency room to the operating theatre, in order to limit severe complications. The goal of modern fracture treatment is to obtain an optimal outcome, with the patient's return to full activity as soon as possible. If a fracture is correctly treated in a haemophilic patient, it will progress to consolidation in a similar time-frame to fractures occurring in the general population. Worldwide, there are only a few specialized orthopaedic centres dedicated to the management of hemophilia. Management of supracondylar femur fracture in patients with haemophilia is no different from general population if an adequate haemostasis is achieved. The purpose of this paper is to report our experience on the supracondylar fracture of the femur in hemophilia by a multidisciplinary team at a single institution

Maternal and neonatal outcome in cases of premature rupture of membranes beyond 34 weeks of gestation

Background: Preterm premature rupture of membrane (PPROM) and premature rupture of membrane (PROM) are associated with various maternal and neonatal complications. Management guidelines regarding rupture of membrane before labour is still controversial. The study was carried out to determine the various maternal and neonatal outcomes associated with rupture of membranes beyond 34 weeks of gestation.Methods: It was a prospective observational study carried out in a tertiary care teaching hospital for a period of one year. All the pregnant women with rupture of membrane beyond 34 weeks are included in the study. After establishment of diagnosis of rupture of membranes, antibiotics were started and all of them were induced after 6 hours if they did not have spontaneous labour. Various maternal and neonatal outcomes were noted and statistical analysis carried out.Results: Incidence of rupture of membrane in our study was 4.2%. 92% of patients delivered within 24 hours of rupture of membrane and 18% of them required caesarean section. 5 neonates had respiratory distress syndrome and 1 neonate had sepsis.Conclusions: Induction of labour and delivery within 24 hours of rupture of membranes associated with low incidence of maternal and neonatal adverse outcome

Public Health Initiatives of Wearable Sensors for Health Monitoring and Early Heart Disease Detection

The science of preserving and enhancing individual and community health is known as public health. In order to accomplish this task, healthy lifestyle promotion, disease and injury prevention research, and the detection, prevention, and management of infectious diseases are used. Early detection and treatment of health disease can improve the prognosis for the condition worldwide. However, the massive volume of data needed poses a problem to the current automatic algorithms for diagnosing health illness. This study presents a medical gadget that uses the Internet of Things to gather cardiac data from individuals both before and after of heart illness. Technology is developing at a quick pace, leading to the establishment of many methodologies and ongoing research into solutions for problems that arise in a variety of industries. Preprocessing techniques are employed to effectively classify collected health data because the human body generates enormous amounts of data all the time. Furthermore, the most important phase is accurately classifying health data, which is necessary for diagnosis. The Deep Convolutional Neural Network (DCNN) is among the greatest and most efficient methods for categorising medical data. The results of the simulation in experimental research demonstrate that following this advise improves classification accuracy

Effect of Ambient Temperature on Calibration of Cooled Thermal Camera

Thermal cameras may be used under ambient conditions that differ significantly from the calibration conditions. The effect of ambient temperature on temperature measurement error is examined for MWIR and LWIR cooled thermal cameras. The facilities used include an environmental chamber and an extended area blackbody with temperature controller. Significant differences were observed in the temperatures measured by the cameras placed in different ambient temperatures, with reference to the set blackbody temperatures. Re-calibration was done to account for variations in ambient temperature from 5 ºC to on the outputs of the cameras. It was found that after such recalibration, the measurement error was within acceptable accuracy of ±1 °C

Estimation of Effect of Emissivity on Target Detection through Thermal Imaging Systems

The effects of target emissivity on apparent thermal contrast as well as on detection range capabilities of thermal imagers in long wave infrared and middle wave infrared bands were evaluated. The apparent thermal contrast (to be seen by the thermal imager at standoff distance), considering only the emission from target and background, was first computed in both the IR bands in terms of target emissivity and secondly the apparent thermal contrast, considering the background radiation reflected off the target, was also computed. A graphical user interface simulation in MATLAB was prepared for the estimation of total apparent thermal contrast taking into account both the emission and reflection. This total apparent thermal contrast was finally used in night vision thermal and image processing model for predicting the detection range performance of thermal imagers. Results of the analysis show that the effect of target emissivity on thermal contrast estimates is more pronounced in LWIR. The lower thermodynamic temperature difference between target and background at lower values of target emissivity leads to negative thermal contrast which in-turn leads to higher detection ranges

Genetic diversity assessment in Indian cultivated pea (Pisum sativum L.) varieties using RAPD markers

In the present study, the genetic diversity and inter-relationships among 12 varieties of pea were analyzed by using RAPD markers. A total of 118 bands were generated with 20 RAPD primers, of which 107 bands were polymorphic (90.81%). The PIC value ranged from 0.602-0.863 with an average of 0.754. High level of polymorphism and low genetic similarity within pea varieties suggested that they have a high level of genetic diversity. Unique RAPD fragments (700bp-1500bp) were also observed in five varieties i.e., AP-01, Aparna, Uttra, Rachna and Rachna-1D. In the dendrogram, 12 varieties were broadly grouped into 2 main clusters consisting of 5 (Cluster-I) and 4 (Cluster-II) varieties, respectively, while other three varieties i.e., KPMR-522, Aparna and AP-03 were out of group. In cluster-I, Ambika and AP-01 and Rachna and Vikas showed 62% and 58% similarities whereas, HUDP-15 grouped with 56% similarities with rest two varieties. In cluster II, Uttara and Prakash showed maximum similarity (65%) whereas, Rachna1-D showed (58%) similarities with them. KPMR-400 showed 52% similarity in this group. KPMR-400, Aparna and AP-03 were more diverse in comparison to others. A two-dimensional plot generated from principal co-ordinate analysis of RAPD data also supported the clustering pattern of dendrogram. This study indicated the presence of high genetic diversity among pea varieties, which could be used for developing core collections of pea germplasm for breeding and germplasm management purposes

Transgender Health Issues: Children of a Lesser God

The transgender community is a distinct population, with its unique health care needs, wishes and preferences. This calls for an enhanced focus on transgender health issues, as an integral part of the health care system, and also through specialized multidisciplinary centers of excellence. The authors call for sensitization of the health care profession, and request for sensitivity while managing transgender and gender diverse individuals. If this is accomplished, transgender health issues will become normalized as part of the wider spectrum of health care, just as being a transgender person is normal