School Mapping System Using GIS for Aurangabad City

ABSTRACT: Quality and degradation of education affects more on upcoming youth consequently society as well on nation. Overall these consequences are come in to existing from childhood, thus new generation become inactive and unworthy. All this happen due to education system and inappropriate selection of school for their child. Parents are also not aware about that where and in which school they have to be admitting their child. In India, more than 50% parents admitted their child in nearest school, according to their availability of school. Every year hundreds of people shift their geographical location for their child education and by other service issue too. In India, thousands of parents are worrying about their child education. It is very crucial to have an application to guide and to determine that where to take admission for their child. School mapping may help to such users to determine suitable school and their requirements and priority. Schools in India are located and spread in inappropriate manner by breaking the rules of education board. So, to avoid future conflicts in new establishments of schools and proper management school mapping is an important issue for analysis to Govt. body of education. Mapping of schools according to geographical location GIS plays an important role. This paper gives peoples to an idea to choose best school around the area within the range, which is helpful for society to increase the education standard as well as to make appropriate choices accordingly

Can strain elastography be used in reclassification of indeterminate breast lesions in BIRADS lexicon?: A prospective study

Purpose: To evaluate the role of strain elastography (SE) in reclassification of indeterminate breast lesions placed under BIRADS 3 and 4 categories by conventional ultrasound (US) parameters so as to recourse biopsy only for suspicious stiffer lesions. Methods: 113 breast lesions in 100 women assigned as BIRADS category 3 and 4 on US parameters were prospectively evaluated by SE followed by histo-pathological examination. Strain ratio (SR) and Elastography Score (ES) were determined for each lesion. The sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) were calculated for each modality and diagnostic performance were compared. The best cut-off point was calculated for each of the elastography parameter using the receiver operator curve analysis (ROC). Results: Out of the 113 lesions, 40 were malignant (35.4’) and 73 were benign (64.6’). A statistically significant difference was observed in the AUC for ES and conventional US: 0.98 vs 0.90 (Difference = 0.08, P = 0.02). Elastography parameters were more specific as compared to US (ES-94.5 & SR-93.2’ vs 63’, P < 0.05) with high NPV. SE performed better in BIRADS 4 category lesions. On the basis of elastography parameters, 85’ of BIRADS 4 category lesions were correctly predicted as benign with overall sensitivity, specificity and diagnostic accuracy of elastography being 97’, 84.6’ and 91.9’. Among BIRADS 3 category lesions, 97’ were correctly predicted as benign and 50’ lesions were correctly predicted as malignant with a sensitivity of 50’, specificity of 97.8’ and diagnostic accuracy of 94’. Conclusion: Strain elastography is a useful adjunct to conventional ultrasonography for the assessment of indeterminate breast lesions and may help in avoiding unnecessary follow ups and biopsies. Elastography score is a better parameter as compared to strain ratio

A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery

Carpal tunnel syndrome is a common peripheral nerve entrapment neuropathy caused due to compression of the median nerve at the level of the wrist joint. Bifid median nerve associated with a persistent median artery is a rare entity and in itself asymptomatic anatomical variant. However, distension of the persistent median artery due to a thrombus can be symptomatic due to compression on the median nerve and can compromise the blood flow to the palm. We report a case of persistent median artery thrombosis in a young female patient who presented with symptoms of carpal tunnel syndrome diagnosed on the ultrasonography and confirmed on the MRI with subsequent improvement post anticoagulation therapy