A prospective study of distal radius fracture management by close reduction, percutaneous Kirschner wire fixation and plaster immobilization

Background: Distal radius fracture is one of the most common fractures. It may be sustained due to low-energy trauma or high-energy trauma. Objectives: To compare the clinical effectiveness of Kirschner wire fixation with and plaster immobilization for patients with fracture of the distal radius.Methods: Interventions Kirschner wire fixation: wires are passed through the skin over the dorsal aspect of the distal radius and into the bone to hold the fracture in the correct anatomical position. About 79 patients with Distal Radial Fractures presented to MGM Medical College and LSK Hospital, Kishanganj between November 2012 and June 2014 were included in the study.Results: The majority were men (60.4%). Majority of the patients (69.8%) sustained the injury due to fall. The side of involvement was nearly equal and that there was no predominance of the either sides. In our study, according to AO classification, 31 cases were of Type A, 17 were of Type B and 5 were of Type C. The Anatomical evaluation by Sarmiento’s Criteria showed 33 patients with excellent result, 15 patients with good result and 5 with a fair result. At final follow-up by ‘The Gartland and Werley criteria for functional outcome’ 37 patients had excellent result, 13 had good result, 2 had fair result and 1 had a poor result. Conclusions: This study demonstrates that percutaneous Kirschner wire pinning is a minimally invasive technique that provides an effective means of maintaining the anatomical fracture reduction. It does not required highly skilled personnel or sophisticated tools for application. It is a suitable method for fixation of displaced Colles fracture with minimal intra-articular involvement. The technique involves a minimal procedure that provides anatomic reduction, fracture fixation, and maintenance of reduction with an adequate method of immobilization

Automating Logic Rectification by Approximate SPFDs

In the digital VLSI cycle, a netlist is often modified to correct design errors, perform small specification changes or implement incremental rewiring-based optimization operations. Most existing automated logic rectification tools use a small set of predefined logic transformations when they perform such modifications. This paper first shows that a small set of predefined transformations may not allow rectification to exploit the full potential of the design. Then, it proposes an automated simulation-based methodology to “approximate ” Sets of Pairs of Functions to be Distinguished (SPFDs) and avoid the memory/time explosion problem. This representation is used by a SAT-based algorithm that devises appropriate logic transformations to fix a design. The SAT method is later complemented by a greedy one that improves on runtime performance. An extensive suite of experiments documents the added potential of the proposed rectification methodology. 1

Low Birth Weight and its Predictors Among the New Borns in a Medical College of West Bengal : A Cross Sectional Study

<p><strong>Background:</strong>Low Birth Weight (LBW) is a significant determinant of infant mortalityand childhood morbidity.It is amultifaceted medico-social and a major public health problem globally. Numerousfetal as well as maternal predictors attribute LBW. <strong>Aims: </strong>The present study was conducted among the newborns in Bankura Sammilani Medical College and Hospital to estimate the prevalence of low birth weight as well as to determine its predictors. <strong>Settings, Design, Methods and Material: </strong>This  hospital based descriptive cross sectional study was conducted from June - September 2022among 268 newborns in the Post Natal Ward of Bankura Sammilani Medical College and Hospitalwith the help of a predesigned pretested semi-structured schedule. <strong>Statistical Analysis Used: </strong>Trial version of Statistical Package for the Social Sciences was used to analyze the data. Chi square test was applied when necessary. <strong>Results: </strong>32.1% of the newborns were low birth weight. Age of the mothers, spacing of birth, morbidities present in the mother during pregnancy and anaemia in pregnancy were the factors which were significantly associated with the occurrence of low birth weight. <strong>Conclusions:</strong> Low birth weight is a quite prevalent in Bankura. Strategies may be planned to prevent the modifiable maternal factors like teenage pregnancy, comorbidity, spacing of birth, anaemia in pregnancy etc.</p&gt

Fixed-outline Thermal-aware 3D Floorplanning

Abstract — In this paper, we present a novel algorithm for 3D floorplanning with fixed outline constraints and a particular emphasis on thermal awareness. A computationally efficient thermal model that can be used to guide the thermal-aware floorplanning algorithm to reduce the peak temperature is proposed. We also present a novel white space redistribution algorithm to dissipate hotspot. Thermal through-silicon via (TSV) insertion is performed during the floorplanning process as a means to control the peak temperature. Experimental results are very promising and demonstrate that the proposed floorplanning algorithm has a high success rate at meeting the fixed-outline constraints while effectively limiting the rise in peak temperature. I