Abstract: Pain management is a question of quality of life and
an indicator for nursing quality. Chronic pain which is predominant
in oncology and palliative nursing situations is perceived today as a
multifactorial, individual emotional experience with specific
characteristics including the sociocultural dimension when dealing
with migrant patients. This dimension of chronic pain is of major
importance in professional nursing of migrant patients in hospices or
palliative care units. Objectives of the study are: 1. To find out more
about the sociocultural views on pain and nursing care, on customs
and nursing practices connected with pain of both Turkish Muslim
and German Christian women, 2. To improve individual and family
oriented nursing practice with view to sociocultural needs of patients
in severe pain in palliative care. In a qualitative-explorative comparative study 4 groups of women,
Turkish Muslims immigrants (4 from the first generation, 5 from the
second generation) and German Christian women of two generations
(5 of each age group) of the same age groups as the Turkish women
and with similar educational backgrounds were interviewed (semistructured
ethnographic interviews using Spradley, 1979) on their
perceptions and experiences of pain and nursing care within their
families. For both target groups the presentation will demonstrate the
following results in detail: Utterance of pain as well as “private” and
“public” pain vary within different societies and cultures. Permitted
forms of pain utterance are learned in childhood and determine
attitudes and expectations in adulthood. Language, especially when
metaphors and symbols are used, plays a major role for
misunderstandings. The sociocultural context of illness may include
specific beliefs that are important to the patients and yet seem more
than far-fetched from a biomedical perspective. Pain can be an
influential factor in family relationships where respect or hierarchies
do not allow the direct utterance of individual needs. Specific
resources are often, although not exclusively, linked to religious
convictions and are significantly helpful in reducing pain. The discussion will evaluate the results of the study with view to
the relevant literature and present nursing interventions and
instruments beyond medication that are helpful when dealing with
patients from various socio-cultural backgrounds in painful end-oflife
situations.
Abstract: An analysis of the air tightness level is performed on a representative sample of school classrooms in Southern Spain, which allows knowing the infiltration level of these classrooms, mainly through its envelope, which can affect both energy demand and occupant's thermal comfort. By using a pressurization/depressurization equipment (Blower-Door test), a characterization of 45 multipurpose classrooms have been performed in nine non-university educational institutions of the main climate zones of Southern Spain. In spite of having two doors and a high ratio between glass surface and outer surface, it is possible to see in these classrooms that there is an adequate level of airtightness, since all the n50 values obtained are lower than 9.0 ACH, with an average value around 7.0 ACH.
Abstract: Objective: Acute coronary syndrome is a clinical
condition encompassing ST segments elevation myocardial
infraction, Non ST segment is elevation myocardial infraction and un
stable angina is characterized by ruptured coronary plaque, stress and
myocardial injury. Angina pectoris is a pressure like pain in the chest
that is induced by exertion or stress and relived with in the minute
after cessation of effort or using sublingual nitroglycerin. The present
research was undertaken to study the drug utilization pattern of
antiplatelet drugs for the ischemic heart disease in a tertiary care
hospital. Method: The present study is retrospective drug utilization
study and study period is 6months. The data is collected from the
discharge case sheet of general medicine department from medical
department Rajiv Gandhi institute of medical sciences, Kadapa. The
tentative sample size fixed was 250 patients. Out of 250 cases 19
cases was excluded because of unrelated data. Results: A total of 250
prescriptions were collected for the study according to the inclusion
criteria 233 prescriptions were diagnosed with ischemic heart disease
17 prescriptions were excluded due to unrelated information. out of
233 prescriptions 128 are male (54.9%) and 105 patients are were
female (45%). According to the gender distribution, the prevalence of
ischemic heart disease in males are 90 (70.31%) and females are 39
(37.1%). In the same way the prevalence of ischemic heart disease
along with cerebrovascular disease in males are 39 (29.6%) and
females are 66 (62.6%). Conclusion: We found that 94.8% of drug
utilization of antiplatelet drugs was achieved in the Rajiv Gandhi
institute of medical sciences, Kadapa from 2011-2012.
Abstract: Despite the wide spread use of synthetic dyes, natural
dyes are still exploited and used to enhance its inherent aesthetic
qualities as a major material for beautification of the body. Centuries
before the discovery of synthetic dyes, natural dyes were the only
source of dye open to mankind. Dyes are extracted from plant -
leaves, roots and barks, insect secretions, and minerals. However,
research findings have made it clear that of all, plants- leaves, roots,
barks or flowers are the most explored and exploited in which henna
(Lawsonia innermis L.) is one of those plants. Experiment has also
shown that henna is used in body painting in conjunction with an
alkaline (Ammonium Sulphate) as a fixing agent. This of course
gives a clue that if colour derived from henna is properly
investigated, it may not only be used for body decoration but
possibly, may have affinity to fiber substrate. This paper investigates
the dyeing potentials – dye ability and fastness qualities of henna dye
extracts on cotton and linen fibers using mordants like ammonium
sulphate and other alkalis (hydrosulphate and caustic soda, potash,
common salt, potassium alum). Hot and cold water and ethanol
solvent were used in the extraction of the dye to investigate the most
effective method, dye ability, and fastness qualities of these extracts
under room temperature. The results of the experiment show that
cotton have a high rate of dye intake than other fiber. On a similar
note, the colours obtained depend most on the solvent used. In
conclusion, hot water extraction appears more effective. While the
colours obtained from ethanol and both cold hot methods of
extraction range from light to dark yellow, light green to army green
and to some extent shades of brown hues.
Abstract: To maintain a healthy balanced loyalty, whether to art
or society, posits a debatable issue. The artist is always on the look
out for the potential tension between those two realms. Therefore,
one of the most painful dilemmas the artist finds is how to function in
a society without sacrificing the aesthetic values of his/her work. In
other words, the life-long awareness of failure which derives from the
concept of the artist as caught between unflattering social realities
and the need to invent genuine art forms becomes a fertilizing soil for
the artists to be tackled. Thus, within the framework of this dilemma,
the question of the responsibility of the artist and the relationship of
the art to politics will be illuminating. To a larger extent, however, in
drama, this dilemma is represented by the fictional characters of the
play. The present paper tackles the idea of the amorality of the artist in
selected plays by Tom Stoppard. However, Stoppard’s awareness of
his situation as a refugee has led him to keep at a distance from
politics. He tried hard to avoid any intervention into the realms of
political debate, especially in his earliest work. On the one hand, it is
not meant that he did not interest in politics as such, but rather he
preferred to question it than to create a fixed ideological position. On
the other hand, Stoppard’s refusal to intervene in politics is ascribed
to his feeling of gratitude to Britain where he settled. As a result,
Stoppard has frequently been criticized for a lack of political
engagement and also for not leaning too much for the left when he
does engage. His reaction to these public criticisms finds expression
in his self-conscious statements which defensively stressed the
artifice of his work. He, like Oscar Wilde thinks that the
responsibility of the artist is devoted to the realm of his/her art.
Consequently, his consciousness for the role of the artist is truly
reflected in his two plays, Artist Descending a Staircase (1972) and
Travesties (1974).
Abstract: Noninvasive diagnostics of diseases via breath
analysis has attracted considerable scientific and clinical interest for
many years and become more and more promising with the rapid
advancements in nanotechnology and biotechnology. The volatile
organic compounds (VOCs) in exhaled breath, which are mainly
blood borne, particularly provide highly valuable information about
individuals’ physiological and pathophysiological conditions.
Additionally, breath analysis is noninvasive, real-time, painless, and
agreeable to patients. We have developed a wireless sensor array
based on single-stranded DNA (ssDNA)-functionalized single-walled
carbon nanotubes (SWNT) for the detection of a number of
physiological indicators in breath. Seven DNA sequences were used
to functionalize SWNT sensors to detect trace amount of methanol,
benzene, dimethyl sulfide, hydrogen sulfide, acetone, and ethanol,
which are indicators of heavy smoking, excessive drinking, and
diseases such as lung cancer, breast cancer, and diabetes. Our test
results indicated that DNA functionalized SWNT sensors exhibit
great selectivity, sensitivity, and repeatability; and different
molecules can be distinguished through pattern recognition enabled
by this sensor array. Furthermore, the experimental sensing results
are consistent with the Molecular Dynamics simulated ssDNAmolecular
target interaction rankings. Thus, the DNA-SWNT sensor
array has great potential to be applied in chemical or biomolecular
detection for the noninvasive diagnostics of diseases and personal
health monitoring.
Abstract: High Performance Liquid Chromatography (HPLC)
method was developed and validated for simultaneous estimation of
6-Gingerol(6G) and 6-Shogaol(6S) in joint pain relief gel containing
ginger extract. The chromatographic separation was achieved by
using C18 column, 150 x 4.6mm i.d., 5μ Luna, mobile phase
containing acetonitrile and water (gradient elution). The flow rate
was 1.0 ml/min and the absorbance was monitored at 282 nm. The
proposed method was validated in terms of the analytical parameters
such as specificity, accuracy, precision, linearity, range, limit of
detection (LOD), limit of quantification (LOQ), and determined
based on the International Conference on Harmonization (ICH)
guidelines. The linearity ranges of 6G and 6S were obtained over 20-
60 and 6-18 μg/ml respectively. Good linearity was observed over the
above-mentioned range with linear regression equation Y= 11016x-
23778 for 6G and Y = 19276x-19604 for 6S (x is concentration of
analytes in μg/ml and Y is peak area). The value of correlation
coefficient was found to be 0.9994 for both markers. The limit of
detection (LOD) and limit of quantification (LOQ) for 6G were
0.8567 and 2.8555 μg/ml and for 6S were 0.3672 and 1.2238 μg/ml
respectively. The recovery range for 6G and 6S were found to be
91.57 to 102.36 % and 84.73 to 92.85 % for all three spiked levels.
The RSD values from repeated extractions for 6G and 6S were 3.43
and 3.09% respectively. The validation of developed method on
precision, accuracy, specificity, linearity, and range were also
performed with well-accepted results.
Abstract: In Algeria, the most impressive and most known
prehistoric art is the painted or engraved rock art which is present
with abundance in several regions. The existence of rock art in Great
Kabylia region has been known for over sixty years. The main purpose of this research is to show the dangers facing
these rock paintings and engravings and what are the arrangements
for their protection and recovery. As every vestige destroyed is a part of the world's memory which
disappears, some steps have to be taken in order to protect these
historical and archaeological heritages.
Abstract: Background: Maintaining the correct body balance is
essential in the prevention of falls in the elderly, which is especially
important for women because of postmenopausal osteoporosis and
the serious consequences of falls. One of the exercise methods which
is very popular among adults, and which may affect body balance in
the positive way is the Pilates method. The aim of the study was to
evaluate the effect of regular Pilates exercises on the ability to
maintain body balance in static conditions in adult healthy women.
Material and methods: The study group consisted of 20 healthy
women attending Pilates twice a week for at least 1 year. The control
group consisted of 20 healthy women physically inactive. Women in
the age range from 35 to 50 years old without pain in musculoskeletal
system or other pain were only qualified to the groups. Body balance
was assessed using MatScan VersaTek platform with Sway Analysis
Module based on Matscan Clinical 6.7 software (Tekscan Inc.,
U.S.A). The balance was evaluated under the following conditions:
standing on both feet with eyes open, standing on both feet with eyes
closed, one-leg standing (separately on the right and left foot) with
eyes open. Each test lasted 30 seconds. The following parameters
were calculated: estimated size of the ellipse of 95% confidence, the
distance covered by the Center of Gravity (COG), the size of the
maximum shift in the sagittal and frontal planes and load distribution
between the left and right foot, as well as between rear- and forefoot.
Results: It was found that there is significant difference between the
groups in favor of the study group in the size of the confidence
ellipse and maximum shifts of COG in the sagittal plane during
standing on both feet, both with the eyes open and closed (p
Abstract: Excessive fretting wear at the taper-trunnion junction
(trunnionosis) apparently contributes to the high failure rates of hip
implants. Implant wear and corrosion lead to the release of metal
particulate debris and subsequent release of metal ions at the tapertrunnion
surface. This results in a type of metal poisoning referred to
as metallosis. The consequences of metal poisoning include;
osteolysis (bone loss), osteoarthritis (pain), aseptic loosening of the
prosthesis and revision surgery. Follow up after revision surgery,
metal debris particles are commonly found in numerous locations. Background: A stable connection between the femoral ball head
(taper) and stem (trunnion) is necessary to prevent relative motions
and corrosion at the taper junction. Hence, the importance of
component assembly cannot be over-emphasized. Therefore, the aim
of this study is to determine the influence of head-stem junction
assembly by press fitting and the subsequent
disengagement/disassembly on the connection strength between the
taper ball head and stem. Methods: CoCr femoral heads were assembled with High stainless
hydrogen steel stem (trunnion) by Push-in i.e. press fit; and
disengaged by pull-out test. The strength and stability of the two
connections were evaluated by measuring the head pull-out forces
according to ISO 7206-10 standards. Findings: The head-stem junction strength linearly increases with
assembly forces.
Abstract: Myocardial infarction is one of the leading causes of
death in the world. Some of these deaths occur even before the
patient reaches the hospital. Myocardial infarction occurs as a result
of impaired blood supply. Because the most of these deaths are due to
coronary artery disease, hence the awareness of the warning signs of
a heart attack is essential. Some heart attacks are sudden and intense,
but most of them start slowly, with mild pain or discomfort, then
early detection and successful treatment of these symptoms is vital to
save them. Therefore, importance and usefulness of a system
designing to assist physicians in early diagnosis of the acute heart
attacks is obvious. The main purpose of this study would be to enable patients to
become better informed about their condition and to encourage them
to seek professional care at an earlier stage in the appropriate
situations. For this purpose, the data were collected on 711 heart
patients in Iran hospitals. 28 attributes of clinical factors can be
reported by patients; were studied. Three logistic regression models
were made on the basis of the 28 features to predict the risk of heart
attacks. The best logistic regression model in terms of performance
had a C-index of 0.955 and with an accuracy of 94.9%. The variables,
severe chest pain, back pain, cold sweats, shortness of breath, nausea
and vomiting, were selected as the main features.
Abstract: The ventilated façade has great advantages when
compared to traditional façades as it reduces the air conditioning
thermal loads due to the stack effect induced by solar radiation in the
air chamber. Optimizing energy consumption by using a ventilated
façade can be used not only in newly built buildings but also it can be
implemented in existing buildings, opening the field of
implementation to energy building retrofitting works. In this sense, the following three prototypes of façade where
designed, built and further analyzed in this research: non-ventilated
façade (NVF); slightly ventilated façade (SLVF) and strongly
ventilated façade (STVF). The construction characteristics of the
three facades are based on the Spanish regulation of building
construction “Technical Building Code”. The façades have been
monitored by type-k thermocouples in a representative day of the
summer season in Madrid (Spain). Moreover, an analysis of variance
(ANOVA) with repeated measures, studying the thermal lag in the
ventilated and no-ventilated façades has been designed. Results show that STVF façade presents higher levels of thermal
inertia as the thermal lag reduces up to 17% (daily mean) compared
to the non-ventilated façade. In addition, the statistical analysis
proves that an increase of the ventilation holes size in STVF façades
can improve the thermal lag significantly (p >0.05) when compared
to the SLVF façade.
Abstract: For a rigid body sliding on a rough surface, a range of
uncertainty or non-uniqueness of solution could be found, which is
termed: Painlevé paradox. Painlevé paradox is the reason of a wide
range of bouncing motion, observed during sliding of robotic
manipulators on rough surfaces. In this research work, the existence
of the paradox zone during the sliding motion of a two-link (P-R)
robotic manipulator with a unilateral constraint is investigated.
Parametric study is performed to investigate the effect of friction,
link-length ratio, total height and link-mass ratio on the paradox zone.
Abstract: The current tools for real time management of sewer
systems are based on two software tools: the software of weather
forecast and the software of hydraulic simulation. The use of the first
ones is an important cause of imprecision and uncertainty, the use of
the second requires temporal important steps of decision because of
their need in times of calculation. This way of proceeding fact that
the obtained results are generally different from those waited. The major idea of this project is to change the basic paradigm by
approaching the problem by the "automatic" face rather than by that
"hydrology". The objective is to make possible the realization of a
large number of simulations at very short times (a few seconds)
allowing to take place weather forecasts by using directly the real
time meditative pluviometric data. The aim is to reach a system
where the decision-making is realized from reliable data and where
the correction of the error is permanent. A first model of control laws was realized and tested with different
return-period rainfalls. The gains obtained in rejecting volume vary
from 19 to 100 %. The development of a new algorithm was then
used to optimize calculation time and thus to overcome the
subsequent combinatorial problem in our first approach. Finally, this
new algorithm was tested with 16- year-rainfall series. The obtained
gains are 40 % of total volume rejected to the natural environment
and of 65 % in the number of discharges.
Abstract: Background: Diabetic sensorimotor polyneuropathy
(DSP) is one of the most common microvascular complications of
type 2 diabetes. Loss of sensation is thought to contribute to a lack of
static and dynamic stability and increased risk of falling. Purpose:
The purpose of this study was to compare the effects of low-level
laser (LLL) and monochromatic near-infrared photo energy (MIRE)
on pain, cutaneous sensation, static stability, and index of lower limb
blood flow in diabetic patients with peripheral neuropathy. Methods:
Forty diabetic patients with peripheral neuropathy were recruited for
participation in this study. They were divided into two groups: The
MIRE group, which contained 20 patients, and the LLL group, which
contained 20 patients. All patients who participated in the study had
been subjected to various physical assessment procedures, including
pain, cutaneous sensation, Doppler flow meter, and static stability
assessments. The baseline measurements were followed by treatment
sessions that were conducted twice a week for six successive weeks.
Results: The statistical analysis of the data revealed significant
improvement of pain in both groups, with significant improvement in
cutaneous sensation and static balance in the MIRE group compared
to the LLL group; on the other hand, the results showed no
significant differences in lower limb blood flow between the groups.
Conclusion: LLL and MIRE can improve painful symptoms in
patients with diabetic neuropathy. On the other hand, MIRE is also
useful in improving cutaneous sensation and static stability in
patients with diabetic neuropathy.
Abstract: Background: Muscle Energy Techniques (MET) have
been widely used by manual therapists over the past years, but still
limited research validated its use and there was limited evidence to
substantiate the theories used to explain its effects. Objective: To
investigate the effect of Muscle Energy Technique (MET) on anterior
pelvic tilt in patients with lumbar spondylosis. Design: Randomized
controlled trial. Subjects: Thirty patients with anterior pelvic tilt from
both sexes were involved, aged between 35 to 50 years old and they
were divided into MET and control groups with 15 patients in each.
Methods: All patients received 3sessions/week for 4 weeks where the
study group received MET, Ultrasound and Infrared, and the control
group received U.S and I.R only. Pelvic angle was measured by
palpation meter, pain severity by the visual analogue scale and
functional disabilities by the Oswestry disability index. Results: Both
groups showed significant improvement in all measured variables.
The MET group was significantly better than the control group in
pelvic angle, pain severity, and functional disability as p-value were
(0.001, 0.0001, 0.0001) respectively. Conclusion and implication: the
study group fulfilled greater improvement in all measured variables
than the control group which implies that application of MET in
combination with U.S and I.R were more effective in improving
pelvic tilting angle, pain severity and functional disabilities than
using electrotherapy only.
Abstract: This paper is based on a large questionnaire study. The
paper presents how all participants and subgroups (upper- and
lower-level white-collar workers) answered the question, “Have you
had an ache, pain, or numbness, which you associate with desktop
computer use, in the different body parts during the last 12 months?’
14.6% of participants (19.4% of women and 8.2% of men) reported
that they had often or very often physical symptoms in the neck. Even
if our results cannot prove a causal relation of symptoms with
computer use, show that workers believe that computer use can
influence their wellbeing: this is important when devising treatment
modalities to decrease these physical symptoms.
Abstract: Background: Delayed onset muscle soreness (DOMS)
is the most common symptom when ordinary individuals and athletes
are exposed to unaccustomed physical activity, especially eccentric
contraction which impairs athletic performance, ordinary people
work ability and physical functioning. Multitudes of methods have
been investigated to reduce DOMS. One of the valuable methods to
control DOMS is repeated bout effect (RBE) as a prophylactic
method. Purpose: To compare the repeated bout effect of
submaximal eccentric with maximal isometric contraction on induced
DOMS. Methods: Sixty normal male volunteers were assigned
randomly into three equal groups: Group A (first study group): 20
subjects received submaximal eccentric contraction on non-dominant
elbow flexors as a prophylactic exercise. Group B (second study
group): 20 subjects received maximal isometric contraction on nondominant
elbow flexors as a prophylactic exercise. Group C (control
group): 20 subjects did not receive any prophylactic exercises.
Maximal isometric peak torque of elbow flexors and patient related
elbow evaluation (PREE) scale were measured for each subject 3
times before, immediately after, and 48 hours after induction of
DOMS. Results: Post-hoc test for maximal isometric peak torque and
PREE scale immediately and 48 hours after induction of DOMS
revealed that group (A) and group (B) resulted in significant decrease
in maximal isometric strength loss and elbow pain and disability
rather than control group (C), but submaximal eccentric group (A)
was more effective than maximal isometric group (B) as it showed
more rapid recovery of functional strength and less degrees of elbow
pain and disability. Conclusion: Both submaximal eccentric
contraction and maximal isometric contraction were effective in
prevention of DOMS but submaximal eccentric contraction produced
a greater protective effect against muscle damage induced by
maximal eccentric exercise performed 2 days later.
Abstract: When neck pain is associated with pain, numbness, or
weakness in the arm, shoulder, or hand, further investigation is
needed as these are symptoms indicating pressure on one or more
nerve roots. Evaluation necessitates a neurologic examination and
imaging using an MRI/CT scan. A degenerating disc loses some
thickness and is less flexible, causing inter-vertebrae space to narrow.
A radiologist diagnoses an Intervertebral Disc Degeneration (IDD) by
localizing every inter-vertebral disc and identifying the pathology in
a disc based on its geometry and appearance. Accurate localizing is
necessary to diagnose IDD pathology. But, the underlying image
signal is ambiguous: a disc’s intensity overlaps the spinal nerve
fibres. Even the structure changes from case to case, with possible
spinal column bending (scoliosis). The inter-vertebral disc
pathology’s quantitative assessment needs accurate localization of the
cervical region discs. In this work, the efficacy of multilevel set
segmentation model, to segment cervical discs is investigated. The
segmented images are annotated using a simple distance matrix.
Abstract: In the past decade, the use of digital image correlation
(DIC) techniques has increased significantly in the area of
experimental mechanics, especially for materials behavior
characterization. This non-contact tool enables full field displacement
and strain measurements over a complete region of interest. The DIC
algorithm requires a random contrast pattern on the surface of the
specimen in order to perform properly. To create this pattern, the
specimen is usually first coated using a white matt paint. Next, a
black random speckle pattern is applied using any suitable method. If
the applied paint coating is too thick, its top surface may not be able
to exactly follow the deformation of the specimen, and consequently,
the strain measurement might be underestimated. In the present
article, a study of the influence of the paint thickness on the strain
underestimation is performed for different strain levels. The results
are then compared to typical paint coating thicknesses applied by
experienced DIC users. A slight strain underestimation was observed
for paint coatings thicker than about 30μm. On the other hand, this
value was found to be uncommonly high compared to coating
thicknesses applied by DIC users.