Abstract: It is sometimes difficult to differentiate between
innocent murmurs and pathological murmurs during auscultation. In
these difficult cases, an intelligent stethoscope with decision support
abilities would be of great value. In this study, using a dog model,
phonocardiographic recordings were obtained from 27 boxer dogs
with various degrees of aortic stenosis (AS) severity. As a reference
for severity assessment, continuous wave Doppler was used. The data
were analyzed with recurrence quantification analysis (RQA) with
the aim to find features able to distinguish innocent murmurs from
murmurs caused by AS. Four out of eight investigated RQA features
showed significant differences between innocent murmurs and
pathological murmurs. Using a plain linear discriminant analysis
classifier, the best pair of features (recurrence rate and entropy)
resulted in a sensitivity of 90% and a specificity of 88%. In
conclusion, RQA provide valid features which can be used for
differentiation between innocent murmurs and murmurs caused by
AS.
Abstract: Main goal of preventive healthcare problems are at
decreasing the likelihood and severity of potentially life-threatening
illnesses by protection and early detection. The levels of
establishment and staffing costs along with summation of the travel
and waiting time that clients spent are considered as objectives
functions of the proposed nonlinear integer programming model. In
this paper, we have proposed a bi-objective mathematical model for
designing a network of preventive healthcare facilities so as to
minimize aforementioned objectives, simultaneously. Moreover, each
facility acts as M/M/1 queuing system. The number of facilities to be
established, the location of each facility, and the level of technology
for each facility to be chosen are provided as the main determinants
of a healthcare facility network. Finally, to demonstrate performance
of the proposed model, four multi-objective decision making
techniques are presented to solve the model.
Abstract: Pepper spray use has gained momentum since 1992
and although the active ingredient is readily available, it is considered
a weapon with restricted use in many regions, including The
Bahamas. In light of controversy in the literature regarding the
severity of presenting respiration complaints among individuals postacute
exposure of pepper spray inhalation, this descriptive case series
study was conducted to assess the respiratory status of persons
evaluated during a mass casualty in The Bahamas. Parameters noted
were patients- demographics and respiration severity determined via
clinical examination findings, disposition and follow-up review of the
20 persons. Their most common complaint was difficulty breathing
post exposure. Two required admission and stayed for
Abstract: Psoriasis is a widespread skin disease affecting up to 2% population with plaque psoriasis accounting to about 80%. It can be identified as a red lesion and for the higher severity the lesion is usually covered with rough scale. Psoriasis Area Severity Index (PASI) scoring is the gold standard method for measuring psoriasis severity. Scaliness is one of PASI parameter that needs to be quantified in PASI scoring. Surface roughness of lesion can be used as a scaliness feature, since existing scale on lesion surface makes the lesion rougher. The dermatologist usually assesses the severity through their tactile sense, therefore direct contact between doctor and patient is required. The problem is the doctor may not assess the lesion objectively. In this paper, a digital image analysis technique is developed to objectively determine the scaliness of the psoriasis lesion and provide the PASI scaliness score. Psoriasis lesion is modelled by a rough surface. The rough surface is created by superimposing a smooth average (curve) surface with a triangular waveform. For roughness determination, a polynomial surface fitting is used to estimate average surface followed by a subtraction between rough and average surface to give elevation surface (surface deviations). Roughness index is calculated by using average roughness equation to the height map matrix. The roughness algorithm has been tested to 444 lesion models. From roughness validation result, only 6 models can not be accepted (percentage error is greater than 10%). These errors occur due the scanned image quality. Roughness algorithm is validated for roughness measurement on abrasive papers at flat surface. The Pearson-s correlation coefficient of grade value (G) of abrasive paper and Ra is -0.9488, its shows there is a strong relation between G and Ra. The algorithm needs to be improved by surface filtering, especially to overcome a problem with noisy data.
Abstract: Modern Society is strongly dependent on a reliable
power supply. The availability of cheap and reliable supply of
electrical energy is an indicator of societal welfare. Uninterrupted
reliable operation of a modern power system depends to a great
extent on reliable and satisfactory performance of insulators under
different environmental conditions. This paper reports result of
natural pollution tests that have been done at sites around city of
Aligarh (India). Flashover voltage per insulation distance (FOVUID)
of porcelain disc insulator for different pH values, ESDD has been
recorded for proper correlation between electrical and chemical
parameters. The pH of the contaminants has been suggested to be an
effective pollution severity indicator and may be used as a diagnostic
parameter for proper maintenance of porcelain insulators.
Abstract: Exclusive breastfeeding is the feeding of a baby on no other milk apart from breast milk. Exclusive breastfeeding during the first 6 months of life is of fundamental importance because it supports optimal growth and development during infancy and reduces the risk of obliterating diseases and problems. Moreover, in developed countries, exclusive breastfeeding has decreased the incidence and/or severity of diarrhea, lower respiratory infection and urinary tract infection. In this paper, we study the factors that influence exclusive breastfeeding and use the Generalized Poisson regression model to analyze the practices of exclusive breastfeeding in Mauritius. We develop two sets of quasi-likelihood equations (QLE)to estimate the parameters.
Abstract: The purpose of the study was to determine if, among
32 brain injured adults in community rehabilitation programs, there is
a statistically significant relationship between the degree of severity
of brain injury and these adults- level of self-esteem and stress. The
researcher hypothesized there would be a statistically significant
difference and a statistically significant relationship in self-esteem
and stress levels among and TBI adults. A Pearson product moment
correlational analysis was implemented and results found a
statistically significant relationship between self-esteem and stress
levels. Future recommendations were suggested upon completion of
research.