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Patel A.,National Institute of Technology Raipur | Patel A.,Integral University | Choubey J.,National Institute of Technology Raipur | Gupta S.K.,CSIR - Central Electrochemical Research Institute | And 4 more authors.
Lecture Notes in Engineering and Computer Science | Year: 2012

Asthma is a chronic inflammatory lung disease. Globally Asthma is major public health problem due to its incurable nature and misdiagnosis. In this research paper our work is concerned with the intelligent diagnosis of the severity of the Asthma disease. An automated system has been developed using a self-organizing fuzzy rule-based system. It utilizes the intrinsic ability to deal with the uncertainty and rejects the dealing of add-on mechanisms with imperfect data. Five symptoms have been taken (DSF (Day time symptoms frequency) and NSF (Night time symptoms frequency) PEFR (Peak Expiratory Flow Rate), PEFR variability and Sa02 (Saturation of oxygen) as input and one output for the decision of the asthmatic conditions. For designing of fuzzy inference system rule base play major role in its performance and fine tuning process optimizes the membership functions stored in the data base. The results of the manually constructed inference system was found to be correct when compared with the field data output. Source

Painkra J.P.,NIOH | Kumar S.,Rural Institute of Medical science and Research | Anwer S.,NIOH | Kumar R.,NIOH | And 2 more authors.
International Journal of Therapy and Rehabilitation | Year: 2014

Background: Deep neck flexor (DNF) muscles assist in stabilising the cervical spine during gross neck movements. Patients with neck pain often exhibit reduced deep neck flexor muscle endurance. Aims: This study's primary purpose was to determine the inter-rater and intra-rater reliability of measurements obtained using a simple clinical test of DNF muscle endurance in a healthy Indian population. The secondary purpose was to determine and compare the average hold time for deep neck flexor muscle endurance in healthy male and female participants, to add to the body of knowledge around deep neck flexor muscle endurance testing. Methods: In this cross-sectional study, 60 participants (30 male, 30 female) were evaluated using a deep neck flexor endurance test, which involved them lifting their head while maintaining their craniocervical region in a flexed position. Deep neck flexor endurance was measured by two physiotherapists. Each tester measured the DNF hold time of each participant twice, and there was a 5-minute rest between trials. Results: Inter-rater reliability was moderate to good (ICC = 0.69-0.88) and intra-rater reliability was good to excellent (ICC = 0.82-0.93). Neck flexor endurance time was significantly greater in males (mean = 63.73 seconds; SD = 20.27 seconds) than females (mean = 38.43 seconds, SD = 11.71 seconds, (F = 72.89, P<0.001). Conclusion: The results suggest that healthy males have greater deep neck flexor endurance than females. This is the first normative data available that reports on deep neck flexor endurance in healthy Indian adults. © 2013 MA Healthcare Ltd. Source

Nakra N.,Jamia Hamdard University | Quddus N.,Jamia Hamdard University | Khan S.,Jamia Hamdard University | Kumar S.,Rural Institute of Medical science and Research | Meena R.L.,Deendayal Upadhyaya Institute for the Physically Handicapped
International Journal of Therapy and Rehabilitation | Year: 2013

Objective: To determine the efficacy of proprioceptive neuromuscular facilitation (PNF) on shoulder function in participants with secondary shoulder impingement. Background: Previous research has established a relationship between shoulder muscle weakness and causation of secondary shoulder impingement. Recent evidence has shown that proprioceptive neuromuscular facilitation was effective in relieving pain and increasing overhead reach. However, none of the studies have measured shoulder function after PNF application. Methods: This study used a pretest-posttest experimental group design. Thirty participants (15 male and 15 female) with a diagnosis of secondary shoulder impingement were recruited from a hospital setting and divided into two groups. Group 1 received both PNF and the conventional protocol while group 2 received only the conventional protocol. Both groups received the intervention for a period of 3 weeks. Shoulder Pain And Disability Index (SPADI) score and overhead reach were analysed in both groups. Results: Group 1 showed significant improvement over Group 2 in terms of SPADI score and overhead reach. The experimental group showed significant improvement in (reduction of) SPADI score over the control group (23.8 ± 4.9) at a significance level of P<0.0001. The experimental group showed a significant difference over the control group for overhead reach (3.63 ± 1.8) at a significance level of P<0.03. Conclusion: The addition of PNF to conventional treatment brings significant improvement in shoulder function in comparison to conventional treatment alone in participants with secondary shoulder impingement. PNF helps in early recovery. Source

Kumar A.,Rural Institute of Medical science and Research | Pathak A.,Sharda University | Kumar S.,Sharda University | Rastogi P.,Sharda University | Rastogi P.,Kasturba Medical College Manglore
Journal of Indian Academy of Forensic Medicine | Year: 2012

Child abuse is the physical or psychological maltreatment of a child, can be differentiated into four major categories, physical abuse, emotional abuse, neglect and worst of all; the sexual abuse. Child Sexual Abuse (CSA) is a kind of physical or mental violation of a child with sexual intent, usually by a person who is in a position of trust or power vis-á-vis the child. India is the second largest child population in the world, 42% of India's total population is below eighteen years. In a shocking revelation, a Government commissioned survey has found that more than 53% of Indian children are subjected to sexual abuse/assault. Majority of these cases were perpetrated by someone known to the child or in a position of trust and responsibility, Not surprisingly, most children did not report the abuse to anyone. There is not a single law aimed at safeguarding children and protecting them against sexual abuse and assault, which is a serious lacuna against this background and is needed urgently. This paper will focus on child sexual abuse, the laws, legal loopholes, and The Protection of Children against Sexual Offences Bill, 2011. Source

Kumar A.,Rural Institute of Medical science and Research | Verma A.,Rural Institute of Medical science and Research | Yadav M.,Sharda University | Srivastava A.K.,P.A. College
Journal of Indian Academy of Forensic Medicine | Year: 2011

The term 'accident' is often used to describe a multitude of disparate events from falls and road accidents to suicides and violence. A 'fatal accident' for this purpose is defined as one in which death occurs within 30 days. Falls, road accidents and burns are major categories of accidents which lead to the highest rates of mortality among Geriatric Population. In most of the studies cited 'elderly people' are defined as those aged 60 or over and falls are the accidents with the highest mortality rates, particularly in the age group 85 or over. In 2006, with approximately 76.6 million (above 7.7% of total population) India alone accounted for one-seventh of world's elderly. Their population has been steadily growing. It is projected to rise to about 12.4 % in 2026, doubling from 76.6 million in 2006 to 173.1 million in 2026. The major area of concern is their health with multiple medical and psychological problems. Falls are one of the major problems in the elderly and are considered one of the "Geriatric Giants" (immobility, instability, incontinence and impaired intellect/memory). Source

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