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Background

Postural disorders are frequent in victims of hemiplegia and limit or delay the recovery of gait and functional independence. This makes postural control a priority in post stroke rehabilitation.

Objective

To find out the effectiveness of Trunk Control Retraining in Hemiparetic patients with postural disturbances and also to find out any probable relationship between postural disturbance and side of paresis.

Design

One group pre-test post-test quasi experimental design.

Setting

Tagore Hospital and Research Centre, Jalandhar.

Population & sampling

15 hemiparetic subjects of both sexes in age group of 40-65 years and of either side affection were selected by convenient sampling method (right and left hemi.) and assigned in a single group.

Intervention

Trunk control retraining therapy for duration of 30 min everyday for 4 times a week and for a total of 4 weeks duration. i.e. total 16 sessions was administered with trivially made Bon Saint Come device.

Main outcome measure

Patients were assessed before commencement and after the completion of 16th treatment session by a fixed battery of tests namely sitting equilibrium index and upright equilibrium index and then postural graphs were taken with the help of trivially made swaymeter.

Results and conclusions

Trunk Control Retraining has significant effect in improving the postural disturbances in right hemiparetic patients but there is no statistically significant effect on Left hemiparetic patients.

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Aims: The present study was conducted to evaluate the operational mechanism of JSY and to assess the quality of services and perception of mothers regarding it.

Settings and Design: This was a rapid appraisal study conducted in four sub-centres, selected purposively, from two rural blocks of Haryana, a province of North India. The study design adopted was cross sectional.

Methods and Material: All the beneficiaries who received the benefits from 1.4.2009 to 31.3.2010 were enrolled in the study. The data were collected from beneficiaries regarding various aspects of JSY, using semi-structured schedule by carrying in-depth interviews, conducting house-to-house survey. Multi-purpose health workers - female (MPHW-F) of the sub-centres, accredited social health activist (ASHA) serving in the area and the concerned Medical Officer of the primary health centre (PHC) were also interviewed regarding implementation of JSY.

Results: Most of beneficiaries belonged to below poverty line (BPL) as well as schedule caste categories. Less than 15% of the beneficiaries received payment within one month. More than 80% of the beneficiaries got ≥ 2 ante-natal checkups, while post-natal checkups were received by less than 10%. More than two-third of the deliveries were still conducted at home.

Conclusion: More stress should be laid on the implementation of JSY in terms of place of delivery, provision of postnatal care and timely release of the monetary grants, so that the targeted objectives of this strategy can be achieved in a timely manner.

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Introduction: Respiratory intensive care unit(RICU) is an area within hospital which is well equipped and under control of specialised team of doctors, nurses and paramedical staff for providing all possible health facilities to the patient. It is also a specialised place for the monitoring and treatment of patients with acute respiratory failure due to primary respiratory cause and of patient with acute or chronic respiratory failure.

Aim: The aim of this study was to determine the clinical profile, pattern of disease, duration of stay and outcome of patients admitted in RICU at tertiary care centre of Rohilkhand Medical College and Hospital (RMCH), Bareilly.

Methodology: For the practical approach the study was conducted on 144 patients of the RICU. The analysis included patients who were hospitalised in the RICU of Deptt. of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly from May 2014 until May 2015. Results: There were 144 admission during the study period. 102 were male and 42 were female. 46% were referred from the Emergency department (ED) and 40% of patients came from other ICU and hospitals. The most common complaints of patients was breathlessness in 86.1% and cough 68.02%. Most patients had admission in the ICU because of Respiratory Disorders and were ≥ 50 yrs. Average ICU stay was 4.5 days. About 48% of patients showed response to Oxygen inhalational therapy, but 23% patients were put on mechanical ventilator. > 60% patients were discharged from RICU, 16% died and 15% patient discharged and referred to higher centres.

Conclusion: Respiratory problems are the major reason for an RICU admission. Most common indication for admission was Type II respiratory failure and most common cause was acute exacerbation (AE) of COPD. > 70% of patients were improved and discharged.

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Friction stir welding (FSW) is known for joining low softening alloys metals such as aluminum, magnesium and copper, however joining of high softening alloys like steel, titanium and nickel base alloys is still a challenge due to tool material stringent property requirements and its availability. Presently, due to development new generation tool material FSW of high softening alloys is possible and also reported. FSW can effectively join different grade of low thickness steel, however the questions about joining thick section steel still remains a challenge.

In this paper, FSW of 7 mm, 12 mm and 24 mm thick HSLA steel in single and double pass was carried out to develop the processing window for defect free weld joints and understanding the structure-property correlation. The increase in thickness of the base metal resulted in generation of higher load, higher heat input and consequently lower cooling rate. Therefore, the microstructure obtained after FSW in different thickness of steel also shows varying microstructures (grain boundary ferrite, acicular ferrite, widmensttan ferrite and upper bainite). Optical and scanning electron microscope (SEM) with electron back scattered diffraction (EBSD) detector was utilized to characterize the microstructure of FSW nugget zone. Tensile and hardness properties were also evaluated and correlated with the microstructure.

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Submerged Arc Welding (SAW) process has lot of social and economical implication. Critical set of variables are involved in this process, and they are needed to be controlled. An attempt has been made in this paper to find out- the influence of the heat input on HAZ hardness (change of hardness & microstructure) for Submerged Arc Welding Process of Mild steel plates. Mild steel plates are welded by changing input variables (current, voltage, trolley speed, i.e. heat input) and Rockwell hardness No. on different grid points (points are taken horizontally & vertically 2 mm apart) of welded surface and at the zone adjacent to the welded portion has been observed. A detailed analysis of the microstructure changes is carried out to understand the HAZ softening phenomenon.

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In Submerged Arc Welding process involves critical set of variables which are needed to control. An attempt has been made in this paper to find out- the influence of the heat input and bead volume on HAZ Hardness for Submerged Arc Welding Process of Mild steel plates. Mild steel plates are welded by changing input variables (current, voltage, trolley speed, i.e. heat input) and Rockwell hardness no. has been observed on welded portion and at the zone adjacent to the welded portion. A detailed analysis of the microstructure changes is carried out to understand the HAZ softening phenomenon.

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