Abstract\nObjective: The aim of this study was to examine how much recovery upper obstetric brachial plexus palsy (OBPP) patients show with exercises when they were 3, 6 and 12 months old; and to evaluate whether the exercise treatment given at different frequencies contribute to this recovery or not.\nDesign: Randomized controlled trial\nSetting: Outpatients clinic of our institute.\nSubjects: Sixty cases that were referred to Pediatric Rehabilitation and Pediatric Orthopedic Clinics with the diagnosis of having Group I and II OBPP according to Narakas classification, were included in the study. \nIntervention: The first group had intense exercise program three times daily, and second group had a standard exercise program once in a day.\nMain measures: The subjects were assessed using passive-active range of motion (ROM) and Hospital for Sick Children muscle grading system at their first clinic visit and every month after, until they became 12 months old.\nResults: In both groups, a significant recovery was observed in ROM and muscle strength of all movements of shoulder, elbow flexion and forearm supination at the 3rd, 6th and 12th month reassessments, whereas a significant difference was not achieved on both parameters between two groups.\nConclusion: Exercise frequency did not affect recovery rate and results in the cases with OBPP and exercises were influential against possible complications that may occur.
This paper presents a new approach for the prediction of cardiovascular disease based on Quantum Neural Network. It will serve as an excellent tool for a medical practitioner in predicting the chance of cardiovascular disease. This system has been experimentally evaluated and compared with Framingham Risk Score. During testing, the data of patients with the Doctor’s diagnosis (predictions) is used for evaluation and validation. The proposed system achieved 98.57% accuracy in predicting the cardiovascular disease which is significantly higher than Framingham Risk Score and other existing approaches.
The main objective of the study is to determine the effects of university students’ artificial climbing wall experiences, which is considered among experimental learning (learn by doing) activities and defined as “high activity”, on their problem solving skill levels. Artificial wall climbing emerges as a learning point which is both a game as of its content and an activity providing people to be active, not passive, through experimental learning activities and creating people opportunities to know better about themselves and others as well as their limits. \n\nPretest- posttest control group experimental model was used in this study. Experiment group participated into the practice twice in a week, totally for eight weeks. During this time, the control group continued their normal daily routines and not joined any activity. To collect data, Problem Solving Inventory developed by Heppner and Peterson (1982) was used. As a result of statistical analysis, statistically significant differences (p <0.05) were found between subscales and total scores of hasty approach, confident approach and planned approach. \n \nConsequently, activities done during artificial wall climbing have been causing positive development in problem solving skills & perception levels of university students.
Vocal process granulomas are benign lesions usually observed in the\nposterior glottis. In this paper we wanted to share our anesthestic management experience of a patient whose glottis was almost occluded by a laringeal granulom.
Study was implemented to analyze some measurable changes in chemical properties of soil and ground water, which were affected with flood 2010. This study was carried out during the period 2009-2013 in the region of Garhi Khairo taluka, district Jacobabad, Pakistan. Samples have been analyzed through various chemical parameters such as pH, electrical conductivity, sodium (Na+), potassium (K+), calcium (Ca+) and magnesium (Mg+2). Results of analysis reveal that, after flood, the chemical nature of soil of district changed from slightly alkaline to strongly alkaline. Before and after flood soil remains non saline. After flood, there has been a significant increase in the concentration of soluble calcium (Ca+) and magnesium (Mg+2) but potassium content of soil uniformly decreased. In whole period of analysis, the groundwater level in the area was very shallow and salty in nature.
This paper presents new technique of near maximum likelihood detection process named adaptive near maximum likelihood detector which combines pseudobinary and pseudoquaternary near maximum likelihood detection processes. Simulation results show that the performance of adaptive near maximum likelihood detector is better than the performance of pseudobinary near maximum likelihood detector but little bit worse than the performance of pseudoquaternary near maximum likelihood detector
This paper sought to explore the role of tertiary institutions in the development of records and archives management in Zimbabwe. The paper assessed the contributions made by the few tertiary institutions offering records management training, the relevance of their curricula in the country and the professional status of records and archives professionals in industry and society as well as the challenges faced by tertiary institutions in offering the programme. Polytechnic colleges currently offer the National Certificate, National Diploma and Higher National Diploma, while universities offer bachelors’ degrees and a master’s degree. The study made use of the survey research design where data were collected through questionnaires and interviews. It was discovered that more still needed to be done in opening up training opportunities for information professionals as currently only 3 out of 15 universities and 5 out of 7 polytechnic colleges in Zimbabwe offer records management training. Restricted capacity has a negative impact on institutions already offering the programme as well as on would-be trainees.