Routine Daily Activities Research Articles

Penguatan Self-Regulation Anak Panti Asuhan Aisyah Curup Selama Belajar Daring di Masa Pandemi Covid 19

This study aims to discuss strengthening the self-regulation of orphanage children during online learning during the COVID-19 pandemic, the fact that the conditions of orphanage children are different from children living with nuclear families who always receive attention and affection, and facilitate their learning needs, while orphans do not. Get this, and the orphanage must accept this situation with no stress and sincerity. For this reason, researchers are interested in how orphanage children regulate themselves in online learning and are not stressed with the conditions at the Aisiyah Curup Orphanage. The research methodology is descriptive qualitative, where data will be collected with the interview dept (in-depth interview) and presented descriptively. The result is that strengthening self-regulation, namely metacognition, motivation and behavior, already existed during the Covid 19 pandemic, but decreased compared to before the Covid 19 pandemic. Limited facilities and family motivation were felt to be lacking, because during the pandemic the nursing home did not receive guests from outside and they behaved well with a pattern the same according to the schedule of daily routine activities arranged by the orphanage.

Abstract 14239: Development and Validation of a Daily Measure of Cardiorespiratory Fitness - Estimated Vo 2 Max - Using Multiparametric Data From a Wearable Sensor

Introduction: The objective determination of a person’s cardiorespiratory fitness over time, especially in those with heart failure, can play a critical role in optimizing individual therapies, identifying early signs of decompensation, and accelerate the development of novel therapeutic interventions. However, existing methods, such as formal cardiopulmonary exercise testing (CPET), or surrogates like a 6-minute walk test (6MWT) are difficult for both patients and health systems and provide only sparse samples. Hypothesis: Using a wearable ECG-patch sensor and machine learning methods, cardiorespiratory fitness can be estimated daily using routine vital sign dynamics during free-living activities. Methods: CPETs and multiple days of ECG-patch sensor data were collected within 2 weeks of each other for 228 participants (146 normal, and 82 with Heart Failure). A model for VO 2 max estimation was developed using a two-stage procedure. (Figure) In the first stage, the model was pretrained on an unsupervised regression task on over 2000 unique patients’ data, representing over 200 patient-years of activity of daily living. The second stage fine-tuned the pretrained model to predict VO 2 max, using a K-Fold cross validation procedure with 50% train, 25% validation, and 25% testing for four folds. Results: CPET-determined VO 2 max values ranged from 7.1 to 69.1 ml/kg/min (median=28.9, IQR=24.5). The Pearson Correlation Coefficient (PCC) and Mean Absolute Error (MAE) of the estimated VO 2 max was 0.85 and 6.2 ml/kg/min, respectively. For the heart failure subgroup, the PCC and MAE are 0.73 and 3.7 ml/kg/min, respectively. (Figure) Conclusion: Our results show that estimated VO 2 max can be accurately and conveniently determined at high frequency in individuals with a wide range of cardiorespiratory fitness using data from a patch sensor during routine daily activities. Ongoing work in a large HF trial will evaluate its performance over time relative to 6MWT and surveys.

SUBTALAR DISLOCATION OF LATERAL VARIETY WITH OR WITHOUT ASSOCIATED INJURIES OF FOOT -A CASE SERIES.

Introduction- Of all the injuries encountered around foot and ankle joint, subtalar dislocations are of rare occurrence. Most common mode of dislocation is high energy trauma( fall from height, road trafc accident and sports injuries). We conducted a prospective study from 1st MethodsJanuary 2017- 31st December 2020 including four patients ( 3 males and one female) with closed lateral subtalar dislocations with (one) or without fractures (three). In our study, closed reduction was performed in all cases. At  Results- nal follow-up functional score was evaluated using AOFAS-AHFS score and radiological assessment.All four patients had good functional outcome at nal follow-up and none of them had difculty in daily routine activities. Closed lateral subtalar dislocations are pure Conclusion- ly ligamentous injuries and has good functional outcome if managed properly( short period of immobilization followed by early mobilization).

Prevalence of Helminth Parasites of Swine in three Selected Local Government Areas of Ibadan, Oyo State, Nigeria

Background: Helminth infections of swine are common, but reports on the economic losses are not available. Though they cause a reduction in weight gain by interfering with food digestion, absorption, and feed conversion efficiency, there has been an increase in feeding cost complicated by helminth parasite infections. The losses are difficult to substantiate due to the chronic nature of helminth infections. This study sought to determine the prevalence and associated risk factors of swine helminth infections in three local government areas of Ibadan, Oyo State, Nigeria. A simple random sampling technique was applied to selected pig farms and animals from three local government areas in Ibadan for participation. 10 grams of freshly voided faeces were collected from a total of 246 pigs into a sterile labelled bottle containing 10% formalin until processed. Faecal samples were examined in the Department of Veterinary Parasitology and Entomology Laboratory, Faculty of Veterinary Medicine, University of Ibadan. Oral interviews were made to assess the daily routine activities and health status of the pigs from farm owners. Results: The overall prevalence of helminth parasites of swine in this study was 34.2% while the species prevalence of four helminth parasites obtained in this study included: A. suum 35 (14.26%), T. suis 23 (9.3%), Oesophagostomum spp 17 (6.9%), and Strongyloides spp 9 (3.6%). Also the overall single and mixed helminth infections were 70.2% and 29.8% in the three local government areas respectively; helminth parasitic load was highest in grower pigs (48.4%), followed by piglets (31.6%), and lowest in adult pigs (22.5%) without significant difference (p>0.05). Female pigs demonstrated a higher parasite burden (37.6%) than male pigs (30.6%) with no significant difference (p>0.05). Semi-intensively managed farms had a higher parasite load (71%) than those under the intensive system (24%) while farms that administered anthelmintic recorded a lower prevalence (15%), and those without had a higher (63%) significance (p<0.05). Pigs in Ona-Ara and Akinyele local government areas voided low (EPG≤100) to moderate (EPG≥100<500) amount of helminth eggs while pigs in Egbeda local government area excreted high (EPG≥500≤1000). Conclusion: The risk factors for helminth infections in pigs are age, sex, farm management practice, and anthelminthic administration.

A Novel Technique to Restore a Large Maxillary Defect- A Case Report

The causes of maxillary defects can be congenital or acquired in nature and management of these defects often require surgical removal of a part or almost the whole of the maxilla. This may result in establishment of oro-antral communication which ultimately hampers the daily routine activities of the patients such as speaking, swallowing, sneezing and coughing. Improvement of the defects with obturator prosthesis has been found to be beneficial to the patients. However, one of the main obstacles in restoring a large defect is the heaviness of the prosthesis which makes it non-retentive. To conquer these difficulties, diverse techniques are used to build up hollow bulb obturators. Here we report a case of large maxillary defect in a 75 year old male with Class I Aramany’s defect which was restored by a provisional obturator designed in the shape of a close hollow bulb using a clear and streamlined method for fabrication.

P-081 LAPAROSCOPIC RIVES-STOPPA ETEP FOR UMBILICAL HERNIA WITH RECTUS ABDOMINIS DIASTASIS: DOWN-TO-UP APPROACH

Abstract Aim The association of umbilical or epigastric hernia and diastasis is not uncommon.Classically, it was insisted on the repair only of hernial pathology and not of diastasis.However, according to the latest recommendations,the simultaneous treatment of both pathologies is a valid and effective option.In addition, with the rise of minimally invasive surgery(MIS) of the abdominal wall, more cases of simultaneous MIS repair of midline hernias and diastasis are being reported. Material & Methods 41-year-old female-patient with umbilical hernia of 3cm associated to diastasis with a distance of 4cm(post-pregnancy). MRI abdominal wall: umbilical hernia and diastasis, not other hernial defects. Laparoscopic management is decided by eTEP-approach . Results 4ports are used, a dissector-balloon was used to dissect the right retromuscular-space.Another 5mm-trocar is placed in LRQ, 5mm-trocar in LLQ and 12mm in suprapubic-midline.The surgery continues with the dissection of the left retromuscular-space, with the dissection of the umbilical hernial sac and reducing its contents, the section is performed at the medial level of both posterior sheaths of the rectus abdominis muscle until reaching the xiphodeal region.Later we continue with the closure of the anterior wall of the rectums by replicating the diastasis with Stratafix-0.Then the posterior sheath was closed with V-Lock 2–0.A PVDF-mesh of 16×26cm was placed.The patient presented a favorable postoperative evolution and was discharged on 1°-POD. Conclusions The laparoscopic-Rives-Stoppa-eTEP-approach for hernia-pathology of the midline associated with diastasis is a valid, efficient, effective and safe option, offering the advantages of MIS:less postoperative pain, less morbidity, early return to routine daily activities with lower healthcare-spending.

Equity of Maintenance Hemodialysis in Myanmar: Cross-Sectional Descriptive Study

Background: Maintenance hemodialysis has been the commonest Renal Replacement Therapy (RRT) in Myanmar. The equity is questionable in Myanmar, a developing country, as developed countries reported inequities of dialysis in various aspects. Methods: A cross-sectional descriptive study was conducted in selected Hemodialysis Centers (HDC) which are under the care of government of Myanmar in August 2022. Data were collected by using standardized forms and analysis was done. Results: A total of 168 cases from 5 HDC situated in Yangon (lower part of Myanmar), Nay Pyi Taw (central part of Myanmar), Aung Ban (Eastern part of Myanmar), Lashio (North eastern part of Myanmar) and Kyaing Ton (near Golden Triangle) were included. The age range was 21-79 years; old age was not excluded for maintenance hemodialysis. Male to female ratio was 1:1.2 revealing accessibility of both sex to maintenance hemodialysis. The proportion of ethnic groups was Burmese (139/168), Rakhine (8/168), Karen (7/168), Shan (6/168), Danu (2/168), Paoh (1/168), Chin (1/168), Kachin (1/168), inlay (1/168), Lesue (1/168) and Larhu (1/168); it was in accordance with normal ethnic distribution in Myanmar. Regarding religion, the majority were Buddhist (158/168); Nine patients were Christian. One patient was Islam. It was proportionate with percentage of population by religion in 2014 Census. Only 38 patients were graduates and four patients were illiterate; therefore, illiterates were accessible to maintenance hemodialysis. Ninety-eight percent of patients had comorbidities; and, 5% had 5 comorbid diseases revealing patients with multiple comorbid status were not left behind. Half of the patients were unemployed pointing that the jobless were not excluded for hemodialysis. Median travel time to HD center was 45 minutes (IQR 26-120 minutes). The maximum was 3 hours (180 minutes) in 3 patients. Half of the patients required 60 minutes travel time to HDC. Fifty percent of patients had booster vaccination to COVID-19. Most of the patients, over 90%, were doing their daily routine activity without assistance. Ninety-eight percent of patients were satisfied with treatments in their corresponding HDC. Conclusion: There was no difference in age, sex, race, religion, comorbidity, employment status, underlying etiology and education in terms of accessibility to maintenance hemodialysis. Although they were dealing with long travel time of more than one hour in 50% of cases, their attitude was positive. As half of the patients had travel time of more than an hour, we need new HDC in Aung Ban. Resource allocation to renal replacement therapy should be encouraged at ministry level.

Children with profound intellectual disabilities metod of communication in family environments in familiar situational contexts part I

The first part of this article presents the characteristics of communication in children with profound intellectual disabilities with an adult in a family environment in a familiar situational context during dressing and undressing activities. The second part of the article focuses on dressing and undressing activities in a new situational context. In the conducted research, a qualitative research orientation was applied using the method of observation and the technique of observing samples of events. Recordings of routine daily activities dressing and undressing, eating, playing were analyzed. The observed data were recorded in the authors Sheet for Observation, Analysis and Interpretation of Communicative Behavior in a Communicative Situation. The analysis of the research material was carried out according to the planned stages: (1) analysis of the collected recordings description of the situational context, recording of the childs and adults communicative behavior; (2) analysis of the childs communicative behavior identification of non-verbal and verbal communicative behavior according to the communicative channels of children with profound intellectual disabilities (breathing, body signals, facial expression, eye expression, gesture, body position/posture, speech); (3) interpretation of observed communicative behaviors assigning characteristics to communicativebehaviors (effectiveness and appropriateness) and attempting to assign meaning to them (identifying childrens behaviors that may indicate attempts to initiate, sustain or interrupt interactions). Selected fragments of communicative situations were also analyzed. Based on these, the factors determining the effectiveness and appropriateness of the method of communication used by children with profound intellectual disabilities were inferred. This study is of cognitive and practical value. It complements the existing knowledge in the literature on the topic and can also contribute to introducing practical solutions to support the development of the communication process of children with profound intellectual disabilities.

Soft skin-interfaced mechano-acoustic sensors for real-time monitoring and patient feedback on respiratory and swallowing biomechanics

Swallowing is a complex neuromuscular activity regulated by the autonomic nervous system. Millions of adults suffer from dysphagia (impaired or difficulty swallowing), including patients with neurological disorders, head and neck cancer, gastrointestinal diseases, and respiratory disorders. Therapeutic treatments for dysphagia include interventions by speech-language pathologists designed to improve the physiology of the swallowing mechanism by training patients to initiate swallows with sufficient frequency and during the expiratory phase of the breathing cycle. These therapeutic treatments require bulky, expensive equipment to synchronously record swallows and respirations, confined to use in clinical settings. This paper introduces a wireless, wearable technology that enables continuous, mechanoacoustic tracking of respiratory activities and swallows through movements and vibratory processes monitored at the skin surface. Validation studies in healthy adults (n = 67) and patients with dysphagia (n = 4) establish measurement equivalency to existing clinical standard equipment. Additional studies using a differential mode of operation reveal similar performance even during routine daily activities and vigorous exercise. A graphical user interface with real-time data analytics and a separate, optional wireless module support both visual and haptic forms of feedback to facilitate the treatment of patients with dysphagia.

Activity and participation experiences of people with disabilities in Ethiopia.

BackgroundEthiopia, as a State Party to the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), has committed to upholding the rights of people with disabilities in Ethiopia. There is little evidence, however, reflecting the impact of this commitment on the lived experiences of people with disabilities in Ethiopia.ObjectivesThis study sought to uncover how the experiences of participation and activity shape the enactment of rights for Ethiopians with disabilities as enshrined in the UNCRPD.MethodAnalysis of 25 qualitative interviews with people with disabilities and family members living in Ethiopia used a reflexive thematic analysis approach to arrive at central themes.ResultsPeople with disabilities in Ethiopia experience marginalisation, distress and practical challenges in both routine daily activities and participation in broader social roles and opportunities. These experiences affect their ability to claim many of the rights afforded by the UNCRPD.ConclusionDespite legislative efforts to bring about change in Ethiopia, people with disabilities continue to live on the social margins. A meaningful change will require substantial allocation of needed resources by the Ethiopian government to support national-level programmes and policy change. It is critical that people with disabilities and their families are engaged in receiving relevant support, and serve as change leaders.ContributionThis study illustrates how marginalisation, distress and practical challenges in daily activities and social participation arise and are sustained for people with disabilities in Ethiopia. The findings can help to inform the country’s efforts to enact the rights of Ethiopians with disabilities as enshrined in the United Nations Convention on the Rights of Persons with Disabilities.

Sensory Profile in Infant/Toddler: Birth to 36 Months

Objectives: Sensory processing patterns refer to a person’s ability to receive and respond to sensory events which are important to succeed in daily routine activities. This study aims to determine the sensory processing patterns in infants/toddlers. Methods: This is a cross-sectional study. A total of 518 infants/toddlers participated in this study. Their ages ranged from birth to 36 months. Parents completed the infant/toddler sensory profile for all participants. Results: No significant difference was observed between girls and boys in sensory processing from birth to 6 months; however, there is a significant difference between girls and boys in low registration, sensory sensitivity, and sensory avoidance from 7-36 months. In addition, no significant difference was detected between children born by cesarean and those born through natural childbirth in terms of sensory processing (quadrants and scores) from birth to 6 months and 7-36 months. There is a significant difference between preterm and full-term children (birth to 6 months) in auditory processing. The findings also indicate only a significant difference in oral sensory processing between the preterm and full-term children (7-36 months). Discussion: We discussed sensory processing patterns in children and their differences based on different factors. The results of this study can provide considerations for Iranian occupational therapists and psychologists.

Role of Management in Organizational Performance a Study of Tanzania Railways in Morogoro Region

Organizations perform various activities to establish and accomplish their organizational objectives. The aim of this study was to find out the role of management in organizational performance. The study is based on the following objectives: to find out whether workers’ motivation influences organizational performance in Morogoro Railway Station, and to determine whether effective communication can influence organizational performance. The study used a survey design because it allows the researcher to use a representative sample from the population. The sample size of the study was 40 respondents. In this report both quantitative and qualitative data methods were used. The findings show that Cooperation among workers was 85.7%, followed by 89.5% where Communication strategies introduced in Tanzania Railways Corporation will be successful 89.5% and 66.7% of staff seem to work as a team while 66.7% have great significant toward organizational performance.
 Finally, the Government should continue to revamp Tanzania Railways Corporation in order to cater services in a wide range and nearby countries and, recruit more employees for efficiency job performance. On the other hand, employees should be committed to accomplish their daily routine activities, utilize time effectively for the success of the organization, and Management should continue providing information to employees in order to make them aware of what is going on.

ASSOCIATION OF AUTOIMMUNE STATUS WITH ASST, AUTOIMMUNE AND ATOPIC DISEASES IN CSU PATIENTS

Chronic spontaneous urticaria (CSU) is a mast cell-driven skin disease characterized by the recurrence of transient wheals, angioedema, or both for more than 6 weeks. Autoimmunity is thought to be one of the most frequent causes of CSU.CSU represents an important burden that compromises patient’s quality of life, interferes with routine daily activities. Aim of the study: The aim of this study is to make an association of autologous skin serum test (ASST), autoimmune diseases and atopic diseases with the autoimmune status in patients with HSU. Materials and methods: This study assessed 230 patients with CSU. The study is prospective, proceeding at the Department of Dermatology at City General Hospital “8mi Septemvri”, Skopje, in the period from January - November 2021. The study and the data collection were conducted with the approval of the institutional and ethical committee. Inform consent was obtained from all patients. Patients were divided in two groups according to their autoimmune status: patients with positive and patients with negative autoimmune status. Autoimmunity was defined in the case of a personal history of autoimmune disease or in the presence of at least one type of autoimmune antibodies (AAbs) (included anti- TPO, anti-nuclear antibodies (ANA) and rheumatoid factor (RF)).ASST was performed on untreated patients by the intradermal injection of 50 μL of the patient’s own serum into the volar part of the forearm. Anamnestic data on the course of the disease, accompanying autoimmune diseases and allergic diseases were taken. Results: Positive autoimmune status was confirmed in 40.28% of patients with HSU. Patients with a positive autoimmune status significantly more often than patients without an autoimmune status had a certain autoimmune disease (75.17% vs 10.59%):Hashimoto Tireoiditis39.31% vs10.59 %,Vitiligo13.79% ,Arthritis Rheumatica9.66 %,Morbus Crohn 5.52%, Hashimoto Tireoiditis + Vitiligo6.9% . Patients had a personal history of atopy (67.59% vs 55.29%), asthma (61.38% vs 44.71%), personal history for allergic rhinitis (57.24% vs 49.41%), positive ASST (86.9% vs 16.47%). To conclude, in this study, we obtained a high incidence of association of ASST, autoimmune diseases and atopic diseases with positive autoimmune status in CSU patients, thus providing additional evidence in the association of HSU with autoimmunity.

A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study.

The study objective was to determine the effect of long-duration neuromuscular electric stimulation (NMES) on shoulder subluxation and upper-extremity function during the acute post-stroke stage. Twenty-eight subjects (mean age ± standard deviation −70.0 ± 14.0 years) were randomly assigned to an experimental or to a control group receiving NMES to the supraspinatus and posterior deltoid muscles or sham treatment for 6 weeks. All the subjects continued standard rehabilitation and external shoulder support (EST). Assessments were conducted pre- and post-intervention and at a 2 week follow-up session by an assessor blind to group allocation. Outcome measures included the degree of shoulder subluxation, Fugl–Meyer assessment-upper extremity (FMA-UE) test, FMA—hand and finger subscales, Functional Independence Measure (FIM), and shoulder pain (using the Numeric Pain Rate Scale). Shoulder subluxation was significantly lower, while the FMA-UE and FMA—hand and finger subscales were significantly improved in the experimental group post-intervention and at follow-up compared to the control group. FIM at follow-up improved more in the experimental group. No change was observed in pain level in both groups. Supplementing NMES to standard rehabilitation and EST is beneficial in reducing shoulder subluxation and improving upper-extremity function. Further research is necessary to determine effect of longer treatment duration and longer follow-up periods.

DISTAL TIBIA SOLITARY OSTEOCHONDROMA-A CASE SERIES

Introduction: Distal tibia involvement is very rare and it merely accounts for around 4% of all the excised lesions. (Mirra, 1989) Distal tibia osteochondromas mainly present pain, deformity like varus/valgus around ankle joint, pathologic fractures of surrounding structures and for the above-mentioned problems, surgical excision has to be considered as a possible option. (Ismail et al., 2008). Methods: We conducted a prospective study from 1st June 2018 to 1st June 2021 including five patients (4 males and 1 female) with distal tibia osteochondroma. In our study, surgical excision was performed in all the cases. Pre-operative and at final follow-up ‘AOFAS-AHFS score’ and ‘VAS score’ were evaluated. Results: All five patients had good functional outcome at final follow-up, mean AOFAS-AHFS score improved from 61.2±5.4 to 85±3.39, and mean VAS score improved from 7.2±0.83 to 0.8±0.44 at final follow-up and found no difficulty in daily routine activities. All patients had complete ROM at final follow-up. Conclusion: Distal tibia osteochondroma has good functional outcome and less complications, if managed properly.

A conceptual comparative approach on personal AI assistants and external service robots

Abstract In the past years artificial intelligence (AI) has become an important subject for both companies and consumer due to the growth of personal AI assistants and external service robots. It is clear that many aspects of our life are not like they used to be. The fact that every one of us is sooner or later going to incorporate various AI functions in daily routine activities becomes somehow certain. It is not only our home-life that is transforming, but also the way we, as consumers, are going to interact with different product and service providers. In this paper we provide a comparative literature review on the challenges and research topics regarding personal AI assistants and external service robots. While the personal AI assistants intervene more in the private sphere of the consumer, the relation to the external service robots is more distant. The results of our literature review show that the relation between consumer and external service robot is more characterized by interaction, enjoyment and engagement, it is expected to have a parasocial friendship relation between consumer and personal AI assistants. Taking this difference of perspective the two types of AI will be differently involved in the future business and marketing activities of companies.

To study the effects of knee osteoarthritis on hip flexibility among elders.

Objectives: To determine the effect of knee osteoarthritis on hip flexibility by using Modified Thomas Test. Study Design: Observational study. Setting: Department of Physiotherapy and Orthopedic, Shalamar Hospital, Lahore. Period: 1 July 2021 to 31 December 2021. Material & Methods: This study recruited 40 participants of either sex, age between 30- 70 years. Results: The response of study was 100%. Frequency of females with osteoarthritis was 82.5 males was 17.5%. Among the patients 33 were females and 7 were males. T-Test was performed for parameters of age in years, height in inches, weights in kgs for females and males. The mean age was 51.79±9.303 years for female and 55.43±8.404 years for male. Weight in kgs for female was 76.03±9.133 and for male was 94.57±20.911. In T test the height in inches for female was 61.45±2.399 and for male was 65.57±3.735. The co-relation between hip flexibility and knee osteoarthritis was moderately significant and flexibility was reduced because of osteoarthritis. Conclusion: It was concluded that hip flexibility is reduced with osteoarthritis of knee joint and due to reduced mobility of hip joint routine daily activities of patient was hampered.

Fine Motor Therapy Using Avatar-based AI for Autistic Children (Virtual Reality)

People who have autism spectrum disorder (ASD) frequently encounter situations in which they must give answers but are unsure of howto do so, such as questions from strangers about routine daily activities. ASD is a spectrum disorder that is characterised by impairments in social interaction and repetitive patterns of behaviour. The potential of the experience as a learning tool was increased with the addition of virtual reality (VR) support, which increased the experience's sense of presence and realism. Research that aims to use technology to improve social and communication deficits in autistic children is currently in progress.Immersive virtual reality (VR) is a relatively new technology that may be an effective therapy tool for helping autistic youngsters learn a variety of skills. The interactive scenario-based VR system described in this research was created to help autistic kids communicate more effectively. The HTC Vive Pro serves as the virtual reality headset for the game, which is currently being created using the Unity game engine. In order to test this "REAL-TIME project" and confirm the impact of the immersive environmenton the social performance of autistic children, the system makes use of speech recognition to allow natural interaction and turn-taking. In this project, we create and model a virtual kind of fine motor therapy for kids.The kids will get to experience animmersive VR environment full with fun games, interactions, and educational opportunities.

Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed-method study.

BackgroundMenstrual Hygiene Management (MHM) is a much-neglected issue in developing countries, including Ethiopia. Menstruating women and girls are forced into isolation, prevented from movement, dietary restrictions, and can be prevented from participating in daily routine activities. Furthermore, the way almost all previous studies conducted in Ethiopia measured the practice of MHM did not meet standard definition of safe MHM. This study aimed to assess safe management of menstrual hygiene practice and associated factors among female adolescent students in public high schools in central Ethiopia.MethodsA mixed-methods approach was employed in this study. Systematic random sampling technique was used to select 846 study participants. The collected data were entered through EPI INFO version 7 and exported to SPSS version 23 for cleaning and analysis. Bivariate and multivariate logistic regression analysis were performed to identify the association between MHM and independent variables. Finally, AOR, 95% CI, and p-value < 0.05 were considered statistically significant. The qualitative data was analyzed by ATLAS.ti in order to extract the main themes and categories. Direct quotations were presented with a thick description of the findings.ResultsThe safe management of menstrual hygiene was 28.20%. Living with parents (AOR = 2.51, 95% CI:1.11–5.68), living with relatives (AOR = 7.41, 95% CI:2.55–21.54), having a merchant mother (AOR = 1.81, 95% CI:1.14–2.9), having a mother who has private work (AOR = 4.56, 95% CI:1.31–5.90), having a farmer father (AOR = 1.53, 95% CI:1.1–2.31), rural resident (AOR = 1.61, 95% CI: 1.17–2.21) and realizing the absence of container for storing sanitary napkins in the toilet of the school latrine (AOR = 1.44, 95% CI: 1.1–0.94) were factors associated with MHM. Findings from a qualitative study were discussed under four themes to explore barriers to menstrual hygiene management, and three themes emerged as enablers to menstrual hygiene management.ConclusionsThe safe management of menstrual hygiene was low among adolescent girls. People with whom adolescent girls live, the occupational status of mother and father, residence, the availability of a container to dispose of sanitary napkins in school toilets were factors associated with menstrual hygiene management. Behavioral change communications must be provided to female students about menstrual hygiene.

Design and Implementation of Hybrid Techniques and DA-based Reconfigurable FIR Filter Design for Noise Removal in EEG Signals on FPGA

Virtual Reality (VR) technology assists physically challenged personnel in their daily routine activities. The evolution of technology has enhanced the critical activities of people who use wheelchairs by extracting features through electroencephalogram (EEG) and promoting options for their choice for decision-making on their own. During extraction of EEG, signal artifacts may mislead the decision-making environment. Hence noise has to be removed with help of an FIR filter for accuracy. In this context utilization of finite impulse response (FIR) filters are so vital hence filters are incorporated with the hidden Markov model (HMM) and Gaussian mixture model (GMM) and supervised machine learning architecture of multirate support vector machine (SVM). The proposed EEG-based diagnosis system is a fully automated audio announcement system. The entire environment has been developed by Verilog HDL and MATLAB. Validated on Artix-7 FPGA development board and synthesized with Vivado Design Suite 2018.1. Obtained results exhibit an enhancement of 32% of signal-to-noise ratio (SNR),7% of mean square error (MSE), and 69% of abnormality recognition.