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Psychopathology and functional impairment among patients attending an adolescent health clinic: Implications for healthcare model reform
Russell Sushila,Subramanian Balakrishnan,Russell Paul
Osteopathic Medicine and Primary Care , 2008, DOI: 10.1186/1750-4732-2-3
Abstract: Background In developing countries, primary health care facilities, such as adolescent health clinics, are frequently the first contact for an adolescent with a health professional for a myriad of health problems including mental health issues. Psychopathology is prevalent among adolescents, and causes significant educational, occupational and social impairment. The presence of psychopathology with impairment requires the development of treatment models to address both of these components. We studied the psychopathology and associated impairment in patients at an adolescent health clinic as an indicator for healthcare model reform. Methods Psychopathology and functional impairment were assessed in 100 patients at an adolescent health clinic in the city of Chennai, Southern India. The patients had initially visited the clinic for various medical disorders. Adolescents were diagnostically classified for psychopathology using the Child Behaviour Checklist (CBCL) and the International Classification of Disease: 10th Edition (ICD-10). Functional impairment was assessed with the Child Global Assessment Scale (CGAS). Data were analysed using bivariate and multivariate methods. Results Eight percent had a diagnosable psychopathology, and they also satisfied at least one ICD-10 diagnosis. Adolescents screened had significant impairment as indicated by low CGAS scores, whether or not they presented with psychopathology. Adolescents with psychopathology were more functionally impaired both in the bivariate (Z = -3.1; P = 0.002) and multivariate analyses (β(SE) = 1.09(0.3), t = 3.9, 95% confidence interval = 0.5, 1.6; P = 0.001). Impairment in adolescents without psychopathology is primarily attributed to the medical disorders they presented with. Conclusion Patients attending adolescent health clinics should be screened for psychopathology and functional impairment. Documented psychopathology and impairment necessitates the use of a combined treatment model to address the short and long-term problems these adolescents face.
The psychometric properties of Beck Depression Inventory for adolescent depression in a primary-care paediatric setting in India
Basker Mona,Moses Prabhakar D,Russell Sushila,Russell Paul
Child and Adolescent Psychiatry and Mental Health , 2007, DOI: 10.1186/1753-2000-1-8
Abstract: Background There is increasing interest in identifying adolescents with depression in primary care settings by paediatricians in India. This article studied the diagnostic accuracy, reliability and validity of Beck Depression Inventory (BDI) while used by paediatricians in a primary care setting in India. Methods 181 adolescents attending 3 schools were administered a back translated Tamil version of BDI by a paediatrician to evaluate its psychometric properties along with Children's Depression Rating Scale (CDRS-R) for convergent validity. Clinical diagnosis of depressive disorders, for reference standard, was based on ICD-10 interview by an independent psychiatrist who also administered the Impact of Event Scale (IES) for divergent validity. Appropriate analyses for validity and diagnostic accuracy both at the item and scale levels were conducted. Results A cut-off score of ≥ 5 (Sn = 90.9%, Sp = 17.6 %) for screening and cut-off score of ≥ 22 (Sn = 27.3%, Sp = 90%) for diagnostic utility is suggested. The 4 week test – retest reliability was good (r = 0.82). In addition to the adequate face and content validity, BDI has very good internal consistency (α = 0.96), high convergent validity with CDRS-R (r = 0.72; P = 0.001), and high discriminant validity with IES (r = 0.26; P = 0.23). There was a moderate concordance rate with the reference standard (54.5%) in identifying depression among the adolescents. Factor analysis replicated the 2-factor structure explaining 30.5 % of variance. Conclusion The BDI proved to be a psychometrically sound measure for use by paediatricians in a primary care setting in India. The possibility of screening for depressive disorders through the use of BDI may be helpful in identifying probable cases of the disorder among adolescents.
National symposium on injuries of the eye - Presidential speech
Nayar Sushila
Indian Journal of Ophthalmology , 1968,
Design a H shaped Patch Antenna For Wireless Communication
Sushila Gupta
International Journal of Advanced Electrical and Electronics Engineering , 2013,
Abstract: The idea used in this paper inculcates the use of H Shaped patch structure the idea of using a probe feed technique for the frequency 3.42GHz which falls in WiMAX. This paper is dedicated to simulate a H shaped rectangular patch antenna by using the software Agilent MOM based ADS 2011.10 tool. The effects of slot width, rectangular patch height, and substrate dielectric constant have been evaluated like return loss, VSWR, gain along θ, φ directions, radiation pattern in 2-D and 3-D, axial ratio, E and H Field Distributions. The compact aperture area of the antenna is 28 X 34.67 mm2.
Parle Milind,Kaura Sushila
International Research Journal of Pharmacy , 2012,
Abstract: Rheumatoid Arthritis (RA) is a chronic auto-immune disease characterized by painful inflammation of the joints and surrounding tissues, leading to long term disability. Rheumatoid arthritis can begin at any age but has its peak between 35 to 55 years of age. RA shows hereditary linkage. Women and smokers are most often affected. The patient doesn’t feel any symptoms during inactive state of the disease. RA progresses in a symmetrical pattern involving both the sides of the body. Once rheumatoid arthritis is confirmed by diagnosis, treatment should start as early as possible. The treatment for rheumatoid arthritis focuses initially on reducing the joint inflammation and pain with the use of analgesics and anti-inflammatory agents. In the next stage, joint function is restored by administering Disease Modifying Anti-rheumatic Drugs (DMARDs) thus preventing joint deformity. Treatment is generally based on the degree of severity of RA. Patients with mild RA are advised to take rest and are prescribed analgesics and anti-inflammatory medicines, which include fast acting drugs like NSAIDs. Slow acting drugs like (DMARDs) such as methotrexate, sulfasalazine, lelflunomide etc., and Body’s reaction modifiers (BRMs) such as rituximab, anankinra, infliximab etc., are reserved for patients suffering from moderate to severe RA. The patient is advised to undertake regular exercises like walking, stretching, swimming or cycling, which are aimed at reducing body weight. The patient suffering from arthritis can carry out his normal day-to-day activities with the help of proper medication and regular exercise.
Testing Websites by P3R2 Model
Rajiv Chopra,Sushila Madan
International Journal of Computer Science Issues , 2012,
Abstract: Cyber espionage at the government, corporate and individual levels has increased dramatically over the last few years. The cyberspace has become the latest domain of Chinese belligerence. There is a crying need for a cohesive global arrangement to address the emerging issues of Cyberspace. Apart from trying to cull out information on internet traffic and content usage, many are also trying to secure sensitive data. The primary target seems to be the data leaks and an access to monitor content. There are links between leaks and usability of websites. A more usable application will reduce leaks. Thus, web security is at risk. Terms like navigation, navigational structures, usability, complexity and security are all inter-related. A more complex web software will have a complex navigation, so poor usability and hence more security flaws. The need is to thoroughly test these websites. Various techniques of black-box, white-box and gray box testing of websites have been proposed in literature for extensive and thorough testing of websites. Still the errors escape out. This paper proposes a new PPPRR (P3R2) MODEL for website testing.
A new Digital Signature Algorithm based on Factorization and Discrete Logarithm problem
Sushila Vishnoi, Vishal Shrivastavav
International Journal of Computer Trends and Technology , 2012,
Abstract: Generally, digital signature algorithms are based on a single hard problem like prime factorization problem, discrete logarithm problem, elliptic curve problem. If one finds solution of this single hard problem then these digital signature algorithms will no longer be secured and due to large computational power, this may be possible in future. There are many other algorithms which are based on the hybrid combination of prime factorization and discrete logarithms problem but different weaknesses and attacks have been developed against those algorithms. This paper also presents a new variant of digital signature algorithm which is based on two hard problems, prime factorization and discretelogarithm.
Parle Milind,Kaura Sushila
International Research Journal of Pharmacy , 2012,
Abstract: Green Chilli is the life and soul of all delicious Indian dishes. It has been cultivated for thousands of years. Green Chilli is a fruit of the flowering plant Capsicum frutescens. Unripe fruits are green in color. On ripening, they attain the red shade. Green Chilli forms an excellent combination of healthy ingredients and essential nutrients. It is a good source of vitamins (A, C, B, E and P), minerals (iron, magnesium and potassium), dietary fibersand macronutrients. Green Chilli is famous for its intense pungent taste, which is provided by its active constituent Capsaicin. Capsaicin is generally recognized as a powerful local stimulant with no narcotic effect. Apart from its traditional and culinary uses, its therapeutic and pharmacological actions are noteworthy. Medicinally, Green Chilli plays a prominent role as an immunity booster, anti-cancer, anti-ulcer, analgesic, anti-inflammatory, anti-epileptic and anti-hemorrhoidal agent. It is helpful in the management of burns, psoriasis and chronic migraine. It is also beneficial in heart disorders and diabetes.
Rocuronium versus Vecuronium for laparoscopic cholecystectomy
Sushila Tabdar,Ekraj Kadariya
Journal of Kathmandu Medical College , 2013, DOI: 10.3126/jkmc.v2i4.11776
Abstract: Background: Laparoscopic cholecystectomy under general anaesthesia using Vecuronium is quite common these days. Some alarming complications like severe bradycardia and asystole after creation of carboperitoneum is not uncommon after its injection which is very stressful to both surgeons and anaesthesiologists. As an alternative, Rocuronium has been found safe in this regard till now used in many general anaesthesia requiring cases. So, it can be useful in laparoscopic cholecystectomy as well. Objective : To compare the haemodynamic, respiratory parameters and complications between Vecuronium and Rocuronium. Methods: In this randomised prospective double blind study conducted at Kathmandu Medical College from March 2013 to September 2013, a total of sixty patients of American Society of Anaesthesiologist (ASA) physical status I and II planned for laparoscopic cholecystectomy were randomly divided into two groups of thirty each by envelope method, with one group receiving Rocuronium and the other group receiving Vecuronium as muscle relaxants. Group A received injection Pethidine 1 mg/kg, Propofol 2.5 mg/kg and Vecuronium 0.1 mg/kg for induction. Group B received injection Pethidine 1 mg/kg, Propofol 2.5 mg/kg and Rocuronium 0.6 mg/kg for induction. After intubation the whole anaesthesia was maintained with oxygen, air, halothane and intermittent positive pressure ventilation. Intraoperative monitoring used were Pulse rate (PR), mean arterial pressure (MAP), arterial Oxygen saturation (SpO2), end tidal Carbondioxide (ETCO2), electro cardiography (ECG) and peripheral nerve stimulator (PNS). PR, MAP, SpO2, ETCO2, ECG were recorded before muscle relaxant, one minute after muscle relaxant, before intubation, one minute after intubation, before skin incision, one minute after skin incision, before carboperitonium, one minute after carboperitoneum, before extubation and one minute after extubation. Carboperitoneum if occurred any were also noted. Statistical analysis was done by using SPSS 19 verson. Student t test, Fisher’s exact test and Chi square test were used for the final analysis where P value <0.05 was considered significant. Result: Using Vecuronium as a muscle relaxant for laparoscopic cholecystectomy resulted in haemodynamic alteration intraoperatively by a significant reduction of PR one minute after carboperitoneum (62.80±11.25 versus 87.23±14.35 in Rocuronium group) where p<0.05. Bradycardia requiring Atropine was significant in vecuronium group with p<0.05. Conclusion: Rocuronium is less likely to cause bradycardia
Homotopy Perturbation Algorithm Using Laplace Transform for Gas Dynamics Equation
Jagdev Singh , Devendra Kumar , Sushila
Journal of Applied Mathematics, Statistics and Informatics , 2012, DOI: 10.2478/v10294-012-0006-2
Abstract: In this paper, we apply a combined form of the Laplace transform method with the homotopy perturbation method to obtain the solution of nonlinear gas dynamics equation. This method is called the homotopy perturbation transform method (HPTM). This technique finds the solution without any discretization or restrictive assumptions and avoids the round-off errors. The fact that this scheme solves nonlinear problems without using Adomian's polynomials can be considered as a clear advantage of this algorithm over the decomposition method. The results reveal that the homotopy perturbation transform method (HPTM) is very efficient, simple and can be applied to other nonlinear problems.
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