Volume 8 | Issue 8 |

 Abstract

Background : The major morbidity experienced by patients with hemophilia (PWH) today is joint disease. Although administration of antihemophilic factor to prevent bleeding has been demonstrated to prevent hemophilic joint disease when applied assiduously, PWH who develop severe arthropathy may experience relentless pain, loss of motion and functional disability. In Morocco, faced to the difficult access to antihemophilic factors and easy access to analgesic drogues, the management of hemophilic arthropathy and the pain that can cause it is very delicate. The aim of this first study in morocco in this field is to conduct a survey to assess the pain experienced by PWH and the therapeutic means used. Methods : A self-assessment questionnaire was developed from "the Brief Pain Inventory" (BPI), that was adapted to our context and to our population in order to characterize the pain and to evaluate the nature and the effectiveness of the treatments as well as the patient satisfaction with of their care. Results : One hundred three PWH participated in the survey, the median age was 28 years, 87% of pain was acute. The median number of pain episodes per year was at 3 times. ninety-one percent of our patients presented at least one episode of painful arthropathy less in their lives. The median intensity of the most intense pain was at 9. the knee is reported in 84% of cases. The pain impacted quality of life in 43% of cases. Ninety-two percent of patients are regularly using analgesic drugs. The median efficacy rate of analgesics before any use of antihemophilic factor has been estimated at 70%. Conclusion : The study showed that the development of an education program and an effective pain management in hemophilia is essential to reduce the burden that pain places on patients and improve their quality of life.

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 Keywords

hemophilia, arthropathy, pain, management

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For generations the process of designing of members of structure and their quantity & cost estimation has been manual, error-prone and time consuming process. RCF software has been used in this research paper to design the beam, slab, column, and footing of the structure. Designing is the preliminary process followed by the quantity and cost estimation, which is as important as designing in large construction project. Before calculating the quantity and costing, the beam, column, slab and footings are designed and all the loads are allocated and analyzed. Data narrating the technical and marginal parameters such as beam reinforcement schedule, column reinforcement schedule, schedule of foundation, Bending Moment Diagram (BMD), Shear Force Diagram (SFD) are also described in this research paper using RCF software. The method used to create bar bending schedule and slab reinforcement is also discussed in detail which justifies the acceptability of RCF software in construction industry.

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 Keywords

RCF, Beam, Column, Slab, Footing, Cost Estimation

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In this paper we shall prove If E and F are topological vector spaces,then a linear map K of E into F is called compact, if there exist a neighbourhood U of origin n E,whose image set K(U) is relatively compact. Here we find the notion of completely continuous operator to the topological vector space and also the Normed spaces derive a property equivalent to complete continuity.

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Completely continuous, Zero neighbourhood,

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Creative Commons Attribution 4.0 and The Open Definition

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The paper titled: �The Emergent Woman� in Alice Walker�s �Meridian� highlights how black women are triply burdened and attempts to examine Walker�s attitude to life, love, sex, marriage, men and spirituality against the background of her powerful work, within the context of a racist, sexist and capitalist society. The focus is on spiritual survival- the survival whole of my people. But beyond that, the paper is committed to exploring the oppressions, the insanities, the loyalties and the triumphs of black women. The paper is categorized into three parts- Part 1 discusses Walker as a �Womanist� and defines in Walker�s terms what the womanist tenets imply. It also justifies the selection of the novel �Meridian� and explains how �Meridian� in the first part of the novel is introduced into �Initiation.� Part 11 discusses Meridian�s active participation in the Civil Rights Movement after the �Renunciation� of her child. Part 111 focuses on the final chapter �Ending� and on Meridian atonement and ultimate release from bondage thereby concluding that Meridian�s growth and emergence of a strong woman is successfully constructed. Conclusively, the paper justifies Alice Walker�s celebration of blackness, black roots and the aspirations of black womanhood and presents a balanced picture of black womanhood. It also describes the task of Alice Walker as a writer �to give back to black woman their own black woman self, their beauty, physical and sexual strength, motherhood, sisterhood and wifehood.

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�THE EMERGENT WOMAN� IN ALICE WALKER�S �MERIDIAN�

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A graph G with p vertices and q edges is called a harmonic mean graph if it is possible to label the vertices x?V with distinct labels f(x) from {1,2,�..q+1} in such a way that each edge e = uv is labeled with f(uv) = ?(2f(u)f(v))/(f(u)+f(v))? (or) ?(2f(u)f(v))/(f(u)+f(v))? then the edge labels are distinct. In this case f is called Harmonic mean labeling of G. In this paper we prove that some families of graphs such as H- super subdivision of Y-Tree HSS(Y_(n+1)), HSS(Y_(n+1)) ?? K?_1, HSS(Y_(n+1)) ?(K_2 ) ?, HSS(Y_(n+1)) ?? K?_2 are harmonic mean graphs.

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Harmonic mean graph, H- super subdivision of HSS(Y_(n+1)), HSS(Y_(n+1)) ?? K?_1, HSS(Y_(n+1)) ?(K_2 ) ?, HSS(Y_(n+1)) ?? K?_2

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Creative Commons Attribution 4.0 and The Open Definition

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The Sarahu New 08 Macrocosm Wonders of the World

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The lower back pain also with mid back and neck pain (NP) are common health issues in adolescence. The psychological factor as well as physiological factor are retarded as the main risk factor for back pain in adolescence according to the recent studies. Now a day also there are much more risk for the LBP and NP due to sitting in the wrong position in prolonged time for online classes. The main purpose of this study was to combine or summarize the results of the studies on the physical risk factors for the adolescent LBP and NP.

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 Keywords

Adolescent, Mid back pain, Low back pain, Neck pain, Systematic review

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Force analysis of grinding wheel on different material such as mild steel,cast iron and calculate value of force.

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Creative Commons Attribution 4.0 and The Open Definition

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Normal force and tangential force

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Creative Commons Attribution 4.0 and The Open Definition

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�A smart navigation and automated system for blind people� is a project that helps the visually impaired in the whole world to get better access to their surroundings. The project provides an alert system through vibration and speech systems. Nowadays, when it comes to traveling alone, the visually impaired always need a guide, whether it be the cane, the noise in their surroundings, a guide dog, assistive technology, or a relative. This project is an assistive technology that consists of an object detector, speech to text converter, and text to speech converter. With the help of the aforementioned technologies, it finds the direction of the object for the visually impaired.

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Creative Commons Attribution 4.0 and The Open Definition

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AWS, API, Voice recognize

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Creative Commons Attribution 4.0 and The Open Definition

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Edge detection is a process of identifying and detecting sharp discontinuities in an image. The discontinuities are abrupt changes in pixel intensity gray level value. Although a number of various techniques for detection of edges are available, but amongst all these edge detection techniques, the canny edge detection algorithm is the best, most effective and the widely used method for edge detection because it consists of a number of adjustable parameters which can affect the speed and effectiveness of the algorithm.We address two practical issues, namely smoothing factor selection and efficient implementation of thresholding in implementing Canny edge detection algorithm. Detecting the accurate edges or boundaries ease the location of objects in the image and parameters like shape, area can be measured easily. This paper presents a brief study on improved versions of canny edge detection. This paper contributes to present existing novel approaches to improve detection using canny edge detection.

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Canny edge detection,Thresholding,Smoothing factor

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Creative Commons Attribution 4.0 and The Open Definition