HIV Testing among Patients with Presumptive Tuberculosis: How Do We Implement in a Routine Programmatic Setting? Results of a Large Operational Research from India.

BACKGROUND: In March 2012, World Health Organization recommended that HIV testing should be offered to all patients with presumptive TB (previously called TB suspects). How this is best implemented and monitored in routine health care settings in India was not known. An operational research was conducted in Karnataka State (South India, population 64 million, accounts for 10% of India's HIV burden), to test processes and learn results and challenges of screening presumptive TB patients for HIV within routine health care settings. METHODS: In this cross-sectional study conducted between January-March 2012, all presumptive TB patients attending public sector sputum microscopy centres state-wide were offered HIV testing by the laboratory technician, and referred to the nearest public sector HIV counselling and testing services, usually within the same facility. The HIV status of the patients was recorded in the routine TB laboratory form and TB laboratory register. The laboratory register was compiled to obtain the number of presumptive TB patients whose HIV status was ascertained, and the number found HIV positive. Aggregate data on reasons for non-testing were compiled at district level. RESULTS: Overall, 115,308 patients with presumptive TB were examined for sputum smear microscopy at 645 microscopy centres state-wide. Of these, HIV status was ascertained for 62,847(55%) among whom 7,559(12%) were HIV-positive, and of these, 3,034(40%) were newly diagnosed. Reasons for non-testing were reported for 37,700(72%) of the 52,461 patients without HIV testing; non-availability of testing services at site of sputum collection was cited by health staff in 54% of respondents. Only 4% of patients opted out of HIV testing. CONCLUSION: Offering HIV testing routinely to presumptive TB patients detected large numbers of previously-undetected instances of HIV infection. Several operational challenges were noted which provide useful lessons for improving uptake of HIV testing in this important group

Approach Intelligent Writing Assistants Usability with Seven Stages of Action

Despite the potential of Large Language Models (LLMs) as writing assistants, they are plagued by issues like coherence and fluency of the model output, trustworthiness, ownership of the generated content, and predictability of model performance, thereby limiting their usability. In this position paper, we propose to adopt Norman's seven stages of action as a framework to approach the interaction design of intelligent writing assistants. We illustrate the framework's applicability to writing tasks by providing an example of software tutorial authoring. The paper also discusses the framework as a tool to synthesize research on the interaction design of LLM-based tools and presents examples of tools that support the stages of action. Finally, we briefly outline the potential of a framework for human-LLM interaction research.Comment: The Second Workshop on Intelligent and Interactive Writing Assistants co-located with The ACM CHI Conference on Human Factors in Computing Systems (CHI 2023

Outcome of neonates requiring assisted ventilation

Over a two-year period, we studied a total of 100 newborns delivered in our hospital, needing ventilation. The indications for ventilation, complications, outcome, and factors influencing outcome were analyzed. Of the 100 babies, 54 were preterm, 44 term and 2 post-term. Overall survival was 58%. The commonest indication for ventilation was meconium aspiration syndrome in term babies and hyaline membrane disease in preterms. Babies ventilated for pneumonia had the best outcome, while the poorest outcome was in sepsis. Survival increased significantly with increasing birth weight and gestational age. Downes score, Apgar score and pH at birth did not correlate significantly with outcome. The maximum peak inspiratory pressure requirement was significantly higher in the non-survivors. In pneumonia and sepsis, increased FiO2 requirement significantly impaired survival. The commonest complication was shock. Incidence of disseminated intravascular coagulation, pulmonary hemorrhage and pneumothorax was significantly higher in non-survivors; however, none of these factors was independently predictive of mortality

A RARE INSTANCE OF LEVOSULPIRIDE–INDUCED GALACTORRHOEA

Antipsychotics are well known to affect prolactin secretion, resulting in hyperprolactinemia and its consequent manifestations like amenorrhoea, galactorrhoea, gynaecomastia, etc. Levosulpiride is a novel antipsychotic drug with additional antidepressant, antiemetic and antidyspeptic actions. The authors report a case of levosulpiride-induced hyperprolactinemia, presenting as galactorrhoea in a female patient with dyspepsia at Kasturba Hospital, Manipal, in South India.Keywords: Hyperprolactinemia, Prolactin, Dyspepsia, Antipsychotic, Dopamin

Toxicological Profiling of Onion-Peel-Derived Mesoporous Carbon Nanospheres Using In Vivo Drosophila melanogaster Model

Toxicological profiling of the novel carbon materials has become imperative, owing to their wide applicability and potential health risks on exposure. In the current study, the toxicity of mesoporous carbon nanospheres synthesized from waste onion peel was investigated using the genetic animal model Drosophila melanogaster. The survival assays at different doses of carbon nanoparticles suggested their non-toxic effect for exposure for 25 days. Developmental and behavioral defects were not observed. The biochemical and metabolic parameters, such as total antioxidant capacity (TAC), protein level, triglyceride level, and glucose, were not significantly altered. The neurological toxicity as analyzed using acetylcholinesterase activity was also not altered significantly. Survival, behavior, and biochemical assays suggested that oral feeding of mesoporous carbon nanoparticles for 25 days did not elicit any significant toxicity effect in Drosophila melanogaster. Thus, mesoporous carbon nanoparticles synthesized from waste onion peel can be used as beneficial drug carriers in different disease models

Predictive closed-loop service automation in O-RAN based network slicing

Network slicing provides introduces customized and agile network deployment for managing different service types for various verticals under the same infrastructure. To cater to the dynamic service requirements of these verticals and meet the required quality-of-service (QoS) mentioned in the service-level agreement (SLA), network slices need to be isolated through dedicated elements and resources. Additionally, allocated resources to these slices need to be continuously monitored and intelligently managed. This enables immediate detection and correction of any SLA violation to support automated service assurance in a closed-loop fashion. By reducing human intervention, intelligent and closed-loop resource management reduces the cost of offering flexible services. Resource management in a network shared among verticals (potentially administered by different providers), would be further facilitated through open and standardized interfaces. Open radio access network (O-RAN) is perhaps the most promising RAN architecture that inherits all the aforementioned features, namely intelligence, open and standard interfaces, and closed control loop. Inspired by this, in this article we provide closed loop and intelligent resource provisioning scheme for O-RAN slicing to prevent SLA violations. In order to maintain realism, a real-world dataset of a large operator is used to train a learning solution for optimizing resource utilization in the proposed closed-loop service automation process. Moreover, the deployment architecture and the corresponding flow that are cognizant of the O-RAN requirements are also discussed

A Design Space for Intelligent and Interactive Writing Assistants

In our era of rapid technological advancement, the research landscape for writing assistants has become increasingly fragmented across various research communities. We seek to address this challenge by proposing a design space as a structured way to examine and explore the multidimensional space of intelligent and interactive writing assistants. Through a large community collaboration, we explore five aspects of writing assistants: task, user, technology, interaction, and ecosystem. Within each aspect, we define dimensions (i.e., fundamental components of an aspect) and codes (i.e., potential options for each dimension) by systematically reviewing 115 papers. Our design space aims to offer researchers and designers a practical tool to navigate, comprehend, and compare the various possibilities of writing assistants, and aid in the envisioning and design of new writing assistants.Comment: Published as a conference paper at CHI 202