Estimation of the parameters of a poisson rectangular distribution

The application of Poisson-Rectangular distribution in an industrial sampling problem, when the process mean is subjected to fluctuations, is indicated. Moment estimators of the parameters involved are discussed in detail. A problem of misclassification in the inspection of defects on finished articles and manufactured products is also included

Classification of patients with knee osteoarthritis in clinical phenotypes: data from the osteoarthritis initiative

<div><p>Objectives</p><p>The existence of phenotypes has been hypothesized to explain the large heterogeneity characterizing the knee osteoarthritis. In a previous systematic review of the literature, six main phenotypes were identified: Minimal Joint Disease (MJD), Malaligned Biomechanical (MB), Chronic Pain (CP), Inflammatory (I), Metabolic Syndrome (MS) and Bone and Cartilage Metabolism (BCM). The purpose of this study was to classify a sample of individuals with knee osteoarthritis (KOA) into pre-defined groups characterized by specific variables that can be linked to different disease mechanisms, and compare these phenotypes for demographic and health outcomes.</p><p>Methods</p><p>599 patients were selected from the OAI database FNIH at 24 months’ time to conduct the study. For each phenotype, cut offs of key variables were identified matching the results from previous studies in the field and the data available for the sample. The selection process consisted of 3 steps. At the end of each step, the subjects classified were excluded from the further classification stages. Patients meeting the criteria for more than one phenotype were classified separately into a ‘complex KOA’ group.</p><p>Results</p><p>Phenotype allocation (including complex KOA) was successful for 84% of cases with an overlap of 20%. Disease duration was shorter in the MJD while the CP phenotype included a larger number of Women (81%). A significant effect of phenotypes on WOMAC pain (F = 16.736 p <0.001) and WOMAC physical function (F = 14.676, p < 0.001) was identified after controlling for disease duration.</p><p>Conclusion</p><p>This study signifies the feasibility of a classification of KOA subjects in distinct phenotypes based on subgroup-specific characteristics.</p></div

Determination of hepatoprotective effect of Mussaenda erythrophylla in paracetamol induced hepatotoxicity

Background: Hepatotoxicity may be defined as liver injury caused by drugs and chemicals. Drug-induced liver injury is a major reason for withdrawing drugs from a market by Food Drug Administration, and it is based on the fact that drug-induced liver injury is responsible for more than 50% of all cases of acute liver failure. Many studies revealed about the hepatotoxic potential of paracetamol. Hence, the present study has undertaken to evaluate the hepatoprotective effect of Mussaenda erythrophylla (ME) in paracetamol induced hepatotoxicity in Wistar albino rats.Methods: The ethanolic extract ME studied for its hepatoprotective effect on paracetamol induced acute liver damage in Wistar albino rats. The degree of protection was measured using biochemical parameters such as serum glutamate oxalate transaminase (SGOT), serum glutamate pyruvate transaminase (SGPT), total bilirubin (TBL), superoxide dismutase (SOD), glutathione (GSH) peroxidase (GPx), GSH, and ceruloplasmin levels.Results: Paracetamol treated group had enhanced levels of SGPT, SGOT, TBL (p<0.001) and decreased levels of GSH, SOD, and GPx (p<0.001) when compared with control group. Treatment with silymarin and also 200 mg/kg of MEleaf extract had significantly (p<0.001) brought down the elevated levels of SGPT, SGOT, and TBL and an increase in the levels of GSH, SOD, (p<0.01), GPx and ceruloplasmin (p<0.001).Conclusion: The results showed that ethanolic extract of ME leaf extract possesses significant hepatoprotective activity

A study of prescription pattern in the drug therapy of acne vulgaris at a tertiary care hospital in Mangalore, India

Background: Acne Vulgaris is the most common skin disorder of the pilosebaceous unit with excess sebum production, follicular epidermal hyperproliferation, inflammation and Propionibacterium acnes activity, affecting about 80% of teenagers and has considerable psychological and social consequences and physical disability. Use of established topical and oral drugs assumes paramount importance in the treatment of acne vulgaris. Therefore, periodic auditing of prescription is necessary to increase therapeutic benefit and decrease adverse effects. Aim and objectives of the study was to evaluate the pattern of prescription and its rationale in the drug therapy of acne vulgaris. To monitor the adverse effects, if any.Methods: A prospective, hospital based, observational study. Data was collected for a period of 1 year from January 2015 to December 2015 from the outpatient records in the OPD of Dermatology at Justice K.S. Hegde Charitable Hospital, Deralakatte, Mangalore, in a specifically designed proforma.Results: The prescription data of 346 patients were analyzed of which 45.1% were males with an average age of 21.94±0.3 years. Among the four grades of Acne Vulgaris, Grade II (53.17%) was more prevalent followed by Grade I (26.58%), Grade III (13.87%) and Grade IV (6.35%). The number of drugs prescribed for topical use was 514 of which the most commonly prescribed drugs were Benzoyl Peroxide (19.46%), a combination of Tretinoin and Clindamycin (17.12%), Tretinoin alone (12.45%), Clindamycin alone (10.51%) etc. The number of drugs prescribed for systemic use was 98 consisting of Doxycycline (55.1%), Azithromycin (34.7%), Isotretinoin (6.12%) and Erythromycin (4.08%).Conclusions: There was rationality in most of the prescriptions giving no scope for polypharmacy