Background Home monitoring of chronic diseases among older adults has been the focus of recent research as early detection of adverse events allows better management. Conventional medical devices require active engagement from the users, making it difficult to implement for people who have challenges with using technology, such as people with cognitive impairment. While smart homes are a promising emerging approach to tackle this challenge, related technologies are still cumbersome to use. In response to this challenge, we present a zero-effort instrumented floor tile that could be permanently installed in a bathroom or kitchen to measure a person's ballistocardiogram (BCG) and electrocardiogram (ECG) signals as part of a smart home system. Methods The floor tile contained four load cells in a Wheatstone bridge configuration to measure BCG while standing and four electrodes to measure ECG while sitting. Both the BCG and ECG were amplified by 100dB and had rails of -9V to +9V. BCG and ECG from the tile were sampled at 128Hz. To validate the device, data were collected from 60 healthy adults in various sitting and standing scenarios. The ECG and BCG obtained from the tile compared to RR-intervals (time duration between two successive ECG R-peaks) and heartrate obtained from chest ECG collected with (gold standard) gelbased electrodes. The RJ-interval (time duration between the ECG R-peak and the highest peak in the BCG signal called the J-peak) was also examined for an induced change in blood pressure. Results The ECG signal measured from the tile in the sitting position had 89% agreement with the gold standard ECG. Heart rate based on BCG had an error of 1.8 ± 4.3% compared to that of the gold standard ECG. The RJ-interval was reduced postinduced blood pressure change and returned to the baseline after a few seconds, which is comparable to the literature. Conclusions The prototype tile presented in this work shows promising results as a zero-effort component in a smart home vitals monitoring system. With further modification and addition of intelligent algorithms, we believe the tile presented could collect ECG and BCG from older adults in a non-clinical setting.

Aim: To Translate and validate the Urdu version the Pediatric Quality of Life Inventory Generic Core Scale among neoplase children. Methods: The descriptive cross-cultural linguistic validation study in which PedsQL Generic core scale was conducted by following Bombardier, Beaton and Guillemin’s guidelines for cross cultural adaptation. The study was conducted in different phases i.e. translation and validation. The original English version of PedsQL was translated into Urdu by two individuals, one with an Urdu background and the other from a medical background, during the translation phase (T1, T2) (Forward translation). The T3, T4 Versions were then developed by two independent translators (one with an English background and the other with a medical background). The T1, T2, T3, and T4 versions were compared to the original English version and evaluated by a group of multilingual specialists, resulting in the T5-urdu version. Twenty pediatric rehab professionals were given the T5-urdu version to validate. Results: Chronbach’s alpha value of PedsQL of both child and parent reported after translation were 0.986 and 0.987 respectively and after testing on population were 0.956 and 0.910 respectively. P-values showed significant results which are <0.05 in all domains. The inter domain correlations of child and parent reports after translation and testing on population were >0.70 that interpreted good Pearson correlation. The interclass coeffieneint was ranged from 0.541-0.982. Conclusion: The Urdu version of PedsQL Generic Core Scale of Age 8-12 years both child and parent proxy report is valid for neoplase children. Keywords: Children, Health Related Quality of Life, Neoplase, Pediatric Quality of Life Inventory, Translation, Validation.

Aim: To describe the quality of life six months following on-pump coronary artery bypass grafting in people aged 61 to 70. Methods: An analytical cross-sectional survey was conducted on 119 cardiovascular patients who have undergone On Pump CABG procedure. The data was collected from Punjab Institute of Cardiology and Omer Hospital Lahore. 70 patients were taken from Punjab Institute of Cardiology Lahore and 49 from Omer Hospital. Non-probability convenient sampling was used as a sampling approach. From August 2018 until January 2019, the research was conducted. The Medical Outcomes Study short form 36 (SF-36) questionnaires were used to determine the quality of life. Results: The mean age of the 119 patients was 65.23 + 3.35, with a standard deviation of 3.35. Three patients (2.5%) had energy fatigue, three (2.5%) had role limitations due to physical health, fifteen (12.6%) had role limitations due to emotional problems, 96 (80.7%) had physical functioning and two (1.7%) had emotional well-being, four (3.4%) had social functioning, three (2.5%) had pain, and three (2.5%) had general health problems. Conclusion: The quality of life of on-pump CABG patients aged 61-70 years after six months of cardiac rehabilitation was reported to be satisfactory, with improved activities of daily living. Keywords: Quality of life, on pump coronary artery bypasses grafting, cardiac rehabilitation

Aim: To translate the Scale for assessment and rating of Ataxia from English to Urdu language Methods: The study employed a linguistic validation study design with a non-random sample approach and was done at different clinical setups of Lahore. Parents of children with ataxic cerebral palsy with children aged 2 to 15 years old who speak Urdu should contact us. Sara's English version was translated into Urdu by two translators, one with a medical background and the other with a technical background in Urdu, both proficient in Urdu and English. Two individuals with medical and technology backgrounds who are competent in Urdu to English translation reverse translated the translated versions of SARA-Urdu I and SARA-Urdu II into English. The re-translated versions of SARA-Urdu I and SARA-Urdu II were translated back into English (SARA English III and SARA English IV). The translated versions were compared and generated a new Urdu version SARA Urdu-V. The data was entered into the SPSS version 23 application, which was also used to analyze it. Results: The translated version of the SARA scale has a Cronbach's alpha of 0.883. The inter-item correlation between the total SARA score and the eight domains of gait, stance, sitting, speech disturbance, finger chase, nose finger test, fast alternating hand movements, and heel shin slide was 0.131, 0.046, 0.159, 0.188, 0.136, 0.400, 0.698, and 0.450, respectively, after the translation of the Urdu version of SARA. For test retest reliability, the Pearson correlation value varied from 0.400 to 0.842. Conclusion: The Urdu version of SARA has appropriate internal consistency and fair inter-item correlation, and hence may be utilized by Urdu speakers. Keywords: Cerebral palsy, Cerebellar ataxia, Scale for assessment and rating of Ataxia

Aim: To assess the clinical performance of (DPT) students in Lahore by using assessment of physical therapist practice questionnaire (APP). Methodology: A descriptive cross sectional survey was conducted by using simple random sampling technique. Total 91 students of final year DPT among Lahore were selected for this study. 60% of the students from each college were enrolled. The data was collected by using the standardized questionnaire named assessment of physical therapy questionnaire (APP). Whole information was kept confidential. The data was analyzed by SPSS 23. Results: Results showed that global rating score at APP questionnaire was 62.4% (57 out of 91) reflecting overall good performance during the clinical rotation, 18.68% (17 out of 91) students present satisfactory results ranges, 14.29% (13 out of 91) present acceptable performance and 4.40 % ( 4 out of 91) students showed inappreciable performance. There mean age of 91 students were 21.25 with standard deviation 0.9236. The Pearson chi square test p=0.948, p <0.005. It reveals that there is no significant variation between gender and overall performance of students during clinical rotation Conclusion: This study concluded that maximum final year DPT students showed good performance during clinical practice, indicated that curriculum for DPT students is good enough to make student professionally competent. Key words: Clinical practice, APP questionnaire and DPT students