A fall of an older adult often leads to severe injuries and is found to be a significant reason for the death due to post-traumatic complications. Many falls happen in the home atmosphere and prevail unrecognized. Thus, the need for reliable early fall detection is necessary for fast help. Lately, the emergence of wearables, smartphones, IoT, etc., made it possible to develop systems fall detection which aids in the remote monitoring of the elderly. The goal is to allow intelligent algorithms and smartphones to detect falls for elderly care and to monitor them regularly. This work presents the Artificial Intelligence of Things for Fall Detection (AIOTFD) system using a slime mould algorithm (SMA) to optimize the final data. The features extracted using SqueezeNet further CNN based SMA used for data optimization. The validation of the AIOTFD model performance is evaluated through the Multiple Cameras Fall Dataset (MCFD) and UR Fall Detection dataset (URFD). The empirical results accentuated the assuring realization of the model compared to other state-of the art methods.The obtained results shows our proposed AIOTFD attains accuracy of 99.82% and 99.79% and databases can be used for additional investigation and optimizations to increase the recognition rate to enhance the independent life of the elderly.

BACKGROUNDPerforation remains a surgical disease and management means emergency surgical intervention. Primary closure with omental buttress, Graham's live/dead omental patch repair, Jejunal serosal (Thal) patch repair and antrectomy with Billroth II reconstruction have been the traditionally followed procedures depending on the site/size of the perforation. This study reports a series of cases of perforated duodenal ulcer closed by Gastric seromuscular advancement flap. This article compares the advantages and disadvantages of either methods and details the indications and method of this alternative repair.

The increasing effectiveness of cancer therapies and the improvement of diagnostic tools have led to better survival rates among cancer patients. This situation has made the problem of developing subse-quent primary tumours more frequent. In our case we discuss about a 70 year old female with three differ-ent primary malignancies. Occurrence of malignancy of the cervix, rectum and bladder is very rare. Key words: Triple malignancies, Bladder carcinoma, Cervical carcinoma, Rectal carcinoma