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A Novel technique for efficient diagnosis of diseases
MAHIMA SHANKER PANDEY
Bihari Nandan Pandey

MAHIMA SHANKER PANDEY

and 4 more

May 29, 2023
The Fuzzy logic offers an intelligent bound for information illustration and analysis to handle quality, uncertainty, and ambiguity. Fuzzy logic is applied to combine human knowledgeable information and discrete computing. As per our study, explicit mathematical model has not been developed in the existing research work to explain the behavior of advanced system. A novel mathematical model for defining the behavior of such system has been introduced in the paper. Different techniques to calculate distance between two Intuitionistic Fuzzy Sets (IFSs) have been analyzed in the proposed model. In the proposed model a novel distance calculation technique has been introduced. The proposed technique of distance calculation can be used in medical diagnostic for decision making. Further, to analyze the outcomes of the proposed model, different possible outcomes of diagnosis with the existing techniques have been compared. By comparing the results of proposed technique with the existing techniques, 65% improvements in the decision of medical diagnosis can be achieved.
Process-based simulations of percolation from various landfill final covers in a cold...
Alireza Amani
Marie-Amélie Boucher

Alireza Amani

and 4 more

May 28, 2023
Accurate estimation of percolation is crucial for assessing landfill final cover effectiveness, designing leachate collection/treatment systems, and many other applications, such as in agriculture. Despite the importance, percolation is seldom measured due to the high cost and maintenance of lysimeters, underlining the need for skillful simulation. Process-based numerical models, despite requiring validation and numerous parameters, present an alternative for percolation simulation, though few studies have assessed their performance. This study compares percolation measured from three fully instrumented large-scale experimental plots to simulate percolation using a new version of the Soil Vegetation and Snow (SVS) land-surface model with an active soil-freezing module. Previous research indicates numerical model performance may significantly vary based on soil-related parameter values. To account for input data and parameter uncertainty, we use an ensemble simulation strategy incorporating random perturbations. The results suggest that SVS can accurately capture the seasonal patterns of percolation, including significant events during snowmelts in spring and fall, with little to no percolation in winter and summer. The continuous ranked probability skill score values for the three plots are 0.13, -0.13, and 0.33. SVS simulates near-surface soil temperature dynamics effectively ( R 2 values 0.97-0.98) but underestimates temperature and has limitations in simulating soil temperature in snow-free situations in the cold season. It also overestimates soil freezing duration, revealing discrepancies in the onset and end of freezing periods compared to observed data. This study highlights the potential of land surface models for the simulation of percolation, with potential applications in the design of systems such as leachate collection and treatment. While the SVS model already provides an interesting outlook, further research is needed to address its limitations in simulating soil temperature dynamics during soil freezing periods.
ANALYSIS OF VARIOUS DOSES OF PARACETAMOL IN THE INDIAN MARKET: A NEED TO REVISIT
Ayush Jain
Annwesha Chaudhury

Ayush Jain

and 3 more

May 28, 2023
Abstract Introduction One of the most often used OTC antipyretic and analgesic is paracetamol or acetaminophen. Though widely used, the mechanism by which it reduces fever and pain remains unknown. Although paracetamol is available in a variety of formulations, there are no set guidelines for the various formulations of paracetamol alone or in combination. Materials and Methods In Department of Pharmacology at Government Doon Medical College, the study was planned as an observational cross-sectional study. Data regarding different paracetamol dosages and dosages of paracetamol in fixed dose combinations (FDCs) with various ingredients were gathered and evaluated from the editions of Drug Today, Current Index Of Medical Specialties (CIMS), Monthly Index Of Medical Specialties (MIMS), and India 2021/2022. Results Analysing Drug Today, CIMS and MIMS, it was found, 810 formulations of paracetamol tablets are available in the Indian market, of which, 77 formulations contain only paracetamol, rest being fixed dose combinations (FDCs). Among all the available FDCs with paracetamol having 2or 3 drug formulation, among the 2 constituent FDCs group containing paracetamol, 47% drugs have paracetamol in 325 mg or less dose, whereas, 53% drugs are in clear violation of the notice by CDSCO, by containing more than 325 mg paracetamol. Conclusion In spite of widespread use there is ambiguity in paracetamol doses, as well as absence of data for few constituents in the FDCs. Thus, further research into paracetamol dosing, as well as strict regulation is the need of the hour for one of the most widely used drug.
A Wide-Dynamic-Range PFM-based Digital Pixel Sensor with Dynamically Biased Multiple...
Zisong Mo
Zhiyuan Gao

Zisong Mo

and 2 more

May 28, 2023
A document by Zisong Mo. Click on the document to view its contents.
ACUTE CHEST SYNDROME: A LUNG ULTRASOUND SCORE FOR EARLY DIAGNOSIS
Pedro Paulo Macarini Gonçalves Vieira
Carla M. Costa

Pedro Paulo Macarini Gonçalves Vieira

and 3 more

May 28, 2023
Objective: to identify lung ultrasound (LUS) findings associated to acute chest syndrome (ACS) and establish a LUS risk score for the development of ACS in children with sickle cell disease (SCD). Methods: a prospective observational study including children with SCD and signs and/or symptoms of lower airway infection were evaluated by LUS and chest radiography (CXR) at admission and 48 hours later (follow-up) and observed regarding the development of ACS during hospitalization. Results: 110 children were evaluated, of whom 66 (60%) developed ACS. At admission, LUS score greater than one showed sensitivity, specificity, and accuracy of 77.3%, 84.1% and 80.0% versus 53.0%, 100% and 71.8% on CXR. ACS diagnosis was unlikely for a LUS score of zero, likely for a score of one or two and very likely for a score greater than two. Regarding follow-up exams, LUS score greater than one showed sensitivity, specificity, and accuracy of 98.5%, 72.0% and 91.2% versus 90.2%, 100% and 92.3% on CXR. ACS diagnosis was very unlikely for a LUS score of zero, likely for a score of one and very likely for a score greater than one. Conclusion: LUS is an effective tool for the diagnosis of ACS with superior sensitivity and similar accuracy compared to CXR. The LUS score was able to assess risk for development of ACS in children with SCD and clinical suspicion of ACS.
Bile Acid Application in Cell-Targeting for Molecular Receptors in Relation to Hearin...
Corina Ionescu
Melissa Jones

Corina Ionescu

and 7 more

May 28, 2023
Bile acids present important roles in the human body and changes in their pool can be used as markers for various liver pathologies. In part, the unconjugated or conjugated, secondary or primary nature of bile acids accounts for their various effect as ligands in addition to their functional effects in modulating inflammatory responses and cellular survivability. With no documented baseline levels of bile acids or their receptors in the inner ear system, some hydrophilic bile acids have been used successfully as a treatment to resolve drug induced cell damage or to ameliorate hearing loss. This review, presents both hydrophilic and hydrophobic human bile acids along with their tissue-specific ligand effects in modulating cellular integrity, bringing in consideration the possible effects and therapeutic applicability of bile acids to the inner ear tissue.
Socio-behavioural factors influencing childhood vaccination intentions and uptake: A...
Judy Gichuki
Ben Ngoye

Judy Gichuki

and 3 more

May 28, 2023
Abstract Background: There has been a decline in childhood vaccination uptake, with reports indicating that 25 million children missed out on one or more doses in 2021 . There is a need to understand the socio-behavioural drivers of vaccination uptake and to identify contextual and emerging factors that can inform demand-creation interventions. Objective: This review examined the social and behavioural factors influencing childhood vaccination intentions and uptake globally. Methods: A comprehensive search was carried out for published studies that presented data on patterns of association between socio-behavioural factors and vaccination intentions and uptake in children under five years. Studies were screened for eligibility by two reviewers, and information was collected using a standard data abstraction form. Findings: Out of 4462 records identified in the search, 82 studies were included. Emerging factors influencing vaccination uptake included gender-based factors like the mother’s financial autonomy, the number of social and formal messengers recommending vaccination, the proportion of non-conforming social network members, and the role of decisional balance and conflict as a moderator of the vaccination intention and action pathway. Conclusion: The review identified multiple behavioural and social constructs influencing vaccination intentions and uptake. The diversity of influences underscores the complexity of relationships between social-behavioural factors and vaccination uptake, which may be contributing to low vaccination uptake. More context-specific research is required to extend the geographical base and depth of evidence and to evaluate highly localised socio-behavioural interventions.
Interventional Radiology for hypervascular breast mass prior to surgery
Robert Burky
Caitlyn Sing

Robert Burky

and 3 more

May 28, 2023
A 53 year old female presented with rapidly enlarging right breast mass. In the setting of rapid growth and concern for intraoperative bleeding the decision was made to consult interventional radiology for preoperative embolization. This case was managed with transradial arterial access and gelfoam embolization using cone beam CT to obtain successful embolization.
Three-dimensional gas-liquid flow simulation of a rotating packed bed using Eulerian...
Hui Han
Jiangshuai Yan

Hui Han

and 4 more

May 27, 2023
The rotating packed bed (RPB) is a typical equipment in chemical process intensification technology due to its excellent mass transfer performance. In this paper,three different single-phase wire screen packing pressure drop models coupled with the interfacial area model were used to construct resistance calculation methods for porous media, respectively. The results show that simulation deviations of the liquid holdup and the pressure drop of the m-K model range from 0.92% to 27.61% and 1.63% to 34.59%, respectively. The m-K model has the highest prediction accuracy at N=500~1500 rpm. At N=2000~2500 rpm, the B model has the highest prediction accuracy. The higher the viscosity of the liquid, the more uniform the axial liquid distribution in the packing, and the longer the liquid mean residence time. The impact of different nozzle designs on liquid distribution has been investigated using a new method based on user-defined functions (UDFs).
Insight into catalytic cracking pathways of n-pentane over bifunctional catalysts to...
Xinyang Zhang
Yue Li

Xinyang Zhang

and 11 more

May 27, 2023
Herein, we systematically investigated the reaction mechanism of n-pentane cracking on the Ag/ZSM-5 bifunctional catalyst featuring both dehydrogenation and cracking capabilities. Specifically, overall cracking network of n-pentane was comprehensively constructed to show the roles of metal dehydrogenation sites and acid sites respectively, in which metal Ag could substitute the H of the Brønsted acid site to form the Al-O-Ag linkage with enhanced adsorption and activation of n-pentane, while Brønsted acid site with weak acid strength relay to promote cracking reaction. Thanks to this synergy of the two active sites, the apparent activation energy of n-pentane cracking to light olefins was decreased from 82.77 KJ/mol to 68.26 KJ/mol and the proportion of specific path (C5H12→H2+C5H10) in n-pentane monomolecular cracking reaction increased from 14.62% to 69.24%. In addition, 0.57Ag/ZSM-5 catalyst exhibited the conversion of n-pentane up to 67.55wt%, which improved the performance of the parent ZSM-5 by 13.42wt%.
Layer-by-layer Adhesion of Hydrogels for Constructing Heterogeneous Microfluidic Chip...
Chong Shen
Yingjun Li

Chong Shen

and 3 more

May 27, 2023
Hydrogel-based microfluidics offer an in vivo-relevant micro-environments for construction of organs-on-chips. However, the fabrication of heterogeneous microchannels using hydrogels is challenging and fails to mimic the complex structures of organs in vivo. Here we present a new methodology called “layer-by-layer adhesion” for the construction of complex microfluidic chips. A hydrosoluble and photo-crosslinkable adhesive, chitosan methacryloyl (CS-MA), was used to stitch various hydrogels together layer-by-layer to form perfusable microchannels. Our results show that CS-MA can bond different types of hydrogels with adhesion energy ranging from 1.2-140 N/m. Using the layer-by-layer adhesion approach, we constructed heterogeneous hydrogel-based microchannels with various morphologies of snail, spiral, vascular-like, and bilayer. Based on this methodology, liver-on-a-chip was established by entrapping hepatic cells inside a biocompatible Gel-MA layer and covering it with the perfusable microchannels in tough F127-DA layer. The “layer-by-layer adhesion” provides a facile and cytocompatible approach for engineering user-defined hydrogel-based chips potentially for organs-on-chips.
Investigation of the Effects of Ternary Deep Eutectic Solvent Composition on Pretreat...
Yunxuan Wang
Jiae Ryu

Yunxuan Wang

and 9 more

May 27, 2023
Biomass-derived deep eutectic solvents (DESs) have been introduced as promising pretreatment and fractionation solvents because of their mild processing conditions, easy synthesis, and green solvent components from biomass. In recent DES studies, solvent-based third constituents like water, ethanol, and others improve the processibility of typical binary DESs. However, the impacts of these components are not well understood. Here, two solvent-based constitutions, including water and ethylene glycol, were applied to 3,4-dihydroxybenzoic acid (DHBA)-based DES system for improving the conversion efficiency of cellulose-rich fraction and the properties of lignin fraction. Compositional changes, enzymatic digestibility of carbohydrate components, and transformation of lignin were used to evaluate the impact of each constituent on biomass processing. Ternary DHBA-ChCl DESs exhibited better performances in delignification, fermentable sugar production, and preservation of β–O–4 ether linkage in lignin compared to neat ChCl-DHBA DES.
Ellipses and hyperbolas of decompositions of even numbers into pairs of prime numbers
Gennady Butov

Gennady Butov

May 31, 2023
This is just an attempt to associate sums or dierences of prime numbers with points lying on an ellipse or hyperbola. Certain pairs of prime numbers can be represented as radius-distances from the focuses to points lying either on the ellipse or on the hyperbola. The ellipse equation can be written in the following form: |p k | + |p t | = 2n. The hyperbola equation can be written in the following form: ||p k | − |p t || = 2n. Here p k and p t are prime numbers (p 1 = 2, p 2 = 3, p 3 = 5, p 4 = 7,...), k and t are indices of prime numbers, 2n is a given even number, k, t, n ∈ N. If we construct ellipses and hyperbolas based on the above, we get the following: 1) there are only 5 non-intersecting curves (for 2n=4; 2n=6; 2n=8; 2n=10; 2n=16). The remaining ellipses have intersection points; 2) there is only 1 non-intersecting hyperbola (for 2n=2) and 1 non-intersecting vertical line. The remaining hyperbolas have intersection points.
Possible Benefits, Challenges, Pitfalls, and Future Perspective of Using ChatGPT in P...
Durre Aden
Sabina Khan

Durre Aden

and 1 more

May 27, 2023
The much hyped Artificial Intelligence (AI) model known as chat generative pre-trained transformer ( Chat GPT), developed by Open AI can have far-reaching benefits for pathologists saving time so that they can devote their time to more meaningful work. Generative AI is a special class of AI model, that based on patterns and structures learned from existing data can create new data. However, certain hurdles have to be taken care of like integrating ChatGPT with image analysis which will revolutionize the field of pathology by providing assistance with diagnostic accuracy and precision. Generation of meaningful insights from the textual information provided by ChatGPT can be possible by the platform which should have the capability of processing different types of image data, such as medical images, and pathology slides. Due consideration should be given to ethical and legal issues including bias.
DEM study on influence of particle shape and deformation on friction behaviour of fle...
Yanping Zhu
Hao Zhang

Yanping Zhu

and 4 more

May 27, 2023
This study used a Discrete Element Method (DEM) model to investigate the Jenike shear process of flexible, cylindrical particles with different aspect ratios. The model was validated through experiments and analytical solutions. It was found that particle shape and deformation have a significant impact on friction behavior, affecting particle deformation, contact forces, orientation, and internal friction angle. Results indicate an increase in shear stress with normal load, regardless of particle stiffness or shape. Flexible particles showed higher shear stress and internal friction angles than rigid ones, especially for aspect ratios of 6. With aspect ratios of 4 and 5, flexible particles deform significantly during shear with complex reconfiguration, while aspect ratio 6 particles experience a uniform reconfiguration, indicating a solid packing structure that enhances flow resistance. These findings will aid in improving kinetic theories for granular flow of complex irregular particle flows.
Meta-analysis of transcriptome reveals key genes relating to oil quality in olive   
AliAkbar Asadi

AliAkbar Asadi

and 4 more

May 31, 2023
AbstractBackground: Olive oil contains monounsaturated oleic acid up to 83% and phenolic compounds, making it an excellent source of fat. Due to its economic importance, the quantity and quality of olive oil should be improved in parallel with the international standards. In this study, we analyzed the raw RNA-seq data with a meta-analysis approach to identify important genes and their metabolic pathways involved in olive oil quality. Results: A deep search of RNA-seq published data shed light on thirty experiments associated with the olive transcriptome, four of these proved to be ideal for meta-analysis. Meta-analysis confirmed the genes identified in previous studies and released new genes, which were not identified before. According to the IDR index, the meta-analysis had good power to identify new differentially expressed genes. The key genes were investigated in the metabolic pathways and were grouped into four classes based on the biosynthetic cycle of fatty acids and factors that affect oil quality. Galactose metabolism, glycolysis pathway, pyruvate metabolism, fatty acid biosynthesis, glycerolipid metabolism, and terpenoid backbone biosynthesis were the main pathways in olive oil quality. In galactose metabolism, raffinose is a suitable source of carbon along with other available sources for carbon in fruit development. The results showed that the biosynthesis of acetyl-CoA in glycolysis and pyruvate metabolism is a stable pathway to begin the biosynthesis of fatty acids. Key genes in oleic acid production as an indicator of oil quality and critical genes that played an important role in production of triacylglycerols were identified in different developmental stages. In the minor compound, the terpenoid backbone biosynthesis was investigated and important enzymes were identified as an interconnected network that produces important precursors for the synthesis of a monoterpene, diterpene, triterpene, tetraterpene, and sesquiterpene biosynthesis.Conclusions: The results of the current investigation can produce functional data related to the quality of olive oil and would be a useful step in reducing the time of cultivar screening by developing gene specific markers in olive breeding programs, releasing also new genes that could be applied in the genome editing approach.IntroductionOlive oil is a particularly important product because of its fatty acids and phenolic compounds, which are mainly responsible for the beneficial health aspects. Among these compound, high oleic acid content and the presence of minor bioactive compounds are the reason for its attribution as the healthiest among all vegetable oils (Guclu et al., 2020; Lozano-Castellón et al., 2020; Yubero-Serrano et al., 2019). The International Olive Council (IOC) has also stated that oils with the highest levels of oleic acid are the most valuable nutritional products (IOC, 2015). Currently, the cultivation areas and oil production increased in the world but only a few cultivars can yield consistently in the new environmental conditions and often changing negatively their quality profiles (Borges et al., 2017; García-Inza et al., 2016; Torres et al., 2017). Therefore, according to the economic importance of olive oil, the quantity and quality of oil should be improved in parallel, based on international standards. Several studies have noted that the main factors that influence olive oil quality are genotype, climatic and agronomic conditions, edaphic factors, and the technological method applied for oil extraction. Among these factors, genotype has a preponderant influence (Ambra et al., 2017; Baiano et al., 2013; Beltrán et al., 2016; de la Rosa et al., 2016; Mele et al., 2018; Miho et al., 2021; Mikrou et al., 2020; Pérez et al., 2018; Rugini et al., 2016). Besides studies show that 70% of the observed diversity in terms of fatty acid composition, phenolic compounds, bitterness or taste, and oil stability is genetically influenced (Mousavi et al., 2019, 2022; Parvini et al., 2015; Riachy et al., 2019).One of the most important goals of RNA-seq experiments is to investigate changes in gene expression profiles under two or more different experimental conditions. The most of the RNA-seq studies performed in olives were related to the study of biotic and abiotic stresses (Grasso et al., 2017; Nissim, Shlosberg, et al., 2020), micro-RNA identification (Yanik et al., 2013), fruit developmental stages (Alagna et al., 2009, 2016; Galla et al., 2009; Guodong et al., 2019), and cold acclimation (De La O Leyva-Pérez et al., 2015; Guerra et al., 2015). Recently, some studies have focused on the role of environmental stresses such as high temperature and the altitude of cultivated areas on oil content and its quality using RNA-seq technique, but a limited number of these studies were directly related to the evaluation of oil quality (Bruno et al., 2019; Nissim, Shloberg, et al., 2020; Nissim, Shlosberg, et al., 2020). In a study performed by Galla et al. (2009), suppression subtractive hybridization (SSH) was used to isolate and identify a large set of genes that were differentially expressed at three different stages along olive fruit development. In another study conducted by Alagna et al., 2009, differentially expressed genes involved in the metabolism of phenol and fatty acids at different stages of olive fruit development were identified. Moreover, in 2013, the olive cultivars' transcripts were used for de novo assembly and functional annotation (Rodríguez, 2013). In a study conducted by Parra et al. (2013), the transcriptional regulation of the ripening process and activation of abscission zone were detected by RNA-seq. In 2016, the genome of Farga was sequenced and its annotation was identified by RNA-seq of leaf, root, and fruit samples (Cruz et al., 2016). Considering the importance of phenols in olive, in 2016, de novo transcriptome assembly was reported in olive fruit at different development stages and transcripts involved in flavonoid and anthocyanin pathways were identified (Iaria et al., 2016). In another study (Unver et al., 2017), the wild olive genome was sequenced and transcriptome analysis was performed to identify genes involved in oil biosynthesis. Recently, transcripts of all the enzymes in the biosynthetic pathway of tyrosol, hydroxytyrosol and secologanin, oleuropein's precursor, were identified by the RNA-seq method in Koroneiki cultivar (Mougiou et al., 2018). Furthermore, in 2019, targeted metabolome, Pacbio ISOseq transcriptome, and Illumina RNA-seq transcriptome were combined to investigate the relationship between phenols biosynthesis and differentially expressed genes during olive fruit development (Guodong et al., 2019). Technical variation in different experiments could affect the reproducibility of the research. Moreover, due to the cost of sequencing, RNA-seq experiments are mainly performed in a limited number of biological replicates, reducing the statistical power and the ability to detect and validate differences in gene expression. Accordingly, one of the most effective ways to improve reproducibility is to use multiple datasets through meta-analysis (Keel et al., 2018). Therefore, re-analyzing existing data derived from several independent experiments can reveal new information and evaluate the most reliable key genes in a certain biosynthetic pathway. Meta-analysis of RNA-seq data can increase the speed of production of functional data related to the quality of olive oil and produce useful information. This study was conducted to analyze RNA-seq data obtained from multiple studies by meta-analysis approach to validate and identify key genes involved in the main metabolic pathways of oil quality. ResultsThe SRA and literature searches results showed that there were thirty experiments associated with the olive transcriptome. By applying the filtration and quality control reported in the methods section, four experiments had the ideal conditions to enter in our meta-analysis. The meta-analysis was performed to compare growth stages in pairs (C1, C2, and C3) and the results of each comparison were shown as an independent Venn diagram (Figure 1). The meta-analysis individuates 1472 differential expressed genes in C1 comparison from which, 155 differential expressed genes were identified for the first time in the present study (Figure 1A). The C2 comparison has identified 5175 differential expressed genes (Figure 1B), among them, 473 differential expressed genes have never been reported in the previous studies. The PRJNA260808 had only two developmental stages, S2 and S3, so only the C3 comparison was considered in this experiment. The results of C3 comparison identified 1034 differential expressed genes (Figure 1C), and in addition, 241 of them were identified for the first time.The ratio of the identified differentially expressed genes in the meta-analysis to the total identified differential expressed genes were calculated as Integration-driven Discovery Rate (IDR) for each comparison. The IDR for C1 was 10.53 and in C2 and C3 were 9.14 and 23.13, respectively.
\articletype Original Articles Development Of An Automated Steerable Radio Tele...
Pritam Dutta

Pritam Dutta

and 1 more

May 31, 2023
The paper presents an innovative approach towards the design and construction of a steerable radio telescope with an automated control system. The telescope uses a combination of motors and sensors to steer towards celestial objects of interest, with the ability to track moving targets such as satellites. The authors detail the technical specifications of the telescope, including its radio frequency range, sensitivity, and accuracy, and discuss the challenges encountered during its development. This research paper is highly relevant to the field of astrophysics as radio telescopes play a critical role in studying the properties of the universe. The development of an automated steerable radio telescope presents new opportunities for data collection and analysis, allowing astronomers to observe the universe more efficiently and effectively. The paper demonstrates the application of physics principles, such as mechanics and electromagnetism, in the design and operation of the telescope. The findings of this study can contribute to further research in astrophysics, including studies of the cosmic microwave background, radio galaxies, and other extragalactic sources. Overall, the development of an automated steerable radio telescope represents a significant advancement in the field of astrophysics and presents new avenues for research and discovery in the coming years.
EXPLORING THE SOLAR SYSTEM THROUGH HYDROGEN LINE RADIO DATA ANALYSIS
Pritam Dutta

Pritam Dutta

and 1 more

June 01, 2023
ABSTRACT This research paper provides a detailed analysis of the properties of hydrogen gas within the universe using hydrogen line radio data analysis, a technique that involves studying the spectral line emitted by neutral hydrogen atoms.The study focuses on the distribution and characteristics of hydrogen gas within the universe and its potential applications for exploring the composition and evolution of planetary systems. The results of the study demonstrate the usefulness of this technique in investigating the properties of hydrogen gas within the universe and highlight the presence of hydrogen gas in numerous solar system objects, including the big planets and their moons, comets, and asteroids. The findings of this study offer important insights into the evolution and composition of the universe, and provide a basis for further research in this field.Overall, this research highlights the fundamental role of hydrogen in shaping the universe and provides a basis for further research in the field of astrophysics. The findings of this study have practical applications in fields such as space exploration and environmental science, as they provide insight into the composition and evolution of celestial objects that impact our planet and its inhabitants. KEYWORDS : Astrophysics; Radio Astronomy; Radio Telescope; Spectral Analysis; Gas Distribution; Neutral Hydrogen; Space Exploration. [1] [2] [1] mailtopritamdutta@aol.com [2] rushilsaraswat@gmail.com
Upper-critical solution temperature (UCST) polymer functionalized nanomedicine for co...
Xiaoya  Niu
Yi  Fu

Xiaoya Niu

and 6 more

May 27, 2023
Recently, nanomedicine have been successfully applied in the cancer therapy. However, how to precisely control the drug release from nanomedicine in tumor tissue and overcome the hypoxic microenvironment of tumor tissue is still an important challenge in the development of nanomedicine. In this work, a new type of drug-loaded nanoparticles P(AAm-co-AN)-AuNRs@CeO2-DOX (PA-DOX) was prepared by combining high-efficiency photothermal reagents, critical up-conversion temperature polymer layer and anti-cancer drug doxorubicin (DOX) for the treatment of liver cancer. In this system, CeO2 can decompose hydrogen peroxide to H2O2 and O2 alleviate the anaerobic microenvironment of liver cancer cells. As a photothermal reagent, AuNRs@CeO2 can convert near-infrared light into heat energy to achieve local heat to kill cancer cells and ablate solid tumors. In addition, the elevated temperature would enable the polymer layer to undergo a phase transition to release more DOX to achieve a controlled release mechanism, which will open up a new horizon for clinical cancer treatment
Report of Two cases of Schaaf-Yang Syndrome: Same Genotype, Different Phenotype
Ana Maria Rodriguez Barreto
Katherine  Schain

Ana Maria Rodriguez Barreto

and 5 more

May 27, 2023
Report of Two cases of Schaaf-Yang Syndrome: Same Genotype, Different Phenotype Ana Maria Rodriguez,a MD, Katherine Schain,a MS, CGC, Parul Jayakar,aMD,MS,FACMG, Meredith S. Wright,b,c PhD., Shimul Chowdhury,b PhD., Daria Salyakina,ePhD.a Division of Genetics and Metabolism, Nicklaus Children’s Hospital Pediatric Specialists, Miami, (FL,) USA.b Rady Children’s Institute for Genomic Medicine, San Diego, (CA,) USA. c Keck Graduate Institute, Claremont, (CA,) USA. d Personalized Medicine & Health Outcomes Research, Nicklaus Children’s Hospital Pediatric Specialists, Miami, (FL,) USACorresponding Author: Ana Maria Rodriguez BarretoDivision of Genetics and Metabolism, Nicklaus Children’s Hospital Pediatric Specialists, Miami, (FL,). 3100 SW 62nd Avenue, Miami, FL, 33155, USA. Tel: 786-624-4717. Fax : 786-624-4704. E-mail: anamaria.rodriguezbarreto@nicklaushealth.orgCo-authors: Katherine Schain: Katherine.Schain@Nicklaushealth.orgParul Jayakar: Parul.Jayakar@Nicklaushealth.orgMeredith S. Wright: MWright3@rchsd.orgShimul Chowdhury: schowdhury@bluestargenomics.comDaria Salyakina: Daria.Salyakina@Nicklaushealth.orgConflicts of Interests Statement: We know of no conflicts of interests associated with this publication, and there has been no significant financial support for this work that could have influenced its outcome. As Corresponding Author, I confirm that the manuscript has been read and approved for submission by all the named authors.Informed Consent : Written informed consent was obtained from both patients parents.Ethics Declaration: The study was conducted according to the guidelines of the Declaration of Helsinki and approved by The Institutional Review Board (or Ethics Committee) of Nicklaus Children’s Hospital Pediatric Specialists.
Experience of general anesthesia in a patient with menstrual-associated coronary spas...
AYA KAWACHI
Saho Sudo

AYA KAWACHI

and 3 more

May 27, 2023
Experience of general anesthesia in a patient with menstrual-associated coronary spasmAya Kawachi, Saho Sudo, Yusuke Ishida and Koichi NakazawaDepartment of Anesthesiology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan
Left ventricular reverse remodeling after annular-mitral valve repair in end-stage he...
Hicham Wazaren
reddy atipo

hicham wazaren

and 4 more

May 27, 2023
Left ventricular reverse remodeling after annular-mitral valve repair in end-stage heart failure of dilated cardiomyopathy: a case report
Angioinvasive Trichophyton rubrum associated necrotizing fasciitis in an immunocompro...
Michael Davis
Katelyn Rypka

Michael Davis

and 9 more

May 27, 2023
Title: AngioinvasiveTrichophyton rubrum associated necrotizing fasciitis in an immunocompromised patientAuthors: Michael J. Davis, DO, MPH1-3*; Katelyn J. Rypka, BS3-6*; Alexandra K. Perron, BA6; John Keilty, BS6; Benjamin Wils, MS 6; Joshua Levine, BA 6; Anthony T. Rezcallah, MD7-8; Robin Solomon, MD9; Noah Goldfarb, MD3-5†; Anjum Kaka, MD1, 3†Affiliations:1Department of Infectious Disease, Minneapolis VA Health Care System, Minneapolis, MN2Department of Infectious Disease, University of Minnesota, Minneapolis, MN3Department of Internal Medicine, Minneapolis VA Health Care System, Minneapolis, MN4Department of Dermatology, Minneapolis VA Health Care System, Minneapolis, MN5Department of Dermatology, University of Minnesota, MN6University of Minnesota Medical School, Minneapolis, MN7Department of Surgery, Minneapolis VA Health Care System, Minneapolis, MN8Department of Surgery, University of Minnesota, Minneapolis, MN9Department of Pathology, Minneapolis VA Health Care System, Minneapolis, MN*These authors contributed equally†These authors contributed equally
Multiple Emergency Department Encounters for Acute Musculoskeletal Presentation with...
Priya Arora
James Elliott

Priya Arora

and 3 more

May 27, 2023
TITLE OF CASE Multiple Emergency Department Encounters for Acute Musculoskeletal Presentation with an Existing Mental Health Diagnosis SUMMARY Reconceptualising acute Musculoskeletal (MSK) injuries with both stress- and tissue- based factors is required to consider prior influences of mental health disorders on acute persistent musculoskeletal pain presentations involving an extremity. This report highlights repeated emergency presentations for acute persistent musculoskeletal pain involving an extremity for an individual in their 20s living with mental health diagnoses ranging across Depression, Mood Disorders and an eating disorder. This person also had mental health related inpatient admissions that were not captured under the retrospective record review for a large district hospital emergency department using the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) classification system. This case report attempts to demonstrate that improving the understanding of pre-existing vulnerabilities and mental health diagnoses may assist with informing healthcare design to develop specialised care pathways for acute injury presentations with triage settings. BACKGROUND Acute MSK pain represents a common cause for seeking emergent health care (1),(2). While the majority of acutely injured people should expect to recover spontaneously, 50% will transition from acute to chronic pain and disability (3, 4). Data from robust clinical trials (5) and prevalence studies have failed to enable us to adequately identify individuals at risk of delayed recovery from MSK injury, and interventions targeting known risk factors have yielded, at best, only modest effects (6, 7). Furthermore, the most recent output from the global burden of disease in 2019 suggest MSK conditions are a leading cause of civilian years lived with disability. Alarmingly, this has not changed since 1990, suggesting research has had little effect on reducing the burdens of acute and chronic MSK conditions. Perhaps critical to this long-standing problem is that research has not generated new mechanistic knowledge into why some people recover and others do not following their acute MSK presentation. (8). Perhaps reconceptualising the acute MSK injury (be it a slip-and-fall, motor vehicle collision, fracture, muscle strain affecting the spine or extremities) as both a stress- and tissue-based injury is required to integrate and consider how pre-existing diatheses such as mental health disorders (9) influence the process of recovery. By identifying patients who may be vulnerable to costly negative chronic outcomes, appropriate early screening tools and preventative treatments can be offered to improve clinical outcomes and avoid harmful secondary effects, such as opioid dependency, stigma, poor return to work outcomes, withdrawal from valued life roles, long-term reliance on ineffective and costly management options and repeat emergency department (ED) encounters. For example, people living with mental health conditions tend to experience adverse physical health outcomes and significantly more medical conditions as compared to others without a history of mental health disorders. This is not to suggest the presence of a mental health disorder(s) predisposes a person to a life of chronic pain following adulthood injury requiring emergent care. While it is acknowledged that the Emergency Department environment presents a challenge, if not a trigger, to both busy, time-strapped, clinicians, and the patients themselves, knowledge of pre-existing diatheses could inform and streamline new clinical pathways for acute MSK injury on a patient-by-patient basis. The case of a Caucasian woman in her twenties seeking repeated ED management over a 7 year period is used to highlight the challenges for both the patient and the healthcare providers in, and beyond, the ED. CASE PRESENTATION The repeated voluntary ED presentations (38 visits over 7 years, from January 2015 – February 2021) were observed to be for persistent musculoskeletal pain, involving an extremity and upper limb pain. Pre-existing diagnoses of Mood Disorder, Depression, and an Eating Disorder (Anorexia Nervosa) were recorded at each ED presentation of persistent MSK pain involving an extremity, and while considered, did not feature in the clinical work-up. The retrospective record review was approved by the Northern Sydney Local Health District Human Research Ethics Committee, ethics approval number – 2021/STE02301: SSA. Design Retrospective interrogation of electronic medical records obtained from January 2015 until July 2021 capturing relevant data for acute presentations of MSK pain intersecting with mental health admissions over the preceding 12-month periods at a district hospital Emergency Department. Setting Emergency department triage facility for a large urban district hospital serving a catchment of over 1.5 million people. Subject A case report of an individual in their twenties, with multiple ED presentations (38 visits) over a 7 year period, classified by the treating ED physician/ clinicians using the SNOMED CT system at each presentation. The SNOMED CT is defined as a standardised, multilingual vocabulary of clinical terminology containing more than 300,000 medical concepts used by health care providers within the electronic exchange of clinical health information (10, 11) . The SNOMED CT is made up of the numerical codes, known as concepts, used to identifying clinical information. The number of concepts used are largely if not completely dependent on the clinical setting and patient census. In this case, the number of concepts available in a busy urban ED with level 1 trauma status is in the thousands. The concepts are divided into different groups such as body structure, clinical findings, geography, location and biological products represented by different concepts based on the complexity of the presenting condition. The terminology classifies presentations under findings, disorders, diagnoses and similar with individual numbers. SNOMED CT classifies “findings” as observations which may be objective or subjective information from a primary source, including human observation whereas the term “disorder” refers to as an abnormal clinical state and are classified under the hierarchy of disease (10). SNOMED CT however also tends to be subjective and have the same description while referring to different concepts due to the ambiguity dependant on the triage (12). The ED admission data captured the date, the patient’s reason for the visit to ED, MSK diagnosis provided at triage, and the pre-existing MH diagnosis. Under SNOMED CT, findings refer to observations that exist at the time of recording, while disorder suggests an abnormal and underlying psycho-physical pathological process that remains a vulnerability even post completion of treatment (11). As summarised in Table 1, the repeated MSK/ acute pain related presentations observed over the 2-year period were for persistent musculoskeletal pain involving an extremity(11). There were multiple mental health related admissions separate to the acute MSK pain presentation at ED over this period recorded initially for an unspecified mood (affective) disorder, progressing to Dysthymia/ Mood Disorder, followed by a separate admission for Post-traumatic stress disorder (PTSD), a further mental health admission for Dissociative convulsions, and the last captured admission was for Anorexia Nervosa (classified under Eating Disorder/s). Information regarding social circumstances, such as living independently or in supported accommodation, employment or education status, social supports both informal and formal including community mental health services, General Practitioner and any non-governmental organisations involvement was not available.
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