Undifferentiated Carcinoma of Larynx of Nasopharyngeal Type

Undifferentiated carcinoma of nasopharyngeal type arising in the larynx is unusual. This type of carcinoma-which occurs almost exclusively in nasopharynx-is very infrequent in the larynx (0.2%). Till date only 17 cases are reported in the medical literature. We present the clinical and histopathological findings along with the management of one additional case of undifferentiated carcinoma of nasopharyngeal type in the larynx which was managed successfully with radiotherapy

Insular Carcinoma of Thyroid Presenting as a Giant Skull Lesion: A Dilemma in Treatment.

Thyroid surgeons are becoming increasingly more aware of a histologically distinct subset of thyroid carcinoma whose classification falls between well-differentiated and anaplastic carcinomas with respect to both cell differentiation and clinical behavior. This subtype of tumors has been categorized as poorly differentiated or insular carcinoma, based on its characteristic cell groupings. Although the differentiation of insular carcinoma from other thyroid carcinomas has important prognostic and therapeutic significance, relatively little about insular carcinoma has been published in the otolaryngology literature. In this article, we discuss a case of insular carcinoma of thyroid presenting with concurrent distant metastasis to skull, lung, ribs, and inguinal region with review of the literature. We conclude that insular thyroid carcinoma warrants aggressive management with total thyroidectomy and excision of accessible giant lesion followed by radioactive iodine ablation of any remaining thyroid tissue

Performance analysis of non-circular microchannels flooded with CuO-water nanofluid

This paper was presented at the 3rd Micro and Nano Flows Conference (MNF2011), which was held at the Makedonia Palace Hotel, Thessaloniki in Greece. The conference was organised by Brunel University and supported by the Italian Union of Thermofluiddynamics, Aristotle University of Thessaloniki, University of Thessaly, IPEM, the Process Intensification Network, the Institution of Mechanical Engineers, the Heat Transfer Society, HEXAG - the Heat Exchange Action Group, and the Energy Institute.In this study the performances of various non-circular microchannel heat sinks (normalized with circular shape) have been comparatively analyzed for CuO-water nanofluid and baseline pure water flow. Nusselt number and Poiseuille number for each microchannel and thermo-physical properties of CuO-water nanofluid (viz., thermal conductivity, viscosity, specific heat and density) have been designed either empirically or from literature. Results for trapezoidal shape gives highest normalized pressure drops among all cases. Thermal performances for constant heat flux and constant wall temperature boundary conditions have been assessed in terms of normalized outlet wall temperature and normalized heat exchange rate. Results show that when thermal performance of any microchannel heat sink (MHS) improves, the hydraulic performance deteriorates. Trapezoidal microchannel gives best thermal performance in terms of normalized heat exchange rate specially with CuO-water nanofluids flow

Optimum sowing dates for soybean in Central India using CROPGRO and ClimProb symbiosis

The optimum sowing dates for soybean cv. Gaurav were derived for Jabalpur, Raipur and Gwalior in the state of Madhya Pradesh in central India. Dates were derived based on two strategies: (a) probabilities of rainfall and temperature events using ClimProb, a PC based software package, and (b) the CROPGRO Soybean v3.0 crop growth simulation model. In Madhya Pradesh, the optimum sowing dates for multiple cropping, with the first crop as soybean under rainfed conditions, are between weeks 25 and 27, while the optimum sowing dates for rainfed mono-cropping are between weeks 28 and 29

Correlation Between Instrumental Hand Function and Activities of Daily Living in Rheumatoid Arthritis

Objective: To find the correlation of instrumental handfunction (grip strength, muscle power and range ofmotion) and Activities of Daily Living (ADL) inrheumatoid arthritis patients.Methods: 50 patients of either sex were included in thestudy. Objective evaluation of hand function was doneusing Hand dynamometer and Electrogoniometer(Tracker system-version 4®). The patients were assessedfor their functional limitations using Indian version ofHAQ-DI. Spearman rank collision was performed to findout the association among the variables.Results: It was found that most of the disease specificparameters like morning stiffness, number of inflamedjoints, duration of the disease and deformities had a strongcorrelation with the instrumental hand function. Deficitsin grip strength, tip pinch, palmar pinch, and range ofmotion of hand strongly correlated to difficulty in activitiesof daily living in patient with RA. Instrumental handfunctions (grip strength, pinch strength and range of motionof joints) were significantly impaired in patient with RAand they had good correlation with Indian HealthAssessment Questionnaire Disability Index (IHAQ-DI).Conclusion: Instrumental hand function assessmentalong with IHAQ-DI is an effective tool in evaluationand modulation of therapeutic interventions in patientswith rheumatoid arthritis. The instrumental hand functionassessment can also predict the deficits in ADL

Heavy rainfall episode over Mumbai on 26 July 2005: Assessment of NWP guidance

In the present work a qualitative assessment of guidance from NCMRWF operational global and regional Numerical Weather Prediction (NWP) systems in the episode of unprecedented rainfall over Mumbai has been attempted. This also consolidates and examines the predictions that were provided by some of the leading global operational centres. Some hindcast runs were also made with different initial conditions. It reveals that the use of very high resolution global and regional models with advanced data assimilation techniques (4D Var), that optimally utilizes information from satellite observations, could significantly enhance the usefulness of NWP guidance

Catalytic decomposition of 2-chlorophenol using an ultrasonic-assisted Fe3O4-TiO2@MWCNT system: Influence factors, pathway and mechanism study.

As a reusable sonocatalyst, magnetically separable Fe3O4-TiO2@MWCNT (FMT) was synthesized by an ultrasound-assisted wet impregnation method and was evaluated in the removal of 2-chlorophenol (2CP). Physical and chemical properties of the catalyst composite materials were investigated by all catalysts were systematically characterized using Transmission Electron Microscopy (TEM), X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), X-ray Photoelectron Spectroscopy (XPS), Energy Dispersive X-ray Analysis (EDX), Dynamic light scattering (DLS), and N2-physisorption. The efficiency and kinetics of 2CP removal by FMT-assisted sonocatalysis (FMT-US) was systematically investigated under various operational parameters i.e. pH, FMT and 2CP concentration, temperature and ultrasonic power. The results indicated that 0.4gL-1 FMT dosage, pH 5, temperature of 35°C as well as 50 w ultrasound power are the most favorable conditions for the degradation of the 2CP. Furthermore, both of the superoxide and hydroxyl radicals were produced in the reaction, however, superoxide radicals were assumed to be the dominating reactive species for the 2CP degradation, according to the scavenging tests and electron paramagnetic resonance tests. Moreover, the FMT catalyst exhibited a high reusability and stability in the US/FMT system during the five repetitive experiments. The intermediate products were identified by GC-MS, thereby a possible degradation pathway is proposed. The chemical oxygen demand (COD) and corresponding total organic carbon (TOC) removal efficiencies were 64.9% and 56.7%, respectively. Finally, toxicity tests showed that the toxicity of the solution increased during the first 5min and then decreased significantly with the progress of the oxidation. The mechanisms of ultrasound irritation enhanced FMT activation were also proposed. Copyright © 2017 Elsevier Inc. All rights reserved

Stochastic Vehicle Routing with Recourse

We study the classic Vehicle Routing Problem in the setting of stochastic optimization with recourse. StochVRP is a two-stage optimization problem, where demand is satisfied using two routes: fixed and recourse. The fixed route is computed using only a demand distribution. Then after observing the demand instantiations, a recourse route is computed -- but costs here become more expensive by a factor lambda. We present an O(log^2 n log(n lambda))-approximation algorithm for this stochastic routing problem, under arbitrary distributions. The main idea in this result is relating StochVRP to a special case of submodular orienteering, called knapsack rank-function orienteering. We also give a better approximation ratio for knapsack rank-function orienteering than what follows from prior work. Finally, we provide a Unique Games Conjecture based omega(1) hardness of approximation for StochVRP, even on star-like metrics on which our algorithm achieves a logarithmic approximation.Comment: 20 Pages, 1 figure Revision corrects the statement and proof of Theorem 1.

Adenocarcinoma of Duodenojejunal junction: A case report

Adenocarcinoma of duodenum contributes only 0.3-0.4% among all Gastrointestinal malignancies though 75% of all duodenal malignancies are adenocarcinoma. The reported incidence has been increasing due to the widespread use of endoscopy. Adenocarcinomas are the most common of small bowel malignancies, followed by carcinoid tumours, lymphomas, and leiomyosarcomas. We have reported adenocarcinoma in 60 years male. Surgery is the only means of cure. More evidence is needed to help define the role of segmental duodenectomy and chemotherapy in the management of this disease

Combined EXAFS, XRD, DRIFTS, and DFT Study of Nano Copper Based Catalysts for CO2 Hydrogenation

Highly monodispersed CuO nanoparticles (NPs) were synthesized via continuous hydrothermal flow synthesis (CHFS) and then tested as catalysts for CO2 hydrogenation. The catalytic behavior of unsupported 11 nm sized nanoparticles from the same batch was characterized by diffuse reflectance infrared fourier transform spectroscopy (DRIFTS), extended X-ray absorption fine structure (EXAFS), X-ray diffraction (XRD), and catalytic testing, under CO2/H2 in the temperature range 25–500 °C in consistent experimental conditions. This was done to highlight the relationship among structural evolution, surface products, and reaction yields; the experimental results were compared with modeling predictions based on density functional theory (DFT) simulations of the CuO system. In situ DRIFTS revealed the formation of surface formate species at temperatures as low as 70 °C. DFT calculations of CO2 hydrogenation on the CuO surface suggested that hydrogenation reduced the CuO surface to Cu2O, which facilitated the formation of formate. In situ EXAFS supported a strong correlation between the Cu2O phase fraction and the formate peak intensity, with the maxima corresponding to where Cu2O was the only detectable phase at 170 °C, before the onset of reduction to Cu at 190 °C. The concurrent phase and crystallite size evolution were monitored by in situ XRD, which suggested that the CuO NPs were stable in size before the onset of reduction, with smaller Cu2O crystallites being observed from 130 °C. Further reduction to Cu from 190 °C was followed by a rapid decrease of surface formate and the detection of adsorbed CO from 250 °C; these results are in agreement with heterogeneous catalytic tests where surface CO was observed over the same temperature range. Furthermore, CH4 was detected in correspondence with the decomposition of formate and formation of the Cu phase, with a maximum conversion rate of 2.8% measured at 470 °C (on completely reduced copper), supporting the indication of independent reaction pathways for the conversion of CO2 to CH4 and CO that was suggested by catalytic tests. The resulting Cu NPs had a final crystallite size of ca. 44 nm at 500 °C and retained a significantly active surface