28 research outputs found

    Cryptography using Automata Theory

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    Encryption and decryption are the two most crucial components of cryptography. Data protection is the main objective of both systems. We utilised encryption to transform plain text into ciphertext. Decryption, which works the other way around from encryption, is the process of converting encrypted text back into plain text. By using a finite state machine and the LU decomposition method, the created encryption solution ensures data secrecy for safe communication. In our suggested approach, we additionally employ lower and upper triangular matrices, which are obtained by decomposing a square matrix. During encryption, the key will be a lower triangular matrix modulated by a prime number, and during decryption, an upper triangular matrix modulated by a prime number. The tactic is beneficial. This tactic is helpful in sectors such as finance and military services where confidential material must be delivered

    Oral Abstracts 7: RA ClinicalO37. Long-Term Outcomes of Early RA Patients Initiated with Adalimumab Plus Methotrexate Compared with Methotrexate Alone Following a Targeted Treatment Approach

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    Background: This analysis assessed, on a group level, whether there is a long-term advantage for early RA patients treated with adalimumab (ADA) + MTX vs those initially treated with placebo (PBO) + MTX who either responded to therapy or added ADA following inadequate response (IR). Methods: OPTIMA was a 78- week, randomized, controlled trial of ADA + MTX vs PBO + MTX in MTX-naïve early (<1 year) RA patients. Therapy was adjusted at week 26: ADA + MTX-responders (R) who achieved DAS28 (CRP) <3.2 at weeks 22 and 26 (Period 1, P1) were re-randomized to withdraw or continue ADA and PBO + MTX-R continued randomized therapy for 52 weeks (P2); IR-patients received open-label (OL) ADA + MTX during P2. This post hoc analysis evaluated the proportion of patients at week 78 with DAS28 (CRP) <3.2, HAQ-DI <0.5, and/or ΔmTSS ≤0.5 by initial treatment. To account for patients who withdrew ADA during P2, an equivalent proportion of R was imputed from ADA + MTX-R patients. Results: At week 26, significantly more patients had low disease activity, normal function, and/or no radiographic progression with ADA + MTX vs PBO + MTX (Table 1). Differences in clinical and functional outcomes disappeared following additional treatment, when PBO + MTX-IR (n = 348/460) switched to OL ADA + MTX. Addition of OL ADA slowed radiographic progression, but more patients who received ADA + MTX from baseline had no radiographic progression at week 78 than patients who received initial PBO + MTX. Conclusions: Early RA patients treated with PBO + MTX achieved comparable long-term clinical and functional outcomes on a group level as those who began ADA + MTX, but only when therapy was optimized by the addition of ADA in PBO + MTX-IR. Still, ADA + MTX therapy conferred a radiographic benefit although the difference did not appear to translate to an additional functional benefit. Disclosures: P.E., AbbVie, Merck, Pfizer, UCB, Roche, BMS—Provided Expert Advice, Undertaken Trials, AbbVie—AbbVie sponsored the study, contributed to its design, and participated in the collection, analysis, and interpretation of the data, and in the writing, reviewing, and approval of the final version. R.F., AbbVie, Pfizer, Merck, Roche, UCB, Celgene, Amgen, AstraZeneca, BMS, Janssen, Lilly, Novartis—Research Grants, Consultation Fees. S.F., AbbVie—Employee, Stocks. A.K., AbbVie, Amgen, AstraZeneca, BMS, Celgene, Centocor-Janssen, Pfizer, Roche, UCB—Research Grants, Consultation Fees. H.K., AbbVie—Employee, Stocks. S.R., AbbVie—Employee, Stocks. J.S., AbbVie, Amgen, AstraZeneca, BMS, Celgene, Centocor-Janssen, GlaxoSmithKline, Lilly, Pfizer (Wyeth), MSD (Schering-Plough), Novo-Nordisk, Roche, Sandoz, UCB—Research Grants, Consultation Fees. R.V., AbbVie, BMS, GlaxoSmithKline, Human Genome Sciences, Merck, Pfizer, Roche, UCB Pharma—Consultation Fees, Research Support. Table 1.Week 78 clinical, functional, and radiographic outcomes in patients who received continued ADA + MTX vs those who continued PBO + MTX or added open-label ADA following an inadequate response ADA + MTX, n/N (%)a PBO + MTX, n/N (%)b Outcome Week 26 Week 52 Week 78 Week 26 Week 52 Week 78 DAS28 (CRP) <3.2 246/466 (53) 304/465 (65) 303/465 (65) 139/460 (30)*** 284/460 (62) 300/460 (65) HAQ-DI <0.5 211/466 (45) 220/466 (47) 224/466 (48) 150/460 (33)*** 203/460 (44) 208/460 (45) ΔmTSS ≤0.5 402/462 (87) 379/445 (86) 382/443 (86) 330/459 (72)*** 318/440 (72)*** 318/440 (72)*** DAS28 (CRP) <3.2 + ΔmTSS ≤0.5 216/462 (47) 260/443 (59) 266/443 (60) 112/459 (24)*** 196/440 (45) 211/440 (48)*** DAS28 (CRP) <3.2 + HAQ-DI <0.5 + ΔmTSS ≤0.5 146/462 (32) 168/443 (38) 174/443 (39) 82/459 (18)*** 120/440 (27)*** 135/440 (31)** aIncludes patients from the ADA Continuation (n = 105) and OL ADA Carry On (n = 259) arms, as well as the proportional equivalent number of responders from the ADA Withdrawal arm (n = 102). bIncludes patients from the MTX Continuation (n = 112) and Rescue ADA (n = 348) arms. Last observation carried forward: DAS28 (CRP) and HAQ-DI; Multiple imputations: ΔmTSS. ***P < 0.001 and **iP < 0.01, respectively, for differences between initial treatments from chi-squar

    Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal

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    Introduction: Percutaneous nephrolithotomy (PCNL) has witnessed rapid advancements, the latest being ultra-mini-percutaneous nephrolithotomy (UMP), which makes the use of 11-13F sheaths as compared to 24-30F sizes used in conventional PCNL. This miniaturization aims to reduce morbidity and improve patient outcomes. We evaluated the safety and efficacy of UMP and report our ourtcomes. Patients and Methods: A total of 120 patients underwent UMP from July 2012 to March 2014. These patients had a single unilateral renal stone measuring between 8 and 20 mm. All patients underwent UMP using a 3F nephroscope, 7.5F inner sheath, and 11F or 13F outer metallic cannula, which served as the Amplatz sheath. Stone fragmentation and clearance were achieved with holmium laser. No nephrostomy or stent was used routinely. Results: Complete stone fragmentation was achieved in 114 out of 120 patients (95%) using UMP; whereas the remaining 6 were converted into mini-PCNL using a 12.5F nephroscope and 15F Amplatz sheath. The mean operative time was 39.7 ± 15.4 min, and the mean postoperative hospital stay was 22.3 ± 2.2 h. Postoperatively, 6 (5%) patients had residual fragments measuring ≤4 mm. At the 2 weeks follow-up, the stone-free status was >99% (119/120). There were no significant postoperative complications. Conclusion: This study shows UMP to be an effective and safe procedure for managing stones up to 20 mm. This procedure offers an attractive alternative to shock wave lithotripsy and retrograde intrarenal surgery for managing small stones

    A rare case of bilateral central subluxation of the hip joint with associated bilateral quadrilateral plate fracture in an elderly male due to seizure activity

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    ABSTRACT Musculoskeletal injuries such as dislocation of the shoulder and hip joints and fractures of the femoral neck are known complications of seizures. Bilateral central subluxation of the hip joint with associated bilateral quadrilateral plate fracture is a rare entity and is prone to delayed diagnosis, even more so in patients who experience post-seizure disorientation. The authors report the case of a 74-year-old male patient with bilateral central subluxation of the hip joint with associated bilateral quadrilateral plate fracture due to seizure activity. Bilateral open reconstruction and fixation of the quadrilateral plate with a 3.5-mm pre-bent reconstruction plate reinforced with 3.5-mm pelvic brim reconstruction plate was performed. In conclusion, this case is an example of rare bilateral quadrilateral plate fracture caused due to seizure activity, a fracture for which a high level of suspicion should be kept in mind while evaluating the patient post-seizure episode

    A comparison of the outcomes between standard percutaneous nephrolithotomy &amp; minimally invasive percutaneous nephrolithotomy: a systematic review and meta-analysis

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    A comprehensive literature search, systematic review and meta-analysis of the published data comparing standard percutaneous nephrolithotomy versus minimally invasive percutaneous nephrolithotomy to provide updated guidelines in the endourological management of renal stone disease

    Evaluation of surface roughness of the bracket slot floor—a 3D perspective study

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    Abstract Background An important constituent of an orthodontic appliance is orthodontic brackets. It is either the bracket or the archwire that slides through the bracket slot, during sliding mechanics. Overcoming the friction between the two surfaces demands an important consideration in an appliance design. The present study investigated the surface roughness of four different commercially available stainless steel brackets. Methods All tests were carried out to analyse quantitatively the morphological surface of the bracket slot floor with the help of scanning electron microscope (SEM) machine and to qualitatively analyse the average surface roughness (Sa) of the bracket slot floor with the help of a three-dimensional (3D) non-contact optical surface profilometer machine. Results The SEM microphotographs were evaluated with the help of visual analogue scale, the surface roughness for group A = 0—very rough surface, group C = 1—rough surface, group B = 2—smooth surface, and group D = 3—very smooth surface. Surface roughness evaluation with the 3D non-contact optical surface profilometer machine was highest for group A, followed by group C, group B and group D. Groups B and D provided smooth surface roughness; however, group D had the very smooth surface with values 0.74 and 0.75 for mesial and distal slots, respectively. Conclusions Evaluation of surface roughness of the bracket slot floor with both SEM and profilometer machine led to the conclusion that the average surface roughness was highest for group A, followed by group C, group B and group D

    Replication Data for: PLoS One article entitled "Heterogeneous uptake of nanoparticles in mouse models of pediatric high-risk neuroblastoma"

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    This dataset contains computed tomography images (DICOM file format) related to the article published in PLoS One (2016), entitled "Heterogeneous uptake of nanoparticles in mouse models of pediatric high-risk neuroblastoma"

    Heterogeneous Uptake of Nanoparticles in Mouse Models of Pediatric High-Risk Neuroblastoma - Fig 5

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    <p>(a) Normalized cumulative leak volume as a function of normalized radial position for 15 individual NGP tumors ranging in age from 2 to 4 weeks post inoculation, and ranging in volume from 150 to 8500 mm3. (b) Normalized cumulative iodine uptake as a function of normalized radial position for 15 individual NGP tumors ranging in age from 2 to 4 weeks post inoculation, and ranging in volume from 150 to 8500mm3.</p
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