Tardy posterior interosseous nerve palsy associated with operated proximal shaft of radius fracture: a rare case report

Tardy Posterior interosseous nerve palsy (PIN) is rare diagnosis. It is a mostly motor nerve. It is prone to injury around radio-humeral joint due to its proximity to joint and neck of radius. Early diagnosis is must to improve recovery. In our case, 39-year-old male presented with tardy PIN palsy secondary to united proximal shaft radius fracture with implant in situ. Electrodiagnostic studies revealed motor radial neuropathy left upper limb. Magnetic resonance imaging (MRI) brachial plexus and screening of cervical spine was normal. After preoperative investigation, patient underwent PIN neurolysis with plate removal. Postoperatively patient started showing improvement after 2 months. Patient recovered to achieve good grip at end of 8 months. Early diagnosis followed by nerve exploration is necessary for good recovery and improvement

Prospective study of prognosis of intertrochanteric fractures with lateral wall involvement as compared to intertrochanteric fractures with intact lateral wall

Background: Intertrochanteric fractures with fracture lateral wall (FLW) are biomechanically unstable fractures.Methods: 40 patients who met inclusion criteria underwent surgery. Post-operatively patients were followed up for a minimum period of 24 weeks. Radiological and functional assessment was done post-operatively. Endpoints of fracture were studied thoroughly.Results: Secondary lateral wall fractures were common than primary lateral wall fractures. Functional outcome was found to be poor in FLW than intact lateral wall (ILW) group (p=0.01). HHS of ILW fracture was 70, while in FLW it was 46. Displacement was found to be a better radiological parameter to assess reduction quality (p=0.02) than neck shaft angle. Implant position with Cleveland method was found to be a better predictor of fixation quality than tip apex distance. There were 6 (15%) mechanical failures. Screw cut out (3 cases) found to be most common mechanical complication (7.5%). There were four failures (33%) in FLW. Secondary lateral wall fractures were found to have poor prognosis than primary lateral wall fractures. A2.3 was found to have more chance of conversion to A3 due to thinned out lateral wall. Many of them happened when DHS was the implant of choice (60%).Conclusions: Functional outcome of FLW is poor than ILW. Secondary lateral wall fractures have worse prognosis than primary lateral wall fractures. Fragment specific fixation is difficult in secondary lateral wall fractures as compare to primary lateral wall fracture, due to higher comminution

Large Language Models as Annotators: Enhancing Generalization of NLP Models at Minimal Cost

State-of-the-art supervised NLP models achieve high accuracy but are also susceptible to failures on inputs from low-data regimes, such as domains that are not represented in training data. As an approximation to collecting ground-truth labels for the specific domain, we study the use of large language models (LLMs) for annotating inputs and improving the generalization of NLP models. Specifically, given a budget for LLM annotations, we present an algorithm for sampling the most informative inputs to annotate and retrain the NLP model. We find that popular active learning strategies such as uncertainty-based sampling do not work well. Instead, we propose a sampling strategy based on the difference in prediction scores between the base model and the finetuned NLP model, utilizing the fact that most NLP models are finetuned from a base model. Experiments with classification (semantic similarity) and ranking (semantic search) tasks show that our sampling strategy leads to significant gains in accuracy for both the training and target domains

Active Segregation Dynamics in the Living Cell

In this paper, we bring together our efforts in identifying and understanding nonequilibrium phase segregation driven by active processes in the living cell, with special focus on the segregation of cell membrane components driven by active contractile stresses arising from cortical actomyosin. This also has implications for active segregation dynamics in membraneless regions within the cytoplasm and nucleus (3d). We formulate an active version of the Flory-Huggins theory that incorporates a contribution from fluctuating active stresses. Apart from knitting together some of our past theoretical work in a comprehensive narrative, we highlight some new results, and establish a correspondence with recent studies on Active Model B/B+. We point to the many unusual aspects of the dynamics of active phase segregation, such as (i) anomalous growth dynamics, (ii) coarsening accompanied by propulsion and coalescence of domains that exhibit nonreciprocal effects, (iii) segregation into mesoscale domains, (iv) emergence of a nonequilibrium phase segregated steady state characterised by strong macroscopic fluctuations (fluctuation dominated phase ordering (FDPO)), and (v) mesoscale segregation even above the equilibrium Tc. Apart from its implications for actively driven segregation of binary fluids, these ideas are at the heart of an Active Emulsion description of the lateral organisation of molecules on the plasma membrane of living cells, whose full molecular elaboration appears elsewhere

Communication of Data Breaches Through Financial Statements: A Text Analysis Perspective

Data breaches of companies in various industry segments have seen a significant increase over the past decade. Consumer data ranging from emails and bank account information to health information has been compromised through such data breaches that have raised grave information security and privacy concerns among the users and the organizations alike. Companies that are experiencing these data breaches have an obligation to communicate information about these incidents to their stakeholders and they do so through their financial reports. In this article, we analyze financial reports from a text analysis standpoint to identify key trends and formulate theoretical propositions. In that regard, we build on legitimacy theory as a foundation, and consider several factors such as the size of the data breach, type of information compromised, and coverage in the media

High Temperature Oxidation and Wear Resistant Bi-Layer Coating for Turbocharger Housing

An upsurge in the demand of higher power generation has been observed in the last few decades. Consequently, the mechanical components of power generation are forced to operate in the extreme working conditions for longer duration, which results in the accelerated wear and corrosion of the material. Conventional material such as grey cast iron (GCI) is a preferred material of components used for power generation at high temperature. Grey cast iron exhibits poor wear and corrosion resistance at high temperature. On the other hand, an advanced material such as Alloy-718 is capable to withstand the high-temperature wear and oxidation for prolonged duration of time. In the current research, high temperature corrosion and erosive wear performance of grey cast iron (GCI) components has been enhanced by depositing a bi-layerAlloy-718/NiCrAlY coating by using high velocity oxy-fuel (HVOF) thermal spray process. Furthermore, the high temperature corrosion and erosion behaviour of GCI substrate and the deposited coating has been discussed. The various characterization techniques such as scanning electron microscopy (SEM) X-ray diffraction, and Vickers micro-hardness testing were conducted for the GCI substrate and Alloy-718 coating, respectively. The Alloy-718 coting showed the increased resistance against high-temperature erosion and oxidation, which can be attributed to its good bonding with the substrate, high hardness and formation of protective phases at high-temperature

A Quasi-PTAS for Unsplittable Flow on Line Graphs

We study the Unsplittable Flow Problem (UFP) on a line graph, focusing on the long-standing open question of whether the problem is APX-hard. We describe a deterministic quasi-polynomial time approximation scheme for UFP on line graphs, thereby ruling out an APX-hardness result, unless NP is contained in DTIME(2^polylog(n)). Our result requires a quasi-polynomial bound on all edge capacities and demands in the input instance. Earlier results on this problem included a polynomial time (2+epsilon)-approximation under the assumption that no demand exceeds any edge capacity (the no-bottleneck assumption ) and a super-constant integrality gap if this assumption did not hold. Unlike most earlier work on UFP, our results do not require a no-bottleneck assumption

A Quasi-PTAS for Unsplittable Flow on Line Graphs

We study the Unsplittable Flow Problem (UFP) on a line graph, focusing on the long-standing open question of whether the problem is APX-hard. We describe a deterministic quasi-polynomial time approximation scheme for UFP on line graphs, thereby ruling out an APX-hardness result, unless NP is contained in DTIME(2^polylog(n)). Our result requires a quasi-polynomial bound on all edge capacities and demands in the input instance. Earlier results on this problem included a polynomial time (2+epsilon)-approximation under the assumption that no demand exceeds any edge capacity (the no-bottleneck assumption ) and a super-constant integrality gap if this assumption did not hold. Unlike most earlier work on UFP, our results do not require a no-bottleneck assumption