Severe cytomegalovirus gastritis during natalizumab-mediated immunosuppression

We report a 35-year-old female receiving natalizumab as monotherapy for multiple sclerosis who subsequently developed severe cytomegalovirus gastritis. As cytomegalovirus gastritis has not been previously described during natalizumab treatment, we discuss the biological plausibility of this potential association and avenues for further study

Traffic monitoring using video analytics in clouds

Traffic monitoring is a challenging task on crowded roads. Traditional traffic monitoring procedures are manual, expensive, time consuming and involve human operators. They are subjective due to the very involvement of human factor and sometimes provide inaccurate/incomplete monitoring results. Large scale storage and analysis of video streams were not possible due to limited availability of storage and compute resources in the past. Recent advances in data storage, processing and communications have made it possible to store and process huge volumes of video data and develop applications that are neither subjective nor limited in feature sets. It is now possible to implement object detection and tracking, behavioural analysis of traffic patterns, number plate recognition and automate security and surveillance on video streams produced by traffic monitoring and surveillance cameras. In this paper, we present a video stream acquisition, processing and analytics framework in the clouds to address some of the traffic monitoring challenges mentioned above. This framework provides an end-to-end solution for video stream capture, storage and analysis using a cloud based GPU cluster. The framework empowers traffic control room operators by automating the process of vehicle identification and finding events of interest from the recorded video streams. An operator only specifies the analysis criteria and the duration of video streams to analyse. The video streams are then automatically fetched from the cloud storage, decoded and analysed on a Hadoop based GPU cluster without operator intervention in our framework. It reduces the latencies in video analysis process by porting its compute intensive parts to the GPU cluster. The framework is evaluated with one month of recorded video streams data on a cloud based GPU cluster. The results show a speedup of 14 times on a GPU and 4 times on a CPU when compared with one human operator analysing the same amount of video streams data

The effectiveness of nonsteroidal anti-inflammatory agents in the treatment of pelvic inflammatory disease: a systematic review

BACKGROUND: Pelvic inflammatory disease (PID) is the result of infection ascending through the endocervix to the uterus and fallopian tubes. Inflammation driven by infected host cells appears to be central to the development of tissue damage and associated reproductive complications. Nonsteroidal anti-inflammatory agents (NSAIDs) therefore have the potential to reduce the sequelae associated with pelvic infection. METHODS: A search of four electronic reference databases, an internet search for relevant grey literature and a review of the bibliographies of identified publications was used to identify studies evaluating NSAIDs in the management of PID. A predefined search strategy was used to identify studies that included women with PID aged over 16 and diagnosed after 1980. Randomized controlled trials, nonrandomized controlled trials, and cohort studies with comparison group data were included without language restriction. Two reviewers independently assessed the studies against agreed criteria and extracted relevant data using a standardized pro forma. A meta-analysis to calculate the relative risk associated with NSAID use was planned if appropriate. RESULTS: Forty-three studies were identified. After reviewing abstracts or full texts, two randomized controlled trials were found to meet the selection criteria for inclusion. The use of NSAIDs was reported to improve tubal patency, reduce pelvic adhesions and reduce suprapubic pain but the studies were of poor quality with a high risk of bias. Meta-analysis of the data was not performed. CONCLUSIONS: Insufficient data is available to support or refute the efficacy of NSAIDs in the prevention of short or long-term complications of PID

Evaluation of efficacy of bupivacaine and bupivacaine plus clonidine in transversus abdominis plane (TAP) block for postoperative analgesia: a prospective, randomized, double blind, comparative study

Background: Pain is the commonest symptom encountered postoperatively and hence multimodal analgesia is tried to overcome it. In this study, we have compared bupivacaine and bupivacaine plus clonidine in transversus abdominis plane (TAP) block for postoperative analgesia in patients undergoing lower abdominal surgeries under spinal anaesthesia.Methods: Sixty ASA I and II patients in the age range of 18-60 years undergoing various lower abdominal surgeries were randomly divided into two groups, who were operated after giving spinal block using 2.5 ml of 0.5% hyperbaric bupivacine and 25ug of fentanyl. At the end of surgical procedure tranversus abdominis plane (TAP) block was given by giving 25 ml of injection bupivacaine 0.25% in group I and 25 ml of 0.25% of bupivacaine with 1 ug.kg-1 of clonidine in group II. Quality of analgesia was assessed by visual analogue scale (VAS), categorical pain scoring system and frequency of rescue analgesia given and duration was assessed with the time at which first rescue analgesia was given. Side effects of clonidine such as sedation, bradycardia and hypotension were also noted. The hemodynamic parameters like heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were noted for both the groups.Results: Demographic characteristics like age, weight, sex, ASA class and type of surgeries were comparable in both groups. SBP, DBP and HR were less in group II than in group I and was statistically significant (p-value<0.05). The overall mean VAS score in group I was 3.03 ± 1.57 and group II was 1.72 ± 1.02 with p-value of 0.0005 and hence better quality of analgesia in group II. Categorical pain scoring system also showed statistically better scores in group II than group I. The duration of analgesia which was calculated by mean time for first rescue analgesia in group I was 6.38 ± 2.56 hours and group II was 14.23 ± 4.63 hours with a p-value of <0.0001 and the difference was statistically significant. The mean number of doses of rescue analgesia in group I for the first 24 hours was 1.37 ± 0.89 and in group II was 0.60 ± 0.62 with a p-value of 0.0003 and the difference was statistically significant. Group II patients showed more sedation scores than group I patients (p-value <0.05). None of the patients had any episode of bradycardia or hypotension.Conclusions: Addition of clonidine 1 ug.kg-1 to 25 ml of 0.25% bupivacaine compared to 25 ml of 0.25% bupivacaine alone in tranverse abdominis plane (TAP) block improves quality of analgesia, increases duration of postoperative analgesia and decreases postoperative analgesic requirements with minimal side effects

Comparison of Frequency of Recurrence after Burr Hole Evacuation of Chronic Subdural Hematoma with or without Subdural Drain.

Chronic subdural hematoma (CSDH) is known to have a significant recurrence rate. The rate of recurrence of chronic subdural hematoma after surgery ranges from roughly 5% to 30%.&nbsp; Burr hole evacuation without drainage is performed as a first line of treatment for CSDH. As there is controversy in literature regarding the use of drainage after burr hole evacuation, the results of my study may be helpful for selecting a proper treatment modality as a first line of treatment for CSDH in terms of recurrence. The objective of this study was to compare the frequency of recurrence after burr hole evacuation of CSDH with and without subdural drain. It was a randomized controlled trial conducted in Department of Neurosurgery, Allied hospital, Faisalabad form Aug 2016 to Aug 2018 RESULTS:In our study, out of 130 cases(65 in each group). 84.62%(n=55) in Group-A and 76.92%(n=50) in Group-B were between above 40 years of age whereas 15.38%(n=10) in Group-A and 23.08%(n=15) were between 18-40 years of age, mean+sd was calculated as&nbsp; 64.03+7.61 years in Group-A and 62.28+7.83 years in Group-B, 78.46%(n=51) in Group-A and 72.31%(n=47) in Group-B were male while 21.54%(n=14) in Group-A and 27.69%(n=18) in Group-B were females, comparison of frequency of recurrence after burr hole evacuation of CSDH with and without subdural drain shows 10.77%(n=7) in Group-A and 27.69%(n=18) in Group-B, p value was 0.01 showing a significant difference. CONCLUSION: We concluded that the frequency of recurrence after burrhole evacuation of CSDH is significantly lower with drain when compared without subdural drain

Political Background of the Bahawalpur, Before and After Bahawalpur State

The paper examines the political background of Bahawalpur under the influence of British regime, Bahawalpur and Independence Movement. Nawab Muhammad Bahawal Khan Khamis had always taken deep interest in Educational, Religious and Literary activities of Bahawalpur state and hence had respect from leaders of all religion, race and caste. On the occasion of independence, when Pakistan came into being, public of state, and Nawab both voted to join Pakistan. State administration was highly organized and constituted supereme council, special council and supreme court of justice

Short Communication Effect of Probiotic and Growth Promoters on Chemical Composition of Broiler Carcass

ABSTRACT Experiment was performed to study the effect of probiotics and growth promoters (Protexin, Albac &amp; Dried Curd) on the chemical composition of broiler carcass. Birds were reared under similar environmental and managemental conditions up to 42 days of age except treatments. Chemical composition of all four treatment groups (Randomly divided in to 12 experimental units) was done in the Laboratory for Moisture percentage, Crude protein, Lipids, Ash and Nitrogen Free Extract. The birds using diets supplemented with Protexin, Albac and Dried Curd showed significant effect on the moisture levels in tissue or carcass. The experimental birds using diets supplemented with Protexin, Albac and Dried Curd also revealed a positive effect on the crude protein contents. The range of lipids was observed highest under Albac feeding while its level remained almost in the same range under Protexin and Dried Curd feeding compared to non-treated birds. Ash contents of the broilers, which were not fed any growth promoters or probiotics were noted surprisingly higher than treated birds. However, negligible difference regarding ash contents was observed between the Protexin and Dried Curd fed birds. The matter may be referred to further studies

A Deep Learning-Based Privacy-Preserving Model for Smart Healthcare in Internet of Medical Things Using Fog Computing

With the emergence of COVID-19, smart healthcare, the Internet of Medical Things, and big data-driven medical applications have become even more important. The biomedical data produced is highly confidential and private. Unfortunately, conventional health systems cannot support such a colossal amount of biomedical data. Hence, data is typically stored and shared through the cloud. The shared data is then used for different purposes, such as research and discovery of unprecedented facts. Typically, biomedical data appear in textual form (e.g., test reports, prescriptions, and diagnosis). Unfortunately, such data is prone to several security threats and attacks, for example, privacy and confidentiality breach. Although significant progress has been made on securing biomedical data, most existing approaches yield long delays and cannot accommodate real-time responses. This paper proposes a novel fog-enabled privacy-preserving model called [Formula: see text] sanitizer, which uses deep learning to improve the healthcare system. The proposed model is based on a Convolutional Neural Network with Bidirectional-LSTM and effectively performs Medical Entity Recognition. The experimental results show that [Formula: see text] sanitizer outperforms the state-of-the-art models with 91.14% recall, 92.63% in precision, and 92% F1-score. The sanitization model shows 28.77% improved utility preservation as compared to the state-of-the-art

Frequency of Meningitis in Neonatal Sepsis

Objective: The aim of current study was to examine the frequency of meningitis in infants having late onset sepsis (LOS). Bacterial sepsis and meningitis endure to be leading causes of illness and mortality in neonates around the world, predominantly in preterm neonates. They must be discovered and cured as soon as possible to avoid death or disability. Study Design: The Cross-Sectional method was used to conduct a study. Duration and Place of Study: The study period was July to December 2021. Data was collected from Pak Emirates Military Hospital (PEMH) NICU Rawalpindi. Material and Method: The study comprised a total of 110 individuals, both male and female. All of them were older than 3 days and had been hospitalized and diagnosed with late onset sepsis. A neonate was diagnosed with meningitis if his or her cerebrospinal fluid (CSF) had > 30 leukocytes/mm3 and any of these two: >200 mg/dl protein or 40 mg/dl glucose. Results: Out of 110 infants having LOS 38 were diagnosed with meningitis in which 21(55.2%) were male and 17(44.8%) were female. Overall mean weight of neonates was 2.38±1.72. A total of 24(63.1%) having low body weight and 22(57.8%) were premature. Meningitis was found to have a significant association with low bod weight and pre-term birth (p value<0.05). Conclusion: Meningitis was considerably high in neonates with (LOS). Low body weight and pre-term birth had significant association with meningitis having (LOS).