Some identities of Ramanujan's q-Continued Fraction of Order Eighteen, Twenty-Six and Thirty, and Vanishing Coefficients

In the present work, we established continued fractions of level eighteen, twenty six and thirty. Further, we obtained vanishing coefficients and many algebraic relations. To validate our result colored partitions are also obtained

Raithara Bandu � A Digitalised Approach

India is one of the leading countries in sericulture. Karnataka�s contribution is also significant as it is home land of Mysore silk. The mulberry is the main crop used for productivity of cocoon. The study of soil properties and appropriate usage of fertilizers effectively increase the yield of productivity. A data mining approach to analyze the soil properties such as Nitrogen, Phosphorous, Potassium and so forth and automatic decision making will greatly help the Agriculture scientists as well as farmers. The required quantity of fertilizer will be decided by the proposed system which in turn saves time, man power and cost. Classification techniques can be applied on soil parameters and decision making system can be further adopted to predict the mulberry crop production in cultivation lands

Medical management of ovarian ectopic pregnancy- a case report

Primary ovarian ectopic pregnancy is a rare type of ectopic pregnancy which has an estimated prevalence ranging from 1:7000 to 1:70,000 accounting for almost 3 % of all ectopic cases. A 37-year-old woman was referred to our hospital intermittent vaginal spotting, recurrent abdominal pain that was getting worse, and 3 days of vaginal bleeding with clot passage. Her general condition was good and her vital signs were normal. She felt tenderness in an abdominal examination and had a small amount of vaginal bleeding. Transvaginal ultrasonography showed an ectopic gestational sac, in her right ovary. Our final diagnosis was ectopic ovarian pregnancy and we successfully treated her with methotrexate. After 3 doses of methotrexate administration her beta human chorionic gonadotropin was negative and a sonographic examination was completely normal. Approximately 3% of all ectopic pregnancies are located in the ovaries. Preoperative diagnosis of this extremely rare condition is challenging, because the ectopic pregnancy often resembles cysts of the corpus luteum

CONCEPTUAL ASPECT OF DUCHENNE MUSCULAR DYSTROPHY

The muscular dystrophies (MD) are a group of genetic diseases characterized by progressive weakness and degeneration of the skeletal muscles that control movement. DMD is one among the most common muscular disorders. The incidence is 1:3500 live male birth. It is X-linked recessive disease caused by a deficiency of a normal muscle protein called dystrophin, which maintains the integrity of the muscle cell wall. Degeneration of the skeletal muscles, which control movement leading to lose the ability to stand, walk and loss of ambulation before 10 years, with progression of the disease most patients succumb to death in their early 20s. Disease is having bad prognosis if the treatment start in early stages of the disease, it may slow or stop the progressive degeneration of muscles. As there is no specific treatment in any system of medicine for DMD, in modern therapeutic approach of muscular dystrophy is represents on corticosteroids, physical therapy, respiration assistance and gene therapy. All major neuromuscular disorders are identified with Vata Dosha. In Ayurveda this pathogenesis can be clearly understood by the concept of Adi bala pravritta vyadhi. Here the pathogenesis occurs due to the Beejabhagavayava Dushti which leads to Mamsa Vata Dushti. The Ayurvedic treatments relevant to Rasayana group of herbo-mineral medicines and specified Panchakarma therapies have definite protective influence and long survival on Dhatu Kshaya. Keep upon this view in present study the therapies and medicines is useful for DMD is taken with their logical understanding.&nbsp

Gender differences in outcomes of patients with cystic fibrosis

Background: Cystic fibrosis (CF) is a common life-shortening genetic disease in which women have been described to have worse outcomes than males, particularly in response to respiratory infections with Pseudomonas aeruginosa. However, as advancements in therapies have improved life expectancy, this gender disparity has been challenged. The objective of this study is to examine whether a gender-based survival difference still exists in this population and determine the impact of common CF respiratory infections on outcomes in males versus females with CF. Methods: We conducted a retrospective cohort analysis of 32,766 patients from the United States Cystic Fibrosis Foundation Patient Registry over a 13-year period. Kaplan-Meier and Cox proportional hazards models were used to compare overall mortality and pathogen based survival rates in males and females. Results: Females demonstrated a decreased median life expectancy (36.0 years; 95% confidence interval [CI] 35.0–37.3) compared with men (38.7 years; 95% CI 37.8–39.6; p<0.001). Female gender proved to be a significant risk factor for death (hazard ratio 2.22, 95% CI 1.79–2.77), despite accounting for variables known to influence CF mortality. Women were also found to become colonized earlier with several bacteria and to have worse outcomes with common CF pathogens. Conclusions: CF women continue to have a shortened life expectancy relative to men despite accounting for key CF-related comorbidities. Women also become colonized with certain common CF pathogens earlier than men and show a decreased life expectancy in the setting of respiratory infections. Explanations for this gender disparity are only beginning to be unraveled and further investigation into mechanisms is needed to help develop therapies that may narrow this gender gap

‘I arranged my own marriage': arranged marriages and post-colonial feminism

This article looks at the practice of arranged marriage among women of Indian, Pakistani and Bangladeshi origin resident in Britain. It examines the conflation of arranged marriages with forced marriages and the assumption that arranged marriages are examples of cultural practices that thwart individual agency. Drawing upon original empirical data, this article will argue that in the practice of arranged marriage, some South Asian women are able to exercise agency while choosing their marriage partner. They adapt traditional arranged marriage practices to navigate their way around strict cultural expectations and to negotiate with their family members the choice of a match that is favourable for them. It provides a corrective account of arranged marriages by challenging the stereotype of the ‘oppressed third world women' and their experiences of such marriages. The article will do this by employing the idea of post-colonial feminism and by highlighting two long-standing issues in feminist debates: the idea of agency and the conception and role of power in the struggle for women's rights. It will make a case for a post-colonial approach to feminism as one way of reconciling feminism with the politics of multiculturalism

A practical method for assessing lip compression strengthening in healthy adults

© 2020 by the authors. There is no practical and accessible assessment method to evaluate lip muscle compression strength. The purpose of this study was to examine the relationship between the standard method (i.e., Iowa Oral Performance Instrument) and a practical method in healthy adults. In order to achieve our research purpose, ninety-eight healthy adults (18-40 years) completed lip compression strength measurements (standard method) and lip grasping performance tests using a standard recyclable plastic water bottle (practical method). In the overall sample, the mean and standard deviation for standard method and practical method was 26.7 (7.0) kPa and 255 (119) g, respectively. For the overall sample (n = 98), there was a positive relationship between the two strength tasks [r = 0.56 (0.41, 0.68)]. When separated by sex, positive correlations were observed for men and women with no differences between the observed correlations [difference of 0.06 (-0.2646, 0.3917)]. This result indicates that those individuals who are strong in the standard task will often be strong in the practical task. Future research is needed to determine how well changes in each test track with each other in response to a lip strength training program

Assessments of facial muscle thickness by ultrasound in younger adults: Absolute and relative reliability

© 2019 by the authors. The absolute reliability (i.e., standard error of measurement and minimal difference) of a measurement is important to consider when assessing training effects. However, the absolute reliability for ultrasound measured facial muscle thickness had not been investigated. In order to examine the absolute and relative reliability of measuring facial muscles, 98 healthy, young, and middle-aged adults (18-40 years) had ultrasound measurements taken twice, separated by an average of three days. Six facial muscles were selected to determine the reliability of facial muscle thickness. The relative reliability (ICC3,1) ranged from 0.425 for the orbicularis oris (inferior) to 0.943 for the frontalis muscle. The absolute reliability (minimal difference) ranged from 0.25 mm for the orbicularis oculi to 1.82 mm for the masseter. The percentage minimal difference was 22%, 25%, 26%, 29%, 21%, and 10% for the frontalis, orbicularis oculi, orbicularis oris (superior), orbicularis oris (inferior), depressor anguli oris, and masseter, respectively. Our results indicated that the relative reliability was similar to that observed previously. The absolute reliability indicated that the measurement error associated with measuring muscle thickness of the face may be greater than that of the trunk/limb muscles. This may be related to the difficulty of accurately determining the borders of each muscle

ГИСТЕРОСКОПИЯ В ДИАГНОСТИКЕ ГИПЕРПРОЛИФЕРАТИВНЫХ ПРОЦЕССОВ ЭНДОМЕТРИЯ

Цель исследования – уточнить некоторые технические особенности использования гистероскопического метода в клинической практике, провести анализ результатов гистероскопии с последующим патогистологическим заключением для изучения клинической картины многообразия гиперпролиферативной патологии. Материалы и методы. Исследование проводилось на базе отделения планирования семьи и оперативной реабилитации репродуктивной функции женщин ГУ «Институт педиатрии, акушерства и гинекологии имени академика Е. М. Лукьяновой НАМН Украины». Были проанализированы истории болезней 1177 пациенток репродуктивного возраста с наличием верифицированного диагноза «Полип тела матки». Обследуемые женщины находились в репродуктивном возрасте – от 20 до 49 лет, и в среднем он был равен (36,1±2,54) года. Результаты исследования и их обсуждение. При патогистологическом исследовании структуры гиперпролиферативной патологии эндометрия у данных пациенток выявлены следующие показатели. Изолированная гиперпролиферативная патология эндометрия – полип был верифицирован у 289 (24,55 %) женщин. У 321 (27,27 %) больной полип эндометрия сочетался с гиперпролиферативным заболеванием матки – с лейомиомой матки, при этом в половине случаев – у 162 (50,47 %) пациенток лейомиома имела субмукозную локализацию и была удалена во время проведения хирургической манипуляции. Сочетание полипа тела матки с аденомиозом отмечено у 255 (21,67 %) больных. У 181 (15,38 %) пациентки с полипом тела матки диагностировано сочетание лейомиомы матки с аденомиозом. Указанные выше данные безоговорочно свидетельствуют о том, что при верификации полипа тела матки следует крайне внимательно отнестись к вопросу обследования состояния миометрия у таких больных с целью обнаружения возможных начальных патологических изменений, что имеет решающее значение для выбора дальнейшей тактики ведения такого случая и обуславливает необходимость индивидуализированного подхода. Выводы. 1. Являясь «золотым стандартом», гистероскопическая полипэктомия «See-and-Treat» имеет высокий уровень как клинической, так и экономической выгоды у пациенток гинекологического профиля, в том числе и с нарушенной репродуктивной функцией. Изотоническая жидкостная среда при проведении гистероскопии является приоритетным выбором, не вызывая гипонатриемии, хотя имеется широкий арсенал разрешенных к использованию сред, о котором необходимо знать. Гистероскопия имеет высокий уровень диагностической точности для ряда гиперпролиферативных процессов эндометрия, включающих и полип тела матки. Сочетанная гиперпролиферативная патология матки составляет 67,4 % среди пациенток с полипами тела матки, что указывает на необходимость тщательного обследования таких пациенток с целью выбора тактики лечения и индивидуального подхода