Analysis of Primary Surgery and Medical Treatment in the Management of Primary Open Angle Glaucoma

Background: To evaluate and compare the efficacy of medical and surgical treatment for management of primary open angle glaucoma (POAG). Methods: Study included a total of 32 patients with 60 eyes, who were divided into two groups. 31 eyes were included in group A and were given medical treatment. 29 eyes were included in group B and were managed with primary surgery (Trabeculectomy). Results: The IOP was controlled in group A with one drug in 62.5% (n=10), with two drugs in 25% (n=4)and with three drugs in 6.25% (n=1). The IOP of group B patients was controlled by surgery alone in 81.25% (n=13) and with surgery and drugs in 18.75% (n=3). P values were found to be constantly less than 0.001. Conclusion: Primary surgery i.e. trabeculectomy is a superior modality of treatment for POAG as compared to medical therapy as it is cost-effective, IOP control is uniform and compliance is not a problem

Surgical Outcome of Cerebellopontine (CP) Angle Tumors

Objective: The purpose of this study is to evaluate the clinical characteristics and surgical outcome of CP angle tumors.Material and Methods: This is a retrospective study of 10 cases admitted in the Department of Neurosurgery, Shaikh Zayed Hospital, Rahim Yar Khan during the last 8 years. The predominating symptoms here related to the seventh and eighth cranial nerves and headache.Results: Study included 10 cases of CPA Tumour clinical presentation was hearing loss, tinnitus, abnormal bala-nce, headache, facial numbness and buccal numbness, ataxia and trigeminal neuralgia. We had 10 patients, came with above clinical presentations. All cases were operated through retromastoid sub-occipital craniectomy. VP shunt was inserted in 1 case. Histopathology report was four patients vestibular schwanoma three tentorial meni-ngioma, two epidermoid cyst and one patient had choroid plexuses papilloma.Complications: One patient developed meningitis due to cerebrospinal Fluid leakage at operative site. Lumber drain was placed to control leakage and infection was controlled by aggressive treatment. There was no mortality in our study. One patient developed recurrence of epidermoid cyst at the same site after seven and half years. None of the patients developed further cranial nerve deficit as compare to preoperative deficit. The maximum period of follow-up of one patient was seven and half year.Conclusion: It is concluded from this study that the retrosigmoid corridor is the safe surgical approach for CPA tumors. In case of CP angle epidermoid, there was no recurrence symptoms on the immediate follow-up. At ope-ration, the root entry zone of TN should be examined for evidence of additional vascular compressio

Quasiparticle RPA with finite rank approximation for Skyrme interactions

A finite rank separable approximation for the particle-hole RPA calculations with Skyrme interactions is extended to take into account the pairing. As an illustration of the method energies and transition probabilities for the quadrupole and octupole excitations in some O, Ar, Sn and Pb isotopes are calculated. The values obtained within our approach are very close to those that were calculated within QRPA with the full Skyrme interaction. They are in reasonable agreement with experimental data.Comment: 20 pages, 1 figure, submitted to Phys.Rev.

Magnetic domain texture and the Dzyaloshinskii-Moriya interaction in Pt/Co/IrMn and Pt/Co/FeMn thin films with perpendicular exchange bias

Antiferromagnetic materials present us with rich and exciting physics, which we can exploit to open new avenues in spintronic device applications. We explore perpendicularly magnetized exchange biased systems of Pt/Co/IrMn and Pt/Co/FeMn, where the crossover from paramagnetic to antiferromagnetic behavior in the IrMn and FeMn layers is accessed by varying the thickness. We demonstrate, through magneto-optical imaging, that the magnetic domain morphology of the ferromagnetic Co layer is influenced by the Néel order of the antiferromagnet (AFM) layers. We relate these variations to the anisotropy energy of the AFM layer and the ferromagnet-antiferromagnet (FM-AFM) interlayer exchange coupling. We also quantify the interfacial Dzyaloshinskii-Moriya interaction (DMI) in these systems by Brillouin light scattering spectroscopy. The DMI remains unchanged, within experimental uncertainty, for different phases of the AFM layers, which allows us to conclude that the DMI is largely insensitive to both AFM layer spin order and exchange bias. Understanding such fundamental mechanisms is crucial for the development of future devices employing chiral spin textures, such as Néel domain walls and skyrmions, in FM-AFM heterostructures

Separabelized Skyrme Interactions and Quasiparticle RPA

A finite rank separable approximation for the quasiparticle RPA with Skyrme interactions is applied to study the low lying quadrupole and octupole states in some S isotopes and giant resonances in some spherical nuclei. It is shown that characteristics calculated within the suggested approach are in a good agreement with available experimental data.Comment: 12 pages, 2 figures, proceedings of the Seventh School-Seminar on Heavy Ion Physics, Dubna, Russia, May 27-June 1, 2002; to appear in Physics of Atomic Nucle

Magnetic string contribution to hadron dynamics in QCD

Dynamics of a light quark in the field of static source (heavy-light meson) is studied using the nonlinear Dirac equation, derived recently. Special attention is paid to the contribution of magnetic correlators and it is found that it yields a significant increase of string tension at intermediate distances. The spectrum of heavy-light mesons is computed with account of this contribution and compared to experimental and lattice data.Comment: 10 pages Revte

Characteristics of predictor sets found using differential prioritization

<p>Abstract</p> <p>Background</p> <p>Feature selection plays an undeniably important role in classification problems involving high dimensional datasets such as microarray datasets. For filter-based feature selection, two well-known criteria used in forming predictor sets are relevance and redundancy. However, there is a third criterion which is at least as important as the other two in affecting the efficacy of the resulting predictor sets. This criterion is the degree of differential prioritization (DDP), which varies the emphases on relevance and redundancy depending on the value of the DDP. Previous empirical works on publicly available microarray datasets have confirmed the effectiveness of the DDP in molecular classification. We now propose to establish the fundamental strengths and merits of the DDP-based feature selection technique. This is to be done through a simulation study which involves vigorous analyses of the characteristics of predictor sets found using different values of the DDP from toy datasets designed to mimic real-life microarray datasets.</p> <p>Results</p> <p>A simulation study employing analytical measures such as the distance between classes before and after transformation using principal component analysis is implemented on toy datasets. From these analyses, the necessity of adjusting the differential prioritization based on the dataset of interest is established. This conclusion is supported by comparisons against both simplistic rank-based selection and state-of-the-art equal-priorities scoring methods, which demonstrates the superiority of the DDP-based feature selection technique. Reapplying similar analyses to real-life multiclass microarray datasets provides further confirmation of our findings and of the significance of the DDP for practical applications.</p> <p>Conclusion</p> <p>The findings have been achieved based on analytical evaluations, not empirical evaluation involving classifiers, thus providing further basis for the usefulness of the DDP and validating the need for unequal priorities on relevance and redundancy during feature selection for microarray datasets, especially highly multiclass datasets.</p

The Equation of State for Two Flavor QCD at Non-zero Chemical Potential

We present results of a simulation of QCD on a 4x16^3 lattice with 2 continuum flavors of p4-improved staggered fermion with mass m/T=0.4. Derivatives of the thermodynamic grand potential with respect to quark chemical potential mu_q up to fourth order are calculated, enabling estimates of the pressure, quark number density and associated susceptibilities as functions of mu_q via Taylor series expansion. Discretisation effects associated with various staggered fermion formulations are discussed in some detail. In addition it is possible to estimate the radius of convergence of the expansion as a function of temperature. We also discuss the calculation of energy and entropy densities which are defined via mixed derivatives of the thermodynamic grand potential with respect to the bare couplings and quark masses.Comment: 30 pages, LaTeX2e File, 17 Postscript figure

Beating the channel capacity limit for linear photonic superdense coding

Dense coding is arguably the protocol that launched the field of quantum communication. Today, however, more than a decade after its initial experimental realization, the channel capacity remains fundamentally limited as conceived for photons using linear elements. Bob can only send to Alice three of four potential messages owing to the impossibility of carrying out the deterministic discrimination of all four Bell states with linear optics, reducing the attainable channel capacity from 2 to log_2 3 \approx 1.585 bits. However, entanglement in an extra degree of freedom enables the complete and deterministic discrimination of all Bell states. Using pairs of photons simultaneously entangled in spin and orbital angular momentum, we demonstrate the quantum advantage of the ancillary entanglement. In particular, we describe a dense-coding experiment with the largest reported channel capacity and, to our knowledge, the first to break the conventional linear-optics threshold. Our encoding is suited for quantum communication without alignment and satellite communication.Comment: Letter: 6 pages, 4 figures. Supplementary Information: 4 pages, 1 figur

The clinical outcomes of imaging modalities for surgical management Cushing’s disease – A systematic review and meta-analysis

Introduction: Cushing’s disease presents major diagnostic and management challenges. Although numerous preoperative and intraoperative imaging modalities have been deployed, it is unclear whether these investigations have improved surgical outcomes. Our objective was to investigate whether advances in imaging improved outcomes for Cushing’s disease. Methods: Searches of PubMed and EMBASE were conducted. Studies reporting on imaging modalities and clinical outcomes after surgical management of Cushing’s disease were included. Multilevel multivariable meta-regressions identified predictors of outcomes, adjusting for confounders and heterogeneity prior to investigating the effects of imaging. Results: 166 non-controlled single-arm studies were included, comprising 13181 patients over 44 years. The overall remission rate was 77.0% [CI: 74.9%-79.0%]. Cavernous sinus invasion (OR: 0.21 [CI: 0.07-0.66]; p=0.010), radiologically undetectable lesions (OR: 0.50 [CI: 0.37–0.69]; p<0.0001), previous surgery (OR=0.48 [CI: 0.28–0.81]; p=0.008), and lesions ≥10mm (OR: 0.63 [CI: 0.35–1.14]; p=0.12) were associated with lower remission. Less stringent thresholds for remission was associated with higher reported remission (OR: 1.37 [CI: 1.1–1.72]; p=0.007). After adjusting for this heterogeneity, no imaging modality showed significant differences in remission compared to standard preoperative MRI. The overall recurrence rate was 14.5% [CI: 12.1%-17.1%]. Lesion ≥10mm was associated with greater recurrence (OR: 1.83 [CI: 1.13–2.96]; p=0.015), as was greater duration of follow-up (OR: 1.53 (CI: 1.17–2.01); p=0.002). No imaging modality was associated with significant differences in recurrence. Despite significant improvements in detection rates over four decades, there were no significant changes in the reported remission or recurrence rates. Conclusion: A lack of controlled comparative studies makes it difficult to draw definitive conclusions. Within this limitation, the results suggest that despite improvements in radiological detection rates of Cushing’s disease over the last four decades, there were no changes in clinical outcomes. Advances in imaging alone may be insufficient to improve surgical outcomes. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42020187751