Unusual formation and sub-omohyoid course of external jugular vein.

Variations in the origin and termination of external jugular vein are common and are reported in the past. However, variations in the course of external jugular vein are uncommon. During routine dissection classes for medical undergraduates, we came across the unusual formation and course of right external jugular vein and absence of common facial vein, in an approximately 60-year-old male cadaver of Indian origin. External jugular vein was formed by the continuation of undivided trunk of retromandibular vein. Following its formation, it passed vertically superficial to sternocleidomastoid muscle to the lower part of occipital triangle. In the occipital triangle it pierced the investing layer of deep cervical fascia and passed deep to the inferior belly of omohyoid muscle and coursed through the subclavian triangle. Then, it terminated at the junction of subclavian vein with internal jugular vein. Facial vein joined with submental vein and finally drained into internal jugular vein. Further, the posterior auricular vein and anterior jugular veins were absent. Knowledge about the variations of the retromandibular vein, common facial vein and external jugular vein observed in this study, may be important for the surgeons, to prevent inadvertent injury and excessive bleeding during diagnostic and therapeutic procedures

Mathematical Analysis of Single and Two Phase Flow of Blood in Narrow Arteries with Multiple Contrictions

The pulsatile flow of blood in narrow arteries with multiple-stenoses under body acceleration is analyzed mathematically, treating blood as (i) single-phase Herschel-Bulkley fluid model and (ii) two-phase Herschel-Bulkley fluid model. The expressions for various flow quantities obtained by Sankar and Ismail (2010) for single-phase Herschel-Bulkley fluid model and Sankar (2010c) for two-phase Herschel-Bulkley fluid model are used to compute the data for comparing these fluid models in a new flow geometry. It is noted that the plug core radius, wall shear stress and longitudinal impedance to flow are marginally lower for two-phase H-B fluid model than those of the single-phase H-B fluid model. It is found that the velocity decreases significantly with the increase yield stress of the fluid and the reverse behavior is noticed for longitudinal impedance to flow. It is also noticed that the velocity distribution and flow rate are higher for two-phase Herschel-Bulkley fluid model than those of the single-phase Herschel-Bulkley fluid model. It is also recorded that the estimates of the mean velocity increase with the increase of the body acceleration and this behavior is reversed when the stenosis depth increases

Level of evidence used in recommendations by the National Comprehensive Cancer Network (NCCN) guidelines beyond Food and Drug Administration approvals.

BackgroundA previous analysis of 113 National Comprehensive Cancer Network® (NCCN®) recommendations reported that NCCN frequently recommends beyond Food and Drug Administration (FDA)-approved indications (44 off-label recommendations) and claimed that the evidence for these recommendations was weak.MethodsIn order to determine the strength of the evidence, we carried out an in-depth re-analysis of the 44 off-label recommendations listed in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®).ResultsOf the 44 off-label recommendations, 14 were later approved by the FDA and/or are supported by randomized controlled trial (RCT) data. In addition, 13 recommendations were either very minor extrapolations from the FDA label (n = 8) or were actually on-label (n = 5). Of the 17 remaining extrapolations, 8 were for mechanism-based agents applied in rare cancers or subsets with few available treatment options (median response rate = 43%), 7 were based on non-RCT data showing significant efficacy (>50% response rates), and 2 were later removed from the NCCN Guidelines because newer therapies with better activity and/or safety became available.ConclusionOff-label drug use is a frequent component of care for patients with cancer in the United States. Our findings indicate that when the NCCN recommends beyond the FDA-approved indications, the strength of the evidence supporting such recommendations is robust, with a significant subset of these drugs later becoming FDA approved or supported by RCT. Recommendations without RCT data are often for mechanism-based drugs with high response rates in rare cancers or subsets without effective therapies

Charge Lattices and Consistency of 6D Supergravity

We extend the known consistency conditions on the low-energy theory of six-dimensional N = 1 supergravity. We review some facts about the theory of two-form gauge fields and conclude that the charge lattice Gamma for such a theory has to be self-dual. The Green-Schwarz anomaly cancellation conditions in the supergravity theory determine a sublattice of Gamma. The condition that this sublattice can be extended to a self-dual lattice Gamma leads to a strong constraint on theories that otherwise appear to be self-consistent.Comment: 15 pages. v2: minor changes; references, additional example added; v3: minor corrections and clarifications added, JHEP versio

Chemical characterization of atmospheric particulate matter in Delhi, India, part II: Source apportionment studies using PMF 3.0

World Bank reports Delhi as a second most polluted megacity in the world for particulates pollution. In Delhi, PM10 (d ≤ 10 μm) aerosol samples were monitored throughout 2008 and their characterization for major chemical elements (Na, Mg, Al, Si, P, S, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, As, Br, Sr, Ba, Pb, Cd, Sn and Sb) and ions (Cl-, NO3-, SO42-, Na+, NH4+, K+, Mg2+ and Ca2+) have been documented in an earlier study. To resolve complexity in source apportionment for chemical constituents in PM10, UNMIX 6.0 and Positive Matrix Factorization (PMF 3.0) models are applied. Four factors were derived to explain routine sources of PM10 (crustal origin, road-traffic and secondary aerosols). Factor-1, designated as road-traffic source, has been determined by temporal correlation among Pb, Cu, Zn, Ni and V with strong correlation between Pb and Zn. This source factor-1 has shown more than 60% contribution to receptor site. Factor-2, referred as crustal origin due to strong inter-relationship among Si, Fe, Al, Ca and Mg, has also shown to be significant contribution to similar species in receptor matrix. Factor-3 ( NH4+, NO3-) has been differentiated due to contribution of secondary aerosols in the receptor region. This factor-3 has indicated major fraction of these ionic species for their uniform percentage variability, where mean values have been projected close to 75th percentile. Surprisingly, source factor-4 has explained the specific chloride source in the region with major contribution of 86%. For policymakers, results presented would serve as benchmark of source apportionments in Delhi

Asymmetry to symmetry transition of Fano line-shape: Analytical derivation

An analytical derivation of Fano line-shape asymmetry ratio has been presented here for a general case. It is shown that Fano line-shape becomes less asymmetric as \q is increased and finally becomes completely symmetric in the limiting condition of q equal to infinity. Asymmetry ratios of Fano line-shapes have been calculated and are found to be in good consonance with the reported expressions for asymmetry ratio as a function of Fano parameter. Application of this derivation is also mentioned for explanation of asymmetry to symmetry transition of Fano line-shape in quantum confined silicon nanostructures.Comment: 3 figures, Latex files, Theoretica

Bioinspired Polydopamine Coatings Facilitate Attachment of Antimicrobial Peptidomimetics with Broad-Spectrum Antibacterial Activity

The prevention and treatment of biofilm-mediated infections remains an unmet clinical need for medical devices. With the increasing prevalence of antibiotic-resistant infections, it is important that novel approaches are developed to prevent biofilms forming on implantable medical devices. This study presents a versatile and simple polydopamine surface coating technique for medical devices, using a new class of antibiotics—antimicrobial peptidomimetics. Their unique mechanism of action primes them for activity against antibiotic-resistant bacteria and makes them suitable for covalent attachment to medical devices. This study assesses the anti-biofilm activity of peptidomimetics, characterises the surface chemistry of peptidomimetic coatings, quantifies the antibacterial activity of coated surfaces and assesses the biocompatibility of these coated materials. X-ray photoelectron spectroscopy and water contact angle measurements were used to confirm the chemical modification of coated surfaces. The antibacterial activity of surfaces was quantified for S. aureus, E. coli and P. aeruginosa, with all peptidomimetic coatings showing the complete eradication of S. aureus on surfaces and variable activity for Gram-negative bacteria. Scanning electron microscopy confirmed the membrane disruption mechanism of peptidomimetic coatings against E. coli. Furthermore, peptidomimetic surfaces did not lyse red blood cells, which suggests these surfaces may be biocompatible with biological fluids such as blood. Overall, this study provides a simple and effective antibacterial coating strategy that can be applied to biomaterials to reduce biofilm-mediated infections

Unveiling the Dynamics of Residential Energy Consumption: A Quantitative Study of Demographic and Personality Influences in Singapore Using Machine Learning Approaches

\ua9 2024 by the authors. In the pursuit of instigating a progressive transition towards a more sustainable future, policy officials all over the world are fervently advocating the use of energy conservation techniques targeted at residential customers. Keeping this in mind, a quantitative study was conducted in this work using the data from Singapore, which aims to investigate the relationships between a resident’s pattern of energy utilisation and numerous demographic parameters as well as personality attributes. Moreover, the study was conducted with existing machine learning and data analytics approaches, including k-prototype unsupervised learning and statistical hypothesis tests. The obtained results denote a persuasive correlation between the consumption behaviour of the consumer for different appliances and factors such as income, energy knowledge, usage frequency, personality, etc. For instance, there is a higher probability of a consumer acting frugally and sparingly if they believe their energy consumption is insignificant. These findings can help policymakers identify the appropriate target populations for raising energy awareness in Singapore

F-Theory and the Mordell-Weil Group of Elliptically-Fibered Calabi-Yau Threefolds

The Mordell-Weil group of an elliptically fibered Calabi-Yau threefold X contains information about the abelian sector of the six-dimensional theory obtained by compactifying F-theory on X. After examining features of the abelian anomaly coefficient matrix and U(1) charge quantization conditions of general F-theory vacua, we study Calabi-Yau threefolds with Mordell-Weil rank-one as a first step towards understanding the features of the Mordell-Weil group of threefolds in more detail. In particular, we generate an interesting class of F-theory models with U(1) gauge symmetry that have matter with both charges 1 and 2. The anomaly equations --- which relate the Neron-Tate height of a section to intersection numbers between the section and fibral rational curves of the manifold --- serve as an important tool in our analysis.Comment: 29 pages + appendices, 5 figures; v2: minor correction

Unusual Occurrence of Peripheral Ossifying Fibroma in an Elderly Male

The present case is a scenario of occurrence of relatively common peripheral ossifying fibroma in an uncommon site of occurrence. It was noted in the maxillary posterior region incontrast to its usual occurrence in anterior maxillary region. The lesion was observed in elderly male subject aged 64 years, contradictory to its usual predilection for young females in thesecond or third decade of life. As this case contradicts the common norms of predilection of the lesion with regard to age, gender and site, it emphasizes the need for looking beyond theconventional norms for proper diagnosis and prompt treatment.&nbsp