A Rare Case of Gastric Carcinoma with Oral Metastasis

Oral region is an uncommon site for metastatic tumour cell colonization and usually evidence of wide spread disease, It accounts for only 1% of all oral malignant neoplasm’s. They mainly involve the bony structures (particularly the mandible), whereas primary metastases to soft tissues are extraordinarily rare (only 0.1% of oral malignancies). The breast is the most common primary site for tumors that metastasize to the jawbones, whereas the lung is the most common source for cancers that metastasize to the oral soft tissues. We are reporting an extremely rare case of carcinoma stomach with oral soft tissue metastatic lesion in the upper alveolar ridge extending to involving the upper labial mucosa extending up to the premolars on right side on the gingio- buccal sulcus

A solitary giant cell tumor of the tendon sheath of left third finger in a 23-year-old man: a case report

Giant cell tumor of the tendon sheath (GCTTS) is a common condition usually encountered in middle aged men, usually seen on the thumb, index, middle fingers. These benign tumors are known to reoccur. Re-occurrence can be attributed to poor surgical technique, excision of the tumor in toto is considered difficult given the close proximity of the digital nerves, blood vessels, tendons to the tumor. A magnifying loop is usually used in these cases to identify and resect the satellite lesions. In this case report, we are presenting a case of solitary GCTTS of the tendon sheath in a 23-year-old man with history of gradually progressive painless swelling over his left third finger. Musculo-skeletal ultrasound revealed a heterogeneously hypo-echoic well-defined lesion over the ventral aspect of the left third finger. Histopathology showed giant cell morphology. Patient underwent exploration, tumor excision in toto with primary suturing in our institute with an uneventful postoperative period. No loss of range of movements of the PIP, DIP joints was noted in the postoperative period. Good dissection with excision of the tumor in toto gives better outcomes

A STUDY OF ADVANCED ENCRYPTION TOOLS FOR DATA SECURITY

With the rapid growth and uses of internet, the task of protection of data and information is become a key challenge to the user as well as security experts. In the era of e-commerce, online shopping, online banking information security is a vital issue. Information may be hacked, stolen and misused. To overcome these issues, encryption tools can be useful. Wide range for encryption tools are available that provide the facilities to the user to secure the information. This paper highlights some of these tools with their features

Efficient Task Scheduling and Fair Load Distribution Among Federated Clouds

The federated cloud is the future generation of cloud computing, allowing sharing of computing and storage resources, and servicing of user tasks among cloud providers through a centralized control mechanism. However, a great challenge lies in the efficient management of such federated clouds and fair distribution of the load among heterogeneous cloud providers. In our proposed approach, called QPFS_MASG, at the federated cloud level, the incoming tasks queue are partitioned in order to achieve a fair distribution of the load among all cloud providers of the federated cloud. Then, at the cloud level, task scheduling using the Modified Activity Selection by Greedy (MASG) technique assigns the tasks to different virtual machines (VMs), considering the task deadline as the key factor in achieving good quality of service (QoS). The proposed approach takes care of servicing tasks within their deadline, reducing service level agreement (SLA) violations, improving the response time of user tasks as well as achieving fair distribution of the load among all participating cloud providers. The QPFS_MASG was implemented using CloudSim and the evaluation result revealed a guaranteed degree of fairness in service distribution among the cloud providers with reduced response time and SLA violations compared to existing approaches. Also, the evaluation results showed that the proposed approach serviced the user tasks with minimum number of VMs

Study of the causes of non-acceptance of VBAC in patients with previous one LSCS in a tertiary institution

Background: Many women who are eligible candidates for a VBAC (Vaginal Birth after Caesarean) in the current pregnancy opt for a repeat LSCS (Lower Segment Caesarean Section) as a mode of delivery. We decided to evaluate the proportion of patients who opt out of a VBAC and to study the causality of this trend.Methods: All patients who presented to the Dept. of OBG in our institution and were eligible to have a VBAC were included in the study till the sample size of 100 cases was met. Consultant opinion was sought prior to deciding the mode of delivery.Results: Incidence of patients of previous one LSCS who were not willing for VBAC was 4%, out of total number of deliveries and 30.7%, out of all cases of patients with previous one LSCS. The reason for not opting for a VBAC in the current pregnancy in the majority of the eligible patients was the desire for a concurrent sterilization procedure. Others cited apprehension of a scar rupture or fear of labor pain or both as their primary reason for opting out of a VBAC.Conclusions: The high incidence of ERC (Elective Repeat Caesarean) as compared to TOLAC (Trial of Labour after Caesarean) has long-term clinical and financial implications. Counseling given to the pregnant woman with an emphasis on the advantages of VBAC in order that she opts for a VBAC with confidence and enthusiasm is the only way forward

Borderline Ovarian Malignancies : A Single Institute Retrospective Study.

Background: Borderline ovarian tumors are histologically characterized as epithelial tumors with a stratified growth pattern but without destructive stromal invasion. Little is known about the histological subtypes and outcome, role of fertility sparing surgery and role of postoperative therapy in advanced stage in Indian scenario. While there is ample data in the world literature about this disease, prognosis in Indian patients is largely unknown due to dearth of studies in our setting. Objective: To study the demographic profile, clinical features, imaging, treatment and outcome of borderline ovarian tumors. Methods: This is a retrospective study of eighty seven patients with pathologically proven diagnosis of borderline ovarian tumor, diagnosed and treated from January 2006 to October 2011 at our institution. Most patients underwent surgical staging which incuded total abdominal hysterectomy and bilateral salphingo-oophorectomy, infracolic omentectomy, bilateral pelvic and para aortic lymphadenectomy. Young patients who had not completed their family underwent fertility sparing surgery. Patients with invasive metastatic implants received adjuvant chemotherapy. The outcome of these patients was correlated with stage, type of peritoneal implant, type of surgical procedure and with histological subtype. Results: At a median follow-up of 48 months, 100 percent survival was noted. One patient with stage III disease had recurrence. Conclusions: Borderline ovarian tumors occur at a younger age compared to invasive tumors. In patients with early stage disease who wish to preserve fertility, hysterectomy and contralateral oophorectomy are not necessary. Serous tumors occur at a younger age. They can be associated with invasive peritoneal implants and raised CA125 values. Majority of the serous tumors are bilateral and smaller in size compared to mucinous and endometroid tumors. Raised CA125 values did not correlate with the stage of disease. These patients have an excellent prognosis even in Indian scenario where majority of patients present with big ovarian masses

Degree of Complementarity Determines the Nonlocality in Quantum Mechanics

Complementarity principle is one of the central concepts in quantum mechanics which restricts joint measurement for certain observables. Of course, later development shows that joint measurement could be possible for such observables with the introduction of a certain degree of unsharpness or fuzziness in the measurement. In this paper, we show that the optimal degree of unsharpness, which guarantees the joint measurement of all possible pairs of dichotomic observables, determines the degree of nonlocality in quantum mechanics as well as in more general no-signaling theories.Comment: Close to published versio

Metastatic Leiomyosarcoma of Small Intestine

This is the report of a case of primary leiomyosarcoma of the small intestine, an uncommon primary malignancy of the small intestine

A descriptive study of gender preference and its relation to willingness for sterilization in pregnant women in a tertiary hospital in Goa

Background: There is an association between male gender preference and avoidance of ligation if preferred sex is not born. We therefore undertook this study to systematically analyze this association between the gender preference and willingness for sterilization in Goan women.Methods: A hospital based cross sectional descriptive study was undertaken among 216 women attending antenatal clinic at a tertiary hospital in Goa between August to December 2015. The data was analyzed in SPSS for Windows, version 14.0. The results are described as percentages and assessment of statistically significant difference was done using the Chi-Square test at 95% level of significance (p<0.05).Results: Of the 216 women who participated in the study, 50 (23.1%) had a male preference. Age, education of the women and religion were not found to be having a statistically significant association with the male preference. Occupation, socio-economic status of the women and parity were found to be having a statistically significant association with the male preference. The women with one surviving male child did not mind if the second child was female but those with previous female child desired for male child in most instances. Eighty three percent of women with preference for female child were willing for ligation even if their preference was not met compared to only 50% of those with male preference.Conclusions: The decision on completion of family as evident from willingness for sterilization is influenced by the sex preference and the outcome of pregnancy in terms of the sex of the child

Custom Design & Fabrication of 3D printed cast for ankle immobilisation

Management of bone and joint injuries is commonly done by immobilisation using plaster/fibreglass casts. This study describes design and fabrication of patient specific cast using 3D printing.  The 3D printed cast while being patient friendly is superior to earlier casts in healing efficacy and hence redefines the joint immobilisation practice. We present here a case of “walk on brace” design and fabrication using 3D printing. The custom design of ankle immobilisation cast was done for an 18-year-old boy having tibia bone fracture during gymnastic activity. The workflow comprises of anatomical data acquisition, CAD, 3D printing, post processing and clinical approval for use. Additional features such as straps, anti-slip inner surface and tread for floor grip were incorporated in the design.