Benign intermittent gastric outlet obstruction in an elderly: Endoscopic management and brief review

We describe the clinical scenario in an 80 year old female who presented with history of epigastric discomfort and postprandial fullness of three weeksduration without any alarming symptoms. On upper GI endoscopy she was found to have gastric polyp with a long stalk which was partially obstructing her pyloric ring giving rise to features of intermittent gastric outlet obstruction Polypectomy was done with complete relief of symptoms .She is following our clinic for last 6 months now. Although possibility of malignant etiology in gastric out let obstruction ranks high in the elderly some patients are lucky to have a benign cause as the index case. Report of the case and brief review ispresented.Key words:Inflammatory polyp, Gastric outlet obstruction

A Model of Noncommunicable Diseases Determinants in Iran; a Qualitative Study

Aims: Non-communicable diseases have become an emerging pandemic globally with disproportionately higher rates in developing countries. This study aimed to design a representative model of non-communicable diseases determinants in Iran according to the viewpoint of experts. Participants & Methods: The statistical population of this qualitative study was experts and academic member informants, who were worked at Kashan, Esfahan and Tehran Universities of Medical Sciences in March to June 2016. 20 participants were selected through purposeful sampling method. Experts were asked to explain their opinion regarding to the most effective factors of noncommunicable disease in developing countries. Findings: Social, environmental, and physiological factors, besides the life style were affecting factors on non-communicable diseases in developing countries. Conclusion: Social, environmental, and physiological factors, besides the life style are affecting factors on non-communicable diseases in developing countries

Efficient algorithms to identify duplicated genotypes in large datasets

In this paper, we introduced two novel algorithms to identify duplicated genotypes. The runtime of these algorithms was compared with the widely adopted Exhaustive Search algorithm using simulated data. We found that both new algorithms could significantly reduce the execution time. Further, the optimised Matrix Algebra Approach algorithm was faster than the Dis-Similarity lookup table and could improve the performance nearly 34 times compared to Exhaustive Searc

Effect of Inclusions on the Shape and Size of Crack Tip Plastic Zones by Element Free Galerkin Method

The present study investigates the effect of inclusions on the shape and size of crack tip plastic zones in engineering materials subjected to static loads by employing the element free Galerkin method (EFGM). The modeling of the discontinuities produced by cracks and inclusions becomes independent of the grid chosen for analysis. The standard displacement approximation is modified by adding additional enrichment functions, which introduce the effects of different discontinuities into the formulation. The level set method has been used to represent different discontinuities present in the domain. The effect of inclusions on the extent of crack tip plastic zones is investigated by solving some numerical problems by the EFGM

Propagation of Himalayan maple (Acer caesium Wall.) through seed and softwood cuttings

Propagation of Himalayan maple (Acer caesium Wall.) through seed and softwood cuttings was investigated to standardize nursery techniques for mass production of the species. The seedlings were raised from viable seeds in different containers filled with different combinations of growing media. Vegetative propagation of softwoodcuttings was carried out by treating with different combinations of IBA and Willow leachate of different durations. The statistical analysis revealed the differential behaviour of various nursery stocks with respect to survival, growth and biomass. The growing media soil:sand:vermicompost (2:1:2) and container (root trainer 300 cc) showed maximum germination (61.00%), seedlings height (35.17 cm), collar diameter (5.07 cm), shoot:root ratio (1.24) and survival percentage (76.33%). Conversely, the cuttings treated with IBA @ 8000 ppm showed maximum sprouting (74.50%), rooting (66.75%), length of longest root (14.65 cm), no. of roots per cutting (33.00%), shoot length (13.90 cm) and survival percentage (41.50%). Hence, the seeds of the species should be grown in Rot trainer of 300 cc having soil:sand:vermicompost (2:1:2) to get good quality planting materials. However, the softwood cuttings should be given treatments with IBA @ 8000 ppm for mass production of plants vegetatively

Woodlot farming by smallholder farmers in Ganderbal district of Kashmir, India

Forest degradation and deforestation are serious threats to resource conservation, subsistence livelihoods and rural income diversification. Woodlot farming on farms has been established as a potential option to increase forest resources from agricultural landscapes and remove human pressure from forests. The study investigated the land-use and landholding pattern, woodlots types and species preference and extent of spatial distribution, land allocation and growing stock of woodlots in the Ganderbal district of Kashmir. Multistage random sampling technique was employed to select 349 farm woodlots from 12 sample villages. Secondary sources were used to collect village-level data on land-use and landholding pattern. Primary data concerning the trees were collected through farm woodlot inventories. The data were analyzed using simple descriptive statistics. Results revealed that the total land area in the sample villages is 888.60 ha; 521.60 ha (58.70%) is cultivated land, which is mostly (80.78%) occupied by 1244 marginal farmers. The prevalent woodlots established were plantations of Populus, Salix, Robinia or mixed species. The farm woodlots (61.59 ha) contributed 11.81% of cultivated land and 6.93% of the total geographical area. The average growing stocks of woodlots were estimated to be 204.05 m3/ha for Populus, 191.77 m3/ha for Salix, 109.51 m3/ha for Robinia and 62.31 m3/ha for Mixed. The findings suggested that woodlot farming is the key alternative for forest resource production, livelihood resilience and socioeconomic improvement; hence, the policy must be implicated towards the promotion of woodlot farming by re-orienting the land use through farmer’s motivation and technical, financial and farming input assistance

Phospholipid class-specific brain enrichment in response to lysophosphatidylcholine docosahexaenoic acid infusion

This project was supported by grants from the Natural Sciences and Engineering Research Council of Canada (NSERC) [482597] and from the Canadian Institutes of Health Research (CIHR) [497215] to Dr. R.P. Bazinet and by a NSERC studentship to Dr. C.T. Chen.Peer reviewedPostprin

Prevalence of ultrasonography proved polycystic ovaries in North Indian women with type 2 diabetes mellitus

BACKGROUND: Polycystic ovaries (PCO) and their clinical expression (the polycystic ovary syndrome [PCOS]) as well as type 2 diabetes mellitus (T2DM) are common medical conditions linked through insulin resistance. We studied the prevalence of PCO and PCOS in women with diet and/or oral hypoglycemic treated T2DM and non-diabetic control women. DESIGN: Prospective study. METHODS: One hundred and five reproductive age group women with diet and /or oral hypoglycemic treated T2DM were the subjects of the study. Sixty age-matched non-diabetic women served as controls. Transabdominal ultrasonographic assessment of the ovaries was used to diagnose PCO. Clinical, biochemical and hormonal parameters were also noted. RESULTS: Ultrasonographic prevalence of PCO was higher in women with diabetes than in non-diabetic subjects (61.0% vs. 36.7%, P < 0.003) whereas that of PCOS was 37.1% in diabetic subjects and 25% in non-diabetic controls (P > 0.1). Diabetic women with PCO had diabetes of significantly longer duration than those without PCO (4.19±2.0 versus 2.9±1.6 yrs; p < 0.05). Among both diabetic and non-diabetic women, those with PCO had significantly higher plasma LH, LH/FSH ratio, total testosterone and androstenedione levels. CONCLUSION: This study demonstrates a higher prevalence of PCO in women with T2DM as compared to non-diabetic subjects

Perceptions, attitudes and preferences in agroforestry among rural societies of Kashmir, India

People’s perceptions, attitudes and preferences in agroforestry have become fundamental elements of sustainable agroforestry management. The study examined the multiplicities and dimensions of people’s perceptions about agroforestry values, attitudes towards agroforestry benefits and resources preferences in agroforestry and their socioeconomic determinants in rural societies of Kashmir. The data were collected from 142 households of 5 villages selected employing multi-stage random sampling. Descriptive and analytical statistics were used for the data analysis. Results indicated that the material values (rank 1st to 3rd) of agroforestry were perceived as the most important while the perception of the non-material values (rank 4th to 10th) were adjudged moderately important. People’s attitudes towards the tangible benefits (rank 1st to 3rd) of agroforestry were highly favourable whereas attitudes towards intangible benefits (rank 4th to 10th) were indifferent. The rural people expressed higher preferences for fuel wood, fodder, vegetable, fruit, and timber (rank 1st to 5th) while moderate or low preferences for medicine, cottage industry/ handicrafts, fiber/ floss, oilseeds and animals/ birds/ insects etc. (rank 6th to 10th). F statistics (p &lt; 0.05) showed significant differences between the material and non-material values, tangible and non-tangible benefits and resources groups. Correlation co-efficients (r) confirmed the importance of socioeconomic attributes in influencing people’s perceptions, attitudes and preferences in agroforestry. The findings will help to refine and enrich the knowledge-base to provide an effective framework for decisions and policy making to sustain and maintain agroforestry health and services. The integration of people’s socio-psychological conditions in sustainable agroforestry management will be effective strategy commensurating the current development and future challenges