Intracranial Aspergillus Granuloma

Intracranial fungal granulomas are rare and of the histologically verified granulomas, Aspergillus spp. is the commonest causative fungal pathogen. Most of the reported large series of aspergillus granulomas are from countries with temperate climate like India, Pakistan, Sudan, and Saudi Arabia. In contrast to disseminated aspergillosis that occurs in immunosuppressed individuals, most of the intracranial aspergillus granulomas are reported in immunocompetent individuals. The temperature, humidity, high spore content in the atmosphere during ploughing, and occupation as agricultural worker are implicated in the pathogenesis. The sinocranial spread is the most common route of intracranial extension. Extracerebral firm fibrotic lesions and skull base lesions are common. Extensive fibrosis and large number of multinucleated giant cells are the characteristic histological features and these pathological features have therapeutic relevance

Parameter scaling in the decoherent quantum-classical transition for chaotic systems

The quantum to classical transition has been shown to depend on a number of parameters. Key among these are a scale length for the action, $\hbar$, a measure of the coupling between a system and its environment, $D$, and, for chaotic systems, the classical Lyapunov exponent, $\lambda$. We propose computing a measure, reflecting the proximity of quantum and classical evolutions, as a multivariate function of $(\hbar,\lambda,D)$ and searching for transformations that collapse this hyper-surface into a function of a composite parameter $\zeta = \hbar^{\alpha}\lambda^{\beta}D^{\gamma}$. We report results for the quantum Cat Map, showing extremely accurate scaling behavior over a wide range of parameters and suggest that, in general, the technique may be effective in constructing universality classes in this transition.Comment: Submitte

Unusual heavy landings of Tachysurus dussumieri by dol net at Arnala

Arnala is one of the major landing centres of Maharashtra for dol netters comprising catch of Bombay duck, Coilia and nonpenaeid prawns.The operation is restricted to a depth of about 40 m and the catch is brought ashore after everyone or two hauls. The fishermen had actually set out for pomfret fishing and an unusual catch of the catfish(Tachysurus dussumieri) which when examined were found to be migratory

न्यू फेरी वार्फ, मुंबई में अक़्तूबर-दिसंबर के दौरान आनायकों द्वारा बम्बिल का असामान्य भारी अवतरण

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Unusual heavy landings of Bombayduck by trawlers at New Ferry Wharf, Mumbai during October-December

Harpadon nehereus (Ham.) commonly known as 'Bombay duck' and locally called "Bombil" exercise a direct influence upon the livelihood of artisanal fishermen along the northwest coast of India . The major portion of the catch is landed in Satpati-Dahanu area of Maharashtra and Jaffrabad-Nawabunder area of Gujarat. The season for Bombayduck lasts from September to May, with the bulk of landings taking place during October December.Bombayduck is exploited by indigenous dol net, operated up to 40m depth.In Maharashtra the catch of Bombayduck over the last ten years has shown a declining trend. New Ferry Wharf is the only landing centre in Maharashtra where the catch of Bombayduck has gradually increased over the last five years.Bombayduck is not a target species for trawl, while returning after completing fishing activity, the trawlers fish in the dol net fishing grounds

Development of algorithms for determining heart failure with reduced and preserved ejection fraction using nationwide electronic healthcare records in the UK

Background: Determining heart failure (HF) phenotypes in routine electronic health records (EHR) is challenging. We aimed to develop and validate EHR algorithms for identification of specific HF phenotypes, using Read codes in combination with selected patient characteristics. Methods: We used The Healthcare Improvement Network (THIN). The study population included a random sample of individuals with HF diagnostic codes (HF with reduced ejection fraction (HFrEF), HF with preserved ejection fraction (HFpEF) and non-specific HF) selected from all participants registered in the THIN database between 1 January 2015 and 30 September 2017. Confirmed diagnoses were determined in a randomly selected subgroup of 500 patients via GP questionnaires including a review of all available cardiovascular investigations. Confirmed diagnoses of HFrEF and HFpEF were based on four criteria. Based on these data, we calculated a positive predictive value (PPV) of predefined algorithms which consisted of a combination of Read codes and additional information such as echocardiogram results and HF medication records. Results: The final cohort from which we drew the 500 patient random sample consisted of 10 275 patients. Response rate to the questionnaire was 77.2%. A small proportion (18%) of the overall HF patient population were coded with specific HF phenotype Read codes. For HFrEF, algorithms achieving over 80% PPV included definite, possible or non-specific HF HFrEF codes when combined with at least two of the drugs used to treat HFrEF. Only in non-specific HF coding did the use of three drugs (rather than two) contribute to an improvement of the PPV for HFrEF. HFpEF was only accurately defined with specific codes. In the absence of specific coding for HFpEF, the PPV was consistently below 50%. Conclusions: Prescription for HF medication can reliably be used to find HFrEF patients in the UK, even in the absence of a specific Read code for HFrEF. Algorithms using non-specific coding could not reliably find HFpEF patients

Understanding the Roles of the Kynurenine Pathway in Multiple Sclerosis Progression

The kynurenine pathway (KP) is a major degradative pathway of tryptophan ultimately leading to the production of nicotinamide adenine dinucleotide (NAD+) and is also one of the major regulatory mechanisms of the immune response. The KP is known to be involved in several neuroinflammatory disorders including Alzheimer’s disease, amyotrophic lateral sclerosis, AIDS dementia complex, Parkinson’s disease, schizophrenia, Huntington’s disease and brain tumours. However, the KP remains a relatively new topic for the field of multiple sclerosis (MS). Over the last 2–3 years, some evidence has progressively emerged suggesting that the KP is likely to be involved in the pathogenesis of autoimmune diseases especially MS. Some KP modulators are already in clinical trials for other inflammatory diseases and would potentially provide a new and important therapeutic strategy for MS patients. This review summarizes the known relationships between the KP and MS