Corneal Dermoid

A 20 years old boy presented with left corneal mass. The mass involved entire cornea extending to the sclera. The mass had a skin like surface and protruded outside the palpebral aperture. The eye with the mass was excised .The histopathology report confirmed the diagnosis of corneal dermoid. This late presentation of huge corneal dermoid extending to sclera is first such report in the literature

Over the counter ophthalmic drug misuse, are we aware?

Aim: To investigate the misuse of ‘over the counter’ ophthalmic medications in our city. Method: Responses of a structured questionnaire covering various aspects of over the counter drug use was obtained from pharmacy workers in and around our city. Results: Eighty nine pharmacy workers took part in this cross–sectional study. An average number of seven patients per day with ophthalmic complaints were seen by the pharmacy workers. Dispensing over the counter was practiced by 89.9% of the pharmacists. The most common complaint of the patients visiting the pharmacy, was redness and itching (86.5%). Antibiotics (96.6%) were the most common eye drops dispensed over the counter, followed by steroids (55.1%), decongestants (54.1%), antibiotic-steroid combination eye drops (29.2%) and lubricants (16.8%). Awareness regarding complications of steroid use was seen in 40.6% of pharmacists. 6.7% pharmacists had seen patients with complications following use of over the counter medications. In our study, majority of the eye drops dispensed were prescription drugs. Conclusion: Availability of prescription eye drops over the counter is an immense public threat. Educating the pharmacist and the population can decrease ocular morbidity. Research into methods to effectively deal with over-the-counter drug misuse is required and law can be enforced based on the findings

Efficient method for transformer models implementation in distribution load flow matrix

Introduction. Most distribution networks are unbalanced and therefore require a specific solution for load flow. There are many works on the subject in the literature, but they mainly focus on simple network configurations. Among the methods dedicated to this problem, one can refer to the load flow method based on the bus injection to branch current and branch current to bus voltage matrices. Problem. Although this method is regarded as simple and complete, its drawback is the difficulty in supporting the transformer model as well as its winding connection types. Nevertheless, the method requires the system per unit to derive the load flow solution. Goal. In the present paper, our concern is the implementation of distribution transformers in the modeling and calculation of load flow in unbalanced networks. Methodology. Unlike previous method, distribution transformer model is introduced in the topology matrices without simplifying assumptions. Particularly, topology matrices were modified to take into account all winding types of both primary and secondary sides of transformer that conserve the equivalent scheme of an ideal transformer in series with an impedance. In addition, the adopted transformer models overcome the singularity problem that can be encountered when switching from the primary to the secondary side of transformer and inversely. Practical value. The proposed approach was applied to various distribution networks such as IEEE 4-nodes, IEEE 13-nodes and IEEE 37-nodes. The obtained results validate the method and show its effectiveness.Вступ. Більшість розподільчих мереж незбалансовані і тому потребують спеціального рішення для потоку навантаження. У літературі є багато робіт на цю тему, але переважно вони присвячені простим мережевим конфігураціям. Серед методів, присвячених цій проблемі, можна назвати метод потоку навантаження, заснований на введенні шини в матрицю струму відгалуження і відгалуження струму в матрицю напруги шини. Проблема. Хоча цей метод вважається простим та повним, його недоліком є складність підтримки моделі трансформатора, а також типів з’єднання його обмоток. Проте метод вимагає системи на одиницю для отримання рішення про потік навантаження. Мета. У цій статті нас цікавить застосування розподільних трансформаторів для моделювання та розрахунку потоку навантаження у незбалансованих мережах. Методологія. На відміну від попереднього методу, модель розподільного трансформатора вводиться в матриці топології без спрощення припущень. Зокрема, матриці топології були змінені, щоб врахувати всі типи обмоток як первинної, так і вторинної сторін трансформатора, які зберігають еквівалентну схему послідовно ідеально включеного трансформатора з імпедансом. Крім того, прийняті моделі трансформаторів долають проблему сингулярності, з якою можна зіткнутися при перемиканні з первинної на вторинну обмотку трансформатора і навпаки. Практична цінність. Пропонований підхід був застосований до різних розподільних мереж, таких як IEEE з 4 вузлами, IEEE з 13 вузлами та IEEE з 37 вузлами. Отримані результати підтверджують метод та показують його ефективність

Causation

Causation is defined as a relation between facts: C causes E if and only if C and E are nomologically independent facts and C is a necessary part of a nomologically sufficient condition for E. The analysis is applied to problems of overdetermination, preemption, trumping, intransitivity, switching, and double prevention. Preventing and allowing are defined and distinguished from causing. The analysis explains the direction of causation in terms of the logical form of dynamic laws. Even in a universe that is deterministic in both temporal directions, not every fact must have a cause and present facts may have no future causes

General Relativistic Simulations of High-Mass Binary Neutron Star Mergers: rapid formation of low-mass stellar black holes

Almost 100 compact binary mergers have been detected via gravitational waves by the LIGO-Virgo-KAGRA collaboration in the past few years providing us with a significant amount of new information on black holes and neutron stars. In addition to observations, numerical simulations using newly developed modern codes in the field of gravitational wave physics will guide us to understand the nature of single and binary degenerate systems and highly energetic astrophysical processes. We here present a set of new fully general relativistic hydrodynamic simulations of high-mass binary neutron star systems performed with the publicly available Einstein Toolkit and LORENE codes. We considered systems with a total baryonic mass between 2.8 $M_\odot$ and 4.0 $M_\odot$ and we adopted the SLy equation of state. For all models we analyzed the gravitational wave signal and we report potential indicators of the systems undergoing rapid collapse into a black hole that may be observed by future-planned detectors such as the Einstein Telescope and the Cosmic Explorer. We also extracted the properties of the post-merger black hole, the disk and ejecta masses and their dependence on the binary parameters. We also compare our numerical results with recent analytical fits presented in the literature and we also provide parameter-dependent semi-analytical relations between the total mass and mass ratio of the systems and the resulting black hole masses and spins, coalescence time scale, mass loss, and gravitational wave energy.Comment: 13 pages, 5 figure, 4 tables, submitted for publicatio

A modular IoT platform for real-time indoor air quality monitoring

The impact of air quality on health and on life comfort is well established. In many societies, vulnerable elderly and young populations spend most of their time indoors. Therefore, indoor air quality monitoring (IAQM) is of great importance to human health. Engineers and researchers are increasingly focusing their efforts on the design of real-time IAQM systems using wireless sensor networks. This paper presents an end-to-end IAQM system enabling measurement of CO2, CO, SO2, NO2, O3, Cl2, ambient temperature, and relative humidity. In IAQM systems, remote users usually use a local gateway to connect wireless sensor nodes in a given monitoring site to the external world for ubiquitous access of data. In this work, the role of the gateway in processing collected air quality data and its reliable dissemination to end-users through a web-server is emphasized. A mechanism for the backup and the restoration of the collected data in the case of Internet outage is presented. The system is adapted to an open-source Internet-of-Things (IoT) web-server platform, called Emoncms, for live monitoring and long-term storage of the collected IAQM data. A modular IAQM architecture is adopted, which results in a smart scalable system that allows seamless integration of various sensing technologies, wireless sensor networks (WSNs) and smart mobile standards. The paper gives full hardware and software details of the proposed solution. Sample IAQM results collected in various locations are also presented to demonstrate the abilities of the system. 2018 by the authors. Licensee MDPI, Basel, Switzerland.Acknowledgments: This publication was made possible by the National Priority Research Program (NPRP) award (NPRP6-600-2-250) from the Qatar National Research Fund (QNRF), a member of the Qatar Foundation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of QNRF.Scopu

The Relation of Marketing Mix with Customers Loyalty in Laboratory Clinical of Prodia Palu

Clinical Laboratory of Prodia has fluctuated significant number of patient visits from 2014 through 2015, a decrease in the number of older patients indicating a decreased patient loyalty. Therefore Prodia need to design marketing programs by applying the marketing mix. Includes aspects of the marketing mix of product, price, place, promotion, people, process and physical evidence. This study aims to determine the relationship of the marketing mix with Customer Loyalty in the Clinical Laboratory Prodia Palu. This research is an analytical survey with cross sectional design. Location of the study in the Clinical Laboratory of Prodia Palu. The research was conducted in March-April. Total sample of 98 respondents, taking by consecutive sampling. The bivariate analysis of loyalty using chi square test showed that: Product no correlation (P = 0.028 0.05), place no correlation (P = 1.00> 0.05), promotion there is a correlation (P = 0.004 0.05), there is a correlation process (P = 0.040 <0.05) and physical evidence there is a correlation (P = 0.007 < 0.05). From the results of the chi square test price, place and people has not correlation with customer loyalty, so it is suggested that the management of Prodia can improve marketing strategy that oriented to price, place and people to increase customer loyalty