Minimally Invasive Right Anterior Mini-Thoracotomy Aortic Valve Replacement

Since the emergence of small skin incision aortic valve surgery in the late 1990s, minimally invasive aortic valve replacement has now become a viable alternative to standard full sternotomy. The spectrum includes (a) upper hemi sternotomy (T or J shaped), (b) lower partial sternotomy, and (c) right anterior mini-thoracotomy. Potential advantages include a cosmetically appealing scar, decreased post-operative pain and bleeding, shorter ventilation time and hospital stay, and early return to active life. The operative challenges include restricted view and access to the operative field, longer aortic cross-clamp time, and cardiopulmonary bypass time. This necessitates detailed pre-operative imaging, correct selection and assessment of patients, and good communication with perfusionists and anesthetists regarding the plan of each surgery, with a solid back-up plan in case conversion to full sternotomy is required intra-operatively. In recent times, the use of suture less valves and rapid deployment bio prosthesis has dramatically reduced operative time. Here, we describe the work-up, selection criteria, key steps, and potential pitfalls of the right anterior mini-thoracotomy approach for aortic valve replacement

Acute pancreatitis in children: efficacy of computed tomography severity index in the assessment, management, and prediction of complications

Aim The aim of the study was to describe the assessment and management aspects and the role of computed tomography severity index (CTSI) in children with acute pancreatitis.Materials and methods All the children (≤14 years) admitted to the pediatric surgery unit of our institution with acute pancreatitis from 2003 to 2014 were included. This retrospective analysis studied the demographic, clinical, diagnostic, and treatment aspects and the role of CTSI.Results The male-to-female ratio out of a total of 45 patients studied was 4 : 1. The differences in mean leukocyte count, mean serum amylase, and mean serum lipase were not significant in children with different CTSI scores. The children with higher CTSI scores are more likely to have both early and late complications, need for intensive care, and overall longer hospital stay.Conclusion CTSI plays an important role in early determination of the clinical severity, guiding the need for intensive care and in predicting the occurrence of early and late complications in children with acute pancreatitis. Keywords: acute pancreatitis, children, computed tomography severity inde

Evaluation and Analysis of Rate Control Methods for H.264/AVC and MPEG-4 Video Codec

Audio, image and video signals produce a vast amount of data. The only solution of this problem is to compress data before storage and transmission. In general there is the three crucial terms as, Bit Rate Reduction, Fast Data Transfer and Reduction in Storage. Rate control is a vigorous factor in video coding. In video communications, rate control must ensure the coded bitstream can be transmitted effectively and make full use of the narrow bandwidth. There are various test models usually suggested by a standard during the development of video codes models in order to video coding which should be suffienciently be efficient based on H.264 at very low bit rate. These models are Test Model Number 5 (TMN5), Test Model Number 8 for H.263, and Verification Model 8 (VM8) for MPEG-4 and H.264 etc. In this work, Rate control analysis for H.264, MPEG-4 performed. For Rate control analysis test model verification model version 8.0 is adopted

Path Loss Modeling of WLAN and WiMAX Systems

With the advancement in technology, there was need for efficient and high speed internet through which we could have access to multiple networks as per the user requirement. WLAN met this need to some extent but, due to its low range it was not recommended commercially. With the introduction of WiMAX there was an emerging need to select the best network amongst WiMAX or WLAN depending upon the user location. Pathloss with respect to these particular networks also needs to be compared. In this paper we compare the pathloss modelling for WiMAX and WLAN systems. Different Models have been compared with each other to know which model performs better by keeping same simulation environment. Path Loss models used for WLAN are Okumura, Hata, Cost-231 and Free Space Path Loss whereas models used for WiMAX are Free Space Path Loss, Okumura-Hata, Cost231-Hata and Stanford University Interim. In case of WiMAX three different scenarios Urban, Sub-Urban and Rural is considered where as in case of WLAN only outdoor environment is considered. With the Path Loss comparison, power received for these two technologies; WiMAX, and WLAN is also simulated. MATLAB is the tool used for simulations. Antenna Specifications for WiMAX and WLAN is kept same for all simulation environments

Harnessing Artificial Intelligence Capabilities to Improve Cybersecurity

Cybersecurity is a fast-evolving discipline that is always in the news over the last decade, as the number of threats rises and cybercriminals constantly endeavor to stay a step ahead of law enforcement. Over the years, although the original motives for carrying out cyberattacks largely remain unchanged, cybercriminals have become increasingly sophisticated with their techniques. Traditional cybersecurity solutions are becoming inadequate at detecting and mitigating emerging cyberattacks. Advances in cryptographic and Artificial Intelligence (AI) techniques (in particular, machine learning and deep learning) show promise in enabling cybersecurity experts to counter the ever-evolving threat posed by adversaries. Here, we explore AI\u27s potential in improving cybersecurity solutions, by identifying both its strengths and weaknesses. We also discuss future research opportunities associated with the development of AI techniques in the cybersecurity field across a range of application domains

A high-fat diet containing whole walnuts (Juglans regia) reduces tumour size and growth along with plasma insulin-like growth factor 1 in the transgenic adenocarcinoma of the mouse prostate model.

Prostate cancer (PCa) has been linked to fat intake, but the effects of both different dietary fat levels and types remain inconsistent and incompletely characterised. The effects on PCa in the transgenic adenocarcinoma of the mouse prostate (TRAMP) cancer model of an elevated fat (20 % of energy as fat) diet containing 155 g of whole walnuts were compared to those of an elevated fat (20 % of energy as soyabean oil) diet with matched macronutrients, tocopherols as well as a low-fat (8 % of energy as soyabean oil) diet. Mice, starting at 8 weeks of age, consumed one of the three different diets ad libitum; and prostates, livers and blood were obtained after 9, 18 or 24 weeks of feeding. No differences were observed in whole animal growth rates in either high-fat (HF) diet group, but prostate tumour weight and growth rate were reduced in the walnut diet group. Walnut diet group prostate weight, plasma insulin-like growth factor 1, resistin and LDL were lower at 18 weeks, while no statistically significant prostate weight differences by diet were seen at 9 or 24 weeks. Multiple metabolites in the livers differed by diet at 9 and 18 weeks. The walnut diet's beneficial effects probably represent the effects of whole walnuts' multiple constituents and not via a specific fatty acid or tocopherols. Moreover, as the two HF diets had dissimilar effects on prostate tumour growth rate and size, and yet had the same total fat and tocopherol composition and content, this suggests that these are not strongly linked to PCa growth

Study of hardness and tensile strength of Aluminium-7075 percentage varying reinforced with graphite and bagasse-ash composites

Waste sugarcane bagasse-ash and graphite utilizing as reinforcement in fabricating of an aluminium alloy (Al-7075) based matrix hybrid composites. The aluminium matrix hybrid composites have been fabricated by stir-casting method at 750 °C. Casting was developed in circular metal mould having 5 circular slots of diameter of 21 mm and length of 250 mm. Adding bagasse-ash with varying reinforcement of three cases, in first case 2% constant with varying graphite 1%, 3%, and 5%, in second case 4%, and in third case 6% constant with varying same graphite percentage. The effect of the reinforcement has been performed through various mechanical tests. The mechanical properties measuring such as Brinell hardness and tensile strength of both the samples have been prepared as per the ASTM E23 and E8 standards. Results give out that there will be greater effect of reinforcing different bagasse-ash in aluminium alloy matrix hybrid composites. In the third case more enhanced mechanical properties have been achieved as compared to case one and two of bagasse-ash combination. It shows that the selection of bagasse-ash as reinforcement has one of the most significant criteria for the fabrication of aluminium matrix hybrid composites