Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically

Intermittent exploration on a scale-free network

We study an intermittent random walk on a random network of scale-free degree distribution. The walk is a combination of simple random walks of duration $t_w$ and random long-range jumps. While the time the walker needs to cover all the nodes increases with $t_w$, the corresponding time for the edges displays a non monotonic behavior with a minimum for some nontrivial value of $t_w$. This is a heterogeneity-induced effect that is not observed in homogeneous small-world networks. The optimal $t_w$ increases with the degree of assortativity in the network. Depending on the nature of degree correlations and the elapsed time the walker finds an over/under-estimate of the degree distribution exponent.Comment: 12 pages, 3 figures, 1 table, published versio

Extraction and characterization of essential oil of nutmeg (Myristica fragrans) fruit pericarp and utilization as a surface coating material to improve the shelf life of paneer

Paneer is a traditional dairy product of India and is similar to unripened soft cheese. It is used as a raw material for the preparation of a variety of culinary dishes and snacks. Paneer is marble white in appearance, with a firm, cohesive and spongy body and a sweetish-acidic-nutty flavor. But it is highly perishable with a limited shelf- life like other indigenous dairy products. Its shelf life was reported to be only six days under refrigeration, though its freshness is lost within three days. The spoilage of paneer occurs mainly due to the growth of microorganisms, which bring about various physico-chemical changes. In the present study, attempts were made to increase the shelf-life of paneer at refrigerated storage by the application ofnutmeg pericarp essential oil surface coating. The essential oil was prepared from fresh nutmeg fruit flesh by steam distillation method. The physico-chemical and bio functional properties of essential oil were determined. The specific gravity and refractive index of the essential oil were found to be 0.903 and 1.477 respectively. The acid value and total polyphenolic value of essential oil were 3.36 and 4.04 mg GAE/g respectively. The essential oil was also found to have good antimicrobial and antioxidant activity. The shelf life of samples coated with essential oil packaged in LDPE pouches had more shelf life than the control paneer, as the coated paneer kept well for 9 days while the control paneer spoiled after the 6th day of refrigerated storage. The paneer with essential oil coating obtained satisfactory sensory score

Boron Nitride Monolayer: A Strain-Tunable Nanosensor

The influence of triaxial in-plane strain on the electronic properties of a hexagonal boron-nitride sheet is investigated using density functional theory. Different from graphene, the triaxial strain localizes the molecular orbitals of the boron-nitride flake in its center depending on the direction of the applied strain. The proposed technique for localizing the molecular orbitals that are close to the Fermi level in the center of boron nitride flakes can be used to actualize engineered nanosensors, for instance, to selectively detect gas molecules. We show that the central part of the strained flake adsorbs polar molecules more strongly as compared with an unstrained sheet.Comment: 20 pages, 9 figure

Are textbook lungs really normal? A cadaveric study on the anatomical and clinical importance of variations in the major lung fissures, and the incomplete right horizontal fissure.

INTRODUCTION: The lungs have three main fissures: the right oblique fissure (ROF), right horizontal fissure (RHF), and left oblique fissure (LOF). These can be complete, incomplete or absent; quantifying the degree of completeness of these fissures is novel. Standard textbooks often refer to the fissures as complete, but awareness of variation is essential in thoracic surgery. MATERIALS AND METHODS: Fissures in 81 pairs of cadaveric lungs were classified. Oblique fissures were measured from lung hila posteriorly to the lung hila anteriorly; and the RHF measured from the ROF to the anteromedial lung edge. The degree of completeness of fissures was expressed as a percentage of the total projected length were they to be complete. The frequency and location of accessory fissures was noted. RESULTS: LOF were complete in 66/81 (81.5%), incomplete in 13/81 (16.0%) and absent in 2/81 (2.47%); ROF were complete in 52/81 (64.2%), incomplete in 29/81 (35.8%) and never absent; RHF were more variable, complete in 18/81 (22.2%), incomplete in 54/81 (66.7%) and absent in 9/81 (11.1%). LOF and ROF were on average 97.1% and 91.6% complete, respectively, being deficient posteriorly at the lung hila. The RHF on average 69.4% complete, being deficient anteromedially. There were accessory fissures in 10 left and 19 right lungs. CONCLUSIONS: This study provides a projection of the anatomy thoracic surgeons may encounter at operation, in particular the variable RHF. This knowledge is essential for optimal outcomes in both benign and oncological procedures influenced by the fissures

Host resistance stability to downy mildew in pearl millet and pathogenic variability in Sclerospora graminicola

Downy mildew, caused by Sclerospora graminicola, is a major pathogen of pearl millet (Pennisetum glaucum) in Asia and Africa. So development of resistant cultivars has been a major goal of national and international breeding programs. Stability of resistance in pearl millet lines developed at ICRISAT was studied through a collaborative International Pearl Millet Downy Mildew Virulence Nursery (IPMDMVN). The reactions to downy mildew of 11 pearl millet lines at 17 locations in India, Burkina Faso, Mali, Niger, and Nigeria from 1995 to 1999 were recorded. Disease incidence varied significantly among lines, locations, and years. The tested pearl millet lines exhibited significant differential resistance. Resistance in lines IP 18292, IP 18293, 700651 and P 310-17 was most stable regardless of the location or season. Analysis of the variation in resistance also suggested that the resistance in IP 18292 and IP 18293 was variable and depended on the locations and years, while the resistance in 700651 and P 310-17 was highly stable across locations and over years. The latter two lines could prove to be the most valuable sources of downy mildew resistance. The results also revealed significant differences in S. graminicola populations at different locations, with the highest disease at Bagauda (Nigeria) and Durgapura (India) and lowest from Coimbatore and Aurangabad (India). Based on the reaction of the 11 pearl millet lines, the 17 S. graminicola populations were grouped into six putative pathotypes (undefined populations closer to races)