A Case of Esophageal Squamous Papilloma, an Unusual Cause of Dysphagia and Hematemesis in a Patient with Concurrent Malignancies

Introduction: The oesophageal squamous papilloma (ESP) is a rare cause of dysphagia and hematemesis. The malignant potential of this lesion is uncertain; however, the malignant transformation and concurrent malignancies have been reported in the literature. Case description: We report a case of oesophageal squamous papilloma in a 43-year-old female who had a background diagnosis of metastatic breast cancer and liposarcoma of the left knee. She presented with dysphagia. Upper gastrointestinal (GI) endoscopy showed a polypoid growth, and its biopsy confirmed the diagnosis. Meanwhile, she presented again with hematemesis. A repeat endoscopy showed that the previously seen lesion had likely broken off, leaving behind a residual stalk. This was snared and removed. The patient remained asymptomatic, and a follow-up upper GI endoscopy at six months did not show any recurrence. Practical implications: To our knowledge, this is the first case of ESP in a patient with two concurrent malignancies. Moreover, the diagnosis of ESP should also be considered when presenting with dysphagia or hematemesis

Antidiarrheal and antispasmodic activities of polygonum bistorta rhizomes are mediated predominantly through K+ channels activation

Polygonum bistorta is a popular medicinal herb used to treat diarrhea. This study provides pharmacological basis to its folk use in diarrhea using in vivo and in vitro assays. Administration of P. bistorta rhizomes extract to mice offered protection against castor oil-induced diarrhea at 300-1,000 mg/kg and was found safe up to the dose of 5 g/kg. In isolated rabbit jejunum, the extract caused a dose-dependent relaxation of spontaneous and low K+ (25 mM)-induced contractions with weak effect against high K+ (80 mM). In tissues pretreated with glibenclamide or tetraethylammonium chloride (TEA), the relaxant effect of the extract was markedly inhibited by TEA only. While verapamil showed complete relaxation of spontaneous, low K+, low K+ with TEA and high K+-induced contractions. In guinea-pig ileum, mild atropine-sensitive effect was observed. This study indicates that P. bistorta possesses anti-diarrheal and antispasmodic activities mediated predominantly through K+-channels activation along with weak Ca++ antagonist effect

Permutation-Aware Action Segmentation via Unsupervised Frame-to-Segment Alignment

This paper presents an unsupervised transformer-based framework for temporal activity segmentation which leverages not only frame-level cues but also segment-level cues. This is in contrast with previous methods which often rely on frame-level information only. Our approach begins with a frame-level prediction module which estimates framewise action classes via a transformer encoder. The frame-level prediction module is trained in an unsupervised manner via temporal optimal transport. To exploit segment-level information, we utilize a segment-level prediction module and a frame-to-segment alignment module. The former includes a transformer decoder for estimating video transcripts, while the latter matches frame-level features with segment-level features, yielding permutation-aware segmentation results. Moreover, inspired by temporal optimal transport, we introduce simple-yet-effective pseudo labels for unsupervised training of the above modules. Our experiments on four public datasets, i.e., 50 Salads, YouTube Instructions, Breakfast, and Desktop Assembly show that our approach achieves comparable or better performance than previous methods in unsupervised activity segmentation.Comment: Accepted to WACV 202

Paclobutrazol Improves Sesame Yield by Increasing Dry Matter Accumulation and Reducing Seed Shattering Under Rainfed Conditions

Several biotic and abiotic stresses significantly decrease the biomass accumulation and seed yield of sesame crops under rainfed areas. However, plant growth regulators (such as Paclobutrazol) can improve the total dry matter and seed production of the sesame crop. The effects of the paclobutrazol application on dry matter accumulation and seed yield had not been studied before in sesame under rainfed conditions. Therefore, a two-year field study during 2018 and 2019 was conducted with key objectives to assess the impacts of paclobutrazol on leaf greenness, leaf area, total dry matter production and partitioning, seed shattering, and seed yield of sesame. Two sesame cultivars (TS-5 and TS-3) were treated with four paclobutrazol concentrations (P0 = Control, P1 = 100 mg L-1, P2 = 200 mg L-1, P3 = 300 mg L-1). The experiment was executed in RCBD-factorial design with three replications. Compared with P0, treatment P3 improved the leaf greenness of sesame by 17%, 38%, and 60% at 45, 85, and 125 days after sowing, respectively. However, P3 treatment decreased the leaf area of sesame by 14% and 20% at 45 and 85 days after sowing than P0, respectively. Compared with P0, treatment P3 increased the leaf area by 46% at 125 days after sowing. On average, treatment P3 also improved the total biomass production by 21% and partitioning in roots, stems, leaves, capsules, and seeds by 23%, 19%, 23%, 22%, and 40%, respectively, in the whole growing seasons as compared to P0. Moreover, under P3 treatment, sesame attained the highest seed yield and lowest seed shattering by 27% and 30%, respectively, compared to P0. This study indicated that by applying the paclobutrazol concentration at the rate of 300 mg L-1 in sesame, the leaf greenness, leaf areas, biomass accumulation, partitioning, seed yield, and shatter resistance could be improved. Thus, the optimum paclobutrazol level could enhance the dry matter accumulation and seed production capacity of sesame by decreasing shattering losses under rainfed conditions

Role of deep brain stimulation (DBS) in addiction disorders

Background: Addiction disorders pose significant challenges to public health, necessitating innovative treatments. This assesses deep brain stimulation (DBS) as a potential intervention for addiction disorders. Methods: A literature review was carried out with a focus on the role of DBS in addiction disorders and its future implications in neurosurgical research. Results: The online literature shows that DBS precisely modulates certain brain regions to restore addiction-related neural circuits and promote behavioral control. Conclusion: Preclinical evidence demonstrates DBS’s potential to rebalance neural circuits associated with addiction, and early clinical trials provide encouraging outcomes in enhancing addiction-related outcomes. Ethical considerations, long-term safety, and personalized patient selection require further investigation

Can sulphur improve the nutrient uptake, partitioning, and seed yield of sesame?

Sulphur (S) is considered to improve the nutrient uptake of plants due to its synergistic relationship with other nutrients. This could ultimately enhance the seed yield of oilseed crops. However, there is limited quantitative information on nutrient uptake, distribution, and its associated impacts on seed yield of sesame under the S application. Thus, a two-year field study (2018 and 2019) was conducted to assess the impacts of different S treatments (S-0 = Control, S-20 = 20, S-40 = 40, and S-60 = 60 kg ha(-1)) on total dry matter production, nitrogen, phosphorus, potassium, S uptake and distribution at the mid-bloom stage and physiological maturity. Furthermore, treatment impacts were studied on the number of capsules per plant, number of seeds per capsule, thousand seed weight, and seed yield at physiological maturity in sesame. Compared to S-0, over the years, treatment S-40 significantly increased the total uptake of nitrogen, phosphorus, potassium, and S (by 13, 22, 11% and 16%, respectively) at physiological maturity, while their distribution by 13, 36, 14, and 24% (in leaves), 12, 15, 11, and 15% (in stems), 15, 42, 18, and 10% (in capsules), and 14, 22, 9, and 15% (in seeds), respectively. Enhanced nutrient uptake and distribution in treatment S-40 improved the total biomass accumulation (by 28%) and distribution in leaves (by 34%), stems (by 27%), capsules (by 26%), and seeds (by 28%), at physiological maturity, as compared to S-0. Treatment S-40 increased the number of capsules per plant (by 13%), number of seeds per capsule (by 11%), and thousand seed weight (by 6%), compared to S-0. Furthermore, over the years, relative to control, sesame under S-40 had a higher seed yield by 28% and enhanced the net economic returns by 44%. Thus, our results suggest that optimum S level at the time of sowing improves the nutrient uptake and distribution during the plant lifecycle, which ultimately enhances total dry matter accumulation, seed yield, and net productivity of sesame

Determinants of response at 2 months of treatment in a cohort of Pakistani patients with pulmonary tuberculosis

Mycobacterium tuberculosis infection continues to be a major global challenge. All patients with pulmonary tuberculosis are treated with a standard 6-month treatment regimen. Historical data suggest that even with shortened treatment, most patients achieve long-term remission. Risk stratification is a goal for reducing potentially toxic prolonged treatment. This study aimed to determine the factors associated with the early clearance of sputum acid-fast bacilli (AFB). A total of 297 freshly diagnosed patients with pulmonary tuberculosis were included and enrolled in this study. Information related to their ethno-demographic and anthropometric characteristics was collected. We also assessed their complete blood counts, and blood iron, folate, and vitamin B12 levels. We found that the presence of higher levels of acid-fast bacilli (AFB) in diagnostic sputum microscopy was the single most significant prognostic factor associated with early clearance of sputum AFB after 2 months of treatment. All of our patients achieved treatment success after 6 months of treatment and were disease free. Our results support the data obtained from previous studies indicating that AFB clearance at 2 months is unlikely to be a clinically useful biomarker or indicator for therapeutic stratification. Furthermore, demographic, anthropometric, and nutritional factors are not clinically useful biomarkers

Optimization of a Thermomagnetic Heat Engine for Harvesting Low Grade Thermal Energy

Thermomagnetic energy harvesters are one form of technology that can be effectively used to extract energy from low grade heat sources, without causing damage to the environment. In this study, we investigated the output performance of our previously designed thermomagnetic heat engine, which was developed to extract thermal energy by exploiting the magnetocaloric effect of gadolinium. The proposed heat engine uses water as the heat transfer fluid, with heat sources at a temperature in the range 20–65 °C. Although this method turned out to be a promising solution to extract thermal energy, the amount of energy extracted through this geometry of thermomagnetic engine was limited and depends on the interaction between magnetic flux and magnetocaloric material. Therefore, in this paper we carry out an in-depth analysis of the designed thermomagnetic heat engine with an integrated approach of numerical simulation and experimental validation. The computational model improved recognition of the critical component to developing an optimized model of the thermomagnetic heat engine. Based on the simulation result, a new working model was developed that showed a significant improvement in the rpm and axial torque generation. The results indicate that the peak RPM and torque of the engine are improved by 34.3% and 32.2%, respectively

Exploring the Efficacy of Digital Vocabulary Games for Enhancing English Language Skills in Primary School Learners

This qualitative study explores the perspectives of primary school teachers regarding the contribution of digital games to students' growth in vocabulary in English. Five key themes emerge from the study's interview data: the benefits of digital games for student engagement, enhanced vocabulary retention, personalized learning opportunities, implementation challenges, and the significance of combining digital games with conventional teaching techniques. These findings are consistent with those of other studies, which have demonstrated that the use of digital games has the potential to improve language learning experiences in elementary school. The study highlights how crucial it is to properly balance the incorporation of digital games in order to maximize their advantages, despite obstacles like technological limitations and the requirement for teacher training. The findings provide educators and policymakers with useful insights that may be utilized in the process of properly utilizing digital technologies in language instruction at the elementary school level