Affine Invariant Contour Descriptors Using Independent Component Analysis and Dyadic Wavelet Transform

The paper presents a novel technique for affine invariant feature extraction with the view of object recognition based on parameterized contour. The proposed technique first normalizes an input image by removing the affine deformations using independent component analysis which also reduces the noise introduced during contour parameterization. Then four invariant functionals are constructed using the restored object contour, dyadic wavelet transform and conics in the context of wavelets. Experimental results are conducted using three different standard datasets to confirm the validity of the proposed technique. Beside this the error rates obtained in terms of invariant stability are significantly lower when compared to other wavelet based invariants. Also the proposed invariants exhibit higher feature disparity than the method of Fourier descriptors

Success Rate of Endoscopic Third Ventriculostomy (ETV) in Non-Communicating Hydrocephalus in Pediatric Age Group

Objective:  To evaluate success rate of the endoscopic third Ventriculostomy (ETV) in non-communicating type of hydrocephalus in pediatric age group. Material and Methods:  This study was carried in the department of neurosurgery at Liaquat university hospital, Jamshoro in which an endoscopic third Ventriculostomy procedure was performed in patients (n = 55) with non-communicating hydrocephalus from October 2016 to April 2017. Post-operative follow-up was done on the 15th day post-operative to assess clinical and radiological improvement. Results:  55 patients were included in this study, 26 (47.27%) males and 29 (52.73%) females. The mean age was 3.96 years. The most common etiology was aqueductal stenosis 28 (50.90%) patients followed by posterior fossa tumors in 18 (32.72%) patients. The operative technique was successful in 41 (74.55%) patients. Out of 41 successful patients, 34 (82.92%) patients had clinical as well as radiological improvement whereas 7 (17.07%) patients had clinical improvement only. Conclusion:  The success rate of ETV was 74.55% in the non-communicating hydrocephalus in the pediatric age group in our study. Endoscopic third Ventriculostomy is an effective treatment for non-Communicating hydrocephalus in pediatric age groups by diversion of CSF intracranially. This procedure provides shunt freedom and can be used alternative to shunts in pediatric age groups with non-communicating hydrocephalus

Subcutaneous Lipoma Mimicking Irreducible Inguinal Hernia

Inguinal or groin region is an area of diagnostic mysteries. It is usually associated with a painless or painful swellings. Swellings in this area can be congenital or acquired, acute or chronic, single or multiple, soft to hard, mobile to immobile and appear suddenly or gradually. Commonest swelling in this region is a  simple direct or indirect inguinal hernia in children and adults with a positive cough impulse. The next common lump is a femoral hernia, hydrocoele, sebaceous cyst or an enlarged reactive or malignant lymph node. Other uncommon Differential diagnosis includes ectopic testes, funiculitis, femoral artery aneurysm, pseudoaneurysm, hidradenitis, epididymitis, varicocele and abscess. Subcutaneous lipoma is a rare condition which can mimic a diagnosis of irreducible indirect inguinal hernia and other diagnostic problems for the attending physicians. We present a case of groin lipoma mimicking irreducible right sided indirect inguinal hernia in young healthy man

Milligan Morgan Haemorrhoidectomy vs LigaSure Haemorrhoidectomy : Comparative Postoperative Outcomes

Objective: To compare the traditional Milligan Morgan haemorrhoidectomy with haemorrhoidectomy using LigaSure in terms of postoperative complications, patient satisfaction and hospital stay. Methodology: This is a randomized controlled trial carried out at the Department of Surgery Liaquat university hospital Jamshoro from July 2017 to June 2019. A total of 88 patients were admitted with the diagnoses of 3rd and 4th degree haemorrhoid were included in the study. Patients were randomly divided into two groups by lottery method. Group A underwent Milligan Morgan Haemorrhoidectomy and group B underwent Haemorrhoidectomy by Ligasure after the informed consent. Outcomes of both procedures were also compared by complications, patient satisfaction and hospital stay. Results: Out of 88 patients 35 were male (39.78%) and 53 were female (60.22%). The most common group of age involved was between 35–55 years. Third degree Haemorrhoids were present in 40 (45.45%) of patients while the remaining 48 (54.55%) had fourth degree Haemorrhoids. Group A included 44(50%) cases while Group B included 44 (50%) cases. The mean operating time of Group A was 50.5 (minutes) with a standard deviation of 11.5 while it was 35.5 ± 9.4 in B group. The mean blood loss in group A was 65.30 ml with a standard deviation of 14.58 while it was 45.45 ml ± 20.49 in group B. Conclusion: The Haemorrhoidectomy done by Ligasure is comparatively better than the Milligan Morgan Heamorrhoidectomy, in terms of operative time, less bleeding, less pain, less hospital stays and early return to work

Global prevalence and genotype distribution of hepatitis C virus infection in 2015 : A modelling study

Publisher Copyright: © 2017 Elsevier LtdBackground The 69th World Health Assembly approved the Global Health Sector Strategy to eliminate hepatitis C virus (HCV) infection by 2030, which can become a reality with the recent launch of direct acting antiviral therapies. Reliable disease burden estimates are required for national strategies. This analysis estimates the global prevalence of viraemic HCV at the end of 2015, an update of—and expansion on—the 2014 analysis, which reported 80 million (95% CI 64–103) viraemic infections in 2013. Methods We developed country-level disease burden models following a systematic review of HCV prevalence (number of studies, n=6754) and genotype (n=11 342) studies published after 2013. A Delphi process was used to gain country expert consensus and validate inputs. Published estimates alone were used for countries where expert panel meetings could not be scheduled. Global prevalence was estimated using regional averages for countries without data. Findings Models were built for 100 countries, 59 of which were approved by country experts, with the remaining 41 estimated using published data alone. The remaining countries had insufficient data to create a model. The global prevalence of viraemic HCV is estimated to be 1·0% (95% uncertainty interval 0·8–1·1) in 2015, corresponding to 71·1 million (62·5–79·4) viraemic infections. Genotypes 1 and 3 were the most common cause of infections (44% and 25%, respectively). Interpretation The global estimate of viraemic infections is lower than previous estimates, largely due to more recent (lower) prevalence estimates in Africa. Additionally, increased mortality due to liver-related causes and an ageing population may have contributed to a reduction in infections. Funding John C Martin Foundation.publishersversionPeer reviewe

Assay of p-Chlorophenol Compliance Monitoring in Textile Wet Processing Industry Effluent Using Fenton Oxidation Process

The textile industries utilize number of dyes, chemicals, and other materials to suffuse the characteristic of fabric qualities. A huge quantity of effluents is produced during the process. However, toxicity from synthetic dyes has become a cause of severe environment concern. Chlorophenols are mostly present in synthetic dyes which are proven carcinogenic and therefore undesirable. A number of techniques were used to remove p-Chlorophenol up to the ZDHC MRSL limit. However, none of them found to be up to mark. Fanton oxidation process was selected for its suitability to degrade the p-chlorophenol up to 5 ppm or less from the textile wet processing industry effluent. In the present study cotton fiber was selected, as medium considering its common use in textile industry. The impact of Ferrous ion (Fe+2), Hydrogen peroxide (H2O2) and pH on the removal of p-chlorophenol was examined. The Box-Behnken Design (BBD) of (RSM) was employed to achieve optimum desirable condition for the removal of pcp) from effluent. A quadratic model is suggested to relate the independent variables for maximum removal of p-Chlorophenol at the optimal process condition. Results suggest that removal efficiency under the optimum condition [Fe+2] = 6.5 x 10-3 M, [H2O2] = 2.9 x 10 -2 M, and [pH] = 3.5 was >90 % in 15 minutes. It can be summarized that Fenton oxidation process as the promising potential for removal of p-Chlorophenol from textile wet processing industry effluent. This research work helps to address for the general knowledge gap in the textile wet processing industry effluent treatment and provide a plate form for further research

Testicular choriocarcinoma with small bowel metastasis and active gastrointestinal bleeding

Testicular choriocarcinomas make up less than 1% of all germ-cell tumors and are highly malignant, attributable to hematogenous spread. While the most common sites of metastasis are the lungs and liver, metastatic spread to the gastrointestinal tract is rare wherein patients may present with GI distress or even an upper GI bleed. In this report, we present a case of known testicular choriocarcinoma in a 40-year-old male who presented to the emergency room with severe anemia and a suspected upper GI bleed

Estimation of irrigation water requirement and irrigation scheduling for major crops using the CROPWAT model and climatic data

The world is facing an acute water shortage. The present irrigation techniques used in the Hyderabad district, Pakistan, are not demand-driven. The present study was carried out to determine the crop water requirement (CWR), irrigation water requirement (IWR), and irrigation scheduling for major crops grown in the Hyderabad district using the CROPWAT model based on climatic, soil, and crop data. The analysis revealed that the total CWR for the entire growing season for sugarcane, banana, cotton, and wheat were 3,127.0; 2,012.3; 1,073.5; and 418.9 mm, respectively. However, the IWR for sugarcane, banana, cotton, and wheat for the entire growing season was found to be 2,964.0; 1,966.7; 1,052.7; and 407.6 mm, respectively. However, the contribution of rainfall was 163.0, 45.6, 20.8, and 11.3 mm during sugarcane, banana, cotton, and wheat, respectively. The CWR and IWR were higher during the dry season due to high temperatures and low relative humidity. However, the IWR of each crop was low in the initial stage which increased with the growing stage until the peak at the full growth stage. The study recommends the use of CROPWAT to investigate the irrigation water requirements with accuracy. HIGHLIGHTS Investigation for crop water requirement (CWR) for wheat, cotton, banana, and sugarcane.; Investigation for irrigation water requirement (IWR).; Investigation for irrigation scheduling.; Use of climatic, soil, and crop data.; Use of scientific tools, i.e., CROPWAT and CLIMAT models.

Household food access and child malnutrition: Results from the eight-country MAL-ED study

Background: Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites.Methods: We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites.Results: Average age of study children was 41 months. Mean food access insecurity score (range: 0-27) was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42%) was much higher than the prevalence of wasting (6%). In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p = 0.008). A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p = 0.17).Conclusions: Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and death related to malnutrition