Cystic nephroma in a 14-year-old-a rare case report

Cystic nephroma (CN) is an uncommon benign renal tumor with a bimodal age distribution. It often presents with non-specific presenting symptoms. In this study, we report a case of a 14-year-old female patient who presented with a painless abdominal mass, and a left renal cystic lesion was detected on CECT KUB. Left partial nephrectomy was done and a diagnosis of CN made following the histopathological examination of specimen. Owing to its non-specific clinical presentation and radiological findings, it is difficult to distinguish CN from other cystic lesions of kidney like cystic partially differentiated nephroblastoma, tubule-cystic renal cell carcinoma, cystic Wilm’s tumor etc., pre-op. This study emphasizes importance of histopathological examination in diagnosis of CN to prevent misdiagnosis and overtreatment. Although it has good prognosis, long term follow-up for local recurrence is recommended

NEBULIZED GLYCOPYRRONIUM AND FORMOTEROL, BUDESONIDE AEROSOL AERODYNAMIC ASSESSMENT WITH VIBRATING MESH AND COMPRESSOR AIR NEBULIZER: ANDERSON CASCADE IMPACTOR STUDY

Vibrating mesh nebulizers (VMN) demonstrate improved efficiency for delivery of inhaled aerosol solutions or suspensions as compared to compressor devices. The added advantages of compactness, portability and functioning as noise-free device makes them of incremental value in Home or Ambulatory settings while managing Severe Obstructive airway disease or delivery of maintenance medications in these cases. This further circumvents the need for multiple devices thereby further improving patient compliance and convenience while delivering acute or maintenance formulations including Glycopyrronium (GLY) and Formoterol (FRM)/Budesonide(BUD) nebulizing solution formulations. To further assess the clinical role and feasibility of FRM-BUD formulation delivery kinetics  with or without GLY nebulizing solution through VMN and jet  nebulizers for In- & outpatient settings, 2 comparative in-vitro lung deposition studies were carried out utilizing Anderson Cascade impactor at 30 L/min; deposited drug concentrations in different stages were suitably collected and estimated by HPLC. Post-hoc analyses with p<0.05 was considered statistically significant for intergroup differences on FRM/BUD and GLY delivered through VMN or Compressor devices.  The calculated mean fine particle dose for FRM & BUD delivered by VMN or jet nebulizer showed no statistical difference. However the mean fine particle fraction for BUD delivered by VMN was significantly better compared to jet nebulizer than that for FRM. The Residual volume at 10 mins was significantly higher with jet nebulizer. The optimal APSD for GLY nebulizing solution admixture with FRM/BUD suspension delivered through VMN and Jet nebulizer offers a clinically relevant strategy for High risk COPD cases in Acute or Home settings

Diffusing-wave spectroscopy of nonergodic media

We introduce an elegant method which allows the application of diffusing-wave spectroscopy (DWS) to nonergodic, solid-like samples. The method is based on the idea that light transmitted through a sandwich of two turbid cells can be considered ergodic even though only the second cell is ergodic. If absorption and/or leakage of light take place at the interface between the cells, we establish a so-called "multiplication rule", which relates the intensity autocorrelation function of light transmitted through the double-cell sandwich to the autocorrelation functions of individual cells by a simple multiplication. To test the proposed method, we perform a series of DWS experiments using colloidal gels as model nonergodic media. Our experimental data are consistent with the theoretical predictions, allowing quantitative characterization of nonergodic media and demonstrating the validity of the proposed technique.Comment: RevTeX, 12 pages, 6 figures. Accepted for publication in Phys. Rev.

Wandering permanent pacemaker generators in children: a case series

<p>Abstract</p> <p>Introduction</p> <p>Epicardial permanent pacemaker generators are implanted some times in the abdominal wall in pediatric age groups.</p> <p>Case presentation</p> <p>Three permanent epicardial pacemakers that migrated in an unusual manner producing intraabdominal complications are reported.</p> <p>Conclusion</p> <p>The different clinical presentations of pacemaker migration in the pediatric age groups are highlighted and a few suggestions are made for avoiding such a complication.</p

Temporal fluctuations of waves in weakly nonlinear disordered media

We consider the multiple scattering of a scalar wave in a disordered medium with a weak nonlinearity of Kerr type. The perturbation theory, developed to calculate the temporal autocorrelation function of scattered wave, fails at short correlation times. A self-consistent calculation shows that for nonlinearities exceeding a certain threshold value, the multiple-scattering speckle pattern becomes unstable and exhibits spontaneous fluctuations even in the absence of scatterer motion. The instability is due to a distributed feedback in the system "coherent wave + nonlinear disordered medium". The feedback is provided by the multiple scattering. The development of instability is independent of the sign of nonlinearity.Comment: RevTeX, 15 pages (including 5 figures), accepted for publication in Phys. Rev.

Effect of Nano-Silica on the Physical, Mechanical and Thermal Properties of the Natural Rubber Latex Modified Concrete

The preparation and properties of latex modified concrete (LMC), nano silica modified concrete (nSMC) and silica-latex modified concrete (SLMC) have been investigated in this study. Properties like compressive strength, tensile strength, flexural strength, thermal characteristics and water absorption have been evaluated. The 7-day compressive strength has increased 37% (30.15 N/mm2) after the inclusion of nano silica and latex. The composite has showed considerable improvements in splitting tensile strength (3.24 N/mm2), flexural strength (6.05 N/mm2) and thermal conductivity, while it lowered the water absorption rate. The property increase has been attributed to the pore filling and pozzolanic activity of nano silica and densification of matrix by natural rubber latex and nano silica. The results of this study have suggested that the addition of nano silica and latex could be a relevant technique toward conventional concrete as a key material along with energy efficient construction and building technology

Effect of Nano-Silica on the Physical, Mechanical and Thermal Properties of the Natural Rubber Latex Modified Concrete

452-457The preparation and properties of latex modified concrete (LMC), nano silica modified concrete (nSMC) and silica-latex modified concrete (SLMC) have been investigated in this study. Properties like compressive strength, tensile strength, flexural strength, thermal characteristics and water absorption have been evaluated. The 7-day compressive strength has increased 37% (30.15 N/mm2) after the inclusion of nano silica and latex. The composite has showed considerable improvements in splitting tensile strength (3.24 N/mm2), flexural strength (6.05 N/mm2) and thermal conductivity, while it lowered the water absorption rate. The property increase has been attributed to the pore filling and pozzolanic activity of nano silica and densification of matrix by natural rubber latex and nano silica. The results of this study have suggested that the addition of nano silica and latex could be a relevant technique toward conventional concrete as a key material along with energy efficient construction and building technology

Crossing boundaries:bras, lingerie and rape myths in postcolonial urban middle-class India

With the processes of modernization, urbanization and the entry of women in the formal labour market in Indian metropolitan spaces, this paper examines how the modern middle-class woman’s sartorial choices become enmeshed in popular rape myths (false beliefs) that serve to blame her for the wearing of western clothing. The paper articulates the ways in which middle-class women’s social realities are shaped by historical, colonial and nationalist ideologies of modernization, constructed and mediated through moral codes of dressing. By drawing upon original and contemporary empirical narratives from the urban spaces of Delhi and Mumbai, we emphasise how everyday sartorial choices, in relation to particularly the bra and lingerie, can reveal the nuanced ways in which Urban Indian Professional Women (UIPW) seek to understand, negotiate, and resist patriarchal power. Our findings shed light on conflicting and contradictory spatial experiences, where some women internalize and negotiate moral codes of dressing, out of fear, and others who transgress are subject to sanctions. Given the paucity of scholarly literature in this area, the paper makes an important theoretical and empirical contribution with its focus on postcoloniality and everyday discursive material spaces of gendered and sexualized dress practices. It argues for the consciousness raising of everyday urban geographies of dress that reveal complicated structures of power that are often deemed hidden

Defining Secularism in the Particular: Caste and Citizenship in India, 1909-1950

Drawing on recent debates on secularism, this article addresses the methodological problem of writing histories of secularism in context. It considers the experience of India. I argue that a study of the issues from which secularism emerged historically offers a way out of the secularism-religion binary which, in India, has obscured contemporary problems related to democracy. These issues had to do with ensuring the public representation of minorities, both religious and caste, regardless of their relative size or social power. Scholarship on the minority question has begun with the constituent assembly and that on secularism centered on the category of religion. In contrast, this article argues that caste was central to the formulation of Indian secularism and requires a longer historical perspective. It maintains that secularism reified the religious minority and, in so doing, denied both its potential to overcome marginality and the legitimacy of the community in the nation