Post-rhinoplasty Sinonasal Symptoms

Background: Rhinoplasty is one of the most common aesthetic procedures. It has several potential complications. There is no systematic study with direct focus on these complications.Purpose: To evaluate the likelihood for occurrence of different complications following septorhinoplasty.Methods: One hundred and fifteen patients who underwent rhinoplasty were observed for post-operative occurrence of nasal obstruction, hyponasal speech, Post Nasal Discharge (PND), rhinorrhea, facial congestion and headache. They were also examined for aesthetic results of the surgery and asked about their satisfaction about the external shape of the nose as well as overall satisfaction of surgery.Results: Twenty-one patients developed sinonasal symptoms after surgery.The most annoying symptom was permanent unilateral nasal obstruction which was observed in 38% of patients followed by long lasting PND (19%), anosmia (14%) and altered voice resonance (9%). Five patients eventually underwent surgery due to their functional problems.Conclusion: Rhinoplasty and septorhinoplasty have numerous complications. Nasal obstruction, PND and anosmia are the most common. A careful follow-up is required for diagnosis and appropriate treatment of these complications

MRI Findings of Primary CNS Lymphoma in 20 Patients of Stereotaxic Ward

PURPOSE: To record the MRI features of primary central nervous system lymphoma (PCNSL) and compare these properties in monofocal and multifocal disease.METHODS: Eleven cases of monofocal disease were compared to 9 cases of multifocal disease. All patients were examined by non-enhanced and contrast-enhanced MRI. Tumor location, signal intensity, enhancement characteristics, age distribution, peritumoral edema, cystic changes, and the presence of calcifications were assessed. The MRI features were compared between the monofocal and multifocal patients.RESULTS: There were 20 cases including both the monofocal and multifocal cases. Contrast-enhanced images showed variable enhancement patterns: homogeneous enhancement (14 patients), and hetrogenous enhancement (6 patients). One case of hemorrhage and two cases of cystic formation were observed. Intra-tumoral calcification was not detected. The frontal lobe, the corpus callosum and the basal ganglia were commonly involved in both the monofocal and multifocal lesion.CONCLUSION: Our data showed that PCNSL has a variable enhancement and edema pattern on MRI. Monofocal PCNSL cases typically have larger size tumors with mild or marked enhancement

Fuzzy model identification and self learning with smooth compositions

This Paper Develops A Smooth Model Identification And Self-Learning Strategy For Dynamic Systems Taking Into Account Possible Parameter Variations And Uncertainties. We Have Tried To Solve The Problem Such That The Model Follows The Changes And Variations In The System On A Continuous And Smooth Surface. Running The Model To Adaptively Gain The Optimum Values Of The Parameters On A Smooth Surface Would Facilitate Further Improvements In The Application Of Other Derivative Based Optimization Control Algorithms Such As Mpc Or Robust Control Algorithms To Achieve A Combined Modeling-Control Scheme. Compared To The Earlier Works On The Smooth Fuzzy Modeling Structures, We Could Reach A Desired Trade-Off Between The Model Optimality And The Computational Load. The Proposed Method Has Been Evaluated On A Test Problem As Well As The Non-Linear Dynamic Of A Chemical Process.This publication was supported in part by project MINECO, TEC2017-88048-C2-2-

Damage intensity of carvacrol on prostatic cancer cells lineDu145 and molecular dynamic simulation of it effect on apoptotic factors

Prostatic cancer is one of the most dangerous diseases in men worldwide. The apoptotic factors such as BID, BIM and APAF1 have a main role in inducing apoptotic pathways. On the other hand, some compounds can active this apoptotic factors. In this study, this notion was investigated by the use of the comet assay technique and molecular dynamics simulations. In the comet assay technique, different concentrations including 130, 230, and 360 μM of Carvacrol were selected according to IC50 using MTT assay on the cell line DU145. Then, alkaline electrophoresis was performed and 100 comet pictures were analyzed using CASP software. Data were analyzed by SPSS statistical software and also using molecular dynamics simulations, wherein protein and Carvacrol were studied, thus avoiding the necessity for quantum mechanical calculations. Molecular dynamics simulations were carried out using with Carvacrol closed in a fully hydrated simulation box with a protein (Bak, Bax, Bim, Apaf1, Bid and P38). The IC50 for Carvacrol was determined at 360μM by MTT test. Rate of tail to head in alkaline electrophoresis at 130, 230, and 360 μM of Carvacrol concentrations were 13. 8±0. 3, 40. 6±0. 3, and 47. 6±0. 5 percent, respectively. Statistical analysis of the molecular dynamics and calculated potential energy, radius of gyration (Rg), temperature, root mean square fluctuation (RMSF) and root mean square deviation (RMSD) indicated that Carvacrol affected protein which stimulated the apoptosis cascade. Therefore, both experimental and theoretical results demonstrate carvacrol directly affects factors initiating apoptosis. © 2016, Sphinx Knowledge House. All rights reserved

Determination of gel content of silane cross-linked polyethylene copolymers using FTIR technique

Silane cross-linking of metallocene-based polyethylene-octene elastomer (POE)/linear low density polyethylene (LLDPE) blend was carried out using two-step Sioplas process in an industrial scale twin-screw extruder. In the study, grafting and cross-linking reactions of vinyl trimethoxy silane (VTMS) were analyzed using FTIR technique. It was found that the cured compound showed absorption peaks at 1078 cm-1 and 955 cm-1 related to Si-O-Si bonds. A peak was also observed at 3405 cm-1 of hydroxyl group produced from hydrolysis of methoxyethylene group during of curing process, reflecting that curing reaction was not completed. The samples were cured at different time intervals (15 min-16 hours). The gel content values determined by solvent extraction and FTIR were in good agreement at curing times more than 4 hours. The efficiency of the silane grafting reaction was determined using the ratio of the absorption peak at 1092 cm-1 characteristic of methoxy to the transmittance peak at 1378 cm-1 characteristic of methyl group, which  is considered as the internal standard. The results showed the highest efficiency of silane grafting reaction at 5 w% of VTMS with the least amount of internal standard ratio (0.029), at which the lowest MFI value, and the highest values for gel content, tear strength, compression set and hot set 200 °C were obtained

Artificial Intelligence in Assessing Cardiovascular Diseases and Risk Factors via Retinal Fundus Images: A Review of the Last Decade

Background: Cardiovascular diseases (CVDs) continue to be the leading cause of mortality on a global scale. In recent years, the application of artificial intelligence (AI) techniques, particularly deep learning (DL), has gained considerable popularity for evaluating the various aspects of CVDs. Moreover, using fundus images and optical coherence tomography angiography (OCTA) to diagnose retinal diseases has been extensively studied. To better understand heart function and anticipate changes based on microvascular characteristics and function, researchers are currently exploring the integration of AI with non-invasive retinal scanning. Leveraging AI-assisted early detection and prediction of cardiovascular diseases on a large scale holds excellent potential to mitigate cardiovascular events and alleviate the economic burden on healthcare systems. Method: A comprehensive search was conducted across various databases, including PubMed, Medline, Google Scholar, Scopus, Web of Sciences, IEEE Xplore, and ACM Digital Library, using specific keywords related to cardiovascular diseases and artificial intelligence. Results: A total of 87 English-language publications, selected for relevance were included in the study, and additional references were considered. This study presents an overview of the current advancements and challenges in employing retinal imaging and artificial intelligence to identify cardiovascular disorders and provides insights for further exploration in this field. Conclusion: Researchers aim to develop precise disease prognosis patterns as the aging population and global CVD burden increase. AI and deep learning are transforming healthcare, offering the potential for single retinal image-based diagnosis of various CVDs, albeit with the need for accelerated adoption in healthcare systems.Comment: 40 pages, 5 figures, 2 tables, 91 reference

Secure Physical Design

An integrated circuit is subject to a number of attacks including information leakage, side-channel attacks, fault-injection, malicious change, reverse engineering, and piracy. Majority of these attacks take advantage of physical placement and routing of cells and interconnects. Several measures have already been proposed to deal with security issues of the high level functional design and logic synthesis. However, to ensure end-to-end trustworthy IC design flow, it is necessary to have security sign-off during physical design flow. This paper presents a secure physical design roadmap to enable end-to-end trustworthy IC design flow. The paper also discusses utilization of AI/ML to establish security at the layout level. Major research challenges in obtaining a secure physical design are also discussed

Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations

Mapping geographical inequalities in access to drinking water and sanitation facilities in low-income and middle-income countries, 2000-17

Background: Universal access to safe drinking water and sanitation facilities is an essential human right, recognised in the Sustainable Development Goals as crucial for preventing disease and improving human wellbeing. Comprehensive, high-resolution estimates are important to inform progress towards achieving this goal. We aimed to produce high-resolution geospatial estimates of access to drinking water and sanitation facilities. Methods: We used a Bayesian geostatistical model and data from 600 sources across more than 88 low-income and middle-income countries (LMICs) to estimate access to drinking water and sanitation facilities on continuous continent-wide surfaces from 2000 to 2017, and aggregated results to policy-relevant administrative units. We estimated mutually exclusive and collectively exhaustive subcategories of facilities for drinking water (piped water on or off premises, other improved facilities, unimproved, and surface water) and sanitation facilities (septic or sewer sanitation, other improved, unimproved, and open defecation) with use of ordinal regression. We also estimated the number of diarrhoeal deaths in children younger than 5 years attributed to unsafe facilities and estimated deaths that were averted by increased access to safe facilities in 2017, and analysed geographical inequality in access within LMICs. Findings: Across LMICs, access to both piped water and improved water overall increased between 2000 and 2017, with progress varying spatially. For piped water, the safest water facility type, access increased from 40·0% (95% uncertainty interval [UI] 39·4–40·7) to 50·3% (50·0–50·5), but was lowest in sub-Saharan Africa, where access to piped water was mostly concentrated in urban centres. Access to both sewer or septic sanitation and improved sanitation overall also increased across all LMICs during the study period. For sewer or septic sanitation, access was 46·3% (95% UI 46·1–46·5) in 2017, compared with 28·7% (28·5–29·0) in 2000. Although some units improved access to the safest drinking water or sanitation facilities since 2000, a large absolute number of people continued to not have access in several units with high access to such facilities (>80%) in 2017. More than 253 000 people did not have access to sewer or septic sanitation facilities in the city of Harare, Zimbabwe, despite 88·6% (95% UI 87·2–89·7) access overall. Many units were able to transition from the least safe facilities in 2000 to safe facilities by 2017; for units in which populations primarily practised open defecation in 2000, 686 (95% UI 664–711) of the 1830 (1797–1863) units transitioned to the use of improved sanitation. Geographical disparities in access to improved water across units decreased in 76·1% (95% UI 71·6–80·7) of countries from 2000 to 2017, and in 53·9% (50·6–59·6) of countries for access to improved sanitation, but remained evident subnationally in most countries in 2017. Interpretation: Our estimates, combined with geospatial trends in diarrhoeal burden, identify where efforts to increase access to safe drinking water and sanitation facilities are most needed. By highlighting areas with successful approaches or in need of targeted interventions, our estimates can enable precision public health to effectively progress towards universal access to safe water and sanitation

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019

Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation