A Rare Presentation of a Common Disease: A Diagnostic Dilemma

Malaria affects millions of people across the globe .The classical clinical features may be absent, but the rapid diagnosis helps in early treatment and thus avoids complications .We present a case of co infection of Plasmodium  vivax and Plasmodium falciparum malaria in a female patient presenting with fever and pain abdomen and incidental detection of splenic infarct .The co infection  is uncommon and treatment should target both to avoid complications . Also,  the exact pathogenesis is un known and though splenic infarct is uncommon and missed due to lack of symptoms , it should be followed up. &nbsp

The spectrum of mild cognitive impairment in dyslipidemic non-elderly type 1 diabetics

Background: Diabetics often have reduced performance in numerous domains of cognitive function, a process termed as Diabetic encephalopathy. The exact pathophysiology of cognitive dysfunction in diabetes is not completely understood, but it is likely that hyperglycaemia, vascular disease, hypoglycemia, and insulin resistance play significant roles. Although cognitive dysfunction is quite common in elderly, however, its occurrence in non-elderly diabetics is not much investigated. Aim of the study was to identify the correlation among various components of lipid profile with mild cognitive impairment in non-elderly type 1 diabetics.Methods: 98 type 1 diabetics were enrolled justifying relevant inclusion &exclusion criteria. Anthropometric indices, biochemical and clinical parameters were measured. MoCA test was employed for the assessment of cognitive dysfunction. Receiver operating characteristic, partial correlation, and logistic regression analyzes were employed for evaluation.Results: 71.42% of enrolled diabetics had some degree of cognitive dysfunction. Duration of the disease had a significant impact on cognitive functioning (p=0.032).Gender, residential area as well as the age of onset of diabetes appeared to have an insignificant impact on cognitive functioning (p>0.05). Diabetics with poor glycemic control were more prone to develop MCI (p<0.001).On comparison of various component of MoCA test; it was seen that most significant parameter that was affected was attention (p<0.001), followed by delayed recall /memory, naming and abstraction (p<0.05).Conclusions: The results of our study suggest that dyslipidemia chiefly raised total cholesterol, triglycerides and LDL is quite common in non-elderly type 1 diabetics and are associated with poorer cognitive function. Cognitive dysfunction should be listed as one of the many complications of diabetes, along with retinopathy, neuropathy, nephropathy, and cardiovascular disease in the future

Learning Neuro-symbolic Programs for Language Guided Robot Manipulation

Given a natural language instruction and an input scene, our goal is to train a model to output a manipulation program that can be executed by the robot. Prior approaches for this task possess one of the following limitations: (i) rely on hand-coded symbols for concepts limiting generalization beyond those seen during training [1] (ii) infer action sequences from instructions but require dense sub-goal supervision [2] or (iii) lack semantics required for deeper object-centric reasoning inherent in interpreting complex instructions [3]. In contrast, our approach can handle linguistic as well as perceptual variations, end-to-end trainable and requires no intermediate supervision. The proposed model uses symbolic reasoning constructs that operate on a latent neural object-centric representation, allowing for deeper reasoning over the input scene. Central to our approach is a modular structure consisting of a hierarchical instruction parser and an action simulator to learn disentangled action representations. Our experiments on a simulated environment with a 7-DOF manipulator, consisting of instructions with varying number of steps and scenes with different number of objects, demonstrate that our model is robust to such variations and significantly outperforms baselines, particularly in the generalization settings. The code, dataset and experiment videos are available at https://nsrmp.github.ioComment: International Conference on Robotics and Automation (ICRA), 202

Effect of Syzygium cumini (jamun) seed powder on dyslipidemia: a double blind randomized control trial

Background: Diabetes is a metabolic syndrome characterized by disturbance in carbohydrate, fat and protein metabolism. Dyslipidemia, commonly associated in diabetes, is major risk factor for macrovascular complications leading to CAD, major contributor to mortality associated with diabetes. Managing DM without side effects is challenge that attracts researchers toward plant based new products. Many studies have found anti-diabetic and anti-hyperlipidemic properties of seeds of Syzygium cumini, attributed to saponins, glycosides and flavonoids. So it should be further explored for its benefits.  The aim was to study the effect of jamun seed powder on dyslipidemia in type 2 DM. Methods: Patients with type 2 DM were randomly divided in two groups- group A was supplemented with 10 gms/day jamun seed powder and group B was given placebo powder. Patients and investigators were blinded about treatment allocated. Lipid profile was noted at baseline and 30th, 60th and 90th day. All the data was collected and analyzed at the end of study.Results: Improvement in dyslipidemia was seen after 60 days of supplementation with S. cumini seed powder. Statistically significant decrease in cholesterol levels by 10.55% and 15.79% in mean triglyceride levels by 8.28% and 13.66%, LDL-c levels by 10.29% and 14.50% was noticed at 60th and 90th day, respectively, reduction in VLDL-c levels by 9.38%, 12.90% and 20.69% was noted at 30th, 60th and 90th day. HDL-c increased significantly by 11.11% and 13.89% in males and 10.81% and 16.21% in females after 60 and 90 days of supplementation with S. cumini seed powder.Conclusions: A significant overall effect of S. cumini supplementation was found in improvement of lipid profile in type 2 diabetes subjects. However, above results are seen in small number subjects, further multicenter studies with larger sample size, supplementation dose and time should be planned and its effects in detail should be explored.

Is Atypical Human Trypanosomosis an Emering Threat to Human Society? : A Debatable one Health Issue to Public Health Experts and Parasitologists

Trypanosomosis is caused by different species of unicellular eukaryotic haemofl agellate Trypanosoma. Though human infection by animal species of trypanosomes is “not possible” as these species fails to infect humans due to innate immunity of the host due to presence of trypanolytic factor in human serum, however, across the world 20 patients with atypical human trypanosomosis are documented, eight of which are confi rmed between 1974 and 2014 due to improved molecular diagnostic assays. However, the numbers of cases are atypical human trypanosomosis caused by animal trypanosomes might be underestimated. Ten atypical cases of human trypanosomosis have so far been reported form Indian subcontinent. Out of these, nine cases were from India and one from Sri Lanka.Three cases of human T. evansi have been reported from the Indian subcontinent (one from Sri Lanka and two from India) during the last decade. Apart from these three cases, at least six more atypical human cases of trypanosomosis caused by rat trypanosome, T. lewisi have been reported. Two casualties due to non-tsetse transmitted trypanosomosis (NTTT) were also reported from India. High prevalence of these two animal trypanosomes in India is now a matter of concern for public health specialists. These raise it as an alarming situation of emerging new zoonotic disease and debatable one health issue to public health experts and parasitologist. There is a need to investigate disease with modern diagnostics by epidemiological based surveys in the fi eld to know the exact situation of the disease. Veterinarian can play very crucial role in diagnosis and control of disease, also by educate and re-educate people about the transmission, prevention and control of disease.</p

Tuning of Magnetism and Band Gap in 2D-Chromia via Strain Engineering

915-918The area of intrinsic two-dimensional (2D) materials is spreading widely day by day due to their easily availability and interesting applications. As a newly exfoliated 2D material from bulk Cr2O3 mineral, 2D-Chromia is most far ultrathin magnetic indirect band gap semiconductor with low Curie Temperature (TC). For the present work, we have carried out the detailed structural analysis of 2D-Chromia by prefacing strain via means of density functional theory (DFT). 2D-Chromia in pristine form comes out to ferromagnetic with considerable total spin magnetic moment of 12 μB per unit cell and large band gap (0.72/3.71 eV in majority/minority spin channel). But the presence of low TC and large band gap limits its applications. Thus, in present work, we have checked the dependence of magnetic state and band gap on tensile and compressive strains. Our results indicate that band gap depends strongly on both the strains but magnetic ground state remains unaffected on applying strain. These findings summarize that the resulting 2D-Chromia under study has broad application prospective in spintronics, transistors, and memory-based devices

Successful percutaneous balloon dilatation of supravalvular aortic membrane

Supravalvular aortic stenosis is the least common type of left ventricular outflow tract obstruction. Primary balloon dilatation of membranous supravalvular aortic stenosis was performed in a 10-year-old male child with a remarkable reduction in systolic pressure gradient. Balloon dilatation is a feasible treatment modality for membranous supravalvular aortic stenosis. It provides good immediate results and sustained relief of stenosis

Letter to Editor - Lower end of ventriculoperitoneal shunt embedding in liver parenchyma

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