Polymorphous low grade adenocarcinoma-an unusual presentation

Polymorphous low-grade adenocarcinoma (PLGA) is a neoplasm that occurs frequently in the mucosa of the soft and hard palates, in the buccal mucosa and in the upper lip and is very rare within the nasopharynx. We present a case of PLGA, which presented as a nasal polyp

Atypical presentation of visceral leishmaniasis from non-endemic region

A case of atypical and acute presentation of visceral leishmaniasis from non-endemic region, characterised by exudative pleural effusion and hepatitis is reporte

A Case of Multiple Sclerosis Presenting as Eight and Half Syndrome.

Multiple sclerosis (MS) is a chronic disease characterized by inflammation, demyelination, gliosis (scarring), and neuronal loss; the course can be relapsing-remitting or progressive. Manifestations of MS vary from a benign illness to a rapidly evolving and incapacitating disease requiring profound lifestyle adjustments. We report a 24 year old female who presented with right internuclear ophthalmoplegia with right lower motor neuron facial nerve palsy which is called eight and half syndrome. The etiology in our patient was multiple sclerosis which was confirmed by radio-imaging studies. Patient improved on pulse therapy of methyl prednisolone and tapering dose of steroids

Craniocerebral missile injuries in civilian Kashmir – India

Background The missile injuries of the cranium and brain in the modern era have shifted from soldiers to the civilians and from the battle grounds to the populated zones due to increase in the terrorist and military strikes. The management of the victims depends on the resuscitation at the site of injury and the distance and transportation to the tertiary care centre. This article presents the details of the missile injuries to the brain, the third-world problems and the management. Material and methods A retrospective analysis of 3794 craniocerebral missile injuries, managed by the Department of Neurosurgery at Sher-I-Kashmir Institute of Medical Sciences (SKIMS) Kashmir, India, over a period of more than 21 years from September 1988 to September 2009. Patients were triaged in emergency CT-room, resuscitated and operated. Statistical software programme SPSS 11.5 was used to derive the numerical significance. Results Revealed an overall mortality of 87.69% (3327 out of 3794). Most of the deaths 79.14% (2633 out of 3327) occurred within 30 minutes of the patient’s arrival to the hospital and only 694 patients lived beyond one hour of arrival. Conclusion Presently the quantum of outcome i.e, survival and good recovery in craniocerebral missile injuries appears a meager heap compared to the huge amount of death and disability. And the situation will continue to be so unless tertiary care hospitals are set up within and around the armed and conflict zones, war torn areas and battle fields, rather than risking transportation, time of resuscitation, intervention and the results.Key words: Craniocerebral, Kashmir, Missile Injuries, Outcome

Hilbert-Schmidt Operators vs. Integrable Systems of Elliptic Calogero-Moser Type III. The Heun Case

The Heun equation can be rewritten as an eigenvalue equation for an ordinary differential operator of the form $-d^2/dx^2+V(g;x)$, where the potential is an elliptic function depending on a coupling vector $g\in{\mathbb R}^4$. Alternatively, this operator arises from the $BC_1$ specialization of the $BC_N$ elliptic nonrelativistic Calogero-Moser system (a.k.a. the Inozemtsev system). Under suitable restrictions on the elliptic periods and on $g$, we associate to this operator a self-adjoint operator $H(g)$ on the Hilbert space ${\mathcal H}=L^2([0,\omega_1],dx)$, where $2\omega_1$ is the real period of $V(g;x)$. For this association and a further analysis of $H(g)$, a certain Hilbert-Schmidt operator ${\mathcal I}(g)$ on ${\mathcal H}$ plays a critical role. In particular, using the intimate relation of $H(g)$ and ${\mathcal I}(g)$, we obtain a remarkable spectral invariance: In terms of a coupling vector $c\in{\mathbb R}^4$ that depends linearly on $g$, the spectrum of $H(g(c))$ is invariant under arbitrary permutations $\sigma(c)$, $\sigma\in S_4$

On the Equality of Sharp and Germ - Fields for Gaussian Processes and Fields

2000 Mathematics Subject Classification: 60G15, 60G60; secondary 31B15, 31B25, 60H15We investigate the relationship between the sigma-field and the infinitesimal or germ sigma-field

Bioefficacy of some insecticides against shoot and fruit borer, Leucinodes orbonalis Guenee on brinjal under Hisar agro-climatic conditions during kharif season

A field experiment was conducted to study the bioefficacy of some insecticides against Leucinodes orbonalis during kharif season of 2014 on brinjal var. BR-112 at Entomology Research Area of CCS Haryana Agricultural University, Hisar. Five foliar sprays of insecticides viz., cypermethrin 25EC @ 43.75 g a.i/ ha, fenvalerate 20EC @40 g a.i/ ha, deltamethrin 2.8EC @ 14 g a.i/ ha, chlorpyriphos 20EC @ 200 g a.i/ ha, Prempt 20EC @ 150 g a.i/ ha, malathion 50EC @ 250 g a.i/ ha and Nimbecidine 0.03% @ 3 ml/l were evaluated and it was found that all the insecticides proved significantly superior (at 5% level) to control (untreated) in reducing the damage of shoot and fruit borer in brinjal. Among all, deltamethrin proved most effective in reducing shoot damage (60.40%) and fruit damage, on number basis (88.87%) and weight basis (88.89%) over control. Deltamethrin recorded the highest marketable fruit yield of 132.27q/ha and lowest was found in case of Nimbecidine (33.53 q/ha). Highest (1:8.7) cost to benefit ratio was recorded in deltamethrin followed by fenvalerate (1:8.5), cypermethrin (1:6.5), chlorpyriphos (1:4.5), Prempt (1:1.9), malathion (1:0.6) and Nimbecidine (1: -0.3). From these findings, it was revealed that synthetic pyretheroids being the most effective and economic over other insecticides, may be incorporated in IPM practices followed against brinjal shoot and fruit borer