Lateral tibial condyle reconstruction by pedicled vascularized fibular head graft: Long-term result

The technique of pedicled vascularized fibular graft for lateral tibial condyle reconstruction after en bloc resection of aggressive giant cell tumours was described by SP Chow et al. Early follow-up of two patients was presented in 1986. We present the 25 years follow-up of one patient with a literature review of alternative present day treatment options. The patient maintained community ambulant status despite developing late stage osteoarthritis. Although this procedure is performed rarely, it remains an alternative to the more sophisticated treatment options making it a useful method in centres with limited facilities and expertise. © 2011 The Author(s).published_or_final_versio

Cyclosporine-A therapy-induced multiple bilateral breast and accessory axillary breast fibroadenomas: a case report

<p>Abstract</p> <p>Introduction</p> <p>Breast adenoma is common. However, in the setting of post-transplantation immune suppression it may be expressed differently.</p> <p>Case presentation</p> <p>A 35-year-old Sudanese woman, with a history of renal transplantation two and half years prior to presentation, was on a single immune suppression therapy in the form of cyclosporine-A since the transplantation. During a regular follow-up visit, she was noticed to have gingival hypertrophy and bilateral breast and axillary swellings. She underwent successful surgical resection of the bilateral fibroadenomas.</p> <p>Conclusions</p> <p>Cyclosporine-A therapy post renal transplantation is associated with an increased incidence of benign breast changes as fibroadenoma. Regular follow-up and appropriate selection of immunosuppressant therapy are essential in the post transplantation management of these patients.</p

Frequently Encountered Animal Diseases at Animal Hospital Birnin Kebbi, Kebbi State - Nigeria

Data from the clinical record of the Animal Hospital Birnin Kebbi was used to determine the frequency of occurrence of various diseases of animals from February 2009 to January 2010. A total of 794 cases were presented. 155 (19.5%) for routine check and vaccination, while the bulk 639 (80.5%)were presented as a result of disease conditions. Diseases diagnosed include; helminthoses 141(22%), followed by fowl pox 65(10.2%), lousiness 61(9.5%), traumatic injuries 46(7.2%), enteritis 32(5.0%), upper respiratory tract infection 29(4.5%), mite/mange 24(3.8%), septicemia22(3.4%), bloat 19(3.0%), and abscess 17(2.7%). Other moderately occurring, disorders included dystocia & post partum complications 14(2.2%) each, mal-directed horn/hooves 12(1.9%), tick infestation 10(1.6%), coccidiosis 9(1.4%), fracture 8(1.3%), hernia, PPR, pregnancy toxemia & castration 7(1.1%) each. Poisoning, infectious coryza, arthritis, rumen impaction & vaginal prolapse were 6(0.9%) each, pneumonia and mastitis 5(0.8%) each. The less occurring disorders included urinarytract infection, Gumboro disease, black leg, abortion, paraphimosis & dog bite 4(0.6%) each. Rhinitis & chronic respiratory diseases 3(0.5%) each, Foot and Mouth disease, New castle disease, cowdriosis, and hygroma numbering 2(0.3%) each. The least occurring disorders were Fowltyphoid, dislocation, trypanasomosis, pyometra, orf, stomatitis, grass tetany, canine distemper, atresia ani and rectal prolapse 1(0.2%) case each. Information generated can be useful to Government agencies involved in formulating policies and guidelines for prevention andcontrol of animal diseases

COVID-19 Prognostic Models: A Pro-con Debate for Machine Learning vs. Traditional Statistics.

The SARS-CoV-2 virus, which causes the COVID-19 pandemic, has had an unprecedented impact on healthcare requiring multidisciplinary innovation and novel thinking to minimize impact and improve outcomes. Wide-ranging disciplines have collaborated including diverse clinicians (radiology, microbiology, and critical care), who are working increasingly closely with data-science. This has been leveraged through the democratization of data-science with the increasing availability of easy to access open datasets, tutorials, programming languages, and hardware which makes it significantly easier to create mathematical models. To address the COVID-19 pandemic, such data-science has enabled modeling of the impact of the virus on the population and individuals for diagnostic, prognostic, and epidemiological ends. This has led to two large systematic reviews on this topic that have highlighted the two different ways in which this feat has been attempted: one using classical statistics and the other using more novel machine learning techniques. In this review, we debate the relative strengths and weaknesses of each method toward the specific task of predicting COVID-19 outcomes

Visibility Representations of Boxes in 2.5 Dimensions

We initiate the study of 2.5D box visibility representations (2.5D-BR) where vertices are mapped to 3D boxes having the bottom face in the plane $z=0$ and edges are unobstructed lines of sight parallel to the $x$- or $y$-axis. We prove that: $(i)$ Every complete bipartite graph admits a 2.5D-BR; $(ii)$ The complete graph $K_n$ admits a 2.5D-BR if and only if $n \leq 19$; $(iii)$ Every graph with pathwidth at most $7$ admits a 2.5D-BR, which can be computed in linear time. We then turn our attention to 2.5D grid box representations (2.5D-GBR) which are 2.5D-BRs such that the bottom face of every box is a unit square at integer coordinates. We show that an $n$-vertex graph that admits a 2.5D-GBR has at most $4n - 6 \sqrt{n}$ edges and this bound is tight. Finally, we prove that deciding whether a given graph $G$ admits a 2.5D-GBR with a given footprint is NP-complete. The footprint of a 2.5D-BR $\Gamma$ is the set of bottom faces of the boxes in $\Gamma$.Comment: Appears in the Proceedings of the 24th International Symposium on Graph Drawing and Network Visualization (GD 2016

Flame self-interaction during turbulent boundary layer flashback of hydrogen-rich premixed combustion

A three-dimensional direct numerical simulation database of turbulent boundary layer flashback of a hydrogen-rich premixed flame with an equivalence ratio of 1.5 has been analyzed to investigate flame self-interaction (FSI) events. The nonreacting turbulence characteristics of the channel flow are representative of the friction-velocity-based Reynolds number, Reτ=120. A skeletal chemical mechanism with nine species and twenty reactions is employed for the representation of hydrogen-air combustion. Three definitions of the reaction progress variable, c, based on the mass fractions of H2, O2, and H2O, have been considered to define the progress variable. It is found that the FSI events predominantly occur close to the burned gas side for all definitions of c at all the wall normal distances. No FSI events adjacent to the wall have been identified for the c definition based on O2 and H2O mass fractions, whereas FSI events occur for c based on H2 in the near-wall region. In the regions further away from the wall, all c definitions show that tunnel formation and tunnel closure type FSI events remain predominant, which is consistent with the earlier findings by Griffiths et al. [Proc. Combust. Inst. 35, 1341 (2015)1540-748910.1016/j.proci.2014.08.003] involving hydrogen-air premixed flame under shear flow conditions. In this work for c based on H2 mass fraction, unburned gas pockets have also been identified at all wall normal distances and are a consequence of the hydrogen-rich nature of the flame. The reason for the variations in topologies with the change in the definition of c based on different species and wall normal distance is a consequence of several factors, including the changes in the level of turbulence within the turbulent boundary layer, heat loss to the isothermal wall in the near-wall region, and the differential diffusion induced by the nonunity Lewis number. The results from the current analysis show that the turbulent boundary layer and heat loss at the wall play important roles in determining the FSI topologies. The differences in the qualitative nature and distributions of the FSI events between different definitions of c have important implications on the possible extension of flame-surface-based modeling methodology for hydrogen-rich flames within turbulent boundary layers

Phenomenological Aspects of Gauge Mediation with Sequestered Supersymmetry Breaking in light of Dark Matter Detection

In a recent work, a model of gauge mediation with sequestered supersymmetry (SUSY) breaking was proposed. In this model, the mass of the gravitino is O(100) GeV without causing the flavor-changing neutral-current problem. In contrast to traditional gauge mediation, the gravitino is not the lightest SUSY particle and the neutralino is the candidate of the dark matter. In this paper, we investigate phenomenological aspects of this model and discuss the possibility of the direct detection of the dark matter. In particular, we focus on the light neutralino case and find that the light-Higgsino scenario such as the focus point is interesting, taking account of the recent CDMS result.Comment: 17 pages, 8 figures; v2:references added, some corrections; v3:version accepted for publication in JHE

NLSP Gluino Search at the Tevatron and early LHC

We investigate the collider phenomenology of gluino-bino co-annihilation scenario both at the Tevatron and 7 TeV LHC. This scenario can be realized, for example, in a class of realistic supersymmetric models with non-universal gaugino masses and t-b-\tau Yukawa unification. The NLSP gluino and LSP bino should be nearly degenerate in mass, so that the typical gluino search channels involving leptons or hard jets are not available. Consequently, the gluino can be lighter than various bounds on its mass from direct searches. We propose a new search for NLSP gluino involving multi-b final states, arising from the three-body decay \tilde{g}-> b\bar{b}\tilde{\chi}_1^0. We identify two realistic models with gluino mass of around 300 GeV for which the three-body decay is dominant, and show that a 4.5 \sigma observation sensitivity can be achieved at the Tevatron with an integrated luminosity of 10 fb^{-1}. For the 7 TeV LHC with 50 pb^{-1} of integrated luminosity, the number of signal events for the two models is O(10), to be compared with negligible SM background event.Comment: 14 pages, 4 figures and 3 tables, minor modifications made and accepted for publication in JHE

Solving the mu problem with a heavy Higgs boson

We discuss the generation of the mu-term in a class of supersymmetric models characterized by a low energy effective superpotential containing a term lambda S H_1 H_2 with a large coupling lambda~2. These models generically predict a lightest Higgs boson well above the LEP limit of 114 GeV and have been shown to be compatible with the unification of gauge couplings. Here we discuss a specific example where the superpotential has no dimensionful parameters and we point out the relation between the generated mu-term and the mass of the lightest Higgs boson. We discuss the fine-tuning of the model and we find that the generation of a phenomenologically viable mu-term fits very well with a heavy lightest Higgs boson and a low degree of fine-tuning. We discuss experimental constraints from collider direct searches, precision data, thermal relic dark matter abundance, and WIMP searches finding that the most natural region of the parameter space is still allowed by current experiments. We analyse bounds on the masses of the superpartners coming from Naturalness arguments and discuss the main signatures of the model for the LHC and future WIMP searches.Comment: Extended discussion of the LHC phenomenology, as published on JHEP plus an addendum on the existence of further extremal points of the potential. 47 pages, 16 figure