An observational study to assess the drug prescription pattern and quality of life of acne vulgaris patients in a tertiary care center in India

Background: The study was conducted to assess the prescription pattern of acne vulgaris patients, and impact of anti-acne treatment on severity of acne and change in quality of life (QoL) in patients.Methods: A prospective observational study was conducted in dermatology OPD of a tertiary care hospital with 160 patients of acne vulgaris. All patients with acne vulgaris >18 years, of either sex were included while those with pre-existing other cutaneous or systemic diseases, pregnant and lactating females and not giving consent were excluded from the study. Prescriptions were analysed and patients were followed-up at 2 and 6 weeks for assessment of change in acne severity and QoL, determined by GAGS score and CADI difference score, respectively.Results: Mean age of patients was 20.7±2.5 years, with males and females constituting 62 (38.8%) and 98 (61.3%) patients, respectively. Acne was mild in 88 (55%), moderate in 51 (31.9%) and severe in 21 (13.1%) patients. A total of 537 drugs were prescribed to all patients, with an average of 3.36 drugs per prescription. Two, 3 and 4 drugs were prescribed in 2.5%, 59.4% and 38.1% patients, respectively. There was significant improvement in the GAGS score (p<0.001) and QoL (CADI score difference) (p<0.001) at 2 and 6 weeks follow-up compared to initial visit.Conclusions:Polypharmacy was a common practice in anti-acne treatment. However, it was associated with improvement in acne severity and QoL.

Computer assisted learning vs. conventional teaching in experimental Pharmacology: perception of second year medical students

Background: The main pool of pharmacology practical teaching is formed by the use and demonstration of animal experiments. Animals have been used to demonstrate the effect of various drugs in experimental pharmacology classes, in the lab. The practical sessions in pharmacology training involving animal experiments are still taught by traditional teaching methods. Rapid development of information technology has led to newer trends in teaching and learning using Computer Assisted Learning (CAL). Keeping it in mind we decided to undertake this study to assess the perception of CAL in 2nd year MBBS students over conventional teaching in experimental pharmacology.Methods: This was an observational, questionnaire-based study. A total of hundred undergraduate MBBS (2nd year) students participated. Participants were first demonstrated an animal experiment by conventional teaching method followed by the same animal experiment demonstration on CAL. Students’ feedback was recorded on a questionnaire and analyzed.Results: The mean age of the participants was 19.88±1.28 years. The study overall observed that 62% preferred CAL to conventional (38%). Majority of the participants’ thought CAL (63%) helps to understand better over conventional (28%) and that CAL (63%) is time independent over conventional (28%). More than 85% felt that CAL was more explanatory and provided a better learning experience.Conclusions: Students preferred CAL to conventional teaching, in experimental pharmacology. It also provided insight on perception and experience of students towards CAL for experimental pharmacology. However, further studies are warranted to assess the knowledge, cognitive and psychomotor skills of students

Phase diagrams of period-4 spin chains consisting of three kinds of spins

We study a period-4 antiferromagnetic mixed quantum spin chain consisting of three kinds of spins. When the ground state is singlet, the spin magnitudes in a unit cell are arrayed as (s-t, s, s+t, s) with integer or half-odd integer s and t (0 <= t < s). The spin Hamiltonian is mapped onto a nonlinear sigma model (NLSM) in a previously developed method. The resultant NLSM includes only two independent parameters originating from four exchange constants for fixed s and t. The topological angle in the NLSM determines the gapless phase boundaries between disordered phases in the parameter space. The phase diagrams for various s and t shows rich structures. We systematically explain the phases in the singlet-cluster-solid picture.Comment: 8 pages (16 figures included

Polymethyl Methacrylate as a Binder for Pyrotechnic Compositions

Studies on polymethyl methacrylate (PMMA) as a binder for igniter and delay compositions are reported. Igniter compositions based on magnesium and boron as fuels and potassium nitrate as oxidiser, delay compositions comprising ferrosilicon and red lead, have been investigated. These compositions were subjected to various tests, such as linear burning rate, sensitivity, calorimetric value, compatibility, pelleting properties, spark sensitivity, ignition temperatures and performance characteristics. The results indicate that the igniter compositions Mg:KNO/sub 3/:PMMA (42:50:8) and B:KNO/sub 3/:PMMA (30:70:10) as well as the delay composition comprising FeSi:Pb/sub 3/O/sub 4:PMMA (25:75:1) have improved properties and therefore could find practical applications

HIV and cancer registry linkage identifies a substantial burden of cancers in persons with HIV in India.

We utilized computerized record-linkage methods to link HIV and cancer databases with limited unique identifiers in Pune, India, to determine feasibility of linkage and obtain preliminary estimates of cancer risk in persons living with HIV (PLHIV) as compared with the general population.Records of 32,575 PLHIV were linked to 31,754 Pune Cancer Registry records (1996-2008) using a probabilistic-matching algorithm. Cancer risk was estimated by calculating standardized incidence ratios (SIRs) in the early (4-27 months after HIV registration), late (28-60 months), and overall (4-60 months) incidence periods. Cancers diagnosed prior to or within 3 months of HIV registration were considered prevalent.Of 613 linked cancers to PLHIV, 188 were prevalent, 106 early incident, and 319 late incident. Incident cancers comprised 11.5% AIDS-defining cancers (ADCs), including cervical cancer and non-Hodgkin lymphoma (NHL), but not Kaposi sarcoma (KS), and 88.5% non-AIDS-defining cancers (NADCs). Risk for any incident cancer diagnosis in early, late, and combined periods was significantly elevated among PLHIV (SIRs: 5.6 [95% CI 4.6-6.8], 17.7 [95% CI 15.8-19.8], and 11.5 [95% CI 10-12.6], respectively). Cervical cancer risk was elevated in both incidence periods (SIRs: 9.6 [95% CI 4.8-17.2] and 22.6 [95% CI 14.3-33.9], respectively), while NHL risk was elevated only in the late incidence period (SIR: 18.0 [95% CI 9.8-30.20]). Risks for NADCs were dramatically elevated (SIR &gt; 100) for eye-orbit, substantially (SIR &gt; 20) for all-mouth, esophagus, breast, unspecified-leukemia, colon-rectum-anus, and other/unspecified cancers; moderately elevated (SIR &gt; 10) for salivary gland, penis, nasopharynx, and brain-nervous system, and mildly elevated (SIR &gt; 5) for stomach. Risks for 6 NADCs (small intestine, testis, lymphocytic leukemia, prostate, ovary, and melanoma) were not elevated and 5 cancers, including multiple myeloma not seen.Our study demonstrates the feasibility of using probabilistic record-linkage to study cancer/other comorbidities among PLHIV in India and provides preliminary population-based estimates of cancer risks in PLHIV in India. Our results, suggesting a potentially substantial burden and slightly different spectrum of cancers among PLHIV in India, support efforts to conduct multicenter linkage studies to obtain precise estimates and to monitor cancer risk in PLHIV in India

Flapping and Flexible Wing Aerodynamics of Low Reynolds Number Flight Vehicles

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/76905/1/AIAA-2006-503-331.pd

Practical Flapping Mechanisms for 20cm-span Micro Air Vehicles

[[abstract]]In the body of research relevant to high-performance flapping micro air vehicles (MAV), development of light-weight, compact and energy-efficient flapping mechanisms occupies a position of primacy due to its direct impact on the flight performance and mission capability. Realization of such versatile flapping mechanism with additional ability of producing thrust levels that fulfill requirements of cruising forward flight and vertical take-off and landing (VTOL) conditions demand extensive design validation and performance evaluation. This paper presents a concerted approach for mechanism development of a 20 cm span flapping MAV through an iterative design process and synergistic fabrication options involving electrical-discharge-wire-cutting (EDWC) and injection molding. Dynamic characterization of each mechanism is done through high speed photography, power take-off measurement, wind tunnel testing and proof-of-concept test flights. The research outcome represents best-in-class mechanism for a 20 cm span flapping MAV with desirable performance features of extra-large flapping stroke up to 100°, minimal transverse vibrations and almost no phase lag between the wings.[[notice]]補正完畢[[journaltype]]國外[[incitationindex]]SCI[[ispeerreviewed]]Y[[booktype]]紙本[[countrycodes]]US

Orientation in high-flying migrant insects in relation to flows: mechanisms and strategies

High-flying insect migrants have been shown to display sophisticated flight orientations that can, for example, maximize distance travelled by exploiting tailwinds, and reduce drift from seasonally optimal directions. Here, we provide a comprehensive overview of the theoretical and empirical evidence for the mechanisms underlying the selection and maintenance of the observed flight headings, and the detection of wind direction and speed, for insects flying hundreds of metres above the ground. Different mechanisms may be used—visual perception of the apparent ground movement or mechanosensory cues maintained by intrinsic features of the wind—depending on circumstances (e.g. day or night migrations). In addition to putative turbulence-induced velocity, acceleration and temperature cues, we present a new mathematical analysis which shows that 'jerks' (the time-derivative of accelerations) can provide indicators of wind direction at altitude. The adaptive benefits of the different orientation strategies are briefly discussed, and we place these new findings for insects within a wider context by comparisons with the latest research on other flying and swimming organisms

Triplet correlations in two-dimensional colloidal model liquids

Three-body distribution functions in classical fluids have been theoretically investigated many times, but have never been measured directly. We present experimental three-point correlation functions that are computed from particle configurations measured by means of video-microscopy in two types of quasi-two-dimensional colloidal model fluids: a system of charged colloidal particles and a system of paramagnetic colloids. In the first system the particles interact via a Yukawa potential, in the second via a potential $\Gamma/r^{3}$. We find for both systems very similar results: on increasing the coupling between the particles one observes the gradual formation of a crystal-like local order due to triplet correlations, even though the system is still deep inside the fluid phase. These are mainly packing effects as is evident from the close resemblance between the results for the two systems having completely different pair-interaction potentials.Comment: many pages, 8 figures, contribution to the special issue in J.Phys. Cond. Mat. of the CECAM meeting in LYON ''Many-body....'

Orientation cues for high-flying nocturnal insect migrants: do turbulence-induced temperature and velocity fluctuations indicate the mean wind flow?

Migratory insects flying at high altitude at night often show a degree of common alignment, sometimes with quite small angular dispersions around the mean. The observed orientation directions are often close to the downwind direction and this would seemingly be adaptive in that large insects could add their self-propelled speed to the wind speed, thus maximising their displacement in a given time. There are increasing indications that high-altitude orientation may be maintained by some intrinsic property of the wind rather than by visual perception of relative ground movement. Therefore, we first examined whether migrating insects could deduce the mean wind direction from the turbulent fluctuations in temperature. Within the atmospheric boundary-layer, temperature records show characteristic ramp-cliff structures, and insects flying downwind would move through these ramps whilst those flying crosswind would not. However, analysis of vertical-looking radar data on the common orientations of nocturnally migrating insects in the UK produced no evidence that the migrants actually use temperature ramps as orientation cues. This suggests that insects rely on turbulent velocity and acceleration cues, and refocuses attention on how these can be detected, especially as small-scale turbulence is usually held to be directionally invariant (isotropic). In the second part of the paper we present a theoretical analysis and simulations showing that velocity fluctuations and accelerations felt by an insect are predicted to be anisotropic even when the small-scale turbulence (measured at a fixed point or along the trajectory of a fluid-particle) is isotropic. Our results thus provide further evidence that insects do indeed use turbulent velocity and acceleration cues as indicators of the mean wind direction