Genital tuberculosis and infertility

Background: An analytical study to diagnose genital tuberculosis, using various modalities, it`s treatment options and fertility outcomes in infertile labour class women.Methods: A prospective study, where 120 women, presented to hospital due to infertility were subjected to hystero-laparoscopy over 36 months. Endometrium sent for TB-PCR and HPR. Those diagnosed with GTB were given Anti-Tubercular Drugs as per standard regimes and their fertility outcome was studied.Results: Out of 120 women, 32(27%) were diagnosed with GTB using accepted clinical criteria, TB-PCR and endometrial HPR. 30 of these 32 were diagnosed by HLscopic picture (94%) alone, 18 by positive endometrial TB-PCR (58%) and another 3 by HPR (10%). Among 32 women treated, 9(28%) conceived after treatment.Conclusions: High incidence of GTB amongst the labour class warrants strong suspicion and early diagnosis using hystero-laparoscopy and prompt treatment to minimize the short and long-term effects of GTB on fertility

Rare case of deep pelvic retroperitoneal mature cystic teratoma

Mature cystic retroperitoneal teratomas are typically rare childhood tumours. Less than 20% of these occur in adults more than 30 yrs of age. Our adult patient presented with such a tumour, which had grown to a disproportionately large extent. It was deeply embedded in the true pelvis extending laterally to the pelvic wall and inferiorly till the ischiorectal fossa and was adherent to the surrounding structures displacing all. A provisional diagnosis was made after MRI scan and patient was posted for exploratory laparotomy. After extensive blunt and sharp dissection, the cyst wall could be separated from the surrounding structures and successfully excised. Histopathology confirmed the diagnosis. Being such a rare tumour, it is essential to have a high degree of suspicion in such cases that can be supported by advanced imaging modality. Early diagnosis and complete surgical removal are the mainstay of management that provide an excellent prognosis for such patients.

The state-of-the-art progress in cloud detection, identification, and tracking approaches: a systematic review

A cloud is a mass of water vapor floating in the atmosphere. It is visible from the ground and can remain at a variable height for some time. Clouds are very important because their interaction with the rest of the atmosphere has a decisive influence on weather, for instance by sunlight occlusion or by bringing rain. Weather denotes atmosphere behavior and is determinant in several human activities, such as agriculture or energy capture. Therefore, cloud detection is an important process about which several methods have been investigated and published in the literature. The aim of this paper is to review some of such proposals and the papers that have been analyzed and discussed can be, in general, classified into three types. The first one is devoted to the analysis and explanation of clouds and their types, and about existing imaging systems. Regarding cloud detection, dealt with in a second part, diverse methods have been analyzed, i.e., those based on the analysis of satellite images and those based on the analysis of images from cameras located on Earth. The last part is devoted to cloud forecast and tracking. Cloud detection from both systems rely on thresholding techniques and a few machine-learning algorithms. To compute the cloud motion vectors for cloud tracking, correlation-based methods are commonly used. A few machine-learning methods are also available in the literature for cloud tracking, and have been discussed in this paper too

Recurrence and survival outcomes after anatomic segmentectomy versus lobectomy for clinical stage I non- Small-cell lung cancer: a propensity-matched analysis

Purpose: Although anatomic segmentectomy has been considered a compromised procedure by many surgeons, recent retrospective, single-institution series have demonstrated tumor recurrence and patient survival rates that approximate those achieved by lobectomy. The primary objective of this study was to use propensity score matching to compare outcomes after these anatomic resection approaches for stage I non-small-cell lung cancer. Patients and Methods: A retrospective data set including 392 segmentectomy patients and 800 lobectomy patients was used to identify matched segmentectomy and lobectomy cohorts (n = 312 patients per group) using a propensity score matching algorithm that accounted for confounding effects of preoperative patient variables. Primary outcome variables included freedom from recurrence and overall survival. Factors affecting survival were assessed by Cox regression analysis and Kaplan-Meier estimates. Results: Perioperative mortality was 1.2% in the segmentectomy group and 2.5% in the lobectomy group (P = .38). At a mean follow-up of 5.4 years, comparing segmentectomy with lobectomy, no differences were noted in locoregional (5.5% v 5.1%, respectively; P = 1.00), distant (14.8% v 11.6%, respectively; P = .29), or overall recurrence rates (20.2% v 16.7%, respectively; P = .30). Furthermore, when comparing segmentectomy with lobectomy, no significant differences were noted in 5-year freedom from recurrence (70% v 71%, respectively; P = .467) or 5-year survival (54% v 60%, respectively; P = .258). Segmentectomy was not found to be an independent predictor of recurrence (hazard ratio, 1.11; 95% CI, 0.87 to 1.40) or overall survival (hazard ratio, 1.17; 95% CI, 0.89 to 1.52). Conclusion: In this large propensity-matched comparison, lobectomy was associated with modestly increased freedom from recurrence and overall survival, but the differences were not statistically significant. These results will need further validation by prospective, randomized trials (eg, Cancer and Leukemia Group B 140503 trial)

Improvement in Primary Frequency Control from Smart Load utilizing Reactive Compensation

By the growing infiltration of asynchronous inverter interfaced generation (solar, wind, etc.), the actual inertia of upcoming power systems is expected to scale back drastically. These would make the primary frequency management far more difficult than what it is presently. Frequency-dependent loads inherently contribute to primary frequency response. Improvement in control of primary frequency is based on non-critical loads, which is based on voltage dependent, which may tolerate a huge variation of voltage examined. Here, smart load (SL) comprises of a voltage compensator which is series-connected in between voltage dependent load and mains, so that it can tolerate large variation. Such a load is henceforth referred to as non-critical load. By using a series of reactive compensators to decouple the non-critical load from the mains to create a smart load, the voltage and hence the active power of the non-critical load can be controlled to control the mains frequency. The effectiveness of smart load is presented by incorporating it in an IEEE 37 node test feeder

Preparation and characterization of hydralazine mouth dissolving tablet by using super-disintegrates

Tablet dosage form is the most popular among all existing conventional dosage forms because of its convenience of self-administration, compactness and easy manufacturing. Many patients find it difficult to swallow tablets and capsules. The difficulty is experienced in particular by pediatric and geriatric patients, but it also applies to people who are ill on bed and to those active working patients who are busy or traveling, especially those who have no access to water. Mouth dissolving tablet was prepared by addition of superdisintegrants (Ac-Di-Sol, Sodium starch glycolate and Crospovidone). The tablets were evaluated for their organoleptic (Color, Odor, Taste), physical (Size, Shape and Texture) and quality control parameters (Diameter, Thickness, Hardness, Friability, Disintegration Time and Wetting Time). Hence, mouth dissolving tablets of resinate can be successfully prepared by superdisintegrants, maintaining their disintegration time less than 1 minute, which provide faster effect and better patient compliance. These tablets may be helpful for geriatric and pediatric patients experience difficulty in swallowing conventional tablets, which leads to poor patient compliance. Thus, it was concluded that the method designed for drug resinate complexation and tablet formulation is simple, rapid, cost effective and highly efficient