ANATOMICAL AND CLINICAL RELEVANCE OF SIRAVYADHA IN RELATION WITH MARMAS OF UPPER LIMB

The science of Ayurveda is well recognized system of medicine which have unique specialty in the field of Shalyathanthra. The concepts of Ayurveda Shareera evolved 3000yrs ago. Because of generation gap concepts appear to be misinterpreted or not fully developed. At this junction it is our moral duty to take up such studies to understand the concepts clearly and to pass on knowledge to younger generation. It is one of the Para surgical procedure denoting letting of blood outside the body. Different modalities of Rakthamokshana are adopted according to Dosha avastha and Athura avastha. Siravyadha is one of the types of Rakthamokshana by Sasthravacharana. So as to explain its significance a stanza of Su.Sha 8/23 is sufficient. Acharya Sushrutha has given same importance of Dosha to Raktha also, where in many places he has classified many diseases as Rakthaja also. Siravyadha is often recommended as Shodhana chikitsa for such diseases. In the Sushruta Samhita Sharirastana 8th Chapter particular anatomical sites especially the Marma sthanas are recommended as anatomical landmarks for Siravyadhana in Particular diseases. So this study helps to explore the Anatomical & Clinical relevance of Siravyadha on the basis of available literatures. So a creative and logical approach has been done to locate Siras for Siravyadha in Particular disease with Pathophysiological interpretation. So it can be concluded that Siravyadha is effective modality of treatment in many diseases. So the study taken up here is Anatomical and Clinical Relevance of Siravyadha in Relation with Marmas of Upper Limb

HIGH PERFORMANCE COMPUTING: CLEAN COAL GASIFIER DESIGNS USING HYBRID PARALLELIZATION

One of the targets for coal gasification in the near future is capturing 90% of the carbon with less than a 10% increase in cost of electricity. Aggressive goals like this will require innovative gasifier designs to reach the market place quickly, with less risk, and in an economically viable way. Researchers at the National Energy Technology Laboratory (NETL) are collaborating with industry, academia, and other national labs on multiphase computational models like the legacy code MFIX (Multiphase Flow with Interphase eXchange) which can help design, operate, and scale-up clean coal gasifiers to meet the challenges or a carbon constrained world. In fact, NETL has hosted a series of multiphase workshops which has produced a multiphase flow science technology roadmap to achieve the goal “that by 2015 multiphase science based computer simulations play a significant role in the design, operation, and troubleshooting of multiphase flow devices in fossil fuel processing plants”. In this study, we present our experience of porting MFIX, an open source multiphase computational fluid dynamic model, to a high performance computing platform and how the resulting high fidelity simulations are impacting the design of clean coal gasifiers of tomorrow. Inherent to these gasifiers is the various time and length scales which require very high spatial resolution, large number of iterations with small time-steps to resolve and predict the spatiotemporal variations in gas and solids volume fractions, velocities, temperatures with any associated phase change and chemical reactions. These requirements resulted in perhaps the largest known simulations of gas-solids reacting flows, providing detailed information about the gas-solids flow structure, pressure, temperature and species distribution in the gasifier. From a computational science perspective, we found that global communication has to be reduced to achieve scalability to 1000s of cores and hybrid parallelization can yield substantial improvement in time-to-solution when utilizing thousands of multi-core processors

Potential for non-combustible nicotine products to reduce socioeconomic inequalities in smoking: a systematic review and synthesis of best available evidence

While some experts have emphasised the potential for e-cigarettes to facilitate cessation among smokers with low socioeconomic status (SES), there is limited evidence of their likely equity impact. We assessed the potential for electronic cigarettes and other non-combustible nicotine-containing products (NCNPs) to reduce inequalities in smoking by systematically reviewing evidence on their use by SES in countries at stage IV of the cigarette epidemic

Unusual case of paraplegia

Paraplegia due to a spinal cord epidural mass is an extremely rare presentation of undiagnosed leukemia. We are reporting a case of 14-year-old girl, who presented with paraplegia due to thoracic epidural mass, as the initial presenting manifestation of acute myeloid leukemia. Granulocytic sarcoma or chloroma should be considered in the differential diagnosis of an epidural mass in patients with or with out leukemia granulocytic sarcoma, which are rare extramedullary tumor-like proliferation of myelogenous precursor cells that may de novo precede acute leukemia or coincide with the first manifestation or relapse of acute myeloid leukemia

An interesting case of hemiplegia in a child

Hemiplegia in children occurs due to several causes. We report an interesting case who presented with prolonged fever, native valve endocarditis and infection triggered Macrophage activation syndrome. Macrophage activation syndrome (Hemophagocytic Lymphohistiocytosis syndrome) is a rare, potentially fatal inflammatory response syndrome characterized by fever, pancytopenia, rash, falling ESR, increased ferritin, increased triglycerides and hypofibrinogenemia. Central nervous system involvement is frequent with, seizures, irritability, stiff neck, cranial nerve palsy, ataxia and coma