A case report of recurrent spontaneous coronary artery dissection and Takotsubo cardiomyopathy: a treatment dilemma

Background: Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome in younger females with no pre-existing history of coronary artery disease. Recurrent SCAD is common after a first episode and can involve the same coronary artery or present as a new dissection unrelated to the initial lesion. Current recommendations advise for a conservative approach in the absence of haemodynamic compromise and flow limitations. Conversely, there are no clear guidelines for the management of early recurrent SCAD. Case summary: A 52-year-old woman with history of obesity, asthma, and prediabetes presented with chest pain and electrocardiogram (ECG) showing inferior wall ST-elevation myocardial infarction (STEMI). Coronary angiography revealed proximal right coronary artery (RCA) dissection and distal left anterior descending artery (LAD) dissection, while left ventriculogram showed Takotsubo cardiomyopathy (TC). Angiography revealed no flow limitations so conservative management was pursued. She returned within a couple of days with recurrent chest pain and ECG showing similar findings of inferior STEMI. Repeat angiography confirmed progression of the proximal RCA SCAD with resolution of distal LAD SCAD. Since flow through the distal RCA was still preserved, conservative medical management was continued. She presented a third time for palpitations only and another repeat coronary angiogram showed healing RCA SCAD. Discussion: Management of early recurrent SCAD continues to be a clinical dilemma. In addition, our patient had features of TC which shares a similar clinical risk factor profile with SCAD thus it may be prudent to further investigate for TC in patients presenting with SCAD and have suggestive features of TC on history and echocardiography

Analysis of ground heat exchanger for a ground source heat pump : A study of an existing system to find optimal borehole length to enhance the coefficient of performance

Ground Source Heat Hump is one of the emerging technic to utilize the reservoir of geothermal energy in Europe. The crucial factor is to find the optimal length of the borehole to successfully design a heating system. The length of the borehole varies depending on the geographical area, the capacity of the heat pump and heat load of the desired building in consideration. Several methods have been theorized and validated using the experimental measurements to find the optimal length of the borehole. The most commonly used methods are American Society of Heating, Refrigeration and Air-conditioning Engineers and International Ground Source Heat Pump Association for sizing borehole heat exchanger. In this paper, an existing system is analyzed, for a 60 kilo Watts heat pump in an area of Finland with a ground source 250 meters of Borehole Heat Exchanger. Coefficient of Performance for current scenario is calculated, an optimal length is found for the heat capacity of the heat pump to enhance the performance of the system. Improved coefficient of performance is presented along with an easy method of finding the optimal length of the ground source.fi=vertaisarvioitu|en=peerReviewed

The impacts of ICT on the students’ Performance: A Review of Access to Information

The study was on the Impact of Information and Communication Technology (ICT) on the students and his/her information to access in the Gomal University, Dera Ismail Khan. A sample of 50 respondents (students) was selected from the department of Political science, Gomal University, Dera Ismail Khan, Khyber Pakhtunkhwa, Pakistan. However, related literatures were reviewed from textbooks, journals and past researches. The research instruments were questionnaire which was statically analyzed with contingency tables while the hypotheses were tested by using the mean statistic. The results of the present study showed a diverse response of the student regarding the impact of ICT’s on the students and their access to information

The effect of stair case electron injector design on electron overflow in InGaN light emitting diodes

Effect of two-layer (In0.04Ga0.96N and In0.08Ga0.92N) staircase electron injector (SEI) on quantum efficiency of light-emitting-diodes (LEDs) in the context of active regions composed of single and quad 3 nm double heterostructures (DHs) is reported. The experiments were augmented with the first order model calculations of electron overflow percentile. Increasing the two-layer SEI thickness from 4 + 4 nm up to 20 + 20 nm substantially reduced, if not totally eliminated, the electron overflow in single DH LEDs at low injections without degrading the material quality evidenced by the high optical efficiency observed at 15K and room temperature. The improvement in quad 3 nm DH LEDs with increasing SEI thickness is not so pronounced as the influence of SEI is less for thicker active regions, which in and of themselves necessarily thermalize the carriers. (C) 2013 AIP Publishing LLC

Localization of sound sources : a systematic review

Sound localization is a vast field of research and advancement which is used in many useful applications to facilitate communication, radars, medical aid, and speech enhancement to but name a few. Many different methods are presented in recent times in this field to gain benefits. Various types of microphone arrays serve the purpose of sensing the incoming sound. This paper presents an overview of the importance of using sound localization in different applications along with the use and limitations of ad-hoc microphones over other microphones. In order to overcome these limitations certain approaches are also presented. Detailed explanation of some of the existing methods that are used for sound localization using microphone arrays in the recent literature is given. Existing methods are studied in a comparative fashion along with the factors that influence the choice of one method over the others. This review is done in order to form a basis for choosing the best fit method for our use

The sedimentology of the Lower Permian Dandot Formation: a component of the Gondwana deglaciation sequence of the Salt Range, Pakistan

The Dandot Formation is a part of the Lower Permian, dominantly continental, Gondwanan Nilawahan Group in the Salt Range, Pakistan. The formation conformably overlies the glacio-fluvial Tobra Formation and has a sharp conformable contact with the overlying fluvio-continental Warchha Sandstone. Sedimentary analyses show that the Dandot Formation consists of 1: bioturbated sandstone lithofacies (L1), 2: dark green mudstone/shale lithofacies (L2), 3: flaser bedded sandstone lithofacies (L3), 4: rippled sandstone lithofacies (L4), 5: cross-bedded sandstone lithofacies (L5), and 6: planar sandstone lithofacies (L6). These can be grouped into shoreface, inner shelf, and tidal flat and estuarine facies associations, deposited in shallow marine to intertidal environments. The upper part of the Tobra Formation at the Choa-Khewra road section, where it conformably underlies the Dandot Formation, contains palynomorphs assignable to the earliest Permian 2141B Biozone. In south Oman, the 2141B Biozone is closely associated with the Rahab Shale Member, a widespread shale unit which is considered to represent part of a Permian deglaciation sequence which culminates in the marine beds of the Lower Gharif Member, interpreted as due to post glacial marine transgression. Thus, the Tobra Formation and the overlying marine Dandot Formation may form part of a similar deglaciation sequence

Ethylacetate fraction of Anthocleista vogelii Planch demonstrates antiobesity activities in preclinical models

Purpose: To assess the anti-obesity effect of liquid chromatography mass spectrometry (LCMS) profiled ethylacetate fraction (EF) of Anthocleista vogelii Planch on pancreatic lipase activity in vitro, and on obesity-related hormones in high-fat diet (HFD)-induced obese rats. Methods: Chromatographic analysis of EF to identify bioactive compounds was performed using LCMS electrospray ionization mass spectrometry (ESI-MS) positive mode. Thirty Sprague–Dawley rats were divided into 5 groups (n = 6). Group 1 was fed normal pellet diet, while groups 2 - 5 were fed high-fat diet (HFD) for 14 weeks. The rats were treated for 4 weeks from week 10 with 125 mg/kg of EF (group 3), 250 mg/kg of EF (group 4) or 100 mg/kg of orlistat (group 5). Results: Seven alkaloids were identified in EF, namely, 10-hydroxycamtothecin, moschamindole, camptothecin, moschamine, N6-cis-p-coumaroylserotonin, sinomenine and desacetylcolchicine. The EF of A. vogelii exhibited inhibitory activity against pancreatic lipase with half-maximal inhibitory concentration (IC50) of 8.76 ± 0.110 µg/mL. Rats treated with EF (125 and 250 mg/kg) of A. vogelii showed significantly (p < 0.05) decreased feed intake, body weight, leptin and insulin, when compared to HFD controls. Cortisol, serotonin and noradrenaline were significantly (p < 0.05) increased, but changes in thyroid hormones levels in EF-treated rats were not significant (p > 0.05) when compared to HFD controls. Conclusion: The EF of A. vogelii demonstrate anti-obesity activities by inhibiting pancreatic lipase, elevating serotonin and noradrenaline, and increasing leptin sensitivity, leading consequently to decreased body weight of rats. However, the clinical use of EF of A. vogelii as an antiobesity herbal remedy requires further studies on its mechanisms of action

Efficacy of mannan-oligosaccharide and live yeast feed additives on performance, rumen morphology, serum biochemical parameters and muscle morphometric characteristics in buffalo calves

The objective of the current study was to assess the effect of dietary supplementations of mannan-oligosaccharide, live yeast, and a combination of these two additives on growth performance, histo-morphology of the rumen, and muscle morphometric attributes in buffalo calves. A total of twenty buffalo calves (average weight of 25 kg) having 3 months of age were distributed according to a complete randomized design. All animals were individually stalled in the shed and were fed ad-libitum. Experimental animals were divided into four groups for 67 days: Control group(without the inclusion of dietary supplementation); MOS group (Mannan oligosaccharide 5 g/clave/day; Yeast group (Live yeast 2g/calve/day) and Mixed group (MOS + Live Yeast 2.5g + 1g )/calve/day. Experimental results revealed that combined supplementation of MOS and Yeast and MOS alone resulted in an increased number of short-chain fatty acids in the rumen as well as ruminal pH (P<0.05). Results showed a significant improvement in average daily gain and FCR of MOS and Mixed supplemented groups (P<0.05). Histomorphological evaluation of rumen mucosal epithelium showed a significant improvement in the mixed-supplemented group (P<0.05) as compared to the yeast-supplemented and control groups. Muscle quality parameters such as meat texture showed significant improvement in MOS and mix-supplemented groups. Histological examination of longissimus dorsi muscle cross-section showed a significantly higher(P<0.05) muscle fiber and muscle fascicle diameter in both MOS and mix-supplemented calves groups. In conclusion, the results of this experiment revealed that the dietary addition of MOS, Live yeast, and their combination have positive effects on growth performance, rumen histology indices, and muscle morphometric features in buffalo calves.Comment: Pages 13, 4 figure

A COMPARATIVE STUDY OF FIVE LOQUAT GENOTYPES AT TRET, MURREE, PAKISTAN

Abstract Five loquat genotypes were studied at Horticultural Research Sub-station Tret, Murree, Pakistan. Randomized Complete block Design was used and data was analysed statistically. Significant differences were observed among the genotypes in terms of fruit length, fruit width, width length index, fruit weight, flesh seed ratio, number of fruits / bunch, days from full bloom to maturity, number of seeds / fruit, individual seed weight and seed content / fruit. Tret4 was observed to be the best genotype having largest fruit (38.77g), highest flesh seed ratio (2.80) and yield / plant (54.93 kg). Tret5 remained at bottom with reference to flesh seed ratio of 2.11 and 33.71 kg yield / plant