315 research outputs found

    Three rare and accidental findings of hemoglobinopathies encountered in high-performance liquid chromatography: case series

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    Hemoglobinopathies are the leading cause of some major genetic and social health problem in India. Among all hemoglobinopathies, sickle cell disorder and thalassemia are commonly found in Gujarat state. Double heterozygous state of hemoglobin S and D, hemoglobin E trait, hemoglobin D disease are very uncommon. In present instance, one case of 25-year-old male was diagnosed with sickle cell hemoglobin D disease. The case was confirmed through slide-based sickle test and high-performance liquid chromatography (HPLC). The peripheral smear findings showed presence of microcytic hypochromic red blood cells (RBCs) and many sickled RBCs. Ultrasonography (USG) findings showed hepatomegaly. Second case of 30-year-old female was diagnosed with hemoglobin E trait. The case was confirmed by HPLC. The peripheral findings showed normocytic normochromic RBCs and occasional target cells. Presence of gross hepatomegaly on palpation. Third case of 20-year-old female was diagnosed with hemoglobin D trait. The case was confirmed by HPLC. The peripheral findings showed normocytic normochromic RBCs

    Intraventricular dissemination of the pilocytic astrocytomas in an adult

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    Pilocytic astrocytoma (PA) is a subset of gliomas characterized by a benign course with an excellent prognosis and rarely metastasizing or spreading along the neuraxis. We report a case of a 56-year female with intraventricular dissemination of pilocytic astrocytoma in an adult and discuss the clinical significance diagnosis and management including the peculiar pattern of dissemination of the pilocytic astrocytoma. The course of the disseminated disease may not be as good as that of patients with localized recurrence or totally resected primary disease and can vary from rapid progression to prolonged stabilization

    Studying the effectiveness of mixed models of community based and institutional based interventions for management of severe acute malnourished children

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    Background: Children with severe acute malnutrition (SAM) have nine times higher risk of dying than well- nourished children. Child malnutrition can be managed by community based approach (80-85% SAM children) and institution based approach (10-15% SAM children). The objective of the study is to know the effectiveness of the mixed interventions to improve the nutritional status of the children (0-6 yrs), to decrease the prevalence of malnutrition in the children attending ICDS in Rajkot city for combating child malnutrition. Methods: A baseline survey of total registered 26578 children was carried out at 330 anganwadis and 701 SAM children were identified till the end of June 2014. A model of mixed interventions i.e. i) Community based management consisting of special food program, monthly health checkup and treatment and health education to parents, ii) Institution based management of SAM children with complication was planned and implemented since July 2014.Results: 701 children were identified as SAM at the beginning of the intervention while 160 children were SAM at the end of March 2015. The difference in the proportion of SAM children before and after intervention was statistically significant. An improvement of 80.9% in the status of SAM children was seen among boys while 74.1% was seen among girls.Conclusion: Convergence of Health and ICDS activities, high risk approach, community based and institutional management and community awareness in combating the malnutrition showed significant effect. This model can be replicated elsewhere and sustainability may be ensured for long term results.

    The Sheared Central Venous Catheter?

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    A fractured central venous catheter (CVC) with embolization of the distal fragment may lead to life-threatening complications. We had inserted a right subclavian CVC in a 68-year-old female which upon a follow-up chest X-ray appeared to have been sheared. A guidewire was inserted through the CVC until the J-tip was just beyond the tip of the CVC which were then withdrawn as a single assembly. We suspected that the tip of the guidewire might have been entrapped in the opening of the middle port, which upon withdrawal of the guidewire could have led to CVC folding upon itself and shearing

    Cervical Perineural Cyst Masquerading as a Cervical Spinal Tumor

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    Tarlov (perineural) cysts of the nerve roots are common and usually incidental findings during magnetic resonance imaging of the lumbosacral spine. There are only a few case reports where cervical symptomatic perineural cysts have been described in the literature. We report such a case where a high cervical perineural cyst was masquerading as a cervical spinal tumor

    Development of decadal (1985–1995–2005) land use and land cover database for India

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    India has experienced significant Land-Use and Land-Cover Change (LULCC) over the past few decades. In this context, careful observation and mapping of LULCC using satellite data of high to medium spatial resolution is crucial for understanding the long-term usage patterns of natural resources and facilitating sustainable management to plan, monitor and evaluate development. The present study utilizes the satellite images to generate national level LULC maps at decadal intervals for 1985, 1995 and 2005 using onscreen visual interpretation techniques with minimum mapping unit of 2.5 hectares. These maps follow the classification scheme of the International Geosphere Biosphere Programme (IGBP) to ensure compatibility with other global/regional LULC datasets for comparison and integration. Our LULC maps with more than 90% overall accuracy highlight the changes prominent at regional level, i.e., loss of forest cover in central and northeast India, increase of cropland area in Western India, growth of peri-urban area, and relative increase in plantations. We also found spatial correlation between the cropping area and precipitation, which in turn confirms the monsoon dependent agriculture system in the country. On comparison with the existing global LULC products (GlobCover and MODIS), it can be concluded that our dataset has captured the maximum cumulative patch diversity frequency indicating the detailed representation that can be attributed to the on-screen visual interpretation technique. Comparisons with global LULC products (GlobCover and MODIS) show that our dataset captures maximum landscape diversity, which is partly attributable to the on-screen visual interpretation techniques. We advocate the utility of this database for national and regional studies on land dynamics and climate change research. The database would be updated to 2015 as a continuing effort of this study

    Trapping dust particles in the outer regions of protoplanetary disks

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    In order to explain grain growth to mm sized particles and their retention in outer regions of protoplanetary disks, as it is observed at sub-mm and mm wavelengths, we investigate if strong inhomogeneities in the gas density profiles can slow down excessive radial drift and can help dust particles to grow. We use coagulation/fragmentation and disk-structure models, to simulate the evolution of dust in a bumpy surface density profile which we mimic with a sinusoidal disturbance. For different values of the amplitude and length scale of the bumps, we investigate the ability of this model to produce and retain large particles on million years time scales. In addition, we introduced a comparison between the pressure inhomogeneities considered in this work and the pressure profiles that come from magnetorotational instability. Using the Common Astronomy Software Applications ALMA simulator, we study if there are observational signatures of these pressure inhomogeneities that can be seen with ALMA. We present the favorable conditions to trap dust particles and the corresponding calculations predicting the spectral slope in the mm-wavelength range, to compare with current observations. Finally we present simulated images using different antenna configurations of ALMA at different frequencies, to show that the ring structures will be detectable at the distances of the Taurus Auriga or Ophiucus star forming regions.Comment: Pages 15, Figures 14. Accepted for publication in Astronomy and Astrophysic

    Experimental Investigations of Alpha Particle Irradiation of Natural Nickel

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    Attempts have been made to measure the activity in irradiated natural Ni material induced by α-particles in the energy range 10-40 MeV followed by stack foil activation technique. Activity induced has been determined through the cross-sections obtained from various reactions for 58Ni(α, p)61Cu, 58Ni(α,  pn)60Cu, 60Ni(α, p2n)61Cu, 60Ni(α, n)63Zn, 60Ni(α, 2n)62Zn,61Ni(α, 3n)62Zn and 61Ni(α, 2n)63Zn in α+natNi interaction at different beam energies has been found to vary from 10-26 microns

    Report of the Task Force on Enhancing technology use in agriculture insurance

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    Pradhan Mantri Fasal Bima Yojana (PMFBY) is a flagship scheme of the Government of India to provide insurance coverage and financial support to farmers in the event of failure of any of the notified crops, unsown area and damage to harvest produce as a result of natural calamities, pests and diseases to stabilise the income of farmers, and to encourage them to adopt modern agricultural practices. The scheme is a considerable improvement over all previous insurance schemes in India and is heavily subsidised by the state and central governments. The scheme aims to cover 50 percent of the farming households within next 3 years. During its implementation in the last one season, several challenges relating to enrolment, yield estimation, loss assessment, and claim settlement were reported by farmers, insurance companies as well as the state governments. It was also noted that several technological opportunities existed for possibly leveraging support to the Indian crop insurance program for enhanced efficiency and effectiveness. NITI Aayog of the Government of India, therefore, constituted a Task Force to deliberate on this subject and identify such potential opportunities. This report summarises the recommendations of the Task Force. The Task Force constituted to address the issue of technology support to crop insurance comprised the following 5 sub-groups: (1) Remote Sensing & Drones; (2) Decision Support Systems, Crop Modelling & Integrated Approaches; (3) IT/ICT in Insurance; (4) Crop Cutting Experiments (CCEs); and (5) Technologies for Livestock and Aquaculture Insurance. Each sub-group had several discussions with experts in the respective areas, and submitted draft reports. More than 100 experts related to professional research agencies, insurance industry, banks, and the government contributed to these discussions. Technological options available in the country and abroad were considered by all groups. The Task Force together with the sub-groups then deliberated on key issues and formulated its recommendations as presented in this report. During the discussions it was realised that there were many administrative and institutional issues that needed to be addressed in PMFBY. However, the focus of the Task Force was on its main mandate, technology use in crop insurance. We hope these recommendations would help the Indian crop insurance sector take full advantage of the technological options suggested so as to increase its efficacy and effectiveness leading to reduced agrarian distress in the country

    Pere Alberch's developmental morphospaces and the evolution of cognition

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    In this article we argue for an extension of Pere Alberch's notion of developmental morphospace into the realm of cognition and introduce the notion of cognitive phenotype as a new tool for the evolutionary and developmental study of cognitive abilities
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