328 research outputs found

    Comparative assessment of severity and prognosis of acute pancreatitis through APACHE II and HAPS predictor models

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    Background: Acute pancreatitis is one of the leading causes of hospitalization amongst all gastrointestinal disorders with high burden of morbidity and mortality. Predicting the progression of AP in terms of course and outcome to determine suitable management strategy and level of care is challenging. A number of predictor models are developed to predict the severity of acute pancreatitis but they vary in their definitions of severity. HAPS have been proposed as a simple scoring tool for assessment of severity and prognosis of acute pancreatitis. Thus, the aim of present study was to investigate the usefulness of HAPS predictor model against APACHE II model.Methods: Current investigation was a hospital based prospective study conducted on 80 proven cases of acute pancreatitis at K. K. hospital, Uttar Pradesh. The serum amylase and lipase levels of all enrolled patients, were tested and measured at admission, and at 48 and 72 hours post admission. The pancreatitis-specific clinical investigations like; HAPS, APACHE II were calculated and assessed statistically in terms of sensitivity, specificity, positive and negative predictive values and accuracy.Results: The findings of present investigation revealed that amongst the two scoring systems, APACHE II was superior predictor model in terms of sensitivity and specificity for various outcomes like severe acute pancreatitis, hospital stay >7 days and in-hospital mortality. However, HAPS exhibited high specificity for all the outcomes.Conclusions: HAPS can be recommended as a useful tool for early evaluation of acute pancreatitis in patients specifically in primary care settings of developing countries like India

    Scaling Analysis and Application: Phase Diagram of Magnetic Nanorings and Elliptical Nanoparticles

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    The magnetic properties of single-domain nanoparticles with different geometric shapes, crystalline anisotropies and lattice structures are investigated. A recently proposed scaling approach is shown to be universal and in agreement with dimensional analysis coupled with an assumption of {\em incomplete} self-similarity. It is used to obtain phase diagrams of magnetic nanoparticles featuring three competing configurations: in-plane and out-of-plane ferromagnetism and vortex formation. The influence of the vortex core on the scaling behavior and phase diagram is analyzed. Three-dimensional phase diagrams are obtained for cylindrical nanorings, depending on their height, outer and inner radius. The triple points in these phase diagrams are shown to be in linear relationship with the inner radius of the ring. Elliptically shaped magnetic nanoparticles are also studied. A new parametrization for double vortex configurations is proposed, and regions in the phase diagram are identified where the double vortex is a stable ground state.Comment: 9 pages, 7 figures; added references, and discussion, as suggested by referee

    A Study of Swelling Pressure of Soil along Left Bank Canal of BARGI Dam

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    When an expansive soil attracts and accumulates water a pressure known as swelling or expansion pressure builds up in the soil and it is exerted on the overlying materials and structures if they are any. On the other hand, tests to determine index properties are quite simple and less expensive. A correlation for the quick analysis of swell pressure of soil from the graph generated between different soil engineering parameters such as (OMC, MDD, PI, ACTIVITY OF SOIL and RL) and SWELLING PRESSURE2 ( inKPa). In this study, an attempt is made to correlate swell pressure with reduced depth of the location along the left bank canal

    A case of phenobarbitone induced Stevens-Johnson syndrome-toxic epidermal necrolysis along with its causality assessment

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    Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe cutaneous adverse drug reaction, which are mainly caused by drugs; and these are usually associated with high degree of morbidity and mortality. They are characterized by mucocutaneous tenderness and typically haemorrhagic erosions, erythema and more or less severe epidermal detachment as blisters and areas of denuded skin.¬† High risk drugs for the development of SJS-TEN include phenobarbitone, phenytoin, carbamazepine, lamotrigine, nevirapine, NSAIDs, allopurinol, and cotrimoxazole. A 33 years old female patient came to skin and venereal diseases (VD) outpatient department (OPD) with complaints of painful skin lesions. She was apparently symptom free 15 days back. Then she took tablet phenobarbitone 60 mg, BD as her anti-epileptic treatment. After 12-13 days of taking the drug, she developed erythematous papules associated with itching over her both forearm, face, chest, abdomen, back and lower limbs bilaterally which rapidly progressed to fluid-filled blisters that ruptured to form painful erosions and desquamation of skin all over the body. The patient was managed by withdrawal of phenobarbitone and conservatively, and the patient recovered successfully. The causality of phenobarbitone in this reaction was ‚Äúprobable‚ÄĚ as per Naranjo scale. Seriousness of the reaction was ‚Äúprolonged hospitalization‚ÄĚ. Phenobarbitone is one of the most common causative agents of SJS and TEN. The main stay of treatment is immediate withdrawal of causative agent along with supportive care

    Magnetization dynamics due to field interplay in field free spin Hall nano-oscillators

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    Spin Hall nano oscillators (SHNOs) have shown applications in unconventional computing schemes and broadband frequency generation in the presence of applied external magnetic field. However, under field-free conditions, the oscillation characteristics of SHNOs display a significant dependence on the effective field, which can be tuned by adjusting the constriction width, thereby presenting an intriguing area of study. Here we study the effect of nano constriction width on the magnetization dynamics in anisotropy assisted field free SHNOs. In uniaxial anisotropy-based field-free SHNOs, either the anisotropy field or the demagnetization field can dominate the magnetization dynamics depending on the constriction width. Our findings reveal distinct auto-oscillation characteristics in narrower constrictions with 20 nm and 30 nm constriction width compared to their wider counterpart with 100 nm width. The observed frequency shift variations with input current and constriction widths stem from the inherent nonlinearity of the system. The interplay between the B_demag and B_anis, coupled with changes in constriction width, yields rich dynamics and offers control over frequency tunability, auto oscillation amplitude, and threshold current. Notably, the spatial configuration of spin wave wells within the constriction undergoes transformations in response to changes in both constriction width and anisotropy. The findings highlight the significant influence of competing fields at the constriction on the field-free auto oscillations of SHNOs, with this impact intensifying as the constriction width is varied.Comment: 25 pages, 11 figure

    Metronidazole induced neurotoxicity: a case report

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    Metronidazole is a well-known antimicrobial agent, used for the treatment of anaerobic bacterial and protozoal infections. It is generally well tolerated with common side effects like nausea, dizziness, headache and metallic taste in the mouth. But prolonged use of metronidazole can cause neurotoxicity like ataxic gait, dysarthria, seizures and encephalopathy. Here, we are reporting a case of a 60 years old male patient who was a chronic alcoholic with liver abscess and he developed acute ataxia and dysarthria after four weeks use of metronidazole. The causality of metronidazole in this case was ‚Äúprobable‚ÄĚ with score 7 as per Naranjo scale. The patient was managed by discontinuing the metronidazole and there was considerable improvement in his gait and speech after that. The case was recorded properly in adverse drug reaction reporting form and was sent to nearby adverse drug reaction (ADR) monitoring centre

    Artery of percheron infarction: case reports and literature review

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    The artery of Percheron is a rare anatomic variant supplying the thalamus and the rostral midbrain. Infarct in this territory results in a wide array of neurological signs and symptoms causing diagnostic dilemma and management issues. We describe the clinical presentations in three cases admitted and evaluated for neurological symptoms and diagnosed as artery of percheron infarct after brain imaging. In one patient, the etiology turned out to be infective while the other two patients had cerebrovascular accident secondary to dilated cardiomyopathy and hyper homcystinimea respectively. Artery of percheron infarction is a rare entity and should be considered in patients with altered sensorium and behavioral manifestations with associated eye abnormalities. MRI brain is the investigation of choice to detect this rare variant of thalamic circulation.
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