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Purpose: To assess the accuracy of e-Paarvai, an artificial intelligence-based smartphone application (app) that detects and grades cataracts using images taken with a smartphone by comparing with slit lamp-based diagnoses by trained ophthalmologists. Methods: In this prospective diagnostic study conducted between January and April 2022 at a large tertiary-care eye hospital in South India, two screeners were trained to use the app. Patients aged >40 years and with a best-corrected visual acuity <20/40 were recruited for the study. The app is intended to determine whether the eye has immature cataract, mature cataract, posterior chamber intra-ocular lens, or no cataract. The diagnosis of the app was compared with that of trained ophthalmologists based on slit-lamp examinations, the gold standard, and a receiver operating characteristic (ROC) curve was estimated. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were computed. Results: The two screeners used the app to screen 2,619 eyes of 1,407 patients. In detecting cataracts, the app showed high sensitivity (96%) but low specificity (25%), an overall accuracy of 88%, a PPV of 92.3%, and an NPV of 57.8%. In terms of cataract grading, the accuracy of the app was high in detecting immature cataracts (1,875 eyes, 94.2%), but its accuracy was poor in detecting mature cataracts (73 eyes, 22%), posterior chamber intra-ocular lenses (55 eyes, 29.3%), and clear lenses (2 eyes, 2%). We found that the area under the curve in predicting ophthalmologists' cataract diagnosis could potentially be improved beyond the app's diagnosis based on using images only by incorporating information about patient sex and age (P < 0.0001) and best-corrected visual acuity (P < 0.0001). Conclusions: Although there is room for improvement, e-Paarvai app is a promising approach for diagnosing cataracts in difficult-to-reach populations. Integrating this with existing outreach programs can enhance the case detection rate. [ABSTRACT FROM AUTHOR]

Fruits and vegetables are major sources of nutrients for the majority of the population across the globe. With the rapid increase in population, the objectives of the future agro-industry are to reduce product loss while increasing product quality and productivity considerably. Consequently, farmers need to be assisted with cutting-edge technologies for sustainable, eco-friendly, and efficient farming. Smart farming for early disease recognition and control is the current hot-spot research objective in the fruitage domain. The precision agriculture era has been revolutionized by federating cutting-edge technologies like machine learning, deep learning, and, the Internet-of-Things. However, the existing studies focused on the impact of individual technology on single or multiple cultivars of edible fruits or vegetables. Limited areas of the fruitage disease remain explored, necessitating further investigation into the research gaps and challenges identified for implementing the smart practices in real-field farmlands. In this paper, a comprehensive survey of recent advancements in fruit and vegetable disease identification and classification is presented. The technology-wise state-of-the-art findings, gaps, challenges, and future opportunities for fruitage disease recognition have been presented, covering 99 research articles. Moreover, the corpus of publicly available fruit and vegetable datasets has been investigated, with the existing gaps, improvements, and future requirements. The research paper concludes with challenges and a future outlook that promises to be a very significant and valuable resource for researchers working in the area of agronomic disease monitoring. [ABSTRACT FROM AUTHOR]

One common genetic alteration in cancer is gene fusion resulting from chromosomal translocations. The mechanisms that create such oncogenic fusion genes are not well understood. Previously, we provided the direct evidence that expression of a designed chimeric RNA can drive the formation of TMPRSS2-ERG gene fusion. Central to this RNA-mediated gene fusion mechanism is a proposed three-way junction formed by RNA/DNA hybrid and the intergenic DNA stem formed by target genes. In this study, we determined the important parameters for chimeric RNA-mediated gene fusion using TMPRSS2-ERG fusion gene as the model. Our results indicate that both the chimeric RNA lengths and the sizes of unpaired bulges play important roles in inducing TMPRSS2-ERG gene fusion. The optimal length of unpaired bulges was about 35 nt, while the optimal chimeric RNA length was about 50 nt for targeting. These observations were consistent regardless of the target locations within TMPRSS2 and ERG genes. These empirically determined parameters provide important insight for searching cellular RNAs that may initiate oncogenic fusion genes. The knowledge could also facilitate the development of useful genomic technology for manipulating mammalian genomes. [ABSTRACT FROM AUTHOR]

Oncogenic fusion genes as the result of chromosomal rearrangements are important for understanding genome instability in cancer cells and developing useful cancer therapies. To date, the mechanisms that create such oncogenic fusion genes are poorly understood. Previously we reported an unappreciated RNA-driven mechanism in human prostate cells in which the expression of chimeric RNA induces specified gene fusions in a sequence-dependent manner. One fundamental question yet to be addressed is whether such RNA-driven gene fusion mechanism is generalizable, or rather, a special case restricted to prostate cells. In this report, we demonstrated that the expression of designed chimeric RNAs in human endometrial stromal cells leads to the formation of JAZF1-SUZ12, a cancer fusion gene commonly found in low-grade endometrial stromal sarcomas. The process is specified by the sequence of chimeric RNA involved and inhibited by estrogen or progesterone. Furthermore, it is the antisense rather than sense chimeric RNAs that effectively drive JAZF1-SUZ12 gene fusion. The induced fusion gene is validated both at the RNA and the genomic DNA level. The ability of designed chimeric RNAs to drive and recapitulate the formation of JAZF1-SUZ12 gene fusion in endometrial cells represents another independent case of RNA-driven gene fusion, suggesting that RNA-driven genomic recombination is a permissible mechanism in mammalian cells. The results could have fundamental implications in the role of RNA in genome stability, and provide important insight in early disease mechanisms related to the formation of cancer fusion genes. Author summary: Fusion genes resulting from chromosomal translocations are important for understanding cancer mechanisms and developing anti-cancer therapies. Fusion gene are presumed to occur prior to fusion RNA expression. However, studies have reported the presence of fusion RNAs in individuals who were negative for chromosomal translocations. The observation, that fusion RNA could be present prior to fusion gene formation, raises the provocative hypothesis that fusion RNA, or any cellular RNA with sequence compositions resembling that of fusion RNA, could act as a template to mediate genomic rearrangement which leads to the final gene fusion. In this report, we demonstrated that the expression of designed chimeric RNAs in human endometrial stromal cells leads to the formation of JAZF1-SUZ12, a cancer fusion gene found in endometrial stromal sarcomas. The process is specified by the sequence of chimeric RNA involved and inhibited by estrogen or progesterone. Furthermore, it is the antisense rather than sense chimeric RNAs that effectively drive JAZF1-SUZ12 gene fusion. The results could have fundamental implications in the role of RNA in mammalian genome stability, provide important insight in early disease mechanism, as well as developing gene editing technology via mechanisms native to mammalian cells. [ABSTRACT FROM AUTHOR]

Background: Identification and characterisation of monogenic causes of complex neurological phenotypes are important for genetic counselling and prognostication. Bi-allelic pathogenic variants in the gene encoding GLRX5, a protein involved in the early steps of Fe-S cluster biogenesis, are rare and cause two distinct phenotypes: isolated sideroblastic anemia and a neurological phenotype with variant non-ketotic hyperglycinemia. In this study, we analysed the evolution of clinical and MRI findings and long-term outcome of patients with GLRX5 mutations.Methods: Four patients from three Australian families of Lebanese descent were identified. All patients presented in childhood and were followed up into adult life through multiple clinical assessments. All were prescribed sodium benzoate.Results: All patients (all females, age range 18-56 years) showed a complex neurological phenotype characterised by varying combinations of spastic paraparesis, length-dependent motor/sensory-motor axonal polyneuropathy, and psychiatric disturbances with variable intellectual disability. All had non-ketotic hyperglycinemia and a homozygous pathogenic c.151_153delAAG (p.K51del) change in GLRX5. Motor disability gradually progressed reaching moderate disability during adolescence and moderately severe disability during adult life. The major MRI finding was the upper cervical spinal cord signal changes with contrast enhancement noted in all and additional leukoencephalopathy in one. On follow up MRI, the white matter lesions diminished on a subsequent scan and then remained static over time. The spinal cord showed gliotic changes. Two patients have previously demonstrated low pyruvate dehydrogenase complex deficiency but none had plasma lactate elevation, nor biochemical evidence of branch-chain keto-dehydrogenase deficiency. Glycine levels reduced in patients that tolerated sodium benzoate, possibly stabilising clinical manifestations.Conclusions: This report demonstrates that the p.K51del GLRX5 variant causes a distinct and predictable neurological phenotype. The clinical assessments spanning from childhood to adult life enable physicians to infer the natural history of GLRX5 related neurological disorder. There may be widespread metabolic consequences, and optimal management is unknown. [ABSTRACT FROM AUTHOR]

Background: India is among countries with a high maternal mortality rate. Every pregnant woman is at risk of developing pregnancy-related complication. It is not understood if and how the information and education on danger signals of pregnancy; translates into appropriate actions when a woman experiences a danger signal. Knowledge and recognition of danger signals during pregnancy would result in timely emergency obstetric care. Aims and Objectives: This study aims to determine the knowledge of key danger signals of pregnancy and its associated factors among the clients of maternal health services in tertiary care teaching hospital, Pune. Materials and Methods: This was a cross-sectional study conducted in obs. and gyne. dept. of tertiary care hospital for a period of 1 month that enrolled 55 eligible women who attended ANC and PNC clinic within study period. Ethical approval for the study was obtained from the IEC. The women were interviewed using a pre-tested questionnaire. All the women attending ANC and PNC clinic with a minimum of four ANC visits qualified the women for the inclusion in the study. Data analysis was performed using SPSS Version 20. The analyzed data were presented in suitable tabular format. Results: Out of 55 mothers, 43.6% know about four or more danger signals whereas 56.4% have knowledge of <4. The most recalled danger signals by the clients was labor pain before 8 months (70.9%), while no one is aware about the danger signal failure of placenta to come out (0%). Conclusion: This study indicated that the knowledge level of women regarding danger signals of pregnancy was low and affected by education level. Therefore, the identified deficiencies in awareness should be addressed through maternal and child health services. [ABSTRACT FROM AUTHOR]

Purpose: To develop predictive models to identify cataract surgery patients who are more likely to benefit from refraction at a four-week postoperative exam.Methods: In this retrospective study, we used data of all 86,776 cataract surgeries performed in 2015 at a large tertiary-care eye hospital in India. The outcome variable was a binary indicator of whether the difference between corrected distance visual acuity and uncorrected visual acuity at the four-week postoperative exam was at least two lines on the Snellen chart. We examined the following statistical models: logistic regression, decision tree, pruned decision tree, random forest, weighted k-nearest neighbor, and a neural network. Predictor variables included in each model were patient sex and age, source eye (left or right), preoperative visual acuity, first-day postoperative visual acuity, intraoperative and immediate postoperative complications, and combined surgeries. We compared the predictive performance of models and assessed their clinical impact in test samples.Results: All models demonstrated predictive accuracy better than chance based on area under the receiver operating characteristic curve. In a targeting exercise with a fixed intervention budget, we found that gains from predictive models in identifying patients who would benefit from refraction ranged from 7.8% (increase from 1500 to 1617 patients) to 74% (increase from 250 to 435 patients).Conclusion: The use of predictive statistical models to identify patients who are likely to benefit from refraction at follow-up can improve the economic efficiency of interventions. Simpler models like logistic regression perform almost as well as more complex machine-learning models, but are easier to implement. [ABSTRACT FROM AUTHOR]

The article focuses on GM1-gangliosidosis, a rare disorder characterized by β-galactosidase enzyme deficiency, discussing cutaneous manifestations like extensive telangiectasias and Mongolian spots. Topics include the clinical implications of these cutaneous clues in aiding diagnosis, the association of certain diseases with such cutaneous presentations, and their role as indicators of inborn errors of metabolism, particularly in lysosomal storage disorders.

Antalgic gait is a common clinical presentation among pediatric patients and can have many different etiologies, with rare life-threatening etiologies including primary bone malignancies. Osteosarcoma is the most common primary malignancy of bone in pediatric and adolescent patients. The incidence rate of osteosarcoma has been reported as high as 5 to 7 per million among patients 19 years old or younger with males slightly more affected than females and African-Americans more than other racial groups. This report describes the case of a five-year-old African-American female who presented with an antalgic gait secondary to osteosarcoma in the left distal femur and follows her through treatment. In this case, the age is atypical as the peak incidence for osteosarcoma is around 16 years of age and is postulated to coincide with growth spurts. Osteosarcoma can have a range of presentations making it difficult to diagnose, which can cause delays in treatment and potential poor patient outcomes. Due to this, such a diagnosis must be included in the differential for patients presenting with antalgic gait. Because primary-care physicians and pediatricians may be the first medical providers to encounter patients with osteosarcoma, it is imperative that such clinicians are familiar with the signs and symptoms associated with osteosarcomas in order to reduce the risk of metastasis and disease progression and prevent treatment delays. Additionally, we believe these clinicians should have a low threshold to refer patients to orthopedists or oncologic specialists in the cases of persistent pain or inconsistencies with history, physical exam, and diagnostic studies. Finally, direct communication and discussion between radiologists and referring clinicians helps decrease delays in diagnosing of osteosarcoma and other life-threatening conditions. [ABSTRACT FROM AUTHOR]

Mobile ad hoc network (MANET) is an infrastructure-less, self-motivated, arbitrary, self-configuring, rapidly changing, multi-hop network that is self-possessing wireless bandwidth-conscious links without centrally managed router support. In such a network, wireless media is easy to snoop. It is firm to the surety to access any node, easier to insertion of bad elements or attackers for malicious activities in the network. Therefore, security issues become one of the significant considerations for such kind of networks. The deployment of an effective intrusion detection system is important in order to provide protection against various attacks. In this paper, a Digitally Signed Secure Acknowledgement Method (DSSAM) with the use of the RSA digital signature has been proposed and simulated. Three different parameters are considered, namely secure acknowledgment, node authentication, and packet authentication for study. This article observes the DSSAM performance and compares it with two existing standard methods, namely Watchdog and 2-ACK under standard Dynamic Source Routing (DSR) routing environment. In the end, it is noticed that the rate of detection of malicious behaviour is better in the case of the proposed method. However, associated overheads are high. A trade-off between performance and overhead has been considered. [ABSTRACT FROM AUTHOR]

Biphasic pulmonary blastoma is a rare but lethal type of lung malignancy with characteristic histology of both epithelial and mesenchymal components. Previously reported cases have been limited to presentation at advanced stages, suggesting that the clinical course of the disease is usually aggressive. Here, we report a case of incidental diagnosis of biphasic pulmonary blastoma by imaging surveillance in a patient previously treated for adenocarcinoma of the lung. The patient was diagnosed with stage 1 disease and underwent successful resection. Next‐generation sequencing (NGS) revealed a high mutation burden, a finding not previously reported in a patient with biphasic pulmonary blastoma. [ABSTRACT FROM AUTHOR]

Ischemic gut or splanchnic hypoperfusion is a life-threatening emergency and it is associated with high mortality. It requires prompt diagnosis and intervention to establish the mesenteric blood flow, hence an attempt to avoid gut necrosis. Despite the understanding of pathogenesis of acute mesenteric ischemia and advanced treatment and revascularization techniques, it still remains a big diagnostic dilemma for the clinicians. Any delay in diagnosis and appropriate treatment affects the overall outcome of the patient. The high incidence of sepsis and multiorgan failure requires high-quality intensive care management. [ABSTRACT FROM AUTHOR]

The aim of this work is to design, characterize, and manufacture a new class of passive actuators that are composed of natural chitosan biopolymers and 3D printed carbon fiber composites (CFRP). These actuators leverage variation in the physical properties of chitosan films with respect to their water content to produce programmable deformation. To control the actuator and its performance, various fundamental physicochemical material characterizations such as microstructural, thermal, hygroscopic swelling for chitosan films, and mechanical analyses were conducted for both materials to validate their properties for the intended application. The morphological behavior confirmed that there was good miscibility with no phase separation in chitosan film, and 3D printed CFRP possesses consistent accuracy irrespective of its minor defects. The swelling ratio of chitosan films was determined as a means of measuring the tunable hygroscopic expansion. According to thermal and mechanical analysis, both polymers possess strength and stiffness desirable for actuator design. Initial built prototypes of small-scale actuators were tested to guide the manner in which the passive actuation behavior could be directed for functional transformations. The results were integrated into CAD software to simulate a large-scale prototype that was subsequently fabricated. The experimental and simulated motions of the large-scale actuator were compared, and the overall performance was discussed with respect to structural integrity and response time. [ABSTRACT FROM AUTHOR]

Introduction: Tracheostomy is among the common procedures performed in the intensive care unit (ICU), with percutaneous dilatational tracheostomy (PDT) being the preferred technique. We sought to understand the current practice of tracheostomy in Indian ICUs. Materials and methods: A pan-India multicenter prospective observational study, endorsed and peer-reviewed by the Indian Society of Critical Care Medicine (ISCCM), on various aspects of tracheostomy performed in critically ill patients was conducted between September 1, 2019 and December 31, 2019. The SPSS software was used for the statistical analysis. Cross tables were generated and the chi-square test was used for testing of association. The p value < 0.05 was considered statistically significant. Results: Out of 67 ICUs that participated, 88.1% were from private sector hospitals. A total of 923 tracheostomies were performed during the study period; out of which, 666 were PDT and 257 were surgical tracheostomy (ST). Coagulopathic patients received more platelet transfusion [p = 0.037 with platelet count (PC) < 50 × 109, p = 0.021 with PC 50-100 × 109] and fresh frozen plasma transfusion in the ST group (p = 0.0001). The performance of PDT vs ST by day 7 of admission was 28.4% vs 21% (p = 0.023). The single dilator technique (60.4%) was the preferred technique for PDT followed by the Grigg's forceps and then the multiple dilator technique. Fiberoptic bronchoscope (FOB) and ultrasonography (USG) were used in 29.3% and 16.8%, respectively, for guidance during tracheostomy. Most of the PDTs were performed by a trained intensivist (74.2%), whereas ST was mostly done by an ENT surgeon (56.8%). Percutaneous dilatational tracheostomy resulted in less hemorrhagic (2.6% vs 7%, p = 0.002) and desaturation complications (2.3% vs 6.6%, p = 0.001) as compared to ST. The duration of procedure was shorter in the PDT group (average shortening by 9.2 minutes) and the ventilator-free days (VFD) were higher in the PDT group. The cost was less in PDT by approximately Rs. 13,104. Conclusion: Percutaneous dilatational tracheostomy, especially the single dilator technique, is preferred by clinicians in Indian ICUs. The incidence of minor complications like hemorrhagic episodes is lower with PDT. Percutaneous dilatational tracheostomy was found to be cheaper on cost per patient basis as compared to ST (with or without complications). [ABSTRACT FROM AUTHOR]

Background and Aim: Critically ill patients on mechanical ventilation undergo tracheostomy to facilitate weaning. The practice in India may be different from the rest of the world and therefore, in order to understand this, ISCCM conducted a multicentric observational study "DIlatational percutaneous vs Surgical tracheoStomy in intEnsive Care uniT: A practice pattern observational multicenter study (DISSECT Study)" followed by an ISCCM Expert Panel committee meeting to formulate Practice recommendations pertinent to Indian ICUs. Materials and methods: All existing International guidelines on the topic, various randomized controlled trials, meta-analysis, systematic reviews, retrospective studies were taken into account to formulate the guidelines. Wherever Indian data was not available, international data was analysed. A modified Grade system was followed for grading the recommendation. Results: After analyzing the entire available data, the recommendations were made by the grading system agreed by the Expert Panel. The recommendations took into account the indications and contraindications of tracheostomy; effect of timing of tracheostomy on incidence of ventilator associated pneumonia, ICU length of stay, ventilator free days & Mortality; comparison of surgical and percutaneous dilatational tracheostomy (PDT) in terms of incidence of complications and cost to the patient; Comparison of various techniques of PDT; Use of fiberoptic bronchoscope and ultrasound in PDT; experience of the operator and qualification; certain special conditions like coagulopathy and morbid obesity. Conclusion: This document presents the first Indian recommendations on tracheostomy in adult critically ill patients based on the practices of the country. These guidelines are expected to improve the safety and extend the indications of tracheostomy in critically ill patients. [ABSTRACT FROM AUTHOR]

Background: Pedicle subtraction osteotomy (PSO) was originally performed in cases of ankylosing spondylitis. This procedure was invented because it was safer than trying to lengthen the anterior column via osteoclasis, which risked vascular injury and death1-4. PSO involves the removal of the posterior elements and the use of a vertebral body wedge to shorten the spine posteriorly and achieve sagittal-plane correction5,6. PSO has been used to correct sagittal-plane deformities not only in patients with ankylosing spondylitis but also in those with degenerative conditions or those who have previously undergone surgical procedures resulting in a loss of lumbar lordosis7,8. Description: The fixation points are placed with pedicle screws above and below the planned osteotomy level. The posterior elements are decompressed at the level of the osteotomy and at 1 level proximally. In addition to the use of straight and angled curets, a high-speed burr is used to decancellate the vertebral body. Pedicle osteotomes are used to remove the pedicle. Temporary rods are placed. The posterior wall of the body is then impacted into the vertebral body, and the temporary rods are loosened. To close the osteotomy, the bed is extended or the spine is pushed manually, resulting in correction of the lordosis. The temporary rods are tightened. Themain rods, independent of the short rods, are used to connect multiple segments several levels above and below the osteotomy site to provide final stabilization. Alternatives: The alternatives to PSO depend on the surgical history of the patients, as well as the flexibility and alignment of the spine. In a spine with mobile disc spaces, Smith-Petersen osteotomies can be performed posteriorly to shorten the posterior column overmultiple segments to gain lordosis. A formal anterior or lateral approach can be performed to release the disc spaces and restore the disc height. Aposterior release through the facet joints with segmental compression can achieve desired lumbar lordosis. A vertebral column resection can also be performed to achieve lordosis. Rationale: PSO is ideal for patients who have undergone multiple spinal fusions andwho have a very rigid, flat lumbar spine. Asingle posterior approach can be used to provide adequate correction of the flat lumbar spine up to 40°. Asymmetric PSO can also be performed to allow for correction in the coronal plane. Recently, PSO has been performed more frequently because of the improved osteotomy instrumentation, exposure to resection techniques, and improved positioning tables that allow correction of the osteotomy. [ABSTRACT FROM AUTHOR]

[Display omitted] • A library of sulfonated polystyrenes differing in MW and polarity was synthesized. • Polymers effective in solubilizing model cell membranes were identified. • The lead polymer forms stable particles (nanodiscs) from model DMPC liposomes. • Polymers remain soluble at low pH and in the presence of Mg2+ ions. Amphiphilic polymers are increasingly applied in the detergent-free isolation and functional studies of membrane proteins. However, the carboxylate group present in the structure of many popular variants, such as styrene-maleic acid (SMA) copolymers, brings limitations in terms of polymer sensitivity to precipitation at acidic pH or in the presence of divalent metal cations. Herein, we addressed this problem by replacing carboxylate with the more acidic sulfonate groups. To this end, we synthesized a library of amphiphilic poly[styrene- co -(sodium 4-styrene sulfonate)] copolymers (termed SSS), differing in their molecular weight and overall polarity. Using model cell membranes (Jurkat), we identified two copolymer compositions (SSS-L30 and SSS-L36) that solubilized membranes to an extent similar to SMA. Interestingly, the density gradient ultracentrifugation/SDS-PAGE/Western blotting analysis of cell lysates revealed a distribution of studied membrane proteins in the gradient fractions that was different than for SMA-solubilized membranes. Importantly, unlike SMA, the SSS copolymers remained soluble at low pH and in the presence of Mg2+ ions. Additionally, the solubilization of DMPC liposomes by the lead materials was studied by turbidimetry, DLS, SEC, and high-resolution NMR, revealing, for SSS-L36, the formation of stable particles (nanodiscs), facilitated by the direct hydrophobic interaction of the copolymer phenyls with lipid acyl chains. [ABSTRACT FROM AUTHOR]

The use of direct-acting oral anticoagulants (DOACs) has increased rapidly in the last decade; becoming the mainstay for both the prophylaxis and the treatment of venous thromboembolism in various situations including non-valvular atrial fibrillation, joint replacement surgeries and acute DVT/PE, etc. In the present times, DOACs are possibly one of the most widely prescribed medications in the developed world. The worldwide epidemic caused by COVID-19 caused significant changes in the practice of medicine worldwide. Patients who developed severe respiratory illness caused by COVID-19 were noted to develop a wide range of complications, including both arterial and venous thromboembolic complications including deep vein thrombosis and pulmonary embolism, etc. This review is an attempt to identify the role of DOACs in the treatment and prevention of these complications as well as the safety of continuing therapy with DOACs in the patients who were receiving them before contracting the infection. [ABSTRACT FROM AUTHOR]

Aim: The aim is to compare and evaluate the different finishing and polishing systems for the change in surface roughness of resin composites and enamel. Materials and Methods: To conduct the study, 30 extracted human maxillary central incisors were selected, decoronated, and molded in self-cure acrylic molds. A box-shaped cavity of dimensions 3 mm × 3 mm × 2 mm was prepared in all the teeth. A nanohybrid composite resin (Filtek Z250) was then used to restore the prepared cavities. Thirty samples were divided into two groups, control group (Group A, n = 10) and experimental group (Group B, n = 20). The samples in Group A were cured through the Mylar matrix. The experimental group, i.e., Group B was divided into two subgroups, i.e., Subgroup BX, n = 10 in which Sof-Lex polishing system was used for polishing the tooth surface and Subgroup BF, n = 10 in which Shofu composite polishing system was used. The mean surface roughness (Ra in ìm) of the composite restoration as well as for the enamel surface of all the samples before and after polishing was measured with a contact profilometer, and the values were correlated with scanning electron microscopy. Results: The statistical analysis was carried out using paired t-test. The results exhibited a significant decrease in the surface roughness of the resin composite and enamel surface irrespective of the finishing and polishing system used. The mean surface roughness values demonstrated by Mylar matrix was the lowest followed by Sof-Lex polishing system. Shofu polishing system demonstrated the highest surface roughness values. Conclusion: Finishing and polishing of composite restoration can achieve a surface roughness similar to that of enamel. Involvement of marginal enamel in finishing and polishing procedures carried out for composite restoration results in smoother enamel surface [ABSTRACT FROM AUTHOR]

In this paper result of working quality of Melia dubia is reported after testing them under six major wood working operations namely - planing, sanding, turning, shaping, boring and mortising based on Indian Standard. The wood performed extremely well under planing. In shaping, the performance was good enough. Though all the other operations yielded poor results, the composite rating factor which is an overall performance indicator was 35 % more than that of Tectona grandis. The ease of working is only 93 % compared to teak. The working quality index which was based on the composite rating factor and ease of working worked out to 107 taking Tectona grandis as 100 mainly because of the high performance under planing and shaping and good performance under sanding. [ABSTRACT FROM AUTHOR]

One of the hallmarks of cancer is the formation of oncogenic fusion genes as a result of chromosomal translocations. Fusion genes are presumed to form before fusion RNA expression. However, studies have reported the presence of fusion RNAs in individualswho were negative for chromosomal translocations. These observations give rise to "the cart before the horse" hypothesis, inwhich the genesis of a fusion RNA precedes the fusion gene. The fusion RNA then guides the genomic rearrangements that ultimately result in a gene fusion. However, RNA-mediated genomic rearrangements in mammalian cells have never been demonstrated. Here we provide evidence that expression of a chimeric RNA drives formation of a specified gene fusion via genomic rearrangement in mammalian cells. The process is: (i) specified by the sequence of chimeric RNA involved, (ii) facilitated by physiological hormone levels, (iii) permissible regardless of intrachromosomal (TMPRSS2-ERG) or interchromosomal (TMPRSS2-ETV1) fusion, and (iv) can occur in normal cells before malignant transformation. We demonstrate that, contrary to "the cart before the horse" model, it is the antisense rather than sense chimeric RNAs that effectively drive gene fusion, and that this disparity can be explained by transcriptional conflict. Furthermore, we identified an endogenous RNA AZI1 that functions as the "initiator" RNA to induce TMPRSS2-ERG fusion. RNA-driven gene fusion demonstrated in this report provides important insight in early disease mechanisms, and could have fundamental implications in the biology of mammalian genome stability, as well as gene-editing technology via mechanisms native to mammalian cells. [ABSTRACT FROM AUTHOR]

The certification of wine quality is essential to the wine industry. The main goal of this work is to develop a machine learning model to forecast wine quality using the dataset. We utilised samples from the red wine dataset (RWD) with eleven distinct physiochemical properties. With the initial RWD, five machine learning (ML) models were trained and put to the test. The most accurate algorithms are Random Forest (RF) and Extreme Gradient Boosting (XGBoost). Using these two ML approaches, the top three features from a total of eleven features are chosen, and ML analysis is performed on the remaining features. Several graphs are employed to demonstrate the feature importance based on the XGBoost model and RF. Wine quality was predicted using relevant characteristics, often referred to as fundamental elements, that were shown to be essential during the feature selection procedure. When trained and tested without feature selection, with feature selection (RF), and with key attributes, the XGBoost classifier displayed 100% accuracy. In the presence of essential variables, the RF classifier performed better. Finally, to assess the precision of their predictions, the authors trained an RF classifier, validated it, and changed its hyperparameters. To address collinearity and decrease the quantity of predictors without sacrificing model accuracy, we have also used cluster analysis. [ABSTRACT FROM AUTHOR]

Dendritic cells (DC) are a promising cell type for cancer vaccines due to their high immunostimulatory capacity. However, improper maturation of DC prior to treatment may account for the limited efficacy of DC vaccine clinical trials. Latent Membrane Protein-1 (LMP1) of Epstein-Barr virus was examined for its ability to mature and activate DC as a gene-based molecular adjuvant for DC vaccines. DC were transduced with an adenovirus 5 vector (Ad5) expressing LMP1 under the control of a Tet-inducible promoter. Ad5-LMP1 was found to mature and activate both human and mouse DC. LMP1 enhanced in vitro migration of DC toward CCL19, as well as in vivo migration of DC to the inguinal lymph nodes of mice following intradermal injection. LMP1-transduced DC increased T cell proliferation in a Pmel-1 adoptive transfer model and enhanced survival in B16-F10 melanoma models. LMP1-DC also enhanced protection in a vaccinia-Gag viral challenge assay. LMP1 induced high levels of IL-12p70 secretion in mouse DC when compared to standard maturation protocols. Importantly, LMP1-transduced human DC retained the capacity to secrete IL-12p70 and TNF in response to DC restimulation. In contrast, DC matured with Monocyte Conditioned Media-Mimic cocktail (Mimic) were impaired in IL-12p70 secretion following restimulation. Overall, LMP1 matured and activated DC, induced migration to the lymph node, and generated high levels of IL-12p70 in a murine model. We propose LMP1 as a promising molecular adjuvant for DC vaccines. [ABSTRACT FROM AUTHOR]

The certification of wine quality is essential to the wine industry. The main goal of this work is to develop a machine learning model to forecast wine quality using the dataset. We utilised samples from the red wine dataset (RWD) with eleven distinct physiochemical properties. With the initial RWD, five machine learning (ML) models were trained and put to the test. The most accurate algorithms are Random Forest (RF) and Extreme Gradient Boosting (XGBoost). Using these two ML approaches, the top three features from a total of eleven features are chosen, and ML analysis is performed on the remaining features. Several graphs are employed to demonstrate the feature importance based on the XGBoost model and RF. Wine quality was predicted using relevant characteristics, often referred to as fundamental elements, that were shown to be essential during the feature selection procedure. When trained and tested without feature selection, with feature selection (RF), and with key attributes, the XGBoost classifier displayed 100% accuracy. In the presence of essential variables, the RF classifier performed better. Finally, to assess the precision of their predictions, the authors trained an RF classifier, validated it, and changed its hyperparameters. To address collinearity and decrease the quantity of predictors without sacrificing model accuracy, we have also used cluster analysis. [ABSTRACT FROM AUTHOR]

Different Low Salinity Waters (LSWs) are investigated in this work to understand the role of some ions, which were recognized from our previous work and the literature for their effect on wettability alteration. Different flooding stages were followed. The primary stage was by injecting synthetic seawater (SSW) and the secondary stage was with SSW diluted by 10 (LSW 1:10) and 50 (LSW 1:50) times, single and two salt brines, such as Na2SO4, MgCl2, and NaCl+MgCl2 at 70 °C. The flooding sequence was due to that most of the fields in the North Sea were flooded with seawater. Two flooding rates were followed, 4 PV/day (PV = Pore Volume) and 16 PV/day in all the experiments. One of the observations was the increase of the pH during the flooding with LSW and single salt brines. The increase of the pH was attributed to mineral precipitation/dissolution as the results of ionic interactions. The effluent ion concentrations measured to understand the most likely oil recovery mechanisms. The results showed that the higher the SSW dilution the slower the oil recovery response. In presence of SO42-, Ca/Mg, higher oil recovery. The exchange between Ca/Mg, was in line with field observations. A geochemical simulation was done for a comparison with the experimental data. [ABSTRACT FROM AUTHOR]

The fluid structure interaction phenomenon occurring in confined implosions is investigated using highspeed three-dimensional digital image correlation (DIC) experiments. Aluminum tubular specimens are placed inside a confining cylindrical structure that is partially open to a pressurized environment. These specimens are hydrostatically loaded until they naturally implode. The implosion event is viewed, and recorded, through an acrylic window on the confining structure. The velocities captured through DIC are synchronized with the pressure histories to understand the effects of confining environment on the implosion process. Experiments show that collapse of the implodable volume inside the confining tube leads to strong oscillating water hammer waves. The study also reveals that the increasing collapse pressure leads to faster implosions. Both peak and average structural velocities increase linearly with increasing collapse pressure. The effects of the confining environment are better seen in relatively lower collapse pressure implosion experiments in which a long deceleration phase is observed following the peak velocity until wall contact initiates. Additionally, the behavior of the confining environment can be viewed and understood through classical water hammer theory. A one-degree-of-freedom theoretical model was created to predict the impulse pressure history for the particular problem studied. [ABSTRACT FROM AUTHOR]

The term phaeohyphomycosis (PHM) means dark-pigmented fungal hyphae. Cerebral PHM (CPHM) with onychomycosis is extremely rare; very few have been reported so far. The authors report a case of CPHM with onychomycosis in a 37-year-old male from a rural background in Haryana, India, with involvement of the left frontal lobe. The mass was resected and biopsy was sent for histopathological examination. He was given antifungal drugs in the postoperative period. The patient responded very well to the treatment, and there were no signs of recurrence at the 6-month follow-up visit. The clinical features, imaging and histopathological investigations, and management of this rare entity are discussed, and the available literature is also reviewed. [ABSTRACT FROM AUTHOR]

Over the past few years, the awful COVID-19 pandemic effect has become a lethal sickness. The processing of the gathered samples requires extra time due to the use of medical diagnostic equipment, methodologies, and clinical testing procedures for the early diagnosis of infected individuals. An innovative multimodal paradigm for the early diagnosis and precise categorization of COVID-19 is put up as a solution to this issue. To extract distinguishing features from the prepared chest X-ray picture and cough (audio) database, chest X-ray-based and cough-based model are used here. Other public chest X-ray image datasets, and the Coswara cough (audio) dataset containing 92 COVID-19 positive, and 1079 healthy subjects (people) using the deep Uniform-Net, and Convolutional Neural Network (CNN). The weighted sum-rule fusion method and ensemble deep learning algorithms are utilized to further combine the extracted features. For the early diagnosis of patients, the framework offers an accuracy of 98.67%. [Display omitted] • A novel multimodal framework is proposed for the early diagnosis and accurate classification of COVID-19. • The extracted features are fused using the weighted sum-rule fusion technique for early diagnosis and accurate prediction. • The framework provided an accuracy of 98.67% (X-ray based) and 86.53% (cough based diagnosis) for early diagnosis of patients. [ABSTRACT FROM AUTHOR]

Particulate Matter (PM) levels in the ambient air of three urban sites of strategic importance in Punjab (second largest agricultural state of India) were monitored from September 2013 to June 2014 covering two seasons of crop residue burning episodes of rice and wheat, respectively. During both crop periods, the levels varied from 71 to 167 μgm −3 (PM 10 ) and 43–107 μgm −3 (PM 2.5 ), which were observed to be much beyond the permissible limits of 100 μgm −3 for PM 10 and 60 μgm −3 for PM 2.5 set by state pollution control agencies. Simultaneously, Pulmonary Function Test (PFT) parameters of children (age group 10–16 years) residing at these sites were monitored. PFT parameters like Forced Vital Capacity (FVC) and Peak Expiratory Flow (PEF) were monitored on 50 healthy subjects at each site. The results indicated an alarming fall in FVC (5%–7%) and in PEF (4%–6%) parameters during the crop residue burning period’s .The decrement was almost same for all age groups of children. The adverse effect was more on female subjects than male subjects. The impact of particulate matter pollution was more prominent in industrially important site (7%, SIS) as compared to historically (3%, HIS) and commercially (4%, CAS) important sites. [ABSTRACT FROM AUTHOR]

Polycrystalline RAgSn (R=Ho, Er) compounds, synthesized by arc melting method are found to crystallize in cubic crystal structure with the space group Pm3 m. The dc and ac magnetic susceptibility data show that the compounds are antiferromagnetic at low temperatures. The absence of magnetic hysteresis reveals the soft magnetic nature. Magnetocaloric effect has been estimated from magnetization data that show moderate value for these compounds. The structure of the electronic states and corresponding inter-band transitions calculated for these compounds within the LSDA+U method are found in good agreement with experimental optical conductivity. The theoretical calculations also confirm antiferromagnetic ordering in RAgSn (R=Ho, Er). The values of the effective magnetic moments of holmium and erbium are found to be close to the experimental ones. [ABSTRACT FROM AUTHOR]

The moisture sorption behaviour of three coating thicknesses of shellac and polyurethane films on Dalbergia sissoo substrate is studied in this paper. The thin films of either coat failed to reduce the water vapour transmission significantly. However, the thick coats were able to reduce this rate illustrating the importance film thickness of coating used on surfaces of wood products. The increment in Moisture Content over the conditioned MC showed a clear film thickness effect in the case of PU with the increments reducing with increasing thickness. The Moisture Exclusion Effectiveness of PU coating showed better values than shellac coating with both the finishes showing a thickness effect. More importantly, the study illustrated the effect of coating thickness even when the differences are small. [ABSTRACT FROM AUTHOR]

TbNiGe 2 compound crystallizes in the CeNiSi 2 type orthorhombic crystal structure and shows antiferromagnetic ordering below 39 K. Magnetization isotherms show linear dependence for field up to 50 kOe. It shows inverse magnetocaloric effect, which is attributed to antiferromagnetic interactions between the moments. The resistivity data was fitted in high and low temperature regimes. The low temperature fit confirms the antiferromagnetic ordering, while the high temperature data follow Bloch-Grüneisen-Mott relation. Ab initio LSDA + U calculations show no spin polarization from Ni 3d electronic states and reproduce the antiferromagnetic long-range ordering of the Tb magnetic moments and their values in good agreement with the previous neutron diffraction data. Optical conductivity data supports the electronic structure calculations and show that it is mostly provided by the transitions involving Ni 3d and Tb 4f electronic states. [ABSTRACT FROM AUTHOR]

Type I interferon is known to inhibit HIV-1 replication through the induction of interferon stimulated genes (ISG), including a number of HIV-1 restriction factors. To better understand interferon-mediated HIV-1 restriction, we constructed a constitutively active form of the RIG-I adapter protein MAVS. Constitutive MAVS was generated by fusion of full length MAVS to a truncated form of the Epstein Barr virus protein LMP1 (ΔLMP1). Supernatant from ΔLMP1-MAVS-transfected 293T cells contained high levels of type I interferons and inhibited HIV replication in both TZM-bl and primary human CD4+ T cells. Supernatant from ΔLMP1-MAVS-transfected 293T cells also inhibited replication of VSV-G pseudotyped single cycle SIV in TZM-bl cells, suggesting restriction was post-entry and common to both HIV and SIV. Gene array analysis of ΔLMP1-MAVS-transfected 293T cells and trans-activated CD4+ T cells showed significant upregulation of ISG, including previously characterized HIV restriction factors Viperin, Tetherin, MxB, and ISG56. Interferon blockade studies implicated interferon-beta in this response. In addition to direct viral inhibition, ΔLMP1-MAVS markedly enhanced secretion of IFN-β and IL-12p70 by dendritic cells and the activation and maturation of dendritic cells. Based on this immunostimulatory activity, an adenoviral vector (Ad5) expressing ΔLMP1-MAVS was tested as a molecular adjuvant in an HIV vaccine mouse model. Ad5-Gag antigen combined with Ad5-ΔLMP1-MAVS enhanced control of vaccinia-gag replication in a mouse challenge model, with 4/5 animals showing undetectable virus following challenge. Overall, ΔLMP1-MAVS is a promising reagent to inhibit HIV-1 replication in infected tissues and enhance vaccine-mediated immune responses, while avoiding toxicity associated with systemic type I interferon administration. [ABSTRACT FROM AUTHOR]

A number of experiments have been performed to study magnetic, electronic and optical properties of HoNiSi, along with theoretical calculations. The compound crystallizes in orthorhombic crystal structure and orders antiferromagnetically at T N = 4.6 K. Magnetization isotherms show curvature in low fields, revealing a field induced metamagnetic transition. Application of field reduces the resistivity near T N , which results in a large negative MR. The maximum value of MR has been found to be −24% at 4 K for 50 kOe. Strong antiferromagnetic interactions among the moments below 4 K result in positive MR, which changes with field. The antiferromagnetic ordering with the effective magnetic moments of Ho close to the observed value is obtained in the LSDA + U calculations accounting for the electronic correlations in the 4f Ho shell. In the experimental optical conductivity interband transitions involving 4f Ho and 5d Ho forms the main features in good agreement with the theoretical electronic structure of HoNiSi. [ABSTRACT FROM AUTHOR]

GdCuSi has been studied by structural, magnetic, magneto-thermal, and magneto-transport measurements. The compound crystallizes in the NiIn-type hexagonal structure. Magnetic measurements show antiferromagnetic ordering at T = 14.2 K and a magnetic anomaly near 5 K, which are confirmed by different measurements. Magnetocaloric effect (MCE) has been estimated from both magnetization and heat capacity data and it shows a change in sign below T. Similar to MCE, magnetoresistance (MR) data also show sign change below T. The compound shows large MCE and MR near its ordering temperature. The sign change in MCE and MR is attributed to the non-collinear antiferromagnetic structure of the compound. The theoretical calculations suggest competition of ferromagnetic and antiferromagnetic interactions, which causes non-collinear magnetic structure in this compound. [ABSTRACT FROM AUTHOR]

RRhGe (R = Tb, Dy, Er, Tm) compounds have been studied by different experimental probes and theoretical ab initio calculations. These compounds show very interesting magnetic and transport properties. All the compounds are antiferromagnetic with some of them showing spin-reorientation transition at low temperatures. The magnetocaloric effect estimated from magnetization data shows high values in all these compounds. Magnetoresistance is negative near the ordering temperatures and positive at low temperatures. The electronic structure calculations accounting for electronic correlations in the 4f rare-earth shell reveal the closeness of the antiferromagnetic ground state and other types of magnetic orderings in the rare-earth sublattice. These calculations are also in agreement with the experimental results. [ABSTRACT FROM AUTHOR]

Polycrystalline HoSn 1.1 Ge 0.9 and DySn 1.1 Ge 0.9 compounds have been studied by means of different experimental probes. Both the compounds are antiferromagnetic and show metamagnetic transition at low temperatures. HoSn 1.1 Ge 0.9 shows a sign change in magnetocaloric effect (MCE) and magnetoresistance (MR) with field, which is attributed to the metamagnetic transition. DySn 1.1 Ge 0.9 shows characteristics of a typical antiferromagnet, as evidenced by magnetization, MCE and MR data. 119 Sn Mössbauer studies show hyperfine splitting at low temperatures, consistent with magnetization data. Thermoelectric power and resistivity measurements reveal metallic behavior in these compounds. Magnetic, magnetocaloric and the magnetoresistance data clearly show that the antiferromagnetic coupling in DySn 1.1 Ge 0.9 is stronger than in HoSn 1.1 Ge 0.9 . [ABSTRACT FROM AUTHOR]

RTX ( R = rare earths, T = 3 d /4 d /5 d , transition metals such as Sc, Ti, Mn, Fe, Co, Ni, Cu, Ru, Rh, Pd, Ag, Os, Ir, Pt, Au, and X = p -block elements such as Al, Ga, In, Si, Ge, Sn, As, Sb, Bi) series is a huge family of intermetallics compounds. These compounds crystallize in different crystal structures depending on the constituents. Though these compounds have been known for a long time, they came to limelight recently in view of the large magnetocaloric effect (MCE) and magnetoresistance (MR) shown by many of them. Most of these compounds crystallize in hexagonal, orthorhombic and tetragonal crystal structures. Some of them show crystal structure modification with annealing temperature; while a few of them show iso-structural transition in the paramagnetic regime. Their magnetic ordering temperatures vary from very low temperatures to temperatures well above room temperature (∼510 K). Depending on the crystal structure, they show a variety of magnetic and electrical properties. These compounds have been characterized by means of a variety of techniques/measurements such as X-ray diffraction, neutron diffraction, magnetic properties, heat capacity, magnetocaloric properties, electrical resistivity, magnetoresistance, thermoelectric power, thermal expansion, Hall effect, optical properties, XPS, Mössbauer spectroscopy, ESR, μSR, NMR, and NQR. Some amount of work on theoretical calculations on electronic structure, crystal field interaction and exchange interactions has also been reported. The interesting aspect of this series is that they show a variety of physical properties such as Kondo effect, heavy fermion behavior, spin glass state, intermediate valence, superconductivity, multiple magnetic transitions, metamagnetism, large MCE, large positive as well as negative MR, spin orbital compensation, magnetic polaronic behavior, and pseudo gap effect. Except Mn, no other transition metal in these compounds possesses considerable magnetic moments. Because of this R Mn X compounds in general have high ordering temperatures. Interstitial modification using hydrogen is found to alter their crystal structures and magnetic properties considerably. RTX compounds also show interesting pressure effects on their structural and magnetic properties. In summary, these compounds show variety of physical properties over a wide range of temperatures. This review is intended to cover all the important results obtained in this family, particularly in the last few years. [ABSTRACT FROM AUTHOR]

A comprehensive study on the hydrostatic implosion of carbon fiber reinforced epoxy composite tubes is conducted experimentally to examine the failure and damage mechanisms of collapse. Experiments are performed in a pressure vessel designed to provide constant hydrostatic pressure through the collapse. Filament-wound, braided, and roll-wrapped carbon-fiber/epoxy tubes are studied to explore the effect of geometry and reinforcement architecture on the modes of failure. 3-D Digital Image Correlation technique, which is first calibrated for the underwater environment, is used to capture the full-field deformation and velocities during the implosion event. Dynamic pressure transducers are employed to measure the pressure pulses generated by the event and evaluate its damage potential. The results show that composites with braided fabric reinforcements are found to have more damage potential to adjacent structures than those containing unidirectional reinforcements, as they release pressure waves with significantly greater impulse. [ABSTRACT FROM AUTHOR]

Wood finishes protect the surface of wood from external agents, enhance its looks and improve its gloss (luster). On constant external exposure, UV rays gradually degrade the film coating resulting in loss of gloss. In this study, two commonly used finishes namely spirit shellac and polyurethane finish were used to investigate the pattern of loss of gloss due to UV interference. Two coatings of polyurethane (PU) and spirit shellac finish were applied on the surface of eucalyptus samples. The gloss levels of these and unfinished samples were monitored for different times of exposure of them to UV light. Gloss was measured at 600 gloss head using a Tri micro gloss meter regularly for 20 hours durations of UV exposure. Observations and analysis revealed that the natural gloss of uncoated samples of eucalyptus were least affected on UV exposure with only 8,3%-10% loss in gloss. The PU and shellac coated surfaces also showed very little reduction in gloss (6,9%-15,4%) most of which happened in the first 40 hours of exposure. Thus both the finishes in this study were found effective to a good extent in maintaining the gloss of the finished surface against exposure to UV light. [ABSTRACT FROM AUTHOR]

We present structural, magnetic, thermal, magnetocaloric, and electrical transport properties of polycrystalline GdRhSn. Magnetization data show that it orders antiferromagnetically at TN = 16.2 K. The compound has the ZrNiAl type hexagonal crystal structure at room temperature and undergoes a first order iso-structural transition in the paramagnetic state at 245 K. The unit cell volume change at the transition is small (-0.07%) but discontinuous, in agreement with the first-order nature of the transition observed by magnetic, transport, and heat capacity measurements. The anisotropic changes of the lattice parameters are Δa/a = 0.28% and Δc/c = -0.64% on cooling. A substantial change in the 4f and conduction electron hybridization, giving rise to an increased integrated DOS, occurs when the high temperature phase transforms to the low temperature phase. A moderate magnetocaloric effect at TN (ΔSM = -6.5 J/kg K and ΔTad = 4.5 K for ΔH = 50 kOe) has been measured using both magnetization and heat capacity data. [ABSTRACT FROM AUTHOR]

A fundamental experimental investigation, with corresponding computational simulations, was conducted to understand the physical mechanisms of implosions of cylindrical shells occurring within a tubular confining space which has a limited potential energy reservoir. In particular, attention was focused on studying the generation of pressure waves from the implosion, the interaction of the pressure waves with the confining tube walls and end caps, and the collapse mechanisms of the implodable volume. Experiments were conducted with three implodable volume geometries which had similar critical collapse pressures. The implodable volumes were aluminum 6061-T6 cylindrical tubing and were placed concentrically within the confining tube. Pressure histories recorded along the length of the confining tube during the experiments were utilized to analytically evaluate the deformation of the implodable volume using fluid–structure coupled deformation models. Computational simulations were conducted using a coupled Eulerian–Lagrangian scheme to explicitly model the implosion process of the tubes along with the resulting compressible fluid flow. The numerical model developed in this study is shown to have high correlation with the experimental results and will serve as a predictive tool for the simulation of the implosion of different cylindrical geometries as well as various tube-in-tube implosion configurations. The experimental results show that the limited hydrostatic potential energy available in a confined environment, as compared to a free field, significantly influences the implosion process. The wall velocities of the implodable volume during the collapse, as well as the extent of the collapse progression, are largely affected by the sudden decrease in the available hydrostatic potential energy. This energy is shown to be partially transformed into elasto-plastic strain energy absorbed in the deformation of the implodable volume, as well as the kinetic energy of the water during the implosion process. Experiments also show that the extent of the collapse progression of an implodable volume can potentially be inhibited within a closed environment, which can lead to the arresting of an implosion event prior to completion for larger implodable volumes. The pressure waves generated during collapse comprise of waves emitted due to the impact of the implodable volume walls, the arrest of rushing water and contact propagation along the walls. These processes later evolve into water hammer type axial wave behavior. [ABSTRACT FROM AUTHOR]

J Dermatol 2016;43:275-9. 2 Harb J, Motaparthi K. Clinicopathologic findings of guttate leukoderma in Darier disease: A helpful diagnostic feature. Thus, dermoscopic evaluation of greasy papules and guttate leukoderma may allow earlier diagnosis of this disease and may help in appropriate management. A 15-year-old boy presented with multiple itchy hyperpigmented papules over face and trunk and hypopigmented macules over limbs for the last 8 years. [Extracted from the article]

Trauma to primary tooth leads to abnormal variations in crown and root canals of permanent teeth that presents a challenge in diagnosis and clinical management to the practitioner. This article presents a detailed case report of the endodontic treatment of a three canalled maxillary central incisor and maxillary lateral incisor having single canal with open apex linked with periodontal defect. Root canals were prepared with hand files and canals were irrigated with 2.5% sodium hypochlorite solution. Calcium hydroxide was placed as an intracanal medicament. As the expected healing did not occur even after one month of calcium hydroxide therapy, so periapical endodontic surgery was performed using Platelet Rich Plasma (PRP). Satisfactory clinical and radiographic results were obtained at 12 months. Detailed knowledge of the anatomical variations in the root canal and awareness of their configuration is essential for the success of such cases. [ABSTRACT FROM AUTHOR]