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Introduction: Axial globe position assessment is commonly carried out with Hertels Exophthalmometer. Hertels requires an intact lateral orbital rim for its placement, which is often fractured in zygomatic fractures. Hence, to overcome this problem, we have modified the instrument for its application in zygomatic/orbital fractures. Reliability of this Modified Hertels Exopthalmometer has been already validated in normal healthy patients. Therefore, the aim of this study is to assess the efficacy of the Modified Hertels Exophthalmometer in pateints with zygomatic/orbital fracture. Materials and Methods: This is a prospective study carried out between April 2015 and October 2017, including 20 patients with a mean age of 34 years. Enophthalmos was measured using Modified Hertels in patients with unilateral orbital/zygomatic fracture indicated for surgical intervention by a single observer. The data was collected and statistically analyzed. Paired sample t-test was done to compare the preoperative exophthalmometer reading with readings at different time points. Results: A statistically significant difference was noted (P = 0.031) among the variables of Modified Hertels. We believe this instrument to be of practical use in the assessment of enophthalmos/exophthalmos in patients with lateral orbital trauma, surgery or disease and also precludes the use of rim-based exophthalmometry and other modifications of same. [ABSTRACT FROM AUTHOR]

Introduction: The aim of this study was to demonstrate if articaine hydrochloride administered alone as a single buccal infiltration in maxillary tooth extraction can provide adequate palatal anesthesia as compared to buccal and palatal injection using lidocaine and bupivacaine. Materials and Methods: A prospective doubleblinded trial was conducted on 150 patients who required maxillary tooth extraction. The patients were divided into three different groups consisting of 50 patients each. Each group was administered with 4% articaine into buccal vestibular mucosa of the tooth to be extracted, 2% lignocaine and 0.5% bupivacaine was injected into buccal and palatal side of the tooth to be extracted, respectively. Following the tooth extraction, all patients were asked to complete a 10-score Visual Analog Scale (VAS) and 5-score facial pain scale (FPS) to assess the pain on extraction. Results: According to the VAS and FPS scores, the pain on extraction between buccal infiltration of articaine and the routine buccal and palatal infiltration of lignocaine was statistically significant. Conclusion: The routine use of a palatal injection for extraction of maxillary teeth may not be required when articaine is used as a local anesthetic solution. [ABSTRACT FROM AUTHOR]

Heart disease prediction is critical in the healthcare system due to the disease's high-risk factor. Data analysis is critical in predicting outcomes depending on medical history. Each factor must be taken into account to ensure that the prediction is accurate. Conventional methods rely on huge amounts of information rather than precise prediction. Data must be chosen carefully in order to achieve an earlier predictive process. If data collection is incomplete, analysis is harmed. As a result, the work proposed improving prediction accuracy by transforming missing information to indeed from the dataset. The method incorporates a CNN-MMEI classifier for previous accurate prediction (efficient multi - modality disease early identification utilizing convolutional neural networks (CNNs)) with an approach. Using data sets, the Nave Bayes algorithm is used to process the dataset. The suggested neuro-genetic approach identifies a feasible configuration for the optimal network. The results demonstrate that by combining an effective algorithm and a classifier, 85% percent accuracy is achieved. The performance indicators proposed will shed light on reliable variables. [ABSTRACT FROM AUTHOR]

In recent decades, the advent of Internet of Things (IoT) and Cyber Physical Systems (CPS) are skyrocketing where millions of devices are connected together for seamless computing and processing high-end applications. Well-designed IoT-CPS provides enhanced energy efficiency, safety in smart grids, smart homes and intelligent transport systems. Though the advancements making these systems as a technological trend, the security and privacy issues with these systems are still challenging. To address those challenges, blockchain technology is adopted for secure data transfer in heterogenous IoT-CPS and peer-peer networking systems. In this survey an exploratory approach on the security of IoT-CPS framework using blockchain technologies is described. This survey also encompasses underlying concepts in blockchain and IoT-CPS applications using blockchain. Furthermore, the various security issues and challenges in applying blockchain for IoT-CPS are also identified. [ABSTRACT FROM AUTHOR]

Abstract Background Microsatellite loci are widely used in population and conservation genetic studies of amphibians, but the availability of such markers for tropical and subtropical taxa is currently very limited. In order to develop resources for conservation genetic studies in the genus Indirana, we tested amplification success and polymorphism in 62 previously developed microsatellite loci, in eight Indirana species - including new candidate species. Developing genomic resources for this amphibian taxon is particularly important as it is endemic to the Western Ghats biodiversity hotspot, and harbours several endangered species. Findings The cross-species amplification success rate varied from 11.3 % to 29.0 % depending on the species, with 29 - 80 % of the amplifying loci being polymorphic. A strong negative correlation between cross-species amplification success (and polymorphism) and genetic distance separating target from source species was observed. Conclusions Our results provide additional genetic support for the existence of genetically divergent cryptic species within the genus Indirana. The tested markers should be useful for population and conservation genetic studies in this genus, and in particular, for species closely related to the source species, I. beddomii.