Mid Region Research Articles

Regional changes in the free Achilles tendon volume in response to repeated submaximal contractions

IntroductionThe Achilles tendon (AT) may become smaller in volume following acute bouts of heavy and sustained loading likely because of transient fluid exudation to the periphery and this could augment cellular mechanotransduction and tendon adaptation. Given the structure of the AT is distinct across its length, regional changes in the free AT volume may occur in response to loading. This study aimed to investigate whether the change in tendon volume in response to repeated submaximal loading is distinct across the free AT length. MethodsSixteen ATs of healthy males and females (age 24.4 ± 9.4 years, body mass 70.9 ± 16.1 kg, height 1.7 ± 0.1 m) were scanned at rest using freehand 3D ultrasound. Scanning was done before and immediately after submaximal (75 %) voluntary isometric plantarflexion contractions (8 s) involving four sets of ten repetitions. Regional volumetric changes were assessed across the free AT length by dividing the tendon into distal, mid, and proximal regions. ResultsSignificant reduction in the free AT volume occurred across all tendon regions in response to the intervention, however, the mid- region exhibited the greatest reduction in volume compared to the proximal region (P = 0.025). DiscussionThe fact that volume reduction was greatest in the mid-region compared to the proximal region of the free AT may suggest greater tendon adaptation, via mechanotransduction pathways, in the mid-region and this may be important for tendon health and injury prevention.

7962 Transformation of Poorly Differentiated Papillary Thyroid Carcinoma to Anaplastic Thyroid Carcinoma, an Atypical Course!

Abstract Disclosure: T. Altaweel: None. S. Makadsi: None. M. Hussein: None. J. Samantray: None. Introduction: Anaplastic thyroid cancers are undifferentiated, rare and aggressive. The transformation of papillary thyroid cancer to anaplastic thyroid cancer is documented in literature, however, rare. In this report, we present a case of Anaplastic thyroid carcinoma likely arising from a co-existing poorly differentiated Papillary carcinoma. Case Presentation: A 74-year-old male with past medical history of tobacco smoking who presented with the onset of voice hoarseness for 6 months. He has also noticed a left neck mass that is in the mid supraclavicular region. A Neck CT neck was performed at the time of presentation and was significant for a 4.6x3.4x5.9 cm left thyroid mass with displacement of the trachea. FNA biopsy showed papillary carcinoma with focal features of Tall Cell Variant. Poorly differentiated components with fragments of stroma and muscle were seen and suggested invasion. These findings raised the possibility of anaplastic thyroid carcinoma in the setting of papillary carcinoma and poorly differentiated carcinoma. BRAF V600E pathogenic variant mutation along with TERT mutation were found. Patient underwent direct laryngoscopy, bronchoscopy with biopsies, and tracheostomy with surgical pathology confirming papillary thyroid cancer with muscles invasion. Combination dabrafenib and trametinib were started. No surgical resection of thyroid tissue was planned. A follow up CT showed a significant decrease in the low-density soft tissue involving the medial thyroid gland bilaterally, consistent with interim positive response to therapy. Three months later, CT neck showed near complete resolution of low-density soft tissue involving the medial thyroid and parathyroid glands and subglottic trachea consistent with further interim positive response to therapy. Six months post initiation of therapy, CT Neck showed focal low density in the mid and inferior right thyroid gland which may represent residual and/or recurrent thyroid carcinoma. That density was further demonstrated on a repeat CT neck as a 1.8 cm hypodense nodule in the inferior right thyroid gland and concerning for recurrent thyroid tumor with possible infiltration of the trachea. Conclusion: ATC prognosis is affected by many factors such as metastasis, age, treatment strategies, socioeconomic status and the presence of BRAF V600E and TERT mutations. Diagnosis can be challenging. Our patient presented months after his symptoms started and this is an atypical course of Anaplastic Thyroid Carcinoma as it usually progresses aggressively and rapidly. Given the pathology reports and the more slow presentation of this patient’s carcinoma, it can be suggested that this is a case of papillary carcinoma with a later transformation to ATC. In these cases, surgical resection Presentation: 6/2/2024

Clinical study on diverse surgical affections of oesophagus in buffaloes

This Article presents the detailed study of oesophageal affections of buffaloes recorded in the clinic of Department of Veterinary Surgery and Radiology VCC CVAS, RAJUVAS, Bikaner Rajasthan India. Different clinical symptoms, types of affections, etiology and postoperative complications were recorded, plane and contrast radiographic study was carried out and affections were categorized based on their diagnosis. Complete obstruction was present in the highest number followed by diverticulum. The site of obstruction in most of the animal was distal cervical regional close to the thoracic inlet and impacted plastic and tarpaulin was the most impacted material retrieved in the oesophagotomy procedures. Conservative and surgico-therapeutic treatment was carried out. Rupture of oesophagus was noticed as a consequence of complete obstruction at proximal site in delayed presented cases. Narrowing of oesophagus noticed at mid cervical region because of the fibrosis of the oesophgaus. Dilation of oesophagus was present in consequences of chronic obstruction and chronic history of ailments. Penetrating foreign bodies mostly sharp needles were present at proximal oesophagus. Early presented cases having healthy mucosa showed the successful outcome and chronicity of the condition resultant in complications and poor prognosis.

Aquaporin-3a Dysfunction Impairs Osmoadaptation in Post-Activated Marine Fish Spermatozoa.

Spermatozoon volume regulation is an essential determinant of male fertility competence in mammals and oviparous fishes. In mammals, aquaporin water channels (AQP3, -7 and -8) have been suggested to play a role in spermatozoon cell volume regulatory responses in the hypotonic female oviduct. In contrast, the ejaculated spermatozoa of marine teleosts, such as the gilthead seabream (Sparus aurata), experience a high hypertonic shock in seawater, initially resulting in an Aqp1aa-mediated water efflux, cell shrinkage and the activation of motility. Further regulatory recovery of cell volume in post-activated spermatozoa is mediated by Aqp4a in cooperation with the Trpv4 Ca2+ channel and other ion channels and transporters. Using a paralog-specific antibody, here, we show that seabream spermatozoa also express the aquaglyceroporin AQP3 ortholog Aqp3a, which is highly accumulated in the mid posterior region of the spermatozoon flagella, in a similar pattern to that described in mouse and human sperm. To investigate the role of Aqp3a in seabream sperm motility, we used a recently developed AQP3 antagonist (DFP00173), as well as the seabream Aqp3a-specific antibody (α-SaAqp3a), both of which specifically inhibit Aqp3a-mediated water conductance when the channel was heterologously expressed in Xenopus laevis oocytes. Inhibition with either DFP00173 or α-SaAqp3a did not affect sperm motility activation but did impair the spermatozoon motion kinetics at 30 s post activation in a dose-dependent manner. Interestingly, in close resemblance to the phenotypes of AQP3-deficient murine sperm, electron microscopy image analysis revealed that both Aqp3a inhibitors induce abnormal sperm tail morphologies, including swelling and angulation of the tail, with complete coiling of the flagella in some cases. These findings suggest a conserved role of Aqp3a as an osmosensor that regulates cell volume in fish spermatozoa under a high hypertonic stress, thereby controlling the efflux of water and/or solutes in the post-activated spermatozoon.

Comparison of left ventricular mass and wall thickness between cardiac computed tomography angiography and cardiac magnetic resonance imaging using machine learning algorithms.

Cardiac magnetic resonance imaging (MRI) is the gold standard in the assessment of left ventricle (LV) mass and wall thickness. In recent years, cardiac computed tomography angiography (CCTA) has gained widespread usage as an imaging modality. Despite this, limited previous investigations have specifically addressed the potential of CCTA as an alternative modality for quantitative LV assessment. The aim of this study was to compare CCTA derived LV mass and wall thickness with cardiac MRI utilizing machine learning algorithms. Fifty-seven participants who underwent both CCTA and cardiac MRI were identified. LV mass and wall thickness was calculated using LV contours which were automatically placed using in-house developed machine learning models. Pearson's correlation coefficients were calculated along with Bland-Altman plots to assess the agreement between the LV mass and wall thickness per region on CCTA and cardiac MRI. Inter-observer correlations were tested using Pearson's correlation coefficient. Average LV mass and wall thickness for CCTA and cardiac MRI were 127 g, 128 g, 7, and 8 mm, respectively. Bland-Altman plots demonstrated mean differences and corresponding 95% limits of agreement of -1.26 (25.06; -27.58) and -0.57 (1.78; -2.92), for LV mass and average LV wall thickness, respectively. Mean differences and corresponding 95% limits of agreement for wall thickness per region were -0.75 (1.34; -2.83), -0.58 (2.14; -3.30), and -0.29 (3.21; -3.79) for the basal, mid, and apical regions, respectively. Inter-observer correlations were excellent. Quantitative assessment of LV mass and wall thickness on CCTA using machine learning algorithms seems feasible and shows good agreement with cardiac MRI.

External Support of Autologous Internal Jugular Vein Grafts with FRAME Mesh in a Porcine Carotid Artery Model.

Autologous vein grafts are widely used for bypass procedures in cardiovascular surgery. However, these grafts are susceptible to failure due to vein graft disease. Our study aimed to evaluate the impact of the latest-generation FRAME external support on vein graft remodeling in a preclinical model. We performed autologous internal jugular vein interposition grafting in porcine carotid arteries for one month. Four grafts were supported with a FRAME mesh, while seven unsupported grafts served as controls. The conduits were examined through flowmetry, angiography, macroscopy, and microscopy. The one-month patency rate of FRAME-supported grafts was 100% (4/4), whereas that of unsupported controls was 43% (3/7, Log-rank p = 0.071). On explant angiography, FRAME grafts exhibited significantly more areas with no or mild stenosis (9/12) compared to control grafts (3/21, p = 0.0009). Blood flow at explantation was higher in the FRAME grafts (145 ± 51 mL/min) than in the controls (46 ± 85 mL/min, p = 0.066). Area and thickness of neo-intimal hyperplasia (NIH) at proximal anastomoses were similar for the FRAME and the control groups: 5.79 ± 1.38 versus 6.94 ± 1.10 mm2, respectively (p = 0.558) and 480 ± 95 vs. 587 ± 52 μm2/μm, respectively (p = 0.401). However, in the midgraft portions, the NIH area and thickness were significantly lower in the FRAME group than in the control group: 3.73 ± 0.64 vs. 6.27 ± 0.64 mm2, respectively (p = 0.022) and 258 ± 49 vs. 518 ± 36 μm2/μm, respectively (p = 0.0002). In our porcine model, the external mesh FRAME improved the patency of vein-to-carotid artery grafts and protected them from stenosis, particularly in the mid regions. The midgraft neo-intimal hyperplasia was two-fold thinner in the meshed grafts than in the controls.

Regressive and Spatio-Temporal Accessibility of Variability in Solar Energy on a Short Scale Measurement in the Southern and Mid Region of Mozambique

Solar energy reaching a horizontal surface can possess fluctuations that impact electricity generation at a solar plant. Despite this, energy access remains inadequate, particularly in rural areas, with an estimated 82% deficiency. This drives us to assess the regressive and spatial-temporal accessibility of solar energy in the southern and mid regions of Mozambique. This evaluation aims to determine the actual availability of energy for electrification purposes. Data on global horizontal irradiation from approximately 8 stations across all provinces in the specified regions, collected between 2012 and 2014 at intervals of 1 and 10 min, were analyzed using regression and correlation methods along with a specialized algorithm for classifying days based on clear sky index terms. The statistical analysis identified days with significant potential for energy accessibility, exceeding 50% of the average. The findings suggest a correlation coefficient of approximately 0.30 for energy and non-linear regression with clear sky index coefficients around 0.80. The method employed demonstrated accuracy when compared to theoretical simulations of the clear sky index in the region, indicating its potential applicability in other regions of interest.

Elevation dependent precipitation changes in historical and future times in the Himalayan Upper Ganga Basin, India

This study examines long-term (1991–2092) precipitation trends in the Upper Ganga Basin (UGB) across multiple elevations, using historical data (1991–2022) and future Coupled Model Intercomparison Project Phase 6 (CMIP6) climate model datasets (2022–2092). By identifying the top five best-fit models from 29 climate model datasets, this study assesses historical patterns and project future changes in the Near-Future-Term (NFT) (2023–2056) and Far-Future-Term (FFT) (2061–2092) under moderate and extreme scenarios. Based on the evaluation of 29 CMIP6 climate models precipitation products, five models namely: BCC-CSM2-MR, CMCC-CM2-SR5, INM-CM5–0, KIOST-ESM, and NESM3 were selected as the best models describing precipitation over UGB and future precipitation of these models were bias corrected using linear scaling bias correction approach. Also it was observed that in the UGB region usually the climate models are much more reliable in capturing the precipitation pattern in lower and mid elevation regions as compared to higher-elevation regions. Further analysis of best five climate models' future precipitation indicates a substantial increase in wet spell occurrences in the south-western part of UGB, while the north-western and central regions are expected to see a rise in dry spell counts, although dry spell increase is insignificant. The mid-elevation range from 2200 to 4050 m which historically receives the most precipitation and is expected to continue experiencing the highest volume of precipitation in the future. The lower elevation range (287–1500 m) has anticipated the most substantial increase in future precipitation. Analysis suggests a future rise in low precipitation events (2.5 mm/day to 10 mm/day) at high elevations (4050 m to 7399 m) and an increase in events exceeding 10 mm/day in mid to low elevations (287 m to 4050 m). Although an increase in low precipitation events is expected across the entire UGB, it is particularly noteworthy that the region between 287 m to 4050 m is likely to experience a greater prevalence of these events. Historically, high elevations witnessed most of the years with over 20 days of annual snowfall. However, future scenarios indicate a prominent shift, predominantly anticipating <20 days per year of snowfall, signifying a significant change in snowfall patterns within the UGB. An analysis of snowfall patterns within the UGB indicates that historically, in the elevation range of 1500 m to 2200 m, some years have experienced 3–7 days of snowfall per year, however, under the SSP245 (NFT) scenario, this is projected to decrease to 2–5 days per year. Conversely, in scenarios SSP245 (FFT), SSP585 (NFT), and SSP585 (FFT), it is anticipated that there will be no snowfall in this elevation range in the future.

Histological features of the gastrointestinal tract of elongate tigerfish, Hydrocynus forskahlii (Cuvier, 1819), from Lake Albert

BackgroundThe tigerfish (Hydrocynus forskahlii) is an important food fish in different regions of Africa. As such, interest in its performance and nutritional requirements as a potential candidate for aquaculture is increasing. Characterization of the morpho-histological features and functions of the gut provides valuable insights into the feeding physiology and digestive system of fish species.ResultAn investigation of the morpho-histological features of the gastrointestinal tract of H. forskahlii captured from Lake Albert was conducted over an eight-month period. The digestive tract of H. forskahlii is characterised by a short oesophagus, well-developed and distensible stomach and moderately long intestine. The oesophagus had a higher abundance of mucous-secreting goblet cells compared to other digestive tract tissues. The stomach had a bag-like shape for swallowing large prey and was distinguishable into the cardiac, fundic and pyloric regions. Both the cardiac and fundic regions of the stomach had numerous gastric glands, whereas the pyloric region had large compound folds consisting of pseudo-stratified columnar epithelium. Many goblet cells were also observed in the mid and posterior regions of the intestine. The relative length of the gut of the H. forskahlii was 1.27 ± 0.03 cm, and it had a total of 20–22 pyloric caeca. The liver was observed to be divided in lobules by a central vein contained within connective sheets. Irregular cords of hepatocytes were also visible throughout the parenchyma.ConclusionsThe histological features of the H. forskahlii gut observed in the present study are consistent with those of carnivorous and omnivorous fish.

A new marine tardigrade species (Heterotardigrada: Batillipedidae) from the southeast coast of India

A new marine tardigrade species, Batillipes chandrayaani sp. nov. is described from the sandy mid littoral region of the southeast coast of India. This novel species can be distinguished from all its congeners by the presence of a dorsal indentation in the anterior cephalic region, shape of primary clavae, presence of secondary clavae, segmented dorsal body due to the presence of transverse cuticle folds, shape of leg IV sensory organ with the presence of two van der Land’s organs, long hook shaped lateral body projections on the caudal segment and the presence of a semi-circular cuticular projection on the coxal region of leg II and leg III.

Fractional CO2 laser, platelet rich plasma and combination of both in treatment of female pattern hair loss

Background Female pattern hair loss (FPHL) is one of the most common chronic problems seen by dermatologists worldwide. Hair loss has a significant influence on the quality of life and is associated with low self-esteem and depression. The treatment modalities vary from medical approaches to surgical interventions. However, limited perceived efficacy of a therapeutic regimen may lead to premature stoppage of treatment. Objective To evaluate the efficacy of platelet rich plasma (PRP), fractional CO2 laser and combination of both in treatment of FPHL. Patients and methods This is a split-scalp prospective interventional study in which thirty patients presenting with FPHL received PRP in one area, fractional CO2 in another one, combined fractional CO2 and PRP in a third one and saline intradermal injection in the fourth area in frontal and mid scalp region of scalp. The sessions were scheduled every 2 weeks for 4 sessions, then monthly for 2 months. Patients were evaluated after each session and 3months after the last session. The results were evaluated by trichoscopic and folliscopic examination in the four examined areas. Assessment of treatment response was done according to the count of terminal and vellus hair, the thickness and density of hair shafts and the percentage of change, determined by folliscopic examination. Patients’ satisfaction and side effects were evaluated. Results There was significant difference between the studied groups as regards percentage of change of terminal hair, vellus hair, hair thickness and hair density after treatment. Pairwise comparisons showed that the combined group was statistically better than either PRP, fractional CO2, or saline group as regards all studied parameters (P value was &lt;0.05 for each). Conclusion Combination of fractional CO2 laser and topical PRP application would have a synergistic effect in treatment of FPHL. The technique would be an excellent alternative to injections in order to stimulate hair growth in patients with FPHL.

A Biallelic Mutation in CCDC103 Impairs Sperm Motility due to the Absence of Dynein Arms

Primary ciliary dyskinesia (PCD) is a rare genetic condition characterized by destructive respiratory disease and laterality abnormalities due to randomized left–right body asymmetry. In men, PCD is also often associated with infertility due to immotile sperm owing to a malfunction of the sperm flagella. Pathogenic mutations have been found in more than 50 genes. Nonetheless, not all patients with PCD experience infertility. Therefore, to better understand the impact of PCD-associated mutations on male fertility, it is necessary to clarify the role of these genes in spermatogenesis. The CCDC103 p.His154Pro mutation has a high prevalence in PCD. Here, we present the identification and functional analysis of a biallelic mutation in CCDC103 identified in a familial case of PCD associated with male infertility. The biallelic CCDC103 mutations, NM_213607:c.161_162del(p.His55Serfs ∗9) and NM_213607:c.461A &gt; C (p.His154Pro), were identified by whole-exome sequencing. Sanger sequencing validation was performed on all available family members, and the mutation was recessively separated with an infertility phenotype. The c.161_162del mutation breaks the reading frame of the protein and, therefore, is predicted to produce a nonfunctional protein. The tertiary structure of CCDC103-mutated protein indicated a significant conformational change that likely affected protein function. Transmission electron microscopy of spermatozoa showed that both the mid and principal regions of the flagellum lacked dynein arms, which was confirmed via immunofluorescence staining. Using the method of laser-assisted immotile sperm selection combined with intracytoplasmic sperm injection, the patient’s wife has a successful clinical pregnancy. These results extend the phenotype spectrum of the CCDC103 mutation in PCD.

To be or not to be supervisors for medical students in general practice clinical placements: a questionnaire study from Norway

Objective Many countries experience challenges in recruiting and retaining general practitioners (GPs) as supervisors for medical students in clinical placements. We aimed to investigate the opportunities, capacities and limitations of Norwegian GPs to become supervisors. Design Web-based cross-sectional questionnaire study. Setting Norwegian general practice. Subjects All GPs in Norway, including locums and those on leave, both active supervisors, and GPs who are not presently supervising medical students. Main outcome measures GPs’ terms of salary, office facilities, limiting factors, capacity and needs for becoming or continuing as supervisors. Results Among 5145 GPs, 1466 responded (29%), of whom 498 (34%) were active supervisors. Lack of a dedicated student office was the most reported limitation for both active supervisors (75%) and other GPs (81%). A high proportion (67%) of active supervisors reported that they could host more students per year, given financial support for equipped offices and higher salaries. With this kind of support, 48% (n = 461) of the GPs who were not supervisors for medical students were positive about a future supervisor role. By adjusted regression analysis, female GPs had lower likelihood of being supervisors, OR (95% CI) 0.75 (0.59–0.95) than male colleagues. GPs in the North, Mid and West regions had higher odds (OR 3.89, 3.10 and 2.42, respectively) than those in the South-East region. Teaching experience also increased the odds (2.31 (1.74–3.05). Conclusions There seems to be capacity among both active and potential supervisors if increased salaries and financial support for office facilities are made available.

Modelling of on-farm greenhouse gas emissions from dual-purpose meat and wool sheep production in different geographical regions of Norway

The whole-farm model, HolosNorSheep, was developed to estimate net greenhouse gas emissions from dual purpose sheep production in Norway. The model adopted a cradle-to-farm gate system boundary and is based on the International Panel on Climate Change methodology and includes direct emissions from enteric and manure methane (CH4; GWP100=27), direct and indirect nitrous oxide (N2O; GWP100=273) from manure and soils, direct carbon dioxide (CO2) emissions from energy use and indirect CO2 emissions from the production of input factors. Soil carbon balance is calculated using the ICBM-model. Emission intensities (CO2-eq/kg product) for sheep carcass and greasy wool, was estimated for five geographical regions of Norway (East, West, South, Mid and North). The geographical regions varied considerably in climate, feed resources, days on pasture and herd/farm management. Estimated emission intensities per kg carcass and greasy wool varied from 23.5 to 19.9 (Mid region) to 26.8 and 22.8 kg CO2-eq (North region) respectively. The difference between the Mid and North region was mainly due to higher CO2 and N2O emissions from use of fuel and N-fertilizer in the North, where a short growth season, and thus reduced grass yields, are compensated by using greater land area. Based on the distribution of sheep in the regions, and the emission intensities in each region, weighted average emission intensities per kg carcass and greasy wool were estimated as 25.1 and 23.3 kg CO2-eq, respectively. Five alternative methods for the allocation of the co-products were compared with the amounts allocated to greasy wool ranging from 0 % when using no allocation (i.e., all emissions allocated to the sheep carcass), 11 % for economic allocation, 12 % for mass allocation, 19 % for biophysical allocation based on energy requirement up to 31 % for allocation based on protein mass. The emission intensity for wool was highly sensitive to the allocation method used (range from 0 to 61 kg CO2-eq per kg greasy wool), while the effect on sheep carcass was lower (range 19 to 28 kg CO2-eq per kg carcass). For production systems where meat is the main product, as in Norway, allocation should be based on biophysical allocation based on energy requirement.

Higher incidence of paediatric inflammatory bowel disease by increasing latitude in Norway, but stable incidence by age.

To examine possible geographical and temporal differences in the incidence of childhood-onset inflammatory bowel disease (IBD) in Norway, motivated by previous research indicating relevant environmental factors explaining changing epidemiology. We analysed data from children born in Norway from 2004 to 2012 (n = 541 036) in a registry-based nationwide study. After validating registry diagnoses against medical records, we defined IBD as ≥2 entries of International Classification of Diseases, 10th revision (ICD-10) codes K50, K51 and K52.3 in the Norwegian Patient registry. We estimated hazard ratios (HR) for IBD across four geographical regions with a south-to-north gradient and the incidence by period of birth. By the end of follow-up on 31 December 2020, 799 IBD diagnoses were identified (Crohn's disease: n = 465; ulcerative colitis, n = 293, IBD: unclassified, n = 41). Compared to children in the southernmost region, there was almost a two-fold HR for IBD in children in the most Northern region (HR = 1.94, 95% Cl = 1.47-2.57; Mid region: HR = 1.68, 95% CI = 1.29-2.19, ptrend <0.001). These estimates remained largely unchanged after adjustment for potential confounding factors. The cohorts born in 2004-2006 and 2010-2012 had comparable cumulative incidences, with a slightly higher incidence for those born in 2007-2009. We observed an increase in the risk of IBD by increasing latitude which may suggest that environmental factors influence the development of IBD, although non-causal explanations cannot be ruled out.

Morbidity pattern based on clinico-biochemical profile of neonates admitted in NICU of a tertiary care hospital in the mid north bank region of Assam

The neonatal period carries the highest risk of death per day compared to any other period during childhood. Of all newborn deaths three fourths result from three preventable and treatable conditions– complications due to prematurity, intrapartum related deaths (including birth asphyxia) and neonatal infections. The study was to describe the morbidity pattern with outcome, based on clinical diagnosis and relevant biochemical parameters amongst neonates admitted in NICU in the tertiary care hospital. A retrospective case record analysis of all the NICU admissions between January 2021 to March 2021 was done based on both electronic and hard data. The neonates with complete records of clinical presentation, relevant biochemical investigations were included in the study. Out of 624 neonates admitted in NICU during the study period, 622 were included in the final analysis. The proportion of fullterm and preterm among inborns (77.6% &amp;18.8%) and outborns (76.2% &amp; 21.8%) were similar, but the proportion of low-birth-weight babies in outborns was higher than in the inborns. The overall discharge rate was 85.5%. It was higher for inborn neonates as compared to outborn neonates (88.7% vs 79%). The death rate was higher in outborns than in inborns. The highest no of NICU admission was due to asphyxia related conditions followed by neonatal jaundice in both genders and in all inborn and outborn neonates. Out of total admissions in NICU, 72(11.6%) was due to infections causing neonatal sepsis, meningitis and acquired pneumonia. While neonatal jaundice has a lower mortality rate, preventable conditions like birth asphyxia and infections remain major concerns for neonatal morbidity and mortality in this region. The study emphasizes the need for strengthened antenatal care, improved infection control, and increased access to trained neonatologists to ensure better outcomes for newborns.

Cranial osteology and paleoneurology of Tarjadia ruthae: An erpetosuchid pseudosuchian from the Triassic Chañares Formation (late Ladinian-?early Carnian) of Argentina.

Tarjadia ruthae is a quadrupedal terrestrial pseudosuchian from the Middle-early Upper Triassic of the Chañares Formation, La Rioja Province, Argentina. Originally, this species was identified as an indeterminate archosaur and later as a doswelliid archosauriform based on very fragmentary specimens characterized by the ornamentation of the skull roof and osteoderms. Additional specimens (including skulls and postcrania) recovered in the last decade show that Tarjadia is an erpetosuchid, an enigmatic pseudosuchian group composed of six species registered in Middle-Upper Triassic continental units of Tanzania, Germany, Scotland, North America, Brazil, and Argentina. Tarjadia ruthae from Argentina and Parringtonia gracilis from Tanzania are the best preserved and more abundant species. Although the monophyly of Erpetosuchidae is well supported, alternative high-level positions within Archosauria have been suggested, such as sister taxon to Crocodylomorpha, Aetosauria, or Ornithosuchidae. In order to improve the knowledge about the erpetosuchids, we performed a detailed description and paleoneurological reconstruction of the skull of Tarjadia ruthae, based on two articulated partial skulls (CRILAR-Pv 478 and CRILAR-Pv 495) and other fragmentary specimens. We analyzed the stratigraphic and geographic occurrence of historical and new specimens of Tarjadia and provided a new emended diagnosis (the same for the genus as for the species, due to monotypy) along with a comparative description of the cranial endocast. The skull of Tarjadia is robust, with a thick and strongly ornamented skull roof, triangular in dorsal view, with concave lateral margins at mid-length that form an abrupt widened posterior region. The external nares are the smallest openings of the skull. The antorbital fossa is deeply excavated and has a small heart-shaped fenestra with both lobes pointing anteriorly. The supratemporal fenestrae are as large and rounded as the orbits, and the infratemporal fenestrae are L-shaped with an extensive excavation along the jugal, quadratojugal and quadrate. The hemimandibles are low, slightly concave on the dentigerous region and strongly convex on the posterior region, conferring them a S-shaped profile in dorsal view. The external mandibular fenestra is small and elliptic, being twice longer than high. The maxillary dentition is restricted to the anterior to mid region of the rostrum. Since the braincase of both specimens is partially damaged, the dorsal surface of the brain could not be entirely reconstructed. As a result, the endocast is anteroposteriorly elongated and seemingly flat, and the cephalic flexure seems to be lower than expected for a suchian. The labyrinth is twice wider than high, the semicircular canals are remarkably straight, and the anterior canal is longer than the posterior one.

CMT-WAAM deposition strategies for thin overhanging disc of SS308LSi and investigation of mechanical and microstructural characteristics

This work investigates the deposition strategies with microstructural evolution and mechanical properties of SS308LSi overhanging disc produced by CMT-WAAM in horizontal position. The disc was deposited on a rotating cylindrical substrate where three primary geometrical abnormalities named sagging, start and end defect and humping were observed. The causes and remedial strategies were investigated to eliminate these abnormalities. Microstructure analysis of the layers cross section revealed a defect free layer depositions and columnar solidification with epitaxial grain growth. A very slightly coarser grains structure is observed in the middle layers of the disc compared to that of bottom and top regions. The microhardness at bottom, mid and top regions are in the range of 236 ± 9.2 HV, 227 ± 11.3 HV and 232 ± 6 HV, respectively. The microhardness values are consistent with the calculated SDAS along the build direction. Tensile tests were performed at room temperature and the samples failed with an average yield strength, ultimate tensile strength, and percentage of elongation of 391.4 ± 21 MPa, 616.8 ± 19.5 MPa and 45.6 ± 0.8% respectively. This work reveals that CMT-WAAM can successfully produce overhanging disc components of high-quality without using an industrial robot at a relatively low cost.

Biometric and ultrasonographic evaluation on mammary gland of goat

Gross and ultrasonographic studies were conducted on the mammary gland of goat (n=18 for each study) during pre-pubertal, lactating and non-lactating stages. Mammary gland was located into the inguinal region and divided into two halves by mammary groove which was prominent during lactation stage. Each halve had separate glandular body and conical teat divisible into tip, mid and base regions. The mammary gland contained numerous lactiferous ducts which opened into the gland sinus that continued distally as teat sinus and teat canal. The gland sinus and teat sinus were separated from each other by annular folds, which were more prominent in lactating animals. At the junction of teat sinus and teat canal, small mucosal elevation was observed as Furstenberg’s rosette. Teat wall was lined by skin, teat internal mucosal layer and teat sinus from outside to inside. Ultrasonographic observations showed that the lactating mammary gland contained an echogenic structure of variable size indicating gland sinus, lactiferous ducts, blood vessels, glandular parenchyma, while the homogenous echogenic component depicting more connective tissue stroma in non-lactating and pre-pubertal goat. The teat wall was made up of innermost hyperechogenic layer (teat mucosa), middle hypoechogenic (fibromuscular) layer and mild hyperechogenic teat skin. Teat sinus was anechogenic, however teat canal was demarcated by hyperechogenic streak. Biometrical and ultrasonographic observations were recorded on teat canal length, maximum diameter of teat, maximum teat wall thickness. Present study showed that there was no significant difference in biometric and ultrasonographic measurements of goat teat. Therefore, it may be concluded that the gross and ultrasonographic observations may be used to diagnose any abnormality in the udder during clinical examination.

Comparison of microparticle transport and deposition in nasal cavity of three different age groups

Objective: The nasal cavity effectively captures the particles present in inhaled air, thereby preventing harmful and toxic pollutants from reaching the lungs. This filtering ability of the nasal cavity can be effectively utilized for targeted nasal drug delivery applications. This study aims to understand the particle deposition patterns in three age groups: neonate, infant, and adult. Materials and methods: The CT scans are built using MIMICS 21.0, followed by CATIA V6 to generate a patient-specific airway model. Fluid flow is simulated using ANSYS FLUENT 2021 R2. Spherical monodisperse microparticles ranging from 2 to 60 µm and a density of 1100 kg/m3 are simulated at steady-state and sedentary inspiration conditions. Results: The highest nasal valve depositions for the neonate are 25% for 20 µm, for infants, 10% for 50 µm, 15% for adults, and 15% for 15 µm. At mid nasal region, deposition of 15% for 20 µm is observed for infant and 8% for neonate and adult nasal cavities at a particle size of 10 and 20 µm, respectively. The highest particle deposition at the olfactory region is about 2.7% for the adult nasal cavity for 20 µm, and it is <1% for neonate and infant nasal cavities. Discussion and conclusions: The study of preferred nasal depositions during natural sedentary breathing conditions is utilized to determine the size that allows medication particles to be targeted to specific nose regions.