Morphometry of Glenoid Cavity

Objectives: Knowledge of the shape and dimensions of the glenoid are important in the design and fitting of glenoid components for total shoulder arthroplasty. An understanding of variations in normal anatomy of the glenoid is essential while evaluating pathological conditions like osseous Bankart lesions and osteochondral defects. Methods: This study was done on 202 dry, unpaired adult human scapulae of unknown sex belonging to the south Indian population. Three glenoid diameters were measured, the superior-inferior diameter, anterior-posterior diameter of the lower half and the anterior-posterior diameter of the upper half of the glenoid. Based on a notch present on the anterior glenoid rim, variations in the shape of the glenoid cavity were classified as inverted comma shaped, pear shaped and oval. Results: The average superior-inferior diameter on right and the left sides were 33.67±2.82mm and 33.92±2.87mm respectively. The average anterior-posterior diameter of the lower half of the right glenoid was 23.35±2.04mm and that of the left was 23.02±2.30mm. The mean diameter of the upper half of the right glenoid was 16.27±2.01mm and that of the left was 15.77±1.96mm. Conclusion: The dimensions of the glenoid observed in the present study were lesser than those recorded in the studies done on other populations. This fact may be taken into consideration while designing glenoid prostheses for the south Indian population. The current study recorded a higher percentage of glenoid cavities having the glenoid notch as compared to earlier studies. While evaluating defects/lesions of the glenoid, this fact could be useful

Meeting Report on the International Conference of ECMO-Life Support for Pakistan in 21st Century held May 11-12, 2017, Lahore

Extracorporeal membrane oxygenation support (ECMO) is indicated in severe heart or lung failure with 80 percent or more risk of mortality. In experienced centers, overall survival to discharge ranges from 40 percent in cardiac arrest with extracorporeal cardiopulmonary resuscitation (ECPR) to 70 percent for respiratory failure in adults. Overall survival in children is about 80 percent and newborns with severe lung injury can recover to normal function following prolonged ECMO support, thus, re-defining irreversible lung injury. In the future, ECMO will be automatically controlled with care out of the Intensive care units (ICU) or at home. The International Conference of ECMO-Life Support for Pakistan in 21st Century which was recently held in Lahore, Pakistan on May 11 - 12, 2017. It was to bring together the best of cardiothoracic and vascular surgeons, heart failure cardiologist, adult and pediatric intensivists, pulmonologists, anaesthetists, cardiovascular nurses, postgraduate trainees, para-medical staff, perfusionists, ambulance cardiac first responders and cardiovascular scientists for thought provoking evidence based discussions on the direction and flow of ECMO technology for Pakistan and the Developing World in the next decade. The aim of this conference was to share knowledge on ECMO technologies, advancements and their impact on the health capacity building

Polynomial Delay Algorithm for Listing Minimal Edge Dominating sets in Graphs

The Transversal problem, i.e, the enumeration of all the minimal transversals of a hypergraph in output-polynomial time, i.e, in time polynomial in its size and the cumulated size of all its minimal transversals, is a fifty years old open problem, and up to now there are few examples of hypergraph classes where the problem is solved. A minimal dominating set in a graph is a subset of its vertex set that has a non empty intersection with the closed neighborhood of every vertex. It is proved in [M. M. Kant\'e, V. Limouzy, A. Mary, L. Nourine, On the Enumeration of Minimal Dominating Sets and Related Notions, In Revision 2014] that the enumeration of minimal dominating sets in graphs and the enumeration of minimal transversals in hypergraphs are two equivalent problems. Hoping this equivalence can help to get new insights in the Transversal problem, it is natural to look inside graph classes. It is proved independently and with different techniques in [Golovach et al. - ICALP 2013] and [Kant\'e et al. - ISAAC 2012] that minimal edge dominating sets in graphs (i.e, minimal dominating sets in line graphs) can be enumerated in incremental output-polynomial time. We provide the first polynomial delay and polynomial space algorithm that lists all the minimal edge dominating sets in graphs, answering an open problem of [Golovach et al. - ICALP 2013]. Besides the result, we hope the used techniques that are a mix of a modification of the well-known Berge's algorithm and a strong use of the structure of line graphs, are of great interest and could be used to get new output-polynomial time algorithms.Comment: proofs simplified from previous version, 12 pages, 2 figure

p22phox C242T Single-Nucleotide Polymorphism Inhibits Inflammatory Oxidative Damage to Endothelial Cells and Vessels.

BACKGROUND: The NADPH oxidase, by generating reactive oxygen species, is involved in the pathophysiology of many cardiovascular diseases and represents a therapeutic target for the development of novel drugs. A single-nucleotide polymorphism, C242T of the p22(phox) subunit of NADPH oxidase, has been reported to be negatively associated with coronary heart disease and may predict disease prevalence. However, the underlying mechanisms remain unknown. METHODS AND RESULTS: With the use of computer molecular modeling, we discovered that C242T single-nucleotide polymorphism causes significant structural changes in the extracellular loop of p22(phox) and reduces its interaction stability with Nox2 subunit. Gene transfection of human pulmonary microvascular endothelial cells showed that C242T p22(phox) significantly reduced Nox2 expression but had no significant effect on basal endothelial O2 (.-) production or the expression of Nox1 and Nox4. When cells were stimulated with tumor necrosis factor-α (or high glucose), C242T p22(phox) significantly inhibited tumor necrosis factor-α-induced Nox2 maturation, O2 (.-) production, mitogen-activated protein kinases and nuclear factor κB activation, and inflammation (all P<0.05). These C242T effects were further confirmed using p22(phox) short-hairpin RNA-engineered HeLa cells and Nox2(-/-) coronary microvascular endothelial cells. Clinical significance was investigated by using saphenous vein segments from non-coronary heart disease subjects after phlebotomies. TT (C242T) allele was common (prevalence of ≈22%) and, in comparison with CC, veins bearing TT allele had significantly lower levels of Nox2 expression and O2 (.-) generation in response to high-glucose challenge. CONCLUSIONS: C242T single-nucleotide polymorphism causes p22(phox) structural changes that inhibit endothelial Nox2 activation and oxidative response to tumor necrosis factor-α or high-glucose stimulation. C242T single-nucleotide polymorphism may represent a natural protective mechanism against inflammatory cardiovascular diseases

Program Application Workshop on Motor Sales Spareparts on Daffa Motorsports

In a company or organization, a business development company became a benchmark for the success of these companies. In order for the company performance will be maintained, they should be able to mobilize all of all of its operational resources to work optimally. One is the need for application programs to manage existing data. This is due to make the right decisions requires accurate and easily understood. Here the role of database application programs as a provider of computerized data, should be able to provide information in a short time and easy to read. The author takes the case personally at a workshop owned by the author, namely Daffa Motorsport Motor Repair. These workshops are still using manual system in data processing sales, and therefore these data are available spare parts and sales transactions can not be managed effectively. The writer tries to design a sales system in accordance with the needs of spare parts of the bike shop using Visu al Basic 6.0. database based on Microsoft Access

Low-temperature formation of polycyclic aromatic hydrocarbons in Titan’s atmosphere

The detection of benzene in Titan’s atmosphere led to the emergence of polycyclic aromatic hydrocarbons (PAHs) as potential nucleation agents triggering the growth of Titan’s orange-brownish haze layers. However, the fundamental mechanisms leading to the formation of PAHs in Titan’s low-temperature atmosphere have remained elusive. We provide persuasive evidence through laboratory experiments and computations that prototype PAHs like anthracene and phenanthrene (C14H10) are synthesized via barrierless reactions involving naphthyl radicals (C10H7•) with vinylacetylene (CH2=CH–C≡CH) in low-temperature environments. These elementary reactions are rapid, have no entrance barriers, and synthesize anthracene and phenanthrene via van der Waals complexes and submerged barriers. This facile route to anthracene and phenanthrene—potential building blocks to complex PAHs and aerosols in Titan—signifies a critical shift in the perception that PAHs can only be formed under high-temperature conditions, providing a detailed understanding of the chemistry of Titan’s atmosphere by untangling elementary reactions on the most fundamental level

Damage localization based on symbolic time series analysis

Copyright © 2014 John Wiley & Sons, Ltd. The objective of this paper is to localize damage in a single or multiple state at early stages of development on the basis of the principles of symbolic dynamics. Symbolic time series analysis (STSA) of noise-contaminated responses is used for feature extraction to detect and localize a gradually evolving deterioration in the structure according to the changes in the statistical behaviour of symbol sequences. Basically, in STSA, statistical features of the symbol sequence can be used to describe the dynamic status of the system. Symbolic dynamics has some useful characteristics making it highly demanded for implementation in real-time observation application such as SHM. First, it significantly reduces the dimension of information and provides information-rich representation of the underlying data. Second, symbolic dynamics and the set of statistical measures built upon it represent a solid framework to address the main challenges of the analysis of nonstationary time data. Finally, STSA often allows capturing the main features of the underlying system whilst alleviating the effects of harmful noise. The method presented in this paper consists of four primary steps: (i) acquisition of the time series data; (ii) creating the symbol space to produce symbol sequences on the basis of the wavelet transformed version of time series data; (iii) developing the symbol probability vectors to achieve anomaly measures; and (iv) localizing damage on the basis of any sudden variation in anomaly measure of different locations. The method was applied on a flexural beam and a 2-D planar truss bridge subjected to varying Gaussian excitation in presence of 2% white noise to examine the efficiency and limitations of the method. Simulation results under various damage conditions confi rmed the efficiency of the proposed approach for localization of gradually evolving deterioration in the structure; however, for the future work, the method needs to be verified by experimental data

DNA Vaccines Encoding Antigen Targeted to MHC Class II Induce Influenza-Specific CD8+ T Cell Responses, Enabling Faster Resolution of Influenza Disease

Current influenza vaccines are effective but imperfect, failing to cover against emerging strains of virus and requiring seasonal administration to protect against new strains. A key step to improving influenza vaccines is to improve our understanding of vaccine induced protection. Whilst it is clear that antibodies play a protective role, vaccine induced CD8+ T cells can improve protection. To further explore the role of CD8+ T cells we used a DNA vaccine that encodes antigen dimerised to an immune cell targeting module. Immunising CB6F1 mice with the DNA vaccine in a heterologous prime boost regime with the seasonal protein vaccine improved the resolution of influenza disease compared to protein alone. This improved disease resolution was dependent on CD8+ T cells. However, DNA vaccine regimes that induced CD8+ T cells alone were not protective and did not boost the protection provided by protein. The MHC targeting module used was an anti-I-Ed single chain antibody specific to the BALB/c strain of mice. To test the role of MHC targeting we compared the response between BALB/c, C57BL/6 mice and an F1 cross of the two strains (CB6F1). BALB/c mice were protected, C57BL/6 were not and the F1 had an intermediate phenotype; showing that the targeting of antigen is important in the response. Based on these findings, and in agreement with other studies using different vaccines, we conclude that in addition to antibody, inducing a protective CD8 response is important in future influenza vaccines

The Extremes of Thermonuclear Supernovae

The majority of thermonuclear explosions in the Universe seem to proceed in a rather standardised way, as explosions of carbon-oxygen (CO) white dwarfs in binary systems, leading to 'normal' Type Ia supernovae (SNe Ia). However, over the years a number of objects have been found which deviate from normal SNe Ia in their observational properties, and which require different and not seldom more extreme progenitor systems. While the 'traditional' classes of peculiar SNe Ia - luminous '91T-like' and faint '91bg-like' objects - have been known since the early 1990s, other classes of even more unusual transients have only been established 20 years later, fostered by the advent of new wide-field SN surveys such as the Palomar Transient Factory. These include the faint but slowly declining '02es-like' SNe, 'Ca-rich' transients residing in the luminosity gap between classical novae and supernovae, extremely short-lived, fast-declining transients, and the very luminous so-called 'super-Chandrasekhar' SNe Ia. Not all of them are necessarily thermonuclear explosions, but there are good arguments in favour of a thermonuclear origin for most of them. The aim of this chapter is to provide an overview of the zoo of potentially thermonuclear transients, reviewing their observational characteristics and discussing possible explosion scenarios.Comment: Author version of a chapter for the 'Handbook of Supernovae', edited by A. Alsabti and P. Murdin, Springer. 50 pages, 7 figure

A study of general practitioners' perspectives on electronic medical records systems in NHS Scotland

&lt;b&gt;Background&lt;/b&gt; Primary care doctors in NHSScotland have been using electronic medical records within their practices routinely for many years. The Scottish Health Executive eHealth strategy (2008-2011) has recently brought radical changes to the primary care computing landscape in Scotland: an information system (GPASS) which was provided free-of-charge by NHSScotland to a majority of GP practices has now been replaced by systems provided by two approved commercial providers. The transition to new electronic medical records had to be completed nationally across all health-boards by March 2012. &lt;p&gt;&lt;/p&gt;&lt;b&gt; Methods&lt;/b&gt; We carried out 25 in-depth semi-structured interviews with primary care doctors to elucidate GPs' perspectives on their practice information systems and collect more general information on management processes in the patient surgical pathway in NHSScotland. We undertook a thematic analysis of interviewees' responses, using Normalisation Process Theory as the underpinning conceptual framework. &lt;p&gt;&lt;/p&gt; &lt;b&gt;Results&lt;/b&gt; The majority of GPs' interviewed considered that electronic medical records are an integral and essential element of their work during the consultation, playing a key role in facilitating integrated and continuity of care for patients and making clinical information more accessible. However, GPs expressed a number of reservations about various system functionalities - for example: in relation to usability, system navigation and information visualisation. &lt;b&gt;Conclusion &lt;/b&gt;Our study highlights that while electronic information systems are perceived as having important benefits, there remains substantial scope to improve GPs' interaction and overall satisfaction with these systems. Iterative user-centred improvements combined with additional training in the use of technology would promote an increased understanding, familiarity and command of the range of functionalities of electronic medical records among primary care doctors