326 research outputs found
Case report of atypical Still’s disease: a diagnosis of exclusion
No full textSandeep Yerra,1 Letlhogonolo Tlhabano,2 Tejaswini Vasamsetty3 1Department of Anesthesiology, University of Virginia, Charlottesville, VA, 2Internal Medicine, Wake Forest Baptist Health, Winston-Salem, 3Internal Medicine, East Carolina University, Greenville, NC, USA Introduction: We present an unusual presentation of a 39-year-old man with myalgias and shortness of breath. Chief complaints: The patient presented to the emergency department with complaints of myalgias, shortness of breath and palpitations. During this hospitalization, he had multiple episodes of tachycardia and desaturation. The patient had elevated troponins and creatinine kinase. Differential diagnosis included pericarditis, pneumonia and malignancy. Investigations: The patient had elevated ferritin and erythrocyte sedimentation rate. Outcome: The patient had adult Still’s disease. Lesson: This case shows how the presentation and symptom complex of Still’s disease together with the lack of specific serological markers can misguide the diagnosis. Keywords: adult Still’s disease, rheumatology, hemophagocytic lymphohistiocytosis, immunolog
Proceedings of ASME Turbo Expo 2013: Power for Land, Sea and Air, Volume 1A: Combustion, Fuels and Emissions
No full textShahrokh Etemad (with Sandeep Alavandi and Benjamin Baird) is a contributing author, Fuel Flexible Rich Catalytic Lean Burn System for Low Btu Fuels
Case report of a computerized tomography sign in Strongyloides stercoralis infection
No full textSandeep Yerra1 Pradeep Yarra2 1Anesthesiology, University of Virginia, Charlottesville, VA, USA; 2Internal Medicine, Wake Forest Baptist Health, Winston Salem, NC, USA Abstract: This is a case of strongyloidiasis showing colon enhancement on a computerized tomography (CT) scan. The patient presented with chief complaints of diarrhea and abdominal pain. She gave a history of recent travel to El Salvador and her stool was positive for Strongyloides stercoralis. A CT scan revealed a circumferential enhancement of the sigmoid colon. This CT sign was unusual in strongyloidiasis and when combined with the symptoms, caused us to rule out inflammatory bowel disease and shock bowel. Stool examination revealed ova and parasites of Strongyloides stercoralis. She was then treated with ivermectin which resulted in resolution of her symptoms. Keywords: strongyloidiasis of colon, inflammatory bowel disease, parasitic infections, ulcerative coliti
Acute Ethanol Administration Rapidly Increases Phosphorylation of Conventional Protein Kinase C in Specific Mammalian Brain Regions in Vivo
No full textBackground
Protein kinase C (PKC) is a family of isoenzymes that regulate a variety of functions in the central nervous system including neurotransmitter release, ion channel activity, and cell differentiation. Growing evidence suggests that specific isoforms of PKC influence a variety of behavioral, biochemical, and physiological effects of ethanol in mammals. The purpose of this study was to determine whether acute ethanol exposure alters phosphorylation of conventional PKC isoforms at a threonine 674 (p-cPKC) site in the hydrophobic domain of the kinase, which is required for its catalytic activity.
Methods
Male rats were administered a dose range of ethanol (0, 0.5, 1, or 2 g/kg, intragastric) and brain tissue was removed 10 minutes later for evaluation of changes in p-cPKC expression using immunohistochemistry and Western blot methods.
Results
Immunohistochemical data show that the highest dose of ethanol (2 g/kg) rapidly increases p-cPKC immunoreactivity specifically in the nucleus accumbens (core and shell), lateral septum, and hippocampus (CA3 and dentate gyrus). Western blot analysis further showed that ethanol (2 g/kg) increased p-cPKC expression in the P2 membrane fraction of tissue from the nucleus accumbens and hippocampus. Although p-cPKC was expressed in numerous other brain regions, including the caudate nucleus, amygdala, and cortex, no changes were observed in response to acute ethanol. Total PKC? immunoreactivity was surveyed throughout the brain and showed no change following acute ethanol injection
Case report of a computerized tomography sign in <em>Strongyloides stercoralis</em> infection
No full textCharacterizing collagen mimetic peptides for orthogonal self-assembly
No full textA computational design of collagen mimetic peptides (CMPs) that self-assemble orthogonally (mutually exclusively), in the presence of other pre-existing collagen trimer mixtures, in vitro, has been proposed. The orthogonality in self-assembly was brought about by orthogonal patterning of ionic salt bridges and residues, along the collagen trimers’ axial length. Through the aid of circular dichroism spectroscopy alone, a novel experimental protocol was set-up to rapidly assess the level of cross-talk that may arise in such designed ‘heterogeneous monomer to trimer folding’ mixture environments. It is shown that the designed collagen mimetic peptides are stable and hetero-specific within their composite 3 chain peptide ecosystem. We experimentally demonstrate the extent to which loss in specificity could possibly occur, upon moving to a higher order ‘more than 3 monomers in solution’ peptide ensemble. Although the desired level of multi-state orthogonality was not achieved in the current design, the experimental results obtained were used to estimate the stability and specificity barrier threshold that one might run into, if one were to instead design orthogonal systems where-in specificity is incorporated during the computational design stage itself a priori. A Pareto frontier plot indicating the specificity versus stability trade-off is plotted. We conclude that a bottom-up design approach, incorporating design of specificity during the sequence design stage, would be a better way forward for achieving self-assembling orthogonality. In contrast to the complex chaperone assisted protein folding systems existing in nature, our method is a simplistic first step towards the complementary approach of modular synthetic collagen molecule design.Ph.D.Includes bibliographical referencesby Sandeep Vishwanath Belur
Resin and steel-reinforced resin used as injection materials in bolted connections
No full textInjection bolts are bolts in which the cavity produced by the clearance between the bolt and the wall of the hole is completely filled up with a two-component resin. Filling of the clearance is carried out through a small hole in the head of the bolt. After injection and complete curing, the connection is slip resistant. Recently the injection material, typically an epoxy resin, was modified at TU Delft by adding steel shots (spherical particles) to mitigate the effects of resin compliance in the shear connection of reusable composite (steel-concrete) structures. Experimental compressive material tests on unconfined/confined resin and steel-reinforced resin are evaluated in this chapter. The uniaxial model which combines damage mechanics and the Ramberg-Osgood relationship is proposed to describe the uniaxial compressive behavior of resin and steel-reinforced resin. First-order numerical homogenization is employed as a high-fidelity model, where a combined nonlinear isotropic/kinematic cyclic hardening model is employed to define the steel plasticity, the linear Drucker-Prager plastic criterion was used to simulate resin damage, and the cohesive surfaces reflecting the relationship between traction and displacement at the interface. The linear Drucker-Prager plastic model is used as a low-fidelity model.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Steel & Composite Structure
Anomaly-Based DNN Model for Intrusion Detection in IoT and Model Explanation: Explainable Artificial Intelligence
No full textIoT has gained immense popularity recently with advancements in technologies and big data. IoT network is dynamically increasing with the addition of devices, and the big data is generated within the network, making the network vulnerable to attacks. Thus, network security is essential, and an intrusion detection system is needed. In this paper, we proposed a deep learning-based model for detecting intrusions or attacks in IoT networks. We constructed a DNN model, applied a filter method for feature reduction, and tuned the model with different parameters. We also compared the performance of DNN with other machine learning techniques in terms of accuracy, and the proposed DNN model with weight decay of 0.0001 and dropout rate of 0.01 achieved an accuracy of 0.993, and the reduced loss on the NSL-KDD dataset having five classes. DL models are a black box and hard to understand, so we explained the model predictions using LIME.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Cyber Securit
A review and survey of policies utilized for interventional pain procedures: a need for consensus
No full textLynn Kohan,1 Reza Salajegheh,1 Robin J Hamill-Ruth,1 Sandeep Yerra,1 John Butz,2 1Department of Anesthesiology, University of Virginia, Charlottesville, VA, 2West River Anesthesiology Consultants, Rapid City, SD, USA Background: Other than the newly published anticoagulation guidelines, there are currently few recommendations to assist pain medicine physicians in determining the safety parameters to follow when performing interventional pain procedures. Little information exists regarding policies for oral intake, cumulative steroid dose limits, driving restrictions with and without sedation, and routine medication use for interventional procedures.Methods: A 16-question survey was developed on common policies currently in use for interventional pain procedures. The questionnaire was distributed through the ­American Society of Regional Anesthesia and Pain Medicine and American Academy of Pain Medicine. We sought to statistically analyze the range of policies being used by pain medicine physicians and to determine if there are any commonly accepted standards.Results: A total of 337 physicians out of 4037 members responded to our survey with a response rate of 8.4%. A total of 82% of these respondents used a sedative agent while performing an interventional pain procedure. The majority of respondents required drivers after procedures, except after trigger points. A total of 47% indicated that they have an nil per os (NPO) policy for procedures without sedation. A total of 98% reported that they had an anticoagulation policy before an interventional procedure. A total of 17% indicated that the interval between steroid doses was <2 weeks, while 53% indicated that they waited 2–4 weeks between steroid doses.Conclusion: Our study has clearly demonstrated a wide variation in the current practice among physicians regarding sedation, NPO status, steroid administration, and the need for designated drivers. There was much higher endorsement of policies regarding anticoagulation. There is an obvious need for evidence-based guidelines for these aspects of interventional pain care to improve patient safety and minimize the risk of adverse events. Keywords: interventional pain procedures policies, steroids in pain procedures, driver policy in interventional pain procedures, NSAIDs and anticoagulants in interventional pain procedure
STUDIES ON PHYTOCHEMISTRY, ANTI-CANCER PROPERTIES OF BETULA UTILIS
No full textAbstract: Betula is a versatile plant with several applications. D. Don (family Betulaceae) is a long-lived tree that has been known in Sanskrit for about 400 years as Himalayan birch, bhojpatra, or Bhurja. Its usefulness as a therapeutic plant is well acknowledged. Birch bark has recently been the topic of scientific study and industry given the presence contains triterpenoids including such betulinic acid as well as oleanolic acid, that are well for their anticancer actions. A new anticancer medication, betulinic acid promotes apoptosis in the cancer cells. Therefore, It was unique from other cancer treatments. A number of B. utilis species have been reported to contain phenolics as well as flavonoids. Suitable investigations were carried out to assess phytochemicals qualitatively using various solvents, as well as anticancer activities utilising the SRB test.
Keywords: phytochemicals, anticancer medication, cancer cells.
Title: STUDIES ON PHYTOCHEMISTRY, ANTI-CANCER PROPERTIES OF BETULA UTILIS
Author: Sandeep Singh Bhau, Dr. Arti Chaurasia
International Journal of Interdisciplinary Research and Innovations
ISSN 2348-1218 (print), ISSN 2348-1226 (online)
Vol. 10, Issue 2, April 2022 - June 2022
Page No: 22-29
Research Publish Journals
Website: www.researchpublish.com
Published Date: 06-May-2022
DOI: https://doi.org/10.5281/zenodo.6524653
Paper Download Link (Source): https://www.researchpublish.com/papers/studies-on-phytochemistry-anti-cancer-properties-of-betula-utilisInternational Journal of Interdisciplinary Research and Innovations, ISSN 2348-1218 (print), ISSN 2348-1226 (online), Vol. 10, Issue 2, April 2022 - June 2022, Research Publish Journals, Website: www.researchpublish.co
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