Study of atrial activities for abnormality detection by phase rectified signal averaging technique

Non-invasive detection of Atrial Fibrillation (AF) and Atrial Flutter (AFL) from ECG at the time of their onset can prevent forthcoming dangers for patients. In most of the previous detection algorithms, one of the steps includes filtering of the signal to remove noise and artefacts present in the signal. In this paper, a method of AF and AFL detection is proposed from ECG without the conventional filtering stage. Here Phase Rectified Signal Average (PRSA) technique is used with a novel optimized windowing method to achieve an averaged signal without quasi-periodicities. Both time domain and statistical features are extracted from a novel SQ concatenated section of the signal for non-linear Support Vector Machine (SVM) based classification. The performance of the proposed algorithm is tested with the MIT-BIH Arrhythmia database and good performance parameters are obtained, as indicated in the result section.

Defect driven ferromagnetism in SnO2: a combined study using density functional theory and positron annihilation spectroscopy

Room temperature ferromagnetic ordering has been observed in polycrystalline SnO₂. Defect characterization by positron annihilation technique and ab initio calculation indicates that tin vacancies are mainly responsible for inducing magnetic moment in oxygen irradiate SnO₂.

Pelvic exenteration for recurrent squamous cell carcinoma of the pelvic organs arising from the cloaca--a single institution's experience over 16 years

AIM

Minimal data are available on the role of pelvic exenteration in patients with recurrent squamous cell carcinoma (SCC) of the pelvic organs. This study aimed to highlight our experience of pelvic exenteration in patients with recurrent and re-recurrent SCC of the pelvic organs.

METHOD

A retrospective review of all patients who underwent pelvic exenteration for recurrent SCC of the pelvic organs arising from the embryological cloaca from 1994 to 2010 was performed.

RESULTS

Twenty-four patients (median age 59, range, 27-79 years) underwent pelvic exenteration for recurrent SCC of the anus (18), cervix and upper vagina (2), lower vagina (1) and the vulva (3). Nine patients with anal SCC had undergone abdominoperineal excision prior to pelvic exenteration. Ten (41.7%) patients underwent a complete pelvic exenteration procedure, while sacrectomy was performed in 13 (54.2%) patients. There was no 30-day inpatient mortality. An R0 resection was achieved in 15 (62.5%) patients. Three (12.5%) had R1 resections while 6 (25%) had R2 resections. In the 15 patients with an R0 resection, 7 (46.7%) developed metastatic disease at a median of 18 (range 10-131) months. After a median follow-up of 26 (range 4-169) months, 1- and 2-year overall survival rates were 64% [95% confidence interval (CI), 44-84%] and 57% (95% CI 35-79%), respectively.

CONCLUSION

Pelvic exenteration for recurrent SCC of the cloaca is safe and feasible even after previous salvage surgery. An R0 resection can be achieved in 62.5% of the patients with reasonable early survival though less than published recurrent rectal cancer studies.

Impact of atmospheric boundary layer depth variability and wind reversal on the diurnal variability of aerosol concentration at a valley site

The development of the atmospheric boundary layer (ABL) plays a key role in affecting the variability of atmospheric constituents such as aerosols, greenhouse gases, water vapor, and ozone. In general, the concentration of any tracers within the ABL varies due to the changes in the mixing volume (i.e. ABL depth). In this study, we investigate the impact on the near-surface aerosol concentration in a valley site of 1) the boundary layer dilution due to vertical mixing and 2) changes in the wind patterns. We use a data set obtained during a 10-day field campaign in which a number of remote sensing and in-situ instruments were deployed, including a ground-based aerosol lidar system for monitoring of the ABL top height (zi), a particle counter to determine the number concentration of aerosol particles at eight different size ranges, and tower-based standard meteorological instruments. Results show a clearly visible decreasing trend of the mean daytime zi from 2900 m AGL (above ground level) to 2200 m AGL during a three-day period which resulted in increased near-surface pollutant concentrations. An inverse relationship exists between the zi and the fine fraction (0.3-0.7 μm) accumulation mode particles (AMP) on some days due to the dilution effect in a well-mixed ABL. These days are characterized by the absence of daytime upvalley winds and the presence of northwesterly synoptic-driven winds. In contrast, on the days with an onset of an upvalley wind circulation after the morning transition, the wind-driven local transport mechanism outweighs the ABL-dilution effect in determining the variability of AMP concentration. The interplay between the ABL depth evolution and the onset of the upvalley wind during the morning transition period significantly governs the air quality in a valley and could be an important component in the studies of mountain meteorology and air quality.

Assessment of phenol infiltration resilience in soil media by HYDRUS-1D transport model for a waste discharge site

The movement of contaminants through soil imparts a variety of geo-environmental problem inclusive of lithospheric pollution. Near-surface aquifers are often vulnerable to contamination from surface source if overlying soil possesses poor resilience or contaminant attenuation capacity. The prediction of contaminant transport through soil is urged to protect groundwater from sources of pollutants. Using field simulation through column experiments and mathematical modeling like HYDRUS-1D, assessment of soil resilience and movement of contaminants through the subsurface to reach aquifers can be predicted. An outfall site of effluents of a coke oven plant comprising of alarming concentration of phenol (4-12.2 mg/L) have been considered for studying groundwater condition and quality, in situ soil characterization, and effluent characterization. Hydrogeological feature suggests the presence of near-surface aquifers at the effluent discharge site. Analysis of groundwater of nearby locality reveals the phenol concentration (0.11-0.75 mg/L) exceeded the prescribed limit of WHO specification (0.002 mg/L). The in situ soil, used in column experiment, possess higher saturated hydraulic conductivity (KS  = 5.25 × 10(-4) cm/s). The soil containing 47 % silt, 11 % clay, and 1.54% organic carbon content was found to be a poor absorber of phenol (24 mg/kg). The linear phenol adsorption isotherm model showed the best fit (R(2) = 0.977, RMSE = 1.057) to the test results. Column experiments revealed that the phenol removal percent and the length of the mass transfer zone increased with increasing bed heights. The overall phenol adsorption efficiency was found to be 42-49%. Breakthrough curves (BTCs) predicted by HYDRUS-1D model appears to be close fitting with the BTCs derived from the column experiments. The phenol BTC predicted by the HYDRUS-1D model for 1.2 m depth subsurface soil, i.e., up to the depth of groundwater in the study area, showed that the exhaustion point was reached within 12 days of elapsed time. This clearly demonstrated poor attenuation capacity of the soil to retard migration of phenol to the groundwater from the surface outfall site. Suitable liner, based on these data, may be designed to inhibit subsurface transport of phenol and thereby to protect precious groundwater from contamination.

Scleredema adultorum of Buschke in a child – a rare case

Scleredema adultorum of Buschke is a rare connective tissue disorder reported usually following streptococcal infection, influenza, measles, and mumps. This is a report of scleredema adultorum developing after streptococcal infection in an 10-year-old girl. The diagnosis was established by characteristic picture on skin biopsy using special stain. The patient had a benign course and responded to local emollients only. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-3, 60-62 DOI: http://dx.doi.org/10.3126/jcmsn.v9i3.10225