How does deep learning/machine learning perform in comparison to radiologists in distinguishing glioblastomas (or grade IV astrocytomas) from primary CNS lymphomas?: a meta-analysis and systematic review

BACKGROUND

Several studies have been published comparing deep learning (DL)/machine learning (ML) to radiologists in differentiating PCNSLs from GBMs with equivocal results. We aimed to perform this meta-analysis to evaluate the diagnostic accuracy of ML/DL versus radiologists in classifying PCNSL versus GBM using MRI.

METHODOLOGY

The study was performed in accordance with PRISMA guidelines. Data was extracted and interpreted by two researchers with 12 and 23 years' experience, respectively, and QUADAS-2 tool was used for quality and risk-bias assessment. We constructed contingency tables to derive sensitivity, specificity accuracy, summary receiver operating characteristic (SROC) curve, and the area under the curve (AUC).

RESULTS

Our search identified 11 studies, of which 8 satisfied our inclusion criteria and restricted the analysis in each study to reporting the model showing highest accuracy, with a total sample size of 1159 patients. The random effects model showed a pooled sensitivity of 0.89 [95% CI:0.84-0.92] for ML and 0.82 [95% CI:0.76-0.87] for radiologists. Pooled specificity was 0.88 [95% CI: 0.84-0.91] for ML and 0.90 [95% CI: 0.81-0.95] for radiologists. Pooled accuracy was 0.88 [95% CI: 0.86-0.90] for ML and 0.86 [95% CI: 0.78-0.91] for radiologists. Pooled AUC of ML was 0.94 [95% CI:0.92-0.96]and for radiologists, it was 0.90 [95% CI: 0.84-0.93].

CONCLUSIONS

MRI-based ML/DL techniques can complement radiologists to improve the accuracy of classifying GBMs from PCNSL, possibly reduce the need for a biopsy, and avoid any unwanted neurosurgical resection of a PCNSL.

Comparative life cycle cost analysis of bio-valorized magnetite nanocatalyst for biodiesel production: Modeling, optimization, kinetics and thermodynamic study

An active, high surface area, recyclable, magnetic, basic, iron oxide-based nanocatalyst was developed from banana leaves waste and used for microwave-assisted transesterification of soybean oil to biodiesel. According to the Hammett indicator, the catalyst has a high total basicity of 15 < H < 18.4. After optimization through the response surface methodology, the reaction allows 96.5 % biodiesel yield in the presence of 24:1 methanol to soybean oil molar ratio, 6 wt% BLW@Fe3O4, 0.5 h at 65 °C. The magnetic nature of the catalyst improves reusability for up to 6 cycles. Thermodynamic analyses showed that transesterification of soybean oil to biodiesel is an endothermic reaction. Moreover, the catalyst has the potential to reduce biodiesel production costs by utilizing abundant biomass waste materials. The calculated cost for 1 kg of catalyst is $1.14, while the biodiesel's cost per kg produced in this work is merely $1.05, showing high commercial viability.

Tests of Light-Lepton Universality in Angular Asymmetries of B^{0}→D^{*-}ℓν Decays

We present the first comprehensive tests of the universality of the light leptons in the angular distributions of semileptonic B^{0}-meson decays to charged spin-1 charmed mesons. We measure five angular-asymmetry observables as functions of the decay recoil that are sensitive to lepton-universality-violating contributions. We use events where one neutral B is fully reconstructed in ϒ(4S)→BB[over ¯] decays in data corresponding to 189  fb^{-1} integrated luminosity from electron-positron collisions collected with the Belle II detector. We find no significant deviation from the standard model expectations.

Search for a τ^{+}τ^{-} Resonance in e^{+}e^{-}→μ^{+}μ^{-}τ^{+}τ^{-} Events with the Belle II Experiment

We report the first search for a nonstandard-model resonance decaying into τ pairs in e^{+}e^{-}→μ^{+}μ^{-}τ^{+}τ^{-} events in the 3.6-10  GeV/c^{2} mass range. We use a 62.8  fb^{-1} sample of e^{+}e^{-} collisions collected at a center-of-mass energy of 10.58 GeV by the Belle II experiment at the SuperKEKB collider. The analysis probes three different models predicting a spin-1 particle coupling only to the heavier lepton families, a Higgs-like spin-0 particle that couples preferentially to charged leptons (leptophilic scalar), and an axionlike particle, respectively. We observe no evidence for a signal and set exclusion limits at 90% confidence level on the product of cross section and branching fraction into τ pairs, ranging from 0.7 to 24 fb, and on the couplings of these processes. We obtain world-leading constraints on the couplings for the leptophilic scalar model for masses above 6.5  GeV/c^{2} and for the axionlike particle model over the entire mass range.

Measurement of CP Violation in B^{0}→K_{S}^{0}π^{0} Decays at Belle II

We report a measurement of the CP-violating parameters C and S in B^{0}→K_{S}^{0}π^{0} decays at Belle II using a sample of 387×10^{6}  BB[over ¯] events recorded in e^{+}e^{-} collisions at a center-of-mass energy corresponding to the ϒ(4S) resonance. These parameters are determined by fitting the proper decay-time distribution of a sample of 415 signal events. We obtain C=-0.04_{-0.15}^{+0.14}±0.05 and S=0.75_{-0.23}^{+0.20}±0.04, where the first uncertainties are statistical and the second are systematic.

Test of Light-Lepton Universality in the Rates of Inclusive Semileptonic B-Meson Decays at Belle II

We present the first measurement of the ratio of branching fractions of inclusive semileptonic B-meson decays, R(X_{e/μ})=B(B→Xeν)/B(B→Xμν), a precision test of electron-muon universality, using data corresponding to 189  fb^{-1} from electron-positron collisions collected with the Belle II detector. In events where the partner B meson is fully reconstructed, we use fits to the lepton momentum spectra above 1.3  GeV/c to obtain R(X_{e/μ})=1.007±0.009(stat)±0.019(syst), which is the most precise lepton-universality test of its kind and agrees with the standard-model expectation.

First Measurement of the Michel Parameter ξ^{'} in the τ^{-}→μ^{-}ν[over ¯]_{μ}ν_{τ} Decay at Belle

We report the first measurement of the Michel parameter ξ^{'} in the τ^{-}→μ^{-}ν[over ¯]_{μ}ν_{τ} decay with a new method proposed just recently. The measurement is based on the reconstruction of the τ^{-}→μ^{-}ν[over ¯]_{μ}ν_{τ} events with subsequent muon decay in flight in the Belle central drift chamber. The analyzed data sample of 988  fb^{-1} collected by the Belle detector corresponds to approximately 912×10^{6} τ^{+}τ^{-} pairs. We measure ξ^{'}=0.22±0.94(stat)±0.42(syst), which is in agreement with the standard model prediction of ξ^{'}=1. Statistical uncertainty dominates in this study, being a limiting factor, while systematic uncertainty is well under control. Our analysis proved the practicability of this promising method and its prospects for further precise measurement in future experiments.

Search for the Lepton Flavor Violating Decays B^{+}→K^{+}τ^{±}ℓ^{∓} (ℓ=e, μ) at Belle

We present a search for the lepton flavor violating decays B^{+}→K^{+}τ^{±}ℓ^{∓}, with ℓ=(e,μ), using the full data sample of 772×10^{6}  BB[over ¯] pairs recorded by the Belle detector at the KEKB asymmetric-energy e^{+}e^{-} collider. We use events in which one B meson is fully reconstructed in a hadronic decay mode. We find no evidence for B^{±}→K^{±}τℓ decays and set upper limits on their branching fractions at the 90% confidence level in the (1-3)×10^{-5} range. The obtained limits are the world's best results.

First Measurement of the B^{+}→π^{+}π^{0}π^{0} Branching Fraction and CP Asymmetry

We study B^{+}→π^{+}π^{0}π^{0} using 711  fb^{-1} of data collected at the ϒ(4S) resonance with the Belle detector at the KEKB asymmetric-energy e^{+}e^{-} collider. We measure an inclusive branching fraction of (19.0±1.5±1.4)×10^{-6} and an inclusive CP asymmetry of (9.2±6.8±0.7)%, where the first uncertainties are statistical and the second are systematic, and a B^{+}→ρ(770)^{+}π^{0} branching fraction of (11.2±1.1±0.9_{-1.6}^{+0.8})×10^{-6}, where the third uncertainty is due to possible interference with B^{+}→ρ(1450)^{+}π^{0}. We present the first observation of a structure around 1  GeV/c^{2} in the π^{0}π^{0} mass spectrum, with a significance of 6.4σ, and measure a branching fraction to be (6.9±0.9±0.6)×10^{-6}. We also report a measurement of local CP asymmetry in this structure.

Repetitive self-healing of Diels-Alder grafted graphene nanoplatelet reinforced carbon fiber reinforced polymer composites with outstanding mechanical properties

The concept of using bio-inspired healing mechanisms in fiber-reinforced polymer (FRP)-based laminated composites is one of the trending areas of research for lightweight high-performance materials. To introduce self-healing in laminated composites, we developed Diels-Alder (DA) grafted graphene nanoplatelets (GNPs) and introduced them into carbon-fiber-reinforced polymer (CFRP) composites. The DA-grafted GNPs provided dual benefits, such as repetitive self-healing along with an increased mechanical performance of the modified CFRP. The GNPs were functionalized with DA adducts, i.e., bismaleimide and furfurylamine via a facile functionalization approach. The highest healing efficiency evaluated using double cantilever beam (DCB) tests was observed as ∼87% with more than 10 times repeated healing cycles. The innovative concept and strategy proposed in this work could be a gateway to a new area of research to upscale for industrialization of DA-based repetitive self-healable and durable CFRP-based composites.

First Observation of Λπ^{+} and Λπ^{-} Signals near the K[over ¯]N(I=1) Mass Threshold in Λ_{c}^{+}→Λπ^{+}π^{+}π^{-} Decay

Using the data sample of 980  fb^{-1} collected with the Belle detector operating at the KEKB asymmetric-energy e^{+}e^{-} collider, we present the results of an investigation of the Λπ^{+} and Λπ^{-} invariant mass distributions looking for substructure in the decay Λ_{c}^{+}→Λπ^{+}π^{+}π^{-}. We find a significant signal in each mass distribution. When interpreted as resonances, we find for the Λπ^{+} (Λπ^{-}) combination a mass of 1434.3±0.6(stat)±0.9(syst)  MeV/c^{2} [1438.5±0.9(stat)±2.5(syst)  MeV/c^{2}], an intrinsic width of 11.5±2.8(stat)±5.3(syst)  MeV/c^{2} [33.0±7.5(stat)±23.6(syst)  MeV/c^{2}] with a significance of 7.5σ (6.2σ). As these two signals are very close to the K[over ¯]N threshold, we also investigate the possibility of a K[over ¯]N cusp, and find that we cannot discriminate between these two interpretations due to the limited size of the data sample.

Measurement of the Λ_{c}^{+} Lifetime

An absolute measurement of the Λ_{c}^{+} lifetime is reported using Λ_{c}^{+}→pK^{-}π^{+} decays in events reconstructed from data collected by the Belle II experiment at the SuperKEKB asymmetric-energy electron-positron collider. The total integrated luminosity of the data sample, which was collected at center-of-mass energies at or near the ϒ(4S) resonance, is 207.2  fb^{-1}. The result, τ(Λ_{c}^{+})=203.20±0.89±0.77  fs, where the first uncertainty is statistical and the second systematic, is the most precise measurement to date and is consistent with previous determinations.

Measurement of Differential Branching Fractions of Inclusive B→X_{u}ℓ^{+}ν_{ℓ} Decays

The first measurements of differential branching fractions of inclusive semileptonic B→X_{u}ℓ^{+}ν_{ℓ} decays are performed using the full Belle data set of 711  fb^{-1} of integrated luminosity at the ϒ(4S) resonance and for ℓ=e, μ. With the availability of these measurements, new avenues for future shape-function model-independent determinations of the Cabibbo-Kobayashi-Maskawa matrix element |V_{ub}| can be pursued to gain new insights in the existing tension with respect to exclusive determinations. The differential branching fractions are reported as a function of the lepton energy, the four-momentum-transfer squared, light-cone momenta, the hadronic mass, and the hadronic mass squared. They are obtained by subtracting the backgrounds from semileptonic B→X_{c}ℓ^{+}ν_{ℓ} decays and other processes, and corrected for resolution and acceptance effects.

Precise Measurement of the D^{0} and D^{+} Lifetimes at Belle II

We report a measurement of the D^{0} and D^{+} lifetimes using D^{0}→K^{-}π^{+} and D^{+}→K^{-}π^{+}π^{+} decays reconstructed in e^{+}e^{-}→cc[over ¯] data recorded by the Belle II experiment at the SuperKEKB asymmetric-energy e^{+}e^{-} collider. The data, collected at center-of-mass energies at or near the ϒ(4S) resonance, correspond to an integrated luminosity of 72  fb^{-1}. The results, τ(D^{0})=410.5±1.1(stat)±0.8(syst)  fs and τ(D^{+})=1030.4±4.7(stat)±3.1(syst)  fs, are the most precise to date and are consistent with previous determinations.

Search for B^{+}→K^{+}νν[over ¯] Decays Using an Inclusive Tagging Method at Belle II

A search for the flavor-changing neutral-current decay B^{+}→K^{+}νν[over ¯] is performed at the Belle II experiment at the SuperKEKB asymmetric energy electron-positron collider. The data sample corresponds to an integrated luminosity of 63  fb^{-1} collected at the ϒ(4S) resonance and a sample of 9  fb^{-1} collected at an energy 60 MeV below the resonance. Because the measurable decay signature involves only a single charged kaon, a novel measurement approach is used that exploits not only the properties of the B^{+}→K^{+}νν[over ¯] decay, but also the inclusive properties of the other B meson in the ϒ(4S)→BB[over ¯] event, to suppress the background from other B meson decays and light-quark pair production. This inclusive tagging approach offers a higher signal efficiency compared to previous searches. No significant signal is observed. An upper limit on the branching fraction of B^{+}→K^{+}νν[over ¯] of 4.1×10^{-5} is set at the 90% confidence level.

Declining Use of Corticosteroids for Crohn's Disease Has Implications for Study Recruitment: Results of a Pilot Randomized Controlled Trial

Background

Corticosteroids (CS) have been used extensively to induce remission in Crohn’s disease (CD); however, they are associated with severe side effects. We hypothesized that the administration of an exclusive enteral nutrition (EEN) formula to CS would lead to increased CD remission rates and to decreased CS-related adverse events. We proposed to undertake a pilot study comparing EEN and CS therapy to CS alone to assess decrease symptoms and inflammatory markers over 6 weeks.

Aim

The overall aim was to assess study feasibility based on recruitment rates and acceptability of treatment in arms involving EEN

Methods

The pilot study intended to recruit 100 adult patients with active CD who had been prescribed CS to induce remission as part of their care. The patients were randomized to one of three arms: (i) standard-dose CS; (ii) standard-dose CS plus EEN (Modulen 1.5 kcal); or (iii) short-course CS plus EEN.

Results

A total of 2009 CD patients attending gastroenterology clinics were screened from October 2018 to November 2019. Prednisone was prescribed to only 6.8% (27/399) of patients with active CD attending outpatient clinics. Of the remaining 372 patients with active CD, 34.8% (139/399) started or escalated immunosuppressant or biologics, 49.6% (198/399) underwent further investigation and 8.8% (35/399) were offered an alternative treatment (e.g., antibiotics, surgery or investigational agents in clinical trials). Only three patients were enrolled in the study (recruitment rate 11%; 3/27), and the study was terminated for poor recruitment.

Conclusion

The apparent decline in use of CS for treatment of CD has implications for CS use as an entry criterion for clinical trials.

Practical consensus recommendations regarding role of mastectomy in metastatic breast cancer

Whether to recommend mastectomy in metastatic disease or not has been a matter of debate. Is local therapy, such as mastectomy, of any benefit in advanced breast cancer is the main question. This expert group used data from published literature, practical experience and opinion of a large group of academic oncologists to arrive at these practical consensus recommendations for the benefit of community oncologists.

Search for Axionlike Particles Produced in e^{+}e^{-} Collisions at Belle II

We present a search for the direct production of a light pseudoscalar a decaying into two photons with the Belle II detector at the SuperKEKB collider. We search for the process e^{+}e^{-}→γa, a→γγ in the mass range 0.2<m_{a}<9.7  GeV/c^{2} using data corresponding to an integrated luminosity of (445±3)  pb^{-1}. Light pseudoscalars interacting predominantly with standard model gauge bosons (so-called axionlike particles or ALPs) are frequently postulated in extensions of the standard model. We find no evidence for ALPs and set 95% confidence level upper limits on the coupling strength g_{aγγ} of ALPs to photons at the level of 10^{-3}  GeV^{-1}. The limits are the most restrictive to date for 0.2<m_{a}<1  GeV/c^{2}.

Stimulus modality influences session-to-session transfer of training effects in auditory and tactile streaming-based P300 brain-computer interfaces

Despite recent successes, patients suffering from locked-in syndrome (LIS) still struggle to communicate using vision-independent brain–computer interfaces (BCIs). In this study, we compared auditory and tactile BCIs, regarding training effects and cross-stimulus-modality transfer effects, when switching between stimulus modalities. We utilized a streaming-based P300 BCI, which was developed as a low workload approach to prevent potential BCI-inefficiency. We randomly assigned 20 healthy participants to two groups. The participants received three sessions of training either using an auditory BCI or using a tactile BCI. In an additional fourth session, BCI versions were switched to explore possible cross-stimulus-modality transfer effects. Both BCI versions could be operated successfully in the first session by the majority of the participants, with the tactile BCI being experienced as more intuitive. Significant training effects were found mostly in the auditory BCI group and strong evidence for a cross-stimulus-modality transfer occurred for the auditory training group that switched to the tactile version but not vice versa. All participants were able to control at least one BCI version, suggesting that the investigated paradigms are generally feasible and merit further research into their applicability with LIS end-users. Individual preferences regarding stimulus modality should be considered.

Search for an Invisibly Decaying Z^{'} Boson at Belle II in e^{+}e^{-}→μ^{+}μ^{-}(e^{±}μ^{∓}) Plus Missing Energy Final States

Theories beyond the standard model often predict the existence of an additional neutral boson, the Z^{'}. Using data collected by the Belle II experiment during 2018 at the SuperKEKB collider, we perform the first searches for the invisible decay of a Z^{'} in the process e^{+}e^{-}→μ^{+}μ^{-}Z^{'} and of a lepton-flavor-violating Z^{'} in e^{+}e^{-}→e^{±}μ^{∓}Z^{'}. We do not find any excess of events and set 90% credibility level upper limits on the cross sections of these processes. We translate the former, in the framework of an L_{μ}-L_{τ} theory, into upper limits on the Z^{'} coupling constant at the level of 5×10^{-2}-1 for M_{Z^{'}}≤6  GeV/c^{2}.

Paraffin wax microsphere embedded epoxy composites for potential thermal management in electronic devices

Miniaturization of electronic devices with more computing power has created a challenging set of aspects in thermal management. Present work is based on phase change materials microsphere and its incorporation in the epoxy network to develop a new class of potting material facilitating thermal management for miniaturized electronic devices. A facile and scalable method was implemented to synthesize paraffin wax microspheres (PMPs). It was dispersed into a room temperature curing epoxy network to fabricate the epoxy composite with high latent heat of fusion and high thermal stability. PMPs obtained have spherical morphology with an average diameter of approximately 5 µm. The PMP/epoxy composite can store 34.34 and 49.3 J g−1 of latent heat energy at 30 and 40 wt% PMP loading, respectively. Leakage test reveals that leaching declined as the size of PMP is reduced. Incorporation of PMP into the epoxy network reduces the compressive strength, but still resilient enough to protect electronic devices. This is an added advantage over the potential to mitigate the issue of hot spot in electronic devices as demonstrated by infrared thermography. The application of such composite is not limited only as electronic potting materials but also has the potential for other thermal energy storage applications.

Insulin signaling modulates border cell movement in Drosophila oogenesis

As collective cell migration is intimately involved in different aspects of metazoan development, molecular mechanisms underlying this process are being explored in a variety of developmental contexts. Border cell (BC) migration during Drosophila oogenesis has emerged as an excellent genetic model for studying collective cell migration. BCs are of epithelial origin but acquire partial mesenchymal characteristics before migrating as a group towards the oocyte. Here, we report that insulin signaling modulates collective BC movement during Drosophila oogenesis. Supporting the involvement of Insulin pathway, we demonstrate that compromising Insulin-like Receptor (InR) levels in BCs, inhibits their migration. Furthermore, we show that canonical Insulin signaling pathway components participate in this process. Interestingly, visualization of InR-depleted BC clusters, using time-lapse imaging, revealed a delay in detachment of BC clusters from the surrounding anterior follicle cells and altered protrusion dynamics. Lastly, based on genetic interactions between InR, the polarity determinant, par-1 and a regulatory subunit of Drosophila Myosin (spaghetti squash), we propose that Insulin signaling likely influences par-1 activity to engineer border cell detachment and subsequent movement via Drosophila Myosin.

Microencapsulation of Paraffin Wax Microspheres with Silver

Microencapsulation of phase change materials (PCMs) with metallic shell materials is a very innovative and challenging task. This can mitigate the problems related to thermal barrier for conventional nonconductive shell materials as well as enhance mechanical properties of PCM microcapsules. Such microcapsules can be integrated into microelectronic devices for their intermittent thermal management in mission critical components. The present work is aimed at developing a new method to synthesise phase change material encapsulated with metallic shell material and characterising the same. Paraffin wax microspheres were first synthesised and then encapsulated with silver through in situ chemical reduction. Further more, a new set of experiments were identified to analyse the quality of encapsulation. The thermal properties were investigated under differential scanning calorimeter and thermogravimetric analyser. The average diameter of paraffin wax microspheres (PW) is found to be ±329 μm. It reveals from DSC analysis that the enthalpy of fusion is minimum for PW@Ag-PVA amongst all others. Accordingly, higher deposition of Ag is possible for PW@Ag-PVA. This is also supported by TGA results where PW@Ag-PVA has only 40 per cent mass loss and the remaining samples have 100 per cent. However, even for PW@Ag-PVA the encapsulation is found incomplete. The present work provides knowhow of the difficulties associated with encapsulation of PCMs with metallic shell material.<br /><br />

Facile fabrication of epoxy-TiO2 nanocomposites: A critical analysis of TiO2 impact on mechanical properties and toughening mechanisms

Optimized ultrasonic assisted dispersion of un-functionalized titanium dioxide (TiO₂) nanoparticles (0.5-20wt%) into epoxy resin is reported. The investigation shows that there is a direct relation among nanoparticles content, inter-particle spacing and cluster size of the particles on the glass transition temperature (T_g) and tensile properties of the prepared nanocomposites. A significant improvement in tensile strength and modulus with minimal detrimental effect on the toughness was observed for the prepared composites, where compared to pristine epoxy resins, about 26% and 18% improvement in tensile strength and strain-to-break %, respectively, was observed for 10wt% particles loading, whereas a maximum improvement of about 54% for tensile toughness was observed for 5wt% particles loaded resins. The investigations found that a strong particle-matrix interface results in the enhancement of the mechanical properties due to leading toughening mechanisms such as crack deflection, particle pull out and plastic deformation.

Effect of reactive and non-reactive diluents on thermal and mechanical properties of epoxy resin

The effect of reactive (polyethylene glycol) and non-reactive (toluene) diluents on thermal and mechanical properties (tensile strength, hardness and fracture toughness) of diglycidyl ether of bisphenol A epoxy resin (cured by triethylenetetramine) was investigated. The thermal stability and mechanical properties of the epoxy resin modified with reactive and non-reactive diluents at different wt% were investigated using thermo-gravimetric analyser, tensile test, hardness test and single-edge-notched bend test. A minor variation in thermal stability was observed for epoxy resin after addition of polyethylene glycol and toluene at 0.5 wt%; however, further addition of reactive and non-reactive diluents diminished the thermal stability. The addition of 10 wt% of polyethylene glycol in epoxy resin significantly enhances the tensile strength (∼12%), hardness (∼14%) and fracture toughness (∼24%) when compared to that of neat epoxy resin. In contrast, major drop in mechanical performance was observed after addition of toluene in epoxy. Furthermore, fracture surfaces were investigated under field emission scanning electron microscope to elucidate the failure mechanism.

Enhanced crack suppression ability of hybrid glass fiber reinforced laminated composites fabricated using GNP/epoxy system by optimized UDM parameters

In this work, GFRPs with layer-up [+22/-22/90_n]_s were prepared and hybridized with 0.5wt% of GNPs to introduce in-situ crack suppression ability. Optimization of the processing parameters of ultrasonic dual mode mixing (UDM) process was adopted to disperse GNPs uniformly in the epoxy system and place them evenly at the interfacial zones of GFRPs. Test results show that 102% and 153% enhancement in tensile strength and Young's modulus has been achieved by the proposed method. Low stirring speed and low pulse-off time show significant effect on properties of the GFRPs. The fragmentation behaviour was investigated under optical microscope for GNP infused hybrid GFRPs and compared to that of the control. Failure investigation examined under FESEM showed reduced delamination for hybrid GFRPs having randomly oriented GNPs in their interfacial zone. This work exposes the effective espousal of the process to prepare GNP infused hybrid GFRPs having crack suppression ability at the interfaces.

Tension pneumoperitoneum: a very rare complication of acute gangrenous appendicitis

Tension pneumoperitoneum is a very rare consequence of acute gangrenous appendicitis. We report a case of a 32-year-old woman who presented with abdominal pain, progressively increasing abdominal distension, profound hemodynamic instability and ventilatory compromise. The diagnosis of tension pneumoperitoneum was confirmed by computed tomography, which showed compression of the intra-abdominal viscera and liver (saddlebag sign) by a large volume of intraperitoneal free air. Urgent needle decompression was done as an emergency measure. Exploratory laparotomy, planned due to persistent peritonitis, revealed gangrenous appendicitis with perforation near its base. Appendicectomy with excision of gangrenous portion of caecum was performed. The purpose of the reporting this case is to highlight that the tension pneumoperitoneum can be, very rarely, associated with gangrenous appendicitis and timely diagnosis is very important for the emergency management of this deadly condition.

Socio-demographic and Clinical Characteristics of Patients who Attempt Suicide: A Hospital-based Study from Eastern India

INTRODUCTION

Suicide has become an important public health concern with a high number of deaths and increasing number of attempted suicides every year. There are multiple factors that underlie a suicide attempt. Although mental illness and severe stress have long been known to be associated with suicide, socio-demographic and clinical characteristics of those attempting suicide can also provide indications of suicidal intent. The present study aimed to explore the socio-demographic and clinical characteristics of patients in Kolkata, India who attempted suicide.

METHODS

Consecutive patients (n = 100) with failed suicide attempt who were referred to the psychiatry department of 2 multispecialty hospitals in Kolkata were included in the study. Their socio-demographic details and clinical characteristics were recorded. Suicidal intent and depressive symptoms were assessed and psychosocial risk factors were identified following detailed clinical interview.

RESULTS

Suicide attempt was more frequent among younger female patients. Reaction to stress was the most common risk factor. The majority of attempts were impulsive in nature rather than planned.

CONCLUSION

Young adults under stress are more vulnerable. Early identification of such individuals and psychosocial support to prevent suicidal ideation is vital.

Morphological, structural, and thermophysical properties of zirconium dioxide–epoxy nanocomposites

Critical examinations were made to understand the thermophysical behavior of zirconium dioxide (ZrO2)–epoxy nanocomposite using differential thermal analysis/thermogravimetric analysis studies. ZrO2 nanoparticles in the size range of 20–30 nm were used as fillers. Ultrasonic dual mode mixing (UDMM) at two different amplitudes of 40% and 55% was employed to produce ZrO2-epoxy nanocomposites. Dispersion of less clustered ZrO2 nanoparticles in epoxy matrix demonstrates the importance of high amplitude of UDMM. Thermal degradation reaction kinetics of the nanocomposite was determined using Coats–Redfern and integral method of Horowitz and Metzger. Processing by the UDMM route at high amplitude not only significantly increases the glass transition temperature but also noticeably enhances the thermal stability of the nanocomposite. Improvement in thermal stability is attributed to the good dispersion of nanoparticles in epoxy matrix and formation of a large interface between epoxy matrix and nanoparticles. Fourier transform infrared spectroscopy was used to understand the molecular structure of base matrix as well as nanocomposite.

Epoxy/Glass Fiber Laminated Composites Integrated with Amino Functionalized ZrO2 for Advanced Structural Applications

This work demonstrates the successful silanization of ZrO2 nanoparticles (ZN) and their incorporation in glass fiber/epoxy composites. Microscopic investigation under transmission electron microscope elucidates antiaggregation and size enhancement of silanized ZrO2 nanoparticles (SZNs). FTIR spectroscopy has been used to demonstrate the chemical nature of the SZNs prepared. EDX results reveal the presence of Si onto SZNs. Incorporation of SZNs shows a strong influence on tensile and flexural properties of hybrid multiscale glass fiber composite (SZGFRP) compared to that of the neat epoxy glass fiber composite (GFRP). A significant variation of tensile strength, stiffness, and toughness of ∼27%, 62%, and 110% is observed with respect to GFRP. Strength and modulus under bending are also enhanced to ∼22% and ∼38%, respectively. Failure mechanisms obtained from macroscopic and microscopic investigation demonstrate reduced interfacial delamination for SZGFRP. Additionally, increased roughness of the fiber surface in SZGFRP laminates produces better interfacial bonding arising from SZN incorporation in laminates. This symptomatic behavior exposes the espousal of organically modified ZrO2 to enhance the interfacial bonding for their use in next generation hybrid laminates.

Effects of training and motivation on auditory P300 brain-computer interface performance

OBJECTIVES

Brain-computer interface (BCI) technology aims at helping end-users with severe motor paralysis to communicate with their environment without using the natural output pathways of the brain. For end-users in complete paralysis, loss of gaze control may necessitate non-visual BCI systems. The present study investigated the effect of training on performance with an auditory P300 multi-class speller paradigm. For half of the participants, spatial cues were added to the auditory stimuli to see whether performance can be further optimized. The influence of motivation, mood and workload on performance and P300 component was also examined.

METHODS

In five sessions, 16 healthy participants were instructed to spell several words by attending to animal sounds representing the rows and columns of a 5 × 5 letter matrix.

RESULTS

81% of the participants achieved an average online accuracy of ⩾ 70%. From the first to the fifth session information transfer rates increased from 3.72 bits/min to 5.63 bits/min. Motivation significantly influenced P300 amplitude and online ITR. No significant facilitative effect of spatial cues on performance was observed.

CONCLUSIONS

Training improves performance in an auditory BCI paradigm. Motivation influences performance and P300 amplitude.

SIGNIFICANCE

The described auditory BCI system may help end-users to communicate independently of gaze control with their environment.

Comparative anti-proliferative activity of some new 2-(arylazo)phenolate-palladium (II) complexes and cisplatin against some human cancer cell lines

In this study, we report the synthesis of four 2-(arylazo)phenol-Pd(II) complexes and their anti-proliferative property against the human lung cancer (A549), cervical cancer (HeLa), and ovarian teratocarcinoma (PA-1) cell lines with cisplatin as the gold standard. One of the complexes, [Pd(L(2))2], induced robust apoptosis in all the chosen cells, as revealed by annexin-V-positive/propidium iodide dual staining, increased sub-G1 cell cycle population, and significant morphological changes in the treated cells. The Pd complex inflicted mitochondrial dysfunction leading to mitochondrial membrane potential loss, reactive oxygen species generation and release of cytosolic cytochrome c that activated caspase-9 and caspase-3 proteins which finally caused programmed cell death.

Prediction of brain-computer interface aptitude from individual brain structure

OBJECTIVE

Brain-computer interface (BCI) provide a non-muscular communication channel for patients with impairments of the motor system. A significant number of BCI users is unable to obtain voluntary control of a BCI-system in proper time. This makes methods that can be used to determine the aptitude of a user necessary.

METHODS

We hypothesized that integrity and connectivity of involved white matter connections may serve as a predictor of individual BCI-performance. Therefore, we analyzed structural data from anatomical scans and DTI of motor imagery BCI-users differentiated into high and low BCI-aptitude groups based on their overall performance.

RESULTS

Using a machine learning classification method we identified discriminating structural brain trait features and correlated the best features with a continuous measure of individual BCI-performance. Prediction of the aptitude group of each participant was possible with near perfect accuracy (one error).

CONCLUSIONS

Tissue volumetric analysis yielded only poor classification results. In contrast, the structural integrity and myelination quality of deep white matter structures such as the Corpus Callosum, Cingulum, and Superior Fronto-Occipital Fascicle were positively correlated with individual BCI-performance.

SIGNIFICANCE

This confirms that structural brain traits contribute to individual performance in BCI use.