We report a 16-year-old boy who presented with abdominal pain and severe hyperglycemia. His random blood glucose on admission was above 300 mg/dL, without ketosis. Urine examination revealed mild ...ketonuria. Renal function tests were normal. Antibodies to glutamate acid decarboxylase (anti-GAD) and islet tyrosine phosphatase 2 (anti-IA2) were negative. Findings on enhanced abdominal computed tomography scan were compatible with complete dorsal pancreatic agenesis. The body and tail of the pancreas were not visualized. Additionally, ectopic and malrotated left kidney was detected. Magnetic resonance cholangiopancreatography confirmed the absence of the dorsal pancreatic duct. The patient was treated with multiple subcutaneous insulin injections and attained good glycemic control. He is currently doing well on follow-up. The present case is a rare combination of complete agenesis of the dorsal pancreas with an ectopic, malrotated kidney. Clinical awareness of this rare association will help improve patient management.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Background.
Chronic skin conditions can have a negative impact on one’s quality of life, affecting their physical, functional, and emotional well-being. Whereas biopurifactory measures (panchakarma) ...of Ayurveda claims to provide better quality of life after treatment. Hence current study is planned to provide evidence in patients with skin disorders, undergoing Ayurvedic treatment.
Methodology.
Sixty patients with skin disorder, who underwent purification therapies like therapeutic emesis and therapeutic purgation, were randomly placed in 2 groups to assess quality of life. Quality of life assessment was done with the help of Skindex-29 among the patients before and after Ayurvedic purification therapy. Thereafter, the quality of life assessment was done on the first follow-up.
Results.
A statistically significant improvement in the quality of life domains—emotions, functioning, and symptoms—after the Ayurvedic management was observed with P value <.001.
Conclusion.
Study concludes that there is improvement in quality of life among patients with skin disease after undergoing Ayurveda purification therapies.
Organic and inorganic flocculants are used in treatment of water and industrial effluents. Polymeric flocculants, synthetic as well as natural, because of their natural inertness to PH changes, low ...dosage, and easy handling, have become very popular in industrial effluent treatment. It has been established in the authors' laboratory that by grafting polyacrylamide branches on rigid backbone of polysaccharides, the dangling grafted chains have easy approachability to contaminants in effluents. Thus grafted polysaccharides are very efficient, shear stable and biodegradable flocculants. They also exhibit turbulent drag reducing characteristics. Among grafted guar gum, xanthan gum, carboxymethyl cellulose, and starch, grafted starch performs the best. Starch consists of amylose (a low molecular weight linear polymer) and amylopectin (a high molecular weight, branched polymer). The grafted amylopectin is found to be the best flocculant for various kinds of industrial effluents, providing credibility to the above‐cited model. In the present paper, the details about grafted polysaccharides as turbulent drag reducers and flocculants are given, along with their applications.
The waste water and industrial effluent-treatment requires both inorganic and organic flocculants. Among the organic type, polymeric flocculants (synthetic as well as natural) are preferred because ...of their low dosage, easy handling, inertness to pH changes, production of large cohesive flocs and versatile tailorability. The concern for environmental and ecological issues warrants the use of the biodegradable flocculant in waste water and industrial effluent treatments. Natural polysaccharides such as starch, gums, glues, alginate, etc. function as bridging flocculants. This could be accounted for by the purification and chemical modification. It has been established that by grafting polyacrylamide branches on polysaccharides, the dangling grafted chains have easy approachability to the contaminants. Among the grafted guar gum, xanthan gum, carboxy methyl cellulose and starch, grafted starch flocculates better. Starch consists of amylose (a low molecular weight linear polymer) and amylopectin (a high molecular weight, branched polymer). The grafted amylopectin is found to be a suitable flocculant for various kinds of industrial effluents. Here we summarize the various investigations carried out using flocculants based on polysaccharides.
Graft copolymers of sodium alginate with polyacrylamide were synthesized using a ceric ion initiated solution polymerization technique at 27±1°C. Six graft copolymers have been synthesized with a ...variation in the number and length of grafted polyacrylamide chains. The graft copolymers have been characterized by viscometry, IR spectroscopy, SEM and XRD study. Their flocculation characteristics were evaluated in 0.25 wt% kaolin and 10 wt% iron ore suspensions. The flocculation behaviour of one of the above grades has been studied on a 1 wt% coal suspension. The flocculation characteristics of these grafted polymers were also compared with various commercially available polymeric flocculants. Among the grafted alginates, it was observed that, the graft copolymers containing longer polyacrylamide chains were the most efficient.
We investigate the decay widths of the radiative transitions among the vector and pseudoscalar mesons in a relativistic potential model of independent quarks. We perform a more realistic calculation ...beyond static approximation incorporating to some extent the momentum dependence due to the recoil of the daughter meson. We find an improvement in the results for the M1 transitions among light flavoured mesons. Our predictions in the heavy-meson decays are substantially affected and are comparable to those of other model predictions.
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