Induce Pluripotent Stem Cells (iPSC) Technology in Depression.

Induced pluripotent stem cells (iPSCs) are a promising in vitro model for drug-screening and precision-based psychiatry for the treatment of major depressive disorders (MDD). In this chapter, we explore different uses for iPSC technology, three-dimensional (3D) organoids models, and mesenchymal stem cells therapy in MDD, as well their potential and limitations.

Sensitization Lectures for Reducing Weight Bias in Undergraduate Medical Students.

INTRODUCTION: Discrimination exists in one form or another in every society, usually against those who are weaker, in fewer numbers, or different from the rest. Most physicians are empathetic towards their patients but can either not keep an eye on their subordinates or lack the power to act against such employees. Persons experiencing discrimination in healthcare centers may try to avoid or postpone future visits, resulting in delayed diagnosis and treatment of ailments. Obesity bias present in society has crept into healthcare centers and intimidates persons with obesity who are seeking medical aid. Implicit and explicit obesity bias has been recorded in healthcare students. METHODS: Data from 102 undergraduate medical students (23 female) who completed this study was analyzed. Implicit bias (tested online using the Implicit Association Test) and explicit bias (measured using four types of tool kits) were measured before and after conducting an obesity sensitization program (OSP) comprising four lectures on the causes and consequences of obesity and obesity discrimination and its consequences. RESULTS: The change in implicit bias was not significant. However, a significant reduction was noted in the four different types of tools for explicit bias after conducting the OSP. CONCLUSION: OSP helped medical students identify obesity bias and reduce explicit bias. Sensitization lectures conducted in medical colleges and schools can help reduce such discrimination in healthcare centers.

Cochlear Implant in a Child with a Large Arachnoid Cyst and Cysto-peritoneal Shunt.

Profound hearing loss requiring cochlear implantation and arachnoid cyst requiring placement of Cysto-Peritoneal Shunt (CPS) are two commonly seen entities. However, there are very few published cases of patients requiring both of them. The present report describes the importance of multidisciplinary surgical planning in one such patient.

Neurofibromatosis 2: Primary Modality of Hearing Rehabilitation with Cochlear Implant.

Auditory Brainstem Implants have been recommended as the gold standard in hearing rehabilitation of Neurofibromatosis Type 2 patients who lose hearing completely in both the ears and the cochlear nerves are not stimulable. Some patients have undergone cochlear implantation, in whom the cochlear nerve was spared during surgery or have undergone stereotactic radiotherapy preserving the function of the cochlear nerve. Here we report a case in whom we chose cochlear implantation prior to any definitive treatment for the tumour itself during the 'wait and watch' period. The reasons in favour of this approach have been discussed in this article. Post switch-on the implant is benefitting the patient satisfactorily and she is on regular follow up for monitoring the bilateral tumours.

Bilateral Bone Anchored Hearing aids: A Case Report on Right Side Percutaneous and Left Side Transcutaneous Implant.

Bilateral Bone Anchored Hearing Aids (BAHA) provide more subjective patient satisfaction and outcome than unilateral BAHA. Initially, percutaneous BAHAs were used for many decades. Transcutaneous BAHAs were started later to overcome problems associated with percutaneous ones. The present report gives the outcome of bilateral BAHA in a patient with percutaneous BAHA on one side and transcutaneous BAHA on the other.

The common cavity vs incomplete partition type I conundrum: Decision making and management with the cochlear implant form electrode.

It has been seen that 20% of children with deafness have inner ear malformations. Studies demonstrate that Cerebrospinal Fluid (CSF) leakage occurs in 40-50% of patients with inner ear malformations. Differentiating between the various malformations pre-operatively allows the cochlear implant surgeon to plan and prepare for various difficulties associated with the management of such cases. In case of a CSF gusher, a choice of an electrode with a stopper helps in effectively closing off the cochleostomy, thus reducing the chances of post-operative infections. Case description: SM, a 10-year-old girl with the diagnosis of bilateral progressive profound hearing loss showed cochlear malformations on high resolution computed tomography (HRCT) scans of the temporal bones. A detailed study and discussion with the neuro-radiologist helped in identifying the cochleo-vestibular malformations (CVM) on both sides, thus making the choice of the better ear for electrode insertion and the type of electrode. She was subjected to left ear cochlear implantation using a lateral canal labyrinthotomy approach and a Form electrode (Med El®) with a special conical stopper was used to effectively seal the labyrinthostomy. Conclusion: Common cavity (CC) and Incomplete Partition (IP) Type I present as diagnostic challenges. Getting to the right diagnosis is of paramount importance as it helps in deciding the correct ear, choosing the correct electrode, and preparing for the surgical situations the surgeon might encounter. The Form electrode shows promise due to its unique conical seal which helps in preventing CSF leakage, thus reducing the chances of post-operative infections in cases of deformed cochlea.

Cochlear Implantation in a Patient with Failed Renal Transplant: A Case Report.

Cochlear implantation has become a standard tool of management of severe to profound hearing loss. Cochlear implantation in patients with chronic renal failure who are on hemodialysis are at greater risk of complications intraoperatively and postoperatively. Very few cases of cochlear implantation have been reported in the English literature so far following renal transplantation. Herein we report a case of cochlear implantation in a 37 year old lady with post renal transplant failure who is on maintenance hemodialysis.

A simulation study on OH-containing polyimide (HPI) and thermally rearranged polybenzoxazoles (TR-PBO): relationship between gas transport properties and free volume morphology.

Recently, high free volume polymer materials have been regarded as high potential candidates for gas transport/separation membranes, since the amount of free volume in polymeric membrane can improve the diffusivity and solubility of gas molecules. In this study, we focused on how local changes in polymer structure can affect the performance of a membrane at the molecular level. The transport behavior was theoretically analyzed, and then the differences in the amount and morphology of free volume were characterized. Finally, we suggested how the "evolution of microcavities" affects the gas transport properties of hydroxyl-containing polyimide (HPI) and thermally rearranged (TR) polymers. In particular, using image analysis, we intuitively demonstrate the morphological difference between HPI and TR polymers that have been indirectly explained by experimental analyses using a wide-angle X-ray diffractometer (WAXD) and positron annihilation laser spectroscopy (PALS). Solubility results using the grand canonical Monte Carlo (GCMC) method showed marginal improvement in thermally rearranged polybenzoxazoles (TR-PBOs) from its precursor HPI, which is in good agreement with the experimental tendency. Moreover, higher diffusivities but lower selectivities of TR-PBO models compared with those of HPI models were observed, as reported experimentally. The difference in gas transport abilities between HPIs and TR-PBOs originates from the difference in their diffusion behavior, and this is strongly related to the free volume amount and morphology of polymeric materials. In addition to the higher amount of total free volume in TR-PBO, our image analysis revealed that TR-PBO has a higher amount of interconnected "hourglass-shaped free volume elements", which consist of larger and more elongated cavities with bottlenecks than the HPI model. In particular, the bottleneck diameters in the TR-PBO models are wider than those in the HPI models, enabling the larger gas molecules to diffuse through the cavities faster. However, the narrower and smaller bottleneck diameters in the HPI model can induce better selectivity for large gas molecules.