Penile Calciphylaxis - A Rare, Yet Medically Treatable Disease.

Calciphylaxis or calcific uremic arteriolopathy (CUA) is an infrequent complication in patients with renal failure. Its manifestations range from ischemia to gangrene especially in areas of adiposity. Penile calciphylaxis is very rarely seen. Treatment can be medical or surgical. Sodium thiosulphate has shown to be an efficient treatment. Here were present a case of 74-year-old male who presented with penile calciphylaxis and was treated successfully with oral sodium thiosulphate.

Speckle-based structured light shift-keying for non-line-of-sight optical communication.

We report an experimental proof of concept for speckle-based one-to-three non-line-of-sight (NLOS) free space optical (FSO) communication channels employing structured light shift-keying. A 3-bit gray image of resolution 100×100 pixels is encoded in Laguerre-Gaussian or Hermite-Gaussian beams and decoded using their respective intensity speckle patterns via trained 1D convolutional neural network. We have achieved an average classification accuracy of 96% and 93% using L G ml and H G pq beams, respectively, among all three channels. It demonstrates the directional independence and broadcasting capability of speckle-based decoding (SBD) in FSO communication using structured light. Further, we have extended the study from 2D to 1D SBD in one-to-three NLOS FSO communication channels to decrease the computational cost and to emphasize the importance of the 1D SBD approach.

Generation of optical vortex dipole from superposition of two transversely scaled Gaussian beams.

We propose a distinct concept on the generation of optical vortex through coupling between the amplitude and phase differences of the superposing beams. For the proof-of-concept demonstration, we propose a simple free-space optics recipe for the controlled synthesis of an optical beam with a vortex dipole by superposing two transversely scaled Gaussian beams. The experimental demonstration using a Sagnac interferometer introduces the desired amount of radial shear and linear phase difference between the two out-of-phase Gaussian beams to create a vortex pair of opposite topological charge in the superposed beam. Flexibility to tune their location and separation using the choice of direction of the linear phase difference and the amount of amplitude difference between the superposing beams has potential applications in optical tweezers and traps utilizing the local variation in angular momentum across the beam cross section.

Effect of residual phase gradients in optical null interference.

A scheme to study the effect of residual phase gradients in an optical interference between two out-of-phase Gaussian beams is proposed. In a Sagnac interferometer configured to provide a null output, a variable linear phase swept across the null point unfolds an optical field rotation due to an apparently negligible residual phase gradient present orthogonal to the linear phase sweep. As the optical beam that rotates around its propagation axis carries orbital angular momentum, the experimental results presented in this Letter could provide an insight into the momentum change associated with the energy redistribution in the fundamental phenomenon of optical interference.

Knowledge, Attitude and Practices of Diabetic Patients - A Cross Sectional Study in a Tertiary Care Hospital in Mysore.

The prevalence rates of diabetes are rising rapidly both in urban and rural India with the present prevalence in urban India being 12-19% and in rural India 4 - 10% in different published Indian studies.1 All involved in diabetes care agree that patients play a major role in the successful management of diabetes. There is an increasing amount of evidence that patient education is the most effective way to lessen the diabetic complications and its management.2 Education is likely to be effective if we know the characteristics of the patients in terms of knowledge, attitude and practices about diabetes. This study was conducted in Mysore to know the knowledge, attitude and practices of diabetic patients attending JSS Hospital. A total of 900 patients were included in the study. Five hundred sixteen (57.3%) patients were males, while 384 (42.7%) patients were females. Four hundred twenty-three (47%) patients were from urban area, while 477 (53%) were from rural area. Five hundred sixty-five (62.5%) diabetic patients were unaware of the diagnostic criteria for diabetes mellitus, 661 (73.4%) patients about cause of diabetes, 264 (29.3%) patients about common symptoms of diabetes, 256 (28.4%) patients about symptoms of hypoglycemia. Diabetes is a chronic disease which can affect many systems in the body like the heart, eyes, kidneys and nerves contributing to increased morbidity and mortality. 29%, 30.7%, 31.2% and 35.7% of diabetic patients were not aware of the diabetic complications to heart, eyes, kidneys and nerves respectively. Even patients with diabetes for more than 10 years, 18.8% were not aware of the heart complications while 21.5% were not aware of the diabetes complications to eyes, kidneys and nerves. 834 (92.6%) diabetic patients were not aware of HbA1C. 790 (87.7%) diabetic patients did not know that fruits can be eaten by diabetics. Eight hundred seventeen (90.8%) diabetic patients had not attended a formal diabetic education class. This possibly is a major reason for diabetic patients to have poor awareness of different aspects of diabetes. The low awareness in diabetes patients are noted in different studies done in different parts of India. Education is not just a part of diabetes treatment. It is the treatment. According to WHO, education is the cornerstone of diabetes care. For a physician, diabetes is one of the many diseases calling for his attention in his practice. The time constraints prohibit physicians from delivering optimal diabetes care to their patients which include performing all the necessary tests, educating their patients about the disease, its complications and management. Diabetes educator who can be a nurse, a dietician, a social worker or in a more sophisticated centre a qualified diabetes educator can fill up this important void and play a major role in optimal diabetes care. The key aims of diabetes education are to change behavior of people and promote self management. Self management implies that the person with diabetes will understand the importance of factors like food intake, exercise and medications on blood glucose. PACE project study has concluded that through direct public education and mass media campaigns, awareness about diabetes and its complications can be improved.3 To conclude, education has the biggest role to play in containing diabetes epidemic in India. Responsibility should be at every level from individual doctors to organizations to governments. Effective utilization of the limited available resources is critical for a country like India. We in India are blessed with a large youth population and we should not turn this blessing of a vibrant young nation to a curse of an unhealthy young nation.