A novel proposed classification system for rock slope stability assessment.

The present study introduces "rock slope instability score (RSIS)" a novel classification system for assessing rock slope stability. It takes into account geological and geotechnical parameters, as well as the impact of human activities and triggering parameters, which have become more frequent due to climate change and few of them have been ignored in existing classifications. The study focuses on rock slopes of various lithologies from the Indian Himalayas. The development of this new classification system is based on the examination of 81 different rock slopes from various states of the Indian Himalayas. Extensive field surveys, rock sampling, geotechnical laboratory tests, and ground measurements have been conducted at the various slope sites to establish a comprehensive scoring system for the stability assessment. The distributions of weightage to each parameter have been considered, corresponding to its degree of impact in causing slope instability. Sensitivity analysis of all defined parameters of RSIS system has revealed that the majority of the parameters exhibit a strong positive correlation, with Pearson correlation coefficients ranging from 0.74 to 0.61. However, two parameters, namely discontinuity dip and the relationship between slope & discontinuity direction, gives moderate relationship with correlation coefficient values of 0.48 and 0.41, respectively. To avoid any designer biasness in the system, several individuals gathered data set at different times. The proposed classification system has demonstrated a strong correlation with the actual slope condition, and it is quite promising. The outcome of RSIS classification for studied 81 slopes classified 2 slopes under stable condition, 21 slopes as partially stable, 44 as unstable, and 14 as completely unstable.

Borderline lepromatous leprosy with neurofibromatosis.

The coexistence of leprosy with neurofibromatosis is rare both the diseases present with nerve thickening and skin lesions (patches and nodules). The coexistence of neurofibroma with borderline tuberculoid, lepromatous, histoid, and neuritic leprosy has been reported in the past. We report here a case of borderline lepromatous leprosy coexisting with neurofibromatosis in a 60 year-old male, who presented with neurofibromata and nerve thickening. Histopathology of skin biopsy from the leprosy and neurofibroma nodules confirmed the diagnosis of leprosy and neurofibroma.

A comparative study of artificial neural network and multivariate regression analysis to analyze optimum renal stone fragmentation by extracorporeal shock wave lithotripsy.

To compare the accuracy of artificial neural network (ANN) analysis and multi-variate regression analysis (MVRA) for renal stone fragmentation by extracorporeal shock wave lithotripsy (ESWL). A total of 276 patients with renal calculus were treated by ESWL during December 2001 to December 2006. Of them, the data of 196 patients were used for training the ANN. The predictability of trained ANN was tested on 80 subsequent patients. The input data include age of patient, stone size, stone burden, number of sittings and urinary pH. The output values (predicted values) were number of shocks and shock power. Of these 80 patients, the input was analyzed and output was also calculated by MVRA. The output values (predicted values) from both the methods were compared and the results were drawn. The predicted and observed values of shock power and number of shocks were compared using 1:1 slope line. The results were calculated as coefficient of correlation (COC) (r2 ). For prediction of power, the MVRA COC was 0.0195 and ANN COC was 0.8343. For prediction of number of shocks, the MVRA COC was 0.5726 and ANN COC was 0.9329. In conclusion, ANN gives better COC than MVRA, hence could be a better tool to analyze the optimum renal stone fragmentation by ESWL.

Prediction of biochemical failure in localized carcinoma of prostate after radical prostatectomy by neuro-fuzzy.

OBJECTIVE: To predict biochemical failure in localized prostate cancer after radical prostatectomy using preoperative variables. MATERIALS AND METHODS: Twenty-six patients of early carcinoma of prostate underwent open retropubic radical prostatectomy from June 2002 to June 2006. Preoperative variables included age, family history, digital rectal examination, serum prostatic specific antigen (S. PSA), prostate biopsy Gleason score, MRI of pelvis variables like periprostatic extension, seminal vesical invasion, weight of gland and pathological stage. With application of neuro-fuzzy, these variables were fed into system as input and output, that is S. PSA at six months (predicted value) was calculated. Neuro-fuzzy system is a system to combine fuzzy system with learning techniques derived from neural networks. Here, we applied Takagi Sugeno Kang model (TSK) due to its close solution to our aim. All the patients were followed up for a minimum of six months. At six month S. PSA of all patients was done (observed value). Predicted and observed values were compared. RESULT: Predicted and observed values were plotted on 1:1 slop line. Coefficient of correlation was 0.9935. CONCLUSION: Coefficient of correlation is close to one. It indicates that the neuro-fuzzy is accurate in predicting biochemical failure in localized carcinoma of prostate after radical prostatectomy.

Emergence of sporotrichosis in Manipur.

A retrospective analysis of all cases of sporotrichosis was conducted to examine the pattern and frequency of sporotrichosis cases in Manipur over a period of six year from July 1999 to June 2005. Seventy-three (73) cases of sporotrichosis were detected of which 30 were confirmed by culture and 43 were diagnosed by aspiration cytology only. Most of the patients belonged to the age group of 21 to 40 years (n = 23; 31.5%). There were 39 females (53.4%) and 34 males (46.5%). Commonest site of infection was upper limbs (n = 39; 53.4%) followed by lower limbs (n = 17; 23.2%). Commonest type of infection was lymphocutaneous form (n = 46; 63.1%) followed by fixed cutaneous form (n = 27; 36.9%). Among these 73 cases, 2 male patients (2.7%) were found to be HIV positive. In our experience, collection of material by aspiration of pus or infected tissue was found to be a better method compared to scraping or exudate. This study revealed Manipur as a new endemic area for sporotrichosis.

Metabolic variation in rice cultivars of contrasting salt tolerance and its improvement by zinc in sodic soil.

The severity of Zn deficiency increased with increase in soil exchangeable sodium percentage (ESP) with salt sensitive variety M1-48 scoring 6 at ESP 62 as against only score 3 by salt tolerant variety Pokkali under similar soil conditions. Strikingly, zinc contents were much higher in salt tolerant variety than in salt sensitive one. Zinc application increased zinc concentration in the roots by a factor of 2.85 to 3.87 in Pokkali whereas it rose from 2.37 to 4.35 times in M1-48 depending upon ESP but in the leaves it registered increase of 1.5 to 1.8 times only. In general, the concentrations of reducing sugar were less (about 2.2%) than that of non-reducing (about 3.8%) in both the varieties under normal soil conditions. However, the concentration of reducing sugar doubled (4.2-4.4%) at the highest ESP 62, whereas the concentration of non-reducing sugar though increased (4.1 to 5.1%) but not as vigorously as reducing one. Zinc application reduced the concentration of reducing sugar but not that of non-reducing at similar ESP values. In Pokkali, the concentrations of total sugar increased from 6% at ESP 20 to 9.34% at ESP 62, whereas it registered enhancements of 5.98 to 8.6% in M1-48 under similar conditions. The nitrate reductase (NR) activity decreased with increase in soil sodicity however, the varietal differences in NR activity were wider under Zn-stress than under conditions of applied zinc with Pokkali registering higher NR activities. Carbonic anhydrase activities were higher in salt tolerant variety. Inhibition in carbonic anhydrase activity amounted to 23 and 45% in salt-sensitive variely M1-48 whereas only 19 and 33% in salt-tolerant variety Pokkali at ESP 41 and 62, respectively. The effects of zinc application at higher soil sodicity were more obvious in salt-sensitive variety than in salt-tolerant one. The findings suggest that the tolerance to Zn stress runs parallel to salt tolerance abilities of rice varieties.

Ecthyma gangrenosum: a rare cutaneous manifestation caused by pseudomonas aeruginosa without bacteraemia in a leukaemic patient--a case report.

Ecthyma gangrenosum is a rare and invasive cutaneous infection caused by Pseudomonas aeruginosa in the majority of cases, typically affecting immunocompromised patients, particularly those with neutropenia. We report a rare case of ecthyma gangrenosum in the absence of bacteraemia presenting as a solitary necrotic ulcer in a female patient with acute lymphoblastic leukaemia. A culture from the ecthyma lesion revealed the presence of Pesudomonas aeruginosa, but the results of repeated blood cultures were negative. The patient responded well to amikacin to which the isolate was susceptible in vitro. Considering high rate of mortality, early diagnosis and prompt effective treatment is mandatory.

Pleuropulmonary paragonimiasis mimicking pulmonary tuberculosis--a report of three cases.

Paragonimiasis is an important cause of pulmonary disease worldwide. Infection in humans mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. The disease is well known in endemic regions of Asian countries, where culturally based methods of food preparation foster human transmission. Three patients with clinical and radiological features compatible with pulmonary tuberculosis had been treated for tuberculosis without remedy despite an inability to demonstrate acid fast bacilli in sputum smears. All patients had history of ingestion of raw crabs and crayfish. The confirmed diagnosis of pleuropulmonary paragonimiasis was made based on the demonstration of Paragonimus eggs in the sputum, and high absolute eosinophilia in their peripheral blood and pleural fluid. All the patients had been treated with praziquantel successfully.

HIV/AIDS wasting syndrome in Manipur - a case report.

A-30-years old married man with HIV/AIDS wasting syndrome is being reported. The patient had history of injecting heroin with rampant sharing with his drug partners, weight loss, night sweats, productive cough, severe muscle wasting, chronic diarrhoea >30 days and fever > 30 days. This syndrome indicates the long-standing complication of HIV infection. Blood, sputum, CSF, faeces and urine routine and culture examination findings to rule out opportunistic infections were repeatedly negative. No malignant cells were found. HIV testing was positive. The CD 4 positive T-lymphocyte count was measured before and after six months of treatment. In the present case report, evaluation of the symptoms yielded no specific pathogen and had no evidence of opportunistic infections. He is being placed under observation with highly active antiretroviral therapy (HAART) along with nutritional support. He is improving clinically and immunologically by raising in the patient's CD4 count. Early antiretroviral therapy along with meticulous nutritional support is ideal to improve the quality of life of AIDS patients.

Inhibitory effect of high soil pH on growth and mineral metabolism of rice and its reversal by zinc.

Increasing soil pH retarded growth, tillers and bio-mass production of rice cultivar Sarjoo-52. Application of 10 to 15 kgZn ha(-1) increased the bio-mass by 33 to 41% at pH 8.5 and 27 to 32% at pH 10.3. Panicle length, rachis branches, total spikelets, filled grains, grain size were all adversely affected to the tune of 19, 23, 40, 74 and 21%, respectively by higher soil alkalinity at pH 10.3. Alkalinity resulted in 19, 31 and 65% spikelet sterility which reduced to 3, 21 and 55% at pH 8.5, 9.5 and 10.3, respectively by Zn applied @ 15 kg ha(-1). Grain yield reduced to 50% at pH 10.3 but Zn in general, raised the yield levels by 1.6 to 2.3, times. The chlorophyll decreased by 36 to 50% whereas carbonic anhydrase activities decreased only by 13% due to increase in soil sodicity and alkalinity. Further, increase in pH caused significant decrease in Zn, Ca, Mg, P and K concentrations but phenomenal rise in Na content Zinc application, apart from increasing tissue Zn content, elevated Ca :Na and K :Na ratio resulting in improved growth and yield of rice under soil sodicity and alkalinity.

Artificial neural networks in predicting optimum renal stone fragmentation by extracorporeal shock wave lithotripsy: a preliminary study.

OBJECTIVE: To assess the ability of artificial neural networks (ANNs) to predict optimum renal stone fragmentation in patients being managed by extracorporeal shock wave lithotripsy (ESWL). PATIENTS AND METHODS: The study included 82 patients with renal stones who were being treated by ESWL. Data (input and output values) from 60 patients in whom there was optimum fragmentation of stones by ESWL were used for training the ANN. These data mainly included the 24-h urinary variables, the radiological features of the stone disease and the ESWL settings used. The predictability of the trained ANN was tested on 22 subsequent patients, by supplying the input variables of the 22 patients into the trained ANN and recording the output values (predicted values). After subjecting these patients to ESWL, the actual results (observed values) were recorded. The predicted and the observed values were then compared. RESULTS: In the 22 patients in whom predictability was tested, the trained ANN predicted optimum fragmentation at < or = 13 000 shocks/stone (as per study protocol) in 17 and optimum fragmentation at> 13 000 shocks/stone in the other five. In the 17 patients (test set) where the trained ANN had predicted optimum fragmentation at < or = 13 000 shocks/stone, the optimum fragmentation was at that value, although the predicted and observed values were not identical. The overall correlation between the predicted and the observed values was 75.5% (correlation coefficient 0.7547) in these 17 patients. Of the other five patients, none had optimum fragmentation at < 13 000 shocks/stone, as predicted by the trained ANN, giving complete accuracy for this factor. CONCLUSION: This was a pilot study, i.e. an initial attempt to use an ANN in this regard, and although there were few patients, such that it is not possible to make final recommendations, the overall predictability was approximately 75%. An encouraging outcome of the study was that the trained ANN identified patients unlikely to benefit from ESWL. Using a larger dataset and identifying more significant variables, while eliminating inputs with a negative effect, the efficiency and utility of this ANN can probably be enhanced and in future it might be possible to predict stone fragmentation with reasonable accuracy.

Leprosy with HIV infection in Manipur.

A 27 -year -old unmarried male presented with typical clinical features of lepromatous leprosy which was confirmed by slit-skin smear and histopathological examinations. He also had history of intra-venous use of heroin and tested positive for HIV-I antibody by ELISA and Western blot. This is the first case report of co-infection of leprosy and HIV from Manipur.

Management of diabetes mellitus (prameha) with inula racemosa and cinnamomum tamala.

35 patients of Maturity onset diabetes mellitus having the complaints of polyurea polydypsia and polyphagia etc. have been selected. For the diagnosis of diabetes mellitus the fasting and 1(st) hour and 2(nd) hour post parandial blood sugar were estimated. Patients were classified into two groups. 20 patients were treated with powder of C. Tamal leaves in the dose of 2 TSF T. D. S. and 15 patients were treated with Inula racemosa in the dose of 1 TSF T. D. S. for the period of three months. The response was estimated on the parameter of Joslin's Clinica in C. Tamal group 50% cases were in good control. 33.33% were in fair control and 16.67% cases were in poor control.Inula racemosa treated group 100% cases were in good control. Thus it can be inferred that both of the drugs are useful in the treatment of Diabetes mellitus of Maturity onset. However, the response of Inula racemosa is better as compared to C. Tamala.