This study from South India demonstrates severe malnutrition in over half of the patients with CHD and is not always reversed by corrective surgery or intervention. Persistent malnutrition after corrective intervention is predicted by nutritional status at presentation, birth weight, and parental anthropometry.
Background Ovarian masses may be either physiological or pathological. Physiological ovarian masses are non-neoplastic. Pathological masses grow more than 7 cm and persist beyond 3 months; they do not resolve spontaneously, and invasive surgery with removal of reproductive organs is the conventional treatment. It usually results in further co-morbidities and hampers the quality of life of the patient. Objectives This case series of pathological left ovarian masses demonstrates the role of homeopathic treatment in each of two multiparous women where the right ovary was surgically removed previously for similar pathology and in an adolescent girl with increased tumor marker CA-125. Methods Three cases of women with pathological ovarian masses in the left ovary, and advised invasive surgery by attending gynecologists, were treated with homeopathic medicines at the outpatient department of the National Homeopathy Research Institute in Mental Health, Kottayam, Kerala, from 2017 to 2020. Each case was followed up with clinical and ultrasonographic evidence and reported according to the criteria set out in the HOM-CASE guidelines. Result Complete resolution of the ovarian masses was observed in all three cases, evidenced by ultrasonography, with normalizing CA-125 values also observed in the case of endometrial cyst. The patients improved within 4 to 15 months of treatment using Thuja and other individualized homeopathic medicines. The MONARCH score was calculated as +7/13, +9/13, and +9/13 for the three cases, respectively, indicating a positive causal attribution of homeopathy in the resolution of these pathological ovarian masses. Conclusion This case series suggests that individualized homeopathy, and notably Thuja, can be useful in the treatment of pathological ovarian masses.
Continuous improvements in very-large-scale integration (VLSI) technology and design software have significantly broadened the scope of digital signal processing (DSP) applications. The use of application-specific integrated circuits (ASICs) and programmable digital signal processors for many DSP applications have changed, even though new system implementations based on reconfigurable computing are becoming more complex. Adaptable platforms that combine hardware and software programmability efficiency are rapidly maturing with discrete wavelet transformation (DWT) and sophisticated computerized design techniques, which are much needed in today's modern world. New research and commercial efforts to sustain power optimization, cost savings, and improved runtime effectiveness have been initiated as initial reconfigurable technologies have emerged. Hence, in this paper, it is proposed that the DWT method can be implemented on a fieldprogrammable gate array in a digital architecture (FPGA-DA). We examined the effects of quantization on DWT performance in classification problems to demonstrate its reliability concerning fixed-point math implementations. The Advanced Encryption Standard (AES) algorithm for DWT learning used in this architecture is less responsive to resampling errors than the previously proposed solution in the literature using the artificial neural networks (ANN) method. By reducing hardware area by 57%, the proposed system has a higher throughput rate of 88.72%, reliability analysis of 95.5% compared to the other standard methods.
The occurrence of keratinous cyst in the oral cavity is extremely rare. Keratinous cyst in the floor of the mouth is painless, doughy or fluctuant lesion and causes no symptoms until it is large enough to interfere with speech or eating. Cyst generally presents as slow and progressive growth and often not diagnosed until the second or third decade of life.We report an uncommon presentation of keratinous cyst of the sublingual space in a 6year old female child. The swelling was mimicking ranula on inspection. On complete examination, the swelling appeared as epidermoid cyst. After a routine evaluation of the sublingual mass, surgical excision was performed under general anaesthesia. This case report addresses novel information regarding simple yet effective way of managing a sublingual keratinous cyst in a paediatric patient.
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