The simple anthropometric parameters, such as BMI, waist circumference, waist-hip ratio and waist-height ratio are useful for predicting NAFLD in Indian adults. The anthropometry cut offs would be very useful in setting target points of life style modification and weight reduction. Besides, our study also clearly demonstrated that a simple assessment of BMI is as efficacious as other anthropometry parameters in predicting NAFLD.

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SummaryAn efficient task scheduling approach shows promising way to achieve better resource utilization in cloud computing. Various task scheduling approaches with optimization and decision‐making techniques have been discussed up to now. These approaches ignored scheduling conflict among the similar tasks. The conflict often leads to miss the deadlines of the tasks. The work studies the implementation of the MCDM (multicriteria decision‐making) techniques in backfilling algorithm to execute deadline‐based tasks in cloud computing. In general, the tasks are selected as backfill tasks, whose role is to provide ideal resources to other tasks in the backfilling approach. The selection of the backfill task is challenging one, when there are similar tasks. It creates conflict in the scheduling. In cloud computing, the deadline‐based tasks have multiple parameters such as arrival time, number of VMs (virtual machines), start time, duration of execution, and deadline. In this work, we present the deadline‐based task scheduling algorithm as an MCDM problem and discuss the MCDM techniques: AHP (Analytical Hierarchy Process), VIKOR (VIseKriterijumska Optimizacija I Kompromisno Resenje), and TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) to avoid similar task scheduling conflicts. We simulate the backfilling algorithm along with three MCDM mechanisms to avoid scheduling conflicts among the similar tasks. The synthetic workloads are considered to study the performance of the proposed scheduling algorithm. The mechanism suggests an efficient VM allocation and its utilization for deadline‐based tasks in the cloud environment.

Background Differentiating Graves’ disease from thyroiditis can be at times clinically challenging. The gold standard test (thyroid nuclear imaging scan) is expensive, not routinely available, and has radiation exposure. Color Doppler ultrasonography of thyroid represents a suitable alternate which can be used for differentiating these conditions by studying thyroid blood flow parameters. Aim We aimed to investigate the use of thyroid blood flow parameters’ assessment of the superior thyroid artery (STA) and common carotid artery (CCA) with color Doppler ultrasonography for differentiating Graves’ disease from thyroiditis. Materials and Methods This is a cross-sectional study on 111 patients with newly diagnosed thyrotoxicosis (82 with Graves’ disease and 29 with thyroiditis) and 45 years of age and sex-matched healthy controls. All patients underwent detailed clinical and necessary investigations. Color Doppler ultrasonography of the thyroid gland and spectral flow analysis of both superior thyroid arteries was done using standard protocol. Sensitivity and specificity for mean peak systolic velocity of STA (STA-PSV) cut-offs were calculated using receiver operating characteristic curves. Results Patients with Graves’ disease have significantly higher free tri-iodothyronine (FT3) levels, free thyroxine (FT4) levels, antithyroid stimulating hormone receptor antibody (TRAb) levels, and thyroid volume as compared with those with thyroiditis. The mean STA-PSV of patients with Graves’ disease was significantly higher than thyroiditis and control group. Mean STA-PSV greater than 54.3 cm/s had 82.9% sensitivity and 86.2% specificity in diagnosing Graves’ disease. Mean PSV-STA/PSV-CCA ratio of 0.40 was 80.5% sensitive and 86.2% specific for Graves’ disease. Conclusion Mean STA-PSV has high sensitivity and specificity in differentiating Graves’ disease from thyroiditis and can be used routinely in clinical practice as a cheap and invaluable diagnostic tool.

<p align="left">Vanishing lung syndrome (VLS), also known as giant bullous emphysema (GBE) is a distinct clinical syndrome usually affecting young male smokers characterised by large bullae that involve at least one-third of one or both hemithoraces. We are reporting one such case in a 40-year-old male patient, who was a chronic smoker for past 20 years. He was diagnosed having chronic obstructive pulmonary disease (COPD) on the basis of his history and chest X-ray findings 5 years back and treated symptomatically. He was never suspected of having VLS until a computed tomography of thorax done in our department revealed characteristic findings of VLS with pneumothorax and subcutaneous emphysema. Bullectomy, either via video thoracoscopy or conventional thoracotomy, is the treatment of choice. The patient is now in follow-up with pulmonary medicine department. This case exemplifies role of HRCT thorax in timely diagnosis and planning appropriate treatment of VLS.</p>