All wireless technologies face the challenges of multipath signal fading, attenuation delay and phase delay which led to the interference between users and there is the possibility of limited spectrum. Linear and Non-Linear receiver is used to combat the effect of multipath signal fading and delay. The linear receiver gives best result in case of static environment but in case of dynamic environmental condition it fails to give better results and hence in order to improve the system performance non-linear receiver is used in dynamic environment condition. As a dynamic channel, Vehicular Channel model is considered because there is growing interest in vehicular networking and it is also a challenging channel model because of the complexity of the environment, and rapid variation in channel conditions. This paper studies the comparison between Zero Forcing (ZF) and Minimum Mean Square Error (MMSE) receiver in the Vehicular Channel. A comparative study between linear equalizer and non-linear equalizer in the Vehicular Channel is done and analyze the effect of the varying modulation and antenna configuration on the performance
Ludwig’s angina is a rapidly spreading, potentially fatal infection of deep fascial spaces of the neck leading to airway oedema and death. This, in recent times when associated with COVID-19 infection, possess treatment challenges making the patient susceptible to opportunistic infections with reduced healing potential. Owing to the multifactorial aetiology in our case and addressing them at the earliest, it is important to achieve favourable outcomes. The space infection that seeded with untreated trivial dental caries progressed to necrotising fasciitis of neck with mycobacterial growth on cartridge-based nucleic acid amplification test for tuberculosis testing. The presence of Mycobacterium organisms should be speculated in patients with pulmonary signs of tuberculosis (TB) because a suppurative TB lymphadenitis of neck could also have the same presentation. The decisive moment in successful outcome was identification of mycobacteria in COVID-19 infected patient, thereby allowing to initiate the antitubercular therapy along with surgical debridement. Thus, medical management of patient with cohabiting infections is difficult task and needs appropriate addressal.
Aim
To perform site-based comparative analysis for samples collected from the nasal region and oral cavity subjected to microscopic detection of fungal hyphae in KOH mount in a group of patients with rhinomaxillary mucormycosis.
Methodology
Forty patients fulfilled eligibility criteria. The diagnostic outcome of detection of fungal hyphae from the KOH samples obtained was the primary endpoint of the study. Based on this, the samples were grouped into three groups viz—oral, nasal and both. The secondary outcome was to check if there was any diagnostic delay in these three groups of patients.
Results
The mean number of days for delayed diagnosis for oral site involvement was 56.33 ± 37.53, for nasal involvement was 32.86 ± 19.53 and for both oral and nasal involvement was 22.00 ± 12.94. This difference was statistically significant at p = 0.03. The mean delay in diagnosis was significantly less when both oral and nasal regions are involved as compared to the only oral region involved at
P
= 0.01.
Conclusion
To avoid the chance of delayed diagnosis or false-negative results, it is best to collect samples from both nasal tissues and the most representative site in the dentoalveolar segment depending on the extensiveness of the disease.
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