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Maxillofacial trauma is amongst the most frequently encountered trauma seen in the hospital emergency setting. It may be life-threatening on rare occasions, and with concomitant injuries, it is often severely debilitating.The present study was conducted to determine the occurrence of concomitant orbital and ocular injuries amongst patients with maxillofacial trauma, and also helps in deriving a correlation between different patterns of maxillofacial fractures.All the records of the patients with maxillofacial trauma who were admitted to our institution over a 10-year period were analyzed. The files were screened to isolate the patients with concomitant ocular and orbital injuries.Out of a total of 686 patients, 370 had associated ocular injuries. A total of 566 (82.5%) patients were males and 120 (17.5%) females. A total of 236 patients (34.4%) were in the 3rd decade. A total of 351 cases of orbital fracture (isolated + concomitant) were reported. About 44 (12.5%) cases of isolated orbital floor fractures were seen.Subconjunctival hemorrhage accounted for the maximum number of cases amounting to 59.19%. The least associated ocular injuries seen were of traumatic mydriasis (0.28%). Out of 370 cases of ocular injuries, 249 (67.3%) were associated with fractures of the zygomaticomaxillary complex.The present study draws attention to the concomitant orbital and ocular injuries in maxillofacial trauma patients. This study is strongly suggestive of a very high probability of concomitant ocular injury in maxillofacial trauma patients which necessitates strong interdepartmental coordination for holistic management of the maxillofacial trauma patients.

Rigorous analyses of Euclidean distances between non-peptide bonded residues in structures of several thousand naturally occurring folded proteins yielded a surprising "margin of life" for percentage occurrence of individual amino acids in naturally occurring folded proteins. On one hand, the concept of "margin of life", referring to lower than expected variances in average stoichiometric occurrences of individual amino acids in folded proteins, remains unchallenged since its discovery a decade ago. On the other hand, within this past decade there has been a strong emergence of a gradual paradigm shift in biology, from sequence-structure-function in proteins to sequence-disorder-function, fuelled by discoveries on functional implications of intrinsically disordered proteins (primary sequences that do not form stable structures). Thus the applicability of "margin of life" to peptide-bonded residues in all known natural proteins, adopting stable structures vis-à-vis intrinsically disordered needs to be explored. Therefore in this work, we analyze compositions of the complete naturally occurring primary sequence space (over 560000 sequences) after dividing it into mutually exclusive subsets of structured and intrinsically disordered proteins along with a subset without any structural information. While finding that occurrence of different peptides (up to pentapeptides) is a direct consequence of the relative occurrences of their constituting residues in folded proteins, we report that structural disorder in natural proteins originates beyond the narrow stoichiometric margins of amino acids found in structured proteins.Communicated by Ramaswamy H. Sarma.

Covert feathers, a group of feathers on the upper surface of bird wings, are one of birds’ features that aid them in flight at high angles of attack, making them more maneuverable. In a previous st...

International audience; The realism of body and actions in dreams is thought to be induced by simulations based on internal representations used during wakefulness. As somatosensory signals contribute to the updating of body and action representations, these are impaired when somatosensory signals are lacking. Here, we tested the hypothesis that individuals with somatosensory deafferentation have impaired body and actions in their dreams, as in wakefulness. We questioned three individuals with a severe, acquired sensory neuropathy on their dreams. While deafferented participants were impaired in daily life, they could dream of themselves as able-bodied, with some sensations (touch, proprioception) and actions (such as running or jumping) which had not been experienced in physical life since deafferentation. We speculate that simulation in dreams could be based on former, “healthy” body and action representations. Our findings are consistent with the idea that distinct body and action representations may be used during dreams and wakefulness.

India has more than 202 biomedical waste incinerators, however, knowledge on the chemical characteristics of incinerator ash is lacking. The objective of this study was to evaluate the lecahablility characteristics of bottom ash and to study the levels of incineration by-products viz. polycyclic aromatic hydrocarbons (PAHs), and polychlorinated biphenyls (PCBs). Bottom ash samples from 13 common biomedical waste treatment facilities (CBMWTF) were colleted and subjected to leachig test, sequential extraction procedure (SEP) and PAHs and PCBs analysis. Among metals, cadmium, chromium, manganese, lead and zinc were found higher than the regulatory limits indicating its hazardous nature. SEP showed that substantial fraction of Cd (30%) and Zn (25%) were associated with leachable fractions, whereas metals such as Cr, Fe, Mn, and Ni were mainly associated with reducible, organics and residual fractions. Concentrations of USEPA 16 priority PAHs ranged between 0.17-12.67 mg kg-1 and the total toxic equivalents (TEQ) were in the range of 0.9-421.9 ng TEQ/g. PAHs with 4-rings dominated all the samples and accounted for 68% to total PAHs concentrations. Concentration of Σ19 PCB congeners ranged from 420.4 to 724.3 µg kg-1. PCBs homologue pattern was dominated by mono- to tetra chlorinated congeners (60-86%). The findings indicate the need for segregation of plastics from biomedical waste, improvement of combustion efficiency, and efficient air pollution control devices for the existing incinerators in CBMWTFs.

Phthalates are ubiquitous contaminants occurring in all environmental compartments worldwide. In soils, it occurs at higher levels compared to other organic contaminants. Consequently, humans are exposed to phthalates constantly via air, dust, food and water. This paper reviews phthalates occurrence in soils of agricultural, industrial and urban areas. Diethyl hexyl phthalate and di-n-butyl phthalate are frequently detected in these areas, and their combined concentrations contribute about 60���80% to total phthalate concentrations. Microbial degradation is the primary process determining the fate of phthalates in soil. Gas, and liquid chromatographic techniques coupled to mass spectrometry techniques are generally used for phthalates determination. Reliable quantitation warrants stringent quality control measures as phthalates are present in laboratory air, solvents, and other labwares. Suggestions to minimise background contamination are outlined.

An experimental investigation was conducted to study off- and on-surface flow developments behind various mechanical vortex generators configurations at Mach 2.0. The control configurations used in this study include rectangular vane, ramp vane, delta-ramp, and split delta-ramp. The primary objective of this study was to understand the effectiveness of control in terms of adding fullness to the boundary layer, wake liftoff, and spanwise uniformity when placed in an array. Pitot rake surveys were carried out both in spanwise and three streamwise locations, namely, x/δ = 5, 10, and 15. The velocity profile is found to be much fuller for rectangular vane relative to other control configurations. The iso-velocity contours captured the wake growth and vortex liftoff features for all the control configurations. The surface oil visualization shows the vortex trail for the rectangular vane to be the widest and for delta-ramp to be the least. The Pressure Sensitive Paint tests show surface flow features similar to that from oil flow visualization results for all control configurations. The quantitative data from these tests further helped to understand the flow development features in detail.

The scales of the African Viper Bitis arietans were tested for optical effects. Spectral intensity was recorded at incident angles over the visible spectrum for dark, pale, and ventral scale regions. The lowest spectral intensity recordings were associated with scales which have the greatest level of micro-structuring. Our results indicate that scale appearance in B. arietans is a product of microstructure-mediated optical effects. The optical effect may play a role in improving the ecological performance of the snake in its natural environment.

Glycaemic control can reduce mortality in intensive care by 45%. A model-based control algorithm utilising insulin and nutritional glucose inputs is presented. Simulated long-term gluco-regulatory trials with the virtual-patient method using retrospective ICU patient data (n=19) validate the approach. Two short-term proof-of-concept clinical trials test glycaemic predictive capability and the ability to adapt to patient condition. In simulation, a 312% increase in time spent in the 4–6 mmol/l euglycaemic band compared to retrospective patient data is recorded while feeding 39% greater nutrition. In the clinical trials, mean target error was 8.7% with hourly prediction horizon. About 61% of targets were achieved within ±5%, and only two targets had errors >20%, occurring during rapid deterioration in patient condition. Overall, the protocol demonstrated effective glycaemic control across the selected cohort in simulation and in highly dynamic patient conditions observed in initial proof-of-concept clinical trials.

CONTEXT: Temporomandibular disorder (TDM) is defined as a heterogenous group of psychophysiological disorders commonly characterised by orofacial pain, chewing dysfunction or both. Various Epidemiological studies had shown occurrence of TMD in all age groups including children. Also research had shown that non nutritional oral habits to be associated with TMD. AIM: Present study aimed to find whether harmful oral habits are associated with sign and symptoms of TMD among adolescents in Greater Noida. SETTING AND DESIGN: Schools in Gautam Buddha district and descriptive study. MATERIALS AND METHODS: Cross sectional study was carried out among 240 adolescents (10 - 19 years) studying in schools of Greater Noida. Study population were selected by random sampling to whom screening questionnaires recommended by American Academy of Orofacial Pain (AAOP) were distributed. Patient history and clinical examination was used to determine harmful oral habits. Data analysis was done in SPSS version 21 and Chi-square test was applied. RESULTS: Sixty one participants (25.4%) displayed no sign and symptoms of TMD, 34 (14.2%) responded affirmatively to atleast one item on the questionnaire and 108(46%) gave at least three affirmative responses. Headache, Neckpain and Toothache were most frequent reported sign and symptoms of TMD (46.2%). There was statistically significant association between gender and sign and symptoms of TMD on three items of the questionnaire (p < 0.05). Nail Biting (45.8%), Biting Lips/objects (37%) were most common habits among the study group. There was statistically significant association between Nail Biting (p = 0.001), Lip Biting/ object biting (p=0.001), Grinding of teeth (p = 0.01) and sign and symptoms of TMD. CONCLUSION: A statistically significant association was found between nail biting, lip/ object biting and grinding of teeth with signs and/or symptoms of TMD. Thus there is need for preventive dental treatment and community dental education so that young adults realize importance of early diagnosis and treatment of TMJ disorders.