Bilateral Facial Palsy: An Atypical Neurological Complication of Varicella-Zoster Virus Reactivation.

Bilateral facial palsy is an exceptionally rare condition, often indicative of systemic involvement or severe underlying pathology. This report details a case of bilateral facial nerve paralysis in a young adult following recent varicella infection, an association infrequently documented in clinical practice. The patient presented with classic signs of bilateral facial nerve dysfunction alongside a history of recent chickenpox infection.

Impact of Tele-Kangaroo Mother Care (KMC) Clinics on the Respiratory Outcomes of Newborns.

Objectives: To assess the respiratory outcomes of newborns receiving Kangaroo mother care (KMC) in remote units of Chhattisgarh, India by providing telementoring to medical staff and parents.

Methods: In 2022, this comparative study was carried out at one SNCU in Chhattisgarh, India. The study consisted of gathering data before intervention and utilizing video call technology for remote mentoring to encourage KMC among both staff and parents.

Neuroplasticity and Pain Perception: Exploring the Complexities of Temporomandibular Disorders.

Temporomandibular disorders (TMDs) are prevalent conditions affecting the temporomandibular joint (TMJ), masticatory muscles, and associated structures, leading to pain, restricted movement, and joint noises. These disorders are multifactorial in origin, involving structural, functional, and psychological components. This review delves into the neurophysiological mechanisms of pain perception in TMDs, focusing on peripheral and central processes, including the role of neural plasticity in chronic pain.

In the red zone: How Atlanta Falcons home games impact emergency department and emergency medical services volumes.

Introduction: Optimizing Emergency Department (ED) resources based on patient volumes is crucial for patient care and hospital operations. Previous literature demonstrated varied effects of large-scale gatherings on Emergency Medical Services (EMS) call volume and ED volume. We assessed the impact of Atlanta Falcons home games on EMS call and trip volume, and ED volume at Grady Memorial Hospital.

When all that should close remains open: a tale of gastroschisis, exstrophy of bladder, spina bifida and limb defects.

A primigravida in the extremist-affected region of a third-world nation gave birth to a newborn who was remotely consulted through video rounds from the capital of the state. Unfortunately, these abnormalities are often overlooked and left untreated. The baby had multiple limb defects, gastroschisis, exstrophy of the bladder and spina bifida.

Congenital pyloric atresia associated with epidermolysis bullosa junctionalis: a novel lethal variant.

A term male baby was born vaginally to a primi mother. An antenatal ultrasound revealed polyhydramnios and a distended stomach in the baby. At birth, the baby had well-defined areas of peeling skin on the face and blisters on the forearm region.

Influence of Early Total Enteral Feeding in Preterm Infants with Respiratory Distress Syndrome.

Introduction: Providing adequate nutrition in the management of preterm infants has been challenging. The objective of this secondary analysis of data from the randomized trial comparing "less invasive surfactant therapy (LISA) with InSurE method of surfactant administration" is to demonstrate the feasibility of early total enteral feeding (ETEF) in hemodynamically stable preterm neonates on respiratory support and to examine the factors associated with failure of ETEF.

Methods: Secondary analysis of a randomized controlled trial comparing "LISA versus InSurE among preterm infants between 26 and 34 weeks of gestation" enrolled 150 infants with 117 being hemodynamically stable.

A Hybrid Form of Telemedicine and Quality Improvement: A Unique Way to Extend Intensive Care Services to Neonates.

Objectives: To evaluate the impact of hybrid support (tele-mentoring and conventional support) on adverse outcome among neonates admitted to 10 special newborn care units (SNCUs) in Chhattisgarh.

Methods: This before-and-after study was conducted at 10 SNCUs in Chhattisgarh in 2022. Conventional support was given earlier and later, that was supplemented with tele-rounds which were carried out using Skype technology.

Prospective Study to Evaluate Efficacy of Single Versus Double Drains in Breast Cancer Patients Undergoing Surgery.

Seroma formation is a common sequel following modified radical mastectomy (MRM), which hinders healing, may prolong hospital stay, and cause a delay in adjuvant treatment. Closed suction drains have been used to prevent formation of seroma; however, the use of a single drain in the axilla along with draining the mastectomy flaps and axilla separately remains a topic of debate. This prospective randomized dual-arm study was conducted in the Department of Endocrine Surgery.

Agri-waste derived electroactive carbon-iron oxide nanocomposite for oxygen reduction reaction: an experimental and theoretical study.

Herein, we have utilized agri-waste and amalgamating low Fe, to develop an economic iron oxide-carbon hybrid-based electrocatalyst for oxygen reduction reaction (ORR) with water as a main product following close to 4e transfer process. The electrocatalytic activity is justified by electrochemical active surface area, synergetic effect, and density functional theory calculations.

Perrault syndrome: The Way Forward After Genetic Counselling?

A female, term neonate, born via vaginal delivery to a G5P1D1A3 hypothyroid mother with a history of an elder sibling being homozygous for mutation, diagnosed while working up his progressive neurological disorder and succumbing to the same. The family screening revealed that both parents were heterozygous carriers of the same mutation in the gene After genetic counselling, amniocentesis revealed the fetus to be having homozygosity for the same mutation. In view of precious pregnancy, normal antenatal scans and investigations, the pregnancy was continued, and baby was born with a birth weight of 2.

Single-atom catalysts supported on a hybrid structure of boron nitride/graphene for efficient nitrogen fixation synergistic interfacial interactions.

Hexagonal boron nitride (BN) shows significant chemical stability and promising thermal nitrogen reduction reaction (NRR) activity but suffers from low conductivity in electrolysis with a wide band gap. To overcome this problem, two-dimensional (2D) BN and graphene (G) are designed as a heterostructure, namely BN/G. According to density functional theory (DFT), the higher conductivity of G narrows the band gap of BN by inducing some electronic states near the Fermi energy level ().

A wideband hybrid combiner design for ITER ion cyclotron radio frequency source.

The high-power radio frequency source for ion cyclotron heating and current drive of ITER tokamak consists of two identical 1.5 MW amplifier chains. These two chains will be combined using a wideband hybrid combiner with adequate coupling flatness, phase balance, return loss, and isolation response to generate 2.

Less invasive surfactant administration via infant feeding tube versus InSurE method in preterm infants: a randomized control trial.

There is growing evidence that less invasive surfactant administration (LISA) is a better alternative to the standard Intubate-surfactant-extubate (InSurE) procedure in spontaneously breathing preterm infants with RDS. The infant feeding tube is easily available and cost-effective in comparison to special catheters used for surfactant administration in various studies on LISA and cost-effective health care is the need of the hour for countries like ours which are Low and middle-income countries(LMICs).The present study was planned to compare the total duration of respiratory support in preterm babies between 26 to 34 weeks of gestation with RDS requiring surfactant therapy administered by LISA technique using an infant feeding tube or InSurE method.

Phenomenology, quality of life, and predictors of reversibility in patients with drug-induced movement disorders: a prospective study.

Background: Drug-induced movement disorders (DIMDs) form an important subgroup of secondary movement disorders, which despite conferring a significant iatrogenic burden, tend to be under-recognized and inappropriately managed.

Objective: We aimed to look into phenomenology, predictors of reversibility, and its impact on the quality of life of DIMD patients.

Methods: We conducted the study in the Department of Neurology at a tertiary-care centre in India.

Sclerotic lumbar chordoma: A case report.

Chordoma is a rare tumor, often occurring in the cervical spine and sacrococcygeal spine with a lytic appearance, but rarely in the thoracolumbar spine. Chordomas can occasionally be sclerotic and are included in the differential diagnosis for an ivory vertebra. We present a case of a sclerotic chordoma in an upper lumbar vertebral body with corresponding multimodality imaging.

Fast atomic structure optimization with on-the-fly sparse Gaussian process potentials.

We apply on-the-fly machine learning potentials (MLPs) using the sparse Gaussian process regression (SGPR) algorithm for fast optimization of atomic structures. Great acceleration is achieved even in the context of a single local optimization. Although for finding the exact local minimum, due to limited accuracy of MLPs, switching to another algorithm may be needed.

Unveiling the Role of Charge Transfer in Enhanced Electrochemical Nitrogen Fixation at Single-Atom Catalysts on BX Sheets (X = As, P, Sb).

To tune single-atom catalysts (SACs) for effective nitrogen reduction reaction (NRR), we investigate various transition metals implanted on boron-arsenide (BAs), boron-phosphide (BP), and boron-antimony (BSb) using density functional theory (DFT). Interestingly, W-BAs shows high catalytic activity and excellent selectivity with an insignificant barrier of only 0.05 eV along the distal pathway and a surmountable kinetic barrier of 0.

Assessing the clinical utility of volumetric HRCT in pediatric enlarged vestibular aqueduct related hearing loss.

Objectives: |The aim of this study was to evaluate the use of volumetric HRCT measurements in the diagnosis of enlarged vestibular aqueduct syndrome (EVAS) and describe the association of this novel radiographic approach with clinical hearing outcomes. We hypothesized that volumetric measurements may have stronger correlation to hearing loss given the anatomic variability of the vestibular aqueduct in linear measurements.

Methods: A retrospective study design was used, including 51 patients that fit the inclusion criteria for the study for a total of 81 ears.