Abstract: Neurological disorders are the most debilitating of manifestations seen in patients infected with HIV. The clinical profile of neurological manifestations in HIV patients has undergone a shift in recent years with opportunistic infections being controlled with combination anti-retroviral therapy and the advent of drugs which have higher central nervous system penetrability. The aim of this paper is to study the clinical, investigation profile and various neurological disorders in HIV patients on anti‐retroviral therapy. Fifty HIV patients with neurological manifestations were studied. A complete neurological examination including neurocognitive functioning using Montreal Cognitive Assessment and HIV Dementia scale were assessed. Apart from relevant investigations, CD4 count, cerebrovascular fluid analysis, computed tomography (CT) and magnetic resonance imaging (MRI) of brain were done whenever required. Neurocognitive disorders formed the largest group with 42% suffering from HIV associated Neurocognitive Disorders. Among them, asymptomatic neurocognitive impairment was seen in 28%; mild neurocognitive disorder in 12%, and 2% had HIV‐associated dementia. Opportunistic infections of the nervous system accounted for 32%, with meningitis being the most common. Four patients had space occupying lesions of central nervous system; four tuberculomas, and one toxoplasmosis. With the advent of highly active retroviral therapy, HIV patients have longer life spans with suppression of viral load leading to decrease in opportunistic infections of the nervous system. Neurocognitive disorders are now the most common neurological dysfunction seen and thus neurocognitive assessment must be done in all patients with HIV.
Abstract: Male factor infertility due to endocrine disturbances
such as abnormalities in prolactin levels are encountered in a
significant proportion. This case control study was carried out to
determine the effects of prolactin on the male reproductive tract,
using 200 male white rats. The rats were maintained as the control
group (G1), hypoprolactinaemic group (G2), 3 hyperprolactinaemic
groups induced using oral largactil (G3), low dose fluphenazine (G4)
and high dose fluphenazine (G5). After 100 days, rats were subjected
to serum prolactin (PRL) level measurements and for basic seminal
fluid analysis (BSA). The difference between serum PRL
concentrations of rats in G2, G3, G4 and G5 as compared to the
control group were highly significant by Student’s t-test (p
Abstract: Finned-tube heat exchangers are predominantly used in space conditioning systems, as well as other applications requiring heat exchange between two fluids. The design of finned-tube heat exchangers requires the selection of over a dozen design parameters by the designer such as tube pitch, tube diameter, tube thickness, etc… Finned-tube heat exchangers are common devices; however, their performance characteristics are complicated. In this paper numerical studies have been carried out to analyze the performances of finned tube heat exchanger (without fins considered for experimental purpose) by predicting the characteristics of temperature difference and pressure drop. In this study, a design considering 5 design variables and also maximizing the temperature difference and pressure drop was suggested by applying DOE. During this process, L18 orthogonal array was adopted. Parametric analytical studies have been carried out using ANOVA to determine the relative importance of each variable with respect to the temperature difference and the pressure drop. Following the results, the final design was suggested by predicting the optimum design therefore confirming the optimized condition.
Abstract: This paper presents the analysis of duct design using
static and dynamic approaches. The static approach is used to find
out applicability between the design and material applied. The
material used in this paper is Thermoplastic Olefins (TPO). For the
dynamic approach, the focusing is only on the CFD simulations. The
fatigue life in this design and material applied also covered.