Improvement of CISSe / CdS / ZnO Structure Performance by SCAPS-1D.

This manuscript presents an optimization of the performances of the CISSe/CdS/ZnO structure. 12 tests were performed for each layer on thickness, gap energy and temperature using SCAPC-1D. Numerical data were compiled with the open circuit voltage, the short circuit density, the fill factor and the efficiency. The results obtained are confirmed with the measurements illustrated in the literature. The analyses indicate a progressive improvement in the performance of the structure for each test; an efficiency of 28.8 % was recorded for the CISSe layer while 30.07 % as an efficiency for CdS and 31.47 % for the absorbent layer. On the other hand, an open circuit voltage does not exceed 1.37V for the whole structure.Thus, these results are satisfied and encouraged.

A CASE STUDY ON AYURVEDIC MANAGEMENT OF SPINOCEREBELLAR ATAXIA

Spinocerebellar Ataxias (SCAs) is a neurodegenerative heterogeneous group of disorders that often-characterized progressive derangement in coordination and Balance. Presently there is no definitive cure for this genetic disease. Only a few Ayurveda case studies were reported in SCA. In the present study, a case of SCA was admitted in the IPD was treated through four phases - Deepana Pachana, Dosa Shodhana, Dosa Samana and Rasayana. The du- ration of therapy was around two months. Treatments were aimed at understanding and avoiding the predisposing factors, reversing the pathology (Samprapti Vighatana) and improving the quality of Dhatus (Rasayana), thereby improving the symptoms and arresting the progress of the disease. Scale for Assessment and Rating of Ataxia (SARA) score on 23/12/2020 and 19/02/2021 showed progressive improvement while discharging. Keywords: Vata Vyadhi, Avarana, Dhatukshaya, Spinocerebellar ataxia, Neurodegeneration

Surgical Management of a Latissimus Dorsi Costal Tear in an Elite Female Handball Player: A Case Report

Introduction:Latissimus dorsi ruptures are rare injuries more commonly seen in elite overhead and hip throwers athletes. The most frequent mechanism of injury is indirect. The management of these injuries is unclear and controversial. Case Report:In this case report we present a professional female handball player with an acute intramuscular/costal tear of the latissimus dorsi, managed operatively. The patient injured extremity was the dominant throwing arm with a palpable muscle gap of 3 cm. Operative treatment was taken and objective follow-up using UCLA shoulder rating scale and DASH scores; demonstrating a progressive improvement between day zero (UCLA 13pts and DASH 36.7 pts) and the final 6 months (UCLA 33pts and DASH 0.8 pts) follow up; returning to sport at 12 weeks. Conclusion:Latissimus dorsi costal tears are uncommon injuries that can also be seen in hip throwing athletes. Surgical management should be considered if the dominant arm is affected and a 3cm muscle gap is present. Keywords:Latissimus dorsi, latissimus dorsi tear, latissimus dorsi costal tear, surgical management.

Paradoxical Psoriasis During IL-17 Blockage: Two Memorable Patients

47 year-old man who suffered for plaque psoriasis since 2013 was previously treated with topicals, UVB photherapy, acitretin, methotrexate and adalimumab (Imraldi®) with scarce response. Brodalumab (IL-17 receptor chain A blocking antibody) at 210 mg sc day 0, week-1, week-2 and every 2 weeks was initiated (baseline PASI of 16) with fast improvement of psoriasis (PASI-90 at week 4) and new onset of erythema, pustules and pain in the palmoplantar area after each subcutaneous Brodalumab administration and progressive improvement after 5-8 days.