Choledochal cyst type I-A: a case report

Choledocal cysts are cystic dilations that can occur in a single or multiple form in the biliary tree. Cysts can be congenital or acquired and are associated with numerous anatomical abnormalities. The presence of pain in the upper right quadrant of the abdomen, jaundice and palpable abdominal mass form the classic triad that is present in 15% to 45% of patients. We report the case of a 19-year-old woman patient, who she was admitted with abdominal pain in the right hypochondrium, nausea and vomiting, which evolved into jaundice. When seeking medical care, a large liver cyst and cholelithiasis. Imaging exams revealed liver cyst in segments IV-B,V and VI, lithiasis and biliary polyp.

Arduino Based Home Automation using TV Remote

House control and monitoring system using Bluetooth and infrared. In Bluetooth with android smart phone connectivity and for accessing and controlling devices and appliances remotely using Android based Smart phone applications. In IR-based house Appliances Control System is a control system using which the user can control different home appliances with a remote controller. The future system does not require a dedicated server PC with respect to similar systems and offers a novel communication protocol to monitor and control the house environment with more than just the switching functionality. House automation using Bluetooth is a residence incorporating a communications network that connects the electric home equipment and offerings letting them be remotely controlled, monitored or accessed. house automation System includes different approaches to achieve multiple objectives range from enhancing consolation in day by day existence to permitting a greater unbiased existence for aged and handicapped people. The system design is based on Arduino Microcontroller using C/C++, language software, Bluetooth and infrared (IR) which is used in different monitoring and control processes. This project the combination hardware and software implementation of a multiple form control system for house automation, combines both hardware and software technologies. The system results show that it can be classified as comfortable, secure, private, economic and safe house automation in addition to its great flexibility and Reliability.

Comprehensive Account on Prevalence and Characteristics of Hydatid Cysts in Livestock from Pakistan

Pakistan is at intersection of hyperendemic regions for hydatidosis. Current study aimed to determine the prevalence of hydatid cysts and cyst characteristics in different intermediate hosts (sheep, goats, cattle and buffaloes) across the 4 provinces of Pakistan. A total of 991 sheep, 1,478 goats, 1,602 cattle and 1,343 buffaloes were examined for presence of hydatid cysts during 2 years (January 2016-December 2018). Differences in frequency of hydatidosis were observed with highest overall prevalence in buffaloes (11.9%) and sheep (11.5%). Highest prevalence and burden of infection were observed in older age animals (23.8%, 9.78±0.49) and females (26.5%, 12.53±0.67). Data for seasonal prevalence alluded to year-round presence of disease with non-significant statistical difference. Organ predilection indicated liver as the most preferred site of cyst localization followed mainly by lungs. An over-dispersion pattern was observed in all infected animals as majority of cysts belonged <10 cysts per infected host category. Highest percentage of fertile cysts was observed in liver of sheep. Interestingly, solitary form of cysts had higher fertility rate than multiple form. Amid lack of data and wide gap of knowledge, this study would try to fill up the lacunae regarding this neglected tropical disease. Extensive rearing of livestock, unregulated official slaughter and home slaughtering have played role in adaptability of <i>E. granulosus</i> in Pakistan.

P877 Multiple diverticula of left ventricule - rare atypical picture finded in asymptomatic patient

We report the case of 74 years old asymptomatic patient, who was initially sent for a transthoracic echocardiography examination, because of a new changes on his ECG - RBBB with LAH. We found atypical multiple aneurysmatic formations. Ischemic heart disease as a probable cause was suspected. The patient underwent a coronary angiography, where we found a critical stenosis of LAD and RCA. Both stenosis were treated by PCI. Atypical aneurysmatic ventricular changes were confirmed by left ventriculography and this picture didn’t correspond with ischemic cardiomyopathy. MRI confirmed multiple aneurysmatic formations of left ventricle, but without scars or fibrotic changes in aneurysmal parts of LV. The patient remained asymptomatic and our final diagnosis was multiple left ventricle diverticula - probably a congenital heart disease. The picture on echocardiography and MRI and patients clinical status remains unchanged in follow-up. LV diverticula are very rare finding and its multiple form in aged asymptomatic adult is rather very unique. MRI is crucial in differential diagnosis with ischemic aneurysmal changes and this is nicely demonstrated in our case. Abstract P877 Figure. LV ventriculography

Deployable structure as architectural active structure on sports building in Bandung

Buildings not only can be resilient from environmental changing by passive design, but also have ability to adapt the environment by active system. By using deployable structure, this system can be provided by changing multiple form based on its purpose to cover the building. To provide these conditions, deployable structure need to be explored and analyzed to develop compatible structure in the building. Case of study in this research is Pajajaran sports building in Bandung. The research method is exploration of form and movement based on limited variables, there are activities and weather changing/climate condition. These variables formulated into two conditions, open and closed building. Open building state in sports building have requirement that either natural or artificial lighting should not cause glare in field area. So, natural lighting was simulated by using Ecotect Analysis to find solar path movement and shadow angle. The result of the solar path simulation shows that daily solar movement must be responded directly because high rotation rate and regular changes, while the monthly sun path does not require significant movement due to low rotation rate and insignificant changes. This study will show design process of deployable structure into sports building.

Timolol for Treatment of Recalcitrant Pyogenic Granulomas: a Case Report and Review of the Literature

Importance: Pyogenic Granuloma (PG) is a benign vascular tumor that forms commonly on the face, oral mucosa, or a site of previous injury. Though some PGs resolve spontaneously, most require some-to-multiple form(s) of treatment to prevent bleeding, ulceration, and scarring. Current treatment options for PGs include cryotherapy, laser, electrodessication, curettage or shave excision, sclerotherapy, corticosteroid injections, and imiquimod 5% cream. Timolol 0.5% ophthalmic solution has been used as a noninvasive topical treatment for PG in the pediatric population.Objective: To present a case of successful treatment of a recalcitrant PG with topical timolol, and to report on the current literature for similar cases.Case Presentation: We present a case of a 40-year-old healthy female who developed a biopsy-proven PG on her index finger. This is the first reported case to successfully use tangential biopsy and electrodessication followed by twice daily topical Timolol to treat recalcitrant PG.Conclusions: This case supports the use of 0.5% Timolol ophthalmic solution and demonstrates that it is a safe and economical therapy for adult patients with recurrent PGs. A review of the current literature is discussed, and supports timolol as an easy and economical therapy option.

A Solitary Intestinal Myofibroma: A Rare Cause of Neonatal Anemia

Solitary infantile myofibroma with visceral involvement is very rare. We present an unusual case of a solitary myofibroma with abdominal localization in a 1-day-old female neonate who presented with severe anemia and rectal bleeding. A bleeding myofibroma was found, located in the wall of the jejunum, and totally resected. In case of a solitary lesion, treatment is relatively easy and effective, with excellent prognosis after total resection. The multiple form (myofibromatosis) has a poor prognosis with low survival rates. We therefore recommend total body MRI for all patients diagnosed with myofibroma to rule out other lesions.

An Argument-Based Approach to Test Fairness

This article aims to demonstrate how innovative testing practices can effectively prevent high-tech mass cheating and improve fairness in language assessment. The article first introduces Xi's (2010) view of validity and fairness and her proposal of an argument-based approach to empirically examining test fairness. The article then describes the threat to fair testing posed by high-tech cheating on the College English Test (CET). A study of multiple-form equating was conducted and reported in the article, which was aimed at achieving alternate form reliability when multiple versions and multiple forms were used in the CET. The article then concludes with a discussion on the usefulness of an argument-based approach to empirically examining test fairness.