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A bstract Compared to other neutrino sources, the huge anti-neutrino fluxes at nuclear reactor based experiments empower us to derive stronger bounds on non-standard interactions of neutrinos with electrons mediated by light scalar/vector mediators. At neutrino energy around 200 keV reactor anti-neutrino flux is at least an order of magnitude larger compared to the solar flux. The atomic and crystal form factors of the detector materials related to the details of the atomic structure becomes relevant at this energy scale as the momentum transfers would be small. Non-standard neutrino-electron interaction mediated by light scalar/vector mediator arises naturally in many low-scale models. We also propose one such new model with a light scalar mediator. Here, we investigate the parameter space of such low-scale models in reactor based neutrino experiments with low threshold Ge and Si detectors, and find the prospect of probing/ruling out the relevant parameter space by finding the projected sensitivity at 90% confidence level by performing a χ 2 -analysis. We find that a detector capable of discriminating between electron recoil and nuclear recoil signal down to a very low threshold such as 5 eV placed in reactor based experiment would be able to probe a larger region in parameter space compared to the previously explored region. A Ge (Si) detector with 10 kg-yr exposure and 1 MW reactor anti-neutrino flux would be able to probe the scalar and vector mediators with masses below 1 keV for coupling products g ν g e ∼ 1 × 10 − 6 (9 . 5 × 10 − 7 ) and 1 × 10 − 7 (8 × 10 − 8 ), respectively.

The amount of data collected for sensing tasks in scientific computing is based on the Shannon-Nyquist sampling theorem proposed in the 1940s. Sensor data generation will surpass 73 trillion GB by 2025 as we increase the high-fidelity digitization of the physical world. Skyrocketing data infrastructure costs and time to maintain and compute on all this data are increasingly common. To address this, we introduce a selective learning approach, where the amount of data collected is problem dependent. We develop novel shift-invariant and spectrally stable neural networks to solve real-time sensing problems formulated as classification or regression problems. We demonstrate that (i) less data can be collected while preserving information, and (ii) test accuracy improves with data augmentation (size of training data), rather than by collecting more than a certain fraction of raw data, unlike information theoretic approaches. While sampling at Nyquist rates, every data point does not have to be resolved at Nyquist and the network learns the amount of data to be collected. This has significant implications (orders of magnitude reduction) on the amount of data collected, computation, power, time, bandwidth, and latency required for several embedded applications ranging from low earth orbit economy to unmanned underwater vehicles.

A bstract We investigate the effect on neutrino oscillations generated by beyond-the-standard-model interactions between neutrinos and matter. Specifically, we focus on scalar-mediated non-standard interactions (NSI) whose impact fundamentally differs from that of vector-mediated NSI. Scalar NSI contribute as corrections to the neutrino mass matrix rather than the matter potential and thereby predict distinct phenomenology from the vector-mediated ones. Similar to vector-type NSI, the presence of scalar-mediated neutrino NSI can influence measurements of oscillation parameters in long-baseline neutrino oscillation experiments, with a notable impact on CP measurement in the case of DUNE. Our study focuses on the effect of scalar NSI on neutrino oscillations, using DUNE as an example. We introduce a model-independent parameterization procedure that enables the examination of the impact of all non-zero scalar NSI parameters simultaneously. Subsequently, we convert DUNE’s sensitivity to the NSI parameters into projected sensitivity concerning the parameters of a light scalar model. We compare these results with existing non-oscillation probes. Our findings reveal that the region of the light scalar parameter space sensitive to DUNE is predominantly excluded by non-oscillation probes, especially when considering all nonzero parameters simultaneously for DUNE.

Documented symptomatic hypoglycemia is defined as “event during which typical symptoms of hypoglycemia are accompanied by measured blood glucose of ≤70 mg/dL. Most of the studies and recommendations for the unconscious hypoglycemic adult advocate the use of 25 g of glucose as 50 mL of 50% dextrose solution intravenous or 1 mg of intramuscular glucagon. To compare the efficacy and safety of 5 g boluses of 10%, 25% and 50% dextrose in the treatment of hypoglycemic patients presenting to our emergency department. This was a randomized controlled single blinded study. Hypoglycemic patients in altered mental status were randomized into three treatment arms to be administered 10%, 25% or 50% dextrose. 5 g aliquots of intravenous 10%,25% or 50% dextrose were administered over 1 min. Time taken to achieve a Glasgow Coma Scale (GCS) of 15 and median total doses (g) were the primary outcomes. Data of 204 patients were analysed in the study. There was no difference in the median time to achieve a GCS of 15 in all three treatment arms (6 min). Total median dose administered in the 10% and 25% groups was lower than 50% (10 g vs 15 g). Proportion of patients who received the maximum dose of 25 g was higher in the 50% group as compared to 10% and 25% groups (12%, 3%, 4%). There was no difference in 10% dextrose and 25% dextrose as compared to 50% dextrose in achieving the baseline mental status (or GCS 15) in the treatment of hypoglycemia in the ED.

Indo-US Masters in Emergency Medicine (MEM) certification courses are rigorous three-year emergency medicine (EM) training courses that operate as a partnership between affiliate hospitals or universities in the United States with established EM training programs and local partner sites in India. Throughout their 15 years of operation, these global training partnerships have contributed to the EM workforce in India. Our objective in this study was to describe Indo-US MEM program graduates, their work environments, and their contribution to the growth of academic EM and to the coronavirus disease 2019 (COVID-19) response. An electronic survey was created by US and Indian MEM course stakeholders and distributed to 714 US-affiliated MEM program graduates. The survey questions investigated where graduates were working, their work environments and involvement in teaching and research, and their involvement in the COVID-19 response. We consolidated the results into three domains: work environment and clinical contribution; academic contribution; and contribution to the COVID-19 response. The survey response rate was 46.9% (335 responses). Most graduates reported working within India (210, 62.7%) and in an emergency department (ED) setting (304, 91.0%). The most common reason for practicing outside of India was difficulty with formal MEM certificate recognition within India (97, 79.5%). Over half of graduates reported dedicating over 25% of their work hours to teaching others about EM (223, 66.6%), about half reported presenting research projects at conferences on the regional, national, or international level (168, 50.5%), and almost all graduates were engaged in treating COVID-19 patients during the pandemic (333, 99.4%). Most graduates agreed or strongly agreed that they were satisfied with their overall MEM training (296, 88.4%) and confident in their ability to practice EM (306, 91.6%). Indo-US MEM graduates have made a notable contribution to EM in India through clinical service delivery, teaching, and research, even more essential in the context of the COVID-19 pandemic. The roles of these graduates should be acknowledged and can contribute further to expand EM specialty and systems development across India.

Trauma to the adrenal glands is very rare. The variation in clinical manifestations is marked and markers for its diagnosis being limited, makes it tough to be diagnosed. Computed tomography remains the gold standard for detecting this injury. Prompt recognition and the potential for mortality with adrenal insufficiency can provide the best guidance for the treatment and care of the severely injured. We present a case of a 33-year-old trauma patient who was not responding to the management of his shock. He was finally found to have a right adrenal haemorrhage leading to adrenal crisis. The patient was resuscitated in the Emergency Department but succumbed 10 days post admission.

The petroleum refining industry employs a wide variety of heat transfer-based equipment which tend to foul due to the complex nature of associated fluid streams and process conditions. Over the years, different test methods have been researched to understand fouling at the lab, pilot, and/or plant level. Several of these investigations have been limited to understanding fouling in static refinery streams or under non-practical operating conditions. The present study experimentally demonstrates the potential of a high-temperature batch stirred coupon test rig to characterize fouling under noncoking conditions for a specific refinery stream of interest. Experiments were conducted using a representative crude oil stream (obtained from a refinery) in a 2-liter batch autoclave system with a facility to immerse coupons attached to a rotating shaft into the stream during related test runs. The coupon Material of Construction (MOC) was chosen similar to the MOC of the tubes used in a refinery crude heat exchanger train. Experiments covered a range of bulk temperatures from 250°C to 300°C at 100 RPM. The foulant deposits obtained were found to have a strong (hard) and weakly (soft) adhering component. In the temperature range investigated, the hard and soft deposits were largely inorganic and organic in nature, respectively. The fluid bulk temperature was found to influence hard and soft deposit formation. The foulant deposits were characterized using TGA, CHNS, XRD, and SEM/EDAX, respectively. The iron and sulfur content in the hard deposit was more than 45% in total, indicating that the fouling mechanism was corrosion-based resulting from the formation of FeS on the surface. The thermal history of the soft deposit was distinct from the crude oil used. The results obtained confirm the potential of the coupon test rig for understanding fouling in refinery streams.

Utilizing the self-organization of materials to make systematic and ordered wrinkled patterns can be very useful for optical, electronic, adhesives and many other applications. In this work, we have demonstrated the fabrication of a self-organized, linearly ordered, wrinkled pattern developed in the polystyrene (PS) thin film by controlled buckling in the film. Buckling was induced in the thin film by bending an elastic polydimethylsiloxane (PDMS) substrate along the two sides producing variable stress along both sides of the bending axis. Controlling of the self-organized patterns in the PS thin film was obtained by varying stress in the elastic PDMS substrate and thin-film thickness of PS. Theoretical analysis and experimental results were compared, and the developed structure was demonstrated to be used as a smart optical filter giving different intensities of diffused light for different positions of the substrate.

BACKGROUND:Hemorrhage is the second leading cause of death in trauma patients preceded only by traumatic brain injury. But hemorrhagic shock is the most common cause of preventable death within 6 hours of admission. Traumatic coagulopathy is a hypocoagulable state that occurs in the most severely injured. International normalized ratio(INR) and its relationship with trauma mortality have not been studied specifi cally. This study aimed to establish a predictive value of INR for trauma-related mortality.METHODS:A total of 99 trauma patients aged 18–70 years were included in the study. Their INR was determined and patient progression was followed up till death/discharge. According to previous retrospective studies,the cutoff value for INR in our study was kept at 1.5.RESULTS:The total mortality rate of the patients was 16.16%(16/99). The mean INR was 1.45 with a SD of 1.35. INR was deranged in a total of 14 patients(14.14%). Of these patients,11 died(78.57%) and 3 survived. INR was deranged in 11(68.75%) of the 16 patients who died,but 5 deaths(31.25%) had normal INR values. The sensitivity of INR was 69%(95%CI 41%–88%) and the specificity 96%(95%CI 90%–99%). The diagnostic accuracy of INR was 92%(95%CI 85%–96%). Positive predictive value and negative predictive value were 79%(95%CI 49%–95%) and 94%(95%CI 87%–98%),respectively.CONCLUSION:Our results showed that INR is a good predictor of mortality in trauma patients.

BACKGROUND: Bottle gourd(Lagenaria siceraria) is popularly known as lauki, ghia or dudhi in India. Its consumption is advocated by traditional medicine healers for controlling diabetes mellitus, hypertension, liver diseases, weight loss and other diseases. However, in last few years there have been reports of suspected toxicity due to consumption of its juice leading to severe vomiting and upper gastrointestinal bleeding. As emergency physicians we need to be aware of this very rare poisoning specially in India.METHODS: We present a case of a 52-year-old woman who presented with multiple episodes of hematemesis and shock to the emergency department(ED) after consuming bottle gourd juice. The patient was resuscitated and stabilized with fl uids, proton pump inhibitors and antiemetics and shifted to the intensive care unit(ICU) under the care of a gastroenterology team for urgent endoscopy and further management.RESULTS: The patient received intravenous fluids, antibiotics, antiemetics, and antacids and underwent upper gastroenterologic endoscopy during the hospitalization. She was discharged in a stable condition 4 days later.CONCLUSIONS: As a member of the Cucurbitaceae family, bottle gourd contains toxic tetracyclic triterpenoid compounds called cucurbitacins which are responsible for the bitter taste and toxicity. There is no known antidote for this toxicity, and clinicians treat such patients symptomatically only. It is important to educate the public about the harmful effects of this potentially life-threatening toxicity.