Infrahyoid myocutaneous flap A deliberate review
Since December 2019, the new coronavirus has raged in China and subsequently all over the world. From the first days, researchers have tried to discover vaccines to combat the epidemic. Several vaccines are now available as a result of the contributions of those researchers. As a matter of fact, the available vaccines should be used in effective and efficient manners to put the pandemic to an end. Hence, a major problem now is how to efficiently distribute these available vaccines among various components of the population. Using mathematical modeling and reinforcement learning control approaches, the present article aims to address this issue. To this end, a deterministic Susceptible-Exposed-Infectious-Recovered-type model with additional vaccine components is proposed. The proposed mathematical model can be used to simulate the consequences of vaccination policies. Then, the suppression of the outbreak is taken to account. The main objective is to reduce the effects of Covid-19 and its domino effects which stem from its spreading and progression. Therefore, to reach optimal policies, reinforcement learning optimal control is implemented, and four different optimal strategies are extracted. Demonstrating the efficacy of the proposed methods, finally, numerical simulations are presented.An unprecedented upsurge of COVID-19-positive cases and deaths is currently being witnessed across India. According to WHO, India reported an average of 3.9 lakhs of new cases during the first week of May 2021 which equals 47% of new cases reported globally and 276 daily cases per million population. In this letter, the concept of SIR and fractal interpolation models is applied to predict the number of positive cases in India by approximating the epidemic curve, where the epidemic curve denotes the two-dimensional graphical representation of COVID-19-positive cases in which the abscissa denotes the time, while the ordinate provides the number of positive cases. In order to estimate the epidemic curve, the fractal interpolation method is implemented on the prescribed data set. In particular, the vertical scaling factors of the fractal function are selected from the SIR model. The proposed fractal and SIR model can also be explored for the assessment and modeling of other epidemics to predict the transmission rate. This letter investigates the duration of the second and third waves in India, since the positive cases and death cases of COVID-19 in India have been highly increasing for the past few weeks, and India is in a midst of a catastrophizing second wave. The nation is recording more than 120 million cases of COVID-19, but pandemics are still concentrated in most states. In order to predict the forthcoming trend of the outbreaks, this study implements the SIR and fractal models on daily positive cases of COVID-19 in India and its provinces, namely Delhi, Karnataka, Tamil Nadu, Kerala and Maharashtra.The Barail sandstone in the Surma Basin is a medium- to coarse-grained pinkish-colored rock exposed near the northeastern margin of Bangladesh. In this study, we evaluated the reservoir quality of the Barail sandstone based on its petrophysical and petrographic characteristics. Petrophysical analyses of outcropped samples showed that sandstones are made up of 16.48% porosity and 132.48 mD permeability. Sandstone density ranges from 1.94 g/cm3 to 2.37 g/cm3, with a mean value of 2.12 g/cm3, shown as moderately compacted sandstone. Integrated data such as bulk density, porosity, permeability, Rock Quality Index (RQI), Normalized Porosity Index (NPI), Flow Zone Indicator (FZI), compressive strength, etc. with their relationships indicate that Barail sandstone owing characters to become a good petroleum reservoir. TKI-258 mw The rock samples consisted mainly of quartz with an insignificant amount of rock fragments and plagioclase feldspar and are categorized as sub-arkose to sub-litharenite. The rock samples also contains lithic (andesine, microcline, muscovite, biotite, etc.) of granitic and gneissic fabric and some volcanic product like aguite, albite, andesine, garnet, spinel and ulvo-spinel indicating the source of nearby orogeny. The euhedral to subhedral shape of the quartz grain in a porphyritic texture, moderately sorted with a smaller amount of clay minerals indicating the moderately mature rock type. The iron oxide border around the quartz grain also indicates that the Barail sandstone was deposited under dry climatic condition.Salzmann's nodular degeneration (SND) is an unusual corneal condition that is slowly progressive and non-inflammatory in nature. It results in millimetric gray-white to bluish nodules formation anterior to Bowman's layer of the cornea. It usually affects both eyes in 80% of the cases. These elevated nodules are located near the limbus or in the mid-peripheral cornea, with some exceptions. Salzmann nodule develops following corneal trauma or inflammation. However, it can present idiopathically. Here, we report an atypical case of idiopathic symptomatic large central SND that was treated successfully with superficial keratectomy.Acute myeloid leukemia (AML) and other hematologic malignancies can be complicated by hyperleukocytosis, which leads to an increased risk for other severe complications such as tumor lysis syndrome, disseminated intravascular coagulation (DIC), and leukostasis. In this report, we present a case of a 65-year-old female with newly diagnosed AML complicated by leukostasis. We briefly review the clinical significance as well as initial diagnostic and therapeutic considerations pertaining to hyperleukocytosis and its associated complications.Introduction Drones are unmanned aerial vehicles controlled by a person on the ground, used for recreational purposes. The purpose of the study is to describe characteristics and patterns of injuries reported in children from recreational drones. Methods We extracted data from the National Electronic Injury Surveillance System involving (NEISS) over a period of 10 years from 2010 to 2019 regarding injuries to children for ages zero up to 18 years. We included the subjects with drone-related injuries. All other toy-related injuries were excluded. We applied descriptive statistics to calculate proportions and confidence intervals for categorical variables and median for continuous variables. Results We included a total of 26 subjects. In our sample, the number of male subjects (65%; n = 17) was higher than the number of females (35%; n = 9). Head and face were the commonly affected body parts (58%, n = 15). The most common diagnoses were lacerations (42%; n = 11) and contusions/abrasions (27%; n = 7). The majority of the subjects were treated and discharged from the emergency department (92%; n = 24).