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Cervical lymphadenopathy in a Child – An unusual  presentation of filariasis

Clinical manifestations of lymphatic filariasis depend on the area of lymphatic involvement and the duration of infection. An eight year old child presented with right cervical lymph node. Fine needle aspiration cytology (FNAC) with 22 Gauge needle from the lymph node revealed multiple coiled larvae of Wuchereria bancrofti in a background of reactive lymphoid cells with eosinophils. Diagnosis of right cervical Bancroftian lymphadenopathy was made. The case was followed by excisional biopsy of the lymph node and hence was confirmed histopathologically. We report this case because cervical lymphadenopathy is a rare presentation of filariasis in children.

When are the best times throughout the year to book hotels to get the cheapest rates and why

Singapore is a country that has moderate climate all through the year. There are many popular tourist destinations in the world that attracts a lot of tourists every year. Majority of these places will have a specific peak season. During the peak seasons, the hotels would be charged at high rates and during the offseason, rates will be quite low.

Development of Maintenance Strategy to Improve  Performance of Natural Draft Cooling Tower

Cooling tower is an important part of power plant. The efficiency of power plant is directly depends on the effectiveness of cooling tower. In cooling tower scheduled maintenance and shutdown maintenance is a problem which affects its effectiveness and performance of cooling tower. In cooling tower shutdown maintenance required in every 2 to 3 year periods at this period the whole plant will be shutdown, and require 28 to 35 days maintenance so that cooling tower will be in its best working condition. In every cooling tower manufacturer provide the scheduled maintenance check list so that the worker will perform their maintenance as per given instruction. In present work optimization of shutdown maintenance strategy is done so that the time elapsed in maintenance will reduce and the requirement of man power will be reduced.

Recurrent Acute gastroenteritis with septic shock and  acute kidney injury detected as Addison’s dis

- Introduction: Addison's disease is a rare endocrinal disorder, with several oral and systemic manifestations. A variety of pathological processes may cause Addison's disease. Classically, hyperpigmentation is associated with the disease, and intraoral pigmentation is perceived as the initial sign and develops earlier than the dermatological pigmentation. The symptoms of the disease usually progress slowly and an event of illness or accident can make the condition worse and may lead to a life-threatening crisis. In this case, several oral as well as systemic manifestation of the Addison's disease was encountered. A 45 year old male became acutely unwell and had a background of recurrent admissions in past for AGE like illness requiring pressor support and in between had generalized weakness,nausea,weight loss and fatigue. He had an acute diarrhoeal illness which didn’t respond completely to intravenous fluids and antibiotics. In view of patient having such episodes in pas

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CFD Analysis of Pelton Runner
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This paper presents Computational Fluid Dynamics (CFD) analysis of Pelton turbine of Khimti Hydropower in Nepal. The purpose of CFD analysis is to determine torque generated by the turbine and pressure distributions in bucket for further work on fatigue analysis. The CFD analysis is carried out on model size Pelton runner reduced at 1:3.5 scale to minimize computational cost and time. The operating conditions for model size runner is selected in accordance with IEC 60193 and IEC 1116. The paper describes the methods used for CFD analysis using ANSYS CFX software. 3 buckets are used to predict the flow behavior of complete Pelton turbine. k-ε and SST turbulence model with interphase transfer method as free surface and mixture model is compared in the paper. The pressure distribution is found maximum at bucket tip and runner Pitch Circle Diameter (PCD). The torque generated by the middle bucket is replicated over time to determine total torque generated by Pelton turbine.

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