Amyloidosis is a systemic disorder produced by the deposition of insoluble protein fibrils that fold and deposit in the myocardium. Patients with amyloidosis and cardiac involvement have higher mortality than patients without cardiac involvement. The two most prevalent forms of amyloidosis associated with cardiac involvement are AL amyloidosis, due to the deposition of immunoglobulin light chains, and ATTR amyloidosis, due to the deposition of the transthyretin (TTR) protein in mutated or senile form. This article aims to review the different cardiac imaging modalities (echocardiography, cardiac magnetic resonance imaging, nuclear medicine and tomography) that allow to determine the severity of cardiac involvement in patients with amyloidosis, the type of amyloidosis and its prognosis. Finally, we suggest a diagnostic algorithm to determine cardiac involvement in amyloidosis adapted to locally available diagnostic tools, with a practical and clinical approach.

The possibility of preoperative prediction of pathologic complete response in rectal cancer has been studied in order to identify patients who would respond to neoadjuvant therapy and to individualize therapeutic strategies. Endoscopic ultrasound of the rectum is an accurate method for the evaluation of local tumor and lymph node invasion. Objective: To evaluate the potential of endoscopic ultrasound as a predictor of complete pathological response to neoadjuvant treatment in patients with locally advanced rectal cancer. Material and methods: Retrospective study of patients with rectal cancer from January 2014 to December 2016. Results: We obtained a statistical association between T stage by endoscopic ultrasound and complete pathological response (p = 0.015). It is not so for N, sphincter involvement, circumferential involvement and maximum tumor thickness (p = 0.723, p = 0.510, p = 0.233 and p = 0.114, respectively). When multivariate logistic regression analysis was applied to assess the degree of influence of the predictor variables on pathologic response, none of these variables was associated with complete pathologic response. Conclusion: Prediction of pathologic complete response in rectal cancer has been considered as the crucial point upon which treatments for rectal cancer could be individualized. So far, no imaging method has been able to demonstrate efficacy in predicting complete pathologic response, and in turn there is no direct association between any endosonographic finding that can accurately predict it.

Entomopathogens are microorganisms that pathogenic to insect pest. Several species of naturally occurring viz; fungi, bacteria, viruses and nematodes, infect a variety of insect pests and play an important role in agricultural crops controlling insect pest management.  This kind of biopesticide has many advantages and alternative to chemical insecticides, highly specific, safe, and environmentally sustainable. Pest problems are an almost inevitable part of agriculture. They occur largely because agricultural systems are simplified and modifications of natural ecosystems. Viruses, bacteria are host specific and fungi generally have broader host range and can infect both underground and aboveground pests, soil-dwelling nature nematodes are more suitable for managing soil pests. Growing crops in monoculture provides concentrated food resource that allows pest populations to achieve higher densities in natural environments. Some of the most important problems occur when pests develop resistance to chemical pesticides. These cause highly significant damage to crops, there are also threats from emerging new strains of pests. Crops cultivation can make the physico-chemical environment more favourable for pest activity. Agricultural pests are reducing the yield and quality of produce by feeding on crops, transmitting diseases. Agricultural production significantly loss crop yields, suggest that improvements in pest management are significant forward for improving yields. Crop growers are under immense pressure to reduce the use of chemical pesticides without sacrificing yields, but at the same time manage of pests is becoming difficult due to pesticide resistance and the decreasing availability of products. Alternative methods are needed urgently. These need to be used as part of Integrated Pest Management safety and environmental impact.  

This study examines conditions that impact PPP delivery success or failure in the roadways sector in India using Qualitative Comparative Analysis. QCA is well-suited for problems where multiple factors combine to create pathways leading to an outcome. Past investigations have compared PPP and non-PPP project delivery performance, but this study examines performance within PPPs by uncovering a set of conditions that combine to influence the success or failure road PPP project delivery in India. Based on data from 21 cases, pathways explaining project delivery success or failure were identified. Specifically, PPPs with high concessionaire equity investment and low regional industrial activity led to project delivery success. Projects with lower concessionaire equity investment and low reliance on toll revenue and with either: (a) high project technical complexity or (b) high regional industrial activity, led to project delivery failure. The pathways identified did not have coverage values that they were extremely strong. Coverage strength was hindered by lack of access to information on additional conditions that could be configurationally important. Further, certain characteristics of the Indian market limit generalization. Identification of combinations of conditions leading to PPP project delivery success or failure improves knowledge of the impacts of structure and characteristics of these complex arrangements. This study is one of the first to use fuzzy QCA to understand project delivery success/failure in road PPP projects. Moreover, this study takes into account factors specific to a sector and delivery mode to explain project delivery performance.

The primary school stage is the key stage for students to form good habits and lay a good learning foundation, especially in primary schools, Chinese classes account for the largest proportion of all courses, the focus of learning began to shift to understanding and mastering. Through scientific methods, teachers can effectively improve the concentration of Chinese learning of primary school students in order to improve their interest and overall level,to have a profound impact on the future study and life of primary school students. This paper analyzes the importance and strategies of teachers' attention training in the middle Chinese classroom of primary school.

Hybrid nanofluids have several potential applications in various industries, including electronics cooling, automotive cooling systems, aerospace engineering, and biomedical applications. The primary goal of the study is to provide more information about the characteristics of a steady and incompressible stream of a hybrid nanofluid flowing over a thin, inclined needle. This fluid consists of two types of nanoparticles: non-magnetic nanoparticles (aluminium oxide) and magnetic nanoparticles (ferrous oxide). The base fluid for this nanofluid is a mixture of water and ethylene glycol in a 50:50 ratio. The effects of inclined magnetic fields and joule heating on the hybrid nanofluid flow are considered. The Runge-Kutta fourth-order method is used to numerically solve the partial differential equations and governing equations, which are then converted into ordinary differential equations using similarity transformations. Natural convection refers to the fluid flow that arises due to buoyancy forces caused by temperature differences in a fluid. In the context of an inclined needle, the shape and orientation of the needle have significantly affected the flow patterns and heat transfer characteristics of the nanofluid. These analyses protest that raising the magnetic parameter results in an increase in the hybrid nanofluid thermal profile under slip circumstances. Utilizing the potential of hybrid nanofluids in a variety of technical applications, such as energy systems, biomedicine, and thermal management, requires an understanding of and ability to manipulate these effects.