Background:Oral lesions are common among Human Immuno deficiency Virus (HIV)-positive patients. The pattern of oral features in these persons may differ in separate settings.Aims:To find out the spectrum of oral manifestations among a section of seropositive individuals attending the antiretroviral therapy (ART) centre of a referral hospital.Materials and Methods:A total of three hundred and twenty-one newly diagnosed seropositive patients were enrolled in this study. Of these, ninety-four patients who demonstrated lesions related to the oral cavity were examined intra-orally by a clinician. HIV testing was done with ELISA and CD4 counts were measured with the help of fluorescence activated cell sorter (FACS) system.Results:Fifty-four respondents presented exclusively with oral lesions. Candidiasis patients were the largest group (38.30%).Conclusion:HIV disease presents a plethora of oral manifestations, which provide valuable diagnostic and prognostic information.

Tunneling in a many-body system appears as one of the novel implications of quantum physics, in which particles move in space under an otherwise classically-forbidden potential barrier. Here, we theoretically describe the quantum dynamics of the tunneling phenomenon of a few intricate bosonic clouds in a closed system of a two-dimensional symmetric double-well potential. We examine how the inclusion of the transverse direction, orthogonal to the junction of the double-well, can intervene in the tunneling dynamics of bosonic clouds. We use a well-known many-body numerical method, called the multiconfigurational time-dependent Hartree for bosons (MCTDHB) method. MCTDHB allows one to obtain accurately the time-dependent many-particle wavefunction of the bosons which in principle entails all the information of interest about the system under investigation. We analyze the tunneling dynamics by preparing the initial state of the bosonic clouds in the left well of the double-well either as the ground, longitudinally or transversely excited, or a vortex state. We unravel the detailed mechanism of the tunneling process by analyzing the evolution in time of the survival probability, depletion and fragmentation, and the many-particle position, momentum, and angular-momentum expectation values and their variances. As a general rule, all objects lose coherence while tunneling through the barrier and the states which include transverse excitations do so faster. In particular for the later states, we show that even when the transverse direction is seemingly frozen, prominent many-body dynamics in a two-dimensional bosonic Josephson junction occurs. Implications are briefly discussed.

Background and Aims:In absence of any published standard guideline for sedation or anesthesia practice for prolonged therapeutic “endoscopic retrograde cholangio-pancreatography (ERCP)”, safe and cost-effective sedation protocol is the need of the hour. Our study aims to evaluate the efficacy of a dexmedetomidine as an add-on for prolonged deep sedation for ERCP and to compare three deep sedation regimens regarding safety and efficacy.Material and Methods:Forty-five consecutively enrolled patients planned for therapeutic ERCP and assumed to have prolonged procedural duration (>50 min) were divided into three groups in a randomized assessor blinded fashion. Group 1 received propofol and midazolam, Group 2 received the sedato-analgesic cocktail containing ketamine-propofol-midazolam-pentazocine, and the Group 3 received sedate-analgesic cocktail plus dexmedetomidine infusion under monitoring of vital parameters and according to the judgment of the concerned anesthesiologist. Total propofol requirement, episodes of gagging, oxygen desaturation, changes in mean blood pressure (MBP), recovery and satisfaction score of endoscopist, anesthetist and patient were noted and analyzed statistically using one way ANOVA with Bonferroni correction and Chi-square test.Results:Mean propofol requirement, incidences of gagging and oxygen desaturation was significantly less in Group 2 and 3 compared to Group 1. MBP was more stable and recovery was faster in Group 3. Anesthetist's satisfaction was more with Group 2 and even more with Group 3.Conclusions:The sedato-analgesic cocktail was superior to the conventional propofol-midazolam regimen, dexmedetomidine as add-on increased the efficacy and safety of sedate-analgesic cocktail. It reduces propofol requirement, helps to maintain the patient in a safe and more stable level of sedation and increases satisfaction of the anesthetist.