We are reporting the isolation of F. Meningosepticum from the blood culture of a 11⁄2 year old girl. She was a known case of tuberculous meningitis stage III with obstructive hydrocephalus and had undergone shunt surgery. The child was receiving adequate antitubercular treatment along with decongestants and anti-convulsants regularly. Following shunt surgery, the child started running high grad...

Background: pleural effusion is the common fi ndings in patients presenting with cardiopulmonary symptoms but specifi c studies are lacking in Nepal. Objective: The main objective of this study is to fi nd out the various causes of pleural effusion, their mode of clinical presentation and laboratory analysis of blood and pleural fl uid to aid diagnosis of patients with pleural effusion. Materia...

Fig. 1 : Right sided hydropneumothorax, with collapse (Black arrow head): Before fluid aspiration Fig. 2: After drainage Black Arrow Head: Right side air bronchogram, in the middle lobe. White ArrowHead: Encysted pneumothorax in lower zone. lung cancer is one of the common malignancies encountered in daily practice, but its presentation as hydropneumothorax is rare. We report a 50 year old male...

Dental Xray image segmentation (DXIS) is an vitally necessary process in Practical dentistry for diagnosis of periodontitis diseases from an Xray image. DXIS have been investigated to get high accuracy of segmentation. In this paper, we propose a new cooperative scheme that applies semisupervised Fuzzy clustering algorithm to DXIS. Specifically, the Otsu method is used to remove the Background ...

This article establishes a rating system for supplier’s performance from the orientation of customer satisfaction by objective-orientation driving. Its purpose is to provide a methodology of “how to integrate the capabilities between supplier and manufacturer, and to apply different strategies under the needs of quality improvements”. This study is undertaken to specify the interaction and mutu...

This paper focuses on ex post governance of inter-firm transactions. We develop and test hypotheses on the occurrence of ex post problems like delivery delays, inferior quality, and insufficient service in buyer–supplier transactions. Our hypotheses address effects of transaction characteristics, of social embeddedness, and of contractual governance on the occurrence of problems. Other than ear...

A supplier of multicast information services will often be faced with the following problem: Broadcasting to the whole customer base (including non-paying customers) is cheaper than multicasting only to the paying customers. However, broadcasting discourages potential customers from paying. The result is an economic game in which the supplier tries to maximize profit in the face of rational, bu...