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1.
Eur J Pediatr ; 2024 May 03.
Article in English | MEDLINE | ID: mdl-38700692

ABSTRACT

Ustekinumab is an effective therapy for adult Crohn's disease (CD), but data in paediatric CD patients are scarce. The aim of the study was to describe the real-life effectiveness and safety of ustekinumab in paediatric CD. This is a multicentre review of children with Crohn's disease treated with ustekinumab. The aim of our study was to describe the effectiveness and safety of ustekinumab in paediatric real-life practice. This is a study of the Paediatric IBD (inflammatory bowel disease) Porto group of ESPGHAN. Corticosteroid (CS)- and exclusive enteral nutrition (EEN)-free remission, defined as weighted Paediatric Crohn's Disease Activity Index (wPCDAI) < 12.5, and physician global assessment (PGA) were determined at weeks 12 and 52. A total of 101 children were included at a median age of 15.4 years (IQR 12.7-17.2) with a median follow-up of 7.4 months (IQR 5.6-11.8). Ninety-nine percent had received prior anti-TNF, 63% ≥ 2 anti-TNFα therapies and 22% vedolizumab. Baseline median wPCDAI was 39 (IQR 25-57.5) (71 (70%) patients with moderate-severe activity). Weeks 12 and 52 CS- and EEN-free remission were both 40.5%. Clinical response at week 6, iv induction route and older age at onset of ustekinumab treatment were predictive factors associated with clinical remission at week 12. Seven minor adverse events probably related to ustekinumab were reported. One patient died from an unrelated cause.  Conclusion: Our results suggest that ustekinumab is effective and safe in children with chronically active or refractory CD. What is Known: • Ustekinumab is an effective therapy for adult moderate to severe Crohn's disease (CD). • Off-label use of ustekinumab in children is increasing especially in anti-TNF refractory CD. What is New: • Is the largest cohort of real-world use of ustekinumab in paediatric CD to date. • Clinical response at week 6, iv induction and older age at onset of ustekinumab were predictive factors associated with clinical response at week 12.

2.
Environ Res ; 242: 117747, 2024 Feb 01.
Article in English | MEDLINE | ID: mdl-38016498

ABSTRACT

The increasing use of pharmaceuticals and the ongoing release of drug residues into the environment have resulted in significant threats to environmental sustainability and water safety. In this sense, developing a robust and easy-recovered magnetic nanocomposite with eminent photocatalytic activity is very imperative for detoxifying pharmaceutical compounds. Herein, a systematic study was conducted to investigate the photocatalytic ozonation for eliminating metronidazole (MET) from aqueous media utilizing the CuFe2O4/SiO2/ZnO heterojunction under simulated sunlight irradiation. The composite material was fabricated by a facile hydrothermal method and diagnosed by multiple advanced analytical techniques. Modelling and optimization of MET decontamination by adopting the central composite design (CCD) revealed that 90 % of MET decontamination can be achieved within 120 min of operating time at the optimized circumstance (photocatalyst dose: 1.17 g/L, MET dose: 33.20 mg/L, ozone concentration: 3.99 mg/min and pH: 8.99). In an attempt to scrutinize the practical application of the CuFe2O4/SiO2/ZnO/xenon/O3 system, roughly 56.18% TOC and 73% COD were removed under the optimized operational circumstances during 120 min of degradation time. According to the radical quenching experiments, hydroxyl radicals (HO•) were the major oxidative species responsible for the elimination of MET. The MET degradation rate maintained at 83% after seven consecutive runs, manifesting the efficiency of CuFe2O4/SiO2/ZnO material in the MET removal. Ultimately, the photocatalytic ozonation mechanism over the CuFe2O4/SiO2/ZnO heterojunction of the fabricated nanocomposites was rationally proposed for MET elimination. In extension, the results drawn in this work indicate that integrating photocatalyst and ozonation processes by the CuFe2O4/SiO2/ZnO material can be applied as an efficient and promising method to eliminate tenacious and non-biodegradable contaminants from aqueous environments.


Subject(s)
Nanocomposites , Ozone , Zinc Oxide , Metronidazole , Zinc Oxide/chemistry , Silicon Dioxide , Decontamination , Ozone/chemistry , Catalysis
3.
PeerJ Comput Sci ; 9: e1517, 2023.
Article in English | MEDLINE | ID: mdl-37705657

ABSTRACT

Election prediction using sentiment analysis is a rapidly growing field that utilizes natural language processing and machine learning techniques to predict the outcome of political elections by analyzing the sentiment of online conversations and news articles. Sentiment analysis, or opinion mining, involves using text analysis to identify and extract subjective information from text data sources. In the context of election prediction, sentiment analysis can be used to gauge public opinion and predict the likely winner of an election. Significant progress has been made in election prediction in the last two decades. Yet, it becomes easier to have its comprehensive view if it has been appropriately classified approach-wise, citation-wise, and technology-wise. The main objective of this article is to examine and consolidate the progress made in research about election prediction using Twitter data. The aim is to provide a comprehensive overview of the current state-of-the-art practices in this field while identifying potential avenues for further research and exploration.

4.
Nat Hazards (Dordr) ; : 1-39, 2023 May 22.
Article in English | MEDLINE | ID: mdl-37360796

ABSTRACT

Natural disasters pose a negative impact not only on human lives but also on infrastructures such as healthcare systems, supply chains, logistics, manufacturing, and service industries. The frequency of such calamities has grown over time, which not only poses a threat to human survival and the living environment but is also detrimental to the economic growth and sustainable development of society. Earthquakes cause the most destruction compared to other natural disasters, especially in developing countries where the conventional reactive approach to dealing with disasters gives less chance for the appropriate utilization of already limited resources. Additionally, mismanagement of the resources and the lack of a unified action plan hinder the purpose of helping the grieving population. Considering the foregoing, this study presents a methodology for identifying hotspots and helping prioritize pre- and post-disaster management action by conducting a thorough seismic risk assessment while taking into consideration the case of a developing country as its focus. This methodology allows for rapid risk assessment against any given scenario by providing quantitative estimates of the repercussions such as physical damage to the buildings, casualties including injuries, economic losses, displaced households, debris, shelter requirements, and hospital functionality. In short, it could help prioritize actions with greater impacts and serve as a foundation for the formulation of policies and plans intended to increase the resilience of a resource-constrained community. Thus, the findings can be utilized by government agencies, emergency management organizations, non-government organizations, and aiding countries as a decision support tool.

5.
Materials (Basel) ; 16(10)2023 May 20.
Article in English | MEDLINE | ID: mdl-37241491

ABSTRACT

Electric discharge machining is relatively a slow process in terms of machining time and material removal rate. The presence of overcut and the hole taper angle caused by the excessive tool wear are other challenges in the electric discharge machining die-sinking process. The areas of focus to solve these challenges in the performance of electric discharge machines include increasing the rate of material removal, decreasing the rate of tool wear, and reducing the rate of hole taper angle and overcut. Triangular cross-sectional through-holes have been produced in D2 steel through die-sinking electric discharge machining (EDM). Conventionally, the electrode with uniform triangular cross-section throughout the electrode length is used to machine triangular holes. In this study, new designs of electrodes (non-conventional designs) are employed by introducing circular relief angles. For material removal rate (MRR), tool wear rate (TWR), overcut, taper angle, and surface roughness of the machined holes, the machining performance of conventional and unconventional electrode designs is compared. A significant improvement in MRR (32.6% increase) has been achieved by using non-conventional electrode designs. Similarly, the hole quality resulted by non-conventional electrodes is way better than hole quality corresponding to conventional electrode designs, especially in terms of overcut and hole taper angle. A reduction of 20.6% in overcut and a reduction of 72.5% in taper angle can be achieved through newly designed electrodes. Finally, one electrode design has been selected (electrode with 20 degree relief angle) as the most appropriate electrode resulting in better EDM performance in terms of MRR, TWR, overcut, taper angle, and surface roughness of triangular holes.

6.
Cureus ; 15(2): e35571, 2023 Feb.
Article in English | MEDLINE | ID: mdl-37007347

ABSTRACT

The aim of the present meta-analysis is to compare the efficacy and safety of low-dose and standard-dose recombinant tissue plasminogen activators (r-tPA) in patients with acute ischemic stroke. The present meta-analysis was conducted according to the Meta-Analysis of Observational Studies in Epidemiology (MOOSE) guidelines. We conducted a systematic search in PubMed, Embase, and the Cochrane Library to identify studies published between January 1, 2010, and January 31, 2023, using the following terms: "stroke," "alteplase," "doses," "efficacy," "tissue plasminogen activator," "r-tPA," and "safety." Primary efficacy outcomes included favorable outcomes (Modified Rankin Scale scores of 0-2), while secondary efficacy outcome was all-cause mortality at 90 days. Safety outcomes included asymptomatic intracerebral hemorrhage (ICH) and symptomatic ICH assessed using the National Institute of Neurological Disorders and Stroke (NINDS) study and the Safe Implementation of Thrombolysis in Stroke-Monitoring (SITS-MOST) study. We also compared parenchymal hematomas as safety outcome between the two groups defined by the authors themselves in their research. A total of 16 studies were included in the present meta-analysis. The meta-analysis did not report any significant difference between low-dose and standard-dose r-tPA in terms of mortality, symptomatic intracranial hemorrhage (SICH), asymptomatic ICH, and parenchymal hematomas. However, the favorable outcome was significantly greater in patients receiving a standard dose of r-tPA.

7.
Sensors (Basel) ; 23(8)2023 Apr 19.
Article in English | MEDLINE | ID: mdl-37112452

ABSTRACT

This paper presents a trainable hybrid approach involving a shallow autoencoder (AE) and a conventional classifier for epileptic seizure detection. The signal segments of a channel of electroencephalogram (EEG) (EEG epochs) are classified as epileptic and non-epileptic by employing its encoded AE representation as a feature vector. Analysis on a single channel-basis and the low computational complexity of the algorithm allow its use in body sensor networks and wearable devices using one or few EEG channels for wearing comfort. This enables the extended diagnosis and monitoring of epileptic patients at home. The encoded representation of EEG signal segments is obtained based on training the shallow AE to minimize the signal reconstruction error. Extensive experimentation with classifiers has led us to propose two versions of our hybrid method: (a) one yielding the best classification performance compared to the reported methods using the k-nearest neighbor (kNN) classifier and (b) the second with a hardware-friendly architecture and yet with the best classification performance compared to other reported methods in this category using a support-vector machine (SVM) classifier. The algorithm is evaluated on the Children's Hospital Boston, Massachusetts Institute of Technology (CHB-MIT), and University of Bonn EEG datasets. The proposed method achieves 98.85% accuracy, 99.29% sensitivity, and 98.86% specificity on the CHB-MIT dataset using the kNN classifier. The best figures using the SVM classifier for accuracy, sensitivity, and specificity are 99.19%, 96.10%, and 99.19%, respectively. Our experiments establish the superiority of using an AE approach with a shallow architecture to generate a low-dimensionality yet effective EEG signal representation capable of high-performance abnormal seizure activity detection at a single-channel EEG level and with a fine granularity of 1 s EEG epochs.


Subject(s)
Epilepsy , Signal Processing, Computer-Assisted , Child , Humans , Epilepsy/diagnosis , Seizures/diagnosis , Electroencephalography/methods , Support Vector Machine , Algorithms
9.
Sci Rep ; 12(1): 14117, 2022 Aug 18.
Article in English | MEDLINE | ID: mdl-35982149

ABSTRACT

The flow of fluid through porous media is of great importance in industry and other physical situations, Darcy's law is one of the most useful laws to describe such situation, however, the flows through a dense swarm of particles or through a very high porous media cannot be elaborated by this law. To overcome this difficulty, Brinkman proposed a new idea of Brinkman-type fluid in highly porous media. In this study, the Brinkman-type fluid flow is analyzed with hybrid nanoparticles (a hybridized mixture of clay and alumina), suspended in water taken as a base fluid under the effect of an applied magnetic field. The fluid motion is taken inside a vertical channel with heated walls. Free convection is induced due to buoyancy. The momentum and energy equations are written in dimensionless form using the non-dimensional variables. The energy equation is modified to fractional differential equations using the generalized Fourier's law and the Caputo fractional derivatives. The fractional model is solved using the Laplace and Fourier transformation. Variations in velocity and temperature are shown for various fractional parameter values, as well as charts for the classical model. For the volume fractions of nanoparticles, the temperature distribution increases, with maximum values of hybrid nanoparticles with the highest specified volume fractions. Moreover, due to hybrid nanoparticles, the rate of heat transfer is intensified.

10.
Environ Pollut ; 310: 119830, 2022 Oct 01.
Article in English | MEDLINE | ID: mdl-35926739

ABSTRACT

Nanotechnology has been recognized as the emerging field for the synthesis, designing, and manipulation of particle structure at the nanoscale. Its rapid development is also expected to revolutionize industries such as applied physics, mechanics, chemistry, and electronics engineering with suitably tailoring various nanomaterials. Inorganic nanoparticles such as silver nanoparticles (Ag-NPs) have garnered more interest with their diverse applications. In correspondence to green chemistry, researchers prioritize green synthetic techniques over conventional ones due to their eco-friendly and sustainable potential. Green-synthesized NPs have proven more beneficial than those synthesized by conventional methods because of capping by secondary metabolites. The present study reviews the various means being used by the researchers for the green synthesis of Ag-NPs. The morphological characteristics of these NPs as obtained from numerous characterization techniques have been explored. The potential applications of bio-synthesized Ag-NPs viz. Antimicrobial, antioxidant, catalytic, and water remediation along with the plausible mechanisms have been discussed. In addition, toxicity analysis and biomedical applications of these NPs have also been reviewed to provide a detailed overview. The study signifies that biosynthesized Ag-NPs can be efficiently used for various applications in the biomedical and industrial sectors as an environment-friendly and efficient tool.


Subject(s)
Anti-Infective Agents , Metal Nanoparticles , Anti-Bacterial Agents , Catalysis , Plant Extracts , Silver
11.
Data Brief ; 42: 108176, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35510261

ABSTRACT

Glaciers in the Himalayan arc are receding rapidly in the eastern and western parts as compared to other regions. Contrararily, the glaciers in the Trans-Himalayan region of Ladakh are comparatively stable. The differential retreat could be due to various climatic, topographic, and geologic influences. The use of multi-source remotely sensed imagery from open-source platforms and the GlabTop model has been discussed in this paper. This paper draws insights from a recently published paper which details the recession of 87 glaciers in the Trans Himalayan region of Ladakh using remote sensing data [1]. The use of remote sensing data from USGS and Planet Labs for assessing glacier area changes, frontal retreat, debris cover, topographic characteristics, and comparison with existing inventories has been discussed in this study. The geodetic mass changes have been assessed using SRTM and TanDEM-X of 2000 and 2012 respectively. The use of remotely sensed data discussed in this article will help glaciologists to better characterize and understand the glacier recession in the region. The GlabTop model has been used to simulate proglacial lake expansion to understand glacier-bed overdeepenings of four glaciers in the region. The GlabTop simulations will help disaster managers to better quantify the vulnerability and risk of downstream population and infrastructure to Glacial Lake Outburst Floods (GLOFs).

12.
Environ Res ; 204(Pt C): 112243, 2022 03.
Article in English | MEDLINE | ID: mdl-34688648

ABSTRACT

In the last three decades, pharmaceutical research has increased tremendously to offer safe and healthy life. However, the high consumption of these harmful drugs has risen devastating impact on ecosystems. Therefore, it is worldwide paramount concern to effectively clean pharmaceuticals contaminated water streams to ensure safer environment and healthier life. Nanotechnology enables to produce new, high-technical material, such as membranes, adsorbent, nano-catalysts, functional surfaces, coverages and reagents for more effective water and wastewater cleanup processes. Nevertheless, nano-sorbent materials are regarded the most appropriate treatment technology for water and wastewater because of their facile application and a large number of adsorbents. Several conventional techniques have been operational for domestic wastewater treatment but are inefficient for pharmaceuticals removal. Alternatively, adsorption techniques have played a pivotal role in water and wastewater treatment for a long, but their rise in attraction is proportional with the continuous emergence of new micropollutants in the aquatic environment and new discoveries of sustainable and low-cost adsorbents. Recently, advancements in adsorption technique for wastewater treatment through nanoadsorbents has greatly increased due to its low production cost, sustainability, better physicochemical properties and high removal performance for pharmaceuticals. Herein, this review critically evaluates the performance of sustainable green nanoadsorbent for the remediation of pharmaceutical pollutants from water. The influential sorption parameters and interaction mechanism are also discussed. Moreover, the future prospects of nanoadsorbents for the remediation of pharmaceuticals are also presented.


Subject(s)
Water Pollutants, Chemical , Water Purification , Adsorption , Ecosystem , Pharmaceutical Preparations , Wastewater/analysis , Water , Water Pollutants, Chemical/analysis
13.
Indian J Gastroenterol ; 40(5): 483-491, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34767149

ABSTRACT

BACKGROUND AND AIMS: High-dose rectal diclofenac suppository and epinephrine spray on duodenal papilla during endoscopic retrograde cholangiopancreatography (ERCP) may reduce the incidence of post-ERCP pancreatitis. We performed randomized trial to compare the effect of combination of rectal diclofenac and epinephrine spray on papilla (group A) vs. combination of rectal diclofenac with saline spray (group B) for prevention of post-ERCP pancreatitis. METHODS: We performed a double-blind trial at tertiary care center from April 2018 to May 2020 on 882 patients with naive papilla undergoing ERCP. The patients were randomly assigned to groups, A (n=437) or B (n=445). All patients received a single dose of rectal diclofenac 100 mg within 30 minutes before ERCP; 20 mL of diluted epinephrine 0.02% (group A) or saline (group B) was then sprayed on the duodenal papilla at the end of ERCP. The primary outcome was to compare incidence of post-ERCP pancreatitis (PEP) in two groups. RESULTS: The groups had similar baseline characteristics. PEP developed in 28 patients in group A (6.4%) and 35 patients in group B (7.9%) (relative risk, 1.1; 95% CI, 0.87-1.39; p=0.401). CONCLUSION: Our study showed that addition of epinephrine spray on duodenal papilla did not reduce the risk of post-ERCP pancreatitis. There is need for further studies to evaluate the role of different concentrations of epinephrine spray on papilla for prevention of post-ERCP pancreatitis. TRIAL REGISTRATION: Clinical Trials Registry- India (CTRI/2018/04/013396).


Subject(s)
Cholangiopancreatography, Endoscopic Retrograde , Pancreatitis , Administration, Rectal , Anti-Inflammatory Agents, Non-Steroidal , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Diclofenac , Epinephrine/therapeutic use , Humans , Pancreatitis/epidemiology , Pancreatitis/etiology , Pancreatitis/prevention & control
14.
Sci Rep ; 11(1): 16117, 2021 Aug 09.
Article in English | MEDLINE | ID: mdl-34373521

ABSTRACT

The present work used fractional model of Casson fluid by utilizing a generalized Fourier's Law to construct Caputo Fractional model. A porous medium containing nanofluid flowing in a channel is considered with free convection and electrical conduction. A novel transformation is applied for energy equation and then solved by using integral transforms, combinedly, the Fourier and Laplace transformations. The results are shown in form of Mittag-Leffler function. The influence of physical parameters have been presented in graphs and values in tables are discussed in this work. The results reveal that heat transfer increases with increasing values of the volume fraction of nanoparticles, while the velocity of the nanofluid decreases with the increasing values of volume fraction of these particles.

15.
Environ Sci Pollut Res Int ; 28(44): 63017-63031, 2021 Nov.
Article in English | MEDLINE | ID: mdl-34218378

ABSTRACT

Groundwater is a primary natural water source in the absence of surface water bodies. Groundwater in urban environments experiences unprecedented stress from urban growth, population increase, and industrial activities. This study assessed groundwater quality in terms of arsenic and heavy metal contamination in three industrial areas (Shahdara, Jhilmil, and Patparganj), Delhi, India. The water quality was assessed over a 3-year time interval (i.e., 2015 and 2018). The groundwater constituents investigated were As, Fe, Cr, Cd, Ni, Zn, Mn, Cu, and Pb. Metal index and heavy metal pollution indexes were estimated to assess groundwater pollution. The health risk was evaluated in terms of non-carcinogenic and carcinogenic risk assessment. Patparganj industrial area saw increment in concentration for Cu 0.23 mg/L (2015)-0.85 mg/L (2018), Zn 0.51 mg/L (2015)-7.2 mg/L (2018), Fe 0.32 mg/L (2015)-0.9 mg/L (2018), Cr 0.21 mg/L (2015)-0.26 mg/L (2018), Mn 0.14 mg/L (2015)-0.25 mg/L (2018), Ni 0.04 mg/L (2015)-0.34 mg/L (2018), and As 0.01 mg/L (2015)-0.18 mg/L (2018). Cd and Pb concentrations were observed to decrease by 40-90 % and 85-99% for all the three industrial areas. Metal index and heavy metal index values were found to be >1 for all locations. The risk quotient value > 1 was observed for all locations in the year 2015 but was found to increase further to a range of RQ 10-62 in the year 2018, inferring increased non-carcinogenic risk to consumers. The carcinogenic risk was significant with respect to Fe (0.2-0.7), Zn (0.001-0.007), and As (0.002-0.003) for all locations in the year 2015. This study concludes that groundwater in the three industrial areas is highly polluted and is not fit for human consumption. Further studies are required to explore possible control measures and develop methods to mitigate groundwater pollution, sustainable management, and optimized use to conserve it for future generations.


Subject(s)
Arsenic , Groundwater , Metals, Heavy , Water Pollutants, Chemical , Arsenic/analysis , Environmental Monitoring , Humans , India , Metals, Heavy/analysis , Risk Assessment , Water Pollutants, Chemical/analysis
16.
Environ Sci Pollut Res Int ; 28(46): 65822-65831, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34322813

ABSTRACT

Building and its environment are in focus owing to health impact attributed to indoor air quality. This study was carried out to assess indoor air quality in terms of particulate matter (PM) and carbon dioxide in a residential building, during COVD-19 pandemic lockdown from March 25 to April 23, 2020, Abha, Saudi Arabia. The PM concentration range for kitchen, bedroom, and hall were 40,000-81000 µg/m3 (PM0.3), 15,000-26000 µg/m3 (PM0.5), 4000-6000 µg/m3 (PM1), 1100-1500 µg/m3 (PM2.5), 160-247 µg/m3 (PM5), and 60-95 µg/m3 (PM10). The results of this study suggest that bedroom needs to be ventilated as CO2 concentration was reaching 700 ppm during sleep hours. PM concentration was exceeding 300 µg/m3 (unhealthy) for all particle sizes of PM0.3, PM0.5, PM1, and PM2.5 except for PM10 which was also above safe limits (0-50 µg/m3). Also, with influential habit (aromatic smoke), these concentrations increased 2-28 times for PM. The hazard quotient value greater than 1 revealed potential health risk to the inhabitants. Hence, future studies are needed for developing indoor air quality guidelines for residential buildings in Saudi Arabia and better planning and management of energy consumption.


Subject(s)
Air Pollutants , Air Pollution, Indoor , COVID-19 , Air Pollutants/analysis , Air Pollution, Indoor/analysis , Communicable Disease Control , Environmental Monitoring , Humans , Pandemics , Particle Size , Particulate Matter/analysis , Risk Assessment , SARS-CoV-2 , Saudi Arabia
17.
J Nucl Med Technol ; 49(1): 95-101, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33380518

ABSTRACT

Pakistan is a country with nuclear capability in a region sharing borders with 2 other nuclear powers-that is, India to the east and China to the northeast. This geographic positioning makes the area a nuclear flash point. It is therefore imperative to have commensurate health-care facilities to meet any eventualities. Although Pakistan is trying to improve medical facilities for the people, health-care facilities are already overwhelmed with patients because of the large population of the country. The current study was conducted to evaluate the level of awareness and preparedness of medical responders for nuclear and radiological disasters in public hospitals in the major cities of Pakistan. Methods: A detailed questionnaire covering all aspects of the study was designed and discussed with the people most concerned, including health-care workers in the field of medicine, nuclear sciences, and disaster management in Pakistan. It was adopted on the basis of early studies on the subject, with necessary modifications to fulfill the requirements at Pakistan's level. Semistructured interviews were also conducted with key personnel of different response agencies in Pakistan. Results: Of 880 surveys, 554 were completed and collected from medical providers in different hospitals across the country. The respondents included doctors, nurses, and medical assistants from emergency and nonemergency departments. They are aware of the catastrophic consequences of nuclear disaster and are willing to respond to these kinds of disasters voluntarily, but they are not satisfied with their level of preparedness and awareness regarding nuclear and radiological disasters. Conclusion: Although medical responders have good educational backgrounds and knowledge in their specific fields and are quite active and energetic in their response to conventional injuries and natural disasters, they feel a dire need to enhance their level of knowledge about and preparedness for unconventional disasters and injuries such as those caused by nuclear or radiological events.


Subject(s)
Disaster Planning , Disasters , Health Personnel , Humans , Pakistan , Surveys and Questionnaires
18.
Front Pediatr ; 9: 715912, 2021.
Article in English | MEDLINE | ID: mdl-35280448

ABSTRACT

This paper seeks to give a broad overview of pediatric upper gastrointestinal (GI) pathologies that we are now able to treat endoscopically, acquired or congenital, and we hope this delivers the reader an impression of what is increasingly available to pediatric endoscopists and their patients.

19.
Sci Total Environ ; 747: 141369, 2020 Dec 10.
Article in English | MEDLINE | ID: mdl-32791417

ABSTRACT

MERS-CoV first case was reported on 23rd November 2012 in Saudi Arabia, Since, then MERS has remained on World Health Organization (WHO) Blueprint list and declared pandemic. This study was conducted on MERS lab confirmed cases reported to Ministry of Health, Saudi Arabia and WHO for year 2012-2019. The epidemiology was investigated based on infection rate, death rate, case fatality rate, Gender, Age group, and Medical conditions (Comorbid and Symptomatic). The overall median age of infected male was 58 years and of female was 45 years. While average mortality age in male was 60 years and of female was 65 years which is greater than the global average of 50 years. The results also report that specially after age of 40 years in both men and women, chances of infection are more while comorbidities increase the infection rate. The men are more susceptible to infection than women. In case of asymptomatic distribution trend was vice versa with 69.4% women and 30.6% in men. Second, most infected age group was reduced by 20 years in case of men with 47.37% infection for age group of 20-39 years. This was also observed in age-group of 20-39 years for no comorbid cases (men (50%) & women (79%)). This explains MERS-CoV prevalence in Saudi Arabia, as young and healthy population were infected, and acted as carrier and on coming in contact with vulnerable population (Elderly, chronic and comorbid) transferred the infection. Hence, MERS-CoV outbreak kept on happening from time to time over past years. This finding might very well explain the exponential spread of Novel CoV-19 globally, as initial control measures required older people to stay indoors while younger generation brought infection from outside. Further studies are required for epidemiology analysis based on clusters, travel history and specific disease related mortality.


Subject(s)
Coronavirus Infections , Middle East Respiratory Syndrome Coronavirus , Adult , Aged , Aged, 80 and over , Coronavirus Infections/epidemiology , Disease Outbreaks , Female , Humans , Male , Middle Aged , Saudi Arabia/epidemiology , Travel , Young Adult
20.
Sci Rep ; 10(1): 8523, 2020 May 22.
Article in English | MEDLINE | ID: mdl-32444854

ABSTRACT

The free convective unsteady fluctuating, MHD flow of electrically conducting viscoelastic dusty fluid in a channel-driven with the impact of oscillating pressure gradient and the motion of the upper plate has been studied in this article. The noteworthy heat generation/absorption has also taken into account, the heat generation established the mechanism of heat transfer by both the momentum of fluid and the motion of dust particle and absorption of heat by the dust particle is because of conduction. The coupled governing partial differential equations are reduced to the ordinary differential equation through the assumed periodic solutions. Analytical solutions for the velocity of the fluid as well as the velocity of dust particles and for energy equation of the fluid and for dust particles are obtained by using Poincare-Light Hill Perturbation Technique. The influence of various parameters of interest is discussed on the velocity and temperature profiles of the fluid and particles. The evolution of fluid-phase and dusty-phase with dual behavior of the magnetic parameter for both boundary layer and free stream velocities has been discussed. The boundary layer velocity decreased with an increase in magnetic parameter, while at the free stream flow, the result is quite opposite. The above result of magnetic field is worthwhile and can be used to control the boundary layer thickness. The current work also concludes that by increasing the Peclet number and concentration of the dust particles retards the boundary layer velocity. Furthermore, various physical parameters like coefficient of heat absorption, concentration of the dust particles, peclet number, magnetic parameter, and temperature relaxation time parameter retard the motion of dusty-phase, while Grashof number enhances the flow of dusty-phase. Other properties of fluid, which have great importance for engineers are, the rate of heat transfer and skin friction. It is shown in Table 1 that by increasing the value of Peclet number from 1 to 2 it increases the rate of heat transfer from 1.3263 to 1.3387. Furthermore, Table 2 shows that by increasing the concentration parameter from 2 to 4 the skin friction increases from 2.3872 to 4.7799.

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