Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study.

BACKGROUND: The oral health care-seeking behavior among prison inmates is an overlooked area, often leading to deteriorating general health due to the prisoners' limited awareness of oral hygiene practices. It is crucial to address this issue and understand the factors associated with oral healthcare-seeking behavior in prisons. OBJECTIVE: To assess the oral healthcare-seeking behavior of prison inmates at Central Prisoner Jail, Peshawar Pakistan and to look the factors associated with their dental care utilization. MATERIAL AND METHODS: This cross-sectional study was conducted at Central Prisoner Jail, Peshawar Khyber Pakhtunkhwa, Pakistan from November 2021 to April 2022. A consecutive sampling technique was used to collect data from both convicted and under-trial prisoners by using a pre-tested WHO Basic Oral Health Survey 2013 tool. Our outcome variable was "Visit to a dentist in the last 12 months (Never/Once or more than one visit). Chi-square test was used to determine univariate association with other explanatory variables while multivariable logistic regression was performed to adjust for potential confounders. RESULT: A total of 225 participants were recruited to the study with a mean (SD) age of 32.9(11.4). More than two-thirds of 200(88.9%) of the participants were males. One-third of the sample never visited the dentist75(33.3). Participants who completed college/university education and never visited the dentist in the last 12 months constituted a smaller proportion (17.6%) compared to those who visited the dentist once or more than once n = 28(82.4%, p-value = 0.003). Individuals who were using toothbrushes were most frequently visiting the dentist n = 130(72.6%=p value = 0.001) as compared to never visitors. Multivariate logistic regression analysis revealed that Participants who experienced teeth pain or discomfort had 0.42 times lower odds of visiting the dentist compared to those who did not experience any pain or discomfort [AOR 0.42 (95% CI 0.17-0.80), p = 0.04]. Similarly, Participants who do not use any denture have 4.06 times higher odds[AOR 4.06(95% CI 1.76-9.36), p = 0.001] of visiting the dentist compared to those who use a denture. CONCLUSION: Our result demonstrates that those prisoners who were experiencing tooth pain or discomfort and not using dentures were the strong predictors with lower dental visit frequency to seek oral health care.

Enhancing CO2 separation from N2 mixtures using hydrophobic porous supports immobilized with tributyl-tetradecyl-phosphonium chloride [P44414][Cl].

The main obstacles in adopting solvent-based CO2 capture technology from power plant flue gases at the industrial scale are the energy requirements for solvent regeneration and their toxicity. These challenges can be overcome using new green and more stable ionic liquids (ILs) as solvents for post-combustion CO2 capture. In the current study, tributyl-tetradecyl-phosphonium chloride [P44414][Cl] as an IL, was immobilized on hydrophobic porous supports of polypropylene (PP), polyvinylidene fluoride (PVDF), and polytetrafluoroethylene (PTFE) at 298 ± 3 K and pressures up to 2 bar. The surface morphology indicated homogenous immobilization of the IL on the membrane support. Supported ionic liquid membranes (SILMs) were tested for CO2 permeability and CO2/N2 selectivity. None of the SILMs exhibited IL leaching up to 2 bar. The PTFE-based SILM performed better than other supports with minimum loss in water contact angle (WCA) and achieved good antiwetting with a maximum CO2 permeability and selectivity over N2 of 2300 ± 139 Barrer and 31.60 ± 2.4, respectively. This work achieves CO2 permeability about two-fold more than other works having CO2/N2 selectivity range of 25-35 in similar SILMs. The diffusivity of CO2 and N2 in [P44414][Cl] was measured as 3.64 ± 0.18 and 2.01 ± 0.09 [10-8 cm2 s-1] and CO2 and N2 solubility values were 9.79 ± 0.47 and 0.19 ± 0.001 [10-2 cm3(STP) cm-3 cmHg-1], respectively. The high values of Young's modulus and tensile strength of the PTFE support-based SILM (234 ± 12 MPa and 6.07 ± 0.31 MPa, respectively) indicated the long-term application of SILM in flue gas separation. The results indicated phosphonium chloride-based ILs could be better solvent candidates for CO2 removal from large volumes of flue gases than amine-based ILs.

26.48% efficient and stable FAPbI3 perovskite solar cells employing SrCu2O2 as hole transport layer.

In general, formamidinium lead tri-iodide (FAPbI3) based perovskite solar cells are more stable than their methylammonium lead tri-iodide (MAPbI3) counterparts. However, when it comes to power conversion efficiency (PCE), MAPbI3 solar cells are far better. This work aimed to enhance the power conversion efficiency of FAPbI3 solar cells without compromising their thermal stability. The numerical analysis of 6 different proposed structures with 2 carbon based electron transport materials (C60, PCBM) and 3 copper based hole transport materials (SrCu2O2, CuSCN, CuSbS2) is performed using SCAPS-1D software. The parameters are used from various theoretical and experimental published works. In order to investigate the performance of each proposed structure, the defect density, layer thickness and doping concentration of the absorber layer, electron transport layer (ETL) and hole transport layer (HTL) are varied, and optimized parameters are enumerated. The best simulation result having PCE of 26.48% is achieved with 1.25 V open circuit voltage (V OC), 23.51 mA cm-2 short circuit current (J SC) and 89.5% fill factor (FF) for FTO/PCBM/FAPbI3/SrCu2O2/Au. The proposed structure also showed good thermal stability at 300 K. Moreover, the effects of the different charge transport layer on the energy band alignment, electric field, recombination and IV characteristics are also investigated in detail.

Synthesis and performance evaluation of copper and magnesium-based metal organic framework supported ionic liquid membrane for CO2/N2 separation.

The CO2 emission is enhancing drastically because of the continuous emission from industries and transport sector. Although the CO2 emission had decreased in the first half of 2020 by 8.8% due to COVID-19 restrictions however, it is again on the rise and it might exceed the estimated level in 2030. The current methods used for CO2 separation have serious operational and environmental constraints. To overcome these problems we have devised a supported ionic liquid membrane (SILM) incorporated with the blend of bimetallic metal-organic framework (MOF) of copper and magnesium ions (CuxMgx) and Trihexyltetradecylphosphonium chloride [P66614] [Cl] ionic liquid (IL). CuxMgx MOF were synthesized and characterized using scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction analysis (XRD), and energy dispersive X-ray analysis (EDX). CuxMgx MOF with [P66614] [Cl] IL were immobilized on a flat sheet of polytetrafluoroethylene (PTFE) membrane. Single gas permeation tests of membranes loaded with 0.2/0.8 wt/wt% MOF/IL solution showed the highest CO2 permeability of 2937 Barrer and CO2/N2 selectivity of 33.26. The performance of SILM was also investigated with different water loadings of (30 wt % and 50 wt %) in addition to MOF/IL solution and at different feed pressure varying from 0.5 to 2 bars. Membranes showed enhancement in CO2 permeability to 3738 and 4628 Barrer whereas CO2/N2 selectivity decreased to 23.53 and 21.8 with membranes loaded with 30 and 50 wt % water, respectively, at a feed pressure of 2 bar. The gas permeation results show that the incorporation of CuxMgx MOF with IL in polymeric membrane enhances the CO2/N2 separation under humid conditions but slightly decreases CO2/N2 selectivity with an increase in feed pressure. The SILM synthesized in this research is highly viable for industrial flue gases because of the incorporation of phosphonium-based ILs that have high thermal stability.

Aerogel and expanded perlite incorporated lightweight cementitious composites containing crushed glass: Evaluation of the drying shrinkage and alkali-silica expansion.

Lightweight cementitious composite (LCC) produced by incorporating lightweight silica aerogel was explored in this study. Silica aerogel was incorporated as 60% replacement of fine aggregate (sand/crushed glass) in producing the LCC. The effect of aerogel on the drying shrinkage and alkali-silica expansion of LCC was evaluated and compared with those of lightweight expanded perlite aggregate. At the density of 1600 ± 100 kg/m3, the aerogel/ expanded perlite LCC had attained compressive strength of about 17/24 MPa and 22/26 MPa in mixtures with sand and crushed glass as a fine aggregate, respectively. The inclusion of aerogel and expanded perlite increased the drying shrinkage. The drying shrinkage of aerogel LCC was up to about 3 times of the control mixtures. Although the presence of aerogel and expanded perlite could reduce the alkali-silica expansion when partially replacing crushed glass, the aerogel-glass LCC still recorded expansion exceeding the maximum limit of 0.10% at 14 days. However, when 15% cement was replaced with fly ash and granulated blast furnace slag, the alkali-silica expansion was reduced to 0.03% and 0.10%, respectively. Microstructural observations also revealed that the aerogel with fly ash can help in reducing the alkali-silica expansion in mixes containing the reactive crushed glass aggregate.

Impact of different mulching treatments on weed flora and productivity of maize (Zea mays L.) and sunflower (Helianthus annuus L.).

The concerns on weed control through herbicides are increasing due to their negative impacts on environment and human health. Therefore, alternative weed management methods are inevitable for sustainable crop production and lowering the negative consequences of herbicides. Mulching is an environment-friendly weed management approach capable of substituting herbicides to significant extent. Therefore, this study evaluated the role of different mulching treatments on suppressing weed flora in maize (Zea mays L.) and sunflower (Helianthus annuus L.) crops. Furthermore, the impact of different mulching treatments on the productivity of both crops was also investigated. Three mulch treatments, i.e., plastic mulch (PLM), sorghum mulch (SM) and paper mulch (PM) along with two controls, i.e., weed-free (WF) and weedy-check (WC) were included in the study. Different mulch treatments significantly altered weed flora in both crops. The PLM and PM resulted in the highest suppression (43-47%) of weed flora compared to WC treatment in both crops. The highest and the lowest weed diversity was recorded for WC and WF treatments, respectively. Different allometric traits, i.e., leaf area index, crop growth rate and root length of both crops were significantly improved by PLM as compared to the WC. Overall, maize crop recorded higher density of individual and total weeds compared to sunflower with WC treatment. The density of individual and total weeds was significantly lowered by PLM compared to WC treatment in both crops. Similarly, higher growth and yield-related traits of both crops were noted with PLM compared to the rest of the mulching treatments. Results of the current study warrant that PLM could suppress weed flora and improve the productivity of both crops. However, PLM alone could not provide 100% control over weed flora; therefore, it should be combined with other weed management approaches for successful weed control in both crops.

Analysis Of Consultation Length In Khyber Pakhtunkhwa, Pakistan.

BACKGROUND: Consultation length is considered as direct measure of quality healthcare service and patient satisfaction. We analysed data collected from five different hospitals to inference the effects of sub-factors on consultation length. These factors have positive contribution in predicting the behaviour of consultation length. METHODS: We performed cross-sectional study on first hand data collected from 386 participants using snow ball sampling method. The survey instrument was questionnaire and face to face interviews. We considered null hypothesis (H0=0) as means are equal against alternative hypothesis (H1 ≠ 0) for factors of time consumed by overall consultation, patient's history, physical examination, and prescription writing. Data was also analysed by nonparametric univariate tests and multiple linear regression model. RESULTS: Mean of consultation length is 22.466 minutes [CI: 21.420-23.512 and α=0.01]. Null hypothesis (H0=0) was rejected in favour of alternative hypothesis (H1≠0) by all factors due to sufficient evidence in data except prescription writing which failed to reject H0. CONCLUSIONS: We found factors had high spread in mean values and rejected null hypothesis indicating the duration of health workforces' consultation is varying in different setups. Multiple factors contributed in formation of consultation length of doctors. Similar studies related to conservation of variation in consultation length must consider these factors. Eventually, such studies reporting this variation and its factors will add up in its efficacy and provisioning of appropriate consultation time totting up in patient's satisfaction positively.

Macular Vascular Density Analysis Using Adobe Photoshop Software In Diabetic Eyes: Optical Coherence Tomography Angiography Study.

BACKGROUND: Optical Coherence Tomography Angiography (OCTA) is dye less microvascular visualizing technique. In study we binaries OCTA images of macular vessels in healthy and diabetic subjects without macular oedema using Adobe Photoshop CS3 extended version. METHODS: Prospective, single centered, observational study total of 58 eyes of 108 Diabetic Retinopathy (DR) subjects and 20 eyes of 40 normal subjects with mean age of 58.3±10.5 range (40-82) were included in our study. Ten eyes with Non-Diabetic Retinopathy (NDR), twenty-nine eyes with Non-Proliferative Diabetic Retinopathy (NPDR) (mild-10, moderate-7 and severe-12) and nineteen eyes with Proliferative Diabetic Retinopathy (PDR)are studied with images obtained using OCTA between September 2016 to June 2017. Scan area of 6×6 mm was selected to find morphological changes in the superficial retinal layers and deep retinal layers. Captured OCTA images were binarized using automated thresholding algorithm. Macular Vessel Density (MVD) (%) and Foveal Avascular Zone area (mm2) measured for superficial and deep retinal vessel arcade. For comparison, analysis of variance and Kruskal-Wallis test are applied. RESULTS: Diabetic eyes were grouped according to their severity level. MVD and FAZ are compared in all groups. Results are significantly lower in all groups except in controls and NDR. Significant decrease is observed in vascular density of most layers with progress in retinopathy. CONCLUSIONS: Adobe Photoshop CS3 extended version is an excellent tool for image binarization. Calculating FAZ area and MVD using OCTA images agreed closely with clinical grading system. Application of this method can be helpful in monitoring disease progression.

Sustainable Use of Marble Waste in Industrial Production of Fired Clay Bricks and Its Employment for Treatment of Flue Gases.

In the current study, waste marble powder was utilized to produce lightweight fired clay bricks and in the treatment of flue gases. Marble waste powder used in clay bricks and flue gas treatment was collected from local marble processing plants, and its chemical composition was analyzed using energy-dispersive X-ray analysis and X-ray fluorescence. Clay bricks were produced in local fired clay brick kiln by partial replacement (10-40%) of clay with calcined and uncalcined waste marble powder. The temperature in the firing zone of the kiln was 1000-1100 °C. Clay brick properties such as compressive strength, bulk density, porosity, and water absorption were analyzed. Results show that the porosity of clay bricks increases with an increase in marble waste percentage, and due to an increase in porosity, water absorption of clay bricks also increases, while compressive strength and bulk density decrease. Clay bricks with 10% uncalcined marble waste and 20% calcined marble waste satisfy the required Turkish and European compressive strength standard. Marble waste decreases the concentration of sulfur dioxide and particulate matter in flue gases. There is up to 43 and 65% reduction in the concentration of sulfur dioxide and particulate matters, respectively, in flue gases, after treatment with marble waste. The addition of marble waste to clay bricks is an effective and economical solution for waste marble powder management. Furthermore, it can be used for the treatment of flue gases from brick kilns before its addition to clay bricks.

Ultrathin Pd-based nanosheets: syntheses, properties and applications.

Two-dimensional (2D) noble metal-based nanosheets (NSs) have received considerable interest in recent years due to their unique properties and widespread applications. Pd-based NSs, as a typical member of 2D noble metal-based NSs, have been most extensively studied. In this review, we first summarize the research progress on the synthesis of Pd-based NSs, including pure Pd NSs, Pd-based alloy NSs, Pd-based core-shell NSs and Pd-based hybrid NSs. The synthetic strategy and growth mechanism are systematically discussed. Then their properties and applications in catalysis, biotherapy, gas sensing and so on are introduced in detail. Finally, the challenges and opportunities towards the rational design and controlled synthesis of Pd-based NSs are proposed.

Highly efficient cellulose dissolution by alkaline ionic liquids.

Alkaline ionic liquids (ILs) with unconventional organic anions were prepared and used for cellulose dissolution studies. High concentrations of cellulose were dissolved at room temperature in the phenolate based imidazolium IL [C2mim][OPh], combined with organic solvent, and up to 45 wt-% cellulose dissolution (wt-% MCC of weight IL) was readily achieved at 100 ºC. No functionalization of the regenerated cellulose was observed during the dissolution process (FTIR). Characteristic cellulose II XRD diffraction pattern was observed after IL dissolution and regeneration of MCC. The crystallinity index (CI) of the pretreated MCC was reduced from 93.2 % to 31 %. Inert conditions were not required for the cellulose dissolution experiments. This study indicates that the IL H-bond basicity is not the only key parameter determining their cellulose dissolution ability. The alkaline ILs represent an energy efficient and sustainable approach for cellulose dissolution.

Study of the antimicrobial activity of cyclic cation-based ionic liquids via experimental and group contribution QSAR model.

Over the past decades, Ionic liquids (ILs) have gained considerable attention from the scientific community in reason of their versatility and performance in many fields. However, they nowadays remain mainly for laboratory scale use. The main barrier hampering their use in a larger scale is their questionable ecological toxicity. This study investigated the effect of hydrophobic and hydrophilic cyclic cation-based ILs against four pathogenic bacteria that infect humans. For that, cations, either of aromatic character (imidazolium or pyridinium) or of non-aromatic nature, (pyrrolidinium or piperidinium), were selected with different alkyl chain lengths and combined with both hydrophilic and hydrophobic anionic moieties. The results clearly demonstrated that introducing of hydrophobic anion namely bis((trifluoromethyl)sulfonyl)amide, [NTF2] and the elongation of the cations substitutions dramatically affect ILs toxicity behaviour. The established toxicity data [50% effective concentration (EC50)] along with similar endpoint collected from previous work against Aeromonas hydrophila were combined to developed quantitative structure-activity relationship (QSAR) model for toxicity prediction. The model was developed and validated in the light of Organization for Economic Co-operation and Development (OECD) guidelines strategy, producing good correlation coefficient R2 of 0.904 and small mean square error (MSE) of 0.095. The reliability of the QSAR model was further determined using k-fold cross validation.

Optical coherence tomography characteristics of responses to intravitreal bevacizumab in idiopathic choroidal neovascularization.

AIM: To investigate factors associated with responses to intravitreal bevacizumab (IVB) in naive idiopathic choroidal neovascularization (iCNV) by high domain optical coherence tomography (OCT). METHODS: We retrospectively reviewed clinical data of 40 eyes of iCNV patients who received a single or multiple IVB on an as-needed basis (1.25 mg/0.05 mL). One month after the first injection, subretinal fluid (SRF) volume was evaluated and the eyes were divided into 3 groups based on responses to IVB. Good, moderate, and poor responses were defined as 61%-99%, 30%-60%, and <30% resolution of SRF on OCT after IVB in iCNV, respectively. OCT findings were analyzed to find factors associated with difference in response levels. Comparisons were made using Wilcoxon's matched-pairs signed-rank test, the Mann-Whitney U test for means with continuous data and Fisher's exact test for categorical data. RESULTS: The mean number of IVB was 1.28±1.50 and mean follow up time was 3.60±1.20mo. At postoperative 1mo, there were 8 (20%) eyes in good response, 20 (50%) in moderate response and 12 (30%) eyes in poor response group and at last visit there were 28 good responders (70%), 8 (20%) moderate responders and 4 (10%) poor responders. Statistically significant difference was detected between good responders and non good responders in choroidal neovessels thickness (P=0.029), SRF height (P=0.049) and SRF volume (P=0.031) at post treatment 1mo. CONCLUSION: OCT is a valuable diagnostic tool. Decrease in choroidal neovessels thickness, SRF height and volume predicts favorable response of iCNV to IVB therapy.

MICROSTRUCTURAL EFFECTS OF INTRAVITREAL BEVACIZUMAB IN IDIOPATHIC CHOROIDAL NEOVASCULARISATION.

BACKGROUND: Idiopathic choroidal neovascularization (ICNV) is a unilateral ocular disease which occurs in patients younger than 50 years and accounts for approximately 17% of patients with CNV. We evaluated microstructural effects of intravitreal bevacizumab in eyes with treatment-naïve idiopathic choroidal neovascularisation. METHODS: In this case series study we reviewed the treatment and follow up records of 40 symptomatic eyes having ICNV, who received an intravitreal injection of bevacizumab (1.25 mg/0.05 mL) followed by additional doses based on optical coherence tomography findings, including intraretinal fluid, subretinal fluid, or pigment epithelial detachment. We analysed the results of best-corrected visual acuity, central retinal thickness, neovessels size (thickness and diameter), and disrupted photoreceptor length at baseline and at final visit with paired t-test. Difference in best corrected visual acuity was correlated with difference in optical coherence tomography parameters by Pearson's correlation. RESULTS: Mean logarithm of the minimum angle of resolution best-corrected visual acuity improved from 0.60 initially to 0.24 after treatment (p=0.01). Difference in mean central retinal thickness (82.65 +/- 44.1) pm, choroidal neovessels thickness (149.58 +/- 71.1) microm, choroidal neovessels diameter (1250.8 +/- 145.1) pm, photoreceptor disruption length (2141.20 +/- 318.8) microm were all statistically significant (p=0.01). Difference in best corrected visual acuity was correlated with optical coherence tomography parameters found no statistically significant difference. CONCLUSION: Intravitreal bevacizumab therapy is safe and well tolerated in ICNV eyes. Restoration of photoreceptor disruption length, decrease in central retinal thickness and choroidal neovessels size has association with visual improvement in idiopathic choroidal neovascularisation.

OPTICAL COHERENCE TOMOGRAPHIC CHARACTERISTICS OF IDIOPATHIC CHOROIDAL NEOVASCULARISATION.

BACKGROUND: Idiopathic choroidal neovascularisation (ICNV) is the development of choroidal neovascularisation (CNV) in young adults without any apparent manifestations of primary ocular or systemic diseases We aim to assess characteristics and pathological changes at various stages in ICNV by optical coherence tomography (OCT). METHODS: We reviewed clinical charts of 40 ICNV eyes and classified them into three stages. Active stage < 1 month, intermediate 1-3 months and cicatricial > 3 months period after initiation of treatment in naïve ICNV eyes. OCT characteristics of these morphological changes were determined. Parameters such as mean volume (MV), central macular thickness (CMT) and neovessels size (thickness and diameter) were analyzed and compared using one -way ANOVA. RESULTS: We have 12 males and 28 females with a mean age of 30.1 ± 7.80 years. In active stage, heterogenous activity of CNV was observed, along with disrupted RPE layer, surrounded by subretinal fluids and loss of foveal depression. In intermediate stage, CNV reflection appears homogenous with smooth peripheral Retinal pigment epithelium (RPE) lesion and reduction in retinal thickness. In cicatricial stage, OCT presents dome shaped elevation, strong homogenous reflection, absence of subretinal fluids and reformation of foveal depression. We have found that difference in mean volume and choroidal neovessels thickness was statistically significant in the three stages. CONCLUSIONS: In our study we have concluded that OCT is useful tool for following the clinical course of ICNV and understanding the pathological changes in CNV regression.