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1.
Heliyon ; 6(4): e03776, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32322736

RESUMO

In this study, a convective heat and mass transfer phenomena in a time-dependent boundary layer flow of tangent hyperbolic nanofluid over a permeable stretching wedge has been examined with respect to some pertinent thermo-physical parameters. Convenient similarity transformation is used to reformulate the dimensional partial differential equations into dimensionless system of ordinary differential equations. The reduced set of equations is solved by the homotopy analysis method implemented in Mathematica environment. The effects of the relevant parameters on velocity, temperature and concentration profiles were examined in detail. The impacts of the parameters on the rates of momentum, heat and mass transfer are also analyzed quantitatively in terms of the wall friction coefficient, local Nusselt number and Sherwood number, respectively. Analysis of the results reveals that the increase in the buoyancy ratio parameter facilitates the flow velocity and the increase in the dissipation parameter maximizes the temperature distribution and nanoparticle concentration near the surface of the wedge. Moreover, the analytic approximations obtained by implementing the homotopy analysis method are found in excellent agreement with some previously published results.

2.
Medicine (Baltimore) ; 98(35): e16970, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31464941

RESUMO

This study aimed to determine the feasibility of vaginal/cervical nurse-assisted self-sampling (NASS) and the agreement between human papilloma virus (HPV) tests on self-samples versus clinician-taken (CT) specimens.Women participated voluntarily for cervical cancer screening at St. Aklesia Memorial Hospital. Eighty-three women provided a total of 166 coupled self-taken and CT specimens collected. Specimens were stored at room temperature for a maximum of 10 months and analyzed using validated the RIATOL qPCR HPV genotyping test, a quantitative polymerase chain reaction (qPCR) high-throughput HPV E6, E7 assay. The average age of the participating women was 32 years. Seventy-three women (87.9%) felt that NASS was easy to use. An overall HPV, high-risk (HR) HPV, and low-risk HPV prevalence was 22.7% (15/66), 18.2% (12/66), and 6.1% (4/66), respectively. The overall HR HPV prevalence was 17.2% (NASS) and 15.5% (CT). The most prevalent HPV type was HPV51; HPV 16 was only detected in 1 woman (CT+NASS) and HPV18 only in 1 woman (CT). The overall measurement agreement between self-taken and CT samples was moderate with a kappa value of 0.576 (P < .001). Lifetime partnered with >2 men were associated with HR HPV positivity (P < .001). There was a strong statistical association between HR HPV positivity and visual inspection with acetic acid- positive (P < .001). The NASS for HPV testing could be seen as an alternative option and might be acceptable to Ethiopian women. The overall HR HPV prevalence was comparable with Sub-Saharan countries in the general population.


Assuntos
Detecção Precoce de Câncer/métodos , Infecções por Papillomavirus/diagnóstico , Manejo de Espécimes/métodos , Neoplasias do Colo do Útero/diagnóstico , Esfregaço Vaginal/métodos , Adulto , Idoso , Etiópia/epidemiologia , Feminino , Genótipo , Humanos , Pessoa de Meia-Idade , Infecções por Papillomavirus/epidemiologia , Infecções por Papillomavirus/genética , Reação em Cadeia da Polimerase em Tempo Real , Sensibilidade e Especificidade , Adulto Jovem
3.
BMC Cancer ; 19(1): 768, 2019 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-31382907

RESUMO

BACKGROUND: Human papillomavirus is recognized as a major cause of cervical cancer. It is estimated that annually, 7,095 women are diagnosed with cervical cancer and 4,732 die from the disease in Ethiopia. Understanding that the screening practice is very poor and the coverage is very limited, this disease burden is one of the major public health agendas in Ethiopia. This study aimed to assess the burden and genotype distribution of high-risk human papillomavirus (HR HPV) infection and cervical cytology abnormalities at selected obstetrics and gynecology clinics of Addis Ababa, Ethiopia. METHODS: An institutional-based cross-sectional study design was employed from June to October 2015. Cervical samples were collected from 366 participants based on inclusion criteria. HR HPV DNA was analyzed using an Abbott Real-Time PCR system, and cervical cytology screening was performed using the conventional Pap-smear technique. Data were entered in to Epi-data version 13 and analyzed using STATA version 11. RESULTS: The overall HR HPV burden and abnormal cytology were 13.7 and 13.1%, respectively. The majority of HR HPV types were other than types 16 and 18. Of the total abnormal cytology results, 81.3% were low-grade squamous intraepithelial lesions (LSILs), and 12.5 and 6.3% were atypical squamous cells of undetermined significance (ASCUS) and high-grade squamous intraepithelial lesions (HSILs), respectively. Residence, occupation, and HIV serostatus were significantly associated with HR HPV infection. Among the variables, age, age at first marriage, and education were the only ones associated with cervical cytology abnormalities. The overall agreement between the real-time PCR and Pap cytology screening methods was 78.96% (Kappa value of 0.12, 95% CI (0.00-0.243), P = 0.01). CONCLUSIONS: Non-16/18 HR HPV genotypes represented the largest proportion of HR HPV infections in this study. Women without cervical cytology abnormalities had the highest frequency of HR HPV infection. A large-scale community-based cohort study shall be designed and implemented to further identifying the persistent genotype and assessing the changes in cervical epithelial cell lines.


Assuntos
Colo do Útero/patologia , Genótipo , Exame Ginecológico/métodos , Papillomavirus Humano 16/genética , Papillomavirus Humano 18/genética , Infecções por Papillomavirus/virologia , Adolescente , Adulto , Fatores Etários , Células Escamosas Atípicas do Colo do Útero/patologia , Estudos de Coortes , Estudos Transversais , Detecção Precoce de Câncer , Células Epiteliais/patologia , Etiópia , Feminino , Soropositividade para HIV , Humanos , Programas de Rastreamento , Pessoa de Meia-Idade , Teste de Papanicolaou , Reação em Cadeia da Polimerase em Tempo Real , Neoplasias do Colo do Útero/virologia , Esfregaço Vaginal , Adulto Jovem
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