Rare heterozygous variants in paediatric steroid resistant nephrotic syndrome - a population-based analysis of their significance.

Genetic testing in nephrotic syndrome may identify heterozygous predicted-pathogenic variants (HPPVs) in autosomal recessive (AR) genes that are known to cause disease in the homozygous or compound heterozygous state. In such cases, it can be difficult to define the variant's true significance and questions remain about whether a second pathogenic variant has been missed during analysis or whether the variant is an incidental finding. There are now known to be over 70 genes associated with nephrotic syndrome, the majority inherited as an AR trait. Knowledge of whether such HPPVs occur with equal frequency in patients compared to the general population would assist interpretation of their significance. Exome sequencing was performed on 187 Steroid-Resistant Nephrotic Syndrome (SRNS) paediatric patients recruited to a UK rare disease registry plus originating from clinics at Evelina, London. 59 AR podocytopathy linked genes were analysed in each patient and a list of HPPVs created. We compared the frequency of detected HPPVs with a 'control' population from the gnomAD database containing exome data from approximately 50,000 individuals. A bespoke filtering process was used for both patients and controls to predict 'likely pathogenicity' of variants. In total 130 Caucasian SRNS patients were screened across 59 AR genes and 201 rare heterozygous variants were identified. 17/201 (8.5%) were assigned as 'likely pathogenic' (HPPV) using our bespoke filtering method. Comparing each gene in turn, for SRNS patients with a confirmed genetic diagnosis, in 57 of the 59 genes we found no statistically significant difference in the frequency of these HPPVs between patients and controls (In genes ARHGDIA and TP53RK, we identified a significantly higher number of HPPVs in the control population compared with the patients when filtering was performed with 'high stringency' settings only). In the SRNS patients without a genetics diagnosis confirmed, there was no statistically significant difference identified in any gene between patient and control. In children with SRNS, we propose that identification of HPPV in AR podocytopathy linked genes is not necessarily representative of pathogenicity, given that the frequency is similar to that seen in controls for the majority. Whilst this may not exclude the presence of genetic kidney disease, this type of heterozygous variant is unlikely to be causal and each result must be interpreted in its clinical context.

Optimizing solar power efficiency in smart grids using hybrid machine learning models for accurate energy generation prediction.

The fourth energy revolution is characterized by the incorporation of renewable energy supplies into intelligent networks. As the world is shifting towards cleaner energy sources, there is a need for efficient and reliable methods to predict the output of renewable energy plants. Hybrid machine learning modified models are emerging as a promising solution for energy generation prediction. Renewable energy generation plants, such as solar, biogas, hydropower plants, wind farms, etc. are becoming increasingly popular due to their environmental benefits. However, their output can be highly variable and dependent on weather conditions, making integrating them into the existing energy grid challenging. Smart grids with artificial intelligent systems have the potential to solve this challenge by using real-time data to optimize energy production and distribution. Although by incorporating sensors, analytics, and automation, these grids can manage energy demand and supply more efficiently, reducing carbon emissions, increase energy security, and improve access to electricity in remote areas. However, this research aims to enhance the efficiency of solar power generation systems in a smart grid context using machine learning hybrid models such as Hybrid Convolutional-Recurrence Net (HCRN), Hybrid Convolutional-LSTM Net (HCLN), and Hybrid Convolutional-GRU Net (HCGRN). For this purpose, this study considers various parameters of a solar plant such as power production (MWh), irradiance or plane of array (POA), and performance ratio (PR). The HCLN model demonstrates superior accuracy with the RMSE values of 0.012027 for MWh, 0.013734 for POA and 0.003055 for PR, along with the lowest MAE values of 0.069523 for MWh, 0.082813 for POA, and 0.042815 for PR. The obtained results suggest that the proposed machine learning models can effectively enhance the efficiency of solar power generation systems by accurately predicting the required measurements.

Actinium-225 photonuclear production in nuclear reactors using a mixed radium-226 and gadolinium-157 target.

BACKGROUND: Actinium-225 is one of the most promising radionuclides for targeted alpha therapy. Its limited availability significantly restricts clinical trials and potential applications of 225Ac-based radiopharmaceuticals. METHODS: In this work, we examine the possibility of 225Ac production from the thermal neutron flux of a nuclear reactor. For this purpose, a target consisting of 1.4 mg of 226Ra(NO3)2 (T1/2 = 1600 years) and 115.5 mg of 90 % enriched, stable 157Gd2O3 was irradiated for 48 h in the Breazeale Nuclear Reactor with an average neutron flux of 1.7·1013 cm-2·s-1. Gadolinium-157 has one of the highest thermal neutron capture cross sections of 0.25 Mb, and its neutron capture results in emission of high-energy, prompt γ-photons. Emitted γ-photons interact with 226Ra to produce 225Ra according to the 226Ra(γ, n)225Ra reaction. Gadolinium debulking and separation of undesirable, co-produced 227Ac from 225Ra was achieved in one step by using 60 g of branched DGA resin. After 225Ac ingrowth from 225Ra (T1/2 = 14.8 d), 225Ac was extracted from the 226Ra and 225Ra fraction using 5 g of bDGA resin and then eluted using 5 mM HNO3. RESULTS: Measured activity of 225Ac showed that 6(1) kBq or 0.16(3) µCi (1σ) of 225Ra was produced at the end of bombardment from 0.9 mg of 226Ra. CONCLUSION: The developed 225Ac separation is a waste-free process which can be used to obtain pure 225Ac in a nuclear reactor.

Influence of iron, phosphate, and silicate on arsenic removal from groundwater using a low-cost ceramic filter.

The ceramic filter amended with iron (Fe) has proven to be a potential low-cost method for arsenic (As) removal from groundwater. The presence of Fe, phosphate (P), and silicate (Si) significantly affects the As removal efficiency of the ceramic filter, which has not been passably investigated. The present research aimed to examine the effect of Fe, P, and (or) Si presence as single or in combination on As (III) removal from synthetics groundwater by a low-cost iron amended ceramic filter (IACF). Laboratory-scale filtration experiments at different compositions of Fe, P, Si, and As (III) were conducted by the IACF fabricated with a ceramic candle and iron netting box. Fe (II) in synthetic groundwater positively impacted As (III) removal. At a concentration of 2 mg/L of Fe (II), the As levels in the effluent decreased to less than the maximum contamination level (MCL) of 50 µg/L. Groundwater P concentration needed less than 3 mg/L or Si concentrations required less than 35 mg/L to effectively reduce As (III) to below the MCL at 5 mg/L of groundwater Fe (II). The cumulative effect of P and Si on As removal was found to be more significant than distinct contributions. The presence of 2 mg/L P and 35 mg/L or higher Si in the groundwater cumulatively reduced the As removal performance from 92% to 63%, and the MCL was not met. The negative impact of P and Si on As (III) removal followed the order of (P + Si) > P > Si. P competed with As for adsorption sites during the process, while Si inhibited the Fe release and floc formation, significantly reducing As removal performance. The study findings can potentially contribute to optimizing IACF as a low-cost method for As removal from groundwater.

Heat transport in inclined flow towards a rotating disk under MHD.

Flow towards a rotating disk is of highly practical significance in numerous engineering applications such as Turbine disks, rotary type machine systems and many more. In light of this, the current work is an attempt to explore MHD oblique flow towards a rotating disk. Hydromagnetic effects in addition to heat transfer is taken into consideration. The flow governing Partial Differential Equations are altered to a system to coupled non-linear Ordinary Differential Equations through scaling group of transformations which afterwards are tackled using Shooting Algorithm. The impact of obliqueness parameter γ, rotation ratio parameter [Formula: see text] and magnetic field parameter M on 2-dimensional and 3-dimensional stream contours are presented. Location of the shear center varies with magnetic field parameter. Heat flow at the disk surface boosts with magnet field parameter M and rotation ratio parameter [Formula: see text].

Variable fluid properties analysis for thermally laminated 3-dimensional magnetohydrodynamic non-Newtonian nanofluid over a stretching sheet.

This article is mainly focused on the viscous flow of cu-water/Methanol suspended nanofluids towards a three-dimensional stretching sheet reformed by magnetohydrodynamic phenomenon. The viscous effect is considered as temperature dependent with water treated as a base fluid. Similarity conversions are employed to set forth the non-linear equations of this physical problem. An innovative model for 3D analysis for cu-water/Methanol nanofluid with an irregular viscosity is presented in the present study. Reynold's model of viscosity is considered in the present study. Moreover, shooting technique is employed to elaborate the non-linear coupled governing equations with the relevant boundary conditions. The physical interpretation of these numerical calculations is presented through a graphical specimen of velocity, Nusselt number, temperature, and skin friction etc. The results of present model are showing quality harmony with the results of existing model. This model is being used for manipulating and designing the surfaces such as stretching/shrinking wrapping and panting devices in nanotechnology. The results also show the significant changes in flow characteristics with changing the value of stretching parameter. It is observed that with an increasing in nanoparticles volume fraction boundary layer thickness decreases. Further, it is also observed that with an increase in viscosity parameter, temperature increases because here we are considering temperature dependent viscosity.

Fear of COVID-19 as a precautionary measure to prevent the epidemic among the population of the Kurdistan Region/Iraq: based on a questionnaire survey.

Background and objectives: The World Health Organization (WHO) announced the appearance of a new coronavirus disease in Hubei province, China, to be a public health emergency of international concern. The objectives of this study can be highlighted through classifying the information sources for identifying protective practices, death probability, gender-death associations probability and education level. Methodology: This is a descriptive design study conducted among the Kurdistan Region/Iraq population via an online application between 1 March and 1 May 2020. Three hundred twenty people participated in this questionnaire study. The data were collected through an online form, relying upon a self-report questionnaire. The questionnaire had three main parts. The first part is related to the socio-demographic characteristics of the sample, including gender, age, family status, address status and education level. The second part involves the items related to precautionary measures using none, sometimes, and always. The last part contains items related to death probability owing to other causes and this includes five categories: extremely low, low, intermediate, high and extremely high. The validity and reliability of this questionnaire were revised by the panel of experts before the data collection. Results: The outcomes of the study revealed that the majority, ca. 73%, of the Kurdistan Region/Iraq population depended on TV to obtain information about COVID-19. Also, this investigation showed that there is a substantial association between participants with infection prevention and control practices relevant to COVID-19. Moreover, according to this study, there is a significant relationship between the death probability and COVID-19. Concurrently, there is not any significant association between other causes, namely cancer, heart diseases, diabetes and road traffic accidents, and the death probability. Conclusion: This study showed that for the majority of the Kurdistan Region/Iraq population the most reliable source of information for any COVID-19 related updates is the TV broadcast. This study also indicated that there is strong association for the majority of individuals regarding their practices for prevention from COVID-19 and death probability with COVID-19. However, there is not any substantial association between the epidemic and the other deadly calamities and the death probability.

Life Cycle Assessment of Construction and Demolition Waste Management in Riyadh, Saudi Arabia.

Extensive construction augmenting the infrastructure and real estate projects underpin Saudi Arabia's Vision 2030 of sustainable cities. A part of this struggle involves the transformation of the existing infrastructure together with new construction, which generates a large amount of construction and demolition waste (CDW). In the absence of a structured life cycle assessment (LCA) framework, the waste management companies are planning future scenarios (phased expansions of material recovery facilities to improve the recycling rate) primarily on economic grounds. This study assesses the environmental impacts of the existing and planned CDW management practices of the Saudi Investment Recycling Company in Riyadh City by dint of LCA. Impact 2002+ performs life cycle impact assessment of the base case (45% recycling), four treatments (61, 76, 88, and 100% recycling), and zero waste scenarios. The study demonstrates the benefits of current CDW (mixed soil, concrete blocks, clay bricks, glazed tiles, and asphalt) recycling in terms of avoided impacts of non-renewable energy, global warming, carcinogens, non-carcinogens, and respiratory inorganics potentially generated by landfilling. For the treatment scenario of 100% recycling, CDW conversion into a wide range of aggregates (0-50 mm) can replace 10-100% virgin aggregates in backfilling, precast concrete manufacturing, encasements and beddings of water mains and sewers, manholes construction, non-load bearing walls, and farm-to-market roads. To achieve long-term economic and environmental sustainability, municipalities need to improve source segregation, handling, and storage practices to enhance the existing (45%) recycling rate to 100% in the next five years and approach the zero-waste scenario by 2030. The findings of the present study motivate the generators for source reduction as well as encourage the recycling companies and concerned organizations in the continuous performance improvement of the CDW management systems across Saudi Arabia on environmental grounds, as an addition to the perceived economic benefits.

Exploration of bioconvection flow of MHD thixotropic nanofluid past a vertical surface coexisting with both nanoparticles and gyrotactic microorganisms.

This communication presents analysis of gravity-driven flow of a thixotropic fluid containing both nanoparticles and gyrotactic microorganisms along a vertical surface. To further describe the transport phenomenon, special cases of active and passive controls of nanoparticles are investigated. The governing partial differential equations of momentum, energy, nanoparticles concentration, and density of gyrotactic microorganisms equations are converted and parameterized into system of ordinary differential equations and the series solutions are obtained through Optimal Homotopy Analysis Method (OHAM). The related important parameters are tested and shown on the velocity, temperature, concentration and density of motile microorganisms profiles. It is observed that for both cases of active and passive control of nanoparticles, incremental values of thermophoretic parameters corresponds to decrease in the velocity distributions and augment the temperature distributions.

Preventable stillbirths in India and Pakistan: a prospective, observational study.

OBJECTIVE: Stillbirths occur 10-20 times more frequently in low-income settings compared with high-income settings. We created a methodology to define the proportion of stillbirths that are potentially preventable in low-income settings and applied it to stillbirths in sites in India and Pakistan. DESIGN: Prospective observational study. SETTING: Three maternity hospitals in Davangere, India and a large public hospital in Karachi, Pakistan. POPULATION: All cases of stillbirth at ≥20 weeks of gestation occurring from July 2018 to February 2020 were screened for participation; 872 stillbirths were included in this analysis. METHODS: We prospectively defined the conditions and gestational ages that defined the stillbirth cases considered potentially preventable. Informed consent was sought from the parent(s) once the stillbirth was identified, either before or soon after delivery. All information available, including obstetric and medical history, clinical course, fetal heart sounds on admission, the presence of maceration as well as examination of the stillbirth after delivery, histology, and polymerase chain reaction for infectious pathogens of the placenta and various fetal tissues, was used to assess whether a stillbirth was potentially preventable. MAIN OUTCOME MEASURES: Whether a stillbirth was determined to be potentially preventable and the criteria for assignment to those categories. RESULTS: Of 984 enrolled, 872 stillbirths at ≥20 weeks of gestation met the inclusion criteria and were included; of these, 55.5% were deemed to be potentially preventable. Of the 649 stillbirths at ≥28 weeks of gestation and ≥1000 g birthweight, 73.5% were considered potentially preventable. The most common conditions associated with a potentially preventable stillbirth at ≥28 weeks of gestation and ≥1000 g birthweight were small for gestational age (SGA) (52.8%), maternal hypertension (50.2%), antepartum haemorrhage (31.4%) and death that occurred after hospital admission (15.7%). CONCLUSIONS: Most stillbirths in these sites were deemed preventable and were often associated with maternal hypertension, antepartum haemorrhage, SGA and intrapartum demise. TWEETABLE ABSTRACT: Most stillbirths are preventable by better care for women with hypertension, growth restriction and antepartum haemorrhage.

Cost estimation alongside a multi-regional, multi-country randomized trial of antenatal ultrasound in five low-and-middle-income countries.

BACKGROUND: Improving maternal health has been a primary goal of international health agencies for many years, with the aim of reducing maternal and child deaths and improving access to antenatal care (ANC) services, particularly in low-and-middle-income countries (LMICs). Health interventions with these aims have received more attention from a clinical effectiveness perspective than for cost impact and economic efficiency. METHODS: We collected data on resource use and costs as part of a large, multi-country study assessing the use of routine antenatal screening ultrasound (US) with the aim of considering the implications for economic efficiency. We assessed typical antenatal outpatient and hospital-based (facility) care for pregnant women, in general, with selective complication-related data collection in women participating in a large maternal health registry and clinical trial in five LMICs. We estimated average costs from a facility/health system perspective for outpatient and inpatient services. We converted all country-level currency cost estimates to 2015 United States dollars (USD). We compared average costs across countries for ANC visits, deliveries, higher-risk pregnancies, and complications, and conducted sensitivity analyses. RESULTS: Our study included sites in five countries representing different regions. Overall, the relative cost of individual ANC and delivery-related healthcare use was consistent among countries, generally corresponding to country-specific income levels. ANC outpatient visit cost estimates per patient among countries ranged from 15 to 30 USD, based on average counts for visits with and without US. Estimates for antenatal screening US visits were more costly than non-US visits. Costs associated with higher-risk pregnancies were influenced by rates of hospital delivery by cesarean section (mean per person delivery cost estimate range: 25-65 USD). CONCLUSIONS: Despite substantial differences among countries in infrastructures and health system capacity, there were similarities in resource allocation, delivery location, and country-level challenges. Overall, there was no clear suggestion that adding antenatal screening US would result in either major cost savings or major cost increases. However, antenatal screening US would have higher training and maintenance costs. Given the lack of clinical effectiveness evidence and greater resource constraints of LMICs, it is unlikely that introducing antenatal screening US would be economically efficient in these settings--on the demand side (i.e., patients) or supply side (i.e., healthcare providers). TRIAL REGISTRATION: Trial number: NCT01990625 (First posted: November 21, 2013 on https://clinicaltrials.gov ).

Analysis of non-Newtonian magnetic Casson blood flow in an inclined stenosed artery using Caputo-Fabrizio fractional derivatives.

BACKGROUND AND OBJECTIVE: Arterial diseases would lead to several serious disorders in the cardiovascular system such as atherosclerosis. These disorders are mainly caused by the presence of fatty deposits, cholesterol and lipoproteins inside blood vessel. This paper deals with the analysis of non-Newtonian magnetic blood flow in an inclined stenosed artery. METHODS: The Casson fluid was used to model the blood that flows under the influences of uniformly distributed magnetic field and oscillating pressure gradient. The governing fractional differential equations were expressed using the Caputo Fabrizio fractional derivative without singular kernel. RESULTS: The analytical solutions of velocities for non-Newtonian model were then calculated by means of Laplace and finite Hankel transforms. These velocities were then presented graphically. The result shows that the velocity increases with respect to Reynolds number and Casson parameter, while decreases when Hartmann number increases. CONCLUSIONS: Casson blood was treated as the non-Newtonian fluid. The MHD blood flow was accelerated by pressure gradient. These findings are beneficial for studying atherosclerosis therapy, the diagnosis and therapeutic treatment of some medical problems.

Association of haemoglobin levels in the first trimester and at 26-30 weeks with fetal and neonatal outcomes: a secondary analysis of the Global Network for Women's and Children's Health's ASPIRIN Trial.

OBJECTIVE: Limited data are available from low- and middle-income countries (LMICs) on the relationship of haemoglobin levels to adverse outcomes at different times during pregnancy. We evaluated the association of haemoglobin levels in nulliparous women at two times in pregnancy with pregnancy outcomes. DESIGN: ASPIRIN Trial data were used to study the association between haemoglobin levels measured at 6+0 -13+6  weeks and 26+0 -30+0  weeks of gestation with fetal and neonatal outcomes. SETTING: Obstetric care facilities in Pakistan, India, Kenya, Zambia, The Democratic Republic of the Congo and Guatemala. POPULATION: A total of 11 976 pregnant women. METHODS: Generalised linear models were used to obtain adjusted relative risks and 95% CI for adverse outcomes. MAIN OUTCOME MEASURES: Preterm birth, stillbirth, neonatal death, small for gestational age (SGA) and birthweight <2500 g. RESULTS: The mean haemoglobin levels at 6+0 -13+6  weeks and at 26-30 weeks of gestation were 116 g/l (SD 17) and 107 g/l (SD 15), respectively. In general, pregnancy outcomes were better with increasing haemoglobin. At 6+0 -13+6  weeks of gestation, stillbirth, SGA and birthweight <2500 g, were significantly associated with haemoglobin of 70-89 g/l compared with haemoglobin of 110-129 g/l The relationships of adverse pregnancy outcomes with various haemoglobin levels were more marked at 26-30 weeks of gestation. CONCLUSIONS: Both lower and some higher haemoglobin concentrations are associated with adverse fetal and neonatal outcomes at 6+0 -13+6  weeks and at 26-30 weeks of gestation, although the relationship with low haemoglobin levels appears more consistent and generally stronger. TWEETABLE ABSTRACT: Both lower and some higher haemoglobin concentrations were associated with adverse fetal and neonatal outcomes at 6-13 weeks and 26-30 weeks of gestation.

Source to Tap Risk Assessment for Intermittent Water Supply Systems in Arid Regions: An Integrated FTA-Fuzzy FMEA Methodology.

Water utilities in arid regions deal with multifaceted issues of natural groundwater contamination, high treatment costs, and low water rates. These utilities rely on intermittent supplies resulting in numerous water quality failures at source, treatment, distribution, and in-house plumbing systems. The present research presents an inclusive risk assessment methodology for managing water quality from source to tap. Three-year monitoring data for turbidity, TDS, pH, iron, ammonia, nitrates, residual chlorine, Coliform group, E. coli, and Fecal Streptococci identified the root causes of failures. The cause-effect relationships in the form of a fault tree were solved using multiple failure modes and effect analysis (FMEA) to handle both the Boolean operations. The fuzzy sets addressed the uncertainties associated with data limitations in calculating exceedance probabilities (Pe) and vagueness in expert opinion for subjective evaluation of severity and detectability. The methodology was applied on a smaller system serving 18,000 consumers in Qassim, Saudi Arabia. Potable supplied water underwent reoccurrence of TDS (Pe = 20%), turbidity (Pe = 10%), and Fe (Pe = 2%) failures in distribution that further increased up to 44%, 33%, and 11% at the consumer end. The Pe for residual chlorine failure soared up to 89%. Economic controls reduced the cumulative risk to 50%, while the shift to continuous supply can limit the remaining failures under the acceptable risk. The framework will help utilities manage water quality in intermittent systems from source to tap in Saudi Arabia, the Gulf, and elsewhere.

Spatiotemporal variations of DOM components in the Kushiro River impacted by a wetland.

Dissolved organic matter (DOM) has been recognized as a serious water quality problem in natural water bodies receiving pollution loads from point and nonpoint sources. The present study investigates the spatiotemporal variability of DOM composition in the Kushiro River and its tributaries (Eastern Hokkaido, Japan) impacted by the Kushiro wetland. Water samples were collected in the wet and dry seasons from several locations of the river and analyzed for DOM characteristics by UV-visible and excitation-emission matrix fluorescence spectroscopy techniques and by developing water quality index. Rather than the spatial effect, significant seasonal impacts on DOM pollution in the Kushiro River were observed. Overall concentrations of DOM decreased during the dry season. The increase of specific ultraviolet absorbance in the dry season indicated an increasing trend of humification, aromaticity and molecular weight of DOM. Five fluorescent peaks, including peaks A, C, M, B, and T were predicted by EEM spectra. Peaks A and C were found to be the most dominating peaks in both the seasons and indicated enrichment of humic-like matters in river water. The intensities of poly-aromatic humic substances as well as DOM components of microbial origin increase in the wet season and proteins like autochthonous DOM increase during the dry season. The study recognized the contribution of freshly produced DOM component by the decomposition of wetland plants in wet season and effect of snowfall in the dry season. Analysis of three fluorescence indices revealed that the river water primarily contains terrestrially dominated DOM. A significant impact of the adjacent WWTPs and wetland to the river water DOM were also observed. The water quality index of river water DOM showed low to medium levels of DOM pollution in the Kushiro River.

Utilization of Cu-nanoparticles as medication agent to reduce atherosclerotic lesions of a bifurcated artery having compliant walls.

OBJECTIVE: A theoretical analysis is presented to study the bio-nanofluid with copper as medication agent for atherosclerotic bifurcated artery with flexible walls. DESIGN/APPROACH: The circulatory framework in human body is comprised of a system of veins that incorporate the bifurcation in this way the impact of copper nanoparticles on parent, at apex and on daughter artery regions (in the wake of being bifurcated) is watched. Streaming of blood along vessel segment is recognized to be newtonian. The consistent idea of the atherosclerotic arterial wall is additionally considered to make relationship with permeability aspects with arterial wall thickness. Copper nanoparticles are utilized to reduce the atherosclertic lesions for bifurcated stenotic artery. FINDINGS: The designed equations along with the experimental values of copper nanoparticles and blood are utilized for theoretical investigation. Moreover, hemodynamics impacts are also figure out to examine the flow of blood for atherosclertic artery. Comparison between parent and daughter artery is plotted through velocity profile. To see the theoretical assistance of this copper mediated model in biomedical field, graphical illustration is presented. At the end, noticed that the inclusion of copper nanoparticles enhances the velocity significantly both for parent as well as daughter artery. CONCLUSIONS: The circulation of blood is considered to be different from pressure between portions of atherosclerotic and non-atherosclerotic artery. Shear stress is reduces by changing the bifurcation angle for daughter artery while trend is reversed for parent artery. The size of inner circularting bolus decreases by changing compliant parameter for parent artery while shape is changed for daughter artery.

Bacterial mediated silver nanoparticles and their efficacy against MRSA.

Bacterial mediated Silver nanoparticles is considered as an emerging Ecofriendly approach to eradicate human pathogens. This paper aims to provide the biological approach for the synthesis of silver nanoparticles from indigenously isolated bacteria. This study will be beneficial to control the nosocomial infections triggered by MRSA (Methicillin-resistant Staphylococcus aureus). The current study is the extracellular synthesis of silver nanoparticles by using the cell free filtrate of bacterial strains isolated from the soil. The optimization study was also carried out to obtain the maximum production of silver nanoparticles. Nanoparticles were confirmed and characterized by UV-Vis spectroscopy and Transmission Electron Microscopy (TEM) having the plasmon resonance peak between 420-450nm with 10-60nm in size range and most were spherical in shape. Synthesized silver nanoparticles showed a potential antibacterial activity against MRSA (Methicillin Resistant Staphylococcus aureus) in-vitro study. This is the green approach for the production of AgNPs, as there was no previous work done on the synthesis of silver nanoparticles by bacteria in this region of Southern Punjab, Pakistan and these nanoparticles can be used to treat nosocomial infection. These silver nanoparticles can be used in effective disease management as antimicrobial agent.

Antineoplastic influence of nimesulide in chemically induced hepatocellular carcinoma by inhibition of DNA synthesis.

Hepatocellular carcinoma is emerging as one of the most common forms of cancer resulting in thousands of death worldwide. The purpose of this study was to screen nimesulide for anticancer activity in chemically induced hepatocellular carcinoma in Wistar rats as well as in BEL 7402 and HEP G2 cell lines. HCC in rats was induced by administering a single dose of diethyl nitrosamine (150 mg/kg) intraperitoneally. Duration of the in vivo study was 12 weeks and the anticancer potential was further confirmed by in vitro cell line study. Administration of DENA in Wistar rats significantly elevated the levels of serum biochemical parameters and α-feto protein. Treatment with different dose of nimesulide significantly decreased the markedly raised serum levels of biochemical parameters as well as maintained the histology of the liver tissues nearly similar to the normal. Further study of hepatocytes enzymes showed that treatment with nimesulide also improved the antioxidant enzyme levels. Our study also examined the cytotoxicity and DNA synthesis inhibition by nimesulide in BEL 7402 and Hep G2 cell lines. Cell viability was assessed by [3H]-thymidine uptake procedure. The results obtained by in vitro cell line study, histopathological and biochemical data concluded that nimesulide, a preferential COX-2 inhibitor, has anticancer activity, which is by first reducing the formation of reactive oxygen species and second by inhibiting the PGE2 effect via Wnt signaling pathway (cell invasion, angiogenesis, and cell proliferation).

Numerical simulation of oscillatory oblique stagnation point flow of a magneto micropolar nanofluid.

The particular inquiry is made to envision the characteristics of magneto-hydrodynamic oscillatory oblique stagnation point flow of micropolar nanofluid. The applied magnetic field is assumed parallel towards isolating streamline. A relative investigation is executed for copper and alumina nanoparticles while seeing water type base fluid. To be more specific, in the presence of both weak and strong concentration, the physical situation of micropolar fluid is mathematically modeled in terms of differential equations. The transformed mixed system is finally elucidated by midpoint method with the Richardson extrapolation development and shooting mechanism with fifth order R-K Fehlberg technique. The impact of governing parameters are shown and explored graphically. The obtained results are compared with existing published literature. Moreover, it is found that the magnetic susceptibility of nanofluids shows provoking nature towards copper as compared to Alumina. Also it is perceived that Cu-water shows higher wall shear stress and heat transfer rate than Al2O3-water. Additional, the thickness of momentum boundary layer is thin for weak concentration as related to strong concentration.

Maternal anaemia and maternal, fetal, and neonatal outcomes in a prospective cohort study in India and Pakistan.

OBJECTIVE: To describe the association of maternal anaemia with maternal, fetal, and neonatal outcomes. DESIGN: Prospective cohort study. SETTING: Rural India and Pakistan. POPULATION: Pregnant women residing in the study catchment area. METHODS: We performed an analysis of a prospective pregnancy registry in which haemoglobin is commonly obtained as well as maternal, fetal, and neonatal outcomes for 42 days post-delivery. Women 40 years or older who delivered before 20 weeks or had a haemoglobin level of <3.0 g/dl were excluded. Our primary exposure was maternal anaemia, which was categorised in keeping with World Health Organization criteria based on a normal (≥11 g/dl), mild (>10-10.9 g/dl), moderate (7-9.9 g/dl) or severe (<7 g/dl). haemoglobin level. The primary maternal outcome was maternal death, the primary fetal outcome was stillbirth, and the primary neonatal outcome was neonatal mortality <28 days. RESULTS: A total of 92 247 deliveries and 93 107 infants were included, of which 87.8% were born to mothers who were anaemic (mild 37.9%, moderate 49.1%, and severe 0.7%). Maternal mortality (number per 100 000) was not associated with anaemia: normal 124, mild 106, moderate 135, and severe 325 (P = 0.64). Fetal and neonatal mortality was associated with severe anaemia: stillbirth rate (n/1000)-normal 27.7, mild 25.8, moderate 30.1, and severe 90.9; P < 0.0001; 28-day neonatal mortality (n/1000)-normal 24.7, mild 22.9, moderate 28.1, and severe 72.6 (P < 0.0001). Severe maternal anaemia was also associated with low birthweight (<2500 and <1500 g), preterm birth, and postpartum haemorrhage. CONCLUSION: Severe maternal anaemia is associated with higher risks of poor maternal, fetal, and neonatal outcomes but other degrees of anaemia are not. Interventions directed at preventing severe anaemia in pregnant women should be considered. TWEETABLE ABSTRACT: Severe maternal anaemia is associated with adverse fetal and neonatal outcomes in low/middle-income countries.