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1.
Sensors (Basel) ; 23(19)2023 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-37837048

RESUMEN

Smart agricultural systems have received a great deal of interest in recent years because of their potential for improving the efficiency and productivity of farming practices. These systems gather and analyze environmental data such as temperature, soil moisture, humidity, etc., using sensor networks and Internet of Things (IoT) devices. This information can then be utilized to improve crop growth, identify plant illnesses, and minimize water usage. However, dealing with data complexity and dynamism can be difficult when using traditional processing methods. As a solution to this, we offer a novel framework that combines Machine Learning (ML) with a Reinforcement Learning (RL) algorithm to optimize traffic routing inside Software-Defined Networks (SDN) through traffic classifications. ML models such as Logistic Regression (LR), Random Forest (RF), k-nearest Neighbours (KNN), Support Vector Machines (SVM), Naive Bayes (NB), and Decision Trees (DT) are used to categorize data traffic into emergency, normal, and on-demand. The basic version of RL, i.e., the Q-learning (QL) algorithm, is utilized alongside the SDN paradigm to optimize routing based on traffic classes. It is worth mentioning that RF and DT outperform the other ML models in terms of accuracy. Our results illustrate the importance of the suggested technique in optimizing traffic routing in SDN environments. Integrating ML-based data classification with the QL method improves resource allocation, reduces latency, and improves the delivery of emergency traffic. The versatility of SDN facilitates the adaption of routing algorithms depending on real-time changes in network circumstances and traffic characteristics.

2.
Vet Med (Praha) ; 68(7): 271-280, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37982055

RESUMEN

The present study aims to evaluate the prevalence and antimicrobial sensitivity of Staphylococcus aureus associated with bovine mastitis to selected antibiotics and plant extracts. In the current study, 140 milk samples were collected from cows and buffaloes. Among the 140 samples, 93 samples were positive for sub-clinical mastitis based on the California Mastitis Test (CMT). Out of the total positive samples, 45 were confirmed for S. aureus on a Mannitol salt agar media. The antimicrobial susceptibility test revealed that 44.82% of the isolates were resistant to cefoxitin (oxacillin) confirming methicillin-resistant S. aureus (MRSA) with a higher percentage (51.61%) in the buffalo than in the cow samples. Furthermore, the PCR assay confirmed the presence of the mecA gene in all the MRSA isolates. Among the seven tested antibiotics, sulfamethoxazole + trimethoprim showed high efficacy (71.1%) against methicillin-susceptible S. aureus isolates (MSSA). Oxytetracycline and sulfamethoxazole + trimethoprim showed 20% efficacy against MRSA followed by enrofloxacin (10%). On the other hand, the tested samples from Pistacia chinensis revealed that the ethyl acetate extract of bark showed a maximum zone of inhibition of 21.3 mm against MSSA and MRSA isolates at 3 000 µg/disc. Moreover, the methanol extract of Cotoneaster microphyllus formed a 12.3 mm and 9.1 mm zone of inhibition against the MSSA and MRSA isolates, respectively.

3.
Psychother Res ; 32(4): 428-439, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34338165

RESUMEN

OBJECTIVE: To provide evidence of the effectiveness of a brief relapse prevention intervention using implementation intentions (Self-Management after Therapy, SMArT), following remission from depression and to identify effective relapse prevention strategies. METHOD: The SMArT intervention was provided to 107 patients who were recovered after psychological therapy for depression. Relapse events were calculated as reliable and clinically significant increases in PHQ-scores. Sixteen patients receiving the intervention and eight practitioners providing it were interviewed. Framework Analysis identified seven themes which highlighted effective relapse prevention strategies and effective implementation of the SMArT intervention. RESULTS: Relapse rates at the final SMArT session (four months after the end of acute stage therapy) were 11%. Seven themes were identified that supported effective self-management: (1) Relationship with the practitioner-feeling supported; (2) Support networks; (3) Setting goals, implementing plans and routine; (4) Changing views of recovery; (5) The SMArT sessions-mode, content, timing, duration; (6) Suitability for the person; and (7) Suitability for the service. CONCLUSION: The study provides some support for the effectiveness of the SMArT intervention, although a randomized controlled trial is required; and identifies important relapse prevention strategies.


Asunto(s)
Depresión , Intención , Enfermedad Crónica , Depresión/terapia , Humanos , Recurrencia , Prevención Secundaria
4.
Mol Biol Rep ; 48(11): 7467-7476, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34637099

RESUMEN

BACKGROUND: Autosomal recessive corneal hereditary endothelial dystrophy (CHED) is a rare congenital disorder of cornea. Mutations in SLC4A11 gene are associated with CHED phenotype. CHED is also an early feature of Harboyan syndrome. The aim of the present study was to identify genetic mutations in the SLC4A11 gene in CHED cases belonging to inbred Pakistani families. Furthermore, all homozygous mutation carriers were investigated for hearing deficit. METHODS AND RESULTS: This study included consanguineous CHED families presented at Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan from June 2018 to September 2018. DNA was extracted from blood samples. Direct sequencing of SLC4A11 gene was performed. All identified variants were evaluated by in silico programs i.e., SIFT, PolyPhen-2, and MutationTaster. Pathogenicity of the two identified splice site variants was analyzed by Human Splicing Finder and MaxEnt Scan. Screening of five CHED families revealed a total of three previously un reported (p.Arg128Gly, c.2241-2A > T and c.1898-2A > C in family CHED19, CHED22 and CHED26 respectively) and two already reported homozygous disease causing variants (p.Arg869Cys and p.Val824Met in family CHED24 and CHED25 respectively) as predicted by mutation taster. All of these variants segregated with disease phenotype and were not detected in controls. CONCLUSION: Affected individuals of the five CHED families screened in this study had the disease due to SLC4A11 mutations and progressing to Harboyan syndrome. Identification of previously unreported mutations aid to heterogeneity of SLC4A11 and CHED pathogenesis as well as helped to provide genetic counseling to affected families.


Asunto(s)
Proteínas de Transporte de Anión/genética , Antiportadores/genética , Distrofias Hereditarias de la Córnea/genética , Pérdida Auditiva Sensorineural/genética , Mutación Missense , Adolescente , Sustitución de Aminoácidos , Niño , Femenino , Humanos , Masculino
5.
Pak J Pharm Sci ; 31(6): 2463-2469, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30473519

RESUMEN

The current study investigates pharmaceutically important bioactive compounds in the fruits of Physalis ixocarpa. Two different extractions methods were used to study its effect on percent extract yield, recovery of bioactive compounds and antioxidant activity of the extracts. The data indicated that Soxhlet extraction had high efficiency of recovery than maceration method for extracting compounds; percent extract yield and antioxidant activity of the extracts. In maceration, the percent extract yield was found to be in order of water >methanol >ethyl acetate whereas in Soxhlet extraction, it was in order of methanol >water >ethyl acetate. Ethyl acetate extract produced by Soxhlet extraction showed strong antioxidant activity of 59.7% (250ppm) as compared to other extracts. Analysis of ethyl acetate extract showed the presence of Triglyceride. GC-MS study of triglyceride revealed the presence of trilinoleinic acid (9,12-Octadecdienoic acid), tripalmitin (hexadecanoic acid) and trioleinic acid (9-Octa decenoic acid). Four impure and three pure compounds were isolated from crude methanol extract of the fruit. The structure of pure compounds were identified by NMR and characterized as sugar, glucose and fructose.


Asunto(s)
Antioxidantes/aislamiento & purificación , Frutas/química , Physalis/química , Acetatos/química , Antioxidantes/química , Cromatografía de Gases y Espectrometría de Masas , Hidroquinonas/química , Espectroscopía de Resonancia Magnética , Metanol/química , Estructura Molecular , Solventes/química , Agua/química
6.
Pak J Pharm Sci ; 29(2): 467-75, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27087074

RESUMEN

The present study investigates the antimicrobial activities of different solvent extracted samples isolated from different parts of Physalis ixocarpa through disc diffusion assay using three different concentrations. Statistical analysis of the data revealed that different parts of the plant showed varying degree of inhibition against different bacteria at different concentrations. Different solvent extracted samples from the calyx showed inhibitory activity against most of the bacteria under study. Extracts from leaf and fruit samples showed activity against S. aureus and K. pneumoniae and extracts from the stem tissues were effective to control the growth of E. coli and K. pneumoniae. Crude methanolic extract from the stem and n-butanol extracted samples from fruit exhibited strong inhibitory activity against Klebsiella pneumoniae at highest concentrations. Antifungal activity was observed only in crude methanol extract from the leaf against Rhizopus stolinifer, Aspergillus niger and Penicillium chrysogenum.


Asunto(s)
Antibacterianos/farmacología , Bacterias/efectos de los fármacos , Physalis/química , Extractos Vegetales/farmacología , Solventes/química , 1-Butanol/química , Antibacterianos/aislamiento & purificación , Bacterias/crecimiento & desarrollo , Pruebas Antimicrobianas de Difusión por Disco , Relación Dosis-Respuesta a Droga , Frutas , Metanol/química , Fitoterapia , Extractos Vegetales/aislamiento & purificación , Hojas de la Planta , Tallos de la Planta , Plantas Medicinales
7.
Psychother Res ; 25(6): 633-46, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26436605

RESUMEN

OBJECTIVE: To investigate the barriers and facilitators of an effective implementation of an outcome monitoring and feedback system in a UK National Health Service psychological therapy service. METHOD: An outcome monitoring system was introduced in two services. Enhanced feedback was given to therapists after session 4. Qualitative and quantitative methods were used, including questionnaires for therapists and patients. Thematic analysis was carried out on written and verbal feedback from therapists. Analysis of patient outcomes for 202 episodes of therapy was compared with benchmark data of 136 episodes of therapy for which feedback was not given to therapists. RESULTS: Themes influencing the feasibility and acceptability of the feedback system were the extent to which therapists integrated the measures and feedback into the therapy, availability of administrative support, information technology, and complexity of the service. There were low levels of therapist actions resulting from the feedback, including discussing the feedback in supervision and with patients. CONCLUSIONS: The findings support the feasibility and acceptability of setting up a routine system in a complex service, but a number of challenges and barriers have to be overcome and therapist differences are apparent. More research on implementation and effectiveness is needed in diverse clinical settings.


Asunto(s)
Retroalimentación , Programas Nacionales de Salud/estadística & datos numéricos , Evaluación de Resultado en la Atención de Salud/métodos , Aceptación de la Atención de Salud/estadística & datos numéricos , Psicoterapia/métodos , Adulto , Estudios de Factibilidad , Femenino , Investigación sobre Servicios de Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Reino Unido
8.
Mol Vis ; 20: 1471-9, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25489222

RESUMEN

PURPOSE: Despite the different etiology of primary open angle glaucoma (POAG), primary angle closure glaucoma (PACG), and pseudoexfoliative glaucoma (PEXG), several studies have suggested that these forms of glaucoma have overlapping genetic risk factors. Therefore, the aim of this study was to evaluate the role of genetic variants recently associated with POAG in different types of glaucoma in Pakistani POAG, PACG, and PEXG patient cohorts. METHODS: Six variants in CDKN2B-AS1 (rs4977756), CDKN2B (rs1063192), ATOH7 (rs1900004), CAV1 (rs4236601), TMCO1 (rs4656461), and SIX1 (rs10483727) were genotyped using TaqMan assays. A total of 513 unrelated patients with glaucoma (268 with POAG, 125 with PACG, and 120 with PEXG) and 233 healthy controls were included in the study. Genotypic and allelic associations were analyzed with a chi-square test. RESULTS: The frequency of the G allele of TMCO1 rs4656461 was significantly lower in the patients with POAG (p=0.003; OR [odds ratio]=0.57), PACG (p=0.009; OR=0.52), and PEXG (p=0.01; OR=0.54) compared to the control individuals. The T allele of ATOH7 rs1900004 was observed less frequently in the patients with PACG (p=0.03; OR=0.69) compared to the control individuals. The A allele of CAV1 rs4236601 was found more frequently in the patients with POAG (p=0.008; OR=1.49) compared to the control individuals. This study demonstrates that the TMCO1 rs4656461 variant is associated with POAG, PACG and PEXG in the Pakistani population. Our study was unable to confirm previous associations reported for variants in CDKN2B-AS1, CDKN2B, and SIX1 with any type of glaucoma. CONCLUSIONS: In conclusion, we found consistent evidence of the significant association of three common variants in TMCO1, ATOH7, and CAV1.


Asunto(s)
Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico/genética , Caveolina 1/genética , Síndrome de Exfoliación/genética , Glaucoma de Ángulo Cerrado/genética , Glaucoma de Ángulo Abierto/genética , Proteínas de la Membrana/genética , Polimorfismo de Nucleótido Simple , Alelos , Canales de Calcio , Estudios de Casos y Controles , Estudios de Cohortes , Inhibidor p15 de las Quinasas Dependientes de la Ciclina/genética , Síndrome de Exfoliación/patología , Femenino , Frecuencia de los Genes , Predisposición Genética a la Enfermedad , Glaucoma de Ángulo Cerrado/patología , Glaucoma de Ángulo Abierto/patología , Proteínas de Homeodominio/genética , Humanos , Masculino , Persona de Mediana Edad , Pakistán
9.
Avian Pathol ; 43(5): 389-95, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25011613

RESUMEN

Mycotoxins are unavoidable contaminants of animal and human feed and food respectively. This study was designed to investigate the protective activity of vitamin E (Vit E) in White Leghorn breeder hens and their progeny against aflatoxin B1 (AFB1)-induced damage. The results indicated a significant decrease in egg production and quality in the groups exposed to dietary AFB1. A detectable amount of AFB1 residue appeared in the eggs during the first week of mycotoxin exposure at levels ≥ 2.5 mg kg(-1), which reached its peak (0.403 ± 0.04 ng/g [mean ± standard deviation]) during the second week of the experiment (in the group fed 10 mg kg(-1)). Feeding Vit E + AFB1 resulted in higher AFB1 residues (0.467 ± 0.03) when compared with the hens fed AFB1 alone. The resistance of red blood cells to oxidative damage was decreased, while embryonic mortalities and deformities were increased in the AFB1-fed groups. The protective effect of Vit E on these parameters was noted in the groups fed lower doses of AFB1. After the withdrawal of mycotoxin-contaminated feed, most of the parameters returned towards normal within 2 weeks, except AFB1 residues that were still detectable. From the findings of this study one can conclude that the addition of Vit E in the diet of hens provided only partial protection against AFB1-induced damage.


Asunto(s)
Aflatoxina B1/toxicidad , Alimentación Animal/análisis , Pollos , Dieta/veterinaria , Enfermedades de las Aves de Corral/inducido químicamente , Vitamina E/farmacología , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Embrión de Pollo/efectos de los fármacos , Eritrocitos , Femenino , Contaminación de Alimentos , Óvulo/química , Estrés Oxidativo , Enfermedades de las Aves de Corral/prevención & control
10.
J Pak Med Assoc ; 64(6): 664-9, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25252486

RESUMEN

OBJECTIVE: To determine serum lipids in patients with age related macular degeneration from Pakistani population. METHODS: The study was a cross sectional, randomized and case-control. Selected subjects ages were > or = 50 years and were normotensive, non-diabetic with no family history of any such disease and no complication of posterior ocular chamber other than age related macular degeneration (AMD). Controls were age matched healthy individuals with no symptoms of AMD. Diagnosis of AMD was done through conventional diagnostic techniques by professional ophthalmologists. Serum samples were analyzed for total cholesterol, triglycerides, LDL and HDL using commercially available kits. Data were compared with Student's t-test. Pearson correlation was calculated for relationship between different parameters. P < 0.05 was considered significant. RESULTS: Compared to controls, AMD patients had significantly greater total cholesterol concentration (p < 0.041), and power HDL/LDL ratio (p < 0.038), while serum triglycerides, HDL and LDL were non-significantly different from control subjects. Total cholesterol in AMD patients was significantly correlated with TG, LDL and HDL (p < 0.0001). CONCLUSION: The study indicates that high cholesterol might be a predictor of AMD and can be a diagnostic parameter.


Asunto(s)
Lípidos/sangre , Degeneración Macular/sangre , Anciano , Estudios de Casos y Controles , Estudios Transversales , Femenino , Humanos , Degeneración Macular/diagnóstico , Degeneración Macular/epidemiología , Masculino , Persona de Mediana Edad , Pakistán/epidemiología
11.
Artículo en Inglés | MEDLINE | ID: mdl-39235711

RESUMEN

Ethnic inequalities in high-income countries result in higher risk of mental illness and lower access to healthcare services for migrant populations than the majority White populations. This literature review examined evidence of the responsible barriers. A systematic search of six databases (Psychology and Behavioral Sciences Collection; eBook Collection [EBSCOhost]; CINAHL; GreenFILE; Library, Information Science & Technology Abstracts; and MEDLINE) was done using search terms. Eighteen recent, locally accessible studies conducted in six major resettlement countries were selected following PRISMA guidelines and the extracted evidence was analysed descriptively and thematically. Three main themes of ethnic mental health differentials of Black and Asian migrants were identified: access to services (13 studies), risk of mental illness (7 studies), and experience of care services (7 studies). Their access disparities revealed migrants suffer inequalities in service utilisation (5 studies) and greater obstacles to receiving care (8 studies). Their higher risk of mental illness was related to over-diagnosis of psychosis (2 studies), higher prevalence (4 studies), and exposure to predisposing factors (3 studies). Migrants experienced poorer quality and outcomes of care (3 studies), and use of restraint (2 studies) and seclusion (1 study) and expressed fear and mistrust of services (2 studies). The common ethnic barriers in service delivery were language and cultural difficulties, systemic discrimination and marginalisation, and social stigmatisation. It is proposed that systemic racism as well as communication and cultural difficulties are the core determinants of migrants' ethnic disparities of accessing mental health services in these major host countries.

12.
Cureus ; 16(8): e68266, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39350806

RESUMEN

Background Acute coronary syndrome (ACS) is a significant cause of mortality and morbidity globally, necessitating effective intervention strategies. Early invasive procedures such as percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are often recommended for high-risk patients. However, their cost-effectiveness in low-income regions remains uncertain, particularly in Pakistan, where healthcare resources are limited. Objective This study aims to evaluate the cost-effectiveness of early invasive procedures compared to standard care for ACS in low-income regions of Pakistan. Methods We conducted a prospective cohort study from January 1, 2021, to January 31, 2021, at four major hospitals in Pakistan: Army Cardiac Center Combined Military Hospital (CMH) Lahore, National Institute of Cardiovascular Diseases in Karachi, Lady Reading Hospital in Peshawar, and Mardan Medical Complex. The participants included 436 patients diagnosed with ACS aged 18 years or older and presenting within 24 hours of symptom onset. The patients were divided into two groups: the early invasive procedure group (n = 218) and the standard care group (n = 218). The primary outcome was the 30-day mortality rate. Secondary outcomes included recurrent myocardial infarctions, hospital readmissions, healthcare costs, and procedural complications. Data were analyzed using SPSS version 25.0 (IBM SPSS Statistics, Armonk, NY), employing descriptive statistics, chi-square tests, independent t-tests, and Kaplan-Meier survival analysis. Results The early invasive procedure group showed a mortality rate of 18 (8%) compared to 33 (15%) in the standard care group, demonstrating a significant reduction in mortality (p = 0.01). Additionally, the average healthcare cost was significantly lower in the early invasive group, with mean costs of Pakistani rupee (PKR) 187,200 (US dollar {USD} 1,200) compared to PKR 280,800 (USD 1,800) in the standard care group (p < 0.01). Recurrent myocardial infarctions occurred in 11 (5%) of the early invasive group versus 26 (12%) in the standard care group (p < 0.05). Hospital readmission rates were lower in the early invasive group, 22 (10%) compared to 39 (18%) in the standard care group (p < 0.05). Healthcare costs were significantly lower in the early invasive group, with mean costs of PKR 187,200 (USD 1,200) compared to PKR 280,800 (USD 1,800) in the standard care group (p < 0.01). Conclusion Early invasive procedures for ACS significantly improve survival rates, reduce complications, and lower healthcare costs in low-income regions of Pakistan. These findings suggest that such strategies should be considered in resource-limited settings to optimize patient outcomes and healthcare resource utilization.

13.
Microsc Res Tech ; 87(2): 387-394, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37855458

RESUMEN

The anatomical traits of plant species are essential for taxonomic analyses and evolutionary evaluations. Clarifying the anatomical characteristics of the foliar epidermis in three distinct Lilium species L. pumilum Delile, L. brownii F.E.Br. ex Miellez and L. davidii Duch. ex Elwes were studied in this article. The objective is to assess the taxonomic relevance of these characteristics and their potential as indicators of species divergence within the genus Lilium. Plant samples were gathered in Gansu, China, from numerous populations of each species that represented a range of climatic and ecological factors. A microscopic analysis employing thin slices and peel mounts was done to assess the stomatal density and dimensions. Significant interpopulation differences in stomatal features were found in the results, offering potential opportunities for taxonomic discrimination. The species differ in qualitative and quantitative characters to differentiate the three species. The links between the observed anatomical characteristics and species classification within the Lilium genus were clarified for the three studied species. In the end, this research advances knowledge of Lilium taxonomy, aids in conservation efforts, and deepens awareness of the general patterns of plant variety. RESEARCH HIGHLIGHTS: Epidermal Traits Aid Taxonomy: Cell shape, arrangement, and structures aid Lilium Identification. Cuticle Reveals Taxonomic Clues: Thickness, composition, and structure inform classification. Micromorphology for Species ID: Cell shape, wax, and striations differentiate Lilium species.


Asunto(s)
Lilium , Epidermis de la Planta , Epidermis de la Planta/ultraestructura , Epidermis , Células Epidérmicas , Fenotipo
14.
Heliyon ; 10(16): e35182, 2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39220923

RESUMEN

To satisfy the electricity needs of a village in Tangi, northwest Pakistan, the present research can design and evaluate the environmental and economical aspects of an optimal hybrid photovoltaic-biogas-hydropower-battery energy sustainable system (PV-BG-HP-BESS). This framework integrates various renewable energy sources, delivering a modern, efficient approach to sustainable energy solutions. The HOMER Pro software is utilized to optimize the most economical and effective hybrid energy system. The results showed that the proposed hybrid system comprising 91.4 kWp PV modules, 19.6 kW hydropower, a 50 kW biogas generator (BG), 36 batteries, and a 60.6 kW converter was the most economical choice. This system, which used the cyclic charging (CC) method, had a cost of energy (COE) of 0.0728 $/kWh and a total net present cost (NPC) of $152,242. The suggested hybrid energy system for rural areas of Pakistan includes photovoltaic (PV), biogas (BG), hydro, and battery components to provide a dependable and sustainable power supply. This system minimizes the need for expensive fossil fuels while simultaneously minimizing environmental impact by lowering pollutants and greenhouse gas emissions. The system's annual electricity production is 294,782 kWh, with PV leads at 59.4%, BG at 6.02%, and hydro at 34.6%, ensuring uninterrupted power generation even in remote areas. The unmet load, extra electricity, and capacity shortage illustrate the reliability of the system and make it possible to address rural electrification challenges while supporting sustainable development and economic growth. Moreover, the outcomes of the proposed hybrid system dominate the previous studies in multiple objectives, including cost and sensitivity analysis, when compared.

15.
J Biomol Struct Dyn ; 42(7): 3641-3658, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37222664

RESUMEN

Influenza viruses are the most common cause of serious respiratory illnesses worldwide and are responsible for a significant number of annual fatalities. Therefore, it is crucial to look for new immunogenic sites that might trigger an effective immune response. In the present study, bioinformatics tools were used to design mRNA and multiepitope-based vaccines against H5N1 and H7N9 subtypes of avian influenza viruses. Several Immunoinformatic tools were employed to extrapolate T and B lymphocyte epitopes of HA and NA proteins of both subtypes. The molecular docking approach was used to dock the selected HTL and CTL epitopes with the corresponding MHC molecules. Eight (8) CTL, four (4) HTL, and Six (6) linear B cell epitopes were chosen for the structural arrangement of mRNA and of peptide-based prophylactic vaccine designs. Different physicochemical characteristics of the selected epitopes fitted with suitable linkers were analyzed. High antigenic, non-toxic, and non-allergenic features of the designed vaccines were noted at a neutral physiological pH. Codon optimization tool was used to check the GC content and CAI value of constructed MEVC-Flu vaccine, which were recorded to be 50.42% and 0.97 respectively. the GC content and CAI value verify the stable expression of vaccine in pET28a + vector. In-silico immunological simulation the MEVC-Flu vaccine construct revealed a high level of immune responses. The molecular dynamics simulation and docking results confirmed the stable interaction of TLR-8 and MEVC-Flu vaccine. Based on these parameters, vaccine constructs can be regarded as an optimistic choice against H5N1 and H7N9 strains of the influenza virus. Further experimental testing of these prophylactic vaccine designs against pathogenic avian influenza strains may clarify their safety and efficacy.Communicated by Ramaswamy H. Sarma.


Asunto(s)
Subtipo H5N1 del Virus de la Influenza A , Subtipo H7N9 del Virus de la Influenza A , Vacunas contra la Influenza , Gripe Aviar , Animales , Gripe Aviar/prevención & control , Subtipo H7N9 del Virus de la Influenza A/genética , Simulación del Acoplamiento Molecular , ARN Mensajero/genética , Inmunoinformática , Epítopos de Linfocito B , Vacunas de Subunidad , Epítopos de Linfocito T , Biología Computacional
16.
Nurs Child Young People ; 36(5): 36-42, 2024 09 05.
Artículo en Inglés | MEDLINE | ID: mdl-38369906

RESUMEN

There is high demand for specialist mental health services for children and young people in the UK. Non-mental health nurses are well-placed to assess the mental health needs and risks of children and young people to maximise opportunities for early intervention and relieve the pressure on child and adolescent mental health services. This article provides an overview of a service development project to develop a web-based application (app) to support non-mental health nurses when assessing the mental health needs and risks of children and young people. The article describes the development, testing and evaluation process, which involved consultation with children and young people as well as interviews, focus groups and an online survey with a range of professionals working with children and young people. Overall, the findings suggest that the app is appropriate for use by non-mental health nurses in terms of quality, functionality and acceptability.


Asunto(s)
Internet , Humanos , Niño , Adolescente , Reino Unido , Servicios de Salud Mental , Aplicaciones Móviles , Encuestas y Cuestionarios , Grupos Focales/métodos , Evaluación de Necesidades
18.
Mol Vis ; 19: 441-7, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23441116

RESUMEN

PURPOSE: Matrix metalloproteinases (MMPs) play an important role in remodeling of the extracellular matrix during development and growth of various tissues including the eye. Various functional polymorphisms in MMPs have been implicated in the pathogenesis of different types of glaucoma. The aim of the present study was to investigate the role of various polymorphisms in Pakistani patients with glaucoma. METHODS: The present case-control study included 112 patients with primary open-angle glaucoma (POAG), 82 patients with primary angle closure glaucoma (PACG), and 118 control subjects. Genotyping of polymorphisms was done using PCR followed by restriction fragment length polymorphism analysis. RESULTS: A significant difference in the genotype frequencies of MMP1 rs1799750 (-1607 1G/2G) was observed between the patients with POAG and the control subjects (p = 0.001). This was attributed to the female subjects (p < 0.001), while the association was not significant in male subjects (p > 0.47). In addition, a significant difference was observed in genotype frequencies of MMP9 rs17576 (c.836A>G) in patients with PACG compared to the control subjects (p < 0.001), which after gender stratification remained significant in men (p = 0.009) but not in women (p = 0.14). No significant associations were found for MMP7 (c.-181T>C) and MMP9 (c.-1562C>T) polymorphisms. CONCLUSIONS: Our data suggest that the MMP1 rs1799750 (-1607 1G/2G) and MMP9 rs17576 polymorphisms might be of value for further study as potential gender-dependent risk factors for developing POAG and PACG, respectively, in Pakistan.


Asunto(s)
Glaucoma de Ángulo Cerrado/enzimología , Glaucoma de Ángulo Cerrado/genética , Glaucoma de Ángulo Abierto/enzimología , Glaucoma de Ángulo Abierto/genética , Metaloproteinasa 1 de la Matriz/genética , Metaloproteinasa 9 de la Matriz/genética , Polimorfismo Genético , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pakistán , Factores de Riesgo
19.
Artículo en Inglés | MEDLINE | ID: mdl-36694066

RESUMEN

According to a plethora of research and publications, the volume and amount of pollution are largely attributable to human-made emissions. Even during the recently ended Covid-19 outbreak, there was a notable decrease in global pollution, particularly in Pakistan's heavily populated cities. Due to the current situation, it is strategically important to safeguard the environment, and there are many criteria and predictors that should be used to encourage green behavior. This study examines green banking as a means of demonstrating ecologically responsible conduct in a developing nation. A survey questionnaire was used to collect information from 280 respondents via human contact and an internet platform. Software called SmartPLS3.0 was used to analyze the structural relationships between the study's variables. The results show that customers' adoption of green banking practices is statistically significantly influenced by their level of environmental consciousness and attitude. Similarly, green culture exhibits a substantial mediating influence between the independent variables and green behavior as well as a positive significant effect on green behavior. However, it is established that the consumer's apparent behavioral control is negligible. Particularly, the cognitive connection between behavior and culture is weak and insufficient to forecast behavior. For policymakers, especially those working in the field of green education, this study has many real-world applications.

20.
Heliyon ; 9(4): e15083, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37064465

RESUMEN

The SARS COV-2 and its variants are spreading around the world at an alarming speed, due to its higher transmissibility and the conformational changes caused by mutations. The resulting COVID-19 pandemic has imposed severe health consequences on human health. Several countries of the world including Pakistan have studied its genome extensively and provided productive findings. In the current study, the mCSM, DynaMut2, and I-Mutant servers were used to analyze the effect of identified mutations on the structural stability of spike protein however, the molecular docking and simulations approaches were used to evaluate the dynamics of the bonding network between the wild-type and mutant spike proteins with furin. We addressed the mutational modifications that have occurred in the spike protein of SARS-COV-2 that were found in 215 Pakistani's isolates of COVID-19 patients to study the influence of mutations on the stability of the protein and its interaction with the host cell. We found 7 single amino acid substitute mutations in various domains that reside in spike protein. The H49Y, N74K, G181V, and G446V were found in the S1 domain while the D614A, V622F, and Q677H mutations were found in the central helices of the spike protein. Based on the observation, G181V, G446V, D614A, and V622F mutants were found highly destabilizing and responsible for structural perturbation. Protein-protein docking and molecular simulation analysis with that of furin have predicted that all the mutants enhanced the binding efficiency however, the V622F mutant has greatly altered the binding capacity which is further verified by the KD value (7.1 E-14) and therefore may enhance the spike protein cleavage by Furin and increase the rate of infectivity by SARS-CoV-2. On the other hand, the total binding energy for each complex was calculated which revealed -50.57 kcal/mol for the wild type, for G181V -52.69 kcal/mol, for G446V -56.44 kcal/mol, for D614A -59.78 kcal/mol while for V622F the TBE was calculated to be -85.84 kcal/mol. Overall, the current finding shows that these mutations have increased the binding of Furin for spike protein and shows that D614A and V622F have significant effects on the binding and infectivity.

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