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1.
Chem Rec ; 24(1): e202300358, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38150653

RESUMEN

Energy conversion, consumption, and storage technologies are essential for a sustainable energy ecosystem. Energy storage technologies like batteries, supercapacitors, and fuel cells bridge the gap between energy conversion and consumption, ensuring a reliable energy supply. From ancient methods to modern advancements, research has focused on improving energy storage devices. Challenges remain, including performance, environmental impact and cost, but ongoing research aims to overcome these limitations. A special issue titled "Recent Advances in Electrochemical Energy Storage" presents cutting-edge progress and inspiring further development in energy storage technologies.

2.
Eur J Appl Physiol ; 124(6): 1861-1874, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38233706

RESUMEN

BACKGROUND: This study examined the effects of a single all-out bout of 30-s sprint-cycle performed daily for 5 consecutive days per week for 6 weeks, on aerobic fitness, muscle strength and metabolic-health markers in physically active young males and females. METHODS: Healthy, physically active 20-28 year olds, were randomly assigned to either experimental (EXP, N = 11) or non-training control (CON, N = 8) group. With supervision, the EXP group performed one bout of 30-s sprint-cycle daily, Mondays to Fridays over 6 weeks, while CON group continued with their usual lifestyle. The followings were measured at pre- and post-intervention: maximal aerobic power, peak torque of knee extensors and flexors at velocities 30° s-1 and 300° s-1, resting heart rate, resting blood pressure, body fat percentage, fasting lipid profile, fasting blood glucose, and fasting insulin levels. RESULTS: There were no significant improvements in the EXP group for all the measured variables (all P > 0.05); except for significant interaction effects in peak torque of knee extensors at 30° s-1 (P = 0.044) and low-density lipoprotein-cholesterol (P = 0.046). Post hoc test indicate that CON group showed decline in their low-density lipo-proteins levels (P = 0.024). CONCLUSION: Six weeks of one all-out bout of 30-s sprint-cycle per day, for 5 consecutive days per week, was ineffective in improving cardiovascular fitness, maximal strength, and most health markers in physically active young adults. The present results when combined with the previous literature suggest that there is a possibility of a minimum threshold for a number of sprint-cycle bouts needed to be performed before any form of cardio-metabolic-health benefit is accrued.


Asunto(s)
Fuerza Muscular , Humanos , Masculino , Femenino , Adulto , Fuerza Muscular/fisiología , Adulto Joven , Capacidad Cardiovascular/fisiología , Ejercicio Físico/fisiología , Aptitud Física/fisiología , Biomarcadores/sangre , Frecuencia Cardíaca/fisiología , Presión Sanguínea/fisiología
3.
Br J Sports Med ; 58(3): 136-143, 2024 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-37923379

RESUMEN

OBJECTIVE: To systematically review, summarise and appraise findings of published systematic reviews, with/without meta-analyses, examining associations between Ramadan fasting observance (RO), health-related indices and exercise test performances in athletes and physically active individuals. DESIGN: Overview of systematic reviews with assessment of reviews' methodological quality. DATA SOURCES: PubMed, Web of Science, Scopus, Cochrane Database of Systematic Reviews, SPORTDiscus, ProQuest, PsycINFO and SciELO. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Systematic reviews with/without meta-analyses examining associations of RO with health-related indices and exercise performances in athletes and physically active individuals. RESULTS: Fourteen systematic reviews (seven with meta-analyses) of observational studies, with low-to-critically-low methodological quality, were included. Two reviews found associations between RO and decreased sleep duration in athletes and physically active individuals. One review suggested athletes may experience more pronounced reductions in sleep duration than physically active individuals. One review found associations between RO and impaired sleep quality in athletes and physically active individuals. RO was associated with decreased energy, carbohydrate and water intake in adult-aged athletes, but not adolescents. One review suggests RO was associated with athletes' increased feelings of fatigue and decreased vigour. No association was found between RO and athletes' lean mass or haematological indices. RO was unfavourably associated with changes in athletes' performance during high-intensity exercise testing. CONCLUSION: Continuance of training during RO could be associated with athletes' mood state disturbances, decreased sleep duration and performance decline during high-intensity exercise testing, while preserving lean mass. However, careful interpretation is necessary due to the low-to-critically-low methodological quality of the included reviews.


Asunto(s)
Rendimiento Atlético , Prueba de Esfuerzo , Humanos , Anciano , Ayuno Intermitente , Revisiones Sistemáticas como Asunto , Ejercicio Físico , Atletas
4.
Pediatr Exerc Sci ; : 1-10, 2024 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-39168460

RESUMEN

PURPOSE: This systematic review and meta-analysis aimed to systematically examine and summarize recent evidence on the effects of soccer-based training (SBT) on anthropometric measures in children and adolescents with overweight/obesity. METHODS: Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 guidelines, a thorough literature search across 7 electronic databases was conducted on October 11, 2023. The studies' methodological quality was evaluated using the QualSyst tool, followed by conducting a meta-analysis with a random-effects model, and the certainty of evidence was assessed. RESULTS: Six studies were included, with 4 studies of strong methodological quality and 2 studies of moderate methodological quality. The results of the meta-analysis revealed SBT decreases fat mass percentage (effect size [ES] = 0.47 [small]; P = .002), with no significant effect of SBT on body mass index (ES = 0.180 [small]; P = .275), body mass (ES = 0.183 [trivial]; P = .212), fat-free mass (ES = 0.074 [trivial]; P = .635), or waist circumference (ES = 0.358 [small]; P = .053). The certainty of evidence was moderate for all outcomes. CONCLUSIONS: SBT appears to decrease fat mass percentage, without affecting body mass, body mass index, fat-free mass, or waist circumference in obese/overweight children and adolescents. These findings require further investigation given the moderate certainty of evidence. REGISTRATION: The protocol of this review was registered in the Open Science Framework database (https://doi.org/10.17605/OSF.IO/8P4V2).

5.
J Sports Sci ; 42(7): 646-654, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38771259

RESUMEN

We aimed to examine the effects of Ramadan fasting (RF) and high-intensity short-term maximal performance on elite soccer players' shooting accuracy, executive function (EF), and perceptions. Sixteen Muslim elite players fasting during Ramadan underwent assessments before (BR), during (DR), and after Ramadan (AR). Soccer-specific technical performance was evaluated using the Loughborough Soccer Shooting Test (LSST) before and after a 5-metre shuttle run test (5mSRT), conducted at the same time-of-day (17:00 h). Performance metrics recorded included higher distance (HD), total distance (TD), and fatigue index (FI). RPE after a 5-min warm-up and each repetition of the 5mSRT were obtained, and the mean RPE score was calculated. Trail Making Test (TMT Parts A and B) were used after the warm-up and the 5mSRT. Perceived difficulty (PD) was assessed following the LSST. HD, TD, and FI were not affected by RF (p > 0.05). DR, RPE and accuracy scores in the LSST were significantly lower after the 5mSRT compared to BR (1.29 vs. 1.24 AU; 1.29 vs. 1.24, respectively). In conclusion, RF had no adverse effects on physical performance. However, when combined with high-intensity running sessions, RF may impact accuracy and PD, and these adverse effects seem to have been translated into EF.


Asunto(s)
Rendimiento Atlético , Cognición , Ayuno , Islamismo , Percepción , Fútbol , Humanos , Fútbol/fisiología , Fútbol/psicología , Ayuno/fisiología , Rendimiento Atlético/fisiología , Rendimiento Atlético/psicología , Adulto Joven , Cognición/fisiología , Masculino , Percepción/fisiología , Función Ejecutiva/fisiología , Adulto , Fatiga , Esfuerzo Físico/fisiología
6.
Eur J Appl Physiol ; 123(7): 1507-1518, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36920510

RESUMEN

PURPOSE: To determine whether carbohydrate mouth rinsing would improve endurance running performance of tropical natives in a warm-humid (30 °C and 70% relative humidity) environment. METHOD: Twelve endurance male runners [age 25 ± 3 years; peak aerobic capacity ([Formula: see text]O2peak) 57.6 ± 3.6 mL.kg-1.min-1] completed three time-to-exhaustion (TTE) trials at ~ 70% [Formula: see text]O2peak while swilling 25 ml of a 6% carbohydrate (CHO) or taste-matched placebo (PLA) as well as no mouth rinse performed in the control (CON) trial. RESULTS: TTE performance was significantly longer in both CHO and PLA trials when compared with the CON trial (54.7 ± 5.4 and 53.6 ± 5.1 vs. 48.4 ± 3.6 min, respectively; p < 0.001 and p = 0.012, respectively), but was not significantly different between CHO and PLA trials (p = 1.000). The rating of perceived exertion was not different between the CHO and PLA trials, however, was significantly affected when compared to the CON trial (p < 0.001). A similar effect was observed for perceived arousal level between the CHO and PLA trials to the CON trial. Core temperature, mean skin temperature and skin blood flow were not significantly different between the three trials (all p > 0.05). Similarly, plasma lactate and glucose as well as exercise heart rate were not influenced by the trials. CONCLUSIONS: The present study demonstrates that mouth rinsing, whether carbohydrate or placebo, provides an ergogenic benefit to running endurance when compared to CON in a heat stress environment. Nevertheless, the results do not support the notion that rinsing a carbohydrate solution provides a greater advantage as previously described among non-heat acclimated individuals within a temperate condition.


Asunto(s)
Antisépticos Bucales , Carrera , Humanos , Masculino , Adulto Joven , Adulto , Antisépticos Bucales/farmacología , Carbohidratos de la Dieta/farmacología , Carrera/fisiología , Ejercicio Físico/fisiología , Poliésteres/farmacología , Resistencia Física/fisiología
7.
Sensors (Basel) ; 23(21)2023 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-37960584

RESUMEN

Smart healthcare is altering the delivery of healthcare by combining the benefits of IoT, mobile, and cloud computing. Cloud computing has tremendously helped the health industry connect healthcare facilities, caregivers, and patients for information sharing. The main drivers for implementing effective healthcare systems are low latency and faster response times. Thus, quick responses among healthcare organizations are important in general, but in an emergency, significant latency at different stakeholders might result in disastrous situations. Thus, cutting-edge approaches like edge computing and artificial intelligence (AI) can deal with such problems. A packet cannot be sent from one location to another unless the "quality of service" (QoS) specifications are met. The term QoS refers to how well a service works for users. QoS parameters like throughput, bandwidth, transmission delay, availability, jitter, latency, and packet loss are crucial in this regard. Our focus is on the individual devices present at different levels of the smart healthcare infrastructure and the QoS requirements of the healthcare system as a whole. The contribution of this paper is five-fold: first, a novel pre-SLR method for comprehensive keyword research on subject-related themes for mining pertinent research papers for quality SLR; second, SLR on QoS improvement in smart healthcare apps; third a review of several QoS techniques used in current smart healthcare apps; fourth, the examination of the most important QoS measures in contemporary smart healthcare apps; fifth, offering solutions to the problems encountered in delivering QoS in smart healthcare IoT applications to improve healthcare services.


Asunto(s)
Inteligencia Artificial , Desastres , Humanos , Nube Computacional , Industrias , Atención a la Salud
8.
Medicina (Kaunas) ; 59(1)2023 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-36676727

RESUMEN

Background and Objectives: Lamellar ichthyosis is a rare skin disease characterized by large, dark brown plate-like scales on the entire body surface with minimum or no erythema. This phenotype is frequently associated with a mutation in the TGM1 gene, encoding the enzyme transglutaminase 1 which plays a catalytic role in the formation of the cornified cell envelop. The present study aimed to carry out clinical and genetic characterization of the autosomal recessive lamellar ichthyosis family from Balochistan. Materials and Methods: A consanguineous family with lamellar ichthyosis was enrolled from Balochistan, Pakistan. PCR amplification of all the exons and splice site junctions of the TGM1 gene followed by Sanger sequencing was performed on the genomic DNA. The identified variant was checked by In silico prediction tools to evaluate the effect of the variant on protein. Results: Sanger sequencing identified a homozygous nonsense variant c.131G >A (p.Trp44*) in the TGM1 gene that segregated in the autosomal recessive mode of inheritance in the family. The identified variant results in premature termination of transcribed mRNA and is predicted to cause a truncated or absent translation product transglutaminase-1 (TGase-1) accompanied by loss of catalytic activity, causing a severe clinical phenotype of lamellar ichthyosis in the patients. Conclusions: Here, we report a consanguineous lamellar ichthyosis family with a homozygous nonsense variant in the TGM1 gene. The variant is predicted as pathogenic by different In silico prediction tools.


Asunto(s)
Ictiosis Lamelar , Humanos , Ictiosis Lamelar/genética , Ictiosis Lamelar/patología , Mutación , Piel/patología , Fenotipo , Exones
9.
Sensors (Basel) ; 22(20)2022 Oct 16.
Artículo en Inglés | MEDLINE | ID: mdl-36298204

RESUMEN

In this paper, a folded slot-based multiple-input-multiple-output (MIMO) antenna design for Cube Satellite (CubeSat) applications is presented for the ultra-high frequency (UHF) band. A unique combination of a reactively loaded meandered slot with a folded structure is presented to achieve the antenna's miniaturization. The proposed antenna is able to operate over a wide frequency band from 430~510 MHz. Moreover, pattern diversity is achieved by the antenna's element placement, resulting in good MIMO diversity performance. The four elements are placed on one Unit (1U) for CubeSat dimensions of 100 mm × 100 mm × 100 mm. The miniaturized antenna design with pattern diversity over a wide operating band is well suited for small satellite applications, particularly CubeSats in the UHF band.


Asunto(s)
Tecnología Inalámbrica
10.
Int Wound J ; 19(3): 531-537, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34219380

RESUMEN

Diabetic foot ulcer (DFU) is one of the slowest healing wounds that hurt the human body. Many studies from developed countries are concerned about materials, procedures, and equipment that accelerate the healing time. In Sweden, the diabetic foot management costs around 24965$/patient. In this review, we would evaluate the healing time of DFUs during what is considered one of the worst humanitarian crisis of the 21st century. 1747 DFUs were studied from the main diabetic foot clinic in Damascus (2014-2019). We predicted many variables that could prolong the healing time. The cost according to these variables was also reported. The SINBAD Classification was performed to grade the severity of ulcers. We noticed that the median healing time for DFUs was 8 weeks. Almost half of these ulcers healed between 3 and 12 weeks. The time of healing for men was significantly longer than that for women. While the presence of infection doubled the median time of healing, the presence of peripheral artery disease doubled the mean of the direct health care cost. The location of the ulcer acted as another independent risk factor. In conclusion, DFUs face many barriers to heal during a crisis.The environment with resource-poor settings should be added to the traditional risk factors that delay the healing of DFUs for months or even years. More studies from disaster are as are needed to evaluate low-cost materials that could be cost effective in applying standard care of the diabetic foot.


Asunto(s)
Diabetes Mellitus , Pie Diabético , Enfermedad Arterial Periférica , Estudios de Cohortes , Pie Diabético/epidemiología , Pie Diabético/etiología , Pie Diabético/terapia , Femenino , Humanos , Masculino , Enfermedad Arterial Periférica/complicaciones , Siria , Cicatrización de Heridas
11.
J Pak Med Assoc ; 72(9): 1858-1861, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36280993

RESUMEN

Primary Thyroid Lymphoma (PTL) is a rare disease, mostly affecting middle-to-old aged females. It has a strong association with pre-existing thyroiditis, which increases the risk of its development. The disease has been studied in detail in the Western populations. However, there is lack of data for south Asians, especially in Pakistani population. This study was carried out to learn more about the disease characteristics in our area. This was a retrospective study where we reviewed four diagnosed and/or treated cases of primary thyroid Lymphoma at tertiary care hospital of Pakistan (Aga Khan University Hospital), Karachi, Pakistan. Each patient's medical record was reviewed and studied. The participants' average age was 62.8±10.12 years,, with two males and two females. The histology of all of the patients was compatible with the Diffuse B cell Lymphoma subtype. One patient died as a result of complications, one patient was lost to follow up, and the remaining two patients are doing well with no active complaints and are being followed up on a regular basis.


Asunto(s)
Linfoma , Neoplasias de la Tiroides , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Países en Desarrollo , Linfoma/epidemiología , Linfoma/terapia , Estudios Retrospectivos , Neoplasias de la Tiroides/epidemiología , Neoplasias de la Tiroides/terapia
12.
Biol Sport ; 39(3): 529-535, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-35959342

RESUMEN

This study profiled the changes in running performances and collisions within a Rugby sevens tournament. Sixteen male players were equipped with global positioning system units while competing at the 2015 and 2016 Asia Rugby Sevens series held in Colombo and Hong Kong, respectively. Both tournaments consisted of 4 matches each, and were played over 2 days (i.e., 2 matches/day). Total distance (TD) covered increased in match 3 compared with matches 1 (19 ± 19%; p < 0.001) and 2 (16 ± 11%; p = 0.001), whilst a decrease in TD in match 4 compared with match 3 (8 ± 9%; p = 0.019) was observed. Distances covered within 6.1-12 km·h-1 and 12.1-14 km·h-1 speed bands were generally higher in matches 3 and/or 4 when compared with match 1 and/or 2 (p < 0.05). Frequency of entries into 14.1-18 km·h-1 speed zone was decreased in match 4 compared with match 3 (45 ± 41%; p = 0.009), whilst incidences of heavy, very heavy and severe collisions were generally higher in matches 3 or 4 compared with matches 1 or 2 (p < 0.05). In conclusion, while some decrements in the final match were evident, running performance were generally maintained throughout despite the competitive and congested nature of Rugby Sevens tournaments.

13.
Biol Sport ; 39(4): 1103-1115, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36247962

RESUMEN

Ramadan intermittent fasting during the COVID-19 lockdown (RIFL) may present unique demands. We investigated training practices (i.e., training load and training times) of athletes, using pre-defined survey criteria/questions, during the 'first' COVID-19 lockdown, comparing RIFL to lockdown-alone (LD) in Muslim athletes. Specifically, a within-subject, survey-based study saw athletes (n = 5,529; from 110 countries/territories) training practices (comparing RIFL to LD) explored by comparative variables of: sex; age; continent; athlete classification (e.g., world-class); sport classification (e.g., endurance); athlete status (e.g., professional); and level of training knowledge and beliefs/attitudes (ranked as: good/moderate/poor). During RIFL (compared to LD), athlete perceptions (ranges presented given variety of comparative variables) of their training load decreased (46-62%), were maintained (31-48%) or increased (2-13%). Decreases (≥ 5%, p < 0.05) affected more athletes aged 30-39 years than those 18-29 years (60 vs 55%); more national than international athletes (59 vs 51%); more team sports than precision sports (59 vs 46%); more North American than European athletes (62 vs 53%); more semi-professional than professional athletes (60 vs 54%); more athletes who rated their beliefs/attitudes 'good' compared to 'poor' and 'moderate' (61 vs 54 and 53%, respectively); and more athletes with 'moderate' than 'poor' knowledge (58 vs 53%). During RIFL, athletes had different strategies for training times, with 13-29% training twice a day (i.e., afternoon and night), 12-26% at night only, and 18-36% in the afternoon only, with ranges depending on the comparative variables. Training loads and activities were altered negatively during RIFL compared to LD. It would be prudent for decision-makers responsible for RIFL athletes to develop programs to support athletes during such challenges.

14.
Nature ; 526(7573): 397-401, 2015 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-26416735

RESUMEN

The altered activity of the fructose transporter GLUT5, an isoform of the facilitated-diffusion glucose transporter family, has been linked to disorders such as type 2 diabetes and obesity. GLUT5 is also overexpressed in certain tumour cells, and inhibitors are potential drugs for these conditions. Here we describe the crystal structures of GLUT5 from Rattus norvegicus and Bos taurus in open outward- and open inward-facing conformations, respectively. GLUT5 has a major facilitator superfamily fold like other homologous monosaccharide transporters. On the basis of a comparison of the inward-facing structures of GLUT5 and human GLUT1, a ubiquitous glucose transporter, we show that a single point mutation is enough to switch the substrate-binding preference of GLUT5 from fructose to glucose. A comparison of the substrate-free structures of GLUT5 with occluded substrate-bound structures of Escherichia coli XylE suggests that, in addition to global rocker-switch-like re-orientation of the bundles, local asymmetric rearrangements of carboxy-terminal transmembrane bundle helices TM7 and TM10 underlie a 'gated-pore' transport mechanism in such monosaccharide transporters.


Asunto(s)
Fructosa/metabolismo , Transportador de Glucosa de Tipo 5/química , Transportador de Glucosa de Tipo 5/metabolismo , Animales , Sitios de Unión , Transporte Biológico , Bovinos , Membrana Celular/metabolismo , Cristalografía por Rayos X , Escherichia coli/química , Proteínas de Escherichia coli/química , Proteínas de Escherichia coli/metabolismo , Fructosa/química , Glucosa/química , Glucosa/metabolismo , Transportador de Glucosa de Tipo 1/química , Transportador de Glucosa de Tipo 1/metabolismo , Transportador de Glucosa de Tipo 5/genética , Modelos Moleculares , Mutación Puntual/genética , Conformación Proteica , Ratas , Sales (Química)/química , Electricidad Estática , Relación Estructura-Actividad , Especificidad por Sustrato/genética , Simportadores/química , Simportadores/metabolismo
15.
J Strength Cond Res ; 35(2): 512-518, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-29952873

RESUMEN

ABSTRACT: Ihsan, M, Yeo, V, Tan, F, Joseph, R, Lee, M, and Aziz, AR. Running demands and activity profile of the new four-quarter match format in men's field hockey. J Strength Cond Res 35(2): 512-518, 2021-This study determined the running demands of men's field hockey with regards to the revised four-quarter match format. Twenty-eight male field hockey players were equipped with global positioning system units while competing in 14 competitive international games over a 1-year period. All matches allowed for unlimited substitutions, and consisted of four 15-minute quarters (i.e., Q1-Q4). A progressive decline in total distance (TD) was observed in Q2 (2,072 ± 141 m) to Q4 (2,055 ± 212 m) compared with Q1 (2,171 ± 195 m, p < 0.05). However, the decline in TD was due to decreases in low-intensity activity (<15 km·h-1, p < 0.05), as high-intensity running (HIR; >15 km·h-1) distances were similar throughout Q1-Q4 (p = 0.263). Positional data demonstrated a similar profile, where significant decreases in TD, but not in HIR, was observed across all playing positions at some point over the 4 quarters (p < 0.05). DEF accumulated the lowest amount of TD (7,631 ± 753 m), HIR (2,257 ± 498 m), and high-intensity decelerations (60 ± 9, >-2m·s-2) compared with MID and FWD (p < 0.05). By contrast, FWD performed the highest amount of HIR (3,090 ± 565 m) and high-intensity accelerations (110 ± 9, >2 m·s-2) compared with MID and DEF (p < 0.05). In conclusion, our results showed that although there was a progressive decline in TD over the 4 quarters of match play, high-intensity running performance (i.e., HIR and high-intensity acceleration) was maintained throughout the match regardless of playing position.


Asunto(s)
Rendimiento Atlético , Hockey , Aceleración , Sistemas de Información Geográfica , Humanos , Luz , Masculino
16.
J Pak Med Assoc ; 71(3): 1000-1001, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34057962

RESUMEN

This study was conducted to determine the compliance and knowledge of sepsis guidelines among resident physicians in a tertiary care hospital of a developing country. A self-structured validated questionnaire was prepared to evaluate compliance and knowledge of the Surviving Sepsis Campaign (SSC) guidelines. A total of 76 resident physicians completed the questionnaire; out of these, 51 (67%) were from Internal Medicine department and 25 (33%) were from Emergency Medicine department of the Aga Khan University Hospital, Karachi. A total of 71 (93%) participants claimed to be aware of the SSC guidelines but only 20 (26%) considered themselves very knowledgeable on the subject. Thirty-five (46%) physicians claimed that they were using the guidelines regularly. We concluded that the overall knowledge and compliance of sepsis guidelines was suboptimal. This emphasises the need for increased awareness and teaching of sepsis and SSC guidelines to improve patient outcomes in developing countries.


Asunto(s)
Médicos , Sepsis , Humanos , Pakistán , Sepsis/diagnóstico , Sepsis/terapia , Encuestas y Cuestionarios , Atención Terciaria de Salud
17.
Pak J Med Sci ; 37(1): 142-145, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33437266

RESUMEN

BACKGROUND AND OBJECTIVES: The prevalence of diabetes mellitus worldwide was 171 million one and half decade ago, while the prediction is 366 million patients by 2030 and more than 640 million people by 2040. HbA1c value represents average blood glucose over the past 2-3 months and accounts for both pre-prandial and post-prandial blood glucose levels. A link between HbA1c and diabetic complications has been confirmed. In general, patients with controlled diabetes mellitus should have at least biannual testing, while patients with uncontrolled diabetes mellitus or unmet glycemic targets should be tested every three months. The objective was to see compliance of checking HbA1c in tertiary care hospital of a developing world. METHODS: This was a retrospective observational study done from 1st February 2019 to 31st March 2019 in the Department of Medicine and Surgery, The Aga Khan University Hospital, Karachi. All patients of age 18 years and above, admitted with a diagnosis of diabetes mellitus (DM)from 1st February 2019 to 31st March 2019 were included. If HbA1c was less than 7% the patients were labelled as having controlled DM, otherwise, uncontrolled DM. If HbA1c of patients with controlled DM was not checked in last six months and if HbA1c of patients with uncontrolled DM was not checked in last three months then it was labelled as non-compliance of checking HbA1c. RESULTS: Out of 1732 diabetic patients only 94 patients fulfilled inclusion criteria. Out of these 94 patients 43 (45.7%) were male. Mean HbA1c was 7.90% (1.4) and 69 (73.4%) patients had uncontrolled diabetes mellitus. Overall, the compliance of checking HbA1c was 58.5%. In uncontrolled diabetes mellitus patients, the compliance of checking HbA1c was 45% and in controlled diabetes mellitus patients the compliance was 96%. CONCLUSION: The compliance of checking HbA1c is inadequate in diabetic inpatients. The considerable prevalence of diabetes and the benefits of timely interventions in diagnosed patients to prevent complications suggest the need for a comprehensive awareness among the doctors for checking HbA1c.

18.
J Gene Med ; 22(1): e3143, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31750994

RESUMEN

BACKGROUND: Syndactyly is a clinical feature of split-hand foot malformation (SHFM), ectodermal-dysplasia-syndactyly (EDSS1) and Cenani-Lenz syndactyly syndromes (CLSS). In EDSS1, only cutaneous syndactyly is observed, with sparse hair, abnormal nails and dentition. In SHFM, bony syndactyly may vary from hypoplasia of one phalanx to aplasia of central digits, extending to complete fusion of all fingers and toes in CLSS. Several genes have been assigned to these syndromes. Performing a single step molecular diagnostics becomes a challenge when a phenotype has overlaps with several syndromes or when some of the clinical features are not fully expressed in patients. METHODS: Whole exome sequencing (WES) analysis on one sample derived from a consanguineous family was performed. A causative variant in WES data was prioritized via standard bioinformatics tools. The selected variant was Sanger sequenced in all the available family members for autosomal recessive segregation. RESULTS: A novel missense variant (c.1151A>G; p.Tyr384Cys) was identified in the LRP4 gene. Sanger validation confirmed that all affected individuals were homozygous and the obligate carriers were heterozygous for this variant. The variant is neither reported in 1000 human genomes, nor in 60 706 exomes databases, and is predicted as "pathogenic" by SIFT, Polyphen-2 and MutationTaster software. CONCLUSIONS: The present study broadens the pathogenic spectrum of the LRP4 gene in syndactyly syndromes. WES is a powerful tool for genetic analysis in research and can be readily used as a first-line diagnostic test in syndactyly and related phenotypes.


Asunto(s)
Proteínas Relacionadas con Receptor de LDL/genética , Deformidades Congénitas de las Extremidades/genética , Mutación Missense , Sindactilia/genética , Adolescente , Niño , Consanguinidad , Extremidades , Femenino , Genes Recesivos , Homocigoto , Humanos , Masculino , Linaje , Sindactilia/diagnóstico , Secuenciación del Exoma
19.
Chem Rec ; 20(9): 1074-1098, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32794376

RESUMEN

This article summarizes the preparation and applications of carbon derived from jute sticks and fibers that are low-cost, widely available, renewable, and environmentally friendly. Both the fibers and sticks are considered ideal candidates of carbon preparation because they are composed of cellulose, hemicelluloses, and lignin, and contain negligible ash content. Various carbon preparation methods including simple pyrolysis, pyrolysis with chemical and physical activations are discussed. The impacts of several parameters including types of activating agents, impregnation ratio, and temperature on their morphology, surface area, pore size, crystallinity, and surface functional groups are also emphasized. Various treatments to endow functionalization for increasing the practical applicability, such as chemical, physical, and physico-chemical methods, are discussed. In addition, applications of jute-derived carbon in various practical areas, including energy storage, water treatment, and sensors, are also highlighted in this report. Due to the porous fine structure and a large specific surface area, the jute-derived carbon could be considered as a powerful candidate material for various industrial applications. Finally, possible future prospects of jute-derived carbon for various applications are pointed out.


Asunto(s)
Carbono/química , Celulosa/química , Lignina/química , Polisacáridos/química , Técnicas Electroquímicas/métodos , Pirólisis , Contaminantes Químicos del Agua/química , Purificación del Agua/métodos
20.
Chem Rec ; 20(12): 1568-1595, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33078557

RESUMEN

Heavy fuel oil ash (HFOA) is generated as an industrial waste material during the combustion of heavy fuel oil in power/desalination plants. With increasing energy demands, a significant volume of HFOA is generated. It is generally disposed of in landfills, causing environmental pollution, as it contains several toxic elements. Recently, efforts were made towards developing strategies for reusing industrial waste materials and creating value-added products from the waste materials. Despite significant information available in the literature on the utilization of HFOA, there is still a need for a thorough and systematic review on the characterization and utilization of HFOA in various applications. Consequently, this paper aims to present a critical review of the literature on HFOA generation, its chemical composition, physical properties, morphology, and applications. It is encouraging to note that HFOA has been used in several potential applications, such as the preparation of activated carbon and carbon nanotubes, metal recovery, environmental pollutant removal, polymer composites and construction materials, etc. However, the development of several value-added materials utilizing HFOA and its applications in other areas such as coatings, cathodic protection systems, and phase change materialswould emerge as a new topic of research. It is expected that this review will act as a precursor for further research on the use of HFOA in industrial applications. Since the use of HFOA will lead to environmental, economic, and technical benefits, research in the utilization of this industrial waste material is highly recommended.

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