Age and growth assessment of the near-threatened fish Rita rita (Siluriformes: Bagridae) in the Ganges basin

Introduction: Rita rita is a freshwater catfish under threat of extinction, mainly from loss of breeding and nursing grounds. A reliable method for age and growth estimation is needed by fishery managers. Objective: To identify the best body structure for age and growth estimation. Methods: We assessed estimates precision based on Average Percent Error (APE), Coefficient Variation (CV), and Percent Agreement (PA) between readers separately analyzed each calcified structure. We used 390 fish samples from three rivers, Ganga, Yamuna and Ramganga, from September 2018 to August 2019. Results: The three indicators favored the use of vertebrae for age estimation; the growth band seems to be annual and formed from May to September. The growth equations were Lt = 90.19(1-e-0.145(t+0.51)) for Ganga; Lt = 91.19 (1-e-0.14(t+0.59)) for Yamuna and Lt = 89.63 (1-e-0.15(t+0.68)) for Ramganga. Conclusion: This species reaches moderate growth in these rivers, where vertebrae are the recommended age estimation structure, followed, in case of need, by sectioned otoliths, whole otoliths and opercular bones. Pectoral spines should be avoided, especially in older fish.

Introducción: Rita rita es un pez de agua dulce bajo amenaza de extinción, principalmente por la pérdida de sitios de reproducción y crianza. Un método fiable para las estimaciones de edad y crecimiento es necesario para los administradores de recursos pesqueros. Objetivo: Identificar la mejor estructura corporal para estimaciones de edad y crecimiento. Métodos: Evaluamos la precisión de las estimaciones mediante el Porcentaje de Error Promedio (APE), Coeficiente de Variación (CV), y Porcentaje de Acuerdo (PA) entre lecturas para cada estructura calcificada. Usamos 390 muestras de peces de tres ríos, Ganga, Yamuna y Ramganga, de setiembre 2018 hasta agosto 2019. Resultados: Los tres indicadores favorecieron el uso de vértebras para la estimación de edad; la banda de crecimiento parece ser anual y se forma entre mayo y setiembre. Las ecuaciones de crecimiento fueron Lt = 90.19(1-e-0.145(t+0.51)) para Ganga; Lt = 91.19 (1-e-0.14(t+0.59)) para Yamuna y Lt = 89.63 (1-e-0.15(t+0.68)) para Ramganga. Conclusión: La especie alcanza un crecimiento moderado en estos ríos, dónde las vértebras son la estructura de estimación etaria recomendada, seguido de, en caso de ser necesario, los otolitos segmentados, otolitos enteros y huesos operculares. Debe evitarse el uso de espinas pectorales, especialmente en peces de mayor edad.

Pakistan's Healthcare System: A Review of Major Challenges and the First Comprehensive Universal Health Coverage Initiative.

Each country's healthcare system has a different structure and functioning designed to meet the needs of its people utilizing the available resources. Due to ever-growing population needs and constantly emerging public health problems, it is vital for any healthcare system to be ready to adapt, recognize its limitations, and improve its flaws by learning from other healthcare models across the globe. In this article, we analyzed the significant challenges faced by Pakistan's healthcare system (PHS) and the first comprehensive initiative taken for universal health coverage in Pakistan. Inequitable distribution of resources, inadequate healthcare spending, non-adherence to preventative healthcare and brain drain are the major problems in the PHS. On the other hand, the recently introduced universal health coverage initiative, the Sehat Sahulat Program (SSP), can be considered one of the biggest achievements of the country's healthcare system.

Mannosylated imiquimod-terbinafine co-loaded transethosomes for cutaneous leishmaniasis; assessment of its anti-leishmanial potential, in vivo safety and immune response modulation.

Current treatment options for cutaneous leishmaniasis are associated with myriad limiting factors including low penetration, poor efficacy, and drug toxicities. Herein, we reported imiquimod and terbinafine co-loaded mannosylated transethosomes (IMQ-TER-MTES) with enhanced cutaneous retention, macrophage targeting, anti-leishmanial potential, and dermal immunomodulation. IMQ-TER-MTES were optimized using Design Expert® followed by their loading into chitosan gel. Moreover, the antileishmanial response against amastigotes-infected macrophages and Leishmania-infected BALB/c mice was evaluated. Finally, the safety and immunomodulation activity of IMQ-TER-MTES gel was performed using BALB/c mice. Optimized IMQ-TER-MTES showed nano-sized particles with low poly-dispersibility index (PDI) and high drug entrapment. Mannosylation has augmented macrophage targeting and the internalization capability of TES. IMQ-TER-MTES showed significantly reduced IC50 value (19.56 ± 3.62 µg/ml), higher selectivity index (29.24), and synergism against Leishmania major (L. major) amastigotes. In L. major infected BALB/c mice, the cutaneous lesion healing potential of IMQ-TER-MTES was also elevated with reduced lesion size (1.52 ± 0.43 mm). Superior safety of IMQ-TER-MTES was observed in BALB/c mice along with adequate stimulation of dermal immune cells, in contrast to the ALDARA®. Moreover, incremented Nuclear factor Kappa-ß (NF-κß) and nitric oxide (NO) biosynthesis were observed with IMQ-TER-MTES.

Assessment of the Field Utility of a Rapid Point-of-Care Test for SARS-CoV-2 Antibodies in a Household Cohort.

Point-of-care (POC) tests to detect SARS-CoV-2 antibodies offer quick assessment of serostatus after natural infection or vaccination. We compared the field performance of the BioMedomics COVID-19 IgM/IgG Rapid Antibody Test against an ELISA in 303 participants enrolled in a SARS-CoV-2 household cohort study. The rapid antibody test was easily implemented with consistent interpretation across 14 users in a variety of field settings. Compared with ELISA, detection of seroconversion lagged by 5 to 10 days. However, it retained a sensitivity of 90% (160/177, 95% confidence interval [CI] 85-94%) and specificity of 100% (43/43, 95% CI 92-100%) for those tested 3 to 5 weeks after symptom onset. Sensitivity was diminished among those with asymptomatic infection (74% [14/19], 95% CI 49-91%) and early in infection (45% [29/64], 95% CI 33-58%). When used appropriately, rapid antibody tests offer a convenient way to detect symptomatic infections during convalescence.

Cost-Sensitive Learning of Deep Feature Representations From Imbalanced Data.

Class imbalance is a common problem in the case of real-world object detection and classification tasks. Data of some classes are abundant, making them an overrepresented majority, and data of other classes are scarce, making them an underrepresented minority. This imbalance makes it challenging for a classifier to appropriately learn the discriminating boundaries of the majority and minority classes. In this paper, we propose a cost-sensitive (CoSen) deep neural network, which can automatically learn robust feature representations for both the majority and minority classes. During training, our learning procedure jointly optimizes the class-dependent costs and the neural network parameters. The proposed approach is applicable to both binary and multiclass problems without any modification. Moreover, as opposed to data-level approaches, we do not alter the original data distribution, which results in a lower computational cost during the training process. We report the results of our experiments on six major image classification data sets and show that the proposed approach significantly outperforms the baseline algorithms. Comparisons with popular data sampling techniques and CoSen classifiers demonstrate the superior performance of our proposed method.

Application of stepwise gradients in counter-current chromatography: a rapid and economical strategy for the one-step separation of eight coumarins from Seseli resinosum.

The targeted purification of compounds with a broad polarity range from traditional medicinal plants is a big challenge for counter-current chromatography (CCC). Gradient elution was introduced in CCC to address this problem. However, once a suitable solvent system is selected, the separation process requires optimization of operational parameters. The present study was conducted to optimize various operational parameters to integrate the flow rate and solvent gradients for the rapid isolation of eight coumarins from Seseli resinosum in a single run. An increase in the system temperature from 15°C to 35°C increased the stationary phase retention and solubility of the sample, whereas the operation time and viscosity of the system were decreased. The high purity of each compound was ensured by collecting the fractions from the main peaks while all the shoulder peaks were mixed and separated under the same conditions with semi-preparative CCC. GC-FID was used to analyze the components of each phase, which was prepared without presaturation to save the time and solvent consumption. Finally, eight coumarins were purified, including (1) d-laserpitin, (2) (3'S,4'S)-3'-angeloyloxy-4'-hydroxy-3',4'-dihydroseselin, (3) (+)-samidin, (4) (3'S,4'S)-3'-acetoxy-4'-angeloyloxy-3',4'-dihydroseselin, (5) deltoin (6), calipteryxin, (7) (3'S,4'S)-3',4'-disenecioyloxy-3',4'-dihydroseselin, and (8) (-)-anomalin. The present technique has successfully accomplished the goal of one-step separation of these compounds with high purity and recovery in an economic and time efficient manner.

SPHERE-based assessment of knowledge and preventive measures related to malaria among the displaced population of Jalozai, Pakistan.

OBJECTIVES: To assess the level of awareness regarding malaria, the availability of preventive material and its use in a camp for the internally displaced persons (IDPs) in Pakistan, using SPHERE standards and indicators. METHODS: The descriptive cross-sectional study was conducted in Jalozai from March to Novemeber 2010. Systematic random sampling was done with a sample size of 116 families (10% of Phase II). A structured questionnaire was distributed to the heads of the families and among healthcare providers. RESULTS: More than two-fifth (42%, n = 49) of the study population was unaware of malaria, while more than three-fifth (70%, n = 76) was ignorant of the preventive strategies. The study found that the surveyed population (55%, n = 64) had access to health education on diseases cased by mosquitoes but less than half of them (44%, n = 28) reported that health education included preventive strategies against malaria. Health education was done at community (40%) and household levels (60%). Simple Bed Nets were given to 68% (n = 78), while 26 (32%) families reported that the nets providers were not in a useable state. No education on the proper usage of bed nets was available, and replacement of the nets was not noticed. CONCLUSION: Health education programmes should include preventive methods. Provision of Insecticide Treated Nets (ITNs) to the displaced population, guidance by health awareness teams, and the replacement of old nets should be ensured to control malaria effectively.

General practitioner's knowledge regarding the diagnosis and drug therapy for acute myocardial infarction.

OBJECTIVE: To assess the general practitioners (GP) knowledge regarding the diagnosis and initial drug therapy for acute myocardial infarction (AMI). METHODS: A questionnaire-based survey was conducted in randomly selected GPs of Karachi. Doctors working in community as GPs who were registered medical practitioners having a Bachelor of Medicine & Bachelor of Surgery degree were included in the study. Doctors working at tertiary care facilities or having a post graduate degree or post graduate training in a specialty other than family medicine were excluded from the study. RESULTS: A total of 186 GPs participated in our study. GPs who studied research journals were 2.33 times more likely to investigate serum cardiac troponins levels for the diagnosis of AMI compared to those who did not study research journals (P = 0.02). Twenty six percent of the GPs said that they would refer a patient with suspected AMI without treatment, while 76% said that they would consider some treatment prior to referral. Fifty eight percent of the GPs identified ST segment elevation myocardial infarction (STEMI) of < 12 hours duration as an indication of thrombolysis while 28% identified posterior wall AMI as a thrombolytic indication. CONCLUSION: GPs, although adequately aware of the presenting features of AMI, were lacking in knowledge regarding the means for confirmation of diagnosis, initial drug therapy and were less likely to carry management steps in their practice.