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1.
PLoS One ; 19(6): e0304088, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38837983

RESUMEN

In this digital age, promoting economic development through technology innovation and adoption has become a pressing matter, contributing to increased productivity and, in turn, carbon emissions. Consequently, this study employs a novel technique (Newey-West Standard Error Method, Technology Adaptation Model) to quantify information and communication technology (ICT) adoption rates as a proxy indicator for evaluating the Persian Gulf economy's technology development. Moreover, this study investigates the evidence of the environmental Kuznets curve, with trade openness, technological adoption, and innovation as sustainable development controls. The findings reveal that two of three technological innovation instruments, fixed telephone, and internet subscriptions, increase carbon emissions. In contrast, mobile cellular subscriptions simultaneously reduce carbon emissions in the Persian Gulf. Furthermore, measures of technology adoption, high-technology exports, and electricity use contribute to the increase in carbon emissions. Trade openness also raises carbon emissions in the Persian Gulf. These findings suggest that policymakers must develop technological innovation and adoption strategies that effectively promote a greener environment.


Asunto(s)
Carbono , Océano Índico , Carbono/análisis , Invenciones , Desarrollo Económico , Humanos
2.
Molecules ; 29(10)2024 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-38792069

RESUMEN

A highly efficient low-cost adsorbent was prepared using raw and chemically modified cellulose isolated from sugarcane bagasse for decontamination of Cr(VI) from wastewater. First, cellulose pulp was isolated from sugarcane bagasse by subjecting it to acid hydrolysis, alkaline hydrolysis and bleaching with sodium chlorate (NaClO3). Then, the bleached cellulose pulp was chemically modified with acrylonitrile monomer in the presence Fenton's reagent (Fe+2/H2O2) to carry out grafting of acrylonitrile onto cellulose by atom transfer radical polymerization. The developed adsorbent (acrylonitrile grafted cellulose) was analyzed by X-ray diffraction analysis (XRD), scanning electron microscopy (SEM) and Fourier transform infrared spectroscopy (FT-IR). Both raw cellulose and acrylonitrile grafted cellulose were used for chromium removal from wastewater. The effects of metal ion concentration, pH, adsorbent dose and time were studied, and their values were optimized. The optimum conditions for the adsorption of Cr(VI) onto raw and chemically modified cellulose were: metal ion concentration: 50 ppm, adsorbent dose: 1 g, pH: 6, and time: 60 min. The maximum efficiencies of 73% and 94% and adsorption capacities of 125.95 mg/g and 267.93 mg/g were achieved for raw and acrylonitrile grafted cellulose, respectively. High removal efficiency was achieved, owing to high surface area of 79.92 m2/g and functional active binding cites on grafted cellulose. Isotherm and kinetics studies show that the experimental data were fully fitted by the Freundlich isotherm model and pseudo first-order model. The adsorbent (acrylonitrile grafted cellulose) was regenerated using three different types of regenerating reagents and reused thirty times, and there was negligible decrease (19%) in removal efficiency after using it for 30 times. Hence, it is anticipated that acrylonitrile could be utilized as potential candidate material for commercial scale Cr(VI) removal from wastewater.


Asunto(s)
Acrilonitrilo , Celulosa , Cromo , Saccharum , Aguas Residuales , Contaminantes Químicos del Agua , Purificación del Agua , Celulosa/química , Cromo/aislamiento & purificación , Cromo/química , Acrilonitrilo/química , Saccharum/química , Aguas Residuales/química , Adsorción , Contaminantes Químicos del Agua/química , Contaminantes Químicos del Agua/aislamiento & purificación , Purificación del Agua/métodos , Concentración de Iones de Hidrógeno , Cinética , Espectroscopía Infrarroja por Transformada de Fourier , Difracción de Rayos X
3.
Sci Rep ; 14(1): 409, 2024 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-38172528

RESUMEN

Real-world decision-making problems often include multi-polar uncertainties dependent on multi-dimensional attributes. The m-polar fuzzy (mF) sets can efficiently handle such multi-faceted complications with T-norm based weighted aggregation techniques. The Aczel-Alsina T-norms offer comparatively flexible and accurate aggregation than the other well-known T-norm families. Consequently, this work introduced novel mF Aczel-Alsina aggregation operators (AOs), including weighted averaging (mFAAWA, mFAAOWA, mFAAHWA) and weighted geometric (mFAAWG, mFAAOWG, mFAAHWG) AOs. The fundamental properties, including boundedness, idempotency, monotonicity, and commutativity are investigated. Based on the proposed AOs, a decision-making algorithm is developed and implemented to solve two detailed multi-polar site selection problems (for desalination plant and for wind-power plant). Finally, a comparison with mF Dombi and mF Yager AOs reveals that different T-norm based AOs may yeild different solutions for the same problem.

4.
Environ Sci Pollut Res Int ; 31(6): 9550-9564, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38191737

RESUMEN

Digitalization has emerged as a new hope for low-carbon sustainable economic growth after its successful trial during the COVID-19 measures. Therefore, both developed and developing economies focus on digitalization to cope with carbon neutrality targets. Thus, this study attempted to generate a meaningful relationship between the digital economy and green energy, innovation, and environmental tax policy to capture the role of factors in acquiring carbon neutrality. For the abovementioned objectives, modern econometric methods, such as the Kilian bias-adjusted bootstrap, were adopted to evaluate the Chinese dataset between 1990 and 2021. The results indicate that the study factors play a significant role in acquiring carbon neutrality in the long-term Chinese economy. Furthermore, quantile autoregressive distributed lag model (QARDL) indicates that all the factors influence carbon neutrality in various quantiles. Consequently, the digital economy, green energy and innovation, and environmental taxes significantly assist in attaining carbon neutrality in the long term, and the ecological Kuznets curve prevails in the economy. Therefore, radical and wide-ranging policy implications are required in many areas including environmental restrictions, digital economy promotion, green and sustainable technologies, and clean energy sources.


Asunto(s)
Impuestos , Carbono , Dióxido de Carbono , China , Desarrollo Económico , Política Fiscal , Política Ambiental , Desarrollo Sostenible
5.
Diagn Microbiol Infect Dis ; 108(1): 116109, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37918188

RESUMEN

Staphylococcus epidermidis is an opportunistic bacterial pathogen. The study screened isolates of S. epidermidis of pediatric origin for genetic markers of discriminatory potential. 103 isolates (n = 75 clinical; n = 28 community) were screened for methicillin resistance (mecA), formate dehydrogenase (fdh) and an array of virulence factors through multiplex PCR and Congo red assay. The isolates were typed in four distinct categories, based on the presence of selected virulent factors. The type A clinical isolates carrying icaADBC operon (n = 22; 29.3%, P = 0.117) were not significantly differentiating the origin of isolates. The type B clinical isolates representing methicillin resistant S. epidermidis (MRSE) (n = 73; 97.3%, P < 0.00001) and the type C clinical isolates lacking formate dehydrogenase fdh (n = 62; 82.6%, P < 0.00001) were having significant discriminatory potential of clinical isolates, respectively. All type D community isolates were carrying fdh (n = 28; 100%, P < 0.00001). MecA and fdh are significant differential markers of pathogenicity and commensalism in S. epidermidis of pediatric origin.


Asunto(s)
Infecciones Estafilocócicas , Staphylococcus epidermidis , Niño , Humanos , Staphylococcus epidermidis/genética , Formiato Deshidrogenasas , Virulencia/genética , Infecciones Estafilocócicas/microbiología , Pakistán , Simbiosis , Antibacterianos , Proteínas Bacterianas/genética
6.
Cell Rep ; 42(5): 112413, 2023 05 30.
Artículo en Inglés | MEDLINE | ID: mdl-37164007

RESUMEN

Although it is widely recognized that the ancestors of Native Americans (NAs) primarily came from Siberia, the link between mitochondrial DNA (mtDNA) lineage D4h3a (typical of NAs) and D4h3b (found so far only in East China and Thailand) raises the possibility that the ancestral sources for early NAs were more variegated than hypothesized. Here, we analyze 216 contemporary (including 106 newly sequenced) D4h mitogenomes and 39 previously reported ancient D4h data. The results reveal two radiation events of D4h in northern coastal China, one during the Last Glacial Maximum and the other within the last deglaciation, which facilitated the dispersals of D4h sub-branches to different areas including the Americas and the Japanese archipelago. The coastal distributions of the NA (D4h3a) and Japanese lineages (D4h1a and D4h2), in combination with the Paleolithic archaeological similarities among Northern China, the Americas, and Japan, lend support to the coastal dispersal scenario of early NAs.


Asunto(s)
Genoma Mitocondrial , Humanos , Japón , Américas , China , ADN Mitocondrial/genética , Haplotipos/genética , Filogenia
7.
Recent Adv Antiinfect Drug Discov ; 18(3): 215-220, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36788700

RESUMEN

BACKGROUND: The goal of the study was to investigate the burden of transfusion- transmitted infections (TTIs) hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), syphilis, and malarial parasite (MP) in ABO Blood Groups and Rh Type System among voluntarily blood donors in Khyber Pakhtunkhwa (KPK), Pakistan. It is a retrospective single center cross sectional study. This study was conducted from June 2020 to September 2021 (16 months) at the frontier foundation thalassemia center Peshawar KPK. Donors were physically healthy and fit for donation. Donors with physical disabilities and/or having co-morbid conditions were excluded from the report. METHODS: All the samples were screened for anti-HIV, anti-HCV, HBsAg, Syphilis, and Malarial Parasite via ELISA kit and Immune Chromatographic Technique (ICT), respectively. A total of 6311 blood donations were evaluated. The majority of the donations (92%) were from (VNRBD) voluntary non-remunerated blood donation, while only 8% came from replacement donors. RESULTS: Amongst 6311 blood donations, 1.50 % (n = 95) were infected at least with one pathogen, HBV positive cases were 0.855 % (n = 54), HCV positive cases were 0.316% (n = 20), syphilis positive were 0.30% (n = 19) and MP positive cases were only 0.031% (n = 2). HBV, HCV, syphilis and malaria infections rates were found to be low as compared to the previous data published, while no case was reported for HIV. The study also revealed the distribution pattern of the aforementioned pathogens in blood groups and the Rh type system of the reactive samples. CONCLUSION: The lower reported in our study indicates the awareness among the people of Peshawar about TTIs and their precautions. The prevalence rate that we are reporting is less than previously published articles in the same domain.


Asunto(s)
Infecciones por VIH , Hepatitis B , Hepatitis C , Sífilis , Reacción a la Transfusión , Humanos , Infecciones de Transmisión Sanguínea , Sífilis/epidemiología , Hepatitis B/epidemiología , Infecciones por VIH/epidemiología , Donantes de Sangre , Prevalencia , Estudios Retrospectivos , Pakistán/epidemiología , Estudios Transversales , Estudios Seroepidemiológicos , Hepatitis C/epidemiología , Reacción a la Transfusión/epidemiología , Virus de la Hepatitis B , Hepacivirus , VIH
8.
Int J Biol Macromol ; 222(Pt A): 887-901, 2022 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-36179868

RESUMEN

The evolution and development of solid-matrix are considered a backbone for supporting and stabilizing of metal nanoparticles (NPs) and are the soul of the catalytic system. In the current study, the alginate-starch microsphere (Alg-St) was cross-linked using CaCl2 as a cross-linker. In addition, the Alg-St microsphere was blended with different percentages of activated carbon (AC). The microspheres adsorbed Cu+2 was reduced to zero-valent copper NPs through NaBH4 and used as a dip-catalyst. The supported Cu NPs cum NaBH4 system was used as dip-catalyst for the hydrogenation of 4-nitrophenol (4NP), 2-nitroanilline (2NA), and degradation of methylene blue (MB) and Congo red (CR) dyes. Among the different kinetics models, the experimental data were well-fitted in the zero-order kinetic model. Moreover pH, and recyclability were studied for 4NP, where the best activity was achieved at pH 7.0 for 4NP. No leaching was observed after 3rd cycle in the catalyst.


Asunto(s)
Colorantes , Nanopartículas del Metal , Carbón Orgánico , Microesferas , Hidrogenación , Alginatos , Almidón , Catálisis
9.
J Environ Manage ; 316: 115193, 2022 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-35550954

RESUMEN

To explore the diversity and distribution characteristics of soil arbuscular mycorrhizae fungi (AMF) communities in the soft sandstone area, thirteen arsenic sandstone rock samples were collected from three planting plots (SI, SII and SIII) and one bare control plot (CK), separately. The sampling locations are as follows: the top of the slope (denoted by the number 1), sunny slope (2), shady slope (3) and gully bottom (4). These samples were then tested with an Illumina HiSeq PE250 high-throughput sequencing platform. Experimental results show that the SIII4 sample (from the gully bottom of the SIII plot) has the highest moisture content of 9.1%, while the CK sample in the control plot has lowest moisture content. SI2 has the highest pH of 9.58 and CK has the lowest pH of 8.73. SII1 has the highest available phosphorus (AP) content of 9.61 mg/kg, while SII3 has the lowest AP content of 2.29 mg/kg. Furthermore, SI2 has the highest NH4-N content of 11.24 mg/kg, while SII1 has the lowest NH4-N of 4.09 mg/kg. SII1 has the highest available potassium (AK) content of 48.92 mg/kg and CK has the lowest AK content of 1.82 mg/kg. In the observed-species index reflecting AMF genetic diversity, SI1 differences significantly from SII4 and SIII3 (P < 0.05). In the Shannon index, SI1 is significantly different from SI2, SI3, SI4; SII2 is significantly different from SII3; SI2, SI4, SII1 and SII3 are quite different from CK (P < 0.05). The dominant genera of AMF in these plots include Glomus (17.24%-65.53%), Scutellospora (0.04%-67.38%), Septoglomus (2.83%-43.03%) and Kamienskia (0.64%-46.38%). The dominant genera of AMF vary significantly between sunny slope and shady slope. Positive correlation exists between soil NH4-N and the AM fungal community structure. There are prominent positive correlations exist among genetic diversity index chao1, observed-species, pH and AP (P < 0.05), and obviously negative correlation between observed species and AK (P < 0.05). The research findings on the distribution characteristics of AM fungus community in the arsenic sandstone plot and their relationship with environmental factors can help with arsenic sandstone management in other similar areas.


Asunto(s)
Arsénico , Glomeromycota , Micobioma , Micorrizas , Hongos/genética , Micorrizas/genética , Fósforo , Suelo/química , Microbiología del Suelo
10.
J Environ Manage ; 315: 115149, 2022 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-35500485

RESUMEN

Coal gasification is one of the most promising clean coal technologies. However, gasification process also produces a huge amount of solid waste of high carbon content, named coal gasification fine slag. The coal gasification fine slag is mainly handled by landfilling, which is not only a hazardous pollution, but also wasting the energy from residual carbon. Developing a technology to utilize coal gasification fine slag and recover the residual carbon is becoming essential for an eco-friendly coal chemical industry. In this paper, the enrichment behavior of residual carbon in coal gasification fine slag by a spiral separator is studied. The raw coal gasification fine slag sample and separator products are characterized on particle size distribution, size-depending ash content, reactivity, micromorphology and porous structure. The experimental results show that the spiral separator is efficient to remove ash and enriched carbonaceous components in coal gasification fine slag by separating feed (100%) into concentrate (81.2%), middlings (8.8%), and tailings (10.08%), where the ash content in tailings is up to 90%, accounting for 18.5% of total ash in feeding. The beneficial product "concentrate" has a good distribution of size-depending ash content, that most combustibles are enriched in these particles of diameter >100 µm. After spiral separator, the concentrate products have a more pure and developed porous structure with the surface area increasing from 199.8 m2/g (feeding) to 231.8 m2/g, as well as a better combustion reactivity of lower ignition temperature compared with feedings. Accordingly, an economic and feasible combination process of spiral separator connecting sieve can produce an enriched-carbon product of ∼45% yield and ∼80% carbonaceous content. The Iodine adsorption ability of sieved products increases by 47.6% compared with feed, and reaches up to about half of industry activated carbon. The finally sieved concentrate products have a good market prospect as fuel and adsorbent.

11.
Gels ; 8(3)2022 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-35323280

RESUMEN

Hydrogels are three-dimensional, cross-linked, and supramolecular networks that can absorb significant volumes of water. Hydrogels are one of the most promising biomaterials in the biological and biomedical fields, thanks to their hydrophilic properties, biocompatibility, and wide therapeutic potential. Owing to their nontoxic nature and safe use, they are widely accepted for various biomedical applications such as wound dressing, controlled drug delivery, bone regeneration, tissue engineering, biosensors, and artificial contact lenses. Herein, this review comprises different synthetic strategies for hydrogels and their chemical/physical characteristics, and various analytical, optical, and spectroscopic tools for their characterization are discussed. A range of synthetic approaches is also covered for the synthesis and design of hydrogels. It will also cover biomedical applications such as bone regeneration, tissue engineering, and drug delivery. This review addressed the fundamental, general, and applied features of hydrogels in order to facilitate undergraduates, graduates, biomedical students, and researchers in a variety of domains.

12.
J Healthc Eng ; 2022: 1563707, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35154616

RESUMEN

According to statistics, stroke is the second or third leading cause of death and adult disability. Stroke causes losing control of the motor function, paralysis of body parts, and severe back pain for which a physiotherapist employs many therapies to restore the mobility needs of everyday life. This research article presents an automated approach to detect different therapy exercises performed by stroke patients during rehabilitation. The detection of rehabilitation exercise is a complex area of human activity recognition (HAR). Due to numerous achievements and increasing popularity of deep learning (DL) techniques, in this research article a DL model that combines convolutional neural network (CNN) and long short-term memory (LSTM) is proposed and is named as 3-Layer CNN-LSTM model. The dataset is collected through RGB (red, green, and blue) camera under the supervision of a physiotherapist, which is resized in the preprocessing stage. The 3-layer CNN-LSTM model takes preprocessed data at the convolutional layer. The convolutional layer extracts useful features from input data. The extracted features are then processed by adjusting weights through fully connected (FC) layers. The FC layers are followed by the LSTM layer. The LSTM layer further processes this data to learn its spatial and temporal dynamics. For comparison, we trained CNN model over the prescribed dataset and achieved 89.9% accuracy. The conducted experimental examination shows that the 3-Layer CNN-LSTM outperforms CNN and KNN algorithm and achieved 91.3% accuracy.


Asunto(s)
Redes Neurales de la Computación , Accidente Cerebrovascular , Algoritmos , Terapia por Ejercicio , Actividades Humanas , Humanos , Accidente Cerebrovascular/diagnóstico
13.
Echocardiography ; 38(12): 1988-1998, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34555216

RESUMEN

BACKGROUND: Diastolic function (DF) guidelines have been simplified but lack extensive outcome data. Using a rural university heart failure (HF) database, we assessed whether DF grading could predict HF, HF readmission, and all-cause mortality (ACM). METHODS: In this single-center retrospective study that included 613 patients in sinus rhythm hospitalized for HF (HF with preserved-254 patients, with mid-range-216 patients, and reduced ejection fraction-143 patients), we recorded demographics, Doppler-echo, Framingham HF score, laboratories, HF readmission, and ACM with follow-up to 2167 days. RESULTS: Diastolic dysfunction (Ddys) parameters (left atrial volume index [LAVI] > 34 ml/m2 , tricuspid regurgitation [TR] velocity > 2.8 m/sec, and E/e' > 14) had moderate sensitivity (46.2%-65.0%) for predicting HF among all phenotypes combined with DF grading having moderate predictability and additive to a clinical composite for HF prediction (AUC = .677, P < 0.0001; difference = .043, P < 0.001) for combined phenotypes. Ddys parameters and Ddys severity (2016 ASE criteria: grade II and III) were significantly associated with HF readmission for decompensated HF within 60-2167 days of follow-up (LAVI > 34 ml/m2 : HR 1.56 [1.26-2.19]; E/e' > 14: HR 1.44 [1.21-1.99]; TR > 2.8 m/sec: H1.43 [1.19-1.88]; LV Dys grade II: HR 2.12 [1.42-2.96]; LV Ddys grade III: HR 2.39 [1.57-4.82]). CONCLUSION: The findings of this study highlight the clinical and prognostic relevance of determining the severity of LV Ddys in patients with HF with regard to HF verification and HF readmission.


Asunto(s)
Insuficiencia Cardíaca , Readmisión del Paciente , Ecocardiografía , Insuficiencia Cardíaca/diagnóstico por imagen , Humanos , Estudios Retrospectivos , Volumen Sistólico
14.
Environ Sci Pollut Res Int ; 28(39): 54986-55002, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34125388

RESUMEN

Potentially toxic elements (PTEs) are a major source of pollution due to their toxicity, persistence, and bio-accumulating nature in riverine bed sediments. The sediment, as the largest storage and source of PTEs, plays an important role in transformation of mercury (Hg), lead (Pb), nickel (Ni), chromium (Cr), copper (Cu), zinc (Zn), and other toxic PTEs. Several important industrial hubs that contain a large population along the banks of different rivers, such as Kabul, Sutlej, Ravi, Jhelum, and Chenab in Pakistan, are acting as major sources of PTEs. In this study, 150 bed sediment samples (n=30 from each river) were collected from different sites. Total (acid extracted) PTE (Hg, Cu, Cr, Ni, Zn, and Pb) concentrations in bed sediments were determined using inductively coupled plasma mass spectrometry (ICP-MS). Sediment pollution indices were calculated in the major rivers of Pakistan. The results demonstrated high levels of Hg and Ni concentrations which exceeded the guideline standards of river authorities in the world. The contamination factor (CF) and contamination degree (CD) indices for Hg, Ni, and Pb showed a moderate to high (CF≥6 and CD≥24) contamination level in all the selected rivers. The values of geo-accumulation index (Igeo) were also high (Igeo≥5) for Hg and Pb and heavily polluted for Ni, while Cr, Cu, and Zn showed low to unpolluted (Igeo) values. Similarly, the enrichment factor (EF) values were moderately severe (5≤EF≤10) for Hg, Pb, and Ni in Sutlej, Ravi, and Jhelum, and severe (10≤EF≤25) in Kabul and Jhelum. Moreover, Hg and Ni showed severe to very severe enrichment in all the sampling sites. The ecological risk index (ERI) values represented considerable, moderate, and low risks, respectively, for Hg (The ERI value should not be bold. Please unbold the  ERI in the whole paper. It should be same like RI, CD and EF. [Formula: see text]≥160), Pb and Ni (40≤[Formula: see text]≤80), and Cr, Cu, and Zn ([Formula: see text]≤40). Similarly, potential ecological risk index (PERI) values posed considerable (300≤RI≤600) risk in Ravi and moderate (150≤RI≤300) in Kabul and Jhelum, but low (RI≤150) risk in Ravi and Chenab. On the basis of the abovementioned results, it is concluded that bed sediment pollution can be dangerous for both ecological resources and human beings. Therefore, PTE contamination should be regularly monitored and a cost-effective and environmentally friendly wastewater treatment plant should be installed to ensure removal of PTEs before the discharge of effluents into the freshwater ecosystems.


Asunto(s)
Ecosistema , Sedimentos Geológicos/química , Ríos , Contaminantes del Agua/análisis , Análisis Costo-Beneficio , Monitoreo del Ambiente , Pakistán
15.
Cureus ; 13(4): e14708, 2021 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-34055548

RESUMEN

Objective The aim of this study was to assess patient satisfaction and experiences of teleconsultation in gastroenterology. Methodology Patients who had telephone consultations for gastroenterology and hepatology conditions were contacted, and their responses to questions in a structured questionnaire were recorded. The survey responses were compiled into a Microsoft Excel spreadsheet (2016 version) and formatted using qualitative representation. Results A total of 98 patients participated in this survey. The majority of the survey participants were less than 70 years of age (n=69) and more males than females (51 versus 47). Of the patients, 76 (77.5%) were satisfied with their consultations. The positive experiences, as perceived by the participants, were cost, avoidance of travel time and not having to take time off work. The negative experience perceived by the patients was lack of information regarding their condition. Conclusion Our study discovered that our patients perceived telemedicine as an effective way of catering for their healthcare needs with good satisfaction rates. This can be used as an adjunct to the traditional face-to-face appointment system to provide uninterrupted healthcare to gastroenterology and hepatology patients during and after the COVID-19 pandemic.

16.
J Environ Manage ; 290: 112690, 2021 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-33901829

RESUMEN

Pressurized oxy-combustion is an emerging and more efficient technology for carbon capture, utilization, and storage than the first generation (atmospheric) oxy-combustion. NOx is a major conventional pollutant produced in pressurized oxy-combustion. In pressurized oxy-combustion, the utilization of latent heat from moisture and removal of acid gases (NOx and SOx) are mainly conducted in an integrated direct-contact wash column. Recent studies have shown that NOx particular inlet concentration should be maintained before direct contact wash column to remove NOx and SOx efficiently. As a result, minimizing NOx for environmental reasons, avoiding corrosion in carbon capture, utilization, and storage, and achieving effective NOx and SOx removal in direct contact wash columns are crucial. Reburning is a capable and affordable technology for NOx reduction; however, this process is still less studied at elevated pressure, particularly in pressurized oxy-combustion. In this paper, the kinetic evaluation and optimization study on NOx reduction by reburning under pressurized oxy-combustion was conducted. First, the most suitable mechanism was selected by comparing the results of different kinetic models with the experimental data in literature at atmospheric and elevated pressures. Based on the validated mechanism, a variety of parameters were studied at high pressure, i.e., comparing the effects of oxy and the air environment, different reburning fuels, residence time, H2O concentration, CH4/NO ratio, and equivalence ratio on the NO reduction. The results show that de-NOx efficiency in an oxy environment is significantly enhanced compared to the air environment. Improvement in the de-NOx efficiency is considerably higher with a pressure increase of up to 10 atm, but the effect is less prominent above 10 atm. The formation of HCN is significantly reduced while the N2 formation is enhanced as the pressure increases from 1 to 10 atm. The residence time required for the maximum NO reduction decreases as the pressure increases from 1 atm to 15 atm. At the higher pressure, the NO reduction rises prominently when the ratio of CH4/NO increases from 1 to 2; however, the effect fades after that. At higher pressure, the NO reduction by CH4 reburning decreases as the H2O concentration increases from 0 to 35%. The optimum equivalence ratio and high pressure for maximum NO reduction are 1.5 and 10 atm, respectively. This study could provide guidance for designing and optimizing a pressurized reburning process for NOx reduction in POC systems.


Asunto(s)
Contaminantes Atmosféricos , Gases , Contaminantes Atmosféricos/análisis , Calor , Cinética
17.
Eur J Hum Genet ; 29(6): 1008-1018, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33637889

RESUMEN

To elucidate whether Bronze Age population dispersals from the Eurasian Steppe to South Asia contributed to the gene pool of Indo-Iranian-speaking groups, we analyzed 19,568 mitochondrial DNA (mtDNA) sequences from northern Pakistani and surrounding populations, including 213 newly generated mitochondrial genomes (mitogenomes) from Iranian and Dardic groups, both speakers from the ancient Indo-Iranian branch in northern Pakistan. Our results showed that 23% of mtDNA lineages with west Eurasian origin arose in situ in northern Pakistan since ~5000 years ago (kya), a time depth very close to the documented Indo-European dispersals into South Asia during the Bronze Age. Together with ancient mitogenomes from western Eurasia since the Neolithic, we identified five haplogroups (~8.4% of maternal gene pool) with roots in the Steppe region and subbranches arising (age ~5-2 kya old) in northern Pakistan as genetic legacies of Indo-Iranian speakers. Some of these haplogroups, such as W3a1b that have been found in the ancient samples from the late Bronze Age to the Iron Age period individuals of Swat Valley northern Pakistan, even have sub-lineages (age ~4 kya old) in the southern subcontinent, consistent with the southward spread of Indo-Iranian languages. By showing that substantial genetic components of Indo-Iranian speakers in northern Pakistan can be traced to Bronze Age in the Steppe region, our study suggests a demographic link with the spread of Indo-Iranian languages, and further highlights the corridor role of northern Pakistan in the southward dispersal of Indo-Iranian-speaking groups.


Asunto(s)
Evolución Molecular , Genoma Mitocondrial/genética , Migración Humana , Humanos , Pakistán , Secuenciación Completa del Genoma
18.
Environ Geochem Health ; 43(9): 3615-3624, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33606135

RESUMEN

This study aimed to determine the status of groundwater contamination with faecal coliform and nitrate in the rural areas of Mardan district, Pakistan. Both analytes require regular monitoring according to the National Environmental Quality Standards (NEQS) of Pakistan. Groundwater samples (n = 100) were collected from 25 villages across four zones. Samples were analysed for physicochemical parameters including pH, electrical conductivity (EC), Escherichia coli (E. coli) contamination, nitrite, and nitrate ([Formula: see text] and [Formula: see text]). Whilst the average concentrations of [Formula: see text] in the water samples were within the permissible limits of 50 mg L-1 set by the World Health Organisation (WHO) and NEQS two villages exceeded the safety limits. Non-carcinogenic health risks of [Formula: see text] were estimated in terms of average daily dose (ADD) and hazard quotient (HQ). The HQ values for [Formula: see text] were > 1 for children signifying potential health risks; however, the adult population had HQ < 1 which indicates no risk. Groundwater samples tested positive for E. coli contamination in 13 villages, suggesting that residents may be living at risk of various microbial diseases due to drinking of contaminated water. The findings of this study provide valuable baseline data for groundwater researchers, policymakers, and the local public health department.


Asunto(s)
Agua Potable , Agua Subterránea , Contaminantes Químicos del Agua , Adulto , Niño , Agua Potable/análisis , Monitoreo del Ambiente , Escherichia coli , Humanos , Nitratos/análisis , Pakistán , Medición de Riesgo , Contaminantes Químicos del Agua/análisis
19.
Parasite ; 28: 3, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33416491

RESUMEN

This study was conducted in four districts (Malakand, Swat, Bajaur and Shangla) of Northern Pakistan to investigate the prevalence, associated risk factors and phylogenetic analyses of Theileria and Anaplasma species in small ruminants. A total of 800 blood samples, 200 from each district, were collected from apparently healthy animals. PCR assays were performed using generic primers for Anaplasma spp. and Theileria spp. as well as species specific primers for A. ovis and T. ovis. Overall infection prevalence was 361/800 (45.1%). Theileria spp. infection prevalence (187/800, 23.3%) was higher than Anaplasma spp. (174/800, 21.7%). Amplified partial 18S rRNA genes were sequenced and enrolled animals were found to be infected by T. ovis (115/800, 14.3%), and at least two more Theileria species (72/800, 9%) were present (T. lestoquardi and T. annulata). All blood samples that were found to be positive for Anaplasma spp. were also positive for A. ovis. Infection prevalence was higher in sheep (227/361, 28.3%) compared to goats (134/361, 16.6%) (p < 0.005). Univariable analysis of risk factors showed that host, age, grazing system and acaricide treatment were significant determinants (p < 0.05) for both Theileria and Anaplasma infections. Multivariable analysis revealed that host, sex, age, tick infestation and grazing system were significant risk factors (p < 0.005) for both pathogens. Phylogenetic analysis revealed variants among the A. ovis and T. annulata samples analysed, indicating that different genotypes are circulating in the field while T. ovis presented the same genotype for the samples analysed.


TITLE: Prévalence moléculaire, caractérisation et facteurs de risque associés d'Anaplasma spp. et Theileria spp. chez les petits ruminants du nord du Pakistan. ABSTRACT: Cette étude a été menée dans quatre districts (Malakand, Swat, Bajaur et Shangla) du nord du Pakistan pour étudier la prévalence, les facteurs de risque associés et les analyses phylogénétiques des espèces de Theileria et Anaplasma chez les petits ruminants. Au total, 800 échantillons de sang, 200 de chaque district, ont été prélevés sur des animaux apparemment sains. Les tests PCR ont été réalisés en utilisant des amorces génériques pour Anaplasma spp. et Theileria spp. ainsi que des amorces spécifiques à l'espèce pour A. ovis et T. ovis. La prévalence globale de l'infection était de 361/800 (45,1 %). La prévalence de l'infection à Theileria spp. (187/800, 23,3 %) était plus élevée que celle d'Anaplasma spp. (174/800, 21,7 %). Le gène de l'ARNr partiel 18S amplifié a été séquencé et les animaux concernés se sont révélés infectés par T. ovis (115/800, 14,3 %) et au moins deux autres espèces de Theileria (72/800, 9 %) étaient présentes (T. lestoquardi et T. annulata). Tous les échantillons de sang trouvés positifs pour Anaplasma spp. ont également été trouvés positifs pour A. ovis. La prévalence de l'infection était plus élevée chez les moutons (227/361, 28,3 %) que chez les chèvres (134/361, 16,6 %) (p < 0,005). Une analyse univariée des facteurs de risque a montré que l'hôte, l'âge, le système de pâturage et le traitement acaricide étaient des déterminants significatifs (p < 0,05) pour les infections à Theileria et Anaplasma. L'analyse multivariée des facteurs de risque a révélé que l'hôte, le sexe, l'âge, l'infestation par les tiques et le système de pâturage étaient des éléments de facteurs de risque importants (p < 0,005) pour les deux agents pathogènes. L'analyse phylogénétique a révélé des variantes parmi les échantillons d'A. ovis et de T. annulata analysés indiquant que différents génotypes circulent sur le terrain tandis que T. ovis présentait le même génotype pour tous les échantillons analysés.


Asunto(s)
Anaplasmosis , Enfermedades de las Ovejas , Theileriosis , Anaplasma/genética , Anaplasmosis/epidemiología , Anaplasmosis/parasitología , Animales , Femenino , Enfermedades de las Cabras/epidemiología , Enfermedades de las Cabras/parasitología , Cabras , Masculino , Pakistán/epidemiología , Filogenia , Prevalencia , ARN Ribosómico 18S/genética , Factores de Riesgo , Ovinos , Enfermedades de las Ovejas/epidemiología , Enfermedades de las Ovejas/parasitología , Theileria/genética , Theileriosis/epidemiología , Theileriosis/parasitología
20.
J Med Genet ; 58(12): 815-831, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-33172956

RESUMEN

BACKGROUND: Pathogenic variants of GNB5 encoding the ß5 subunit of the guanine nucleotide-binding protein cause IDDCA syndrome, an autosomal recessive neurodevelopmental disorder associated with cognitive disability and cardiac arrhythmia, particularly severe bradycardia. METHODS: We used echocardiography and telemetric ECG recordings to investigate consequences of Gnb5 loss in mouse. RESULTS: We delineated a key role of Gnb5 in heart sinus conduction and showed that Gnb5-inhibitory signalling is essential for parasympathetic control of heart rate (HR) and maintenance of the sympathovagal balance. Gnb5-/- mice were smaller and had a smaller heart than Gnb5+/+ and Gnb5+/- , but exhibited better cardiac function. Lower autonomic nervous system modulation through diminished parasympathetic control and greater sympathetic regulation resulted in a higher baseline HR in Gnb5-/- mice. In contrast, Gnb5-/- mice exhibited profound bradycardia on treatment with carbachol, while sympathetic modulation of the cardiac stimulation was not altered. Concordantly, transcriptome study pinpointed altered expression of genes involved in cardiac muscle contractility in atria and ventricles of knocked-out mice. Homozygous Gnb5 loss resulted in significantly higher frequencies of sinus arrhythmias. Moreover, we described 13 affected individuals, increasing the IDDCA cohort to 44 patients. CONCLUSIONS: Our data demonstrate that loss of negative regulation of the inhibitory G-protein signalling causes HR perturbations in Gnb5-/- mice, an effect mainly driven by impaired parasympathetic activity. We anticipate that unravelling the mechanism of Gnb5 signalling in the autonomic control of the heart will pave the way for future drug screening.


Asunto(s)
Arritmias Cardíacas/genética , Discapacidades del Desarrollo/genética , Subunidades beta de la Proteína de Unión al GTP/genética , Corazón/fisiopatología , Mutación , Transducción de Señal/genética , Adolescente , Animales , Arritmias Cardíacas/fisiopatología , Niño , Preescolar , Discapacidades del Desarrollo/fisiopatología , Femenino , Subunidades beta de la Proteína de Unión al GTP/metabolismo , Perfilación de la Expresión Génica/métodos , Frecuencia Cardíaca/genética , Frecuencia Cardíaca/fisiología , Humanos , Masculino , Ratones Endogámicos C57BL , Ratones Noqueados , Linaje , Síndrome , Secuenciación del Exoma/métodos , Adulto Joven
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