Prediction of Equipment Effectiveness using Hybrid Moving Average-Adaptive Neuro Fuzzy Inference System (MA-ANFIS) for decision support in Bus Body Building Industry.

Managers are driven to accomplish significantly higher levels of operational performance due to the difficulty of today's dynamic production environment. Typically, the precision of production facilities and the efficiency of manufacturing systems are significant variables in productivity. Thus, predicting machine performance has become an inevitable challenge for production managers. However, the question of how managers can reliably assess the effectiveness of equipments for resource allocation remains unaddressed properly. This issue has received little attention in previous research, but it is important in today's manufacturing environment. This study introduces a hybrid moving average - adaptive neuro-fuzzy inference system (MA-ANFIS) to predict the possible effectiveness of equipment. Three real-world problems are considered when developing and evaluating three distinct equipment effectiveness prediction models. The evaluation confirms that the hybrid MA-ANFIS model based on Gaussian membership function outperforms other developed models. This comprehensive solution is packaged as a decision support system. This aids production managers in evaluating the equipment effectiveness, and effectively improving equipment's performance to reduce time and cost of bus body building.

Quality of sleep in Trinidad among the adult population

Objective: Sleep is a determinant of a positive life which is heavily influenced by the individual's lifestyle. The objectives of the study were to: (i) assess the quality of sleep among the Trinidad population and effects of associated demographics; (ii) assess the determinants of poor sleep quantity and quality; and (iii) evaluate participant's knowledge about sleep and importance of sleep. Design and Methodology: A cross-sectional study among the residents of Trinidad aged 18 and above was conducted from 18th May 2018 to 30th June 2018. Nonprobability convenience sampling was utilized to obtain information at public malls including: Trincity Mall, Gulf City Mall, Long Circular Mall, West mall and Valpark Mall. Results: 1505 participants were interviewed with 56.1% being poor sleepers while 43.9% were good sleepers. Participants over 40 years were found to have the lowest percentage of good sleepers. Diabetes Mellitus and sex were not found to be a significant determinant of sleep quality (p= 0.865; p=0.351 respectively). Employment status was associated with sleep quality (p <0.001). Night shift workers were more likely than other persons to report bad sleep quality was. Persons who lived in noisy areas and were also poor sleepers. Conclusion: The determinants of sleep quality in the adult Trinidad population were found to be older age, night shift workers and persons who lived in noisy areas or streets.

Survivin siRNA increases sensitivity of primary cultures of ovarian cancer cells to paclitaxel.

PURPOSE: This aim of this study was to use ovarian cancer cells shed in ascitic fluid to establish primary cultures and subsequently use it to detect drug resistance to paclitaxel. Survivin siRNA was used to down regulate survivin expression and effect on paclitaxel resistance was also evaluated. METHODOLOGY: Ascitic fluid along with corresponding primary tumor tissue was collected from twenty untreated epithelial ovarian cancer patients. Ten primary cultures were established from ascites obtained from untreated ovarian cancer patients in MCDB 105 and M199 medium (ratio 1:1). Knockdown of survivin was done using siRNA and sensitivity to paclitaxel was evaluated by MTT assay. RESULTS: Grape-like clusters of ovarian cancer cells present in ascites attached and gave a characteristic cobble stone appearance. Treatment with survivin siRNA resulted in a fivefold decrease in survivin expression in primary cultures. Survivin siRNA treatment significantly increased the sensitivity of the primary ovarian cancer cell cultures to paclitaxel. CONCLUSION: Ascitic cancer cells reflect the molecular profile of tumor and can be used to diagnose resistance to chemotherapy. This study also establishes that high survivin expression is also responsible for resistance to paclitaxel.

Three novel input logic gates supported by fluorescence studies: organic nanoparticles (ONPs) as chemo-sensor for detection of Zn²âº and Al³âº in aqueous medium.

Organic nanoparticles (ONPs) of N,N'-ethylenebis(salicylimine) (salen) were synthesized and applied for specific recognition of Zn(2+) and Al(3+) ions in an aqueous medium. The results show that fluorescence intensity rises with the increasing concentration of Zn(2+) in salen solution, proving that salen-ONPs detect Zn(2+) efficiently in the aqueous medium as chemo-sensor. Furthermore, the salen-ONPs/Zn(2+) system performs as an ON-OFF switch between pH 6.0 and 4.0. Amusingly, although salen-ONPs/Al(3+) does not show any significant effect in the fluorescence spectra, highest fluorescence intensity was observed when Al(3+) ion was added to salen-ONPs/Zn(2+) in a sequential order (addition of Zn(2+) to salen-ONPs, followed by Al(3+)). This system can be applied as a novel three inputs logic gate supported by the fluorescence for the detection of Zn(2+) and Al(3+) in biological and environmental samples. It appears that photo induced electron transfer (PET) occurs in the salen-ONPs when the fluorophore is excited. For salen/Zn(2+) system, the PET is being inhibited considerably by lowering the receptor HOMO energy due to the formation of a bond between the metal ion and ligand, enhancing the fluorescence emission. This is consistent with the theoretical study that the energy of HOMO of the ligand is lower than that of Zn(salen)(2+) complex.

Substance use among university students at the St Augustine Campus of The University of the West Indies / Uso de sustancias entre los estudiantes universitarios en el Campus de Saint Augustine de la Universidad de West Indies

OBJECTIVE: Substance use and abuse is a well known public health risk that peaks in persons between 18 and 25 years of age and is prevalent among university students. While this has been repeatedly documented in developed nations, there have been limited studies in the English-speaking Caribbean. This study therefore sought to assess the prevalence of alcohol, tobacco and marijuana use among university students in the English-speaking Caribbean and any associated risk factors. METHODS: The study was designed as a descriptive, cross-sectional study to assess substance use in full-time, undergraduate students of The University of the West Indies (UWI), Trinidad and Tobago, over a six-month period. Questionnaires were distributed and students asked to self-report on their use of alcohol, tobacco and marijuana during the preceding six months. RESULTS: The six-month prevalence rate for alcohol was 70% and 28% of students were identified as regular users. Binge drinking was estimated at 31%. Muslims were least likely to have used alcohol when compared to other religious groupings. The prevalence rate for tobacco and marijuana was 17% and 13%, respectively. Ten per cent used all three substances. The use ofall three substances was associated with multiple problems. CONCLUSION: We conclude that substance use is common among many students of the UWI but generally lower than reports from other regions of the world. Despite this, substance use is associated with a number ofproblems and immediate educational interventions may be necessary to assist students in making informed and responsible choices.

OBJETIVO: El uso y abuso de sustancias es un riesgo bien conocido de la salud pública, que alcanza sus niveles más altos en personas entre los 18 y 25 años de edad, y es prevaleciente entre estudiantes universitarios. Si bien este fenómeno ha sido documentado una y otra vez en países desarrollados, los estudios en el Caribe anglófono han sido limitados. Por lo tanto, este estudio se propuso evaluar la prevalencia del uso del alcohol, el tabaco, y la marihuana, entre los estudiantes universitarios del Caribe angloparlante, y cualquier factor de riesgo asociado. MÉTODOS: El estudio se diseñó como un estudio descriptivo transversal para evaluar el uso de sustancias en estudiantes de pregrado a tiempo completo en la Universidad de West Indies (UWI), Trinidad y Tobago, por un periodo de seis meses. Se distribuyeron encuestas y se les pidió a los estudiantes entregar auto-reportes sobre el uso que habían hecho del alcohol, el tabaco y la marihuana en los seis meses precedentes. RESULTADOS: La tasa de prevalencia de seis meses para el alcohol fue del 70% y 28% de los estudiantes fueron identificados como usuarios regulares. El consumo de alcohol en forma de borracheras deliberadas se estimó en un 31%. Los musulmanes fueron los menos propensos al consumo de alcohol, en comparación con los restantes grupos religiosos. La tasa de prevalência para el tabaco y la marihuana fue de 17% y 13% respectivamente. El diez por ciento hacía uso de las tres sustancias. El uso de las tres sustancias estaba asociado a múltiples problemas. CONCLUSIÓN: Concluimos que el uso de sustancias es común entre muchos estudiantes de UWI, pero de modo general se halla por debajo de lo que se reporta desde otras regiones del mundo. No obstante, el uso de sustancias se encuentra asociado con un número de problemas, y puede que se requieran intervenciones educacionales inmediatas para ayudar a los estudiantes, de modo que estos puedan tomar decisiones responsables e informadas.

Substance use among university students at the St Augustine campus of the University of the West Indies.

OBJECTIVE: Substance use and abuse is a well known public health risk that peaks in persons between 18 and 25 years of age and is prevalent among university students. While this has been repeatedly documented in developed nations, there have been limited studies in the English-speaking Caribbean. This study therefore sought to assess the prevalence of alcohol, tobacco and marijuana use among university students in the English-speaking Caribbean and any associated risk factors. METHODS: The study was designed as a descriptive, cross-sectional study to assess substance use in full-time, undergraduate students of The University of the West Indies (UWI), Trinidad and Tobago, over a six-month period. Questionnaires were distributed and students asked to self-report on their use of alcohol, tobacco and marijuana during the preceding six months. RESULTS: The six-month prevalence rate for alcohol was 70% and 28% of students were identified as regular users. Binge drinking was estimated at 31%. Muslims were least likely to have used alcohol when compared to other religious groupings. The prevalence rate for tobacco and marijuana was 17% and 13%, respectively Ten per cent used all three substances. The use of all three substances was associated with multiple problems. CONCLUSION: We conclude that substance use is common among many students of the UWI but generally lower than reports from other regions of the world. Despite this, substance use is associated with a number of problems and immediate educational interventions may be necessary to assist students in making informed and responsible choices.

Phenotypic and RAPD diversity among 80 germplasm accessions of the medicinal plant isabgol (Plantago ovata, Plantaginaceae).

Plantago ovata, popularly known as isabgol, has great commercial and medicinal importance due to thin rosy white membranous seed husk. Isabgol seeds and husks have emollient, demulcent and laxative properties. We used both biometric and molecular techniques to assess the genetic variability and relatedness of 80 germplasm accessions of Plantago spp (P. ovata, P. lanceolata, and P. major) collected both from India and abroad. The range of D2 values (2.01-4890.73) indicated a very high degree of divergence among the accessions. Based on the degree of divergence, 80 accessions/genotypes were grouped into seven clusters. Thirty-six accessions were analyzed through RAPD profiling for similarity and genetic distances, using 20 random primers. Intraspecific differences in all three species were smaller [range for P. ovata (2-17%), P. lanceolata (3-15%), P. major (2-11%)] than interspecific diversity. These highly divergent lines could be used to produce superior hybrids.

Genetics of quantitative and qualitative traits of isabgol (Plantago ovata).

Isabgol is a medicinal plant known for its high-quality dietary fiber. The genetics and inheritance of economic characters, such as number of panicles, panicle length, seed yield, and swelling factor, were measured by diallel analysis of F(1) progenies from seven parents. The additive component of genetic variance was significant for days to flowering, plant height, branches/plant, peduncle length, panicle length, days to maturity, and swelling factor, whereas the dominance component of genetic variance was significant for all the characters except panicles/plant. Additivity was not significant for all the characters, indicating absence of non-allelic interactions (epistasis) in controlling gene expression. Heritability in the narrow sense was very high for panicle length, days to flowering, and plant height, and moderate for branches/plant, panicles/plant, days to maturity, seed yield, husk yield, and swelling factor. However, the degree of genetic improvement was only high for panicle length, seed yield and husk yield. We conclude that hybridizations, isolation of superior genotypes by sib selection and recurrent selection, and exploitation of hybrid vigor in specific parental-cross combinations are good strategies for isabgol crop improvement.

The Guillain-Barré syndrome following dengue fever.

A 44 year old female presented with fever, muscle aches, rash and a low platelet count. IgM antibody to dengue virus was positive. Two weeks later she developed a flaccid areflexic quadriparesis. Nerve conduction studies showed a predominantly demyelitinating sensory motor polyneuropathy consistent with Guillain-Barré syndrome. Despite the relatively common occurrence of dengue fever, an associated polyradiculoneuropathy is distinctly uncommon.

The Guillain-Barré syndrome following dengue fever

A 44 year old female presented with fever, muscle aches, rash and a low platelet count. IgM antibody to dengue virus was positive. Two weeks later she developed a flaccid areflexic quadriparesis. Nerve conduction studies showed a predominantly demyelitinating sensory motor polyneuropathy consistent with Guillain-Barré syndrome. Despite the relatively common occurrence of dengue fever, an associated polyradiculoneuropathy is distinctly uncommon.

Attitudes and practices of pesticide users in Saint Lucia, West Indies.

This article reports the results of a Saint Lucia survey, part of a larger program, that was the first to document the prevalence of suboptimal safety practices among vector control and farm workers using pesticides in the English-speaking Caribbean. Among other things, the survey found that many of 130 pesticide users surveyed were unaware that the skin and eyes were important potential routes of absorption. Over a quarter said they had felt ill at some point as a result of pesticide use. About half the respondents said they had received more than "introductory" training in safe pesticide use, and most said they always found labels or directions affixed to pesticide containers. However, about half said they never or only sometimes understood the labels, and many of those who said they understood did not always follow the instructions. About a quarter of the smokers said they smoked while using pesticides; about a sixth of the survey subjects said they ate food while using pesticides; and over 60% said they never wore protective clothing.

Attitudes and practices of pesticide users in Saint Lucia, West Indies

This article reports the results of a Saint Lucia survey, part of a larger program, that was the first to document the prevalence of suboptimal safety practices among vector control and farm workers using pesticides in the English-speaking Caribbean. Among other things, the survey found that many of 130 pesticide users surveyed were unaware that the skin and eyes were important potential routes of absorption. Over a quarter said had felt ill at some point as a result of pesticide use. About half the respondents said they had received more than "introductory" training in safe pesticide use, and most said they always found labels or directions affixed to pesticide containers. However, about half said they never or only sometimes understood the labels, and many of those who said they understood did not always follow the instructions. About a quarter of the smokers said they smoked while using pesticides; about a sixth of the survey subjects said they ate food while using pesticides; and over 60 percent said they never wore protective clothing

Relationship of cross-brain oxygen content difference, cerebral blood flow, and metabolic rate to neurologic outcome after near-drowning.

We evaluated the relationship of global cerebral blood flow, cross-brain oxygen content difference, cerebral metabolic rate for oxygen, intracranial pressure, and cerebral perfusion pressure to functional neurologic outcome in 12 comatose children on 2 consecutive days after near-drowning. Five children survived with functional neurologic outcome; five died and two survived with severe neurologic damage. Children who survived with functional neurologic outcome had a significantly higher cross-brain oxygen content difference (7.89 +/- 2.62 vs 3.91 +/- 1.59 ml/dl; p = 0.028) at 24 hours and a higher cerebral metabolic rate for oxygen 48 hours after admission (3.19 +/- 2.86 vs 0.96 +/- 0.45 ml/100 gm per minute; p = 0.030) compared with those who died or survived in a damaged state. There were no significant differences in global cerebral blood flow, intracranial pressure, and cerebral perfusion pressure between groups at either 24 or 48 hours. Our preliminary data suggest that a higher cross-brain content difference value is an important early variable associated with functional neurologic recovery after near-drowning. However, a single cross-brain oxygen content difference value must be interpreted with caution because considerable variability may occur among patient groups.

Arterial blood gases after coronary artery bypass surgery.

Coronary artery bypass graft (CABG) surgery adversely affects arterial blood gas (ABG) determinations. The purposes of this study were to assess serial changes in ABGs following bypass surgery and identify factors that may influence these changes. Room air ABGs were obtained preoperatively and on days 1, 2, 4, 6, and 8 postoperatively on 125 patients undergoing bypass surgery. Fifty-five patients (saphenous vein grafting [SVG] group) had only SVG grafting while 70 (internal mammary artery [IMA] group) received one (60 patients) or two (10 patients) IMA grafts in addition to the SVG grafts and were subjected to pleurotomy. The mean preoperative values (+/- SD) were as follows: PaO2, 75.1 +/- 7.7 mm Hg, P(A-a)O2, 20.9 +/- 7.5 mm Hg; PaCO2, 33.6 +/- 4.1 mm Hg; pH, 7.43 +/- 0.04; hemoglobin, 14.8 +/- 1.4 g/dl; and hematocrit, 44.2 +/- 3.9 percent. There was a large decrease in the PaO2 postoperatively. The nadir for the PaO2 (55.7 +/- 6.6 mm Hg) occurred on the second postoperative day. Eight days postoperatively, there were still significant abnormalities; the PaO2 was 65.7 +/- 7.3 mm Hg, the P(A-a)O2 was 33.2 +/- 8.8 mm Hg; the hemoglobin was 10.5 +/- 1.4 g/dl; and the hematocrit was 31.7 +/- 4.0 percent. The decrease in the PaO2 was particularly noteworthy given the large decrease in the hemoglobin and hematocrit. The changes in the PaO2 were not significantly correlated with the age, number of grafts, pump time, length of anesthesia, or endotracheal intubation or smoking history. Immediately postoperatively, changes were similar in both groups (p > 0.05); on the second postoperative day, the PaO2 had decreased 26.9 percent in the SVG group and 25.5 percent in the IMA group. However, the postoperative abnormalities resolved more slowly in the IMA group (p < 0.05). These observations suggest that the additional trauma to the lungs and chest wall in the IMA group (pleurotomy, the placing of pleural drains, etc) will result in a longer recovery time in the IMA group than in SVG group.

Uncoupled cerebral blood flow and metabolism after severe global ischemia in rats.

In a rat model of complete global brain ischemia (neck tourniquet) lasting either 3 min or 20 min, we monitored global CBF (sagittal sinus H2 clearance) and CMRO2 for 6 h to test the hypothesis that delayed postischemic hyperemia and uncoupling of CBF and CMRO2 occur depending on the severity of the insult. Early postischemic hyperemia occurred in both the 3-min and 20-min groups (p less than 0.05 vs. baseline values) and resolved by 15 min. Hypoperfusion occurred in the 3-min group between 15 and 60 min postischemia (approximately 23% reduction), and in the 20-min group from 15 to 120 min postischemia (approximately 50% reduction) (p less than 0.05), and then resolved. CMRO2 was not significantly different from baseline at any time after ischemia in the 3-min group. After 20 min of ischemia, however, CMRO2 was decreased (approximately 60%) throughout the postischemic period (p less than 0.05). At 5 min after ischemia, CBF/CMRO2 was increased in both groups but returned to baseline from 60 to 120 min postischemia. In the 3-min group, CBF/CMRO2 remained at baseline throughout the rest of the experiment. However, in the 20-min group, CBF/CMRO2 once again increased (approximately 100%), reaching a significant level at 180 min and remaining so for the rest of the 6-h period (p less than 0.05). These data demonstrate biphasic uncoupling of CBF and CMRO2 after severe (20 min) global ischemia in rats. This relatively early reemergence of CBF/CMRO2 uncoupling after 180 min of reperfusion is similar to that observed after prolonged cardiac arrest and resuscitation in humans.