Perception, attitude, and practice toward research among medical students in Hadhramout University, Yemen.

BACKGROUND: Research is an important element in the improvement of the quality of health services provided to the public. It is documented that globally; medical students apply research in their school life. In Hadhramaut University, medical students work on research in groups, and it is an important part of the curriculum. There is a formal assessment of the student's research, but there is still a gap regarding individual viewpoints and challenges faced. This study aimed to assess perception, attitude, and practice toward research among medical students at Hadhramout University. METHODS: This is a cross-sectional descriptive study which was conducted among medical students. This study was undertaken in Hadhramout University in Al-Mukalla district, Yemen, during the academic year 2016-2017. A self-administered pilot-tested questionnaire was used for data collection to assess perception, attitude, and practice toward the research during the educational year 2016-2017. RESULTS: A total of 265 completed responses were received. The majority had a low Knowledge score (72%). However, the majority had a positive attitude toward research (90.9%). Eighty-three students reported participation in research work. However, (44.4%) expressed research interest. Many barriers were highlighted by students including a lack of time (78.4%) and a lack of training in statistics (75.9%). CONCLUSION: The study identified several barriers for undergraduate medical students to undertake research. It is important that these barriers should be addressed in curriculum development, so that students can retain their motivation to engage effectively in research.

Cataract surgery outcomes in bangladeshi children.

PURPOSE: To measure visual acuity (VA) outcomes, complication rates, and the social impact of cataract surgery in a cohort who underwent surgery as children in Bangladesh. DESIGN: Case series. PARTICIPANTS: A total of 471 of 850 children from 6 Bangladeshi districts who had been identified as cataract blind using key informants (KIs) between 2004 and 2009 during the Bangladesh Childhood Cataract Campaign (BCCC) together with all those children not included in the BCCC database but in the Child Sight Foundation (CSF) database who had been identified as cataract blind. METHODS: The subjects and families were contacted again by KIs and transported to local examination centers, where parents and subjects were administered a questionnaire and subjects underwent full ocular examination. Where operative data were available (15%), they were analyzed in conjunction with questionnaire and examination findings. Statistical analysis was performed using SPSS Statistics (IBM, Armonk, NY). MAIN OUTCOME MEASURES: Presenting and best-corrected visual acuities (BCVAs), cause(s) of poor outcome, postoperative refraction, and school attendance. RESULTS: A total of 407 of the participants had undergone bilateral surgery as children, with a mean follow-up of 8.8 years. The mean age at examination was 16 years (range, 5-28 years; standard deviation [SD], 4.6 years); 63% of those examined were male; 22% had a binocular presenting VA of >20/60; and 53% were severely visually impaired or blind (VA <20/200). After refraction, 33% had VA >20/60 in their better eye and 33% had VA <20/200. Factors that predicted poor VA in multivariate logistic regression analysis were nystagmus (P < 0.001), longer delay in presentation (P < 0.001), and magnitude of absolute spherical equivalent refractive error (P<0.001). Some 50% had nystagmus, and 69% of those currently aged ≤16 years were attending school. Better acuity was associated with school attendance (P < 0.001), whereas gender was not. CONCLUSIONS: Approximately one third of all participants had a BCVA of ≥20/60 in their better eye. Amblyopia and nystagmus limited visual outcome, indicating the need for earlier detection and treatment. This is the first study to show the link between pediatric cataract outcome and access to education, a millennium development goal.

Monte Carlo simulation of gold nanoparticles for X-ray enhancement application.

BACKGROUND: Gold nanoparticles (Au NPs) are regarded as potential agents that enhance the radiosensitivity of tumor cells for theranostic applications. To elucidate the biological mechanisms of radiation dose enhancement effects of Au NPs as well as DNA damage attributable to the inclusion of Au NPs, Monte Carlo (MC) simulations have been deployed in a number of studies. SCOPE OF REVIEW: This review paper concisely collates and reviews the information reported in the simulation research in terms of MC simulation of radiosensitization and dose enhancement effects caused by the inclusion of Au NPs in tumor cells, simulation mechanisms, benefits and limitations. MAJOR CONCLUSIONS: In this review, we first explore the recent advances in MC simulation on Au NPs radiosensitization. The MC methods, physical dose enhancement and enhanced chemical and biological effects is discussed, followed by some results regarding the prediction of dose enhancement. We then review Multi-scale MC simulations of Au NP-induced DNA damages for X-ray irradiation. Moreover, we explain and look at Multi-scale MC simulations of Au NP-induced DNA damages for X-ray irradiation. GENERAL SIGNIFICANCE: Using advanced chemical module-implemented MC simulations, there is a need to assess the radiation-induced chemical radicals that contribute to the dose-enhancing and biological effects of multiple Au NPs.

Dosimetric assessment of Gadolinium-159 for hepatic radioembolization: Tomographic images and Monte Carlo simulation.

A common therapeutic radionuclide used in hepatic radioembolization is yttrium-90 (90Y). However, the absence of gamma emissions makes it difficult to verify the post-treatment distribution of 90Y microspheres. Gadolinium-159 (159Gd) has physical properties that are suitable for therapy and post-treatment imaging in hepatic radioembolization procedures. The current study is innovative for conducting a dosimetric investigation of the use of 159Gd in hepatic radioembolization by simulating tomographic images using the Geant4 application for tomographic emission (GATE) Monte Carlo (MC) simulation. For registration and segmentation, tomographic images of five patients with hepatocellular carcinoma (HCC) who had undergone transarterial radioembolization (TARE) therapy were processed using a 3D slicer. The tomographic images with 159Gd and 90Y separately were simulated using the GATE MC Package. The output of simulation (dose image) was uploaded to 3D slicer to compute the absorbed dose for each organ of interests. 159Gd were able to provide a recommended dose of 120 Gy to the tumour, with normal liver and lungs absorbed doses close to that of 90Y and less than the respective maximum permitted doses of 70 Gy and 30 Gy, respectively. Compared to 90Y, 159Gd requires higher administered activity approximately 4.92 times to achieve a tumour dose of 120 Gy. Thus; this research gives new insights into the use of 159Gd as a theranostic radioisotope, with the potential to be used as a90Y alternative for liver radioembolization.

Stability and Activity of Rhodium Promoted Nickel-Based Catalysts in Dry Reforming of Methane.

The rhodium oxide (Rh2O3) doping effect on the activity and stability of nickel catalysts supported over yttria-stabilized zirconia was examined in dry reforming of methane (DRM) by using a tubular reactor, operated at 800 °C. The catalysts were characterized by using several techniques including nitrogen physisorption, X-ray diffraction, transmission electron microscopy, H2-temperature programmed reduction, CO2-temperature programmed Desorption, and temperature gravimetric analysis (TGA). The morphology of Ni-YZr was not affected by the addition of Rh2O3. However, it facilitated the activation of the catalysts and reduced the catalyst's surface basicity. The addition of 4.0 wt.% Rh2O3 gave the optimum conversions of CH4 and CO2 of ~89% and ~92%, respectively. Furthermore, the incorporation of Rh2O3, in the range of 0.0-4.0 wt.% loading, enhanced DRM and decreased the impact of reverse water gas shift, as inferred by the thermodynamics analysis. TGA revealed that the addition of Rh2O3 diminished the carbon formation on the spent catalysts, and hence, boosted the stability, owing to the potential of rhodium for carbon oxidation through gasification reactions. The 4.0 wt.% Rh2O3 loading gave a 12.5% weight loss of carbon. The TEM images displayed filamentous carbon, confirming the TGA results.

Effect of Holmium Oxide Loading on Nickel Catalyst Supported on Yttria-Stabilized Zirconia in Methane Dry Reforming.

The carbon dioxide reforming of methane has attracted attention from researchers owing to its possibility of both mitigating the hazards of reactants and producing useful chemical intermediates. In this framework, the activity of the nickel-based catalysts, supported by yttria-stabilized zirconia and promoted with holmium oxide (Ho2O3), was assessed in carbon dioxide reforming of methane at 800 °C. The catalysts were characterized by N2-physisorption, H2 temperature-programmed reduction, temperature-programmed desorption of CO2, X-ray diffraction, scanning electron microscopy (SEM) together with energy-dispersive X-ray spectroscopy, transmission electron microscopy (TEM), and thermogravimetric analysis (TGA) techniques. The effect of holmium oxide weight percent loading (0.0, 1.0, 2.0, 3,0, 4.0, and 5.0 wt %) was examined owing to its impact on the developed catalysts. The optimum loading of Ho2O3 was found to be 4.0 wt %, where the methane and carbon dioxide conversions were 85 and 91%, respectively. The nitrogen adsorption-desorption isotherms specified the mesoporous aspect of the catalysts, while the SEM images displayed a morphology of agglomerated, porous particles. The TEM images of the spent catalyst displayed the formation of multiwalled carbon nanotubes. TGA of the 4.0 wt % of Ho2O3 catalyst, experimented over 7-hour time-on-stream, displayed little weight loss (<14.0 wt %) owing to carbon formation, indicating the good resistance of the catalyst to carbon accumulation due to the enhancing ability of Ho2O3 and its adjustment of the support.

Barium-Promoted Yttria-Zirconia-Supported Ni Catalyst for Hydrogen Production via the Dry Reforming of Methane: Role of Barium in the Phase Stabilization of Cubic ZrO2.

Developing cost-effective nonprecious active metal-based catalysts for syngas (H2/CO) production via the dry reforming of methane (DRM) for industrial applications has remained a challenge. Herein, we utilized a facile and scalable mechanochemical method to develop Ba-promoted (1-5 wt %) zirconia and yttria-zirconia-supported Ni-based DRM catalysts. BET surface area and porosity measurements, infrared, ultraviolet-visible, and Raman spectroscopy, transmission electron microscopy, and temperature-programmed cyclic (reduction-oxidation-reduction) experiments were performed to characterize and elucidate the catalytic performance of the synthesized materials. Among different catalysts tested, the inferior catalytic performance of 5Ni/Zr was attributed to the unstable monoclinic ZrO2 support and weakly interacting NiO species whereas the 5Ni/YZr system performed better because of the stable cubic ZrO2 phase and stronger metal-support interaction. It is established that the addition of Ba to the catalysts improves the oxygen-endowing capacity and stabilization of the cubic ZrO2 and BaZrO3 phases. Among the Ba-promoted catalysts, owing to the optimal active metal particle size and excess ionic CO3 2- species, the 5Ni4Ba/YZr catalyst demonstrated a high, stable H2 yield (i.e., 79% with a 0.94 H2/CO ratio) for up to 7 h of time on stream. The 5Ni4Ba/YZr catalyst had the highest H2 formation rate, 1.14 mol g-1 h-1 and lowest apparent activation energy, 20.07 kJ/mol, among all zirconia-supported Ni catalyst systems.

Methane Decomposition Over ZrO2-Supported Fe and Fe-Ni Catalysts-Effects of Doping La2O3 and WO3.

A leading method for hydrogen production that is free of carbon oxides is catalytic methane decomposition. In this research, Fe and Fe-Ni supported catalysts prepared by the wet impregnation method were used in methane decomposition. The effects of doping the parent support (ZrO2) with La2O3 and WO3 were studied. It was discovered that the support doped with La2O3 gave the best performance in terms of CH4 conversion, H2 yield, and stability at the test condition, 800°C and 4,000-ml h-1 g-1 cat. space velocity. The addition of Ni significantly improved the performance of all the monometallic catalysts. The catalysts were characterized by X-ray diffraction (XRD), Brunauer-Emmett-Teller (BET), temperature-programmed reduction/oxidation (TPR/TPO), thermogravimetric analyzer (TGA), and microscopy (SEM and Raman) techniques. Phases of the different forms of Fe were identified by XRD. BET showed a drastic decline in the specific surface area of the catalysts with respect to the supports. TPR profiles revealed a progressive change in the valency of Fe in its combined form to the zero valence-free metal. The La2O3-promoted support gave the best performance and maintained good stability during the time on stream.

Influence of Nature Support on Methane and CO2 Conversion in a Dry Reforming Reaction over Nickel-Supported Catalysts.

A promising method to reduce global warming has been methane reforming with CO2, as it combines two greenhouse gases to obtain useful products. In this study, Ni-supported catalysts were synthesized using the wet impregnation method to obtain 5%Ni/Al2O3(SA-5239), 5%Ni/Al2O3(SA-6175), 5%Ni/SiO2, 5%Ni/MCM41, and 5%Ni/SBA15. The catalysts were tested in dry reforming of methane at 700 °C, 1 atm, and a space velocity of 39,000 mL/gcat h, to study the interaction of Ni with the supports, and evaluation was based on CH4 and CO2 conversions. 5%Ni/Al2O3(SA-6175) and 5%Ni/SiO2 gave the highest conversion of CH4 (78 and 75%, respectively) and CO2 (84 and 82%, respectively). The catalysts were characterized by some techniques. Ni phases were identified by X-ray diffraction patterns. Brunauer-Emmett-Teller analysis showed different surface areas of the catalysts with the least being 4 m2/g and the highest 668 m2/g belonging to 5%Ni/Al2O3(SA-5239) and 5%Ni/SBA15, respectively. The reduction profiles revealed weak NiO-supports interaction for 5%Ni/Al2O3(SA-5239), 5%Ni/MCM41, and 5%Ni/SBA15; while strong interaction was observed in 5%Ni/Al2O3(SA-6175) and 5%Ni/SiO2. The 5%Ni/Al2O3(SA-6175) and 5%Ni/SiO2 were close with respect to performance; however, the former had a higher amount of carbon deposit, which is mostly graphitic, according to the conducted thermal analysis. Carbon deposits on 5%Ni/SiO2 were mainly atomic in nature.