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Biobased waste utilization is an intriguing area of research and an ecologically conscious approach. Plant-based materials can be used to render cellulose, which is an eco-friendly material that can be used in numerous aspects. In the current investigation, cellulose was extracted from the leaves of the Vachellia nilotica plant via acid hydrolysis. The application of this research is specifically directed toward the utilization of undesirable plant sources. To validate the extracted cellulose, FT-IR spectroscopy was applied. The cellulose was measured to have a density of 1.234 g/cm3. The crystallinity index (58.93%) and crystallinity size (11.56 nm) of cellulose are evaluated using X-ray diffraction spectroscopy analysis. The highest degradation temperature (320.8°C) was observed using thermogravimetry and differential scanning calorimetry curve analysis. The analysis of particle size was conducted utilizing images captured by scanning electron microscopy. Particle size of less than 30 µm was found and they exhibit non-uniform orientation. Additionally, atomic force microscopy analysis shows an improved average surface roughness (Ra), which increases the possibility of using extracted cellulose as reinforcement in biofilms.
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Biomassa , Celulose , Folhas de Planta , Difração de Raios X , Celulose/química , Celulose/metabolismo , Espectroscopia de Infravermelho com Transformada de Fourier , Termogravimetria , Varredura Diferencial de Calorimetria , Microscopia Eletrônica de Varredura , Microscopia de Força Atômica , Tamanho da Partícula , HidróliseRESUMO
Diabetic retinopathy(DR) is a health condition that affects the retinal blood vessels(BV) and arises in over half of people living with diabetes. Exudates(EX) are significant indications of DR. Early detection and treatment can prevent vision loss in many cases. EX detection is a challenging problem for ophthalmologists due to its different sizes and elevations as retinal fundus images frequently have irregular illumination and are poorly contrasting. Manual detection of EX is a time-consuming process to diagnose a mass number of diabetic patients. In the domain of signal processing, both SIFT (scale-invariant feature transform) and SURF (speed-up robust feature) methods are predominant in scale-invariant location retrieval and have shown a range of advantages. But, when extended to medical images with corresponding weak contrast between reference features and neighboring areas, these methods cannot differentiate significant features. Considering these, in this paper, a novel method is proposed based on modified KAZE features, which is an emerging technique to extract feature points and extreme learning machine autoencoders(ELMAE) for robust and fast localization of the EX in fundus images. The main stages of the proposed method are pre-processing, OD localization, dimensionality reduction using ELMAE, and EX localization. The proposed method is evaluated based on the freely accessible retinal database DIARETDB0, DIARETDB1, e-Ophtha, MESSIDOR, and local retinal database collected from Silchar Medical College and Hospital(SMCH). The sensitivity, specificity, and accuracy obtained by the proposed method are 96.5%, 96.4%, and 97%, respectively, with the processing time of 3.19 seconds per image. The results of this study are satisfactory with state-of-the-art methods. The results indicate that the approach taken can detect EX with less processing time and accurately from the fundus images.
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Algoritmos , Retinopatia Diabética , Retinopatia Diabética/diagnóstico por imagem , Exsudatos e Transudatos/diagnóstico por imagem , Fundo de Olho , Humanos , RetinaRESUMO
Coronavirus Disease 2019 (COVID-19) had already spread worldwide, and healthcare services have become limited in many countries. Efficient screening of hospitalized individuals is vital in the struggle toward COVID-19 through chest radiography, which is one of the important assessment strategies. This allows researchers to understand medical information in terms of chest X-ray (CXR) images and evaluate relevant irregularities, which may result in a fully automated identification of the disease. Due to the rapid growth of cases every day, a relatively small number of COVID-19 testing kits are readily accessible in health care facilities. Thus it is imperative to define a fully automated detection method as an instant alternate treatment possibility to limit the occurrence of COVID-19 among individuals. In this paper, a two-step Deep learning (DL) architecture has been proposed for COVID-19 diagnosis using CXR. The proposed DL architecture consists of two stages, "feature extraction and classification". The "Multi-Objective Grasshopper Optimization Algorithm (MOGOA)" is presented to optimize the DL network layers; hence, these networks have named as "Multi-COVID-Net". This model classifies the Non-COVID-19, COVID-19, and pneumonia patient images automatically. The Multi-COVID-Net has been tested by utilizing the publicly available datasets, and this model provides the best performance results than other state-of-the-art methods.
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Coronavirus disease 2019 pandemic has disrupted the antenatal care in low- and middle-income countries such as India. Telemedicine was introduced for the first time in India for continuing antenatal care. Hence, a questionnaire-based descriptive cross-sectional study is done to assess the outcomes of teleconsultation services, factors influencing it, and patient's perceived satisfaction. Three hundred and fifty-five women who delivered the following teleconsultation from July 2020 to October 2020 were included in the study. Thirty-two percent were high-risk pregnancies and 15% of the babies required neonatal intensive care unit admission. Ninety-eight percent could convey their health concerns, 18% had a referral to other departments, and 25% had visited casualty. Sixty-three percent procured medicine through e-prescription. Seventy-six percent were happy with teleconsultation overcrowded clinic, 82% were happy about saving travel expenditure, whereas overall satisfaction was 50%. Fourteen percent did not have access to smartphone and 9% did not receive the call at scheduled time. Telemedicine has a vital role in managing pregnancy concerns during this pandemic.
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COVID-19 , Consulta Remota , Estudos Transversais , Feminino , Humanos , Índia/epidemiologia , Lactente , Recém-Nascido , Pandemias , Satisfação do Paciente , Gravidez , Gestantes , Centros de Atenção TerciáriaRESUMO
The quick spread of coronavirus disease (COVID-19) has become a global concern and affected more than 15 million confirmed patients as of July 2020. To combat this spread, clinical imaging, for example, X-ray images, can be utilized for diagnosis. Automatic identification software tools are essential to facilitate the screening of COVID-19 using X-ray images. This paper aims to classify COVID-19, normal, and pneumonia patients from chest X-ray images. As such, an Optimized Convolutional Neural network (OptCoNet) is proposed in this work for the automatic diagnosis of COVID-19. The proposed OptCoNet architecture is composed of optimized feature extraction and classification components. The Grey Wolf Optimizer (GWO) algorithm is used to optimize the hyperparameters for training the CNN layers. The proposed model is tested and compared with different classification strategies utilizing an openly accessible dataset of COVID-19, normal, and pneumonia images. The presented optimized CNN model provides accuracy, sensitivity, specificity, precision, and F1 score values of 97.78%, 97.75%, 96.25%, 92.88%, and 95.25%, respectively, which are better than those of state-of-the-art models. This proposed CNN model can help in the automatic screening of COVID-19 patients and decrease the burden on medicinal services frameworks.
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We develop a lattice model of site-specific DNA-protein interactions under in vivo conditions where DNA is modelled as a self-avoiding random walk that is embedded in a cubic lattice box resembling the living cell. The protein molecule searches for its cognate site on DNA via a combination of three dimensional (3D) and one dimensional (1D) random walks. Hopping and intersegmental transfers occur depending on the conformational state of DNA. Results show that the search acceleration ratio (= search time in pure 3D route/search time in 3D and 1D routes) asymptotically increases towards a limiting value as the dilution factor of DNA (= volume of the cell/the volume of DNA) tends towards infinity. When the dilution ratio is low, then hopping and intersegmental transfers significantly enhance the search efficiency over pure sliding. At high dilution ratio, hopping does not enhance the search efficiency much since under such situation DNA will be in a relaxed conformation that favors only sliding. In the absence of hopping and intersegmental transfers, there exists an optimum sliding time at which the search acceleration ratio attains a maximum in line with the current theoretical results. However, existence of such optimum sliding length disappears in the presence of hopping. When the DNA is confined in a small volume inside the cell resembling a natural cell system, then there exists an optimum dilution and compression ratios (= total cell volume/volume in which DNA is confined) at which the search acceleration factor attains a maximum especially in the presence of hopping and intersegmental transfers. These optimum values are consistent with the values observed in the Escherichia coli cell system. In the absence of confinement of DNA, position of the specific binding site on the genomic DNA significantly influences the search acceleration. However, such position dependent changes in the search acceleration ratio will be nullified in the presence of hopping and intersegmental transfers especially when the DNA is confined in a small volume that is embedded in an outer cell.
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DNA/química , Modelos Moleculares , Ligação ProteicaRESUMO
In this article, Nickel doped rutile structure tin oxide (SnO2) nanoparticles have been prepared by simple chemical co-precipitation method and prepared samples were characterized by Powder X-ray Diffraction, Fourier transform infrared Spectroscopy, Microraman analysis, Photoluminescene Spectroscopy, UV-Visible Spectroscopy, Energy dispersive analysis and Field emission scanning electron microscope. XRD studies revealed the single phase tetragonal rutile structure with space group of P42/mnm. The average crystallite size of the particles was decreased from 27 to 22 nm with increasing Ni doping concentration. FTIR spectra confirmed the presence of various bands such as O-H, C-H, Sn-O-Sn. Raman modes Eg, A1g and B2g were assigned at 478, 630 and 740 cm-1 which confirmed the single phase of pure and Ni doped SnO2 nanoparticles. The photoluminescence spectra confirmed that the defect related emissions increased with increasing of Ni concentration. The UV absorption spectra showed that the absorption of the particles decreased with increasing Ni concentration and the band gap values decreased from 3.7 to 3.4 eV. EDX spectra confirmed the presence of Sn, Ni, O in pure and doped samples. The photocatalytic activity of the pure and Ni doped SnO2 nanoparticles were analyzed by using methylene blue dye under visible light irradiation. It is concluded Ni (7%) doped SnO2 nanoparticles have higher degradation efficiency compared to pure SnO2 nanoparticles.
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The speed of site-specific binding of transcription factor (TFs) proteins with genomic DNA seems to be strongly retarded by the randomly occurring sequence traps. Traps are those DNA sequences sharing significant similarity with the original specific binding sites (SBSs). It is an intriguing question how the naturally occurring TFs and their SBSs are designed to manage the retarding effects of such randomly occurring traps. We develop a simple random walk model on the site-specific binding of TFs with genomic DNA in the presence of sequence traps. Our dynamical model predicts that (a) the retarding effects of traps will be minimum when the traps are arranged around the SBS such that there is a negative correlation between the binding strength of TFs with traps and the distance of traps from the SBS and (b) the retarding effects of sequence traps can be appeased by the condensed conformational state of DNA. Our computational analysis results on the distribution of sequence traps around the putative binding sites of various TFs in mouse and human genome clearly agree well the theoretical predictions. We propose that the distribution of traps can be used as an additional metric to efficiently identify the SBSs of TFs on genomic DNA.
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DNA/química , Genoma Humano , Modelos Genéticos , Fatores de Transcrição/química , Animais , Sítios de Ligação , Humanos , Camundongos , Ligação ProteicaRESUMO
BACKGROUND: The Acute Dialysis Quality Initiative (ADQI) dedicated its Twelfth Consensus Conference (2013) to all aspects of fluid therapy, including the management of fluid overload (FO). The aim of the working subgroup 'Mechanical fluid removal' was to review the indications, prescription, and management of mechanical fluid removal within the broad context of fluid management of critically ill patients. METHODS: The working group developed a list of preliminary questions and objectives and performed a modified Delphi analysis of the existing literature. Relevant studies were identified through a literature search using the MEDLINE database and bibliographies of relevant research and review articles. RESULTS: After review of the existing literature, the group agreed the following consensus statements: (i) in critically ill patients with FO and with failure of or inadequate response to pharmacological therapy, mechanical fluid removal should be considered as a therapy to optimize fluid balance. (ii) When using mechanical fluid removal or management, targets for rate of fluid removal and net fluid removal should be based upon the overall fluid balance of the patient and also physiological variables, individualized, and reassessed frequently. (iii) More research on the role and practice of mechanical fluid removal in critically ill patients not meeting fluid balance goals (including in children) is necessary. CONCLUSION: Mechanical fluid removal should be considered as a therapy for FO, but more research is necessary to determine its exact role and clinical application.
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Estado Terminal/terapia , Hidratação/métodos , Diálise , Hidratação/instrumentação , Humanos , Ultrafiltração , Uremia/etiologia , Uremia/terapia , Equilíbrio Hidroeletrolítico/efeitos dos fármacos , Desequilíbrio Hidroeletrolítico/sangue , Desequilíbrio Hidroeletrolítico/tratamento farmacológicoRESUMO
Nowadays, automated disease diagnosis has become a vital role in the medical field due to the significant population expansion. An automated disease diagnostic approach assists clinicians in the diagnosis of disease by giving exact, consistent, and prompt results, along with minimizing the mortality rate. Retinal detachment has recently emerged as one of the most severe and acute ocular illnesses, spreading worldwide. Therefore, an automated and quickest diagnostic model should be implemented to diagnose retinal detachment at an early stage. This paper introduces a new hybrid approach of best basis stationary wavelet packet transform and modified VGG19-Bidirectional long short-term memory to detect retinal detachment using retinal fundus images automatically. In this paper, the best basis stationary wavelet packet transform is utilized for image analysis, modified VGG19-Bidirectional long short-term memory is employed as the deep feature extractors, and then obtained features are classified through the Adaptive boosting technique. The experimental outcomes demonstrate that our proposed method obtained 99.67% sensitivity, 95.95% specificity, 98.21% accuracy, 97.43% precision, 98.54% F1-score, and 0.9985 AUC. The model obtained the intended results on the presently accessible database, which may be enhanced further when additional RD images become accessible. The proposed approach aids ophthalmologists in identifying and easily treating RD patients.
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Descolamento Retiniano , Humanos , Descolamento Retiniano/diagnóstico por imagem , Fundo de Olho , Análise de Ondaletas , Processamento de Imagem Assistida por ComputadorRESUMO
As per the latest statistics, Alzheimer's disease (AD) has become a global burden over the following decades. Identifying AD at the intermediate stage became challenging, with mild cognitive impairment (MCI) utilizing credible biomarkers and robust learning approaches. Neuroimaging techniques like magnetic resonance imaging (MRI) and positron emission tomography (PET) are practical research approaches that provide structural atrophies and metabolic variations. With the help of MRI and PET scans, metabolic and structural changes in AD patients can be visible even ten years before the disease's onset. This paper proposes a novel wavelet packet transform-based structural and metabolic image fusion approach using MRI and PET scans. An eight-layer trained CNN extracts features from multiple layers and these features are fed to an ensemble of non-iterative random vector functional link (RVFL) models. The RVFL network incorporates the s-membership fuzzy function as an activation function that helps overcome outliers. Lastly, outputs of all the customized RVFL classifiers are averaged and fed to the RVFL classifier to make the final decision. Experiments are performed over Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset, and classification is made over CN vs. AD vs. MCI. The model performance obtained is decent enough to prove the effectiveness of the fusion-based ensemble approach.
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Doença de Alzheimer , Disfunção Cognitiva , Humanos , Doença de Alzheimer/diagnóstico , Neuroimagem/métodos , Imageamento por Ressonância Magnética/métodos , Redes Neurais de Computação , Tomografia por Emissão de Pósitrons/métodosRESUMO
Lung cancer is a fatal disease caused by an abnormal proliferation of cells in the lungs. Similarly, chronic kidney disorders affect people worldwide and can lead to renal failure and impaired kidney function. Cyst development, kidney stones, and tumors are frequent diseases impairing kidney function. Since these conditions are generally asymptomatic, early, and accurate identification of lung cancer and renal conditions is necessary to prevent serious complications. Artificial Intelligence plays a vital role in the early detection of lethal diseases. In this paper, we proposed a modified Xception deep neural network-based computer-aided diagnosis model, consisting of transfer learning based image net weights of Xception model and a fine-tuned network for automatic lung and kidney computed tomography multi-class image classification. The proposed model obtained 99.39% accuracy, 99.33% precision, 98% recall, and 98.67% F1-score for lung cancer multi-class classification. Whereas, it attained 100% accuracy, F1 score, recall and precision for kidney disease multi-class classification. Also, the proposed modified Xception model outperformed the original Xception model and the existing methods. Hence, it can serve as a support tool to the radiologists and nephrologists for early detection of lung cancer and chronic kidney disease, respectively.
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BACKGROUND: Wound healing occurs as a fundamental response to tissue injury. Several natural products have been shown to accelerate the healing process. AIM: To observe the efficacy of topical administration of an ethanolic extract of Ageratum conyzoides on cutaneous wound healing in rats. METHODS: An ethanolic extract of A. conyzoides was prepared, and its wound-healing efficacy on rats was studied. An open excision wound was made on the back of each rat, and 200 µL (40 mg/kg body weight) of the A. conyzoides extract was applied topically once daily to the treated wounds. The control wounds were treated with 200 µL of 50% ethanol. The wound tissues formed were removed at 4, 8 and 12 days after wounding, and biochemical parameters such as DNA, total protein, total collagen, hexosamine and uronic acid were estimated. The extent of epithelialization and the tensile strength of the wounded tissues were also measured. RESULTS: The A. conyzoides extract increased cellular proliferation and collagen synthesis. Wounds treated with the extract were found to heal much faster, based on the improved rates of epithelialization and wound contraction, and on the histopathological results. A 40% increase in the tensile strength of the treated tissue was seen. CONCLUSIONS: Topical application of A. conyzoides accelerates the rate of wound healing.
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Ageratum/química , Colágeno/metabolismo , Extratos Vegetais/farmacologia , Pele/lesões , Cicatrização/efeitos dos fármacos , Animais , Proliferação de Células/efeitos dos fármacos , Avaliação Pré-Clínica de Medicamentos , Hexosaminas/metabolismo , Masculino , Modelos Animais , Ratos , Ratos Wistar , Pele/metabolismo , Pele/patologia , Resistência à Tração , Ácidos Urônicos/metabolismo , Cicatrização/fisiologiaRESUMO
We develop a lattice model on the rate of hybridization of the complementary single-stranded DNAs (c-ssDNAs). Upon translational diffusion mediated collisions, c-ssDNAs interpenetrate each other to form correct (cc), incorrect (icc), and trap correct contacts (tcc) inside the reaction volume. Correct contacts are those with exact registry matches, which leads to nucleation and zipping. Incorrect contacts are the mismatch contacts which are less stable compared to tcc, which can occur in the repetitive c-ssDNAs. Although tcc possess registry match within the repeating sequences, they are incorrect contacts in the view of the whole c-ssDNAs. The nucleation rate (k_{N}) is directly proportional to the collision rate and the average number of correct contacts (ãn_{cc}ã) formed when both c-ssDNAs interpenetrate each other. Detailed lattice model simulations suggest that ãn_{cc}ãâL/V where L is the length of c-ssDNAs and V is the reaction volume. Further numerical analysis revealed the scaling for the average radius of gyration of c-ssDNAs (R_{g}) with their length as R_{g}âsqrt[L]. Since the reaction space will be approximately a sphere with radius equals to 2R_{g} and VâL^{3/2}, one obtains k_{N}â1/sqrt[L]. When c-ssDNAs are nonrepetitive, the overall renaturation rate becomes as k_{R}âk_{N}L, and one finally obtains k_{R}âsqrt[L] in line with the experimental observations. When c-ssDNAs are repetitive with a complexity of c, earlier models suggested the scaling k_{R}âsqrt[L]/c, which breaks down at c=L. This clearly suggests the existence of at least two different pathways of renaturation in the case of repetitive c-ssDNAs, viz., via incorrect contacts and trap correct contacts. The trap correct contacts can lead to the formation of partial duplexes which can keep the complementary strands in the close proximity for a prolonged timescale. This is essential for the extended 1D slithering, inchworm movements, and internal displacement mechanisms which can accelerate the searching for the correct contacts. Clearly, the extent of slithering dynamics will be inversely proportional to the complexity. When the complexity is close to the length of c-ssDNAs, the pathway via incorrect contacts will dominate. When the complexity is much less than the length of c-ssDNA, pathway via trap correct contacts would be the dominating one.
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DNA de Cadeia Simples , Hibridização de Ácido NucleicoRESUMO
Lung cancer is considered one of the leading causes of death all across the world. Various radiology-related fields increasingly have used Computer-aided diagnosis (CAD) systems. It just has already become a part of clinical work for lung cancer detection. In this article, we proposed an Adaptive Boost-based Grid Search Optimized Random Forest (Ada-GridRF) classifier that best optimized the hyperparameters of the base random forest model to identify the malignant and non-malignant nodules from the trained CT images. Improved performance speed and reduced computational complexity were the advantages of the proposed method. The proposed methodology was compared with other hyperparameter optimization techniques and also with different conventional approaches. It even outperformed the popular state-of-the-art deep learning techniques such as transfer learning and convolutional neural network. The experimental results proved that the proposed method yielded the best performance metrics of 97.97% accuracy, 100% sensitivity, 96% specificity, 96.08% precision, 98% F1-score, 4% False positives rate, and 99.8% Area under the ROC curve (AUC). It took only 8 msec to train the model. Thus, the proposed Ada-GridRF model can aid radiologists in fast lung cancer detection.
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Neoplasias Pulmonares , Área Sob a Curva , Diagnóstico por Computador/métodos , Humanos , Pulmão , Neoplasias Pulmonares/diagnóstico por imagem , Redes Neurais de ComputaçãoRESUMO
The disparity between the number of patients in need of organ transplantation and the number of available organs is steadily rising. We hypothesized that intensivist-led management of brain dead donors would increase the number of organs recovered for transplantation. We retrospectively analyzed data from all consented adult brain dead patients in the year before (n = 35) and after (n = 43) implementation of an intensivist-led donor management program. Donor characteristics before and after implementation were similar. After implementation of the organ donor support team, the overall number of organs recovered for transplantation increased significantly (66 out of 210 potentially available organs vs. 113 out of 258 potentially available organs, p = 0.008). This was largely due to an increase in the number of lungs (8 out of 70 potentially available lungs vs. 21 out of 86 potentially available lungs; p = 0.039) and kidneys (31 out of 70 potentially available kidneys vs. 52 out of 86 potentially available kidneys; p = 0.044) recovered for transplantation. The number of hearts and livers recovered for transplantation did not change significantly. Institution of an intensivist-led organ donor support team may be a new and viable strategy to increase the number of organs available for transplantations.
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Obtenção de Tecidos e Órgãos , Transplantes/estatística & dados numéricos , Morte Encefálica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Doadores de Tecidos , Obtenção de Tecidos e Órgãos/métodosRESUMO
Serious problems are faced in several parts of the world due to the presence of high concentration of fluoride in drinking water which causes dental and skeletal fluorosis to humans. Nalgonda district in Andhra Pradesh, India is one such region where high concentration of fluoride is present in groundwater. Since there are no major studies in the recent past, the present study was carried out to understand the present status of groundwater quality in Nalgonda and also to assess the possible causes for high concentration of fluoride in groundwater. Samples from 45 wells were collected once every 2 months and analyzed for fluoride concentration using an ion chromatograph. The fluoride concentration in groundwater of this region ranged from 0.1 to 8.8 mg/l with a mean of 1.3 mg/l. About 52% of the samples collected were suitable for human consumption. However, 18% of the samples were having less than the required limit of 0.6 mg/l, and 30% of the samples possessed high concentration of fluoride, i.e., above 1.5 mg/l. Weathering of rocks and evaporation of groundwater are responsible for high fluoride concentration in groundwater of this area apart from anthropogenic activities including irrigation which accelerates weathering of rocks.
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Fluoretos/análise , Poluentes Químicos da Água/análise , Abastecimento de Água/análise , Monitoramento Ambiental , ÍndiaRESUMO
The novel coronavirus disease (COVID-19) spread quickly worldwide, changing the everyday lives of billions of individuals. The preliminary diagnosis of COVID-19 empowers health experts and government professionals to break the chain of change and level the epidemic curve. The regular sort of COVID-19 detection test, be that as it may, requires specific hardware and generally has low sensitivity. Chest X-ray images to be used to diagnosis the COVID-19. In this work, a dataset of X-ray images with COVID-19, bacterial pneumonia, and normal was used to diagnose the COVID-19 automatically. This work to assess the execution of best in class Convolutional Neural Network (CNN) models proposed over ongoing years for clinical image classification. In particular, the modified pre-trained CNN-ResNet50 based Extreme Learning Machine classifier (ELM) has proposed for different diagnosis abnormalities such as COVID-19, Pneumonia, and normal. The proposed CNN method has trained and tested with the publicly available COVID-19, pneumonia, and normal datasets. The presented pre-trained ResNet CNN model provides accuracy, sensitivity, specificity, recall, precision, and F1 score values of 94.07, 98.15, 91.48, 85.21, 98.15, and 91.22, respectively, which is the best classification performance than other states of the art methods. This study introduced a computationally productive and exceptionally exact model for multi-class grouping of three diverse contamination types from alongside Normal people. This CNN model can help in the automatic diagnosis of COVID-19 cases and help decrease the burden on medicinal services frameworks.
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The complex anatomy of the mandibular condyle makes its fracture management challenging and debatable. Apart from this, the approaches to condyle are also challenging as most of them depend on the surgical expertise. The retromandibular approach which was initially proposed for the vertical sub condylar osteotomies was later popularized for condyle fracture management. It is considered to be a gold standard approach in the management of low condylar fractures. Although it has its own demerits in managing high condylar fracture due to its poor access and visibility, the major complications of temporary facial nerve paresis and sialocele are very less compared to other approaches. However, modified extracorporeal plating combined with retromandibular approach proves to be effective in managing high condylar fracture. In this article, we discuss about a case of bilateral neck of condyle fracture that has been managed with the combined modified extracorporeal plating with retromandibular approach and has been followed with no complications for about 1 year.
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Coronavirus Diseases (COVID-19) is a new disease that will be declared a global pandemic in 2020. It is characterized by a constellation of traits like fever, dry cough, dyspnea, fatigue, chest pain, etc. Clinical findings have shown that the human chest Computed Tomography(CT) images can diagnose lung infection in most COVID-19 patients. Visual changes in CT scan due to COVID-19 is subjective and evaluated by radiologists for diagnosis purpose. Deep Learning (DL) can provide an automatic diagnosis tool to relieve radiologists' burden for quantitative analysis of CT scan images in patients. However, DL techniques face different training problems like mode collapse and instability. Deciding on training hyper-parameters to adjust the weight and biases of DL by a given CT image dataset is crucial for achieving the best accuracy. This paper combines the backpropagation algorithm and Whale Optimization Algorithm (WOA) to optimize such DL networks. Experimental results for the diagnosis of COVID-19 patients from a comprehensive COVID-CT scan dataset show the best performance compared to other recent methods. The proposed network architecture results were validated with the existing pre-trained network to prove the efficiency of the network.