KNOWLEDGE AND ATTITUDE REGARDING VAGINAL RING AS A FORM OF CONTRACEPTION AMONG LEBANESE WOMEN

This study aimed to evaluate the knowledge of Lebanese women concerning the vaginal ring as a contraceptive means, and to assess their attitude regarding the usage of this form of contraception.502 participants of ages 20-49 were recruited to complete a 10-minute questionnaire to assess their contraceptive knowledge, awareness, and attitude towards the vaginal ring. Knowledge was evaluated among those who had heard about the ring by completing 16 questions. While those of no previous knowledge of the ring were directed towards a brief description about it. All participants completed 7 questions to assess their attitude towards the vaginal ring, and whether or not they might consider using it. Of all the participants 79.8 % recorded having knowledge about different forms of contraceptives, but only 29.1% knew about the ring. Of the latter, 105 had a score less than 50, and were thus considered to have poor knowledge. Whereas, 34 participants had a score of 50 and above, and were considered to have sufficient knowledge. Of the participants, 66.5% would not consider using the ring in the future. Age, level of education and enrollment in the medical field among other factors had a significant impact on the attitude of women towards the vaginal ring. Lack of advertisement, poor counselling from medical professionals, and unavailability of the product had a significant role in the inadequate awareness towards it. The ring did not seem appealing for most of the participants

Electrically conductive spacers for self-cleaning membrane surfaces via periodic electrolysis

The use of an electrically conductive membrane has attracted significant interest in water treatment technology due to remarkable performance in fouling mitigation domain. In electrochemical systems, when external potential is applied, water electrolysis occurs and the generated gases efficiently clean the membrane surface. However, fabricating and integrating conductive membranes in current water treatment modules is challenging. The present work applies, for the first time, the electrolysis concept at the spacer component of the module rather than the membrane. Two types of materials were tested, a titanium metal spacer and a polymeric spacer. The polymeric spacer was made conductive via coating with a carbon-based ink comprised of graphene nanoplates (GNPs). A membrane system composed of the carbon coated/titanium metal spacer attached to the surface of a polyvinylidene fluoride (PVDF) microfiltration membrane and was assembled to the case of membrane module. The conductive spacers worked as an electrode (cathode) in electrochemical set-up. The membrane system was subjected to fouling and then exposed to periodic electrolysis, wherein in-situ cleaning of membrane surface by hydrogen bubbles generation at the spacer is applied

Markisa/Passion Fruit Image Classification Based Improved Deep Learning Approach Using Transfer Learning

International audienceFruit recognition becomes more and more important in the agricultural industry. Traditionally, we need to manually identify and label all the fruits in the production line, which is labor intensive, error-prone, and ineffective. Therefore, a lot of fruit recognition systems are created to automate the process, but fruit recognition system for Malaysia local fruit is limited. Thus, this project will focus on classifying one of the Malaysia local fruits which is markisa/passion fruit. We proposed two CNN models for markisa classification. The performances of the proposed models are evaluated on our own dataset collection and produces an accuracy of 97% and 65% respectively. The results indicated that the architecture of CNN model is very important because different architecture can produce different results. Therefore, first CNN model is selected because it can classify 4 types of markisa with a higher accuracy. In the proposed work, we also inspected two transfer learning methods in the classification of markisa which are VGG-16 and InceptionV3. The results showed that the performance of the first proposed CNN model outperforms VGG-16 (95% accuracy) and InceptionV3 (65% accuracy)

The first survey of the Saudi Acute Myocardial Infarction Registry Program: Main results and long-term outcomes (STARS-1 Program).

BACKGROUND:Prior acute coronary syndrome (ACS) registries in Saudi Arabia might not have accurately described the true demographics and cardiac care of patients with ACS. We aimed to evaluate the clinical characteristics, management, and outcomes of a representative sample of patients with acute myocardial infarction (AMI) in Saudi Arabia. METHODS:We conducted a 1-month snap-shot, prospective, multi-center registry study in 50 hospitals from various health care sectors in Saudi Arabia. We followed patients for 1 month and 1 year after hospital discharge. Patients with AMI included those with or without ST-segment elevation (STEMI or NSTEMI, respectively). This program survey will be repeated every 5 years. RESULTS:Between May 2015 and January 2017, we enrolled 2233 patients with ACS (mean age was 56 [standard deviation = 13] years; 55.6% were Saudi citizens, 85.7% were men, and 65.9% had STEMI). Coronary artery disease risk factors were high; 52.7% had diabetes mellitus and 51.2% had hypertension. Emergency Medical Services (EMS) was utilized in only 5.2% of cases. Revascularization for patients with STEMI included thrombolytic therapy (29%), primary percutaneous coronary intervention (PCI); (42.5%), neither (29%), or a pharmaco-invasive approach (3%). Non-Saudis with STEMI were less likely to undergo primary PCI compared to Saudis (35.8% vs. 48.7%; respectively, p <0.001), and women were less likely than men to achieve a door-to-balloon time of <90 min (42% vs. 65%; respectively, p = 0.003). Around half of the patients with NSTEMI did not undergo a coronary angiogram. All-cause mortality rates were 4%, 5.8%, and 8.1%, in-hospital, at 1 month, and at 1 year, respectively. These rates were significantly higher in women than in men. CONCLUSIONS:There is an urgent need for primary prevention programs, improving the EMS infrastructure and utilization, and establishing organized ACS network programs. AMI care needs further improvement, particularly for women and non-Saudis

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population