Understanding the differential impact of vegetation measures on the association between vegetation and mental health disorders

Background: Considerable debate exists as to whether vegetation can help achieve better mental health outcomes. Although few studies have attempted to evaluate the health effects of vegetation, a spatial study, which has analyzed the effect of different vegetation measures on the detection of a significant association between vegetation and mental health disorders, is still missing. Furthermore, based on the available literature, there is an absence of studies that have analyzed the age and sex-specific effects of surrounding vegetation on mental health disorders, while adjusting for the overdispersion, spatial autocorrelation and unmeasured covariates in the models. Objective: The objective of this study is to understand the differential impact of vegetation measures on the association between vegetation and various types of mental health disorders. In doing so, the study also attempted to understand whether there are any age and sex-specific effects of vegetation on mental health disorder cases. Methods: Remote sensing and machine learning techniques were employed to generate three vegetation indices and one area-based vegetation measure from the Landsat-8 satellite images. The satellite-based indices comprised of the normalized difference vegetation index (NDVI), enhanced vegetation index (EVI) and the soil-adjusted vegetation index (SAVI). The area-based vegetation measure was developed from a Land Use/Land Cover (LULC) model using the Random Forest ensemble classifier. The conventionally used vegetation data was extracted from the Toronto Open Data portal and compared with the variables created from the satellite images. The dataset comprising psychotic, non-psychotic, substance use and family, social and occupational-related disorder cases were retrieved from the Ontario Community Health Profiles Partnership database. The dataset also contained the combined mental health disorder cases, which is a total of the four types of mental health disorders. The association between vegetation and psychotic and non-psychotic disorders were analyzed using the Poisson lognormal models under a Bayesian framework. Based on the results from the Bayesian models, a single vegetation measure was selected and the association of the vegetation with the combined mental health disorders for males and females in the age groups, 0-19, 20-44, 45-64 and 65+ were analyzed using Bayesian spatial modeling. Results: Results suggested substantial effects of the type of vegetation measure used to analyze the association between vegetation and mental health disorder cases. Only the vegetation indices, which could capture both the areal extent and health of the vegetation cover, could detect a significant association with the mental health disorder cases. Specifically, EVI and SAVI, which were constructed after adjusting for different urban and environmental disturbances, were able to detect significant and negative associations with the psychotic and non-psychotic disorder cases. Furthermore, the findings of this study suggested significant age and sex-specific effects of vegetation on the prevalence of mental health disorders in Toronto. The combined mental health disorder cases for males from the age group 0-19 years and for both males and females from the age group 20-44 years were found to be negatively associated with the vegetation cover. For older adults in the age-groups 45-64 and 65+, only the socioeconomic covariates were found to be significantly associated with the combined mental health disorder cases. For each of the Bayesian models analyzed in this study, a substantial influence of the spatially structured and unmeasured covariates was detected. Conclusions: Epidemiological studies must consider both the quantity and quality of people’s exposure to surrounding vegetation cover. Vegetation measures that capture both the areal extent and the health of the surrounding vegetation can help detect the actual relationship between vegetation and the mental health conditions of the people in an area. The study setting (urban, peri-urban and rural) can have a notable influence on the detection of different types of vegetation cover and should always be addressed while selecting a vegetation measure for epidemiological studies. As significant and negative associations between vegetation and mental health disorder cases were found for young males and females, policymakers should consider incorporating more greenspaces and vegetation-covered areas in urban areas, to reduce the future burden of mental health disorders in Canada. The findings of this study can provide critical guidelines to public health researches aiming to understand the exposure of the population to surrounding greenness. The relative risk maps can help devise targeted intervention strategies to reduce mental health burdens in the Toronto area

MEDICAL TEXTILES: SIGNIFICANCE AND FUTURE PROSPECT IN BANGLADESH

Now-a-days textiles are used in different sectors and various purposesbeyond imagination. Medical sector is one of them. An important andemerging part of the textile industry is medical, hygiene and health sector.The development is taking place due to the simultaneous expansion andimprovement of technology in both textile as well as medical sector. Thenumber of applications is huge and diverse, ranging from a single threadsuture to the complex composite structures for bone replacement and fromthe simple cleaning wipe to advanced barrier fabrics used in OperationTheater. The main object of this work is to study the types of medical textilesused in the medical sector, information on imported items and scope ofmanufacturing these items in Bangladesh. For this work we have visitedDhaka Medical College, Sir Salimullah Medical College, Uttara AdhunikMedical College and Hospital, BMA Bhaban Surgical Market. We havegathered very useful and vast knowledge about the term "Medical Textiles",as per our work and capability

Electrochemical Study of Copper Ferrite as a Catalyst for CO2 Photoelectrochemical Reduction

In this work, p-type CuFe2O4 was synthesized by sol gel method. The prepared CuFe2O4 was used as photocathode catalyst for photoelectrochemical (PEC) CO2 reduction. The XRD, UV-Visible Spectroscopy (UV-Vis), and Mott-Schottky (MS) experiments were done to characterize the catalyst. Linear sweep voltammetry (LSV) was employed to evaluate the visible light (λ>400 nm) effect of this catalyst for CO2 reduction.  The band gap energy of the catalyst was calculated from the UV-Vis and was found 1.30 eV. Flat band potential of the prepared CuFe2O4 was also calculated and found 0.27 V versus Ag/AgCl. Under light irradiation in the CO2-saturated NaHCO3 solution, a remarkable current development associated with CO2 reduction was found during LSV for the prepared electrode from onset potential -0.89 V with a peak current emerged at -1.01 V (vs Ag/AgCl) representing the occurrence of CO2 reduction reaction. In addition, the mechanism of PEC was proposed for the photocathode where the necessity of a bias potential in the range of 0.27 to ~ -1.0 V vs Ag/AgCl was identified which could effectively inhibit the electron-hole (e-/h+) recombination process leading to an enhancement of CO2 reduction reactions.

Spatio-temporal patterns of land use/land cover change in the heterogeneous coastal region of Bangladesh between 1990 and 2017

Although a detailed analysis of land use and land cover (LULC) change is essential in providing a greater understanding of increased human-environment interactions across the coastal region of Bangladesh, substantial challenges still exist for accurately classifying coastal LULC. This is due to the existence of high-level landscape heterogeneity and unavailability of good quality remotely sensed data. This study, the first of a kind, implemented a unique methodological approach to this challenge. Using freely available Landsat imagery, eXtreme Gradient Boosting (XGBoost)-based informative feature selection and Random Forest classification is used to elucidate spatio-temporal patterns of LULC across coastal areas over a 28-year period (1990-2017). We show that the XGBoost feature selection approach effectively addresses the issue of high landscape heterogeneity and spectral complexities in the image data, successfully augmenting the RF model performance (providing a mean user's accuracy > 0.82). Multi-temporal LULC maps reveal that Bangladesh's coastal areas experienced a net increase in agricultural land (5.44%), built-up (4.91%) and river (4.52%) areas over the past 28 years. While vegetation cover experienced a net decrease (8.26%), an increasing vegetation trend was observed in the years since 2000, primarily due to the Bangladesh government's afforestation initiatives across the southern coastal belts. These findings provide a comprehensive picture of coastal LULC patterns, which will be useful for policy makers and resource managers to incorporate into coastal land use and environmental management practices. This work also provides useful methodological insights for future research to effectively address the spatial and spectral complexities of remotely sensed data used in classifying the LULC of a heterogeneous landscape

The use of watershed geomorphic data in flash flood susceptibility zoning : a case study of the Karnaphuli and Sangu river basins of Bangladesh

The occurrence of heavy rainfall in the south-eastern hilly region of Bangladesh makes this area highly susceptible to recurrent flash flooding. As the region is the commercial capital of Bangladesh, these flash floods pose a significant threat to the national economy. Predicting this type of flooding is a complex task which requires a detailed understanding of the river basin characteristics. This study evaluated the susceptibility of the region to flash floods emanating from within the Karnaphuli and Sangu river basins. Twenty-two morphometric parameters were used. The occurrence and impact of flash floods within these basins are mainly associated with the volume of runoff, runoff velocity, and the surface infiltration capacity of the various watersheds. Analysis showed that major parts of the basin were susceptible to flash flooding events of a ‘moderate’-to-‘very high’ level of severity. The degree of susceptibility of ten of the watersheds was rated as ‘high’, and one was ‘very high’. The flash flood susceptibility map drawn from the analysis was used at the sub-district level to identify populated areas at risk. More than 80% of the total area of the 16 sub-districts were determined to have a ‘high’-to-‘very-high’-level flood susceptibility. The analysis noted that around 3.4 million people reside in flash flood-prone areas, therefore indicating the potential for loss of life and property. The study identified significant flash flood potential zones within a region of national importance, and exposure of the population to these events. Detailed analysis and display of flash flood susceptibility data at the sub-district level can enable the relevant organizations to improve watershed management practices and, as a consequence, alleviate future flood risk

The effects of changing land use and flood hazard on poverty in coastal Bangladesh

The construction of polders in the coastal region of Bangladesh has significantly modified the patterns of flooding, as well as leading to significant land use/land cover (hereinafter, LULC) changes. The impact of LULC change and flooding on poverty is complex and poorly understood. This study presents a spatiotemporal appraisal of poverty in relation to LULC change and pluvial flood risk in the south western embanked area of Bangladesh. A combination of logistic regression (LR), cellular automata (CA), and Markov Chain models were utilised to predict future LULC based on historical data. Flood risk assessment was performed at present and for future LULC scenarios. A spatial regression model was developed, incorporating multiple parameters to estimate the wealth index (WI) for present-day and future scenarios. In the study area, agricultural lands reduced from 34 % in 2005 to 8% in 2010, while aquaculture land cover increased from 17 % to 39 % during the same time. The rate of LULC change was relatively low between 2010 and 2019. Based on the recent trend, LULC was predicted for the year 2030. Flood risk was positively correlated with LULC and the expected annual damage (EAD) was estimated at $903 million in 2005, which is likely to increase to$2096 million by 2030, considering changes in LULC scenarios. The analysis further showed that the EAD and LULC change were negatively associated with the WI. Despite consistent national GDP growth in Bangladesh in recent years, the rate of increase of WI is likely to be low in the future because flood risk and patterns of LULC change have a negative effect on WI

Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021

Background Diabetes is one of the leading causes of death and disability worldwide, and affects people regardless of country, age group, or sex. Using the most recent evidentiary and analytical framework from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), we produced location-specific, age-specific, and sex-specific estimates of diabetes prevalence and burden from 1990 to 2021, the proportion of type 1 and type 2 diabetes in 2021, the proportion of the type 2 diabetes burden attributable to selected risk factors, and projections of diabetes prevalence through 2050. Methods Estimates of diabetes prevalence and burden were computed in 204 countries and territories, across 25 age groups, for males and females separately and combined; these estimates comprised lost years of healthy life, measured in disability-adjusted life-years (DALYs; defined as the sum of years of life lost [YLLs] and years lived with disability [YLDs]). We used the Cause of Death Ensemble model (CODEm) approach to estimate deaths due to diabetes, incorporating 25 666 location-years of data from vital registration and verbal autopsy reports in separate total (including both type 1 and type 2 diabetes) and type-specific models. Other forms of diabetes, including gestational and monogenic diabetes, were not explicitly modelled. Total and type 1 diabetes prevalence was estimated by use of a Bayesian meta-regression modelling tool, DisMod-MR 2.1, to analyse 1527 location-years of data from the scientific literature, survey microdata, and insurance claims; type 2 diabetes estimates were computed by subtracting type 1 diabetes from total estimates. Mortality and prevalence estimates, along with standard life expectancy and disability weights, were used to calculate YLLs, YLDs, and DALYs. When appropriate, we extrapolated estimates to a hypothetical population with a standardised age structure to allow comparison in populations with different age structures. We used the comparative risk assessment framework to estimate the risk-attributable type 2 diabetes burden for 16 risk factors falling under risk categories including environmental and occupational factors, tobacco use, high alcohol use, high body-mass index (BMI), dietary factors, and low physical activity. Using a regression framework, we forecast type 1 and type 2 diabetes prevalence through 2050 with Socio-demographic Index (SDI) and high BMI as predictors, respectively. Findings In 2021, there were 529 million (95% uncertainty interval [UI] 500–564) people living with diabetes worldwide, and the global age-standardised total diabetes prevalence was 6·1% (5·8–6·5). At the super-region level, the highest age-standardised rates were observed in north Africa and the Middle East (9·3% [8·7–9·9]) and, at the regional level, in Oceania (12·3% [11·5–13·0]). Nationally, Qatar had the world's highest age-specific prevalence of diabetes, at 76·1% (73·1–79·5) in individuals aged 75–79 years. Total diabetes prevalence—especially among older adults—primarily reflects type 2 diabetes, which in 2021 accounted for 96·0% (95·1–96·8) of diabetes cases and 95·4% (94·9–95·9) of diabetes DALYs worldwide. In 2021, 52·2% (25·5–71·8) of global type 2 diabetes DALYs were attributable to high BMI. The contribution of high BMI to type 2 diabetes DALYs rose by 24·3% (18·5–30·4) worldwide between 1990 and 2021. By 2050, more than 1·31 billion (1·22–1·39) people are projected to have diabetes, with expected age-standardised total diabetes prevalence rates greater than 10% in two super-regions: 16·8% (16·1–17·6) in north Africa and the Middle East and 11·3% (10·8–11·9) in Latin America and Caribbean. By 2050, 89 (43·6%) of 204 countries and territories will have an age-standardised rate greater than 10%. Interpretation Diabetes remains a substantial public health issue. Type 2 diabetes, which makes up the bulk of diabetes cases, is largely preventable and, in some cases, potentially reversible if identified and managed early in the disease course. However, all evidence indicates that diabetes prevalence is increasing worldwide, primarily due to a rise in obesity caused by multiple factors. Preventing and controlling type 2 diabetes remains an ongoing challenge. It is essential to better understand disparities in risk factor profiles and diabetes burden across populations, to inform strategies to successfully control diabetes risk factors within the context of multiple and complex drivers.publishedVersio

The use of watershed geomorphic data in flash flood susceptibility zoning: a case study of the Karnaphuli and Sangu river basins of Bangladesh

The occurrence of heavy rainfall in the south-eastern hilly region of Bangladesh makes this area highly susceptible to recurrent flash flooding. As the region is the commercial capital of Bangladesh, these flash floods pose a significant threat to the national economy. Predicting this type of flooding is a complex task which requires a detailed understanding of the river basin characteristics. This study evaluated the susceptibility of the region to flash floods emanating from within the Karnaphuli and Sangu river basins. Twenty-two morphometric parameters were used. The occurrence and impact of flash floods within these basins are mainly associated with the volume of runoff, runoff velocity, and the surface infiltration capacity of the various watersheds. Analysis showed that major parts of the basin were susceptible to flash flooding events of a ‘moderate’-to-‘very high’ level of severity. The degree of susceptibility of ten of the watersheds was rated as ‘high’, and one was ‘very high’. The flash flood susceptibility map drawn from the analysis was used at the sub-district level to identify populated areas at risk. More than 80% of the total area of the 16 sub-districts were determined to have a ‘high’-to-‘very-high’-level flood susceptibility. The analysis noted that around 3.4 million people reside in flash flood-prone areas, therefore indicating the potential for loss of life and property. The study identified significant flash flood potential zones within a region of national importance, and exposure of the population to these events. Detailed analysis and display of flash flood susceptibility data at the sub-district level can enable the relevant organizations to improve watershed management practices and, as a consequence, alleviate future flood risk

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Global burden of chronic respiratory diseases and risk factors, 1990–2019: an update from the Global Burden of Disease Study 2019

Background: Updated data on chronic respiratory diseases (CRDs) are vital in their prevention, control, and treatment in the path to achieving the third UN Sustainable Development Goals (SDGs), a one-third reduction in premature mortality from non-communicable diseases by 2030. We provided global, regional, and national estimates of the burden of CRDs and their attributable risks from 1990 to 2019. Methods: Using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we estimated mortality, years lived with disability, years of life lost, disability-adjusted life years (DALYs), prevalence, and incidence of CRDs, i.e. chronic obstructive pulmonary disease (COPD), asthma, pneumoconiosis, interstitial lung disease and pulmonary sarcoidosis, and other CRDs, from 1990 to 2019 by sex, age, region, and Socio-demographic Index (SDI) in 204 countries and territories. Deaths and DALYs from CRDs attributable to each risk factor were estimated according to relative risks, risk exposure, and the theoretical minimum risk exposure level input. Findings: In 2019, CRDs were the third leading cause of death responsible for 4.0 million deaths (95% uncertainty interval 3.6–4.3) with a prevalence of 454.6 million cases (417.4–499.1) globally. While the total deaths and prevalence of CRDs have increased by 28.5% and 39.8%, the age-standardised rates have dropped by 41.7% and 16.9% from 1990 to 2019, respectively. COPD, with 212.3 million (200.4–225.1) prevalent cases, was the primary cause of deaths from CRDs, accounting for 3.3 million (2.9–3.6) deaths. With 262.4 million (224.1–309.5) prevalent cases, asthma had the highest prevalence among CRDs. The age-standardised rates of all burden measures of COPD, asthma, and pneumoconiosis have reduced globally from 1990 to 2019. Nevertheless, the age-standardised rates of incidence and prevalence of interstitial lung disease and pulmonary sarcoidosis have increased throughout this period. Low- and low-middle SDI countries had the highest age-standardised death and DALYs rates while the high SDI quintile had the highest prevalence rate of CRDs. The highest deaths and DALYs from CRDs were attributed to smoking globally, followed by air pollution and occupational risks. Non-optimal temperature and high body-mass index were additional risk factors for COPD and asthma, respectively. Interpretation: Albeit the age-standardised prevalence, death, and DALYs rates of CRDs have decreased, they still cause a substantial burden and deaths worldwide. The high death and DALYs rates in low and low-middle SDI countries highlights the urgent need for improved preventive, diagnostic, and therapeutic measures. Global strategies for tobacco control, enhancing air quality, reducing occupational hazards, and fostering clean cooking fuels are crucial steps in reducing the burden of CRDs, especially in low- and lower-middle income countries