111 research outputs found

    The quality of care in provision of female sterilization and IUD services: an assessment study in Bihar

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    "With funding from the Packard Foundation, the International Center for Research on Women (ICRW) conducted a study in Bihar, where contraceptive use is low and women’s unmet fertility needs are high. We specifically assessed the quality of care related to the provision of IUD insertion and sterilization in an effort to better understand the nature of quality of care provided and identify the areas of care that require more attention.

    Glaucoma: role of neuroprotective agents

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    Glaucoma is an optic neuropathy, considered as the second leading cause of blindness worldwide. Glaucoma is characterized by selective death of retinal ganglion cells (RGC) and a progressive loss of vision. Elevated intraocular pressure (IOP) is one of the most important risk factors for developing glaucoma and hence we mainly focus on lowering IOP to arrest the progression of glaucoma. However, many patients continue to demonstrate a clinically downhill course despite the control of initially raised IOP. In fact, some patients develop what is called normal tension glaucoma, not associated to an increased IOP. This emphasizes that several pressure-independent mechanisms are responsible for the development and progression of glaucomatous neuropathy and that high IOP and vascular insufficiency in the optic nerve head are only risk factors for the development of glaucoma, and are not the only target for the treatment of glaucoma. The reason is that the process of RGC death is thought to be biphasic, and the primary injury is followed by a slower secondary degeneration related to a noxious environment surrounding the apoptotic cells. This environment is characterized by changes in the extra-cellular ionic concentrations, increased amounts of free radicals, neurotrophins (NT) depletion and increased glutamate-induced excitotoxicity due to high extra-cellular glutamate levels, which binds to N-methyl-D-aspartate (NMDA) receptors leading to an abnormally high intracellular Ca2+ concentration. Neuroprotection is a process that attempts to preserve the remaining cells that are still vulnerable to damage, and the main aim of neuroprotective therapy is to employ pharmacologic or other means to attenuate the hostility of the environment surrounding the degenerating cells, or to supply the cells with the tools to deal with this aggression, providing resilience to the insult. Several agents have been reported neuroprotective in glaucoma, both in clinical assays, such as Ca2+ channel blockers, and in experimental studies, such as betaxolol, brimonidine, NMDA antagonists, nitric oxide synthase inhibitors, NT and Ginkgo biloba extract. Most neuroprotective agents for glaucoma have proved beneficial effects over RGC, not showing effects over IOP. However, when analyzing classically used medications for glaucoma, it becomes difficult to understand if its effect over the progression of glaucoma is due to neuroprotective pathways or by means of lowering IOP. The ideal anti-glaucoma drug would be one that when applied topically, reduces IOP, but also probes to reach the retina in appropriate amounts, and activates specific receptors in the retina to attenuate RGC death. In this review, we will examine currently advocated neuroprotective drug-based strategies in the potential management of glaucoma

    Temperature dependence of the resistance of metallic nanowires (diameter ≥\geq 15 nm): Applicability of Bloch-Gr\"{u}neisen theorem

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    We have measured the resistances (and resistivities) of Ag and Cu nanowires of diameters ranging from 15nm to 200nm in the temperature range 4.2K-300K with the specific aim to assess the applicability of the Bloch-Gr\"{u}neisen formula for electron phonon resistivity in these nanowires. The wires were grown within polymeric templates by electrodeposition. We find that in all the samples the resistance reaches a residual value at T=4.2K and the temperature dependence of resistance can be fitted to the Bloch-Gr\"{u}neisen formula in the entire temperature range with a well defined transport Debye temperature (ΘR\Theta_{R}). The value of Debye temperature obtained from the fits lie within 8% of the bulk value for Ag wires of diameter 15nm while for Cu nanowires of the same diameter the Debye temperature is significantly lesser than the bulk value. The electron-phonon coupling constants (measured by αel−ph\alpha_{el-ph} or αR\alpha_{R}) in the nanowires were found to have the same value as that of the bulk. The resistivities of the wires were seen to increase as the wire diameter was decreased. This increase in the resistivity of the wires may be attributed to surface scattering of conduction electrons. The specularity p was estimated to be about 0.5. The observed results allow us to obtain the resistivities exactly from the resistance and gives us a method of obtaining the exact numbers of wires within the measured array (grown within the template).Comment: 9 pages, 10 figure

    The quality of care in provision of female sterilization and IUD services: an assessment study in Bihar

    Get PDF
    "With funding from the Packard Foundation, the International Center for Research on Women (ICRW) conducted a study in Bihar, where contraceptive use is low and women’s unmet fertility needs are high. We specifically assessed the quality of care related to the provision of IUD insertion and sterilization in an effort to better understand the nature of quality of care provided and identify the areas of care that require more attention.

    A multimodel-based screening framework for C-19 using deep learning-inspired data fusion.

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    In recent times, there has been a notable rise in the utilization of Internet of Medical Things (IoMT) frameworks particularly those based on edge computing, to enhance remote monitoring in healthcare applications. Most existing models in this field have been developed temperature screening methods using RCNN, face temperature encoder (FTE), and a combination of data from wearable sensors for predicting respiratory rate (RR) and monitoring blood pressure. These methods aim to facilitate remote screening and monitoring of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) and COVID-19. However, these models require inadequate computing resources and are not suitable for lightweight environments. We propose a multimodal screening framework that leverages deep learning-inspired data fusion models to enhance screening results. A Variation Encoder (VEN) design proposes to measure skin temperature using Regions of Interest (RoI) identified by YoLo. Subsequently, the multi-data fusion model integrates electronic records features with data from wearable human sensors. To optimize computational efficiency, a data reduction mechanism is added to eliminate unnecessary features. Furthermore, we employ a contingent probability method to estimate distinct feature weights for each cluster, deepening our understanding of variations in thermal and sensory data to assess the prediction of abnormal COVID-19 instances. Simulation results using our lab dataset demonstrate a precision of 95.2%, surpassing state-of-the-art models due to the thoughtful design of the multimodal data-based feature fusion model, weight prediction factor, and feature selection model

    Degree of Milling Effect on Cold Water Rice Quality

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    The aim of this study was to examine the effects of degree of milling on various rice parameters such as proximate composition, and cooking properties using mathematical model. The experiments were performed in the laboratory of Food Research Division, Nepal Agricultural Research Council. The three different medium type rice varieties of Nepal (Lumle-2, Chhomrong and Machhapuchre-3) were exposed to five different degrees of milling (0%, 6%, 8%, 10% and 12%). The degree of milling (DM) level significantly (P≤0.05) affected the milling recovery; head rice yield, nutrient content as well as cooking properties of the rice. Increase in DM resulted in further reduction of protein content, fat content, minerals, milled rice and head rice yield after bran layer was further removed. A positive correlation between DM used in present model, amylose content, kernel elongation and gruel solid loss was observed, however, with an increase in DM; amylose content, kernel elongation and gruel solid loss were found to be increased. Adopting 6 to 8% DM for commercial milling of rice might help to prevent quantitative, qualitative and nutritional loss along with retention of good cooking characteristics

    Decreasing brown bear (Ursus arctos) habitat due to climate change in Central Asia and the Asian Highlands

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    Around the world, climate change has impacted many species. In this study, we used bioclimatic variables and biophysical layers of Central Asia and the Asian Highlands combined with presence data of brown bear (Ursus arctos) to understand their current distribution and predict their future distribution under the current rate of climate change. Our bioclimatic model showed that the current suitable habitat of brown bear encompasses 3,430,493 km2 in the study area, the majority of which (>65%) located in China. Our analyses demonstrated that suitable habitat will be reduced by 11% (378,861.30 km2) across Central Asia and the Asian Highlands by 2,050 due to climate change, predominantly (>90%) due to the changes in temperature and precipitation. The spatially averaged mean annual temperature of brown bear habitat is currently −1.2°C and predicted to increase to 1.6°C by 2,050. Mean annual precipitation in brown bear habitats is predicted to increase by 13% (from 406 to 459 mm) by 2,050. Such changes in two critical climatic variables may significantly affect the brown bear distribution, ethological repertoires, and physiological processes, which may increase their risk of extirpation in some areas. Approximately 32% (1,124,330 km2) of the total suitable habitat falls within protected areas, which was predicted to reduce to 1,103,912 km2 (1.8% loss) by 2,050. Future loss of suitable habitats inside the protected areas may force brown bears to move outside the protected areas thereby increasing their risk of mortality. Therefore, more protected areas should be established in the suitable brown bear habitats in future to sustain populations in this region. Furthermore, development of corridors is needed to connect habitats between protected areas of different countries in Central Asia. Such practices will facilitate climate migration and connectivity among populations and movement between and within countries
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