Examining the prevalence, correlates and inequalities of undiagnosed hypertension in Nepal: a population-based cross-sectional study

Objective To examine the prevalence, correlates and sociodemographic inequalities of undiagnosed hypertension in Nepal. Design This study used cross-sectional 2016 Nepal Demographic and Health Survey (NDHS) data. Undiagnosed patients with hypertension were defined as an NDHS respondent who was diagnosed as hypertensive (systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg) during the survey, but never took any prescribed anti-hypertensive medicine to lower/control blood pressure and was never identified as having hypertension by a health professional prior the survey. Multiple binary logistic regression analysis was performed, and Concentration Index was measured. Setting Nepal. Participants Adult patients with hypertension. Results Among 3334 patients with hypertension, 50.4% remained undiagnosed during the survey in Nepal. Adjusted model reveals that patients who were male, belonged to households other than the highest wealth quintile, and lived in province 4 and province 5 were at higher risk of remaining undiagnosed for hypertension. Patients who were ≥65 years of age and were overweight/obese were at lower risk of remaining undiagnosed for hypertension. The poor-rich gap was 24.6 percentage points (Q1=64.1% vs Q5=39.6%) and poor:rich ratio was 1.6 (Q1/Q5=1.6) in the prevalence of undiagnosed hypertension. Undiagnosed hypertension was disproportionately higher among lower socioeconomic status groups (Concentration Index, C=−0.18). Inequalities in the prevalence of undiagnosed hypertension further varied across other geographic locations, including place of residence, ecological zones and administrative provinces. Conclusions Undiagnosed hypertension was highly prevalent in Nepal and there were substantial inequalities by sociodemographics and subnational levels. Increasing awareness, strengthening routine screening to diagnose hypertension at primary health service facilities and enactment of social health insurance policy may help Nepal to prevent and control this burden

Relating localized nanoparticle resonances to an associated antenna problem

We conceptually unify the description of resonances existing at metallic nanoparticles and optical nanowire antennas. To this end the nanoantenna is treated as a Fabry-Perot resonator with arbitrary semi-nanoparticles forming the terminations. We show that the frequencies of the quasi-static dipolar resonances of these nanoparticles coincide with the frequency where the phase of the complex reflection coefficient of the fundamental propagating plasmon polariton mode at the wire termination amounts to $\pi$. The lowest order Fabry-Perot resonance of the optical wire antenna occurs therefore even for a negligible wire length. This approach can be used either to easily calculate resonance frequencies for arbitrarily shaped nanoparticles or for tuning the resonance of nanoantennas by varying their termination.Comment: Submitted to Phys. Rev.

Antioxidant and hepatoprotective effects of Astragalus echinops and Astragalus logopodioides ethanolic extracts on paracetamol-induced liver injury in rats

Background: Paracetamol (PCM) has an adequate safety profile when taken in normal doses. However, it could produce oxidative stress with liver injury when taken in an overdose. Plants of Astragalus genus (F. Fabaceae) are of wide-spread applications. Astragalus echinops (A. echinops) and Astragalus logopodioides (A. logopodioides) were tested for their potential hepatoprotective activities against liver injury induced by PCM in rats.Material and Methods: Seven groups of rats were used for determination of hepatoprotective activities of the extracts. The normal and hepatotoxic control groups received the vehicle while other groups were treated with silymarin (100 mg/ kg), A. echinops (250 and 500 mg/kg) and A. logopodioides (250 and 500 mg/ kg), respectively for seven days. Liver injury was induced on the 5th day by oral dosing of PCM (2g/kg) to all rats except those in normal control group. Moreover, the in vitro antioxidant activities of A. echinops and A. logopodioides extracts were tested using 2,2- diphenyl-1-picryl-hydrazyl (DPPH) radical scavenging.Results: Hepatic enzyme markers as alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and glutamyl transferase and level of total bilirubin were significantly elevated, while total protein and albumin were declined significantly in PCM-exposed animals. The liver antioxidant markers like the activities of superoxide dismutase, catalase and glutathione peroxidase and the levels of reduced glutathione were significantly declined, while hepatic malondialdehyde levels were significantly increased in PCM alone-treated rats. Administration of A. echinops (250 and 500 mg/kg) and A. logopodioides (500 mg/ kg) extracts prior to PCM, significantly protected against the elevation in the serum activities of hepatic enzymes and bilirubin and reduced oxidative stress. The hepatoprotective effect of both extracts was further confirmed by histological findings in the liver tissue. In addition, both extracts displayed in vitro antioxidant activities in a concentration-dependent way.Conclusion: Our results suggest that both extracts protect the liver against oxidative damage and they could be used as effective hepatoprotectives against PCM induced liver injury.Keywords: Astragalus, Paracetamol, Hepatotoxicity, Hepatoprotective, DPPH, Antioxidan

Waste Generated from LMR-AMTEC Reactor Concept

The candidate Liquid Metal Reactor-Alkali Metal Thermal -to- Electric Converter (LMR-AMTEC) is considered to be the first reactor that would use pure liquid potassium as a secondary coolant, in which potassium vapor aids in the conversion of thermal energy to electric energy. As with all energy production, the thermal generation of electricity produces wastes. These wastes must be managed in ways which safeguard human health and minimize their impact on the environment. Nuclear power is the only energy industry, which takes full responsibility for all its wastes. Based on the candidate design of the LMR-AMTEC components and the coolant types, different wastes will be generated from LMR. These wastes must be classified and characterized according to the U.S. Code of Federal Regulation, CFR. This paper defines the waste generation and waste characterization from LMR-AMTEC and reviews the applicable U.S. regulations that govern waste transportation, treatment, storage and final disposition. The wastes generated from LMR-AMTEC are characterized as: (1) mixed waste which is generated from liquid sodium contaminated by fission products and activated corrosion products; (2) hazardous waste which is generated from liquid potassium contaminated by corrosion products; (3) spent nuclear fuel; and (4) low-level radioactive waste which is generated from the packing materials (e.g. activated carbon in cold trap and purification units). The regulations and management of these wastes are summarized in this paper

Gas-Phase Synthesis of Triphenylene (C18 H12 ).

For the last decades, the hydrogen-abstraction-acetylene-addition (HACA) mechanism has been widely invoked to rationalize the high-temperature synthesis of PAHs as detected in carbonaceous meteorites (CM) and proposed to exist in the interstellar medium (ISM). By unravelling the chemistry of the 9-phenanthrenyl radical ([C14 H9 ]. ) with vinylacetylene (C4 H4 ), we present the first compelling evidence of a barrier-less pathway leading to a prototype tetracyclic PAH - triphenylene (C18 H12 ) - via an unconventional hydrogen abstraction-vinylacetylene addition (HAVA) mechanism operational at temperatures as low as 10 K. The barrier-less, exoergic nature of the reaction reveals HAVA as a versatile reaction mechanism that may drive molecular mass growth processes to PAHs and even two-dimensional, graphene-type nanostructures in cold environments in deep space thus leading to a better understanding of the carbon chemistry in our universe through the untangling of elementary reactions on the most fundamental level

Reactivity of the Indenyl Radical (C9 H7 ) with Acetylene (C2 H2 ) and Vinylacetylene (C4 H4 ).

The reactions of the indenyl radicals with acetylene (C2 H2 ) and vinylacetylene (C4 H4 ) is studied in a hot chemical reactor coupled to synchrotron based vacuum ultraviolet ionization mass spectrometry. These experimental results are combined with theory to reveal that the resonantly stabilized and thermodynamically most stable 1-indenyl radical (C9 H7 . ) is always formed in the pyrolysis of 1-, 2-, 6-, and 7-bromoindenes at 1500 K. The 1-indenyl radical reacts with acetylene yielding 1-ethynylindene plus atomic hydrogen, rather than adding a second acetylene molecule and leading to ring closure and formation of fluorene as observed in other reaction mechanisms such as the hydrogen abstraction acetylene addition or hydrogen abstraction vinylacetylene addition pathways. While this reaction mechanism is analogous to the bimolecular reaction between the phenyl radical (C6 H5 . ) and acetylene forming phenylacetylene (C6 H5 CCH), the 1-indenyl+acetylene→1-ethynylindene+hydrogen reaction is highly endoergic (114 kJ mol-1 ) and slow, contrary to the exoergic (-38 kJ mol-1 ) and faster phenyl+acetylene→phenylacetylene+hydrogen reaction. In a similar manner, no ring closure leading to fluorene formation was observed in the reaction of 1-indenyl radical with vinylacetylene. These experimental results are explained through rate constant calculations based on theoretically derived potential energy surfaces

A Simple Pre-concentration Method for the Determination of Nickel(II) in Urine Samples Using UV-Vis Spectrophotometry and Flame Atomic Absorption Spectrometry Techniques

The cloud point technique was effectively utilized for extraction and pre-concentration of nickel(II) in urine samples before measurement by UV-Vis spectrophotometer and AAS techniques. The metal response to a para-aminophenol (PAP) reagent in a non-ionic surfactant Triton X-114 medium was to form the Ni-PAP complex. The adopted concentration for PAP, concentration of Triton X-114, pH effect and water bath temperature, incubation time, salt effect, and interference effects were all optimized. The calibration curve was linear over the range of (0.0625–1.25) mg L–1 with a correlation coefficient r2 of 0.9682 for the UV-Vis spectrophotometer at a λmax of 629 nm. The limit of detection was 0.005 mg/L. The relative standard deviation for six replicates was 1.07%. This method was applied successfully to determine copper (II) concentrations in 44 urine samples of occupational worker samples as determined by UV-Vis spectrophotometry and FAAS techniques

THE MEMBRANE DISTILLATION ABILITY TO REMOVE CALCIUM ION FROM DAIRY WASTEWATER

In this research the membranes distillation was used to remove calcium ions from heavy sewers at dairy plants in Iraq. This method is easy to operate, easy to manage and has many economic benefits. A chemical treatment was carried out on it using alum as a coagulant, different tests achieved samples before and after passing MD, according to APHA, AWWA, WEF. The results showed that obtained in water treatment trust that has been manufactured and edited according to the characteristics of the water waste the interests of the dairy capacity of this method to remove the calcium ion to a certain extent it is when the concentration reaches the inside of this ion to 1428.57 mg per liter, where to start the composition of hydroxides of calcium responsible for pain. The optimal working temperature ranges from 20-22 ° C and the flow is around 0.66 kg.m-2.h-1, here was the result of a layer of plaster that led to clogged membrane and folding and was stopped for washing and cleaning

A Review of Hash Function Types and their Applications

In the recent decade, global community has been one of the world's most prominent targets of terrorist strikes. There is still study being done and improved efficiency procedures needed in this sector, however the security forces and law enforcement agencies are creating and launching high security weaponry to secure their territories. There is a huge necessity to include the greater level of protection into military vehicles in the wake of several terrorist attacks and sniffing of security officers. Terrorists rely heavily on infiltration while avoiding detection by security measures because of the holes in these hypothetical situations. This paper presents the central methods of hash functions, cryptography and dynamic encryption that may be utilised by the military personnel to increase the safety, privacy, and resistance to sniffing of their communications with one another. This article details the many methods and algorithms that may be included into laser guided defensive weapons and vehicles to provide safe communication across the system

Serial Magnetic Resonance Imaging in Creutzfeldt-Jakob Disease: a Case Report and Literature Review

Creutzfeldt-Jakob disease (CJD) is a rare, degenerative, invariably fatal brain disorder. CJD usually appears in later life and runs a rapid course. Typically, the onset of symptoms occurs about age 60 and about 90% of individuals die within one year. We report a case of 67-year-old male presented with progressive aphasia, confusion, dysphagia and inability to carry out activities of daily life (ADLs) over a period of three to four weeks. The patient had past medical history of chronic atrial fibrillation and hypertension. Prior to admission, the patient was treated for ischemic stroke of left basal ganglia but continued to have worsening encephalopathy. The spinal tap revealed a 14-3-3 protein level of thirteen times the upper limit of normal; electroencephalogram (EEG) showed a diffuse slowing of the background and periodic sharp waves with greater involvement of the left hemisphere. Diffusion-weighted imaging (DWI) magnetic resonance imaging (MRI) at the time of admission showed extensive signal abnormality in the basal ganglia bilaterally and in the cerebral cortex bilaterally, particularly over the left cerebral hemisphere. The persistence of the MRI findings over several weeks was concerning for spongiform encephalopathy. The probable diagnosis of Creutzfeldt-Jakob disease was made based on these imaging findings taken together with the patient’s clinical signs and symptoms of a rapidly progressive encephalopathy. The patient was able to have some quality time with his family as the diagnosis was made earlier than perhaps otherwise and expired peacefully after comfort care measures were chosen. Serial MRI may serve as a clue to the early diagnosis of CJD and potentially provide a better quality of life for the patients