A prospective study of hearing impairment in school going children of Ghaziabad city attending a tertiary care hospital

Background:Overcrowding, poor hygiene, socio-economic status, climate, lack of resources to avail medical facilities, poor medical awareness have their bearing on the incidence of hearing loss. The family of each hearing-impaired child has its own cultural, social, educational, and financial background, and its own special needs. The aim of this study is to determine the percentage of hearing impaired school going children in Ghaziabad city.Methods:The material for the present study were a representative sample constituting 1000 school children selected from various localities of Ghaziabad city within age group of 6-12 years. The children belonged to all the strata of society and children from both sexes were evaluated for hearing loss and its underlying etiological factors. Children were subjected to detailed ENT examination in our OPD.  Results:In the present study sample the incidence of hearing loss is 9.3%. The maximum cases 60.22% belonged to the low socio-economic strata. A statistically significant difference of distribution by gender was noticed with a male preponderance (61.29%) as against 38.71% for females. The hearing loss in majority of cases was of a mild degree i.e., 26 to 45 dB (34.41%) of which majority of cases (87.10%) had conductive loss. Wax was the commonest cause of hearing loss (41.94%). CSOM was found in 21.50 % of all cases. Peak prevalence of hearing loss was found at 8 years of age, again declining after that from 20.43 % to 5.38 % by 12 years of age. Also it was observed that 59.14% children were living in crowded localities of city & 40.86% were living in non- crowded/open locality which is again statistically significant (P ≤0.05).Conclusion:The inferences drawn from the present study substantiates the view point of earlier workers that school screening is the most effective method of diagnosing deafness in school going children and should be extended to all schools in all the areas. Proper assessment and diagnosis of hearing loss in children at a very early age is important because an early diagnosis determines the efficacy of methods used for the correction of the hearing loss. Also early diagnosis of hearing impairment is a key to proper rehabilitation. The cases reporting to the hospital for treatment and rehabilitation can be regarded as the tip of the ice-berg and can have more management difficulties when compared to sub-clinical cases.

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Studying Users’ Perceptions of COVID-19 Mobile Applications in Saudi Arabia

In Saudi Arabia, several mitigating measures were implemented in response to the COVID-19 pandemic, including the creation of COVID-19 mobile applications (apps) for public use. The Saudi government has made the use of these apps mandatory for its citizens and residents. However, it is essential to explore the perception that common users have regarding using these apps in terms of usability and user experience. Therefore, this paper assesses user experience in terms of effectiveness, efficiency, and user satisfaction with the usability of the Saudi COVID-19 apps. The reviews of five mobile apps launched by the Saudi Data and AI Authority (SDAIA) and the Ministry of Health in the Apple Store were extracted using an online tool and analyzed using the content analysis method. The number of collected reviews was 29 for Sehha, 406 for Sehhaty, 442 for Mawid, 107 for Tabaud, and 1338 for Tawakkalna. The results of the study showed that Mawid (82%) and Tabaud (81%) had the highest usability of all the apps studied. Sehha (138%) and Sehhaty (−107%) received the lowest usability scores, followed by Tawakkalna (22%). Based on these results, we identified several usability issues with each app. Some of the main problems reported by users were increased battery drain, lack of privacy, and technical issues

Progress and Prospects of Nanocellulose-Based Membranes for Desalination and Water Treatment

Membrane-based desalination has proved to be the best solution for solving the water shortage issues globally. Membranes are extremely beneficial in the effective recovery of clean water from contaminated water sources, however, the durability as well as the separation efficiency of the membranes are restricted by the type of membrane materials/additives used in the preparation processes. Nanocellulose is one of the most promising green materials for nanocomposite preparation due to its biodegradability, renewability, abundance, easy modification, and exceptional mechanical properties. This nanocellulose has been used in membrane development for desalination application in the recent past. The study discusses the application of membranes based on different nanocellulose forms such as cellulose nanocrystals, cellulose nanofibrils, and bacterial nanocellulose for water desalination applications such as nanofiltration, reverse osmosis, pervaporation, forward osmosis, and membrane distillation. From the analysis of studies, it was confirmed that the nanocellulose-based membranes are effective in the desalination application. The chemical modification of nanocellulose can definitely improve the surface affinity as well as the reactivity of membranes for the efficient separation of specific contaminants/ions

Sustainable Preparation of Graphene Quantum Dots for Metal Ion Sensing Application

Over the past several years, graphene quantum dots (GQDs) have been extensively studied in water treatment and sensing applications because of their exceptional structure-related properties, intrinsic inert carbon property, eco-friendly nature, etc. This work reported on the preparation of GQDs from the ethanolic extracts of eucalyptus tree leaves by a hydrothermal treatment technique. Different heat treatment times and temperatures were used during the hydrothermal treatment technique. The optical, morphological, and compositional analyses of the green-synthesized GQDs were carried out. It can be noted that the product yield of GQDs showed the maximum yield at a reaction temperature of 300 °C. Further, it was noted that at a treatment period of 480 min, the greatest product yield of about 44.34% was attained. The quantum yields of prepared GQDs obtained after 480 min of treatment at 300 °C (named as GQD/300) were noted to be 0.069. Moreover, the D/G ratio of GQD/300 was noted to be 0.532 and this suggested that the GQD/300 developed has a nano-crystalline graphite structure. The TEM images demonstrated the development of GQD/300 with sizes between 2.0 to 5.0 nm. Furthermore, it was noted that the GQD/300 can detect Fe3+ in a very selective manner, and hence the developed GQD/300 was successfully used for the metal ion sensing application

Improved Forward Osmosis Performance of Thin Film Composite Membranes with Graphene Quantum Dots Derived from Eucalyptus Tree Leaves

The major challenges in forward osmosis (FO) are low water flux, high specific reverse solute flux (SRSF), and membrane fouling. The present work addresses these problems by the incorporation of graphene quantum dots (GQDs) in the polyamide (PA) layer of thin-film composite (TFC) membranes, as well as by using an innovative polyethersulfone nanofiber support for the TFC membrane. The GQDs were prepared from eucalyptus leaves using a facile hydrothermal method that requires only deionized water, without the need for any organic solvents or reducing agents. The nanofiber support of the TFC membranes was prepared using solution blow spinning (SBS). The polyamide layer with GQDs was deposited on top of the nanofiber support through interfacial polymerization. This is the first study that reports the fouling resistance of the SBS-nanofiber-supported TFC membranes. The effect of various GQD loadings on the TFC FO membrane performance, its long-term FO testing, cleaning efficiency, and organic fouling resistance were analyzed. It was noted that the FO separation performance of the TFC membranes was improved with the incorporation of 0.05 wt.% GQDs. This study confirmed that the newly developed thin-film nanocomposite membranes demonstrated increased water flux and salt rejection, reduced SRSF, and good antifouling performance in the FO process

Graphene Quantum Dot-Added Thin-Film Composite Membrane with Advanced Nanofibrous Support for Forward Osmosis

Forward osmosis (FO) technology for desalination has been extensively studied due to its immense benefits over conventionally used reverse osmosis. However, there are some challenges in this process such as a high reverse solute flux (RSF), low water flux, and poor chlorine resistance that must be properly addressed. These challenges in the FO process can be resolved through proper membrane design. This study describes the fabrication of thin-film composite (TFC) membranes with polyethersulfone solution blown-spun (SBS) nanofiber support and an incorporated selective layer of graphene quantum dots (GQDs). This is the first study to sustainably develop GQDs from banyan tree leaves for water treatment and to examine the chlorine resistance of a TFC FO membrane with SBS nanofiber support. Successful GQD formation was confirmed with different characterizations. The performance of the GQD-TFC-FO membrane was studied in terms of flux, long-term stability, and chlorine resistance. It was observed that the membrane with 0.05 wt.% of B-GQDs exhibited increased surface smoothness, hydrophilicity, water flux, salt rejection, and chlorine resistance, along with a low RSF and reduced solute flux compared with that of neat TFC membranes. The improvement can be attributed to the presence of GQDs in the polyamide layer and the utilization of SBS nanofibrous support in the TFC membrane. A simulation study was also carried out to validate the experimental data. The developed membrane has great potential in desalination and water treatment applications

In vivo and in silico sedative-hypnotic like activity of 7-methyljuglone isolated from Diospyros lotus L.

Diospyros lotus L. possesses different therapeutic activities such as antioxidant, anti-proliferative, antimicrobial and sedative. However, no studies on the sedative-hypnotic activity of 7-methyljuglone are reported. In the present study, we have evaluated in vivo the anxiolytic-hypnotic like effects of 7-methyljuglone in mice with open field and phenobarbitone-induced sleeping time tests. We have also assessed in silico the involvement of GABA(A), GABA(B) and 5HT1 neurotransmission in its mechanism of action. The intraperitoneal administration of 7-methyljuglone (2.5-10 mg/kg) reduce significantly the number of crossed lines in mice open field test and concomitantly it shown a significant activity in term of onset of sleeping time and also in its duration. Moreover, 7-methyljuglone demonstrated in silico an interesting interaction with GABAA but not GABAB and 5HT1binding sites. All of these results, taken together, 7-methyljuglone may be an innovative candidate for designing new pharmaceutical and therapeutic applications. (C) 2017 Elsevier Masson SAS. All rights reserved