Quantitative Risk Assessment in Titanium Sponge Plant

This pap& presents the quantitative risk assessment for the storage of titanium tetrachloride (TiCl,).It is the major reactant used for the production of titanium in the titanium spongeplant. Titanium tetrachloride readily reacts with moisture, leading to the release of toxic hydrogen chloride (HCI).F ire explosive and toxicity index analysis, and hazard and operability(HAZOP) studies for the entire titanium sponge plant were carried out. Based on these studies, the TiCl, storage section was found to be one of the most hazardous sections in the titaniumsponge plant. Fault tree analysis technique has been used to identify the basic events responsible for the top event occurrence, ie, release of HCl due to the hydrolysis of TiCl, upon contactwith moisture in the environment during spillagelleakage of TiCl, from the storage tanks and to calculate its probability. Consequence analysis of the probable scenarios has been carriedout. The risk has been estimated in terms of fatality.and injuries. Based on these results, basic input in the form of recommendations for possible changes in the design and operation of thetitanium sponge plant have been made for the risk management

Mode of Action of Trikatu Ghrita Yukt Swarnabhasma in Pandu Roga (Anaemia)

Pandu roga, an ancient Ayurvedic term used to describe a specific disease, has been recognized and discussed by various Ayurvedic scholars. According to their teachings, Pandu roga is considered a type of Rasa pradoshaj vikara, with Pitta dosha playing a prominent role in its manifestation. The key characteristic of this disease is Panduthwa, or Pallor, which exhibits clinical features similar to modern-day Anaemia .A condition in modern medicine, involves a deficiency in red blood cells or hemoglobin percentage due to decreased production. It is often associated with poor nutrition and overall health. The problem is commonly observed in low birth weight infants, overweight children who lack energy for physical activity, school-going children, adolescents, and pregnant women. In traditional Ayurvedic medicine, there are various formulations suggested for managing Anaemia, one of which is Trikatu Ghrita Yukt Swarnabhasma. This herbal preparation contains Trikatu, a combination of three spices - Shunthi (Zingiber officinale), Marich (Piper nigrum), and Pippali (Piper longum). These spices are renowned for their digestive and metabolic properties. Additionally, Swarnabhasma, derived from gold, has been utilized in Ayurveda for its rejuvenating and tonic effect

Morphological, Nutritional, Chemical and Antioxidant Potential of Mahonia Jaunsarensis Ahrendt Fruit: A Narrow Endemic Wild Edible Species of Western Himalaya

ABSTRACTMahonia jaunsarensis Ahrendt is a narrow endemic wild edible fruit-bearing species found in Uttarakhand Himalaya and has the potential of breeding compatibility with economically important Mahonia and Berberis species. Berry fruits of the species were explored for nutritional, phytochemical and antioxidant potential among three sampling locations. Fresh berries appeared a good source of diverse nutrients (carbohydrate 1.07–1.25 g/100 g, protein 0.97–1.13 g/100 g, non-reducing sugar 3.38–3.92 mg/g, and total sugar 9.86–12.87 mg/g); minerals (e.g. sodium 0.56–0.65 mg/100 g and potassium 0.99–1.14 mg/g); and vitamins (ascorbic acid 3.87–4.49 mg/g, thiamine 9.97–11.57 µg/g and carotenoids 1.67–1.94 mg/g). Similarly, phytochemicals (total anthocyanin 18.93–22.12 mg/g, phenolics 1.56–1.80 mg GAE/g, flavonoids 1.49–1.73 mg QE/g, flavonols 4.88–5.66 mg CE/g, and tannins 6.53–7.58 mg TAE/g) and in vitro antioxidant capacity (measured by ABTS assay, DPPH assay, OH· radical scavenging activity and FRAP assays) varied significantly (p < .05) among localities. Various phenolic compounds (particularly, chlorogenic acid 9.93–13.77 mg/g; caffeic acid 0.32–0.65 mg/g; syringic acid 0.30–0.47 mg/g fw) present in the methanolic extract also varied significantly among the localities. Thus, this phytonutrient- and antioxidant-rich genetic resource can be utilized for health-promoting functional foods. Also, the results of the present study indicated that the variation in nutritional, phytochemicals, and antioxidant activity among the locations can be utilized for elite selection, quality control, and breeding programs in the species

Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries

Background: This study assessed the potential cost-effectiveness of high (80-100%) vs low (21-35%) fraction of inspired oxygen (FiO2) at preventing surgical site infections (SSIs) after abdominal surgery in Nigeria, India, and South Africa. Methods: Decision-analytic models were constructed using best available evidence sourced from unbundled data of an ongoing pilot trial assessing the effectiveness of high FiO2, published literature, and a cost survey in Nigeria, India, and South Africa. Effectiveness was measured as percentage of SSIs at 30 days after surgery, a healthcare perspective was adopted, and costs were reported in US dollars ($). Results: High FiO2 may be cost-effective (cheaper and effective). In Nigeria, the average cost for high FiO2 was$216 compared with 222 for low FiO2 leading to a -6 (95% confidence interval [CI]:&nbsp;-13 to -1) difference in costs. In India, the average cost for high FiO2 was $184 compared with$195 for low FiO2 leading to a&nbsp;-$11 (95$15 to&nbsp;-$6) difference in costs. In South Africa, the average cost for high FiO2 was$1164 compared with 1257 for low FiO2 leading to a -93 (95% CI:&nbsp;-132 to -65) difference in costs. The high FiO2 arm had few SSIs, 7.33% compared with 8.38% for low FiO2, leading to a&nbsp;-1.05 (95% CI:&nbsp;-1.14 to&nbsp;-0.90) percentage point reduction in SSIs. Conclusion: High FiO2 could be cost-effective at preventing SSIs in the three countries but further data from large clinical trials are required to confirm this

Book of Abstracts of the 2nd International Conference on Applied Mathematics and Computational Sciences (ICAMCS-2022)

It is a great privilege for us to present the abstract book of ICAMCS-2022 to the authors and the delegates of the event. We hope that you will find it useful, valuable, aspiring, and inspiring. This book is a record of abstracts of the keynote talks, invited talks, and papers presented by the participants, which indicates the progress and state of development in research at the time of writing the research article. It is an invaluable asset to all researchers. The book provides a permanent record of this asset. Conference Title: 2nd International Conference on Applied Mathematics and Computational SciencesConference Acronym: ICAMCS-2022Conference Date: 12-14 October 2022Conference Organizers: DIT University, Dehradun, IndiaConference Mode: Online (Virtual

Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis

BackgroundThe Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.MethodsThis was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a translatability assessment. Translation was completed into five languages in accordance with Mapi recommendations. Next, data from a prospective cohort (SWAT) were interpreted using Rasch analysis to explore scaling and measurement properties of the WHQ. Finally, qualitative and quantitative data were triangulated using a modified, exploratory, instrumental design model.ResultsIn the qualitative phase, 10 structured interviews and six focus groups took place with a total of 47 investigators across six countries. Themes related to comprehension, response mapping, retrieval, and judgement were identified with rich cross-cultural insights. In the quantitative phase, an exploratory Rasch model was fitted to data from 537 patients (369 excluding extremes). Owing to the number of extreme (floor) values, the overall level of power was low. The single WHQ scale satisfied tests of unidimensionality, indicating validity of the ordinal total WHQ score. There was significant overall model misfit of five items (5, 9, 14, 15, 16) and local dependency in 11 item pairs. The person separation index was estimated as 0.48 suggesting weak discrimination between classes, whereas Cronbach's α was high at 0.86. Triangulation of qualitative data with the Rasch analysis supported recommendations for cross-cultural adaptation of the WHQ items 1 (redness), 3 (clear fluid), 7 (deep wound opening), 10 (pain), 11 (fever), 15 (antibiotics), 16 (debridement), 18 (drainage), and 19 (reoperation). Changes to three item response categories (1, not at all; 2, a little; 3, a lot) were adopted for symptom items 1 to 10, and two categories (0, no; 1, yes) for item 11 (fever).ConclusionThis study made recommendations for cross-cultural adaptation of the WHQ for use in global surgical research and practice, using co-produced mixed-methods data from three continents. Translations are now available for implementation into remote wound assessment pathways