Study on low-grade galena-barite ore beneficiation in Khuzdar, Balochistan, Pakistan

Purpose. Galena and barite are the principal minerals of lead and barium respectively. Both minerals are used extensively in industries because of their distinct properties. In complex poly metallic ores, it is always desirable to produce separate mineral concentrates for subsequent metal extraction. Separation of two or more minerals from complex low-grade multi-metallic ore into commercial grade concentrates requires suitable process. Methods. This research work is centered on development a suitable process for the beneficiation of a low-grade galena-barite ore originating from Khuzdar region (Balochistan Province, Pakistan). Findings. The low-grade ore assaying 39.90% Pb and 24.64% BaSO4 was beneficiated on bench-scale by sequential froth flotation process to recover valuable galena and barite concentrates. The important variables of froth flotation process such as feed size, pulp pH, pulp density, impeller speed, type and quantities of flotation reagents, pulp conditioning time and froth collecting time were optimized to achieve maximum recovery and grade of both concentrates. The rougher galena and barite concentrates were re-ground separately and subjected to one cleaning flotation to obtain better grade final concentrates of respective minerals. Originality. A process flow-sheet was designed in the light of this study. Practical implications. Froth flotation experiments showed that a galena concentrate containing 77.38% Pb with recovery of 90.64% and a barite concentrate assaying 90.23% BaSO4 with recovery of 80.16% could be recovered from this ore. Both the concentrates fall in the category of metallurgical and chemical grades and are suitable for industrial applications.Мета. Підвищення якості низькосортної галеніт-баритової руди, знайденої в Хуздарском районі провінції Белуджистан (Пакистан), до концентрату металургійного якості, що містить більше 70% Pb, із використанням методу пінної флотації. Методика. Масова проба галеніт-баритової руди вагою близько 100 кг була відібрана з шахти Мал-Хор на північному заході від Хуздару та доставлена в лабораторію переробки мінералів MPRC, PCSIR Lahore для проведення досліджень. Зразок підданий первинному подрібненню із використанням щокової дробарки з наступним вторинним подрібненням із використанням валкової дробарки. Зразок до і після флотації піддавався комплексному хімічному і рентгеноструктурному аналізу (XRD). Флотаційні випробування проводилися на лабораторній флотаційній машині D-12. Після визначення оптимального помелу були проведені випробування для оптимізації щільності пульпи, рН пульпи, швидкості перемішування, кількості доданих реагентів, часу флотації й часу кондиціонування. Результати. Встановлено, що вміст свинцю та барію в поліметалічній руді є достатнім для промислового використання. Отримано оптимальну ступінь подрібнення і відновлення при розмірі подачі 80% мінус 200 меш. Виявлено, що збільшення щільності пульпи дещо знижується при збільшенні В/Т з 20 до 35%, але відновлення збільшується, а максимальне відновлення досягнуто при 30%. При використанні для коригування рН пульпи етілксантата калію, а потім бариту з олеатом натрію, виявлено, що при постійних умовах розміру часток і співвідношення твердої речовини та рідини максимально повторне покриття галену досягається при рН 8.5 і бариту при рН 10.0. Було відзначено, що невелика зміна pH значно змінила ступінь і відновлення. Розкрито вплив швидкості перемішування робочого колеса й відзначено, що оптимальною швидкістю на грубій стадії є швидкість 1100 об/хв, а на стадії очищення – 1000 об/хв. Доведено, що методом пінної флотації з даної руди можна отримати концентрат галеніту із вмістом 77.38% Pb і ступенем відновлення 90.64%, а також концентрат бариту із вмістом 90.23% BaSO4 і ступенем відновлення 80.16%. Наукова новизна. Встановлено характер впливу специфічних речовин, що поліпшують показники про-процесу флотації, які сприяють якісному відділенню цінних компонентів руди від порожніх домішок. Практична значимість. Розроблено принципову схему процесу збагачення галеніт-баритової руди на основі пінної флотації в замкнутому циклі. Отримані концентрати галеніту й бариту відповідають необхідним металургійним і хімічним стандартам та можуть знайти промислове застосування.Цель. Повышение качества низкосортной галенит-баритовой руды, найденной в Хуздарском районе провинции Белуджистан (Пакистан), до концентрата металлургического качества, содержащего более 70% Pb, с использованием метода пенной флотации. Методика. Массовая проба галенит-баритовой руды весом около 100 кг была отобрана из шахты Мал-Хор к северо-западу от Хуздара и доставлена в лабораторию переработки минералов MPRC, PCSIR Lahore для проведения исследований. Образец подвергнут первичному дроблению с использованием щековой дробилки, с последующим вторичным дроблением с использованием валковой дробилки. Образец до и после флотации подвергался комплексному химическому и рентгеноструктурному анализу (XRD). Флотационные испытания проводились на лабораторной флотационной машине D-12. После определения оптимального помола были проведены испытания для оптимизации плотности пульпы, рН пульпы, скорости перемешивания, количества добавленных реагентов, времени флотации и времени кондиционирования. Результаты. Установлено, что содержание свинца и бария в полиметаллической руде является достаточным для промышленного использования. Получена оптимальная степень измельчения и восстановления при размере подачи 80% минус 200 меш. Выявлено, что увеличение плотности пульпы несколько снижается при увеличении В/Т с 20 до 35%, но восстановление увеличилось, а максимальное восстановление достигнуто при 30%. При использовании для корректировки рН пульпы этилксантата калия, а затем барита с олеатом натрия, обнаружено, что при постоянных условиях размера частиц и соотношения твердого вещества и жидкости максимальное повторное покрытие галена достигается при рН 8.5 и барита при рН 10.0. Было отмечено, что небольшое изменение pH значительно изменило степень и восстановление. Раскрыто влияние скорости перемешивания рабочего колеса и отмечено, что оптимальной скоростью на грубой стадии является скорость 1100 об/мин, а на стадии очистки – 1000 об/мин. Доказано, что методом пенной флотации из данной руды можно получить концентрат галенита с содержанием 77.38% Pb и степенью восстановления 90.64%, а также концентрат барита с содержанием 90.23% BaSO4 и степенью восстановления 80.16%. Научная новизна. Установлен характер влияния специфических веществ, улучшающих показатели процесса флотации, что способствовало качественному отделению ценных компонентов руды от пустых примесей. Практическая значимость. Разработана принципиальная схема процесса обогащения галенит-баритовой руды на основе пенной флотации в замкнутом цикле. Полученные концентраты галенита и барита соответствуют металлургическим и химическим стандартам и могут найти промышленное применение.The authors are grateful to Associate Professor, Dr. Zulifqar Ali, Department of Mining Engineering, University of Engineering and Technology (UET), Lahore for his valuable support/ cooperation in X-ray diffraction (XRD) analysis and mineralogical evaluation of ore

Reprising Ramadan-Related Angina Pectoris: A Potential Strategy for Risk Reduction

Patient: Male, 69 Final Diagnosis: Coronary artery disease Symptoms: Angina pectoris Medication: Aspirin Clinical Procedure: Coronary artery bypass surgery Specialty: Cardiology Objective: Unusual clinical course Background: A preponderance of evidence supports short-term aspirin usage to reduce transiently increased cardiovascular risk in clinical conditions that promote acute myocardial ischemia. Case Report: We report on the case of a 69-year-old male of Muslim Indian heritage with multiple cardiovascular risk factors who experienced the onset of angina pectoris while fasting for Ramadan for more than 16 hours daily for 30 days in July 2015. While symptom free for 2 months on medical management after ending his fast, he underwent quadruple coronary artery bypass surgery for severe 4-vessel disease following an acute anterior myocardial infarction. A percutaneous coronary intervention with stent placement was subsequently required for persistent myocardial ischemia on stress-MIBI testing due to occlusion of the graft to left anterior descending artery. Presently asymptomatic, he decided to forgo fasting for Ramadan in June 2016. Conclusions: Based on this case, measures for primary cardiovascular prevention among the 1.2 billion susceptible males at similar high short-term cardiac risk while fasting for Ramadan are proposed. The value of aspirin for attenuating high short-term cardiovascular risk in clinical conditions conferring transient inflammatory stress is considered. Low-dose aspirin usage at evening meals while fasting for Ramadan is prudent for primary cardiovascular protection of males who may have non-obstructive coronary atherosclerosis to mitigate the risk for rupture of potentially vulnerable plaques. Based in part on conclusive evidence for protection of middle-aged males from first myocardial infarction in a randomized prospective primary prevention trial, this measure is concordant with recommendations from sub-specialty societies for primary cardiovascular prevention for persons at above-average risk demonstrated by validated biomarkers and from the United States Preventive Services Task Force

Comparison of chest HRCT severity score in PCR positive and PCR negative clinically suspected COVID-19 Patients

Background: The limitations and false-negative results of Real-time Polymerase chain reaction (RT PCR) in diagnosing COVID-19 infection demand the need for imaging modalities such as chest HRCT to improve the diagnostic accuracy andassess the severity of the infection. Objectives: The study aimed to compare the chest HRCT severity scores in RT-PCR positive and negative cases of COVID-19. Methods: This cross-sectional study included 50 clinically suspected COVID-19 patients. Chest HRCT and PCR testing of all 50 patients were done and the chest HRCT severity scores for each lung and bronchopulmonary segments were compared in patients with positive and negative PCR results. Chi-square and Mann Whitney U test were used to assess differences among study variables. Results: Chest HRCT severity score was more in PCR negative patients than in those with PCR positive results . However, the difference was not significant (p=0.11). There was a significant association in severity scores of the anterior basal segment of the left lung (p=0.022) and posterior segment upper lobe of right lung (p=0.035) with PCR results. This association was insignificantfor other bronchopulmonary segments (p>0.05). Conclusion: CR negativity does not rule out infection in clinically suspected COVID-19 patients. The use of chest HRCT helps to determine the extent of lung damage in clinically suspected patients irrespective of PCR results. Guidelines that consider clinical symptoms, chest HRCT severity score and PCR results for a confirmed diagnosis of COVID-19 in suspected patientsare needed. Keywords: Chest High resolution computed tomography (HRCT); COVID-19; Polymerase Chain Reaction (PCR)

Drug-Related Hyponatremic Encephalopathy: Rapid Clinical Response Averts Life-Threatening Acute Cerebral Edema

Patient: Female, 63 Final Diagnosis: Drug-induced hyponatremic encephalopathy Symptoms: Seizures • coma Medication: Hypertonic 3% saline infusion Clinical Procedure: — Specialty: Internal Medicine Objective: Unusual clinical course Background: Drug-induced hyponatremia characteristically presents with subtle psychomotor symptoms due to its slow onset, which permits compensatory volume adjustment to hypo-osmolality in the central nervous system. Due mainly to the syndrome of inappropriate antidiuretic hormone secretion (SIADH), this condition readily resolves following discontinuation of the responsible pharmacological agent. Here, we present an unusual case of life-threatening encephalopathy due to adverse drug-related effects, in which a rapid clinical response facilitated emergent treatment to avert life-threatening acute cerebral edema. Case Report: A 63-year-old woman with refractory depression was admitted for inpatient psychiatric care with a normal physical examination and laboratory values, including a serum sodium [Na+] of 144 mEq/L. She had a grand mal seizure and became unresponsive on the fourth day of treatment with the dual serotonin and norepinephrine reuptake inhibitor [SNRI] duloxetine while being continued on a thiazide-containing diuretic for a hypertensive disorder. Emergent infusion of intravenous hypertonic (3%) saline was initiated after determination of a serum sodium [Na+] of 103 mEq/L with a urine osmolality of 314 mOsm/kg H20 and urine [Na+] of 12 mEq/L. Correction of hyposmolality in accordance with current guidelines resulted in progressive improvement over several days, and she returned to her baseline mental status. Conclusions: Seizures with life-threatening hyponatremic encephalopathy in this case likely resulted from co-occurring SIADH and sodium depletion due to duloxetine and hydrochlorothiazide, respectively. A rapid clinical response expedited diagnosis and emergent treatment to reverse life-threatening acute cerebral edema and facilitate a full recovery without neurological complications

Seroprevalence of anti-polio antibodies in children from polio high risk area of Afghanistan: A cross sectional survey 2017

Background: Afghanistan is one of the remaining wild-poliovirus (WPV) endemic countries. We conducted a seroprevalence survey of anti-poliovirus antibodies in Kandahar Province.Methods: Children in two age groups (6–11 months and 36–48 months) visiting Mirwais hospital in Kandahar for minor ailments unrelated to polio were enrolled. After obtaining informed consent, we collected venous blood and conducted neutralization assay to detect poliovirus neutralizing antibodies.Results: A total of 420 children were enrolled and 409/420 (97%) were analysed. Seroprevalence to poliovirus type 1 (PV1) was 97% and 100% in the younger and older age groups respectively; it was 71% and 91% for PV2; 93% and 98% for PV3. Age group (RR = 3.6, CI 95% = 2.2–5.6) and place of residence outside of Kandahar city (RR = 1.8, CI 95% = 1.2–2.6) were found to be significant risk factors for seronegativity.Conclusions: The polio eradication program in Kandahar achieved high serological protection, especially against PV1 and PV3. Lower PV2 seroprevalence in the younger age group is a result of a withdrawal of live type 2 vaccine in 2016 and is expected. Ability to reach all children with poliovirus vaccines is a pre-requisite for achieving poliovirus eradication

Impoverished Rural Districts of Pakistan: An Independent Evaluation of Impact on Educational and Cognitive Outcomes in Sindh Province, Pakistan

This article presents findings of cognitive and performance assessment among recipient and non?recipient school girls in the catchment schools of the Tawana Pakistan Project using standardised matrices. This is the first such evaluation of the relationship of a school feeding programme with developmental outcomes in rural Pakistan. There was evidence of benefits of the school feeding programme on a range of outcomes with significant improvement in the literacy and numeracy scores. The paired analysis showed a significant improvement (p<0.001) in Raven's Coloured Progressive Matrices and Draw?a?Person test while no association was established in grade performance assessment (GPA). The correlation analyses in terms of the effects of intervention on child cognitive development confirmed the positive correlation in all aspects. DID estimates also revealed an improvement in cognitive outcomes due to the programme. Findings support such potential programmes for improving educational and cognitive outcomes of primary school girls in impoverished districts of Pakistan

An Assessment of Contagion Risks in the Banking System Using Non- Parametric and Copula Approaches

This study endeavours to shed some light on the Contagion risk in the Vietnamese banking system. In so doing, we analyse the contagion risk through stock returns on listed commercial banks by employing non-parametric and Copula approaches. A rich set of empirical approaches are employed, including non-parametric (Chi-plots, Kendall-plots) and parametric Copula estimations to define the dependence structure of pairs of daily returns, balanced by a total of 36 copulas with 17,456 observations over the period from July 2006 to September 2017. Our results show that the risk of each individual bank may transmit to other banks through stock returns, which are reflected in their price information. The results also suggest existence of contagion risk and strong dependency in the structure of stock returns of banks under analysis. As a consequence, to avoid negative returns for the portfolio, careful diversification is required while investing in the Vietnamese banking sector, when showing a Clayton relationship (left-tail dependency). Our findings have profound implications for investors, policymakers and authorities responsible for financial stability

National guidelines for the diagnosis and treatment of hilar cholangiocarcinoma

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.Peer reviewe

Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children <18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p<0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p<0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p<0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer