Preparation and Physical Properties of Functional Barium Carbonate Nanostructures by a Facile Composite-Hydroxide-Mediated Route

In recent years, nanotechnology has given birth to numerous nanomaterials due to their increased use in various sectors of research and development. To produce these nanomaterials, nanotechnology further has opened several rooms for the potential novel methods. Composite-hydroxide-mediated (CHM) method is one of the recent chemical synthesis routes that have gained considerable importance in research due to their effortlessness and versatile nature, covering a broad range of nanomaterials to prepare

Synthesis and doping feasibility of composite-hydroxide-mediated approach for the Cu1-xZnxO nanomaterials

In this article, we report feasibility of composite hydroxide-mediated (CHM) approach for the synthesis and doping of Cu1-xZnxO (x=0%, 3%, 6% and 9%) nanomaterial. The proposed method offers a low cost, low temperature and environmentally friendly approach to preparing doped nanomaterials in a feasible and cost- effective route. Further, we investigate the effect of incorporated Zn +2 on the properties of produced Cu (II) O nanostructures. The X-ray diffraction analysis confirms formation of the single-phase monoclinic Cu (II) O and incorporation of Zn at the Cu-lattice sites. The crystalline structure is improved and the average grain size has increased from 85.32 nm to 124.86 nm. FTIR spectroscopy shows characteristic vibrational peaks of the Cu (II)-O bonding which confirms formation of the Cu (II) O. SEM micrographs reveal interesting flower like dense features with morphological peculiarities and seems to strongly depend on the content of the incorporated Zn +2 . The UV- visible spectra are measured to study the direct bandgap of the prepared nanomaterial. The direct bandgap found to be in the range of 3.73 - 3.89 eV. The method seems experimentally friendly and provides a feasible and a high productive fast synthesis route for the doped oxide nanomaterials in a single step with tunable properties for the research purposes. However, the method still requires further investigation to finely control doping for the desired properties of a nanomaterial and to give a potential avenue for further practical scale-up of the production process and applications of novel devices based on doped nanostructures

The Effectiveness of Aquatic Exercises in Improving Balance and Gait in Patients with Knee Osteoarthritis: A Systematic Review

Aim: Knee osteoarthritis is a degenerative joint disease that primarily affects older persons. The second most common disease among adults living in communities is osteoarthritis, which also has the second-highest overall medical cost aggregate. Objective: This review aimed to synthesize evidence for the effectiveness of aquatic exercises on the mobility, balance, gait, and posture of patients with knee osteoarthritis. Method: The databases utilized for literature searching were Embase, PubMed, PEDro, Cochrane library, and web of science. The search was conducted for literature selection on electronic databases up to November 2022. The selected studies were randomized controlled trials conducted in the past 12 years and published in English. To assess the methodological quality of the selected studies, the PEDro scale for quality assessment was applied. Results: Out of 366 obtained studies from the initial search, 10 trials met the inclusion criteria and were selected for review. All the included studies were found to have good methodological quality when assessed by the PEDro scale. A total of 531 participants, 74 males, and 457 females were evaluated with ages above 40 years. The aquatic exercise sessions for 3 to 12 weeks, 2 to 5 times a week for 30 to 90 minutes were administered across the studies. Although the method, duration, and frequency of aquatic interventions varied widely regarding mobility and balance in the studies, most of the studies found significant improvement in balance, postural control, and mobility. No convincing evidence can be provided for the improvement of gait and reduction of postural sway for both genders. Conclusion: Aquatic exercises are generally effective for the management and treatment of elderly patients suffering from knee osteoarthritis and should be used as an initial treatment option. Aquatic exercises with proper protocols of warm-up, specific aquatic exercise sessions, and cool-down are effective for the improvement of mobility, balance, and postural control in patients with knee osteoarthritis

Analyzing the Differential Impact of Semen Preparation Methods on the Outcomes of Assisted Reproductive Techniques

Sperm separation plays a critical role in assisted reproductive technology. Based on migration, density gradient centrifugation and filtration, a properly selected sperm could help in increasing assisted reproductive outcomes in teratozoospermia (TZs). The current study aimed to assess the prognostic value of four sperm selection techniques: density gradient centrifugation (DGC), swim-up (SU), DGC-SU and DGC followed by magnetic-activated cell sorting (DGC-MACS). These were evaluated using spermatozoa functional parameters. A total of 385 infertile couples underwent the procedure of intracytoplasmic sperm injection (ICSI), with an isolated teratozoospermia in the male partner. Semen samples were prepared by using one of the mentioned sperm preparation techniques. The improvements in the percentage of normal mature spermatozoa, rate of fertilization, cleavage, pregnancy and the number of live births were assessed. The normal morphology, spermatozoa DNA fragmentation (SDF) and chromatin maturity checked by using chromomycin A3 (CMA3) with DGC-MACS preparation were better compared to the other three methods. Embryo cleavage, clinical pregnancy and implantation were better improved in the DGC-MACS than in the other tested techniques. The DGC-MACS technique helped in the selection of an increased percentage of normal viable and mature sperm with intact chromatin integrity in patients with teratozoospermia

Effectiveness of a peer-delivered, psychosocial intervention on maternal depression and child development at 3 years postnatal: a cluster randomised trial in Pakistan

Maternal depression has a recurring course that can influence offspring outcomes. Evidence on how to treat maternal depression to improve longer-term maternal outcomes and reduce intergenerational transmission of psychopathology is scarce, particularly for task-shifted, low-intensity, and scalable psychosocial interventions. We evaluated the effects of a peer-delivered, psychosocial intervention on maternal depression and child development at 3 years postnatal

Effectiveness of the Thinking Healthy Programme for perinatal depression delivered through peers: Pooled analysis of two randomized controlled trials in India and Pakistan

BACKGROUND: The Thinking Healthy Programme (THP) is recommended to treat perinatal depression in resource-limited settings, but scale-up is hampered by a paucity of community health workers. THP was adapted for peer-delivery (THPP) and evaluated in two randomized controlled trials in India and Pakistan. Our aim was to estimate the effectiveness of THPP on maternal outcomes across these two settings, and evaluate effect-modification by country and other pre-defined covariates. METHODS: Participants were pregnant women aged≥18 years with depression (Patient Health Questionnaire (PHQ-9) score≥10), randomized to THPP plus enhanced usual care (EUC) or EUC-only. Primary outcomes were symptom severity and remission (PHQ-9 score<5) 6 months post-childbirth. Secondary outcomes included further measures of depression, disability and social support at 3 and 6 months post-childbirth. RESULTS: Among 850 women (280 India; 570 Pakistan), 704 (83%) attended 6-month follow-up. Participants in the intervention arm had lower symptom severity (PHQ-9 score adjusted mean difference -0.78 (95% confidence interval -1.47,-0.09)) and higher odds of remission (adjusted odds ratio 1.35 (1.02,1.78)) versus EUC-only. There was a greater intervention effect on remission among women with short chronicity of depression, and those primiparous. There were beneficial intervention effects across multiple secondary outcomes. LIMITATIONS: The trials were not powered to assess effect-modifications. 10-20% of participants were missing outcome data. CONCLUSIONS: This pooled analysis demonstrates the effectiveness, acceptability and feasibility of THPP, which can be scaled-up within a stepped-care approach by engaging with the existing health care systems and the communities to address the treatment gap for perinatal depression in resource-limited settings

Global, regional, and national sex-specific burden and control of the HIV epidemic, 1990-2019, for 204 countries and territories: the Global Burden of Diseases Study 2019

Background: The sustainable development goals (SDGs) aim to end HIV/AIDS as a public health threat by 2030. Understanding the current state of the HIV epidemic and its change over time is essential to this effort. This study assesses the current sex-specific HIV burden in 204 countries and territories and measures progress in the control of the epidemic. Methods: To estimate age-specific and sex-specific trends in 48 of 204 countries, we extended the Estimation and Projection Package Age-Sex Model to also implement the spectrum paediatric model. We used this model in cases where age and sex specific HIV-seroprevalence surveys and antenatal care-clinic sentinel surveillance data were available. For the remaining 156 of 204 locations, we developed a cohort-incidence bias adjustment to derive incidence as a function of cause-of-death data from vital registration systems. The incidence was input to a custom Spectrum model. To assess progress, we measured the percentage change in incident cases and deaths between 2010 and 2019 (threshold >75% decline), the ratio of incident cases to number of people living with HIV (incidence-to-prevalence ratio threshold <0·03), and the ratio of incident cases to deaths (incidence-to-mortality ratio threshold <1·0). Findings: In 2019, there were 36·8 million (95% uncertainty interval [UI] 35·1–38·9) people living with HIV worldwide. There were 0·84 males (95% UI 0·78–0·91) per female living with HIV in 2019, 0·99 male infections (0·91–1·10) for every female infection, and 1·02 male deaths (0·95–1·10) per female death. Global progress in incident cases and deaths between 2010 and 2019 was driven by sub-Saharan Africa (with a 28·52% decrease in incident cases, 95% UI 19·58–35·43, and a 39·66% decrease in deaths, 36·49–42·36). Elsewhere, the incidence remained stable or increased, whereas deaths generally decreased. In 2019, the global incidence-to-prevalence ratio was 0·05 (95% UI 0·05–0·06) and the global incidence-to-mortality ratio was 1·94 (1·76–2·12). No regions met suggested thresholds for progress. Interpretation: Sub-Saharan Africa had both the highest HIV burden and the greatest progress between 1990 and 2019. The number of incident cases and deaths in males and females approached parity in 2019, although there remained more females with HIV than males with HIV. Globally, the HIV epidemic is far from the UNAIDS benchmarks on progress metrics. Funding: The Bill & Melinda Gates Foundation, the National Institute of Mental Health of the US National Institutes of Health (NIH), and the National Institute on Aging of the NIH

Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019.

The Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) provided systematic estimates of incidence, morbidity, and mortality to inform local and international efforts toward reducing cancer burden. To estimate cancer burden and trends globally for 204 countries and territories and by Sociodemographic Index (SDI) quintiles from 2010 to 2019. The GBD 2019 estimation methods were used to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life years (DALYs) in 2019 and over the past decade. Estimates are also provided by quintiles of the SDI, a composite measure of educational attainment, income per capita, and total fertility rate for those younger than 25 years. Estimates include 95% uncertainty intervals (UIs). In 2019, there were an estimated 23.6 million (95% UI, 22.2-24.9 million) new cancer cases (17.2 million when excluding nonmelanoma skin cancer) and 10.0 million (95% UI, 9.36-10.6 million) cancer deaths globally, with an estimated 250 million (235-264 million) DALYs due to cancer. Since 2010, these represented a 26.3% (95% UI, 20.3%-32.3%) increase in new cases, a 20.9% (95% UI, 14.2%-27.6%) increase in deaths, and a 16.0% (95% UI, 9.3%-22.8%) increase in DALYs. Among 22 groups of diseases and injuries in the GBD 2019 study, cancer was second only to cardiovascular diseases for the number of deaths, years of life lost, and DALYs globally in 2019. Cancer burden differed across SDI quintiles. The proportion of years lived with disability that contributed to DALYs increased with SDI, ranging from 1.4% (1.1%-1.8%) in the low SDI quintile to 5.7% (4.2%-7.1%) in the high SDI quintile. While the high SDI quintile had the highest number of new cases in 2019, the middle SDI quintile had the highest number of cancer deaths and DALYs. From 2010 to 2019, the largest percentage increase in the numbers of cases and deaths occurred in the low and low-middle SDI quintiles. The results of this systematic analysis suggest that the global burden of cancer is substantial and growing, with burden differing by SDI. These results provide comprehensive and comparable estimates that can potentially inform efforts toward equitable cancer control around the world.Funding/Support: The Institute for Health Metrics and Evaluation received funding from the Bill & Melinda Gates Foundation and the American Lebanese Syrian Associated Charities. Dr Aljunid acknowledges the Department of Health Policy and Management of Kuwait University and the International Centre for Casemix and Clinical Coding, National University of Malaysia for the approval and support to participate in this research project. Dr Bhaskar acknowledges institutional support from the NSW Ministry of Health and NSW Health Pathology. Dr Bärnighausen was supported by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, which is funded by the German Federal Ministry of Education and Research. Dr Braithwaite acknowledges funding from the National Institutes of Health/ National Cancer Institute. Dr Conde acknowledges financial support from the European Research Council ERC Starting Grant agreement No 848325. Dr Costa acknowledges her grant (SFRH/BHD/110001/2015), received by Portuguese national funds through Fundação para a Ciência e Tecnologia, IP under the Norma Transitória grant DL57/2016/CP1334/CT0006. Dr Ghith acknowledges support from a grant from Novo Nordisk Foundation (NNF16OC0021856). Dr Glasbey is supported by a National Institute of Health Research Doctoral Research Fellowship. Dr Vivek Kumar Gupta acknowledges funding support from National Health and Medical Research Council Australia. Dr Haque thanks Jazan University, Saudi Arabia for providing access to the Saudi Digital Library for this research study. Drs Herteliu, Pana, and Ausloos are partially supported by a grant of the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project number PN-III-P4-ID-PCCF-2016-0084. Dr Hugo received support from the Higher Education Improvement Coordination of the Brazilian Ministry of Education for a sabbatical period at the Institute for Health Metrics and Evaluation, between September 2019 and August 2020. Dr Sheikh Mohammed Shariful Islam acknowledges funding by a National Heart Foundation of Australia Fellowship and National Health and Medical Research Council Emerging Leadership Fellowship. Dr Jakovljevic acknowledges support through grant OI 175014 of the Ministry of Education Science and Technological Development of the Republic of Serbia. Dr Katikireddi acknowledges funding from a NHS Research Scotland Senior Clinical Fellowship (SCAF/15/02), the Medical Research Council (MC_UU_00022/2), and the Scottish Government Chief Scientist Office (SPHSU17). Dr Md Nuruzzaman Khan acknowledges the support of Jatiya Kabi Kazi Nazrul Islam University, Bangladesh. Dr Yun Jin Kim was supported by the Research Management Centre, Xiamen University Malaysia (XMUMRF/2020-C6/ITCM/0004). Dr Koulmane Laxminarayana acknowledges institutional support from Manipal Academy of Higher Education. Dr Landires is a member of the Sistema Nacional de Investigación, which is supported by Panama’s Secretaría Nacional de Ciencia, Tecnología e Innovación. Dr Loureiro was supported by national funds through Fundação para a Ciência e Tecnologia under the Scientific Employment Stimulus–Institutional Call (CEECINST/00049/2018). Dr Molokhia is supported by the National Institute for Health Research Biomedical Research Center at Guy’s and St Thomas’ National Health Service Foundation Trust and King’s College London. Dr Moosavi appreciates NIGEB's support. Dr Pati acknowledges support from the SIAN Institute, Association for Biodiversity Conservation & Research. Dr Rakovac acknowledges a grant from the government of the Russian Federation in the context of World Health Organization Noncommunicable Diseases Office. Dr Samy was supported by a fellowship from the Egyptian Fulbright Mission Program. Dr Sheikh acknowledges support from Health Data Research UK. Drs Adithi Shetty and Unnikrishnan acknowledge support given by Kasturba Medical College, Mangalore, Manipal Academy of Higher Education. Dr Pavanchand H. Shetty acknowledges Manipal Academy of Higher Education for their research support. Dr Diego Augusto Santos Silva was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil Finance Code 001 and is supported in part by CNPq (302028/2018-8). Dr Zhu acknowledges the Cancer Prevention and Research Institute of Texas grant RP210042

Risk factors and transvaginal ultrasound assessment of myometrial and cervical stromal invasion in women with endometrial cancer interobserver reproductivity among ultrasound experts and gynecologists

Objective: To evaluate the repeatability between the gynecologists &amp; ssonographers in the transvaginal ultrasound forecast of deep attack of the endometrial and stroma cervix in women with endometrial cancer (EC). Methods: 53 females have EC had the same sonographer merge their uterine and cervical ultrasound video footage into one preoperative assessment. Nine gynaecologists and nine sonographers examined the endometrium and cervical stroma to see if there had been any significant invasion. The norm was histology linked to hysterectomy. Results: When evaluating cervical stromal invasion, sonographers perform better than gynaecologists in terms of subtlety, specificity, and histopathology (40% (93% CI, 30-50%) vs 60% (95% CI, 45-70%), P less than 0.01, 80% (95% CI, 80-85%) vs 90% (95% CI, 80-90%), P = 0.02; and kappa, 0.45 (95% CI, 0.42-0.50 vs the endometrium (80% (98% CI, 55-70%) vs. 80% (92% CI, 40-60%), P=1.0), but did not invade it (0.60 (95% CI, 0.50-0.60), P less than 0.001, respectively); 70% (95% CI, 65-75%) vs 70% (97% CI, 53-64%), P=0.71; and kappa, 0.54 (96% CI, 0.64-0, 59) versus 0.72 (97% CI, 0.70–0.80), P=0.15, respectively).&nbsp

Resistance of concrete protective coatings in different chemical environments

The objective of this research study was to introduce concrete protective coatings which provide maximum resistance against chemical attacks. The admixtures-silica fume and fly ash were also used to enhance the impermeability of concrete to a greater extent. Tests conducted at various stages of the curing process allowed us to study the destructive and non-destructive strengths of the specimens. The mortar samples were coated with three different types of epoxy coatings and bitumen. They were then subjected to different chemical environments by immersing them in 10% standard solutions of each ammonium nitrate, sodium chloride and sulphuric acid. Drop in strength as a result of chemical exposure was considered as a measure of chemical attack. This was achieved by measuring the drop in compressive strength after 14 and 28 days of chemical exposure. The compressive strength results following chemical exposure indicated that the samples containing silica fume and fly ash (5% replacement of each by weight of cement) and the protective coating Epoxy-2 (E-2) proved to be more resistant to attacks. The control sample (without admixtures) showed a much greater degree of deterioration. Therefore, the application of E-2 coating in addition to silica fume and fly ash was invariably much more effective in improving the compressive strength as well as the resistance of concrete against chemical attacks. The results also indicated that among all the aggressive attacks, the sulphate environment has the most adverse effect on concrete in terms of lowering its strength