35 research outputs found

    HABITAT CHARACTERIZATION AND DIVERSITY ASSESSMENT OF MOSQUITOES FROM SELECTED COASTAL DISTRICTS OF KERALA, INDIA.

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    AbstractVectors and host species in relation to environmental conditions are ensued in the effective transmission of many infectious diseases. Among the diverse array of vectors, mosquitoes stand at the top, spreading many devastating diseases to human beings such as Malaria, Dengue Fever, Chikungunya and Filariasis. Habitat heterogeneity and their physico-chemical attributes have vital influence on the diversity and distribution of such vectors. A better understanding of the mosquito diversity in relation to environmental characteristics thus assumes utmost significance in disease surveillance and control.Ponnani and Chavakkad municipalities of Malappuram and Thrissur Districts respectively, are known to be endemic to many mosquito borne diseases. Repeated reports of such diseases, especially filariasis, in recent years suggest the necessity to assess the diversity of mosquito vectors and the habitats they preferred. Species composition, relative abundance and distribution status of mosquitoes were evaluated after sampling of larvae from heterogeneous habitats in pre and post monsoon seasons. Mosquito larvae collected were reared to adults in the laboratory. Species level identification of all the collected mosquitoes were carried out following Christophers (1933) and Barraud (1934). Analysis of the water samples bearing larvae were also carried out for the assessment of physico-chemical characteristics. Larval density was higher in Chavakkad municipal area than Ponnani in both the seasons. Diversity of mosquito larvae during premonsoon season was higher (4 genera, 9 species) in Ponnani municipal area and lower (5 genera, 8 species) in Chavakkad. Similarly diversity during post monsoon season was higher (4 genera, 8 species) in Chavakkad municipal area and lower (4 genera, 7 species) in Ponnani.In both the seasons Culex was the most predominant genus with higher species diversity followed by Anopheles.  The results have evidenced the existence of diverse groups of mosquito species with respect to seasons, which can act as potential carriers of so many infectious diseases such as Dengue, Chikungunya, Malaria and Filariasis in these coastal environments. Key Words: mosquitoes, diversity, Culex, Sewerage

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    Search for Higgs Boson Pair Production in the Four b Quark Final State in Proton-Proton Collisions at root s=13 TeV

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    Search for invisible decays of the Higgs boson produced via vector boson fusion in proton-proton collisions at root s=13 TeV

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    Measurement of double-parton scattering in inclusive production of four jets with low transverse momentum in proton-proton collisions at s√ = 13 TeV

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    Copyright © CERN, for the benefit of the CMS Collaboration.. A measurement of inclusive four-jet production in proton-proton collisions at a center-of-mass energy of 13 TeV is presented. The transverse momenta of jets within |η| < 4.7 are required to exceed 35, 30, 25, and 20 GeV for the first-, second-, third-, and fourth-leading jet, respectively. Differential cross sections are measured as functions of the jet transverse momentum, jet pseudorapidity, and several other observables that describe the angular correlations between the jets. The measured distributions show sensitivity to different aspects of the underlying event, parton shower modeling, and matrix element calculations. In particular, the interplay between angular correlations caused by parton shower and double-parton scattering contributions is shown to be important. The double-parton scattering contribution is extracted by means of a template fit to the data, using distributions for single-parton scattering obtained from Monte Carlo event generators and a double-parton scattering distribution constructed from inclusive single-jet events in data. The effective double-parton scattering cross section is calculated and discussed in view of previous measurements and of its dependence on the models used to describe the single-parton scattering background.SCOAP3
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