Effect of increase in amplitude of occipital alpha & theta brain waves on global functioning level of patients with GAD

Introduction: The basic objective of this study is to investigate the effects of alpha and theta brain waves amplitude increase in occipital area on reducing the severity of symptoms of generalized anxiety disorder and to increase the global functioning level in patients with GAD. Methods: This study is a quasi-experimental study with pre-test and post-test with two groups. For this purpose, 28 patients who had been referred to Sohrawardi psychiatric and clinical psychology center in Zanjan were studied based on the interview with the psychiatrist, clinical psychologist and using clinical diagnostic criteria for the Diagnostic and Statistical Manual of Mental Disorders text revision - the DSM-IV-TR Fourth Edition diagnosis of GAD, 14 subjects were studied in neurofeedback treatment group and 14 subjects in the waiting list group. Patients in both groups were evaluated at pre-test and post-test with General Anxiety Disorder Scale (GAD-7) and Global Assessment Functioning Scale (GAFs). The treatment group received fifteen 30-minute alpha training sessions and fifteen 30-minute theta brain training sessions in occipital area by neurofeedback training (treatment group). This evaluation was performed according to the treatment protocol to increase the alpha and theta waves. And no intervention was done in the waiting list group. But due to ethical issues after the completion of the study all the subjects in the waiting list group were treated. Results: The results showed that increase of alpha and theta brain waves amplitude in occipital area in people with GAD can increase the global functioning level and can reduce symptoms of generalized anxiety disorder in a treatment group, but no such change was observed in the waiting list group. Discussion: Increase of alpha and theta brain waves amplitude in occipital area can be useful in the treatment of people with GAD

Astronomy & Astrophysics The quiet Sun average Doppler shift of coronal lines up to 2 MK

ABSTRACT Context. The average Doppler shift shown by spectral lines formed from the chromosphere to the corona reveals important information on the mass and energy balance of the solar atmosphere, providing an important observational constraint to any models of the solar corona. Previous spectroscopic observations of vacuum ultra-violet (VUV) lines have revealed a persistent average wavelength shift of lines formed at temperatures up to 1 MK. At higher temperatures, the behaviour is still essentially unknown. Aims. Here we analyse combined SUMER (Solar Ultraviolet Measurements of Emitted Radiation)/SoHO (Solar and Heliospheric Observatory) and EIS (EUV Imaging Spectrometer)/Hinode observations of the quiet Sun around disk centre to determine, for the first time, the average Doppler shift of several spectral lines formed between 1 and 2 MK, where the largest part of the quiet coronal emission is formed. Methods. The measurements are based on a novel technique applied to EIS spectra to measure the difference in Doppler shift between lines formed at different temperatures. Simultaneous wavelength-calibrated SUMER spectra allow establishing the absolute value at the reference temperature of T ≈ 1 MK. Results. The average line shifts at 1 MK < T < 1.8 MK are modestly, but clearly bluer than those observed at 1 MK. By accepting an average blue shift of about (−1.8 ± 0.6) km s −1 at 1 MK (as provided by SUMER measurements), this translates into a maximum Doppler shift of (−4.4 ± 2.2) km s −1 around 1.8 MK. The measured value appears to decrease to about (−1.3 ± 2.6) km s −1 at the Fe xv formation temperature of 2.1 MK. Conclusions. The measured average Doppler shift between 0.01 and 2.1 MK, for which we provide a parametrisation, appears to be qualitatively and roughly quantitatively consistent with what foreseen by 3D coronal models where heating is produced by dissipation of currents induced by photospheric motions and by reconnection with emerging magnetic flux

The effect of solution-focused counseling on violence rate and quality of life of pregnant women at risk of domestic violence: a randomized controlled trial

Background: Domestic violence during pregnancy as one of the most common social problems and major challenges of health systems can affect the health of the mother and fetus. The study aimed to compare the two groups of intervention based on solution-focused counseling and control in terms of violence and quality of life amounts in women who had experienced domestic violence. Methods: A randomized controlled trial on 90 pregnant women was blocked into two intervention groups (n = 45) and a control (n = 45). The intervention group received six counseling sessions with a solution-focused approach. Study tool included conflict tactics scale (CTS- 2) and short form health survey (SF-36). The tools were completed once before the intervention and again 6 weeks after the end of the counseling sessions by the participants of both groups. The P-value less than 0.05 was considered statistically significant. Results: A total of 82/90 pregnant women were analyzed. The results showed that median and interquartile range (IQR) of physical, psychological and sexual violence significantly decreased in the intervention group than the control group (Ps = 0.001). Moreover, quality of life scores significantly improved in the intervention group compared to the control group (P = 0.001). Conclusion: Solution-focused counseling could be an effective approach to reduce the amount of violence and increase the quality of life in women exposed to domestic violence. Trial registration: Iranian Registry of Clinical Trials IRCT2017040628352N4. Date of registration: August 20th 2017. © 2021, The Author(s)

A cross-sector analysis of human and organisational factors in the deployment of data-driven predictive maintenance

Domains such as utilities, power generation, manufacturing and transport are increasingly turning to data-driven tools for management and maintenance of key assets. Whole ecosystems of sensors and analytical tools can provide complex, predictive views of network asset performance. Much research in this area has looked at the technology to provide both sensing and analysis tools. The reality in the field, however, is that the deployment of these technologies can be problematic due to user issues, such as interpretation of data or embedding within processes, and organisational issues, such as business change to gain value from asset analysis. 13 experts from the field of remote condition monitoring, asset management and predictive analytics across multiple sectors were interviewed to ascertain their experience of supplying data-driven applications. The results of these interviews are summarised as a framework based on a predictive maintenance project lifecycle covering project motivations and conception, design and development, and operation. These results identified critical themes for success around having a target or decision-led, rather than data-led, approach to design; long-term resourcing of the deployment; the complexity of supply chains to provide data-driven solutions and the need to maintain knowledge across the supply chain; the importance of fostering technical competency in end-user organisations; and the importance of a maintenance-driven strategy in the deployment of data-driven asset management. Emerging from these themes are recommendations related to culture, delivery process, resourcing, supply chain collaboration and industry-wide cooperation

Toward Sustainable Tackling of Biofouling Implications and Improved Performance of TFC FO Membranes Modified by Ag-MOF Nanorods

In this work, nanorods with high antibacterial properties were synthesized with silver acetate as the metal source and 2-aminoterephthalic acid as the organic linker and were then embedded into thin-film composite (TFC) membranes to amend their performance as well as to alleviate biofouling. Silver metal-organic framework (Ag-MOF) nanorods with a length smaller than 40 nm were incorporated within the polyamide thin selective layer of the membranes during interfacial polymerization. The interaction of the synthesized nanorods with the polyamide was favored because of the presence of amine-containing functional groups on the nanorod's surface. The results of X-ray photoelectron spectroscopy, scanning electron microscopy, energy-dispersive X-ray spectroscopy, and atomic force microscopy characterizations proved the presence of Ag-MOF nanorods in the selective layer of thin-film nanocomposite (TFN) membranes. TFN membranes demonstrated improved water permeance, salt selectivity, and superior antibacterial properties. Specifically, the increased hydrophilicity and antibacterial potential of the TFN membranes led to a synergetic effect toward biofouling mitigation. The number of live bacteria attached to the surface of the neat TFC membrane decreased by more than 92% when a low amount of Ag-MOF nanorods (0.2 wt %) was applied. Following contact of the TFN membrane surface with Escherichia coli and Staphylococcus aureus, full inactivation, and degradation of bacteria cells were observed with microscopy, colony-forming unit tests, and disc inhibition zone analyses. This result translated to a negligible amount of the biofilm formed on the active layer. Indeed, the incorporation of Ag-MOF nanorods decreased the metal-ion release rate and therefore provided prolonged antibacterial performance

The quiet Sun average Doppler shift of coronal lines up to 2 MK

The average Doppler shift shown by spectral lines formed from the chromosphere to the corona reveals important information on the mass and energy balance of the solar atmosphere, providing an important observational constraint to any models of the solar corona. Previous spectroscopic observations of vacuum ultra-violet (VUV) lines have revealed a persistent average wavelength shift of lines formed at temperatures up to 1 MK. At higher temperatures, the behaviour is still essentially unknown. Here we analyse combined SUMER/SoHO and EIS/Hinode observations of the quiet Sun around disk centre to determine, for the first time, the average Doppler shift of several spectral lines formed between 1 and 2 MK, where the largest part of the quiet coronal emission is formed. The measurements are based on a novel technique applied to EIS spectra to measure the difference in Doppler shift between lines formed at different temperatures. Simultaneous wavelength-calibrated SUMER spectra allow establishing the absolute value at the reference temperature of 1 MK. The average line shifts at 1 MK < T < 1.8 MK are modestly, but clearly bluer than those observed at 1 MK. By accepting an average blue shift of about (-1.8+/-0.6) km/s at 1 MK (as provided by SUMER measurements), this translates into a maximum Doppler shift of (-4.4+/-2.2) km/s around 1.8 MK. The measured value appears to decrease to about (-1.3+/-2.6) km/s at the Fe XV formation temperature of 2.1 MK. The measured average Doppler shift between 0.01 and 2.1 MK, for which we provide a parametrisation, appears to be qualitatively and roughly quantitatively consistent with what foreseen by 3-D coronal models where heating is produced by dissipation of currents induced by photospheric motions and by reconnection with emerging magnetic flux.Comment: 9 pages, 10 figures. Astronomy and Astrophysics (in press

Global prevalence and distribution of vancomycin resistant, vancomycin intermediate and heterogeneously vancomycin intermediate Staphylococcus aureus clinical isolates: a systematic review and meta-analysis

Vancomycin-resistant Staphylococcus aureus (VRSA), Vancomycin-intermediate S. aureus (VISA) and heterogeneous VISA (hVISA) are subject to vancomycin treatment failure. The aim of the present study was to determine their precise prevalence and investigate prevalence variability depending on different years and locations. Several international databases including Medline (PubMed), Embase and Web of Sciences were searched (data from 1997 to 2019) to identify studies that addressed the prevalence of VRSA, VISA and hVISA among human clinical isolates around the world. Subgroup analyses and meta-regression were conducted to indicate potential source of variation. Publication bias was assessed using Egger�s test. Statistical analyses were conducted using STATA software (version 14.0). Data analysis showed that VRSA, VISA and hVISA isolates were reported in 23, 50 and 82 studies, with an overall prevalence of 1.5 among 5855 S. aureus isolates, 1.7 among 22,277 strains and 4.6 among 47,721 strains, respectively. The overall prevalence of VRSA, VISA, and hVISA before 2010 was 1.2, 1.2, and 4, respectively, while their prevalence after this year has reached 2.4, 4.3, and 5.3. The results of this study showed that the frequency of VRSA, VISA and hVISA after 2010 represent a 2.0, 3.6 and 1.3-fold increase over prior years. In a subgroup analysis of different strain origins, the highest frequency of VRSA (3.6) and hVISA (5.2) was encountered in the USA while VISA (2.1) was more prevalent in Asia. Meta-regression analysis showed significant increasing of VISA prevalence in recent years (p value � 0.05). Based on the results of case reports (which were not included in the calculations mentioned above), the numbers of VRSA, VISA and hVISA isolates were 12, 24 and 14, respectively, among different continents. Since the prevalence of VRSA, VISA and hVISA has been increasing in recent years (especially in the Asian and American continents), rigorous monitoring of vancomycin treatment, it�s the therapeutic response and the definition of appropriate control guidelines depending on geographical regions is highly recommended and essential to prevent the further spread of vancomycin-resistant S. aureus. © 2020, The Author(s)

Methicillin-resistant staphylococcus epidermidis in Iran: A systematic review and meta-analysis

Objective: Methicillin-resistant Staphylococcus epidermidis (MRSE) remains one of the most prevalent drug-resistant bacteria causing health care infections. Limited data are available about how the frequency of MRSE changed in Iran over the past years. The current study aimed at determining the frequency of MRSE in different cities of Iran. Methods: Databases including Web of Sciences, Scopus, Embase, Medline, and Iranian databases were searched to find studies addressing the frequency of MRSE in Iran published from Mar 2006 to Jan 2016. The data were analyzed using comprehensive meta-analysis version 2.2 (Biostat). Of the 139 records identified in the databases, 15 studies met the inclusion criteria. Results: The analyses showed that the frequency of MRSE infections was 73.9 95% confidence interval (95% CI) 61.4-83.4 among culture-positive cases of S. epidermidis in different parts of Iran. The frequency of MRSE was higher in the studies conducted from 2011 to 2015, based on further stratified analyses. Conclusions: The regular surveillance on antimicrobial susceptibility pattern and formulation of definite antibiotic policy may control high rate of MRSE associated infections in Iran. Moreover, rapid and reliable diagnosis of MRSE isolates and regular screening of the personnel and surfaces of hospitals in terms of MRSE are indispensable. © 2018, Archives of Clinical Infectious Diseases

Global genotype distribution of human clinical isolates of New Delhi metallo-β-lactamase-producing Klebsiella pneumoniae; A systematic review

Background and Aim: The global rise of antimicrobial resistance among bacterial strains is a rapidly growing challenge and is becoming a major public health concern. This study documents the worldwide spread and genotype distribution of human clinical isolates of New Delhi metallo-β-lactamase-producing Klebsiella pneumoniae (NPKP). Methods: Several international databases, including Web of Science, Embase and Medline were searched (2010 - 2019) to identify studies addressing the frequency of NPKP regionally or worldwide. Results: Of 4779 articles identified, 202 studies fulfilled the eligibility criteria and were included in our analysis. The frequency of NPKP in Asia, Europe, America, Africa and Oceania was 64.6, 20.1, 9.0, 5.6 and 0.4, respectively. The most prevalent sequence types (STs) among NPKP were ST11, ST290, ST147, ST340, ST15, ST278 and ST14 based on published studies. Conclusion: The dissemination of blaNDM variants in different STs among NPKP in the various region of world is a serious concern to public health. The prevalence of NPKP should be controlled by comprehensive infection control measures and optimization of antibiotic therapy. © 202