Improving the prognostic value of blunt abdominal trauma scoring systems in children

Purpose Blunt abdominal trauma (BAT) is a frequent reason for hospital admission and a significant cause of death in children older than 2 years of age. Mechanisms causing abdominal injuries are predominantly motorvehicle accidents, falls, and intentional injuries. Blunt trauma accounts for 90% of pediatric injuries. There are many scoring systems that are designed to monitor victims of BAT and to predict victims who may require conservative management and those who may require surgical intervention. None of these scoring systems is perfect and fulfill the data for accurate prediction of the prognosis of these victims. We assessed three  different clinical scoring systems and their prognostic properties alone and after their modification by adding a plain, erect, abdominal radiographic film to improve their prognostic values.Patients and methods We included all patients presenting with BAT older than 2 years and younger than 18 years. All children were subjected to three different trauma scoring systems. We evaluated all children usingPediatric Trauma Score, Clinical Abdominal Score System, and Blunt Abdominal Trauma in Children. We then added plain, erect, abdominal radiographic films to these systems.Results A total of 250 children with BAT were subjected to three different scoring systems. Among them, 58% were boys and 42% were girls. The cause for BAT in two hundred and two cases was car accidents, falling from heights in seven, and kicks and abuse in 41 cases. The mean time until hospital arrival was 2 h. The mean age was 15 years. The mean time for every scoring system was 5 min. Radiographic imaging showed positive signs of trauma (air under diaphragm, elevated copula of diaphragm) in 45 patients.Conclusion Adding a simple radiographic film in the erect position of the abdomen and lower chest markedly improved the prognostic value of the different scoring systems included. Keywords: children, scoring systems, traum

Efficient multiscale modeling of heterogeneous materials using deep neural networks

Material modeling using modern numerical methods accelerates the design process and reduces the costs of developing new products. However, for multiscale modeling of heterogeneous materials, the well-established homogenization techniques remain computationally expensive for high accuracy levels. In this contribution, a machine learning approach, convolutional neural networks (CNNs), is proposed as a computationally efficient solution method that is capable of providing a high level of accuracy. In this work, the data-set used for the training process, as well as the numerical tests, consists of artificial/real microstructural images (“input”). Whereas, the output is the homogenized stress of a given representative volume element RVE . The model performance is demonstrated by means of examples and compared with traditional homogenization methods. As the examples illustrate, high accuracy in predicting the homogenized stresses, along with a significant reduction in the computation time, were achieved using the developed CNN model

Mastitogenic Bacteria Isolated from Clinical Mastitis Cases Associated with Teat Lesions and their Antimicrobial Sensitivity

Mastitis is the most common and most expensive disease that impacts dairy farms in Egypt. In this study, we investigated bacterial mastitis cases that did not respond to antimicrobial treatment from buffaloes and cows. Milk samples (11) were collected from diseased animals (5 buffaloes and 6 cows). The samples were tested microbiologically to isolate and identify the causative bacteria and antimicrobial susceptibility. The antimicrobial sensitivity of the isolated bacteria was tested by using minimum inhibitory concentration technique according to the clinical national laboratory standards.  The total number of bacterial isolates from the cases was 15 isolates. Staphylococcus aureus (S. aureus) was isolated alone in two cases (13.33% of the isolates), and S. aureus isolated in combination with Arcanobacterium pyogenes (A. pyogenes) in one case (6.67%), and S. aureus isolated in combination with both A. pyogenes and Streptococcus agalactiae (S. agalactiae) in two cases (13.33%), and Coagulase negative staphylococci (CNS) isolated alone in one case (6.67%), and CNS isolated in combination with Klebsiella pneumoniae in one case (6.67%), and A. pyogenes isolated alone in two cases (13.33%). In two cases were not able to isolate any bacterial pathogen. In terms of susceptibility to antibiotics, the isolated strains were sensitive to clindamycin with MICs ranging from 0.125 to <0.03125 µM. The same isolates exhibited medium sensitivity to gentamicin and ciprofloxacin with MICs ranging from 0.5 to 8 µM. Most S. aureus isolates were resistant to oxytetracycline with a MIC of 128 µM. Most of the isolated bacteria were resistant to polymyxin B with a MIC > 128 µM. With the exception of the A. pyogenes isolates, all the isolated bacteria were sensitive to enrofloxacin with a MIC <1 µM.       &nbsp

Improving the physicochemical and antioxidative properties of fermented goat milk using carob molasses and some probiotic strains

Fermented goat milk samples, processed by adding 0, 2, and 4% carob molasses, and Bifidobacterium bifidum DSMZ or Lactobacillus helveticus CH5, were evaluated for their physicochemical, antioxidative, and sensory properties along with probiotic viability during storage. pH and viscosity gradually decreased over the storage period whereas their values increased with the increased amount of carob molasses. Bifidobacterium bifidum DSMZ or Lactobacillus helveticus CH5 kept higher viable numbers. Lactobacillus helveticus CH5 strain recorded higher viability. Increasing the added amount of carob molasses increased the total phenolic content, which in turn is reflected in the increase in antioxidant activity. Adding carob molasses participated in the partial masking of the goaty flavor and had no significant effect on the product’s acceptability, which was strongly influenced by the progress of cold storage. Therefore, fermented goat milk described by its enhanced physicochemical and antioxidative properties could be obtained by adding carob molasses and probiotics.<br/

Fostering Sustainable Potato Prod: Enhancing Quality & Yield via Potassium & Boron Applications

Boron deficiency significantly limits potato yield and quality in alkaline soils. This study investigated the impact of potassium and boron applications on potato yield and quality in boron-deficient alkaline soils, crucial aspects of sustainable potato farming. We evaluated the effects of soil and foliar applications of various potassium (silicate, alginate, citrate, sulfate) and nano-boron sources on potato growth, yield, and tuber quality. Two field trials, conducted over two growing seasons, demonstrated that foliar application of potassium silicate significantly enhanced potato yield and quality parameters, including tuber number, total yield, boron content, vitamin C content, and specific gravity. Foliar nano-boron application also significantly improved growth and yield compared to the control and soil-applied boron. The combination of foliar potassium silicate and nano-boron yielded the most superior results. Potassium silicate outperformed other potassium sources. These findings highlight the importance of foliar application for optimizing potassium fertilization and mitigating boron deficiency, promoting agricultural sustainability in alkaline soil conditions characteristic of many potato farming regions. Further research could explore optimal application methods and dosages for maximizing the synergistic effects of these nutrients

Electron-lattice kinetics of metals heated by ultrashort laser pulses

We propose a kinetic model of transient nonequilibrium phenomena in metals exposed to ultrashort laser pulses when heated electrons affect the lattice through direct electron-phonon interaction. This model describes the destruction of a metal under intense laser pumping. We derive the system of equations for the metal, which consists of hot electrons and a cold lattice. Hot electrons are described with the help of the Boltzmann equation and equation of thermoconductivity. We use the equations of motion for lattice displacements with the electron force included. The lattice deformation is estimated immediately after the laser pulse up to the time of electron temperature relaxation. An estimate shows that the ablation regime can be achieved.Comment: 7 pages; Revtex. to appear in JETP 88, #1 (1999

STABILITY-INDICATING LIQUID CHROMATOGRAPHY METHOD FOR THE DETERMINATION OF PENTOXYVERINE CITRATE AND ITS DEGRADANT

Objectives: The objectives of this research were to develop and validate a HPLC method for determination of Pentoxyverine citrate (PNX) and its degradant (DG). Methods: Forced degradation studies were performed on bulk sample using alkaline (0.1M sodium hydroxide) and acid (1M hydrochloric acid. The proposed method was based on using a 150 x 4.6 mm (i. d.) (Luna, Phenomenex, Torrance, CA, USA) (5 µm particle size) reversed phase C18 column with mobile phase consisting of a mixture of methanol-10 mM sodium dihydrogen phosphate pH 4 in ratio of (60:40, v/v) and UV detection at 230 nm with flow rate of 1 mL min-1. Results: The linear calibration range was between 10-40 mg ml-1and 10-40 mg ml-1for PNX and DG respectively. The method was found to be accurate with 100.23% and 100.07% recovery for PNX and DG respectively. The limit of detection (LOD) was found to be 3.79 x10-2μg ml-1 and 4.24 x10-2μg ml-1 for PNX and DG respectively, while the limit of quantification (LOQ) was found to be 12.62 x10-2μg ml-1 and 14.12 x10-2μg ml-1 for PNX and DG respectively. PNX was found to be most stable at a pH of 5.7. Conclusion: The validation study of the proposed method was successfully carried out and the method was found to be suitable and economic for routine determination of PNX in pharmaceutical syrup, without any interference from the excipients, and in the presence of its acidic and alkaline degradation products

Patient satisfaction with cataract surgery

<p>Abstract</p> <p>Introduction</p> <p>Measuring the patient satisfaction is a very important issue that will help very much in improving the service provided to patients and improve the level of satisfaction.</p> <p>Aim</p> <p>To evaluate patient satisfaction with the cataract surgery service and identify any areas for improvement, determination of patient satisfaction with referral, out-patient consultation, pre-assessment clinic, surgery and post-operative care, also to report patients' comments relating to improvement in service provision.</p> <p>Methodology</p> <p>A retrospective study was undertaken for 150 patients underwent cataract surgery at Barrow General Hospital, UK, the survey sample was by postal questionnaires. We collected our data from the theatre lists for a period of 4 month.</p> <p>Results</p> <p>This study included 150 patients; the response rate was (72%) 108 patients, Most patients were referred from their general practitioner 86.1%, 93 (86.1%) patients were happy with the time interval from seeing their GP to eye clinic. In the eye out patient department many factors significantly affected the level of patient satisfaction, in general the more information provided for the patient the more the satisfaction.</p> <p>Conclusion</p> <p>Patient satisfaction is on important health outcome old understanding both the domains of satisfaction as well as their relative importance to patients is necessary to improve the overall quality of patient care. Meeting the doctor, presenting all relevant information and giving printed information are very important factors in improving the patient's satisfaction with cataract surgery.</p