464 research outputs found
Is Foreign Aid an Obstruction to Democracy and Development in the Third World?
Aid was first initiated by the United States during the early
Fifties. It was supposed to help the efforts of the peoples of
underdeveloped countries to develop their resources and improve their
living and working conditions by encouraging the exchange of technical
knowledge and skills and the flow of investment capital to countries
which provide conditions under which the technical assistance and
capital can effectively contribute to raising standards of living,
creating new sources of wealth, increasing productivity and expanding
purchasing power.' Furthermore, it was initially meant to prove the
superiority of the 'Western' democratic order over Communism. Although
the genesis of aid sprang from the grand design to help the Third World
countries develop their economies along liberal and democratic lines,
the flow of aid in quite substantial amounts, however, began to
influence the mode of development in such a manner that aid became an
instrument of serving more the foreign policy considerations of the
donors rather than meeting the genuine development requirements of the
recipient nations. This change in policy slowly but steadily forced many
a young country to fall into the aid trap and by the time they discover•
ed their plight they had already become 'client' states. This was indeed
not a pleasant outcome of the whole exercise in 'aidmanship'
Effect of Educational Program on Prophylactic Antiemetics Prescribing Practice
Background: Post-operative nausea and vomiting (PONV) continues to be among the main concerns after general anesthesia, impacting approximately 30% of all postoperative patients. PONV is still reported by patients as their most distressing post-surgical outcome even Â
 surpassing that of pain. In spite of the presence of PONV prophylaxis guidelines and the availability of multimodal and novel anti-emetics, it is clear that these guidelines are poorly applied with insufficient prescription of pre-emptive anti-emetics. This study aimed at evaluating the effect of educational intervention with general surgeons and anesthesiologists on prophylactic antiemetic prescribing practice.
Methods: An interventional study was carried out at Al-Sader Medical City/ Al-Najaf province/ Iraq. In the observational phase of the study, patients were selected from the general surgery ward to observe the baseline prescribing pattern of the prophylactic anti-emetics and PONV incidence among them. After implementing the educational program, another group (interventional group) of patients was taken to see if there was any alteration in the practice of pre-emptive anti-emetics prescription and the incidence of PONV.
Results: Two groups each of 50 patients were enrolled, namely, observational group and interventional group. In the observational group, only 7 patients (14%) received preoperative prophylactic anti-emetics compared to 24 patients (48%) in the interventional group, (P<0.001). No statistically relevant difference was observed in the use of post-operative anti-emetics. The incidence of PONV within the first 24 hours was significantly lower among the interventional patients’ group, (28%) versus (54%) before the educational intervention, (P<0.05).
Conclusion: This study revealed that the educational program done by the researcher has a positive impact on the prescription of pre-operative prophylactic anti-emetics with subsequent reduction in PONV incidence.
Febuxostat ameliorates methotrexate-induced lung damage
Background: The intention of the present study was to assess the structural affection of the lung following methotrexate (MTX) overdose. The proposed underlying mechanisms involved in lung affection were studied. The possible modulation role of febuxostat over such affection was studied. Materials and methods: Twenty-four rats were divided into three groups: control, MTX-treated, febuxostat-treated. The study was continued for 2 weeks. Lung was processed for histological and immunohistochemical (inducible nitric oxide synthase [iNOS] and cyclooxygenase [COX]-2) studies. Inflammatory markers (tumour necrosis factor alpha [TNF-a], interleukin 1 [IL-1]), Western blot evaluation of nuclear factor kappa B (NF-kB) and oxidative/antioxidative markers were done. Results: Methotrexate-treated group exhibited inflammatory cellular infiltrations, thickened interalveolar septa, dilated congested blood vessels, extravasated blood, and apoptosis. The collagen fibres content increased 3-fold. MTX induced lung affection through oxidative stress (increase MDA/decrease GSH, SOD) and apoptosis. It induced sterile inflammation through an increase of NF-kB (2-fold), IL-1 (3-fold) and TNF-a (3-fold), COX-2 cells (2.5-fold) and iNOS (6-fold). With the use of febuxostat, the normal lung architecture was observed with a bit thickened interalveolar septum and extravasated blood. The collagen fibres content was minimal. Decrement of oxidative stress and sterile inflammation (COX-2 cells and iNOS were comparable to the control group. NF-kB, IL-1 and TNF-a became higher by 34%, 64% and 100%). Conclusions: The overdose of MTX displays inflammatory lung affection with residual fibrosis. It induces lung affection through oxidative stress, apoptosis and sterile inflammation. With the use of febuxostat, the normal lung architecture was preserved with a little structural affection or fibrotic residue. Febuxostat exerts its lung protection through its anti-inflammatory and antioxidant features
Monoclonal Gammopathy of Undetermined Significance Disguised as Chronic Neutrophilic Leukemia
We encountered a 60-year-old woman with a medical history of diabetes mellitus, osteoporosis, peripheral vascular disease, and hypertension who had earlier presented at an outside facility with knee pain, which led to a finding of elevated neutrophil count of 35×109/L. Because she was otherwise asymptomatic but continued showing elevated neutrophil levels, she sought a second opinion at our facility. Serum protein immunoelectrophoresis with immunofixation revealed an immunoglobulin A (IgA)-κ monoclonal gammopathy concentration of 1305 mg/dL (normal 80–350 mg/dL) but relatively normal concentrations of IgG of 840 mg/dL (620–1400 mg/dL) and IgM of 36 mg/dL (45–250 mg/dL). Using clonal analysis, we found a polyclonal expression pattern in all cell types analyzed. Comprehensive work-up for multiple myeloma and infectious etiology of neutrophilia was negative. We concluded that our patient’s neutrophilia may have been due to the underlying monoclonal gammopathy. This is the first case in the literature of a patient with monoclonal gammopathy of undetermined significance presenting with chronic neutrophilia, mimicking chronic neutrophilic leukemia (CNL). Patients with CNL have a poor prognosis; therefore, it is important to distinguish diagnostically between CNL and reactive neutrophilia
Seroprevalence of Bovine Herpes Virus-1, Bovine Herpes Virus-4 and Bovine Viral Diarrhea Virus in Dairy Cattle in Sudan
A survey was conducted to determine prevalence of antibodies against Bovine herpes virus-1 (BoHv-1), Bovine herpes virus-4 (BoHv-4) and Bovine viral diarrhea (BVD) in dairy cattle in farms with reproductive problems in two areas in Sudan. Sera samples were collected from Khartoum state and central Sudan during 2005-2008 and analyzed using direct ELISA. The prevalence of antibodies was discussed with respect to age, season, sex, breed and locality BoHv-1 and BVD antibodies were highly prevalent in Khartoum state (51.7 and 50.4%, respectively) while in central Sudan BoHv-1 (32.7%) antibodies were the most prevalent followed by, BVD (25.7%) and BoHv-4 (19.3%). The highest prevalence of antibodies against the three viruses in both areas was found during the rainy season (July to October). The prevalence of antibodies to viruses studied was significantly associated with female sex except for BoHv-1. Prevalence of antibodies to BoHv-4 was significantly associated with breed while those of BoHv-1 and BVD were not. The present results indicated that older cattle were more likely to be seropositive in case of BoHv-4 but to BoHv-1 or BVD viruses. Furthermore, it was found that BoHv-1 and BVD antibodies were highly prevalent in aborted dams. While, infertility problems were highly associated with BoHv-1 antibodies. BVD antibodies showed the highest prevalence in case of death after birth. The results of this study provide better understanding of viral epidemics of reproductive disorders and represent the first report of BoHv-4 antibodies in cattle in Sudan
Enhancing Corrosion Resistance of Stainless Steel 304 Using Laser Surface Treatment
Stainless steel AISI 304 was laser treated to enhance corrosion resistance and improve surface properties. This alloy has many applications in auto industry (car body) as well as oil and gas industry. Different conditions were applied in the laser surface treatment, namely: laser power density, scan speed, distance between paths, medium gas (air, argon and nitrogen). After laser treatment, the samples microstructures were investigated using optical microscope to examine microstructural changes due to laser irradiation. Specimen surfaces were investigated using XRD, SEM and EDAX before and after laser treatment to examine the surface composition changes brought by laser irradiation. Results showed that laser irradiation enhances the corrosion resistance of AISI 304 Stainless steel to a large extent. Corrosion rates as low as 0.011 mpy for laser treated samples were obtained in comparison to 0.952 mpy obtained for the untreated samples. Superior pitting corrosion resistance was obtained under specific treatment conditions. The enhancement of corrosion resistance depends on the laser irradiation conditions. The corrosion protection afforded by laser treatment is attributed mainly to the grain refinement of the top surface layer. This layer is found to consist of nano-scale grains
Spray-Dried Proliposome Microparticles for High-Performance Aerosol Delivery Using a Monodose Powder Inhaler
Proliposome formulations containing salbutamol sulphate (SS) were developed using spray drying, and the effects of carrier type (lactose monohydrate (LMH) or mannitol) and lipid to carrier ratio were evaluated. The lipid phase comprised soy phosphatidylcholine (SPC) and cholesterol (1:1), and the ratios of lipid to carrier were 1:2, 1:4, 1:6, 1:8 or 1:10 w/w. X-ray powder diffraction (XRPD) revealed an interaction between the components of the proliposome particles, and scanning electron microscopy (SEM) showed that mannitol-based proliposomes were uniformly sized and spherical, whilst LMH-based proliposomes were irregular and relatively large. Using a two-stage impinger (TSI), fine particle fraction (FPF) values of the proliposomes were higher for mannitol-based formulations, reaching 52.6%, which was attributed to the better flow properties when mannitol was used as carrier. Following hydration of proliposomes, transmission electron microscopy (TEM) demonstrated that vesicles generated from mannitol-based formulations were oligolamellar, whilst LMH-based proliposomes generated 'worm-like' structures and vesicle clusters. Vesicle size decreased upon increasing carrier to lipid ratio, and the zeta potential values were negative. Drug entrapment efficiency (EE) was higher for liposomes generated from LMH-based proliposomes, reaching 37.76% when 1:2 lipid to carrier ratio was used. The in vitro drug release profile was similar for both carriers when 1:6 lipid to carrier ratio was used. This study showed that spray drying can produce inhalable proliposome microparticles that can generate liposomes upon contact with an aqueous phase, and the FPF of proliposomes and the EE offered by liposomes were formulation-dependent
Experimental study on the effect of in/out radial-finned heat sink with PCM under constant and intermittent power mode in power LEDs
DATA AVAILABILITY : All data that support the findings of this study are included
within this article.The findings of the experimental study into optimizing the heat transfer rate of a PCM-based heat sink for high-power LEDs are
presented in this work. The study investigated five heat sink types, with and without PCM. The LED case and junction
temperatures, LED module temperatures, heat storage and release rate analyses, analyses of three types of cyclic operation
modes, luminous flux, and heat sink thermal resistance were all examined independently. The results indicated that the PCMbased
LED heat sink had improved thermal performance. The LED junction temperature of the PCM-equipped E-20 heat sink
is nine degrees Celsius lower at 10W than that of the heat sink without PCM. Furthermore, the E-20 heat sink with PCM
extends the LED module’s critical lifespan. As a bonus, the E-20 with PCM had a 38.19 percent lower thermal resistance at
10W than the E-20 without PCM. According to these results, the heat sink E-20 emits 715 lm at 10W when operated without
a phase-change material (PCM). With the same input power, the luminous flux of an E-20 equipped with a heat sink and a
phase-change material (PCM) is 750 lm, a gain of 4.7%. Finally, clearly recommend the heat E-20 sink with PCM suitable for
high-power LED thermal management system.King Saud University.https://onlinelibrary.wiley.com/journal/3837am2024Mechanical and Aeronautical EngineeringSDG-09: Industry, innovation and infrastructur
INTERACTIVE EFFECTS OF ZINC AND DIFFERENT NITROGEN SOURCES ON YIELD AND QUALITY OF ONION
and 2003 to investigate the interactive effect of Zn and different nitrogen sources, i.e.,
mineral nitrogen (ammonium sulfate) and organic nitrogen (poultry manure) on the
growth and productivity of onion (Allium cepa) cv. Giza 20. Four levels of Zn
application (0, 1, 2 and 3 ppm) in a sulfate form were foliar sprayed at 30 and 60 days
after planting. Within each Zn application, three treatments of nitrogen dose were
applied in different combination forms (mineral and organic sources). Nitrogen
treatments were 100% mineral N; 75% mineral + 25% organic and 50% mineral + 50%
organic. Organic-N source was poultry manure. All poultry manure treatments were
applied during soil preparation. Data showed that all growth parameters of onion plants
increased as the fraction of poultry manure increased. Zn had also a positive effect on
all plant parameters except of plant length, and leaf dry weight. The interactive effect of
Zn and poultry manure increased yield and quality of onion bulbs. The most effective
treatments on bulb fresh weight, total yield and quality were the spraying with 1 or 2
ppm zinc and the application of N as 75% mineral and 25% organic, in both season
A new approach to sample entropy of multi-channel signals: application to EEG signals
In this paper, we propose a new algorithm to calculate sample entropy of multivariate data. Over the existing method, the one proposed here has the advantage of maintaining good results as the number of channels increases. The new and already-existing algorithms were applied on multivariate white Gaussian noise signals, pink noise signals, and mixtures of both. For high number of channels, the existing method failed to show that white noise is always the most irregular whereas the proposed method always had the entropy of white noise the highest. Application of both algorithms on MIX process signals also confirmed the ability of the proposed method to handle larger number of channels without risking erroneous results. We also applied the proposed algorithm on EEG data from epileptic patients before and after treatments. The results showed an increase in entropy values after treatment in the regions where the focus was localized. This goes in the same way as the medical point of view that indicated a better health state for these patients
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