Influenza vaccination for immunocompromised patients: systematic review and meta-analysis from a public health policy perspective.

Immunocompromised patients are vulnerable to severe or complicated influenza infection. Vaccination is widely recommended for this group. This systematic review and meta-analysis assesses influenza vaccination for immunocompromised patients in terms of preventing influenza-like illness and laboratory confirmed influenza, serological response and adverse events

Petrographic and Geochemical Analysis of Indus Sediments: Implications for Placer Gold Deposits, Peshawar Basin, NW Himalaya, Pakistan

Alluvial placer gold deposits that accumulate in streams across the globe are essentially allochthonous sedimentary deposits that are transported from their source to their location of deposition. The purpose of this study was to find placer gold deposits in alluvial sediments along the Indus River in the NW Himalaya of Pakistan. The investigated region was divided into five clusters based on river morphology. The research focused on mineralogical distribution, sediment source, gold transport distance, elemental composition, and gold concentration in river sediments. Throughout, during the deposition at point and channel bars, the mixed source of alluvial sediments was revealed by its mineralogical composition. However, the SEM analysis demonstrated that the gold grains had a high flatness index, indicating that they had been transported a significant distance. The elemental composition of several samples revealed a significant concentration of silicon dioxide, iron oxide, and alumina oxide transported from the Himalaya. The study of the trace elements indicated gold and related base metals with granitic provenance were transported from an acidic/granitic source. Based on gold concentration, it is demonstrated that the left riverbank (clusters C1, C2, and C3) has a higher concentration of gold deposits and higher potential for economic gold exploration than the right bank (clusters C4 and C5) due to the lower velocity of running water in the study area. The findings revealed that the studied area has good potential for commercial exploration of gold resources, and the workflow can be adopted in any region with a similar geological setting and morphology

Petrographic and Geochemical Analysis of Indus Sediments: Implications for Placer Gold Deposits, Peshawar Basin, NW Himalaya, Pakistan

Alluvial placer gold deposits that accumulate in streams across the globe are essentially allochthonous sedimentary deposits that are transported from their source to their location of deposition. The purpose of this study was to find placer gold deposits in alluvial sediments along the Indus River in the NW Himalaya of Pakistan. The investigated region was divided into five clusters based on river morphology. The research focused on mineralogical distribution, sediment source, gold transport distance, elemental composition, and gold concentration in river sediments. Throughout, during the deposition at point and channel bars, the mixed source of alluvial sediments was revealed by its mineralogical composition. However, the SEM analysis demonstrated that the gold grains had a high flatness index, indicating that they had been transported a significant distance. The elemental composition of several samples revealed a significant concentration of silicon dioxide, iron oxide, and alumina oxide transported from the Himalaya. The study of the trace elements indicated gold and related base metals with granitic provenance were transported from an acidic/granitic source. Based on gold concentration, it is demonstrated that the left riverbank (clusters C1, C2, and C3) has a higher concentration of gold deposits and higher potential for economic gold exploration than the right bank (clusters C4 and C5) due to the lower velocity of running water in the study area. The findings revealed that the studied area has good potential for commercial exploration of gold resources, and the workflow can be adopted in any region with a similar geological setting and morphology

Evaluation of an educational website for parents of children with ADHD

Introduction ADHD is a relatively common neuro-developmental condition characterized by hyperactivity, impulsivity and inattention. The provision of timely and accurate information about the condition and about strategies to manage it is vital especially because of widespread misconceptions about it. Aim To see the effect of an educational website on (i) parental perceptions (ii) knowledge levels, and to obtain feedback to optimise user-experience. Method Parents whose children had ADHD (or were close to diagnosis) were recruited. Following a 30-item baseline knowledge test parents/carers were directed to an educational website on ADHD. After this they were re-contacted for follow up testing and feedback. Results n=172, 14 were lost to follow up. Ninety-one (59.4 %) participants were known to have accessed the website at follow up. The majority of carers accessed the website just once or twice (32.7%). Of those who did not access the website 65% cited a lack of time as the reason while 29% cited they were unable to access the internet at the time. The majority (74%) of those accessing the site were just browsing for general information. Parents showed increased knowledge post website use p=0.000. Of those accessing the website the majority (85.5%) felt it was relevant to them and would use it again (90.8%). Content analysis of open-ended feedback identified eight core themes including website appearance, content, functionality, perceptions, target audience, usability, usage patterns with areas for improvement noted in four areas. Conclusion Websites can be used as an adjunct to information given at clinic. Although a majority of parents will access them, there are still barriers to access e.g. time. Websites do seem to improve parent/carer knowledge levels

Influenza vaccination for immunocompromised patients: summary of a systematic review and meta-analysis.

Vaccination of immunocompromised patients is recommended in many national guidelines to protect against severe or complicated influenza infection. However, due to uncertainties over the evidence base, implementation is frequently patchy and dependent on individual clinical discretion. We conducted a systematic review and meta-analysis to assess the evidence for influenza vaccination in this patient group. Healthcare databases and grey literature were searched and screened for eligibility. Data extraction and assessments of risk of bias were undertaken in duplicate, and results were synthesised narratively and using meta-analysis where possible. Our data show that whilst the serological response following vaccination of immunocompromised patients is less vigorous than in healthy controls, clinical protection is still meaningful, with only mild variation in adverse events between aetiological groups. Although we encountered significant clinical and statistical heterogeneity in many of our meta-analyses, we advocate that immunocompromised patients should be targeted for influenza vaccination