Applying multi-temporal landsat satellite data and markov-cellular automata to predict forest cover change and forest degradation of sundarban reserve forest, Bangladesh

Overdependence on and exploitation of forest resources have significantly transformed the natural reserve forest of Sundarban, which shares the largest mangrove territory in the world, into a great degradation status. By observing these, a most pressing concern is how much degradation occurred in the past, and what will be the scenarios in the future if they continue? To confirm the degradation status in the past decades and reveal the future trend, we took Sundarban Reserve Forest (SRF) as an example, and used satellite Earth observation historical Landsat imagery between 1989 and 2019 as existing data and primary data. Moreover, a geographic information system model was considered to estimate land cover (LC) change and spatial health quality of the SRF from 1989 to 2029 based on the large and small tree categories. The maximum likelihood classifier (MLC) technique was employed to classify the historical images with five different LC types, which were further considered for future projection (2029) including trends based on 2019 simulation results from 1989 and 2019 LC maps using the Markov-cellular automata model. The overall accuracy achieved was 82.30%~90.49% with a kappa value of 0.75~0.87. The historical result showed forest degradation in the past (1989–2019) of 4773.02 ha yr−1, considered as great forest degradation (GFD) and showed a declining status when moving with the projection (2019–2029) of 1508.53 ha yr−1 and overall there was a decline of 3956.90 ha yr−1 in the 1989–2029 time period. Moreover, the study also observed that dense forest was gradually degraded (good to bad) but, conversely, light forest was enhanced, which will continue in the future even to 2029 if no effective management is carried out. Therefore, by observing the GFD, through spatial forest health quality and forest degradation mapping and assessment, the study suggests a few policies that require the immediate attention of forest policy-makers to implement them immediately and ensure sustainable development in the SRF.</jats:p

Twelve Tips for Medical Students starting Clinical Placements in the United Kingdom

Transitioning from the pre-clinical to clinical years at medical school can be challenging and overwhelming. This paper aims to utilise the experience of healthcare professionals to provide tips for medical students to consider in order to maximise their learning opportunities. Before starting a placement, it is highly encouraged that you familiarise yourself with the curriculum, remember to bring your essentials and dress appropriately. During your placement, ensure good attendance keeping, introduce yourself to the team, manage your time well, engage in self-directed learning, ask questions to other doctors, interact with allied health care professionals and follow the patient’s journey from admission to discharge. It is also key to be wary of university requirements, regularly practice history-taking and clinical examination and examination style questions. Prioritise a suitable work-life balance by enjoying hobbies and extra-curricular activities in order to avoid burn-out. These tips should ensure medical students make the most of their clinical placements as well as making it a memorable and enjoyable experience

Computation of non-isothermal thermo-convective micropolar fluid dynamics in a Hall MHD generator system with non-linear distending wall

A theoretical model for steady non-isothermal convective heat transfer in non-Newtonian magnetized micropolar gas flow from a non-linear stretching/contracting wall in the presence of strong magnetic field is presented, as a simulation of an MHD (magnetohydrodynamic) Hall energy generator. Subsonic flow is considered, and compressibility effects neglected. The strength of the magnetic field which is applied in the general case obliquely to the wall is sufficient to invoke the collective effects of Hall current and Ohmic heating (Joule dissipation). Viscous heating is also included in the energy balance. Deploying similarity transformations, the governing equations are normalized into nonlinear ordinary differential equations with associated boundary conditions. The non-linear boundary value problem thus posed is then solved computationally with Nachtsheim-Swigert iteration technique along with the fourth-fifth order Runge-Kutta integration method (RKM). Verification of solutions is obtained with the semi-analytical Homotopy analysis method (HAM). Further validation is conducted with the semi-numerical Adomian Decomposition Method (ADM). In both cases excellent agreement is obtained with the Runge-Kutta shooting quadrature solutions. Additional validation is conducted with earlier Newtonian studies in the absence of micropolar, Hall current and dissipation effects. The influence of local Grashof number, local Hartmann number, Eringen microrotational parameter, Eringen coupling vortex parameter, Prandtl number and Eckert number on non-dimensional velocity components (primary, secondary and angular) and temperature within the boundary layer are graphically illustrated and interpreted at length. Furthermore, the effects of the thermophysical (e.g. non-isothermal power law index), electromagnetic parameters (e.g. Hall parameter) and geometric parameter (wall extension/contraction parameter) on the skinfriction coefficient (i.e. primary and secondary shear stress and wall couple stress) and surface heat transfer rate (Nusselt number) are evaluated. The study is relevant to near wall transport phenomena in novel MHD Hall power generators

Assessing whether medical language is a barrier to receiving healthcare services in Bangladesh: an exploratory study.

BACKGROUND: In many global settings, medical language acts as a barrier to accessing and using health services. However, this issue remained unexplored in Bangladesh, where the non-native English language is commonly used for health care. AIM: To examine whether medical language is an obstacle for obtaining health services in Bangladesh and to provide policy recommendations. DESIGN & SETTING: An exploratory study was undertaken to identify the impact of medical language on general practice. Data were collected online from Bangladeshi people between July-November 2014. METHOD: A semi-structured questionnaire was developed through Google Forms for data collection. The snowball technique was applied to obtain data purposively from 50 participants. With prior consent, the questionnaire along with the online link was sent to responders by email. When responders clicked on the 'submit' option of the questionnaire, responses were stored online automatically in the pre-built system. Quantitative data were analysed using SPSS (version 22). Textual data analyses (especially of suggestions of the responders) were conducted using a thematic approach. RESULTS: Among study participants, 44% (n = 22) said that English language was the choice for writing prescriptions by health service providers in Bangladesh, and 26% said that a mixture of Bengali and English was used. Around 30% of the study participants could not understand medical language used by doctors (this includes those who were not sure or preferred not to say). Among responders, 78% said that medical language was affecting the treatment process and 48% were of the opinion that it was acting as a barrier in receiving health services. CONCLUSION: Medical language is acting as a barrier in the health services of Bangladesh. Tailored interventions must be developed and implemented to overcome medical language barriers in health services in order to strengthen the health system

Identification of factor XI deficiency in Holstein cattle in Turkey

This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens

Treatment of head lice with dimeticone 4% lotion: comparison of two formulations in a randomised controlled trial in rural Turkey

<p>Abstract</p> <p>Background</p> <p>Dimeticone 4% lotion was shown to be an effective treatment for head louse infestation in two randomised controlled trials in England. It is not affected by insecticide resistance but efficacy obtained (70-75%) was lower than expected. This study was designed to evaluate efficacy of dimeticone 4% lotion in a geographically, socially, and culturally different setting, in rural Turkey and, in order to achieve blinding, it was compared with a potential alternative formulation.</p> <p>Methods</p> <p>Children from two village schools were screened for head lice by detection combing. All infested students and family members could participate, giving access to treatment for the whole community. Two investigator applied treatments were given 7 days apart. Outcome was assessed by detection combing three times between treatments and twice the week following second treatment.</p> <p>Results</p> <p>In the intention to treat group 35/36 treated using dimeticone 4% had no lice after the second treatment but there were two protocol violators giving 91.7% treatment success. The alternative product gave 30/36 (83.3%) treatment success, a difference of 8.4% (95% CI -9.8% to 26.2%). The cure rates per-protocol were 33/34 (97.1%) and 30/35 (85.7%) respectively. We were unable to find any newly emerged louse nymphs on 77.8% of dimeticone 4% treated participants or on 66.7% of those treated with the alternative formulation. No adverse events were identified.</p> <p>Conclusion</p> <p>Our results confirm the efficacy of dimeticone 4% lotion against lice and eggs and we found no detectable difference between this product and dimeticone 4% lotion with nerolidol 2% added. We believe that the high cure rate was related to the lower intensity of infestation in Turkey, together with the level of community engagement, compared with previous studies in the UK.</p> <p>Trial Registration</p> <p>Current Controlled Trials ISRCTN10431107</p

Echocardiographic assessment of mitral valve morphology after Percutaneous Transvenous Mitral Commissurotomy (PTMC)

<p>Abstract</p> <p>Aims</p> <p>PTMC produces significant changes in mitral valve morphology as improvement in leaflets mobility. The determinants of such improvement have not been assessed before.</p> <p>Methods and results</p> <p>The study included 291 symptomatic patients with mitral stenosis undergoing PTMC. Post-PTMC subvalvular splitting area was a determinant of post-PTMC excursion in both the anterior (B 0.16, 95% CI 0.03 to 0.30, p < 0.05) and the posterior (B 0.12, 95% CI 0.01 to 0.24, p < 0.05) leaflets. Another determinant was the post-PTMC transmitral pressure gradient for anterior (B -0.02, 95% CI -0.04 to -0.005, p < 0.01) and posterior (B -0.01, 95% CI -0.04 to -0.005, p < 0.05) leaflets excursion. The relationship between post-PTMC MVA and leaflet excursion was non-linear "S curve". There was a steep increase of both anterior (p, 0.02) and posterior (p, 0.03) leaflets excursion with increased MVA till the MVA reached a value of about 1.5 cm²; after which both linear and S curves became nearly parallel.</p> <p>Conclusion</p> <p>The improvement in leaflets excursion after PTMC is determined by several morphologic and hemodynamic changes produced in the valve. The increase in MVA improves mobility within limit; after which any further increase in MVA is not associated by a significant improvement in mobility in both leaflets.</p

Performance of aquatic plant species for phytoremediation of arsenic-contaminated water

This study investigates the effectiveness of aquatic macrophyte and microphyte for phytoremediation of water bodies contaminated with high arsenic concentration. Water hyacinth (Eichhornia crassipes) and two algae (Chlorodesmis sp. and Cladophora sp.) found near arsenic-enriched water bodies were used to determine their tolerance toward arsenic and their effectiveness to uptake arsenic thereby reducing organic pollution in arsenic-enriched wastewater of different concentrations. Parameters like pH, chemical oxygen demand (COD), and arsenic concentration were monitored. The pH of wastewater during the course of phytoremediation remained constant in the range of 7.3–8.4, whereas COD reduced by 50–65 % in a period of 15 days. Cladophora sp. was found to survive up to an arsenic concentration of 6 mg/L, whereas water hyacinth and Chlorodesmis sp. could survive up to arsenic concentrations of 2 and 4 mg/L, respectively. It was also found that during a retention period of 10 days under ambient temperature conditions, Cladophora sp. could bring down arsenic concentration from 6 to <0.1 mg/L, Chlorodesmis sp. was able to reduce arsenic by 40−50 %; whereas, water hyacinth could reduce arsenic by only 20 %. Cladophora sp. is thus suitable for co-treatment of sewage and arsenic-enriched brine in an algal pond having a retention time of 10 days. The identified plant species provides a simple and cost-effective method for application in rural areas affected with arsenic problem. The treated water can be used for irrigation