2,807 research outputs found

    Half-cell study of La and Ca doped strontium titanates anode for direct methane solid oxide fuel cell

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    One of the major advantages of Solid oxide fuel cell (SOFC) over other fuel cell is use of direct natural gas at high temperature without any external reformer. Conventional nickel-yttria stabilized zirconia (Ni-YSZ) composite anode provides excellent catalytic property, current collection and stability for H2 oxidation but it is not tolerant towards sulphur poisoning and also accelerates coke deposition in presence of methane fuel. It necessitates the use of alternate anode for direct hydrocarbon fuel. In the present work, attempts have been made to apply La and Ca doped A-site deficient SrTiO3 (LSCTA-) as potential anode for direct methane SOFC. Low catalytic activity of LSCTA- is improved by infiltration of Ni and CeO2 catalyst. Half cell (YSZ/4%Ni-6%CeO2-LSCTA-) provided 200 mW cm-2 maximum power density and regain its initial performance in H2 even after 6 h exposure to humidified CH4 at 800 °C.Postprin

    Chimney Stove Intervention to Reduce Long-term Wood Smoke Exposure Lowers Blood Pressure among Guatemalan Women

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    Background and Objective: RESPIRE, a randomized trial of an improved cookstove, was conducted in Guatemala to assess health effects of long-term reductions in wood smoke exposure. Given the evidence that ambient particles increase blood pressure, we hypothesized that the intervention would lower blood pressure. Methods: Two study designs were used: a) between-group comparisons based on randomized stove assignment, and b) before-and-after comparisons within subjects before and after they received improved stoves. From 2003 to 2005, we measured personal fine particle (particulate matter with aerodynamic diameter 38 years of age from the chimney woodstove intervention group (49 subjects) and traditional open wood fire control group (71 subjects). Measures were repeated up to three occasions. Results: Daily average PM2.5 exposures were 264 and 102 μg/m3 in the control and intervention groups, respectively. After adjusting for age, body mass index, an asset index, smoking, secondhand tobacco smoke, apparent temperature, season, day of week, time of day, and a random subject intercept, the improved stove intervention was associated with 3.7 mm Hg lower SBP [95% confidence interval (CI), −8.1 to 0.6] and 3.0 mm Hg lower DBP (95% CI, −5.7 to −0.4) compared with controls. In the second study design, among 55 control subjects measured both before and after receiving chimney stoves, similar associations were observed. Conclusion: The between-group comparisons provide evidence, particularly for DBP, that the chimney stove reduces blood pressure, and the before-and-after comparisons are consistent with this evidence

    Barriers and facilitators to informal healthcare provider engagement in the national tuberculosis elimination program of India: An exploratory study from West Bengal

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    India has a high burden of Tuberculosis (TB), accounting for a significant portion of global cases. While efforts are being made to engage the formal private sector in the National TB Elimination Program (NTEP) of India, there remains a significant gap in addressing the engagement of Informal Healthcare Providers (IPs), who serve as the first point of contact for healthcare in many communities. Recognizing the increasing evidence of IPs' importance in TB care, it is crucial to enhance their engagement in the NTEP. Therefore, this study explored various factors influencing the engagement of IPs in the program. A qualitative study was conducted in West Bengal, India, involving 23 IPs and 11 Formal Providers (FPs) from different levels of the formal health system. Thematic analysis of the data was conducted following a six-step approach outlined by Braun and Clarke. Three overarching themes were identified in the analysis, encompassing barriers and facilitators to IPs' engagement in the NTEP. The first theme focused on IPs' position and capacity as care providers, highlighting their role as primary care providers and the trust and acceptance extended by the community. The second theme explored policy and system-level drivers and prohibitors, revealing barriers such as role ambiguity, competing tasks, and quality of care issues. Facilitators such as growing recognition of IPs' importance in the health system, an inclusive incentive system, and willingness to collaborate were also identified. The third theme focused on the relationship between the formal and informal systems, highlighting a need to strengthen the relationship between the two. This study sheds light on factors influencing the engagement of IPs in the NTEP of India. It emphasizes the need for role clarity, knowledge enhancement, and improved relationships between formal and informal systems. By addressing these factors, policymakers and stakeholders can strengthen the engagement of IPs in the NTEP

    Aerobic capacity, activity levels and daily energy expenditure in male and female adolescents of the kenyan nandi sub-group

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    The relative importance of genetic and socio-cultural influences contributing to the success of east Africans in endurance athletics remains unknown in part because the pre-training phenotype of this population remains incompletely assessed. Here cardiopulmonary fitness, physical activity levels, distance travelled to school and daily energy expenditure in 15 habitually active male (13.9±1.6 years) and 15 habitually active female (13.9±1.2) adolescents from a rural Nandi primary school are assessed. Aerobic capacity ([Formula: see text]) was evaluated during two maximal discontinuous incremental exercise tests; physical activity using accelerometry combined with a global positioning system; and energy expenditure using the doubly labelled water method. The [Formula: see text] of the male and female adolescents were 73.9±5.7 ml(.) kg(-1.) min(-1) and 61.5±6.3 ml(.) kg(-1.) min(-1), respectively. Total time spent in sedentary, light, moderate and vigorous physical activities per day was 406±63 min (50% of total monitored time), 244±56 min (30%), 75±18 min (9%) and 82±30 min (10%). Average total daily distance travelled to and from school was 7.5±3.0 km (0.8-13.4 km). Mean daily energy expenditure, activity-induced energy expenditure and physical activity level was 12.2±3.4 MJ(.) day(-1), 5.4±3.0 MJ(.) day(-1) and 2.2±0.6. 70.6% of the variation in [Formula: see text] was explained by sex (partial R(2) = 54.7%) and body mass index (partial R(2) = 15.9%). Energy expenditure and physical activity variables did not predict variation in [Formula: see text] once sex had been accounted for. The highly active and energy-demanding lifestyle of rural Kenyan adolescents may account for their exceptional aerobic fitness and collectively prime them for later training and athletic success

    Brief Communication: Economic Comparison of Opportunistic Infection Management With Antiretroviral Treatment in People Living With HIV/AIDS Presenting at an NGO Clinic in Bangalore, India

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    <p>Abstract</p> <p>Context</p> <p>Highly active antiretroviral treatment (HAART) usage in India is escalating. With the government of India launching the free HAART rollout as part of the "3 by 5" initiative, many people living with HIV/AIDS (PLHA) have been able to gain access to HAART medications. Currently, the national HAART centers are located in a few district hospitals (in the high- and medium-prevalence states) and have very stringent criteria for enrolling PLHA. Patients who do not fit these criteria or patients who are too ill to undergo the prolonged wait at the government hospitals avail themselves of nongovernment organization (NGO) services in order to take HAART medications. In addition, the government program has not yet started providing second-line HAART (protease inhibitors). Hence, even with the free HAART rollout, NGOs with the expertise to provide HAART continue to look for funding opportunities and other innovative ways of making HAART available to PLHA. Currently, no study from Indian NGOs has compared the direct and indirect costs of solely managing opportunistic infections (OIs) vs HAART.</p> <p>Objective</p> <p>Compare direct medical costs (DMC) and nonmedical costs (NMC) with 2005 values accrued by the NGO and PLHA, respectively, for either HAART or exclusive OI management.</p> <p>Study design</p> <p>Retrospective case study comparison.</p> <p>Setting</p> <p>Low-cost community care and support center - Freedom Foundation (NGO, Bangalore, south India).</p> <p>Patients</p> <p>Retrospective analysis data on PLHA accessing treatment at Freedom Foundation between January 1, 2003 and January 1, 2005. The HAART arm included case records of PLHA who initiated HAART at the center, had frequent follow-up, and were between 18 and 55 years of age. The OI arm included records of PLHA who were also frequently followed up, who were in the same age range, who had CD4+ cell counts < 200/microliter (mcL) or an AIDS-defining illness, and who were not on HAART (solely for socioeconomic reasons). A total of 50 records were analyzed. Expenditures on medication, hospitalization, diagnostics, and NMC (such as food and travel for a caregiver) were calculated for each group.</p> <p>Results</p> <p>At 2005 costs, the median DMC plus NMC in the OI group was 21,335 Indian rupees (Rs) (mean Rs 24,277/-) per patient per year (pppy) (US 474).IntheHAARTgroup,themedianDMCplusNMCwasRs18,976/(meanRs21,416/)pppy(US474). In the HAART group, the median DMC plus NMC was Rs 18,976/- (mean Rs 21,416/-) pppy (US 421). Median DMC plus NMC pppy in the OI arm was Rs 13623.7/- paid by NGO and Rs 1155/- paid by PLHA. Median DMC and NMC pppy in the HAART arm were Rs 1425/- paid by NGO and Rs 17,606/- paid by PLHA.</p> <p>Conclusion</p> <p>Good health at no increased expenditure justifies providing PLHA with HAART even in NGO settings.</p

    A Lip Sync Expert Is All You Need for Speech to Lip Generation In the Wild

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    In this work, we investigate the problem of lip-syncing a talking face video of an arbitrary identity to match a target speech segment. Current works excel at producing accurate lip movements on a static image or videos of specific people seen during the training phase. However, they fail to accurately morph the lip movements of arbitrary identities in dynamic, unconstrained talking face videos, resulting in significant parts of the video being out-of-sync with the new audio. We identify key reasons pertaining to this and hence resolve them by learning from a powerful lip-sync discriminator. Next, we propose new, rigorous evaluation benchmarks and metrics to accurately measure lip synchronization in unconstrained videos. Extensive quantitative evaluations on our challenging benchmarks show that the lip-sync accuracy of the videos generated by our Wav2Lip model is almost as good as real synced videos. We provide a demo video clearly showing the substantial impact of our Wav2Lip model and evaluation benchmarks on our website: \url{cvit.iiit.ac.in/research/projects/cvit-projects/a-lip-sync-expert-is-all-you-need-for-speech-to-lip-generation-in-the-wild}. The code and models are released at this GitHub repository: \url{github.com/Rudrabha/Wav2Lip}. You can also try out the interactive demo at this link: \url{bhaasha.iiit.ac.in/lipsync}.Comment: 9 pages (including references), 3 figures, Accepted in ACM Multimedia, 202

    Indonesian earthquake: Earthquake risk from co-seismic stress.

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    Following the massive loss of life caused by the Sumatra-Andaman earthquake in Indonesia and its tsunami, the possibility of a triggered earthquake on the contiguous Sunda trench subduction zone is a real concern. We have calculated the distributions of co-seismic stress on this zone, as well as on the neighbouring, vertical strike-slip Sumatra fault, and find an increase in stress on both structures that significantly boosts the already considerable earthquake hazard posed by them. In particular, the increased potential for a large subduction-zone event in this region, with the concomitant risk of another tsunami, makes the need for a tsunami warning system in the Indian Ocean all the more urgent.John McCloskey, Suleyman S.Nalbant, Sandy Steac

    Earthquake risk on the Sunda trench

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    On 28 March 2005 the Sunda megathrust in Indonesia ruptured again, producing another great earthquake three months after the previous one. The rupture was contiguous with that of the December 2004 Sumatra–Andaman earthquake, and is likely to have been sparked by local stress, although the triggering stresses at its hypocentre were very small — of the order of just 0.1 bar. Calculations show that stresses imposed by the second rupture have brought closer to failure the megathrust immediately to the south, under the Batu and Mentawai islands, and have expanded the area of increased stress on the Sumatra fault. Palaeoseismologic studies show that the Mentawai segment of the Sunda megathrust is well advanced in its seismic cycle and is therefore a good candidate for triggered failure
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