A Low-Power and High-Speed Frequency Multiplier for DLL-Based Clock Generator

A low-power and high-speed frequency multiplier for a delay-locked loop-based clock generator is proposed to generate a multiplied clock with different range of frequencies. The modified edge combiner consumes low power and achieves a high-speed operation. The proposed frequency multiplier overcomes a deterministic jitter problem by reducing the delay difference between positive- and negative-edge generation paths. The proposed frequency multiplier is implemented in a 0.13-µm CMOS process technology achieved power consumption to a frequency ratio of 2.9 µW/MHz, and has the multiplication ratios of 16, and an output range of 100 MHz–3.3 GHz

Who is pirating medical literature? A bibliometric review of 28 million Sci-Hub downloads.

We aimed to define the proportion of downloads on Sci-Hub that are medical in nature and to consider these data at the national level, evaluating the relation between density of medical literature downloads and scientific output, national income classifications, and indicators of internet penetrance

PHYTOCHEMICAL SCREENING, ANTIOXIDANT PROPERTIES IN VARIOUS EXTRACTS FROM THE LEAVES OF FLAGELLARIA INDICA L. FROM SABAH, MALAYSIA

Objective: This study was conducted to evaluate the antioxidant capacities of the leaves of Flagellaria indica L. (FI) and its phytochemical constituents in six different extracts.Methods: The assessment was done via a 2,2-diphenyl-1-picryl hydrazyl (DPPH) radical scavenging assay for the antioxidant test, the Folin-ciocalteau method for total phenolic content, Willet's method for total flavonoid content and several other qualitative phytochemical tests carried out on all extracts.Results: The results show the highest values of radical scavenging in the following order of extracts: butanol>ethyl acetate>aqueous>chloroform>methanol>hexane. The total phenolic content is the highest in the ethyl acetate (e. acetate) extract (153.28 mg/g) followed by butanol (134.78 mg/g), aqueous extract (65.88 mg/g), chloroform (55.28 mg/g), methanol (45.98 mg/g) and hexane (22.78 mg/g), expressed as gallic acid equivalents. The total flavonoids content was also the highest in e. acetate extract (38.96 mg/g) followed by butanol (28.45 mg/g), aqueous (21.18 mg/g), chloroform (12.9 mg/g), methanol (10.78 mg/g) and hexane extract (4.92 mg/g) using cathechin equivalents.Conclusion: The antioxidant and radical scavenging activities of FI might be due to the strong presence of phenolic constituents, flavonoids and several other bioactive compounds. Thus, further research can be conducted to elucidate the potential of this plant for pharmacological importance.Â

A Psychological Rendition of Toni Morrison’s Bildungsroman novel, Song of Solomon

Toni Morrison became the first Black woman to receive the Nobel Prize in Literature. Her works have been a source of transformation in its writing and rewriting of black life, its history and culture. Toni Morrison’s novels touch and explain deeply on the domestic ideas like family, culture and relationships. The author develops on the serious matter of familial dysfunction of the African- American community in her works, especially Song of Solomon and Sula. This paper focuses on the deterioration of family relations in Song of Solomon. Song of Solomon explains Morrison's attachment to black life, culture and relationships and scrutinizes the role of African Americans in relation to white society, the slavery and the experience of blacks in America. Hence this paper which follows the psychoanalytic method unwinds the plight of people who struggle in dysfunctional social set-up and the trauma and pain of the characters, both physically and psychologically

No frugal innovation without frugal evaluation: the Global IDEAL Sub-Framework

Objective: The Global IDEAL Sub-Framework Study aimed to combine the intended effects of the 2009/2019 IDEAL (Idea, Development, Exploration, Assessment, Long-term study) Framework recommendations on evaluating surgical innovation with the vision outlined by the 2015 Lancet Commission on Global Surgery to provide recommendations for evaluating surgical innovation in low-resource environments. Design: A mixture of methods including an online global survey and semistructured interviews (SSIs). Quantitative data were summarized with descriptive statistics and qualitative data were analyzed using the Framework Method. Participants: Surgeons and surgical researchers from any country. Main outcome measures: Findings were used to suggest the nature of adaptations to the IDEAL Framework to address the particular problems of evaluation in low-resource settings. Results: The online survey yielded 66 responses representing experience from 40 countries, and nine individual SSIs were conducted. Most respondents (n=49; 74.2%) had experience evaluating surgical technologies across a range of life cycle stages. Innovation was most frequently adopted based on colleague recommendation or clinical evaluation in other countries. Four themes emerged, centered around: frugal innovation in technological development; evaluating the same technology/innovation in different contexts; additional methodologies important in evaluation of surgical innovation in low/middle-income countries; and support for low-income country researchers along the evaluation pathway. Conclusions: The Global IDEAL Sub-Framework provides suggestions for modified IDEAL recommendations aimed at dealing with the special problems found in this setting. These will require validation in a stakeholder consensus forum, and qualitative assessment in pilot studies. From assisting researchers with identification of the correct evaluation stage, to providing context-specific recommendations relevant to the whole evaluation pathway, this process will aim to develop a comprehensive and applicable set of guidance that will benefit surgical innovation and patients globally

Gasless Laparoscopic Surgery for Minimally Invasive Surgery in Low-Resource Settings: Methods for Evaluating Surgical Field of View and Abdominal Wall Lift Force

Funder: Translate MedTec

Designing devices for global surgery: evaluation of participatory and frugal design methods

Introduction: Most people living in low- and middle-income countries have no access to surgical care. Equipping under-resourced health care contexts with appropriate surgical equipment is thus critical. “Global” technologies must be designed specifically for these contexts. But while models, approaches and methods have been developed for the design of equipment for global surgery, few studies describe their implementation or evaluate their adequacy for this purpose. Methods: A multidisciplinary team applied participatory and frugal design methods to design a surgical device for gasless laparoscopy. The team employed a formal roadmap, devised to guide the development of global surgical equipment, to structure the design process into phases. Phases 0–1 comprised primary research with surgeons working in low-resource settings and forming collaborative partnerships with key stakeholders. These participated in phases 2–3 through design workshops and video events. To conclude, surgical stakeholders (n=13) evaluated a high-fidelity prototype in a cadaveric study. Results: The resulting design, “RAIS” (Retractor for Abdominal Insufflation-less Surgery), received positive feedback from rural surgeons keen to embrace and champion innovation as a result of the close collaboration and participatory design methods employed. The roadmap provided a valuable means to structure the design process but this evaluation highlighted the need for further development to detail specific methodology. The project outcomes were used to develop recommendations for innovators designing global surgical equipment. To inform early phases in the design roadmap, engaging a variety of stakeholders to provide regular input is crucial. Effective communication is vital to elucidate clear functional design requirements and hence reveal opportunities for frugal innovation. Finally, responsible innovation must be embedded within the process of designing devices for global surgery. Conclusion: A community-wide effort is required to formally evaluate and optimize processes for designing global surgical devices and hence accelerate adoption of frugal surgical technologies in low-resource settings

Training programme in gasless laparoscopy for rural surgeons of India (TARGET study) - Observational feasibility study

Background: Benefits of laparoscopic surgery are well recognised but uptake in rural settings of low- and middle-income countries is limited due to implementation barriers. Gasless laparoscopy has been proposed as an alternative but requires a trained rural surgical workforce to upscale. This study evaluates a feasibility of implementing a structured laparoscopic training programme for rural surgeons of North-East India. Methods: A 3-day training programme was held at Kolkata Medical College in March 2019. Laparoscopic knowledge and Fundamentals of Laparoscopic Skills (FLS) were assessed pre and post simulation training using multiple choice questions and the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS), respectively. Competency with an abdominal lift device was assessed using the Objective Structured Assessment of Technical Skills (OSATS) and live operating performance via the Global Operative Assessment of Laparoscopic Skills (GOALS) scores during live surgery. Costs of the training programme and qualitative feedback were evaluated. Results: Seven rural surgeons participated. There was an improvement in knowledge acquisition (mean difference in MCQ score 5.57 (SD = 4.47)). The overall normalised mean MISTELS score for the FLS tasks improved from 386.02 (SD 110.52) pre-to 524.40 (SD 94.98) post-training (p = 0.09). Mean OSATS score was 22.4 out of 35 (SD 3.31) indicating competency with the abdominal lift device whilst a mean GOALS score of 16.42 out of 25 (SD 2.07) indicates proficiency in performing diagnostic laparoscopy using the gasless technique during live operating. Costs of the course were estimated at 354 USD for trainees and 461 USD for trainers. Conclusion: Structured training programme in gasless laparoscopy improves overall knowledge and skills acquisition in laparoscopic surgery for rural surgeons of North-East India. It is feasible to deliver a training programme in gasless laparoscopy for rural surgeons. Larger studies are needed to assess the benefits for wider adoption in a similar context

Effect of Resisted Sprint versus Plyometric Training on Leg Strength of Male Sprinters

The purpose of the study was to find out the effect of resisted sprint (RS) versus plyometric training (PT) on the leg strength of male sprinters. To achieve the purpose of the study the researcher selected thirty intercollegiate level male sprinters as subjects. They were divided into three equal groups of ten sprinters. Group-I performed RS training (n = 10), Group-II performed PT (n = 10), and Group-III acted as control (n = 10). The age of the selected subjects was ranged from 18 to 22 years. The statistical procedure was “t-test” and percentage changes were used Further, analysis of covariance (ANCOVA) was used to determine the significant difference existing between pretest and posttest on stride frequency. When the obtained “F ratio” value in the ANCOVA test was significant the Scheffe’s test was applied as a post hoc test to determine the paired mean differences if any. The results showed that twelve weeks of RS and PT considerably improved the leg strength of the male sprinters, whereas PT was significantly better than RS training. The result produced a 3.71% percentage of changes in leg strength due to RS training and 7.44% of changes due to PT