Provision of renal-specific nutrition knowledge for changing dietary practice in bangladeshi hemodialysis patients

Studies show that provision of nutrition knowledge help renal patients make informed food choices. This study aimed to evaluate the impact of nutrition knowledge for changing dietary practice among Bangladeshi dialysis Following development of a renal-specific nutrition booklet, a pilot study was conducted among 50 hemodialysis patients from a single dialysis setting. Demographic, anthropometric, clinical, biochemical, dietary data, and a 10-item MCQ on renal-specific nutrition information were collected before and 3 months after the provision of the booklet. 52%of the participants were male, 54% had twice weekly dialysis, age 53±12 years, and dialysis vintage was 46 ± 25 months. Serum potassium and phosphorous, dietary potassium, phosphorous, and phosphorous to protein ratio were significantly reduced after the provision of the booklet. Additionally, patients consuming >3 meals/day increased to 66% while adherence to renal-specific cooking method and vegetable preference were significantly increased to 70% and 62%, respectively. Provision of knowledge via renal-specific nutrition booklet was able to improve patients' dietary practice and enhance their dietary adherence to renal specific recommendations. Innovation: The booklet was developed using locally available food items in local language and was found beneficial in low-resource settings where overall health care facilities, including nutrition support are limited

Increasing access to integrated ESKD care as part of Universal Health Coverage

The global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle–income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide

Design and Implementation of a New Framework for Post-Synthesis Obfuscation with a Mixture of Multiple Cells with an Integrated Anti-SAT Block

This paper proposes a new framework for post-synthesis obfuscation of digital circuits using a mixture of cells combined with an Anti-SAT block. Furthermore, a novel integrated framework has been established wherein obfuscation, along with Anti-SAT and validation of the benchmarks, progress through MATLAB®, Python, Cadence RTL Encounter® and Cadence LEC® to implement the proposed methodology. Area, delay, leakage power and total power are adopted as elements of the evaluation matrix. These parameters are compared between the original circuit, the circuit after obfuscation, the circuit after integration with Anti-SAT and the circuit after implementation of the proposed method of multiple-cell obfuscation with Anti-SAT. The probability of breaking a circuit is taken as the security criterion. It is mathematically proven that as the number of types of obfuscated cells used increases, then the probability of breaking the circuit decreases. The results obtained accord with the mathematical proof. The framework minimizes the delay by inserting obfuscation cells (OCs) in the non-critical paths, strengthens the security by using several types of OCs and allows the user to select a design based on justified area, leakage power and total power. However, against a Boolean SATisfiability (SAT) attack, obfuscation with multiple cells is not a sufficient defense. An Anti-SAT block performs better than obfuscation but has its own limitations. Thus, use of an Anti-SAT block in combination with multiple-cell obfuscation is proposed and implemented, giving better results against an efficient SAT attack. The number of iterations, as well as runtime to obtain the correct keys, increase significantly for the Anti-SAT block combined with multiple-cell obfuscation compared to the Anti-SAT or obfuscation block alone

Growth performance of Red Chittagong and Holstein crossbred bull calves using growth promoter

The aim of the study was to evaluate and compare the effect of growth promoter ‘Megavit-DB’ on growth performance of indigenous Red Chittagong (RC) and Holstein Crossbred (HC) bull calves. For this purpose, six RC and six HC bull calves were assigned into four treatment groups having three calves in each as RCT0 (RC without Megavit-DB), RCT1 (RC with Megavit-DB), HCT0 (HC without Megavit-DB) and HCT1 (HC with Megavit-DB). The daily DM intake of different treatment groups were found almost similar. The daily average live weight gains were 0.27±0.05, 0.36±0.01, 0.36±0.01 and 0.45±0.05 kg/d, feed conversion efficiency were 9.08±0.16, 7.47±1.07, 7.13±1.24 and 6.16±0.27 and the average net returns (Tk.) were 1473.33±87, 2060±76.38, 1910±86.60 and 2776.67±44.10 for RCT0, RCT1, HCT0 and HCT1 treatment groups, respectively. The daily average live weight gain and feed conversion efficiency were significantly (p<0.05) higher in HCT1 than that from RCT1, HCT0 and RCT0. Accordingly, the average net returns were found significantly (p<0.05) higher in HCT1 than RCT1, HCT0 and RCT0. It may be concluded that Megavit-DB may have the potentials to improve growth performance of both HC and RC and may be used in cattle fattening program

Effect of carp species combination on production and economics of stinging catfish, Heteropneustes fossilis based polyculture in homestead ponds under drought prone area of Bangladesh

Aquaculture of homestead ponds under drought prone areas is climatically challenged by increased temperature and decreased water level. These ponds are potentials for farming of a short cycle aquaculture species like Heteropneustes fossilis with carps but lack of appropriate species combination is the major constraint for promotion of this technique. To address this problem, an experiment was carried out during July to December, 2019 to evaluate the production and economics of H. fossilis based polyculture under different carp species combinations in homestead ponds in Tanore of Rajshahi district, Bangladesh. Three different combination of carps were tested under three treatments as T1:&nbsp; Labeo rohita dominant carps (L. rohita 50%, Gibelion catla 25% and Hypophthalmichthys molitrix 25%); T2: G. catla dominant carps (L. rohita 25%, G. catla 50% and H. molitrix 25%); and T3: H. molitrix dominant carps (L. rohita 25%, G. catla 25% and H. molitrix 50%), each with three replications. Stocking densities were 123500 ha–1 for of H. fossilis was and 988 ha–1 for carps. Water quality was monitored monthly and found within acceptable range. T3 was found significantly (p &lt; 0.05) better than other groups in terms of yield and cost benefit ratio

Pathogenicity and immunosuppresive properties of GM-97 strain of infectious bursal disease virus in commercial broiler chicken

The current study was conducted to evaluate the pathogenicity and immunosuppressive effects of GM-97 strain of infectious bursal disease virus in commercial broiler chickens. A total of 500 broiler chickens were vaccinated with the virus through oral route at 10 and 17 days of age (102-103 EID50/dose). Chickens were also vaccinated with Newcastle disease virus (Hitchner B1) orally at 14 and 21 days old. Chickens were euthanized (at 12, 14, 16, 20, 23, 26 days of age) after measuring body weight. Bursa of Fabricius was examined for any gross lesion, weighed and processed for histological investigations. Bursa to body weight ratio and bursal lesion scoring were made to evaluate pathogenicity of the virus. Blood samples were analyzed for antibody response to ND vaccine virus using HI test. Results showed that the GM-97 strain of IBDV induced mild to moderate depletion of lymphoid cells in the center of bursal follicles and non-significant difference in bursa to body weight ratio amongst vaccinated and unvaccinated chickens. Chickens responded well to ND vaccine by mounting high level of serum NDV specific HI antibody titers. It can be concluded from the present study that GM-97 strain of IBDV has mild pathogenicity but is not immunosuppressive