Autoimmune pancreatitis presenting as obstructive jaundice

A 71 years cachexic male presented with sign symptoms of biliary tract obstruction. There was a large mass in the head of pancreases with raised CA 19.9. But elevated serum lipase raised the suspicion of paocreatitis. Elevated immunoglobu­lin IgG4 confmned this case as a auto immune aetiology. Initially there was much difficulty to differentiate auto immune pancreatitis from pancreatic carcinoma but after successful stenting and a course of corticosteroids, patient improved dramatically along with nonnalisation of all the radiological, bio-chemical and immunological parameters

Improving Student Success: Researching How Students Use Electronic Library Resources

This presentation presents a research study conducted at UNT. The UNT Libraries partnered with the Department of Anthropology at UNT to conduct ethnographic research of how UNT students use the electronic library services

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Autoimmune pancreatitis presenting as obstructive jaundice

A 71 years cachexic male presented with sign symptoms of biliary tract obstruction. There was a large mass in the head of pancreases with raised CA 19.9. But elevated serum lipase raised the suspicion of paocreatitis. Elevated immunoglobu­lin IgG4 confmned this case as a auto immune aetiology. Initially there was much difficulty to differentiate auto immune pancreatitis from pancreatic carcinoma but after successful stenting and a course of corticosteroids, patient improved dramatically along with nonnalisation of all the radiological, bio-chemical and immunological parameters

Sensitivity Control of Hydroquinone and Catechol at Poly(Brilliant Cresyl Blue)-Modified GCE by Varying Activation Conditions of the GCE: An Experimental and Computational Study

The poly(brilliant cresyl blue) (PBCB)-modified activated glassy carbon electrode (AGCE) shows the catalytic activity toward the oxidation of hydroquinone (HQ) and catechol (CT). The modified electrode can also separate the oxidation peaks of HQ and CT in their mixture, which is not possible with bare GCE. These properties of the modified electrode can be utilized to fabricate an electrochemical sensor for sensitive and simultaneous detection of HQ and CT. In this study, an attempt is made to control the sensitivity of the modified electrodes. This can be accomplished by simply changing the activation condition of the GCE during electropolymerization. GCE can be activated via one-step (applying only oxidation potential) and two-step (applying both oxidation and reduction potential) processes. When we change the activation condition from onestep to twosteps, a clear enhancement inpeak currents of HQ and CT is observed. This helps us to fabricate a highly sensitive electrochemical sensor for the simultaneous detection of HQ and CT. The molecular dynamics (MD) simulation is carried out to explain the experimental data. The MD simulations provide the insight adsorption phenomena to clarify the reasons for higher signals of CT over HQ due to having meta-position –OH group in its structure

Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey.

BackgroundAssessing the quality of antenatal care (ANC) is imperative for improving care provisions during pregnancy to ensure the health of mother and baby. In Bangladesh, there is a dearth of research on ANC quality using nationally representative data to understand its levels and determinants. Thus, the current study aimed to assess ANC quality and identify the sociodemographic factors associated with the usage of quality ANC services in Bangladesh.MethodsSecondary data analysis was conducted using the last two Bangladesh Demographic and Health Surveys (BDHSs) from 2014 and 2017-18. A total of 8,277 ever-married women were included in the analysis (3,631 from 2014 and 4,646 from 2017-18). The quality ANC index was constructed using a principal component analysis on the following ANC components: weight and blood pressure measurements, blood and urine test results, counselling about pregnancy complications and completion of a minimum of four ANC visits, one of which was performed by a medically trained provider. Multinomial logistic regression was used to determine the strength of the association.ResultsThe percentage of mothers who received all components of quality ANC increased from about 13% in 2014 to 18% in 2017-18 (p ConclusionAlthough the quality of ANC improved from 2014 to 2017-18, it remains poor in Bangladesh. Therefore, there is a need to develop targeted interventions for different socio-demographic groups to improve the overall quality of ANC. Future interventions should address both the demand and supply-side perspectives