Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations

Comparing the Performance of KOH with NaOH-Activated Anthracites in Terms of Methane Storage

Anthracite activated carbons are proper adsorbents for methane storage. In this study, Iranian local anthracite was activated using two commonly used chemicals (sodium hydroxide and potassium hydroxide) at similar conditions and their products are compared with regard to various properties in order to find the optimal operating parameters such as temperature, chemical ratio and pyrolysis time for producing ACs with high surface area. Three activation temperatures (670, 730 and 790 °C), three chemical-to-coal ratios (2, 2.5 and 3) and two pyrolysis times (1 and 2 hours) were studied in each carbon series (NaOH and KOH). Accordingly, the pore structures of Activated carbon (ACs) were investigated accurately based on adsorption isotherms of nitrogen as well as density functional theory. In addition, their methane storage capacities were also measured and discussed. Specific volumes (microporosity and mesoporosity) of products were also calculated. The KOH ACs had higher micropore volumes, whereas NaOH ACs had relatively higher densities. The highest methane storage was obtained by a KOH AC sample with 3:1 chemical-to-coal ratio (R), activated at 730 °C for 1 hour (AK37301). The stored and delivered methane for this sample were 176 and 158 vol/vol, respectively

Face-to-face, online, or blended: which method is more effective in teaching electrocardiogram to medical students

Abstract Background Electrocardiogram (ECG) remains an important medical diagnostic and screening tool. This study aimed to compare the effectiveness of online classes instead of traditional face-to-face or blended methods in medical students’ ECG learning. Methods Two hundred and fifteen medical students (including 105 (48.8%) males and 110 (51.2%) females) were studied from February 2021 to February 2022. Regardless of their grade, participants were divided into three groups: online, face-to-face, and blended. Then all participants sat for an ECG interpretation exam, and their results were compared. Results Twenty-six (12.1%) participants were residents, and 189 (87.9%) were interns. Thirty-five (16.3%), 85 (39.5%), and 95 (44.2%) participants were taught ECG through face-to-face, online, and blended methods, respectively. Regarding participants’ preferences on teaching methods, 118 (54.9%) preferred face-to-face learning, and the remaining 97 (45.1%) chose online learning (p < 0.001). The blended method seemed more promising in almost half of the exam questions regarding teaching method effectiveness. The mean total exam score was also significantly higher in participants who were taught blended than in the others (7.20 ± 1.89, p = 0.017). Face-to-face (5.97 ± 2.33) and online teaching methods (6.07 ± 2.07) had similar efficacy according to the mean total score (p = 0.819). Conclusion While most students preferred face-to-face learning to online learning, a blended method seemed more promising regarding students’ skill enhancement to interpret ECG