65 research outputs found
Towards the Industrial Metaverse: A Game-Based VR Application for Fire Drill and Evacuation Training for Ships and Shipbuilding
Presented at: Web3D '24: Proceedings of the 29th International ACM Conference on 3D Web Technology Article, September 25–27, 2024, Guimarães, PortugalThis is the author's version of the work. It is posted here for your personal use. Not for redistribution. The definitive Version of Record was published in https://doi.org/10.1145/3665318.3678229.[Abstract]: This paper details the creation of a novel Virtual Reality-based application for the Industrial Metaverse aimed at shipboard fire emergency training for fire drill and evacuation, aligned with the Safety of Life at Sea (SOLAS) convention requirements. Specifically, the application includes gamified scenarios with different levels (e.g., varying fire intensities in engine rooms and galleys). The paper details comprehensively the VR development while providing a holistic overview and practical guidelines. Thus, it can guide practitioners, developers and future researchers to shape the next generation of Industrial Metaverse applications for the shipbuilding industry. Moreover, the paper includes the results of a preliminary user evaluation aimed at quantifying user decision-making and risk assessment skills. The presented results of the experiments provide insights into user performance and allow for pointing out at different future challenges.This work has been funded by grants TED2021-129433A-C22 (HELENE) and PID2020-118857RA-100 (ORBALLO) funded by MCIN/AEI/10.13039/501100011033 and the European
Union NextGenerationEU/PRTR, and by contract "Colaboración en proyecto ARGOS" (F22/11, CITIC)
Rare Presentation of Wilson Disease in an 11-year-old Sudanese Girl
Background: Wilson disease is an inherited disorder in which excessive amount of copper accumulates in various tissues of the body. Clinical features related to copper deposition in the liver may appear in the first and second decades followed by neurologic and psychiatric thereafter; however, many patients have a combination of these symptoms.
Case: We report a case of 11 year-old girl, admitted to Wad Medani Pediatric Teaching Hospital with generalized body swellings for four days. Initial investigations showed proteinuria and hypoalbuminemia, thought to be due to nephrotic syndrome. Days later, patient developed jaundice and neuropsychiatric manifestations. A slit lamb examination confirmed the presence of Kayser–Fleischer ring (KF ring) and she scored high in the scoring system for the diagnosis of Wilson disease. Dpenicillamine treatment therapy was started and unfortunately the patient’s clinical condition deteriorated gradually, and eventually went into deep coma and died. Wilson disease mainly affects the liver, but the initial presentation was completely compatible with nephrotic syndrome.
Conclusion: Diagnosis of Wilson disease should be suspected in a child presenting with generalized body swellings even in the absence of clinical evidence of hepatic and/or neuropsychiatric involvements
Sero-molecular Epidemiology of Hepatitis E Virus in Blood Donors, Gezira State, Sudan: A Cross-sectional Study
Background: Hepatitis E virus (HEV) is a hepatotropic pathogen that causes significant morbidity and mortality in humans. It is an important causative agent of viral hepatitis outbreaks. This study investigates the serological and molecular prevalence of HEV in blood donors attending the Central Blood Bank in Wad Medani City in Gezira State, Sudan.
Methods: The study adopted a cross-sectional descriptive design. A structured questionnaire was used to collect data concerning demographic information and risk factors associated with HEV transmission. All enrolled participants (N = 300) were screened for HEV IgG antibodies using commercial ELISA kits, then strong positive samples (N = 84) were selected and rescreened for HEV IgM and HEV RNA by RT PCR. SPSS version 24.0 was used for analysis.
Results: Out of 300 male participants, 36.3% (109/300) were positive for HEV IgG. However, only one participant was IgM positive, while the HEV RNA was negative. The highest prevalence rates of the virus were 42 (44.6%) among the age group of 31–40 years, 20 (48.8%) in those who consumed food from outside, 13 (50%) in three to four multiple blood donations, and 5 (62.5%) in those who consumed water from the river source. A significant association of HEV IgG prevalence concerning the occupation of the participants being students or farmers was detected using univariate and multivariate analysis (P-value = 0.007).
Conclusion: High prevalence of HEV IgG was demonstrated among the healthy blood donors in this study. Given the possibility of HEV transmission by transfusion from donors to recipients, we recommend that routine screening for HEV should be adopted by blood banks in Sudan
The Impact of Clinical Pharmacist Diabetes Education on Medication Adherence in Patients with Type 2 Diabetes Mellitus: An Interventional Study from Khartoum, Sudan
Background: Continuous therapeutic care with good medication adherence is the cornerstone of management of all chronic diseases including diabetes. This study aimed to evaluate the impact of clinical pharmacist intervention on the medication adherence in individuals with type 2 diabetes (T2DM). Methods: This was a randomized, double-blind, controlled trial conducted at a diabetes clinic located at Omdurman Military Hospital, Sudan. Individuals with T2DM attending the diabetes clinic within 1 year were selected. The sample size was 364 participants (182 control and 182 interventional group). We used a pre-structured standardized questionnaire and checklist to collect the data. Data were analyzed by using the Statistical Package for the Social Sciences (SPSS) (version 28). Results: Majority, 76.4% (n = 278) were females, and they consisted of 80.8% (n = 147) of the interventional group and 72% of the controls. The mean age of the interventional group was 54.5 (±10) years; 31.9% (n = 58) of the interventional group had diabetes for 6–10 years, compared with 26.4% (n = 48) of the control group. Among the control group, the mean adherence score was 6.8 (±1.7) at baseline and it was 6.7 (±1.6) at the end of the study (p < 0.001), while in the interventional group, the mean adherence score was 6.8 (±1.7) at baseline and it was 7.4 (±1.5) at the end of the study (p < 0.001). Conclusion: Adherence score among the intervention group was increased significantly from baseline to the end of the study when compared to the control group.Scopu
Knowledge and attitudes toward COVID-19 vaccination in Sudan: A cross-sectional study
Background:
Vaccines are an essential part of public health interventions to mitigate the devastating health and non-health impacts of COVID-19 pandemic. Despite the fact that Sudan launched the COVID-19 vaccination program in March 2021, only 10% of the population received their two primary doses of vaccines by the end of May 2022. This delayed uptake of vaccines obviously warrants investigation. Therefore, we have conducted this study to evaluate the knowledge, attitude and acceptance of the general population in Sudan toward COVID-19 vaccines.
Methodology:
A descriptive cross-sectional community-based study. The data were collected using an electronic questionnaire from 403 individuals living in Khartoum, Sudan. The data were processed using the Statistical Package for Social Sciences (SPSS), and data analysis was performed using appropriate tests.
Results:
51% of the participants were found to have sufficient knowledge about the COVID-19 vaccine, and the knowledge level is higher among those educated beyond the secondary school and those who were employed. Among those unvaccinated, only 47% of the participants expressed their intention to take the vaccine when offered to them. The major reason for not trusting the vaccine is safety concerns expressed by 65.5% of the unvaccinated.
Conclusion:
Higher education levels and employment were associated with an increase in sufficient knowledge about the vaccine in around half of the participants. However, most of participants had not taken the vaccine at the time of the study, and the trust in vaccines is not high. Effective interventions by the health authorities are needed to address these issues in order to accelerate the COVID-19 vaccination program in Sudan
Ramadan Fasting in Individuals with Metabolic Dysfunction-Associated Steatotic Liver Disease, Liver Transplant, and Bariatric Surgery: A Narrative Review
Metabolic dysfunction-associated steatotic liver disease is a growing worldwide pandemic. A limited number of studies have investigated the potential effect of Ramadan fasting on metabolic dysfunction-associated steatotic liver disease (MASLD). There is no single medication for the treatment of MASLD. There is a growing interest in dietary intervention as potential treatment for metabolic diseases including MASLD. The aim of this study was to discuss the epidemiology, pathogenesis, and risk factors of MASLD and the potential effects of Ramadan fasting on MASLD, liver transplant, and bariatric surgery. We searched PubMed and SCOPUS databases using different search terms. The literature search was based on research studies published in English from the year 2000 to the 2024. Thirty-two studies were included in this review. Ramadan fasting reduced body weight and improved lipid profile, anthropometric indices, fasting plasma glucose, plasma insulin, and inflammatory cytokines. Ramadan fasting improved risk factors of nonalcoholic fatty liver disease and might improve MASLD through weight reduction. However, further studies are needed to assess the safety and effectiveness of Ramadan fasting in liver transplant recipients and bariatric surgery
Intonation in Iraqi Musical Melodies
Abstract This paper deals with intonation in Iraqi musical melodies (MMs). As such, it aims to analyze the intonational patterns in the Iraqi music. The main musical melodies in the Iraqi music are this vein, the current study attempts to answer the following questions: the current paper attempts to answer the following questions: (i) what are the intonational patterns of Iraqi MMs? And (ii) what is the additional function of intonation in MMs? In the light of these questions, the corner hypothesis is that Iraqi MMs have their own specific definable intonational patterns. On the basis of the analysis, it is concluded that intonation can be a useful tool for analyzing musical variations in the basic Iraqi MMs. Moreover, musical intonation, which is the task of musicologists, is accompanied by phonological intonation t
The Impact of Ramadan Fasting on Endothelial Function, Cardiovascular Risk Factors, and Cardiovascular Disease
Endothelial dysfunction, marked by reduced nitric oxide bioavailability, is a known factor in cardiovascular disorders. Prior studies have shown that dietary changes affect endothelial function and alter risk factors. Research studies have examined the possible impacts of Ramadan fasting on endothelial dysfunction. This narrative review aimed to assess the impacts of Ramadan fasting on endothelial function. We conducted a search of the PubMed and SCOPUS databases with various search terms. The review focused on research papers published in English language from 2000 to 2024. This review included sixty-six studies. Ramadan fasting elevated the levels and bioavailability of nitric oxide and improved some indicators of endothelial dysfunction. Ramadan fasting may enhance endothelial dysfunction and modify its risk factors, by promoting weight reduction and improving insulin resistance. Moreover, Ramadan fasting induced alterations in the structure, composition, abundance, and overexpression of gut microbiota. Further research is necessary to evaluate the safety, efficacy, and importance of Ramadan fasting on endothelial function and cardiovascular health
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