Partial Observer Decision Process Model for Crane-Robot Action

The most common use of robots is to effectively decrease the human’s effort with desirable output. In the human-robot interaction, it is essential for both parties to predict subsequent actions based on their present actions so as to well complete the cooperative work. A lot of effort has been devoted in order to attain cooperative work between human and robot precisely. In case of decision making , it is observed from the previous studies that short-term or midterm forecasting have long time horizon to adjust and react. To address this problem, we suggested a new vision-based interaction model. The suggested model reduces the error amplification problem by applying the prior inputs through their features, which are repossessed by a deep belief network (DBN) though Boltzmann machine (BM) mechanism. Additionally, we present a mechanism to decide the possible outcome (accept or reject). The said mechanism evaluates the model on several datasets. Hence, the systems would be able to capture the related information using the motion of the objects. And it updates this information for verification, tracking, acquisition, and extractions of images in order to adapt the situation. Furthermore, we have suggested an intelligent purifier filter (IPF) and learning algorithm based on vision theories in order to make the proposed approach stronger. Experiments show the higher performance of the proposed model compared to the state-of-the-art methods.https://doi.org/10.1155/2020/634934

Efficacy of learning through play plus intervention to reduce maternal depression in women with malnourished children: A randomized controlled trial from Pakistan

BACKGROUND:The risk factors and adverse outcomes related to maternal depression and child malnutrition are a leading cause of morbidity and mortality in low and middle-income countries (LMIC) including Pakistan. Above 25% of women suffer from maternal depression. Up to 50% children are under-nourished which contributes to 35% of all under-5 deaths in the country. AIM:To determine the efficacy of Learning through Play Plus Thinking Healthy Program (LTP Plus) intervention to reduce maternal depression in mothers with undernourished children. METHODS:In this randomised controlled trial, all eligible mothers presenting to the paediatric departments were invited to participate in the study. Out of the total 256 mothers screened, 107 were included, 54 of those were randomly allocated to LTP Plus group and 53 to treatment as usual (TAU). Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depression. Hamilton Depression Rating Scale (HDRS), Maternal Attachment Inventory (MAI), Social Support Scale (OSLO-3) and the Euro-QoL (EQ-5D) were used to measure the severity of depression, mother-child attachment, level of support and health related quality of life dimensions. Assessments were completed at baseline, end of intervention (3 months from baseline) and at 6 months from baseline. RESULTS:Mothers in the LTP Plus group significantly showed improvements in depression (p<0.001), social support (p = 0.02) and quality of life (p<0.001) at the end of the intervention (LTP Plus), as compared to the TAU group, which were sustained up to 6 months after baseline. CONCLUSION:The outcomes of LTP Plus intervention for mothers of malnourished children show promising results in reducing maternal depression and improving child outcomes. A full trial with longer-term outcomes and cost-effectiveness needs to be conducted

Potential of siltstone and its composites with biochar and magnetite nanoparticles for the removal of cadmium from contaminated aqueous solutions: Batch and column scale studies

© 2020 Elsevier Ltd The present study is the first attempt to evaluate the pilot and batch scale adsorption potential of siltstone (SS) and its nanocomposites with biochar (EDB/SS), magnetite nanoparticles (MNPs/SS) and MNPs/EDB/SS for Cd removal from contaminated water. The SS, EDB/SS, MNPs/SS and MNPs/EDB/SS were characterized with FTIR, XRD, BET, SEM, TEM, TGA and point of zero charge (PZC). The effects of adsorbent dosage, contact time, initial Cd concentration, pH and presence of competing ions were evaluated on the Cd removal and its adsorption. The order for Cd removal was: MNPs/EDB/SS \u3e MNPs/SS \u3e EDB/SS \u3e SS (95.86–99.72% \u3e 93.10–98.5% \u3e 89.66.98–98.40% \u3e 74.90–90%). Column scale experiments yielded maximum retention (95%) of Cd even after 2 h of injection at 100 mg Cd/L. The exhausted SS, EDB/SS, MNPs/SS and MNPs/EDB/SS were reused without losing significant adsorption potential. Similarly, maximum Cd adsorption (117.38 mg/g) was obtained with MNPs/EDB/SS at dose 1.0 g/L. The results revealed that coexisting cations reduced the Cd removal due to competition with Cd ions. The experimental results were better explained with Freundlich isotherm model and pseudo 2nd order kinetic models. The results revealed that SS and its composites can be used efficiently for the removal of Cd from contaminated water

Effect of biochar modified with magnetite nanoparticles and HNO\u3csub\u3e3\u3c/sub\u3e for efficient removal of Cr(VI) from contaminated water: A batch and column scale study

© 2020 Elsevier Ltd Chromium (Cr) poses serious consequences on human and animal health due to its potential carcinogenicity. The present study aims at preparing a novel biochar derived from Chenopodium quinoa crop residues (QBC), its activation with magnetite nanoparticles (QBC/MNPs) and strong acid HNO3 (QBC/Acid) to evaluate their batch and column scale potential to remove Cr (VI) from polluted water. The QBC, QBC/MNPs and QBC/Acid were characterized with SEM, FTIR, EDX, XRD as well as point of zero charge (PZC) to get an insight into their adsorption mechanism. The impact of different process parameters including dose of the adsorbent (1–4 g/L), contact time (0–180 min), initial concentration of Cr (25–200 mg/L) as well as solution pH (2–8) was evaluated on the Cr (VI) removal from contaminated water. The results revealed that QBC/MNPs proved more effective (73.35–93.62-%) for the Cr (VI) removal with 77.35 mg/g adsorption capacity as compared with QBC/Acid (55.85–79.8%) and QBC (48.85–75.28-%) when Cr concentration was changed from 200 to 25 mg/L. The isothermal experimental results follow the Freundlich adsorption model rather than Langmuir, Temkin and Dubinin-Radushkevich adsorption isotherm models. While kinetic adsorption results were well demonstrated by pseudo second order kinetic model. Column scale experiments conducted at steady state exhibited excellent retention of Cr (VI) by QBC, QBC/MNPs and QBC/Acid at 50 and 100 mg Cr/L. The results showed that this novel biochar (QBC) and its modified forms (QBC/Acid and QBC/MNPs) are applicable with excellent reusability and stability under acidic conditions for the practical treatment of Cr (VI) contaminated water

Synthesis, characterization and application of novel MnO and CuO impregnated biochar composites to sequester arsenic (As) from water: Modeling, thermodynamics and reusability

© 2020 Elsevier B.V. The present study aimed at enhancing the adsorption potential of novel nanocomposites of Sesbania bispinosa biochar (SBC) with copper oxide (SBC/CuO) and manganese oxide nanoparticles (SBC/MnO) for the efficient and inexpensive removal of environmentally concerned contaminant arsenic (As) from contaminated water at batch scale. The scanning electron microscopy (SEM), Fourier transform infrared (FTIR) spectroscopy, energy dispersive X-ray (EDX), X-ray diffraction (XRD) and point of zero charge (PZC) analyses proved successful impregnation of the metallic nanoparticles on SBC surface. The results revealed the maximum As removal (96 %) and adsorption (12.47 mg/g) by SBC/CuO composite at 10 mg As/L, optimum pH-4, dose 1.0 g/L and ambient temperature (25 ± 1.5 °C) as compared with SBC (7.33 mg/g) and SBC/MnO (7.34 mg/g). Among four types of adsorption isotherms, Freundlich isotherm demonstrated best fit with R2 \u3e 0.997. While pseudo second-order kinetic model revealed better agreement with kinetic experimental data as matched with other kinetic models. The thermodynamic results depicted that As adsorption on the as-synthesized adsorbents was endothermic and spontaneous in nature with increased randomness. The SBC/CuO displayed excellent reusability and stability over four adsorption/desorption cycles and proved that the as-synthesized SBC/CuO composite may be the efficient adsorbent for practical removal of As from contaminated water

Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial

Background: Tranexamic acid reduces surgical bleeding and reduces death due to bleeding in patients with trauma. Meta-analyses of small trials show that tranexamic acid might decrease deaths from gastrointestinal bleeding. We aimed to assess the effects of tranexamic acid in patients with gastrointestinal bleeding. Methods: We did an international, multicentre, randomised, placebo-controlled trial in 164 hospitals in 15 countries. Patients were enrolled if the responsible clinician was uncertain whether to use tranexamic acid, were aged above the minimum age considered an adult in their country (either aged 16 years and older or aged 18 years and older), and had significant (defined as at risk of bleeding to death) upper or lower gastrointestinal bleeding. Patients were randomly assigned by selection of a numbered treatment pack from a box containing eight packs that were identical apart from the pack number. Patients received either a loading dose of 1 g tranexamic acid, which was added to 100 mL infusion bag of 0·9% sodium chloride and infused by slow intravenous injection over 10 min, followed by a maintenance dose of 3 g tranexamic acid added to 1 L of any isotonic intravenous solution and infused at 125 mg/h for 24 h, or placebo (sodium chloride 0·9%). Patients, caregivers, and those assessing outcomes were masked to allocation. The primary outcome was death due to bleeding within 5 days of randomisation; analysis excluded patients who received neither dose of the allocated treatment and those for whom outcome data on death were unavailable. This trial was registered with Current Controlled Trials, ISRCTN11225767, and ClinicalTrials.gov, NCT01658124. Findings: Between July 4, 2013, and June 21, 2019, we randomly allocated 12 009 patients to receive tranexamic acid (5994, 49·9%) or matching placebo (6015, 50·1%), of whom 11 952 (99·5%) received the first dose of the allocated treatment. Death due to bleeding within 5 days of randomisation occurred in 222 (4%) of 5956 patients in the tranexamic acid group and in 226 (4%) of 5981 patients in the placebo group (risk ratio [RR] 0·99, 95% CI 0·82–1·18). Arterial thromboembolic events (myocardial infarction or stroke) were similar in the tranexamic acid group and placebo group (42 [0·7%] of 5952 vs 46 [0·8%] of 5977; 0·92; 0·60 to 1·39). Venous thromboembolic events (deep vein thrombosis or pulmonary embolism) were higher in tranexamic acid group than in the placebo group (48 [0·8%] of 5952 vs 26 [0·4%] of 5977; RR 1·85; 95% CI 1·15 to 2·98). Interpretation: We found that tranexamic acid did not reduce death from gastrointestinal bleeding. On the basis of our results, tranexamic acid should not be used for the treatment of gastrointestinal bleeding outside the context of a randomised trial

Intracranial hypertension medical symptoms, etiology, and spectrum a cross-sectional study

Objective: To examine intracranial hypertension patients' spectrum, clinical features, and etiologies. Study Design: A Cross-sectional study. Place and duration of study: In the Department of Neurosurgery MMC Mardan from January 2019 to July 2020. Methodology: We used specific selection criteria to reduce the pool of IH patients from 67 to 32. Statistics and frequency distributions explain patients' demographics, clinical traits, and underlying reasons. Results: According to statistics, females (n = 30; 82%) with ages ranging from 21 to 35 (n = 13; 36%) and obesity (n = 2; 9%) were over represented. The most common clinical sign was headache (n = 18; 69%). On the other hand, idiopathic intracranial pressure had the greatest occurrence (44%). Conclusion: Women between the ages of 21 and 35 who are overweight or pregnant have an increased risk of developing idiopathic intracranial hypertension (IH)

The prevalence of abnormal lab results in pediatric patients at a hospital outpatient clinic: A cross-sectional study

Objective: Examining the prevalence of different forms of birth defects and identifying their causes. Study design: Study Design: A cross-sectional study with retrospective analysis for causes. Place and duration of study: Department of Neurosurgery MMC hospital Mardan from 05 Jan 2021 to October 2021. Methods: All gender-neutral newborns seeking well-child care department of Neurosurgery MMC Mardan. Participating subjects were enlisted, and data were input and analyzed using SPSS v 22.0, regardless of whether they had received any prenatal care, or vaccinations, or were born with any observable abnormalities. Results: In our analysis of 497 individuals, 23% exhibited CNS congenital abnormalities. 47 children (9%) had gastrointestinal malformations, 111 had musculoskeletal anomalies, 42 had cardio-vascular anomalies, and 181 had genito-urinary anomalies. Extreme maternal age (less than 74 and more than 42 at conception), consanguinity, preterm deliveries, maternal smoking, and family history of birth abnormalities were similarly distributed across patients with diverse malformations. Genito-urinary abnormalities are the most common, followed by CNS and musculoskeletal anomalies

Incidence of neurological deficits of post spinal surgery syndrome

Background: Post spinal surgery syndrome (PSSS) is characterized by chronic discomforts post one or more spine operations. Despite advancements in surgical technology, failure rate of back operations has not decreased. These conditions may occur preoperatively, intraoperatively, and postoperatively. Objectives: The primary purpose of this investigation was to ascertain the incidence and causes of neurological complications in patients who have undergone spinal surgery and subsequently developed PSSS. Methods: Cross sectional research was performed at Mardan Medical Complex, Mardan, comprising 82 patients (50 males and 32 females). X-ray studies, MRI, and electromyography was the tool for initial lumbar surgery to confirm the initial diagnosis. Participants were requested to submit the questionnaire and then, their scores were calculated and analyzed as per standard protocols. Results: The potential causes of PSSS, indicated 16 (19.5%) patients with incorrect diagnosis, 24 (29.3%) of the due to surgical technical errors, 10 (12.2%) due to improper pre-operative patient selection and 20 (24.4%) as a result of recurrent disc herniation after surgery. The frequency of cases of complications was spinal fusion (64.09%), followed by kinesiophobia (47.38%), laminectomy (45.98%), depression (40.3%), numbness in lower limbs (36.9%), myelopathy (14.5%) and other neurological deficits (12.56%).&nbsp

Screening of Different Varieties of Okra (Abelmoschus esculentus L.) against Sucking Insect Pests

The screening of different varieties is one of the key strategies used in Integrated Pest Management to control the insect population and to escape the use of synthetic insecticides. This study was aimed to screen different okra varieties against sucking insect pest complex such as thrip, jassid, aphid, whitefly and mealybug. The experiment was conducted at Agriculture Research Institute Tandojam. The varieties such as Rama Krishna, Silky-460 and Bharat Kawairi were cultivated in RCBD layout and each treatment was replicated five times. The results revealed that the most infested variety was Bharat Kaiwari followed by Silky-460 and Rama Krishna throughout the experimental period. The highest mean population of the sucking insect pests (thrip, jassid, aphid, whitefly and mealybug) was 9.61±0.35, 3.22±0.13, 18.33±0.50, 3.25±0.15 and 3.75±0.19 respectively was observed on Bharat Kaiwari and the lowered on Rama Krishna. However, the attack of aphid was prominent on all okra varieties and overall pest attack was higher in the month of June. Similarly, the co-efficient correlation analysis showed a positive relationship of temperature and humidity (r= 0.012; r = 0.128) with thrip population whereas there was a negative relationship between temperature and humidity with remaining sucking pests. Both jassid and mealybug population indicated a significant difference with temperature. Similarly, relative humidity displayed a significant impact on population of mealybug (r = 0.365) and aphid (r = -0.096). Thus, it could be concluded based on the results that Rama Krishna is the most resistance against sucking insect pests as compared to Silky-460 and Bharat Kaiwairi