Gyani Maiya (2019 documentary)

No community can express the pain of losing an elder, especially when she was the last fluent speaker of their language. Gyani Maiya Sen-Kusunda died on January 25, 2020 in Kulmor village of Dang district in western Nepal, a year and half before this documentary was filmed. From leaving behind the life of a nomad to getting married to a non-nomad to raising a family that could not speak her language, Sen-Kusunda wished that the Kusunda language is taught to the newer generation. In her own words, "now none of the Mihaqs (Kusunda people) speak the language. The girls have got married and have left for the villages. Boys are getting married in villages. We left our language and started speaking other languages. It should be taught to others." The plot of this film follows the story of the Kusunda people - narrated by Sen-Kusunda - who were once a nomadic community and are currently settled in villages. Over the years almost all the Kusundas have left speaking their language. This documentary arguably contains the most detailed video interviews of Sen-Kusunda. Her younger sister Kamala Sen Khatri is the sole fluent speaker of the Kusunda language at the moment. Uday Raj Aley, who plays a key role in this film has researched about the Kusunda language over the years and has published a trilingual Kusunda-Nepali dictionary

A global research priority agenda to advance public health responses to fatty liver disease

Background & aims An estimated 38% of adults worldwide have non-alcoholic fatty liver disease (NAFLD). From individual impacts to widespread public health and economic consequences, the implications of this disease are profound. This study aimed to develop an aligned, prioritised fatty liver disease research agenda for the global health community. Methods Nine co-chairs drafted initial research priorities, subsequently reviewed by 40 core authors and debated during a three-day in-person meeting. Following a Delphi methodology, over two rounds, a large panel (R1 n = 344, R2 n = 288) reviewed the priorities, via Qualtrics XM, indicating agreement using a four-point Likert-scale and providing written feedback. The core group revised the draft priorities between rounds. In R2, panellists also ranked the priorities within six domains: epidemiology, models of care, treatment and care, education and awareness, patient and community perspectives, and leadership and public health policy. Results The consensus-built fatty liver disease research agenda encompasses 28 priorities. The mean percentage of ‘agree’ responses increased from 78.3 in R1 to 81.1 in R2. Five priorities received unanimous combined agreement (‘agree’ + ‘somewhat agree’); the remaining 23 priorities had >90% combined agreement. While all but one of the priorities exhibited at least a super-majority of agreement (>66.7% ‘agree’), 13 priorities had 90% combined agreement. Conclusions Adopting this multidisciplinary consensus-built research priorities agenda can deliver a step-change in addressing fatty liver disease, mitigating against its individual and societal harms and proactively altering its natural history through prevention, identification, treatment, and care. This agenda should catalyse the global health community’s efforts to advance and accelerate responses to this widespread and fast-growing public health threat. Impact and implications An estimated 38% of adults and 13% of children and adolescents worldwide have fatty liver disease, making it the most prevalent liver disease in history. Despite substantial scientific progress in the past three decades, the burden continues to grow, with an urgent need to advance understanding of how to prevent, manage, and treat the disease. Through a global consensus process, a multidisciplinary group agreed on 28 research priorities covering a broad range of themes, from disease burden, treatment, and health system responses to awareness and policy. The findings have relevance for clinical and non-clinical researchers as well as funders working on fatty liver disease and non-communicable diseases more broadly, setting out a prioritised, ranked research agenda for turning the tide on this fast-growing public health threat

Microstructure and mechanical properties of cryorolled aluminum alloy AA2219 in different thermomechanical processing conditions

In the present study, aluminum alloy AA2219-T87 bars were cryorolled to various amounts of deformation in two pre-deformation conditions: (1) without solution treatment i.e., as-received T87 (WST-CR) and (2) with solution treatment (ST + CR). The solution treated and cryorolled bars were further annealed leading to a third condition: (3) solution treated, cryorolled, and annealed (CR + Annealed). Room-temperature mechanical properties have been evaluated for all three cryorolled conditions. Significant improvement in the 0.2 pct YS and UTS values was obtained for bars cryorolled to cross-sectional area reduction of more than 50 pct in the solution-treated condition (ST + CR), whereas for bars cryorolled in the without solution-treated condition (WST-CR), only an improvement in the 0.2 pct YS was observed. Cryorolling did not enhance the precipitation kinetics nor did it increase the response of the alloy to aging. The mechanical properties were correlated to the microstructures obtained by optical and transmission electron microscopy. Microstructural evolution in the ST + CR condition indicated gradual progression of the principal restoration mechanism from dynamic recovery (DRV) to dynamic recrystallization with an increasing amount of plastic deformation. Transmission electron microscopy of WST-CR and ST + CR specimens showed an increase in dislocation density as a function of the amount of deformation indicating suppression of DRV at cryogenic temperatures. Cryorolling in the solution-treated condition to cross-sectional area reduction of more than 50 pct (ST + 70 pct CR) was found to impart an optimum combination of strength and percent elongation in the present study.by Aditya Sarkar, K. Saravanan, Niraj Nayan, S. V. S. Narayana Murty, P. Ramesh Narayanan, P. V. Venkitakrishnan and Jyoti Mukhopadhya