Bioethics Education, Awareness of Ethics and Dissemination of Knowledge among Teachers and Students

The main goal of this study was to determine the awareness regarding bioethics education, knowledge and dissemination of knowledge among university teachers and students. This study's primary objective was to learn how educators cope with ethical disagreement inside the classroom and to clarify the factors that influence the way they cope. A total of 17 teachers and 26 students were selected for the study. A Questionnaire were designed and circulated among students and teachers of Jinnah University for Women. The data was collected and subjected to SPSS Software for statistical analysis. In total 43 teachers and students were surveyed out of which about 60% were aware of the importance of bioethics and were in opinion to add as a separate course in the syllabus. The results of the present study give us impression about the level of awareness to bioethics education and knowledge among teachers and students. The knowledge should be applied to conduct such study in larger population which will result in facilitation of services in both public and private sectors. The study revealed out the necessity of a comprehensive education programs related to bioethical issues and its awareness for the students as well as teachers

Carbapenem Resistance: Mechanisms and Drivers of Global Menace

The emergence of carbapenem-resistant bacterial pathogens is a significant and mounting health concern across the globe. At present, carbapenem resistance (CR) is considered as one of the most concerning resistance mechanisms and mainly found in gram-negative bacteria of the Enterobacteriaceae family. Although carbapenem resistance has been recognized in Enterobacteriaceae from last 20 years or so, recently it emerged as a global health issue as CR clonal dissemination of various Enterobacteriaceae members especially E. coli, and Klebsiella pneumoniae are reported from across the globe at an alarming rate. Phenotypically, carbapenems resistance is in due to the two key mechanisms, like structural mutation coupled with β-lactamase production and the ability of the pathogen to produce carbapenemases which ultimately hydrolyze the carbapenem. Additionally, penicillin-binding protein modification and efflux pumps are also responsible for the development of carbapenem resistance. Carbapenemases are classified into different classes which include Ambler classes A, B, and D. Several mobile genetic elements (MGEs) have their potential role in carbapenem resistance like Tn4401, Class I integrons, IncFIIK2, IncF1A, and IncI2. Taking together, resistance against carbapenems is continuously evolving and posing a significant health threat to the community. Variable mechanisms that are associated with carbapenem resistance, different MGEs, and supplementary mechanisms of antibiotic resistance in association with virulence factors are expanding day by day. Timely demonstration of this global health concern by using molecular tools, epidemiological investigations, and screening may permit the suitable measures to control this public health menace

On the approximations to fractional nonlinear damped Burger’s-type equations that arise in fluids and plasmas using Aboodh residual power series and Aboodh transform iteration methods

Damped Burger’s equation describes the characteristics of one-dimensional nonlinear shock waves in the presence of damping effects and is significant in fluid dynamics, plasma physics, and other fields. Due to the potential applications of this equation, thus the objective of this investigation is to solve and analyze the time fractional form of this equation using methods with precise efficiency, high accuracy, ease of application and calculation, and flexibility in dealing with more complicated equations, which are called the Aboodh residual power series method and the Aboodh transform iteration method (ATIM) within the Caputo operator framework. Also, this study intends to further our understanding of the dynamic characteristics of solutions to the Damped Burger’s equation and to assess the effectiveness of the proposed methods in addressing nonlinear fractional partial differential equations. The two proposed methods are highly effective mathematical techniques for studying more complicated nonlinear differential equations. They can produce precise approximate solutions for intricate evolution equations beyond the specific examined equation. In addition to the proposed methods, the fractional derivatives are processed using the Caputo operator. The Caputo operator enhances the representation of fractional derivatives by providing a more accurate portrayal of the underlying physical processes. Based on the proposed two approaches, a set of approximations to damped Burger’s equation are derived. These approximations are discussed graphically and numerically by presenting a set of two- and three-dimensional graphs. In addition, these approximations are analyzed numerically in several tables, including the absolute error for each approximate solution compared to the exact solution for the integer case. Furthermore, the effect of the fractional parameter on the behavior of the derived approximations is examined and discussed

Two stage flexor tendon reconstruction in hand: our experience

Background: Flexor tendon injuries in the digital flexor sheath area (zone II) are the most difficult to treat and remain a focus of both clinical attention and basic investigations. This prospective study was designed to evaluate the results of staged zone II flexor tendon repair.Methods: Seventy digits in thirty five patients were treated by Two Stage flexor tendon reconstruction and followed for an average of one and a half year. The procedure included placing a silicone catheter (cut to desire size) as an active implant and reconstruction of A2, A4 or both pulleys if damaged in first stage. During the second stage (performed three to eight months later), tendon graft replaced the silicone catheter in the pseudo sheath formed around the catheter. The proximal end of the transplanted tendon was fixed with flexor digitorum profundus tendon of respective finger using the Pulvertaft method, and the distal end of the graft was fixedwith the distal stump of respective flexor digitorum profundus tendon. Early controlled motion protocol was instituted in all cases.Results: As per Buck Gramcko scale total active motion obtained was Excellent in 70%, Good in 20%, Fair in 7.1%, and Poor in 2.9% of patients.Conclusions: Flexor tendon reconstruction using two stage tendon reconstructions is an effective way to restore digital tendon function in delayed zone II flexor tendon injuries

The global burden of adolescent and young adult cancer in 2019 : a systematic analysis for the Global Burden of Disease Study 2019

Background In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15-39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15-39 years to define adolescents and young adults. Findings There were 1.19 million (95% UI 1.11-1.28) incident cancer cases and 396 000 (370 000-425 000) deaths due to cancer among people aged 15-39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59.6 [54.5-65.7] per 100 000 person-years) and high-middle SDI countries (53.2 [48.8-57.9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14.2 [12.9-15.6] per 100 000 person-years) and middle SDI (13.6 [12.6-14.8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23.5 million (21.9-25.2) DALYs to the global burden of disease, of which 2.7% (1.9-3.6) came from YLDs and 97.3% (96.4-98.1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.Peer reviewe

The Numerical Investigation of a Fractional-Order Multi-Dimensional Model of Navier–Stokes Equation via Novel Techniques

In this study, numerical results of a fractional-order multi-dimensional model of the Navier–Stokes equations will be achieved via adoption of two analytical methods, i.e., the Adomian decomposition transform method and the q-Homotopy analysis transform method. The Caputo–Fabrizio operator will be used to define the fractional derivative. The proposed methods will be implemented to provide the series form results of the given models. The series form results of proposed techniques will be validated with the exact results available in the literature. The proposed techniques will be investigated to be efficient, straightforward, and reliable for application to many other scientific and engineering problems

Characterization of plastic degrading bacteria isolated from landfill sites

The plastic pollution is threatening the environment because it has very slow degradation rate and high usage in regular activities. The present study aims at the isolation of novel microorganisms that would assist faster degradation process of polyethylene. The waste samples were collected from different landfills and dumpsites. Out of forty samples, eight samples were found to degrade polythene strips in liquid medium. Further screening of these samples showed that two strains of microbes had high potential for polythene degradation. Biochemical tests and ribotyping were performed for characterization of isolated bacteria. Resultantly, two novel bacterial strains were identified named; Bacillus wudalianchiensis_UMT (2A) and Pseudomonas aeruginosa_UMT (6). Analysis of these microbes further revealed that Bacillus wudalianchiensis_UMT and Pseudomonas aeruginosa_UMT have capability to degrade 6.6% and 4.8% polyethylene respectively. So, the results disclosed that these bacteria have great potential to degrade polythene in less time as compare to natural degradation process and can contribute to reduce pollution from our environment

A Novel Analytical Approach for the Solution of Fractional-Order Diffusion-Wave Equations

In the present note, a new modification of the Adomian decomposition method is developed for the solution of fractional-order diffusion-wave equations with initial and boundary value Problems. The derivatives are described in the Caputo sense. The generalized formulation of the present technique is discussed to provide an easy way of understanding. In this context, some numerical examples of fractional-order diffusion-wave equations are solved by the suggested technique. It is investigated that the solution of fractional-order diffusion-wave equations can easily be handled by using the present technique. Moreover, a graphical representation was made for the solution of three illustrative examples. The solution-graphs are presented for integer and fractional order problems. It was found that the derived and exact results are in good agreement of integer-order problems. The convergence of fractional-order solution is the focus point of the present research work. The discussed technique is considered to be the best tool for the solution of fractional-order initial-boundary value problems in science and engineering

Analytical Solutions of Fractional-Order Diffusion Equations by Natural Transform Decomposition Method

In the present article, fractional-order diffusion equations are solved using the Natural transform decomposition method. The series form solutions are obtained for fractional-order diffusion equations using the proposed method. Some numerical examples are presented to understand the procedure of the Natural transform decomposition method. The Natural transform decomposition method has shown the least volume of calculations and a high rate of convergence compared to other analytical techniques, the proposed method can also be easily applied to other non-linear problems. Therefore, the Natural transform decomposition method is considered to be one of the best analytical technique, to solve fractional-order linear and non-linear partial deferential equations, particularly fractional-order diffusion equation