What are the main sources of smoking cessation support used by adolescent smokers in England?: a cross-sectional study

Background Adolescent smoking is a worldwide public health concern. Whilst various support measures are available to help young smokers quit, their utilization of cessation support remains unknown. Methods A cross-sectional study was conducted using data from the 2012 Smoking, Drinking and Drug Use among Young People survey to quantify the use of seven different types of cessation support by adolescents aged 11-16 in England who reported current smoking and having tried to quit, or ex-smoking. Logistic regression was used to calculate odds ratios and 95 % confidence intervals for the associations between participant characteristics and reported use of cessation support. Results Amongst 617 current and ex-smokers, 67.3 % (95 % CI 63.0-71.2) reported use of at least one cessation support measure. Not spending time with friends who smoke was the most commonly-used measure, reported by 45.4 % of participants (95 % CI 41.1-49.8), followed by seeking smoking cessation advice from family or friends (27.4 %, 95 % CI 23.7-31.5) and using nicotine products (15.4 %, 95 % CI 12.6-18.7). Support services provided by the National Health Service (NHS) were infrequently utilized. Having received lessons on smoking was significantly associated with reported use of cessation support (adjusted OR 1.55, 95 % CI 1.02-2.34) and not spending time with friends who smoked (adjusted OR 1.98, 95 % CI 1.33-2.95). Students with family members who smoked were more likely to report asking family or friends for help to quit (adjusted OR 1.74, 95 % CI 1.07-2.81). Respondents who smoked fewer cigarettes per week were generally less likely to report use of cessation support measures. Conclusion The majority of young smokers reported supported attempts to quit, though the support they used tended to be informal rather than formal. Evidence is needed to quantify the effectiveness of cessation support mechanisms which are acceptable to and used by young smokers

Hypoglossal nerve paraganglioma depicting as glomus tumor of neck

Introduction: Paraganglioma are infrequent neuroendocrine tumors that are most commonly found in the carotid body, ganglia of the vagus, jugular and tympanic nerve. Very rarely they can involve other cranial nerves outside the cranial cavity, we present one such case of hypoglossal nerve paraganglioma in neck.Case report: A 48 years old male presented with 1-month history of right sided stroke and aphasia. Ultrasonography of neck revealed a highly vascular mass on the right side of the neck. CT angiogram confirmed a highly vascular mass arising above the carotid bifurcation. With the working diagnosis of Glomus tumor, he underwent right sided neck exploration, however, intra-operatively tumor was found to be arising from the hypoglossal nerve instead. Surgery was abandoned on basis of the available literature, with only 6 reported cases in the past 54 years. Patient had no immediate post op complications and was sent for cyber knife treatment. After completion of 5 cycles of cyber knife there was a total of 45% reduction in the size of the paraganglioma with the resolution of the patient\u27s symptoms after a follow up of 6 months.Conclusion: Hypoglossal nerve paraganglioma is an uncommon tumor of the neck and can be misdiagnosed with the other tumors in this region especially chemodectoma and glomus tumor. The diagnostic criteria and appropriate treatment modalities have not been established due to the rare presentation hence hypoglossal paraganliomas should be kept in mind when Highly vascular neck mass is encountered

A Quality 4.0 Assurance Framework for the Higher Education Institutes

[EN] This article presents a framework for the implementation of Quality 4.0 aspect in the higher education institute. Quality 4.0 is a major domain of Industry 4.0 revolution. Beside the industry, educational institutes are also embracing the new technology-based framework, which does not only revolutionize the educational system, but also impact their performance.In this research, a comprehensive framework for the implementation of Quality 4.0 is presented. The enablers and the components of Quality 4.0 are discussed in detail. The article also discusses the implementation of the framework, consisting of big data analysis, SWOT analysis of the institute, implementation of documentation, digitalization and record management, ERP system and finally the key performance indicators (KPIs).The framework is specially designed for the higher education institute for the consistency and standardization, through the latest technology and digitization. Lodi, S.; Shaikh, A.; Wasif, M.; Tufail, M.; Butt, F. (2022). A Quality 4.0 Assurance Framework for the Higher Education Institutes. En 8th International Conference on Higher Education Advances (HEAd'22). Editorial Universitat Politècnica de València. 725-732. https://doi.org/10.4995/HEAd22.2022.1403272573

Phototrophic Bioremediation of Municipal Tertiary Wastewater Coupling with Lipid Biosynthesis Using <i>Scenedesmus dimorphus</i>: Effect of Nitrogen to Phosphorous Ratio with/without CO₂ Supplementation

Scenedesmus dimorphus was utilized for the tertiary treatment of municipal wastewater in an effort to remove nutrients from secondary treated wastewater. In addition to the concurrent generation of biomass containing lipids for biofuel production. The effect of nitrogen to phosphorous (N:P) ratios (1:1 to 8:1) in culture media without carbon dioxide (CO2) supplementation (air supply alone, Case 1) and with CO2 supplementation (2% CO2 in air, Case 2) was investigated through a series of systematic parametric batch experiments. Case 2 produces greater biomass at all N:P ratios than Case 1. In Case 1, the highest biomass output for a N:P ratio of 8:1 is 567 mg/L at pH 8.4. In Case 2, however, the maximum biomass yield is 733 mg/L when the N:P ratio is 2:1 and the pH is 7.23. Scenedesmus dimorphus is capable of absorbing nitrogen and phosphorous from wastewater in a CO2 environment and at the optimal N:P ratio. In Case 1, total nitrogen removal ranges from 28% to 100% and in Case 2, total nitrogen removal ranges from 60% to 100%, depending on the N:P ratio. For an initial concentration of 13 mg/L, the total phosphorous removal ranges from 37% to 57%, depending on the N:P ratio in both cases. Case 2 yields a maximum lipid content of 29% of the biomass dry weight when the N:P ratio is 1:1. These results suggest the viability of removing nutrients from secondary treated wastewater utilizing microalgae Scenedesmus dimorphus and lipid biosynthesis in the generated biomass

Screening for malnutrition in oral cavity cancer patients prior to treatment: A cross-sectional study

This study was conducted to assess the frequency of pre-operative malnourishment in patients being treated for oral cavity squamous cell carcinoma. A retrospective chart review was carried out at the Aga Khan University Hospital, Karachi, on 62 patients. Patients were screened pre-operatively through a standard nutritional assessment tool at the time of admission to assess for malnutrition. Mean age of presentation was 48.34±13.11 years, mean height was 165 ± 8.62cm, weight 66.09±14.98 kg and BMI of 24.09±4.84. Males were 82.3% and 17.7% were females. At the time of admission, a significant number or patients, 12 (19.4%) were prone to malnourishment, while 3 (4.8%) patients were malnourished: Assessment was done by using a standardised nutritional assessment tool

B cell apoptosis and inflammation conspire to promote lupus in mice

Abstract The pathogenesis of Systemic lupus erythematosus (SLE) is driven by autoreactive B and T cells and autoinflammation. Impaired apoptosis in T and B cells has been shown to result in autoimmune disease, and we recently demonstrated that reducing apoptosis in B cells alone, by B cell-specific deletion of Bim (B.Bim f/f) could lead to SLE with prominent features of Sjogren’s Syndrome in C57BL/6 mice. Consistently, B cell targeting therapies are successful in reducing SLE pathogenesis in mouse models, however, their clinical success requires a better understanding of the contributions of B cells and the mechanisms that drive inflammation to autoimmunity. To address the role of inflammation in the development and progression of autoimmunity we generated a novel mouse model that lacks ZFAND6 (Zfand6 −/−) and crossed with the B.Bim f/fmice. ZFAND6 is an A-20 like ZF domain-containing protein with a potential role in the negative regulation of NF-kB activation, however, its physiological function is unknown. The compound mutant mice displayed accelerated and exacerbated overlapping lupus and Sjogren’s autoimmune symptoms with a higher incidence of splenomegaly and kidney pathology than either single mutant alone including the early appearance of anti-SSA, anti-SSB, and anti-RNP autoantibodies. The compound mutant mice displayed increased spontaneous and TLR-induced TNFa and IL-6 and B cells from these mice produced much greater levels of these cytokines in response to TLR7 and TLR9. These results suggest that inappropriate B cell survival and persistent inflammation cooperate in the initiation and severity of lupus pathogenesis. Sylvester Comprehensive Cancer Center, University of Miami, Miami F

Glycated hemoglobin (HbA1c) as diagnostic criteria for diabetes: the optimal cut-off points values for the Pakistani population; a study from second National Diabetes Survey of Pakistan (NDSP) 2016–2017

Aim Glycated hemoglobin (HbA1c) cut-off values as diagnostic tool in diabetes and prediabetes with its concordance to oral glucose tolerance test (OGTT) in Pakistani population.Methodology Data for this substudy was obtained from second National Diabetes Survey of Pakistan (NDSP) 2016–2017. With this survey, 10 834 individuals were recruited and after excluding known subjects with diabetes, 6836 participants fulfilled inclusion criteria for this study. Demographic, anthropometric and biochemical parameters were obtained. OGTT was used as standard diagnostic tool to screen population and HbA1c for optimal cut-off values. Participants were categorized into normal glucose tolerance (NGT), newly diagnosed diabetes (NDD) and prediabetes.Results Out of 6836 participants, 4690 (68.6%) had NGT, 1333 (19.5%) had prediabetes and 813 (11.9%) had NDD by OGTT criteria with median (IQR) age of 40 (31–50) years. Optimal HbA1c cut-off point for identification of diabetes and prediabetes was observed as 5.7% ((AUC (95% CI)=0.776 (0.757 to 0.795), p&lt;0.0001)) and 5.1% ((AUC (95% CI)=0.607 (0.590 to 0.624), p&lt;0.0001)), respectively. However, out of 68.6% NGT subjects identified through OGTT, 24.1% and 9.3% participants were found to have prediabetes and NDD, respectively by using HbA1c criteria. By using both OGTT and HbA1c criteria, only 7.9% and 7.3% were observed as prediabetes and diabetes, respectively.Conclusion Findings from second NDSP demonstrated disagreement between findings of OGTT and HbA1c as diagnostic tool for Pakistani population. As compared with international guidelines, HbA1c threshold for prediabetes and NDD were lower in this part of world. HbA1c as diagnostic tool might require ethnic or regional-based modification in cut-off points, validated by relevant community-based epidemiological surveys