139 research outputs found

    Social Determinants Predicting the Community Pharmacists' Workforce Preparedness for, and Response to, the Public Health Emergencies

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    Objectives:To identify the predicting factors that contribute to preparedness for public health emergencies among community pharmacists in India.Methods:Multistage cluster sampling was done. The geographic breakdown was done based on villages and areas and used as clusters. A simple random method was done in the first stage to select the villages as clusters. From each selected village, a simple random method was done in the second stage to select the areas. From each selected area, all the community pharmacies were selected. The survey questionnaire had 3 sections with 43 items: (A) demographic information, (B) preparedness, (C) response toward infectious diseases. The participants chose “Yes/No”, in sections B and C. A score of 1 was given for “Yes”, and a score of zero was given for “No”.Results:Multiple correlation analyses were conducted between participants’ preparedness and response (PR) scores and independent variables. The independent variables such as “More than one Pharmacist working in a pharmacy”, “Pharmacists who are trained more than once on disaster management”, and encountered more than 1 patient with the infectious disease were positively and significantly correlated with the dependent variable (PR scores).Conclusions:Community pharmacists were aware of the issues they may face in their community concerning public health emergencies. They believed that the medications available in their pharmacy are sufficient to face any emergency. They could identify the clinical manifestations of public health emergency conditions and provide counselling to the customers toward them. Community pharmacists who were trained more than once in disaster management were the strongest predicting factor.<br/

    Synthetical experiments in the chromone group part XXI. synthesis of gentisin, the colouring matter of gentian root

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    A new synthesis of 4-hydroxycoumarins

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    4-Hydroxynaphthocoumarin has been synthesised by the internal condensation ofO-carbethoxy-2-acetyl-1-naphthol, thus suggesting a new general method for the synthesis of 4-hydroxycoumarins. The behaviour of 4-hydroxynaphthocoumarin has been studied; its derivatives including the corresponding dicoumarin have been prepared. By the action of potassium carbonate or sodamide on the carbethoxy ester of 2-acetyl-1-naphthol, a second product was obtained, the constitution of which is under examination

    High-Risk Histopathological Features of Retinoblastoma following Primary Enucleation: A Global Study of 1426 Patients from 5 Continents

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    Purpose: To evaluate high-risk histopathological features (HRHF) following primary enucleation of eyes with retinoblastoma (RB) and assess the patient outcomes across continents // Methods: Retrospective study of 1426 primarily enucleated RB eyes from five continents // Results: Of all, 923 (65%) were from Asia (AS), 27 (2%) from Australia (AUS), 120 (8%) from Europe (EUR), 162 (11%) from North America (NA), and 194 (14%) from South America (SA). Based on the continent (AS vs. AUS vs. EUR vs. NA vs. SA), the histopathology features included massive choroidal invasion (31% vs. 7% vs. 13% vs. 19% vs. 27%, p=0.001), post-laminar optic nerve invasion (27% vs. 0% vs. 16% vs. 21% vs. 19%, p=0.0006), scleral infiltration (5% vs. 0% vs. 4% vs. 2% vs. 7%, p=0.13), and microscopic extrascleral infiltration (4% vs. 0% vs. <1% vs. <1% vs. 4%, p=0.68). Adjuvant chemotherapy with/without orbital radiotherapy was given in 761 (53%) patients. Based on Kaplan-Meier estimates in different continents (AS vs. AUS vs. EUR vs. NA vs. SA), the 6-year risk of orbital tumor recurrence was 5% vs. 2% vs. 0% vs. 0% vs. 12% (p<0.001), systemic metastasis was reported in 8% vs. 5% vs. 2% vs. 0% vs. 13% (p=0.001), and death in 10% vs. 3% vs. 2% vs. 0% vs. 11% (p<0.001) patients. // Conclusion: There is a wide variation in the infiltrative histopathology features of RB across continents, resulting in variable outcomes. SA and AS had a higher risk of orbital tumor recurrence, systemic metastasis, and death compared to AUS, EUR, and NA

    Dry Sliding-Friction and Wear Behavior of Hot-Extruded Al6061/Si3N4/Cf Hybrid Metal Matrix Composite.

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    The effects of reinforcement addition and hot extrusion on the microstructures, micro hardness, friction, and wear behavior of aluminium (Al) hybrid composite were investigated. Al6061 dispersed with electroless nickel-coated Si3N4 (6wt.%) and copper-coated carbon fiber (Cf) (1wt.%) hybrid composites was developed through stir casting followed by hot extrusion. Optical micro structural studies confirmed that the size of reinforcements decreased, and their orientations were in the extrusion direction. The decrease in the grain size (29%) of hybrid composites was larger than that in the grain size of matrix alloys under hot-extruded conditions. The synthesized hot-extruded Al6061 hybrid composite exhibited a lower coefficient of friction (51%) and high wear resistance (39%) compared with the hotextruded Al6061base alloy
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