Extracting Physical and Environmental Information of Irish Roads Using Airborne and Mobile Sensors

Airborne sensors including LiDAR and digital cameras are now used extensively for capturing topographical information as these are often more economical and efficient as compared to the traditional photogrammetric and land surveying techniques. Data captured using airborne sensors can be used to extract 3D information important for, inter alia, city modelling, land use classification and urban planning. According to the EU noise directive (2002/49/EC), the National Road Authority (NRA) in Ireland is responsible for generating noise models for all roads which are used by more than 8,000 vehicles per day. Accordingly, the NRA has to cover approximately 4,000 km of road, 500m on each side. These noise models have to be updated every 5 years. Important inputs to noise model are digital terrain model (DTM), 3D building data, road width, road centre line, ground surface type and noise barriers. The objective of this research was to extract these objects and topographical information using nationally available datasets acquired from the Ordnance Survey of Ireland (OSI). The OSI uses ALS50-II LiDAR and ADS40 digital sensors for capturing ground information. Both sensors rely on direct georeferencing, minimizing the need for ground control points. Before exploiting the complementary nature of both datasets for information extraction, their planimetric and vertical accuracies were evaluated using independent ground control points. A new method was also developed for registration in case of any mismatch. DSMs from LiDAR and aerial images were used to find common points to determine the parameters of 2D conformal transformation. The developed method was also evaluated by the EuroSDR in a project which involved a number of partners. These measures were taken to ensure that the inputs to the noise model were of acceptable accuracy as recommended in the report (Assessment of Exposure to Noise, 2006) by the European Working Group. A combination of image classification techniques was used to extract information by the fusion of LiDAR and aerial images. The developed method has two phases, viz. object classification and object reconstruction. Buildings and vegetation were classified based on Normalized Difference Vegetation Index (NDVI) and a normalized digital surface model (nDSM). Holes in building segments were filled by object-oriented multiresolution segmentation. Vegetation that remained amongst buildings was classified using cues obtained from LiDAR. The short comings there in were overcome by developing an additional classification cue using multiple returns. The building extents were extracted and assigned a single height value generated from LiDAR nDSM. The extracted height was verified against the ground truth data acquired using terrestrial survey techniques. Vegetation was further classified into three categories, viz. trees, hedges and tree clusters based on shape parameter (for hedges) and distance from neighbouring trees (for clusters). The ground was classified into three surface types i.e. roads and parking area, exposed surface and grass. This was done using LiDAR intensity, NDVI and nDSM. Mobile Laser Scanning (MLS) data was used to extract walls and purpose built noise barriers, since these objects were not extractable from the available airborne sensor data. Principal Component Analysis (PCA) was used to filter points belonging to such objects. A line was then fitted to these points using robust least square fitting. The developed object extraction method was tested objectively in two independent areas namely the Test Area-1 and the Test Area-2. The results were thoroughly investigated by three different accuracy assessment methods using the OSI vector data. The acceptance of any developed method for commercial applications requires completeness and correctness values of 85% and 70% respectively. Accuracy measures obtained using the developed method of object extraction recommend its applicability for noise modellin

Burden of Obstetrics and Gynaecological Referrals to Tertiary Health Care System

OBJECTIVES This study aimed to assess the burden of obstetrics and gynaecological cases, causes and pattern of referral to tertiary care hospital. METHODOLOGY This descriptive cross-sectional study was carried out from May 2022-July 2022 using the data of patients who were referred to the Department of Obstetrics and Gynecology Unit 2 at Isra University Hospital from various primary, secondary, tertiary, and private hospitals for any obstetric or gynaecological emergency were the primary source of data. The confidentiality of each patient was carefully respected. This study evaluated the prevalence, reasons and pattern of referral of various obstetric and gynaecological conditions for which patients were referred to Isra University Hospital within the study duration and the management options provided to these patients. RESULTS The gynaecological cases accounted for the majority (71%) of referrals.  Patients between 21-30 yrs of age comprised 51% of the total. Most patients (20%) were multipara in their third trimester (18%). High-risk patients (60%) were this study’s most common reason for referral, whereas financial restrictions (4%) were the least common. Only 5% of patients were referred from other tertiary care facilities, whereas 49% of patients came from the primary sector (49%), secondary (33%), and private (13%). CONCLUSION There is an imperative need to upgrade health system infrastructure, mainly primary and secondary health care systems and especially in the field of maternal and childcare, to enable prompt and appropriate diagnosis and management of various conditions in all nearby hospitals

Myristic acid based imidazoline derivative as effective corrosion inhibitor for steel in 15% HCl medium

There is a high demand of effective and eco-friendly corrosion inhibitor for industrial applications. In an attempt to prepare a benign and effective corrosion inhibitor for acidizing purpose, an imidazoline derivative, N-(2-(2-tridecyl-4,5-dihydro-1H-imidazol-1-yl)ethyl)tetradecanamide (NTETD) was synthesized from myristic acid and diethyleneamine. The characterization of the newly synthesized compound was done using 1H NMR, FTIR, and elemental analysis techniques. NTETD was examined as a corrosion inhibitor for low carbon steel in 15% HCl solution using weight loss, electrochemical impedance spectroscopy (EIS), potentiodynamic polarization (PDP), linear polarization (LPR), scanning electron microscope (SEM), energy dispersive spectroscopy (EDAX), atomic force spectroscopy (AFM), and X-ray photoelectron spectroscopy (XPS) techniques. It was found that, the optimum concentration of NTETD is 300 mg/L. With this concentration, inhibition efficiency above 93% is achievable. Results from PDP show that, NTETD acted as a mixed type corrosion inhibitor but with principal effect on cathodic corrosion half reactions. The calculated value of the adsorption-desorption equilibrium constant (1.015 � 103) reveals a strongThere is a high demand of effective and eco-friendly corrosion inhibitor for industrial applications. In an attempt to prepare a benign and effective corrosion inhibitor for acidizing purpose, an imidazoline derivative, N-(2-(2-tridecyl-4,5-dihydro-1H-imidazol-1-yl)ethyl)tetradecanamide (NTETD) was synthesized from myristic acid and diethyleneamine. The characterization of the newly synthesized compound was done using 1H NMR, FTIR, and elemental analysis techniques. NTETD was examined as a corrosion inhibitor for low carbon steel in 15% HCl solution using weight loss, electrochemical impedance spectroscopy (EIS), potentiodynamic polarization (PDP), linear polarization (LPR), scanning electron microscope (SEM), energy dispersive spectroscopy (EDAX), atomic force spectroscopy (AFM), and X-ray photoelectron spectroscopy (XPS) techniques. It was found that, the optimum concentration of NTETD is 300 mg/L. With this concentration, inhibition efficiency above 93% is achievable. Results from PDP show that, NTETD acted as a mixed type corrosion inhibitor but with principal effect on cathodic corrosion half reactions. The calculated value of the adsorption-desorption equilibrium constant (1.015 � 103) reveals a strong bonding between NTETD molecules and the steel surface. The EDAX, FTIR, and XPS results confirm the adsorption of NTETD molecules on the steel surface. SEM and AFM results agree with experimental findings that NTETD is effective in corrosion mitigation of steel in 15% HCl solution. The possible corrosion inhibition mechanism by NTETD has been proposed. bonding between NTETD molecules and the steel surface. The EDAX, FTIR, and XPS results confirm the adsorption of NTETD molecules on the steel surface. SEM and AFM results agree with experimental findings that NTETD is effective in corrosion mitigation of steel in 15% HCl solution. The possible corrosion inhibition mechanism by NTETD has been proposed

Support for UNRWA's survival

The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) provides life-saving humanitarian aid for 5·4 million Palestine refugees now entering their eighth decade of statelessness and conflict. About a third of Palestine refugees still live in 58 recognised camps. UNRWA operates 702 schools and 144 health centres, some of which are affected by the ongoing humanitarian disasters in Syria and the Gaza Strip. It has dramatically reduced the prevalence of infectious diseases, mortality, and illiteracy. Its social services include rebuilding infrastructure and homes that have been destroyed by conflict and providing cash assistance and micro-finance loans for Palestinians whose rights are curtailed and who are denied the right of return to their homeland

Trends in HIV/AIDS morbidity and mortality in Eastern 3 Mediterranean countries, 1990–2015: findings from the Global 4 Burden of Disease 2015 study

Objectives We used the results of the Global Burden of Disease 2015 study to estimate trends of HIV/AIDS burden in Eastern Mediterranean Region (EMR) countries between 1990 and 2015. Methods Tailored estimation methods were used to produce final estimates of mortality. Years of life lost (YLLs) were calculated by multiplying the mortality rate by population by age-specific life expectancy. Years lived with disability (YLDs) were computed as the prevalence of a sequela multiplied by its disability weight. Results In 2015, the rate of HIV/AIDS deaths in the EMR was 1.8 (1.4–2.5) per 100,000 population, a 43% increase from 1990 (0.3; 0.2–0.8). Consequently, the rate of YLLs due to HIV/AIDS increased from 15.3 (7.6–36.2) per 100,000 in 1990 to 81.9 (65.3–114.4) in 2015. The rate of YLDs increased from 1.3 (0.6–3.1) in 1990 to 4.4 (2.7–6.6) in 2015. Conclusions HIV/AIDS morbidity and mortality increased in the EMR since 1990. To reverse this trend and achieve epidemic control, EMR countries should strengthen HIV surveillance,and scale up HIV antiretroviral therapy and comprehensive prevention services

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

Epidemiology of Chlamydia trachomatis in the Middle East and north Africa: a systematic review, meta-analysis, and meta-regression.

BACKGROUND: The epidemiology of Chlamydia trachomatis in the Middle East and north Africa is poorly understood. We aimed to provide a comprehensive epidemiological assessment of C trachomatis infection in the Middle East and north Africa. METHODS: We did a systematic review of C trachomatis infection as well as a meta-analysis and meta-regression of C trachomatis prevalence. We searched PubMed and Embase, as well as regional and national databases up to March 13, 2019, using broad search terms with no language or year restrictions. Any document or report including biological measures for C trachomatis prevalence or incidence was eligible for inclusion. We extracted all measures of current (genital or rectal), recent, and ever infection with C trachomatis. We estimated pooled average prevalence in different populations using random-effects meta-analysis. Factors associated with prevalence and sources of between-study heterogeneity were determined using meta-regression. FINDINGS: We identified a total of 1531 citations, of which 255 reports contributed to 552 C trachomatis prevalence measures from 20 countries. No incidence measures were identified. Pooled prevalence of current genital infection was 3·0% (95% CI 2·3-3·8) in general populations, 2·8% (1·0-5·2) in intermediate-risk populations, 13·2% (7·2-20·7) in female sex workers, 11·3% (9·0-13·7) in infertility clinic attendees, 12·4% (7·9-17·7) in women with miscarriage, 12·4% (9·4-15·7) in symptomatic women, and 17·4% (12·5-22·8) in symptomatic men. Pooled prevalence of current rectal infection was 7·7% (4·2-12·0) in men who have sex with men. Substantial between-study heterogeneity was found. Multivariable meta-regression explained 29·0% of variation. Population type was most strongly associated with prevalence. Additional associations were found with assay type, sample size, country, and sex, but not with sampling methodology or response rate (about 90% of studies used convenience sampling and >75% had unclear response rate). There was no evidence for temporal variation in prevalence between 1982 and 2018. INTERPRETATION: C trachomatis prevalence in the Middle East and north Africa is similar to other regions, but higher than expected given its sexually conservative norms. High prevalence in infertility clinic attendees and in women with miscarriage suggests a potential role for C trachomatis in poor reproductive health outcomes in this region. FUNDING: National Priorities Research Program from the Qatar National Research Fund (a member of Qatar Foundation)

Impact of Karakoram Highway on the Education and Health Development of Gilgit-Baltistan, Pakistan

Education is the soul of a society. It is a long term investment by a state to develop its human capital. Those countries which invested heavily in human development are reaping the benefits. Education and health as indicators of human development are of utmost importance. Gilgit-Baltistan (GB) in the extreme north of Pakistan is a mountainous area. Before the construction of Karakoram Highway (KKH), their status of education and health was extremely miserable. Only 3 middle and 80 primary schools were available in the entire area of Gilgit-Baltistan. Similarly, 2 hospitals and 10 small dispensaries were available in the health sector. Therefore, this study is an effort to evaluate the impact of KKH on education and health development of Gilgit-Baltistan. Results show a significant change and development, especially in the education sector. However, in the health sector, there is an intense need for more investment. As the area of Gilgit-Baltistan is vast and scattered, the people face difficulties in reaching the health care centres

Impact of Corporate Governance on American Corporates' Financial Performance: The Mediating Role of Derivatives

This study aims to present and test a model that derivatives (commodity, currency, and interest rate) play a mediating role between corporate governance and financial performance. We tested this model through a sample of 85 non-financial American corporates listed in New York Stock Exchange, U.S. 100 Index for six years from 2009-2014 by applying Partial Least Square, Structural Equation Modeling. We confirm that derivatives usage plays a mediating role between corporate governance and financial performance. We found and recommend that the utilization of derivatives as a risk management tool is essential for corporates to improve financial performance. Finally, the findings are useful for corporates from developed (European), emerging (China), and developing (Pakistan, Bangladesh) countries to utilize derivatives to hedge risk and improve financial performance