| 1. |
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- 2019
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Tidskriftsartikel (refereegranskat)
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| 2. |
- Salman, Muhammad, et al.
(författare)
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Trajectory of COVID-19 vaccine hesitancy post-vaccination and public's intention to take booster vaccines : A cross-sectional analysis
- 2023
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Ingår i: Human Vaccines & Immunotherapeutics. - : Taylor & Francis. - 2164-5515 .- 2164-554X. ; 19:2
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Tidskriftsartikel (refereegranskat)abstract
- Vaccine hesitancy (VH) is not a new phenomenon in Pakistan and is regarded as one of the primary causes of unsatisfactory vaccination campaigns. This study determined post-vaccination COVID-19 VH, factors influencing COVID-19 vaccine uptake, and public's intent to receive booster vaccinations. A cross-sectional study was conducted among adult population of Lahore, Pakistan. Participants were recruited via convenience sampling between March and May 2022. SPSS version 22 was used for the data analysis. A total of 650 participants were included in the study (age = 28.1 & PLUSMN; 9.7 years; male-to-female ratio nearly 1: 1). The majority of participants received Sinopharm followed by Sinovac vaccine. The top three reasons of vaccine uptake were "only vaccinated individuals are allowed at the workplace, and educational institutes" (Relative importance index (RII) = 0.749), "only vaccinated people are allowed to go to markets, malls and other public places" (RII = 0.746), and "protect myself from the infection" (RII = 0.742). The mean COVID-19 VH score was 24.5 & PLUSMN; 6.2 (95% CI 23.9-24.9), with not being pro-vaccines and poor economic status were the significant predictors of COVID-19 vaccine hesitancy among immunized individuals (p < .05). Acceptance of booster vaccines was negatively associated with younger age and a lower level of education. Furthermore, being pro-vaccine was associated with a greater likelihood of accepting booster vaccines (p = .001). The Pakistani public continues to express VH toward COVID-19 vaccines. Therefore, aggressive measures must be taken to combat the community factors that contribute to it.
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| 3. |
- Shah, Syed Muhammad Ismail, et al.
(författare)
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COVID‐19 and myasthenia gravis : A review of neurological implications of the SARS‐COV‐2
- 2022
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Ingår i: Brain and Behavior. - : Wiley. - 2162-3279 .- 2162-3279. ; 12:12
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Forskningsöversikt (refereegranskat)abstract
- IntroductionThis review highlights the potential mechanisms of neuromuscular manifestation of COVID-19, especially myasthenia gravis (MG).MethodsAn extensive literature search was conducted by two independent investigators using PubMed/MEDLINE and Google Scholar from its inception to December 2020.ResultsExacerbations of clinical symptoms in patients of MG who were treated with some commonly used COVID-19 drugs has been reported, with updated recommendations of management of symptoms of neuromuscular disorders. Severe acute respiratory syndrome coronavirus 2 can induce the immune response to trigger autoimmune neurological disorders.ConclusionsFurther clinical studies are warranted to indicate and rather confirm if MG in the setting of COVID-19 can pre-existent subclinically or develop as a new-onset disease.
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| 4. |
- Ahmed, Saad, et al.
(författare)
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Demystifying Energy Consumption Dynamics in Transiently Powered Computers
- 2020
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Ingår i: ACM Transactions on Embedded Computing Systems. - : Association for Computing Machinery. - 1539-9087 .- 1558-3465. ; 19:6
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Tidskriftsartikel (refereegranskat)abstract
- Transiently powered computers (TPCs) form the foundation of the battery-less Internet of Things, using energy harvesting and small capacitors to power their operation. This kind of power supply is characterized by extreme variations in supply voltage, as capacitors charge when harvesting energy and discharge when computing. We experimentally find that these variations cause marked fluctuations in clock speed and power consumption. Such a deceptively minor observation is overlooked in existing literature. Systems are thus designed and parameterized in overly conservative ways, missing on a number of optimizations.We rather demonstrate that it is possible to accurately model and concretely capitalize on these fluctuations. We derive an energy model as a function of supply voltage and prove its use in two settings. First, we develop EPIC, a compile-time energy analysis tool. We use it to substitute for the constant power assumption in existing analysis techniques, giving programmers accurate information on worst-case energy consumption of programs. When using EPIC with existing TPC system support, run-time energy efficiency drastically improves, eventually leading up to a 350% speedup in the time to complete a fixed workload. Further, when using EPIC with existing debugging tools, it avoids unnecessary program changes that hurt energy efficiency. Next, we extend the MSPsim emulator and explore its use in parameterizing a different TPC system support. The improvements in energy efficiency yield up to more than 1000% time speedup to complete a fixed workload.
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| 5. |
- Hashim, Ahmed, et al.
(författare)
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Pattern of novel psychoactive substance use among patients presented to the poison control centre of Ain Shams University Hospitals, Egypt : A cross-sectional study
- 2022
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Ingår i: Heliyon. - : Elsevier BV. - 2405-8440. ; 8:8
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Tidskriftsartikel (refereegranskat)abstract
- Background: Novel psychoactive substances (NPSs) are relatively new substances in the illicit drug market, notpreviously listed in the United Nations Office on Drugs and Crime (UNDOC). Strox and Voodoo are consideredsome of the most popular blends of NPS in the Egyptian drug market.Objectives: The current study was conducted to assess NPS's use pattern: Voodoo and Strox among acutelyintoxicated patients presented to the poison control center of Ain Shams University Hospitals (PCC- ASUH).Methods: A single center based cross-sectional study was carried out in the PCC-ASUH among acutely intoxicatedpatients presenting to the emergency department (ED) over four months (from January–April 2019. using apreviously adopted and validated Fahmy and El-Sherbini socioeconomic scale (SES). Data were presented asmean, median and range as appropriate. Both smoking and crowding indexes were calculated and presented aspreviously reported.Results: Fifty-one patients were presented to the ED of PCC-ASUH during the study period. A total of 96.1% (n ¼49) were males. The mean age was 25 7.5 years. The most common NPS used was Strox: 54.9% (n ¼ 28),followed by Voodoo: 27.4% (n ¼ 14). Neurological and gastrointestinal (GI) symptoms were the most frequentpresentations. The most common motive behind NPS use was the desire to give a trial of new psychoactivesubstances. The mean SES score was 35.1 13.17. Most patients have the preparatory as the highest education36.0% (n ¼ 18).Conclusions: NPS use is common among young males in preparatory education from different social classes,starting it most commonly as a means to experiencing a new high. Neurological and GI manifestations are themost common presenting symptoms of NPS intoxication.
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| 6. |
- Hussain, Arif, et al.
(författare)
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Methoxy-methylheptane as a cleaner fuel additive : An energy- and cost-efficient enhancement for separation and purification units
- 2021
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Ingår i: Energy Science & Engineering. - : John Wiley & Sons. - 2050-0505. ; :9, s. 1632-1646
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Tidskriftsartikel (refereegranskat)abstract
- Environmental protection agencies have begun imposing stringent regulations on the existing refineries to control the levels of gasoline additives. In this context, a novel compound, 2-methoxy-2-methylheptane (MMH), had drawn attention as fuel additive for cleaner combustion. The conventional process of MMH production features three distillation columns in a direct sequence. These columns are used to maintain the required product purities and to utilize the unreacted reactants through recycling streams. The distillation system of the existing MMH plant can afford significant energy savings, leading to a reduction in the total annual costs (TAC). The aim of this investigation is to demonstrate that the reported conventional process can be significantly enhanced by modifying the design and operational parameters and by replacing two distillation columns with an intensified dividing wall column (DWC) configuration. The DWC design is further optimized using several algorithms such as the modified coordinate method (MCD), robust particle swarm paradigm (PSP), and firefly (FF) with nonlinear constraints. Compared to conventional process, the optimized DWC resulted in 24% and 11.5% savings in the plant operating and total annual costs, respectively.
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| 7. |
- Kazmi, Bilal, et al.
(författare)
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Thermodynamic and economic assessment of cyano functionalized anion based ionic liquid for CO2 removal from natural gas integrated with, single mixed refrigerant liquefaction process for clean energy
- 2022
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Ingår i: Energy. - : Pergamon Press. - 0360-5442 .- 1873-6785. ; 239
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Tidskriftsartikel (refereegranskat)abstract
- The study proposes a novel integrated process in which ionic liquid is utilized to control carbon dioxide (CO2) emissions from the natural gas combined with a single mixed refrigerant-based liquefaction process to assist safe transportation over long distances providing a sustainable and cleaner energy. Commercially amines are utilized for CO2 sequestration, but amines entail energy-intensive regeneration with elevated process costs. The present study offers a solvent screening mechanism based on important parameters such as heat of dissolution, viscosity, selectivity, working capacity, vapor pressure, corrosivity, and toxicity. The selected solvents' performance is computed by sensitivity analysis suggesting imidazolium-based cation 1-hexyl-3-methylimidazolium[Hmim] functionalized with tricyanomethanide(tcm) as anion a potential natural gas sweetening solvent in comparison with commercially used solvent monoethanoloamine(MEA), conventional ILs 1-butyl-3-methylimidazolium hexa-fluorophosphate [Bmim][Pf(6)] and 1-butyl-3-methylimidazolium methyl sulfate [Bmim][MeSO4]. The obtained sweet gas is liquefied using a single mixed refrigerant-based process providing 0.99 mol fraction of liquefied CH4 with less overall specific compression power requirement of 0.41 kW/kg of natural gas. Moreover, an exergy analysis demonstrates that the [Hmim][tcm] based process has lower total exergy destruction of 7.49 x 10(3) kW and is found to utilize less overall specific energy consumption 0.49 kWh/kg of NG in contrast to other studied solvents. Furthermore, a detailed economic analysis establishes [Hmim][tcm]-based CO2 integrated with liquefaction technology offers 50.7%, 74.4%, and 85.8% of total annualized cost (TAC) savings compared with the MEA-amim][Pf(6)]-, and [Bmim][MeSO4], respectively. Hence, [Hmim][tcm] for CO2 removal and integration with liquefaction process will incur unit cost based on the total annualized cost to be $2.2 x 10(4)/kmol of purified NG.
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| 8. |
- Micah, Angela E., et al.
(författare)
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Tracking development assistance for health and for COVID-19 : a review of development assistance, government, out-of-pocket, and other private spending on health for 204 countries and territories, 1990-2050
- 2021
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Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 398:10308, s. 1317-1343
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Forskningsöversikt (refereegranskat)abstract
- Background The rapid spread of COVID-19 renewed the focus on how health systems across the globe are financed, especially during public health emergencies. Development assistance is an important source of health financing in many low-income countries, yet little is known about how much of this funding was disbursed for COVID-19. We aimed to put development assistance for health for COVID-19 in the context of broader trends in global health financing, and to estimate total health spending from 1995 to 2050 and development assistance for COVID-19 in 2020. Methods We estimated domestic health spending and development assistance for health to generate total health-sector spending estimates for 204 countries and territories. We leveraged data from the WHO Global Health Expenditure Database to produce estimates of domestic health spending. To generate estimates for development assistance for health, we relied on project-level disbursement data from the major international development agencies' online databases and annual financial statements and reports for information on income sources. To adjust our estimates for 2020 to include disbursements related to COVID-19, we extracted project data on commitments and disbursements from a broader set of databases (because not all of the data sources used to estimate the historical series extend to 2020), including the UN Office of Humanitarian Assistance Financial Tracking Service and the International Aid Transparency Initiative. We reported all the historic and future spending estimates in inflation-adjusted 2020 US$, 2020 US$ per capita, purchasing-power parity-adjusted US$ per capita, and as a proportion of gross domestic product. We used various models to generate future health spending to 2050. Findings In 2019, health spending globally reached $8. 8 trillion (95% uncertainty interval [UI] 8.7-8.8) or $1132 (1119-1143) per person. Spending on health varied within and across income groups and geographical regions. Of this total, $40.4 billion (0.5%, 95% UI 0.5-0.5) was development assistance for health provided to low-income and middle-income countries, which made up 24.6% (UI 24.0-25.1) of total spending in low-income countries. We estimate that $54.8 billion in development assistance for health was disbursed in 2020. Of this, $13.7 billion was targeted toward the COVID-19 health response. $12.3 billion was newly committed and $1.4 billion was repurposed from existing health projects. $3.1 billion (22.4%) of the funds focused on country-level coordination and $2.4 billion (17.9%) was for supply chain and logistics. Only $714.4 million (7.7%) of COVID-19 development assistance for health went to Latin America, despite this region reporting 34.3% of total recorded COVID-19 deaths in low-income or middle-income countries in 2020. Spending on health is expected to rise to $1519 (1448-1591) per person in 2050, although spending across countries is expected to remain varied. Interpretation Global health spending is expected to continue to grow, but remain unequally distributed between countries. We estimate that development organisations substantially increased the amount of development assistance for health provided in 2020. Continued efforts are needed to raise sufficient resources to mitigate the pandemic for the most vulnerable, and to help curtail the pandemic for all. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.
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| 9. |
- Naqvi, Salman Raza, et al.
(författare)
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Pyrolysis of high ash sewage sludge : Kinetics and thermodynamic analysis using Coats-Redfern method
- 2019
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Ingår i: Renewable energy. - : Elsevier Ltd. - 0960-1481 .- 1879-0682. ; 131, s. 854-860
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to investigate the thermo-kinetics of high-ash sewage sludge using thermogravimetric analysis. Sewage sludge was dried, pulverized and heated non-isothermally from 25 to 800 °C at different heating rates (5, 10 and 20 °C/min) in N2 atmosphere. TG and DTG results indicate that the sewage sludge pyrolysis may be divided into three stages. Coats-Redfern integral method was applied in the 2nd and 3rd stage to estimate the activation energy and pre-exponential factor from mass loss data using five major reaction mechanisms. The low-temperature stable components (LTSC) of the sewage sludge degraded in the temperature regime of 250–450 °C while high-temperature stable components (HTSC) decomposed in the temperature range of 450–700 °C. According to the results, first-order reaction model (F1) showed higher Ea with better R2 for all heating rates. D3, N1, and S1 produced higher Ea at higher heating rates for LTSC pyrolysis and lower Ea with the increase of heating rates for HTSC pyrolysis. All models showed positive ΔH except F1.5. Among all models, Diffusion (D1, D2, D3) and phase interfacial models (S1, S2) showed higher ΔG as compared to reaction, nucleation, and power-law models in section I and section II.
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