| 1. |
- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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| 5. |
- Feigin, Valery L., et al.
(författare)
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Global, regional, and national burden of neurological disorders, 1990–2016 : a systematic analysis for the Global Burden of Disease Study 2016
- 2019
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Ingår i: Lancet Neurology. - : Elsevier. - 1474-4422 .- 1474-4465. ; 18:5, s. 459-480
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Tidskriftsartikel (refereegranskat)abstract
- Background: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders.Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach.Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanus, meningitis, and encephalitis. The four largest contributors of neurological DALYs were stroke (42·2% [38·6–46·1]), migraine (16·3% [11·7–20·8]), Alzheimer's and other dementias (10·4% [9·0–12·1]), and meningitis (7·9% [6·6–10·4]). For the combined neurological disorders, age-standardised DALY rates were significantly higher in males than in females (male-to-female ratio 1·12 [1·05–1·20]), but migraine, multiple sclerosis, and tension-type headache were more common and caused more burden in females, with male-to-female ratios of less than 0·7. The 84 risks quantified in GBD explain less than 10% of neurological disorder DALY burdens, except stroke, for which 88·8% (86·5–90·9) of DALYs are attributable to risk factors, and to a lesser extent Alzheimer's disease and other dementias (22·3% [11·8–35·1] of DALYs are risk attributable) and idiopathic epilepsy (14·1% [10·8–17·5] of DALYs are risk attributable).Interpretation: Globally, the burden of neurological disorders, as measured by the absolute number of DALYs, continues to increase. As populations are growing and ageing, and the prevalence of major disabling neurological disorders steeply increases with age, governments will face increasing demand for treatment, rehabilitation, and support services for neurological disorders. The scarcity of established modifiable risks for most of the neurological burden demonstrates that new knowledge is required to develop effective prevention and treatment strategies.Funding: Bill & Melinda Gates Foundation.
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| 6. |
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| 7. |
- Lozano, Rafael, et al.
(författare)
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Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017
- 2018
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Ingår i: The Lancet. - : Elsevier. - 1474-547X .- 0140-6736. ; 392:10159, s. 2091-2138
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Tidskriftsartikel (refereegranskat)abstract
- Background: Efforts to establish the 2015 baseline and monitor early implementation of the UN Sustainable Development Goals (SDGs) highlight both great potential for and threats to improving health by 2030. To fully deliver on the SDG aim of “leaving no one behind”, it is increasingly important to examine the health-related SDGs beyond national-level estimates. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017), we measured progress on 41 of 52 health-related SDG indicators and estimated the health-related SDG index for 195 countries and territories for the period 1990–2017, projected indicators to 2030, and analysed global attainment. Methods: We measured progress on 41 health-related SDG indicators from 1990 to 2017, an increase of four indicators since GBD 2016 (new indicators were health worker density, sexual violence by non-intimate partners, population census status, and prevalence of physical and sexual violence [reported separately]). We also improved the measurement of several previously reported indicators. We constructed national-level estimates and, for a subset of health-related SDGs, examined indicator-level differences by sex and Socio-demographic Index (SDI) quintile. We also did subnational assessments of performance for selected countries. To construct the health-related SDG index, we transformed the value for each indicator on a scale of 0–100, with 0 as the 2·5th percentile and 100 as the 97·5th percentile of 1000 draws calculated from 1990 to 2030, and took the geometric mean of the scaled indicators by target. To generate projections through 2030, we used a forecasting framework that drew estimates from the broader GBD study and used weighted averages of indicator-specific and country-specific annualised rates of change from 1990 to 2017 to inform future estimates. We assessed attainment of indicators with defined targets in two ways: first, using mean values projected for 2030, and then using the probability of attainment in 2030 calculated from 1000 draws. We also did a global attainment analysis of the feasibility of attaining SDG targets on the basis of past trends. Using 2015 global averages of indicators with defined SDG targets, we calculated the global annualised rates of change required from 2015 to 2030 to meet these targets, and then identified in what percentiles the required global annualised rates of change fell in the distribution of country-level rates of change from 1990 to 2015. We took the mean of these global percentile values across indicators and applied the past rate of change at this mean global percentile to all health-related SDG indicators, irrespective of target definition, to estimate the equivalent 2030 global average value and percentage change from 2015 to 2030 for each indicator. Findings: The global median health-related SDG index in 2017 was 59·4 (IQR 35·4–67·3), ranging from a low of 11·6 (95% uncertainty interval 9·6–14·0) to a high of 84·9 (83·1–86·7). SDG index values in countries assessed at the subnational level varied substantially, particularly in China and India, although scores in Japan and the UK were more homogeneous. Indicators also varied by SDI quintile and sex, with males having worse outcomes than females for non-communicable disease (NCD) mortality, alcohol use, and smoking, among others. Most countries were projected to have a higher health-related SDG index in 2030 than in 2017, while country-level probabilities of attainment by 2030 varied widely by indicator. Under-5 mortality, neonatal mortality, maternal mortality ratio, and malaria indicators had the most countries with at least 95% probability of target attainment. Other indicators, including NCD mortality and suicide mortality, had no countries projected to meet corresponding SDG targets on the basis of projected mean values for 2030 but showed some probability of attainment by 2030. For some indicators, including child malnutrition, several infectious diseases, and most violence measures, the annualised rates of change required to meet SDG targets far exceeded the pace of progress achieved by any country in the recent past. We found that applying the mean global annualised rate of change to indicators without defined targets would equate to about 19% and 22% reductions in global smoking and alcohol consumption, respectively; a 47% decline in adolescent birth rates; and a more than 85% increase in health worker density per 1000 population by 2030. Interpretation: The GBD study offers a unique, robust platform for monitoring the health-related SDGs across demographic and geographic dimensions. Our findings underscore the importance of increased collection and analysis of disaggregated data and highlight where more deliberate design or targeting of interventions could accelerate progress in attaining the SDGs. Current projections show that many health-related SDG indicators, NCDs, NCD-related risks, and violence-related indicators will require a concerted shift away from what might have driven past gains—curative interventions in the case of NCDs—towards multisectoral, prevention-oriented policy action and investments to achieve SDG aims. Notably, several targets, if they are to be met by 2030, demand a pace of progress that no country has achieved in the recent past. The future is fundamentally uncertain, and no model can fully predict what breakthroughs or events might alter the course of the SDGs. What is clear is that our actions—or inaction—today will ultimately dictate how close the world, collectively, can get to leaving no one behind by 2030.
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| 8. |
- Mirza, Jawad, et al.
(författare)
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Pair induced quenching in high concentration Holmium-doped fiber amplifiers
- 2024
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Ingår i: Physica Scripta. - : Institute of Physics Publishing (IOPP). - 0031-8949 .- 1402-4896. ; 99:5
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Tidskriftsartikel (refereegranskat)abstract
- The spectrum required for future optical communication systems is being extended towards the C-, L- and U-bands, resulting in a significant interest in the spectral region around 2 μm wavelength. Since Holmium doped fiber amplifiers (HDFAs) provide amplification in this spectral region, they have become a focus of researchers working on doped fiber amplifiers. A major factor resulting in the performance degradation of HDFAs is the inhomogeneous energy transfer within Ho3+ ion-pairs in high-concentration Holmium-doped fibers (HDFs), an effect generally known as pair-induced quenching (PIQ). In this paper, we study the luminal and temporal dynamics of pulses of different repetition rates at 2.05 μm in high-concentration HDFs considering the effects of ion-pairs. Input pulses having repetition rates of 25 GHz and 500 kHz are generated using wavelength tunable actively mode-locked Holmium-doped fiber laser (AML-HDFL) based on a single ring cavity and bidirectional pumping. The characteristics of the pulses propagating through high-concentration HDF are analyzed based on different metrics such as average power, peak power, pulse energy, full-width at half maximum (FWHM), and time delay without and with ion-pairs for values of fraction of ion-pairs k = 0 and k = 10%, respectively. The results obtained at optimized length of HDF show that ion-pairs significantly degrade the average power, peak power, and energy of the output pulses for both of the repetition rates. For both k = 0 and k = 10%, the FWHM and shape of the output pulses remain same in the presence of the ion-pairs while, time delay of 4 ps and 19 ns is observed in the output pulses at repetition rates of 25 GHz and 500 kHz, respectively. The effects of increasing the pump and signal power on the average power and energy of the output pulses for k = 0 and k = 10% are also discussed for both repetition rates. This analysis provides important guidelines for designers of 2 μm fiber lasers and amplifiers based on high-concentration HDFs.
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| 10. |
- Kassebaum, Nicholas J., et al.
(författare)
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Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015 : a systematic analysis for the Global Burden of Disease Study 2015
- 2016
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Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 388:10053, s. 1603-1658
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Tidskriftsartikel (refereegranskat)abstract
- Background Healthy life expectancy (HALE) and disability-adjusted life-years (DALYs) provide summary measures of health across geographies and time that can inform assessments of epidemiological patterns and health system performance, help to prioritise investments in research and development, and monitor progress toward the Sustainable Development Goals (SDGs). We aimed to provide updated HALE and DALYs for geographies worldwide and evaluate how disease burden changes with development. Methods We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive HALE and DALYs by sex for 195 countries and territories from 1990 to 2015. We calculated DALYs by summing years of life lost (YLLs) and years of life lived with disability (YLDs) for each geography, age group, sex, and year. We estimated HALE using the Sullivan method, which draws from age-specific death rates and YLDs per capita. We then assessed how observed levels of DALYs and HALE differed from expected trends calculated with the Socio-demographic Index (SDI), a composite indicator constructed from measures of income per capita, average years of schooling, and total fertility rate. Findings Total global DALYs remained largely unchanged from 1990 to 2015, with decreases in communicable, neonatal, maternal, and nutritional (Group 1) disease DALYs off set by increased DALYs due to non-communicable diseases (NCDs). Much of this epidemiological transition was caused by changes in population growth and ageing, but it was accelerated by widespread improvements in SDI that also correlated strongly with the increasing importance of NCDs. Both total DALYs and age-standardised DALY rates due to most Group 1 causes significantly decreased by 2015, and although total burden climbed for the majority of NCDs, age-standardised DALY rates due to NCDs declined. Nonetheless, age-standardised DALY rates due to several high-burden NCDs (including osteoarthritis, drug use disorders, depression, diabetes, congenital birth defects, and skin, oral, and sense organ diseases) either increased or remained unchanged, leading to increases in their relative ranking in many geographies. From 2005 to 2015, HALE at birth increased by an average of 2.9 years (95% uncertainty interval 2.9-3.0) for men and 3.5 years (3.4-3.7) for women, while HALE at age 65 years improved by 0.85 years (0.78-0.92) and 1.2 years (1.1-1.3), respectively. Rising SDI was associated with consistently higher HALE and a somewhat smaller proportion of life spent with functional health loss; however, rising SDI was related to increases in total disability. Many countries and territories in central America and eastern sub-Saharan Africa had increasingly lower rates of disease burden than expected given their SDI. At the same time, a subset of geographies recorded a growing gap between observed and expected levels of DALYs, a trend driven mainly by rising burden due to war, interpersonal violence, and various NCDs. Interpretation Health is improving globally, but this means more populations are spending more time with functional health loss, an absolute expansion of morbidity. The proportion of life spent in ill health decreases somewhat with increasing SDI, a relative compression of morbidity, which supports continued efforts to elevate personal income, improve education, and limit fertility. Our analysis of DALYs and HALE and their relationship to SDI represents a robust framework on which to benchmark geography-specific health performance and SDG progress. Country-specific drivers of disease burden, particularly for causes with higher-than-expected DALYs, should inform financial and research investments, prevention efforts, health policies, and health system improvement initiatives for all countries along the development continuum.
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| 11. |
- Khalil, Ibrahim, et al.
(författare)
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Burden of Diarrhea in the Eastern Mediterranean Region, 1990-2013 : Findings from the Global Burden of Disease Study 2013
- 2016
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Ingår i: American Journal of Tropical Medicine and Hygiene. - : American Society of Tropical Medicine and Hygiene. - 1476-1645 .- 0002-9637. ; 95:6, s. 1319-1329
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Tidskriftsartikel (refereegranskat)abstract
- Diarrheal diseases (DD) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one (95% uncertainty interval [UI] = 0-1) in Bahrain and Oman to 471 (95% UI = 245-763) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI = 520-989) in Syria to 40,869 (95% UI = 21,540-65,823) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden.
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| 12. |
- Wang, Haidong, et al.
(författare)
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Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015 : a systematic analysis for the Global Burden of Disease Study 2015
- 2016
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Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 388:10053, s. 1459-1544
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Improving survival and extending the longevity of life for all populations requires timely, robust evidence on local mortality levels and trends. The Global Burden of Disease 2015 Study (GBD 2015) provides a comprehensive assessment of all-cause and cause-specific mortality for 249 causes in 195 countries and territories from 1980 to 2015. These results informed an in-depth investigation of observed and expected mortality patterns based on sociodemographic measures.METHODS: We estimated all-cause mortality by age, sex, geography, and year using an improved analytical approach originally developed for GBD 2013 and GBD 2010. Improvements included refinements to the estimation of child and adult mortality and corresponding uncertainty, parameter selection for under-5 mortality synthesis by spatiotemporal Gaussian process regression, and sibling history data processing. We also expanded the database of vital registration, survey, and census data to 14 294 geography-year datapoints. For GBD 2015, eight causes, including Ebola virus disease, were added to the previous GBD cause list for mortality. We used six modelling approaches to assess cause-specific mortality, with the Cause of Death Ensemble Model (CODEm) generating estimates for most causes. We used a series of novel analyses to systematically quantify the drivers of trends in mortality across geographies. First, we assessed observed and expected levels and trends of cause-specific mortality as they relate to the Socio-demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility. Second, we examined factors affecting total mortality patterns through a series of counterfactual scenarios, testing the magnitude by which population growth, population age structures, and epidemiological changes contributed to shifts in mortality. Finally, we attributed changes in life expectancy to changes in cause of death. We documented each step of the GBD 2015 estimation processes, as well as data sources, in accordance with Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER).FINDINGS: Globally, life expectancy from birth increased from 61·7 years (95% uncertainty interval 61·4-61·9) in 1980 to 71·8 years (71·5-72·2) in 2015. Several countries in sub-Saharan Africa had very large gains in life expectancy from 2005 to 2015, rebounding from an era of exceedingly high loss of life due to HIV/AIDS. At the same time, many geographies saw life expectancy stagnate or decline, particularly for men and in countries with rising mortality from war or interpersonal violence. From 2005 to 2015, male life expectancy in Syria dropped by 11·3 years (3·7-17·4), to 62·6 years (56·5-70·2). Total deaths increased by 4·1% (2·6-5·6) from 2005 to 2015, rising to 55·8 million (54·9 million to 56·6 million) in 2015, but age-standardised death rates fell by 17·0% (15·8-18·1) during this time, underscoring changes in population growth and shifts in global age structures. The result was similar for non-communicable diseases (NCDs), with total deaths from these causes increasing by 14·1% (12·6-16·0) to 39·8 million (39·2 million to 40·5 million) in 2015, whereas age-standardised rates decreased by 13·1% (11·9-14·3). Globally, this mortality pattern emerged for several NCDs, including several types of cancer, ischaemic heart disease, cirrhosis, and Alzheimer's disease and other dementias. By contrast, both total deaths and age-standardised death rates due to communicable, maternal, neonatal, and nutritional conditions significantly declined from 2005 to 2015, gains largely attributable to decreases in mortality rates due to HIV/AIDS (42·1%, 39·1-44·6), malaria (43·1%, 34·7-51·8), neonatal preterm birth complications (29·8%, 24·8-34·9), and maternal disorders (29·1%, 19·3-37·1). Progress was slower for several causes, such as lower respiratory infections and nutritional deficiencies, whereas deaths increased for others, including dengue and drug use disorders. Age-standardised death rates due to injuries significantly declined from 2005 to 2015, yet interpersonal violence and war claimed increasingly more lives in some regions, particularly in the Middle East. In 2015, rotaviral enteritis (rotavirus) was the leading cause of under-5 deaths due to diarrhoea (146 000 deaths, 118 000-183 000) and pneumococcal pneumonia was the leading cause of under-5 deaths due to lower respiratory infections (393 000 deaths, 228 000-532 000), although pathogen-specific mortality varied by region. Globally, the effects of population growth, ageing, and changes in age-standardised death rates substantially differed by cause. Our analyses on the expected associations between cause-specific mortality and SDI show the regular shifts in cause of death composition and population age structure with rising SDI. Country patterns of premature mortality (measured as years of life lost [YLLs]) and how they differ from the level expected on the basis of SDI alone revealed distinct but highly heterogeneous patterns by region and country or territory. Ischaemic heart disease, stroke, and diabetes were among the leading causes of YLLs in most regions, but in many cases, intraregional results sharply diverged for ratios of observed and expected YLLs based on SDI. Communicable, maternal, neonatal, and nutritional diseases caused the most YLLs throughout sub-Saharan Africa, with observed YLLs far exceeding expected YLLs for countries in which malaria or HIV/AIDS remained the leading causes of early death.INTERPRETATION: At the global scale, age-specific mortality has steadily improved over the past 35 years; this pattern of general progress continued in the past decade. Progress has been faster in most countries than expected on the basis of development measured by the SDI. Against this background of progress, some countries have seen falls in life expectancy, and age-standardised death rates for some causes are increasing. Despite progress in reducing age-standardised death rates, population growth and ageing mean that the number of deaths from most non-communicable causes are increasing in most countries, putting increased demands on health systems.
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| 13. |
- Ahmad, Bashir, et al.
(författare)
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Effect of Salicylic Acid and Amino Acid on Pea Plant (Pisum sativum) Late Season, Growth and Production
- 2023
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Ingår i: Polish Journal of Environmental Studies. - : HARD Publishing Company. - 1230-1485 .- 2083-5906. ; 32:3, s. 1987-1994
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Tidskriftsartikel (refereegranskat)abstract
- Salicylic acid and amino acid are plant growth promoters. Therefore, the study entitled "Effect of salicylic acid and amino acid on late season peas growth and production" was conducted. The study has two factors: amino acid (Glycine) and salicylic acid each having four levels that were sprayed on peas. Analysis of data showed that maximum germination percentage (92.50 %), plant height (63.16 cm), primary branches plant-1 (2.80), leaves plant-1 (264.27), leaf chlorophyll content (57.25 SPAD), pods plant-1 (49.25), seeds pod-1 (10.41), pod length (11.74 cm) and yield ha-1 (1922.5 kg) having least days to flowering and pod formation (50.13 and 5.12 days) were noted in 225 mg L-1 amino acid. Salicylic acid levels showed that maximum germination percentage (95.83 %) height of plants (71.85 cm), leaves plant-1 (257.13), primary branches plant-1 (3.25), leaf chlorophyll content (55.81 SPAD), pods plant-1 (52.16), seeds pod-1 (10.91), pod length(11.05 cm) and yield ha-1 (1895.0 kg) having least days to pod formation and flowering (5.26 and 48.30 days) were noted in salicylic acid level of 300 mg L-1. The combined effect of 225 mg L-1 amino acid and 300 mg L-1salicylic acid levels positively improved primary branches plant-1 (3.93), pod plant-1 (66.33), pod length (13.77 cm), seeds pod-1 (12.44), leaf chlorophyll content (64.49 SPAD) and maximum yield ha-1 (1942.66 kg). It is concluded that for higher growth and yield pea cultivar Climax when cultivated late could be applied with 225 mg L-1 amino acid and 300 mg L-1 salicylic under Peshawar climatic conditions.
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| 14. |
- Ahmad, Jawad, 1985-, et al.
(författare)
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A Proposal of Implementation of Sitting Posture Monitoring System for Wheelchair Utilizing Machine Learning Methods
- 2021
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Ingår i: Sensors. - : MDPI. - 1424-8220. ; 21
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Tidskriftsartikel (refereegranskat)abstract
- This paper presents a posture recognition system aimed at detecting sitting postures of a wheelchair user. The main goals of the proposed system are to identify and inform irregular and improper posture to prevent sitting-related health issues such as pressure ulcers, with the potential that it could also be used for individuals without mobility issues. In the proposed monitoring system, an array of 16 screen printed pressure sensor units was employed to obtain pressure data, which are sampled and processed in real-time using read-out electronics. The posture recognition was performed for four sitting positions: right-, left-, forward- and backward leaning based on k-nearest neighbors (k-NN), support vector machines (SVM), random forest (RF), decision tree (DT) and LightGBM machine learning algorithms. As a result, a posture classification accuracy of up to 99.03 percent can be achieved. Experimental studies illustrate that the system can provide real-time pressure distribution value in the form of a pressure map on a standard PC and also on a raspberry pi system equipped with a touchscreen monitor. The stored pressure distribution data can later be shared with healthcare professionals so that abnormalities in sitting patterns can be identified by employing a post-processing unit. The proposed system could be used for risk assessments related to pressure ulcers. It may be served as a benchmark by recording and identifying individuals’ sitting patterns and the possibility of being realized as a lightweight portable health monitoring device.
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| 15. |
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| 16. |
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| 17. |
- Ahmad, Jawad, 1985-
(författare)
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Development and Characterization of Large Area Pressure Sensors and Sitting Posture Monitoring Systems
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- With the emergence of the Internet and rapid development of science and technology over the past few decades, many individuals worldwide now rely on the Internet to conduct daily activities ranging from education, business and creativity to communication and shopping. As we tend to spend more and more time on the Internet and engage less in physical activities, this persistent behaviour could result in some health-related issues within a relatively short period of time. This behaviour, known as sedentary lifestyle, may be related to a higher risk of cardiovascular disease, osteoporosis, obesity, anxiety, pressure ulcers and many other illnesses. As a consequence, there has been great interest in developing non-invasive and unobtrusive measurement techniques for a variety of health care-monitoring applications, such as for blood oxygen saturation, stress levels, electrocardiograms and glucose monitoring. In such systems, wearable and flexible electronics technologies may enable monitoring of vital signs, offering significant potential for early screening as well as long-term behaviour modelling.In this thesis, large area pressure sensors based on non-conventional materials are proposed and realised by screen printing technique for monitoring sitting postures. The developed pressure sensing system measures distributed pressure when an individual sits on a chair equipped with a pressure sensor array. This technology could provide grounding for the advancement of health-related monitoring systems for both able-bodied and disabled individuals and inform them of their sitting time and sitting posture, and this could be used to establish a sitting pattern. To accomplish this, pressure sensors have been designed using non-conventional flexible electronics. A blend of non-conductive and low-resistance ink is used as pressure-sensitive material to enable the realization of screen-printed sensors. To characterise the performance of the suggested pressure sensor, several tests, such as repeatability, drift and flexibility, are conducted. The sensor has also been exposed to different humidity and temperature conditions in a climate chamber to examine its functionalities.A graphical user interface was developed for real-time demonstration of data from distributed pressure points in the form of a pressure map to display the pressure values. Four sitting postures are identified: forward, backward, left, and right leaning. Furthermore, a stretchable pressure sensor is proposed that could follow slight stretching with regard to changes in the shape of the human skin. Machine learning algorithms have been employed to further enhance the sitting posture identification, and accuracy of 99.03% is attained. A standalone embedded system capable of illustrating real-time pressure data has been developed with the potential to be used in portable health monitoring systems. In summary, this work provides a promising framework for measuring pressure distribution and identifying irregular sitting postures that may help to reduce the potential risks of developing health-related issues associated with prolonged sitting time.
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| 18. |
- Ahmad, Jawad, 1985-
(författare)
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Screen Printed Large Area Sensors for Pressure Distribution Monitoring in Wheelchairs
- 2019
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- A sedentary lifestyle can induce health related problems including pressure ulcers. Prolonged sitting inadequacies constitute a risk for pressure ulcer to many individuals, in particular people with disabilities and reduced mobility. The measurement of distributed pressure and detection of irregular sitting postures are essential in prevention of the risk of developing pressure ulcers.In this thesis, a screen-printed pressure sensor for a large area is presented, with the objective of measuring the distributed pressure of a seated person in a wheelchair. The conductors and interdigital patterns are printed with silver-based ink. A blend of a non-conductive and a low resistive ink is used for customized resistance for an optimal sensing range of the pressure sensor. The effect of moisture and temperature are realized in an environment chamber. For characterization, other key performance tests such as repeatability, drift and flexibility are carried out. The surface morphology is carried out for structural analysis of printed samples. The sensor data is acquired and processed using an 8-bit ATmega-2560 microcontroller and wirelessly transmitted to a PC for post-processing, storage and analysis. For real-time data presentation of distributed pressure points, a GUI has been developed to display the values obtained from the large area sensor. The detection of four sitting postures; forward leaning, backward leaning, left leaning and right leaning along with a normal sitting posture is attained. An analysis for stretchable printed tracks has been conducted to investigate the changes in electrical resistance using elongation tests, surface morphology and EDS. The optimal curing time and temperature were investigated to manufacture stretchable conductive tracks.In summary, the contributions in this thesis provides an effective approach regarding pressure distribution measurement and recognizing irregular sitting postures for wheelchair users.
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| 19. |
- Ahmad, Jawad, 1985-, et al.
(författare)
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Screen Printed Piezoresistive Sensors for Monitoring Pressure Distribution in Wheelchair
- 2019
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Ingår i: IEEE Sensors Journal. - : IEEE. - 1530-437X .- 1558-1748. ; 19:6, s. 2055-2063
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Tidskriftsartikel (refereegranskat)abstract
- Prolonged sitting inadequacies cause pressure ulcer to many individuals, especially to disadvantaged with reduced mobility. The measurement of distributed pressure and detection of irregular sitting postures is essential for preventing the risk of developing pressure ulcer. In this paper, a pressure sensing system capable of recognizing sitting postures by means of measuring interface pressure through printed pressure sensors is presented. A thin and flexible large area sensor is screen-printed using silver flake and carbon particle inks and comprises 16 sensing elements. For the evaluation of practical usability, the sensor characterization is carried out by conducting stability, repeatability, drift and bending tests. The performance of the sensor is checked under varying environmental conditions. Sitting posture detection accuracy above 80 % is achieved using a classification algorithm for four different sitting postures. Pressure distribution is monitored at a scanning rate of 10 Hz. A low power and small form factor of read-out electronics enables a compact packaging inside the seat cushion. The presented sensor design targets smart wheelchairs, but it is extendable to much larger areas, for example to be used in beds. The proposed sensing system would be of a great assistance for caregivers and health professionals.
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| 20. |
- Ahmad, Jawad, 1985-, et al.
(författare)
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Sitting Posture Recognition using Screen Printed Large Area Pressure Sensors
- 2017
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Ingår i: Proceedings of IEEE Sensors. - : IEEE. - 9781509010127 ; , s. 232-234
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Konferensbidrag (refereegranskat)abstract
- In the biomedical sector, pressure sensors exhibit an important role towards monitoring and recognition of sitting posture for wheelchair users, which is helpful for pressure ulcer prevention and cure. In this paper, a flexible and inexpensive screen printed large area pressure sensing system is presented. The large area sensor comprise three layers, is able to cancel-out false pressure detection, and achieves a sitting classification accuracy over 80 percent. The sensor matrix contains 16 sensors distributed over an area of 23.5 cm × 21.5 cm and the pressure points are monitored at a scanning rate of 77 Hz. The sensor system provides wireless communication and a Windows based GUI is developed that allows real-time presentation of pressure data by means of a pressure map. The presented sensor design targets smart wheelchairs but is suitable for any low cost and high throughput pressure distribution monitoring systems.
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| 21. |
- Ahmad, Jawad, 1985-, et al.
(författare)
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Stretchable Pressure Sensor Using Thermoplastic Polyurethane and Conductive Inks
- 2021
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Ingår i: Proceedings of IEEE Sensors. - : IEEE. - 9781728195018
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Konferensbidrag (refereegranskat)abstract
- The development of wearable health devices is an emerging technology, and pressure sensors have been widely used in several of these applications. Plenty of research within pressure sensors is focused on tactile sensing and artificial skin. In this paper, a highly flexible and stretchable pressure sensor is presented. The sensor comprises stretchable thermoplastic polyurethane (TPU) film as substrate and stretchable conductive inks as electrodes and sensing material. Screen printing is used to fabricate electrodes and pressure sensing components on TPU sheets. Electrical and mechanical properties of the fabricated sensors indicate good mechanical and electrical stability while retaining pressure sensing properties and marginal deterioration even after 100 elongation cycles. The findings show that the presented stretchable pressure sensor has a great potential for usage on surfaces where bending and stretching will occur while retaining nearly all of its electrical and mechanical capabilities. The proposed sensor may be employed as a wearable device to detect human movements.
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| 22. |
- Ahmad, Sajjad, et al.
(författare)
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Novel mutations in genes of the IL-12/IFN-γ axis cause susceptibility to tuberculosis
- 2023
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Ingår i: Journal of Infection and Public Health. - : Elsevier. - 1876-0341 .- 1876-035X. ; 16:9, s. 1368-1378
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Tidskriftsartikel (refereegranskat)abstract
- Background: The IL-12/23/ISG15-IFN-γ pathway is the main immunological pathway for controlling intra-macrophagic microorganisms such as Mycobacteria, Salmonella, and Leishmania spp. Consequently, upon mutations in genes of the IL-12/23/ISG15-IFN-γ pathway cause increased susceptibility to intra-macrophagic pathogens, particularly to Mycobacteria. Therefore, the purpose of this study was to characterize the mutations in genes of the IL-12/23/ISG15-IFN-γ pathway in severe tuberculosis (TB) patients.Methods: Clinically suspected TB was initially confirmed in four patients (P) (P1, P2, P3, and P4) using the GeneXpert MTB/RIF and culturing techniques. The patients' Peripheral blood mononuclear cells (PBMCs) were then subjected to ELISA to measure Interleukin 12 (IL-12) and interferon gamma (IFN-γ). Flow cytometry was used to detect the surface expressions of IFN-γR1 and IFN-γR2 as well as IL-12Rβ1and IL-12Rβ2 on monocytes and T lymphocytes, respectively.The phosphorylation of signal transducer and activator of transcription 1(STAT1) on monocytes and STAT4 on T lymphocytes were also detected by flow cytometry. Sanger sequencing was used to identify mutations in the IL-12Rβ1, STAT1, NEMO, and CYBB genes.Results: P1's PBMCs exhibited reduced IFN-γ production, while P2's and P3's PBMCs exhibited impaired IL-12 induction. Low IL-12Rβ1 surface expression and reduced STAT4 phosphorylation were demonstrated by P1's T lymphocytes, while impaired STAT1 phosphorylation was detected in P2's monocytes. The impaired IκB-α degradation and abolished H2O2 production in monocytes and neutrophils of P3 and P4 were observed, respectively. Sanger sequencing revealed novel nonsense homozygous mutation: c.191 G>A/p.W64 * in exon 3 of the IL-12Rβ1 gene in P1, novel missense homozygous mutation: c.107 A>T/p.Q36L in exon 3 of the STAT1 gene in P2, missense hemizygous mutation:: c.950 A>C/p.Q317P in exon 8 of the NEMO gene in P3, and nonsense hemizygous mutation: c.868 C>T/p.R290X in exon 8 of CYBB gene in P4.Conclusion: Our findings broaden the clinical and genetic spectra associated with IL-12/23/ISG15-IFN-γ axis anomalies. Additionally, our data suggest that TB patients in Pakistan should be investigated for potential genetic defects due to high prevalence of parental consanguinity and increased incidence of TB in the country.
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| 23. |
- Iqbal, Muhammad, et al.
(författare)
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Symbol error rate minimization using deep learning approaches for short-reach optical communication networks
- 2024
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Ingår i: Frontiers in Physics. - : Frontiers Media S.A.. - 2296-424X. ; 12
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Tidskriftsartikel (refereegranskat)abstract
- Short-reach optical communication networks have various applications in areas where high-speed connectivity is needed, for example, inter- and intra-data center links, optical access networks, and indoor and in-building communication systems. Machine learning (ML) approaches provide a key solution for numerous challenging situations due to their robust decision-making, problem-solving, and pattern-recognition abilities. In this work, our focus is on utilizing deep learning models to minimize symbol error rates in short-reach optical communication setups. Various channel impairments, such as nonlinearity, chromatic dispersion (CD), and attenuation, are accurately modeled. Initially, we address the challenge of modeling a nonlinear channel. Consequently, we harness a deep learning model called autoencoders (AEs) to facilitate communication over nonlinear channels. Furthermore, we investigate how the inclusion of a nonlinear channel within an autoencoder influences the received constellation as the optical fiber length increases. Another facet of our work involves the deployment of a deep neural network-based receiver utilizing a channel influenced by chromatic dispersion. By gradually extending the optical length, we explore its impact on the received constellation and, consequently, the symbol error rate. Finally, we incorporate the split-step Fourier method (SSFM) to emulate the combined effects of nonlinearities, chromatic dispersion, and attenuation in the optical channel. This is accomplished through a neural network-based receiver. The outcome of this work is an evaluation and reduction of the symbol error rate as the length of the optical fiber is varied.
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| 24. |
- Li, Xiaotian, et al.
(författare)
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Flexible Circuits Based on Aluminum Conductor and Nonwoven Substrate
- 2019
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Ingår i: 2019 IEEE International Flexible Electronics Technology Conference, IFETC 2019. - : Institute of Electrical and Electronics Engineers Inc.. - 9781728117782
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Konferensbidrag (refereegranskat)abstract
- Electronic textiles, integrating functional electronics circuits into fabric materials, are emerging as an important branch of flexible circuits. In this paper, we introduce a novel material combination for electronic textiles that can be used in implementing hybrid electronics. This type of circuits is fabricated by laminating patterned aluminum foils onto a nonwoven substrate in a high-speed roll-to-roll method. An isotropic conductive adhesive and an anisotropic conductive adhesive are used to assemble standard surface mount device components onto the fabricated circuits. The surface mount techniques are characterized by means of contact resistance measurements, component bonding strength tests, circuit bending tests, and scanning electron microscopy. An NFC tag with relative humidity sensing functionality is fabricated to evaluate the fabricated circuits to an electronic system level.
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| 25. |
- Shah, Syed Aziz, et al.
(författare)
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Sensor Fusion for Identification of Freezing of Gait Episodes Using Wi-Fi and Radar Imaging
- 2020
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Ingår i: IEEE Sensors Journal. - : Institute of Electrical and Electronics Engineers (IEEE). - 1530-437X .- 1558-1748. ; 20:23, s. 14410-14422
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Tidskriftsartikel (refereegranskat)abstract
- Parkinsons disease (PD) is a progressive and neurodegenerative condition causing motor impairments. One of the major motor related impairments that present biggest challenge is freezing of gait (FOG) in Parkinsons patients. In FOG episode, the patient is unable to initiate, control or sustain a gait that consequently affects the Activities of Daily Livings (ADLs) and increases the occurrence of critical events such as falls. This paper presents continuous monitoring ADLs and classification freezing of gait episodes using Wi-Fi and radar imaging. The idea is to exploit the multi-resolution scalograms generated by channel state information (CSI) imprint and micro-Doppler signatures produced by reflected radar signal. A total of 120 volunteers took part in experimental campaign and were asked to perform different activities including walking fast, walking slow, voluntary stop, sitting down & stand up and freezing of gait. Two neural networks namely Autoencoder and a proposed enhanced Autoencoder were used classify ADLs and FOG episodes using data fusion process by combining the images acquired from both sensing techniques. The Autoencoder provided overall classification accuracy of similar to 87% for combined datasets. The proposed algorithm provided significantly better results by presenting an overall accuracy of similar to 98% using data fusion.
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| 26. |
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| 27. |
- Wang, Haidong, et al.
(författare)
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Estimates of global, regional, and national incidence, prevalence, and mortality of HIV, 1980-2015 : the Global Burden of Disease Study 2015.
- 2016
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Ingår i: The lancet. HIV. - : Elsevier. - 2352-3018. ; 3:8, s. e361-e387
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Timely assessment of the burden of HIV/AIDS is essential for policy setting and programme evaluation. In this report from the Global Burden of Disease Study 2015 (GBD 2015), we provide national estimates of levels and trends of HIV/AIDS incidence, prevalence, coverage of antiretroviral therapy (ART), and mortality for 195 countries and territories from 1980 to 2015.METHODS: For countries without high-quality vital registration data, we estimated prevalence and incidence with data from antenatal care clinics and population-based seroprevalence surveys, and with assumptions by age and sex on initial CD4 distribution at infection, CD4 progression rates (probability of progression from higher to lower CD4 cell-count category), on and off antiretroviral therapy (ART) mortality, and mortality from all other causes. Our estimation strategy links the GBD 2015 assessment of all-cause mortality and estimation of incidence and prevalence so that for each draw from the uncertainty distribution all assumptions used in each step are internally consistent. We estimated incidence, prevalence, and death with GBD versions of the Estimation and Projection Package (EPP) and Spectrum software originally developed by the Joint United Nations Programme on HIV/AIDS (UNAIDS). We used an open-source version of EPP and recoded Spectrum for speed, and used updated assumptions from systematic reviews of the literature and GBD demographic data. For countries with high-quality vital registration data, we developed the cohort incidence bias adjustment model to estimate HIV incidence and prevalence largely from the number of deaths caused by HIV recorded in cause-of-death statistics. We corrected these statistics for garbage coding and HIV misclassification.FINDINGS: Global HIV incidence reached its peak in 1997, at 3·3 million new infections (95% uncertainty interval [UI] 3·1-3·4 million). Annual incidence has stayed relatively constant at about 2·6 million per year (range 2·5-2·8 million) since 2005, after a period of fast decline between 1997 and 2005. The number of people living with HIV/AIDS has been steadily increasing and reached 38·8 million (95% UI 37·6-40·4 million) in 2015. At the same time, HIV/AIDS mortality has been declining at a steady pace, from a peak of 1·8 million deaths (95% UI 1·7-1·9 million) in 2005, to 1·2 million deaths (1·1-1·3 million) in 2015. We recorded substantial heterogeneity in the levels and trends of HIV/AIDS across countries. Although many countries have experienced decreases in HIV/AIDS mortality and in annual new infections, other countries have had slowdowns or increases in rates of change in annual new infections.INTERPRETATION: Scale-up of ART and prevention of mother-to-child transmission has been one of the great successes of global health in the past two decades. However, in the past decade, progress in reducing new infections has been slow, development assistance for health devoted to HIV has stagnated, and resources for health in low-income countries have grown slowly. Achievement of the new ambitious goals for HIV enshrined in Sustainable Development Goal 3 and the 90-90-90 UNAIDS targets will be challenging, and will need continued efforts from governments and international agencies in the next 15 years to end AIDS by 2030.
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| 28. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 29. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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