| 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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| 2. |
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| 3. |
- 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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| 4. |
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- 2019
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Tidskriftsartikel (refereegranskat)
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| 5. |
- Abd El-Wahed, Aida, et al.
(författare)
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Wasp Venom Biochemical Components and Their Potential in Biological Applications and Nanotechnological Interventions
- 2021
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Ingår i: Toxins. - : MDPI AG. - 2072-6651. ; 13:3
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Forskningsöversikt (refereegranskat)abstract
- Wasps, members of the order Hymenoptera, are distributed in different parts of the world, including Brazil, Thailand, Japan, Korea, and Argentina. The lifestyles of the wasps are solitary and social. Social wasps use venom as a defensive measure to protect their colonies, whereas solitary wasps use their venom to capture prey. Chemically, wasp venom possesses a wide variety of enzymes, proteins, peptides, volatile compounds, and bioactive constituents, which include phospholipase A2, antigen 5, mastoparan, and decoralin. The bioactive constituents have anticancer, antimicrobial, and anti-inflammatory effects. However, the limited quantities of wasp venom and the scarcity of advanced strategies for the synthesis of wasp venom’s bioactive compounds remain a challenge facing the effective usage of wasp venom. Solid-phase peptide synthesis is currently used to prepare wasp venom peptides and their analogs such as mastoparan, anoplin, decoralin, polybia-CP, and polydim-I. The goal of the current review is to highlight the medicinal value of the wasp venom compounds, as well as limitations and possibilities. Wasp venom could be a potential and novel natural source to develop innovative pharmaceuticals and new agents for drug discovery.
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| 6. |
- Tahir, Haroon Elrasheid, et al.
(författare)
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HPLC-DAD, GC-MS, UHPLC-Q-TOF/MS2, ICP-MS and FT-NIR combined with the chemometrics explain seasonal variation in Cassia senna L. leaves from the coast of Red Sea in Sudan
- 2023
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Ingår i: South African Journal of Botany. - : Elsevier. - 0254-6299 .- 1727-9321. ; 163, s. 20-29
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Tidskriftsartikel (refereegranskat)abstract
- Crops reveal considerable capability to regulate their phytochemicals and trace element contents to seasonal changes in temperature and rainfalls. In this study, we have measured the secondary metabolites, volatiles, and trace elements of Cassia senna L leaves collected from the Red Sea State, Sudan during winter 2018, summer 2019, and autumn 2020. Chemical profiles were evaluated by High-performance liquid chromatography with diode-array detection (HPLC-DAD), Ultra-high performance liquid chromatography (UHPLC); Inductively coupled plasma mass spectrometry(ICP-MS), Gas chromatography-mass spectrometry (GC-MS), Fourier-transform near-infrared spectroscopy (FT-NIR). 46 metabolites, 33 volatile compounds, and 13 elements were reported. The findings suggested significant seasonal variations in sennoside (A-B) compounds, which were reported to have positive health effects. In this study, aloesin was identified for the first time in senna leaves. Analysis of seasonal variations was obtained by principal component analysis and orthogonal partial least squares discriminant model. Additionally, chemical markers for each harvest season were reported. Overall, the number of metabolites and volatiles identified as a function of the season was autumn > summer> winter. Our results have enhanced the knowledge of the selection of harvesting time, with the best characteristics for the intended therapeutic application.(c) 2023 SAAB. Published by Elsevier B.V. All rights reserved.
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| 7. |
- 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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| 8. |
- Ahmed, Saad, et al.
(författare)
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Intermittent Computing with Dynamic Voltage and Frequency Scaling
- 2020
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Ingår i: EWSN '20. ; , s. 97-107
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Konferensbidrag (refereegranskat)abstract
- We present D2VFS, a run-time technique to intelligently regulate supply voltage and accordingly reconfigure clock frequency of intermittently-computing devices. These devices rely on energy harvesting to power their operation and on small capacitors as energy buffer. Statically setting their clock frequency fails to achieve energy efficiency, as the setting remains oblivious of fluctuations in capacitor voltage and of their impact on a microcontroller operating range. In contrast, D2VFS captures these dynamics and places the microcontroller in the most efficient configuration by regulating the microcontroller supply voltage and changing its clock frequency. Our evaluation shows that D2VFS markedly increases energy efficiency; for example, ultimately enabling a 30-300% reduction of workload completion times.
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| 9. |
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| 10. |
- El-Seedi, Hesham, et al.
(författare)
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Chemistry and the Potential Antiviral, Anticancer, and Anti-Inflammatory Activities of Cardiotonic Steroids Derived from Toads
- 2022
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Ingår i: Molecules. - : MDPI AG. - 1431-5157 .- 1420-3049. ; 27:19
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Forskningsöversikt (refereegranskat)abstract
- Cardiotonic steroids (CTS) were first documented by ancient Egyptians more than 3000 years ago. Cardiotonic steroids are a group of steroid hormones that circulate in the blood of amphibians and toads and can also be extracted from natural products such as plants, herbs, and marines. It is well known that cardiotonic steroids reveal effects against congestive heart failure and atrial fibrillation; therefore, the term cardiotonic has been coined. Cardiotonic steroids are divided into two distinct groups: cardenolides (plant-derived) and bufadienolides (mainly of animal origin). Cardenolides have an unsaturated five-membered lactone ring attached to the steroid nucleus at position 17; bufadienolides have a doubly unsaturated six-membered lactone ring. Cancer is a leading cause of mortality in humans all over the world. In 2040, the global cancer load is expected to be 28.4 million cases, which would be a 47% increase from 2020. Moreover, viruses and inflammations also have a very nebative impact on human health and lead to mortality. In the current review, we focus on the chemistry, antiviral and anti-cancer activities of cardiotonic steroids from the naturally derived (toads) venom to combat these chronic devastating health problems. The databases of different research engines (Google Scholar, PubMed, Science Direct, and Sci-Finder) were screened using different combinations of the following terms: cardiotonic steroids, anti-inflammatory, antiviral, anticancer, toad venom, bufadienolides, and poison chemical composition. Various cardiotonic steroids were isolated from diverse toad species and exhibited superior anti-inflammatory, anticancer, and antiviral activities in in vivo and in vitro models such as marinobufagenin, gammabufotalin, resibufogenin, and bufalin. These steroids are especially difficult to identify. However, several compounds and their bioactivities were identified by using different molecular and biotechnological techniques. Biotechnology is a new tool to fully or partially generate upscaled quantities of natural products, which are otherwise only available at trace amounts in organisms.
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| 11. |
- El-Seedi, Hesham, et al.
(författare)
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Honey Bee Products : Preclinical and Clinical Studies of Their Anti-inflammatory and Immunomodulatory Properties
- 2022
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Ingår i: Frontiers in Nutrition. - : Frontiers Media SA. - 2296-861X. ; 8
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Forskningsöversikt (refereegranskat)abstract
- Inflammation is a defense process triggered when the body faces assaults from pathogens, toxic substances, microbial infections, or when tissue is damaged. Immune and inflammatory disorders are common pathogenic pathways that lead to the progress of various chronic diseases, such as cancer and diabetes. The overproduction of cytokines, such as interleukin (IL)-1 beta, IL-6, and tumor necrosis factor-alpha, is an essential parameter in the clinical diagnosis of auto-inflammatory diseases. In this review, the effects of bee products have on inflammatory and autoimmune diseases are discussed with respect to the current literature. The databases of Google Scholar, PubMed, Science Direct, Sci-Finder and clinical trials were screened using different combinations of the following terms: immunomodulatory, anti-inflammatory, bee products, honey, propolis, royal jelly, bee venom, bee pollen, bee bread, preclinical trials, clinical trials, and safety. Honey bee products, including propolis, royal jelly, honey, bee venom, and bee pollen, or their bioactive chemical constituents like polyphenols, demonstrate interesting therapeutic potential in the regulation of inflammatory mediator production as per the increase of TNF-alpha, IL-1 beta, IL-6, Il-2, and Il-7, and the decrease of reactive oxygen species (ROS) production. Additionally, improvement in the immune response via activation of B and T lymphocyte cells, both in in vitro, in vivo and in clinical studies was reported. Thus, the biological properties of bee products as anti-inflammatory, immune protective, antioxidant, anti-apoptotic, and antimicrobial agents have prompted further clinical investigation.
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| 12. |
- Haroon-Sulyman, Shakirat Oluwatosin, et al.
(författare)
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Systematic Literature Review and Bibliometric Analysis on Addressing the Vanishing Gradient Issue in Deep Neural Networks for Text Data
- 2024
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Ingår i: Computing and Informatics. - : Springer Nature. - 9789819995882 - 9789819995899 ; , s. 168-181
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Konferensbidrag (refereegranskat)abstract
- The feature to learn complex text representations enabled by Deep Neural Networks (DNNs) has revolutionized Natural Language Processing and several other fields. However, DNNs have not developed beyond all challenges. For instance, the vanishing gradient problem remains a major challenge. This challenge hinders the ability of the system to capture long-term dependencies in text data. This challenge limits the ability to understand context, implied meanings, semantics, and to represent intricate patterns in text. This study aims to address the prevalent vanishing gradient problem encountered in DNNs when dealing with text data. Text data’s inherent sparsity and heterogeneity exacerbate this issue, increasing computational complexities and processing time. To tackle this problem comprehensively, we will explore existing literature and conduct a bibliometric analysis to identify potential solutions. The findings will contribute to a comprehensive review of the existing literature and suggest effective strategies for mitigating the vanishing gradient problem in the context of NLP tasks. Ultimately, our study will pave the way for further advancements in this area of research.
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| 13. |
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| 14. |
- Mantzourani, Efi, et al.
(författare)
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A pharmacy-led sore throat test and treat (STTT) service: antigen testing and antibiotic supply rates during the period of heightened public awareness of Group A Streptococcus infections.
- 2024
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Ingår i: The Journal of antimicrobial chemotherapy. - 1460-2091. ; 79:2, s. 354-359
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Tidskriftsartikel (refereegranskat)abstract
- Community pharmacies in Wales delivered an NHS-funded sore throat test and treat (STTT) service during the period of increased invasive Group A Streptococcus (iGAS) incidents in winter 2022-23. Service users were screened using FeverPAIN/CENTOR scores, offered GAS rapid antigen detection tests (RADT) if appropriate, and antibiotics if indicated.To evaluate the service's response to a substantial rise in sore throat presentations during a period of heightened public anxiety.Cross-sectional study with anonymized individual-level data from electronic pharmacy records of all eligible STTT service users, between January 2022 and March 2023.Antibiotics were supplied to 24% (95% CI: 23-24) of people who used the STTT service and 31% (95% CI: 31-32) of those who met the threshold for an RADT. Of 27441 STTT consultations, 9308 (33.9%) occurred during December 2022. In the week commencing 2 December 2022, following the announcements of increased iGAS incidents, we observed a statistically significant increase of 1700 consultations (95% CI: 924-2476) and a statistically significant decrease in supply rate of 13.9 antibiotics per 100 RADT (95% CI: -18.40 to -9.40). Antibiotic supply rates increased thereafter to those observed before the announcements of iGAS incidents. Referral rates to other primary care or emergency settings remained below 10% throughout the study period.Our findings suggest that, despite a dramatic increase in sore throat consultation rates in response to media reports, the pre-specified pathway followed by pharmacists ensured appropriate use of antibiotics, and absorbed a substantial workload that would otherwise end up in other healthcare settings.
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| 15. |
- Mushtaq, Aqsa, et al.
(författare)
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Tick-borne Diseases in Sheep and Goats in Pakistan : A Systematic Review and Meta-analysis
- 2021
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Ingår i: Acta Parasitologica. - : Springer. - 1230-2821 .- 1896-1851. ; 66, s. 1316-1325
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundTicks are blood-sucking ectoparasites and transmit various types of protozoal, bacterial, and viral diseases in a wild as well as domestic animals and humans globally. Only a few published reports are avaliable on the prevalence of tick-borne diseases in sheep and goats in Pakistan.Aim and objectiveThe aim of this systematic review and meta-analysis was to evaluate the prevalence (2000-2020) of tick-borne disease (theileriosis, babesiosis, Crimean-Congo hemorrhagic fever infection, and anaplasmosis) in sheep and goats in Pakistan.MethodsA systematic review of articles published in English language (since 2000-2020) was conducted using PubMed and Google Scholar. Diagnostic methods used in the original reference articles were PCR, PCR-RLB, microscopy, and ELISA.ResultsThe overall prevalence of theileriosis, babesiosis, anaplasmosis, and Crimean-Congo hemorrhagic fever (CCHF) infections was 15.40%, 21.18%, 26.78%, and 11.62%, respectively. The prevalence of anaplasmosis was 22.06% (90/408) in sheep, 21.11% (76/360) in goats, and 40% (120/300) in both sheep and goats with substantial differences (P < 0.001). The prevalence of babesiosis among sheep was 29.88% (104/348) with highly significant differences (P < 0.001), in goats was 29.88% (25/60) with slightly significant differences (P < 0.031%), and in both sheep and goats were 7% (21/300) with highly significant differences (P < 0.001) according to subgroup analysis. The percentage of prevalence of theileriosis was 17.70% (207/1169) in sheep with highly substantial differences (P < 0.001), 4.51% (31/687) in goats with significant differences (P < 0.133), and 25% (125/500) in both sheep and goats with a significant difference among them (P < 0.001). The prevalence of CCHF among sheep was 18.63% (149/800) and 4.63% (37/800) in goats, respectively. The widely used detection method was microscopy (45.56%) followed by ELISA (38.38%), PCR (12.56%), and PCR-RLB (3.48%) test, respectively. This is a comprehensive report on the status of tick-borne disease in sheep and goats in Pakistan.ConclusionBased on our results, among tick-borne diseases anaplasmosis had the highest prevalence rate in sheep and goats. Due to its high prevalence, control measures should be taken to diagnose and prevent it.
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