| 1. |
- Ademuyiwa, Adesoji O., et al.
(author)
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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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In: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Journal article (peer-reviewed)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. |
- Murray, Christopher J. L., et al.
(author)
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Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017
- 2018
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In: The Lancet. - 1474-547X .- 0140-6736. ; 392:10159, s. 1995-2051
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Journal article (peer-reviewed)abstract
- Background: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49·4% (95% uncertainty interval [UI] 46·4–52·0). The TFR decreased from 4·7 livebirths (4·5–4·9) to 2·4 livebirths (2·2–2·5), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83·8 million people per year since 1985. The global population increased by 197·2% (193·3–200·8) since 1950, from 2·6 billion (2·5–2·6) to 7·6 billion (7·4–7·9) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2·0%; this rate then remained nearly constant until 1970 and then decreased to 1·1% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2·5% in 1963 to 0·7% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2·7%. The global average age increased from 26·6 years in 1950 to 32·1 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59·9% to 65·3%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1·0 livebirths (95% UI 0·9–1·2) in Cyprus to a high of 7·1 livebirths (6·8–7·4) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0·08 livebirths (0·07–0·09) in South Korea to 2·4 livebirths (2·2–2·6) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0·3 livebirths (0·3–0·4) in Puerto Rico to a high of 3·1 livebirths (3·0–3·2) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2·0% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress. Funding: Bill & Melinda Gates Foundation.
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| 3. |
- Feigin, Valery L., et al.
(author)
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Global, regional, and national burden of stroke and its risk factors, 1990-2019 : a systematic analysis for the Global Burden of Disease Study 2019
- 2021
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In: Lancet Neurology. - : Elsevier. - 1474-4422 .- 1474-4465. ; 20:10, s. 795-820
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Journal article (peer-reviewed)abstract
- Background Regularly updated data on stroke and its pathological types, including data on their incidence, prevalence, mortality, disability, risk factors, and epidemiological trends, are important for evidence-based stroke care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) aims to provide a standardised and comprehensive measurement of these metrics at global, regional, and national levels. Methods We applied GBD 2019 analytical tools to calculate stroke incidence, prevalence, mortality, disability-adjusted life-years (DALYs), and the population attributable fraction (PAF) of DALYs (with corresponding 95% uncertainty intervals [UIs]) associated with 19 risk factors, for 204 countries and territories from 1990 to 2019. These estimates were provided for ischaemic stroke, intracerebral haemorrhage, subarachnoid haemorrhage, and all strokes combined, and stratified by sex, age group, and World Bank country income level. Findings In 2019, there were 12.2 million (95% UI 11.0-13.6) incident cases of stroke, 101 million (93.2-111) prevalent cases of stroke, 143 million (133-153) DALYs due to stroke, and 6.55 million (6.00-7.02) deaths from stroke. Globally, stroke remained the second-leading cause of death (11.6% [10.8-12.2] of total deaths) and the third-leading cause of death and disability combined (5.7% [5.1-6.2] of total DALYs) in 2019. From 1990 to 2019, the absolute number of incident strokes increased by 70.0% (67.0-73.0), prevalent strokes increased by 85.0% (83.0-88.0), deaths from stroke increased by 43.0% (31.0-55.0), and DALYs due to stroke increased by 32.0% (22.0-42.0). During the same period, age-standardised rates of stroke incidence decreased by 17.0% (15.0-18.0), mortality decreased by 36.0% (31.0-42.0), prevalence decreased by 6.0% (5.0-7.0), and DALYs decreased by 36.0% (31.0-42.0). However, among people younger than 70 years, prevalence rates increased by 22.0% (21.0-24.0) and incidence rates increased by 15.0% (12.0-18.0). In 2019, the age-standardised stroke-related mortality rate was 3.6 (3.5-3.8) times higher in the World Bank low-income group than in the World Bank high-income group, and the age-standardised stroke-related DALY rate was 3.7 (3.5-3.9) times higher in the low-income group than the high-income group. Ischaemic stroke constituted 62.4% of all incident strokes in 2019 (7.63 million [6.57-8.96]), while intracerebral haemorrhage constituted 27.9% (3.41 million [2.97-3.91]) and subarachnoid haemorrhage constituted 9.7% (1.18 million [1.01-1.39]). In 2019, the five leading risk factors for stroke were high systolic blood pressure (contributing to 79.6 million [67.7-90.8] DALYs or 55.5% [48.2-62.0] of total stroke DALYs), high body-mass index (34.9 million [22.3-48.6] DALYs or 24.3% [15.7-33.2]), high fasting plasma glucose (28.9 million [19.8-41.5] DALYs or 20.2% [13.8-29.1]), ambient particulate matter pollution (28.7 million [23.4-33.4] DALYs or 20.1% [16.6-23.0]), and smoking (25.3 million [22.6-28.2] DALYs or 17.6% [16.4-19.0]). Interpretation The annual number of strokes and deaths due to stroke increased substantially from 1990 to 2019, despite substantial reductions in age-standardised rates, particularly among people older than 70 years. The highest age-standardised stroke-related mortality and DALY rates were in the World Bank low-income group. The fastest-growing risk factor for stroke between 1990 and 2019 was high body-mass index. Without urgent implementation of effective primary prevention strategies, the stroke burden will probably continue to grow across the world, particularly in low-income countries.
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| 4. |
- Fajar, Jonny Karunia, et al.
(author)
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Global Prevalence and Potential Influencing Factors of COVID-19 Vaccination Hesitancy : A Meta-Analysis
- 2022
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In: Vaccines. - : MDPI AG. - 2076-393X. ; 10:8
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Research review (peer-reviewed)abstract
- Countries worldwide have deployed mass COVID-19 vaccination drives, but there are people who are hesitant to receive the vaccine. Studies assessing the factors associated with COVID-19 vaccination hesitancy are inconclusive. This study aimed to assess the global prevalence of COVID-19 vaccination hesitancy and determine the potential factors associated with such hesitancy. We performed an organized search for relevant articles in PubMed, Scopus, and Web of Science. Extraction of the required information was performed for each study. A single-arm meta-analysis was performed to determine the global prevalence of COVID-19 vaccination hesitancy; the potential factors related to vaccine hesitancy were analyzed using a Z-test. A total of 56 articles were included in our analysis. We found that the global prevalence of COVID-19 vaccination hesitancy was 25%. Being a woman, being a 50-year-old or younger, being single, being unemployed, living in a household with five or more individuals, having an educational attainment lower than an undergraduate degree, having a non-healthcare-related job and considering COVID-19 vaccines to be unsafe were associated with a higher risk of vaccination hesitancy. In contrast, living with children at home, maintaining physical distancing norms, having ever tested for COVID-19, and having a history of influenza vaccination in the past few years were associated with a lower risk of hesitancy to COVID-19 vaccination. Our study provides valuable information on COVID-19 vaccination hesitancy, and we recommend special interventions in the sub-populations with increased risk to reduce COVID-19 vaccine hesitancy.
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| 5. |
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| 6. |
- Abid, Nosheen, 1993-, et al.
(author)
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Burnt Forest Estimation from Sentinel-2 Imagery of Australia using Unsupervised Deep Learning
- 2021
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In: Proceedings of the Digital Image Computing: Technqiues and Applications (DICTA). - : IEEE. ; , s. 74-81
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Conference paper (peer-reviewed)abstract
- Massive wildfires not only in Australia, but also worldwide are burning millions of hectares of forests and green land affecting the social, ecological, and economical situation. Widely used indices-based threshold methods like Normalized Burned Ratio (NBR) require a huge amount of data preprocessing and are specific to the data capturing source. State-of-the-art deep learning models, on the other hand, are supervised and require domain experts knowledge for labeling the data in huge quantity. These limitations make the existing models difficult to be adaptable to new variations in the data and capturing sources. In this work, we have proposed an unsupervised deep learning based architecture to map the burnt regions of forests by learning features progressively. The model considers small patches of satellite imagery and classifies them into burnt and not burnt. These small patches are concatenated into binary masks to segment out the burnt region of the forests. The proposed system is composed of two modules: 1) a state-of-the-art deep learning architecture for feature extraction and 2) a clustering algorithm for the generation of pseudo labels to train the deep learning architecture. The proposed method is capable of learning the features progressively in an unsupervised fashion from the data with pseudo labels, reducing the exhausting efforts of data labeling that requires expert knowledge. We have used the realtime data of Sentinel-2 for training the model and mapping the burnt regions. The obtained F1-Score of 0.87 demonstrates the effectiveness of the proposed model.
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| 7. |
- Asim, Muhammad Nabeel, et al.
(author)
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EL-RMLocNet : An explainable LSTM network for RNA-associated multi-compartment localization prediction
- 2022
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In: Computational and Structural Biotechnology Journal. - : Elsevier. - 2001-0370. ; 20, s. 3986-4002
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Journal article (peer-reviewed)abstract
- Subcellular localization of Ribonucleic Acid (RNA) molecules provide significant insights into the functionality of RNAs and helps to explore their association with various diseases. Predominantly developed single-compartment localization predictors (SCLPs) lack to demystify RNA association with diverse biochemical and pathological processes mainly happen through RNA co-localization in multiple compartments. Limited multi-compartment localization predictors (MCLPs) manage to produce decent performance only for target RNA class of particular sub-type. Further, existing computational approaches have limited practical significance and potential to optimize therapeutics due to the poor degree of model explainability. The paper in hand presents an explainable Long Short-Term Memory (LSTM) network “EL-RMLocNet”, predictive performance and interpretability of which are optimized using a novel GeneticSeq2Vec statistical representation learning scheme and attention mechanism for accurate multi-compartment localization prediction of different RNAs solely using raw RNA sequences. GeneticSeq2Vec generates optimized statistical vectors of raw RNA sequences by capturing short and long range relations of nucleotide k-mers. Using sequence vectors generated by GeneticSeq2Vec scheme, Long Short Term Memory layers extract most informative features, weighting of which on the basis of discriminative potential for accurate multi-compartment localization prediction is performed using attention layer. Through reverse engineering, weights of statistical feature space are mapped to nucleotide k-mers patterns to make multi-compartment localization prediction decision making transparent and explainable for different RNA classes and species. Empirical evaluation indicates that EL-RMLocNet outperforms state-of-the-art predictor for subcellular localization prediction of 4 different RNA classes by an average accuracy figure of 8% for Homo Sapiens species and 6% for Mus Musculus species. EL-RMLocNet is freely available as a web server at (https://sds_genetic_analysis.opendfki.de/subcellular_loc/).
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| 8. |
- Aïssa, B., et al.
(author)
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Influence of single-walled carbon nanotubes induced exciton dissociation improvement on hybrid organic photovoltaic devices
- 2019
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In: Journal of Applied Physics. - : AIP Publishing. - 0021-8979 .- 1089-7550. ; 126:11
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Journal article (peer-reviewed)abstract
- Torch-plasma-grown single-walled carbon nanotubes (SWCNTs) are integrated with regioregular poly(3-hexylthiophene) (P3HT) and a fullerene derivative 1-(3-methoxycarbonyl) propyl-1-phenyl[6,6]C61 (PCBM) as a hybrid photoactive layer for bulk heterojunction solar cell devices. We demonstrate that molecular information could be accurately obtained by time-of-flight secondary ion mass spectrometry throughout the hybrid organic photoactive solar cell layers when sputtering is performed using a Cs+ 2000 eV ion source. Furthermore, the photovoltaic (PV) performance of the fabricated devices show an increase in the short-circuit current density (Jsc) and the fill factor (FF) as compared to the pristine devices fabricated without SWCNTs. The best results are obtained with 0.5 wt. % SWCNT loads, where an open-circuit voltage (VOC) of 660 mV is achieved, with a Jsc of 9.95 mA cm-2 and a FF of 54%, leading to a power conversion efficiency of 3.54% (measured at standard test conditions, AM1.5 g). At this optimum SWCNT concentration of 0.5 wt. %, and to further understand the charge-transfer mechanisms taking place at the interfaces of P3HT:PCBM:SWCNT, Jsc is measured with respect to the light intensity and shows a linear dependency (in the double logarithmic scale), which implies that losses in the charge carrier are rather governed by monomolecular recombination. Finally, our results show that our hybrid devices benefit from the fullerene electron accepting nature and from the SWCNT fast electron transportation feature that improve substantially the exciton dissociation efficiency. The influence of the SWCNTs on the Fermi level and the work function of the photoactive composite and its impact on the PV performance is also investigated.
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| 9. |
- Azeem, Muhammad, et al.
(author)
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Combined Economic Emission Dispatch in Presence of Renewable Energy Resources Using CISSA in a Smart Grid Environment
- 2023
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In: Electronics. - : MDPI. - 2079-9292. ; 12:3
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Journal article (peer-reviewed)abstract
- The geographically spatial and controlled distribution of fossil fuel resources, catastrophic global warming, and depletion of fossil fuel resources have forced us to integrate zero- or low-emissions energy resources, such as wind and solar, in the generation mix. These renewable energy resources are unexhausted, available around the globe, and free of cost. The advancement in wind and solar technologies has caused an appreciable decrease in installed the and global levelized costs of electricity via these sources. Therefore, the penetration of renewable energy resources in the generation mix can provide a promising solution to the above-mentioned problems. The aim of simultaneously reducing fuel consumption in terms of “Fuel Cost” and “Emission” in thermal power plants is called a combined economic emission dispatch problem. It is a combinatorial and multi-objective optimization problem. The solution of this problem is to allocate the load demand and losses on the committed units in such way that the overall costs of the generation and emission of thermal units are reduced, while the legal bounds (constraints) are met. It is a highly non-linear and complex optimization problem. The valve-point loading effect makes this problem non-convex. The addition of renewable energy resources (RERs) adds more complexities to this problem because they are intermittent. In this work, chaotic salp swarm algorithms (CISSA) are used to solve the combined economic emission dispatch problem. Chaos is used as an alternative to randomization for the tuning of the control variable to improve the trait of obtaining global extrema. Different test cases having different combinations of thermal, solar, and wind units are solved using the proposed algorithm. The results show the superiority of this study in comparison to the existent research results in terms of the cost of generation and emissions.
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| 10. |
- Sabri, Muhammad Haziq Mohammad, et al.
(author)
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Very High Frequency and Microwave Radiation Associated with Initial Breakdown Process in CG Lightning Flashes from Tropical Storms
- 2021
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In: 2021 35TH INTERNATIONAL CONFERENCE ON LIGHTNING PROTECTION (ICLP) AND XVI INTERNATIONAL SYMPOSIUM ON LIGHTNING PROTECTION (SIPDA). - : Institute of Electrical and Electronics Engineers (IEEE). - 9781665423465
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Conference paper (peer-reviewed)abstract
- We present the observation of VHF and microwave radiation pulses associated with initial breakdown process of five negative cloud-to-ground (-CG) flashes from two tropical storms. The -CG flashes were detected within and beyond reversal distances with the locations of the first return stroke were less than 10 km. Out of five flashes, only one detected with initial electric field change (IEC) process. Both VHF and microwave pulses were detected before the first classic IB pulse and the first microwave pulses were found to lead the first VHF pulses ranging between 0.03 and 23.9 mu s.
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