Latent class analysis of the capacity of countries to manage diabetes and its relationship with diabetes-related deaths and healthcare costs

Background The prevalence of diabetes is escalating globally, underscoring the need for comprehensive evidence to inform health systems in effectively addressing this epidemic. The purpose of this study was to examine the patterns of countries’ capacity to manage diabetes using latent class analysis (LCA) and to determine whether the patterns are associated with diabetes-related deaths and healthcare costs. Methods Eight indicators of country-level capacity were drawn from the World Health Organization Global Health Observatory dataset: the widespread availability of hemoglobin A1C (HbA1c) testing, existence of diabetes registry, national diabetes management guidelines, national strategy for diabetes care, blood glucose testing, diabetic retinopathy screening, sulfonylureas, and metformin in the public health sector. We performed LCA of these indicators, testing 1–5 class solutions, and selecting the best model based on Bayesian Information Criteria (BIC), entropy, corrected Akaike Information Criteria (cAIC), as well as theoretical interpretability. Multivariable linear regression was used to assess the association between capacity to manage diabetes (based on the latent class a country belongs) and diabetes-related deaths and healthcare costs. Results We included 194 countries in this secondary analysis. Countries were classified into “high capacity” (88.7%) and “limited capacity” (11.3%) countries based on the two-class solution of the LCA (entropy = 0.91, cAIC = 1895.93, BIC = 1862.93). Limited capacity countries were mostly in Africa. Limited capacity countries had significantly higher percentage of their deaths attributable to diabetes (adjusted beta = 1.34; 95% CI: 0.15, 2.53; p = 0.027) compared to high capacity countries even after adjusting for income status and diabetes prevalence. Conclusions Our findings support the report by the Lancet commission on diabetes, which suggests that differences in diabetes outcomes among countries may be explained by variations in the capacity of and investments made in their health systems. Future studies should evaluate initiatives such as the WHO Global Diabetes Compact that are currently underway to improve the capacity of resource-limited countries.

Emmanuel Ekpor Emmanuel ekpor

Efficacy of strobilurin group fungicides against turcicum leaf blight and polysora rust in maize hybrids

Turcicum leaf blight (TLB) and Polysora rust diseases are taking heavy shiver in all maize growing regions of Karnataka. Several new fungicides are used to control the diseases, among them strobilurin group fungicides in combination with triazolefungicides are found effective in management of diseases. A mixture of Trifloxystrobin 50 WG + Tebuconazole 250 EC and mixture of Azoxystrobin 25 SC + Difenoconazole 25 EC were used in this study to manage the TLB and Polysora rust. The two combination fungicides were evaluated in different days against TLB and Polysora rust on two susceptible varieties namely 219J and CM 202. Results revealed that mixture of Trifloxystrobin 50 WG + Tebuconazole 250 EC @ 0.7 g/lit and mixture of Azoxystrobin 25 SC + Difenoconazole 25 EC @ 2.5 ml/litwere found effective in the management of TLB (15.0 % and 11.0 % respectively) and mixture of Trifloxystrobin 50 WG + Tebuconazole 250 EC @ 0.7 g/lit were found effective in controlling Polysora rust (13.2 %). Allied to yield, more significant increase in yield was recorded in treatment Trifloxystrobin 50 WG + Tebuconazole 250 EC @ 0.7 g/lit (5131.1kgs/ha). While, mixtures of Azoxystrobin 25 SC + Difenoconazole 25 EC @ 2.5 ml/lit recorded yield of 5913.0 kgs/ha, this was significantly superior with respect to disease control and yield aspects.

Veerabhadraswamy AL Veerabhadraswamy al

State-focused roadmap to india's “vision 2030

Over the previous many years, India has taken a few While India has done well in guaranteeing access steps to accomplish its objectives towards universalization and universalisation of pre-essential, essential and of instruction. Past training changes, supported by auxiliary schooling, it is falling behind in numerous focal and state government plans and approaches, boundaries, for example, nature of instructing learning have helped in advancing access and value results, enrolments in advanced education and the and inch nearer to the predefined 2030 targets. Nature of abilities granted to its childhood. While free intercessions in the space of financing, development and innovation have been seen before, a durable methodology embracing each of the three switches are, numerous a period, missing in framework wide mediations. This paper examines key arrangements across these three switches that hold critical guarantee for India and gives proposals to states and different entertainers to accomplish 2030goals by utilizing these arrangements in a brought together way.

Dr Gedam Kamalakar Dr gedam kamalakar

A collective review of the synthetic approaches disclosed in prior patents to synthesize the renowned drug, lamotrigine

In this review work, we have extracted the essential details from prior patents about the synthesis of popular drug Lamotrigine. This initiative will provide a platform for the global researchers to invent new or innovate over the existing synthetic routes to isolate Lamotrigine with good yield and purity. The details of patents were sourced from “Google patents” search tool and the process specific details were elaborated with reaction schemes. In this context, twenty-four reactions schemes were tabulated for the better understanding of the disclosed ventures. The entire chronological exfoliation of details on the synthesis of Lamotrigine provides a clear evolutional vision of its synthetic flourish towards drug commercialization.

Mediterranean Journal of Pharmacy and Pharmaceutical Sciences Mediterranean journal of pharmacy and pharmaceutical sciences

[pdf] from imist.ma modeling of some cyclic peroxy ketals for their antimalarial activities

In this work a set of some cyclic peroxy ketals were tested for their antimalarial activities. Quantitative structure activity relationship (QSAR) analysis was applied to 20 organic compounds of the above mentioned derivatives using Physicochemical, informational and 2D-autocorelation parameters and modeled their antimalarial activity (logIC 50) values. The multiple regression analysis clearly indicates that 5 BIC, 1 IC, MATS4v and ST parameters yielded the best model having R 2 value of 0.9515. The predictive powers of the models were explained using LOO (Leave-One-Out) Cross validation procedure. The results are also discussed on the basis of ridge regression.

Dr. Shweta Sharma Dr. shweta sharma

Automated result management system for students results processing

This study was carried out to verify all the manual process involved in generating Students Examination Result and to seek a way of automating the system for effective operations. Computer and its appreciations have become vital tools in the economic, industrial and social development of advanced countries of the world. Most educational institutions in Nigeria, such as Universities, Polytechnics and Colleges of Education still operate on the manual method of record keeping and computation of students’ grade point averages (GPA) which is time-consuming and error-prone especially when the number of students is large. This paper examines the inadequacies involved in the manual method of calculating Students CGPA (cumulative grade point average) and proposes a solution by developing a software application to facilitate the automated processing of the results. The software was developed using the Microsoft Excel spreadsheet program. The developed software was tested and found to performed well and produced expected results on completion. With it, it was possible to compute Grade Point Average (GPA) and Cumulative Grade Point Average (CGPA) for each student based on examination scores entered. The new system has some qualities such as reduction in the cost of processing of information, reduction in time spent in computing GPA and generating transcripts, increase in accuracy and efficiency, and elimination of duplication of effort which makes it superior to the manual system of student record keeping. This new system is flexible and can be modified to suit any kind of student’s record-keeping and data processing.

Ogala Justin onyarin Ogala justin onyarin

Synthesis of pyrazole compounds by using sonication method

A simple method for the synthesis of pyrazoles derivatives carried out by cyclization of cyanide with hydrazine hydrate by using sonication method. All the prepared compounds were characterized by 1H,13C NMR and IR Spectroscopy.

Dr.Prashant Kumdale Dr.prashant kumdale

Recent approches of" impurity profiling" in pharmaceutical analysis: a review

Impurity is something that is impure or makes something else impure. An impure substance may be defined as follows: a substance of interest mixed or impregnated with an extraneous or usually inferior substance, from the standpoint of its usage, the drug substance is compromised in terms of purity even if it contains another material with superior pharmacological or toxicological properties. The impurity may be developed either during formulation, or upon aging of both API’s and formulated API’s in medicines. The presence of these unwanted chemicals, even in small amount, may influence the efficacy and safety of the pharmaceutical products. The impurities are not necessarily always inferior. Highly sophisticated instrumentation, such as mass spectra meters attached to a Gas Chromatography or HPLC, are inevitable tools in the identification of minor components (drugs, impurities, degradation products, metabolites) in various matrices. Present article reveals different impurities found in the API’s, methods for identifying them and the possible measures to deal with the interferences caused by them in pharmaceutical analysis.

Prasanna Pradhan Prasanna pradhan

Primary hydatid cyst of the small intestine masquerading as intestinalhydatid cyst

Hydatid disease or hydatidosis is a worldwide zoonosis disease caused by the tapeworm of Echinococcus granulosus and still widely endemic in Tunisia especially in rural areas where the sheep-dog cycle is dominant. It is an important public health problem in the pediatric age group causing significant morbidity and mortality. We report a case of primary hydatid cyst of the small intestine in a child and we want to highlight the difficulty that we meet in the diagnosis despite the contribution of imaging.

Sameh Sameh

Screening of salt tolerant and growth promotion efficacy of phosphate solubilizing bacteria.

An attempt was made for screening of salt tolerant against sodium chloride (NaCl) salt and growth promotion efficacy of eight different phosphate solubilizing bacterial (PSB) isolates under in vitro conditions. An efficient isolate which exhibited maximum phosphate solubilization, salt tolerant, Indole-3-Acetic Acid (IAA) production and root colonization potential in maximum concentration of NaCl (7%) was identified as Bacillus cereus based on 16S rRNA sequencing. It was recorded that highest phosphate solubilization in 7% NaCl concentration (70% and 374 μg/mL) in agar plate and broth assay respectively. IAA production was observed to be decreased when salt concentration increases, the isolate showed significant amount of IAA in normal culture media without amendment of NaCl (74.94 μg/mL) and at 7% gradual decrease of IAA production was observed (30 μg/mL). Maximum colonization of isolate in the roots of Zea mays was also observed in the study.

Dr. SARANYA DEVI K Dr. saranya devi k

Identification of bioactive compounds and toxicity study of araucaria columnaris bark extract on human embryonic kidney cell line

Plants produce a diverse range of bioactive compounds making them a rich source of different types of medicines. Ornamental plants are cultivated for adornment and to enhance the appearance of houses and also for commercial purposes. However, only very few of these ornamental plant species have found to be used in medicine and only little literature exit on their chemical and biological actions. In the present study, the evaluation of antimicrobial activities and identification of bioactive compounds using TLC and GC-MS of the A. columnaris bark extract were performed. In GC-MS bioactive compounds with medicinal value were identified, such as Benzoic acid, 1H-N-Hydroxynaphth (2,3) imidazole-6,7-dicarboximide, 2-Propenoic acid, 3-(4-methoxyphenyl), 1H-N-Hydroxynaphth (2,3-d) imidazole-6,7-dicarboximi. To prove the nontoxic nature of the plant, its crude bark extract was subjected to toxicity study using human embryonic kidney cell line. It reveal that the plant is minimal toxic to the human kidney cell line so usage of appropriate level will found to be safe and also carrying out some structural modification will help in the extraction of new drugs for pharmaceutical purpose.

Dr. SARANYA DEVI K Dr. saranya devi k

A comparative study of social and economic aspect of migration

India is a country of immense diversity. It is home to people of many different racial, languages, ethnic, religious, and national backgrounds. Groups of people in India differ from each other not only in physical or demographic characteristics but also in distinctive patterns of behavior and these patterns are determined by social and cultural factors like language, region, religion, and caste. Apart from behaviour, economic development, level of education and political culture of the people in various social segments differ from region to region. More you can say that economy and cultures have been enriched by the contributions of migrants from round the globe. In an increasingly globalised world, migratory movements is continuously shaping the countries all over the world. Some countries like India and Ireland, which set the example of economic development and social integration, have the positive impact of the migration by globalisation and some countries like USA, which recently witness racism, xenophobia and discrimination have the negative impact on the migrants. It does not mean India do not face fragmentation and USA do not have cohesion. USA have many stories which show successful integration process, that facilitated the lives of immigrant communities, but being a developed country it still suffers from cultural alienation. In these countries, borders are built within borders to create cultural divides that do not allow people to integrate. Recently, this problem has become more prominent due to the rise of terrorism, clash of cultures in the world, leading to the glorification of stereotypes. People are becoming less accepting towards anyone who does not belong to their region. Migration does not stop after people move from one place to another place. The main question start after that ‘now what’ they will do. That is why this topic needs to be discussed thoroughly in order to find better solutions. This paper will begin with an analysis of different approaches to Migration, discuss the target groups for integration policies, provide indicators of the current situation of migrants and proceed to an analysis of integration tools: legislation, social policies and participatory processes. It will focus not only on the impact of migration but also on social integration, mix culture like indo-western culture in a comparative basis.

Ekta Meena Ekta meena

The modern filipina archetypes and ambiguities in the wildflower teleserye vis-à-vis filipinos’ sensibilities

The article is a discourse analysis of the Wildflower telerserye, exploring the themes and portrayals of the main character and the ambiguities projected by her characterization. The research’s objective revolves around the details that upon the attempt of the telersye to flaunt the modern archetypes of a Filipina, a strong and empowered woman who liberates under the yoke of patriarchal hegemony, her actions and ways were deemed crucial and subjected to great scrutiny. The researcher also dealt with how these portrayals affect and reflect the Filipinos’ way of thinking and sense of morality. Two major literary theories were used to underscore the article’s crucial points. To show how the woman portrayals in teleserye try to subvert the idea and configuration of patriarchy, Feminism (Helene Cixous) was used. Meanwhile, Deconstructionism (Jacques Derrida) was employed to show that in the attempt of the teleserye to empower the woman lead character, remove her from her marginalized and stereotypical views, and liberate her from the yoke of patriarchal hegemony, the result was otherwise. Based on these analyses, a synthesis of Filipinos’ sensibilities on how it affects and reflects their ways of thinking was crafted.

Darrel Ocampo Darrel ocampo

When smell becomes the shadow: a case report of olfactory reference disorder

Olfactory Reference Disorder (ORD) is defined by a continuous fixation on the belief that one is exuding an unpleasant or offensive body odor or breath, which is either imperceptible or only marginally detectable by others. This report describes a 26-year-old male who sought assistance due to his conviction of emitting a foul odor from his mouth and nose, prompting him to visit multiple dentists and otolaryngologists. His condition led to social withdrawal, resulting in feelings of despair and powerlessness. The Mental Status Examination (MSE) revealed a depressed mood, suicidal thoughts, and an obsession with the perceived smell. Both MRI and EEG findings were normal. The patient was diagnosed with ORD and depression based on the Yale-Brown Obsessive-Compulsive Scale – Olfactory Reference Syndrome (YBOCS-ORS) and the Hamilton Depression Rating Scale (HAM-D). He was prescribed fluoxetine at a dosage of 40 mg, along with a low dose of olanzapine. Furthermore, Cognitive Behavioral Therapy (CBT) was initiated to support his recovery. Ultimately, the patient secured employment. Although he continued to have lingering thoughts of an unpleasant odor at a low intensity, he managed to function adequately and engage in social interactions more effectively.

Karishma Karishma

Lagrangian dynamics of particle transport in oral and nasal breathing

We present a large-eddy simulation (LES) of saliva particle transport during normal human breathing through the nose and mouth. The flow of the air–saliva mixture is modeled using an Eulerian LES that is coupled with a Lagrangian particle tracking module to obtain trajectories of saliva particles in a room with stagnant air conditions. The coupled Eulerian–Lagrangian simulation yields novel insights into the intricate dynamics of Lagrangian coherent structures (LCS) and fundamental material lines that emerge from the saliva particles' trajectories during several breathing cycles. Further, we systematically compare the quantitative LCS diagnostics of mouth breathing with those of mouth and nose normal breathing. Analyzing the simulation results of human breathing from the mouth and nose, we show that, soon after the first breathing cycle, saliva particles form a series of roll-up vortex rings that propagate forward. The forward propagation of these vortex rings leads to the formation of an asymmetrical primary forefront vortex. The individual vortex rings continuously propagate forward, merging with the forefront vortex, and ascending along the limb of the leading vortex.

Hossein Seyedzadeh Hossein seyedzadeh

Sero-prevalence of salmonella typhi antibodies among adult residents of some selected rural communities of abia and enugu states, southeast nigeria: a cross-sectional study

Background: Salmonella typhi (S. typhi) antibodies may be considered as biomarkers of typhoid fever, a severe febrile systemic illness caused by an invasive Gram-negative Bacterium S. typhi. Worldwide, about 21-26.9 million cases of typhoid fever and 200 000-215 000 deaths, occur annually. Between 2003 and 2005, statistics have shown a rising trend in the incidence of typhoid fever in Abia and Enugu States. The aim of the study was to determine the sero-prevalence of S. typhi antibodies in some rural communities of Abia and Enugu States as proxy indicators of prevalence typhoid fever (TF) in the two states. Methods: This was a cross-sectional study of the sero-prevalence of S. typhi antibodies in ten rural communities of Umunneochi Local Government Area (LGA) of Abia State and Ezeagu LGA of Enugu State using 421 (200 in Abia and 221 in Enugu) blood samples for the Widal test to determine the titres of these antibodies. Results: In the Abia communities the mean sero-prevalence of S. typhi antibodies was 68.2%, while in Enugu it was 87.1%. Between the two states, difference in the sero-prevalence of S. typhi antibodies was significant (p=0.03). Conclusions: The sero-prevalence of S. typhi antibodies was higher (87.1%) in the Enugu communities, compared to the Abia communities (68.2%). To reduce the incidence and prevalence of TF in the communities, access to safe domestic water, improved sanitation and good food hygiene needs to be improved. Health-seeking behaviour also needs improvement.

Emmanuel umegbolu

Привлечение прямых иностранных инвестиций – гарантия внедрения новой технологии в рыночную экономику

в статье анализируются основные причины и критерии иностранных инвестиций, основная роль внедрения инновационных технологий в рыночную экономику. А также роль иностранных инвестиций в модернизацию экономики Узбекистана.

Ikboljon Odashev Mashrabjonovich Ikboljon odashev mashrabjonovich

Sorting of human mesenchymal stem cells by applying optimally designed microfluidic chip filtration

Human bone marrow-derived mesenchymal stem cells (hMSCs) consist of heterogeneous subpopulations with different multipotent properties: small and large cells with high and low multipotency, respectively. Accordingly, sorting out a target subpopulation from the others is very important to increase the effectiveness of cell-based therapy. We performed flow-based sorting of hMSCs by using optimally designed microfluidic chips based on the hydrodynamic filtration (HDF) principle. The chip was designed with the parameters rigorously determined by the complete analysis of laminar flow for flow fraction and complicated networks of main and multi-branched channels for hMSCs sorting into three subpopulations: small (<25>40 μm) cells. By focusing with a proper ratio between main and side flows, cells migrate toward the sidewall due to a virtual boundary of fluid layers and enter the branch channels. This opens the possibility of sorting stem cells rapidly without damage. Over 86% recovery was achieved for each population of cells with complete purity in small cells, but the sorting efficiency of cells is slightly lower than that of rigid model particles, due to the effect of cell deformation. Finally, we confirmed that our method could successfully fractionate the three subpopulations of hMSCs by analyzing the surface marker expressions of cells from each outlet.

Myung-suk chun

Picky eating behavior and incidence of malnutrition among children aged 2-5 years in blora, indonesia: a case-control study

Background: Malnutrition is a deficiency of nutrients due to inadequate energy intake. Picky eating behavior in children could be a cause of malnutrition, but previous studies’ results were still inconsistent. This study aimed to determine the relationship between picky eating behavior and malnutrition among children aged 2-5 years. Methods: This case-control study involved 70 children aged 2-5 years in Kutukan Village, Randublatung District, Blora Regency. Malnutrition was defined as a weight-for-age Z score <-2.0 SD based on the WHO classification. Child eating behavior was evaluated using the Child’s Eating Behavior Questionnaire (CEBQ), identifying picky eaters if the food avoidance score surpassed the food approach score. Data analysis employed the Chi-Square test. Results: Boys experienced more malnutrition, with 20 (57.1%) affected, and the most affected age group was 24-35 months, with 19 (54.3%). Questionnaire processing revealed that the number of picky-eater children in the malnutrition group was 33 (94.3%), while in the non-malnutrition group, there were 31 (88.6%). Bivariate analysis showed no relationship between picky eating behavior and malnutrition in children aged 2-5 years (p=0.673; CI 95%=0.364-12.459). Conclusion: This study found no significant relationship between picky eating and malnutrition in children aged 2-5 years.

Minidian fasitasari

Possible implications of the anthropocene on climate change and soil health

Anthropogenic and climatic factors influence soil’s physical, chemical, and biological properties, setting the stage for agriculture’s sustainability. Soil is a primary carbon sink crucial for reducing greenhouse gas emissions, making soil health essential for mitigating climate change. Healthy soil enhances climate resilience by maintaining or increasing carbon content and lowering emissions. The overuse of fertilisers pollutes the environment and inadequate application damages soil fertility and microbial activity. The conversion of forests and pastures to agricultural land has resulted in significant carbon losses from the soil. Additionally, soil sealing, air pollution, and industrial contamination all contribute to climate change. Harmful practices such as heavy tillage, land neglect, monoculture cultivation, and excessive chemical use, driven by the pressure to meet growing food demand, have led to soil compaction, degradation, pollution, and nutrient imbalances. Current mismanaged crop and soil techniques deteriorate soil quality; however, by increasing carbon storage in mineral soils and removing emissions from organic soils, sustainable management can contribute to climate neutrality. Climate change can be exacerbated by the release of carbon dioxide into the atmosphere from unsustainable farming practices and poorly managed soils. The purpose of this study is to investigate the detrimental impacts of anthropogenic (Anthropocene) effects on the environment and soil health from a comprehensive perspective and to formulate potential recommendations. The European Union’s Green Deal, Bioeconomy, and Farm to Fork initiatives aim to sustainably transform agriculture in response to climate challenges. These strategies aim to reduce chemical pesticide use by 50%, fertilizer use by 20%, and nutrient losses by 50% by 2030 to preserve soil fertility. These management practices include efficient fertilizer use to maintain soil health and mitigate climate change effects. Restoring degraded soils and implementing conservation measures can reduce greenhouse gas emissions and increase carbon storage capacity. Sustainable soil and crop management, including crop rotation, minimizing post-harvest ploughing, preserving vegetation cover, boosting organic matter, and using fertilizers sensibly, is urgently needed to minimize greenhouse gas emissions and store atmospheric carbon dioxide in soil.

International journal of agricultural and applied sciences (ijaas)

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