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This study reviews the concept, classifications, and techniques involved in the synthesis of nanocomposites. The environmental and health implications of nanoparticles and composite materials were detailed, as well as the applications of nanocomposites in water remediation, antibacterial application, and printed circuit boards. The study gave insights into the challenges of water pollution treatment and provided a broad list of nanocomposites that have been explored for water remediation. Moreover, the emergence of multi-drug resistance to many antibiotics has made current antibiotics inadequate in the treatment of disease. This has engineered the development of alternative strategies in the drug industries for the production of effective therapeutic agents, comprising nanocomposites with antibacterial agents. The new therapeutic agents known as nanoantibiotics are more efficient and have paved the way to handle the challenges of antibiotic resistance. In printed circuit boards, nanocomposites have shown promising applications because of their distinct mechanical, thermal, and electrical characteristics. The uniqueness of the write-up is that it provides a broad explanation of the concept, synthesis, application, toxicity, and harmful effects of nanocomposites. Thus, it will provide all-inclusive awareness to readers to identify research gaps and motivate researchers to synthesize novel nanocomposites for use in various fields. HIGHLIGHTS The size of nanocomposites makes them ideal for different applications.; The applications of nanocomposites in water treatment, antibacterial activity, and printed circuit boards are detailed.; There are concerns about the environmental and health implications of nanomaterials.; The review gave insights into the challenges, research gaps, future considerations, and health implications of nanocomposites.;

Since its discovery in 1992, GRS 1915 + 105 has been among the brightest sources in the X-ray sky. However, in early 2018, it dimmed significantly and has stayed in this faint state ever since. We report on AstroSat and NuSTAR observation of GRS 1915 + 105 in its unusual low/hard state during 2019 May. We performed time-resolved spectroscopy of the X-ray flares observed in this state and found that the spectra can be fitted well using highly ionized absorption models. We further show that the spectra can also be fitted using a highly relativistic reflection dominated model, where for the lamp post geometry, the X-ray emitting source is always very close to the central black hole. For both interpretations, the flare can be attributed to a change in the intrinsic flux, rather than dramatic variation in the absorption or geometry. These reflection dominated spectra are very similar to the reflection dominated spectra reported for active galactic nuclei in their low flux states. [ABSTRACT FROM AUTHOR]

Modern disinfectant-cleaner products are one part of the solution in addressing cross contamination and infection prevention in hygiene critical environments. When choosing a disinfectant cleaner, a holistic view should be taken opposite all the product’s attributes – antimicrobial efficacy is a critical aspect however, it is important to consider other product features like material compatibility, cleaning efficiency and ease of use. In this article we will focus on one of the fastest growing product segments – disinfecting ready-to-use (RTU) wipes. Modern, state of the art Disinfectant Cleaner RTU wipes for low level disinfection of hard surfaces are multifaceted products. These wipes offer efficacy against bacteria, yeasts and enveloped viruses combined with a spectrum of other important attributes ranging from fast contact times, one step disinfection and cleaning, delivery of very good surface aesthetics, broad and very good material compatibility, surface wetting for the recommended contact time, high quality substrates through to optimised cost-in-use. This article will explore the concept of effective, modern Disinfectant Cleaner RTU wipes. [ABSTRACT FROM AUTHOR]

This study reviews the concept, classifications, and techniques involved in the synthesis of nanocomposites. The environmental and health implications of nanoparticles and composite materials were detailed, as well as the applications of nanocomposites in water remediation, antibacterial application, and printed circuit boards. The study gave insights into the challenges of water pollution treatment and provided a broad list of nanocomposites that have been explored for water remediation. Moreover, the emergence of multi-drug resistance to many antibiotics has made current antibiotics inadequate in the treatment of disease. This has engineered the development of alternative strategies in the drug industries for the production of effective therapeutic agents, comprising nanocomposites with antibacterial agents. The new therapeutic agents known as nanoantibiotics are more efficient and have paved the way to handle the challenges of antibiotic resistance. In printed circuit boards, nanocomposites have shown promising applications because of their distinct mechanical, thermal, and electrical characteristics. The uniqueness of the write-up is that it provides a broad explanation of the concept, synthesis, application, toxicity, and harmful effects of nanocomposites. Thus, it will provide all-inclusive awareness to readers to identify research gaps and motivate researchers to synthesize novel nanocomposites for use in various fields. [ABSTRACT FROM AUTHOR]

SUMMARY Objective: In this study, we report acute blood transfusion reactions at our hospital, compare our analysis with the reported data and identify areas for improvement. Background: Haemovigilance programmes have been implemented in many countries, and adverse events associated with blood transfusion are published in their annual reports. Pakistan has no current established programme. Material and Methods: A cross‐sectional study was conducted, and all adverse reactions reported to the blood bank from January 2014 to March 2016 were included. An adverse response in the patient, related to administration of blood (within 24 h), was considered an immediate transfusion reaction. Results: During the study period, 20 956 blood components were issued. A total of 32 (0·15%) adverse reactions were documented. Allergic reactions were the most common adverse event observed in 15 (46·8%) of the cases. Febrile non‐haemolytic transfusion reaction (FNHTR) was the second most common reaction seen in nine (28%) followed by bacterial contamination in four (12·5%) and acute haemolytic reaction in two (6·2%) of the cases. Conclusion: The low incidence indicates underreporting and the need for a formal haemovigilance system. International benchmarking between different medical systems is helpful to identify areas in the transfusion process that have to be changed to improve transfusion safety. [ABSTRACT FROM AUTHOR]

Introduction: Blood donation is considered an important source of infection transmitted through transfusion, especially in developing countries like Pakistan., Objective: To find out the frequency of seroprevalence of hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) among blood donors in the blood bank., Methods: A prospective cohort study was carried out on blood donors at the National Institute of Blood Disease and Bone Marrow Transplant, Karachi, during the period of January 1, 2019 to December 31, 2020. The descriptive statistical analysis to find out the percentages and frequencies was implemented using SPSS version 23 (IBM Corp., Armonk, NY)., Results: During the study duration, a total of 23,656 blood donors visited and donated blood, including 12,234 blood donors in the year 2019 and 11,422 blood donors in the year 2020. According to the analysis, only 1.4% of patients with HBV, 1.5% with HCV, and 0.03% were seropositive in the year 2020. In 2019, 1.6% HBV, 2.07% HCV, and 0.09% HIV blood donors were seropositive with a significant 0.00 p -value., Conclusion: It is concluded that hepatitis C is the most commonly occurring in donors compared to HBV and HIV. HBV vaccines are available in Pakistan, which is why cases are fewer than HCV., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Ahmed et al.)

The convolutional neural network (CNN) has become a powerful tool in machine learning (ML) that is used to solve complex problems such as image recognition, natural language processing, and video analysis. Notably, the idea of exploring convolutional neural network architecture has gained substantial attention as well as popularity. This study focuses on the intrinsic various CNN architectures: LeNet, AlexNet, VGG16, ResNet-50, and Inception-V1, which have been scrutinized and compared with each other for the detection of lung cancer using publicly available LUNA16 datasets. Furthermore, multiple performance optimizers: root mean square propagation (RMSProp), adaptive moment estimation (Adam), and stochastic gradient descent (SGD), were applied for this comparative study. The performances of the three CNN architectures were measured for accuracy, specificity, sensitivity, positive predictive value, false omission rate, negative predictive value, and F1 score. The experimental results showed that the CNN AlexNet architecture with the SGD optimizer achieved the highest validation accuracy for CT lung cancer with an accuracy of 97.42%, misclassification rate of 2.58%, 97.58% sensitivity, 97.25% specificity, 97.58% positive predictive value, 97.25% negative predictive value, false omission rate of 2.75%, and F1 score of 97.58%. AlexNet with the SGD optimizer was the best and outperformed compared to the other state-of-the-art CNN architectures.

Background An adequate supply of quality blood products is the backbone of any hospital. To maintain it, the utilization and wastage of the products should be closely monitored. Objective To determine the crossmatch to transfusion (C/T) ratio, transfusion probability (%T), and transfusion index (Ti) of packed red blood cells and to review the use of platelets. Materials and methods A total of 6,326 hematological patients receiving packed red blood cells were included in the study. The random donor platelets that were prepared during this period were also included to know the actual utilization of platelets. Results A total of 26,146 crossmatches were requested for these 6,326 patients in three years. Out of these, 26,024 units were issued and transfused to the patients. The CT ratio of our data was calculated to be 1.00, the transfusion probability was found to be 98.1%, and the transfusion index was computed to be 0.99. For random donor platelets, 37,162 were prepared from whole blood during this period, while 30,971 platelets were transfused to the patients. Conclusion The overall results of our analysis showed proper utilization of blood products at our institution. The wastage was considered to be minimal., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Waheed et al.)

The study was designed to investigate the quantity and reasons of wastage of blood products. This was an observational study conducted from February 2018 to February 2019 at the National Institute of Blood Disease and Bone Marrow Transplantation (NIBD and BMT), PECHS campus. The study was approved by the institutional review board. Wastage and reasons of wastage for all the blood products were evaluated. Frequencies were calculated by using SPSS version 23.0. A total of 2,880 bags of blood products were available, including 960 each of platelets, packed red cells and fresh frozen plasma. The overall wastage rate was 3.5%. Packed red cells and platelets were fully consumed, yet shortage of supply was observed. However, highest wastage was observed in fresh frozen plasma i.e. 102 bags. Expiry of unused products 60 (59%) followed by broken bags 30 (29%) were two common modes of wastage. Wastage of blood products is a genuine issue in a hospital setup, strategies and plan of action should be discussed and implemented to ensure that they are available when and where they are needed most.

A group of seven-week-old albino mice of both genders were orally administered with a suspension of 25 mg Ti-6Al-4Nb/ml of saline/kg body weight and evaluated in comparison with a control group of animals treated with saline. Evaluation of both the groups was conducted through behavioral tests (Rota rod, open field, novel object and light dark box test), blood biochemical tests [complete blood count and selected serum parameters ([cholesterol, high-density lipoproteins, low-density lipoproteins, creatinine and triglycerides)] and on the basis of measured concentration of antioxidant metabolites (superoxide dismutase, catalase and lipid peroxidation) in vital organs (brain, heart, liver, kidney and lungs). Based upon the results of these tests, it has been found that the applied dose of Ti-6Al-4Nb alloy powder has not effect on physical and neurological outcome of these animals. However, it can increase low-density lipoprotein concentrations as well as disturb the H 2 O 2 and lipid peroxidation associated metabolic pathways, especially in male albino mice. Whereas all other hematological indices and antioxidative stress parameters were unaffected.

Background and Objective: Blood transfusion is an essential and life-saving medical intervention. Despite multiple preventive measures transfusion-transmitted hepatitis C virus (HCV) infection continues to be a major healthcare issue in Pakistan. This study was conducted at National Institute of Blood Diseases & Bone Marrow Transplantation to evaluate the frequency of active HCV infection with or without co-infection in blood donors and also to determine comparative efficacy of Multisure HCV antibody assay (MHAA); a new serological device., Methods: A total of 14652 blood donors visiting National Institute of Blood Diseases & Bone Marrow Transplantation (NIBD) Blood Bank from January 2013 to July 2014 were enrolled and screened for a range of blood borne infections such as HBV, HCV, HIV, malaria and syphilis. The HCV was screened simultaneously by Abbot Architect anti-HCV assay (CLIA) and MHAA. The active HCV infection was confirmed by nucleic acid testing (NAT) in reactive donors. Later; for determination of comparative efficacy of MHAA; all NAT positive samples were further tested using Monolisa™, HCV blot 3.0, Anti-HCV plus V2 and Anti-HCV-MPBIO-EIA., Results: The HCV reactive sera were observed in 1.563% (226) donors. The NAT confirmed active HCV infection in 138 donors. Overall 27.84% of HCV positive donors exhibited co-infection either with HBV (2.57%), syphilis (22.78%). Triple infection was not observed in any donor. The efficacy of MHAA is comparable to all the serological tests with a sensitivity of about 96.89%., Conclusion: Active HCV infection was present in 0.94% donors. With a sensitivity of 96.89% (95% CI: 95.66-98.12) the multi-parametric device MHAA can effectively detect HCV infection in donors. Thus, it can be used in limited health care settings for HCV screening.

Background: Transfusion-transmitted infections threaten the safety of patients requiring blood transfusion, which in turn imposes serious challenges for the availability of safe blood products that are still affordable in health care systems with limited resources. The aim of the study was to determine the prevalence of transfusion-transmitted infections in blood donors and to evaluate the demographic characteristics of reactive and non-reactive blood donors., Methods: A prospective cohort study was conducted at our institute in Karachi, Pakistan. Donors were required to fill a detailed questionnaire and were screened for Hepatitis B, Hepatitis C, Human immunodeficiency viruses, Syphilis and Malaria by ELISA and thick film (malaria)., Results: Of the 16,602 blood donors, 16,557 were males and 45 females (mean age 28.6 ± 2). Nine hundred and seventy three (5.8%) donations were reactive in any screening assay, with 58 (0.35%) donations reacting in more than one assay. The prevalence of Hepatitis B, Hepatitis C, Human immunodeficiency viruses, Syphilis and Malaria was found to be 1.84, 1.7, 0.04, 2.1 and 0.07% respectively. Characteristics among the infections were evaluated and it was found that unmarried donors had a higher chance to be infected by Hepatitis B virus and Syphilis as compared to the other infections. On the other hand, construction workers and married donors were at more risk to be infected by Syphilis rather than the other infections. In case of co-infections, personnel with different occupations and marital status were infected by more than one pathogen., Conclusion: A substantial percentage of the blood donor's harbored transfusion-transmitted infections. Prevention of TTIs should be the main goal right now. There is a need for stringent selection of blood donors with the emphasis on getting voluntary donations and comprehensive screening of donor's blood for TTIs using standard methods to ensure the safety of blood recipient.

This study aimed to investigate the correlation of carbon and nitrogen in soil and leaves with the altitude, vegetation type, herbaceous biomass (HB), litter mass (LM) and with each other. Soil and leaf samples collected from different forest types along altitudinal gradients in the Karakoram Mountains. Dry and gas law methods were used for the chemical analysis. Regression models used for correlation analysis and T test for comparison. The correlation of soil total carbon (STC) and soil total nitrogen (STN) along altitudinal gradients and correlation between soil organic carbon (SOC) and STN was significantly positive with the values R(2) = 0.1684, p = 0.01, R(2) = 0.1537, p = 0.009 and R(2) = 0.856, p = 7.31E-10 respectively, while it was non-significant between soil inorganic carbon (SIC) and altitude and also between SIC and STN. The concentration of SOC and STN was highest in the broad leaved Betula utilis forest (22.31, 1.6 %) and least in the mixed (Pinus, Juniper, Betula) forest soil (0.85, 0.09 %) respectively. In the tree species leaf total carbon (LTC) and leaf total nitrogen (LTN) were highest in the Pinus wallichiana (PW) (632.54, 19.77), and least in the Populus alba (87.59, 4.06). In the shrub species LTC and LTN nitrogen were highest in the Rosa webiana (235.64, 7.45) and least in the Astragalus gilgitensis (43.45, 1.60) respectively. Total carbon and total nitrogen showed a slightly decreasing and increasing trend with altitude in the leaf and soil samples, respectively. The mean nitrogen and carbon was higher in the leaves of trees (3, 97.95) than in the shrubs (2.725, 74.24) and conifers (2.26, 76.46) than in the leaves of the deciduous (2, 46.36) trees. The correlation between LTC and STN was non-significant. Strong significant (R(2) = 0.608, p = 0.003) and weak non-significant (R(2) = 0.04, p = 0.32) relationships were found in STN and STC with LM and HB respectively. SOC (75.15 %) was found to be the main contributor to the STC (76.20 %) as compared to the SIC (1.05 %). Furthermore, SOC (75.15 %) was the major constituent to the soil organic matter (SOM) as compared to the STN (5.85 %). The vegetation type and litter both showed high impact on STN and STC, while altitude and HB showed very little or no impact on carbon and nitrogen concentrations. However, altitude puts great impact on shaping vegetation structure due to decreasing temperature along the elevation and other climatic factors which are further responsible in controlling the carbon and nitrogen concentration.

The aim of the study was to assess the prevalence of HCV, HBV, and HIV infections among the patients with hemophilia. Patients with Hemophilia A and B were evaluated who visited hospital for factor replacement therapy. The viral markers tested in these patients included anti-HCV-Ab, HBsAg, and anti-HIV-Ab. Seroprevalence was compared from 5717 exchange healthy blood donors for same markers. A total of 173 multitransfused male hemophiliacs showed prevalence of 51.4% for HCV, 1.73% for HBV, and nil for HIV. In blood donors seroprevalence was 1.9% for HCV, 1.81% for HBV, while no HIV-positive case was detected. Prevalence of anti-HCV-Ab was significantly high in patients with hemophilia than normal donors (P = .0005). This study showed that HCV infection was more frequently identified than HBV and HIV infections in multitransfused hemophiliacs. The frequency of hepatitis C among blood donors is also higher than that of hepatitis B which is showing downward trend.

In the title compound, C(14)H(15)NO(3)S, the dihedral angle between the aromatic rings is 59.39 (14)° and the C-S-N-C torsion angle is -71.4 (2)°. In the crystal, a supra-molecular chain running along the b axis with a C(4) graph set is formed via N-H⋯O hydrogen bonds.