98 results on '"Rajaa, S"'
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2. Progress of South East Asian Region countries towards achieving interim End TB strategy targets for TB incidence and mortality: a modelling study
- Author
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Krishnamoorthy, Y., Nagarajan, R., Rajaa, S., Majella, M.G., Murali, S., and Jayaseelan, V.
- Published
- 2021
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3. Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic : a comprehensive demographic analysis for the Global Burden of Disease Study 2021
- Author
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Schumacher, A. E., Kyu, H. H., Antony, C. M., Aravkin, A. Y., Azhar, G. S., Bisignano, C., Burkart, K., Cercy, K. M., Chung, E., Coberly, K., Comfort, H., Cousin, E., Culbreth, G. T., Cunningham, M., Weaver, N. D., Degenhardt, L., Deitesfeld, L., Dirac, M. A., Estep, K., Feigin, V. L., Flaxman, A. D., Flor, L. S., Force, L. M., Fuller, J. E., Gakidou, E., Hay, S. I., Ikuta, K. S., Jones, D. P., Kassebaum, N. J., Kassel, M. B., Keller, C., Kinzel, K. E., Krohn, K. J., Lozano, R., May, E. A., McKowen, A. W., McLaughlin, S. A., Mehlman, M. L., Mestrovic, T., Mokdad, A. H., Mosser, J. F., Mougin, V., Naghavi, M., Nesbit, O. D., Novotney, A., Ozten, Y., Pease, S. A., Pigott, D. M., Reiner, R. C., Robinson-Oden, H. E., Shaw, D. H., Slepak, E. L. N., Sorensen, R. J. D., Verghese, N. A., Vollset, S., Vongpradith, A., Vos, T., Wang, D., Watson, S., Weaver, M. R., Wells, K. M., Wilson, S., Wool, E. E., Zheng, P., Lim, S. S., Murray, C. J. L., Boyko, E. J., Chahine, Y., Kalani, R., Krishnamoorthy, V., Khalil, I. A., Minja, N. W., Morrison, S. D., Nafukho, F. M., Olivas-Martinez, A., Orellana, E., Tram, K., Aali, A., Rahnavard, N., Ahmadzade, A., Mohammad-Pour, S., Morovatdar, N., Pourali, G., Zafari, N., Abbafati, C., Cattaruzza, M. S., Abbas, J., Phillips, M. R., Abbasgholizadeh, R., Emamverdi, M., Friedman, J., Abbasi, M. A., Daneshvar, S., Dashti, M., Ghasemzadeh, A., Mirza-Aghazadeh-Attari, M., Doshmangir, L., Ghafourifard, M., Lotfi, M., Hosseini, M., Jadidi-Niaragh, F., Kalankesh, L. R., Karimi, S., Mohammad-Alizadeh-Charandabi, S., Khalafi, M., Mirghafourvand, M., Mirinezhad, S., Heris, R. M., Mousavi, S., Kafil, H. S., Abbasian, M., Momenzadeh, K., Santos, F. C. D., Carr, S., Chi, G., Elgendy, I. Y., Feroze, A. H., Kempen, J. H., Kubeisy, C. M., Li, Z., Rohloff, P., Liu, X., Natto, Z. S., Olanipekun, T. O., Pigeolet, M., Pradhan, P. M. S., Zweck, E., Sharfaei, S., Sheikh, A., Abtahi, D., Salimi, S., Shakeri, A., Tajbakhsh, A., Aghamiri, S., Ahmadzade, M., Hashemi, M. B., Ajami, M., Asgary, S., Ghasemi, M., Hassanian-Moghaddam, H., Kolahi, A., Nikoobar, A., Heidari-Foroozan, M., Montazeri, F., Nejadghaderi, S., Rahmani, S., Ziaeefar, P., Hesami, H., Zahir, M., Jahankhani, K., Rasouli-Saravani, A., Jahanmehr, N., Kashani, H. K., Nasiri, M., Raee, P., Rezaee, M., Safi, S., Shool, S., Tabatabai, S., ElHafeez, S. A., Tantawi, M. E., Elmeligy, O. A. A., Ghazy, R. M., Talaat, I. M., Abdelmasseh, M., Sanabria, J., Abd-Elsalam, S., Abdelwahab, A., Abdollahi, M., Abolhassani, H., Rezaei, N., Saghazadeh, A., Ala, M., Noroozi, N., Bahri, R. A., Khatami, F., Ayyoubzadeh, S., Azadnajafabad, S., Keykhaei, M., Momtazmanesh, S., Mousavi, P., Behnoush, A., Farrokhpour, H., Karimi, H., Khalaji, A., Khanmohammadi, S., Mayeli, M., Mohammadi, S., Eskandarieh, S., Sahraian, M., Fahimi, S., Malekzadeh, R., Mansouri, V., Sepanlou, S. G., Ghassemi, F., Haddadi, M., Kazemian, S., Khadembashiri, M., Khamesipour, F., Khavandegar, A., Khormali, M., Salamati, P., Kompani, F., Larijani, B., Mirdamadi, N., Seyedi, S., Malazy, O. T., Mahmoudi, E., Rashedi, S., Rad, E. M., Mansournia, M., Nasab, E. M., Mohammadshahi, M., Mostafavi, H., SeyedAlinaghi, S., Shafie, M., Shahbandi, A., Vahdani, A. M., Sharifan, A., Shirkoohi, R., Sohrabi, H., Tavangar, S., Heidari-Soureshjani, R., Abdoun, M., Abdullahi, A., Awotidebe, A. W., Borodo, S. B., Gadanya, M. A., Ladan, M., Ali, M. U., Tyrovolas, S., Abdurehman, A. M., Debele, A. T., Getachew, T., Gudeta, M. D., Misgana, T., Sertsu, A., Abebe, M., Ayele, G. M., Afework, A., Lerango, T. L., Tebeje, T. M., Sibhat, M. M., Tesfaye, S. H., Abedi, A., Gholamrezanezhad, A., Salehi, S., Athari, S., Hanifi, N., Abegaz, T. M., Kifle, Z. D., Zuñiga, R. A. A., Abhilash, E. S., Abiodun, O. O., Aboagye, R. G., Amu, H., Ayanore, M. A., Dowou, R. K., Immurana, M., Klu, D., Orish, V. N., Carrero, J. J., Cederroth, C. R., Deuba, K., Laflamme, L., Fereshtehnejad, S., Kauppila, J. H., Abouzid, M., Abreu, L. G., Malta, D. C., Prates, E. J. S., Nascimento, B. R., Abrha, W. A., Weldemariam, A. H., Girmay, A., Abrigo, M. R. M., Rumeileh, S. A., Abu-Rmeileh, N. M., Aburuz, S., Ahmed, L. A., Alam, Z., Elbarazi, I., Grivna, M., Nauman, J., Khan, G., Khan, M. A., Zaki, N., Ahmad, M. M., Abu-Zaid, A., Temsah, R. M. H., Zand, R., Acuna, J. M., Gautam, P., Chowdhury, R., Adair, T., Jiang, H., Babu, A. S., Borschmann, R., Meretoja, A., Wijeratne, T., Addo, I. Y., Okeke, S. R., Dai, Z., Xu, X., Huda, M., Mitchell, P. B., Peden, A. E., Resnikoff, S., Sharma, S., Si, Y., Sitas, F., Ye, P., Adebayo, O. M., Aladelusi, T. O., Salami, A. A., Ilesanmi, O. S., Owolabi, M. O., Adegboye, O. A., Adekanmbi, V., AlBataineh, M. T., Almahmeed, W., Aden, B., Adepoju, A. V., Adetunji, C. O., Adeyeoluwa, T. E., Oyeyemi, I. T., Oyeyemi, O. T., Udoakang, A. J., Adeyomoye, O. I., Anuoluwa, I. A., Bello, O. O., Oluwafemi, Y. D., Ekundayo, T. C., Idowu, O. O., Oluwatunase, G. O., Afolabi, A. A., Ekholuenetale, M., Fagbamigbe, A. F., Olufadewa, I. I., Ibitoye, S. E., Okekunle, A. P., Adha, R., Adikusuma, W., Adibi, A., Chen, M., Hossain, M., Rasali, D. P., Pashaei, A., Adnani, Q. E. S., Postma, M. J., Adra, S., Barqawi, H. J., Dash, N. R., Halwani, R., Maghazachi, A. A., Saber-Ayad, M. M., Sharif-Askari, N. S., Ahmad, F., Saddik, B., Saleh, M. A., Alzoubi, K. H., Omar, H. A., Arumugam, A., Bustanji, Y., Elemam, N. M., Faris, M. E. M., Karim, A., Qaisar, R., Semreen, M. H., Soliman, S. S. M., Altirkawi, K. A., Afraz, A., Ilaghi, M., Nematollahi, M., Afyouni, S., Amindarolzarbi, A., Zandieh, G. G. Z., Columbus, A., Kamireddy, A., Shafaat, O., Kazemi, F., Vervoort, D., Zhang, H., Jamshidi, E., Afzal, S., Agasthi, P., Agodi, A., Barchitta, M., D'Amico, E., Maugeri, A., Veroux, M., Biondi, A., Isola, G., Vacante, M., Falzone, L., Libra, M., Agyemang-Duah, W., Nikpoor, A., Ahinkorah, B. O., Demant, D., Ahmad, A., Mustafa, G., Pathan, A. R., Tabish, M., Ahmad, D., Bagheri, N., Burns, R. A., Cherbuin, N., Ahmad, T., Ahmadi, K., Saxena, S., Beaney, T., Palladino, R., Rawaf, S., Mossialos, E., Rawaf, D. L., Ahmed, A., Siddig, E. E., Ahmed, H., Ahmed, M. B., Shiferaw, D., Ashemo, M. Y., Gerema, U., Getachew, M. E., Bayileyegn, N. S., Mohamed, A. I., Eshetie, T. C., Tiruye, T. Y., Ahmed, S., Ali, H., Bodunrin, A. O., Tumurkhuu, M., Tung, K., Ubah, C. S., Aruleba, R. T., Aji, B., Ajumobi, O., Akalu, G. T., Beyene, H. B., Deribe, K., Ijo, D., Kassaw, N. A., Akara, E., Akinosoglou, K., Akkala, S., Asaad, M., Hassan, A. M., Bleyer, A., Akyirem, S., Bell, M. L., Song, Y., Etaee, F., Goldust, M., Li, W., Pawar, S., Hamad, H. A., Sathian, B., Hasan, S. A., Homsi, A. A., Almidani, O., Göbölös, L., Qadire, M. A., AL-Ahdal, T. M. A., Chen, S., Moazen, B., Alalalmeh, S. O., Hegazi, O. E., Shahwan, M. J., Shamsi, M. A., Zyoud, S. H., Al-Aly, Z., Wang, C., Alam, K., Alam, M., Al-Amer, R. M., Naik, G. R., Alanzi, T. M., Bah, S., Menezes, R. G., Alanezi, F. M., Albashtawy, M., Aldridge, R. W., Chung, S., Hossain, S., Kim, J., Kivimäki, M., Sunkersing, D., Umar, T., Zumla, A., Alemi, S., Al-Eyadhy, A., Temsah, M., Alhabib, K. F., ElGohary, G. M. T., Meo, S. A., Al-Gheethi, A. A. S., Kiross, G. T., Alhalaiqa, F. A. N., Al-Maweri, S. A. A., Alomari, M. A., Mohammed, M., Al-Hanawi, M. K., Binmadi, N., Malik, A. A., Samargandy, S., Ali, A., Khan, I., Sawyer, S. M., Ali, B. A., Ali, R., Ali, S. S., Ali, Z., Samakkhah, S. A., Alicandro, G., Alif, S. M., Maharjan, P., Rai, P., Hasan, M., Thapa, R., Thrift, A. G., Aligol, M., Alimi, R., Aliyi, A. A., Jema, A., Al-Jumaily, A., Hankey, G. J., Kujan, O., Mansour, A., Aljunid, S. M., Al-Sabah, S. K., Al-Marwani, S., Almazan, J. U., Poddighe, D., Al-Mekhlafi, H. M., Ariffin, H., Lim, L., Bandyopadhyay, S., Basnyat, B., Maude, R. J., Bennett, D. A., Browne, A. J., Dolecek, C., Dunachie, S. J., Newton, C. R. J., Rodriguez, J. A. B., Kheirallah, K. A., Alonso, N., Bensenor, I. M., Brunoni, A. R., Castaldelli-Maia, J., Peres, M. F. P., Wang, Y., Alqahtani, J. S., Alqutaibi, A., Altaf, A., Alvi, F. J., Nargus, S., Arooj, M., Latif, M., Shahid, S., Shahid, W., Ashraf, M., Riaz, M. A., Al-Tawfiq, J. A., Alwafi, H., Rehman, F., Al-Worafi, Y. M., Aly, H., Ali, A. H., Amare, A., Gill, T. K., Yadav, L., Noubiap, J., Opio, J., Mengesha, E. W., Ameyaw, E. K., Amhare, A., Lin, S., Amin, T. T., Elhabashy, H. R., Hassan, A., Dehkordi, J. A., Kabir, H., Amiri, S., Amugsi, D. A., Wado, Y. D., Amzat, J., Bello, M. B., Shittu, A., Aruleba, I. T., Ancuceanu, R., Andrei, C., Florin, B. T., Negoi, I., Serban, D., Hostiuc, M., Hostiuc, S., Matei, C. N., Negoi, R. I., Anderlini, D., Begum, T., Kanmiki, E., Maravilla, J. C., Khan, A., Moni, M., Lalloo, R., McGrath, J. J., Veerman, L. J., Andrade, P. P., Busse, R., Mohammed, S., Andrei, T., Herteliu, C., Mirica, A., Otoiu, A., Petcu, I., Dima, A., Stefan, S., Angappan, D., Anil, A., Charan, J., Shamim, M., Singh, S., Varthya, S. B., Baskaran, P., Bhardwaj, P., Bhardwaj, N., Dixit, S. G., Krishna, H., Nayyar, A. K., Choudhary, R., Dixit, A., Misra, S., Mittal, M., Saravanan, A., Singh, M., Ram, P., Anjum, A., Antriyandarti, E., Anwar, S., Anyasodor, A. E., Appiah, S., Boampong, M. S., Aqeel, M., Arabloo, J., Eghdami, S., Panahi, P., Kabir, A., Salahi, S., Behnagh, A. K., Kasraei, H., Khodadoust, E., Latifinaibin, K., Moradi-Lakeh, M., Toroudi, H. P., Sarveazad, A., Zahedi, M., Moradi, M., Arab-Zozani, M., Ghalibaf, A. M., Rajabpour-Sanati, A., Arafat, M., Araújo, A. M., Belo, L., Carvalho, F., Costa, V. M., da Silva, D. D., Silva, J. P., Carvalho, M., Cruz-Martins, N., Freitas, A., Vieira, R. J., Pinheiro, M., Ribeiro, A., Aremu, A., Odetokun, I. A., Aripov, T., Armocida, B., Unim, B., Sabbatucci, M., Artamonov, A. A., Artanti, K. D., Efendi, F., Purnobasuki, H., Wulandari, R. D., Arulappan, J., Chavula, M. P., Edvardsson, D., Orru, H., Fattahi, H., Asika, M. O., Onwujekwe, O. E., Atout, M. M. W., Atreya, A., Attia, S., Aujayeb, A., Avan, A., Hachinski, V., Stranges, S., Bolarinwa, O. A., Ginindza, T. G., Ogunsakin, R. E., Quintanilla, B. A., Rahman, M., Ayuso-Mateos, J. L., Ortiz, A., Soriano, J. B., Catalá-López, F., Aziz, S., Azzam, A. Y., Babashahi, M., Bayati, M., Kouhanjani, M. F., Fazeli, P., Karajizadeh, M., Ghahramani, S., Sarikhani, Y., Shahabi, S., Iravanpour, F., Jafarinia, M., Oliaee, R. T., Ravangard, R., Razeghian-Jahromi, I., Roshanzamir, S., Mansoori, Y., Bakkannavar, S. M., Nayak, V. C., Holla, R., Kamath, A., Rao, M., Ligade, V. S., Rao, C. R., Shetty, R. S., Rao, I., Reshmi, B., Badar, M., Badawi, A., Bhutta, Z. A., Chattu, V., Malhotra, A. K., Mostofinejad, A., Shakil, H., Badiye, A. D., Bansal, H., Kapoor, N., Baghdadi, S., Bagherieh, S., Fatehizadeh, A., Mehrabani-Zeinabad, K., Sadeghi, M., Mirmosayyeb, O., Saber, K., Shafaat, A., Bahadorikhalili, S., Bai, J., Yu, C., Bai, R., Baker, J. L., Bako, A. T., Makram, O. M., Balakrishnan, S., Balogun, S. A., Singh, A., Tian, J., Jatau, A., Baltatu, O. C., Baltatu, O., Campos, L. A., Bam, K., Olaiya, M. T., Bhandari, D., Dalli, L. L., Banach, M., Banik, B., Banik, P. C., Barati, S., Saeedi, M., Bardhan, M., Barker-Collo, S. L., Beyene, K. A., Barone-Adesi, F., Barr, R. D., Kurmi, O. P., Mannan, F., Olagunju, A. T., Barrero, L. H., Basharat, Z., Bashir, A. I. J., Bashiru, H. A., Folayan, M. O., Bassat, Q., Basso, J. D., Silva, S., Rodrigues, M., Basu, S., Batra, K., Batra, R., Sharma, M., Baune, B. T., Bedi, N., Ghailan, K. Y., Khan, M., Halboub, E. S., Shanawaz, M., Sayeed, A., Siraj, M., Behboudi, E., Soleimani, H., Beiranvand, M., Ramirez, D. F. B., Malagón-Rojas, J. N., Belgaumi, U. I., Bello, A. K., Ebenezer, O., Eboreime, E., Umair, M., Beloukas, A., Lunevicius, R., Bendak, S., Benzian, H., Friedman, S. D., Peprah, E. K., Berezvai, Z., Berman, A. E., Bermudez, A. C., Loreche, A., Liu, S., Mohamed, M. F. H., Bettencourt, P. J. G., Bhagat, D. S., Bhagavathula, A. S., Bhala, N., Dehbandi, R., Glasbey, J. C., Bhalla, A., Marasini, B. P., Paudel, U., Poudel, L., Bhardwaj, P. V., Bhargava, A., Kahe, F., Bhaskar, S., Bhat, V., Bhatti, G. K., Kalra, S., Bhatti, J. S., Senapati, S., Bhatti, M. S., Bhatti, R., Das, J. K., Bikbov, B., Bintoro, B., Bisulli, F., Golinelli, D., Guicciardi, S., Lenzi, J., Mazzotti, A., Muccioli, L., Sanmarchi, F., Violante, F. S., Biswas, A., Dhali, A., Biswas, R., Chen, L., Driscoll, T. R., Tang, H. K., Islam, S., Kandel, H., You, Y., Leigh, J., Singh, B. B., Visontay, R., Bitaraf, S., Kaydi, N., Eini, E., Khafaie, M. A., Sadeghian, S., Bjørge, T., Dadras, O., Wojewodzic, M. W., Bodolica, V., Bonny, A., Bora, K., Basara, B. B., Francis, K. L., Kerr, J. A., Carvajal, A. B., Bouaoud, S., Ouyahia, A., Boudalia, S., Lanfranchi, F., Bragazzi, N. L., Braithwaite, D., Ding, D. D., Karanth, S. D., Naghavi, P., Brenner, H., Britton, G., Bulamu, N. B., Bulto, L. N., Foley, K. M., Jemere, D., Kaambwa, B., Mpundu-Kaambwa, C., Buonsenso, D., Villani, L., Nagaraja, S. B., Butt, Z. A., Cai, T., Calina, D., Cámera, L. A., Campos-Nonato, I. R., Denova-Gutiérrez, E., Ortega-Altamirano, D. V., Rios-Blancas, M., Pando-Robles, V., Cao, C., Cardenas, C. A., Cárdenas, R., Carreras, G., Carugno, A., Castañeda-Orjuela, C. A., Castelpietra, G., Catapano, A. L., Damiani, G., Vecchia, C. L., Caye, A., Duncan, B. B., Schmidt, M. I., Hugo, F. N., Cembranel, F., Cenderadewi, M., Emeto, T. I., Obamiro, K. O., Cerin, E., Poudel, G. R., Guo, C., Sarkar, C., Yip, P., Cevik, M., Chacón-Uscamaita, P. R., Chirinos-Caceres, J. L., Chakraborty, C., Chan, J., Chang, C., Douiri, A., Wafa, H. A., Hbid, Y., Mazidi, M., Urso, D., Charalampous, P., Volovici, V., Chatzimavridou-Grigoriadou, V., Johnson, O., Mathioudakis, A. G., Mughal, F., Cheema, H. A., Chen, A., Chen, H., Zhu, Z., Chew, D. S., Tonelli, M., Yang, L., Chitheer, A., Cho, S. J., Ebrahimi, A., Nguyen, D. H., Cho, W. C. S., Chong, B., Ma, S., Ramazanu, S., Tan, K., Venketasubramanian, N., Chopra, H., Mini, G., Tovani-Palone, M. R., Pantazopoulos, I., Pilgrim, T., Stortecky, S., Chu, D., Chukwu, I. S., Cini, K. I., Clark, C. C. T., Conde, J., Conti, S., Cortesi, P. A., Fornari, C., Mantovani, L. G., Ferrara, P., Cowden, R. G., Criqui, M. H., Cullen, P., Jarlais, D. C. D., Gunturu, S., Dadana, S., Dalal, Koustuv, Kurmanova, A., Guha, A., Qattea, I., Darwesh, A. M., Hosseinzadeh, M., Das, S., Dávila-Cervantes, C. A., Davletov, K., Leo, D. D., Delgado-Enciso, I., Delgado-Ortiz, L., Morawska, L., Demessa, B. H., Demetriades, A. K., Eze, U. A., Simpson, C. R., Verras, G., Deng, X., Dervenis, N., Patoulias, D., Desai, H. D., Desai, R., Devanbu, V. G. C., Dey, S., Perianayagam, A., Dhama, K., Ranabhat, C. L., Dhimal, M. L., Dhimal, M., Ghimire, S., Pandey, A., Dhingra, S., Diaz, D., Do, T. C., Pham, H., Do, T. H., Prado, C. B. D., Dodangeh, M., Dokova, K. G., Dorsey, E., Santos, W. M. D., Doshi, R., Dsouza, H. L., Rastogi, P., Shetty, B. K., Jeganathan, J., Joseph, N., Kumar, N., Mithra, P., Thapar, R., Reddy, M. M. R., Unnikrishnan, B., Dube, J., Dumith, S. C., Duraes, A. R., Pereira, M., Rasella, D., Duraisamy, S., Durojaiye, O. C., Oguta, J. O., Dutta, S., Dzianach, P. A., Gething, P. W., Sanna, F., Weiss, D. J., Kiss, J., McPhail, M. A., Rumisha, S. F., Lubinda, J., Saddler, A., Dziedzic, A. M., Tsermpini, E., Echieh, C. P., Ed-Dra, A., Edinur, H. A., Edvardsson, K., Efendi, D., Kusuma, D., Trihandini, I., Latief, K., Eikemo, T., Ekpor, E., Arab, R. A. E., Morsi, D. A. E., Zaki, M. E. S., Elshaer, M., Ramadan, H., Elgar, F. J., Mate, K. K. V., Ortiz-Brizuela, E., Rana, J., Nabhan, A. F., Samy, A. M., Elhadi, M., Elsohaby, I., Saad, A. M. A., Zeydi, A. E., Goudarzian, A., Taheri, A., Bain, L. E., Erkhembayar, R., Espinosa-Montero, J., Fabin, N., Fadaka, A. O., Okonji, O. C., Farinha, C. S. E., Faro, A., Ward, P., Fauk, N. K., Gnedovskaya, E. V., Kravchenko, M. A., Piradov, M. A., Fekadu, G., Huang, J., Zhong, C., Jin, Y., Fetensa, G., Ferrante, D., Ferreira, N., Filip, I., Fischer, F., Steinbeis, F., Flavel, J., Fomenkov, A. A., Foroutan, B., Foschi, M., Sacco, S., Franklin, R. C., Vieira, R., Fukumoto, T., Gaal, P. A., Joo, T., Lám, J., Palicz, T., Pollner, P., Szócska, M., Gaihre, S., Gaipov, A., Galali, Y., Sadee, B. A., Galehdar, N., Baghani, A. N., Zandi, M., Gallus, S., Lugo, A., Gan, Q., Gandhi, A. P., Patil, A., Ganesan, B., Garg, J., Gau, S., Gautam, R. K., Gazzelloni, F., Gebregergis, M. W., Mehari, M., Negash, H., Gebrehiwot, M., Gebremariam, T. B., Yesuf, S. A., Miller, T. R., Ghajar, A., Ghanbarnia, M., Mahjoub, S., Mouodi, S., Gholamian, A., Tahbaz, S. 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- Abstract
Background: Estimates of demographic metrics are crucial to assess levels and trends of population health outcomes. The profound impact of the COVID-19 pandemic on populations worldwide has underscored the need for timely estimates to understand this unprecedented event within the context of long-term population health trends. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides new demographic estimates for 204 countries and territories and 811 additional subnational locations from 1950 to 2021, with a particular emphasis on changes in mortality and life expectancy that occurred during the 2020–21 COVID-19 pandemic period. Methods: 22 223 data sources from vital registration, sample registration, surveys, censuses, and other sources were used to estimate mortality, with a subset of these sources used exclusively to estimate excess mortality due to the COVID-19 pandemic. 2026 data sources were used for population estimation. Additional sources were used to estimate migration; the effects of the HIV epidemic; and demographic discontinuities due to conflicts, famines, natural disasters, and pandemics, which are used as inputs for estimating mortality and population. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate under-5 mortality rates, which synthesised 30 763 location-years of vital registration and sample registration data, 1365 surveys and censuses, and 80 other sources. ST-GPR was also used to estimate adult mortality (between ages 15 and 59 years) based on information from 31 642 location-years of vital registration and sample registration data, 355 surveys and censuses, and 24 other sources. Estimates of child and adult mortality rates were then used to generate life tables with a relational model life table system. For countries with large HIV epidemics, life tables were adjusted using independent estimates of HIV-specific mortality generated via an epidemiological analysis of HIV prevalence surveys, ant
- Published
- 2024
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4. Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021
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- Published
- 2024
5. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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- Published
- 2024
6. Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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Bhawna, Gupta, Mohak, Gupta, Rahul, Gupta, Rajat Das, Gupta, Rajeev, Gupta, Sapna, Gupta, Veer Bala, Gupta, Vijai Kumar, Gupta, Vivek Kumar, Habibzadeh, Farrokh, Habibzadeh, Parham, Hadaro, Tesfahun Simon, Hadian, Zahra, Haep, Nils, Haghi-Aminjan, Hamed, Haghmorad, Dariush, Hagins, Hailey, Haile, Demewoz, Hailu, Alemayehu, Hajj Ali, Adel, Halboub, Esam S, Halimi, Aram, Hall, Brian J, Haller, Sebastian, Halwani, Rabih, Hamadeh, Randah R, Hamdy, Nadia M, Hameed, Sajid, Hamidi, Samer, Hammoud, Ahmad, Hanif, Asif, Hanifi, Nasrin, Haq, Zaim Anan, Haque, Md Rabiul, Harapan, Harapan, Hargono, Arief, Haro, Josep Maria, Hasaballah, Ahmed I, Hasan, Ikramul, Hasan, Mohammad Jahid, Hasan, S M Mahmudul, Hasani, Hamidreza, Hasanian, Mohammad, Hashmeh, Nadim, Hasnain, Md Saquib, Hassan, Amr, Hassan, Ikrama, Hassan Zadeh Tabatabaei, Mahgol Sadat, Hassani, Shokoufeh, Hassanipour, Soheil, Hassankhani, Hadi, Haubold, Johannes, Havmoeller, Rasmus J, Hay, Simon I, Hebert, Jeffrey J, Hegazi, Omar E, Hegena, Tadele Yohannes, Heidari, Golnaz, Heidari, Mohammad, Helfer, Bartosz, Hemmati, Mehdi, Henson, Claire A, Herbert, Molly E, Herteliu, Claudiu, Heuer, Austin, Hezam, Kamal, Hinneh, Thomas Kwadwo, Hiraike, Yuta, Hoan, Nguyen Quoc, Holla, Ramesh, Hon, Julia, Hoque, Mohammad Enamul, Horita, Nobuyuki, Hossain, Sahadat, Hosseini, Seyed Ehsan, Hosseinzadeh, Hassan, Hosseinzadeh, Mehdi, Hostiuc, Mihaela, Hostiuc, Sorin, Hoven, Hanno, Hsairi, Mohamed, Hsu, Johnathan M, Hu, Chengxi, Huang, Junjie, Huda, Md Nazmul, Hulland, Erin N, Hultström, Michael, Hushmandi, Kiavash, Hussain, Javid, Hussein, Nawfal R, Huynh, Chantal K, Huynh, Hong-Han, Ibitoye, Segun Emmanuel, Idowu, Oluwatope Olaniyi, Ihler, Audrey L, Ikeda, Nayu, Ikuta, Kevin S, Ilesanmi, Olayinka Stephen, Ilic, Irena M, Ilic, Milena D, Imam, Mohammad Tarique, Immurana, Mustapha, Inbaraj, Leeberk Raja, Irham, Lalu Muhammad, Isa, Mustafa Alhaji, Islam, Md Rabiul, Ismail, Faisal, Ismail, Nahlah Elkudssiah, Iso, Hiroyasu, Isola, Gaetano, 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- Abstract
Background: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 risk factors in 204 countries and territories and 811 subnational locations, from 1990 to 2021. Methods: The GBD 2021 risk factor analysis used data from 54 561 total distinct sources to produce epidemiological estimates for 88 risk factors and their associated health outcomes for a total of 631 risk–outcome pairs. Pairs were included on the basis of data-driven determination of a risk–outcome association. Age-sex-location-year-specific estimates were generated at global, regional, and national levels. Our approach followed the comparative risk assessment framework predicated on a causal web of hierarchically organised, potentially combinative, modifiable risks. Relative risks (RRs) of a given outcome occurring as a function of risk factor exposure were estimated separately for each risk–outcome pair, and summary exposure values (SEVs), representing risk-weighted exposure prevalence, and theoretical minimum risk exposure levels (TMRELs) were estimated for each risk factor. These estimates were used to calculate the population attributable fraction (PAF; ie, the proportional change in health risk that would occur if exposure to a risk factor were reduced to the TMREL). The product of PAFs and disease burden associated with a given outcome, measured in disability-adjusted life-years (DALYs), yielded measures of attributable burden (ie, the proportion of total disease burden attributable to a particular risk factor or combination of risk factors). Adjustments for mediation were applied to account for relationships involving risk
- Published
- 2024
7. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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- Abstract
Background: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to implement strategies that can mitigate diseases. It can also facilitate more rigorous monitoring of progress towards national and international health targets, such as the Sustainable Development Goals. For three decades, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) has filled that need. A global network of collaborators contributed to the production of GBD 2021 by providing, reviewing, and analysing all available data. GBD estimates are updated routinely with additional data and refined analytical methods. GBD 2021 presents, for the first time, estimates of health loss due to the COVID-19 pandemic. Methods: The GBD 2021 disease and injury burden analysis estimated years lived with disability (YLDs), years of life lost (YLLs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries using 100 983 data sources. Data were extracted from vital registration systems, verbal autopsies, censuses, household surveys, disease-specific registries, health service contact data, and other sources. YLDs were calculated by multiplying cause-age-sex-location-year-specific prevalence of sequelae by their respective disability weights, for each disease and injury. YLLs were calculated by multiplying cause-age-sex-location-year-specific deaths by the standard life expectancy at the age that death occurred. DALYs were calculated by summing YLDs and YLLs. HALE estimates were produced using YLDs per capita and age-specific mortality rates by location, age, sex, year, and cause.
- Published
- 2024
8. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
- Author
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BA, Zamora, N, Zand, R, Zandieh, GGZ, Zar, HJ, Zarrintan, A, Zastrozhin, MS, Zhang, H, Zhang, N, Zhang, Y, Zhao, H, Zhong, C, Zhong, P, Zhou, J, Zhu, Z, Ziafati, M, Zielińska, M, Zimsen, SRM, Zoladl, M, Zumla, A, Zyoud, SH, Vos, T, and Murray, CJL
- Published
- 2024
9. Global Burden of Cardiovascular Diseases and Risks, 1990-2022
- Author
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Mensah, G, Fuster, V, Murray, C, Roth, G, Abate, Y, Abbasian, M, Abd-Allah, F, Abdollahi, A, Abdollahi, M, Abdulah, D, Abdullahi, A, Abebe, A, Abedi, A, Abiodun, O, Ali, H, Abu-Gharbieh, E, Abu-Rmeileh, N, Aburuz, S, Abushouk, A, Abu-Zaid, A, Adane, T, Adderley, N, Adebayo, O, Aden, B, Adeyeoluwa, T, Adeyomoye, O, Sakilah Adnani, Q, Afrashteh, F, Afyouni, S, Afzal, S, Agasthi, P, Agodi, A, Aguilera Arriagada, C, Agyemang-Duah, W, Ahinkorah, B, Ahmad, A, Ahmad, D, Ahmad, F, Ahmad, M, Ahmed, A, Ahmed, H, Ahmed, M, Ahmed, S, Ajami, M, Akinosoglou, K, Ala, M, Ali AL-Ahdal, T, Alalalmeh, S, Al-Aly, Z, Alam, N, Al-amer, R, Alashi, A, Albashtawy, M, Albataineh, M, Alema, H, Alemi, S, Alemu, Y, Saeed Al-Gheethi, A, Alhabib, K, Naji Alhalaiqa, F, Ali, M, Ali, R, Pursuing, P, Shujait Ali, S, Alicandro, G, Alikhani, R, Aljunid, S, Alla, F, Almahmeed, W, Al-Marwani, S, Alonso, J, Al-Raddadi, R, Alvi, F, Alvis-Guzman, N, Alvis-Zakzuk, N, Alwafi, H, Aly, H, Amegbor, P, Amin, T, Amindarolzarbi, A, 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W., Barone-Adesi F., Barteit S., Barua L., Bashiri A., Bayati M., Bayileyegn N. S., Behboudi E., Behnoush A. H., Bejot Y., Belay S. A., Belete M. A., Belgaumi U. I., Bell M. L., Belo L., Bendak S., Benfor B., Bennett D. A., Bensenor I. M., Benziger C. P., Beran A., Berman A. E., Bermudez A. N. C., Bertolacci G. J., Beyene H. B., Beyene K. A., Srikanth Bhagavathula A. S., Bhardwaj N., Bhardwaj P., Bhardwaj P. V., Bhat V., Bhatti G. K., Bhatti J. S., Bikbov B., Bikov A., Birck M. G., Biswas B., Bitaraf S., Bodunrin A. O., Bogale E. K., Bogale K. A., Boloor A., Hashemi M. B., Borhany H., Boyko E. J., Braithwaite D., Brant L. C., Brauer M., Breitner S., Briko A., Bulto L. N., Bustanji Y., Butt Z. A., Calina D., Cao F., Cardenas R., Carr S., Carreras G., Carrero J. J., Carvalho M., Castaldelli-Maia J. M., Castaneda-Orjuela C. A., Cattaruzza Luca Cegolon M. S., Cerin E., Chahine Y., Kai Chan J. S., Chan M. Y., Chan R. N. C., Charalampous P., Charan J., Chattu V. K., Chen A. -T., Chen C. S., Chen H., Chennapragada S. S., Chew D. S., Chi G., Ching P. R., Chitheer A., Jemma Cho S. M., Cho W. C. S., Chong B., Chopra H., Choudhary R., Chowdhury E. K., Chowdhury R., Chu D. -T., Chukwu I. S., Giuseppe Cicero A. F., Cindi Z., Cioffi I., Coberly K., Coffey S., Columbus A., Conde J., Conti S., Corso B., Cortes S., Cortesi P. A., Costa V. M., Couto R. A. S., Cowart E. J., Criqui M. H., Cruz J. A., Dadana S., Dadras O., Dai X., Dai Z., Dalaba M. A., Moura Damasceno A. A., Damiani G., D'Amico E., Das S., Dashti M., Dashtkoohi M., Dastmardi M., Davletov K., Debele A. T., Debopadhaya S., DeCleene N. K., Delgado-Enciso I., Delgado-Saborit J. M., Demessa B. H., Demetriades A. K., Deng X., Denova-Gutierrez E., Dereje N. D., Asrat Derese A. M., Desai H. D., Desai R., Chellaiyan Devanbu V. G., Rahman Dewan S. M., Dey S., Dhulipala V. R., Diaz D., Diaz M. J., Ding D. D., Dinis-Oliveira R. J., Do T. C., Phuong Do T. H., Doaei S., Dohare S., Dong W., D'Oria M., Mombaque dos Santos W., Douiri A., Dowou R. K., Dsouza A. C., Dsouza H. L., Dsouza V., Du M., Duraes A. R., Durojaiye O. C., Dutta S., Dziedzic A. M., Ebrahimi A., Efendi D., Efendi F., Effendi D. E., Eini E., Ekholuenetale M., Ekundayo T. C., El Sayed I., El Tantawi M., Elbarazi I., Elgar F. J., Elgendy I. Y., Elhadi M., El-Huneidi W., Emamverdi M., Emeto T. I., Erkhembayar R., Eshetie T. C., Espinosa-Montero J., Etaee F., Fabin N., Fadhil I., Fagbamigbe A. F., Falzone L., Sofia e Sa Farinha C., Faris M. E. M., Faro A., Faruque M., Farwati M., Fasanmi A. O., Fatehizadeh A., Fazeli P., Feigin V. L., Feng X., Fereshtehnejad S. -M., Feroze A. H., Ferrara P., Ferreira N., Filip I., Fleszar L., Flood D., Folayan M. O., Fomenkov A. A., Fonseca D. A., Fornari C., Foschi M., Franklin R. C., Fukumoto T., BlimaFux P., Gaal P. A., Gadanya M. A., Gaidhane S., Gaipov A., Gakidou E., Galali Y., Gallus S., Gandhi A. P., Ganesan B., Gautam R. K., Gebregergis M. W. W., Gebrekidan K. G., Geleijnse J. M., Gerema U., Ghajar A., Ghamari S. -H., Ghasemi M., Dabaghi G. G., Ghasemzadeh A., Ghazy R. M., Gholamalizadeh M., Ghuge A. D., Gill P. S., Gill T. K., Gillum R. F., Gnedovskaya E. V., Golchin A., Goleij P., Gorini G., Goulart A. C., Goyal A., Goyal K., Guan S. -Y., Guarducci G., Gudeta M. D., Guha A., Guicciardi S., Gulisashvili D., Gunawardane D. A., Guo C., Gupta A. K., Gupta B., Gupta I. R., Gupta K., Gupta M., Gupta R. D., Gupta R., Gupta S., Gupta V. B., Gupta V. K., Gurmessa L., Gutierrez R. A., Habibzadeh F., Hadei M., Haeri Boroojeni H. S., Halimi A., Haller S., Halwani R., Hamadeh R. R., Hamdy N. M., Hamidi S., Han C., Han Q., Hankey G. J., Hannan M. A., Hargono A., Haro J. M., Hasan F., Hasan I., Hasani H., Hashemian M., Hasnain M. S., Hassan A., Hassan I., Haubold J., Havmoeller R. J., Hay S. I., Hayat K., Hbid Y., Hegazi O. E., Hegena T. Y., Heidari M., Helfer B., Herrera-Serna B. Y., Herteliu C., Hesami H., Hessami K., Heydari K., Hezam K., Hiraike Y., Hoan N. Q., Holla R., Hossain M. M., Hossain M. B., Hosseinzadeh H., Hosseinzadeh M., Hostiuc M., Hostiuc S., Hsairi M., Huang J., Hultstrom M., Huynh H. -H., Hwang B. -F., Ibrahim K. S., Idowu O. O., Ilesanmi O. S., Ilic I. M., Ilic M. D., Immurana M., Inbaraj L. R., Iqhrammullah M., Shariful Islam S. M., Ismail F., Ismail N. E., Isola G., Iwagami M., J L. M., Jaafari J., Jacob L., Jafarzadeh A., Jaggi K., Jahrami H., Jain A., Jain N., Jairoun A. A., Jakovljevic M., Jamora R. D. G., Javadi N., Jayapal S. K., Jayaram S., Jebai R., Jeben R. S., Jee S. H., Jha A. K., Jha R. P., Jha V., Jiang H., Jin Y., Jobanputra Y. B., Johnson C. O., Jokar M., Joo T., Joseph A., Joseph N., Joshua C. E., Jozwiak J. J., Jurisson M., Kabir A., Kabir Z., Kadashetti V., Kahe F., Kalani R., Kalankesh L. R., Kalantar F., Kalkonde Y., Kalra S., Kamath A., Kamath S., Kamireddy A., Kanchan T., Kandel H., Kanmanthareddy A. R., Kanmodi K. K., Kansal S. K., Kapner D. J., Kar S. S., Karakasis P., Karki P., Kashoo F. Z., Kasraei H., Kassahun E. A., Kassebaum N. J., Katoto P. D. M. C., Kaydi N., Kazemi F., Kazemian S., Kazeminia S., Kerr J. A., Kesse-Guyot E., Keykhaei M., Khadembashiri M. M., Khadembashiri M. A., Khafaie M. A., Khajuria H., Khalaji A., Khalid N., Khalilian A., Khalilov R., Khan A., Khan E. A., Khan J., Khan M. N., Khan M., Khan M. J., Khan M. S., Khan Y. H., Khan suheb M. Z., Khanmohammadi S., Khatab K., Khateri S., Khayat Kashani H. R., Kheirallah K. A., Khidri F. F., Kian S., Kifle Z. D., Kimokoti R. W., Kisa A., Kisa S., Kolahi A. -A., Kompani F., Koren G., Kotnis A. L., Koul P. A., Koyanagi A., Krishan K., Krishna H., Krishnamoorthy V., Krishnamoorthy Y., Kuddus M. A., Kuddus M., Kulimbet M., Kulkarni V., Kumar A., Kumar N., Kumar R., Kumsa N. B., Kunle K. R., Kusuma D., Kyriopoulos I., La Vecchia C., Lacey B., Ladan M. A., Laflamme L., Lahariya C., Lahiri A., Ching Lai D. T., Lallukka T., Lan Q., Landires I., Lanfranchi F., Larijani B., Larsson A. O., Lasrado S., Latief Epidemiology K., Latifinaibin K., Lau J., Lauriola P., Le K., Dao Le L. K., Hanh Le N. H., Thu Le T. T., Thanh Le T. D., Bich Le T. T., Ledda C., Lee M., Lee P. H., Lee S. W., Lee W. -C., Lee Y. H., LeGrand K. E., Leinsalu M., Leonardi M., Lerango T. L., Li A., Li M. -C., Li W., Li X., Li Y., Lim L. -L., Lim S. S., Lin R. -T., Lindstrom M., Linn S., Liu G., Liu S., Liu X., Livingstone K. M., Llanaj E., Lopukhov P. D., Sci (Med) C. O., Loreche A. M., Lorenzovici L., Lorkowski S., Lotufo P. A., Lucchetti G., Lugo A., Ma Z. F., Madadizadeh F., Maddison R., Magana Gomez J. A., Magne J., Prasad D. R. M., Mahalleh M., Mahmoud M. A., Mahmoudi E., Mahmoudvand B., Makram O. M., Rad E. M., Malekzadeh R., Malhotra K., Malik I., Ahmed Malik M. S., Mallhi T. H., Malta D. C., Manilal A., Manla Y., Mansoori Y., Mansouri B., Mansouri P., Mansournia M. A., Marateb H. R., Marino M., Martini D., Martini S., Maryam S., Marzo R. R., Masoudi A., Masoudi S., Matei C. N., Mathangasinghe Y., Mathews E., Mathur M. R., Mattumpuram J., Maude R. J., Maugeri A., Mayeli M., Mazidi M., McGrath J. J., McPhail S. M., Mechili E. A., Carabeo Medina J. R., Meena J. K., Mehrabani-Zeinabad K., Mendez Mendez-Lopez M. A., Mendoza W., Menezes R. G., Mengist B., Meo S. A., Meresa H. A., Meretoja A., Meretoja T. J., Mestrovic T., Dinushi Mettananda K. C., Mettananda S., Mhlanga L., Mi T., Jonasson J. M., Miazgowski T., Michalek I. M., Miller T. R., Nhat Minh L. H., Minja N. W., Mohammad Sadeghi P. M., Mirdamadi N., Mirica A., Mirrakhimov E. M., Mirza M., Mirza-Aghazadeh-Attari M., Mithra P., Moghimi Z., Mohamed J., Mohamed M. F. H., Mohamed N. S., Mohammadi S., Mohammed H., Mohammed M., Mohammed S., Moka N., Mokdad A. H., Vardanjani H. M., Momtazmanesh S., Monasta L., Montazeri F., Ghalibaf A. M., Moradi Y., Moraga P., Morawska L., Morovatdar N., Morrison S. D., Morze J., Mostafavi E., Mostofinejad A., Mougin V., Mousavi P., Mousavi S. E., Mozaffarian D., Msherghi A., Muccioli L., Mueller U. O., Mukherjee S., Munjal K., Murillo-Zamora E., Mustafa G., Muthu S., Mwita J. C., Myung W., Nagarajan A. J., Nagaraju S. P., Naik G. R., Naik G., Nair T. S., Najafi M. S., Ansari N. N., Nangia V., Swamy S. N., Nargus S., Nascimento B. R., Nascimento G. G., Nasoori H., Natto Z. S., Nauman J., Naveed M., Nayak B. P., Nayak V. C., Negash H., Negoi I., Negoi R. I., Shahrokh Abadi R. N., Nejadghaderi S. A., Nejjari C., Nematollahi M. H., Nepal S., Ng N., Nguyen D. H., Nguyen P. T., Nguyen V. T., Niazi R. K., Nijjar S. S., Nizam M. A., Noman E. A., Nomura S., Noreen M., Norrving B., Noubiap J. J., Nri-Ezedi C. A., Ntsekhe M., Nurrika D., Nzoputam C. I., Nzoputam O. J., Obamiro K. O., O'Donnell M. J., Oghenetega O. B., Oguntade A. S., Oguta J. O., Okeke S. R., Okekunle A. P., Okidi L., Okonji O. C., Okwute P. G., Olagunju A. T., Olaiya M. T., Olana M. D., Olatubi M. I., Moraes Oliveira G. M., Olorukooba A. A., Olufadewa I. I., Oluwafemi Y. D., Oluwatunase G. O., Omer G. L., Ommati M. M., Ong K. L., Ong S., Onyedibe K. I., Ordak M., Ortega-Altamirano D. V., Ortiz A., Ortiz-Prado E., Osman W. M. S., Osuagwu U. L., Otoiu A., Otstavnov S. S., Owolabi M. O., Padukudru P A M., Padron-Monedero A., Padubidri J. R., Varnosfaderani M. P., Palicz T., Palladino R., Pan F., Pan H. -F., Pandi-Perumal S. R., Papadopoulou P., Park S., Passera R., Patel J., Patil S., Patoulias D., Patthipati V. S., Pawar S., Peden A. E., Pedersini P., Peng M., Filipino Pepito V. C., Peprah E. K., Pereira M., Pereira M. O., Peres M. F. P., Perianayagam A., Perico N., Petermann-Rocha F. E., Pham H. T., Philip A. K., Pigott D. M., Pilgrim T., Piradov M. A., Plotnikov E., Poddighe D., Polibin R. V., Poluru R., Pourali G., Pourshams A., Singh Pradhan P. M., Prasad M., Sady Prates E. J., Purohit B. M., Puvvula J., Qattea I., Qian G., Qureshi M. F., Rabiee rad M., Radfar A., Rafiei Alavi S. N., Rafique I., Raggi A., Rahim F., Rahim M. J., Rahimi M., Rahman M., Rahman M. A., Rahmani A. M., Rahmani B., Rahmani S., Rahmanian V., Rai P., Rajaa S., Rajabpour-Sanati A., Rajput P., Ram P., Ramalingam S., Ramasamy S. K., Ramazanu S., Ramesh P. S., Rana J., Rana K., Ranabhat C. L., Rancic N., Rane A., Ranjan S., Ranta A., Rao I. R., Rao M., Rao S. J., Rashedi S., Rashedi V., Rashid A. M., Rasul A., Ratan Z. A., Babu G. R., Ravikumar N., Rawaf S., Razeghian-Jahromi I., Razo C., Rama Krishna Reddy M. M., Mohamed Redwan E. M., Remuzzi G., Reyes L. F., Rezaei N., Rezaeian M., Ribeiro A. L. P., Ribeiro D., Rikhtegar R., Roever L., Romadlon D. S., Ronfani L., Sekhar Rout H. S., Roy N., Roy P., Rynkiewicz A., Saad A. M. A., Saadatian Z., Sabour S., Sacco S., Sachdeva R., Saddik B., Sadeghi E., Saeed U., Safaeinejad F., Sharif-Askari F. S., Sharif-Askari N. S., Sahebkar A., Sahoo S. S., Sajedi S. A., Sajid M. R., Sakshaug J. W., Salam N., Salami A. A., Saleh M. A., Salehi S., Salem M. R., Salem M. Z. Y., Samadzadeh S., Samargandy S., Samuel V. P., Samy A. M., Sanabria J., Sanjeev R. K., Santric-Milicevic M. M., Nadeem Saqib M. A., Sarasmita M. A., Saravanan A., Sarikhani Y., Sarkar T., Sarmiento-Suarez R., Sarode G. S., Sarode S. C., Sathish T., Sathyanarayan A., Sawhney M., Sayyah M., Scarmeas N., Schaarschmidt B. M., Schuermans A., Schumacher A. E., Schutte A. E., Schwebel D. C., Sedighi M., Seidu A. -A., Semnani F., Senapati S., Sengupta P., Senthilkumaran S., Sepanlou S. G., Sethi Y., Seyedi S. A., Seylani A., Shabany M., Shafeghat M., Shafie M., Shah P. A., Shahbandi A., Shahid I., Shahid S., Shahid W., Shahwan M. J., Shaikh M. A., Sham S., Shamim M. A., Shanawaz M., Sharfaei S., Sharifan A., Sharifi-Rad J., Sharma P., Sharma S., Sharma U., Sharma V., Sheikh A., Shiferaw D. S., Shigematsu M., Shin M. -J., Shiri R., Shishani K., Shittu A., Shiue I., Shivakumar K. M., Shrestha S., Shuval K., Sibhat M. M., Sigfusdottir I. D., Simpson C. R., Singh A., Singh J. A., Singh P., Singh R., Singh S., Siraj M. S., Skryabin V. Y., Skryabina A. A., Sleet D. A., Soleimani H., Solikhah S., Soliman S. S. M., Son J., Song S., Song Y., Soriano J. B., Spartalis M., Sreeramareddy C. T., Stafford L. K., Stark B. A., Steiropoulos P., Stortecky S., Abdulkader R. S., Sultana A., Sundstrom J., Swain C. K., Damavandi P. T., Tabatabaei S. M., Malazy O. T., Tabatabaeizadeh S. -A., Tabatabai S., Tabb K. M., Tabish M., Tabuchi T., Tadese F., Abkenar Y. T., Taiba J., Talaat I. M., Tampa M., Lukenze Tamuzi J. J. L., Tan K. -K., Tang H., Tarkang E. E., Tat N. Y., Tavangar S. M., Tehrani H., Teimoori M., Temsah M. -H., Hani Temsah R. M., Teramoto M., Thangaraju P., Thankappan K. R., Thapa R., Thapar R., Thavamani A., Thayakaran R., Thomas N. K., Tian J., Tichopad A., Tillawi T., Tonelli M., Topor-Madry R., Touvier M., Tovani-Palone M. R., Tran J. T., Tran N. M., Van Tran P., Trihandini I., Tripathi A., Tromans S. J., Truong V. T., Tri Tai Truyen T. T., Tsatsakis A., Tsegay G. M., Tsermpini E. E., Tumurkhuu M., Tung K., Ubah C. S., Udoakang A. J., Udoh A., Ullah A., Ullah S., Umair M., Umar T. P., Unim B., Unnikrishnan B., Upadhyay E., Usman J. S., Vahabi S. M., Vaithinathan A. G., Valizadeh R., Van den Eynde J., Varga O., Varma S. A., Vart P., Varthya S. B., Vasankari T. J., Vellingiri B., Vervoort D., Villafane J. H., Violante F. S., Viskadourou M., Volovat S. R., Vos T., Vujcic I. S., Wafa H. A., Wahab F., Wang C., Wang F., Wang N., Wang S., Wang Y., Wang Y. -P., Wei M. Y., Werdecker A., Wickramasinghe N. D., Wijeratne T., Wilandika A., Wilson S., Wolfe C. D. A., Wongsin U., Wu Z., Xiao H., Xu S., Xu X., Yadav L., Yano Y., Yaribeygi H., Yasufuku Y., Nia I. Y., Ye P., Yesuf S. A., Yezli S., Yigit A., Yigit V., Yilma M. T., Yon D. K., Yonemoto N., Yousefi Z., Yperzeele L., Yu C., Yunusa I., Zafari N., Tajrishi F. Z., Zakham F., Zastrozhin M. S., Zeineddine M. A., Zemedikun D. T., Zeng Y., Zhai C., Zhang C., Zhang H., Zhang L., Zhang N., Zhang Y., Zhao H., Zheng P., Zhong C., Zhou S., Zhu B., Zhu L., Zielinska M., Zikarg Y. T., Zmaili M., Zoeckler L. Z., Zou Z., Zumla A., Zweck E., and Zyoud S. H.
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- 2023
10. Estimation of Salivary Resistin, malondialdehyde and Lipid Profile levels in patients with Diabetes Mellitus
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null Entedhar R. Sarhat, null Rajaa S. Najim, and null Emad H. Abdulla
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General Medicine - Abstract
The present study is designed to verify the changes of resistin, malondialdehyde (MDA), glucose and lipid profile in type2 diabetes mellitus. This study was carried out during the period from November 2013 till January 2014, on 96 subjects: 57 diabetic patients (11 males and 46 females, aged between 33 and 60 years, with a mean age of 40.32) and 39 healthy controls (24 males and 15 females, aged between 40 and 59 years, with a mean age of 47.43), who attended :outpatient, Health care center, and Emergency Department in Tikrit Teaching Hospital. The results showed a significant increase in the salivary glucose, total cholesterol (TC), triglycerides (TG) resistin, and MDA level in diabetic patients compared to controls, while significant decrease in salivary HDL in diabetic patients compared to controls.
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- 2023
11. The laser surface treatment effective on Mechanical properties Cerment compounds(Al2O3+Ni-Al)
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null Rajaa S. Najm, null Ismael K. Jassim, and null Mohand E. Hussen
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General Medicine - Abstract
This work investigates the using thermal spray coating by Flame as a method to produce high performance cerment coating. In this study , an alumina was added to the self bounding of Ni- Al .This cerment composite materials sprayed through aflame towards a graphite substrate . The aim of the work is to see the effective of laser treatment on the microstructural of the coating layers . The results show that coating consists of different morphology zones surface defects and pores . The laser analysis predicts that remelted all surface particles with a significant high surface tension , producing strongly hardness with improvement in the structurel and mechanical properties.
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- 2023
12. Provenance of the Walash-Naopurdan back-arc–arc clastic sequences in the Iraqi Zagros Suture Zone
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Ali, Sarmad A., Sleabi, Rajaa S., Talabani, Mohammad J.A., and Jones, Brian G.
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- 2017
- Full Text
- View/download PDF
13. Evaluate the performance changes of processor simulator benchmarks When context switches are incorporated.
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Rajaa S. Shindi and Shaun Cooper
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- 2006
- Full Text
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14. Staphylococcus aureus virulence genes and methicillin-resistant gene detection and antimicrobial resistance profiles isolated from different infection sites.
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Ismael, Rafal, Alhameedawi, Alaa K., Abbas, Rajaa S., Alsallameh, Sarah M. S., Amer, Halah, Firat, Müge, and Karkhan, Maryam
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- 2023
- Full Text
- View/download PDF
15. The Study of Hemodialysis on the Change Rate of Serum Osteopontin, Sialic Acid, and Nitric Oxide Levels
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Takea Shaker Ahmed, Kasim Sakran Abass, ThuraiaRifaat Sarhat, Rajaa S. Najim, Mahde Salih Hamad, and Entedhar R. Sarhat
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chemistry.chemical_classification ,medicine.medical_specialty ,biology ,business.industry ,Health, Toxicology and Mutagenesis ,medicine.medical_treatment ,Toxicology ,Gastroenterology ,Pathology and Forensic Medicine ,Nitric oxide ,Sialic acid ,chemistry.chemical_compound ,stomatognathic system ,chemistry ,Internal medicine ,medicine ,biology.protein ,Chronic renal failure ,Treatment strategy ,In patient ,Hemodialysis ,Osteopontin ,business ,Glycoprotein ,Law - Abstract
Objective : Chronic renal failure (CRF) is one of the most prevalent diseases of human societies, especially in Iraq. Despite all advances that have been made so far, hemodialysis with all its complications is being applied as the novel treatment strategy for such individuals.Osteopontin (OPN) is a multi-functional secreted glycoprotein that plays a crucial role in and inflammatory process.Our aim was to ascertain whether circulating osteopontin,sialic acid ,and NO levels are altered in patients with CRF before and after dialysis.Design and Methods: A total of 126 patients with HD were enrolled in this study. Serum OPN levels were measured using a commercial enzymelinked immunosorbent assay kit.Results: Osteopontin and Sialic acid levels were significantly higher in haemodialysed CKD patients than predialysed CKD patients and normal healthy controls. The levels of NO was significantly lower in CRF patients pre HD when compared with healthy controls and significantly increased in post HD as compared to pre HD. Conclusion: In our study, OPN SA, NO were found to be a valuable marker of severity of CKD.
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- 2021
16. Health-related quality of life and its effect on TB treatment outcomes
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Roy, N., primary, Krishnamoorthy, Y., additional, Rajaa, S., additional, Ezhumalai, K., additional, Madhusudhanan, S., additional, Raghupathy, K., additional, Knudsen, S., additional, Horsburgh, C. R., additional, Hochberg, N. S., additional, Salgame, P., additional, Ellner, J., additional, Subitha, L., additional, Babu, S. P., additional, and Sarkar, S., additional
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- 2021
- Full Text
- View/download PDF
17. Motivating High School Students From Rural Areas to Attend College and Pursue Careers as Osteopathic Physicians
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Holly R. Nummerdor, Steven J. Ontiveros, Boris Boyanovsky, Samuel Kadavakollu, Savin B. Pillai, Vijay K. Singh, and Rajaa S. Shindi
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Complementary and Manual Therapy ,media_common.quotation_subject ,MEDLINE ,Context (language use) ,Likert scale ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Humans ,030212 general & internal medicine ,Students ,Schools, Medical ,media_common ,Medical education ,Osteopathic Philosophy ,Career Choice ,business.industry ,Osteopathic medicine in the United States ,030205 complementary & alternative medicine ,Complementary and alternative medicine ,Feeling ,Preparedness ,Osteopathic Physicians ,Rural area ,business ,Osteopathic Medicine - Abstract
Context One potential way to address critical current and future projected health care workforce shortages is through comprehensive programs that could potentially inspire high school students to pursue osteopathic medical careers in underserved areas. Objective To determine whether a comprehensive, 5-week enrichment program could promote interest among rural high-school students in careers osteopathic medicine. Methods In May 2018, 116 high school students with a grade point average of 2.8 or higher from rural areas, including New Mexico and its surrounding rural areas in the US-Mexico border region, enrolled in а 5-week program offering American College Testing (ACT) preparation and biomedical sciences enrichment at Burrell College of Osteopathic Medicine (BCOM). During the program, students were offered more than 150 hours of interactive in-class lectures and hands-on activities with laboratories focusing on college preparedness, health sciences, and motivating students to pursue osteopathic medical career and practice medicine in rural areas. Clinically-oriented sessions covering osteopathic philosophy and osteopathic manipulative medicine were included. After completion, a voluntary and anonymous survey was sent to students who completed the program students through QualtricsXM©. Blinded ACT scores were collected from participants’ schools, along with college enrollment status information. Results Of 116 enrolled students, 106 (91.4%) completed the program successfully. In their postcompletion survey responses, students reported that they had gained a realistic perception of the field of medicine and were motivated to attend college (mean [standard error, SE] score on 5-point Likert scale over 2 questions, 4.8 [0.06]) and osteopathic medical school (mean [SE], 4.7 [0.1]). Participants also felt more informed about physician shortage in rural areas (mean [SE], 4.7 [0.07]) and appeared to be inspired to practice medicine in rural areas (mean [SE], 4.6 [0.09]). Students also reported feeling better prepared to take the ACT after finishing this program (mean [SE], 4.9 [0.04]). Finally, we were able to collect the ACT scores of 51 participants (48.1%) who completed the program; the mean ACT score was 24.3, compared with a reported national mean of 20.7 on a scoring scale of 1-36. We also performed a follow-up inquiry showing that 78 of the 81 participating students (96%) who had graduated from high school were enrolled in college or university and 59 (73%) had elected in science, technology, engineering, mathematics, or health majors. Conclusion Rural high school pipeline programs could be a tool to motivate high school students to attend college and ultimately to develop physicians who are interested to practice in medically underserved areas.
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- 2020
18. Removal of Tetracycline from Aqueous Solutions using Pomegranate Peels Residues Accessing to ZRL
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Tamara Sami Naji and Rajaa S. Abass Suad Turky Ali
- Subjects
Residue (complex analysis) ,Aqueous solution ,Chemistry ,Tetracycline ,Environmental remediation ,Health, Toxicology and Mutagenesis ,Toxicology ,Pulp and paper industry ,Environmentally friendly ,Pathology and Forensic Medicine ,Agricultural waste ,Adsorption ,medicine ,Water treatment ,Law ,medicine.drug - Abstract
Antibiotics are harmful pharmaceuticals to ecosystems in general and aquatic systems in particular. Therefore, its remediation from water bodies is a topic of great importance for water treatment and purification workers. This research investigates the removal of one of the most famous types of antibiotics, which was tetracycline from simulated synthetic aqueous solutions by adsorption technique using non-toxic, low cost and available agricultural waste which was pomegranate peels. The adsorption experiments were performed in adsorption laboratory unit of batch mode at different operating conditions and laboratory temperature. The operating parameters studied included pH of solution, dose of adsorbent media, treatment time, agitation speed and initial concentration of tetracycline. The results showed the ability of pomegranate peels to extract tetracycline from aqueous solutions with high efficiency of 81.55%. The results also showed that the percentage of antibiotic adsorption from aqueous solutions was inversely correlated with increasing the initial concentration and acidic function of the tetracycline solution while it was directly proportional to the amount of pomegranate peels, agitation speed and treatment time. In this style, one of the most important types of antibiotics that contaminated water was disposed of by a cheap material and using a simple, economical and environmentally friendly method accessing to the principle of zero residue level (ZRL).
- Published
- 2020
19. Motivating High School Students From Rural Areas to Attend College and Pursue Careers as Osteopathic Physicians
- Author
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Kadavakollu, Samuel, primary, Shindi, Rajaa S., additional, Nummerdor, Holly R., additional, Singh, Vijay K., additional, Pillai, Savin B., additional, Ontiveros, Steven J., additional, and Boyanovsky, Boris, additional
- Published
- 2020
- Full Text
- View/download PDF
20. Provenance of the Walash-Naopurdan back-arc–arc clastic sequences in the Iraqi Zagros Suture Zone
- Author
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Rajaa S. Sleabi, Sarmad A Ali, Mohammad J.A. Talabani, and Brian G. Jones
- Subjects
Provenance ,geography ,geography.geographical_feature_category ,010504 meteorology & atmospheric sciences ,Volcanic arc ,Subduction ,Geochemistry ,Geology ,010502 geochemistry & geophysics ,01 natural sciences ,Volcanic rock ,Clastic rock ,Magmatism ,Island arc ,Suture (geology) ,Petrology ,0105 earth and related environmental sciences ,Earth-Surface Processes - Abstract
Marine clastic rocks occurring in the Walash and Naopurdan Groups in the Hasanbag and Qalander areas, Kurdistan region, Iraqi Zagros Suture Zone, are lithic arenites with high proportions of volcanic rock fragments. Geochemical classification of the Eocene Walash and Oligocene Naopurdan clastic rocks indicates that they were mainly derived from associated sub-alkaline basalt and andesitic basalt in back-arc and island arc tectonic settings. Major and trace element geochemical data reveal that the Naopurdan samples are chemically less mature than the Walash samples and both were subjected to moderate weathering. The seaway in the southern Neotethys Ocean was shallow during both Eocene and Oligocene permitting mixing of sediment from the volcanic arcs with sediment derived from the Arabian continental margin. The Walash and Naopurdan clastic rocks enhance an earlier tectonic model of the Zagros Suture Zone with their deposition occurring during the Eocene Walash calc-alkaline back-arc magmatism and Early Oligocene Naopurdan island arc magmatism in the final stages of intra-oceanic subduction before the Miocene closure and obduction of the Neotethys basin.
- Published
- 2017
21. The Study of Hemodialysis on the Change Rate of Serum Osteopontin, Sialic Acid, and Nitric Oxide Levels.
- Author
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Sarhat, Entedhar R., Ahmed, Takea Shaker, Hamad, Mahde Salih, Najim, Rajaa S., Sarhat, ThuraiaRifaat, and Abass, Kasim Sakran
- Subjects
SIALIC acids ,OSTEOPONTIN ,CHRONIC kidney failure ,NITRIC oxide ,HEMODIALYSIS - Abstract
Objective : Chronic renal failure (CRF) is one of the most prevalent diseases of human societies, especially in Iraq. Despite all advances that have been made so far, hemodialysis with all its complications is being applied as the novel treatment strategy for such individuals.Osteopontin (OPN) is a multi-functional secreted glycoprotein that plays a crucial role in and inflammatory process. Our aim was to ascertain whether circulating osteopontin,sialic acid,and NO levels are altered in patients with CRF before and after dialysis. Design and Methods: A total of 126 patients with HD were enrolled in this study. Serum OPN levels were measured using a commercial enzymelinked immunosorbent assay kit. Results: Osteopontin and Sialic acid levels were significantly higher in haemodialysed CKD patients than predialysed CKD patients and normal healthy controls. The levels of NO was significantly lower in CRF patients pre HD when compared with healthy controls and significantly increased in post HD as compared to pre HD. Conclusion: In our study, OPN SA, NO were found to be a valuable marker of severity of CKD. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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- View/download PDF
22. Design Micro-piezoelectric Actuated Gripper for Medical Applications
- Author
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Amjad Y. Sahib, Rajaa S. Abbas, Muazez Al Ali, and Musaddiq Abdil Khaliq Maleh Al Ali
- Subjects
Microelectromechanical systems ,Mechanism (engineering) ,Computer science ,Matlab programming ,Topology optimization ,Mechanical engineering ,Closing (morphology) ,Piezoelectricity - Abstract
Designing micro electro-mechanical systems based gripper is challenging task specially with introducing accurate and tactile gripping. Tactile gripping is important with biological and medical application. In this work, single structure mechanism of piezoelectric materials is designed using topology optimization to be a micro gripper. Topology optimization is done in MATLAB programming environment. Model is tested in COMSOL. The models showed good opening and closing action actuated by applying electric potential.
- Published
- 2018
23. Antioxidant Role Of Milk Thistle In Mice Infected With A Virulent Strain Of Corynebacterium Pseudotuberculosis.
- Author
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Awni, K. J., Rajaa, S. Abass, Rasha, H. All-Rikabi, and Ziad, T. Nuaman
- Subjects
- *
CORYNEBACTERIUM pseudotuberculosis , *MILK thistle , *MICE , *FREE radicals , *PLANT extracts - Abstract
Present of this study was designed to improve the antioxidant activity of milk thistle (salymarin) against inoculated mice with virulent strain of Corynebacterium Pseudotuberculosis by measuring the serum levels of Free Radicals Peroxinitrite and Malondialdhyde. Fifty mice were divided into five groups equally G1:10 mice served as control negative. G2 served as control positive challenged virulent C. pseudotuberculosis (5x109) CFU/ ml I/P. G3 giving plant extract of salybum marianam 350 mg / kg orally. G4 giving saly marin for thirty days and challenged with Corynebacterium pseudotuberculosis. G5 challenged with virulent C. pseudotuberculosis (5x109) CFU/ ml I/P after thirty days treated with plant extract for thirty days. At thirty days of experiment (5) mice were sacrefecied from each group and serum blood were collected for measuring oxidant levels (Peroxinitrite and Malondialdhyde), also at sixty days of experiment all animal were sacrificed to determine the free radicals level (Peroxinitrite and Malondialdhyde). The results revealed that the serum levels of free radicals in group treated with milk thistle lower than serum levels treated with Corynebacterium psedotuberculosis. This study concludes that the antioxidant activity of milk thistle in prevent and treatment the oxidative stress. [ABSTRACT FROM AUTHOR]
- Published
- 2020
24. Hesperidin improves fertility in female mice infected byBrucella melitensis.
- Author
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K. J., Awni, Abbas, Rajaa S., and Naman, ZiadTareq
- Subjects
- *
FEMALE reproductive organs , *HESPERIDIN , *FERTILITY , *BRUCELLA melitensis , *MICE - Abstract
The present study was designed to improve fertility in female mice caused by virulent strain of Brucella melitensis. Sixty female mice were divided into 5 groups equally: Group1 giving normal saline 0.3 ml orally serve as control negative. Group2 served as control positive infected with a virulent strain of B. melitensis(1x10 8) CFU/ ml I/P. Group 3 administrated hesperidin 10mg /kg B.W. group 4 infected with B. melitensisand treated with hesperidin 10mg/kg B.W. Group 5 treated with hesperidin 10mg /kg B.W. and infected with B. melitensis(1x10 8). At thirty and sixty days of the experiment (half and end of the experiment), six mice from each group were sacrificed to determine serum hormones (FSH, LH, estrogen, and progesterone). The results revealed that hesperidin reduces estrogen-progesterone levels and increases levels of FSH and LH in comparison with an infected group (G2) serum levels of estrogen, progesterone was high and FSH and LH were low levels. This study concluded that hesperidin improves fertility because of act as anti-cancer, anti-oxidant anti-inflammatory action that giving protect of female reproductive organs of female mice in comparison with infected mice with B. melitensiswhich caused a different change of hormonal levels that lead to cause infertility. [ABSTRACT FROM AUTHOR]
- Published
- 2020
25. Removal of Tetracycline from Aqueous Solutions using Pomegranate Peels Residues Accessing to ZRL.
- Author
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Abass, Rajaa S., Ali, Suad Turky, and Naji, Tamara Sami
- Subjects
TETRACYCLINE ,TETRACYCLINES ,AQUEOUS solutions ,POMEGRANATE ,AGRICULTURAL wastes ,WATER purification - Abstract
Antibiotics are harmful pharmaceuticals to ecosystems in general and aquatic systems in particular. Therefore, its remediation from water bodies is a topic of great importance for water treatment and purification workers. This research investigates the removal of one of the most famous types of antibiotics, which was tetracycline from simulated synthetic aqueous solutions by adsorption technique using non-toxic, low cost and available agricultural waste which was pomegranate peels. The adsorption experiments were performed in adsorption laboratory unit of batch mode at different operating conditions and laboratory temperature. The operating parameters studied included pH of solution, dose of adsorbent media, treatment time, agitation speed and initial concentration of tetracycline. The results showed the ability of pomegranate peels to extract tetracycline from aqueous solutions with high efficiency of 81.55%. The results also showed that the percentage of antibiotic adsorption from aqueous solutions was inversely correlated with increasing the initial concentration and acidic function of the tetracycline solution while it was directly proportional to the amount of pomegranate peels, agitation speed and treatment time. In this style, one of the most important types of antibiotics that contaminated water was disposed of by a cheap material and using a simple, economical and environmentally friendly method accessing to the principle of zero residue level (ZRL). [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
26. RICE HUSKS AS A BIOSORBENT AGENT FOR PB2+ IONS FROM CONTAMINATED AQUEOUS SOLUTIONS : A REVIEW.
- Author
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Abbas, Mohammed Nsaif, Ali, Suad Turky, and Abass, Rajaa S.
- Subjects
RICE hulls ,LEAD ,AQUATIC ecology ,KIDNEY failure ,ELECTROCOAGULATION (Medicine) - Abstract
Lead element and its compounds is one of the main substances disposed hugely by many industries such as electroplating, batteries and pesticides as well as the emissions of burning process of the fuel containing lead ionsby various transport vehicles, small generators and others. As a result of its wide use, it causes an undeniable source tocontaminate all components of environment, especially aquatic ecosystems. The most important feature of this dangerous element is the possibility of accumulation in the tissues of living organisms.Moreover the continuous and persistent exposure to lead isconsidered a major cause of diseases associated with kidney failure, brain and liver damage and diseases of the nervous system. Therefore, it should be removed from contaminated water as soon as possible and with the highest conceivable percentage. There are many methods of removing lead element from aqueous solutions including electrocoagulation, membrane filtration, ion exchange, chemical precipitation, extraction, adsorption, biological methods, etc. All the above methods differ in their usability, efficiency, residual waste and the economic cost necessary to apply them, but all these methods have advantages and disadvantages. Either it is a costly or less efficient method, or requires special units or primary treatments, or produces harmful wastes that require further treatment after completion.In contrast, adsorption technology by activated carbon and other adsorption media emerge as one of the most promising methods that have proven to be highly efficient in treating a lot of wastewater contaminated with toxic and hazardous waste types.It is an easy technology compared to other methods and does not require special units in addition to economic and can be repeated many times before the regeneration process. However, due to the constraints associated with this technique, which is represented by the high cost of activated carbon production and the loss of an amount ranging between 8- 15% of its weight with each regeneration process and accumulation of pollutants on the surfaces of the adsorbents led to search for other alternatives to make the process economical and efficient approach.In the last two decades, industrial and agricultural wastes have attracted the attention due to their availability, efficiency, low cost, negligible toxicity and as a useful way to get rid of these environmentally harmful wastes. They have been used either as an adsorbent material or as raw materials for preparation of activated carbon. In order to treat the residual toxic residues, the concept of zero residue level (ZRL) has been introduced, which includes the exploitation of these toxic residues in a useful, economical and eco-friendly method. This article is related to review a number of papers that have used rice husks as adsorption media for lead from aqueous solutions and wastewater. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
27. Concentration Of Radon In The Rain Falls In Salah-Din Province / Iraq.
- Author
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Mohammad, Yasir Kh., Idan, Farqad F., Najim, Rajaa S., and Mohammed, Fareed M.
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NUCLEAR track detectors ,RADON ,RADIOISOTOPES ,ALPHA rays ,PARTICLE emissions ,WATER sampling - Abstract
Five regions in Salah -Din province Iraq were chosen to the study, concentration of radon in the rainwater falls in 2016. by using long-term technique for alpha particles emission with solid state nuclear track detector (SSNTD) CR-39, which have been used to determine the above radioactive isotopes concentrations in the samples. The results show the presence of some radioactivity on the area of Bieja refinery and it was measured to be (2.606) Bq.L-1, the min average in Balad was (1.006) Bq.L-1, in general we found that radon 222Rn concentration, in the studied water samples, was less than the allowed permitted limit which is about 18 Bq.L-1, and it has no danger on human being life. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
28. Aging Time Effects on the Mechanical Properties of Al 6061-T6 Alloy
- Author
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Rajaa, S. M., primary, Abdulhadi, H. A., additional, Jabur, K. S., additional, and Mohammed, G. R., additional
- Published
- 2018
- Full Text
- View/download PDF
29. Design Micro-piezoelectric Actuated Gripper for Medical Applications
- Author
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Ali, Musaddiq Al, primary, Ali, Muazez Al, additional, Sahib, Amjad Y., additional, and Abbas, Rajaa S., additional
- Published
- 2018
- Full Text
- View/download PDF
30. Effect of Moringa oleifera Extract on Serum Glucose and Interleukin-1, Interleukin-2 and Tumor Necrosis Factor α in Streptozotocin-Induced Diabetic Rats.
- Author
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Wadee, Siham A., Sarhat, Entedar R., and Najim, Rajaa S.
- Subjects
TUMOR necrosis factors ,MORINGA oleifera ,INTERLEUKIN-1 ,INTERLEUKIN-2 ,GLYCEMIC control - Abstract
Background: Diabetes Mellitus presents a major challenge to healthcare systems around the world. One of the outcomes of diabetes is oxidative stress that is caused by the effect of hyperglycemia. Recent studies indicate that, oxidative agents in diabetes result in many complications such as cardiovascular disease, nephropathy, retinopathy and neuropathy. Aim of the study: This study was designed to evaluate the effect of Moringa oleifera (MOE), in Streptozotocin (STZ)-induced diabetes in wistar rats. Methods: The rats were randomly divided into three groups of 10 animals each: Group I, healthy control; Group II, diabetics; Group III, diabetics treated with MOE (100 mg/ kg) for12 weeks . Diabetes was induced by a single intraperitoneal injection of Streptozotocin (STZ, 65 mg/kg).Finally, blood samples were collected and analyzed for glucose and interleukin-1(IL-1), interleukin-2(IL- 2), and tumor necrosis factor α (TNF-α). Results; result revealed that, oral administration of MO extract caused a significant decrease in serum glucose IL-1, and TNF-α levels(183± 41.10mg/dl), (25.7 ± 1.5 pg/ml), (10.7 ± 2.0pg/mL)respectively , whereas increased in IL-2(5.0 ± 1.92 U/mL) in diabetic rats treated with MO extract when compared to levels of diabetic and control groups (298.2 ± 8.09mg/dl), (97.24 ± 3.21pg/ml), (13.4 ± 2.21pg/mL),and (4.08± 1.17U/mL) respectively. Conclusions: It appears that, Moringa olifera extract had both antihyperglycemic and decreased the activity of IL-1, and TNF-α , and increased IL-2 on STZinduced diabetic rats. Further studies are needed to determine its protective effects on the other diabetes complications. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
31. Uranium concentrations in Soil of Salahdin Governorate Using CR-39 Nuclear Track Detector
- Author
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Kadhim, Nidhala H, primary, Tawfiq, Nada F., additional, and Najim, Rajaa S., additional
- Published
- 2014
- Full Text
- View/download PDF
32. Evaluate the performance changes of processor simulator benchmarks When context switches are incorporated
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Shindi, Rajaa S., primary and Cooper, Shaun, additional
- Published
- 2006
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33. Evaluate the performance changes of processor simulator benchmarks When context switches are incorporated.
- Author
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Shindi, Rajaa S. and Cooper, Shaun
- Published
- 2006
- Full Text
- View/download PDF
34. Nutritional assessment of under-three years children availing Anganwadi services from rural areas of Puducherry, India.
- Author
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Rajendran G, Ramasubramani P, Rajaa S, Kanagalingam S, and Karunakar P
- Abstract
Aim: Undernurition stands as a significant contributor to childhood mortality, particularly in developing nations such as India. At the grass root level, anthropometric monitoring indicators such as stunting, underweight and wasting take place within Anganwadi centres (village courtyard). The scrutiny of growth records, utilising these markers, not only quantifies the burden but also informs corrective measures. This study aimed to assess the prevailing growth monitoring records within the rural vicinity of Puducherry., Methods: A community-based cross-sectional study design was implemented to examine the health condition of children below 3 years of age, who were enrolled and utilising services in Anganwadi centres. The anthropometric data, such as weight and height, were collected from growth monitoring records maintained in Anganwadi. The proportions of undernutrition indicators such as stunting, underweight and wasting were presented with a 95% confidence interval (CI)., Results: Within our rural service area encompassing 13 Anganwadis, a total of 572 children aged 3 or less were registered. Notably, approximately 14.2% (95% CI: 11.5-17.3) of these children experienced underweight, 16.4% (95% CI: 13.6-19.7) were stunted and 13.3% (95% CI: 10.8-16.3) were wasted. In terms of gender disparities, the prevalence of undernurition was notably higher among boy children, with 15.4% being underweight, 16.9% stunted and 14.7% wasted., Conclusions: The prevalence of childhood undernurition is a public health concern, demanding the enhancement of existing nutritional initiatives to ameliorate the healthy well-being of these children. The timely identification of malnourished children holds paramount importance, as intensified interventions can be promptly employed to uplift the health status of these vulnerable individuals., (© 2024 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).)
- Published
- 2024
- Full Text
- View/download PDF
35. Trend and determinants of tobacco use among Indian males over a 22-year period (1998-2021) using nationally representative data.
- Author
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Gupta S, Mal P, Bhadra D, Rajaa S, and Goel S
- Subjects
- Humans, Male, India epidemiology, Adult, Middle Aged, Adolescent, Young Adult, Socioeconomic Factors, Health Surveys, Smoking epidemiology, Tobacco Use epidemiology, Tobacco, Smokeless statistics & numerical data
- Abstract
Objective: Tobacco consumption is associated with an increased risk of morbidity and mortality. India is one of the largest consumers of tobacco worldwide. We assessed the trend of tobacco use among Indian males over a period of 20 years using data obtained from four rounds of the National Family Health Survey (NFHS)., Methods: Data on tobacco usage and relevant socioeconomic variables obtained from NFHS rounds 2 to 5 over the period 1998-2021, was used for analysis. Specifically, data were available for 138,951 males from NFHS-2, 74,369 males from NFHS-3, 112,222 males from NFHS-4, and 101,839 males from NFHS-5. Significance of association between various socio-economic factors and tobacco usage was ascertained using a multicategory logistic regression model., Results: Among all the forms of tobacco, smokeless tobacco was predominantly used by Indian males. The proportion of smokers and those using both smoke and smokeless forms peaked during NFHS-3, followed by a consistent dip; however, the use of smokeless tobacco plateaued from NFHS-4 to NFHS-5. NFHS-5 shows that 19.2% of Indian males smoked, 27.0% used smokeless tobacco, and 6.3% used both. Tobacco use has declined significantly over the last two decades. Tobacco usage is noticeably higher among the elderly, Muslims, and those from the backward classes, while it was considerably lower for individuals belonging to the educated and wealthier segment., Conclusion: There has been a steady decline in tobacco use in India over the past 22 years, specifically in the smoke-form category. However, smokeless tobacco use remains nearly unaffected. The outcome of this study might aid policymakers in devising targeted tobacco control policies and improving existing ones., Competing Interests: The authors have no relevant financial or non-financial interests to disclose., (Copyright: © 2024 Gupta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
- Published
- 2024
- Full Text
- View/download PDF
36. Diagnostic Accuracy of Optic Nerve Sheath Diameter Using Ultrasonography for Raised Intracranial Pressure in Pediatric Patients - A Systematic Review and Meta-Analysis.
- Author
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Rajendran G, Mahalingam S, Ramkumar A, Rajaa S, P T K, K A, Elanjaeran R, Kannan R, Prakasam S, Salih A, and Nayagam V
- Subjects
- Humans, Child, Intracranial Pressure physiology, Sensitivity and Specificity, Child, Preschool, Optic Nerve diagnostic imaging, Intracranial Hypertension diagnostic imaging, Ultrasonography methods
- Abstract
Purpose: Detecting increased intracranial pressure early in pediatric patients is essential, as early initiation of therapy prevents morbidity and mortality. The objective of this study was to determine the diagnostic accuracy of the optic nerve sheath diameter (ONSD) measured via ultrasound for the prediction of increased intracranial pressure., Methods: Four databases, namely, PubMed, EMBASE, Scopus, and CINAHL, were searched for this systematic review and meta-analysis. The study's predefined inclusion criteria considered diagnostic accuracy, cross-sectional, prospective observational, and retrospective studies with a focus on children with elevated intracranial pressure from causes such as traumatic brain injury and cerebral edema, the diagnostic accuracy of the optic nerve sheath diameter measured using ultrasound was assessed. The primary outcome measures included sensitivity and specificity. The study included invasive monitoring (external ventricular drain) and noninvasive measures as the gold standards for increased intracranial pressure. Two authors extracted and reviewed the data. Baseline data, outcome measures, and diagnostic accuracy data were extracted., Results: Twenty-five studies with 1591 patients and 3143 ONSD measurements via ultrasound were analyzed. The pooled sensitivity and specificity of the ONSD measured via ultrasound for the prediction of increased intracranial pressure were 92% (86%-96%) and 89% (77%-96%), respectively. The pooled positive and negative likelihood ratios were 8.6 and 0.08, respectively., Conclusion and Relevance: Optic nerve ultrasonography stands out as a precise and valuable diagnostic tool applicable across diverse patient populations and clinical scenarios. We recommend routine ocular ultrasound for optic nerve sheath diameter measurement in pediatric patients to increase the accuracy of diagnosing increased intracranial pressure., (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
37. Prevalence and socio-demographic factors associated with double and triple burden of malnutrition among mother-child pairs in India: Findings from a nationally representative survey (NFHS-5).
- Author
-
Ramasubramani P, Krishnamoorthy Y, and Rajaa S
- Abstract
Introduction: Improper consumption of food leads to various forms of malnutrition such as undernutrition, overnutrition and micronutrient deficiency. The coexistence of various malnutrition forms in the same household is a public health concern in developing countries. Very little research has been done on exploring the burden and risk factors associated with double (DBM) and triple burden of malnutrition (TBM)., Methods: Secondary analysis was done using data from India's National Family Health Survey-5 (NFHS-5), 2019-21. Mothers and under-five children were paired at the household level as a unit of analysis. DBM and TBM were interpreted from children's height-for-age, weight-for-height, weight-for-age and anaemia status and mothers' body-mass-index. Stratification and clustering in the sample design were accounted for during the analysis in STATA v14.2. DBM and TBM were summarized as weighted proportions with 95 % confidence interval (CI) and the risk factors associated were reported as adjusted odds ratio (aOR) with 95%CI using mixed effects logistic regression., Results: We included 167,380 mother-child pairs for analysis. In India, the prevalence of DBM was 7.7 % (95 % CI: 7.5-7.9 %) and TBM was 5.1 % (5.0-5.3 %) at the household level among mother-child dyads. Mothers' age, age at first birth, educational levels, current breastfeeding habits, mode of delivery, child's age, gender, twin birth, birth weight, geographical region, residence, caste and religion, and wealth index were associated with both DBM and TBM., Conclusion: Both DBM and TBM are public health concerns in India. Thus, scaling-up of health intervention, effective implementation of nutritional programmes and life-course approach are needed to control malnutrition., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors. Published by Elsevier Ltd.)
- Published
- 2024
- Full Text
- View/download PDF
38. Comprehensive Proteomic Profiling of Converted Adipocyte-like Cells from Normal Human Dermal Fibroblasts Using Data-Independent Acquisition Mass Spectrometry.
- Author
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Choi S, Dalloul RSD, Vemulapalli PB, Yousef S, Goswami N, and Schmidt F
- Abstract
Adipocytes play an important role in the regulation of systemic energy homeostasis and are closely related to metabolic disorders, such as type-2 diabetes and inflammatory bowel diseases. Particularly, there is an increasing need for a human adipocyte model for studying metabolic diseases and obesity. However, utilizing human primary adipocyte culture and stem-cell-based models presents several practical limitations due to their time-consuming nature, requirement for relatively intensive labor, and high cost. Here, we applied direct conversion of normal human dermal fibroblasts (NHDFs) into adipocyte-like cells using an adipogenic cocktail containing 3-isobutyl-1-methylxanthine (IBMX), dexamethasone, insulin, and rosiglitazone and confirmed prominent lipid droplet accumulation in the converted cells. For profiling the proteome changes in the converted cells, we conducted a comprehensive quantitative proteome analysis of both the intracellular and extracellular proteome fractions using data-independent acquisition mass spectrometry. We observed that several proteins, which are known to be highly expressed in adipocytes specifically, were dominantly increased in the converted cells. In this study, we suggest that NHDFs can be converted into adipocyte-like cells by an adipogenic cocktail and can serve as a useful tool for studying human adipocytes and their metabolism., Competing Interests: The authors declare no competing financial interest., (© 2024 American Chemical Society.)
- Published
- 2024
- Full Text
- View/download PDF
39. Construct Validation and Reliability Assessment of Tamil Translated Hill-Bone-Compliance to High Blood Pressure Therapy Scale Among Hypertensive Patients in Rural Puducherry, South India.
- Author
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Ramasubramani P, Rajaa S, Raj R, Krishnamoorthy Y, and Sarkar S
- Abstract
Background: Pharmacological drugs and medications are being widely used for the control of non-communicable diseases like hypertension. Hill-Bone-Compliance to High Blood Pressure Therapy Scale (HB-HBP) is a newly developed specific questionnaire for assessing the anti-hypertensive medication adherence. Hence, this study was done to translate the HB-HBP in Tamil and to assess the construct validity and reliability of the Tamil version., Materials and Methods: Translation of HB-HBP to native language, Tamil was done by experts and piloted with subsample of hypertensive patients from rural Puducherry. Final Tamil-translated HB-HBP was administered among 328 Tamil-speaking hypertensive patients in the selected villages of rural Puducherry (union territory in South India). Construct validity was assessed by exploratory factor analysis (EFA) through the principal component method. Based on the minimum average partial and parallel analysis, three-factor model was distinguished. Confirmatory factor analysis was done to obtain the goodness-of-fit. Reliability of questionnaire was assessed through Cronbach's alpha coefficient., Results: Three factor structure s were obtained with eigenvalues of 6.5045, 2.8165, and 1.2261, respectively, which accounted for 75.34% of variance. Three-factor model assessed by the confirmatory factor method found Chi-square value of 1055.048 ( P value <0.001). Goodness of fit revealed acceptable comparative fit index (0.773), Tucker-Lewis index (0721), standardized root mean square residual (0.077), and root mean square error of approximation (0.201). The reliability coefficient (Cronbach's alpha) for the scale was 0.9020., Conclusion: Our study concludes that the HB-HBP questionnaire is internally valid and consistent with a good reliability coefficient for application in Tamil-speaking patients with hypertension., Competing Interests: There are no conflicts of interest, (Copyright: © 2024 Indian Journal of Community Medicine.)
- Published
- 2024
- Full Text
- View/download PDF
40. Roles, Responsibilities, and Functions of Village Health, Sanitation, and Nutrition Committees in India: A Qualitative Evidence Synthesis.
- Author
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Rajaa S, Ramalingam S, Chokashi M, and Mokashi T
- Subjects
- India, Humans, Qualitative Research, Health Promotion organization & administration, Professional Role, Advisory Committees organization & administration, Sanitation standards
- Abstract
National Health Mission instituted the Village Health, Sanitation, and Nutrition Committees (VHSNCs) in 2005, with an aim of ensuring health and well-being for local communities in India. There is a lack of concrete evidence on the functioning of VHSNCs at a national level. Thus, this study was undertaken to outline the roles, responsibilities, and functions of VHSNCs in India. We conducted a comprehensive data search in Medline, Cochrane Library, ScienceDirect, EMBASE, and Google Scholar between 2005 and August 2021. All peer-reviewed qualitative studies that reported the roles, responsibilities, functions, and good practices of VHSNCs from India were included in our review. Critical Appraisal Skills Programme checklist was used to assess the quality of individual studies. In total, we included 15 studies (including 1100+ VHSNCs) from various states of India. Our review highlighted that the majority of the VHSNCs functioned without a clear-cut definition of roles and responsibilities had irregular meetings and workforce shortage. There was a lack of inclusivity, accountability, and delay in the processing of untied funds. The included studies have showed that VHSNCs were involved health promotional activities such as formulation and implementation of village health plans, delivery of services through public distribution systems, ensuring safe drinking water and sanitary supervision, and identification and referral of malnourished children. Our review highlights the crucial role that VHSNCs play in improving the health outcomes of rural populations and underscores the need for continued support and capacity-building efforts to ensure their effectiveness., (Copyright © 2024 Copyright: © 2024 Indian Journal of Public Health.)
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- 2024
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41. Barriers and Facilitators to Implementing the National Patient Safety Implementation Framework in Public Health Facilities in Tamil Nadu: A Qualitative Study.
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Krishnamoorthy Y, Subbiah P, Rajaa S, Krishnan M, Kanth K, Samuel G, and Sinha I
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- Humans, India, Health Facilities, Patient Safety, Delivery of Health Care
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Background: In 2017, the National Patient Safety Implementation Framework (NPSIF) was introduced in India to ensure patient safety at different levels of the health care delivery system by 2025. Evaluating the implementation status, feasibility, and challenges and obtaining suggestions for improvement are key to the successful and sustainable implementation of any national health framework. Hence, we explored the facilitators and challenges in implementing the NPSIF and sought suggestions to address the challenges., Methods: We adopted a descriptive qualitative approach to inquire about NPSIF implementation. Health care workers were selected using maximum variability sampling from 18 secondary- and tertiary-level public health care facilities in Tamil Nadu, India. From August to October 2021, we conducted a total of 80 key informant interviews and in-depth interviews with the relevant officers in-charge and HCWs of varied cadres., Results: Facilitating factors reported were facilities obtaining/working toward quality certification; availability of standard protocols and checklists; and government rewards for the best-performing hospitals, doctors, and staff. Major implementation challenges reported were staff shortages; lack of infrastructure, facilities, and equipment; lack of awareness about patient safety, noncompliance to standard guidelines, and lack of patient cooperation. Recommendations suggested to overcome these challenges included providing educational materials to patients, offering regular continuing medical education and training, improving record maintenance, having a dedicated staff/team and surveillance system setup for patient safety and dedicated staff for data entry, filling existing staff vacancies, and using a carryover option for funding., Conclusion: Based on the current situation of patient safety practices in public health facilities in Tamil Nadu, it will be difficult to achieve full-scale implementation of the NPSIF by 2025. However, as a first step, a core patient safety committee can be formed at the state level to develop a Gantt chart for implementation based on the priorities over the next 2 years., (© Krishnamoorthy et al.)
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- 2023
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42. Non-pharmacological Interventions for Tobacco Cessation in India: A Systematic Review and Network Meta-analysis.
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Krishnamoorthy Y, Elangovan V, and Rajaa S
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- Humans, Network Meta-Analysis, Tobacco Use Cessation Devices, Counseling methods, Tobacco Use Cessation methods, Smoking Cessation methods
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Introduction: Non-pharmacological management of tobacco cessation has been reported to yield a high level of abstinence from tobacco usage. However, it is unclear which type of non-pharmacological intervention to be adopted in national tobacco control program. Hence, we undertook this review to identify the best non-pharmacological tobacco cessation therapies for tobacco cessation., Aims and Methods: Systematic literature search was performed in EMBASE, SCOPUS, PubMed Central, CENTRAL, MEDLINE, Google Scholar, ScienceDirect, and Clinicaltrials.gov from 1964 until September 2022. Randomized controlled trials assessing the effectiveness of non-pharmacological intervention for tobacco cessation in India were eligible for inclusion. Comparative intervention effect estimates obtained from network meta-analyses were represented as pooled odds ratio (OR) with 95% confidence interval (CI)., Results: 21 studies were eligible for the analysis. More than half of the studies had high risk of bias. E-Health intervention had the highest OR (pooled OR = 9.90; 95% CI: 2.01 to 48.86) in terms of tobacco cessation rate followed by group counseling (pooled OR = 3.61; 95% CI: 1.48 to 8.78) and individual counseling (pooled OR = 3.43; 95% CI: 1.43 to 8.25). Brief advice or self-help intervention or comparison between each of these interventions against each other (both direct and indirect network) did not yield any significant results., Conclusions: E-Health intervention was the best intervention followed by group intervention and individual face-to-face counseling intervention for tobacco cessation in India. Nonetheless, more high-quality large-scale RCTs either individual or by combining the e-Health, individual, or group counseling interventions are required to provide conclusive evidence and subsequent adoption into the national health programs in India., Implications: This study would aid the policymakers, clinicians, and public health researchers in choosing the right tobacco cessation therapy to be offered across various levels of the healthcare delivery system, including major health facilities providing drug therapy (ie, concurrently with pharmacological treatment for tobacco cessation) in India. The study findings can be adopted by the national tobacco control program to decide the appropriate intervention package and identify the areas of focus to perform tobacco-related research in the country., (© The Author(s) 2023. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2023
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43. Clinico-Demographic Profile and Factors Affecting Duration of Hospital Stay Among Burn Patients in an Emergency Department of a Tertiary Care Center, South India: A Hospital-Based Cross-Sectional Study.
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Mahalingam S, Rajendran G, Rajaa S, Aazmi A, Maroju N, Purushothaman S, Gara M, Karn S, Rajendran A, and Balassoundaram V
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Background Burns continue to be a serious public health problem in India. It persists as an endemic disease in spite of implementing various preventive measures at the individual and community levels. Etiology and factors influencing burns are varied. There is a paucity of data regarding the clinico-demographic profile of burns disease, especially from emergency tertiary care settings in India. Objective To assess the proportion of burn patients having longer hospital stays (>1 week) and the influence of clinico-demographic factors associated with it among the burn patients presenting to the emergency department of a tertiary care institute in south India. Methodology An institution-based cross-sectional analytical study was conducted among burns patients attending the Emergency Medicine Department (EMD) of a tertiary care center between January 2017 and December 2017. Information on clinico-demographic profile and duration of hospital stay were captured using semi-structured data collection proforma. Results All the 327 burns injury patients who presented to our EMD during the study period were included. Among the 327 patients, 259 (79%) were admitted to the EMD. Among 259 admitted patients, 142 (55%) patients were discharged home. Among these 142 patients, 106 (74.6%; 95%CI 66.8-81.2) had longer hospital stays (more than one week). Female gender and facial/inhalational burns were found to have an independent effect on the length of hospital stay even after adjusted analysis. Conclusion Length of hospital stay is independently influenced by female gender and facial/inhalational burns. This study also identified the need for better home safety, child-proofing, proper pre-hospital care, and dedicated burns units in the community., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Mahalingam et al.)
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- 2023
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44. Equity and extent of financial risk protection indicators during COVID-19 pandemic in rural part of Tamil Nadu, India.
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Krishnamoorthy Y, Rajaa S, Sinha I, Krishnan M, Samuel G, and Kanth K
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Catastrophic health expenditure [CHE] in India is on a rise. This situation would worsen even further when resources are disproportionately distributed across various socioeconomic classes. Hence, we conducted this study to determine the equity and extent of out-of-pocket [OOP] payments, Catastrophic health expenditure and impoverishment among rural households during COVID-19 pandemic in Tamil Nadu, India. A cross-sectional survey covering 2409 households was conducted during November 2021 across six districts in rural part of Tamil Nadu. Information on out-of-pocket payments, Catastrophic health expenditure (based on 40% capacity-to-pay [CTP] method) and impoverishment was obtained through World Health Organization standard criteria. Point estimates were reported as proportions with 95% Confidence Interval [CI]. Our results showed that the proportion of households with out-of-pocket payments on health and Catastrophic health expenditure in the month preceding the survey was 82.8% (95%CI: 81.2%-84.3%) and 26.9% (95%CI: 25.1%-28.7%) respectively. Nuclear (couple with dependent children only) and joint family type (extended family), presence of under-five children and lower socioeconomic status were significant determinants of Catastrophic health expenditure. The prevalence of impoverishment was 6.4% (95%CI: 5.4%-7.5%). To conclude, more than three fourth of the rural households in Tamil Nadu has out-of-pocket payments for health with one-fourth having Catastrophic health expenditure. Almost one in fourteen non-poor households faced impoverishment during the COVID-19 pandemic. This shows the disproportionate distribution of health expenses especially in the rural areas. Hence, appropriate financial risk protection measures should be taken in order to progress towards universal healthcare in our country., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Yuvaraj Krishnamoorthy is Associate Editor and Sathish Rajaa is Advisory Board Member in Heliyon Journal., (© 2023 The Authors. Published by Elsevier Ltd.)
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- 2023
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45. Development of prognostic scoring system for predicting 1-year mortality among pulmonary tuberculosis patients in South India.
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Krishnamoorthy Y, Ezhumalai K, Murali S, Rajaa S, Majella MG, Sarkar S, Lakshminarayanan S, Joseph NM, Soundappan G, Prakash Babu S, Horsburgh C, Hochberg N, Johnson WE, Knudsen S, Pentakota SR, Salgame P, Roy G, and Ellner J
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- Humans, Prognosis, Nomograms, Probability, India epidemiology, Retrospective Studies, Tuberculosis, Pulmonary, Tuberculosis
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Background: Development of a prediction model using baseline characteristics of tuberculosis (TB) patients at the time of diagnosis will aid us in early identification of the high-risk groups and devise pertinent strategies accordingly. Hence, we did this study to develop a prognostic-scoring model for predicting the death among newly diagnosed drug sensitive pulmonary TB patients in South India., Methods: We undertook a longitudinal analysis of cohort data under the Regional Prospective Observational Research for Tuberculosis India consortium. Multivariable cox regression using the stepwise backward elimination procedure was used to select variables for the model building and the nomogram-scoring system was developed with the final selected model., Results: In total, 54 (4.6%) out of the 1181 patients had died during the 1-year follow-up period. The TB mortality rate was 0.20 per 1000 person-days. Eight variables (age, gender, functional limitation, anemia, leukopenia, thrombocytopenia, diabetes, neutrophil-lymphocyte ratio) were selected and a nomogram was built using these variables. The discriminatory power was 0.81 (95% confidence interval: 0.75-0.86) and this model was well-calibrated. Decision curve analysis showed that the model is beneficial at a threshold probability ~15-65%., Conclusions: This scoring system could help the clinicians and policy makers to devise targeted interventions and in turn reduce the TB mortality in India., (© The Author(s) 2022. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2023
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46. Evaluation of National Patient Safety Implementation Framework in Selected Public Healthcare Facilities of Tamil Nadu: An Operational Research.
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Krishnamoorthy Y, Govindan D, Rajaa S, Sinha I, Kanth K, Krishnan M, and Samuel G
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- Humans, India, Operations Research, Delivery of Health Care, Patient Safety, COVID-19
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Background: The Ministry of Health and Family Welfare has introduced the "National Patient Safety Implementation Framework" to ensure the patient safety at different levels of healthcare delivery system. However, there is limited effort made in evaluating the implementation status of this framework. Hence, we have performed the process evaluation of National Patient Safety Implementation Framework across the public healthcare facilities in Tamil Nadu., Methods: This was a facility-level survey conducted by research assistants who visited 18 public health facilities across 6 districts of Tamil Nadu, India, for the purpose of documenting the presence of structural support systems and strategies to promote patient safety. We developed a tool for data collection based on the framework. It comprised a total of 100 indicators under the following domains and subdomains: structural support, systems for reporting, workforce, infection prevention and control, biomedical waste management, sterile supplies, blood safety, injection safety, surgical safety, antimicrobial safety, and COVID-19 safety., Results: Only one facility (subdistrict hospital) belonged to the high-performing category with a score of 79.5 on the implementation of patient safety practices. About 11 facilities (4 medical colleges and 7 Government Hospitals) belonging to medium-performing category. The best-performing medical college had a score of 61.5 for patient safety practices. Six facilities (2 medical colleges, 4 Government Hospitals) belonged to low-performing category in terms of patient safety. The least-performing facilities (both subdistrict hospitals) had scores of 29.5 and 26 for patient safety practices, respectively. Because of COVID-19, there was a positive effect on biomedical waste management and infectious disease safety across all facilities. Most performed poor in the domain with structural systems to support quality and efficiency of healthcare and patient safety., Conclusions: The study concludes that based on the current situation of patient safety practices in public health facilities, it will be difficult to perform full-fledged implementation of patient safety framework by the year 2025., Competing Interests: The authors disclose no conflict of interest., (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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- 2023
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47. Prevalence of hypertension and determinants of treatment-seeking behaviour among adolescents and young adults in India: an analysis of NFHS-4.
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Krishnamoorthy Y, Rajaa S, Sulgante S, Chinnakali P, Jaswal N, and Goel S
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- Humans, Male, Adolescent, Young Adult, Prevalence, Urban Population, India epidemiology, Hypertension epidemiology, Hypertension therapy
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Background: Previous evidences have reported that almost three-fourth of young hypertensives are not seeking care for their condition leading to severe complications. This study was conducted to assess the determinants of treatment-seeking behaviour among the young hypertensives in India., Methods: The National Family Health Survey-4 data were analysed. Sampling weights and clustering was accounted using svyset command. Screening, awareness, prevalence and control status were reported with 95% confidence interval (CI). Poisson regression was done to identify the determinants of treatment-seeking behaviour., Results: In total, 13.8% of younger adults had hypertension, 51.1% were aware of their status and 19.5% sought treatment. Participants in 15-19 years (adjusted Prevalence Ratio (aPR) = 0.70) and 20-29 years (aPR = 0.63), male gender (aPR = 0.84), Muslim religion (aPR = 1.14), urban region (aPR = 0.87), secondary (aPR = 0.88) and higher education (aPR = 0.86), residing in Northern (aPR = 0.79), Central (aPR = 0.76), Southern region (aPR = 0.65), preferring home treatment, medical shop or any other care (aPR = 0.63) were significant determinants of treatment-seeking behaviour., Conclusion: More than 1 in 10 younger adults in India have hypertension and only half of them were aware of their status and one-fifth sought treatment. Adolescents, males, Hindus, urban population, higher education and residing in Northern, Central and Southern region had poor treatment-seeking behaviour., (© The Author(s) 2022. Published by Oxford University Press on behalf of Faculty of Public Health.)
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- 2023
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48. Status of Substance use among Undergraduate Medical Students in a Selected Government Medical College in Puducherry - An Explanatory Mixed Method Study.
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Lokesh N, Sivaranjini K, Rajaa S, Bharadwaj B, and Sahu SK
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Background: Studies have shown increase in health-risking behavior and a decline in health-promoting behavior among medical students during their stay in medical school. This study aims to determine the prevalence and reason for substance abuse among the undergraduate medical students in a selected medical college in Puducherry., Material and Methods: This was a facility-based explanatory mixed method study conducted from May 2019 to July 2019. Assessment of their substance abuse was done using ASSIST questionnaire. Substance use was summarized as proportions with 95% CI., Results: A total of 379 participants were included in the study. The mean age of the study participants was 20 years (± 1.34). The most prevalent substance use was alcohol (10.8%). About 1.9% and 1.6% of students surveyed consume tobacco and cannabis, respectively., Conclusion: Facilitating factors for substance use as perceived by the participants were stress, peer pressure, easy availability of substances, socialization, curiosity, and awareness knowledge about safe limits of alcohol and tobacco., Competing Interests: There are no conflicts of interest., (Copyright: © 2023 Indian Journal of Community Medicine.)
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- 2023
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49. Spatial Patterns and Determinants of Diabetes Mellitus in Indian Adult Population: a Secondary Data Analysis from Nationally Representative Surveys.
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Krishnamoorthy Y, Rajaa S, Verma M, Kakkar R, and Kalra S
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Introduction: Diabetes mellitus (DM) is a major public health challenge around the world. It is crucial to understand the geographic distribution of the disease in order to pinpoint high-priority locations and focus intervention on the target populations. Hence, this study was carried out to determine the spatial pattern and determinants of type-2 DM in an Indian population using National Family Health Survey-4 (NFHS-4) and Longitudinal Aging Survey in India (LASI)., Methods: We have adopted an ecological approach, wherein geospatial analysis was performed using aggregated district-level data from NFHS-4 (613 districts) and LASI survey datasets (632 districts). Moran's I statistic was determined and Local Indicators of Spatial Association (LISA) maps were created to understand the spatial clustering pattern of DM. Spatial regression models were run to determine the spatial factors associated with DM., Results: Prevalence of self-reported DM among males (15-50 years) and females (15-49 years) was 2.1% [95% confidence interval (CI) 2.0-2.3%] and 1.7% (95% CI 1.6-1.8%), respectively. Prevalence of self-reported DM among males and females aged 45 years and above was 12.5% (95% CI 11.5-13.5%) and 10.9% (95% CI 9.8-12%). Positive spatial autocorrelation with significant Moran's I was found for both males and females in both NFHS-4 and LASI data. High-prevalence clustering (hotspots) was maximum among the districts belonging to southern states such as Kerala, Tamil Nadu, Karnataka, and Andhra Pradesh. Northern and central states like Madhya Pradesh, Chhattisgarh, and Haryana mostly had clustering of cold spots (i.e., lower prevalence clustered in the neighboring regions)., Conclusion: DM burden in India is spatially clustered. Southern states had the highest level of spatial clustering. Targeted interventions with intersectoral coordination are necessary across the geographically clustered hotspots of DM., (© 2022. The Author(s).)
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- 2023
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50. RESEARCH ARTICLE: Factors influencing the sustainability of a community health volunteer programme - A scoping review.
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Rajaa S and Palanisamy B
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- Humans, Health Promotion, Motivation, Public Health, Volunteers
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Background: Sustainability of any Community health worker programme is determined by several internal and external factors and is highly context and region specific. We aimed to identify factors that influence the sustainability of a community health volunteer programme across the globe., Methods: We conducted a scoping review using the Arksey and O'Malley framework. From four major databases, we extracted qualitative and quantitative peer-reviewed studies published in the English language, from January 2000 to March 2022, that reported on factors influencing sustainability of a community volunteer programme. We adopted a narrative synthesis form to report our findings., Results: Our search strategy yielded 1086 citations, of which 35 articles were finally included for the review after screening for eligibility. The studies included in our review reported an attrition rate ranging from 9 to 53%. The crucial factors that played a decisive role in sustainability included sociodemographic and sociocultural factors, trust, incentives, identity and recognition, sense of belonging, family support and other programme-related factors., Conclusion: Our study found that several complex personal and social factors affect the community health volunteers' performance, thereby impacting the scaling up of a community volunteer programme. Efforts to address these factors would aid policy makers to successfully sustain a volunteership programme in resource-poor settings.
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- 2022
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