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Abstract Background Regulatory frameworks surrounding medical devices (MDs) and medical locations are of utter importance for safeguarding patients and users, and for granting a universal access to healthcare. Currently, as the main existing regulatory frameworks are drafted by high-income countries, they pretend to be general and applicable globally, but fail to understand particular contexts, specifically those in low-resource settings (LRSs), resulting, therefore, inapplicable. In particular, LRSs present a varied situation, with legal transplants of guidelines from their previous colonial regimes. This apparently theoretical issue, is, effectively, a tangible and rising matter of concern, given the ever-increasing number of MD patent applications per year, as well as the appearance of low- and middle-income countries (LMICs) on the MD market itself. This article will focus on the European Regulation on MDs 745/2017 and its applicability in LRSs, specifically presenting the case of Benin, a Sub-Saharan African country. Methods This work is based on a field study conducted in 2019 in Benin, which is particularly exemplar to show the complexity of the “legal transplantation” concept. A multidisciplinary approach, comprising the standard tools and methods of ethics, law, and biomedical engineering, was used to draft a heuristic hermeneutic framework, and to analyse related bioethical issues concerning Medical Device Regulations (MDRs) in LRSs, the role of Maintenance, and other sociological questions; as well as the rural population’s perception on MDs and health technologies, and the role of ethics in the hospitals of LRSs. Results The definition of these themes helped approach the local perspective and define the research questions. Downstream of the analysis of the Medical Devices Regulations, the Maintenance and other bioethical issues in Benin, the heuristic hermeneutic framework was created to guide a shift in the paradigm of law and regulation making, so as to make them more contextualised and inclusive, globally. Conclusion This article proposes a framework that will help policymakers take into account the particularism of each context, especially those of the most vulnerable countries, when drafting and issuing regulatory frameworks, promoting an ever-evolving model of universalism.

Present study was envisaged to examine existence of genetic group x THI in crossbred cows at institute herd of ERS, ICAR-NDRI, Kalyani, West Bengal. 1041 fertility records each on service period (SP) and conception rate (CR) and weather parameters spanned over 22 years (1994-2015) were collected; arranged under three THI groups; thermal comfort (THI78 and six genetic groups.SP was longest (163.61 ± 6.83 days) when THI>78and lowest (149.27±6.69 days) during THI78 and highest (70.54±2.8 %) at THI78.Cows bearing 50% Jersey and 50% indigenous cattle inheritance followed by 50% Jersey + 50% Red Sindhi and 50% Jersey + 50% Tharparkar depicted least drop in CR at THI>78 (-2.38, -2.40 and -3.6%) in comparison to THI75% Jersey depicted maximum increase in SP (15.33 days) and drop in CR (-7.43%) at THI>78.

Graphene oxide (GO) and reduced graphene oxide (rGO) is a semiconductor device which finds its many applications in the various electronic devices. In the present study GO and rGO thin sheets have been grown over Si wafers using Hummer’s and modified Hummer’s method and a comparison in the properties of the coatings have been carried out. The morphology of the sheets characterized by SEM revealed similar transparent sheet like structure for both the chemical synthesis. The diffraction pattern of GO and rGO prepared with modified Hummer’s method showed peak shift to lower diffraction angle from 9.96 o to 9.63 o and 26.4 o to 26.3 o respectively. The diffraction peaks were observed at diffraction phase of 001 and 002 crystal plane. FTIR spectra revealed presence of oxygen functional groups in GO thin sheets whereas peaks for oxygen functionalities are absent in rGO. The polarization curve indicated similar corrosion resistance of GO and rGO thin sheets grown under Hummer’s and modified Hummer’s. Capacitive property of rGO is better than GO as observed by the electrochemical analysis of GO and rGO..Graphene oxide (GO) and reduced graphene oxide (rGO) is a semiconductor device which finds its many applications in the various electronic devices. In the present study GO and rGO thin sheets have been grown over Si wafers using Hummer’s and modified Hummer’s method and a comparison in the properties of the coatings have been carried out. The morphology of the sheets characterized by SEM revealed similar transparent sheet like structure for both the chemical synthesis. The diffraction pattern of GO and rGO prepared with modified Hummer’s method showed peak shift to lower diffraction angle from 9.96 o to 9.63 o and 26.4 o to 26.3 o respectively. The diffraction peaks were observed at diffraction phase of 001 and 002 crystal plane. FTIR spectra revealed presence of oxygen functional groups in GO thin sheets whereas peaks for oxygen functionalities are absent in rGO. The polarization curve indicated similar corrosion resistance of GO and rGO thin sheets grown under Hummer’s and modified Hummer’s. Capacitive property of rGO is better than GO as observed by the electrochemical analysis of GO and rGO.

Mastitis in dairy cattle is the most common management disorder that causes higher economic losses by lowering production and quality of milk leads to substantial economical loss. The aim of this article was to review worldwide important advances in strategies to control mastitis for production augmentation in dairy cattle. Many scientists worked to identify effective strategies to control mastitis caused by Streptococcus agalactiae, Staphylococcus aureus, and others. It is necessary to identify mechanisms of infection, define clinical and subclinical states of disease, determine exposure time, and identify pathogen-specific characteristics. Evolvement of management strategies that incorporated hygienic procedures (animal, floor, and milkman), post milking standing period of animal and strategic use of antibiotic or herbal therapy at dry-off, nutritional supplementation, fly control, body condition score optimization, etc., resulted in widespread control of mastitis. The udder, teat of animal, scientific management of milking, automatic milking procedure, genetic selection are considered as important factors to control mastitis. As farm management changed, scientists were directed to redefine control of mastitis caused by opportunistic pathogens of environmental sources and have sought to explore management strategies which will maintain animal well-being in a judicial way. Although significant advances in mastitis management have been made changing herd structure, changing climatic scenario and more rigorous milk processing standards ensure that mastitis will remain important issue for future research.

Aim: This study aimed to study the electrophoretic properties of seminal plasma and sperm proteins of Black Bengal buck semen and their correlation with in vitro sperm characters and freezability. Materials and Methods: Semen ejaculates from nine Black Bengal bucks were collected by artificial vagina (n=20/buck). Ejaculates were evaluated for in vitro sperm characters and electrophoretic profile of seminal protein. In vitro sperm characters were evaluated immediately after collection, after completion of equilibration period, and after freeze-thawing. For seminal protein studies, seminal plasma proteins were precipitated by ice-cold ethanol method, and sperm proteins were extracted by Triton X detergent extraction method. Discontinuous sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) was performed to assess the molecular weight of seminal proteins. Correlation between in vitro sperm characters and protein bands was determined by Pearson's correlation coefficient, and two-way ANOVA was applied to find the individual buck differences. Results: Significant difference (p

Introduction Patients with OCD often show unsatisfactory response to first-line treatment, giving rise to a need for novel therapeutic approaches. Recent studies using tDCS for OCD treatment have shown promise. Objectives To assess efficacy and safety of add-on c-tDCS over pre-SMA compared to sham stimulation in patients with OCD. Methods In this double-blinded study, fourteen patients with OCD were randomized to receive 10 sessions of either active (Cathode over pre-SMA, anode over right deltoid, 2mA, 20 minutes per session, 2 sessions per day, 2 hours apart) or sham tDCS. YBOCS, HAM-D, HAM-A, CGI, Wisconsin Card Sorting Test (WCST), and Stroop Test were administered at baseline, post-tDCS, and 1 month post-tDCS. Results Group×time interaction effect for YBOCS scores with Repeated Measures ANOVA was not statistically significant, however, reduction in scores in active group was higher, with large effect size (YBOCS scores: Obsessions-ηp 2=.344, Compulsions-ηp 2= .384, Total-ηp 2=.392) (Fig.1 & 2). At 1 month, 42.9% patients in active group and none in sham group showed response. CGI-S score (p=0.016, ηp 2=.531) (Fig. 3) and four parameters of WCST (Perseverative responses:p=0.038, ηp 2=.448;Percent perseverative responses:p=0.026, ηp 2=.485;Percent perseverative errors:p=0.038, ηp 2=.447;Trials to complete first category:p=0.011, ηp 2=.563) significantly reduced in active group. No significant difference in change in depressive and anxiety symptoms between groups, or change in Stroop Test performance was noted. Adverse effects included transient headache and tingling sensation. Conclusions Cathodal tDCS over pre-SMA may be effective in reduction of obsessions, compulsions, illness severity, and enhancing cognitive flexibility in patients with OCD, with no major adverse effects. Larger studies are required to confirm these findings. Disclosure No significant relationships.

A family of four odd parity bands in 127Xe has been investigated via in-beam γ-ray spectroscopy and conclusive evidence for the first and second phonon longitudinal wobbling excitations has been found. Spectroscopic measurements confirm the predominant E2 character of the ΔI=1 transitions between the wobbling bands. This provides the first experimental evidence of longitudinal wobbling mode associated with a neutron configuration.

Housing and socialization have always played a pivotal role on overall health and welfare of the young calves. Therefore, the study was undertaken to compare the performance of the calves when kept indoors in enclosures (Treatment, T) versus semi covered houses with provision of open space (Control, C), respectively. Calves in semi covered houses (C) was found to display profound results on faecal score (P

This paper represented theoretically investigation of energy and exergy performance of an offset finned solar air heater. Parametric study was done to investigate the effect of variation of offset fin parameters i.e. fins spacing (1 to 5cm) and fins height (1.8 to 5.8cm) at different mass flow rates (0.01388 to 0.0833kg/s) on the energy and exergy efficiency. The results indicated that attaching offset finned below the absorber plate at low mass flow rates can lead to noticeable enhancement of exergy efficiency. The results revealed that the trend of variation of the energy and exergy efficiencies are not the same and the exergy efficiency is the chief criterion for performance evaluation. Decreasing the fins height, reducing the fins spacing are effective at low mass flow rates, but at high mass flow rates the inverse trend is observable, such that exergy efficiency reduces sharply. The efficiencies of offset finned solar collector were compared with conventional flat-plate collectors and longitudinal fins collector.

Lethe margaritae Elwes, 1882 and Neptis nycteus de Nicéville, 1890 are very rare butterflies that are endemic to the Himalaya, and are legally protected in India. However, they have not been recorded in India in nearly 100 years. Here we review the available published information on their type localities, distribution and other natural history, and then report two recent sightings from Sikkim, northeastern India. Our sightings constitute rediscoveries of the Indian populations of these species.

Background. Task-sharing is the involvement of non-specialist providers to deliver mental health services. A challenge for task-sharing programs is to achieve and maintain clinical competence of non-specialists, including primary care workers, paraprofessionals, and lay providers. We developed a tool for non-specialist peer ratings of common factors clinical competency to evaluate and optimize competence during training and supervision in global mental health task-sharing initiatives. Methods. The 18-item EN hancing A ssessment of C ommon T herapeutic factors (ENACT) tool was pilot-tested with non-specialists participating in mental health Gap Action Programme trainings in Nepal. Qualitative process evaluation was used to document development of the peer rating scoring system. Qualitative data included interviews with trainers and raters as well as transcripts of pre- and post-training observed structured clinical evaluations. Results. Five challenges for non-specialist peer ratings were identified through the process evaluation: (1) balance of training and supervision objectives with research objectives; (2) burden for peer raters due to number of scale items, number of response options, and use of behavioral counts; (3) capturing hierarchy of clinical skills; (4) objective v. subjective aspects of rating; and (5) social desirability when rating peers. Conclusion. The process culminated in five recommendations based on the key findings for the development of scales to be used by non-specialists for peer ratings in low-resource settings. Further research is needed to determine the ability of ENACT to capture the relationship of clinical competence with client outcomes and to explore the relevance of these recommendations for non-specialist peer ratings in high-resource settings.

Background: Aging population is rapidly expanding worldwide, and age-related cognitive impairments prove detrimental for achieving a better productive and quality of life. Lack of effective therapies for age-related cognitive impairment focuses attention on developing preventive strategies, such as nutritional interventions, cell therapies and environmental manipulations. The objective of the present study was to explore the comparative benefits of potential memory-enhancing strategies like supplementation of choline (Ch) and docosahexaenoic acid (DHA) or administration of human embryonic kidney stem cell conditioned media (HEK-CM) or exposure to environmental enrichment (EE), that attenuates cognitive impairments in aging mice. Methods: 12-month-old CF1 male mice were subdivided [n=6/group] into normal aging control (NAC), saline vehicle control (SVC), Ch-DHA, EE, heat-inactivated HEK-CM (HIHEK-CM) and HEK-CM mice. Spatial working and reference memory were assessed using an eight-arm radial maze test and cognition using a novel object recognition test (NORT). Results: Spatial memory and cognition were decreased in normal aging mice. Aged mice exposed to dietary Ch-DHA or HEK-CM showed significant enhancement in spatial learning tasks, memory and cognition compared to the same in age-matched NAC mice. Ch-DHA and HEK-CM treated mice committed significantly lesser reference memory errors and attained a higher percentage of correct choices in spatial learning and memory tasks. Moreover, on testing for cognition in NORT, significantly higher number of visits to the novel object was observed in Ch-DHA supplemented and HEK-CM administered aging mice whereas HEK-CM and EE mice groups showed significantly greater number of visits to familiar object, when compared to same in age-matched NAC and HIHEK-CM groups, respectively. Conclusion: Supplementation of Ch-DHA and HEK-CM treatment strategies have a higher potential [~ 20—30%] for enhancing spatial learning, memory and cognition in normal aged mice, whereas exposure to EE seems to enhance only their short-term memory.

Background: Aging population is rapidly expanding worldwide, and age-related cognitive impairments prove detrimental for achieving a better productive and quality of life. Lack of effective therapies for age-related cognitive impairment focuses attention on developing preventive strategies, such as nutritional interventions, cell therapies and environmental manipulations. The objective of the present study was to explore the comparative benefits of potential memory-enhancing strategies like supplementation of choline (Ch) and docosahexaenoic acid (DHA) or administration of human embryonic kidney stem cell conditioned media (HEK-CM) or exposure to environmental enrichment (EE), that attenuates cognitive impairments in aging mice. Methods: 12-month-old CF1 male mice were subdivided [n=6/group] into normal aging control (NAC), saline vehicle control (SVC), Ch-DHA, EE, heat-inactivated HEK-CM (HIHEK-CM) and HEK-CM mice. Spatial working and reference memory were assessed using an eight-arm radial maze test and cognition using a novel object recognition test (NORT). Results: Spatial memory and cognition were decreased in normal aging mice. Aged mice exposed to dietary Ch-DHA or HEK-CM showed significant enhancement in spatial learning tasks, memory and cognition compared to the same in age-matched NAC mice. Ch-DHA and HEK-CM treated mice committed significantly lesser reference memory errors and attained a higher percentage of correct choices in spatial learning and memory tasks. Moreover, on testing for cognition in NORT, significantly higher number of visits to the novel object was observed in Ch-DHA supplemented and HEK-CM administered aging mice whereas HEK-CM and EE mice groups showed significantly greater number of visits to familiar object, when compared to same in age-matched NAC and HIHEK-CM groups, respectively. Conclusion: Supplementation of Ch-DHA and HEK-CM treatment strategies have a higher potential [~ 20—30%] for enhancing spatial learning, memory and cognition in normal aged mice, whereas exposure to EE seems to enhance only their short-term memory.

35 cases of ventral hernias of varying sizes have been presented. The hernial sac was opened and excised inall. The repair was done by invaginating layers of monofilament nylon thread. This technique has shown gratifying results. There had been no incidence of recurrence of hernia nor of operative mortality and it seems to be applicable even to large ventral hernias.