Applications of artificial intelligence in emergency and critical care diagnostics: a systematic review and meta-analysis.

Introduction: Artificial intelligence has come to be the highlight in almost all fields of science. It uses various models and algorithms to detect patterns and specific findings to diagnose a disease with utmost accuracy. With the increasing need for accurate and precise diagnosis of disease, employing artificial intelligence models and concepts in healthcare setup can be beneficial.

Contamination, fraction, and source apportionment of heavy metals in sediment of an industrialized urban river in China.

In this study, we conducted an analysis of the heavy metal concentrations, health risk assessment, fraction and source interpretation in surface and core sediments from main stream of the Pearl River and Pearl River Estuary (RRE) area. Results showed that the higher deposited heavy metal concentrations in sediments occur at the Pearl River. The concentrations of heavy metals in surface sediments from the studied locations are in a descending order: Zn > Cr > Cu > Ni > Pb > Cd.

The cost-effectiveness of reusable flexible ureteroscopes: An institutional audit.

Introduction: A flexible ureteroscope (FU) is an important tool in the urologist's armamentarium. This study aims to check the durability and cost-effectiveness of conventional FU.

Methods: The institution registry of damaged FU over the last 7 years was reviewed.

presence relative to the vertical and temporal variability of oceanographic conditions in the Southern California Bight.

The oceanographic conditions of the Southern California Bight (SCB) dictate the distribution and abundance of prey resources and therefore the presence of mobile predators, such as goose-beaked whales (). Goose-beaked whales are deep-diving odontocetes that spend a majority of their time foraging at depth. Due to their cryptic behavior, little is known about how they respond to seasonal and interannual changes in their environment.

Predictors of readmission and mortality in adults with diabetes or stress hyperglycemia after initial hospitalization for COVID-19.

Introduction: We previously reported predictors of mortality in 1786 adults with diabetes or stress hyperglycemia (glucose>180 mg/dL twice in 24 hours) admitted with COVID-19 from March 2020 to February 2021 to five university hospitals. Here, we examine predictors of readmission.

Research Design And Methods: Data were collected locally through retrospective reviews of electronic medical records from 1786 adults with diabetes or stress hyperglycemia who had a hemoglobin A1c (HbA1c) test on initial admission with COVID-19 infection or within 3 months prior to initial admission.

Simulation-Based Teaching and Learning in Respiratory Care Education: A Narrative Review.

Simulation-based pedagogy has become an essential aspect of healthcare education. However, there is a significant gap in the literature regarding the application of simulation-based modalities in respiratory care education. This review aims to address this gap by providing insight into the theory and current uses of simulation, its effectiveness in respiratory care education, and strategies to enhance faculty development.

Spatial and temporal dynamics and fluxes estimation of manganese fractions in sediments from the Pearl River Estuary, southern China.

Sequential extraction was used to study the historical dynamics and fluxes of the chemical fractions of manganese (Mn) in sediments collected from the Pearl River Estuary (PRE), southern China. Results revealed that the proportion of Mn associated with different fractions decreased in the order of acid-soluble fraction (F1) > reducible fraction (F2) > residual fraction (F4) > oxidizable fraction (F3). F1 (47%) was the dominant Mn fraction, indicating the strong bioavailability of Mn to aquatic organisms in the PRE.

A geospatial approach for assessing urban flood risk zones in Chennai, Tamil Nadu, India.

Chennai, the capital city of Tamil Nadu in India, has experienced several instances of severe flooding over the past two decades, primarily attributed to persistent heavy rainfall. Accurate mapping of flood-prone regions in the basin is crucial for the comprehensive flood risk management. This study used the GIS-MCDA model, a multi-criteria decision analysis (MCDA) model that incorporated geographic information system (GIS) technology to support decision making processes.

Spatial and Temporal Variations and Risk Assessment of Heavy Metal Fractions in Sediments of the Pearl River Estuary, Southern China.

Sequential extraction was used to study the mobility and ecological risk of chemical fractions of six heavy metals in sediments collected from the Pearl River Delta (PRE) in China. Results revealed that residual fractions (F4) were the dominant forms for Cr and Ni in surface sediments, indicating that they were primarily stable in nature and had low bioavailability and ecotoxicity. Cd had a high environmental risk owing to its higher availability in acid-soluble fraction (F1), whereas Pb occurred predominantly in the reducible fraction (F2) in surface sediments.

Inferior Vesical Fissure-A Rare Variant of Exstrophy Bladder: Case Report With Literature Review.

Exstrophy variants are uncommon developmental anomalies of the bladder; the variants involving only the bladder neck are extremely rare. There are only three case reports of inferior vesical fissure (IVF) to date, and usually it's uncommonly associated with other malformations. A combination of inferior vesical fistula (IVF) as an exstrophy variant with urethral atresia and anorectal malformation has not been described previously.

Combined tactic of seasonal changes and ionic processes of groundwater in Tamirabarani river basin, India.

This research is to develop dictated metrics using a multi-proxy approach such as spatial-temporal analysis, statistical evaluation, and hydrogeochemical analysis. We have collected 45 groundwater samples located in the Tamirabarani river basin. To evaluate the aptness of developed metrics for agriculture and domestic needs and eleven years dataset has been analyzed and compared with national and international standards BIS, ICMAR, and WHO Monitoring and all the analysis results revealed that the concentration of calcium (Ca-1679 to 4937 mg/L; and Cl ions 236 to 1126 mg/L) and chloride ions was on the higher side in locations.

Deep ocean long range underwater navigation with ocean circulation model corrections.

An underwater navigation algorithm that provides a "cold start" (CSA) geographic position, geo-position, underwater while submerged using travel times measured from a constellation of acoustic sources is described in Mikhalevsky, Sperry, Woolfe, Dzieciuch, and Worcester [J. Acoust. Soc.

Glycemic Gap Predicts Mortality in a Large Multicenter Cohort Hospitalized With COVID-19.

Context: Diabetes or hyperglycemia at admission are established risk factors for adverse outcomes during hospitalization for COVID-19, but the impact of prior glycemic control is not clear.

Objective: We aimed to examine the associations between admission variables, including glycemic gap, and adverse clinical outcomes in patients hospitalized with COVID-19 infection.

Methods: We examined the relationship between clinical predictors, including acute and chronic glycemia, and clinical outcomes, including intensive care unit (ICU) admission, mechanical ventilation (MV), and mortality among 1786 individuals with diabetes or hyperglycemia (glucose > 10 mmol/L twice in 24 hours) who were admitted from March 2020 through February 2021 with COVID-19 infection at 5 university hospitals in the eastern United States.

What is the purpose of clinical trial monitoring?

Background: The sources of information on clinical trial monitoring do not give information in an accessible language and do not give detailed guidance. In order to enable communication and to build clinical trial monitoring tools on a strong easily communicated foundation, we identified the need to define monitoring in accessible language.

Methods: In a three-step process, the material from sources that describe clinical trial monitoring were synthesised into principles of monitoring.

Trial Forge Guidance 3: randomised trials and how to recruit and retain individuals from ethnic minority groups-practical guidance to support better practice.

Randomised trials, especially those intended to directly inform clinical practice and policy, should be designed to reflect all those who could benefit from the intervention under test should it prove effective. This does not always happen. The UK National Institute for Health and Care Research (NIHR) INCLUDE project identified many groups in the UK that are under-served by trials, including ethnic minorities.

3D-flower-like porous neodymium molybdate nanostructure for trace level detection of organophosphorus pesticide in food samples.

Herein we report (i) designing of porous 3D flower-like neodymium molybdate nanosheets (pf-NdM NSs) and (ii) attaining reasonable selectivity towards methyl parathion (MP, organophosphate pesticide) in the presence of structurally comparable interferents. Herein the pf-NdM NSs as a catalyst for electrochemical detection of MP in food samples is reported for the first time. Because of porous morphology, and high surface area, the proposed catalyst offers a high electrocatalytic activity toward MP reduction.

SARS-CoV-2 phase I transmission and mutability linked to the interplay of climatic variables: a global observation on the pandemic spread.

The study aims to determine the impact of global meteorological parameters on SARS-COV-2, including population density and initiation of lockdown in twelve different countries. The daily trend of these parameters and COVID-19 variables from February 15th to April 25th, 2020, were considered. Asian countries show an increasing trend between infection rate and population density.

Isotopic signatures, hydrochemical and multivariate statistical analysis of seawater intrusion in the coastal aquifers of Chennai and Tiruvallur District, Tamil Nadu, India.

In coastal aquifers, seawater intrusion is a significant groundwater issue. The research paper contributes to the understanding of the consequences of seawater intrusion in the Chennai coastal aquifer from Foreshore Estate to Thirunilai along the coastline. 110 groundwater samples were collected and analyzed for physicochemical parameters such as pH, (EC), (TDS), (TH), major anions (Cl, NO, HCO, and SO), and cations (Ca, Mg, Na, and K) during the pre-monsoon (June 2014) and post-monsoon (January 2015) seasons.

Site selection of check dams using geospatial techniques in Debre Berhan region, Ethiopia - water management perspective.

Remote sensing and GIS technology were very helpful to determine an appropriate location of freshwater storage in Amhara, Ethiopia. The techniques were used to investigate the impact of lithology, surface geomorphology, slope parameters, drainage flow, drainage density, lineament density, land cover parameters on relief, and aerial and linear features and to understand their interrelationships. Morphometric parameters such as mean stream length (Lsm), stream length ratio (RL), bifurcation ratio (Rb), mean bifurcation ratio (Rbm), relief ratio (Rh), drainage density (Dd), stream frequency (Fs), drainage texture (Rt), form factor (Rf), circularity ratio (Rc), and elongation ratio (Re) were calculated.

Determination of vulnerable regions of SARS-CoV-2 in Malaysia using meteorology and air quality data.

Unlabelled: This study aims to explore the state-wise assessment of SARS-CoV-2 (COVID-19) pandemic spread in Malaysia with focus on influence of meteorological parameters and air quality. In this study, state-wise COVID-19 data, meteorological parameters and air quality index (AQI) were collected from March 13 to April 30, 2020, which encompass three movement control order (MCO) periods in the country. Overall, total infected cases were observed to be higher in MCO phase 1 and 2 and significantly reduced in MCO phase 3.

Endoscopic Appendectomy for Inverted Appendix: A Case Report and Review of Literature.

Inverted appendix is a very rare anomaly and presents a diagnostic challenge. We report a case of inverted appendix in a 10-year-old boy and its management.

Perforated High-Grade Mixed Neuroendocrine Nonneuroendocrine Neoplasm of Cecum: Unusual Presentation of Rare Disease.

Mixed neuroendocrine nonneuroendocrine neoplasms (MiNENs) are rare neoplasms of the gastrointestinal tract, where the neuroendocrine as well as the nonneuroendocrine components each comprise at least 30% of the tumor. Of all cases of colorectal malignancies, MiNENs constitute around 3-9.6%, with only a few cases reported to be arising in the cecum.