Predictors of Potentially Inappropriate Stimulant Prescribing Among Adults.

Purpose: Increases in adult stimulant prescribing pose a potential risk due to the higher prevalence of contraindicated conditions among this population. We sought to identify patient, provider, and visit characteristics predictive of potentially inappropriate adult stimulant prescriptions.

Methods: We conducted a repeated cross-sectional study using the National Ambulatory Medical Care Survey, a nationally representative weighted sample of 5 453 702 723 ambulatory care visits from 2012 to 2019.

Investigation of electrochemical micromachining on magnesium alloy using hollow tool electrode.

This study investigates the application of Electrochemical Micromachining (ECMM) on magnesium alloy AZ31 using a hollow tool electrode. Magnesium alloys, particularly AZ31, are valued for their lightweight properties and strength-to-weight ratio but pose challenges in precision machining due to their high reactivity and susceptibility to corrosion. Utilizing a hollow tool electrode in ECMM offers potential advantages in precision and control, crucial for micro-scale manufacturing applications.

Global food expenditure patterns diverge between low-income and high-income countries.

Globalization, income growth and changing cultural trends are believed to prompt consumers in low-income countries to adopt the more affluent diet of high-income countries. This study investigates the convergence of food expenditure patterns worldwide, focusing on total food expenditure, raw food categories and ultra-processed foods and beverages across more than 90 countries over the past decades. Contrary to prior belief, we find that food expenditure patterns of lower-income countries do not universally align with those of higher-income nations.

Hippocampal Signal Complexity and Rate-of-Change Predict Navigational Performance: Evidence from a Two-Week VR Training Program.

The hippocampus is believed to be an important region for spatial navigation, helping to represent the environment and plan routes. Evidence from rodents has suggested that the hippocampus processes information in a graded manner along its long-axis, with anterior regions encoding coarse information and posterior regions encoding fine-grained information. Brunec et al.

Examining the influence of substance use on mental health rating during COVID-19: A Canadian perspective.

Introduction: Substance use and mental health symptoms (e.g., depression and anxiety) have increased during the COVID-19 pandemic, partly due to implementation of physical distancing measures aimed at containing the spread of the SARS-CoV-2 virus.

Functionalized nanofibers in gas sorption process: a critical review on the challenges and prospective research.

Air pollution has become the most important environmental and human health threat as it is accounting for about 7 million deaths across the globe every year. Particulate matter (PM) derived from the combustion of fossil fuels, biomass, and other agricultural residues pollutes the atmospheric air which affects the quality of the environment and poses a great threat to human health. Ecological imbalance, climatic variation, and cardiovascular and respiratory problems among humans are significant extortions due to PM pollution.

Sustainable organic waste management using vermicomposting: a critical review on the prevailing research gaps and opportunities.

Logistic growth of human population, exponential rate in agronomic industries and feeble waste management practices have resulted in the massive generation of organic wastes. Vermicomposting is one of the eco-biotechnological practices to efficiently transform them into stable and nutrient-rich organic manure with the synergetic actions of earthworms and soil microbiota. Vermicompost, a derivative product has the desirable physicochemical traits such as excellent porosity, buffering actions, aeration and water holding capacity.

Metanil Yellow dye adsorption using green and chemical mediated synthesized manganese ferrite: An insight into equilibrium, kinetics and thermodynamics.

Green Manganese Ferrite (GMF) and Chemical mediated Manganese Ferrite (CMF) were designed and prepared via in situ co-precipitation method and their adsorption potential was compared using the model dye, Metanil Yellow (MY). Previously, an extract of aquatic macrophyte and metal chloride were employed for the development of ecofriendly GMF. Alternatively, CMF has been synthesized through chemical co-precipitation from metal chloride precursors.

Management pathway for infants requiring chronic care in neonatal units-a scoping review of practices.

Improvements in diagnostic and therapeutic modalities of antenatal care has meant that the neonatal intensive care units (NICU) need to care for infants with complex congenital conditions who need ongoing care post discharge. This, along with improved survival of the extreme preterm infants, provides the neonatal team with a cohort of infants who require long-standing multi-disciplinary input. However, provision of dedicated teams looking after infants with complex medical needs is not commonly reported in NICU workforce structure.

Implementation of a non-randomized controlled trial of yoga-based intervention to reduce behavioural issues in early adolescent school-going children in Sri Lanka.

Background: Adolescence can be difficult to navigate and the post-conflict environment in Jaffna Province, Sri Lanka compounds existing issues for adolescents. Conduct problems, hyperactivity along with emotional problems are challenges faced by adolescents, particularly in fragile, post-conflict settings. This study was a non-randomized controlled trial carried out in 4 educational zones over 6 months.

Rapid Scan EPR Oxygen Imaging in Photoactivated Resin Used for Stereolithographic 3D Printing.

Oxygen plays a critical role in the photopolymerization process resulting in the formation of solid structures from liquid resins during three-dimensional (3D) printing: it acts as a polymerization inhibitor. Upon exposure to light, oxygen is depleted. As a result, the polymerization process becomes activated.

Enhancing memory using enactment: does meaning matter in action production?

Enactment is an encoding strategy in which performing an action related to a target item enhances memory for that word, relative to verbal encoding. Precisely how this motor activity aids recall is unclear. We examined whether the action created during encoding needed to be semantically relevant to the to-be-remembered word, to enhance memory.

Comparison of Intrathecal Fentanyl and Buprenorphine as an Adjuvant to 0.5% Hyperbaric Bupivacaine for Spinal Anesthesia.

Purpose: This study was designed to evaluate and compare three groups, that is, (1) normal saline 0.5 mL with 15 mg of 0.5% hyperbaric bupivacaine normal (BN), (2) intrathecal fentanyl 25 μg (0.

A case report of post-surgical page kidney due to extensive renal hematoma following percutaneous nephrolithotomy.

Introduction And Importance: Post-surgical Page kidney due to large renal hematoma following percutaneous nephrolithotomy (PCNL) is a rare significant complication that may lead to loss of a kidney.

Case Presentation: A 50-year-old lady underwent elective left side PCNL for a 3 cm renal pelvis stone, and one week later, she presented back with a massive renal hematoma with high blood pressure.

Clinical Discussion: The ultrasound abdomen and computed tomography diagnosed a page kidney due to massive intrarenal and perirenal hematoma as a complication of PCNL.

Isolated ruptured dissecting aneurysm of PICA with extremely narrow neck managed by a novel endovascular technique-a case report and review of literature.

Dissecting aneurysms of posterior inferior cerebellar artery (PICA) are usually extensions of vertebral artery dissection. Isolated dissecting aneurysms of PICA are extremely rare. A 5-month-old female child presented with history of fall from a height of around 2 ft.

Virtual tourism for older adults living in residential care: A mixed-methods study.

Due to financial and mobility barriers, a majority of older adults living in collective dwellings are no longer able to engage in tourism, a leisure activity that contributes to quality of life and wellbeing. Immersive Virtual Reality (VR) may serve as a programmatic tool to facilitate tourism. This pilot study examined the effects of VR tourism exposure on indices of psychosocial wellbeing among older adults living in residential care.

A giant retrovesical cystic mass: A rarest of rare with a management dilemma.

A 32-year-old man investigated for subfertility and bladder outlet obstruction. He had a palpable pelvic mass and computerized tomography (CT) pelvis demonstrated that a large cystic mass (15cm) arising from right side seminal vesicle, and another small cyst from left side seminal vesicle with unilateral hydroureteronephrosis. Following a futile attempt of endoscopic drainage, mass was excised in toto via lower midline laparotomy.

A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy.

Chyluria has become a rare clinical presentation in Sri Lanka, which may have a direct correlation with the low prevalence of lymphatic filariasis following the use of diethylcarbamazine and albendazole mass drug administration (MDA) for five rounds between 2002 and 2006. Here we report a 50-year-old male who presented with milky urine and progressive weight loss, diagnosed as having nonparasitic chyluria. The patient was initially managed with a trail of diethylcarbamazine (DEC) 6 mg/kg/day for 21 days and a low-fat diet with an unsatisfactory response.

Refractory angina is a growing challenge for palliative medicine: a systematic review of non-invasive interventions.

Background: Refractory angina can have a significant effect on quality of life. Non-invasive interventions have been suggested but there are few guidelines on management. Our aim was to systematically review all studies that reported non-invasive interventions for refractory angina and report on their effectiveness and safety.

Stigma experienced by patients with severe mental disorders: A nationwide multicentric study from India.

This study aimed to evaluate the stigma and its correlates among patients with severe mental disorders. Patients with diagnosis of schizophrenia (N = 707), bipolar disorder (N = 344) and recurrent depressive disorder (N = 352) currently in clinical remission from 14 participating centres were assessed on Internalized Stigma of Mental Illness Scale (ISMIS). Patients with diagnosis of schizophrenia experienced higher level of alienation, sterotype endorsement, discrimination experience and total stigma when compared to patients with bipolar disorder and recurrent depressive disorder.

A Biosensor-CMOS Platform and Integrated Readout Circuit in 0.18-μm CMOS Technology for Cancer Biomarker Detection.

This paper presents a biosensor-CMOS platform for measuring the capacitive coupling of biorecognition elements. The biosensor is designed, fabricated, and tested for the detection and quantification of a protein that reveals the presence of early-stage cancer. For the first time, the spermidine/spermine N1 acetyltransferase (SSAT) enzyme has been screened and quantified on the surface of a capacitive sensor.

Optimization of dextran production by Weissella cibaria NITCSK4 using Response Surface Methodology-Genetic Algorithm based technology.

The most influencing factor on dextran production by Weissella cibaria NITCSK4 were screened using Plackett Burman design at 95% confidence limit with higher value of co-efficient of determination (R) 99.58%. The combined effects of significant factors, namely, sucrose, temperature, dipotassium hydrogen phosphate (KHPO) and yeast extract were studied and optimized using Response Surface Methodology (RSM).

Stigma experienced by caregivers of patients with severe mental disorders: A nationwide multicentric study.

Background: Stigma is very common among caregivers of patients with severe mental disorder; however, there is lack of national level data from India.

Aim: To assess affiliate stigma and its correlates among caregivers of patients with severe mental disorders.

Method: For this, caregivers of patients with schizophrenia ( N = 707), bipolar disorder ( N = 344) and recurrent depressive disorder ( N = 352) were assessed on Stigma scale for Caregivers of People with Mental Illness and General Health Questionnaire.