Publications by authors named "Pun A"

Article Synopsis
  • The study investigates how to define and measure community healthcare (CHC) resilience during crises by analyzing recent shocks in four countries: Nepal, Ethiopia, Sierra Leone, and Liberia.
  • Through focus group discussions and interviews with 486 participants, several themes emerged, emphasizing community involvement, health system features, and the importance of preparedness and learning from past crises.
  • Participants identified 193 indicators of resilience across five domains, suggesting that a community-centered approach is essential for enhancing resilience, and more research is needed to align these findings with other contexts to improve health system evaluation.
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Article Synopsis
  • Acute appendicitis is a common surgical emergency where delayed diagnosis can lead to serious complications, making effective diagnostic tools essential.
  • A study conducted at Bharatpur Hospital in Nepal evaluated the Modified Alvarado and Lintula scores for diagnosing acute appendicitis among patients over two years.
  • The findings showed that the Modified Alvarado Score had high sensitivity (89.2%) and specificity (80.0%), indicating it is a reliable tool for determining the need for appendectomy.
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50% of pharmaceuticals and 25% of herbicides used worldwide are chiral. Each enantiomer has a unique toxicity and biodegradation profile, affecting differently to organisms. Chirality plays a key role in the behavior of these emerging contaminants (ECs) in terms of their pharmacological or herbicidal activity, but this peculiarity is often overlooked in environmental research.

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Triplet-triplet annihilation upconversion (TTA-UC) is a photophysical process in which two low-energy photons are converted into one higher-energy photon. This type of upconversion requires two species: a sensitizer that absorbs low-energy light and transfers its energy to an annihilator, which emits higher-energy light after TTA. In spite of the multitude of applications of TTA-UC, few families of annihilators have been explored.

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Study Design: An experimental study.

Purpose: This study aimed to investigate the potential use of artificial neural networks (ANNs) in the detection of odontoid fractures using the Konstanz Information Miner (KNIME) Analytics Platform that provides a technique for computer-assisted diagnosis using radiographic X-ray imaging.

Overview Of Literature: In medical image processing, computer-assisted diagnosis with ANNs from radiographic X-ray imaging is becoming increasingly popular.

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Magic-sized nanocrystals (MSNCs) grow via jumps between very specific sizes. This discrete growth is a possible avenue toward monodisperse nanomaterials that are completely identical in size and shape. In spite of this potential, MSNCs have seen limited study and application due to their poor optical properties.

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Two universal strategies for attaining influence-dominance, or the use of intimidation and force to obtain power, and prestige, or garnering respect by demonstrating knowledge and expertise-are communicated through distinct nonverbal displays in North America. Given evidence for the emergence and effectiveness of these strategies across cultures, including non-Western, Educated, Industrialized, Rich, and Democratic small-scale, traditional societies in Africa, Asia, and South America, the nonverbal displays that are used to reliably communicate these strategies also might be universal. Here, we demonstrate that the dominance display is recognized by the Mayangna, a small-scale society in rural Nicaragua, and by Canadian children as young as 2 and 3 years old.

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Background: Understanding mobility aid use has implications for falls risk reduction and aid prescription. However, aid use in daily life is understudied and more complex than revealed by commonly used yes/no self-reporting.

Aims: To advance approaches for evaluating mobility aid use among older adults using a situational (context-driven) questionnaire and wearable sensors.

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"Magic-sized" nanocrystals (MSNCs) grow in discrete jumps between a series of specific sizes. Consequently, MSNCs have been explored as an alternative route to uniform semiconductor particles, potentially with atomic precision. However, because the growth mechanism has been poorly understood, the best strategies to control MSNC syntheses and obtain desired sizes are unknown.

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We present measurements of the cross section and double-helicity asymmetry A_{LL} of direct-photon production in p[over →]+p[over →] collisions at sqrt[s]=510  GeV. The measurements have been performed at midrapidity (|η|<0.25) with the PHENIX detector at the Relativistic Heavy Ion Collider.

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Methods: Key informant interviews and focus group discussions were utilised. Participants included FCHVs, primary healthcare workers, community leaders and mothers, district health managers, representatives from the Ministry of Health and Population, multilateral health organisations, bilateral development partners, local non-governmental organisations, community-based organisations, and international non-governmental organisations. We used thematic content analysis to identify emerging themes.

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The climate crisis requires rethinking wastewater treatment to recover resources, such as nutrients and energy. In this scenario, purple phototrophic bacteria (PPB), the most versatile microorganisms on earth, are a promising alternative to transform the wastewater treatment plant concept into a biorefinery model by producing valuable protein-enriched biomass. PPB are capable of interacting with electrodes, exchanging electrons with electrically conductive materials.

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During a conflict, having a greater number of allies than the opposition can improve one's success in a conflict. However, allies must be aware that has a conflict has occurred, and this is often influenced by what they are able to see. Here, we explored whether infants' assessment of social dominance is influenced by whether or not social allies have visual access to an episode of intergroup conflict.

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Central to Pietraszewski's theory is a set of group-constitutive roles within four triadic primitives. Although some data from the developmental and biological sciences support Pietraszewski's theory, other data raise questions about whether similar behavioral expectations hold across various ecological conditions and interactions. We discuss the potential for a broader set of conceptual primitives that support reasoning about groups.

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Introduction: Vaccination is vital for controlling the COVID-19 pandemic. Individuals' vaccination intention is a good predictor of vaccine uptake and is influenced by individuals' health belief toward vaccination. Regions with different levels of pandemic severity may present varying effects.

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Endoscopic retrograde cholangiopancreatography is an invasive endoscopic procedure done more often for therapeutic rather than diagnostic purposes. There are various complications of this procedure like pancreatitis, cholangitis, hemorrhage, perforation and other rare adverse events. In this case report, we discuss a case of a 40 years female who was referred to our center for endoscopic retrograde cholangiography.

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Article Synopsis
  • In Nepal, there are problems with health services for mothers and children, especially due to differences in education, income, and other factors.
  • To try and fix this, a special program called an Investment Case was started which aimed to improve health outcomes.
  • The study found that even though some things like skilled births improved, overall health did not get better, and issues like child wasting increased in the areas where the program was applied.
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Studying spin-momentum correlations in hadronic collisions offers a glimpse into a three-dimensional picture of proton structure. The transverse single-spin asymmetry for midrapidity isolated direct photons in p^{↑}+p collisions at sqrt[s]=200  GeV is measured with the PHENIX detector at the Relativistic Heavy Ion Collider (RHIC). Because direct photons in particular are produced from the hard scattering and do not interact via the strong force, this measurement is a clean probe of initial-state spin-momentum correlations inside the proton and is in particular sensitive to gluon interference effects within the proton.

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Article Synopsis
  • The District Investment Case (DIC) program was created to improve health services for mothers and children in Nepal, involving local communities and organizations like UNICEF.
  • A study was done to understand what local people think about health planning and how the DIC program impacts their access to these services.
  • Results showed that the DIC program helped with better planning and increased access to health services, but some challenges like lack of resources and tough locations still made it difficult at times.
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Bochdalek hernia (BH) is the most common type of congenital diaphragmatic hernia and is usually left-sided. It typically presents in neonates and diagnosis in adults is a rarity. To date only 34 reported cases of right-sided BH have been surgically managed in adults in literature.

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Magic-sized semiconductor nanocrystals (MSNCs) grow via discrete jumps between specific sizes. Despite their potential to offer atomically precise structures, their use has been limited by poor stability and trap-dominated photoluminescence. Recently, CdSe MSNCs have been grown to larger sizes.

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Background: During the COVID-19 pandemic, over 99% of adults in Hong Kong use face masks in public. With the limited supply of face masks in the market and the uncertainty about the future development of COVID-19, reusing face masks is a legitimate way to reduce usage. Although this practice is not recommended, reusing face masks is common in Hong Kong.

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Background: This study aimed to investigate elite athletes' mental well-being, and to ascertain whether the personal factor resilience and the social factor social support can play a role in promoting mental well-being and life satisfaction. In addition, this is one of the first studies to investigate well-being among elite athletes who are from a region belonging to an unrecognised National Olympic Committee and are not eligible to join the Olympic Games.

Participants And Procedure: Eighty-four full-time elite athletes (37 males, 47 females) with mean age of 22.

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The energy of the lowest-lying triplet state (T1) relative to the ground and first-excited singlet states (S0, S1) plays a critical role in optical multiexcitonic processes of organic chromophores. Focusing on triplet-triplet annihilation (TTA) upconversion, the S0 to T1 energy gap, known as the triplet energy, is difficult to measure experimentally for most molecules of interest. predictions can provide a useful alternative, however low-scaling electronic structure methods such as the Kohn-Sham and time-dependent variants of Density Functional Theory (DFT) rely heavily on the fraction of exact exchange chosen for a given functional, and tend to be unreliable when strong electronic correlation is present.

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