Publications by authors named "R Gautam"

Objectives: On October 4, 2021, a cholera outbreak was reported in Kapilvastu District, one of Nepal's 26 districts bordering India. This study examined the outbreak's characteristics, response efforts, and the challenges faced.

Methods: A descriptive cross-sectional design was applied for the outbreak investigation.

View Article and Find Full Text PDF

The present study aimed to establish the feasibility of the wastewater treatment process generated from an oleaginous fermentation plant. Treatment of spent fermentation broth (SFB) poses significant environmental challenges due to its high organic load, recalcitrant compounds, and potential toxicity. The synergistic effects of combining ozone-based advanced oxidation process (O-AOP) with biological treatment for the efficient degradation of pollutants in spent fermentation broth.

View Article and Find Full Text PDF

Background And Objectives: Many neonatal intensive care units (NICUs) do not give rotavirus vaccines to inpatients due to a theoretical risk of horizontal transmission of vaccine strains. We aimed to determine incidence and clinical significance of vaccine-strain transmission to unvaccinated infants in a NICU that routinely administers pentavalent rotavirus vaccine (RV5).

Methods: This prospective cohort study included all patients admitted to a 100-bed NICU for 1 year.

View Article and Find Full Text PDF

The optimal design of cement slurry by balancing various cement additives and cement is critical for effective oil well cementation job. However, given adverse circumstances of application, existing additives may not be sufficient to perform suitably in challenging conditions, leading to premature cement hydration, formation of microcracks, and gas channeling pathways. Thus, this study explores the use of a single-step silica nanofluid (NP size: 5-10, 90-100, and 250-300 nm and concentration: 1, 3, and 5 wt %) as an additive and explores its effect on thickening time, fluid loss, and rheological behavior of class G cement slurry at high-pressure and high-temperature (HPHT) conditions (135 °C and 3625 psi).

View Article and Find Full Text PDF

Congenital cytomegalovirus (cCMV) is the most common infectious cause of disability in children, including sensorineural hearing loss. There is interest in developing a pre-conception vaccine that could confer protective immunity on a woman of child-bearing age, hence resulting in a reduced cCMV disease burden. Other populations, including solid organ transplant (SOT) and hematopoietic stem cell transplant (HSCT) patients, could also benefit from CMV vaccination.

View Article and Find Full Text PDF