Nitrate (NO) sources and discharge were investigated using isotope and hydrochemical analyses in three river catchments draining Lake Victoria basin, Kenya. Hierarchical cluster analysis grouped Nyando, Nzoia and Sondu Miriu River stations into clusters corresponding to major land use classes of the catchments. Mixed agriculture (MA) in Nyando showed higher NO compared to the other land uses. Nitrate levels obtained (0.1-11.6 mg L) are higher than those reported in previous studies. Hydrochemistry support isotope data indicating that ammonium-based fertilizers and soil N were the major NO sources in tea dominated areas with average δN (6.5 ± 1.3 ‰), δO (6.7 ± 2.3 ‰) values. Manure/sewage were the main source in MA areas with average δN (8.4 ± 2.4 ‰), δO (7.8 ± 5.4 ‰) values. Sewage was the likely source in urban, residential & industrial areas recording average δN (10.0 ± 2.4 ‰), δO (6.9 ± 3.7 ‰) values. δN between land uses were significantly different ( < 0.0001) while δO were similar ( = 0.4). Seasonally, inorganic/organic fertilizers influenced river NO mostly in the wet cropping season. Lower NO concentrations observed in Nyando and Sondu Miriu during dry or start-wet season could be a result of denitrification.
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Pain Ther
December 2024
Consultant Neurology, Head of Stroke Program, Rashid Hospital, Dubai Medical College, Dubai, United Arab Emirates.
Introduction: Migraine is a debilitating neurological disorder characterized by recurrent throbbing, moderate-to-severe headaches that disrupt daily chores, leisure, and social activities of patients, impacting their overall quality of life (QoL). Despite the high disease burden, there is a scarcity of data on migraines within the Middle East (ME) region. Thus, a systematic literature review (SLR) was conducted to examine epidemiological data, treatment patterns, QoL, and unmet needs regarding migraines in the ME region.
View Article and Find Full Text PDFPLoS One
October 2024
Department of Urology, Erasmus MC, Rotterdam, South Holland, The Netherlands.
Objectives: Nerve damage and/or spinal cord injury in individuals with multiple sclerosis (MS) may result in the development of bladder and bowel problems. We wanted to gain insight into two issues: the prevalence of bladder and bowel problems among individuals with MS and the referral pathways for these problems to various physicians treating patients with MS.
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Int J Eat Disord
December 2024
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.
Background: Determining an accurate treatment goal weight (TGW) is critical for treating eating disorders requiring weight restoration. This is challenging in adolescents since body mass index (BMI) normally increases over time. Median BMI (mBMI) is often used to determine TGW, though use of historical growth trajectories is increasingly common.
View Article and Find Full Text PDFPediatr Rep
July 2024
IRCCS Istituto delle Scienze Neurologiche di Bologna, Regional Center for Feeding and Eating Disorders in the Developmental Age, Child Neurology and Psychiatry Unit, 40138 Bologna, Italy.
Purpose: This study aimed to comprehensively report the epidemiological and clinical features of atypical anorexia nervosa (AAN) in children and adolescents.
Methods: In May 2024, a systematic review was performed using Medline, Cochrane Library, ClinicalTrials.gov, and relevant websites.
Work is ongoing to advance seizure forecasting, but the performance metrics used to evaluate model effectiveness can sometimes lead to misleading outcomes. For example, some metrics improve when tested on patients with a particular range of seizure frequencies (SF). This study illustrates the connection between SF and metrics.
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