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Validation of an epilepsy management smartphone application in Pakistan

Acta Epileptologica 2022年第1期5卷 36-41页

作者： Victor Patterson Awais Bashir Larik mohamed zaman soomro Steve Coates Department of Medicine University of KhartoumKhartoumSudan Department of Neurology Peoples UniversityNawabshah 67450Pakistan Epilepsy Medicare Foundation NawabshahPakistan TeleEEG Whitley Bay NE258EEUK

Background:There is no single way to improve epilepsy care in low-and middle-income countries(LMICs).An epilepsy management aid application(app)has been described,which enables a non-physician health worker(NPHW)to communicate with an epilepsy specialist using a *** this study,we aimed to assess the validity and quality of this care system in building connections between NPHWs and specialists in Pakistan and the ***:A NPHW in Pakistan used the app on a series of referrals and sent the app-generated summary by email to a neurologist in the UK,who replied and suggested possible *** were later seen in a face-to-face(FF)manner by the UK neurologist and a local neurologist,and diagnostic accuracy and quality parameters were ***:Over 10 months,59 patients were recruited and 33 of them were available for FF *** misdiagnosis rate of the app was 6%(2 cases).Treatment advice provided by the app was judged appropriate in 32 patients(97%).In addition,46%of the referrals were completed within 2h and 85%within ***:Consistent with an earlier study,this system is a safe method to provide care for patients who cannot access neurological services in *** addition,it has advantage of timeliness compared to FF assessment and requires less specialist time,both of which are especially important during the coronavirus disease 2019 *** system can be generalised easily,depending on the willingness of referrers and specialists to use it.

关键词： epilepsy smart application

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Productive performance, egg quality, hematological parameters and serum chemistry of laying hens fed diets supplemented with certain fat-soluble vitamins, individually or combined, during summer season

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Animal Nutrition 2019年第1期5卷 49-55页

作者： mohamed E.Abd El-Hack Mahmoud Alagawany Khalid M.Mahrose Muhammad Arif Muhammad Saeed Muhammad A.Arain Rab N.soomro Farman A.Siyal Sarfraz A.Fazlani Justin Fowler Department of Poultry Faculty of Agriculture Zagazig University Department of Animal Sciences University College of Agriculture University of Sargodha Institute of Animal Sciences Faculty of Animal Husbandry University of AgricultureFaisalabad Faculty of Veterinary and Animal Sciences Lasbela University of Agriculture Water and Marine Sciences College of Animal Sciences and Technology Northwest A & F University Department of Animal Nutrition Faculty of Animal Husbandry and Veterinary Sciences Sindh Agriculture University Department of Poultry Science University of Georgia

This present study aimed to determine the efficacy of supplementing layer diets with vitamin A(0, 8,000 and16,000 IU/kg diet) and vitamin E(0, 250 and 500 mg/kg diet) either individually or in combination on egg production and quality, and blood hematology and chemistry of birds reared under summer conditions. A total of 135 Bovans Brown laying hens were distributed to 9 treatment groups with 5 replicates of 3 hens/pen in a 3 × 3 factorial design. A significant improvement in feed conversion ratio(FCR) was observed as supplementary vitamin A or E increased(P 0.01). Hens fed diets supplemented with 16,000 IU vitamin A plus 500 mg vitamin E/kg diet had the best FCR among all groups. Egg quality traits were not significantly affected by the interaction of vitamin A and vitamin E levels. There was a significant increase in monocytes(P ≤ 0.01)and a decrease in basophils counts(P ≤ 0.05) in response to vitamin E. Significant decreases were observed in packed cell volume(PCV), thyroxine(T_4), alanine transferase(ALT), albumin, total cholesterol and total lipids((P ≤ 0.05 or P ≤ 0.01) P 0.01), and increases were observed in serum concentrations of globulin(P ≤ 0.05)and calcium(P ≤ 0.01) due to vitamin A. The combination of 0 IU vitamin A and 500 mg vitamin E/kg diet had the highest values of PCV(40.09%) and hemoglobin(Hb)(10.33 mg/100 mL) among all groups. Vitamin E raised serum values of total protein, total cholesterol and total lipids(P ≤ 0.05 or P≤ 0.01). Feed intake, FCR,PCV, Hb, lymphocytes, monocytes, eosinophils, T_4, ALT and total protein were significantly affected by the interaction of vitamins A and E(P ≤ 0.05 or P ≤ 0.01). The interaction of vitamins A and E was only significant with respect to serum total protein(P ≤ 0.05). It can be concluded that layer diets supplemented with vitamins A and E had good results in alleviating the harmful impacts of high ambient temperature. The combination of 16,000 IU vitamin A and 500 mg vitamin E per kilogram diet is prefer

关键词： Vitamin A Vitamin E Layer Egg quality Blood hematology

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