A review of occupational health and safety risk assessment approaches based on multi-criteria decision-making methods and their fuzzy versions

Occupational health and safety (OHS) is a multidisciplinary activity working under the tasks of protection of workers and worksites. Risk assessment, as a compulsory process in implementation of OHS, stands out as evaluating the risks arising from the hazards, taking into account the required control measures, and deciding whether or not the risks can be reduced to an acceptable level. The diversity in risk assessment approaches is such that there are many methods for any industry. Multicriteria decision-making (MCDM)-based approaches contribute to risk assessment knowledge with their ability on solving real-world problems with multiple, conflicting, and incommensurate criteria. This article conducts a critical state-of-the-art review of OHS risk assessment studies using MCDM-based approaches. Additionally, it includes fuzzy versions of MCDM approaches applied to OHS risk assessment. A total of 80 papers are classified in eight different application areas. The papers are reviewed by the points of publication trend, published journal, risk parameters/factors, and tools used. This critical review provides an insight for researchers and practitioners on MCDM-based OHS risk assessment approaches in terms of showing current state and potential areas for attempts to be focused in the future.     

Bariatric surgery for patients with type 2 diabetes mellitus requiring insulin: Clinical outcome and cost-effectiveness analyses

BackgroundAlthough bariatric surgery is well established as an effective treatment for patients with obesity and type 2 diabetes mellitus (T2DM), there exists reluctance to increase its availability for patients with severe T2DM. The aims of this study were to examine the impact of bariatric surgery on T2DM resolution in patients with obesity and T2DM requiring insulin (T2DM-Ins) using data from a national database and to develop a health economic model to evaluate the cost-effectiveness of surgery in this cohort when compared to best medical treatment (BMT).Methods and findingsClinical data from the National Bariatric Surgical Registry (NBSR), a comprehensive database of bariatric surgery in the United Kingdom, were extracted to analyse outcomes of patients with obesity and T2DM-Ins who underwent primary bariatric surgery between 2009 and 2017. Outcomes for this group were combined with data sourced from a comprehensive literature review in order to develop a state-transition microsimulation model to evaluate cost-effectiveness of bariatric surgery versus BMT for patients over a 5-year time horizon. The main outcome measure for the clinical study was insulin cessation at 1-year post-surgery: relative risks (RR) summarising predictive factors were determined, unadjusted, and after adjusting for variables including age, initial body mass index (BMI), duration of T2DM, and weight loss. Main outcome measures for the economic evaluation were total costs, total quality-adjusted life years (QALYs), and incremental cost-effectiveness ratio (ICER) at willingness-to-pay threshold of GBP£20,000.A total of 2,484 patients were eligible for inclusion, of which 1,847 had 1-year follow-up data (mean age of 51 years, mean initial BMI 47.2 kg/m², and 64% female). 67% of patients no longer required insulin at 1-year postoperatively: these rates persisted for 4 years. Roux-en-Y gastric bypass (RYGB) was associated with a higher rate of insulin cessation (71.7%) than sleeve gastrectomy (SG; 64.5%; RR 0.92, confidence interval (CI) 0.86–0.99) and adjustable gastric band (AGB; 33.6%; RR 0.45, CI 0.34–0.60; p < 0.001). When adjusted for percentage total weight loss and demographic variables, insulin cessation following surgery was comparable for RYGB and SG (RR 0.97, CI 0.90–1.04), with AGB having the lowest cessation rates (RR 0.55, CI 0.40–0.74; p < 0.001). Over 5 years, bariatric surgery was cost saving compared to BMT (total cost GBP£22,057 versus GBP£26,286 respectively, incremental difference GBP£4,229). This was due to lower treatment costs as well as reduced diabetes-related complications costs and increased health benefits. Limitations of this study include loss to follow-up of patients within the NBSR dataset and that the time horizon for the economic analysis is limited to 5 years. In addition, the study reflects current medical and surgical treatment regimens for this cohort of patients, which may change.ConclusionsIn this study, we observed that in patients with obesity and T2DM-Ins, bariatric surgery was associated with high rates of postoperative cessation of insulin therapy, which is, in turn, a major driver of overall reductions in direct healthcare cost. Our findings suggest that a strategy utilising bariatric surgery for patients with obesity and T2DM-Ins is cost saving to the national healthcare provider (National Health Service (NHS)) over a 5-year time horizon.

Emma Rose McGlone and colleagues report the clinical and cost- effectiveness of bariatric surgery for patients with Type 2 diabetes.     

Digital differential display tools for mining microsatellite containing organism,organ and tissue

Uniformly repeated DNA sequences in genomes known as tandem repeats are one of the most interesting features of many organisms analyzed so far. Among the tandem repeats, microsatellites have attracted many researchers since their associations in several human diseases. The discovery of tandem repeats in the expressed sequence tags (ESTs) or in the cDNA libraries contributed to new ideas and tools for evolutionary studies. With the advent of new biotechnological tools the number of ESTs deposited in databases is rapidly increasing. Therefore, new informative bioinformatics tools are needed to assist the analysis and interpretation of these tandem repeats in ESTs and in other type of DNAs. In the present study we report two new utility tools; Organism Miner and Keyword Finder. Organism Miner utility collects, sorts, splice and provides statistical overview on DNA data files. Keyword Finder analyses all the sequences in the input folder and extracts and collects keywords for each specific organism or the all the organisms, which have the DNA sequence and generates statistical overview. We are currently generating cotton and pepper cDNA libraries and often using the GenBank DNA sequences. Therefore, in this study we used cDNAs and ESTs of cotton and pepper for the demonstrating the use of these two tools. With help of these two utilities we observed that most of ESTs are useful for downstream applications such as mining microsatellites specific to an organ, tissue or development stage. The analyses of ESTs indicated that not only tandem repeats existed in ESTs but also tandem repeats differentially presented in different organ or tissue specific ESTs within and between the species. Utilities and the sample data sets are self-extracting files and freely available from or can be obtained upon request from the corresponding author.     

Agrotis segetum granulosis virus as a control agent against field populations ofAgrotis ipsilon andA. Segetum [Lep.: Noctuidae] on tobacco,okra, potato and sugar beet in northern pakistan

Agrotis segetum Schiff granulosis virus (AsGV) propagated in Denmark was supplied against naturally occurring cutworm populations (A. ipsilon and to a less extentA. segetum) in experimental field plots of tobacco, okra, potato and sugar beet in northern Pakistan. AsGV doses varied between 4 × 10⁷ and 4 × 10¹¹ capsules per m² plot, and no. of applications between 1 and 3. One treatment with AsGV did not reduce cutworm damage significantly to tobacco seedlings and potato plants. Two treatments with AsGV reduced cutworm damage significantly. In tobacco, reduction was 64–82%, in okra and potato 85% and 77% respectively. Damage in sugar beet was reduced 78%. Three treatments with AsGV dis not reduce damage significantly better than two treatments. AsGV and the chemical insecticides Tamaran and Dieldrin, andBacillus thuringiensis (Thuricide) were about equally effective, reducing damage by 85%, 79%, 87% and 69%, respectively. No difference was found between the efficiency of highly purified AsGV to which activated charcoal was added and partially purified AsGV without charcoal.      

Venoplasty of a chronic venous occlusion with ‘diathermy’ for cardiac device lead placement

Venous revascularization is an approach used in patients with total venous occlusion requiring venous access for cardiac device lead placement. Several percutaneous approaches to venous revascularization have been proposed. For the first time, we describe the case of a 69-year-old male with total venous occlusion who was successfully revascularized using a ‘diathermy’ technique.     

Molecular and histopathological profiling of imiquimod induced dermatosis in Swiss Wistar rats: contribution to the rat model for novel anti-psoriasis treatments

Molecular Biology Reports - Imiquimod (IMQ) induced human-like psoriasis in mice has been shown to be effective in testing and development of novel treatments. The IMQ psoriasis model has become...     

Incorporating pressure–volume traits into the leaf economics spectrum

In recent years, attempts have been made in linking pressure–volume parameters and the leaf economics spectrum to expand our knowledge of the interrelationships among leaf traits. We provide theoretical and empirical evidence for the coordination of the turgor loss point and associated traits with net CO₂ assimilation (A_n) and leaf mass per area (LMA). We measured gas exchange, pressure–volume curves and leaf structure in 45 ferns and angiosperms, and explored the anatomical and chemical basis of the key traits. We propose that the coordination observed between mass-based A_n, capacitance and the turgor loss point (π_tlp) emerges from their shared link with leaf density (one of the components of LMA) and, specially, leaf saturated water content (LSWC), which in turn relates to cell size and nitrogen and carbon content. Thus, considering the components of LMA and LSWC in ecophysiological studies can provide a broader perspective on leaf structure and function.