Search Results (16)

This study aimed to comprehensively evaluate the oral health statuses of children and adults within the autism spectrum disorder (ASD) population through an umbrella review approach. The prevalence of dental caries, periodontal disease, and associated variables were investigated across selected studies. A systematic search was conducted across databases including PubMed, Scopus, EMBASE, Science Citation Index, Science Direct, Web of Science, MEDLINE, and Wiley Online Library to identify relevant studies. The assessed variables included dental caries prevalence, periodontal disease prevalence, oral hygiene indicators, and the necessity of dental treatment. The pooled prevalence rates, odds ratios, and standardized mean differences were calculated where applicable. The pooled prevalence of dental caries among ASD individuals ranged from 60.6% to 67.3%, while the periodontal disease prevalence ranged from 59.8% to 69.4%. High rates of dental treatment under general anesthesia were reported. Heterogeneous dental caries and periodontal disease prevalence rates were identified, highlighting the need for collaboration and preventive care. Several studies also reported higher prevalence rates of dental trauma and self-inflicted oral injuries among individuals with ASD. However, the review also identified significant methodological limitations in the included studies, including inconsistency in oral health assessment methods and potential bias. The necessity for targeted policies due to high prevalence rates and the requirement for integrated care systems in high DMFT regions were also observed. The umbrella review synthesized diverse findings, revealing variations in dental caries and periodontal disease prevalence among ASD individuals. This review underscores the need for tailored interventions and policies to address oral health disparities. It highlights the necessity of integrated care systems, methodological improvements, and longitudinal studies to comprehensively address the multifaceted oral health challenges within the ASD population. Full article

The impact of a changing climate, particularly global warming, often harms the distribution of pheasants, particularly those with limited endemic ranges. To effectively create plans of action aimed at conserving species facing threats such as the Western Tragopan, (Tragopan melanocephalus; Gray, 1829; Galliformes, found in the western Himalayas), it is crucial to understand how future distributions may be affected by anticipated climate change. This study utilized MaxEnt modeling to assess how suitable the habitat of the targeted species is likely to be under different climate scenarios. While similar studies have been conducted regionally, there has been no research on this particular endemic animal species found in the western Himalayas throughout the entire distribution range. The study utilized a total of 200 occurrence points; 19 bioclimatic, four anthropogenic, three topographic, and a vegetation variable were also used. To determine the most fitting model, species distribution modeling (SDM) was employed, and the MaxEnt calibration and optimization techniques were utilized. Data for projected climate scenarios of the 2050s and 2070s were obtained from SSPs 245 and SSPs 585. Among all the variables analyzed; aspect, precipitation of coldest quarter, mean diurnal range, enhanced vegetation index, precipitation of driest month, temperature seasonality, annual precipitation, human footprint, precipitation of driest quarter, and temperature annual range were recognized as the most influential drivers, in that order. The predicted scenarios had high accuracy values (AUC-ROC > 0.9). Based on the feedback provided by the inhabitants, it was observed that the livability of the selected species could potentially rise (between 3.7 to 13%) in all projected scenarios of climate change, because this species is relocating towards the northern regions of the elevation gradient, which is farther from the residential areas, and their habitats are shrinking. The suitable habitats of the Tragopan melanocephalus in the Himalayan region will move significantly by 725 m upwards, because of predicted climate change. However, the fact that the species is considered extinct in most areas and only found in small patches suggests that further research is required to avert a further population decline and delineate the reasons leading to the regional extinction of the species. The results of this study can serve as a foundation for devising conservation strategies for Tragopan melanocephalus under the changing climate and provide a framework for subsequent surveillance efforts aimed at protecting the species. Full article

(1) Background: Disparity in clinical care on the basis of gender, socioeconomic status, ethnic and racial variation is an established phenomenon. The focus on health disparities was led on by the report of the Secretary’s Task Force on Black & Minority Health, which emphasized that the burden of death and illness was in excess among black people and other minorities. In Saudi Arabia, cardiac health care is being provided to a heterogeneous group of patients during pilgrimage time. This mixed population comprises different socio-economic backgrounds, demographics, ethnicities and languages. This study was carried out to assess for any disparities in cardiac surgical outcomes after isolated CABG surgery between Saudi citizens and non-Saudi patients. (2) Methods: The data of 2178 patients who underwent isolated coronary artery bypass surgery at King Abdullah Medical City from December 2014 to July 2020 were extracted. Patient demographics, clinical features, comorbidities, diagnoses, surgical procedures, complications, length of hospital stay and mortality were included in the data. The primary outcome was mortality after coronary artery bypass grafting surgery. (3) Results: A total of 2178 isolated CABG procedures were conducted during the study period with almost 57.5% of patients being Saudi citizens in comparison with 42.5% of non-Saudi citizens. The male gender represented the majority of the population, with a total of 1584 patients, representing 72.7% of the total study population. The rate of mortality had no statistical significance with the mortality rate of 5% vs. 5.3% (p < 0.786). The postoperative morbidities were comparable for all the parameters except for postoperative extracorporeal membrane oxygenation (ECMO). (4) Conclusions: In the present study, the chances of survival and postoperative outcomes are not associated with nationality per se, but with underlying comorbidities. Full article

Hesitancy about receiving vaccines has been deemed a global danger to public health by WHO. The sociocultural backgrounds of the people have an impact on vaccine acceptance. The purpose of this study was to examine the effect of sociodemographic factors on COVID-19 vaccination hesitancy as well as to identify the factors that contributed to COVID-19 vaccine hesitancy. Methods: A cross-sectional study was carried out to determine the primary variables causing COVID-19 vaccination hesitancy among residents of Pune. The general population was sampled through simple random sampling. The minimum sample size was determined to be 1246. The questionnaire inquired about the individuals’ sociodemographic information, vaccination status, and reasons for vaccine hesitancy. Results: In total, there were 5381 subjects, 1669 of whom were unvaccinated and 3712 of whom were partially vaccinated. Fear of adverse effects (51.71%), fear of losing a few days of work (43.02%), and inability to secure a vaccine slot online (33.01%) were the most frequently cited reasons. An older population (>60 years, p = 0.004), males (p = 0.032), those who were literate (p = 0.011), those of lower middle socioeconomic status (p = 0.001), and smokers were significantly associated with fear and mistrust of the COVID-19 vaccine, while mistrust of the vaccine was greatest among individuals from the upper and lower middle classes (p = 0.001). Conclusion: Vaccine hesitancy due to concerns about the side effects and long-term complications was prevalent among the elderly, males, those from the lower middle class, and smokers. This study emphasizes the importance of communicating effectively about the vaccine’s efficacy, its distribution, and vaccination sites. Full article

The distribution of large ungulates is more often negatively impacted by the changing climate, especially global warming and species with limited distributional zones. While developing conservation action plans for the threatened species such as the Himalayan goral (Naemorhedus goral Hardwicke 1825; a mountain goat that mostly inhabits rocky cliffs), it is imperative to comprehend how future distributions might vary based on predicted climate change. In this work, MaxEnt modeling was employed to assess the habitat suitability of the target species under varying climate scenarios. Such studies have provided highly useful information but to date no such research work has been conducted that considers this endemic animal species of the Himalayas. A total of 81 species presence points, 19 bioclimatic and 3 topographic variables were employed in the species distribution modeling (SDM), and MaxEnt calibration and optimization were performed to select the best candidate model. For predicted climate scenarios, the future data is drawn from SSPs 245 and SSPs 585 of the 2050s and 2070s. Out of total 20 variables, annual precipitation, elevation, precipitation of driest month, slope aspect, minimum temperature of coldest month, slope, precipitation of warmest quarter, and temperature annual range (in order) were detected as the most influential drivers. A high accuracy value (AUC-ROC > 0.9) was observed for all the predicted scenarios. The habitat suitability of the targeted species might expand (about 3.7 to 13%) under all the future climate change scenarios. The same is evident according to local residents as species which are locally considered extinct in most of the area, might be shifting northwards along the elevation gradient away from human settlements. This study recommends additional research is conducted to prevent potential population collapses, and to identify other possible causes of local extinction events. Our findings will aid in formulating conservation plans for the Himalayan goral in a changing climate and serve as a basis for future monitoring of the species. Full article

The objective of this study is to assess the frequency and severity of adverse events following immunization (AEFI) in Indian children aged 5–17 years who received the Pfizer-BioNTech mRNA COVID-19 vaccine, as well as to investigate for predictors of AEFI. To examine AEFI following the first and second doses of Pfizer’s vaccine, semi-structured questionnaires were distributed as Google forms at Indian schools in Saudi Arabia. The 385 responses included 48.1% male and 51.9% female children, with 136 responses of children aged 5–11 years (group A) and 249 responses from children aged 12–17 years (group B). Overall, 84.4% of children had two shots. The frequency of AEFI was reported to be higher after the first dose than after the second (OR = 2.12, 95% CI = 1.57–2.86). The reported AEFIs included myalgia, rhinitis, local reaction with fever, a temperature of 102 °F or higher, and mild to moderate injection site reactions. While group B frequently reported multiple AEFIs, group A typically reported just one. Local reaction with low grade fever was more frequently reported in group B after the first dose (24.1%) and second dose (15.4%), while local reaction without low grade fever was most frequently observed in group A after the first (36.8%) and second dose (30%). Only prior COVID-19 infection (OR = 2.98, 95% CI = 1.44–6.2) was associated with AEFI after the second dose in the study sample, whereas male gender (OR = 1.71, 95% CI = 1.13–2.6) and prior COVID-19 infection (OR = 2.95, 95% CI = 1.38–6.3) were predictors of AEFI after the first dose. Non-serious myocarditis was reported by only one child. According to the analysis conducted, the Pfizer’s mRNA COVID-19 vaccination was found to be safe in Indian children. Full article

Climate warming-induced glacier recession has resulted in the development and rapid expansion of glacial lakes in the Himalayan region. The increased melting has enhanced the susceptibility for Glacial Lake Outburst Floods (GLOFs) in the region. The catastrophic failure of potentially dangerous glacial lakes could be detrimental to human life and infrastructure in the adjacent low-lying areas. This study attempts to assess the GLOF hazard of Gangabal lake, located in the Upper Jhelum basin of Kashmir Himalaya, using the combined approaches of remote sensing, GIS, and dam break modeling. The parameters, such as area change, ice thickness, mass balance, and surface velocity of the Harmukh glacier, which feeds Gangabal lake, were also assessed using multitemporal satellite data, GlabTop-2, and the Cosi–Corr model. In the worst-case scenario, 100% volume (73 × 10⁶ m³) of water was considered to be released from the lake with a breach formation time (bf) of 40 min, breach width (bw) of 60 m, and producing peak discharge of 16,601.03 m³/s. Our results reveal that the lake area has increased from 1.42 km² in 1972 to 1.46 km² in 1981, 1.58 km² in 1992, 1.61 km² in 2001, 1.64 km² in 2010, and 1.66 km² in 2020. The lake area experienced 17 ± 2% growth from 1972 to 2020 at an annual rate of 0.005 km². The feeding glacier (Harmukh) contrarily indicated a significant area loss of 0.7 ± 0.03 km² from 1990 (3.36 km²) to 2020 (2.9 km²). The glacier has a maximum, minimum, and average depth of 85, 7.3, and 23.46 m, respectively. In contrast, the average velocity was estimated to be 3.2 m/yr with a maximum of 7 m/yr. The results obtained from DEM differencing show an average ice thickness loss of 11.04 ± 4.8 m for Harmukh glacier at the rate of 0.92 ± 0.40 m/yr between 2000 and 2012. Assessment of GLOF propagation in the worst-case scenario (scenario-1) revealed that the maximum flood depth varies between 3.87 and 68 m, the maximum flow velocity between 4 and 75 m/s, and the maximum water surface elevation varies between 1548 and 3536 m. The resultant flood wave in the worst-case scenario will reach the nearest location (Naranaag temple) within 90 min after breach initiation with a maximum discharge of 12,896.52 m³ s⁻¹ and maximum flood depth and velocity of 10.54 m and 10.05 m/s, respectively. After evaluation of GLOF impacts on surrounding areas, the area under each inundated landuse class was estimated through the LULC map generated for both scenarios 1 and 2. In scenario 1, the total potentially inundated area was estimated as 5.3 km², which is somewhat larger than 3.46 km² in scenario 2. We suggest a location-specific comprehensive investigation of Gangbal lake and Harmukh glacier by applying the advanced hazard and risk assessment models/methods for better predicting a probable future GLOF event. Full article

The world has taken proactive measures to combat the pandemic since the coronavirus disease 2019 (COVID-19) outbreak, which was caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). These measures range from increasing the production of personal protective equipment (PPE) and highlighting the value of social distancing to the emergency use authorization (EUA) of therapeutic drugs or antibodies and their appropriate use; nonetheless, the disease is still spreading quickly and is ruining people’s social lives, the economy, and public health. As a result, effective vaccines are critical for bringing the pandemic to an end and restoring normalcy in society. Several potential COVID-19 vaccines are now being researched, developed, tested, and reviewed. Since the end of June 2022, several vaccines have been provisionally approved, whereas others are about to be approved. In the upcoming years, a large number of new medications that are presently undergoing clinical testing are anticipated to hit the market. To illustrate the advantages and disadvantages of their technique, to emphasize the additives and delivery methods used in their creation, and to project potential future growth, this study explores these vaccines and the related research endeavors, including conventional and prospective approaches. Full article

Animal-derived products have an important role in treating many health conditions and have widely been used across cultures. In South Asia, ethnozoological research has been conducted only by a small number of researchers. Therefore, this area of research needs further exploration in order to preserve the eroding ethnozoological knowledge of medicinal animals severely affected by ongoing social change. This study was conducted in the region of Jammu and Kashmir from February 2019 to August 2021. The study was carried out among eight different ethnic groups living in the region. A total of 374 informants were selected and data were collected through semi-structured interviews and verified through group discussions. Data was analyzed using different statistical tools, including R 4.0.0. The cross-cultural data were compared through Bioinformatics and Evolutionary Genomics software and later subjected to further analysis, applying Pearson correlation and ordination techniques (Principal Component Analysis). We recorded a total of 79 animal species being used by the eight studied ethnic groups in the region. Wild animal species were mainly used for therapeutic purposes. Chest infections, sexual problems, and paralysis were frequently treated diseases. Flesh was the most commonly part used. The cross-cultural comparison showed a remarkable heterogeneity in the use of the animals among the different groups, which could be an effect to the historical sociocultural stratifications, as well as different religious affiliation of certain groups preventing them to forage or hunt certain animals. Some groups however showed prominent overlap of uses of some recorded species. For instance, Lerwalerwa and Bubalus bubalis were commonly used by both Gujjar and Pahari, which could be referred to the fact that they have gone through significant socio-cultural contact, and they are exogamous to each other. The Pearson correlation coefficient supported the strength and direction of an association between ethnic groups and regions. The study makes an important contribution to the field of ethnozoology in the Himalayas by providing insights to understand the historical human and nature relationships and supplying a baseline for developing future conservation efforts in the region to protect the wild fauna Full article

Vaccines are vital for prevention and control of mycoplasma diseases. The exploration of a vaccine candidate for the development of a vaccine is imperative. The present study envisages the evaluation of immune and oxidative response against an adjuvanted, sonicated antigen of Mycoplasma capricolum subsp. capripneumonia in male Angora rabbits (1 year old, 2 kg) divided in four groups, each having six animals. Group 1 was the healthy control and received 1 mL PBS via subcutaneous route. Group 2 was administered 1 mL of saponin-adjuvanted and -sonicated antigen, Group 3 was given 1 mL of montanide ISA 50-adjuvanted and-sonicated antigen, and Group 4 was given 1 mL of standard vaccine via subcutaneous route. Animals were evaluated for cellular and humoral immune response and oxidative parameters at 0, 7, 14, 21, and 28 days of the study. Total leukocytic, neutrophilic, and basophilic counts showed a significant (p < 0.05) increase in vaccinated groups compared to the healthy group on most of the intervals. TNF-α levels were significantly (p < 0.05) higher in the Group 2 than the Group 1 at all the time intervals and more comparable to Group 4 than Group 3. IL-10 levels were significantly (p < 0.05) higher in vaccinated groups compared to the healthy group on days 14, 21, and 28, but were lower in Group 3 than in Group 2 and Group 4. More hypersensitivity as inflammation and histopathological cellular infiltration in the ear was produced in Group 2 and Group 4 than in Group 3. IgG levels were significantly (p < 0.05) higher in Group 2 and Group 4 than in Group 3 on days 14 and 21. Antibody titers were comparatively higher in Group 4, followed by Group 2 and 3, than Group 1. Significantly (p < 0.05) higher oxidant and lower antioxidant values were noted in Group 2 and 4 compared to Group 3 and Group 1 on most of the intervals. The TLC and antibody titer showed increasing trend throughout the trial, whereas TNF-α, IgG, L, M and E started decreasing from day 14, and IL-10, N and B started decreasing from day 21. This study concludes that the saponin-adjuvanted and-sonicated antigen induces comparatively higher immune response than montanide but is associated with oxidative and inflammatory reactions. Full article

People have traditionally relied on fish to supply their major food and healthcare needs all across the world. However, there has been little focus on the traditional dietary, cultural identity, and integrity of traditional food systems in many rural Himalayan populations. The current study looks into the use of fish in traditional food and foraging practices, as well as its role in local traditional medicine and cultural practices. Semi-structured interviews and group discussions were used to collect data in the years 2020–2021. The data were analyzed using various statistical indices such as the fidelity level (FL), rank order priority (ROP), and relative popularity level (RPL). The data were then classified through a heat map, and ordination techniques were used to refine them even further. The current study identified 20 fish species of five families, with Cyprinidae (70%) as the dominant family. Three unique traditional fish preservation techniques were documented, namely: (1) smoking, (2) sun drying, and (3) pickling. The smoked fish are locally called fari, sun-dried fish are known as hugaad, and pickled fish are gaad anchaar. As a result of rapid modernization, fish has become a symbol of social class in the valley. In total, 17 diseases were identified, with joint pain being treated by the greatest number of species (N = 10). Flesh (43%) was the most commonly used part to treat various diseases. The mode of application of various fishbody parts for treating a variety of diseases was most commonly peroral (65%), followed by topical (35%). Schizopyge niger demonstrated the highest level of fidelity (82%) for joint pain. Schizopygeniger, Schizothorax curvifrons, Catla catla, Schizothorax esocinus, Schizothorax labiatus, and Schizothorax plagiostomus were the most popular (relative popularity level = 1.0). The rank order priority of six species was above 55 (Schizothorax plagiostomus (59.18), Labeo dyocheilus (61.99) Schizothorax labiatus (64.28), Schizothorax esocinus (68.36), Schizothorax curvifrons (73.19), and Schizopyge niger (82)). Two principal groups of six ethno-zoological categories (medicine, food, black magic, poultry, agricultural, and recreational) were identified using cluster analysis. Fish are also important as a source of livelihood and are closely associated with a local ethnic group known as Hanji/Haanz, who have extensive knowledge of ecology of the local fish species. Our research will contribute to filling a knowledge gap in the Kashmir Himalayan region, with policy implications for the protection and preservation of high-quality traditional knowledge for future generations. The findings of this documentation study can be used as an ethnopharmacological foundation for selecting fish in future pharmaceutical research. Full article

Landfills are an example of an environment that contains highly complex communities of microorganisms. To evaluate the microbial community structure, four stainless steel pilot-scale bioreactor landfills with single- and double-layered geotextile fabric were used. Two reactors (R-1 and R-2) contained municipal solid waste (MSW) and sewage sludge, while the other two reactors (R-3 and R-4) contained only MSW. A single layer of geotextile fabric (R2GT3 and R3GT3) was inserted in the drainage layers of the two reactors (R-2 and R-3), while a double layer of geotextile fabric (R4GT2 and R4GT1) was inserted in one of the reactors (R-4). Scanning electron microscopy demonstrated that biomass developed on the geotextile fabrics after 540 days of bioreactor operation. The metagenomics analyses of the geotextile samples by 16S rRNA gene sequencing indicated that the geotextile bacterial communities were dominated by the phyla Firmicutes, Bacteroidetes, and Thermotogeae, while Proteobacteria were detected as the rarest bacterial phylum in all the geotextile samples. Treponema, Caldicoprobacter, and Clostridium were the most dominant anaerobic and fermentative bacterial genera associated with the geotextile fabric in the bioreactors. Euryarchaeota was the predominant archaean phylum detected in all the geotextile samples. In the archaeal communities, Methanosarcina, and Vadin CA11 were identified as the predominant genera. The diversity of microorganisms in landfill bioreactors is addressed to reveal opportunities for landfill process modifications and associated operational optimization. Thus, this study provides insights into the population dynamics of microorganisms in geotextile fabrics used in bioreactor landfills. Full article

In this work, advanced nanoscale surface characterization of CuO Nanoflowers synthesized by controlled hydrothermal approach for significant enhancement of catalytic properties has been investigated. The CuO nanoflower samples were characterized by field-emission scanning electron microscopy (FE-SEM), X-ray powder diffraction (XRD), X-ray photoelectron spectroscopy (XPS), Raman spectroscopy, high-resolution transmission electron microscopy (HR-TEM), selected-area electron diffraction (SAED), high-angular annular dark field scanning transmission electron microscopy (HAADF-STEM) with elemental mapping, energy dispersive spectroscopy (STEM-EDS) and UV–Vis spectroscopy techniques. The nanoscale analysis of the surface study of monodispersed individual CuO nanoflower confirmed the fine crystalline shaped morphology composed of ultrathin leaves, monoclinic structure and purified phase. The result of HR-TEM shows that the length of one ultrathin leaf of copper oxide nanoflower is about ~650–700 nm, base is about ~300.77 ± 30 nm and the average thickness of the tip of individual ultrathin leaf of copper oxide nanoflower is about ~10 ± 2 nm. Enhanced absorption of visible light ~850 nm and larger value of band gap energy (1.68 eV) have further supported that the as-grown material (CuO nanoflowers) is an active and well-designed surface morphology at the nanoscale level. Furthermore, significant enhancement of catalytic properties of copper oxide nanoflowers in the presence of ${\mathrm{H}}_2{\mathrm{O}}_2$ for the degradation of methylene blue (MB) with efficiency ~96.7% after 170 min was obtained. The results showed that the superb catalytic performance of well-fabricated CuO nanoflowers can open a new way for substantial applications of dye removal from wastewater and environment fields. Full article

Zootherapy is accepted all around the globe not only in ancient cultures but different animal derived medicines are also part of the practice in the modern health care systems. The present study assessed the traditional ethnozoological usage of wild animals by local inhabitants in Ladakh region, India, and the reference data for scientific approaches for protection of faunal diversity in trans-Himalayas. The ethnozoological documentation of the animals in Ladakh was carried out through semistructured and close-ended questionnaire surveys and interviews. Multivariate ecological community analysis was used to elucidate the relationship between ethnozoological usage and animal species. Our results showed three animal usage clusters with 32% similarity. Moreover, the similarity in animal usage between digging tools, trophy, handle of tools, decoration, and matting, showed less than 32% of similarity. The highest priority of local people was for food followed by decoration and medicinal usage. The most frequently used animal parts were meat followed by fur and horn. Medicinal uses of 48% of the reported species, i.e., Alectoris chukar (chukar), Cuon alpinus (Asiatic wild dog), Lepus oiostolus (hares), Marmota himalayana (marmots), Ovis aries vignei (Ladakh urial), Pantholops hodgsonii (Tibetan antelope), Procapra picticaudata (Tibetan gazelle), Pseudois nayaur (blue sheep), Tetraogallus himalayensis (Himalayan snow), Tetraogallus tibetanus (Tibetan snow cock), and Lutra lutra (common otter) were reported for the first time from this region. Our study provides innovative information regarding the ethnozoological knowledge in the Ladakh region and reference data for policymakers, researchers, land managers, common public, and the other stakeholders to develop logical and scientific approaches for sustainable use of faunal diversity in hotspot regions like trans-Himalayas and other similar biodiversity-rich sites. Full article

Several different designs and prototypes of ocean current turbines have been tested over recent years. For every design test, emphasis is given to achieving an optimum power output from the flow. In this study, the performance of a Horizontal Axis Ocean Current Turbine (HAOCT) has been investigated using three-dimensional Computational Fluid Dynamics (CFD) simulations for three cases, namely, (1) a turbine without a deflector, (2) a turbine with a deflector, and (3) a turbine with a deflector operating at a higher fluid depth. The turbine design was modeled in DesignModeler software and simulations were carried out in commercial CFD software Flow-3D. The Torque Coefficient (C_m) and Power Coefficient (C_p) for the turbine have been investigated for a certain range of Tip-Speed Ratios (TSRs) in a flow velocity of 0.7 m/s. Furthermore, comparisons have been made to demonstrate the effect of the deflector on the performance of the turbine and the influence of a higher fluid pressure on the same. The results from the simulations indicate that the higher value of C_p was achieved for Case 2 as compared to the other two cases. The findings from the study indicate that the use of the deflector enhances the performance of the turbine. Furthermore, a higher fluid pressure acting on the turbine has a significant effect on its performance. Full article