Leptin to Adiponectin ratio as Atherogenic Index in Ischemic Heart Disease Patients

Objective: To determine plasma adiponectin and leptin levels in subjects with and without ischemic heart disease (IHD) and to find the correlation between leptin, adiponectin to the number of coronary vessels disease-using angiography.Patients and Methods: This is a cross-sectional study conducted Ziauddin University. 80 subjects were recruited who were undergoing angiography. Height, weight, Waist and hip circumference were measured. BMI and WHR were calculated accordingly. Venous blood was drawn to measure adiponectin and leptin using ELISA.Results: Leptin to adiponectin ratio (LA ratio) was significantly increased in three and two vessel disease compared with single vessel and non-significant groups.Conclusion: The study shows that adiponectin decreases and leptin increases in multivessel disease. LA ratio has been found to correlate well in two and more than two vessel disease

Application of copper and aluminium electrode in electro coagulation process for municipal wastewater treatment: A case study at Karachi

The reuse of treated domestic wastewater is an imperative source of water for numerous purposes. The treatment of municipal wastewater can be process by utilizing the technique for electrocoagulation. Electrocoagulation (EC) is an eco-friendly technique that combines the functions and advantages of conventional coagulation, flotation, and electrochemistry in water and wastewater treatment. The aim of present study was to assess the potential of electrocoagulation process in removing COD, BOD, TSS, turbidity, sulphate, nitrate, chloride and TDS from municipal wastewater. This experimental study was carried out at a batch system by using copper and aluminium electrodes aiming to treat the municipal wastewater at (0, 7, 14, and 21 volts, 50mamp for 60minutes) from Sample Baloch Colony (SBC), Sample Rind Goth (SRG), Sample Cattle Colony (SCC), Sample Pakistan Machine Tool Factory (SPMTF) and Sample Mehran Highway (SMH). The results revealed that the maximum removal efficiency of COD 96% for SPMTF, BOD 38.5% for SPMTF, TSS 98.14% for SMH, Turbidity 95.7% for SPMTF, Sulphate 95.9% for SRG, Nitrate 95.23% for SMH, Chloride 97.92% for SMH and TDS 96.9% for SRG at 21 volt. The present study suggested that the treated wastewater could be safely reuse for lawns, parks, tree plantation and recreation purpose

Predictors of two months culture conversion in multidrug-resistant tuberculosis: findings from a retrospective cohort study.

BACKGROUND: Various studies have reported culture conversion at two months as a predictor of successful treatment outcome in multidrug-resistant tuberculosis (MDR-TB). OBJECTIVES: The present study was conducted with the aim to evaluate the rate and predictors of culture conversion at two months in MDR-TB patients. METHODS: All confirmed pulmonary MDR-TB patients enrolled for treatment at Lady Reading Hospital Peshawar, Pakistan from 1 January to 31 December 2012 and met the inclusion criteria were reviewed retrospectively. Rate and predictors of culture conversion at two months were evaluated. RESULTS: Eighty seven (53.4%) out of 163 patients achieved culture conversion at two months. In a multivariate analysis lung cavitation at baseline chest X-ray (P = 0.006, OR = 0.349), resistance to ofloxacin (P = 0.041, OR = 0.193) and streptomycin (P = 0.017, OR = 0.295) had statistically significant (P<0.05) negative association with culture conversion at two months. CONCLUSION: A reasonable proportion of patients achieved culture conversion at two months. Factors negatively associated with culture conversion at two months can be easily identified either before diagnosis or early in the course of MDR-TB treatment. This may help in better care of individual patients by identifying them early and treating them vigorously

Patients’ demographics and clinical characteristics.

<p>AFB, acid-fast bacilli; MDR, multi drug resistance PDR, poly-drug resistance; HPF, high power field; SLD, second-line drugs; TB, tuberculosis.</p

Multivariate analysis of predictors of sputum culture conversion at two months.

<p>Note: Only statistically significant results are given in the table.</p><p>B, beta; CI, confidence interval; SE, standard error.</p