Frequency of various risk factors for Meconium aspiration syndrome

Objective: To study the frequency of various factor leading to meconium aspiration syndrome. Material & Method: This present descriptive cross sectional study was carried out at Department of Pediatrics Medicine Bahawal Victoria  Hospital Multan. for 6 months i.e. from October 8, 2018 to April 8, 2019. The non-probability, consecutive sampling technique was used. Newborns having staining of vocal cords and respiratory distress were included in this study. ABG and X ray Chest was done in all neonates. Factors like, Post-term pregnancy, IUGR, thick meconium, low APGAR score at 1 and 5 minutes were noted. All the collected data was entered and analyzed on SPSS version 23. Chi square and T test were used to check significant relation of risk factors with meconium aspiration syndrome. P value of 0,05 was consider significant. Results: Among total enrolled 150 babies, the mean age of babies was 37.37±18.96 hours, the male to female ratio of the babies was 1.03:1. The mean maternal age was 28.85±6.602 years. The thick meconium was observed in 89(59.33%) patients, 79(52.7%) patients went through vaginal delivery, postdate pregnancy was noted in 68(45.3%) patients, IUGR was observed in 52(34.7%) patients and poor APGAR score at 1 min was noted in 79(52.7%) patients. Conclusion: The observations of our study revealed that Meconium aspiration syndrome has significant relation with maternal age(P value 0.000), postdated pregnancy(P Value 0.001), IUGR (P value 0.021), poor APGAR score at 5 minutes( P value 0.034), and thick meconium(P value 0.000). Keywords: Postdate, Meconium  Aspiration , Syndrome, APGAR, Pregnancy DOI: 10.7176/JMPB/55-19 Publication date:May 31st 201

Screening of Diabetes and HIV Infection in Newly Diagnosed Pulmonary Tuberculosis Patients

Objective: Aim of the study was to investigate the prevalence of diabetes and HIV infection by screening in newly diagnosed pulmonary tuberculosis patients. Methods: This cross sectional study was conducted in Pulmonology department Bahawal Victoria Hospital Bahawalpur.  From  1 June 2018 to 1 June 2019 after taking approval from the institutional ethical committee. Total 159 newly diagnosed pulmonary tuberculosis patients were recruited by non-probability consecutive sampling. Mean and SD was calculated for numerical variables like age , BMI, FBG, Hemoglobin and monthly income. Ferquancy and percentages were calculated for categorical variables like gender, smooking status, educational status, alcohol consumption, prevelance of HIV and diabetes, Ch square test was use to check significant different in PTB and Non PTB patients. P value of < 0.05 was taken as significant. Results: Significant difference was found between age (p=0.000), BMI (p=0.000), FBG (p=0.000), hemoglobin (p=0.000), gender (p=0.002) and alcohol consumption (p=0.034), in groups, except education status (p=0.090) and monthly income (p=0.068). The main outcome variables of this study were HIV infection and diabetes. HIV infection was noted in 3.1% (n=5) and 1.9% (n=3) patients for PTB and non-PTB group respectively. While, 8.2% (n=13) and 4.4% (n=4) patients suffered from diabetes, for both the groups respectively. Conclusion: The results of our study revealed that on screening of newly diagnosed pulmonary tuberculosis patients with HIV infection and diabetes, their prevalence was high as compared to non-pulmonary tuberculosis group. But this difference was statistically non significant (P value 0.474 and 0.166). Key words:   Pulmonary tuberculosis, Diabetes, HIV infection DOI: 10.7176/JMPB/55-21 Publication date:May 31st 201

A Cloud-based Healthcare Framework for Security and Patients’ Data Privacy Using Wireless Body Area Networks

AbstractThe recent developments in remote healthcare systems have witnessed significant interests from IT industry (Microsoft, Google, VMware etc) that provide ubiquitous and easily deployable healthcare systems. These systems provide a platform to share medical information, applications, and infrastructure in a ubiquitous and fully automated manner. Communication security and patients’ data privacy are the aspects that would increase the confidence of users in such remote healthcare systems. This paper presents a secure cloud-based mobile healthcare framework using wireless body area networks (WBANs). The research work presented here is twofold: first, it attempts to secure the inter-sensor communication by multi-biometric based key generation scheme in WBANs; and secondly, the electronic medical records (EMRs) are securely stored in the hospital community cloud and privacy of the patients’ data is preserved. The evaluation and analysis shows that the proposed multi-biometric based mechanism provides significant security measures due to its highly efficient key generation mechanism

The Role of Supervisor Support on Work-Family Conflict and Employee Turnover Intentions in the Workplace with Mediating Effect of Affective Commitment in Twin Cities in the Banking Industry, Pakistan

Organizations compete in today's world through its intangible assets which literature describe as human capital. Technology can be replaced but human capital cannot be replaced completely ever. Employee retention is center of attention for all the organizations' nowadays. Retentions of employees' mainly based on supervisors support and their affiliation with organization. This paper attempts to examine the impact of supervisor support on work family conflict and turnover intentions directly and indirectly through affective commitment. In order to collect the data this study used closed ended questionnaires from banking industry of twin cities of Pakistan. SEM (AMOS) was employed to test hypotheses. Findings reveal the mediating role of affective commitment particularly in context banking sector of Pakistan. This study filled the gap by investigating supervisor support on work family conflict along with affective commitment. Findings of this study are important from two perspectives. First is the banking sector and secondly the twin cities in which there is almost no study has been conducted before. Implications are particular for banking industry top managers and practitioners. Top management can implement such practices in order to retain their employees'. Keywords: Supervisor Support, Work-Family Conflict, Employee Turnover Intentions, SEM JEL Classifications: H15, M16 DOI: https://doi.org/10.32479/irmm.1080

Molecular probing of Aflatoxigenic fungi in rice grains collected from local markets of Lahore, Pakistan

Background: Aflatoxigenic Aspergillus strains have emerged as a serious threat to food safety and quality assurance. The objective of this study was to identify the aflatoxigenic Aspergillus sp. by targeting the amplification of aflatoxigenic genes i.e., aflR, nor1, omt1, ver1, in different fugal strains isolated from the rice grains being marketed in local markets of Lahore city, Pakistan.Methods: Total eleven (11) Aspergillus strains were isolated from rice grains and aflatoxigenic genes i.e., aflR, nor1, omt1, ver1 were amplified to differentiate between aflatoxin producing and non-producing strains.Results: Four (04) out of total eleven (11) strains showed the presence of aflatoxins producing genes, indicating the possible contamination of aflatoxins in rice grains being sold in local markets of Lahore.Conclusion: This research provides the basis for the quantification of aflatoxins; a significant threat to the quality of foodstuffs and consumers. The situation demands the attention of rice growers, processors as well as government officials to tackle the problem to assure the safety of rice eaters.Keywords: Aflatoxins; Aspergillus; Cereal grains; Contamination; Mycotoxigenic

Lipoid Proteinosis; A Case Report with Difficult Intubation

Lipoid proteinosis is an autosomal recessive disorder and caused by the mutations of ECM1 (extracellular matrix protein 1) gene on chromosome 1q21. It is an autosomal recessive disorder that results in deposition of hyaline material under the skin, connective tissue and mucous membranes. Hoarseness of voice occurs in infancy or early childhood. There is also thickening of the tongue and pharynx. In this case report, we present a case of 27 years old female who was presented first for emergency Lower Segment Caesarean section (LSCS) and after five months of first operation for cholecystectomy. This report is of interest for gynaecologists, anaesthesiologists and general surgeons regarding management of this rare entity patient

Rearing the Cotton Bollworm, Helicoverpa armigera, on a Tapioca-Based Artificial Diet

The impact of a tapioca-based artificial diet on the developmental rate, life history parameters, and fertility was examined over five consecutive generations for the cotton bollworm, Helicoverpa armigera Hubner (Lepidoptera: Noctuidae), a highly polyphagous pest of many agricultural crops. The study showed that when fed the tapioca-based artificial diet during larval stage, larval and pupal developmental period, percent pupating, pupal weight, emergence rate of male and female, longevity, fecundity and hatching were non-significantly different than that of the control agar-based artificial diet. Moreover, the cost to rear on tapioca-based diet approached 2.13 times less than the cost of rearing on the agar-based artificial diet. These results demonstrate the effectiveness and potential cost savings of the tapioca-based artificial diet for rearing H. armigera

Role of Vitamin E in Pregnancy

Vitamins play important roles in female health. They are essential for many functions, including menstruation and ovulation, oocyte (egg) quality and maturation. Vitamin E was first discovered in 1922 as a substance necessary for reproduction. It has become widely known as a powerful lipid-soluble antioxidant. There are various reports on the benefits of vitamin E on health in general. Vitamin E helps your body create and maintain red blood cells, healthy skin, eyes and strengthens your natural immune system. However, despite it being initially discovered as a vitamin necessary for reproduction, to date studies relating to its effects in this area are lacking. Vitamin E supplementation may help reduce the risk of pregnancy complications involving oxidative stress, such as pre-eclampsia. This chapter is written to provide a review of the known roles of vitamin E in pregnancy

Ideological Dimensions of Muslim Nationalism and Democracy

oai:ojs2.www.ijsshe.com:article/14The term “Nationalism” can be redefined within the scope of Post-colonial discourse and often looked to be different in meaning for the readers. It requires a deep and intensive observation of the historical facts which contributed a great deal tracing origin and gauging development of the notion of ‘nationalism’ in South Asia. Nationalism in its simplest means is the similarity in culture, politics, religion, economic endeavours and social norms of the inhabitants of a particular region. The democratic era commenced in Europe with its marvellous philosophy. European enlightenment and emancipation passed through many phases. As far as Muslim Nationalism is concerned, especially in colonial setting, it is evolution of centuries old phenomenon based on Two-Nation Theory which in itself is not the product of one day. Research paper in hand throws light on the very evolution of the ideological dimensions of Muslim Nationalism resulting into the form of democracy which has ultimately been evolved in today’s socio-political framework