Histomorphometric Effcets of Oral use of Tobacco in Testes of Offsprings of Swiss Albino Mice

Objective: To study the gross micro structural changes in the testis of the offspring of Swiss albino mice exposed to oral use of tobacco during pregnancy. Study Design: Experimental Duration and Setting of Study: This study was conducted from July 2017 to December 2017 at Isra University Hyderabad  Methodology: ­­20 female albino mice were mated. After confirmation of pregnancy by vaginal plug they were divided into two groups; experimental A and control B of 10 each. Experimental mice of group A were given 5% tobacco in their chow diet and0water ad libitum; however, control group B were given only normal chow0diet and0water0ad libitum. After 15 days of birth the 10 male offsprings each of control and experimental mice were randomly selected. Their initial and final body weight was recorded.  They were sacrificed0by cervical dislocations and0their testes were taken away for further gross & histological0analysis.  Results: Noticeable changes were observed in the body weight and weight of testes. The mean initial weight of experimental male offspring was found to be 1.76 ± 0.33 g, while in control group it was 2.60± 0.45 g. The final weight in experimental offspring was 9.38± 0.59 g and in control group it was 12.75±0.96 g.  Statistically the difference of body weight in offspring was found to be significant (p value <0.05). The testes weight was markedly decreased in experimental group as compared to control group.  The mean testes weight in experiment group was recorded as 0.03 ± 0.004 g however in control group it was recorded as   0.07 ± 0.004 g. Simultaneously, 5 micro structural variations were also observed in the testes of off-springs of mice. In0the0experimental group0of off-springs, very few0layers and decreased number of spermatocytes were noticed in seminiferous tubules of 9 testes.  Sperm degenerative changes, cellular inflammation and mild to massive hyalinization were noticed in 9, 6, and 9 testes of experimental group respectively. Loss of architecture of seminiferous tubules in 8 testes as well as destruction of the basement membrane in 7 testes were also observed in experiment group testes. However, the decreased number of spermatocytes in only 1 testes and mild hyalinization in 2 testes of control group were observed. Conclusion: The consumption of smokeless tobacco has vital effects on the body weight, micro structure  and weight of testes of offsprings of mice given with cellular injury of seminiferous tubules especially decreased sperm count, cellular inflammation, destruction of basement membrane as well as massive hyalinization. &nbsp

Social franchising and vouchers to promote long-term methods of family planning in rural Pakistan: A qualitative stocktaking with stakeholders

Background: The overall use of modern contraception in Pakistan is quite low, especially in rural areas. Several studies have demonstrated the effectiveness of social franchising (SF) approaches in increasing access to modern contraception and improving the quality of healthcare in resource-poor areas in Asia and Africa. Drawing on best practices in SF, the Marie Stopes Society (MSS) implemented an SF model in certain rural areas of Pakistan to increase access to affordable and quality family planning (FP) services. The model was branded as Suraj (sun) and complemented with an innovative voucher scheme for intrauterine contraceptive devices (IUCDs). This paper describes the perspectives of Suraj clients, field workers mobilization (FWMs), and providers on various components of the Suraj model.Methodology: A qualitative exploratory study was conducted in six randomly selected intervention districts in the Sindh and Punjab provinces. Data were collected using focus group discussions (FGDs) with clients and in-depth interviews (IDIs) with providers and FWMs. Data were manually analyzed using constant comparison and the thematic analysis approach.Findings: Clients showed positive attitudes towards modern contraceptive methods and identified Suraj FWMs and signboards as sources of information. Almost all clients reported IUCDs as effective methods as they have manageable side effects and require fewer visits to clinics. They spoke highly of voucher schemes as these enabled them to avail free IUCD services. Clients also appreciated many components of Suraj clinics, including cleanliness, privacy, confidentiality, the sterilization of instruments, and courteous Suraj providers and FWMs. Most Suraj providers said that IUCD insertion and infection-prevention training enhanced their ability to provide IUCD services and increased their standing in local communities. They reported that the role of FWMs was crucial in mobilizing the community and increasing their FP clientele. The FWMs said that attitudes towards FP were changing because of economic pressure at the household level, increases in literacy, and community mobilization efforts.Conclusion: The Suraj intervention influenced attitudes towards FP and modern contraception, positively. Women using IUCDs showed greater satisfaction with the method. The findings emphasize that SF approaches like Suraj, when complemented with vouchers and community mobilization efforts, can improve the utilization of long-term contraceptive methods among rural and underserved women. The study also identified the need for integrating FP, antenatal care, and safe delivery services

Improving community case management of diarrhoea and pneumonia in district Badin, Pakistan through a cluster randomised study--the NIGRAAN trial protocol

BACKGROUND: Diarrhoea and pneumonia contribute 30% of deaths in children under 5 in Pakistan. Pakistan\u27s Lady Health Workers Programme (LHW-P) covers about 60% of the population but has had little impact in reducing morbidity and mortality related to these major childhood killers. An external evaluation of the LHW-P suggests that lack of supportive supervision of LHWs by lady health supervisors (LHSs) is a key determinant of this problem. Project NIGRAAN aims to improve knowledge and skills of LHWs and community caregivers through supervisory strategies employed by LHSs. Ultimately, community casemanagement (CCM) of childhood pneumonia and diarrhoea will improve. METHODS/DESIGN: NIGRAAN is a cluster-randomised trial in District Badin, Pakistan. There are approximately 1100 LHWs supervised by 36 LHSs in Badin. For this study, each LHS serves as a cluster. All LHSs working permanently in Badin who regularly conduct and report field visits are eligible. Thirty-four LHSs have been allocated to either intervention or control arms in a ratio of 1:1 through computer-generated simple randomisation technique. Five LHWs from each LHSs are also randomly picked. All 34 LHSs and 170 LHWs will be actively monitored. The intervention consists of training to build LHS knowledge and skills, clinical mentorship and written feedback to LHWs. Pre- and post-intervention assessments of LHSs, LHWs and community caregivers will be conducted via focus group discussions, in-depth interviews, knowledge assessment questionnaires, skill assessment scorecards and household surveys. Primary outcome is improvement in CCM practices of childhood diarrhoea and pneumonia and will be assessed at the cluster level. DISCUSSION: NIGRAAN takes a novel approach to implementation research and explores whether training of LHSs in supervisory skills results in improving the CCM practices of childhood diarrhoea and pneumonia. No significant harm to participants is anticipated. The enablers and barriers towards improved CCM would provide recommendations to policymakers for scale up of this intervention nationally and regionally

Impact of social franchising on contraceptive use when complemented by vouchers: A quasi-experimental study in rural Pakistan

Background: Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society - a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor. This paper evaluates the effectiveness of this approach, which is designed to increase modern long term contraceptive awareness and use in rural areas of Pakistan.Methodology: We used a quasi-experimental study design with controls, selecting one intervention district and one control district from the Sindh and Punjab provinces. In each district, we chose a total of four service providers. A baseline survey was carried out among 4,992 married women of reproductive age (MWRA) in February 2009. Eighteen months after the start of intervention, an independent endline survey was conducted among 4,003 women. We used multilevel logistic regression for analysis using Stata 11.Results: Social franchising used alongside free vouchers for long term contraceptive choices significantly increased the awareness of modern contraception. Awareness increased by 5% in the intervention district. Similarly, the ever use of modern contraceptive increased by 28.5%, and the overall contraceptive prevalence rate increased by 19.6%. A significant change (11.1%) was recorded in the uptake of IUCDs, which were being promoted with vouchers.Conclusion: Family planning franchise model promotes awareness and uptake of contraceptives. Moreover, supplemented with vouchers, it may enhance the use of IUCDs, which have a significant cost attached. Our research also supports a multi-pronged approach- generating demand through counselling, overcoming financial constraints by offering vouchers, training, accreditation and branding of the service providers, and ensuring uninterrupted contraceptive supplies

Rates of IUCD discontinuation and its associated factors among the clients of a social franchising network in Pakistan

Background: Modern Intrauterine contraceptive device (IUCD) is very safe, highly effective reversible and inexpensive family planning method which offers 5-10 years of protection against pregnancy. The contraceptive use in Pakistan has been merely 30% for over a decade with IUCD being the least used method. Higher discontinuation rates are documented in developing countries; however no such data is available for Pakistan. Marie Stopes Society (MSS) established a social franchise outlets network branded as \u27SURAJ\u27 (Sun) in Pakistan to provide quality family planning services. This study attempts to determine IUCD discontinuation rates and its associated risk factors. Using a semi-structured questionnaire, a cross-sectional study was conducted with 3000 clients who availed IUCD services from Suraj provider 6, 12 and 24 month back,. Data were analyzed in SPSS 17.0; adjusted prevalence ratios were calculated to see associations between discontinuation and its risk factors.Case presentation: We found that 22.7% of the IUCD acceptors experienced some health problem; while the overall discontinuation rate was 18.9% with average time of usage of 7.4 (SD ± 5.8) months before discontinuation. Half of them showed health concerns (49.8%); of which a majority (70.2%) returned to Suraj provider for IUCD removal. Women living in Punjab, residing at a travelling time of 30-60 minutes and no previous use of contraceptive are more likely to discontinue IUCD. However, among total women 81.7% still expressed willingness to avail IUCD services from Suraj provider in future, if needed.Conclusion: The findings suggest a need for training the providers and field workers to prevent early discontinuation of IUCD among the Suraj clients and by addressing the health concerns through proper counseling, continued follow-up and immediate medical aid/referral in case of complications

Transthyretin Is Dysregulated in Preeclampsia, and Its Native Form Prevents the Onset of Disease in a Preclinical Mouse Model

Preeclampsia is a major pregnancy complication with potential short- and long-term consequences for both mother and fetus. Understanding its pathogenesis and causative biomarkers is likely to yield insights for prediction and treatment. Herein, we provide evidence that transthyretin, a transporter of thyroxine and retinol, is aggregated in preeclampsia and is present at reduced levels in sera of preeclamptic women, as detected by proteomic screen. We demonstrate that transthyretin aggregates form deposits in preeclampsia placental tissue and cause apoptosis. By using in vitro approaches and a humanized mouse model, we provide evidence for a causal link between dysregulated transthyretin and preeclampsia. Native transthyretin inhibits all preeclampsia-like features in the humanized mouse model, including new-onset proteinuria, increased blood pressure, glomerular endotheliosis, and production of anti-angiogenic factors. Our findings suggest that a focus on transthyretin structure and function is a novel strategy to understand and combat preeclampsia

Isolation of Antibodies from breast milk as A cure to Covid-19

Dear Editor, The current Coronavirus disease (COVID-19) was first identified around the end of 2019 in Wuhan, China and was declared a global pandemic by WHO a few months after, in March 2020. Since then, the Coronavirus caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is of great concern to human life, affecting around 24.8 million people worldwide and causing 5.3 million lives to succumb to it as of 15th December’2021. (1) Even though vaccines against the virus have readily been made available to the population, with new strains of the virus coming to light every few months, the end still seems bleak. As part of the body’s innate mechanism, antibodies develop against a pathogen after one’s been exposed to it. Antibodies also make up a considerable composition of breast milk that provide immune protection to the neonates against diseases such as gastrointestinal tract infections, respiratory infections and middle ear infections. (2) COVID-19 targets individuals of all age groups, however in neonates the positivity ratio is considerably lower. While vertical transmission of COVID-19 has been a topic of much debate, there has been no definitive evidence to prove the phenomenon. (3) Currently studies state that there is no concrete proof confirming the association of COVID-19 and its spread via breast milk. (3) In a recent study by Rebecca Powell, strong associations were made between antibodies present in breast milk and COVID-19. After taking and assessing donated milk samples of eight COVID-19 recovered and seven COVID-19 suspected lactating females, it was found that milk from all COVID-19 recovered individuals showed notable SARS-CoV-2 specific IgA reactivity, suggesting that breast milk may contain immunoglobulins protective against the novel Coronavirus. (4) In another study, it was found that a woman who tested positive for COVID-19 had discoverable IgG and IgA in breast milk. Her newborn infant tested negative for the Virus at birth but showed an elevated IgG in serum (5), re-establishing our prior argument about the presence of COVID-19 antibodies in breast milk. Though, yet not fully researched, this discovery could possibly be a revolutionary step towards formulating a preventive measure to the Virus, thus helping eradicate the pandemic. The severity of neonatal complications arising with the malady may be drastically reduced. A more scientific research and thorough analysis to this finding is required to prove a causal relationship between the disease and antibodies present in breast milk

Solving University Scheduling Problem Using Hybrid Approach

In universities scheduling curriculum activity is an essential job. Primarily, scheduling is a distribution of limited resources under interrelated constraints. The set of hard constraints demand the highest priority and should not to be violated at any cost, while the maximum soft constraints satisfaction mounts the quality scale of solution. In this research paper, a novel bisected approach is introduced that is comprisesd of GA (Genetic Algorithm) as well as Backtracking Recursive Search. The employed technique deals with both hard and soft constraints successively. The first phase decisively is focused over elimination of all the hard constraints bounded violations and eventually produces partial solution for subsequent step. The second phase is supposed to draw the best possible solution on the search space. Promising results are obtained by implementation on the real dataset. The key points of the research approach are to get assurance of hard constraints removal from the dataset and minimizing computational time for GA by initializing pre-processed set of chromosomes

Green hydrogen based power generation prospect for sustainable development of Bangladesh using PEMFC and hydrogen gas turbine

Bangladesh focuses on green energy sources to be a lesser dependent on imported fossil fuels and to reduce the GHG emission to decarbonize the energy sector. The integration of renewable energy technologies for green hydrogen production is promising for Bangladesh. Hybrid renewable plants at the coastline along the Bay of Bengal, Kuakata, Sandwip, St. Martin, Cox’sbazer, and Chattogram for green hydrogen production is very promising to solve the power demand scarcity of Bangladesh. Hydrogen gas turbine and hydrogen fuel cell configured power plant performances are studied to observe the feasibility/prospect to the green energy transition. The Plant’s performances investigated based on specification of the plant’s units and verified by MATLAB SIMULINK software. Fuels blending (different percent of hydrogen with fossil fuel/NG) technique makes the hydrogen more feasible as turbine fuel. The net efficiency of the fuel cell-based combined cycle configuration (74%) is higher than that of the hydrogen gas turbine-based configuration (51.9%). Moreover, analyses show that the increment of combined cycle gas turbine efficiency (+18.5%) is more than the combined cycle PEMFC configuration (+14%). Long-term storage of renewable energy in the salt cavern as green hydrogen can be a source of energy for emergency. A significant share of power can be generated by a numbers of green power plants at specified places in Bangladesh

Factors Influencing Residential Location Choice towards Mixed Land-Use Development: An Empirical Evidence from Pakistan

This study is aimed to determine the MLU development factors by executing a Delphi Method (DM). The MLU factors can contribute to the land-use development process in the thickly populated urban centers of developing countries. This is the first study of its type conducted to clarify MLU development factors in urbanized settlements of Sindh province, Pakistan. Karachi and Hyderabad are thickly populated cities in Pakistan where mixed land-use (MLU) development prevails over the years. The DM was attempted in two rounds focusing on the opinion of urban development specialists and academic experts. The experts initially provided a set of forty-two factors identified from the literature. These factors were arranged in a Likert-based questionnaire and determined through the coefficient variation. The prominent factors were identified as household savings, travel costs and low rent, nearby household items and shared utility services, economic vitality, variety in purchasing grocery and shopping items, demographic change and social poverty, accessibility to nearby public services, reduction in commuting time and easy access to restaurants. This proposed research recommends policy implications focusing on identified key parameters of MLU development, such as low carbon exposure, livable environment, and planned municipal system