Helicobacter pylori: A Clinical Review

Helicobacter pylori, a gram negative microorganism, concomitant with a ramification of gastro-intestinal illnesses blanketed duodenal, non-ulcer dyspepsia, and gastric ulcer and active persistent gastritis. The frequency of H. pylori contamination ought to more than ninety % in patients showing sign and symptoms of gastrointestinal infections. It has been reported of affiliation of H. pylori infection with complication of stomach cancer. It may be transmitted through oro-fecal rely via the eating of waste-polluted water or meals. Combination of antibiotics and bismuth compounds found to be powerful in treating lively infection. Diagnosis of infection is through invasive testing techniques i.e. histology, Culture, based totally on endoscopy and biopsy, or non-invasive trying out strategies, which include serologic antibody assay, urea breath test and stool antigen test. Serologic antibody assay and UBT do no longer distinguish between a current infection and past cured infection. The stool antigen test is used to detect antigen presence inside the faeces that suggests lively infection. It can be extensively utilized to monitor the prognosis of disease and the recurrence. Prevention is by means of hygiene measures like hand washing practice and transmission control.  If infection left untreated may also lead to critical hassle. Keywords: H. Pylori, Helicobacter Pylori, Clinical Revie

Non-Timber Forest Products Collection Affects Education of Children in Forest Proximate Communities in Northeastern Pakistan

Non-timber forest products (NTFPs) are crucial in driving the economy of communities living inside or around forests. The scarcity of business and employment opportunities often push the forest proximate communities to tap a range of NTFPs for earning their livelihoods. In many forest-based communities around the world, children are actively involved in NTFPs collection, which is likely to affect the socioeconomic paradigms of these children. We aim to investigate how the NTFP collection venture affects the education of the children involved in the forest proximate communities of Azad Jammu and Kashmir (AJK), Pakistan. A stratified sampling followed by a series of focus group discussions and one-to-one interviews were carried out to collect information on collection behaviour, patterns, income generation, and other socioeconomic variables. We used a binary logistic regression model to explain children’s state of attending schools using a range of socioeconomic variables. The empirical evidence showed that 42% of the NTFP-collecting children were not going to school, and nearly two-thirds were working in unfavourable working environments. The regression model showed that the role and behaviour of contractors, along with factors like household conditions, were important factors in employing children for long working hours. The study has implications for reforming policies regarding the nexus of income generation and education in the forest-based communities

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care

Carbon Sequestration by Native Tree Species around the Industrial Areas of Southern Punjab, Pakistan

Industries have been a major culprit in increasing carbonaceous emissions and major contributors to global warming over the past decades. Factories in the urban periphery tend to warm cities more as compared with rural surroundings. Recently, nature-based solutions have been promoted to provide solutions related to climate adaptations and mitigation issues and challenges. Among these solutions, urban trees have proven to be an effective solution to remove air pollutants and mitigate air pollution specifically caused by carbon emissions. This work was designed to assess the role of tree species in mitigating air emissions of carbon around the vicinity of various industrial sites. For this purpose, three different industrial sites (weaving, brick kiln, and cosmetic) were selected to collect data. Selected industrial sites were divided into two areas, i.e., (a) area inside the industry and (b) area outside the industry. The samples were collected from 100 square meters inside the industries and 100 square meters outside the industries. Five different trees species comprised of four replications were selected for sampling. About twenty trees species from inside and outside of the industries were measured, making it 120 trees from all three selected industries for estimating aboveground and belowground biomass, showing their carbon estimation. The results showed that Moringa oleifera depicted overall higher total biomass from both inside (2.58, 0.56, and 4.57 Mg ha−1) and outside sites from all three selected industries. In terms of total carbon stock and carbon sequestration inside the industry sites, Syzygium cumini had the most dominant values in the weaving industry (2.82 and 10.32 Mg ha−1) and brick kiln (3.78 and 13.5 Mg ha−1), while in the cosmetic industry sites, Eucalyptus camaldulensis depicted higher carbon, stock, and sequestration values (7.83 and 28.70 Mg ha−1). In comparison, the sites outside the industries’ vicinity depicted overall lower carbon, stock, and sequestration values. The most dominant tree inside came out to be Dalbergia sisso (0.97 and 3.54 Mg ha−1) in the weaving industry sites, having higher values of carbon stock and carbon sequestration. Moringa oliefra (1.26 and 4.63) depicted dominant values in brick kiln sites, while in the cosmetic industry, Vachellia nilotica (2.51 and 9.19 Mg ha−1) displayed maximum values as compared with other species. The findings regarding belowground biomass and carbon storage indicate that the amount of soil carbon decreased with the increase in depth; higher soil carbon stock values were depicted at a 0–20 cm depth inside and outside the industries. The study concludes that forest tree species present inside and outside the vicinity of various industries have strong potential in mitigating air emissions

An Investigation about Education as Envisioned by Confucius and Its Implications for Contemporary Moral Education

This study investigates Confucius' views on education and their rel-evance in the 4.0 era. Confucius is known as "the great model teach-er for centuries" for his dedication to education and his thoughts regarding its role, purpose, substance, and teaching techniques. Con-fucius founded Confucianism. Confucius felt education should be a right for everyone, not just the affluent. "No class difference in school" quickly transforms people's educational views. It makes formal schooling possible for most individuals. The idea of Confu-cius is innovative because people from all backgrounds desire jus-tice and equality in education. However, a synthesis of Confucius' education concepts based on past research adds to the literature on educational philosophy. Confucius's thoughts help people world-wide understand the incredible education ideas that have ever de-veloped in moral education. The results of this research can be guid-ed and affect modern educational authorities and policymakers

Carbon Sequestration by Native Tree Species around the Industrial Areas of Southern Punjab, Pakistan

Industries have been a major culprit in increasing carbonaceous emissions and major contributors to global warming over the past decades. Factories in the urban periphery tend to warm cities more as compared with rural surroundings. Recently, nature-based solutions have been promoted to provide solutions related to climate adaptations and mitigation issues and challenges. Among these solutions, urban trees have proven to be an effective solution to remove air pollutants and mitigate air pollution specifically caused by carbon emissions. This work was designed to assess the role of tree species in mitigating air emissions of carbon around the vicinity of various industrial sites. For this purpose, three different industrial sites (weaving, brick kiln, and cosmetic) were selected to collect data. Selected industrial sites were divided into two areas, i.e., (a) area inside the industry and (b) area outside the industry. The samples were collected from 100 square meters inside the industries and 100 square meters outside the industries. Five different trees species comprised of four replications were selected for sampling. About twenty trees species from inside and outside of the industries were measured, making it 120 trees from all three selected industries for estimating aboveground and belowground biomass, showing their carbon estimation. The results showed that Moringa oleifera depicted overall higher total biomass from both inside (2.58, 0.56, and 4.57 Mg ha−1) and outside sites from all three selected industries. In terms of total carbon stock and carbon sequestration inside the industry sites, Syzygium cumini had the most dominant values in the weaving industry (2.82 and 10.32 Mg ha−1) and brick kiln (3.78 and 13.5 Mg ha−1), while in the cosmetic industry sites, Eucalyptus camaldulensis depicted higher carbon, stock, and sequestration values (7.83 and 28.70 Mg ha−1). In comparison, the sites outside the industries’ vicinity depicted overall lower carbon, stock, and sequestration values. The most dominant tree inside came out to be Dalbergia sisso (0.97 and 3.54 Mg ha−1) in the weaving industry sites, having higher values of carbon stock and carbon sequestration. Moringa oliefra (1.26 and 4.63) depicted dominant values in brick kiln sites, while in the cosmetic industry, Vachellia nilotica (2.51 and 9.19 Mg ha−1) displayed maximum values as compared with other species. The findings regarding belowground biomass and carbon storage indicate that the amount of soil carbon decreased with the increase in depth; higher soil carbon stock values were depicted at a 0–20 cm depth inside and outside the industries. The study concludes that forest tree species present inside and outside the vicinity of various industries have strong potential in mitigating air emissions

Diversity of Medicinal Plants among Different Tree Canopies

The moist temperate forests in Northern Pakistan are home to a variety of flora and fauna that are pivotal in sustaining the livelihoods of the local communities. In these forests, distribution and richness of vegetation, especially that of medicinal plants, is rarely reported. In this study, we carried out a vegetation survey in District Balakot, located in Northeastern Pakistan, to characterize the diversity of medicinal plants under different canopies of coniferous forest. The experimental site was divided into three major categories (viz., closed canopy, open spaces, and partial tree cover). A sampling plot of 100 m2 was established on each site to measure species diversity, dominance, and evenness. To observe richness and abundance, the rarefaction and rank abundance curves were plotted. Results revealed that a total of 45 species representing 34 families were available in the study site. Medicinal plants were the most abundant (45%) followed by edible plants (26%). Tree canopy cover affected the overall growth of medicinal plants on the basis of abundance and richness. The site with partial canopy exhibited the highest diversity, dominance, and abundance compared to open spaces and closed canopy. These findings are instrumental in identifying the wealth of the medicinal floral diversity in the northeastern temperate forest of Balakot and the opportunity to sustain the livelihoods of local communities with the help of public/private partnership

Impact of Human Settlements on Diversity of Range Vegetation

The rapidly increasing population of human beings in semi-arid areas is often considered as a major factor of land degradation. Only a few studies have examined the dynamics of human settlements on the composition, diversity, structure and palatability of range vegetation in Southern Punjab Pakistan. The current study aims to assess whether the distance from settlements had any effect on the range vegetation’s diversity and cover. In order to determine the impact of human settlements on the vegetation, the sampling area (Thal rangeland) was classified into three categories, i.e., Near (1–2 km from human communities), Away (2–4 km from human communities), and Far (4–6 km from human settlements). A total of 75 transects in all of the three sites were placed in the study sites. Along the transects, a quadrate of 1 m2 after every 10 m was randomly placed. The study site yielded floral diversity of a total of 29 species, representing 23 genera and belonging to 9 families. Results showed that the areas away from the human communities had higher species diversity (20), while the site near to human settlements depicted lower diversity (14). It was observed that, although the site near to communities had lower diversity, it depicted higher plant density, while the highest diversity along with the lowest plant density was observed in sites away from the communities. The study concluded that the diversity of range grasses, especially desirable species, was affected by distance to human settlements. These findings could be useful to detect flora changes, establish habitat protection priorities and improve efforts for conserving natural landscapes

Impact of Human Settlements on Diversity of Range Vegetation

The rapidly increasing population of human beings in semi-arid areas is often considered as a major factor of land degradation. Only a few studies have examined the dynamics of human settlements on the composition, diversity, structure and palatability of range vegetation in Southern Punjab Pakistan. The current study aims to assess whether the distance from settlements had any effect on the range vegetation’s diversity and cover. In order to determine the impact of human settlements on the vegetation, the sampling area (Thal rangeland) was classified into three categories, i.e., Near (1–2 km from human communities), Away (2–4 km from human communities), and Far (4–6 km from human settlements). A total of 75 transects in all of the three sites were placed in the study sites. Along the transects, a quadrate of 1 m2 after every 10 m was randomly placed. The study site yielded floral diversity of a total of 29 species, representing 23 genera and belonging to 9 families. Results showed that the areas away from the human communities had higher species diversity (20), while the site near to human settlements depicted lower diversity (14). It was observed that, although the site near to communities had lower diversity, it depicted higher plant density, while the highest diversity along with the lowest plant density was observed in sites away from the communities. The study concluded that the diversity of range grasses, especially desirable species, was affected by distance to human settlements. These findings could be useful to detect flora changes, establish habitat protection priorities and improve efforts for conserving natural landscapes