Evaluating Perception of Users Regarding Collection and Services: A Case Study of Kashmir Government Polytechnic College (KGPC)

The present study attempts to offer an insight about the user’s perception regarding library collection and service in Kashmir Government Polytechnic College (KGPC). The findings of the study reveal that preponderance (91.33%) prefer to use “Textbooks” as a source of information resource in the library while as usage of e-resources have been found low among them. It emerges that majority of users visit library on “Daily” basis to “Issue books” and read “Newspapers”. On the other hand, the finding reveals that majority of user’s visits library to avail “Internet Services” followed by “Lending Services”. Furthermore, it is observed from the analysis that the preponderance of users find library collection and services inadequate which might be due lack of awareness among them. Accordingly, the library must take dynamic initiatives to sensitize its users on the available information resources and services through current awareness and other related services in order to make sure the proper usage of library among its user

Subarachnoid hemorrhage:unusual situations leading to sah and underlying principles of physics behind its complications

Multiple authors have identified the most unusual novel associations as precipitant factors of subarachnoid hemorrhage and the knowledge of these and pathogenesis in background is necessary to suspect and therefore timely diagnose subarachnoid bleed and understand the mechanism of its subsequent complications. Objective: We herein describe unusual causes of subarachnoid bleed reported in various case reports with a comprehensive but elaborative review describing underlying pathogenesis and physiological mechanisms behind these precipitants and complications. Evidence Review: We sorted unusual causes of subarachnoid hemorrhage from literature review. By conducting meticulous scrutinization on search engines likePubmed®, Medline ®, Medline Plus ®, PubMed Central ®, MedNets®, Medbioworld®, Journal Watch® and Pakmedinet®; we found many novel associations using the key words: “Hemorrhagic stroke; subarachnoid hemorrhage; unusual precipitants; novel causes; pathogenesis; physical principles; aneurysms”. Findings: Novel associations of subarachnoid bleed include coagulopathies, lumbar puncture, degenerative vascular diseases, herpes encephalitis, sexual intercourse, bee sting, Conn’s syndrome and likewise many others. The basis of pathogenesis and its complications lies in understanding the complexity of relationship between the dynamics of intracranial pressure, volume and flow. Conclusions and Relevance: Understanding the physiology of exchange of force between different intracranial contents is the key to learn the mechanics of complicated brain injuries in SAH. Identifying the most unusual novel associations as precipitant factors of subarachnoid hemorrhage and the knowledge of these and the pathogenesis behind complications is necessary to suspect and therefore timely diagnose subarachnoid bleed.It may also help generate newer ideas for management in SAH

Effects of Anaerobic Exercises on Cardiac Workload, Peripheral Resistance, and Lipid Index in Grade-I Hypertensive Young Adults

Purpose: Hypertension is the leading preventable risk factor for various cardiovascular diseases. With the soaring prevalence globally, there is a need to identify the non-pharmacological management for the maintenance of blood pressure. Hence this study is aimed to determine the impact of an-aerobic exercise in grade-I hypertensive young adults. Methods: A total of 92 participants were recruited from the OPD of a tertiary care hospital between the periods of 11 months (August 2017-June 2018) and were allocated in an anaerobic and aerobic group. The intervention was given based on ACSM, FITT protocol for 8 weeks. The pre- and post-systolic blood pressure, ankle brachial index (ABI), and lipid index were determined. Results: The results obtained from the study showed that eight weeks of prescribed exercises significantly improved systolic blood pressure, ankle brachial index, and lipid index of the hypertensive patients in both groups (CI: 95%, pConclusion: The study concluded that 8 weeks of supervised training programs were found to be effective in improving blood pressure, ABI, and lipid index among grade-I hypertensive young adults. Both exercises regimes were found to be equally effective, however, in term of their impact on the dose-response relationship curve resisted exercises were found to be more potent than aerobic exercises as only 24 sessions of resisted exercises performed for 8 weeks provided an equally effective result as were obtained after 40 sessions of aerobic exercises

Factors associated with gestational diabetes among women registered at secondary hospitals in Karachi, Pakistan

Introduction: Few things are proven, there are modifiable and non-modifiable factors that could impact on the health of pregnant women who have Gestational Diabetes Millitus (GDM). However, case control studies are lacking that explore the modifiable factors and identify which modifiable factors are associated with GDM.Purpose: The aim of this study was to identify the modifiable associated risk factors of GDM among women at 32 to 40 weeks of gestation.Methodology: A case-control study design was conducted at secondary hospitals for women and children in Karachi, Pakistan. The data were collected from 100 cases and same number of controls, through a structured questionnaire. The data was analyzed by means of descriptive and inferential statistics, using Stata(TM) Version 12.0.Results: The majority of the study participants had a past history of GDM and had a Body Mass Index (BMI) greater than 25kg/m2. Most of the participants were graduates or post-graduates. The results of the study identified that the modifiable factors which were significantly associated with GDM included household physical activities, transportation related physical activities, recreational activities (i.e., walking, number of stairs climbed daily), use of fruits and eggs, and night time sleep duration. Only 12% of the participants reported that they spent greater than or equal to six hours in recreational physical activities. About one-third (35%) of the participants reported sleeping more than six hours a night.Conclusion: The present study identified the association of some modifiable factors with GDM. There is a dire need to develop preventive strategies that can promote a healthy lifestyle among pregnant women. Attention should be given to increasing physical activity, promoting a healthy diet, and having proper sleep. In light of the current study findings, a study with a large sample size, including multi-center settings, is needed

Isolation and Characterization of Microbes from Agricultural Fields and their Evaluation for the Control of Plant Pests

Plant diseases due to pests cause huge loss to crop fields every year. For the control of plant pest, pesticides are under use. Fusarium wilt is caused by phytopathogen Fusarium oxysporum. More than 100 species were affected due to this disease caused by this virus. Fungi also affect onion plant crop yield every year, when chemical pesticides are applied to onion crop field. It will increase the cost of onion production and it is also dangerous for the environment and living organism other than the targeted pests. A number of microorganisms like fungi, bacteria and nematode are currently being used to control different types of pests of agro-ecosystem. In the current research 25 different bacteria were isolated from soil samples collected from 5 different (wheat, maize, sorghum, barseem, spinach) crops. Out of them 11 isolates possess plant growth promoting ability. Various biochemical, physiological and morphological tests showed that out of these 11 bacterial isolates 3 were gram positive bacilli, 2 were gram negative bacilli, 3 were gram positive cocci, 2 were gram negative rod and 1 was gram positive rod. Isolates were further screened for their antagonistic activity against onion plant pathogen causing fusarium wilt disease. Only two bacterial isolates showed positive results and inhibited the growth of plant fungal pathogen were selected for pot experiments. The objective of the current study was the exploitation of soil bacteria for the control of phytopathogens as an effective method to obtain better crop yield

Impact of Economic Growth, Energy Consumption and Urbanization on Carbon Dioxide Emissions in the Kingdom of Saudi Arabia

The Kingdom of Saudi Arabia has witnessed unprecedented economic growth in recent decades, propelling it onto the global stage. However, this rapid growth is often associated with a notable increase in carbon dioxide emissions, which carry significant environmental ramifications. In light of this pressing concern, this research undertakes a comprehensive examination of the intricate relationships between economic growth, energy consumption, urbanization, and carbon dioxide emissions within the Kingdom of Saudi Arabia from 1980 to 2020. This study employs autoregressive distributed lag approach to uncover the multifaceted dynamics at play. The empirical findings of the study reveal a compelling narrative about the Kingdom's natural landscape. Particularly noteworthy is the revelation that economic growth, urbanization, and energy consumption emerge as pivotal long-term drivers of escalating pollution. These findings underscore the critical necessity for policies that strike a balance between economic development and environmental preservation. Furthermore, the study disentangles the intricate web of causation among these factors. It becomes evident that economic growth and pollution exhibit bidirectional causality, illuminating the intricate connection between economic prosperity and environmental consequences. Additionally, commercial activities have been empirically shown to exert a substantial influence on pollution levels in the Kingdom of Saudi Arabia. To address these challenges, a pivotal shift towards a low-carbon technological revolution is proposed as a means of achieving sustained economic development. This transition towards environmentally friendly technologies holds the potential to decouple economic growth from environmental degradation, paving the way for a greener and more prosperous future for the Kingdom of Saudi Arabia

Role of neuroradiology in predicting outome in spontaneous intracerebral hemorrhage

Spontaneous intracerebral hemorrhage (ICH) accounts for 8-13% of all strokes and is associated with a high mortality and morbidity. Western studies have identified various clinical and radiological factors which help in predicting outcome in patients with spontaneous ICH. Materials and methods: A consecutive series of 100 patients diagnosed with spontaneous ICH admitted to the neurology department were enrolled from 1stJanuary to 30th June, 2014.Radiological parameters on CT brain (plain) were recorded. In-hospital outcome was measured at the end of 7 days of hospital stay in terms of survival or mortality. Different radiological parameters and their effect on outcome were compared by using Chi square test. Multivariate logistic regression analysis was performed to find independent predictors of mortality with a “p” value of \u3c 0.05 indicating statistical significance. Results: The mean age was 47.95 years with SD ± 1.560, with a male preponderance (56%). Of the total cohort, 34% patients expired and 66% survived at the end of 1 week. On univariate analysis age, gender and ICH location had p value \u3e0.05 whereas hematoma volume, presence of IV extension, midline shift and hydrocephalus had p value \u3c0.05. On multivariate logistic regression analysis only higher baseline hematoma volume was an independent predictor of mortality (p=0.00). Among 66 survivors, 44% had moderately severe to severe disability with mRS 4 and 5 at the time of discharge. Conclusion-Intracerebral hemorrhage is associated with high in-hospital mortality and long-term severe disability. Larger baseline hematoma volume was an independent predictor of mortality in this study

Impact of Innovation on CO2 Emissions in South Asian Countries

Across the globe, human lifestyles are accelerating carbon emissions, and this phenomenon is especially pronounced in developing nations. As the world grapples with the compelling imperative to address severe environmental challenges, technology has emerged as a steadfast ally. Over recent decades, the advancement of cutting-edge technology and the granting of patent rights have ignited a profound discourse on novel approaches to mitigating environmental threats. In recent years, there has been a growing interest in investigating how innovations might assist in reducing carbon emissions. The current study looks at how innovation affects carbon dioxide emissions in South Asian nations. The goal of this study is to use panel OLS and fixed effects methodologies to examine the influence of innovation on CO2 emissions in five South Asian nations from 1980 to 2019. The study's findings show that carbon dioxide emissions are negatively impacting environmental quality, while technological developments help to lower these carbon emissions. The findings argue for the development of initiatives to foster and expand technical innovation, particularly in South Asian countries. This research underscores the imperative of harnessing innovation to confront the immediate environmental challenges that loom large in the twenty-first century, as we strive for a more sustainable and environmentally responsible future

Caught in the act - Migration of a large right atrial thrombus to pulmonary artery during transthoracic echocardiography - A case report

In cases of pulmonary embolism, the visualization of a free-floating right heart thrombus on conventional transthoracic echocardiography is extremely rare. Even rarer is an echocardiographic recording of migration of a free-floating clot from the right heart into the pulmonary vasculature leading to pulmonary embolism. We present a unique case of an elderly man who presented with dyspnoea, in whom a routine 2-D bed side transthoracic echo recorded the live transit of a free floating thrombus from the right heart into the pulmonary artery resulting in pulmonary embolism. The patient remained haemodynamically stable and was managed with anticoagulation. Our case objectively highlights the rare occurrence of free floating right heart thrombi and their association with pulmonary embolism and also focuses on the options of management of such thrombi

Neuroradiology in tuberculous meningitisdiagnostic significance and prognostic value.

Tuberculous meningitis (TBM) is the most common and belligerent form of CNS TB.Prompt definitive diagnosis of TBM is arduous due to tedious microbiological procedures. This study was conducted to evaluate the neuroradiological findings in patients with TBM as a modality forearly diagnoses and predicting prognosis. Materials and methods: A successive series of 100 patients diagnosed with TBM admitted to the PIMS neurology ward were studied between March 2013 and April 2014. Cranial imaging results were obtained by non-contrast enhanced CT brain (NECT) and MRI (magnetic resonance imaging) brain with contrast. MRC staging on admission and in-hospital mortality were recorded.Results: The mean age was 34.86 ± 1.76 years with a female preponderance (55%, 55 out of 100). On admission, 72% were in MRC stages II or III. The in-hospital mortality was 16%. NECT was obtained in all the patients and was abnormal in 67% of the patients with hydrocephalus (58%), edema cerebral (24%) and infarcts (5%) being the commonestfindings.CT infarct had the highest mortality rate of 60%. MRI was obtained in 61% of the patients and was abnormal in 88.5% of these cases. Hydrocephalus (61%), tuberculomas (54%), leptomeningeal involvement (46%) and infarcts (13%) were the most frequent radiological signs on MRI. Mortality was significantly associated with infarcts but not with tuberculomas.Conclusion: Neuroimaging techniques are a handy tool in the early diagnosis of TBM. MRI is particularly helpful in defining findings such as infarcts and tuberculomas and in predicting mortality and morbidity