Waterlogging and salinity management in the Sindh Province. Volume 1 - The irrigated landscape: resource availability across the hydrological divides

Irrigation management / River basins / Irrigated farming / Climate / Irrigation systems / Irrigation canals / Discharges / Water balance / Waterlogging / Salinity / Groundwater development / Tube wells / Water table / Drainage / Public sector / Land reclamation / Pakistan / Sindh Province / Indus Basin / Rohri / Larkana / Shikarpur / Hairdin / North Dadu / Ghotki / East Khairpur / Sukkur Barrage

Evaluating the Perception and Awareness of Patients Regarding Ovarian Cysts in Peshawar, Pakistan

Purpose: To evaluate patients’ perception regarding ovarian cyst as well as their awareness of the symptoms and health management of the disease.Methods: A quantitative research approach was used to conduct this study. Patients were selected from the Gynecology wards, Hayatabad Medical Complex, Peshawar and a questionnaire was designed to evaluate the patients’ knowledge and awareness.Results: When women were asked if they had prior knowledge about the ovarian cyst, 37 (58.7 %) responded that they were first told by the  physician during their visit to the clinic or hospital while the patients  responded, “Still don’t know” are 22 (34.9 %). With respect to educational level of the patients, they seemed to be less aware of the disease. Their perception regarding the disease is that they had a “water filled” balloon or tumor.Conclusion: Prior to discharge of an ovarian cyst patient from the hospital, she should be counseled on the disease and successful treatment outcomes. Counseling of the patients may result in compliance with therapy, good quality of life and lower economic burden.Keywords: Ovarian cyst, Menstrual cycle, Awareness, Perception, Treatment outcome

N-Benzyl-N-(2-meth­oxy­phen­yl)benzene­sulfonamide

In the title mol­ecule, C20H19NO3S, the dihedral angle between the phenyl rings is 48.93 (18)°, and they make dihedral angles of 38.37 (17) and 86.50 (19)° with the benzene ring. A weak intra­molecular C—H⋯O inter­action might stabilize the mol­ecular conformation. In the crystal, weak π–π stacking inter­actions between the benzene rings [centroid–centroid distance = 3.774 (2) Å] may help to establish the packing

Reduction in the Allelopathic Potential of Conocarpus erectus L. through Vermicomposting

The utilization of vermi-technology to reduce allelopathic effects is a cost-effective, efficient, and environmentally appropriate alternative to traditional chemical and mechanical methods. The current investigation was an effort to obtain vermicompost from C. erectus and its binary combination with soil and farmyard manure (FYM) using E. foetida. The pH, EC, organic carbon, macro and micro-nutrients, CO2 emission, the average growth rate of the worms, number of worms, number of cocoons, and weight gained by earthworms were analyzed by standard methods. The present study also investigated the effect of produced vermicompost on the growth and yield of mung beans (Vigna radiata L). The maximum reduction in soil pH was observed (6.47) in vermicompost of C. erectus leaves, among other treatments. The highest N (1.86%), P (0.15%), and K (0.41%) contents were found in the vermicompost of C. erectus leaves + FYM. Similarly, the maximum plant height (36.00 cm) was achieved in vermicompost of C. erectus leaves + FYM compared to other treatments. The highest SPAD value was observed (56.37) when the soil was treated with vermicompost (C. erectus leaves + FYM) @ 5 t ha?1, followed by the treatment where vermicompost (C. erectus leaves + soil) @ 8 t ha?1 was applied. The soil amendment of vermicompost (C. erectus leaves + FYM) @ 5 t ha?1 showed competitive results (in terms of the growth and yield parameters of mung beans) compared to other types of vermicompost and C. erectus biomass. This study has the potential to reduce the phytotoxicity of C. erectus biomass and transform it into a potent organic fertilizer through vermicomposting. © 2022 by the authors.7527/Punjab/NRPU/R&D/HEC/2017, Ph- II-MG-9)/PAKTURK/R&D/HEC/2018Taif University Researchers Supporting Project number (TURSP-2020/245), Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia. The authors are grateful to HEC for funding this research through the following HEC projects: “Vermicomposting: A resourceful organic fertilizer to improve agriculture production and soil health” (NRPU-HEC project no. 7527/Punjab/NRPU/R&D/HEC/2017) and “Vermicomposting: An Agricultural Waste Management Technology” (project vide letter no. (Ph- II-MG-9)/PAKTURK/R&D/HEC/2018, though Pak-Turk Researchers Mobility Grant Program Phase- 2)

Genetic dissection of Ni toxicity in a spring wheat diversity panel by using 90 K SNP array

Excess Ni intake has harmful implications on human health, which include chronic bronchitis, reduced lung function, and cancer of lung and nasal sinuses. Like other toxic metals, higher Ni accumulation in grains leads to excess intake by humans when the contaminated grains are consumed as food. There is little information about the genetic factors that regulate Ni uptake in plants. To investigate genetic architecture of Ni uptake in leaf and translocation to grain, we performed a genome-wide association study with genotyping from 90 K array in a historical bread wheat diversity panel from Pakistan. We observed that Ni toxicity caused more than 50 % reductions in biological yield and grain yield, other agronomic traits were also partly or severely affected. Genetic association study helped identify 23 SNP-trait associations involved in Ni uptake in leaf and translocation to grains. These 23 SNPs covered 15 genomic loci at chromosomes 1A, 2D, 3B, 4A and 4B of wheat. The favorable alleles of these SNPs were randomly distributed in subpopulations indicating no selection pressure for this trait during breeding improvement. These regions had 283 low-confidence and 248 high-confidence protein coding genes. Among these, 156 were annotated using databases of wheat and closely related grass species. Since there is no previous report on genetic information of Ni uptake and translocation, these results provide sufficient grounds for further research of candidate genes and varietal development.Peer reviewe

Waterlogging and salinity management in the Sindh Province. Volume 1 - the irrigated landscape: resource availability across the hydrological divides. Annexes

Hydrology / Land classification / Soils / Irrigation canals / Pakistan / Sindh Province / Ghotki Canal Command / Begari Canal Command / Desert Canal Command / Dadu Canal Command / Rice Canal Command / North West Canal Command / Khairpur East Canal Command / Khairpur West Canal Command / Rohri Canal Command / Nara Canal Command / Jamrao Canal Command / Fuleli Canal Command / Pinyari Canal Command / Akram Wah (Lined Channel) Command

Spectrum of antihypertensive therapy in South Asians at a tertiary care hospital in Pakistan

<p>Abstract</p> <p>Background</p> <p>Despite available guidelines on hypertension (HTN), use of antihypertensives is variable. This study was designed to ascertain frequency of patients on monotherapy and > 1 antihypertensive therapy and also to ascertain proportion of patients on diuretic therapy.</p> <p>Methods</p> <p>It was a crossectional study conducted on 1191 adults(age > 18 yrs)hypertensive patients selected by computerized International Classification of Diseases -9-coordination and maintenance (ICD-9-CM) presenting to a tertiary care hospital in Pakistan. Data on demographics, comorbids, type of antihypertensive drug, number of antihypertensive drug and mean duration of antihypertensive drug was recorded over 1.5 year period (2008-09). Blood pressure was recorded on admission. Primary outcome was use of combination therapy and secondary outcome was use of diuretic therapy.</p> <p>Results</p> <p>A total of 1191 participants were included. Mean age(SD) was 62.55(12.47) years, 45.3%(540) were males. Diabetes was the most common comorbid; 46.3%(551). Approximately 85% of patients had controlled hypertension. On categorization of anti hypertensive use into 3 categories;41.2%(491) were on monotherapy,32.2%(384) were on 2 drug therapy,26.5%(316) were on ≥3 drug therapy. Among those who were on monotherapy for HTN;34%(167) were on calcium channel blockers,30.10%(148) were on beta blockers, 22.80%(112) were on Angiotensin converting enzyme (ACE) inhibitors,12%(59) were on diuretics and 2.20%(11) were on Angiotensin receptor blockers(ARB). Use of combination antihypertensive therapy was significantly high in patients with ischemic heart disease(IHD)(p < 0.001). Use of diuretics was in 31% (369) patients. Use of diuretics was significantly less in patients with comorbids of diabetes (p 0.02), Chronic kidney disease(CKD)(p 0.003), IHD (p 0.001) respectively</p> <p>Conclusion</p> <p>Most patients presenting to our tertiary care center were on combination therapy. Calcium channel blocker is the most common anti hypertensive drug used as monotherapy and betablockers are used as the most common antihypertensive in combination. Only a third of patients were on diuretic as an antihypertensive therapy.</p

Synthesis of some novel enzyme inhibitors and antibacterial agents derived from 5-(1-(4-tosyl)piperidin-4-yl)-1,3,4-oxadiazol-2-thiol

ABSTRACT Keeping in mind the pharmacological importance of the 1,3,4-oxadiazole moiety, a series of new S-substituted derivatives, 5a-h, of 5-(1-(4-tosyl)piperidin-4-yl)-1,3,4-oxadiazol-2-thiol (3) were synthesized. The reaction of p-toluenesulfonyl chloride (a) and ethyl isonipecotate (b) produced ethyl 1-(4-tosyl)piperidin-4-carboxylate (1) which was further transformed into 1-(4-tosyl)piperidin-4-carbohydrazide (2) by hydrazine hydrate in methanol. Compound 2 was refluxed with CS2 in the presence of KOH to synthesize 5-(1-(4-tosyl)piperidin-4-yl)-1,3,4-oxadiazol-2-thiol (3). The desired compounds, 5a-h, were synthesized by stirring 3 with aralkyl halides, 4a-h, in DMF using NaH as an activator. The structures of synthesized compounds were elucidated by 1H-NMR, IR and EI-MS spectral studies. These compounds were further evaluated for enzyme inhibitory activity against lipoxygenase and alpha-glucosidase, along with antibacterial activity against Gram-negative and Gram-positive bacteria

Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

Background: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. Methods: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. Findings: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96–1·28). Interpretation: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. Funding: National Institute for Health Research Health Services and Delivery Research Programme

Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

BACKGROUND: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. METHODS: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. FINDINGS: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96-1·28). INTERPRETATION: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. FUNDING: National Institute for Health Research Health Services and Delivery Research Programme