Effectiveness of pack intervention in the health care profession community on patients satisfaction

Objectives: To explore the factors that measured the patient satisfaction Measurement Tool (PS-MT) after the implementation of the Practical Approach to Care Kit at Primary healthcare centers of Lahore, Pakistan with health professionals who had been trained in the protocol. Methodology: A cross-sectional study through semi-structured interviews were carried out with doctors and nurses working at Primary health care tiers / Basic Health Units (BHUs)/ Dispensaries in the metropolitan city where the protocol was implemented. The interviews took place in the research participant's workplace, between October 2019 and March 2020. Descriptive information was represented in the form of a frequency table and graph and paired t-test was applied on pre and post changing and facilities provided to patients on primary health centers. Results: 400 respondents with 60 years of age visited the hospital.  The majority 212 of the respondents were male patients and 208 patients belong to a rural area. After the intervention, a significant difference was found in hospital management at p-value 0.02 and information system at p-value 0.000 Conclusion: We founded significant change after the implementation of the Practical Approach to Care Kit at primary healthcare centers of Pakistan with health professionals who had been trained in the protocol

Techno-economic assessment of energy and environmental impact of waste-to-energy electricity generation

This study explored cumulative 127.5MW waste to energy (WtE) potential in five populous cities of Pakistan based on local waste characterization profiles and global standards. The 50MW WtE plant in Lahore using National electricity regulator codes and practices resulted in an attractive Levelized cost of electricity (LCOE) of US¢ 7.86/kWh over 25 years with a $151.5 million investment cost. The net savings to Lahore Waste Management Company can be$103.4 and $137.7 million respectively with and without tipping fees on account of waste disposal cost, bricks revenue using bottom ash, and waste fee. The project developers can get net savings of$16.9 and $51.5 million respectively with and without tipping fees other than LCOE. Furthermore, the greenhouse gas emissions of 216.6 million tons of CO2eq can be saved throughout plant life against 279 GWh/year energy generation, in terms of grid emission factor and current methane release into the atmosphere from the dumping site

Techno-economic assessment of energy and environmental impact of waste-to-energy electricity generation

This study explored cumulative 127.5MW waste to energy (WtE) potential in five populous cities of Pakistan based on local waste characterization profiles and global standards. The 50MW WtE plant in Lahore using National electricity regulator codes and practices resulted in an attractive Levelized cost of electricity (LCOE) of US¢ 7.86/kWh over 25 years with a $151.5 million investment cost. The net savings to Lahore Waste Management Company can be$103.4 and $137.7 million respectively with and without tipping fees on account of waste disposal cost, bricks revenue using bottom ash, and waste fee. The project developers can get net savings of$16.9 and $51.5 million respectively with and without tipping fees other than LCOE. Furthermore, the greenhouse gas emissions of 216.6 million tons of CO2eqcan be saved throughout plant life against 279 GWh/year energy generation, in terms of grid emission factor and current methane release into the atmosphere from the dumping site

Carbon foam composites containing carbon nanotubes and graphene oxide as additives for enhanced mechanical, thermal, electrical and catalytic properties

Based on the versatile nature and applications of Carbon foam (CF), up to now many attempts were performed to improve the structure and properties of CF by incorporating various additives in the CF matrix. But these additives improved one property on the cost of another ones. Herein, we have synergistically incorporated multi-walled carbon nanotubes (MWCNTs) and graphene oxide (GO) with varying loadings as additives in the CF matrix via direct pyrolysis to achieve all the desired properties. Seven different types of CF composites including pure CF were prepared and their effect on the structure, mechanical, thermal, electrical and catalytic characteristics has been reported. The results revealed that after the inclusion of MWCNTs and GO contents, the microstructural performance of CF samples was amazingly improved. Additionally, it was observed that mechanical, thermal, electrical and catalytic behaviors of the CF samples were significantly enhances by the increase of nanohybrids. The compressive strength and Young's modulus reveals their optimum limits up to 19.3 and 57.4 MPa respectively on 2 wt.% MWCNTs-GO additive loadings. Similarly, the greatest thermal and electrical conductivities of 30.92 W/m. K and 27.4 × 103 S/m were showed by CF samples having 2 wt. % MWCNTs-GO loadings. Whereas, the decolorization activity of the CF and their nanocomposites were tested against methyl orange dye and it was observed that the sample with enhanced MWCNTs and GO have good decolorization activity and much sustainable than other samples. The 4% CF/MWCNTs-GO decolorized about 76% MO dye under exposure to UV light within 60 min. The decolorization of MO dye increases with increasing nanocomposite dosage and decreasing initial dye concentration

Characterization of the Gastrointestinal and Reproductive Tract Microbiota in Fertile and Infertile Pakistani Couples

The human microbiota is recognized as a vital “virtual” organ of the human body that influences human health, metabolism, and physiology. While the microbiomes of the gut, oral cavity, and skin have been extensively studied in the literature, relatively little work has been done on characterizing the microbiota of the human reproductive tract organs, and specifically on investigating its association to fertility. Here, we implemented a 16S ribosomal RNA (rRNA) amplicon sequencing approach to sequence and characterize the gut and genital tract microbiomes from several married Pakistani couples. The recruited individuals included 31 fertile and 35 infertile individuals, with ages ranging from 19–45 years. We identified several fluctuations in the diversity and composition of the gut and genital microbiota among fertile and infertile samples. For example, measures of α-diversity varied significantly between the genital samples donated by fertile and infertile men and there was overall greater between-sample variability in genital samples regardless of gender. In terms of taxonomic composition, Actinobacteria, Bacteroidetes, and Firmicutes fluctuated significantly between the gut microbiomes of fertile and infertile samples. Finally, biomarker analyses identified features (genera and molecular functions and pathways) that differed significantly between the fertile and infertile samples and in the past have been associated with bacterial vaginosis. However, we emphasize that 16S amplicon data alone has no bearing on individual health and is merely representative of microbial taxonomic differences that could also arise due to multiple other factors. Our findings, however, represent the first effort to characterize the microbiome associated with fertile and infertile couples in Pakistan and will hopefully pave the way for more comprehensive and broad-scale investigations in the future

Self-reported health and smoking status, and body mass index: a case-control comparison based on GEN SCRIP (GENetics of SChizophRenia In Pakistan) data

Introduction Individuals with schizophrenia are at a high risk of physical health comorbidities and premature mortality. Cardiovascular and metabolic causes are an important contributor. There are gaps in monitoring, documenting and managing these physical health comorbidities. Because of their condition, patients themselves may not be aware of these comorbidities and may not be able to follow a lifestyle that prevents and manages the complications. In many low-income and middle-income countries including Pakistan, the bulk of the burden of care for those struggling with schizophrenia falls on the families.Objectives To determine the rate of self-reported physical health disorders and risk factors, like body mass index (BMI) and smoking, associated with cardiovascular and metabolic disorders in cases of schizophrenia compared with a group of mentally healthy controls.Design A case-controlled, cross-sectional multicentre study of patients with schizophrenia in Pakistan.Settings Multiple data collection sites across the country for patients, that is, public and private psychiatric OPDs (out patient departments), specialised psychiatric care facilities, and psychiatric wards of teaching and district level hospitals. Healthy controls were enrolled from the community.Participants We report a total of 6838 participants’ data with (N 3411 (49.9%)) cases of schizophrenia compared with a group of healthy controls (N 3427 (50.1%)).Results BMI (OR 0.98 (CI 0.97 to 0.99), p=0.0025), and the rate of smoking is higher in patients with schizophrenia than in controls. Problems with vision (OR 0.13 (0.08 to 0.2), joint pain (OR 0.18 (0.07 to 0.44)) and high cholesterol (OR 0.13 (0.05 to 0.35)) have higher reported prevalence in controls. The cases describe more physical health disorders in the category ‘other’ (OR 4.65 (3.01 to 7.18)). This captures residual disorders not listed in the questionnaire.Conclusions Participants with schizophrenia in comparison with controls report more disorders. The access in the ‘other’ category may be a reflection of undiagnosed disorders