Factors Affecting Child Health: A Study of Rural Faisalabad

ABSTRACT In this paper an attempt is made to explore the effect of socio-cultural and democratic factors on the health of children. The study was conducted in rural tehsil Faisalabad, Pakistan. One hundred and twenty women of childbearing age 20 to 45 years with at least two living children under the age of 5 years were selected through systematic random sampling technique. A well structured questionnaire consisting of open-ended and close-ended questions was used for gathering information from the selected respondents. 84.2% of the respondents reported that their children are suffering from one or more of these diseases e.g. diarrhea, worm infestation, goiter, cholera and gastroenteritis and they also expressed about their poor health. Majority of the women were mal-nourished and anemic. The problems of antenatal and post-natal care were common in the selected area due to the unavailability and inaccessibility of the health care services along with traditional and dogmatic attitude towards the utilization of available limited health facilities. Delivery of baby under the supervision of untrained birth attendants at home was also responsible factor for high incidence of morbidity among children

Pregnancy and neonatal outcomes of COVID-19: The PAN-COVID study

Objective To assess perinatal outcomes for pregnancies affected by suspected or confirmed SARS-CoV-2 infection. Methods Prospective, web-based registry. Pregnant women were invited to participate if they had suspected or confirmed SARS-CoV-2 infection between 1st January 2020 and 31st March 2021 to assess the impact of infection on maternal and perinatal outcomes including miscarriage, stillbirth, fetal growth restriction, pre-term birth and transmission to the infant. Results Between April 2020 and March 2021, the study recruited 8239 participants who had suspected or confirmed SARs-CoV-2 infection episodes in pregnancy between January 2020 and March 2021. Maternal death affected 14/8197 (0.2%) participants, 176/8187 (2.2%) of participants required ventilatory support. Pre-eclampsia affected 389/8189 (4.8%) participants, eclampsia was reported in 40/ 8024 (0.5%) of all participants. Stillbirth affected 35/8187 (0.4 %) participants. In participants delivering within 2 weeks of delivery 21/2686 (0.8 %) were affected by stillbirth compared with 8/4596 (0.2 %) delivering ≥ 2 weeks after infection (95 % CI 0.3–1.0). SGA affected 744/7696 (9.3 %) of livebirths, FGR affected 360/8175 (4.4 %) of all pregnancies. Pre-term birth occurred in 922/8066 (11.5%), the majority of these were indicated pre-term births, 220/7987 (2.8%) participants experienced spontaneous pre-term births. Early neonatal deaths affected 11/8050 livebirths. Of all neonates, 80/7993 (1.0%) tested positive for SARS-CoV-2. Conclusions Infection was associated with indicated pre-term birth, most commonly for fetal compromise. The overall proportions of women affected by SGA and FGR were not higher than expected, however there was the proportion affected by stillbirth in participants delivering within 2 weeks of infection was significantly higher than those delivering ≥ 2 weeks after infection. We suggest that clinicians’ threshold for delivery should be low if there are concerns with fetal movements or fetal heart rate monitoring in the time around infection

Review of Smart Grid and Nascent Energy Policies: Pakistan as a Case Study

Smart grid plays a vital role in energy management systems. It helps to mitigate the demand side management of electricity by managing the microgrid. In the modern era, the concept of hybrid microgrids emerged which helps the smart grid management of electricity. Additionally, the Internet of Things (IoT) technology is used to integrate the hybrid microgrid. Thus, various policies and topologies are employed to perform the task meticulously. Pakistan being an energy deficient country has recently introduced some new policies such as Energy Wheeling Policy (EWP), Energy Import Policy (EIP), and Net Metering/Distributed Generation Policy (NMP) to manage the electricity demand effectively. In addition, the Energy Efficiency and Conservation Act (EECA) has also been introduced. In this paper, we present the overview and impact of these policies in the context of the local energy market and modern information and communication mechanisms proposed for smart grids. These new policies primarily focus on energy demand–supply for various types of consumers such as the demand for bulk energy for industrial ventures and the distributed production by consumers. The EWP deals with obtaining power from remote areas within the country to ease the energy situation in populated load centers and the EIP highlights energy import guidelines from foreign countries. The NMP deals with the integration of renewable energy resources and EECA is more focused on the measures and standardization for energy efficiency and conservation. The benefits and challenges related to EWP, NMP, and EIP have also been discussed concerning the present energy crisis in Pakistan. The generalized lessons learned and comparison of a few aspects of these policies with some other countries are also presented

Review of Smart Grid and Nascent Energy Policies: Pakistan as a Case Study

Smart grid plays a vital role in energy management systems. It helps to mitigate the demand side management of electricity by managing the microgrid. In the modern era, the concept of hybrid microgrids emerged which helps the smart grid management of electricity. Additionally, the Internet of Things (IoT) technology is used to integrate the hybrid microgrid. Thus, various policies and topologies are employed to perform the task meticulously. Pakistan being an energy deficient country has recently introduced some new policies such as Energy Wheeling Policy (EWP), Energy Import Policy (EIP), and Net Metering/Distributed Generation Policy (NMP) to manage the electricity demand effectively. In addition, the Energy Efficiency and Conservation Act (EECA) has also been introduced. In this paper, we present the overview and impact of these policies in the context of the local energy market and modern information and communication mechanisms proposed for smart grids. These new policies primarily focus on energy demand–supply for various types of consumers such as the demand for bulk energy for industrial ventures and the distributed production by consumers. The EWP deals with obtaining power from remote areas within the country to ease the energy situation in populated load centers and the EIP highlights energy import guidelines from foreign countries. The NMP deals with the integration of renewable energy resources and EECA is more focused on the measures and standardization for energy efficiency and conservation. The benefits and challenges related to EWP, NMP, and EIP have also been discussed concerning the present energy crisis in Pakistan. The generalized lessons learned and comparison of a few aspects of these policies with some other countries are also presented

Energy Consumption Forecasting for University Sector Buildings

Reliable energy forecasting helps managers to prepare future budgets for their buildings. Therefore, a simple, easier, less time consuming and reliable forecasting model which could be used for different types of buildings is desired. In this paper, we have presented a forecasting model based on five years of real data sets for one dependent variable (the daily electricity consumption) and six explanatory variables (ambient temperature, solar radiation, relative humidity, wind speed, weekday index and building type). A single mathematical equation for forecasting daily electricity usage of university buildings has been developed using the Multiple Regression (MR) technique. Data of two such buildings, located at the Southwark Campus of London South Bank University in London, have been used for this study. The predicted test results of MR model are examined and judged against real electricity consumption data of both buildings for year 2011. The results demonstrate that out of six explanatory variables, three variables; surrounding temperature, weekday index and building type have significant influence on buildings energy consumption. The results of this model are associated with a Normalized Root Mean Square Error (NRMSE) of 12% for the administrative building and 13% for the academic building. Finally, some limitations of this study have also been discussed

Pregnancy and neonatal outcomes of COVID -19: coreporting of common outcomes from PAN-COVID and AAP-SONPM registries

Objective Few large cohort studies have reported data on maternal, fetal, perinatal and neonatal outcomes associated with severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in pregnancy. We report the outcome of infected pregnancies from a collaboration formed early during the pandemic between the investigators of two registries, the UK and Global Pregnancy and Neonatal outcomes in COVID‐19 (PAN‐COVID) study and the American Academy of Pediatrics (AAP) Section on Neonatal–Perinatal Medicine (SONPM) National Perinatal COVID‐19 Registry. Methods This was an analysis of data from the PAN‐COVID registry (1 January to 25 July 2020), which includes pregnancies with suspected or confirmed maternal SARS‐CoV‐2 infection at any stage in pregnancy, and the AAP‐SONPM National Perinatal COVID‐19 registry (4 April to 8 August 2020), which includes pregnancies with positive maternal testing for SARS‐CoV‐2 from 14 days before delivery to 3 days after delivery. The registries collected data on maternal, fetal, perinatal and neonatal outcomes. The PAN‐COVID results are presented overall for pregnancies with suspected or confirmed SARS‐CoV‐2 infection and separately in those with confirmed infection. Results We report on 4005 pregnant women with suspected or confirmed SARS‐CoV‐2 infection (1606 from PAN‐COVID and 2399 from AAP‐SONPM). For obstetric outcomes, in PAN‐COVID overall and in those with confirmed infection in PAN‐COVID and AAP‐SONPM, respectively, maternal death occurred in 0.5%, 0.5% and 0.2% of cases, early neonatal death in 0.2%, 0.3% and 0.3% of cases and stillbirth in 0.5%, 0.6% and 0.4% of cases. Delivery was preterm (< 37 weeks' gestation) in 12.0% of all women in PAN‐COVID, in 16.1% of those women with confirmed infection in PAN‐COVID and in 15.7% of women in AAP‐SONPM. Extreme preterm delivery (< 27 weeks' gestation) occurred in 0.5% of cases in PAN‐COVID and 0.3% in AAP‐SONPM. Neonatal SARS‐CoV‐2 infection was reported in 0.9% of all deliveries in PAN‐COVID overall, in 2.0% in those with confirmed infection in PAN‐COVID and in 1.8% in AAP‐SONPM; the proportions of neonates tested were 9.5%, 20.7% and 87.2%, respectively. The rates of a small‐for‐gestational‐age (SGA) neonate were 8.2% in PAN‐COVID overall, 9.7% in those with confirmed infection and 9.6% in AAP‐SONPM. Mean gestational‐age‐adjusted birth‐weight Z‐scores were −0.03 in PAN‐COVID and −0.18 in AAP‐SONPM. Conclusions The findings from the UK and USA registries of pregnancies with SARS‐CoV‐2 infection were remarkably concordant. Preterm delivery affected a higher proportion of women than expected based on historical and contemporaneous national data. The proportions of pregnancies affected by stillbirth, a SGA infant or early neonatal death were comparable to those in historical and contemporaneous UK and USA data. Although maternal death was uncommon, the rate was higher than expected based on UK and USA population data, which is likely explained by underascertainment of women affected by milder or asymptomatic infection in pregnancy in the PAN‐COVID study, although not in the AAP‐SONPM study. The data presented support strong guidance for enhanced precautions to prevent SARS‐CoV‐2 infection in pregnancy, particularly in the context of increased risks of preterm delivery and maternal mortality, and for priority vaccination of pregnant women and women planning pregnancy. Copyright © 2021 ISUOG. Published by John Wiley & Sons Ltd