Frequency of Clinical Symptoms of Gastroesophageal Reflux Disease in Asthmatic Patients

Background: Gastroesophageal reflex is known as an acid reflex, is long term condition where stomach contents back into the oesophagus resulting in either symptoms or complications. GERD disease is caused by weakness or failure of the lower oesophageal sphincter. Symptoms include the acidic taste behind the mouth, heart burn, chest pain, difficult breathing and vomiting. Complication includes esophagitis, oesophageal strictures and barrettes oesophagus. Objective: The aim of this research was to introduce the symptoms of GERD disease in asthmatic patients and how these symptoms worsen the symptoms of asthma disease and what clinical pictures present with the asthmatic disease. Methodology: A designed performa was used to collect the data and after filling the performa, results were drawn and conclusion through the facts and the information given by patients. Results: In the present study among all 164 asthmatic patients, 70 (42.7%) patients showed dyspepsia, 58 (35.4%) were with chest burning, 23 (14%) were asking about chest pain, with acidic mouth taste were 39 (23.8%), 22 (13.4%) were feeling sore throat and 44 (26.8%) showed regurgitation reflex. Among these 164 patients 16 (9.8%) were smokers and 148 (90.2 %) were non-smokers. 47 (28.7%) were males and 117 (71.3%) were females. Conclusion: It is concluded that gastroesophageal reflux disease in asthmatic patients present symptoms of acidic mouth taste, chest burning, chest pain, dyspepsia, regurgitation reflex and sore throat

Risk Factors of Diarrhoea in Malnourished Children Under Age of 5 Years

Background: Acute infectious enteritis remains one of the commonest causes of death among infants and children in developing countries. Acute enteritis is defined as a loss of stool consistency with pasty or liquid stools, and/or an increase in stool frequency to more than three stools in 24 hours with or without fever or vomiting. Human survival depends on the secretion and reabsorption of fluid and electrolytes in the intestinal tract. The objective of the study is to evaluate the risk factors of diarrhoea in children under age of 5 years. Methodology: It was an observational study. Study was completed in about six months. Non-probability purposive sampling technique was used. In this study, 270 samples were taken from Diarrheal ward of The Children Hospital Lahore, Pakistan. Results: In this study, out of 270 patients, 58.52% were males and 41.48% were females. 90.37% patients were vaccinated. 54.81% had weaning history. 91.85% patients had feeding history. 29.26% had blood in stool. 96.67% patients were dehydrated. 95.56% patients had loose watery diarrhoea. 62.96% patients used boiled water. 58.52% patients consumed less than half litre of water, 30.00% patients consumed 1 litre of water and 11.48% patients consumed > 1 litre of water. 49.18% patients had proper hygiene. 38.15% mothers of patients were well educated. 40.37% patients had model household condition. 57.41% patients lived in rural area and 42.59% patients lived in urban area. Conclusion: The variation in the level of diarrheal morbidity was well explained by maternal education, income, personal hygiene, refuse disposal system and the effect of health extension programme

Frequency of Predisposing Factor of Nausea and Vomiting After Chest Surgery Under General Anaesthesia

Background: Postoperative nausea and vomiting are common and distressing postsurgical symptoms. These symptoms are of particular concern in outpatient surgery because they may require additional direct resources, such as supplies and antiemetic drugs, and may delay discharge. The objective of this study was to measure the frequency of factors which can cause nausea and vomiting under general anaesthesia after chest surgery. Methodology: This descriptive case series evaluated frequency of predisposing factor of nausea and vomiting in patients of anaesthesia department of Gulab Devi Hospital Lahore. Questionnaire is made and patients were asked about their age, fever, previous surgery, NPO status, smoking history and hospital stay. This study included 140 patients with post-operative nausea and vomiting. Results: In this study, 140 patients were taken in which  65 (46.43%) were female and 75 (53.57%) were male. In 140 patient 134 (95.7%) were NPO and 6 (4.3%) were not  NPO, 25 (17.9%) were obese and 115 (82.1%) were not obese, 88 (62.9%) patients were suffering fever and 52 (37.1%) were not suffering fever, 80 (57.1%) were infected and 59 (42.1%) were not infected, 53 (37.9%) patients had previous surgery and 87 (62.1%) had no previous surgery, 94 (67.1%) patients had received nitrous oxide and 46 (32.9%) didn\u27t, 97 (69.3%) received volatile gases and 43 (30.7%) not received, 29 (20.7%) received ketamine and 111 (79.3%) not received, 87 (62.1%) received suxamethonium and 53 (37.9%) not received, 119 (85.0%) received propofol and 21 (15.0%) not received, 110 (78.6%) received naluphine and 28 (20.0%) not received. Out of 140 patients, there were 122 (87.1%) who were suffering from pain and 18 (12.9%) were not. 91 (65.0%) patients had gastric distention and 49 (35.0%) patients didn\u27t. Opioids were given to 34 (24.3%) patients and not given to 106 (75.7%) patient. Conclusion: It is concluded that the nausea and vomiting after surgey under genral anesthesia is due to patient related factors in which most frequent is NPO. Drug related factors include propofol and nalbupin administration. Post operative factors include pain. In whole study of 140 patients, the  most frequent is patient related factor (NPO) other than drug related factors and post-operative factors

Mutations in phosphodiesterase 6 identified in familial cases of retinitis pigmentosa.

To delineate the genetic determinants associated with retinitis pigmentosa (RP), a hereditary retinal disorder, we recruited four large families manifesting cardinal symptoms of RP. We localized these families to regions on the human genome harboring the α and β subunits of phosphodiesterase 6 and identified mutations that were absent in control chromosomes. Our data suggest that mutations in PDE6A and PDE6B are responsible for the retinal phenotype in these families

Socio-economic impacts of internal displacement on the internally displaced persons of North Waziristan: 2014-2017

After 9/11 incident, when the NATO forces attacked Afghanistan, most of militants migrated to FATA, Pakistan for the sake of refuge, which resulted in the growth of militancy and extremism in Pakistan. To counter terrorism and to stop the advancement of this evil, Pakistani government launched operation Zarb-e-Azb as a last vengeance in North Waziristan Agency with the aim to evacuate common people and then to extinguish militants. Consequently, about 1 million IDP’s displaced to the adjacent areas i.e., Bannu, Lakki Marwat, Karak etc. in the mid of June, 2014. Usually, displacement brought a number of socio-economic problems in the fate of IDP’s. That is why this research article focuses on the socio-economic problems of the North Waziristan Agency IDP’s hosted in Lakki Marwat from 2014-2017. This research is descriptive-exploratory nature based on mixed study approach; data used in the research collected from both primary & secondary sources. IDPs argues that they left their homes with empty hands and migrated to adjacent arears in the miserable situation. Government and Non-governmental organizations tried their level best to facilitate IDPs with honour and dignity. But the IDPs showed dissatisfaction because of unmatchable ratio between problems and facilitation

Combined experimental and theoretical study of poly(aniline-co-pyrrole) oligomer

Quantum mechanical calculations are performed to establish the structure of an oligomer of aniline and pyrrole [Poly(Ani-co-Py)], through comparison of experimental and theoretically calculated properties, including conductivity. The copolymer was synthesized through chemical oxidative polymerization and then confirmed from the experimental IR, UV-vis, mass spectra, elemental, XRD, TGA, and SEM analysis. Quantum mechanical calculations are performed at Density Functional Theory (DFT) and Time dependent DFT (TD-DFT) methods for the electronic and spectroscopic properties of the oligomer. A very nice correlation is found between the theory and experiment which consequences the structure of Poly(Ani-co-Py). Poly(Ani-co-Py) is not explored like other conducting polymers; however, by tuning this molecular structure, the electro-active nature of this material can be enhanced adequately

Loss of function mutations in RP1 are responsible for retinitis pigmentosa in consanguineous familial cases.

PurposeThis study was undertaken to identify causal mutations responsible for autosomal recessive retinitis pigmentosa (arRP) in consanguineous families.MethodsLarge consanguineous families were ascertained from the Punjab province of Pakistan. An ophthalmic examination consisting of a fundus evaluation and electroretinography (ERG) was completed, and small aliquots of blood were collected from all participating individuals. Genomic DNA was extracted from white blood cells, and a genome-wide linkage or a locus-specific exclusion analysis was completed with polymorphic short tandem repeats (STRs). Two-point logarithm of odds (LOD) scores were calculated, and all coding exons and exon-intron boundaries of RP1 were sequenced to identify the causal mutation.ResultsThe ophthalmic examination showed that affected individuals in all families manifest cardinal symptoms of RP. Genome-wide scans localized the disease phenotype to chromosome 8q, a region harboring RP1, a gene previously implicated in the pathogenesis of RP. Sanger sequencing identified a homozygous single base deletion in exon 4: c.3697delT (p.S1233Pfs22*), a single base substitution in intron 3: c.787+1G>A (p.I263Nfs8*), a 2 bp duplication in exon 2: c.551_552dupTA (p.Q185Yfs4*) and an 11,117 bp deletion that removes all three coding exons of RP1. These variations segregated with the disease phenotype within the respective families and were not present in ethnically matched control samples.ConclusionsThese results strongly suggest that these mutations in RP1 are responsible for the retinal phenotype in affected individuals of all four consanguineous families

Causes and factors responsible for Operation Zarb-e-Azb: perspective of internally displaced persons of North Waziristan, Pakistan

After 9/11 incident, the US and NATO forces entered Afghanistan to defeat Al-Qaida and its affiliated militant group–Taliban. The NATO forces invasion pushed militants from Afghanistan to take refuge in nearby places. Due to close proximity and vulnerable borders, many of these militants entered Pakistan’s erstwhile Federally Administered Tribal Areas (FATA), which resulted in the growth of militancy and extremism in the region. Pakistan launched a series of operations to counter terrorism and its facilitators. Operation Zarb-e-Azb was the continuation of those operations, started as a last vengeance in North Waziristan Agency with the aim to evacuate common people and then to extinguish militants. Resultantly, operation started in the mid of June, 2014 and the people of North Waziristan Agency started migration to the adjacent areas i.e., Bannu, Lakki Marwat and Karak etc. with worries and miseries in their hearts. Operation Zarb-e-Azb has been discussed in the literature. However, the perspective of IDPs has been overlooked. The study is descriptive-exploratory which is accomplished on a mixed study approach. This research article aimed to assess the perception of IDPs camped in Lakki Marwat from 2014-17 regarding the operation\u27s causes and factors and the problems IDPs faced during displacement

Socio-economic impacts of North Waziristan Agency’s internally displaced persons on Lakki Marwat: 2014-2017

The implications of the 9/11 incident affected the whole region, but unfortunately, Pakistan was at the most. Due to the NATO forces attacks, most militants migrated to Federally Administered Tribal Areas (FATA) for the sake of refuge, which caused the growth of militancy and extremism in Pakistan. To cope with terrorism and stop the advancement of this evil, the government decided to launch operation Zarb-e-Azb as a last vengeance in North Waziristan Agency to evacuate citizens and then extinguish militants. Resultantly, around about 1 million IDP’s displaced to the adjacent areas, i.e., Bannu, Lakki Marwat, Karak etc., in the mid of June 2014. This research article focuses on IDPs hosted in Lakki Marwat and their socio-economic impact on the host community. The research is descriptive-exploratory based on a mixed study approach; data used in this research were collected from both primary & secondary sources. The people of the host community argue that IDPs create a number of socio-economic problems like a rise in prices, compromised quality of goods, shortage of houses, occupation of schools, increase in crime rate, security problems etc