Rare case of paraurethral leiomyoma

A 35-year-old woman presented to our clinic with a mass in the left paraurethral area, slightly proximal to the urethra, that she had noticed 5 months before. The patient underwent urethrocystoscopy and had the mass excised. A histopathological examination led to a diagnosis of paraurethral leiomyoma

Assessment of Social Capital to Internationalize Education Institutions

Social capital promotes internationalization and competitiveness. Prevalent notions to measure Internationalization content of organizations are ill with ‘social capital’. Social capital is the core competency in knowledge-based organizations. This paper uses the Leif Edvinsson’s scheme of Intellectual Capital (IC) as the basis of analysis, because the IC causes change in the internationalization content. The particular concern of this paper is to assess and enhance the social capital in the internationalization content of the COMSATS Institute of Information Technology (CIIT system), Pakistan, based on measured behavioral actions by utilizing Knowledge, Attitude, Practice, (KAP) Analysis technique. The internationalization content of CIIT system is characterized by Internationalization Academic Staff (IAS) and Non-Internationalization Academic Staff (NIAS). IAS was found more responsive to the questionnaire. The results showed that IAS was having more internationalization knowledge. The attitude of both IAS and NIAS was positive and the practices were found to be more positive among IAS. The social capital exists at 65% as grand mean of the survey showed. Recommendations are offered on how the social capital can be built, thereby to enhance the CIIT system’s capacity to learn, adapt and internationalize in the marketplace

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65–1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52–0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88–1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. Interpretation Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. Funding London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation

Rare case of paraurethral leiomyoma

A 35-year-old woman presented to our clinic with a mass in the left paraurethral area, slightly proximal to the urethra, that she had noticed 5 months before. The patient underwent urethrocystoscopy and had the mass excised. A histopathological examination led to a diagnosis of paraurethral leiomyoma

Arsenic and Cadmium Risk Assessment in a Domestic Wastewater Irrigated Area Using Samples of Water, Soil and Forages as Indicators

The recent research was performed to investigate the toxicity of As and Cd in suburban area of Sargodha, Punjab, Pakistan. Water, soil and forage samples were collected for this purpose in summer and winter season and analysis was done via wet digestion to determine the concentration of selected heavy metals. The mean concentration of As and Cd in water was found above the permissible maximum limit. Mean concentration of Cd in soil and forages was lower than the allowed limit whereas As which was higher than the PML in forages. So, continuous use of domestic wastewater for irrigation purpose should be avoided in order to secure the area from any hazard in near future

Fatty acid and phenolic profile of oil and mineral composition of green unripe and purple ripe olives (Olea ferruginea)

AbstractThe present study aimed to explore fluctuations in fatty acids and phenolic profiles of olive oil extracted from fruits of Olea ferruginea Royle harvested at green raw and purple ripe stages from the district Zhob, Balochistan, Pakistan. First, fruit sampling was conducted on 26th June when green olives appeared on trees; second, purple ripe olives were picked on 26th August. Due to very small size and large pit size, oil is extracted without de-pitting the fruit. High-performance liquid chromatography–mass spectrometry (HPLC-MS) system was used for fatty acid and phenolic profiling of both oil samples. Results showed that fatty acid composition of oil extracted from raw green and ripe purple olives falls in the normal range set for purity criteria for olive oils and olive pomace oils by International Olive Council 2019 except for behenic, caprylic, capric and lauric in both oils and oleic acid and linoleic acid of oil extracted from raw green olives which do fall in standard ranges. Fatty acid composition of the olive oil showed that the oil is rich in monounsaturated fatty acids (range 50.71% in oil of green olives and 58.77% in oil of ripe purple olives), polyunsaturated fatty acids (range 30.45% in oil of raw green olives and 19.32% in oil of ripe purple olives) and saturated fatty acids (range 15.27–18.58% in olive oil obtained from raw green and ripe purple olives). SFAs showed least variation with ripening stages. There was high concentration of total phenolics in oil obtained from green raw olives (33.41 mg kg−1) as compared to oil of ripe purple olives (18.49 mg kg−1). The present study revealed that alpha, beta, gamma and delta tocopherols showed a uniform trend along with ripening of olive fruit, i.e. there is a clear decline in total tocopherol content of olive oil obtained from ripe purple olives. Green raw olives showed high values of α-tocopherol (192.47 mg kg−1), β + γ-tocopherols (233.65 mg kg−1) and δ-tocopherol (1087.48 mg kg−1). The present work concludes that ripening of olive fruit affects chemical composition of olive oil