A STUDY OF LONG-TERM SUNSPOTS AND K-INDEX GEOMETRIC CYCLES USING PROBABILISTIC MODELING

The research work done in this paper comprises the application of different well-known probability distribution models. This includes the understanding of the behavior and dynamics of 24 sunspot cycles with total data. The time-series data sets were selected from 1749 to 2014. To observe the solar activity effects on K-index activity the double cycles from 1932 to 2014 were also incorporated in the study. The comparative study is useful to observe the long-term solar-terrestrial connection. The magnetic field of the sun reverses its polarity after every 11 years of the cycle. So after every 22 years, the north pole becomes again north pole. By using the two well-known tests Kolmogorov-Smirnov (KST) and Anderson-Darling test (ADT) the probability distribution models were obtained for each sunspot cycles and compare. The significant probability models for all the sunspot cycles have been obtained. The fitted probability distribution models on selected data sets may be useful to understand the trend of solar and geomagnetic activity

Impact Of Pester Power and Cultural Factor on Parental Buying Decision: Changing Food Preferences in Pakistan

This study\u27s four primary aims are as follows. First, it examines the impact of children\u27s pester power on parental buying behavior, especially regarding fast food demands. Fast food is becoming more popular, especially in advertisements targeting younger people. Second, it looks at cultural variables, especially in the Asian setting, and how parents make fast-food purchasing choices. Third, it examines parents\u27 socioeconomic status, influencing their purchasing decisions. Finally, the shop atmosphere may impact parents\u27 buying behavior (s). A causal link between the independent and dependent variables was established by an exploratory investigation. This study was cross-sectional and usually related to numerical data belonging to variables (independent, dependent) and target groups. The data were gathered via a poll of parents of school-aged children (aged 12 to 18 years). PROCESS macro was used to test the hypothesized framework. The findings demonstrated a sound and robust association between pestering power and parental purchase decisions, both directly and in an in-store setting. Similar to this, there is a strong and positive correlation between cultural traits and parental buying choices, both directly and indirectly via the in-store environment

STATISTICAL ANALYSIS OF COVID-19 VACCINATIONS: KARACHI AS A CASE STUDY

The entire world has started to vaccinate their respective countries' citizens to get rid of COVID-19 from their country. Likewise other countries, Pakistan has also started the vaccination process for its citizens and unlike the rest of the world, there have been different types of vaccines in Pakistan with different manufacturers and with different immunity booster levels. Through statistical analysis of vaccination in this research paper, we have tried to understand the diverse level of vaccines in Karachi and tried to get an understanding of the vaccination process happening in Karachi. For this kind of research, we have maintained the questionnaire and spread it through emails, WhatsApp, and Facebook.  The questionnaire was sent to about 500 people from July to August 2021. The results obtained depict the satisfaction of the vaccination process with normal side effects. Unlike other countries, Pakistan is among the countries where the mass vaccination process has always been very difficult to conduct. Further using the data of seven stations for prediction purposes Multiple Linear Regression (MLR) models were constructed. A better future trend analysis of COVID-19 can be observed using these constructed models. The data for the time series modeling from, 1st January 2021 to 25 August 2021, was taken from National Command and Control (NCOC) Pakistan

Non-recurrent laryngeal nerve: a case report and review of literature

Right recurrent laryngeal nerve can take a Non-Recurrent course and can present as a Non Recurrent Laryngeal nerve which is a rare entity. Such anomalies can lead to difficulty in locating the laryngeal nerve during thyroid surgeries and there are higher chances of it being injured. Therefore, surgeons should be mindful of this entity. We report the case of a 53-year-old lady who underwent thyroid surgery and a right Non Recurrent Laryngeal Nerve was identified intra-operatively

Diagnostic Accuracy of Positron Emission Tomography-Computed Tomography (PET-CT Scan) In Detecting Bone Marrow Involvement in Patients with Diffuse Large B cell Lymphoma

Objective: To evaluate the diagnostic accuracy of positron emission tomography combined with CT scan (PET-CT Scan) in detecting bone marrow involvement in patients with diffuse large B-cell lymphoma, keeping bone marrow biopsy as gold standard. Methodology: From November 2017 to May 2018, a cross sectional validation study was carried out at the Aga Khan University in Karachi Department of Oncology's Section of Clinical Hematology. The study comprised a total of 112 patients who were identified as having diffuse large B cell lymphoma after a lymph node was implicated was histopathologically examined. All patients had a PET-CT scan and bone marrow biopsy technique as part of the staging workup. With bone marrow biopsy acting as the gold standard, the diagnostic efficacy of a PET-CT scan for identifying bone marrow involvement was evaluated. Results: Of 112 patients, there were 71(63.39%) males and 41(36.61%) females. The mean age was 45.09±17.36 years. The mean duration of diagnosis was 17.19±6.02 days. Through biopsy, bone marrow involvement was identified in 40 (35.7%) cases. Through a PET-CT scan, bone marrow involvement was identified in 47 (41.9%) cases. The PET- CT scan in comparison with bone marrow biopsy for detecting bone marrow involvement in patients with DLBCL had a sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of 95%, 87.7%, 80.85%, 96.92% and 90.18% respectively. Conclusion: PET-CT scan can accurately detect bone marrow involvement in patients with DLBCL so it can be used in most patients instead of invasive bone marrow biopsy procedure for staging of DLBCL patients

Synchronous primary diffuse large B-cell lymphoma and papillary thyroid carcinoma: A case report highlighting Lymphoma first approach

Papillary thyroid carcinoma (PTC) is the most common type of all thyroid carcinomas and accounts for up to 90% of all thyroid malignancies. It is the most indolent form of the disease and has an excellent prognosis. On the other hand, Primary thyroid lymphoma (PTL) is a rare entity accounting for only about 1% to 5% of all thyroid malignancies and only 2% of extranodal lymphomas. Synchronous PTC and PTL is a very rare condition and only a few cases have been reported in the literature up till now. We report one such case in a 52-year-old lady who was referred to us with goiter and progressively increasing difficulty in breathing

A Machine Learning in Binary and Multiclassification Results on Imbalanced Heart Disease Data Stream

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Management of laryngotracheal trauma: A review of current trends and future directions

Laryngotracheal trauma is rare but can pose serious threats to one\u27s life. Presenting symptoms vary according to the severity of injury. Immediate Airway control is first step in the management, intubation should be considered by a senior member of the trauma team if the injury is minor while tracheostomy should be reserved for more severe injuries. Evaluation by a fibre-optic laryngoscopy and CT scan should be done whenever possible. Reconstruction is done according to the site involved using suture, titanium miniplates and stents. Tissue engineering has added a new horizon in this management but up till now complete laryngotracheal regeneration is very far-fetched, but tissue regeneration at individual sites have shown some positive results. More work needs to be done in this less explored field including laryngeal transplantation

The Comparison of Outcome in Treating Proximal Ureteric Stones of Size 10 mm to 15 mm Using Extracorporeal Shock Wave Lithotripsy as Compared to Ureterorenoscopic Manipulation Using Holmium Laser

Urinary stone disease or nephrolithiasis, the third most common disease of the urinary tract, is a major health issue due to its high prevalence, occurrence, and recurrence. The hallmark of a stone that obstructs the ureter or renal pelvis is excruciating, intermittent pain that radiates from the flank to the groin or to the inner thigh. Stone size influences the rate of spontaneous stone passage. Our aim was to compare the efficacy & the frequency of stone-free patients after intervention at 1 week after extracorporeal shock wave lithotripsy (ESWL) and ureterorenoscopic (URS) manipulation for proximal ureteric stone (10–15 mm size). This randomized control trial was done in the department of Urology, KRL Hospital Islamabad from 18th Nov 2019 to 18th May 2020. After meeting the inclusion criteria, 100 patients were enrolled and were divided into two groups. The first group was treated with ESWL and the other with URS. Then, procedures were done. Follow-up was noted after 1 week in the stone clinic. The average age of the patients was 39.71 ± 10.17 years. Efficacy in the ESWL group was found in 68% cases while in the URS group, efficacy was noticed in 76% cases (P > 0.05). Male patients were three times at a higher risk of recurrence as compared to females. This study concluded that both ESWL and URS are equally effective statistically in terms of the frequency of stone-free patients at 1 week for proximal ureteric stone (10–15 mm size)