Frequency of etiologies of acute kidney injury in Faisalabad and surrounding districts

Background: To find out the causes of Acute Kidney Injury (AKI) in population.Methods: A total of 150 patients were enrolled from medical, surgical, gynecology and obstetrics units of Allied Hospital and Madinah Teaching Hospital, Faisalabad, Pakistan. History, physical examination and investigations were recorded on specially designed proforma. Patients were evaluated to find out the etiologies of AKI. All patients were subjected to urine analysis, complete blood count, blood biochemistry (urea, creatinine, electrolytes, uric acid, calcium and phosphorus) and ultrasound scan of the abdomen and pelvis. Renal biopsy, immunological assays, such as hepatitis B surface antigen, anti-hepatitis C virus antibody, complements level, antinuclear antibody, anti-double-stranded DNA, anti-neutrophil cytoplasmic antibody and anti-glomerular basement membrane antibody were performed in selected cases.Results: Male (36%) and female (64%). Pre-renal AKI was most common and was reported in 80 patients (53.33%). Intrinsic Renal azotemia in 56 patients (37.33%). Post renal azotemia in 14 patients (9.33%). Among 80 patients of prerenal AKI, hemorrhage in 45(56.25%), gastroenteritis in 16(20%), sepsis in 8(10%), cardiac diseases in 4(5%), hepatorenal syndrome in 3 (3.75%), peritonitis in 2 (2.50%) and burns in 2(2.50%) were the main causes of Pre-renal AKI. Among 56 patients of intrinsic renal AKI, 40(71.4%) had acute tubular necrosis (ATN), 12(21.4%) with multifactorial causes and 4(7.14%) were found to have glomerulonephritis. Among 14 patients of post renal AKI, 6(42.9%) were having calculi, 6(42.9%) were to have enlarged prostate and 2(4.3%) were having stricture urethra. In this study, contribution of obstetrical, medical and surgical etiologies were recorded as 40%, 36% and 20% respectively.Conclusions: In contrast to study reported from neighbouring country, this study shows rather increase in pregnancy related AKI

Identification of novel transcripts and peptides in developing murine lens.

We previously investigated the transcriptome and proteome profiles of the murine ocular lens at six developmental time points including two embryonic (E15 and E18) and four postnatal time points (P0, P3, P6, and P9). Here, we extend our analyses to identify novel transcripts and peptides in developing  mouse lens. We identified a total of 9,707 novel transcripts and 325 novel fusion genes in developing mouse lens. Additionally, we identified 13,281 novel alternative splicing (AS) events in mouse lens including 6,990 exon skipping (ES), 2,447 alternative 3' splice site (A3SS), 1,900 alternative 5' splice site (A5SS), 1,771 mutually exclusive exons (MXE), and 173 intron retention (IR). Finally, we integrated our OMIC (Transcriptome and Proteome) datasets identifying 20 novel peptides in mouse lens. All 20 peptides were validated through matching MS/MS spectra of synthetic peptides. To the best of our knowledge, this is the first report integrating OMIC datasets to identify novel peptides in developing murine lens

Motivation for Choosing Teaching as a Career and Job Satisfaction with Context of Pakistan Administrative Kashmir

This study examines the career motivation and job satisfaction of 150 public primary school teachers of Pakistan administrative Kashmir who have chosen teaching as a career. So, they were asked questions about factors influencing to choosing teaching as career perceptions, major expectations and five factors of job satisfaction which include work, promotion, salary, co-worker and supervision. A profile of the participants was then developed by analyzing their responses in quantitative way as being descriptive, statistical, and inductive steps. It has been examined that both extrinsic and intrinsic motivations play a role when individuals choose teaching as a career but most of the primary teachers choose teaching career for intrinsic reasons such as they always wanted to become a teacher as they wanted to do something for nation through this profession. But they are moderate in term of job satisfaction. Keywords: Motivation, Teaching Career, Job satisfaction, Primary Teachers and AJ&

The role of fear-avoidance beliefs on low back pain-related disability in a developing socioeconomic and conservative culture : a cross-sectional study of a Pakistani population

Background: The relationship of low back pain, the world’s top disabling condition, with functional disability is often explained by the mediation effect of fear, catastrophizing, and psychological distress. These relationships have not been explored within chronic back pain patients from a low socio-economic, predominantly Muslim country. Thus, it was unclear whether previously established pathways would be consistent in Pakistani pain patients to help guide Pakistani clinicians caring for back pain patients. This cross-sectional study translated English versions of questionnaires within the fear-avoidance model into Urdu, tested the clini-metric properties of the Urdu versions for people with chronic low back pain (CLBP) in Pakistan, and performed mediation analysis to investigate pathways of the fear-avoidance model. Methods: Translation of questionnaires was completed in 4 steps using the forward-backward technique, with subsequent analyses for internal consistency (Cronbach’s α), construct validity (Pearson’s r-value), and test–retest reliability (ICC r-value). Multiple mediation analysis with bootstrapping was performed to analyze pathways within the fear-avoidance model from the Urdu translated questionnaires. Results: A total of 151 people from Pakistan with CLBP completed the questionnaires, with good results for internal consistency (r > 0.85), convergent validity (r > 0.59), and test–retest reliability (ICC r > 0.85). The association of pain with disability was significant (B=2.36, r2 = 0.19, p = 0.19, p<0.001, and the indirect effect of the mediators explained 81% of pain intensity’s total effect on disability. All mediators, apart from physical activity-related fear-avoidance beliefs, were significant mediators of the effect of pain intensity on disability. Conclusion: The Urdu versions of the fear-avoidance questionnaires show good clini-metric properties for use in clinical settings and research in Pakistan. These analyses support existing data for the mediation effect of catastrophizing, psychological distress, and self-efficacy on pain-related disability, and extends these findings to suggest that fear about work may be more important in a relatively lower socioeconomic sample of pain patients

Impact of data center placement on the power consumption of flexible-grid optical networks

The increasing trend of global IP traffic is mainly driven by high-definition video services and cloud computing and storage. Moreover, to maintain a high quality of service in content delivery networking, data are geographically replicated in data centers distributed within network topologies. Thus, data centers are an emerging scenario for research and development aimed at energy-efficient transmission and networking solutions. Previous research work has focused on intradata center energy efficiency while interdata center energy issues have not been extensively analyzed yet. We propose heuristics and meta-heuristics for optimal placement of data centers with minimum power consumption over a network topology relying on flex-grid spectral use. In order to minimize the network's power consumption, we have performed a detailed comparison of heuristic and meta-heuristic designs for different network scenarios based on real topologies. Moreover, our results show that meta-heuristic provides an optimum data center placement in a reasonable amount of time for a small- to medium-sized network

Leukemic Infiltration of the Esophagus, a Rare Etiology for a Common Disease

Introduction: The etiology of esophagitis in patients with acute leukemia is usually related to infections, reflux, or chemotherapy toxicity. Infiltration of esophagus by leukemic cells is rarely considered in the differential diagnosis.Presentation of Case: Here we present a case of 87-year-old male patient with a recent diagnosis of acute myelocytic leukemia who was found to have severe diffuse esophagitis secondary to leukemic infiltration.Conclusion: Leukemic infiltration of the esophagus is a rare potential etiology of severe esophagitis in patients with disseminated leukemia. Esophageal biopsy is needed to identify the exact cause of esophageal lesions in leukemia patient

Whole genome sequencing data of multiple individuals of Pakistani descent

Here we report whole genome sequencing of four individuals (H3, H4, H5, and H6) from a family of Pakistani descent. Whole genome sequencing yielded 1084.92, 894.73, 1068.62, and 1005.77 million mapped reads corresponding to 162.73, 134.21, 160.29, and 150.86 Gb sequence data and 52.49x, 43.29x, 51.70x, and 48.66x average coverage for H3, H4, H5, and H6, respectively. We identified 3,529,659, 3,478,495, 3,407,895, and 3,426,862 variants in the genomes of H3, H4, H5, and H6, respectively, including 1,668,024 variants common in the four genomes. Further, we identified 42,422, 39,824, 28,599, and 35,206 novel variants in the genomes of H3, H4, H5, and H6, respectively. A major fraction of the variants identified in the four genomes reside within the intergenic regions of the genome. Single nucleotide polymorphism (SNP) genotype based comparative analysis with ethnic populations of 1000 Genomes database linked the ancestry of all four genomes with the South Asian populations, which was further supported by mitochondria based haplogroup analysis. In conclusion, we report whole genome sequencing of four individuals of Pakistani descent

Human Gait Recognition Subject to Different Covariate Factors in a Multi-View Environment

Human gait recognition system identifies individuals based on their biometric traits. A human’s biometric features can be grouped into physiologic or behavioral traits. Biometric traits, such as the face [1], ears [2], iris [3], finger prints, passwords, and tokens, require highly accurate recognition and a well-controlled human interaction to be effective. In contrast, behavioral traits such as voice, signature, and gait do not require any human interaction and can be collected in a hidden and non-invasive mode with a camera system at a low resolution. In comparison with other physiological traits, one of the main advantages of gait analysis is the collection of data from a certain distance. However, gait is less powerful than physiological traits, yet it still has widespread application in surveillance for unfavorable situations. From traditional algorithms to deep learning models, a gait survey provides a detailed history of gait recognition

Simulation of blended nonlinear hydrodynamics forces using radial basis function in uniform moving frame

This study focuses on the development of a blended technique in moving frame which encompasses nonlinearities and real time simulation of the vital early design parameters using combined exact nonlinear and quasi-nonlinear forcing terms. Generally, a full three-dimensional problem needs to be solved for the precise forward speed correction. However, in this paper the forward speed end corrections are calculated by converting the two dimensional velocity potential into a three dimensional mathematical function using radial basis function then partial differentiation is performed with respect to the longitudinal direction. The difference between the forward speed correction used for time simulation in the blended method and the strip-theory in the frequency domain has been explained. The use of radial basis functions for the estimation of quasi-nonlinear combined radiation and diffraction pressures in moving frame and their conversion between two and three dimensions has been demonstrated and validated experimentally

Should We Use the IMPACT-Model for the Outcome Prognostication of TBI Patients? A Qualitative Study Assessing Physicians\u27 Perceptions

Introduction. Shared Decision-Making may facilitate information exchange, deliberation, and effective decision-making, but no decision aids currently exist for difficult decisions in neurocritical care patients. The International Patient Decision Aid Standards, a framework for the creation of high-quality decision aids (DA), recommends the presentation of numeric outcome and risk estimates. Efforts are underway to create a goals-of-care DA in critically-ill traumatic brain injury (ciTBI) patients. To inform its content, we examined physicians\u27 perceptions, and use of the IMPACT-model, the most widely validated ciTBI outcome model, and explored physicians\u27 preferences for communicating prognostic information towards families. Methods. We conducted a qualitative study using semi-structured interviews in 20 attending physicians (neurosurgery,neurocritical care,trauma,palliative care) at 7 U.S. academic medical centers. We used performed qualitative content analysis of transcribed interviews to identify major themes. Results. Only 12 physicians (60%) expressed awareness of the IMPACT-model; two stated that they barely knew the model. Seven physicians indicated using the model at least some of the time in clinical practice, although none used it exclusively to derive a patient\u27s prognosis. Four major themes emerged: the IMPACT-model is intended for research but should not be applied to individual patients; mistrust in the IMPACT-model derivation data; the IMPACT-model is helpful in reducing prognostic variability among physicians; concern that statistical models may mislead families about a patient\u27s prognosis. Discussion: Our study identified significant variability of the awareness, perception, and use of the IMPACT-model among physicians. While many physicians prefer to avoid conveying numeric prognostic estimates with families using the IMPACT-model, several physicians thought that they ground them and reduce prognostic variability among physicians. These findings may factor into the creation and implementation of future ciTBI-related DAs