Association of hypoadiponectemia with smokeless/dipping tobacco use in young men

Background: Low levels of adiponectin, an adipocytokine with anti-diabetic, antiatherogenic and cardioprotective properties, is associated with increased risk of coronary disease in young men. Previous studies have demonstrated that smokeless tobacco is linked with a reduction of plasma adiponectin levels. However, the influence of smokeless tobacco (dipping tobacco) on plasma adiponectin levels still remains unknown. This study was conducted to assess the plasma adiponectin levels in young men who were using dipping tobacco. Methods: This was a community based study, which consisted of 186 young lean healthy males aged 20 to 35 years. Among these, 96 men were dipping tobacco users (BMI = 23.07 ± 2.68) and 90 were non-dipping tobacco users (BMI = 23.67 ± 1.46). Serum adiponectin levels were assessed by Enzyme Linked ImmunoSorbent Assay (ELISA). Results: A statistically significant difference in the mean adiponectin level between tobacco dipper and non-dipper groups was observed (p = 0.0001). A significant difference between the two groups was also observed in baseline parameters including triglyceride and random blood sugar levels (p < 0.05). However, no significant difference was observed between the two groups in other clinical parameters. Conclusions: Findings of this study suggest that dipping tobacco use was significantly associated with low level of adiponetin in community dwelling young males. This emphasizes the importance of developing community intervention to reduce the use of dipping tobacco, which will reduce the tobacco associated disease burden in the community and will improve public health

Myasthenia Gravis Mimicking Third Cranial Nerve Palsy: a Case Report

Background: The most common pituitary adenoma presentation is a visual field defect and inappropriate pituitary hormone secretion. The compression of the optic chiasma causes visual impairment. Large pituitary adenomas can rarely cause diplopia and ptosis secondary to adenoma's lateral extension into the cavernous sinus. Myasthenia gravis (MG) is an autoimmune disorder involving neuromuscular junctions. It is characterized by skeletal muscle fatigability, commonly involving extraocular muscles, face, and limbs. It is estimated that 75% of MG patients present with ptosis and diplopia. The association of MG with pituitary adenoma is very rare. Case Description: A 30-year-old lady presented with headache, diplopia, and ptosis of the left eye for two months. She was diagnosed with acromegaly secondary to pituitary adenoma. Ptosis is a rare presenting feature in pituitary adenoma. Her case was discussed in a multidisciplinary meeting, and the consensus was that her ptosis is likely secondary to pituitary adenoma, which was involving the left cavernous sinus. She underwent transsphenoidal resection of pituitary macro adenoma. Three weeks post-surgery, she developed bilateral ptosis, dysarthria, dysphonia, which was diagnosed as myasthenia gravis. Clinical implications: Ptosis is a rare manifestation of pituitary adenoma. Nonetheless, pituitary tumor patients presenting with ptosis should be evaluated for the neuromuscular disorder. A high index of suspicion is required for early diagnosis and prompt treatment of myasthenia gravis

Diagnosis of Faulty Elements in Array Antenna using Nature Inspired Cuckoo Search Algorithm

Detection and correction of faulty elements in a linear array have great importance in radar, sonar, mobile communications and satellite. Due to single element failure, the whole radiation pattern damage in terms of side lobes level and nulls. Once we have detect the position of defective element, then correction method is applied to achieve the desired pattern. In this work, we introduce a nature inspired meta-heuristic cuckoo search algorithm to diagnose the position of defective elements in a linear array. The nature inspired cuckoo search algorithm is new to the optimization family and is used first time for fault detection in an array antenna. Cuckoo search algorithm is a global search optimization technique. The cost function is used as a fitness function which defines an error between the degraded far field power pattern and the estimated one. The proposed technique is used effectively for the diagnosis of complete, as well as, for partial faulty elements position. Different simulation results are evaluated for 40 elements Taylor pattern to validate and check the performance of the proposed technique

Robust Brain Age Estimation via Regression Models and MRI-derived Features

The determination of biological brain age is a crucial biomarker in the assessment of neurological disorders and understanding of the morphological changes that occur during aging. Various machine learning models have been proposed for estimating brain age through Magnetic Resonance Imaging (MRI) of healthy controls. However, developing a robust brain age estimation (BAE) framework has been challenging due to the selection of appropriate MRI-derived features and the high cost of MRI acquisition. In this study, we present a novel BAE framework using the Open Big Healthy Brain (OpenBHB) dataset, which is a new multi-site and publicly available benchmark dataset that includes region-wise feature metrics derived from T1-weighted (T1-w) brain MRI scans of 3965 healthy controls aged between 6 to 86 years. Our approach integrates three different MRI-derived region-wise features and different regression models, resulting in a highly accurate brain age estimation with a Mean Absolute Error (MAE) of 3.25 years, demonstrating the framework's robustness. We also analyze our model's regression-based performance on gender-wise (male and female) healthy test groups. The proposed BAE framework provides a new approach for estimating brain age, which has important implications for the understanding of neurological disorders and age-related brain changes.Comment: Published at the 15th International Conference on Computational Collective Intelligenc

Financing Decisions and the Role of CSR in Donation-Based Crowdfunding - Evidence from Pakistan and Indonesia

Donation-based crowdfunding and corporate social responsibility (CSR) activities have potential symbiotic ramifications to raise funds, but campaigners are confronted with challenges and competition to accomplish their charitable target. For instance, CSR activities could warrant the possibility of using crowdfunding to raise money. On the other hand, a company\u27s CSR objectives can be achieved by using crowdfunding to micro-fund various social initiatives. Current research investigates the relationship between fundraisers in donation-based crowdfunding activities, which become potential CSR activities. Exclusively, the study analyzes the correlation among the value raised at the end of fundraising activity, the amounts targeted by the fundraiser, and CSR-Type activities on the project\u27s success in donation-based crowdfunding. Based on this, a research taxonomy has been established for a comparative analysis between Pakistan and Indonesia. Secondary data is collected from donation-based platforms and analyzed through Ordinary Least Square (OLS) regression and the models are validated using a robustness check. The outcomes show that a higher value raised (V) correlates more positively with project success in Pakistan (164) as compared with Indonesia (122). The Target fund (T) has a significant and negative association with the project\u27s success in the Pakistani market, however, the significant and negative effect on the project’s success in the Indonesian market. Lastly, CSR-related activities such as education, environment, community, and health have a positive relationship with project success in Pakistan, except for the product which has a negative, however significant relationship. In contrast, for Indonesia, CSR-type activities such as education, environment, community, product, and health have a positive and significant relationship with the project\u27s success. This study contributes to the donation-based crowdfunding literature to develop a vivid understanding of different CSR activities and their impact on the project\u27s success. The current study is one of the first to examine the significance of CSR activities and will enrich the body of knowledge regarding crowdfunding in diverse economies

Vitamin D Detection Using Electrochemical Biosensors: A Comprehensive Overview

Vitamin D plays a vital role in health; therefore, there is a need for a sensitive, selective, quick, and easy technique for its determination. Previous research has proposed electrochemical biosensors based on different carbon materials that are functionalized with various electrochemical biosensors. However, the existing problems and future opportunities for these sensors need further research. The practical use of electrochemical biosensors for vitamin D detection is attributed to their ability to detect vitamin D from diverse samples, including vitamin D production, in nature. This chapter provides recent investigations on the utilization of electrochemical biosensors for vitamin D detection such as Ab-25OHD/SPE/FMTAD, CYP27B1/GCE, SiO2/GO/Ni(OH)2/GCE, BSA/Ab-VD2/CD-CH/ITO, BSA/Anti VD/Fe3O4 PANnFs/ITO, BSA/Ab-VD/Asp-Gd2O3NRs/ITO, 25OHD, 25OHD Antibody, IoT-Enabled Enzyme Embossed Biosensor, Au-Pt NPs/APTES/FTO, and GCN-β-CD/Au nanocomposite. The chapter aims to provide a comprehensive overview of the recent developments in electrochemical biosensors for accurate and efficient vitamin D detection

Response of a maize composite to selfed progeny recurrent selection for earliness and yield traits

Population improvement through recurrent selection is a traditional breeding method that has been used in maize for over 60 years. Objectives of the research were to: a) evaluate effect of selfed progeny recurrent selection on earliness and yield traits, b) compare responses of cycle-1 (S1-line) and cycle-2 (S2-line) populations, and c) determine better strategy for improvement of maize source population «PSEV3». The experiments were carried out in partially balanced lattice square design with two replications. In cycle-1 and cycle-2 populations, the differ- ences were highly significant for all studied traits. Selfing in both cycles of selection, resulted increase in days to tasseling while reduction in population means for yield traits. In selected progenies, an increase was seen in mean values of yield traits; however, not in days to tasseling and grain moisture in both cycles of selection. Moderate to high heritability values were observed for almost all the traits in both cycles. Selection differential values were positive and high for grain yield, ear height, prolificacy, ear length, and 100-grain weight in cycle-1 and cycle-2. However, negative values of selection differential were seen for days to tasseling and grain moisture in cycle-1 and 2 populations. The expected responses for days to tasseling and grain moisture were negative in first and second selection cycles. Comparatively, larger and positive responses were noted in cycle-2 than cycle-1 for grain yield and its components. Selfed progeny recurrent selection method was found more effective in improving the maize source population «PSEV3” for earliness and yield traits

Conceptual framework for a cardiac surgery simulation laboratory and competency-based curriculum in Pakistan - a short innovation report

Simulation is a commonly utilized technique in healthcare education as it provides trainees a realistic, but safe, environment to learn a variety of skills. Trainees belonging to fields known for high stakes with low margins for error, such as cardiac surgery, can greatly benefit from simulation-based education. We propose the establishment of the first multi-tier high fidelity cardiac surgery simulation lab with a structured curriculum that will eventually provide multidisciplinary training to promising cardiac surgeons across Pakistan. The simulation lab may also be used for research, grant acquisition and patent development. Our setup will include the following levels of simulation: a simple bench model, a virtual reality simulator and a unique human performance simulator. Our multitiered approach allows for appropriate sequential trainee skill progression. Finally, we hope that our model inspires the development of similar curricula and modules for trainees belonging to other surgica

Patients\u27 satisfaction and opinions of their experiences during admission in a tertiary care hospital in Pakistan - a cross sectional study

Background: It is often felt that developing countries need to improve their quality of healthcare provision. This study hopes to generate data that can help managers and doctors to improve the standard of care they provide in line with the wishes of the patients.Methods: It was a cross sectional study carried out at a major tertiary care hospital of Karachi. Patients between the ages of 18 and 80 years admitted to the hospital for at least one day were included. Patients in the maternity, psychiatry and chemotherapy wards and those in the ICU/CCU were excluded. A pretested, peer reviewed translation of a validated patient satisfaction scale developed by the Picker Institute of Europe was administered.Results: A total of 173 patients (response rate: 78.6 %) filled the questionnaire. Patient satisfaction was at levels comparable to European surveys for most aspects of hospital care. However, nearly half the patients (48%) felt they had to wait too long to get a bed in the hospital after presenting to the ER. 68.6% of the patients said that they were never asked for views on the quality of care provided. 20% of the patients did not find anyone in the staff to talk to about their worries and fears while 27.6% felt that they were given emotional support to only some extent. Up to one third of the patients said they were not provided enough information regarding their operative procedures beforehand.CONCLUSION: Although several components of patient care equal the quality levels of the west, many sections require considerable improvement in order to improve health care provision. The healthcare team needs to get more involved with the patients, providing them greater support and keeping them informed and involved with their medical treatment. Efforts should be made to get regular feedback from the patients