Sorptive Interactions Evaluation of Benomyl Metabolites Mecarzole with the Varyingly Selected Minerals

Soil and soil minerals are the primary recipients of different contaminates coming in immediate contact.Agricultural practices which are dominated by use of different agrochemicals have further aggravated the soil quality.Fungicides, aimed at the extermination, inhibition and growth retardation of fungal species in agricultural crops havebeen used frequently. Among such fungicides, Benzimidazole based fungicides are of prime significance due to theircomparatively improved annihilatory activity. Despite such frequent utilization, the reports on the reception andconsequent sorption of Benzimidazole fungicides are scarce. Current work has, for the first time, investigated theinteraction of Benzimidazole based fungicide, Mecarzole (metabolite of Benomyl fungicide and also known asCarbendazim) in the selected minerals i.e. corundum (alumina), silica, muscovite and montmorillonite. The interactionwas studied via standard equilibration method established in batches. Adsorption and desorption of Mecarzole in theselected minerals was evaluated by multilayer Linear and Freundlich model for different parameters i.e. Kd, Kf, Kfdesand Kdes. Linearity was exhibited by the minerals for attachment of Mecarzole. The highest values of Kd (6.93 mL. µg-1) and Kf (7.99 mL. µg-1) obtained for muscovite are indicative of the higher affinity of muscovite for Mecarzole incomparison to other three minerals. Excellent adsorption of Mecarzole in muscovite is suggestive of the fact thatMecarzole interacting with muscovite is not a threat towards lower soil profiles since there is a stronger bonding. Incontrast to muscovite, Mecarzole poorly adsorbed in alumina represents a threat to soils due to possible percolation ofpoorly adsorbed Mecarzole molecules

Determine the Severity of Acute Respiratory Infections by Using Pediatric Respiratory Severity Score (PRESS) in Children Visiting Federal Govt. Polyclinic hospital, Islamabad

Objective: To determine the severity of acute respiratory infections in children by using Pediatric Respiratory Severity Score (PRESS). Methodology: This descriptive cross sectional study was conducted at the outpatient and emergency paediatric department of the Federal Govt. Polyclinic hospital, Islamabad, from October 2017 to December 2019. One hundred and seventeen children with acute respiratory infections were enrolled in the study by a non-probability sampling technique. Epidemiologic variables of interest included age, sex, and breastfeeding or not. Clinical variables of interest included respiratory rate, use of accessory respiratory muscle, wheeze on auscultation, and oxygen saturation at room air.  PRESS assessed tachypnea, wheezing, accessory muscle use, SpO2 and feeding difficulties with each component given a score of 0 or 1, and the total score were categorized as a mild(0-1), moderate (2-3) or severe(4-5). Results: Out of 117 children, 98 (83.8%) belonged to the age group > 2 months– 12 months, while 19 (16.2%) belonged to the age group > 12 months– 24 months. Among them, 17 (14.5%) were mild, 53 (45.3%) were moderate, and 47 (40.2%) were severe according to their severity of respiratory distress. The hospitalization rate for moderate infection was 84.9% while 100% for severe infection and none of the patient with mild infection was hospitalized (p<0.001). Conclusion: Early assessment by simple bedside technique will help in managing the respiratory distress according to its severity, reducing the undue investigation and improving the outcome of illness. Moreover it can be easily administered at primary health care facilities for triage of pediatric patients with respiratory distress

Usability Evaluation of Online Educational Applications in COVID-19

COVID-19 is a pandemic faced by almost every country in the world, this has resulted in health crisis. Due to COVID-19, all the countries around the world have decided to close all educational institutes to prevent this pandemic. Educational institutes have taken every possible measure to minimize the impact of the closure of schools and introduce the concept of an online education system which is not only a massive shock for parents but it also affects the children's learning process and social life. The educational applications (Apps) are very important, because they offer more opportunities for development and growth to society. In this pandemic situation, educational Apps like Zoom, HEC LMS, Google Classroom, and Skype, etc. are the need of the hour when everything goes online. In this paper, the usability features of online educational Apps are thoroughly discussed including the effectiveness and usability for students. Using the results obtained from the survey, this paper observes the student's perspective of usefulness of online educational Apps in student’s learning process of different age groups. It also analyzes the easiness for students to understand, interact and use these Apps

Discrimination of Seasonal Snow Cover in Astore Basin, Western Himalaya using Fuzzy Membership Function of Object-Based Classification

The temporal mapping of seasonal snow cover is generally being delineated through low resolution MODIS data (250-500m resolution) due to daily frequency of image acquisition; however, it sometimes compromises the mapping accuracies. In this study, the time-series of high resolution satellite imagery was used to evaluate the spatio-temporal changes in the snow covered area of Astore basin during summer and winter seasons from 1990 to 2017. The Object Based Image Analysis (OBIA) technique was applied on multi-spectral images of Landsat (TM and OLI sensors) of respective years (1990, 2000, 2010 and 2017) in order to discriminate the snow covered area in both seasons. Although OBIA is a strong technique that has been successfully applied in numerous research problems of remote sensing regarding cryosphere, but due to hindrances (i.e. Clouds and haze), it is sometimes not highly efficient to detect the snow accurately, therefore, Normalized Difference Snow Index (NDSI) has been calculated to distinguish snow covered area from snow free areas. The range of 0.4-1.0 was used as a threshold value for fuzzy membership function in OBIA to delineate the snow cover more precisely. The study suggested that the snow covered area is gradually increasing in winters during past few decades in the basin; however, in summer season as compared to winters, no specific trend has been observed

Prevalence of nomophobia and its associated factors among medical students of a private medical college in Lahore

Background and Objective: Mobile phones have become an indispensable part of our daily life. Nomophobia (NMP) is an abbreviation for &ldquo;no-mobile-phone phobia,&rdquo; which defines apprehension faced by mobile phone users in its absence which leads them to become technically unable to communicate. Objective of the study is to determine the prevalence of NMP and its association with the demographic factors among medical students of a private medical college in Lahore. Methods: A cross-sectional study was conducted among the medical students from first to final year classes from May to November 2021. A validated NMP questionnaire was used along with questions related to the sociodemographic profile and frequency of mobile phone usage by the respondents. The self-reported questionnaire was filled out by all the students who were present on the day of data collection. Data were analyzed by SPSS 20. Results: Out of 646 medical students, 618 filled the questionnaire. Out of 618 respondents, 51.5% had moderate and 38.2% had severe NMP. Among sociodemographic variables, females (40.8%) had a statistically significant association with NMP (p = 0.027). Usage of mobile phones per day and disturbance in the students&rsquo; daily routine had a statistically significant association with the NMP (p = 0.029 and p = &lt;0.001, respectively). Conclusion: NMP is very common among medical students and females are more likely to experience this phenomenon. Frequent usage of mobile phones is directly related to NMP affecting the daily routine of the medical students.</p

Risk factors for dengue shock syndrome in children admitted in Federal Govt. Polyclinic Hospital.Islamabad

Objective:&nbsp; To determine the risk factors for dengue shock syndrome in children admitted in Federal Govt. Polyclinic Hospital (FGPC) Islamabad.Methodology: &nbsp;It is a descriptive cross sectional study was conducted in Pediatric ward and Intensive care unit of Pediatric department of Federal Govt. Polyclinic hospital, Islamabad from August 2019 to October 2019. Children from1month to 12 years of age with dengue fever (DF) were enrolled in the study by non-probability sampling technique. We took history, did examination and investigation in 102 children reported at Pediatric department, polyclinic hospital Islamabad between August’ 2019 to October ‘2019. Epidemiologic variables of interest included age and sex. Clinical variables of interest included fever, duration of fever, petechiae, spontaneous bleed, melena, hematuria, gum bleed, rash, pleural effusion, ascites, hepatomegaly and duration of stay. Pathological variable included complete Blood Count (CBC) and dengue NS1Antigen. Result: A total of 102 patients were enrolled in the study, there were 63 (61.8%) males and 39 (38.2%) females with mean age of 91.55±36.7 to 96.17±35.94 months. Out of 102 patients admitted with dengue fever (DF)/dengue hemorrhagic fever (DHF), 13 (12.7%) developed ascites, pleural effusion and capillary refill time of more than 3 seconds, were labelled as experiencing dengue shock syndrome (DSS). Patients with capillary refill time of more than 3 seconds were found to be 2.44 times more likely to develop dengue shock syndrome (OR=2.44, 95% CI 1.47 – 4.03, p&lt;0.001). Similarly, patients with thrombocytopenia (platelet count less than 150x103 cells) and leukocytopenia (TLC less than 4000x103 cells) were found to be at increased risk of developing dengue shock syndrome as compared to others (OR=1.28, 95% CI 1.12 – 1.48, p=0.001 and OR=1.6, 95% CI 1.12 – 5.21, p=0.01 respectively). Out of 13(12.7%) patients with DSS 1 patient (7.7%) died but no mortality observed in DHF. Conclusion: The univariate analysis revealed increased capillary refill time, thrombocytopenia and leukocytopenia to be significant predictors of dengue shock syndrome (DSS)

Exogenously Applied Gibberellic Acid Enhances Growth and Salinity Stress Tolerance of Maize through Modulating the Morpho-Physiological, Biochemical and Molecular Attributes

Soil salinity is the major limiting factor restricting plant growth and development. Little is known about the comparative and combined effects of gibberellic acid (GA3) seed priming and foliar application on maize under salt stress. The current study determined the impact of different application methods of GA3 on morpho-physiological, biochemical and molecular responses of maize seedlings under three salinity stress treatments (no salinity, moderate salinity-6 dS m−1, and severe salinity-12 dS m−1). The GA3 treatments consisted of control, hydro-priming (HP), water foliar spray (WFS), HP + WFS, seed priming with GA3 (GA3P, 100 mg L−1), foliar spray with GA3 (GA3FS, 100ppm) and GA3P + GA3FS. Salt stress particularly at 12 dS m−1 reduced the length of shoots and roots, fresh and dry weights, chlorophyll, and carotenoid contents, K+ ion accumulation and activities of antioxidant enzymes, while enhanced the oxidative damage and accumulation of the Na+ ion in maize plants. Nevertheless, the application of GA3 improved maize growth, reduced oxidative stress, and increased the antioxidant enzymes activities, antioxidant genes expression, and K+ ion concentration under salt stress. Compared with control, the GA3P + GA3FS recorded the highest increase in roots and shoots length (19–37%), roots fresh and dry weights (31–43%), shoots fresh and dry weights (31–47%), chlorophyll content (21–70%), antioxidant enzymes activities (73.03–150.74%), total soluble protein (13.05%), K+ concentration (13–23%) and antioxidants genes expression levels under different salinity levels. This treatment also reduced the H2O2 content, and Na+ ion concentration. These results indicated that GA3P + GA3FS could be used as an effective tool for improving the maize growth and development, and reducing the oxidative stress in salt-contaminated soils

Nanoparticles based on natural, engineered or synthetic proteins and polypeptides for drug delivery applications

Medicine formulations at the nanoscale, referred to as nanomedicines, have managed to overcome key challenges encountered during the development of new medical treatments and entered clinical practice, but considerable improvement in terms of local efficacy and reduced toxicity still need to be achieved. Currently, the fourth-generation of nanomedicines is being developed, employing biocompatible nanocarriers that are targeted, multifunctional, and stimuli-responsive. Proteins and polypeptides can fit the standards of an efficient nanovector because of their biodegradability, intrinsic bioactivity, chemical reactivity, stimuli-responsiveness, and ability to participate in complex supramolecular assemblies. These biomacromolecules can be obtained from natural resources, produced in heterologous hosts, or chemically synthesized, allowing for different designs to access suitable carriers for a variety of drugs. To enhance targeting or therapeutic functionality, additional chemical modifications can be applied. This review demonstrates the potential of polypeptide and protein materials for the design of drug delivery nanocarriers with a special focus on their preclinical evaluation in vitro and in vivo.Développement de polymersomes avec possibilité de suivi par imagerie et activation à distance pour la libération de composés d’intérêt thérapeutique dans des tissus profondsDéveloppement de squelettes polypeptidiques recombinants pour la synthèse de glycoconjugués multivalents parfaitement définisNanomedicine: an integrative approac

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research