Bis(O-n-butyl dithio­carbonato-κ2 S,S′)bis­(pyridine-κN)manganese(II)

The structure of the title manganese complex, [Mn(C5H9OS2)2(C5H5N)2] or [Mn(S2CO-n-Bu)2(C5H5N)2], consists of discrete monomeric entities with Mn2+ ions located on centres of inversion. The metal atom is coordinated by a six-coordinate trans-N2S4 donor set with the pyridyl N atoms located in the apical positions. The observed slight deviations from octa­hedral geometry are caused by the bite angle of the bidentate κ2-S2CO-n-Bu ligands [69.48 (1)°]. The O(CH2)3(CH3) chains of the O-n-butyl dithio­carbonate units are disordered over two sets of sites with an occupancy ratio of 0.589 (2):0.411 (2)

catena-Poly[[diaqua­bis­(3-methyl­pyridine-κN)cobalt(II)]-μ-sulfato-κ2 O:O′]

The environment of the CoII ion in the title compound, [Co(SO4)(C6H7N)2(H2O)2]n, exhibits an octa­hedral configuration with the two 3-methyl­pyridine ligands lying in cis positions with respect to each other and trans to the two coordinated water mol­ecules. The axial positions are occupied by O atoms of the sulfate ions. Co and S atoms occupy special positions (twofold axis, Wyckoff position 4c). Neighboring CoII ions are covalently connected with each other through the sulfate ions, thus creating infinite polymeric chains that run along the c axis. The water mol­ecules are connected with neighboring sulfate ions through strong O—H⋯O hydrogen bonds. Intra­molecular hydrogen bonds parallel to the propagation direction of the chains stabilize the polymeric chains, and inter­molecular hydrogen bonds between chains connect neighboring chains with each other, thus leading to polymeric double chains

Comparison of Standard Percutaneous Nephrolithotomy with Mini-Percutaneous Nephrolithotomy for Removal of Renal Stones in Adults

Renal stones are the third most common problem affecting about 10% of global population. The management of nephrolithiasis has undergone a complete transformation since the 1980s. Percutaneous nephrolithotomy (PCNL) has established itself an effective and safe technique that delivers high stone-free rate as well as overall shorter treatment time. We aim to compare the outcome of mini-PCNL with standard-PCNL in patients presenting with renal stones. In all, 90 patients fulfilled the selection criteria and randomized into two groups. Group A underwent mini-PCNL whereas Group B underwent standard-PCNL. Pre-operative hemoglobin level was recorded. Duration of procedure as well as drop in hemoglobin level was also recorded. A kidney, ureter, and bladder (KUB) X-ray was performed to confirm the presence of stone and stone-free status. The mean age of patients in mini-PCNL group was 43.11 years and in standard-PCNL group, it was 36.91 years. The mean stone size in patients of mini-PCNL group was 29.53 mm and 31.58 mm in standard-PCNL group. The mean duration of renal stone in mini-PCNL group was 1.91 years and that in standard-PCNL group 1.80 years. The mean operative time in mini-PCNL group was 59.56 min and 61.22 min in standard-PCNL group. The mean fall in hemoglobin in mini-PCNL group was 0.38 g/dL and that in standard-PCNL group 0.51 g/dL. In mini-PCNL group, stone clearance was observed in 42 (93.3%) patients, while in standard-PCNL group, it was observed in 45 (100%) patients. This difference was insignificant (P > 0.05). Mini-PCNL and standard-PCNL have no significant differences in terms of outcome, operative time, and stone clearance, although fall in hemoglobin level was less in mini-PCNL group, which showed less blood loss in this group, thereby making it a more appropriate method for renal stone removal

Correlation of red cell distribution width with inflammatory markers and its prognostic value in patients with diabetes and coronary artery disease

Background. Recent studies have shown red blood cell distribution width (RDW) as a marker for severity and prognosis in coronary artery disease patients. Other studies have also correlated RDW with diabetes mellitus and inflammation. However, such correlation and prognosis in patients with concomitant coronary artery disease and diabetes after percutaneous intervention remains unclear. Material and methods. Our study group comprised of 730 subjects including 700 patients (cases) and 30 normal subjects (control group). Patients who presented with coronary artery disease were divided into diabetic and non-diabetic groups. All patients had RDW measured at admission and percutaneous intervention was done. Follow-up for adverse events was carried out between 6 to 12 months. Results. RDW was elevated in patients as compared to control group (p < 0.05). RDW correlated well with inflammatory markers including erythrocyte sedimen­tation rate, C-reactive protein, HbA1c, white blood cells and troponin. RDW was higher with more severe atherosclerosis based on SYNTAX and Gensini scores (p < 0.05). Prognosis was found to be worse in patients with high RDW as well as in diabetics. Conclusions. RDW has positive correlation with other inflammatory marker. It may be used as a marker in determining the severity and prognosis in diabetic patients with coronary artery disease

Effects of prophylactic use of brimonidine 0.2% on intraocular pressure after YAG-capsulotomy

Background: Rise in intraocular pressure (IOP) is the commonest complication after YAG posterior capsulotomy. As there are different opinions regarding use of anti-glaucoma therapy before YAG, we compared post-YAG IOP between the patients who had Brimonidine eye drops and those who did not have any anti-glaucoma treatment. Material and methods: It was a prospective study that included patients who had undergone uneventful phacoemulsification with foldable intraocular lens implantation and YAG posterior capsulotomy. One hundred fifty patients were divided into two groups; (a group with prophylactic brimonidine 0.2% eye drops before laser and a group without any anti-glaucoma therapy). Intraocular pressure was checked pre-laser and one hour after laser procedure. Results: Out of 150 patients, 78 were in brimonidine group and 72 in the control group. The mean age of the patients was 60.39 ± 12.98 years. In the brimonidine group, IOP was 12.56 ± 2.38 mm Hg and 12.29 ± 3.64 mm Hg before and after YAG, respectively. In the control group, IOP was 12.24 ± 1.53 mm Hg and 13.38 ± 2.84 mm Hg before and after YAG. Brimonidine 0.2% caused a decrease in IOP, but the post-laser IOP difference between the two groups was not statistically significant. The change in IOP before and after using brimonidine 0.2% was also not statistically significant. Conclusion: Every patient undergoing YAG capsulotomy does not require prophylactic anti-glaucoma therapy. Only the patients prone to high IOP, glaucoma suspects, and diagnosed cases of glaucoma should be given prophylactic treatment

Taxonomic studies of Bartramiaceae from district Mansehra (Pakistan)

This paper deals with the taxonomic studies of the family Bartramiaceae, Bryophyta, from Mansehra district, Khyber Pakhtoonkhaw province, Pakistan. Extensive field surveys were conducted from October 2012 to December 2014. Previously collected specimens hosted at Pakistan Museum of Natural History (PMNH) were also consulted. Keys (at generic and specific level), description, general distribution and foot notes have been provided. Six species were recognized in this study from the area

Approaches to Enhance Salt Stress Tolerance in Wheat

Wheat is consumed as a staple food by more than 36% of world population. Wheat provides nearly 55% of the carbohydrates and 20% of the food calories consumed globally. The productivity of wheat is often adversely affected by salt stress which is associated with decreased germination percentage, reduced growth, altered reproductive behavior, altered enzymatic activity, disrupted photosynthesis, damage of ultrastructure of cellular components, hormonal imbalance, and oxidative stress. Different approaches have been adopted to improve plant performance under salt stress: introduction of genes, screening of better performing genotypes, and crop improvement through conventional breeding methods which are often not so successful and suitable due to time-consuming or reduction of plant vigor with the succession of time. Uses of exogenous phytoprotectants, seed priming, nutrient management, and application of plant hormone are convenient for improving plant performances. This chapter reviews the mechanism of damage of wheat plants under salt stress and also the recent approaches to improve growth and productivity of salt-affected wheat plants emphasizing the use of exogenous phytoprotectants from the available literature

Check list of Anthocerophyta and Marchantiophyta of Pakistan and Kashmir

In the present study, a review of previously published literature regarding Anthocerophyta and Marchantiophyta of Pakistan and Kashmir has been done in order to know the diversity of these groups. Previous contributions collectively reveal 122 taxa distributed in 36 genera and 24 families. Of these 118 taxa (97.52%) are belonging to the Marchantiophyta, while the rest of 4 species (3.30%) members to Anthocerophyta. Aytoniaceae is the largest family with 16 species. Genera-wise, Riccia is the largest genus with 12 species. An average number of species/genera is c. 3.36. A major portion of Pakistan is still un-explored especially Sindh and Balochistan province of Pakistan, and on the basis of this study it can be said that many more taxa will be added to the list

catena-Poly[[[tetra­kis­(4-methyl­pyridine-κN)copper(II)]-μ-sulfato-κ2 O:O′] 4.393-hydrate]

The structure of the title compound, {[Cu(SO4)(C6H7N)4]·4.393H2O}n, consists of Cu2+ ions surrounded in a square-planar fashion by 4-methyl­pyridine ligands, forming two crystallographically independent Cu{H3C(C5H4N)}4 units that are both located on crystallographic inversion centers. The Cu(4-methyl­pyridine)4 units are, in turn, connected with each other via bridging sulfate anions, leading to the formation of infinite [Cu{H3C(C5H4N)}4SO4]n zigzag chains along [001]. The completed coordination spheres of the Cu2+ ions are slightly distorted octa­hedral. The axial Cu—O bonds are elongated [average length = 2.42 (4) Å] compared to the equatorial Cu—N bonds [average length = 2.043 (2) Å]. The inter­stitial space between the chains is filled with uncoordinated water mol­ecules that consolidate the structure through O—H⋯O hydrogen bonding. One of the five crystallographically independent solvent water mol­ecules is partially occupied with an occupancy factor of 0.396 (4). Due to hydrogen bonding between symmetry-equivalent water mol­ecules across inversion centers, several of the water H atoms are disordered in 1:1 ratios over mutually exclusive positions. The crystal under investigation was found to be non-merohedrally twinned in a 0.789 (1):0.211 (1) ratio by a 180° rotation around the reciprocal b axis

Prognostic significance of serum potassium level for major adverse cardiac events and death in patients with coronary atherosclerotic disease

Introduction: Serum potassium levels have been shown in some animal studies to be associated with theprocess of atherosclerosis. We decided to assess the correlation of serum potassium level in ischemic heart diseasepatients with disease severity and its relationship with prognosis in terms of major acute cardiac events (MACE). Material and methods: This was a cross-sectional cohort study carried out at cardiology department of RehmanMedical Institute, from July 2016 to 31st Aug. 2018 a period of 26 months. 622 patients were included in thestudy. Clinical and angiographic characteristics were assessed based on the serum potassium level. Correlation ofserum potassium level with Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery(SYNTAX) and Gensini scores was also evaluated. Follow up for MACE was carried out after one year. Results: Mean serum potassium level was 3.93 ± 0.95 (mEq/l) in coronary artery disease patients. Serumpotassium level showed negative correlation with SYNTAX score (r = –0.60, p < 0.05) and Gensini score(r = –0.64, p < 0.05). There was also a significant difference between low and high potassium level in relationto the multi-vessel disease on coronary angiography (p < 0.05). Low potassium level was a good predictor ofadverse outcomes as shown by Kaplan-Meier analysis. Multivariate Cox regression analysis showed that serumpotassium level and diabetes were independent predictors of MACE (p < 0.05). Conclusion: Low serum potassium level is correlated with more severe coronary atherosclerosis. Low potassiumlevels are associated with significantly poor outcomes