Effect of Fly Ash and Un-crushed Coarse Aggregates on Characteristics of SCC

This research paper discusses the change in the workability and strength characteristics of Self Compacting Concrete (SCC) due to addition of fly-ash and use of un-crushed Coarse Aggregate (CA). Laboratory based experimental work was carried out by preparing 12 SCC mixtures among which six mixtures contained crushed aggregate and other six mixtures contained un-crushed coarse aggregate. A total of 550 kg/m3 binder content and fixed Water-Binder (W/B) ratio as 0.35 were used. Two mixtures were controlled by using Portland Cement (PC) and other ten mixtures contained PC and Fly Ash (FA). Slump flow time, slump flow diameter and J-ring height tests were conducted to study the fresh properties of SCC. Furthermore, compressive strength was calculated at 7, 14 and 28 days of curing. The outcomes indicated that the slump flow time, slump flow diameter and J-Ring height for all the mixes are within the limits specified by EFNARC guidelines. The compressive strength of SCCs depends upon dosage of fly ash. Compressive strength for SCCs with crushed CA was better than obtained in case of un-crushed CA. The maximum compressive-strengths were observed as 64.58 MPa and 58.05 MPa for SCC with crushed and un-crushed CA respectively

Mitigation measures for significant factors instigating cost overrun in highway projects

Construction industry has created numerous employment opportunities and playing a role model in economic growth of Pakistan. This industry is facing serious and critical problem of cost overrun especially in highway sector in country Pakistan particularly in Sindh Province. The purpose of this study is to identify mitigation measures for significant factors of cost overrun in highway projects of Sindh Province. In this study, mixed-mode research approach has been used. Quantitatively, a structured questionnaire based on 64 common factors of cost overrun from in-depth literature review was developed and distributed to30 selected respondents among the client, contractor and consultant having more than 15 years of experience in handling highway projects in Sindh Province. The collected data was statistically analyzed using SPSS where 8 most significant factors of cost overrun were identified. Qualitatively, the identified eight most significant factors were then incorporated in open ended questionnaire and distributed to 30 selected experts for them to write possible mitigation measures for each of the significant factors. The data was then analyzed through content analysis technique to rank the mitigation measures according to their substantiality. The results of this study would be helpful for construction practitioners to be used as reference in taking up appropriate measures in controlling cost overrun in highways projects in Pakista

Ultrasonographic Biometry of the Ovaries of Pregnant Kundhi Buffaloes

Sixteen gravid uteri of 1st, 2nd, 3rd and 4th month of pregnant Kundhi buffaloes were collected from Hyderabadslaughterhouse for this study. The ovaries were separated from gravid uteri of Kundhi buffaloes and ultrasonographicbiometry was performed by ultrasound machine (HS-2000, Honda electronics Co. Ltd., Japan). The ovaries wereexamined for presence of follicles and/or corpus luteum. The length, width and height of ovaries and corpus luteum (CL)were recorded and measured. The average weight of ovaries with corpus luteum during 1st, 2nd, 3rd and 4th month's ofpregnancy was 4.6 + 0.345, 5.90 + 1.134, 6.10 + 1.179, and 6.50 + 1.139 gms, respectively. The average weight of CLduring 1st, 2nd, 3rd and 4th month of pregnancy was 2.0 +0.162, 2.4 + 0.35, 2.6 + 0.27, and 3.0 + 0.49 gm, respectively.The average weight of ovaries of non-gravid uterus of same buffaloes was 2.7 + 0.35, 3.6 + 1.10, 3.9 + 1.15, and 4.2 +1.09 gm during 1st, 2nd, 3rd and 4th month of pregnancy respectively. The average size of the left and right ovary was 29.0+ 1.2 mm and 20.01 + 2.15 mm respectively and the average size of CL was 17.13 + 3.15 mm. There was significantincrease in the weight, length, width and height of ovaries and corpus leutum as pregnancy advances than non-pregnantbuffaloes. A greater number of ovarian structure (follicles) was found at the time of oestrus than anoestrus period

Impact of a community-based perinatal and newborn preventive care package on perinatal and neonatal mortality in a remote mountainous district in Northern Pakistan

Background: There is limited evidence from community-based interventions to guide the development of effective maternal, perinatal and newborn care practices and services in developing countries. We evaluated the impact of a low-cost package of community-based interventions implemented through government sector lady health workers (LHWs) and community health workers (CHWs) of a NGO namely Aga Khan Health Services on perinatal and neonatal outcomes in a sub-population of the remote mountainous district of Gilgit, Northern Pakistan. Methods: The package was evaluated using quasi experimental design included promotion of antenatal care, adequate nutrition, skilled delivery and healthy newborn care practices. Control areas continued to receive the routine standard health services. The intervention areas received intervention package in addition to the routine standard health services. Outcome measures included changes in maternal and newborn-care practices and perinatal and neonatal mortality rates between the intervention and control areas. Results: The intervention was implemented in a population of 283324 over a 18 months period. 3200 pregnant women received the intervention. Significant improvements in antenatal care (92% vs 76%, p \u3c .001), TT vaccination (67% vs 47%, p \u3c .001), institutional delivery (85% vs 71%, p \u3c .001), cord application (51% vs 71%, p \u3c .001), delayed bathing (15% vs 43%, p \u3c .001), colostrum administration (83% vs 64%, p \u3c .001), and initiation of breastfeeding within 1 hour after birth (55% vs 40%, p \u3c .001) were seen in intervention areas compared with control areas. Our results indicate significant reductions in mortality rates in intervention areas as compared to control areas from baseline in perinatal mortality rate (from 47.1 to 35.3 per 1000 births, OR 0.62; 95% CI: 0.56-0.69; P 0.02) and neonatal mortality rates (from 26.0 to 22.8 per 1000 live births, 0.58; 95% CI: 0.48-0.68; P 0.03). Conclusions: The implementation of a set of low cost community-based intervention package within the health system settings in a mountainous region of Pakistan was found to be both feasible and beneficial. The interventions had a significant impact in reduction of the burden of perinatal and neonatal mortality

Effect of Mould Size on Compressive Strength of Green Concrete Cubes

This paper is aimed to evaluate the effect of mould size on compressive strength of concrete cubes made with recyclable concrete aggregates. Natural coarse aggregates were replaced with 50% recycled aggregates from old demolished concrete. Five different mould sizes were used to cast 420 concrete cubes using 1:2:4 mix and 0.55 water/cement ratio. In each size equal number of cubes was cured for 3, 7, 14 and 28-day. After curing, weight of cubes was determined followed by testing for compressive strength in universal load testing machine with gradually increasing load. From the obtained results the strength correction coefficients were computed keeping 28-day cured standard size cubes as control specimens. Also, numerical expression based on regression analysis was developed to predict the compressive strength using weight of cube, area of mould and curing age as input parameter. The numerical equation predicts the compressive strength very well with maximum of 10.86% error with respect to experimental results.

Effect and feasibility of district level scale up of maternal, newborn and child health interventions in Pakistan: A quasi-experimental study

Introduction: Pakistan has a high burden of maternal, newborn and child morbidity and mortality. Several factors including weak scale-up of evidence-based interventions within the existing health system; lack of community awareness regarding health conditions; and poverty contribute to poor outcomes. Deaths and morbidity are largely preventable if a combination of community and facility-based interventions are rolled out at scale.Methods and analysis: Umeed-e-Nau (UeN) (New Hope) project aims is to improve maternal, newborn and child health (MNCH) in eight high-burden districts of Pakistan by scaling up of evidence-based interventions. The project will assess interventions focused on, first, improving the quality of MNCH care at primary level and secondary level. Second, interventions targeting demand generation such as community mobilisation, creating awareness of healthy practices and expanding coverage of outreach services will be evaluated. Third, we will also evaluate interventions targeting the improvement in quality of routine health information and promotion of use of the data for decision-making. Hypothesis of the project is that roll out of evidence-based interventions at scale will lead to at least 20% reduction in perinatal mortality and 30% decrease in diarrhoea and pneumonia case fatality in the target districts whereas two intervention groups will serve as internal controls. Monitoring and evaluation of the programme will be undertaken through conducting periodical population level surveys and quality of care assessments. Descriptive and multivariate analytical methods will be used for assessing the association between different factors, and difference in difference estimates will be used to assess the impact of the intervention on outcomes.Ethics and dissemination: The ethics approval was obtained from the Aga Khan University Ethics Review Committee. The findings of the project will be shared with relevant stakeholders and disseminated through open access peer-reviewed journal articles

Workability and Flexural Strength of Recycled Aggregate Concrete with Steel Fibers

This study examined how concrete workability and flexural strength are affected by steel fibers and recycled aggregates. Steel fibers were used in doses between 1-5%, with an increment of 0.5%, and 50% of the natural coarse aggregates were replaced by recycled. Two mixes of conventional and recycled aggregate concrete without steel fibers were used as control mixes. Concrete mixes were prepared using 1:2:4 and 0.45 water-to-cement ratios. Workability was determined using the slump cone. Three prism specimens sized 500×100×100mm were prepared for each batch and cured for 28 days in potable water. After curing, the specimens were air-dried in the laboratory and tested to evaluate their flexural strength under two-point loading. The load and deflection were monitored at regular intervals until failure. A comparison of results with control mixes showed that as the percentage of steel fiber increased, flexural strength increased by 69% and deflection decreased by 66%. The use of steel fibers improved the flexural strength of the recycled aggregate concrete by 59%

Impact of pulse oximetry on hospital referral acceptance in children under 5 with severe pneumonia in rural Pakistan (district Jamshoro): Protocol for a cluster randomised trial

Background: Pneumonia is a leading cause of death among children under 5 specifically in South Asia and sub-Saharan Africa. Hypoxaemia is a life-threatening complication among children under 5 with pneumonia. Hypoxaemia increases risk of mortality by 4.3 times in children with pneumonia than those without hypoxaemia. Prevalence of hypoxaemia varies with geography, altitude and severity (9%-39% Asia, 3%-10% African countries). In this protocol paper, we describe research methods for assessing impact of Lady Health Workers (LHWs) identifying hypoxaemia in children with signs of pneumonia during household visits on acceptance of hospital referral in district Jamshoro, Sindh.Methods and analysis: A cluster randomised controlled trial using pulse oximetry as intervention for children with severe pneumonia will be conducted in community settings. Children aged 0-59 months with signs of severe pneumonia will be recruited by LHWs during routine visits in both intervention and control arms after consent. Severe pneumonia will be defined as fast breathing and/or chest in-drawing, and, one or more danger sign and/or hypoxaemia (Sa02 \u3c92%) in PO (intervention) group and fast breathing and/or chest in-drawing and one or more danger sign in clinical signs (control) group. Recruits in both groups will receive a stat dose of oral amoxicillin and referral to designated tertiary health facility. Analysis of variance will be used to compare baseline referral acceptance in both groups with that at end of study.Ethics and dissemination: Ethical approval was granted by the Ethics Review Committee of the Aga Khan University (4722-Ped-ERC-17), Karachi. Study results will be shared with relevant government and non-governmental organisations, presented at national and international research conferences and published in international peer-reviewed scientific journals.Trial registration number: NCT03588377

Repellent potential of medicinal oils against Tribolium castaneum (Herbst) under laboratory conditions

Laboratory experiments were conducted to determine repellency of five local medicinal oils i.e., neem Azadirachta indica A. Juss., castor Ricinus communis L., rapeseed Brassica napus L., lettuce Lactuca sativa L. and chamomile Anthemis cotula L. against Tribolium castaneum Herbst, each applied at 0.1, 0.5- and 1.0-ml doses. A glass cylinder divided into A, B and C sections with one end close was used. Fifty grams of wheat flour was placed at A and C ends. Twenty freshly emerged T. castaneum was released at the center of cylinder (B). The data was recorded after one-, two- and three-days to count number of T. castaneum at A and C for calculating percentage repellency. All the oils showed repellent potential against T. castaneum as their repellency increased with dose and time exposure. After three days, 100% repellency of T. castaneum was recorded in 0.5- and 1.0-ml doses of neem oil, followed by 6.67±3.33% repellency at 0.1 ml neem oil. After three days, the maximum repellency of T. castaneum in rapeseed, castor, chamomile, and lettuce was 86.67±7.26, 76.67±6.01, 76.67±4.41, and 75.00±7.64%, respectively, all recorded at 1.0 ml dose. Overall, neem oil exhibited significantly more repellency of T. castaneum, whereas castor, lettuce, rapeseed and chamomile were found non-significant with each other. Among doses, although highest repellency was recorded at 1.0 ml dose, but not significantly different from 0.5 ml dose of the individual oil. Therefore, 0.5 ml should be applied per 50 grams of wheat flour to get effective repellency of T. castaneum