AN EFFICIENT AND COST-EFFECTIVE MATHEMATICAL MODEL TO ANALYZE BIG DATA

An efficient and cost-effective piecewise mathematical model is presented to represent a descriptive huge data mathematically. The techniques of function lines as decision boundaries are applied to incorporate the big data of the organization into slope intercept form. Which may be very helpful for a better understanding of discrete data to obtain sustainable and accurate results. Based on the boundaries limitation results of the collected data of the Federal Board of Revenue, the income tax against the income is studied. And finally the reliability of piecewise function to optimize the role of strategic management in any organization is investigated. The results showed that, the slope rate measured in the boundaries of income in percentage or increased slope rate is in good agreement with that predicted by the organization in descriptive form

Water-pipe smoking and albuminuria: new dog with old tricks

Water-pipe (WP) smoking is on rise worldwide for the past few years, particularly among younger individuals. Growing evidence indicates that WP smoking is as harmful as cigarette smoking. To date, most of the research has focused on acute health effects of WP smoking, and evidence remains limited when it comes to chronic health effects in relation to long-term WP smoking. Therefore, the aim of this study was to examine the association between WP smoking and albuminuria in apparently healthy individuals. This analysis was conducted on data of a population-based cross-sectional study—the Urban Rural Chronic Diseases Study (URCDS). The study sample was recruited from three sites in Pakistan. Trained nurses carried out individual interviews and obtained the information on demographics, lifestyle factors, and past and current medical history. Measurements of complete blood count, lipid profile, fasting glucose level, and 24-hour albuminuria were also made by using blood and urine samples. Albumin excretion was classified into three categories using standard cut-offs: normal excretion, high-normal excretion and microalbuminuria. Multiple logistic regression models were used to examine the relationship between WP smoking and albuminuria. The final analysis included data from 1,626 health individuals, of which 829 (51.0%) were males and 797 (49.0%) females. Of 1,626 individuals, 267 (16.4%) were current WP smokers and 1,359 (83.6%) were non-WP smokers. WP smoking was significantly associated with high-normal albuminuria (OR = 2.33, 95% CI 1.68-3.22, p-value <0.001) and microalbuminuria (OR = 1.75, 95% CI 1.18-2.58, p-value 0.005) after adjustment for age, sex, BMI, social class, hypertension, and diabetes mellitus. WP smoking was significantly associated with high-normal albuminuria and microalbuminuria when analysis was stratified on hypertension and diabetes mellitus categories. WP smoking has a strong association with albuminuria in apparently healthy individuals. More research is warranted to evaluate the temporality of this association between WP smoking and albuminuria

1.16 THE EFFECT OF QUARANTINE ON THE EMOTIONAL WELL-BEING OF KIDS: A SYSTEMATIC REVIEW

Objectives: COVID-19 has a significant impact on the mental health of children and adolescents including adverse consequences from quarantine or isolation. In this systematic review, we explore the impact of quarantine and isolation on psychological well-being of youth and propose a comprehensive strategy to reduce psychological burden. Methods: Three electronic databases including PubMed, Scopus, and Web of Science were searched for relevant articles by using the following search terms: (stigma OR stigmas OR stigmatization OR stigmatization) AND (psych* OR mental OR anxiety OR depression OR stress OR insomnia OR adjustment) AND (quarantin* OR patient isolation OR isolate* OR lockdown OR lock-down OR cordon) AND (child* OR adolescent OR adolescence OR youth). Two independent reviewers performed title and abstract screening followed by full-text screening by using predetermined eligibility criteria. Data were extracted for study population, country of study, scales used to measure for outcome, summary of results, and limitations. Results: The initial search found 530 unique citations, and 10 studies were included after thorough screening. Among the included studies, the study design was cohort in 4 studies, cross-sectional in 3, and descriptive qualitative in 3. The most common diagnoses were acute stress disorder, adjustment disorder, grief, and PTSD. There was also evidence for restlessness, irritability, anxiety, clinginess, and inattention with increased screen time in children during quarantine. Conclusions: This review helps in improving the understanding of quarantine\u27s effects on children and adolescents, such as mental health issues, stigma, physical health, education, socialization, and parental perception. We also propose interventions for quarantined children through education, information dissemination, behavioral activation, health care system response, school-based strategies, and other coping techniques

A rare case of presacral epidermoid cyst in an adult male: emphasis on diffusion weighted magnetic resonance sequences in preoperative imaging.

Epidermoid cyst of the presacral space is a rare congenital lesion of ectodermal origin. Presacral epidermoid cysts have been previously reported in women, however are extremely rare in males. We report a case of presacral epidermoid cyst in a 55-year-old male who presented to our emergency department with acute urinary retention and history of chronic constipation. A non-contrast computed tomography scan was performed with suspicion of urolithiasis, which revealed a well circumscribed low attenuation presacral mass. Magnetic resonance imaging (MRI) of the pelvis was subsequently performed to further characterize the lesion. The mass was returning hypointense T1 and hyperintense T2 signals with few foci of T2 hypointensities. There was no post-contrast enhancement; however the lesion was showing diffusion restriction, appearing hyperintense on diffusion weighted imaging (DWI) and hypointense on the corresponding apparent diffusion coefficient map. These imaging features were consistent with an epidermoid cyst. Laparotomy with complete surgical excision of the cyst and preservation of the adjacent structures was performed. The histopathology confirmed the diagnosis. This case highlights the importance of MRI with additional sequences of diffusion weighted imaging which can be helpful to differentiate, to a good degree of confidence, among different pelvic tumors, therefore obviating the need of biopsy before surgery

Ultrasound-guided Intralesional Bleomycin Injection (IBI) for Treatment of Cutaneous Hemangiomas and Vascular Malformations

Purpose: To report the therapeutic outcome of ultrasound-guided intralesional injection of bleomycin in the treatment of cutaneous hemangiomas and vascular malformations. Material & Methods: The medical records of patients with cutaneous hemangiomas and vascular malformations treated with the intralesional injection of bleomycin under ultrasound guidance between August 2009 and June 2013 at the Indus Hospital, Karachi were reviewed retrospectively using a computerized medical record information management system. Data were extracted using a pre-coded performa that included patient demographics, type and location of lesion, number of treatments, presenting/pre- and post-treatment clinical symptoms (pain, swelling, heaviness, size, discoloration), ultrasound appearance and vascularity, and post-treatment side effects. The dose range of bleomycin was 0.5-1.0 mg/kg, but not exceeding 15 mg in a single session. A maximum of four treatments were given in any given patient except for one, who presented with recurrence after a year of complete resolution. Therapeutic outcome was determined using review of ultrasound images and recorded clinical assessment. Treatment response was categorized as: (i) complete resolution [more than 90% reduction]; (ii) substantial reduction [more than 50% reduction]; (iii) mild reduction [25% reduction]; or, (iv) no improvement [ \u3c 10% reduction]. Results: A total of 30 patients (16 female, 14 male), ranging in age from 8 months to 48 years (mean age 10.2 years), were treated from 2009 to 2013. There were 23 hemangiomas. Seven were vascular malformations, of which five were lymphatic malformations and two were venous malformations. Twenty-eight lesions were located in the head and neck region, and two were peripheral.. In 24 of the 30 patients (76%), treatment had been completed. In six patients (21%) treatment was ongoing at the time of this report. Seventeen of the 23 hemangiomas (74%) were completely resolved clinically and on ultrasound, five (22%) showed substantial improvement and one (4%) showed mild improvement. In five of the seven vascular malformations (71%) lymphatic malformations resolved completely, and two (29%) venous malformations showed substantial improvement. Of the 13 patients presenting with discoloration, there was complete resolution in one (7.7%), marked reduction in 11 (84.6%) and mild reduction in one (7.7%). Of seven patients presenting with pain, there was complete resolution in two (28.6%), marked reduction in two (28.6%), mild reduction in two (28.6%), and no improvement in one (14.3%). There were no pulmonary complications. Conclusion: Ultrasound-guided intralesional injection of bleomycin is an option to consider for the treatment of certain types of cutaneous hemangiomas and vascular malformations. Prospective studies should be undertaken to understand the various factors contributing to therapeutic success

The Liquid-Liquid Extraction of Toxic Metals (Cd, Hg and Pb) by Calixarenes

Toxic metals (Cd, Hg and Pb) are mostly present in the environment due to natural phenomenon and human activities as well. Exposure of these non-essential elements in the environment causes severe effects. They are known to cause problems in humans as well as in aquatic life. In this work, we demonstrate various studies regarding liquid-liquid extraction of selected ions with different functionalized calixarenes. This review article briefly discusses several molecular designs of calixarenes for divalent ion (Cd2+, Hg2+ and Pb2+) recognition; as well as the relationship between structure and selectivity of the macrocycles is elaborated. The article does not, however, attempt to cover all of the different approaches to these toxic metal ions extraction

ISSN-1996-918X Pak

Abstract Banana peel, a common fruit waste has been investigated to remove and preconcentrate Cr(III) from industrial wastewater. It was characterized by FT-IR spectroscopy. The parameters pH, contact time, initial metal ion concentration and temperature were investigated and the maximum sorption was found to be 95%. The binding of metal ions was found to be pH dependent with the optimal sorption occurring at pH 4. The retained species were eluted using 5mL of 2 M HNO 3 . The mechanism for the binding of Cr(III) on the banana peel surface was also studied in detail. The Langmuir and Dubinin-Radushkevich (D-R) isotherms were used to describe the partitioning behavior for the system at different temperatures. Kinetic and thermodynamic measurements of the banana peel for chromium ions were also studied. The method was applied for the removal and preconcentration of Cr(III) from industrial wastewater