Immediate Procedural Success of Primary Percutaneous Intervention in Patients with Acute ST Segment Elevation Myocardial Infarction

Objective: To determine the frequency of immediate procedural success of Primary PCI in patients with Acute ST segment elevation Myocardial infarction. Methodology: This observational study was conducted at Cardiology unit of P.I.M.S, Islamabad from April 2018 to October 2018. Study included 43 patients with STEMI. All of them had primary PCI. The main outcome variable was frequency of procedural success which was described as frequency distribution table. Results: Procedural success was achieved among all (100%) patients.  There were 16.3% patients who developed contrast induced nephropathy (recovered), they all were diabetics. There were 4.6% patients who developed hematoma. No other complications seen Conclusions: Immediate procedural success of primary PCI is high (almost successful in every case) and should be offered to the patients with STEMI whenever the facility is available. Keywords: ST-segment elevation myocardial infarction; primary percutaneous coronary intervention

Seasonal influence, heat unit accumulation and heat use efficiency in relation to maize grain yield in Pakistan

Variations in ambient temperature affect crop yield by modifying the duration of phenological phases and physiologicalprocesses. An experimental study was carried out at the Maize and Millets Research Institute (MMRI),Yusafwala, Sahiwal, Pakistan, to determine the seasonal effects of temperature on indigenous and exotic maize(Zea mays L.) hybrids based on morphological, phenological, physiological and grain quality traits in four differentgrowing seasons: kharif 2016 and 2017, and spring 2017 and 2018. Seven indigenous and three exotic hybridswere sown in a randomized complete block design with a split plot arrangement, in three replications. Significantdifferences between hybrids and growing seasons were found for grain yield, related traits and temperature indices(cumulative heat units, photothermal index and heat use efficiency). Correlation analysis disclosed a significantpositive relationship between grain yield and net photosynthetic rate (0.854, P≤0.01), number of grains per ear(0.624, P≤0.01) and heat use efficiency (0.980, P≤0.01) in spring seasons. During kharif, net photosynthetic rate(0.675, P≤0.01) and heat use efficiency (0.996, P≤0.01) contributed significantly to grain yield, whereas number ofgrains per ear (−0.146, not significant) had no significant impact on grain yield. Cumulative heat units and heat useefficiency resulted the temperature indices with the greatest influence on grain yield, and should be consideredduring the selection of parents to develop high-yielding, climate-smart maize hybrids. Indigenous maize hybridsshowed higher yields and were more heat tolerant than exotic hybrids, and the spring sowing season appearedto be the most suitable for the cultivation of maize crops

Willingness to adopt green house gas mitigation measures: Agricultural land managers in the United Kingdom

Rapid uptake of greenhouse gas (GHG) mitigation measures is central to reducing agricultural and land use emissions and meeting the UK Net Zero policy. The socioeconomic challenges and barriers to uptake are poorly understood, with yet unclear structural pathways to the uptake of GHG mitigation measures. Using an online survey of 201 agricultural land managers across the UK, and applying multiple linear regression and stepwise regression analysis, this research established farm and farmers’ factors influencing perceptions and willingness to adopt GHG mitigation measures. The results consistently show that farm sector, farmers’ business perception, and labour availability influence willingness to adopt GHG mitigation measures. Based on the farmers’ qualitative feedback, other barriers to adoption include costs and concerns for profitability, lack of flexibility in land tenancy contracts, poor awareness and knowledge of the application of some GHG mitigation measures, perception about market demand e.g bioenergy crops, and scepticism about the future impacts of adopting varying GHG mitigation measures. In the midst of the ongoing net zero transition, this study identifies existing barriers to the uptake of GHG mitigation measures, and specifically, a substantial gap between farmers and the science of GHG mitigation measures and the need to incentivise a farm and farming community-led policy interventions to promote adoption of GHG mitigation measures

Pyrolysis, kinetics analysis, thermodynamics parameters and reaction mechanism of Typha latifolia to evaluate its bioenergy potential

The final publication is available at Elsevier via http://dx.doi.org/10.1016/j.biortech.2017.08.162 © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/This work was focused on understanding the pyrolysis of Typha latifolia. Kinetics, thermodynamics parameters and pyrolysis reaction mechanism were studied using thermogravimetric data. Based on activation energies and conversion points, two regions of pyrolysis were established. Region-I occurred between the conversion rate 0.1 to 0.4 with peak temperatures 538K, 555K, 556K at the heating rates of 10 Kmin-1, 30 Kmin-1, and 50 Kmin-1, respectively. Similarly, the Region-II occurred between 0.4 to 0.8 with peak temperatures of 606K, 621K, 623K at same heating rates. The best model was diffusion mechanism in Region-I. In Region-II, the reaction order was shown to be 2nd and 3rd. The values of activation energy calculated using FWO and KAS methods (134-204 kJ mol-1) remained same in both regions reflecting that the best reaction mechanism was predicted. Kinetics and thermodynamic parameters including E, ΔH, ΔS, ΔG shown that T. latifolia biomass is a remarkable feedstock for bioenergy.Higher Education Commission Pakista

Insights into the potential application of magnetic field in controlling sludge bulking and foaming: A review

The formation of bulking and foaming in biological wastewater treatment could cause a series of operational issues with biomass and effluent quality, ultimately affect the treatment performance of the system. The essential parameters influencing the growth of bulking and foaming bacteria are comprehensively summarised in this paper. Existing bulking and foaming control approached are critically reviewed and addressed, as well as their drawbacks and limitations. Despite the abundance of information and implementation, a complete control technique for limiting filamentous sludge bulking and foaming remains insufficient. Magnetic field application is emphasised as a viable control strategy in this regard. The present review study provides new insight of this application by comparing the use of magnetic fields to conventional treatments. Future outlooks on the use of magnetic fields to prevent BFB proliferation were also highlighted

Advances in pretreatment technology for handling the palm oil mill effluent: Challenges and prospects

The palm oil mill effluent (POME) from palm milling oil activities is discharged into various water bodies which poses several environmental problems including turbidity, increases COD and BOD, adds oil and grease, increases total nitrogen, and other pollutants. Therefore, it requires effective treatment to remove the pollutants before disposal. The objective was to critically discuss the performance of POME pretreatments along with their limitations. To offer a coverage on the present less efficient technologies, the opportunities and challenges of advanced pretreatments that combine magnetic materials and natural composites as adsorbents are comprehensively reviewed here. Moreover, potential of various magnetic materials for POME pretreatment has been described. Several existing pretreatment methods such as physical pretreatments, chemical pretreatments, coagulation-flocculation, and adsorption can remove pollutant content from POME with certain limitations and the use of magnetic composite adsorbents can enhance the treatment efficiency

Urolithiasis Associated Morbidity in Children

Background : To determine the various types of medical complications associated with urolithiasis in children.Methods: In this descriptive study 60 children of 1 month to 12 years age with haematuria, abdominal pain, history of passing stone or retention of urine and confirmed as suffering from renal calculi on radiological examination were selected. Initial investigations included urine routine examination, culture and sensitivity, blood urea, serum creatinine, serum electrolytes, plain x-ray Kidney, Ureter and Bladder and ultrasound for KUB. Further investigation like IVP, MCUG, nuclear scans such as DTPA, DMSA , MAG3 and metabolic screening for stones were done where required.Results: Majority (66%) were boys, with male: female ratio 2:1. Acute renal failure was present in 33% of the patients, and urinary tract infections in 23% of the patients. Many patients had more than one complication. Calculus anuria was seen in 3(5%) patients. Hypertension and urosepsis were observed in 1.6%, each. Fifteen patients had calcium stones and six patients had oxalate stonesConclusion: Acute renal failure is the most common renal complication which can be prevented with early diagnosis and management

Physiological and evolutionary studies of NAP systems in Shewanella piezotolerans WP3

Most of the Shewanella species contain two periplasmic nitrate reductases (NAP-α and NAP-β), which is a unique feature of this genus. In the present study, the physiological function and evolutionary relationship of the two NAP systems were studied in the deep-sea bacterium Shewanella piezotolerans WP3. Both of the WP3 nap gene clusters: nap-α (napD1A1B1C) and nap-β (napD2A2B2) were shown to be involved in nitrate respiration. Phylogenetic analyses suggest that NAP-β originated earlier than NAP-α. Tetraheme cytochromes NapC and CymA were found to be the major electron deliver proteins, and CymA also served as a sole electron transporter towards nitrite reductase. Interestingly, a ΔnapA2 mutant with the single functional NAP-α system showed better growth than the wild-type strain, when grown in nitrate medium, and it had a selective advantage to the wild-type strain. On the basis of these results, we proposed the evolution direction of nitrate respiration system in Shewanella: from a single NAP-β to NAP-β and NAP-α both, followed by the evolution to a single NAP-α. Moreover, the data presented here will be very useful for the designed engineering of Shewanella for more efficient respiring capabilities for environmental bioremediation