Poverty assessment of farming community in rice wheat zone of Punjab, Pakistan

Purpose. Poverty in Pakistan mostly exists as a rural poverty rather than urban poverty and presents a desolate vision. Rural poverty shows divergence with respect to area, region or any other administrative division. The tenacious rise of rural poverty in the history of Pakistan with some omissions, it affords plenty of material and remains a lot of questions related to poverty in the mind of researchers. The current study focused on three main poverty measures i.e. incidence, depth and severity of rural poverty in the rice-wheat zone of Punjab, Pakistan (Middle Punjab). Methodology / approach. To overcome the existing poverty issues in the area, we utilize secondary datasets at districts, regions, provinces or at national levels collected from Pakistan Bureau of Statistics, Islamabad (PBS). Poverty assessment for the year 2011–2012 is analyzed through Foster Greer and Thorbecke (FGT) method. Moreover, the Logit model is also used to find out the empirical values existing in the datasets. Results. The fluctuations in rural poverty for the year 2011–12 in the existing zone was analyzed by using logit regression model and data source was Household Integrated Economic Survey (HIES). The incidence of uni-dimensional and multidimensional poverty in middle Punjab (2011–12) were 35.38 and 27.40 percent has been seen after estimations. Originality / scientific novelty. The education level, health services, availability of assets, facilities and age of household head are the key factors related to incidence, depth and severity of poverty. All the above mentioned factors have negative relation with poverty measures. Practical value / implications. The decline in poverty can be achieved via implementation of sharp economic activities including the dimensions as analyzed in the manuscript. At this point, policy makers did not pay attention on the key factors that influence rural poverty at regional levels. There is a dire need to make development in basic standards of life to alleviate poverty in a long way in the middle Punjab

Bovine Feed Manipulation, Enhancement of Conjugated Linoleic Acid and Its Bioavailability

Diet is a pivotal contributing factor to the onset and progression of some chronic ailments nowadays. The conjugated linoleic acid (CLA), a bioactive component of ruminant fat, introduces more elucidates what we know polyunsaturated fats and diseases. CLA, a mixture of isomers c9, t11 and t10, c12, is the most abundant ranging from 80 to 90% of total CLA isomers and account for most known health benefits. Dairy milk and meat are the major dietary sources of CLA, and its concentration is of great interest to human health. The biofunctionalities of CLA from enriched dairy products are major attributes in the context of a substance present in our everyday diet. Thus, dietary modifications in animal feed, synthetic and microbial production have been made to increase CLA intake to enhance its clinical manifestations. However, the bioavailability and distribution of enriched or supplemented CLA has not been fully elucidated because of its response variation in different animal models. This chapter deals with different dietary sources, availability, enhancement of CLA in dairy products and its positive manifestation against different maladies. In conclusion, it is feasible to produce CLA-enriched dairy products with acceptable storage and sensory characteristics while deriving its nutritional benefits

Infants-feeding practices and their relationship with socio-economic and health conditions in Lahore, Pakistan

Background: Pakistan, has high infant mortality rate. Among every 1000 live births 0.76% becomes the victim of death due to malnutrition and fatal infections. Therefore, feeding modes and practices may serve as important factors for assessment of an infant's growth and nutritional status. This study was designed to assess the exclusive breast feeding rate, frequency of diseases during breast feeding, status of breast feeding along with weaning, level of education, occupation and socio-economic status of parents.Methods: In the descriptive and cross-sectional study, a total of one hundred (100) infants were included. The sampling technique was non-probability convenience sampling. This study was conducted at vaccination centers and children clinics in different hospitals in city of Lahore -Pakistan.Results: The results showed that 67% of the mothers exclusively breastfed their babies. 64% of the mothers had knowledge of exclusive breast feeding. The practice of breast feeding was found as 81% while artificial feeding was practiced among 19% of the mothers. Majority of the mothers started weaning their babies at the age 4 (31%) and 6 months (32%) whereas 28% mothers started after 6 months. 54% of mothers continued breastfeeding along with weaning. 72% of the mothers were aware of the importance of colostrum.Conclusion: Maternal education and women's employment have been found major determinants for breastfeeding. The result indicates that in Pakistan, mothers receive counseling on breast feeding which is quite satisfactory and feeding practices of infants are found as better in Pakistan

Total and Near Total Composite Lower Eyelid Defect Reconstruction with Glabella Flap: An Excellent Option with Limited Donor Site Availability

Background/Objective: Traumatic loss of the lower eye lid is usually combined with the paucity of adjacent flaps to reconstruct composite defects. We describe the use of Glabellar flaps with composite or cartilage graft to reconstruct total or near total composite lower eyelid defects and its outcome. Material and Methods: This case series was done from January 2017 to December 2019. Patients of either gender, with unilateral post traumatic partial or full thickness lower eyelid defect of 75% eyelid loss or more and Glabellar flap as only remaining option to reconstruct the anterior lamella were included. Patients with medial, lateral canthi, upper eyelid and injuries to orbital contents were excluded. The outcome was assessed on follow-up by the presence of epiphora, ectropion, lagophthalmos, obstruction of vision, graft infection/ extrusion, lower lid retraction, donor site scarring and the need for flap debulking. Results: 12 patients were operated for lower eyelid defects. 2 (16.7%) patients had total loss of eyelid, while 10 (83.3%) had near total loss, 7 (58.3%) patients presented with partial thickness loss of the eyelid, while rest presented with full thickness loss. 1 patient (8.3%) presented with epiphora, similarly 1 (8.3%) had obstruction of vision in down gaze and 1 (8.3%) had conjunctivitis. None had any other complaint. Conclusion: Glabellar flap together with composite or cartilage graft is an excellent option to reconstruct total or near total composite lower eyelid defects

Accuracy of diagnosis and relationship with quality of emergency medicine training program

An indicator for emergency room performance is the ability to establish the correct diagnosis within the emergency room over the years. The authors chose to examine the non-congruence of Emergency Room diagnoses to that established after hospital stay for three selected years. A total of 8488 records were reviewed and all disparate diagnosis were recorded and categorized. Retrospective chart reviews were done from July 2008 to February 2009 at the Aga Khan University Hospital, Karachi. A substantial reduction in the percentage of disparate diagnoses was seen over the years from 41% in the initial year to 14% in the last year evaluated. It was concluded that over the years there has been an improvement in the reliability of Emergency Room diagnoses at the Aga Khan University Hospital, Karachi

Honey Composition, Therapeutic Potential and Authentication through Novel Technologies: An Overview

Honey is acknowledged as a natural functional food with additional health benefits. Due to its medicinal and therapeutic properties, honey is being used in both pharmaceutical and food industries to develop products as a remedy against various types of ailments. Honey contains polyphenols, flavonoids, and other key compounds that play an important role in human health. Honey possesses anticancer and antimicrobial properties as well as contains antioxidant and anti-inflammatory substance. Some studies also highlighted the antidiabetic properties of honey. It supports the respiratory system and contributes beneficial effects to the cardiovascular system. As a functional and nutraceutical food, honey plays a significant role. Due to the modernization and digitalization in this era, the role of novel technologies for characterization and authentication of honey cannot be ignored. Hence, the main purpose of this chapter is to review the latest studies related to honey’s advantageous effects on human health and to highlight the novel technologies to detect the impurities in honey

Superadded Bacterial Infections in COVID–19 Patients; Antimicrobial Susceptibility and Association with Serological Markers

Objective: To determine the frequency and antimicrobial susceptibility pattern of pathogens responsible for superadded bacterial infection in COVID-19 patients and correlate the association of these infections with serological markers. Study Design: Cross-sectional study. Place and Duration of study: Department of Pathology, Combined Military Hospital, Multan Pakistan, from Jan to Dec 2021. Methodology: A total of 290 patients having positive RT-PCR for SARS CoV-2 were included. All samples were processed per Clinical Laboratory Standard Institute (CLSI) protocols. API 20E and API 20NE were used for the identification of Gramnegative rods. Antimicrobial susceptibility testing was performed by the modified Kirby Bauer disc diffusion method.Serological markers, including C-reactive protein (CRP), total leucocyte count (TLC) and serum Ferritin, were determined and compared for significance in positive and negative culture cases. Results: A total of 75 patients had positive bacterial cultures. Among these, 42(56%) were blood culture, 26(35 %) were respiratory culture and 7(9%) were urine culture. Commonly isolated organisms were Acinetobacter baumannii, Klebsiella pneumoniae, Staphylococcus aureus and Pseudomonas aeruginosa, i.e., 23(31%), 20(27%), 13(17%), and 12(16%) respectively. CRP, TLC and S. ferritin were markedly raised in superadded bacterial infection compared to patients with COVID-19 infection only. Conclusion: The frequency of superadded bacterial infections in COVID-19 patients is high. The pathogens isolated in these cases were multidrug-resistant, reflecting mostly hospital-acquired flora. The association of serological markers in depicting superadded infection is statistically significant and may be used to screen for superadded bacterial infection in COVID-19 patients

Prevalence of different tick species on livestock and associated equines and canine from different agro-ecological zones of Pakistan

Ticks are ectoparasites that act as vectors for transmission of various pathogens to wild and domesticated animals and pose a serious threat to human health. Because of the hot and humid conditions in different agro-ecological zones of Pakistan, ticks are abundant and parasitize a variety of animals. The aim of this study was to identify different tick species and distribution on different hosts especially livestock, such as sheep, goat, cattle, buffalo, and camel, and livestock associated canines and equines, such as horse, donkey, and dog, across different agro-ecological zones of Pakistan. The ticks samples were collected and morphologically identified at genus and species level using morphological keys under stereomicroscope. A total of 2,846 animals were examined for the tick infestation, and 408 animals were tick-infested. Eleven tick species belonging to 4 genera were identified: Hyalomma anatolicum, Hyalomma scupense, Hyalomma dromedarii, Hyalomma isaaci, Rhipicephalus microplus, Rhipicephalus haemaphysaloides, Rhipicephalus turanicus, Haemaphysalis cornupunctata, Haemaphysalis montgomeryi, Haemaphysalis bispinosa, and Ixodes kashmiricus. The overall tick prevalence was 14.3%; host-wise infestation rate was 12.2% in sheep; 12.6%, goat; 11.7%, buffalo; 11.7%, cattle; 19.6%, camel; 27.4%, donkey; 23.5%, horse; and 24.3%, dog. Tick infestation of different animals differed on the basis of the zones. Camels showed the highest tick infestation rate in zones 1 and 2 (21.4 and 26.7%, respectively), whereas donkeys showed the highest infestation rate in zones 3, 4, 6, and 7 (25, 39.3, 3.3, and 21.4%, respectively). The infestation rates of Hyalomma and Rhipicephalus were the highest in zone 2 (71.4 and 52.9%, respectively). The infestation rate of Hyalomma was the highest (47.4%) in sheep; Haemaphysalis (46.9%), goat; Rhipicephalus (69.7%), buffalo; Rhipicephalus (62.3%), cattle; Hyalomma (70%), camel; Ixodes (60.9%), donkey; Ixodes (75%), horse; and Rhipicephalus (61.1%), dog. This study showed the diversity and infestation rate of different ticks with respect to their hosts and agro-ecological zones of Pakistan. High tick burdens and infestation rates are responsible for the spread of different tick-borne infections, resulting in loss of animal productivity and posing a threat to animal and human health. Understanding different tick species and their distribution across different zones will be helpful for developing efficient control strategies against different tick born infections

Community Based Assessment of Behavior and Awareness of Risk Factors of Cystic Echinococcosis in Major Cities of Pakistan: A One Health Perspective.

Background: The parasitic disease, cystic echinococcosis (CE), is a serious health problem in Pakistan. Risk of disease transmission is increased by economic and political instability, poor living conditions, and limited awareness of hygienic practices. The current study aimed to investigate the community perception and awareness regarding the risk factors of CE in Pakistan, from a One Health perspective. Methods: We conducted a community-based survey involving 454 participants in the major cities of Pakistan. Quantitative data based on knowledge, attitude, and practices (KAP), the One Health concept, risk factors, and community perception of CE among the general population of the major cities of Pakistan were collected. The questions included those related to knowledge, attitude, practices, One Health concept, risk factors, and community perception. The Chi-squared test was applied to determine the associations regarding KAPs across socio-demographic parameters. Results: KAPs had no significant associations with sociodemographic aspects such as age, sex, religion, ethnicity, education, marital status, occupation, or financial status of the participants. The findings indicated a lack of awareness about CE among the participants. Respondents were unaware of the risk factors and the One Health concept of CE. However, the community attitude and perception were positive toward the control of CE. Conclusion: Illiteracy, deficient sanitation systems and lack of awareness are the contributing factors to CE in Pakistan. It is necessary to make the community aware regarding CE and its importance. Increasing this awareness represents an important step toward the eradication and control of CE