Impact of unplanned excision on prognosis of patients with extremity soft tissue sarcoma

Unplanned excision of soft tissue sarcomas (STSs) outside comprehensive tumor management centers necessitates the need for wide reexcision to achieve adequate margins. We retrospectively reviewed medical records of 135 patients with STS operated at our hospital with the goal of examining outcomes, in terms of local recurrence (LR) and metastasis rate (MR), of reexcision following unplanned excision of STS and comparing results with those of first-time planned surgery. Eighty-four patients had their first-time surgery and 51 patients had come to us following unplanned excision at prereferral hospital. Mean age of all patients was 41.8 ± 21.9 years. The LR and MR was 14.3% and 8.3%, respectively, in patients undergoing first resection, whereas it was 21.4% and 13.7%, respectively, in patients undergoing revision surgery. Average duration from previous unplanned excision was 8 months. Twelve patients were referred immediately after excised specimen revealed STS, while 39 patients presented after evident local recurrence. Wide reexcision was attempted in 48 patients while three patients need amputation. Adjuvant radiotherapy was administered in all patients undergoing limb-sparing surgery. Ten patients needed adjuvant chemotherapy.We conclude that wide reexcision of STS has poorer outcomes compared to planned excision. Therefore, patients with soft tissue masses should be managed by multidisciplinary oncology team at specialized cancer centers

Performance Analysis of Hardware Protection & System Security in Different Operating Systems

The intention of article is to protect the hardware, which includes protecting CPU, I/O, and memory. This article portrays and relates the security in different operating systems. Therefore, helping us to choose the best. We can evaluate the security in different operating systems like Windows, UNIX, Linux to secure over all data to access unauthorized users

Clinical Study Impact of Unplanned Excision on Prognosis of Patients with Extremity Soft Tissue Sarcoma

Unplanned excision of soft tissue sarcomas (STSs) outside comprehensive tumor management centers necessitates the need for wide reexcision to achieve adequate margins. We retrospectively reviewed medical records of 135 patients with STS operated at our hospital with the goal of examining outcomes, in terms of local recurrence (LR) and metastasis rate (MR), of reexcision following unplanned excision of STS and comparing results with those of first-time planned surgery. Eighty-four patients had their first-time surgery and 51 patients had come to us following unplanned excision at prereferral hospital. Mean age of all patients was 41.8 ± 21.9 years. The LR and MR was 14.3% and 8.3%, respectively, in patients undergoing first resection, whereas it was 21.4% and 13.7%, respectively, in patients undergoing revision surgery. Average duration from previous unplanned excision was 8 months. Twelve patients were referred immediately after excised specimen revealed STS, while 39 patients presented after evident local recurrence. Wide reexcision was attempted in 48 patients while three patients need amputation. Adjuvant radiotherapy was administered in all patients undergoing limb-sparing surgery. Ten patients needed adjuvant chemotherapy. We conclude that wide reexcision of STS has poorer outcomes compared to planned excision. Therefore, patients with soft tissue masses should be managed by multidisciplinary oncology team at specialized cancer centers

Microbial Contamination in Drinking Water of Saggiyan-Lahore, Pakistan

The present study was carried to evaluate the physico-chemical parameters and microbial contamination of drinking water in the area of Saggiyan, Lahore. The tested water samples (S1-S30) were found to contain 199.6-402 mg/L TDS, 196-260 ppm EC, 196-260 ppm Hardness, 0.8-17 NTU turbidity, 169-290 mg/L alkalinity, 0-0.1 ppb arsenic and 0-0.1 ppm fluoride contents. 95% of the water samples were found contaminated with fecal coliforms while 27% of the samples had shown the presence of E. coli. Though the physico-chemical parameters of most water samples were found in the safe limits of WHO, however, the presence of microbial contamination rendered it non-suitable for drinking purposes

Planar SIW leaky wave antenna with electronically reconfigurable E-and H-plane scanning

This paper reports on a novel technique of switching radiation characteristics electronically between E-and H-planes of planar Substrate Integrated Waveguide Leaky Wave Antennas (SIW-LWAs). The leaky wave mode is achieved through increasing the pitch of bounding metallic via posts on one side of SIW transmission section. The radiation switching is achieved by extending the top and bottom metallic planes to a distance of 1 mm along the leakage side. The extended section acts as a parallel plate section which is conveniently connected or disconnected from the leaking side of SIW through PIN diodes. The ‘ON’ state of PIN diodes extends the metal guides and results in the H-plane leakage whereas ‘OFF’ state of PIN diodes truncates the extended metal earlier and alter the leakage line boundary condition towards E-plane. The whole concept is validated by series of simulations followed by the realization and testing of the SIW-LWA. The measured radiation pattern scans about 54° in the E-plane between 10.0 GHz to 11.7 GHz, and 58° in the H-plane from 9 GHz to 10.6 GHz. The proposed topology is a suitable candidate for remote sensing and airborne applications

Electrolyte Imbalance Pattern in Hospitalized Unconscious Patients

Objective: To determine the pattern of electrolyte imbalance and associated etiological factors among the unconscious patients hospitalized at Pak Emirates Military Hospital. Study Design: Cross-sectional study Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi Pakistan from Sep 2019 to Feb 2020 Methodology: A total of 240 cases were included in this study in liaison with other departments where the admitted patients became unconscious. Patients with a Glasgow coma scale score <10 were included in the study. Serum electrolytes, including Sodium, Potassium, Magnesium and Chloride, were measured in the study participants. Results: Mean age of study participants was 49.10±7.55 years. One hundred and sixty-two (67.5%) patients were from Medicine -Allied Wards while 78(32.5%) patients were from Surgical-Allied Wards. Thirty-eight patients were from the Critical Care Unit. Mean serum sodium was 139.10±11.52 meq/L, while potassium was 4.60±1.06 meq/L. Mean chloride was 809.4±53.55 meq/L, and Magnesium was 1.40±1.05) meq/L. Our analysis revealed that advanced age, underlying medical illness and duration of hospitalization were strongly linked with electrolyte imbalance among the unconscious patients. Conclusion: Electrolyte imbalance emerged as a common finding in the unconscious patients hospitalized in our tertiary care unit. Patients with advancing age, medical illnesses and long hospitalization should be screened for electrolyte wasting a priority to prevent them from going unconscious

Advanced Carbon Functional Materials for Superior Energy Storage

In the developing world, energy crisis is the main reason for less progress and development. Renewable and sustainable energy may be of bright future for scientific lagging and low-income countries; further, sustainability through smart materials got a huge potential; so, hereby keeping in view the energy crisis which the developing world is facing for many decades, we are proposing to write a chapter project for obtaining energy through cheap, sustainable, and functional advanced carbon materials. Carbon materials are the future of energy storage devices because of their ability to store energy in great capacity. The graphene is a material with amazing properties like no band gap, which turns graphene a wonderful candidate for use in the photovoltaic. Shortly, this chapter will discuss how superior energy storage may be obtained through various routes like using pyrrolic (N5) and pyridinic (N6) doping in advanced carbon functional materials, or superior energy by KOH activation in carbon materials, or through carbonization in organic matter, respectively. Further, for the advanced carbon functional materials, the superior energy storage using pyrrolic (N5) and pyridinic (N6) doping, or KOH activation, or through carbonization will be discussed one by one for lithium ion batteries, supercapacitors, and relevant energy devices, respectively

Green photosensitisers for the degradation of selected pesticides of high risk in most susceptible food: a safer approach

Pesticides are the leading defence against pests, but their unsafe use reciprocates the pesticide residues in highly susceptible food and is becoming a serious risk for human health. In this study, mint extract and riboflavin were tested as photosensitisers in combination with light irradiation of different frequencies, employed for various time intervals to improve the photo-degradation of deltamethrin (DM) and lambda cyhalothrin (λ-CHT) in cauliflower. Different source of light was studied, either in ultraviolet range (UV-C, 254 nm or UV-A, 320–380 nm) or sunlight simulator (> 380–800 nm). The degradation of the pesticides varied depending on the type of photosensitiser and light source. Photo-degradation of the DM and λ-CHT was enhanced by applying the mint extracts and riboflavin and a more significant degradation was achieved with UV-C than with either UV-A or sunlight, reaching a maximum decrement of the concentration by 67–76%. The light treatments did not significantly affect the in-vitro antioxidant activity of the natural antioxidants in cauliflower. A calculated dietary risk assessment revealed that obvious dietary health hazards of DM and λ-CHT pesticides when sprayed on cauliflower for pest control. The use of green chemical photosensitisers (mint extract and riboflavin) in combination with UV light irradiation represents a novel, sustainable, and safe approach to pesticide reduction in produce

Assessment of Human Health Risk of Zinc and Lead by Consuming Food Crops Supplied with Excessive Fertilizers

For the study of heavy metals impact on human beings, areas in Sargodha city that were supplied with various types of fertilizers were chosen. The three industrial areas; (Bhalwal, Sillanwali, and Sahiwal) of this city were explored for research reasons. The researchers wanted to know how much heavy metal was in the soil, food crops, and human. Excess fertilizer use contributes to global pollution. Farmyard manure, urea, and potassium chloride were used on Site 1; urea phosphate, manure, and ammonium sulphate were used on Site 2; and super phosphate, ammonium phosphate, and nitrate phosphate were used on Site 3. Samples of commonly used food crops, their respective soils and blood of residents who ingested the food crops of the studied area were collected. The zinc and lead levels in soil (8.30-16.80 and 1.80-12.71 mg/kg) and food crops (0.26-2.02 and 2.26-4.70 mg/kg) were far lower than WHO permitted limits. Blood mean concentration of both Zn (2.30-4.30 mg/L) and Ni (0.24-0.70 mg/L) were found maximum in residents of Site 3. The values of pollution load index, bioconcentration factor, enrichment factor for both zinc and lead were (0.18-0.37 and0.220-0.948), (0.027-0.138 and 0.316-1.705), (0.020-0.144 and 0.515-2.780), respectively. Daily intake of metal (0.004-0.008 and 0.001-0.002 mg/kg/day) and health risk index (0.0001-0.016 and 0.005-0.115) values were observed to be lower in individuals for Zn and Pb, respectively. In present work values of all pollution indices wereSo, there would be no human health hazard

Comparative study of antimicrobial prescribing pattern between Nepal and Pakistan

Objective The purpose of this cross-sectional study conducted in different private and public sector hospitals of the major cities of Nepal and Pakistan was to compare and evaluate the antibiotic prescribing patterns. Methodology &nbsp;The data was collected based on prescriptions received from different hospitals of Lahore, Pakistan and Kathmandu, Nepal without much interaction with the patients. Results Out of a total of 272 patients, 111 (40.8%) patients from Nepal and 161 (59.19%) patients from Pakistan were prescribed with 447 antibiotics. In both countries, out of total antibiotics prescribed, 42.30% were 3rd generation cephalosporins. Also, in Pakistan and Nepal, out of all the indications, 49.2% of the antibiotics were given in medical prophylaxis. Conclusion &nbsp;In Pakistan, the antimicrobial prescription rate is comparatively higher than Nepal, and in both countries, there is a need of proper implementation of antibiotic prescribing guidelines for the prescription of antibiotics and the administration of antibiotics in medical prophylaxis