11 research outputs found

    Comparative analysis of public transport modes available in Karachi, Pakistan

    No full text
    This study presents a comparative analysis of selected parameters of existing formal and informal Public Transport (PT) modes being operated on three different types of fuels. The performance of PT modes is analysed on fuel consumption, capacity, transportation cost, and emissions resulting from these modes. The required data were collected using route-check survey method and conducting a questionnaire-based survey from drivers and operators of these modes. Furthermore, the performance of proposed buses for an under-construction BRT corridor is also evaluated and compared with the existing PT modes. The comparative analysis of the existing PT modes in Karachi shows that CNG operated PT modes are economically more efficient, which caused the conversion of diesel engines of buses and minibuses to CNG fuelled-engines. The study, for the first time, evaluates and compares the performance of informal PT mode (chingchi) with other modes of PT. Results show that the PT modes with less capacity, such as chingchi, should be discouraged due to their comparatively lower performance on the selected parameters. This study can be used by the authorities to analyze the performance of existing modes and prioritize the PT modes for future planning

    Comparative study on growth and yield performance of oyster mushroom (Pleurotus florida) on different substrates

    No full text
    Experiment was carried out in the mushroom cultivation laboratory, Horticulture Center, Khairtala, Jessore to evaluate the better performance of oyster mushroom Pleurotus florida in different substrate compositions as well as to find out the better substrate for mushroom cultivation. Highest mycelium running rate was found in banana leaves and rice straw (1:1) but the lowest in control. Completion of mycelium running time was lowest in banana leaves and rice straw (1:3 and 3:1). Number of total primordia and effective primordia, found highest in control but the maximum pileus thickness was measured from rice straw. Highest biological yield and economic yield (164.4 g and 151.1 g) was obtained from rice straw which was much higher than control. From the graphical view, both positive and negative relationships were found between economic yield and different yield contributing attributes

    The interdependent relationship between sectoral productivity and disaggregated energy consumption in Malaysia: Markov Switching approach

    No full text
    This study examines the interdependent relationship between sectoral productivity and disaggregated energy consumption in Malaysia by employing the Markov Switching technique. Several outcomes were reached. Firstly, the regime movement of GDP during regime-2 is influenced by disaggregated energy consumption. Secondly, the regime-1 and regime-2 of industrial and manufacturing productivity are responded by the respective regimes of disaggregated energy consumption. Finally, the regimes of carbon emission depend on both of manufacturing and industrial productivity. This study recommends to consume the energy at an efficient level and green technology in order to minimise energy consumptions and environment pollution

    Global Burden of Cardiovascular Diseases and Risks, 1990-2022

    No full text

    Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

    No full text
    © 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit
    corecore