National Protocol For Malaria Treatment During Pregnancy

Each year more than 1.2 million women become pregnant in the Sudan, of those 750,000 are in areas with high malaria transmission: intense perennial, high seasonal transmission or in areas of irrigation. Malaria in Africa is estimated to cause 15% of maternal anaemia; about 10,000 maternal deaths / year and 35% of preventable low birth weight. Best practices of malaria control during pregnancy include effective case management of malaria for all women in the reproductive age in malarious areas and using of insecticide treated nets (ITNs) and adopting of intermittent preventive treatment (IPT) with SP. The programme and the partners are targeting 60% coverage with these interventions as Abuja Declaration call for by the end of 2005

Complete Heart Block in Association With Dengue Hemorrhagic Fever

Dengue virus infection affects the heart structurally and functionally. Clinical manifestations of cardiac complications secondary to dengue virus infection vary from self-limiting arrhythmias to severe myocardial infarction, leading to hypotension, pulmonary edema, and cardiogenic shock. However, we report a case of dengue hemorrhagic fever (DHF) complicated by a complete heart block. A female with DHF due to dengue virus serotype 2, presented to the emergency department with fever, headache, rash, and fatigue followed by an episode of syncope. She was found to have a third-degree atrioventricular block, with pulseless polymorphic ventricular tachycardia. Patient was resuscitated and a temporary trans-venous pacemaker was placed. She reverted back to normal sinus rhythm after 4 days of syncope and was subsequently discharged from the hospital after complete resolution of symptoms, without the need for a permanent pacemaker. Physicians are warranted to have high index of suspicion for dengue virus infection as an etiology in patients with acute cardiovascular compromise, especially in tropical areas

Laproscopic intravesical vesicovaginal fistula repair after removal of an old vaginal drain tube-a rare case

The management of vesicovaginal fistula is difficult and challenging We are presenting a rare case of a 24-year-old unmarried girl with history of vaginoplasty and multiple surgeries done in the past, with a vaginal drain tube kept for 12 years and a Vesicovaginal fistula at the bladder trigone. Patient was successfully treated with a laproscopic Intravesical vesicovaginal Fistula repair. As advances in understanding the etiology of VVF have been made, the laproscopic approach has become the gold standard. Laparoscopy allows an excellent view, good exposure of pelvic structures, provides direct access to the fistula and for repair of complex VVF that may not be amenable to vaginal repair

Safety and Efficacy of Drug-Eluting Balloons in the Treatment of Drug-Eluting In-Stent Restenosis: Experience of a Tertiary Care Hospital

Background: The advent of drug-eluting balloons (DEBs) is a promising development for coronary revascularization procedures, especially for in-stent restenosis (ISR). This study aims to highlight our experience with DEBs in the treatment of drug-eluting ISR at a tertiary care hospital in Pakistan. Methods: All Patients presenting to our institution from August 2008 to February 2011 with significant drug-eluting in-stent restenosis (DES-ISR) who were eligible to receive treatment via DEB were included in the analysis. Patient baseline characteristics and angiographic data about the lesion characteristics were obtained. Postprocedural and follow-up endpoints, including cardiac death, myocardial infarction, and repeat revascularization, ie, major adverse cardiovascular events (MACE), were included in the analysis. Results: A total of 26 Patients received treatment with DEB in the study period, with a significant number having major predisposing factors for the development of ischemic heart disease (IHD, 46% diabetics, 92% hypertensives). The culprit lesion was most commonly identified in the left anterior descending (31%), with presence of American College of Cardiology/American Heart Association lesion type C in 68% of Patients. The SeQuent Please paclitaxel-eluting balloon (B. Braun) was used for revascularization. Patients were followed for a median of 16 months. Only 5 Patients (19%) developed MACE during this period. Conclusion: Our experience demonstrates the effectiveness of DEBs in the treatment of drug-eluting ISR, especially in complex lesions with Patients having significant risk factors for development of IHD. However, further studies are needed to define their indications in this role

Mesin pembungkus nasi lemak

Pada era globalisasi ini, makanan tradisi melayu semakin berkembang dengan permintaan yang sentiasa meningkat saban tahun. Promosi hebat dan kesan media sosial telah menyebabkan tarikan yang kuat terhadap makanan tradisional Malaysia ditambah pula dengan kaedah hiasan yang kreatif dan menarik. Antara makanan tradisi melayu yang mendapat permintaan tinggi adalah Nasi Lemak. Nasi Lemak sangat sinonim dengan negara Malaysia sehinggakan ianya menjadi menu tetap sarapan pagi bagi setiap gerai mahupun hotel di negara kita. Penjualan nasi lemak sangat popular dan meluas. Permintaannya meningkat bukan sahaja di dalam negara, bahkan di peringkat antarabangsa juga nasi lemak mempunyai peminatnya yang tersendiri. Bagi syarikat penerbangan milik Malaysia seperti Airsia dan MAS, Nasi Lemak menjadi pilihan hidangan untuk penumpangnya yang terdiri daripada pelbagai warganegara serata dunia. Selain itu, faktor berlakunya peningkatan permintaan terhadap nasi lemak adalah kerana ianya tidak lagi hanya menjadi menu sarapan pagi semata-mata, malah ia juga menjadi menu makanan sepanjang masa sehingga ke lewat malam

Determinants of nostalgia sensitivity in nostalgic driven advertising

The research investigated several determinants potentially influencing consumer sensitivities towards nostalgia sentiment. A total of five variables were selected for investigation, where the research instrument used were survey methods supplemented by a series of nostalgic advertising stimulus; deployed to a sample size of 100 respondents comprising the general Malaysian population. It was revealed that factors such as ageing effect, past childhood experience and event repetition frequency in the past has positive and significant influence over nostalgia sentiment sensitivity of consumers

Camera stabilizer

In the world of videography and cinematography, visible camera shake is a common thing. Visible camera shake usually is caused by the movement of the camera operator when using a camera. Camera stabilizer is a device used by many people to reduce or remove the visible camera shake to create better quality videos. Most camera stabilizers available in the global market uses advanced technologies that can stabilize a camera very easily. However, the use of advance technologies has caused a spike in the price of these camera stabilizers. There are very little to none option when it comes to a low-cost camera stabilizer available in the market. This project main purpose is to design and fabricate a low-cost camera stabilizer that would be affordable to more people from different walk of life. The low-cost camera stabilizer will use simple mechanism to stabilize a camera instead of advance technologies that are used on most high cost camera stabilizers. The result shows that this low-cost camera stabilizers were able to stabilize a camera and reduce the visible camera shake using the balancing mechanism

SME ACCESS TO FINANCE IN EMERGING ECONOMIES: A COMPARATIVE STUDY OF PAKISTAN AND MALAYSIA

It has been widely accepted that SMEs make a significant contribution to the socio-economic and political infrastructure in both developed and developing countries. SMEs make up more than 96% of all businesses in emerging economies that provide two out of three private sector jobs. Yet, the importance of SMEs notwithstanding as confronted with several hindrances which impede their development. In emerging economies access to finance has been found as one of the major constraints to SMEs growth. In Malaysia and Pakistan SMEs contributing towards economic growth, however huge finance gap for SME sector exist in both countries. By summarizing current data this paper highlights the share of SME sector towards economic growth, financing gap and supply/demand side challenges towards access to finance in Malaysia and Pakistan. The comparison of both countries revealed that challenges are more severe in lower-middle income country (Pakistan) because of inappropriate policies and their implementation. However, the upper-middle income country (Malaysia) consistent growth can minimize the finance gap for SME sector quickly. JEL Code: M

IMPROVING ROOTING AND GROWTH OF CONOCARPUS ERECTUS STEM CUTTINGS USING INDOLE-3-BUTYRIC ACID (IBA) AND SOME BIOSTIMULANTS

The current study was conducted to evaluate the effects of indole-3-butyric acid (IBA) at 100 ppm with or without biostimulants (Agrobacterium rhizogenes, seaweed extract and coconut water) as either a spray or drench for 3 minutes or 1 hour on rooting and growth parameters of three cutting types (tip, middle and basal) of Conocarpus erectus L. The data showed that the rooting percentage, root and vegetative characteristics of rooted cuttings were significantly increased by all treatments of IBA and/or biostimulants compared to the untreated cuttings. The individual treatments of seaweed extract and coconut water were more effective than IBA or A. rhizogenes alone. Seaweed extract as drench with or without IBA surpassed those of seaweed extract treatments as spray. Besides, the response of cuttings treated with coconut water for 1 hour was better than coconut water for 3 min. Tip cuttings were significantly better than the middle and basal ones, especially in relation to rootability of cuttings. Maximum rooting percentage and shoot characteristicsof plants were obtained from tip cuttings treated with IBA + coconut water for 1 hour, followed by IBA + seaweed extract as drench. The highest rooting percentage was associated with high endogenous levels of phenols, indole acetic acid (IAA) and gibberellic acid (GA) as well as the lowest abscisic acid (ABA) level in cutting tissues and the anatomical structure of rooted cuttings. So, it can be recommended treating tip cuttings of C. erectus with either coconut water for 1 hour or seaweed extract as drench combined with IBA for enhancing the rooting percentage, root and shoot growth parameters as well as content of endogenous root promoting substances