Viral Hepatitis

Background: The primary goals of conducting surveillance for viral hepatitis are to direct prevention and control activities for these diseases and to evaluate the impact of these activities. Any person with a hepatitis virus infection is a potential source of infection to others. Surveillance would help accomplish the goals by providing information on: Creating a network of laboratories for diagnosis of viral hepatitis. 2. Monitor trends in incidence of and risk factors for disease. Assess burden of disease 4. Identify infected persons requiring counseling and /or post exposure prophylaxis. 5. Identify and control outbreaks. Methodology: Laboratory based targeted sousveillance in sentinel geographical regions/population. Clinical Case Definition: An acute illness with discrete onset of symptoms (e.g., fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting), and jaundice. (sourcewww.cdc.gov.in) NCDC will be the nodal agency for implementation of the project. Results: HBV, HCV and HDV are transmitted through contaminated blood or blood components or through the use of contaminated needles and syringes. In several populations, a common route of transmission of HBV infection is from infected pregnant women to their infants around the time of delivery. In many people with HBV or HCV infection, no route of transmission can be identified. In addition, specific vaccines and/or passive immune prophylaxis (use of specific immunoglobulin products) are also useful in preventing transmission of some infections. and also HAV vaccine is the most effective method for specific pre-exposure prophylaxis. and two different vaccines based on inactivated cell culture are available. Both vaccines are highly antigenic, especially in adults, and induce protective antibody levels in more than 95% of recipients after the first dose of vaccine. Individuals at high risk of repeated exposure to HBV, such as personnel Health Care Anti-HBs titer should be evaluated one month after the third dose. An Anti-HBs titer of 10 IU/L (or 10 mIU/mL) is protective. After reaching this titer, there is no need for further booster doses. Conclusion: Viral hepatitis is a systemic infection affecting predominantly the liver and causing its inflammation. It may be acute (recent infection, relatively rapid onset) or chronic. Viral hepatitis is caused by infection with one of the five known hepatotropic viruses, which are named as hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis C virus (HCV), hepatitis D virus (HDV), and hepatitis E virus (HEV), respectively. These viruses are quite divergent in their structure, epidemiology, routes of transmission, incubation period, clinical presentations, natural history, diagnosis, and preventive and treatment options

Role of Cardiopulmonary Exercise Testing in Predicting Perioperative Outcomes in Cancer Patients Undergoing Thoracoabdominal Surgeries; an Observational Cohort Study

Introduction: The cancer patients are at a high risk of developing perioperative complications. Cardiopulmonary exercise testing (CPET) is a non-invasive, perioperative risk stratification tool that predicts perioperative morbidity and mortality. Prior literature has concluded that CPET has a valuable role in predicting post-operative complications in major surgical procedures. However, the data on the effectiveness of CPET in evaluating the perioperative risk in cancer-specific populations are limited. This study assessed the usefulness of CPET in perioperative risk stratification of patients with thoracoabdominal cancer who underwent elective major thoracoabdominal surgeries. Materials and Methods: A retrospective observational cohort study was conducted on cancer patients that underwent pre-operative CPET at Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan, from September 2017 to September 2019. All adult male and female patients with a significant medical history for cancer of the thoracoabdominal region who underwent CPET before a major thoracoabdominal surgery were included in the study. Results: A total of 32 patients were included in the present investigation. The mean age of the sample was 62.75 ± 10.18 years, and the majority of the participants were female. Following surgery, 53% of the participants had post-operative complications in terms of morbidity and mortality. Fifteen participants had an anaerobic threshold (AT) of ≥11.0 ml/ kg/min. Among these, 12 participants had an uneventful surgery. On the contrary, among 17 participants that were considered to have a high risk (<11.0 ml/kg/min) for surgery, 14 subjects (82%) had at least one complication (including mortality). The sensitivity and specificity of CPET to anticipate complications during oncological surgery were calculated to be 82% and 80%, respectively. The mean AT of participants with uneventful surgery was calculated to be 11.83 ± 1.01 ml/kg/min. This was statistically greater than the AT of subjects that had morbidity (9.86 ± 1.20 ml/kg/min) or mortality (8.95 ± 0.35 ml/kg/min) (P < 0.001). Conclusion: CPET, when using AT alone as an indicator, can provide a good-excellent prediction of perioperative outcome among oncology patients undergoing major thoracoabdominal surgical procedures

Genetics of drought tolerance at seedling and maturity stages in Zea mays L.

Shortage of irrigation water at critical growth stages of maize is limiting its production worldwide. Breeding drought-tolerant cultivars is one possible solution while identification of potential genotypes is crucial for genetic improvement. To assess genetic variation for seedling-stage drought tolerance, we tested 40 inbred lines in a completely randomized design under glasshouse conditions. From these, two contrasting inbred lines were used to develop six basic generations (P1, P2, F1, F2, BC1F1, BC2F2). These populations were then evaluated in a triplicated factorial randomized complete block design under non-stressed and drought-stressed conditions. For statistical analyses, a nested block design was employed to ignore the replication effects. Significant differences (p≤0.01) were recorded among the genotypes for investigated seedling-traits. Absolute values of fresh root length, fresh root weight, and dry root weight lead to select two genotypes, one tolerant (WFTMS) and one susceptible (Q66). Estimates of heritability, genetic advance, and genotypic correlation coefficients were higher and significant for most of the seedling-traits. Generation variance analysis revealed additive gene action. Narrow-sense heritability [F2 ≥ 65; F∞ ≥ 79] revealed the same results. Generation mean analysis signified additive genetic effects in the inheritance of cob girth, non-additive for plant height, grains per ear row and grain yield per plant, and environmental for ear leaf area, cob length, grain rows per ear, biomass per plant, and 100-grain weight under drought-stressed conditions. For conferring drought-tolerance in maize, breeders can adopt the recombinant breeding strategy to pyramid the desirable genes

Qualitative palmar dermatoglyphic patterns in cases of idiopathic generalized epilepsy

Background: Genetic etiology has been proposed for both idiopathic epilepsy and dermatoglyphics. Hence, the present study has been undertaken to find out the existence of any correlation between dermatoglyphics and idiopathic generalized epilepsy.Objective of current study wasto find out an association, if any, between dermatoglyphic patterns of hands in idiopathic generalized epilepsy of both sexes.Methods:The study was conducted in the department of anatomy and department of neurology, Himalayan institute of medical sciences, Swami Ram Nagar, Dehradun. Fingertip patterns (whorls, loops, arches) and Main line (A, B, C, D) terminations were analysed by utilizing finger and palmar prints.Results:The present study showed a significant decrease in whorls and an increase in arches in both the hands of male and female IGE patients. Loops were increased in both hands of female patients. Main line D was mostly confined to sectors 11, 9 and 7 in both sexes among the cases and controls. Main line C terminated quite often in sectors 9 & 7 in males and females of the case series. Main line B terminated most frequently in sectors 5'' & 7 in control and case groups. Main line A terminated most frequently in sector 5' in males and females.  Conclusion: Therefore, we can conclude and hypothesize merely by observing decrease in the whorl and increase in the arch patterns in the fingerprints (as observed in the present study) that persons with high risk of idiopathic generalized epilepsy can be identified early and preventive measures can be taken against serious complications.

Does Herding Bias Drive the Firm Value? Evidence from the Chinese Equity Market

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Organizational Learning and Hotel Performance: The Role of Capabilities’ Hierarchy

Building on the capabilities' hierarchy concept, a model of the effect of organizational learning on hotel performance is proposed and tested in this study. Data was collected from 240 managers in the hotel industry of United Kingdom and Pakistan via survey. The results revealed strong direct interrelation between different level of capabilities and an indirect relation between organizational learning and performance through these capabilities. This paper makes theoretical contributions to both management and hospitality and tourism research by generating an integrative and unifying framework for an organizational learning performance relationship, clarifying capabilities interrelationships and empirically revealing the exact way these capabilities enhance performance. Also, it has practical implications for hotel managers' understanding on the development and use of capabilities as a hierarchy in enhancing their hotel performance

Investigation of Toxic Metals in the Tobacco of Pakistani Cigarettes Using Proton-Induced X-Ray Emission

A particle-induced X-ray emission (PIXE) study has been carried out to find out whether available local and imported cigarette brands in Pakistan have elevated concentration of metals or not. The results are compared within the brands examined in this study and with the results of related studies in literature. A sum of 19 different cigarette brands was purchased randomly from different Pakistani markets which included local and imported brands. The concentration of elements like Cd, Pb, Zn, Fe, Mn, Ni, Cu, and Co was investigated. Results showed that different cigarette brands have different metal contents. The mean concentration of the heavy metals is Cd—4.92 μg/g, Co—0.12 μg/g, Cu—0.97 μg/g, Ni—0.13 μg/g, Pb—1.02 μg/g, and Zn—12.91 μg/g per dry weight. Compared with the reported results of other international studies, Pakistani cigarettes are observed to have lower heavy metal contents except for cadmium which was higher. This study will provide adequate data for all concerned departments. This study will also create awareness among people about the toxicity of metals present in tobacco of cigarettes

Strength Development of High-Strength Ductile Concrete Incorporating Metakaolin and PVA Fibers

The mechanical properties of high-strength ductile concrete (HSDC) have been investigated using Metakaolin (MK) as the cement replacing material and PVA fibers. Total twenty-seven (27) mixes of concrete have been examined with varying content of MK and PVA fibers. It has been found that the coarser type PVA fibers provide strengths competitive to control or higher than control. Concrete with coarser type PVA fibers has also refined microstructure, but the microstructure has been undergone with the increase in aspect ratio of fibers. The microstructure of concrete with MK has also more refined and packing of material is much better with MK. PVA fibers not only give higher stiffness but also showed the deflection hardening response. Toughness Index of HSDC reflects the improvement in flexural toughness over the plain concrete and the maximum toughness indices have been observed with 10% MK and 2% volume fraction of PVA fibers

Growth Parameters for Films of Hydrothermally Synthesized One-Dimensional Nanocrystals of Zinc Oxide

Zinc oxide has been the focus of material research due to its potential applications in a variety of novel fields. The material exhibits anisotropic growth in the form of single crystal rods/wires of length in microns and thickness in several tens of nanometers through a facile and low temperature hydrothermal route wherein size, morphology, orientation, and growth rate are strongly dependent on a number of synthesis parameters. In this review article we intend to present/discuss the effects of important growth parameters of zinc oxide that have been reported in the literature. These parameters include concentration of the precursor solution, growth time, role of hexamine, synthesis temperature, pH of the precursor, and seeding layer deposited on a substrate