Acute myeloid leukaemia in children: experience at a tertiary care facility of Pakistan

Objective: To document the demographics and outcome of children with Acute Myeloid Leukemia (AML) treated at a tertiary care facility of Pakistan. Methods: A retrospective study was conducted at Aga Khan University on children (less than 15 years) diagnosed to have AML between January 2000 to May 2007.Total 40 cases were diagnosed out of which 37 charts were available for review. Results: The average age of presentation was 8.5±4.5 years and 75% were males. The most common presenting feature was fever in 83% followed by bleeding in 41% and pallor in 39%. Initial WBC of \u3e 100,000 was seen in 19% of patients. The most common FAB subtype was M4 39%. Twenty three patients underwent treatment out of which 12 patients are alive and in remission. Majority were followed up around 2 years and 6 months. Out of the 11 patients who died three had resistant disease, four relapsed and rest died due to sepsis mostly during induction. Conclusions: The most common sub type in our study is AML M4 although AML M2 is reported as predominant subtype. About a third of the patients could not start or complete therapy due to financial constraints. The overall survival for our patients who completed therapy was 52%

Pharmacognostic Studies of Some Indigenous Medicinal Plants of Pakistan

Medicinal plants constitute an effective source of traditional and modern medicines. The plant is a biosynthetic laboratory, not only for chemical compounds but also a multitude of the compounds. The present research work was confined to study the macro, microscopic features and analysis of powdered drug of Acacia modesta Wall., Acacia nilotica (L.) Delile, Berberis lycium Royle and Zanthoxylum alatum D. C. Prod. These studies were carried out in Botany laboratory of University of Arid Agriculture, Rawalpindi during 2004. These species are used as miswak (tooth brush) by local people of Pakistan in different areas. Anatomical features such as, fibres, parenchyma cells, vessels and pith were identified during microscopic studies. Powdered miswak of Acacia modesta Wall., Berberis lycium Royle and Zanthoxylum alatum D. C. Prod. were soluble in sulphuric acid only while insoluble in other solvents i.e., hydrochloric acid, acetic acid, benzene and water. Powdered miswak of Acacia nilotica was insoluble in these solvents. Powdered drug of these species did not retain their original colour in cold and hot tests and on dry filter paper, when mixed in various solvents

Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.

Objective: To determine the frequency and antibiotic susceptibility pattern of Staphylococcus aureus and coagulase negative staphylococci isolated from clinical specimens as a result of culture and sensitivity. Materials & Methods: This cross sectional study was carried out in POF Hospital Microbiology laboratory from January 2019 to September 2020. One hundred and eighty four staphylococci isolated from clinical specimens were processed as per standard methodology. Results: Out of 148, methicillin resistant S.aureus and methicillin resistant coagulase negative staphylococci were 38.04% and13.04% respectively. Infections caused by Methicillin resistant staphylococcal isolates were higher among the age group 31-40 years (71.4%, OR=2.68). Out of thirty expired patients, 53.3% had been infected with methicillin resistant staphylococcal infections. The methicillin resistant staphylococci were most frequent in miscellaneous category of clinical specimens (80.0%, OR=4.63). The susceptibility analysis revealed that methicillin resistant staphylococci are 100% resistant to penicillin, meropenem and amoxycillin-clavulanate (p=0.000).  A significant association of methicillin resistance was also noticed against amikacin (p=0.002), ciprofloxacin (p=0.001), clindamycin (p=0.005) and erythromycin (p=0.000). Moxifloxacin, linezolid and vancomycin are the most effective choice for infections caused by methicillin resistant staphylococci. Conclusions: The methicillin-resistant staphylococci are highly resistant to commonly prescribed oral as well as injectable antibiotics. Establishment and implementation of infection control policies are required to combat the grave situation of increasing antibiotic resistance

Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.

Objective: To determine the frequency and antibiotic susceptibility pattern of Staphylococcus aureus and coagulase negative staphylococci isolated from clinical specimens as a result of culture and sensitivity. Materials & Methods: This cross sectional study was carried out in POF Hospital Microbiology laboratory from January 2019 to September 2020. One hundred and eighty four staphylococci isolated from clinical specimens were processed as per standard methodology. Results: Out of 148, methicillin resistant S.aureus and methicillin resistant coagulase negative staphylococci were 38.04% and13.04% respectively. Infections caused by Methicillin resistant staphylococcal isolates were higher among the age group 31-40 years (71.4%, OR=2.68). Out of thirty expired patients, 53.3% had been infected with methicillin resistant staphylococcal infections. The methicillin resistant staphylococci were most frequent in miscellaneous category of clinical specimens (80.0%, OR=4.63). The susceptibility analysis revealed that methicillin resistant staphylococci are 100% resistant to penicillin, meropenem and amoxycillin-clavulanate (p=0.000).  A significant association of methicillin resistance was also noticed against amikacin (p=0.002), ciprofloxacin (p=0.001), clindamycin (p=0.005) and erythromycin (p=0.000). Moxifloxacin, linezolid and vancomycin are the most effective choice for infections caused by methicillin resistant staphylococci. Conclusions: The methicillin-resistant staphylococci are highly resistant to commonly prescribed oral as well as injectable antibiotics. Establishment and implementation of infection control policies are required to combat the grave situation of increasing antibiotic resistance

Climate Smart Crops for Food Security

After ensuring the food security for over 50 years, the green revolution is eventually reaching its biological limits which are very much reflected by the ongoing stagnancy in yield increased over the past few decades. Meeting the increasing food demands due to increasing population is the greatest challenge for today’s plant scientists. Changing climatic conditions are posing additional threats to crop growth, productivity and yield. After successfully deploying gene editing to modify simple traits, scientists are now embarked on more ambitious adventures in genomics to combat challenges of food security in the wake of increasing population and climate change adversaries. The chapter outlines use of new technologies in tailoring crops beyond simple traits aiming to harvest the desired diversity lost during domestication and manipulating complex traits, which evolved over evolutionary timescale with special emphasis on the development of climate smart crops

Different Umbilical Cord Cutting Techniques Prevailing among Rural Population of District Attock

OBJECTIVES: To study different umbilical cord cutting techniques prevailing among rural population of district Attock. METHODOLOGY: This descriptive cross-sectional study conducted from April - June 2017 in the rural population of district Attock. The sample size was 300 which were selected by non-probability convenient sampling technique. The data was collected over a period of three months using a pre-tested self-structured questionnaire. Informed consent was taken. Data was analyzed in SPSS version 23. RESULTS: A total number of 300 infantswere included in this study. The mean age (in days) ± SD of infants was 14.10±8.96. The mean age (in years) ±SD of mothers was 27.58±3.99. Surgical blade usage for cord cutting was 50%, 48.7% used scissors while 1.3% used knife to cut the umbilical cord after birth. 8.7% mothers applied nothing on the cord for cord care, whereas 30.7% of mothers applied domestic products on the infant’s umbilical cord which included fried onion, garlic, ghee, oil, kohl and turmeric. Chi-Square test revealed that the use of harmful domestic products was highest among the infants who were born at homes (p<0.05). The application of medical or domestic products on the cord was irrespective of infant’s gender and mothers’ educational status. CONCLUSION: This study revealed diversity in methods of cutting and caring the cord after birth among the rural population of district Attock. Most of the participants of this study maintained the good cord care practices; however, there were a significant proportion of participants who followed harmful traditional practices for their infant’s cord care