??? ???????? ???? ????? ?????? ??? ???? ???? ???? ?? ????? ?????? ?? ??? ?????? ??? ????? The Methods & Applications of the Prophetic Approach regarding Upbringing of Daughters before & after Marriage

The human society consists of two main pillars; male and female. Islam balanced mankind by addressing the issue of a female in a society and showed her duties and role in a society. The most happy Muslim family is the family which takes care of its children and raise them according to good morals. Raising a baby regardless of her sex is very important but raising a female baby needs some highest level of attention. Marriage is one of the very important event in Muslim society which is Sunnah of Prophet Muhammad PBUH. Islam gave much importance to marriage as well because its foundation of a family. Raising a female member of a family is a responsibility given by Islam to every parent. In view of this topic I have decided to write about Prophet PBUH methodology about raising a female child. Descriptive and Applied method is used in this Article. Keywords: Human Society, Muslim Family, Responsibility, Female baby, Parent

Factors Influencing Choice of Energy Sources in Rural Pakistan

Modernisation of the agricultural and industrial sectors in Pakistan over the last thirty years, increased village electrification, increasing use of energy appliances by domestic users, and the usage of modern technology in all sectors, caused energy demand to increase more rapidly than energy supply. Sources of energy vary between urban and rural populations, across income groups, and by type of households. Pakistanis consume energy from both modern and traditional sources for different purposes, such as lighting, cooking, heating, and transportation. Modern sources of energy include electricity, oil, gas and coal, while traditional sources consist of animal/plant residue (firewood, crop residue and animal waste). Using a multinomial logit regression model, this study analyses how rural households make choices among different energy alternatives. The results suggest that because of the limited access to modern energy sources, households rely on traditional sources excessively, which may have a negative impact not only on human and animal health but also on the environment. These results suggest that the conversion of traditional energy sources into modern ones, such as, biogas, use of energy efficient appliances, etc. can have a positive impact on the environment and sustainable economic growth. JEL Classification: R20, D11, Q43, Q42, Q5 Keywords: Rural, Households, Energy Consumption, Energy Sources, Environmen

Acute presentation of cocoon abdomen as septic peritonitis mimicking with strangulated internal herniation: A case report

Background: Abdominal cocoon syndrome is a rare cause of intestinal obstruction in which loops of small bowel get entrapped inside a fibro-collagenous membrane. Condition is also known in the literature as sclerosing peritonitis and in the majority of cases, it has no known cause. Although the majority of patients exhibit long-standing signs and symptoms of partial bowel obstruction in an out-patient clinic, its acute presentation in the emergency room with features of sepsis is extremely rare. This case report aims to describe the emergency presentation of cocoon abdomen with septic peritonitis.Case presentation: A 35-year-old male with no known co-morbidity and no prior history of prior laparotomy presented in emergency room first time with a 1-day history of generalized abdomen pain, vomiting, and absolute constipation. He was in grade III shock and had metabolic acidosis. The clinical impression was of the perforated appendix, but initial contrast-enhanced computed tomography (CECT) was suggestive of strangulated internal herniation of small bowel. Emergency laparotomy after resuscitation revealed hypoperfused, but viable loops of small bowel entrapped in the sclerosing membrane. Extensive adhesiolysis and removal of the membrane were performed and the entire bowel was straightened. Postoperatively he remained well and discharged as planned. Histopathology report confirms features of sclerosing peritonitis.Discussion: Cocoon abdomen is a very rare cause of acute small bowel obstruction presenting in an emergency with features of septic peritonitis. Condition is mostly chronic and generally mimics abdominal TB in endemic areas like India and Pakistan. A high index of suspicion is required in an emergency setting and exploratory laparotomy is diagnostic and therapeutic as well and the condition mimics internal herniation in acute cases.Conclusion: Cocoon abdomen as a cause of septic peritonitis is extremely rare and might be an unexpected finding at laparotomy. Removal of membrane and estimation of the viability of entrapped bowel loops is the treatment of choice, which may require resection in the extreme case of gangrene

An assessment of air quality within facilities of municipal solid waste management (MSWM) sites in Lahore, Pakistan

The pollutants emission during the process of municipal solid waste management (MSWM) is of great concern due to its hazardous effect on the environment and living organisms. An assessment of the air quality of MSWM sites was made after having 16 repetitive visits at solid waste disposal sites and transfer stations of Lahore during wet and dry seasons. Pollution parameters such as fine particulate matter (PM2.5) and greenhouse gases (GHG) were measured along with meteorological parameters. PM2.5 measurement was made by using particle counter Dylos and TSI’s Dust Trak. Both of these instruments were positioned simultaneously at the source site and downwind (50 m). CH4 and meteorological parameters were measured by Aeroqual 500 series, while the Extech CO220 monitor was used to measure CO2 concentration. An assessment of air quality showed the levels of their mean values as CH4 and CO2 ranged between 1.5–13.7 ppm and 443.4–515.7 ppm, respectively. The PM2.5 ranged between 127.1 and 307.1 µg/m3 at sources and 172.3 and 403.8 µg/m3 downwind (50 m). GHG showed lower levels than the proposed limit value, which could not cause any health issues, while PM2.5 was 6–10 times higher than the Pak-EPA established standards. Higher pollutant concentration was recorded in the dry season than the wet season. Regression analysis was performed to predict correlation of PM2.5 with GHG and meteorological parameters. GHG as well as meteorological parameters also exhibited a correlation with PM2.5. It was estimated that the ambient air of such sites is not safe for public health. So, it is necessary to use safe practices for MSWM and its emission control to prevent nearby communities and the environment

On-treatment comparison between corrective His bundle pacing and biventricular pacing for cardiac resynchronization: A secondary analysis of His-SYNC

Background The His-SYNC pilot trial was the first randomized comparison between His bundle pacing in lieu of a left ventricular lead for cardiac resynchronization therapy (His-CRT) and biventricular pacing (BiV-CRT), but was limited by high rates of crossover. Objective To evaluate the results of the His-SYNC pilot trial utilizing treatment-received (TR) and per-protocol (PP) analyses. Methods The His-SYNC pilot was a multicenter, prospective, single-blinded, randomized, controlled trial comparing His-CRT vs BiV-CRT in patients meeting standard indications for CRT (eg, NYHA II–IV patients with QRS >120 ms). Crossovers were required based on prespecified criteria. The primary endpoints analyzed included improvement in QRS duration, left ventricular ejection fraction (LVEF), and freedom from cardiovascular (CV) hospitalization and mortality. Results Among 41 patients enrolled (aged 64 ± 13 years, 38% female, LVEF 28%, QRS 168 ± 18 ms), 21 were randomized to His-CRT and 20 to BiV-CRT. Crossover occurred in 48% of His-CRT and 26% of BiV-CRT. The most common reason for crossover from His-CRT was inability to correct QRS owing to nonspecific intraventricular conduction delay (n = 5). Patients treated with His-CRT demonstrated greater QRS narrowing compared to BiV (125 ± 22 ms vs 164 ± 25 ms [TR], P < .001;124 ± 19 ms vs 162 ± 24 ms [PP], P < .001). A trend toward higher echocardiographic response was also observed (80 vs 57% [TR], P = .14; 91% vs 54% [PP], P = .078). No significant differences in CV hospitalization or mortality were observed. Conclusions Patients receiving His-CRT on-treatment demonstrated superior electrical resynchronization and a trend toward higher echocardiographic response than BiV-CRT. Larger prospective studies may be justifiable with refinements in patient selection and implantation techniques to minimize crossovers

New simplified technique for 3D mapping and ablation of right ventricular outflow tract tachycardia

To evaluate the safety and efficacy of using a circular multielectrode catheter for mapping and ablation of ventricular tachycardia (VT) or premature ventricular complexes (PVCs) from the right ventricular outflow tract (RVOT). Three-dimensional (3D) mapping systems are commonly used for mapping and ablation of RVOT VT and PVCs. Newer catheters that are circular with multiple electrodes, such as the Lasso catheter, are capable of simultaneously recording from multiple points within a circumferential plane. Given the tubular structure of the RVOT, these catheters could be used for mapping tachycardias from the RVOT. A retrospective cohort study of patients undergoing radiofrequency (RF) ablation of RVOT VT or PVCs was performed. In group 1 (n = 7), mapping was performed with a single ablation catheter and fluoroscopy. In group 2 (n = 10), 3D mapping using ESI (n = 9) or CARTO (n = 1) was performed. In group 3 (n = 12), mapping was performed with a circular multielectrode catheter (n = 12). All ablations were performed with 4-mm tip catheters using RF energy. Catheter ablation for RVOT VT (n = 15) or PVCs (n = 14) was performed on 29 cases in 26 patients, 9 males. Mean age was 35.9 years. In groups 1, 2, and 3, the mean number of lesions was 17.7 +/- 7.7, 13.6 +/- 7.7, and 18.2 +/- 22.7 and the median number of lesions was 20, 13, and 5, respectively. There were no significant differences in the number of lesions, RF time, fluoroscopy time, procedure time, and acute success rate among the three techniques. There were three complications in group 2 and one in group 3. The use of a circular multielectrode catheter is as effective as the other standard available 3D mapping techniques, both in terms of procedural success and procedural characteristics. Additionally, because of the lower cost associated with using the circular multielectrode catheter approach, further evaluation should be performed to determine whether this is the most cost-effective approach to 3D mapping and ablation of RVOT tachycardias

Role of ACE and PAI-1 Polymorphisms in the Development and Progression of Diabetic Retinopathy.

In the present study we determined the association of angiotensin converting enzyme (ACE) and plasminogen activator inhibitor-1 (PAI-1) gene polymorphisms with diabetic retinopathy (DR) and its sub-clinical classes in Pakistani type 2 diabetic patients. A total of 353 diabetic subjects including 160 DR and 193 diabetic non retinopathy (DNR) as well as 198 healthy controls were genotyped by allele specific polymerase chain reaction (PCR) for ACE Insertion/Deletion (ID) polymorphism, rs4646994 in intron 16 and PAI-1 4G/5G (deletion/insertion) polymorphism, rs1799768 in promoter region of the gene. To statistically assess the genotype-phenotype association, multivariate logistic regression analysis was applied to the genotype data of DR, DNR and control individuals as well as the subtypes of DR. The ACE genotype ID was found to be significantly associated with DR (p = 0.009, odds ratio (OR) 1.870 [95% confidence interval (CI) = 1.04-3.36]) and its sub-clinical class non-proliferative DR (NPDR) (p = 0.006, OR 2.250 [95% CI = 1.098-4.620]), while PAI polymorphism did not show any association with DR in the current cohort. In conclusion in Pakistani population the ACE ID polymorphism was observed to be significantly associated with DR and NPDR, but not with the severe form of the disease i.e. proliferative DR (PDR)