Aviation Law Comes Home to the Main Street Lawyer

Well controlled in length and highly aligned ZnO nanorods were grown on the gold-coated glass substrate by hydrothermal growth method. ZnO nanorods were functionalised with selective thallium (I) ion ionophore dibenzyldiaza-18-crown-6 (DBzDA18C6). The thallium ion sensor showed wide linear potentiometric response to thallium (I) ion concentrations ( M to  M) with high sensitivity of 36.87 ± 1.49 mV/decade. Moreover, thallium (I) ion demonstrated fast response time of less than 5 s, high selectivity, reproducibility, storage stability, and negligible response to common interferents. The proposed thallium (I) ion-sensor electrode was also used as an indicator electrode in the potentiometric titration, and it has shown good stoichiometric response for the determination of thallium (I) ion

Molecular Aspects of Dopaminergic Neurodegeneration: Gene-Environment Interaction in Parkin Dysfunction

Parkinson’s disease (PD) is a common neurodegenerative movement disorder that is characterized pathologically by a progressive loss of midbrain dopaminergic neurons and by protein inclusions, designated Lewy bodies and Lewy neurites. PD is one of the most common neurodegenerative diseases, affecting almost 1% of the population over 60 years old. Although the symptoms and neuropathology of PD have been well characterized, the underlying mechanisms and causes of the disease are still not clear. Genetic mutations can provide important clues to disease mechanism, but most PD cases are sporadic rather than familial; environmental factors have long been suspected to contribute to the disease. Although more than 90% of PD cases occur sporadically and are thought to be due, in part, to oxidative stress and mitochondrial dysfunction, the study of genetic mutations has provided great insight into the molecular mechanisms of PD. Furthermore, rotenone, a widely used pesticide, and paraquat and maneb cause a syndrome in rats and mice that mimics, both behaviorally and neurologically, the symptoms of PD. In the current review, we will discuss various aspects of gene-environment interaction that lead to progressive dopaminergic neurodegenration, mainly focusing on our current finding based on stress-mediated parkin dysfunction

Bibliometric Review of Mental Health Research in Medical Colleges of Pakistan

Objectives: Mental health is a less frequently explored area of medical research as both developing and developed countries lack competent human resources and funding for this purpose. Reviewing mental health research can help medical professionals appreciate the progress of understanding and identify problems in this area. This systematic review examined the status of mental health research carried out in medical education institutions and tertiary healthcare hospitals across Pakistan over the past 70 years. Methods: PubMed ® (National Library of Medicine, Bethesda, Maryland, USA), was searched for articles published between 1947 and 2017 related to mental health with an emphasis on the exclusive affiliation of the first author with a medical college in Pakistan. Results: A total of 118 articles were included in this study. The number of published research-based studies has increased steadily over the past years. However, there are indicators of a lack of quality research, such as no declaration of conflict of interest or the identification of a funding source and a general lack of publications in a journal with a high impact factor. Conclusion: The findings of this study have shown a steady improvement in the quantity and quality of mental health research conducted in Pakistani medical colleges/universities. However, a lack of funding, training and faculty induction policies may be hindering the establishment of a research culture and contributing to the slow progression of mental health research in Pakistan.Keywords: Medical Education; Mental Health; Research; Psychiatry in Literature; Pakistan

A Potential Bio-sorbent for Heavy Metals in the Remediation of Waste Water

Bay leaves are used for flavoring in cold drinks production, in bakery goods, sauces, confectionary products and liquors. The waste generated from these sources has been valorized by attempting the remediation of waste water. Hence, adsorption of toxic metals onto Bay leaves has been investigated after optimizing the experimental parameters, namely the pH, contact time, adsorbent and Zn(II) concentrations as well as the temperature of the equilibrium mixture (consisting of the metal solution in contact with the adsorbent). The participation of the constituent functional groups, of the adsorbent, was ascertained with Fourier transform spectroscopic studies. The mode of adsorption was examined by employing important isotherm models, namely Langmuir, Freundlich and Dubinin-Radushkevich models. The adsorption process was found to follow pseudo-first order kinetic model and also followed the intraparticle diffusion up to 60 minutes of contact time. The thermodynamic parameters suggest the spontaneous nature of adsorption

Pan-resistant Acinetobacter infection in neonates in Karachi, Pakistan.

Background: Pan-resistant Acinetobacter infection has emerged as an important nosocomial pathogen in our inPatient neonates over the past few years. Methodology: We performed a retrospective chart review during a five-year period (July 2003 - June 2008) of all neonates hospitalized in our neonatal intensive care unit (NICU) who developed Acinetobacter infection to identify mortality-associated risk factors in Acinetobacter neonatal infection. Results: During the five-year study period, 122 cultures from 78 neonates grew Acinetobacter. Source sites of positive culture were in the following descending order: blood (n = 57), trachea (n = 55), tissue/wound/body fluids (n = 4), eye (n = 4), urine (n = 1), and cerebrospinal fluid (n = 1). Twenty-four (31%) Patients had Acinetobacter isolated from more than one site. At the time of admission the mean age was 2.08 +/- 4 days and mean weight was 1.77 +/- 0.88 kg, 75% were premature. Pan-resistance (87/122, sensitive only to Polymyxin) was present in 71% of Acinetobacter isolates. Crude mortality rate of this cohort was 47%, while 70% of Patients died within four days after positive Acinetobacter culture. We identified weight of less than 1 kg on admission (p 0.06, adjusted Odds Ratio (AOR) 1.53), gestational age 28 weeks or less (p 0.011, AOR 2.88), poor perfusion (p 0.007, AOR 2.4), thrombocytopenia (p 0.01, AOR 1.6) and metabolic acidosis (p 0.01, AOR 1.67) as predictors associated with poor outcome. Conclusion: Pan-resistant Acinetobacter infection is exceedingly fatal in newborns, particularly in premature and very low-birth weight neonates. Rational antibiotic use and vigilant infection control in NICUs are key to controlling multi-drug resistant Acinetobacter infection and improving clinical outcome

Echocardiographic evaluation of left atrial performance by using left atrial appendage flow velocity

Background:  Left atrial (LA) functional Study has a traditional role in evaluation of left ventricular diastolic function. The widely accepted echocardiographic parameters used in routine clinical practice to assess left ventricular diastolic function include pulsed-wave doppler mitral inflow analysis, tissue doppler imaging measurements, and LA dimension estimation. Left atrial appendage doppler studies using early diastolic emptying velocity, late diastolic emptying velocity and LAA filling velocity imaging to assess LA function were validated in patients with valvular atrial fibrillation (AF). Currently, there is no evidence regarding the Left atrial appendage doppler studies used in identifying the performance of left atrium and diastolic function in patients with Normal Sinus Rhythm. Objectives: This study aimed to identify the performance of left atrial function in patients with normal sinus rhythm using Left atrial appendage doppler studies. Methods: In a study population of 63 patients aged >18 years old who undergone routine echocardiographic study for Cardiac evaluation between Jan 2017 to Jan 2018, among which 40 (64%) were males and 23 (36%) were females. For those Patient’s, left atrial appendage flow velocity and diastolic doppler parameters are noted from G E echocardiography machine by the single observer. Results: The Mean Left Atrial Appendage (late-diastolic emptying velocity) in diastolic dysfunction patients (39.74) associated with impaired left atrial function, when compared with the mean Left Atrial Appendage (late-diastolic emptying velocity) in patients without diastolic dysfunction (54.76) respectively. Conclusion: In this study, we founded that Patient with diastolic dysfunction had an impaired left atrial function that was measured by left atrial appendage flow velocity

NKX2-5 regulates the expression of beta-catenin and GATA4 in ventricular myocytes.

BackgroundThe molecular pathway that controls cardiogenesis is temporally and spatially regulated by master transcriptional regulators such as NKX2-5, Isl1, MEF2C, GATA4, and beta-catenin. The interplay between these factors and their downstream targets are not completely understood. Here, we studied regulation of beta-catenin and GATA4 by NKX2-5 in human fetal cardiac myocytes.Methodology/principal findingsUsing antisense inhibition we disrupted the expression of NKX2-5 and studied changes in expression of cardiac-associated genes. Down-regulation of NKX2-5 resulted in increased beta-catenin while GATA4 was decreased. We demonstrated that this regulation was conferred by binding of NKX2-5 to specific elements (NKEs) in the promoter region of the beta-catenin and GATA4 genes. Using promoter-luciferase reporter assay combined with mutational analysis of the NKEs we demonstrated that the identified NKX2-5 binding sites were essential for the suppression of beta-catenin, and upregulation of GATA4 by NKX2-5.ConclusionsThis study suggests that NKX2-5 modulates the beta-catenin and GATA4 transcriptional activities in developing human cardiac myocytes

Effect of Arsenic in germination, growth and biochemistry of Rice (Oryza sativa)

Arsenic is a highly toxic metalloid element and occurs in many minerals, usually in conjunction with sulfur and metals, and also as a pure elemental crystal. Arsenic poisoning from naturally occurring arsenic compounds in drinking water remains a problem in many parts of the world. Arsenic contaminated water is also used in the agricultural field for irrigation purpose. The influence of 0, 1, 2 and 4mg/l sodium arsenite on germination, seedling growth and biochemistry of two varieties of Rice (Oryza sativa), Nayanmani and Satabdi was studied under controlled conditions. After 3 weeks the various parameters (percentage of seed germination, root and shoot length, dry biomass, chlorophyll, peroxidase, protein and ascorbic acid content) were estimated following standard procedures. It was observed that the root and shoot length, germination percentage, dry biomass, protein content, chlorophyll, ascorbic acid content and peroxidase activity decreased significantly with increasing exposure to arsenic in both the plant varieties. The study shows that arsenic is toxic to both rice varieties and affects adversely the normal rate of germination and growth through alteration in the plant biochemistry

ADVENT OF AUGMENTED REALITY EXPERIENCE IN RETAIL AND ONLINE SHOPPING AND ITS INFLUENCING SIGNIFICANCE IN FUTURE

Augmented Reality (AR) is a trending technology that augments or superimposes an image generated by a computer system virtually into the real world environment for the user’s viewpoint using a smart phone or other hand held devices. AR shows recent advancements in the shopping domain with various implementation trails and refinement. The simplicity and flexibility in online shopping where people stay in their own place and do shopping brought a great challenge to retail shopping environment today. Retail stores are now struggling a lot to bring in the customers and the foot traffic has been greatly reduced due to which online sales are boosting and retail sales are stalling. This necessitates to bring new technological innovations to offline shopping to attract people. With the use of AR, it is possible to merge digital component to physical products in the store to stimulate the engagement of the shopping experience with more fun and joy. On the other hand, in the online shopping, though user reviews and product showcase aids the customers to analyze the quality, look and feel of diverse products, the buyer still cannot see how exactly the product fits in a real environment or how it works. Here plays AR a vital role in online shopping where it uses animations and visualization techniques to offer more value to their shoppers virtually aiding to see exactly the look of the product in user environment. This paper explains the advancement of AR in both retail and online shopping of various product domains with an implementation model of ShopAR for Online shopping and AR significance in near future

Compound heterozygosity for a whole gene deletion and p.R124C mutation in CYP21A2 causing nonclassic congenital adrenal hyperplasia

We present a family with 2 members who received long-term steroid treatment for presumed classic congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency, until molecular testing revealed nonclassic CAH, not necessarily requiring treatment. A 17-year-old male presented to our clinic on glucocorticoid and mineralocorticoid treatment for classic CAH. He was diagnosed at 4 years of age based on mild-moderate elevations of 17-hydroxyprogesterone (17-OHP) and adrenocorticotropic hormone (ACTH), but without evidence of precocious adrenarche/puberty. Due to his diagnosis, his clinically asymptomatic 3-year-old sister was tested and also found to have elevated ACTH and 17-OHP levels and was started on glucocorticoids for classic CAH. Family history revealed a healthy sibling who had no biochemical evidence of CAH and consanguineous healthy parents. We questioned the diagnosis of classic CAH and performed an ACTH1-24 stimulation test, which showed a level of 17-OHP in the borderline range between classic and nonclassic CAH. Molecular testing, using sequencing and multiplex ligation-dependent probe amplification analysis of CYP21A2, revealed that both affected siblings were compound heterozygotes for a whole-gene deletion and a, likely pathogenic (nonclassical), sequence variant, p.R124C. The asymptomatic father had the same genotype, while the mother showed one deleted copy and 2 active copies, making her an asymptomatic carrier. Our report demonstrates the importance of molecular testing in atypical cases of CAH, as well as the importance of both sequencing and deletion analysis. The results of molecular testing should be interpreted in clinical context, and treatment should be prescribed according to guidelines when available