Effect of sediment load boundary conditions in predicting sediment Delta of Tarbela Reservoir in Pakistan

Setting precise sediment load boundary conditions plays a central role in robust modeling of sedimentation in reservoirs. In the presented study, we modeled sediment transport in Tarbela Reservoir using sediment rating curves (SRC) and wavelet artificial neural networks (WA-ANNs) for setting sediment load boundary conditions in the HEC-RAS 1D numerical model. The reconstruction performance of SRC for finding the missing sediment sampling data was at R-2 = 0.655 and NSE = 0.635. The same performance using WA-ANNs was at R-2 = 0.771 and NSE = 0.771. As the WA-ANNs have better ability to model non-linear sediment transport behavior in the Upper Indus River, the reconstructed missing suspended sediment load data were more accurate. Therefore, using more accurately-reconstructed sediment load boundary conditions in HEC-RAS, the model was better morphodynamically calibrated with R-2 = 0.980 and NSE = 0.979. Using SRC-based sediment load boundary conditions, the HEC-RAS model was calibrated with R-2 = 0.959 and NSE = 0.943. Both models validated the delta movement in the Tarbela Reservoir with R-2 = 0.968, NSE = 0.959 and R-2 = 0.950, NSE = 0.893 using WA-ANN and SRC estimates, respectively. Unlike SRC, WA-ANN-based boundary conditions provided stable simulations in HEC-RAS. In addition, WA-ANN-predicted sediment load also suggested a decrease in supply of sediment significantly to the Tarbela Reservoir in the future due to intra-annual shifting of flows from summer to pre- and post-winter. Therefore, our future predictions also suggested the stability of the sediment delta. As the WA-ANN-based sediment load boundary conditions precisely represented the physics of sediment transport, the modeling concept could very likely be used to study bed level changes in reservoirs/rivers elsewhere in the world

Comparative ambient and indoor particulate matter analysis of operation theatres of government and private (trust) Hospitals of Lahore, Pakistan

The link between infection and indoor air quality (IAQ) in operating theatres is well established. The level of airborne particulate matter (PM) in operating theatres in Pakistan has not yet been studied comprehensively. Monitoring of both indoor (operating theatre) and outdoor concentrations of PM in both activity and non-activity time periods was done using a DUSTTRAK Aerosol Monitor (TSI Model 8520) and DRX Aerosol Monitor (TSI Model 8533) for 24 hours. Two hospitals in Lahore were selected: Services Hospital (government – site 1) and Shalamar Hospital (private – site 2). The highest concentration of PM was observed in the orthopaedic operating theatre at site 1 during working hours with an average concentration of 757(±540), 809(±58), 824(±585), 875(±586) and 970(±581) μg/m3 of PM1,PM2.5, PM4, PM10 and PMTotal respectively while the average PM2.5 outdoor concentration was 294 μg/m3. The minimum average PM concentration was found in the orthopaedic operating theatre at site 2 during working hours: 18(±8), 19(±8), 20(±9), 26(±9) and 39(±9) μg/m3 for PM1, PM2.5, PM4, PM10 and PMTotal respectively. The use of vertical laminar air flow ventilation strategy was found to be an effective measure in reducing PM levels and it might be possible to predict the air quality of operating theatres by determining PM dust load. Factors such as ventilation system, door opening /closing rates, building age, possible sources of infiltration, number of people present in the operating area all play a role in influencing PM concentrations in operating theatres

Clinical decision-making in remote rheumatology consultations: a service evaluation of new patient and inflammatory rheumatic disease follow-up appointments.

Lette

The psychometric characteristics of the revised depression attitude questionnaire (R-DAQ) in Pakistani medical practitioners: a cross-sectional study of doctors in Lahore

BACKGROUND: Depression is common mental health problem and leading contributor to the global burden of disease. The attitudes and beliefs of the public and of health professionals influence social acceptance and affect the esteem and help-seeking of people experiencing mental health problems. The attitudes of clinicians are particularly relevant to their role in accurately recognising and providing appropriate support and management of depression. This study examines the characteristics of the revised depression attitude questionnaire (R-DAQ) with doctors working in healthcare settings in Lahore, Pakistan. METHODS: A cross-sectional survey was conducted in 2015 using the revised depression attitude questionnaire (R-DAQ). A convenience sample of 700 medical practitioners based in six hospitals in Lahore was approached to participate in the survey. The R-DAQ structure was examined using Parallel Analysis from polychoric correlations. Unweighted least squares analysis (ULSA) was used for factor extraction. Model fit was estimated using goodness-of-fit indices and the root mean square of standardized residuals (RMSR), and internal consistency reliability for the overall scale and subscales was assessed using reliability estimates based on Mislevy and Bock (BILOG 3 Item analysis and test scoring with binary logistic models. Mooresville: Scientific Software, 55) and the McDonald's Omega statistic. Findings using this approach were compared with principal axis factor analysis based on Pearson correlation matrix. RESULTS: 601 (86%) of the doctors approached consented to participate in the study. Exploratory factor analysis of R-DAQ scale responses demonstrated the same 3-factor structure as in the UK development study, though analyses indicated removal of 7 of the 22 items because of weak loading or poor model fit. The 3 factor solution accounted for 49.8% of the common variance. Scale reliability and internal consistency were adequate: total scale standardised alpha was 0.694; subscale reliability for professional confidence was 0.732, therapeutic optimism/pessimism was 0.638, and generalist perspective was 0.769. CONCLUSIONS: The R-DAQ was developed with a predominantly UK-based sample of health professionals. This study indicates that this scale functions adequately and provides a valid measure of depression attitudes for medical practitioners in Pakistan, with the same factor structure as in the scale development sample. However, optimal scale function necessitated removal of several items, with a 15-item scale enabling the most parsimonious factor solution for this population

Effect of Botanical Extracts on Amino Acid and Fatty Acid Profile of Broiler Meat

ABSTRACT The objectives of current study were to evaluate the effect of botanical extracts as antioxidants on amino - and fatty acids profile of broiler meat. In total, 200 one-day-old broiler chicks were divided according to a completely randomized design into eight dietary treatments with five replicates of five chicks each. Dietary treatments were: A - positive control (PC) with antibiotics and synthetic antioxidants, B - negative control (NC), C - NC+Trigonellafoenum-graecum, D -NC+Nigella sativa seed, E -NC+Violaodorata, F -NC+Trachyspermumammi, G -PC+Trachyspermumammi+Trigonellafoenum-graecum+Violaodorata, and H -NC+ Trachyspermumammi, Trigonellafoenum-graecum and Viola odorata. Meat amino - and fatty acid contents were analyzed after slaughter at 35 days of age. Data were submitted to one-way analysis of variance and means were compared by Duncan’s Multiple Range test. The levels of histidine, isoleucine, leucine, lysine and threonine were significantly higher (p≤0.05) in the H, F, E, H and F groups respectively. Arginine, tryptophan, valine, methionine, and phenylalanine were significantly higher (p≤0.05) in the C, F, E, G and H groups. Total essential amino acid levels were highest (40.36%) in C group (p≤0.05). The meat of H broilers presented significantly higher (p≤0.05) unsaturated fatty acids (54.8%) and omega-3 contents (2.77%) and the lowest saturated fatty acid content (44.8%). Group F present the highest linoleic acid and omega-6 levels and group H the highest (p≤0.05) arachidonic and eicosapentaenoic acid (EPA) contents. It was concluded that botanical extracts aid health-beneficial meat production and the simultaneous inclusion of Trachyspermumammi, Trigonellafoenum-graecum, and Viola odorata in broiler diets is a more suitable option than the other dietary regimes

Exploring the solitary wave solutions of Einstein's vacuum field equation in the context of ambitious experiments and space missions

In the present work, Einstein's vacuum field equation is investigated analytically to explore the solitary wave solutions. This equation arises in mathematical physics, having meaningful applications in the general theory of relativity. This concept is crucial for numerous challenging experiments and space missions. The generalized exponential rational function and modified auxiliary equation approaches are used to obtain the exact solitary wave solution. Various types of solutions are extracted, including exponential functions, hyperbolic functions, trigonometric functions, and rational forms. Additionally, a stability analysis for the Einstein vacuum field equation is conducted. Appropriate parameters are chosen to draw 3-D and corresponding contour plots of some solutions, which clearly demonstrate the solitary wave behaviors. The obtained results support the idea that applying these approaches is the most effective strategy for resolving any nonlinear issues that may arise in science and technology