Patterns of suicide and self-harm in Pakistan: a retrospective descriptive study protocol

Introduction Suicide is a major global public health problem. Low-income and middle-income countries contribute 78% of all suicidal deaths. Pakistan, a South Asian country, lacks official statistics on suicides at national level. Statistics on suicide are neither collected nationally nor published in the annual national morbidity and mortality surveys. Medicolegal reports on suicides and self-harm are extremely rich and important source of information but greatly underused in Pakistan. We aim to examine the patterns of suicides and self-harm retrospectively in patients who were registered with medicolegal centres (MLCs) in Karachi, during the period January 2017 to December 2021. Methods and analysis Using retrospective descriptive design, the data will be collected from the medical records maintained at the main office of the Karachi police surgeon. Data from all nine MLCs of Karachi are collated and stored at the main office of Police surgeon. Information on suicide and self-harm cases will be extracted from records of all MLCs. The data will be collected using structured proforma and it will be analysed using descriptive and inferential analysis. Ethics and dissemination The study was approved for exemption from Aga Khan University, Ethical Review Committee. The findings of the study will be disseminated by conducting seminars for healthcare professionals and stakeholders including psychiatrists, psychologists, counsellors, medicolegal officers, police surgeons, mental health nurses, general and public health physicians and policy makers. Findings will be published in local and international peer-reviewed scientific journals

Patterns of suicide and self-harm in Pakistan: A retrospective descriptive study protocol

Introduction: Suicide is a major global public health problem. Low-income and middle-income countries contribute 78% of all suicidal deaths. Pakistan, a South Asian country, lacks official statistics on suicides at national level. Statistics on suicide are neither collected nationally nor published in the annual national morbidity and mortality surveys. Medicolegal reports on suicides and self-harm are extremely rich and important source of information but greatly underused in Pakistan. We aim to examine the patterns of suicides and self-harm retrospectively in patients who were registered with medicolegal centres (MLCs) in Karachi, during the period January 2017 to December 2021.Methods and analysis: Using retrospective descriptive design, the data will be collected from the medical records maintained at the main office of the Karachi police surgeon. Data from all nine MLCs of Karachi are collated and stored at the main office of Police surgeon. Information on suicide and self-harm cases will be extracted from records of all MLCs. The data will be collected using structured proforma and it will be analysed using descriptive and inferential analysis.Ethics and dissemination: The study was approved for exemption from Aga Khan University, Ethical Review Committee. The findings of the study will be disseminated by conducting seminars for healthcare professionals and stakeholders including psychiatrists, psychologists, counsellors, medicolegal officers, police surgeons, mental health nurses, general and public health physicians and policy makers. Findings will be published in local and international peer-reviewed scientific journals

Reactive Extrusion of Maleic-Anhydride-Grafted Polypropylene by Torque Rheometer and Its Application as Compatibilizer

This study is based upon the functionalization of polypropylene (PP) by radical polymerization to optimize its properties by influencing its molecular weight. Grafting of PP was done at different concentrations of maleic anhydride (MAH) and benzoyl peroxide (BPO). The effect on viscosity during and after the reaction was studied by torque rheometer and melt flow index. Results showed that a higher concentration of BPO led to excessive side-chain reactions. At a high percentage of grafting, lower molecular weight product was produced, which was analyzed by viscosity change during and after the reaction. Percentage crystallinity increased by grafting due to the shorter chains, which consequently led to an improvement in the chain’s packing. Prepared Maleic anhydride grafted polypropylene (MAH-g-PP) enhanced interactions in PP-PET blends caused a partially homogeneous blend with less voids

Prognostic implication of size on outcomes of pituitary macroadenoma: A comparative analysis of giant adenoma with non-giant macroadenoma

Background: Due to the differences in size and invasiveness when compared to non-giant macroadenomas (nGPAs), giant pituitary adenomas (GPAs) are considerably harder to resect. This study aimed to differentiate GPAs from nGPAs, based on the presenting complaints, surgical approaches, peri- and postoperative outcomes.Methods: We retrospectively analyzed cases of pituitary macroadenomas that underwent surgical resection at a tertiary care hospital. GPAs were tumors greater than 4 cm in the largest dimension, while nGPAs were tumors smaller than 4 cm. 55 GPA patients and 70 nGPA patients from 2006 to 2017 were included. Demographic, perioperative, and post-operative outcomes were evaluated. Group comparisons for continuous variables were made using an independent t-test/Mann Whitney U test and categorical data was analyzed on Chi-square/Fisher exact test; a p-value of \u3c 0.05 was considered significant.Results: Visual deterioration was the most common complaint, reported by 61.4% of nGPA patients and 81.8% of GPA patients. The mean extent of gross total resection was 47.1% in nGPA patients and 18.2% in GPA patients (p = 0.001). After surgery, tumor recurrence was seen in 1.4% of nGPA patients and 18.2% of GPA patients (p = 0.001). First re-do surgery was required in 5.7% of nGPA patients and 25.5% of GPA patients (p = 0.004).Conclusion: Compared to nGPAs, GPAs are more likely to present with a higher number of preoperative symptoms, and lesser chances of gross total tumor resection. GPAs are also associated with a higher rate of recurrence, which results in more follow-up procedures. Larger, multi-center longitudinal studies need to be done to validate these findings

EMI shielding properties of polymer blends with inclusion of graphene nano platelets

Polymer blends of poly vinyle chloride (PVC) and polyaniline (PANI) with the inclusion of graphene nano platelets (GNP) are fabricated to enhance the EMI shielding effectiveness. The initial assessment with cyclic voltammetry has shown improved electrical conductivity both for PVC/PANI blends and PVC/PANI/GNP composites. The capacitive effect of the blends and composites is evaluated at lower frequency region (100 Hz-5 MHz). EMI shielding measurements of PVC/PANI/GNP composites is performed in the frequency range 10 MHz-20 GHz. In case of PVC/PANI (15 wt%) blends, a maximum attenuation of similar to 27 dB is attained which is enhanced to similar to 51 dB (max.) with the inclusion of 5 wt% GNP, mainly due to the absorption phenomena. The enhanced shielding effectiveness is achieved mainly in the frequency range 11-20 GHz. The dispersion state, fillers nature and their interaction may be the main aspects for the enhanced EMI shielding effectiveness of hybrid polymeric nanocomposites.publishedVersionPeer reviewe

Synergistic flame retardancy and electrical conductivity in di-glycidyl ether of bisphenol-A epoxy composites with polyaniline and aluminum Tri-hydroxide

This study focuses on developing and characterizing multifunctional composites based on the diglycidyl ether of bisphenol-A (DGEBA) epoxy matrix. The aim is to enhance fire resistance and electrical conductivity properties for applications in various fields. To achieve this, aluminum tri-hydroxide (ATH) was incorporated as a flame retardant (FR) agent, while polyaniline (PANI) was added to impart electrical conductivity. The composites were categorized into three groups: the first containing flame retardant (FR), the second containing PANI for conductivity, and the third containing both PANI and FR for combined effects. E 60-FP emerged as the optimal multifunctional composite, exhibiting superior mechanical properties among the tested formulations. Thermogravimetric analysis (TGA) results provided valuable insights into the thermal stability of E 60-FP, revealing that it retained 42% of its initial mass at a temperature of 600 °C. Additionally, the composite achieved a V-0 rating in the UL 94 test, confirming its excellent fire resistance. Notably, E 60-FP displayed impressive mechanical strength, with a tensile strength of 7.2 MPa and a tensile modulus of 1117.6 MPa. Its flexural strength and modulus were measured at 31.2 MPa and 2800.2 MPa, respectively. Furthermore, the composite E 60-FP exhibited remarkable electrical conductivity, measuring 6.1 × 10 ^–6 S cm ^−1 . These findings highlight the potential of DGEBA epoxy composites containing PANI and ATH as promising materials for applications requiring fire resistance and electrical conductivity properties

Identities and frequencies of variants in CYP1B1 causing primary congenital glaucoma in Pakistan

Purpose: Primary congenital glaucoma (PCG) is a clinically and genetically heterogeneous disease. The present study was undertaken to find the genetic causes of PCG segregating in 36 large consanguineous Pakistani families. Methods: Ophthalmic examination including fundoscopy, or slit-lamp microscopy was performed to clinically characterize the PCG phenotype. Genomic nucleotide sequences of the CYP1B1 and LTBP2 genes were analyzed with either Sanger or whole exome sequencing. In silico prediction programs were used to assess the pathogenicity of identified alleles. ClustalW alignments were performed to determine evolutionary conservation, and three-dimensional (3D) modeling was performed using HOPE and Phyre2 software. Results: Among the known loci, mutations in CYP1B1 and LTBP2 are the common causes of PCG. Therefore, we analyzed the genomic nucleotide sequences of CYP1B1 and LTBP2, and detected probable pathogenic variants cosegregating with PCG in 14 families. These included the three novel (c.542T>A, c.1436A>G, and c.1325delC) and five known (c.868dupC, c.1168C>T, c.1169G>A, c.1209InsTCATGCCACC, and c.1310C>T) variants in CYP1B1. Two of the novel variants are missense substitutions [p.(Leu181Gln), p.(Gln479Arg)], which replaced evolutionary conserved amino acids, and are predicted to be pathogenic by various in silico programs, while the third variant (c.1325delC) is predicted to cause reading frameshift and premature truncation of the protein. A single mutation, p.(Arg390His), causes PCG in six (~43%) of the 14 CYP1B1 mutations harboring families, and thus, is the most common variant in this cohort. Surprisingly, we did not find any LTBP2 pathogenic variants in the families, which further supports the genetic heterogeneity of PCG in the Pakistani population. Conclusions: In conclusion, results of the present study enhance our understanding of the genetic basis of PCG, support the notion of a genetic modifier of CYP1B1, and contribute to the development of genetic testing protocols and genetic counseling for PCG in Pakistani families