Frequency of Predisposing Factor of Nausea and Vomiting After Chest Surgery Under General Anaesthesia

Background: Postoperative nausea and vomiting are common and distressing postsurgical symptoms. These symptoms are of particular concern in outpatient surgery because they may require additional direct resources, such as supplies and antiemetic drugs, and may delay discharge. The objective of this study was to measure the frequency of factors which can cause nausea and vomiting under general anaesthesia after chest surgery. Methodology: This descriptive case series evaluated frequency of predisposing factor of nausea and vomiting in patients of anaesthesia department of Gulab Devi Hospital Lahore. Questionnaire is made and patients were asked about their age, fever, previous surgery, NPO status, smoking history and hospital stay. This study included 140 patients with post-operative nausea and vomiting. Results: In this study, 140 patients were taken in which  65 (46.43%) were female and 75 (53.57%) were male. In 140 patient 134 (95.7%) were NPO and 6 (4.3%) were not  NPO, 25 (17.9%) were obese and 115 (82.1%) were not obese, 88 (62.9%) patients were suffering fever and 52 (37.1%) were not suffering fever, 80 (57.1%) were infected and 59 (42.1%) were not infected, 53 (37.9%) patients had previous surgery and 87 (62.1%) had no previous surgery, 94 (67.1%) patients had received nitrous oxide and 46 (32.9%) didn\u27t, 97 (69.3%) received volatile gases and 43 (30.7%) not received, 29 (20.7%) received ketamine and 111 (79.3%) not received, 87 (62.1%) received suxamethonium and 53 (37.9%) not received, 119 (85.0%) received propofol and 21 (15.0%) not received, 110 (78.6%) received naluphine and 28 (20.0%) not received. Out of 140 patients, there were 122 (87.1%) who were suffering from pain and 18 (12.9%) were not. 91 (65.0%) patients had gastric distention and 49 (35.0%) patients didn\u27t. Opioids were given to 34 (24.3%) patients and not given to 106 (75.7%) patient. Conclusion: It is concluded that the nausea and vomiting after surgey under genral anesthesia is due to patient related factors in which most frequent is NPO. Drug related factors include propofol and nalbupin administration. Post operative factors include pain. In whole study of 140 patients, the  most frequent is patient related factor (NPO) other than drug related factors and post-operative factors

A novel Multi-permittivity Cylindrical Dielectric Resonator Antenna for Wideband Applications

In this paper, a novel multi-permittivity cylindrical dielectric resonator antenna for wideband application is presented. The multi-permittivity cylinder is formed by combining two different permittivity material sectors in such a way that each sector (with constant permittivity) is 90 degree apart. A direct microstrip line coupling terminated with T-stub at the open end is used to excite the multi-permittivity cylindrical dielectric resonator. The angular position of the multi sector dielectric resonator with respect to the longitudinal axis of the microstrip line and length of the additional strip at the open end of the feeding circuit is key parameters for wideband operation of the antenna. By optimizing all parameters of the proposed antenna, wideband impedance bandwidth of 56% (12.1 GHz - 21.65 GHz) is achieved. The average gain of the antenna throughout the bandwidth is 5.9 dB with good radiation properties in both E-plane and H-plane. A well matched simulation and experimental results show that the antenna is suitable for wideband applications

Commercially available probiotic enhanced growth, digestion and immune response of Rohu (Labeo rohita) reared in earthen pond

The use of Probiotics in aquaculture got an importance in the previous years. Hence, present study was carried out to evaluate the effects of the commercially available dietary probiotic (a consortium of Bacillus subtilis and Saccharomyces cerevisiae) on the growth, proximate body composition, digestive enzymes, hematological parameters and immune response of rohu (Labeo rohita) in a polyculture system. Fingerlings with average body weight and length of 11.00 ± 2.34 g and 9.50 ± 5.50 cm, respectively, were stocked in 6 earthen ponds, at the rate of 200 fingerlings/pond making a total of 1200 fingerlings. The experiment was extended for 3 months in two groups i.e. probiotics treated and control groups. After three months feeding trial glucose, aspartate aminotransferase (AST), moisture content, ash contents and feed conversion rate (FCR) were significantly decreased in the probiotics supplemented group. At the same time point, Hb, MCH, HCT, total protein, plasma protein, lipid contents, final body mass and final body weight, percent weight gain, cellulase activity, protease activity and amylase activity and white blood corpuscles were significantly increased in the probiotics supplemented group. In conclusion, the use of probiotic enhanced growth, digestive enzyme activities and immune response of L. rohita in a polyculture system

Application of data science for controlling energy crises: A case study of Pakistan

© 2019 Association for Computing Machinery. Today Pakistan is facing numerous challenges for the interconnection of local energy resources and for balanced energy policies. Data Science, Big Data, Artificial Intelligence (AI), IoT and Cloud computing draws our focus towards controlling energy crises in terms of smart energy generation, consumption and to overcome causes of energy crises. To make a conclusion valuable we have to extract significant value from a large amount of data that‟s why data management plays a significant role. This Paper presents a review of energy sectors, energy resources, energy crises in Pakistan. It also presents the possible solution of energy crises with the help of data science application and the involvement of Big Data, Cloud computing, IoT and AI

Design and analysis of a photonic crystal based planar antenna for thz applications

Modern advancements in wearable smart devices and ultra-high-speed terahertz (THz) communication systems require low cost, low profile, and highly efficient antenna design with high directionality to address the propagation loss at the THz range. For this purpose, a novel shape, high gain antenna for THz frequency range applications is presented in this work. The proposed antenna is based on a photonic bandgap (PBG)-based crystal polyimide substrate which gives optimum performance in terms of gain (9.45 dB), directivity (9.99 dBi), and highly satisfactory VSWR (<1) at 0.63 THz. The performance of the antenna is studied on PBGs of different geometrical configurations and the results are compared with the antenna based on the homogeneous polyimide-based substrate. The effects of variations in the dimensions of the PBG unit cells are also studied to achieve a -10 dB bandwidth of 28.97 GHz (0.616 to 0.64 THz)

Design and Optimization of a Novel Compact Broadband Linearly/Circularly Polarized Wide-Slot Antenna for WLAN and WiMAX Applications

A novel topologically modified structure of a compact low profile wide-slot antenna for broadband applications is presented. The antenna comprises a modified E-shaped slot with unequal arm lengths in the ground plane, and a parasitic quasi-rectangular loop placed coplanar with the feedline. For exciting orthogonal modes with equal amplitude, a single-point feeding technique with an asymmetrical geometry of the coplanar waveguide is used to feed the antenna. A multi-stage EM-driven optimization is used to rigorously optimize all the parameters for best impedance bandwidth and axial ratio bandwidth. The total footprint of the antenna is only 0.71 λg^2 and a 41% impedance bandwidth along with 33% axial ratio bandwidth has been achieved which covers several WLAN and WiMAX bands

Size matters: Unpacking the relationship between institutional investor size and private equity asset allocation within diverse institutional contexts

This study examines the relationship between institutional investors’ size and their inclination towards private equity investments, hypothesizing a U-shaped pattern. It also explores how this relationship is influenced by the institutional context. Using a dataset of 5668 firms across 52 countries from 1991 to 2017, we observe that small and large institutional investors exhibit a stronger preference for private equity compared to intermediate-sized counterparts. Smaller investors show heightened interest in private equity within favorable contexts, while larger investors pursue such opportunities in unfavorable contexts. Our research offers valuable insights for policymakers and investors of diffferent sizes making private equity investments in diverse institutional contexts

Composition and structure of plant communities in the Moist Temperate Forest Ecosystem of the Hindukush Mountains, Pakistan

Peer reviewedPublisher PD