Role of Epidemiological Studies in Disease Prevention

Today's society is full of disease that are of different natures including genetic, infectious and metabolic etc. Every disease has its own mechanisms of affecting humans and different prevention mechanisms as per disease nature. These factors are included in epidemiology of disease. Other factors include prevalence and incidence of diseases in different populations. Exactly knowing about disease epidemiology helps governing authorities to prevent the disease. Unfortunately, under-developed and developing nations are not focusing on diseases epidemiology. On the other hand, all developing nations developed best public health practices based on diseases epidemiology data. These studies may vary from basic epidemiological surveys to identification of microorganism strains etc

Bandwidth Efficient Root Nyquist Pulses for Optical Intensity Channels

Indoor diffuse optical intensity channels are bandwidth constrained due to the multiple reflected paths between the transmitter and the receiver which cause considerable inter-symbol interference (ISI). The transmitted signal amplitude is inherently non-negative, being a light intensity signal. All optical intensity root Nyquist pulses are time-limited to a single symbol interval which eliminates the possibility of finding bandlimited root Nyquist pulses. However, potential exists to design bandwidth efficient pulses. This paper investigates the modified hermite polynomial functions and prolate spheroidal wave functions as candidate waveforms for designing spectrally efficient optical pulses. These functions yield orthogonal pulses which have constant pulse duration irrespective of the order of the function, making them ideal for designing an ISI free pulse. Simulation results comparing the two pulses and challenges pertaining to their design and implementation are discussed

Ethanol steam reforming over Pt/Al2O3 and Rh/Al2O3 catalysts: the effect of impurities on selectivity and catalyst deactivation

Bioethanol contains different types of organic impurities which can have a significant influence on the catalytic performance during steam reforming of bioethanol. Different C3 functional group impurities were added individually to the pure ethanol to investigate the influence of different functional groups on the ethanol steam reforming reaction over 0.2% Pt/Al2O3 and 0.2% Rh/Al2O3 catalysts at 773 K. It was established that the catalytic behaviour of both of the catalysts is significantly influenced by the different impurities. The addition of 1 mol% C3 alcohols (1-propanol and isopropyl alcohol) decreased the conversion of ethanol and increased the rate of catalyst deactivation. This deactivation of the catalyst in the presence of C3 alcohols was attributed to high olefin formation and incomplete decomposition of the C3 alcohols, which deposited over the catalysts as coke. Propanal, propylamine and acetone addition to the water/ethanol mixture resulted in rapid metal deactivation and a loss of steam reforming activity over the Pt/alumina although ethanol decomposition continued. In contrast the Rh/alumina did not lose all steam reforming activity when acetone and propylamine were added as impurities. On both the catalysts alcoholic impurities produced a large number of carbon nanotubes (CNTs)

The Economic Impact of Lower Extremity Amputations in Diabetics. a Retrospective Study From a Tertiary Care Hospital of Faisalabad, Pakistan

Background: Among the various complications of diabetes, lower-extremity amputation due to diabetic foot is a common problem. In Pakistan, 6-7% of patients with diabetes suffer from diabetic foot ulceration. Objectives: Our primary objective was to explore the frequency of diabetic foot amputations, and the secondary objective was to calculate the economic burden of these preventable surgeries on the health budget of the provincial government. Materials & Methods: It was a retrospective cross-sectional observational study conducted after obtaining approval from the Ethical Review Committee of Allied hospital, Faisalabad Medical University. The data of diabetic foot patients who underwent amputations between July 2017 and December 2017 were retrieved from three Surgical Units (I, II & III), using a purposive sampling technique. All amputations carried out for reasons other than diabetic foot were excluded. The direct medical cost of one diabetic foot amputation was calculated via a local survey of the various private hospitals of Faisalabad. The indirect costs in terms of loss of productivity and disability costs, transport costs, rehabilitation costs were not included in this study. The data were evaluated by using SPSS Version 23. Results: A total of 85 patients were included in our study. The male to female ratio was 2.7 to 1. The mean direct treatment cost for minor amputation was PKR 46926.00 ± 11730.90 ($382.35 ± 95.58), and the mean direct treatment cost for major amputation was PKR 53720.00 ± 12401.24 ($437.71 ± 101.40). Out of 85 amputations, 63 (74%) were major amputations, and the remaining 22 (26%) were minor amputations. The total cost for 63 major amputations was PKR 3,384,360 ($27568.91) and for 22 minor amputation was PKR 1,032,372 ($8409.67). The net cost came out to be PKR 4,416,732 ($35978.59) for all the 85 cases being reported in a tertiary care hospital of Faisalabad for six months. Conclusion: Diabetic foot, a preventable complication of long-term diabetes mellitus, has an economic burden on the hospital budget, which, if adequately addressed via primary prevention programme, can yield not just economical but medical benefits as well

Mass transfer efficiency of a tall and low plate free area liquid pulsed sieve-plate extraction column

Acknowledgements The authors would like to acknowledge Chakwal group of industries for funding the project. Ms. Madiha, Ms. Zona, Mr. Sohaib, Mr. Abdullah, Mr. Mudassar, and Mr. Salahuddin also deserve our acknowledgements for their assistance in different ways.Peer reviewedPublisher PD

Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center

Objective: to investigate the role of CT and MRI in diagnosis of Arnold chiari malformation of hydrocephalus and its treatment with VP shunt along with complications. Study Design: Prospective study Place and duration: Department of Neurosurgery, DG Khan Medical College from May 4, 2018 to May 4, 2019. Methodology: Fifty patients of congenital hydrocephalus who were not treated previously were selected. Detailed history about disease and clinical examination of patients was performed. Follow ups were done at neurosurgery OPD. SPSS software for data analysis was used and mean ± SD, frequency and percentages were calculated for variables. P value ≤0.05 was considered as significant. Results: Treatment in case of congenital hydrocephalus as VP shunt, intra-aneurysmal coiling, excision of meningomyelocele with VP shunt and suboccipital craniectomy + upper cervical laminectomy (scucl) were observed as 10%, 6%, 8% and 8% respectively.  Twelve percent of patients were not treated. Conclusion: CT and MRI are the main diagnostic tools for diagnosis of Arnold chiari malformation and VP shunt is the treatment of choice. Among complications of VP shunt infection of shunt and shunt block are the main complications