Standardization of Anaesthesia Ready Time and reasons of delay in induction of anaesthesia

Objective: Anaesthesia-Ready Time (ART) is the time taken by the anaesthetist to provide sufficient anaesthetic depth for start of surgery. Our aim was to set benchmark timings for ART and compare it with our current practice.Methods: Benchmark ART time of 15 minutes was set for American Society of Anesthesiologists (ASA) class I and II patients, 30 minutes for ASA III and IV patients, 20 minutes for spinal and 30 minutes for epidural anaesthesia. An additional 15 minutes was added for each invasive procedure.Results: Three hundred elective cases were audited. Seventy eight percent of the cases were within benchmark timings. The main causes of delay included undergraduate students performing procedures (24.6%), teaching invasive lines to postgraduates (21.3%) and paediatric patients (16.4%).CONCLUSION: The introduction of benchmark timings and its regular auditing can help standardize operating room booking time and reducing patient cost

Capital Structure Dynamics of Shariah-Compliant vs Non-Compliant Firms: Evidence from Pakistan

Purpose This study aims to compare capital structure determinants' effect on the leverage levels of Shariah-compliant (SC) and noncompliant (NC) firms in Pakistan. This study also estimates and compares the capital structure adjustment speed for both firm types. Design/methodology/approach Based on the Karachi Meezan Index screening criterion, a balanced panel of 117 SC and 68 NC firms listed on the Pakistan Stock Exchange from 2008 to 2018 was constituted. This study used the generalized method of moments to identify the significant determinants of capital structure and estimate the speed of adjustment. In addition, the F-test was used to check whether the effect of the determinants on the leverage is same for SC and non-SC firms. Findings The authors found that different determinants affect both firm types' leverage levels (book and market) differently. The authors also found that the adjustment speed of SC firms toward their target leverage ratio is slower than their NC peers. Lastly, significant variation was observed in the results under different screening criteria. Research limitations/implications This study fills the literature gap by providing a comprehensive comparison of the capital structure decisions of the SC and non-SC firms. Because this study is limited to Pakistan, generalizability would be an issue. Practical implications This study will guide the management of SC and non-SC firms about which factors are reliably important in choosing their capital structure. The findings also call for bringing harmony in the different Shariah screening criteria being in practice. Originality/value To the best of the authors’ knowledge, this is the first comparative study that identifies the significant capital structure determinants for SC and NC firms and investigates their effect on the leverage of both firm types. By testing joint hypotheses of same relationship, this study seeks to determine if, because of Shariah restrictions, the capital structure determinants of SC firms are similar to NC firms or they exhibit different behavior. The authors also repeat their analysis using other prominent screening criteria to assess the consistency of their results

Calpastatin (CAST) gene polymorphism in Kajli, Lohi and Thalli sheep breeds

Calpastatin-encoding gene (<i>CAST</i>) is located on the fifth chromosome of sheep and it plays an  important role in the development of muscles and in meat tenderness. The present study was conducted to  investigate a calpastatin (CAST) gene polymorphism in Pakistani Thalli, Lohi and Kajli sheep breed. Random blood samples were collected from 300 animals (100 samples from each Thalli, Lohi and Kajli breeds).  Genomic DNA was extracted using phenol-chloroform extraction method. A 622 bp CAST gene segment (exon 1C/1D region) was amplified by polymerase chain reaction (PCR) using ovine specific primers. Restriction  fragment length polymorphisms (RFLPs) in the amplified fragments were studied using Msp1 restriction  enzyme. Frequencies of MM, MN and NN genotypes were found to be 77, 20 and 3% in Lohi breed and 68, 26 and 6% in Kajli breed respectively. In Thalli sheep, only the MM (80%) and MN (20%) genotypes were  detected. Chi-Square test (p < 0.05) showed that all the three populations used in this study were in Hardy-Weinberg equilibrium. By comparing the results of this study with those of previous studies, it seems that the MM genotype is the dominant genotype and the M allele is the dominant allele in small ruminant breeds belonging to different geographical locations.Key words: Thalli, Lohi, CAST gene, Kajli, polymorphism, Msp1, PCR-RFLP

Corrosion Mechanisms of 304L NAG in Boiling 9M HNO3 Containing Cr (VI) IONS

In this research, mechanisms of end grain corrosion of 304L NAG tubes in boiling 9M HNO3-containing Cr (VI) ions are reported to manage the corrosion of nuclear fuel reprocessing plant components sustainably. Specific heat treatments were applied to as-received specimens to produce phosphorus and/or sulphur intergranular segregation. End grain corrosion on heat-treated specimens and the effect of Cr (VI) concentration on 304L NAG tube [as received] were investigated. It has been reported that an increase in Cr (VI) ions leads to the acceleration of end grain corrosion due to high electrochemical potential. After systematic heat treatments of the 304L NAG specimens, it is concluded that the primary causes of heat-induced end grain corrosion are phosphorus or sulphur segregation to the grain boundaries. The key findings of this research are highly significant in terms of understanding the corrosion mechanisms and controlling the end grain corrosion of NAG steel in boiling HNO3 environment. This research work will help reduce power plant maintenance costs sustainably and will have significant impact on the delivery of long-term, clean, secure and tenable energy

Evidence for a Founder Effect among HIV-infected injection drug users (IDUs) in Pakistan.

Background: We have previously reported a HIV-1 subtype A infection in a community of injection drug users (IDUs) in Karachi, Pakistan. We now show that this infection among the IDUs may have originated from a single source. Methods: Phylogenetic analysis was performed of partial gag sequences, generated using PCR, from 26 HIV-positive IDU samples. Results: Our results showed formation of a tight monophyletic group with an intra-sequence identity of \u3c 98% indicating a founder effect . Our data indicate that the HIV-1 epidemic in this community of IDUs may have been transmitted by an HIV positive overseas contract worker who admitted to having contact with commercial sex workers during stay abroad. Conclusion: Specific measures need to implemented to control transmission of HIV infection in Pakistan through infected migrant workers

An ultrawideband patch antenna for UHF detection of partial discharge.

The location of partial discharge (PD) sources by free-space UHF detection is an attractive approach for condition monitoring of high voltage equipment in substations. A low-cost, radiometric, PD wireless sensor network (WSN) has been proposed to provide continuous real-time coverage for an entire substation. A suggested band for UHF PD detection is 0.3 – 1.5 GHz. A novel ultrawideband (UWB) printed monopole antenna is presented here for PD WSN applications

Synthesis, thermal, structural analyses and photoluminescent properties of a new family of malonate-containing lanthanide(III) coordination polymers

Five new Lanthanide(III) complexes of malonic acid (HOOC-CH2-COOH); {[Gd(C3H2O4)(H2O)4]•NO3}n (1), {[Tb(C3H2O4)(H2O)4]•NO3}n (2),{[Ho(C3H2O4)(H2O)4]•NO3}n (3), [Er(C3H2O4)(C3H3O4)(H2O)2]n (4) and {[Eu2(C3H2O4)2(C3H3O4)2(H2O)6]•4H2O}n (5) are synthesized and characterized by elemental, infrared spectral and thermal analyses. The structures of compounds 1-5 are determined by single crystal X-ray diffraction technique. The X-ray analysis reveals that compounds 1, 2 and 3 are isostructural and crystallized in the orthorhombic space group Pmn21. The lanthanide(III) ions are coordinated by four carboxylate and four water oxygen atoms adopting a distorted square antiprism geometry. The LnO8 square antiprisms are linked into infinite layers by malonate (C3H2O42–) dianions sandwiching sheets of nitrate counter ions. Compound 4 contains ErO8 square antiprisms linked into a two-dimensional network by hydrogen malonate (C3H3O4–) anions and malonate dianions. The europium complex, 5 is dinuclear having the two europium(III) ions (Eu1 and Eu2) bridged by carboxylate groups of hydrogen malonate ligands. The europium ions in 5 are nine-coordinate and exhibit a distorted monocapped square antiprism geometry. All the structures are consolidated by O–H∙∙∙O hydrogen bonds. The photoluminescence spectra of 1-5 exhibit characteristics emission in the visible region. The IR spectra and thermal data are consistent with the structural results. The room-temperature effective magnetic moments for 1–4 are in good agreement with those expected for the free ions, while the data for 5 indicates that low-lying excited states contribute to the observed moment. The compound 1 was further subjected to quantum computational calculations to explore its optoelectronic properties including; density of states (DOS), dielectric function, refractive index, extinction coefficient and absorption spectrum, to highlight the possible applications of such materials in the optoelectronics

Partial discharge detection using low cost RTL-SDR model for wideband spectrum sensing

Partial discharge (PD) is one of the predominant factors to be controlled to ensure reliability and undisrupted functions of power generators, motors, Gas Insulated Switchgear (GIS) and grid connected power distribution equipment, especially in the future smart grid. The emergence of wireless technology has provided numerous opportunities to optimise remote monitoring and control facilities that can play a significant role in ensuring swift control and restoration of HV plant equipment. In order to monitor PD, several approaches have been employed, however, the existing schemes do not provide an optimal approach for PD signal analysis, and are very costly. In this paper an RTL-SDR (Software Defined Radio) based spectrum analyser has been proposed in order to provide a potentially low cost solution for PD detection and monitoring. Initially, a portable spectrum analyser has been used for PD detection that was later replaced by an RTL-SDR device. The proposed schemes exhibit promising results for spectral detection within the VHF and UHF band

Prevalence, diversity and disease association of <i>Helicobacter pylori</i> in dyspeptic patients from Pakistan

Introduction: The etiological association of Helicobacter pylori with gastric ulcer (GU), gastric cancer (GC), and duodenal ulcer (DU) is well-known. Understanding the epidemiology of H. pylori facilitates the estimation of disease burden in a certain population. This study presents the diversity of H. pylori genotypes and their association with different clinical outcomes among dyspeptic patients in Pakistan over a period of four years. Methodology: Gastric biopsy samples from a total of 450 dyspeptic individualswere subjected to PCR, genotypingand histology. Results: A total of 201 (45%) cases were found positive for H. pylori. The detection rate was high in GU (91%), DU (86%) and GC (83%) cases compared with those cases who had intact gastric mucosa (18%). Histology revealed the presence of infection in 68% of cases of mild/chronic nonspecific gastritis with others belonging to the GU sequel. cagA gene carriage was observed in 104 (51%) cases or mostly from DU, GU and GC groups, of which 97 were Western type strains while 3 were East-Asian type strains that are rarely observed in South Asia. vacA allelic variant s1am1 was most commonly observed, followed by s1am2, and s1bm1, with direct correlation in diseased cases (gastritis, GU, DU and GC). Prevalent genotypic combinations were s1am1/cagA- in gastritis and s1am1/cagA+ in DU, GU, and GC. Conclusions: Our study indicates the predominant circulation of Western type cagA and vacAs1am1 type H. pylori strains in Pakistan.</br