A green nutraceutical study of antioxidants extraction in Cleome brachycarpa - an ethnomedicinal plant

In the present study, an indigenous medical plant ‘Cleome brachycarpa’ was comparatively investigated for its antioxidant extraction for first time; using the soxhlet (traditional), microwave-assisted, and ultrasound-assisted (green) extraction methods with seven different solvents. The microwave-assisted extraction with methanol as solvent recovered the phytochemicals two-folds higher than the other methods with extraction efficiency of 370.57 ± 0.49 μg/ mg and correspondingly extracted the polyphenols: Phenolics (74.17 ± 0.61 μg GAE/mg DW), Flavonoids (65.46 ± 0.40 μg QE/mg DW), and Tannins (55.97 ± 0.85 μg CE/mg DW). The antioxidant capacity in relation with polyphenols was determined for Free radical scavenging activity and total antioxidant potential. The DPPH radical scavenging percentage of methanolic green extract of Cleome brachycarpa was found to be 81.37 ± 0.28 with IC50 of 0.30 mg/mL that matched up to the DPPH scavenging potential of Trolox. Furthermore, the ferric reducing potential was high up to 15.30 ± 0.30 μg GAE/mg DW. The correlation of antioxidant capacity with polyphenols was highly significant (p < 0.05). The green nutraceutical study has validated the ethnomedicinal importance of Cleome brachycarpa which is related to its high polyphenolic content. The findings highlight Cleome brachycarpa as a potential candidate for research and isolation of medicinal polyphenols

Analysis of land surface temperature dynamics in Islamabad by using MODIS remote sensing data

The rapid pace of unattended urbanization has caused the urban heat island phenomenon, due to which the United Nations SDGs agenda 2030 calls for immediate actions for “sustainable cities and communities”. In this context, the case of the emerging metropolitan city Islamabad has been studied based on its developmental discourse vis-à-vis associated environmental problems. A time-series trend for the land surface temperature was generated by investigating the change in minimum and maximum variability against a dataset of 1960–2012 which was obtained from the Pakistan Meteorological Department, along with MODIS LST images from January 2000 to December 2015. The statistical comparison of an eight-day composite of the maximum (Tmax) and minimum (Tmin) temperature reveals an increasing trend with R2 values of 0.2507 (Tmin) and 0.1868 (Tmax). The box plots for both the Tmin and Tmax depict changes in seasonal patterns for Islamabad, with summers becoming longer and winters becoming harsher. Moreover, the application of the Mann–Kendall test affirmed the slope of the R2 linear trend map and showed the temperature regression in the Margalla Hills National Park and in such urban zones which had an expanded vegetative cover. These findings will act as a guide for urban planners and future researchers to maintain a standardized urban heat island and promote the concept of sustainable cities in the future course of action

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially