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Background: Digital health solutions have seen a remarkable increase in recent years as they enhance the efficiency and effectiveness of healthcare system. Digital health tools have transformed how patients interact with healthcare. Digital health tools help in diagnosis, measuring of vitals on daily and regular basis, and in prevention of diseases. Studies show a gap between the design of these tools and the needs of the patients they serve. The study aimed to identify areas where improvements are needed for digital health skills. Objective: The objective of this study was to assess community pharmacist's knowledge and attitudes toward integration of digital health tools (e.g. mobile apps, telehealth) into their practice. To observe association between participants demographics/professional variables and knowledge concerning digital health tools. Methods: A cross-sectional survey-based study was conducted by research students of a private medical college in Lahore a city of Punjab, Pakistan. Data was collected on data collection form after getting consent from the participants. All those community pharmacists who gave consent and have work experience of more than one year were included in study and those who have work experience less than one year were excluded from study. Validated questionnaire was used for data collection. Data was collected from August 30,2024 to September 6, 2024. After inclusion & exclusion criteria sample size was remained to 70. For analysis of collected data SPSS 26th version was used. For the purpose of summarizing the data standard deviation and mean were employed. Evaluation of categorical data was carried out either by using chi-square test or Fisher’s exact test. For measuring of effect size Cramer’s V or Phi (?) was used. Less than 0.05 of P-value was considered significant. Results: 51.4% of participants were females but males have more adequate knowledge than females. The mean age of all participants calculated was 27.41±4.03. 62.6% participants were from urban areas. 85.7% of participants have done post-graduation. 70% of participants have work experience of less than 2 years and only 12.9% have participated in courses related to digital health tools. Only 30%of participants were from chain pharmacies while rest of them were from independent pharmacies. A statistically non-significant was observed between participants knowledge and their qualification as p-value was 1. Additionally, non-significance was observed between all demographics and knowledge of participants as none have p-value less than 0.05. Regarding attitude of variables, no statistically significant difference was observed between score of males which is 32.794±5.156 and females 32.69±5. 538 in present study with p-value of 0.938. Similarly, no significant difference was found between score of chain and independent community pharmacists which is 33.30 and 32.59 respectively with p-value 0.692. Conclusion: The current study concluded that there was no significant association between participants demographics/professional variables and knowledge concerning digital health tools. However, male pharmacists and those pharmacists working in chain pharmacies have more knowledge but this impact was not justified by p-values. Similarly, those participants who have done some certifications 55.6% out of them has adequate knowledge but still association was non-significant as p-value was 0.116. Regarding attitude of participants, no statistically significant difference was observed between score of attitude variables and none of them have significant p-value as well.

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Background: Inguino-scrotal hernias pose a significant clinical challenge, requiring surgical intervention for resolution. Post-operative care is crucial for optimizing outcomes and enhancing patient comfort. Scrotal support has emerged as a potential adjunctive therapy in this context. The aim of this study was to compare the occurrence of scrotal swelling in the form of edema and hematoma in post-operative cases of inguinal hernia repair cases in our surgical unit in a tertiary care center. Methods: Our study was carried out at a rural tertiary care center from July 2022 to June 2024 and includes 389 patients who underwent elective surgical repair for inguino-scrotal hernias. Scrotal support was provided post-operatively, and patients were followed up at regular intervals. The study population was divided into two groups, group A with regular under garments and group B were given scrotal support (coconut bandage). Total numbers of 1050 inguino-scrotal hernia surgery were performed of which 389 patients were operated in a single unit by two surgeons and we included in the study. Of the 389 cases, 208 cases were in group A and 181 cases were in group B. All are male patients with the age ranges from 35-75 years. Results: In group A, 37 patients (17.78%) developed scrotal hematoma and edema and in group B, 16 patients (8.83%) developed similar findings. Conclusions: Scrotal support post inguino-scrotal hernia repair demonstrates promising benefits, including decreased pain and swelling and improved patient satisfaction, without compromising surgical outcomes.

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Chronic hepatitis C with cirrhosis is treated with direct-acting antibiotics (DAAs). The aim of this study was to investigate the effect of direct-acting antibodies in the treatment of hepatitis C in cirrhosis. It also examines the proportion of drug-related problems, side effects, and mortality. The Cochrane Library and PubMed were thoroughly searched for the required literature. Fifteen articles were extracted for inclusion in this systematic review and meta-analysis. A total of 16 studies were thoroughly screened. The included studies provided a comprehensive picture of the effects of DAA therapy, spanning multiple study designs and sites Our analysis showed that good responses were observed with DAA regimens and that treatment discontinuation was low due to adverse events a stirring that. Few adverse events were reported, but all were mostly uncontrolled to prevent treatment discontinuation or death. In addition, meta-analytic studies on specific outcomes such as encephalopathy, ascites, hepatocellular carcinoma (HCC), adverse events, and death provided quantitative analysis about the safety of DAAs. Research also shows that DAAs have fewer side effects, deaths, and complications than other treatments.

ABSTRACT

The integration of Artificial Intelligence (AI) in Orthopaedics represents a significant advancement in healthcare, offering novel approaches to diagnosis, treatment, and patient care. This review explores the multifaceted intersections between Orthopaedics and AI, highlighting its transformative potential and key challenges. Orthopaedics traditionally relies on clinical expertise, imaging modalities, and surgical interventions. However, the emergence of AI, fuelled by machine learning algorithms and big data analytics, has revolutionized the field by enabling data-driven decision-making and personalized treatment strategies. AI enhances diagnostic precision by analyzing complex imaging data and patient records, facilitating early detection and accurate prognostication of musculoskeletal conditions. Moreover, AI-driven predictive analytics assist in treatment planning and optimization, allowing orthopaedic practitioners to tailor interventions to individual patient characteristics and preferences. Despite its promise, the integration of AI in Orthopaedics presents challenges that must be addressed for responsible deployment. Issues such as data quality, interpretability of AI models, ethical considerations, and algorithmic biases require careful attention to ensure equitable and effective use of AI-driven technologies. Looking ahead, future directions in AI integration include advanced imaging techniques, personalized medicine approaches, robotics, telemedicine, and data-driven research. Interdisciplinary collaboration and ongoing education are essential for navigating the evolving landscape of AI in Orthopaedics and maximizing its potential for improving patient outcomes. In conclusion, the integration of AI in Orthopaedics offers exciting opportunities to enhance diagnostic accuracy, treatment efficacy, and patient satisfaction. By embracing AI-driven technologies and addressing associated challenges, orthopaedic practitioners can deliver personalized, evidence-based care, ushering in a new era of precision medicine and innovation in musculoskeletal healthcare.

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Background: Trans-radial percutaneous coronary intervention (PCI) in cardiac procedures accesses coronary arteries through the wrist's radial artery. Post-PCI, hemostatic compression on the radial artery prevents bleeding and aids healing. Radial artery occlusion (RAO), a possible complication, involves blockage of the radial artery. This study aimed to assess the relationship between radial artery occlusion after trans-radial percutaneous coronary intervention with the duration of hemostatic compression. Methods: This prospective observational study was conducted in the Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh, spanning from September 2018 to August 2019. The study enrolled 140 patients who underwent percutaneous coronary intervention (PCI) through the trans-radial approach (TRA), randomly assigned to two groups: Group I (2-hour hemostatic compression after PCI) and Group II (6-hour hemostatic compression post-procedure). Data analysis was performed using SPSS version 23.0. Results: In this study, early radial artery occlusion was observed in 4.3% of patients in group I and 12.8% in group II (P=0.04), while late radial artery occlusion occurred in 2.8% of patients in group I and 11.4% in group II, with a statistically significant difference (P=0.04). Multivariate logistic regression analysis identified a 6-hour hemostatic compression duration (P=0.01), post-procedural nitroglycerine use (P=0.03), and procedure time (P=0.03) as predictors of radial artery occlusion. Conclusions: Reduced hemostatic compression duration is linked to a decreased occurrence of both early and late radial artery occlusion following trans-radial intervention.

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Background: Heart failure with preserved ejection. Fraction is a set of clinical symptoms that raises mortality and morbidity. It should be addressed promptly and appropriately. Aims: The current systematic review examines management strategies for heart failure patients with preserved ejection fraction (HFpEF). Materials and Methods: PICOS scheme was followed in the development of eligibility criteria. Different databases like PubMed, Google Scholar, etc were searched for the primary studies. Results: The final sample included 21 studies that were manually selected. This meta-analysis found that beta-blockers and ace inhibitors significantly reduced mortality and hospitalizations as primary outcomes. Conclusion: To summarize, the study found that beta blockers and ACE inhibitors reduce mortality in heart failure patients with preserved ejection fraction. However, more research is needed to support this study.

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Background: Hand injuries can cause major functional and cosmetic concerns. The cross-finger flap (CFF) is an effective treatment for complex finger defects. While CFF has typically been employed to treat volar aspect abnormalities, new versions now address a larger variety of digital soft tissue defects. The aim of the study was to evaluate the clinical outcome of various modified techniques of cross-finger flap which are used to reconstruct different soft tissue defect of fingers. Methods: This was a prospective observational study carried out in the department of Burn and Plastic Surgery at Dhaka Medical College Hospital, Dhaka from September 2018 to February 2020. Forty (40) patients who presented with different soft tissue defect of fingers included in this study according to inclusion and exclusion criteria. Results: The study involved predominantly male participants (80%), with a mean age of 31.70�.28 years. The most common soft tissue defect site was the volar area (47.5%), and various modified cross-finger flap techniques were employed. The majority of patients achieved excellent functional outcomes, with 82.5% classified as good, 12.5% as satisfactory, and 5.0% as poor. Conclusions: The modifications of the cross-finger flap are versatile and useful for different sites of digital injuries with good functional outcome.

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To study the production performance of Kadaknath, birds were reared under deep litter system upto 14 months. The production traits including egg weight, monthly egg production, cumulative egg production per bird, eggmass, HHEP% and HDEP% were analysed under the study. The first egg was observed in flock at age of 153 days and age of sexual maturity was 156 days. Fifty percent and eighty percent egg production was achieved at age of 171 and 210 days respectively. The cumulative egg production per bird during the period was 143.24. The average egg weight during the study was 42.90 gram, minimum average egg weight was 36.15�19 gm at 6 month age while maximum egg weight was 47.22�20 gm at 14 month age. The egg weight was improved upto11.07 gram during the study period. The monthly egg production was maximum at age of seven months after that egg production declined. The eggmass produced at 14 month age was 6763.79 gram. The HHEP% and HDEP% was measured for egg persistency they are maximum during eighth(68.16%) and seventh (68.57%) month respectively.

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Leaf rust, caused by Puccinia triticina, is the most common rust disease of wheat. The fungus is an obligate parasite capable of producing infectious urediniospores. To study the genetic structure of the leaf rust population 20 RAPD primers were evaluated on 15 isolates samples collected in Pakistan. A total of 105 RAPD fragments were amplified with an average of 7 fragments per primer. The number of amplified fragments varied from 1 to 12. GL Decamer L-07 and GL Decamer L-01 amplified the highest number of bands (twelve) and primer GL Decamer A-03 amplified the lowest number of bands i.e one. Results showed that almost all investigated isolates were genetically different that confirms high genetic diversity within the leaf rust population. Rust spores can follow the migration pattern in short and long distances to neighbor areas. Results indicated that the greatest variability was revealed by 74.9% of genetic differentiation within leaf rust populations. These results suggested that each population was not completely identical and high gene flow has occurred among the leaf rust population of different areas. The highest differentiation and genetic distance among the Pakistani leaf rust populations were detected between the leaf rust population in NARC isolate (NARC-4) and AARI-11and the highest similarity was observed between NARC isolates (NARC-4) and (NARC-5). The present study showed the leaf rust population in Pakistan is highly dynamic and variable.

A ferrugem da folha, causada por Puccinia triticina, é a ferrugem mais comum do trigo. O fungo é um parasita obrigatório, capaz de produzir urediniósporos infecciosos. Para estudar a estrutura genética da população de ferrugem da folha, 20 primers RAPD foram avaliados em 15 amostras de isolados coletadas no Paquistão. Um total de 105 fragmentos RAPD foram amplificados com uma média de 7 fragmentos por primer. O número de fragmentos amplificados variou de 1 a 12. GL Decamer L-07 e GL Decamer L-01 amplificaram o maior número de bandas (doze), e o primer GL Decamer A-03 amplificou o menor número de bandas, ou seja, um. Os resultados mostraram que quase todos os isolados investigados eram geneticamente diferentes, o que confirma a alta diversidade genética na população de ferrugem da folha. Os esporos de ferrugem podem seguir o padrão de migração em distâncias curtas e longas para áreas vizinhas. Os resultados indicaram que a maior variabilidade foi revelada por 74,9% da diferenciação genética nas populações de ferrugem. Esses resultados sugeriram que cada população não era completamente idêntica e um alto fluxo gênico ocorreu entre a população de ferrugem da folha de diferentes áreas. A maior diferenciação e distância genética entre as populações de ferrugem da folha do Paquistão foram detectadas entre a população de ferrugem da folha no isolado NARC (NARC-4) e AARI-11 e a maior similaridade foi observada entre os isolados NARC (NARC-4) e (NARC-5). O presente estudo mostrou que a população de ferrugem da folha no Paquistão é altamente dinâmica e variável.

ABSTRACT

Liver fibrosis is initial stage of any chronic liver disease and its end stage is develops into cirrhosis. Chronic liver diseases are a crucial global health issue and the cause of approximately 2 million deaths per year worldwide. Cirrhosis is currently the 11th most common cause of death globally. Mesenchymal stem cell (MSCs) treatment is the best way to treat acute and chronic liver disease. The aim of this study is to improve the therapeutic potential of MSCs combined with melatonin (MLT) to overcome CCl4-induced liver fibrosis and also investigate the individual impact of melatonin and MSCs against CCl4-induced liver impairment in animal model. Female BALB/c mice were used as CCL4-induced liver fibrotic animal model. Five groups of animal model were made; negative control, Positive control, CCl4+MSCs treated group, CCl4+MLT treated group and CCl4+MSCs+MLT treated group. Cultured MSCs from mice bone marrow were transplanted to CCl4-induced liver injured mice model, individually as well as together with melatonin. Two weeks after MSCs and MLT administration, all groups of mice were sacrificed for examination. Morphological and Histopathological results showed that combined therapy of MSCs+MLT showed substantial beneficial impact on CCl4-induced liver injured model, compared with MSCs and MLT individually. Biochemically, considerable reduction was observed in serum bilirubin and ALT levels of MLT+MSC treated mice, compared to other groups. PCR results shown down-regulation of Bax and up-regulation of Bcl-xl and Albumin, confirm a significant therapeutic effect of MSCs+MLT on CCI4-induced liver fibrosis. From the results, it is concluded that combined therapy of MSCs and MLT show strong therapeutic effect on CCL4-induced liver fibrosis, compared with MSCs and MLT individually.

A fibrose hepática é a fase inicial de qualquer doença hepática crônica, e em sua fase final desenvolve-se para cirrose. As doenças hepáticas crônicas são uma questão de saúde global crucial e a causa de aproximadamente 2 milhões de mortes por ano em todo o mundo. A cirrose, hoje em dia, é a 11ª causa mais comum de morte globalmente. O tratamento da célula-tronco mesenquimal (MSCs) é uma maneira eletiva de tratar a doença hepática aguda e crônica. O objetivo deste estudo é melhorar o potencial terapêutico dos MSCs combinados com a melatonina (MLT) para superar a fibrose hepática induzida por CCl4 e também investigar o impacto individual da melatonina e MSCs contra o comprometimento do fígado induzido por CCl4 no modelo animal. Os ratos BALB / C fêmeas foram usados ​​como modelo de animal fibrótico de fígado induzido por CCl4. Cinco grupos de modelo animal foram feitos: Controle Negativo, Controle Positivo, CCl4 + MSCs Tratados Grupo, Grupo Tratado CCl4 + MLT e Grupo Tratado CCl4 + MSCs + MLT. MSCs cultivados da medula óssea dos ratos foram transplantados para o modelo de camundongos de fígado induzido por CCl4, individualmente, bem como em conjunto com a melatonina. Duas semanas após a administração MSCs e MLT, todos os grupos de camundongos foram sacrificados para o exame. Os resultados morfológicos e histopatológicos mostraram que a terapia combinada do MSCs + MLT mostrou impacto benéfico substancial no modelo ferido no fígado induzido pelo CCl4, em comparação com o MSCs e o MLT individualmente. A redução bioquimicamente considerável foi observada em bilirrubina sérica e níveis ALT de ratinhos tratados com MLT + MSCs, em comparação com outros grupos. Os resultados de PCR mostraram regulação negativa do BAX e regulação positiva do BCL-XL e da albumina, confirmando um efeito terapêutico significativo do MSCs + MLT na fibrose hepática induzida por CCl4. Dos resultados, conclui-se que a terapia combinada de MSCs e MLT mostram um forte efeito terapêutico na fibrose hepática induzida por CCl4, em comparação com MSCs e MLT individualmente.

ABSTRACT

Abstract Dietary habits of bandicoot rats (bandicota bengalensis) were investigated in the agricultural crops of the Pothwar Plateau, Pakistan by analysing stomach contents. The research activities were conducted in major field crops including wheat-groundnut and in the fallow lands during non-crop season at the field boundaries. The specimens were captured from the fields using kill/snap traps, and dissected to collect their stomach samples for laboratory analysis. Light microscopic slides of the plant material were recovered from stomach samples and the reference materials were collected from the field. Results revealed that the bandicoot rat predominantly fed upon cultivated crops during cropping season but consumed wild vegetation during non-cropping season. There was no significance difference between summer and winter diets. Most frequently consumed crop food items were wheat (Triticum aestivum; 28.57%), groundnut (Arachis hypogea; 11.26%), sorghum (Sorghum bicolor; 10.17%), chickpea (Cicer arietinum; 9.52%), maize (Zea mays; 6.49%), millet (Pennisetum glaucum; 5.84%), barley (Hordeum vulgare; 4.98%) and mustard (Brassica campestris; 4.98%). Among wild vegetation were consumed khbal gha (Cynodon dactylon; 7.79%), baron dhab (Demostachya bipinnata; 7.36%) and Prickly flower (Achyranthes aspera; 3.03%). The study concludes that, in addition to consuming wheat and groundnut crops, the Lesser bandicoot rat also subsists on grasses, weeds, and some fodder crops, as important component of its diet in agro-ecosystem of the Pothwar Plateau.

Resumo Os hábitos alimentares de ratos bandicoot (Bandicota bengalensis) foram investigados nas plantações agrícolas do planalto de Pothwar, Paquistão, por meio da análise do conteúdo estomacal. As atividades da pesquisa foram conduzidas nas principais culturas de campo, incluindo trigo e amendoim, e em terras de pousio durante a estação não agrícola nos limites do campo. Os espécimes foram capturados dos campos usando armadilhas kill/snap e dissecados para coletar suas amostras de estômago para análise laboratorial. Lâminas de microscopia de luz do material vegetal foram recuperadas de amostras de estômago; os materiais de referência foram coletados no campo. Os resultados revelaram que o rato bandicoot alimentava-se predominantemente de culturas cultivadas durante a época de cultivo, mas consumia vegetação selvagem durante a época de não colheita. Não houve diferença significativa entre as dietas de verão e inverno. Os alimentos agrícolas mais frequentemente consumidos foram trigo (Triticum aestivum; 28,57%), amendoim (Arachis hypogea; 11,26%), sorgo (Sorghum bicolor; 10,17%), grão de bico (Cicer arietinum; 9,52%), milho (Zea mays; 6,49%), milheto (Pennisetum glaucum; 5,84%), cevada (Hordeum vulgare; 4,98%) e mostarda (Brassica campestris; 4,98%). Entre a vegetação silvestre foram consumidos khbal gha (Cynodon dactylon; 7,79%), barão dhab (Demostachya bipinnata; 7,36%) e flor espinhosa (Achyranthes aspera; 3,03%). O estudo conclui que, além de consumir culturas de trigo e amendoim, o rato bandicoot pequeno também subsiste de gramíneas, ervas daninhas e algumas culturas forrageiras, componentes importantes de sua dieta no agroecossistema do planalto de Pothwar.

ABSTRACT

Abstract The present study involves the chemical and bacteriological analysis of water from different sources i.e., bore, wells, bottle, and tap, from Peshawar, Mardan, Swat and Kohat districts of Khyber Pakhtunkhwa (KP) province, Pakistan. From each district, 50 water samples (10 samples from each source), regardless of urban and rural status, were collected from these sources and analysed for sulphates, nitrates, nitrites, chlorides, total soluble solids and coliforms (E. coli). Results indicated that majority of the water sources had unacceptable E. coli count i.e.> 34 CFU/100mL. E. coli positive samples were high in Mardan District, followed by Kohat, Swat and Peshawar district. Besides this, the some water sources were also chemically contaminated by different inorganic fertilizers (nitrates/nitrites of sodium, potassium) but under safe levels whereas agricultural and industrial wastes (chloride and sulphate compounds) were in unsafe range. Among all districts, the water quality was found comparatively more deteriorated in Kohat and Mardan districts than Peshawar and Swat districts. Such chemically and bacteriologically unfit water sources for drinking and can cause human health problems.

Resumo O presente estudo envolve a análise química e bacteriológica de água de diferentes fontes, ou seja, furo, poços, garrafa e torneira, dos distritos de Peshawar, Mardan, Swat e Kohat da província de Khyber Pakhtunkhwa (KP), Paquistão. De cada distrito, 50 amostras de água (10 amostras de cada fonte), independentemente do status urbano e rural, foram coletadas dessas fontes e analisadas para sulfatos, nitratos, nitritos, cloretos, sólidos solúveis totais e coliformes (E. coli). Os resultados indicaram que a maioria das fontes de água tinha uma contagem inaceitável de E. coli, ou seja, > 34 UFC / 100 mL. As amostras positivas para E. coli foram elevadas no distrito de Mardan, seguido por Kohat, Swat e distrito de Peshawar. Além disso, algumas fontes de água também foram contaminadas quimicamente por diferentes fertilizantes inorgânicos (nitratos/nitritos de sódio, potássio), mas em níveis seguros, enquanto os resíduos agrícolas e industriais (compostos de cloreto e sulfato) estavam em níveis inseguros. Entre todos os distritos, a qualidade da água foi considerada comparativamente mais deteriorada nos distritos de Kohat e Mardan do que nos distritos de Peshawar e Swat. Essas fontes de água química e bacteriologicamente impróprias para beber podem causar problemas à saúde humana.

ABSTRACT

Abstract Liver fibrosis is initial stage of any chronic liver disease and its end stage is develops into cirrhosis. Chronic liver diseases are a crucial global health issue and the cause of approximately 2 million deaths per year worldwide. Cirrhosis is currently the 11th most common cause of death globally. Mesenchymal stem cell (MSCs) treatment is the best way to treat acute and chronic liver disease. The aim of this study is to improve the therapeutic potential of MSCs combined with melatonin (MLT) to overcome CCl4-induced liver fibrosis and also investigate the individual impact of melatonin and MSCs against CCl4-induced liver impairment in animal model. Female BALB/c mice were used as CCL4-induced liver fibrotic animal model. Five groups of animal model were made; negative control, Positive control, CCl4+MSCs treated group, CCl4+MLT treated group and CCl4+MSCs+MLT treated group. Cultured MSCs from mice bone marrow were transplanted to CCl4-induced liver injured mice model, individually as well as together with melatonin. Two weeks after MSCs and MLT administration, all groups of mice were sacrificed for examination. Morphological and Histopathological results showed that combined therapy of MSCs+MLT showed substantial beneficial impact on CCl4-induced liver injured model, compared with MSCs and MLT individually. Biochemically, considerable reduction was observed in serum bilirubin and ALT levels of MLT+MSC treated mice, compared to other groups. PCR results shown down-regulation of Bax and up-regulation of Bcl-xl and Albumin, confirm a significant therapeutic effect of MSCs+MLT on CCI4-induced liver fibrosis. From the results, it is concluded that combined therapy of MSCs and MLT show strong therapeutic effect on CCL4-induced liver fibrosis, compared with MSCs and MLT individually.

Resumo A fibrose hepática é a fase inicial de qualquer doença hepática crônica, e em sua fase final desenvolve-se para cirrose. As doenças hepáticas crônicas são uma questão de saúde global crucial e a causa de aproximadamente 2 milhões de mortes por ano em todo o mundo. A cirrose, hoje em dia, é a 11ª causa mais comum de morte globalmente. O tratamento da célula-tronco mesenquimal (MSCs) é uma maneira eletiva de tratar a doença hepática aguda e crônica. O objetivo deste estudo é melhorar o potencial terapêutico dos MSCs combinados com a melatonina (MLT) para superar a fibrose hepática induzida por CCl4 e também investigar o impacto individual da melatonina e MSCs contra o comprometimento do fígado induzido por CCl4 no modelo animal. Os ratos BALB / C fêmeas foram usados como modelo de animal fibrótico de fígado induzido por CCl4. Cinco grupos de modelo animal foram feitos: Controle Negativo, Controle Positivo, CCl4 + MSCs Tratados Grupo, Grupo Tratado CCl4 + MLT e Grupo Tratado CCl4 + MSCs + MLT. MSCs cultivados da medula óssea dos ratos foram transplantados para o modelo de camundongos de fígado induzido por CCl4, individualmente, bem como em conjunto com a melatonina. Duas semanas após a administração MSCs e MLT, todos os grupos de camundongos foram sacrificados para o exame. Os resultados morfológicos e histopatológicos mostraram que a terapia combinada do MSCs + MLT mostrou impacto benéfico substancial no modelo ferido no fígado induzido pelo CCl4, em comparação com o MSCs e o MLT individualmente. A redução bioquimicamente considerável foi observada em bilirrubina sérica e níveis ALT de ratinhos tratados com MLT + MSCs, em comparação com outros grupos. Os resultados de PCR mostraram regulação negativa do BAX e regulação positiva do BCL-XL e da albumina, confirmando um efeito terapêutico significativo do MSCs + MLT na fibrose hepática induzida por CCl4. Dos resultados, conclui-se que a terapia combinada de MSCs e MLT mostram um forte efeito terapêutico na fibrose hepática induzida por CCl4, em comparação com MSCs e MLT individualmente.

ABSTRACT

Abstract Dietary habits of bandicoot rats (bandicota bengalensis) were investigated in the agricultural crops of the Pothwar Plateau, Pakistan by analysing stomach contents. The research activities were conducted in major field crops including wheat-groundnut and in the fallow lands during non-crop season at the field boundaries. The specimens were captured from the fields using kill/snap traps, and dissected to collect their stomach samples for laboratory analysis. Light microscopic slides of the plant material were recovered from stomach samples and the reference materials were collected from the field. Results revealed that the bandicoot rat predominantly fed upon cultivated crops during cropping season but consumed wild vegetation during non-cropping season. There was no significance difference between summer and winter diets. Most frequently consumed crop food items were wheat (Triticum aestivum; 28.57%), groundnut (Arachis hypogea; 11.26%), sorghum (Sorghum bicolor; 10.17%), chickpea (Cicer arietinum; 9.52%), maize (Zea mays; 6.49%), millet (Pennisetum glaucum; 5.84%), barley (Hordeum vulgare; 4.98%) and mustard (Brassica campestris; 4.98%). Among wild vegetation were consumed khbal gha (Cynodon dactylon; 7.79%), baron dhab (Demostachya bipinnata; 7.36%) and Prickly flower (Achyranthes aspera; 3.03%). The study concludes that, in addition to consuming wheat and groundnut crops, the Lesser bandicoot rat also subsists on grasses, weeds, and some fodder crops, as important component of its diet in agro-ecosystem of the Pothwar Plateau.

Resumo Os hábitos alimentares de ratos bandicoot (Bandicota bengalensis) foram investigados nas plantações agrícolas do planalto de Pothwar, Paquistão, por meio da análise do conteúdo estomacal. As atividades da pesquisa foram conduzidas nas principais culturas de campo, incluindo trigo e amendoim, e em terras de pousio durante a estação não agrícola nos limites do campo. Os espécimes foram capturados dos campos usando armadilhas kill/snap e dissecados para coletar suas amostras de estômago para análise laboratorial. Lâminas de microscopia de luz do material vegetal foram recuperadas de amostras de estômago; os materiais de referência foram coletados no campo. Os resultados revelaram que o rato bandicoot alimentava-se predominantemente de culturas cultivadas durante a época de cultivo, mas consumia vegetação selvagem durante a época de não colheita. Não houve diferença significativa entre as dietas de verão e inverno. Os alimentos agrícolas mais frequentemente consumidos foram trigo (Triticum aestivum; 28,57%), amendoim (Arachis hypogea; 11,26%), sorgo (Sorghum bicolor; 10,17%), grão de bico (Cicer arietinum; 9,52%), milho (Zea mays; 6,49%), milheto (Pennisetum glaucum; 5,84%), cevada (Hordeum vulgare; 4,98%) e mostarda (Brassica campestris; 4,98%). Entre a vegetação silvestre foram consumidos khbal gha (Cynodon dactylon; 7,79%), barão dhab (Demostachya bipinnata; 7,36%) e flor espinhosa (Achyranthes aspera; 3,03%). O estudo conclui que, além de consumir culturas de trigo e amendoim, o rato bandicoot pequeno também subsiste de gramíneas, ervas daninhas e algumas culturas forrageiras, componentes importantes de sua dieta no agroecossistema do planalto de Pothwar.

ABSTRACT

Abstract The present study involves the chemical and bacteriological analysis of water from different sources i.e., bore, wells, bottle, and tap, from Peshawar, Mardan, Swat and Kohat districts of Khyber Pakhtunkhwa (KP) province, Pakistan. From each district, 50 water samples (10 samples from each source), regardless of urban and rural status, were collected from these sources and analysed for sulphates, nitrates, nitrites, chlorides, total soluble solids and coliforms (E. coli). Results indicated that majority of the water sources had unacceptable E. coli count i.e.> 34 CFU/100mL. E. coli positive samples were high in Mardan District, followed by Kohat, Swat and Peshawar district. Besides this, the some water sources were also chemically contaminated by different inorganic fertilizers (nitrates/nitrites of sodium, potassium) but under safe levels whereas agricultural and industrial wastes (chloride and sulphate compounds) were in unsafe range. Among all districts, the water quality was found comparatively more deteriorated in Kohat and Mardan districts than Peshawar and Swat districts. Such chemically and bacteriologically unfit water sources for drinking and can cause human health problems.

Resumo O presente estudo envolve a análise química e bacteriológica de água de diferentes fontes, ou seja, furo, poços, garrafa e torneira, dos distritos de Peshawar, Mardan, Swat e Kohat da província de Khyber Pakhtunkhwa (KP), Paquistão. De cada distrito, 50 amostras de água (10 amostras de cada fonte), independentemente do status urbano e rural, foram coletadas dessas fontes e analisadas para sulfatos, nitratos, nitritos, cloretos, sólidos solúveis totais e coliformes (E. coli). Os resultados indicaram que a maioria das fontes de água tinha uma contagem inaceitável de E. coli, ou seja, > 34 UFC / 100 mL. As amostras positivas para E. coli foram elevadas no distrito de Mardan, seguido por Kohat, Swat e distrito de Peshawar. Além disso, algumas fontes de água também foram contaminadas quimicamente por diferentes fertilizantes inorgânicos (nitratos/nitritos de sódio, potássio), mas em níveis seguros, enquanto os resíduos agrícolas e industriais (compostos de cloreto e sulfato) estavam em níveis inseguros. Entre todos os distritos, a qualidade da água foi considerada comparativamente mais deteriorada nos distritos de Kohat e Mardan do que nos distritos de Peshawar e Swat. Essas fontes de água química e bacteriologicamente impróprias para beber podem causar problemas à saúde humana.

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The soft tissues around dental implants are important to prevent inflammatory peri-implant diseases and ensure the long-term survival of a dental implant. Periodontal plastic surgery has evolved from traditional mucogingival surgery, according to Zuhr et al as a result of the development of subepithelial connective tissue grafts/free gingival grafts. So, the aim of this review was to compare the effectiveness of soft tissue augmentation using subepithelial connective tissue graft in comparison with free gingival graft and no graft for increasing the width of keratinized mucosa around dental implants. The review was according to PRISMA protocol. A comprehensive search of the specialized databases was performed to include the studies. Quality assessment and meta-analysis were carried out. 10 articles included. Two articles evaluated KTW with FGG and SCTG; FGG and no graft (3); SCTG and no graft (5). All the included studies assessed either primary or secondary outcome measures. In the end, it was concluded that for soft tissue volume augmentation, SCTG is a treatment choice for an increase in KTW at implant sites.

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Honeybees (Apis spp.) play a vital role in pollination and contribute significantly to global agriculture. However, the health and survival of honeybee colonies are threatened by a range of harmful insect pests and diseases. This review provides an overview of the major pests and diseases that impact honeybee colonies and explores the diverse management tactics employed to mitigate their effects. The primary focus is on key pests such as the Varroa mite (Varroa destructor), which inflicts considerable damage by parasitizing adult bees and their brood, facilitating the transmission of debilitating viruses. Management strategies for Varroa mites encompass chemical treatments, integrated pest management (IPM) approaches, and organic treatments to curtail mite populations and prevent colony collapse. Another significant threat discussed is the small hive beetle (Aethina tumida), a beetle species that disrupts hives by laying eggs in comb and consuming stored resources. Hive manipulation, traps, and chemical controls are among the tactics utilized to control small hive beetle populations and mitigate their impact. The review also addresses wax moths (Galleria mellonella and Achroia grisella), which target hive comb, potentially causing comb destruction and honey fermentation. Hive maintenance, freezing, and pheromone traps are outlined as effective strategies to combat wax moth infestations. Additionally, the review covers Nosema infections (Nosema apis and Nosema ceranae), and microsporidian parasites that compromise adult bee health by weakening immune systems and reducing foraging efficiency. Hive hygiene, medications, and genetic selection are explored as methods to manage Nosema infections and bolster colony resilience. To effectively manage these harmful pests and diseases, a holistic and integrated approach is recommended. Beekeepers are encouraged to remain informed about the latest research findings and implement appropriate measures, considering local conditions and sustainable beekeeping practices. By combining scientific knowledge with practical application, the resilience of honeybee colonies can be enhanced, ensuring the vital role they play in pollination and global food security.

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The dynamic and expansive field of entomology is poised for transformative changes, thanks to technological advancements and the emergence of new avenues of research. Traditional methodologies like specimen collection and observation are increasingly being complemented by state-of-the-art techniques such as environmental DNA (eDNA) analysis, CRISPR genome editing, remote sensing, and artificial intelligence. The eDNA methodology, for example, offers a non-invasive approach to monitor elusive or endangered insect species, thereby enriching biodiversity databases. Genome editing technologies like CRISPR have enabled nuanced manipulation of insect genes, providing a deeper understanding of their physiology and behavior. Moreover, artificial intelligence and machine learning contribute to automated species identification and predictive modeling of insect populations, offering invaluable insights for conservation efforts. In terms of emerging fields, insect neurobiology, microbiomics, and environmental entomology are gaining prominence. Neurobiological studies are dissecting the neural substrates of insect behaviors, which not only deepen our basic biological understanding but also have implications in robotics and AI. Microbiomics explores the symbiotic relationships between insects and their microbial communities, revealing avenues for novel pest control strategies. Environmental entomology focuses on the impacts of habitat change and climate variability on insect populations, which is crucial for biodiversity conservation. Acknowledging the concerted efforts of researchers, academic institutions, and funding bodies is essential, as these stakeholders shape the field's future direction. Thus, entomology stands at the cusp of a new era, enriched by technological innovations and multidisciplinary approaches. These advancements hold the promise of significantly broadening our understanding of insects' roles in ecosystems, their adaptability, and their importance in maintaining ecological balance. This future direction not only provides exciting prospects for scientific inquiry but also brings forth substantial implications for the sustainable management of ecosystems and conservation policy.

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Rectal cancer is the second most common cancer in large intestine. Recently, preoperative chemoradiotherapy has been generally used in the management of locally advanced rectal cancer on the basis of several benefits proven by clinical studies, in the aspect of better locoregional tumor control, reduced toxicity of normal organs, and an increased chance of preserving the anal sphincter, when compared with postoperative chemoradiotherapy. In this observational study, conducted between January 2017 and December 2021, pursuant to the recommendations of the radiation therapy oncology group (RTOG), all patients underwent CT simulation, a bladder protocol and target contouring. 10 patients were treated with intensity modulated radiotherapy (IMRT) and 10 with three-dimensional conformal radiation therapy (3DCRT). Planned target volume (PTV) coverage, homogeneity index (HI), conformity index (CI), and doses to organs at risk (OAR) were compared. Our findings showed that 3DCRT and IMRT have statistically significant differences in PTV coverage and dosages to OAR (p<0.001), proving that IMRT achieves improved target dose coverage and superior normal tissue avoidance (bladder and intestine) compared to 3DCRT.

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Background: Dental implants are now regarded as an effective treatment option for replacing missing teeth. The objective was to evaluate the socket shield approach with immediate temporization to the conventional instantaneous implant with immediate temporization utilizing the parameters of horizontal and vertical dimensional bone loss, crestal bone thickness (CBT) and pink esthetic score (PES). Methods: This prospective study was carried out at Banasree Dental and German Dental implant surgery centers from December 2010 to December 2020 where 74 patients who had non-restorable maxillary teeth in the esthetic region were conducted and evaluated for implant settlement. The allocated individuals were divided into two groups immediate implant with socket shield group (study group, n=22) and the conventional immediate implant placement group (control group, n=52). SPSS version 21.0 was used to analyze all of the data. Results: Mean value of crestal bone thickness (CBT) at the pre-operative time was 1.31±0.2 in both groups but at the 6 months follow-up time it was 1.2±0.22 and 1.07±0.21, at the 24 months follow-up time it was 1.13±0.24 and 0.99±0.20 and at the 60 months follow-up time in was 1.05±0.27 and 0.79±0.15 and at the 120 months follow-up time it was 1.03±0.29 and 0.69±0.17 in the study and control group respectively. In the study group, the mean value of pink esthetic score was 11.45±1.6 at 6 months follow-up time, 12±0.89 at 24 months, 12.5±0.87 at the 60 months and 12.5±0.86 at the 120 months follow-up time whereas in the control group, it was 11±1.32, 10±1.52, 8.9±1.63 and 7.5±1.55, respectively. Conclusions: The SST group revealed minimal reduction in CBT, horizontal and vertical bone loss and a superior PES compared to conventional immediate implant.