Search

Objectives: To report and analyze the pattern of maxillofacial injuries in trauma victims and to define the role of a maxillofacial surgeon in an emergency trauma care team. Materials and methods: Trauma patients reported and reporting to the casualty of a tertiaryhospital with facial injuries and other suspected concomitant injuries in the body were included in this study. The complete medical and radiographic records of each patient were reviewed and data was collected in a standard proforma in this 5-year clinical study (3 year of retrospective and 2 year of prospective study). The complete data related to the facial injuries and associated systemic trauma was recorded and statistical analysis conducted. Results: A total of 18,369 patients with trauma were admitted to the hospital from May 2018 to April 2023. Out of these, 11,277 (61.4%) were males and 7,092 (38.6%) were females. Seventy percent of the reported cases with trauma were in the age group of 14–40 years. The incidence of trauma during the monsoon season was highest (n = 7,927, 43%). The commonest etiological factor leading to trauma was road traffic accident (n = 4,510, 40%). Among facial injuries, the mandibular fractures (n = 1,821, 41%) were predominant. Conclusions: The management of polytrauma patients should be undertaken by a team of specialists which should include a maxillofacial surgeon as facial injuries were common. This data is essential in developing and assessing the preventative strategies aimed at decreasing the frequency of facial and other injuries.

BackgroundMalaria has been identified as a crucial vector-borne disease around the globe. The primary aim of this study was to investigate the incidence of malaria in the district of Bannu and its relationship with climatic conditions such as temperature, rainfall, relative humidity, and topography.MethodsSecondary data were obtained from the metrological office and government hospitals across the district for 5 years (2013–2017). A Poisson regression model was applied for the statistical analysis.Results and discussionThe number of reported cases of malaria was 175,198. The regression analysis showed that temperature, relative humidity, and rainfall had a significant association (p

Objective: To evaluate the effect of Ajwa dates pit powder (ADP) on lipid profile, body composition and blood pressure in patients with hyperlipidemia.Materials and Methods: This randomized controlled clinical study was carried out on 40 patients with total cholesterol >200 mg/dl, triglycerides >150 mg/dl and BMI >25, of either sex, aged 30-50 years, who were recruited through written consent. The patients were divided into two groups (n=20 each): the ADP and the control group (CG). All patients received the doctor’s prescribed class A statin (Rosuvastatin/ Atorvastatin) 10 mg/day, while 2.7 g ADP was given on daily basis before breakfast with lukewarm water for 40 days and the control group received the same amount of wheat flour. Body composition, blood pressure and lipid profile were determined at baseline, and after 20 and 40 days. Data were analyzed by using SPSS and GraphPad Prism.Results: ADP significantly reduced body weight (p

Since energy and its sustainability are key global issues, extensive research is currently underway to advance the emerging energy sector. Hydrogen is anticipated to assume a substantial role as a worldwide energy carrier in forthcoming energy frameworks. Oman has set an ambitious target to annually produce one million tons of green hydrogen by 2040, aspiring to become one of the leading global producers and exporters of green hydrogen. These hydrogen scenarios are integral components of the broader global energy scenarios, primarily focused on achieving decarbonization. Green hydrogen serves as a pivotal element in Oman’s pursuit of de-carbonization, as well as its economic and energy security objectives. This paper aims to accentuate the challenges associated with hydrogen development, particularly in the context of green hydrogen production, by examining both present and future advancements. It provides a comprehensive overview of the consumption, applications, and economic considerations of green hydrogen based on expert organizations’ projections. Additionally, the paper addresses key considerations pertaining to the utilization and transportation of hydrogen as compared to electricity.

The objective of this research endeavor is to examine the properties of stagnation point flow in the presence of absorption, viscous dissipation, and internal thermal generation with respect to a shrinking surface. The resulting system of differential equations is notoriously challenging to solve analytically. The equations controlling the boundary layer flow were solved using a finite difference method. The analysis includes the examination of important physical quantities through the presentation of plots and tabulated values. Our findings reveal a strong connection between the presence of solutions for high shrinking parameters and the magnetic field that was applied. Temperatures increase when there is an increase in both Ec and α at the same time. These results also suggest a shallowing of the thermal boundary layer. As a result of these findings, it appears that temperature and thermal boundary layer thickness are sensitive to changes in these factors. [ABSTRACT FROM AUTHOR]

Diabetes mellitus type 2 (T2DM) is linked to a higher risk of atherosclerotic cardiovascular disease. The development and outcome of atherosclerosis are both influenced by vascular inflammation. The main purpose of this study is to find the impact of Interleukin-6 (IL-6) and thrombomodulin on vascular damage in the patients having impaired glucose tolerance (IGT) and to identify the relationship of IL-6 with insulin resistance. The patients visiting Amin Hayat Memorial Diabetic Center, Lahore from (January 2017 to October 2017) the subjects following WHO criteria of IGT and Diabetes were included. Demographic parameters as age, body mass index, waist/hip ratio, blood pressure, and socioeconomic status were recorded. Proatherogenic parameters like plasma glucose level, serum levels of insulin, thrombomodulin and IL-6 were measured by ELISA. The serum level of thrombomodulin was assessed as a measure of vascular damage. This study showed significantly elevated serum concentration of IL-6 and altered lipid profile in diabetes individual when compared with the control subjects. IL-6 and thrombomodulin was progressively higher in diabetic group. IL-6 correlated positively with thrombomodulin in the control group but an inverse association was seen in the IGT group and revealed that imbalance of the vascular damage initiated and that lead to damage of vascular endothelium in diabetes. [ABSTRACT FROM AUTHOR]