Search

In Baltimore, clients in methadone maintenance treatment (MMT) experiment with prescription medicine and in doing so face new risks of noncompliance as they tread this blurry line between medical and illegal. This can potentially lead to suspension from drug treatment programs, resulting in clients finding the next most suitable treatment center to enroll into. I argue that the close interaction between drug treatment centers and illegal markets results in new pharmaceutical dependencies, forms of self-care as well as suspicions toward, but also among clients, about their intentions to recover. [ABSTRACT FROM AUTHOR]

The Siachen glacier, one of the longest non-polar glaciers in the world, turned into the world's highest battlefield in 1984, when both the neighbouring countries, India and Pakistan, deployed their troops for control over the glacier. The nature of warfare since then has changed from active operations to one of low-intensity warfare. In this changing nature of warfare, the article explores how meanings of death are reconfigured in personal recollections and public representations, when the terrain continues to inflict injuries, high-altitude illnesses and death in the absence of any direct enemy confrontation. The article compares personal experiences of death with media representations. While personal experiences of soldiers and officers who have served on the glacier show their grievances about having left comrades to die after they fell into deadly crevasses, media representations reinsert the Indian soldier and depict death in the company of comrades and family to justify the expensive and extremely difficult war over the glacier. [ABSTRACT FROM AUTHOR]

The article considers several generations of Pakistani immigrants from Karachi to various cities in the United States such as Chicago and New York and explores how chronic diseases are shaped by the reverberations of conflict in kin relations in the US and Pakistan. Instead of examining the experience of chronic illness in isolation, the article considers how webs of evolving relations, tensions, competition, and conflicts among distant and close kin are experienced by the vulnerable and those who try to care for them. These conflicts are shaped by the experience of absence and also in the lives of intimate kin, and often appear in violent form. In navigating these relations, caregivers of those with illnesses develop strategies to maintain communications with wider kinship networks while also shielding the sick from the ramifications of ongoing disputes. [ABSTRACT FROM AUTHOR]

Indian squash (Praecitrullus fistulosus) crop faces heat and drought during its growth that is considered the most important abiotic stress in semi-arid areas. Seed priming with growth regulators enhances stress tolerance; hence, mitigates the adverse effects of unpredictable stresses due to adverse weather conditions. This two-year (2019 and 2020) study was conducted to infer the role of seed priming in improving heat tolerance of Indian squash (cultivar Sahavi) through improvement in physiological and antioxidant defense systems. Six treatments that included no priming (control), hydropriming, priming with indole acetic acid (IAA) at 100 mg L-1, salicylic acid (SA) at 50 mg L-1, ascorbic acid (AA) at 100 mg L-1 and thiourea at 500 mg L-1 each for 06 hours) were included in the study. Results revealed that priming with AA and SA significantly (P ≤ 0.05) enhanced germination (39 and 47%), germination index (57 and 58%), plant height (23 and 22%), vine length (15 and 14%), number of fruits per plant (62%), fruit weight per plant (66 and 67%), economic yield (32%), photosynthesis rate (18 and 17%), protein content (10%), proline (23%), glycine betaine (3%), malondialdehyde content (11 and 10%) and catalase activity (24%) compared to control treatment. Furthermore, seed priming with AA and SA significantly (P ≤ 0.05) shortened the mean germination time (25 and 28%) compared to the control. The results indicated that AA and SA had significant potential to mitigate adverse effects of heat stress in Indian squash. Findings from this study showed that seed priming with AA and SA promoted heat-stress tolerance and enhanced growth and productivity of Indian squash. [ABSTRACT FROM AUTHOR]

Background: Hepatitis B Virus (HBV) is one of the most common human infectious agents, and the mutations in its genome may cause chronic hepatitis (CH), liver cirrhosis (LC), and hepatocellular carcinoma (HCC). This study was designed to characterize the enhancer-II (Enh-II) region of X gene in HBV positive patients to assess the association of such mutations with CH, LC, and HCC. Methods: HBV positive samples (N = 200) with patients' demographic and clinical data were collected from different regions of Khyber Pakhtunkhwa (KP), Pakistan. The Enh-II region of the HBx gene was sequenced and zanalyzed for polymorphism associated with advanced liver disease. Univariate and logistic regression analyses were performed to evaluate potent mutations associated with a risk for LC and HCC. Results: HBV Enh-II region sequences analysis revealed 25 different mutations. The highest frequency of mutations S101F (62.2%), A102V/R/G/I (56.25%), M103L/A (68.75%)were found in HCC, followed in LC and CH patients as 57.1%, 42.8%, 28.52% 16%, 15.2% and 18.4% respectively. H94 deletion in the α-box of the Enh-II region, associated with a high risk of HCC was found in half of the HCC patients. This deletion was present in 28.5% of LC and 6.5% of CH patients. Importantly, the high frequency of some notable mutations such as E109A/Y, A110S/K, Y111D/E, and F112L was first time reported in the entire study population. The frequencies of these mutations were high in HCC (43.75%, 37.5%, 50% and 43.75% respectively) as compared to LC (14.28%, 14.28%, 28.2% and 42.8%) and CH patients (12.8%, 15.2%, 16.8% and 16% respectively). Conclusion: Mutations associated with LC and HCC are prevalent in the Enh-II region in Pakistani HBV isolates. The mutations found are alarming in CH patients as these may progress to LC and HCC in a large number of patients. [ABSTRACT FROM AUTHOR]

Objective: To account for the characteristic presentations, pathology and the post-operative complications of surgical treatment of retrosternal goitre. Study Design: Retrospective Descriptive study. Setting: Department of Otorhinolaryngology at Rehman Medical Institute, Peshawar. Period: July 2016 and December 2019. Material & Methods: All patients that underwent thyroidectomy during the study period were included in the study. The thyroid gland that did not have retrosternal extensions were excluded. Retrospective chart records of all these patients were analysed. Data obtained from the charts was recorded on Statistical package for social services version 23.0 and analysed for descriptive statistics. Results: 67 patients with goiters were at the tertiary care center of Peshawar, females (77.6%) and males (22.4%). 6 (8.9%) were retrosternal. The most common symptoms were neck swelling (83.3%) followed by shortness of breath (66.7%). Post-operative hypocalcaemia was the most common complication among retrosternal thyroidectomy patients (66.7%). Only one patient needed sternotomy. Conclusion: All patients with retrosternal goitre should be offered surgery. The post-operative complications are low and resolve uneventfully. [ABSTRACT FROM AUTHOR]

Cystic echinococcosis (CE) is a zoonotic helminthiasis caused by different species of the genus Echinococcus, and is a major economic and public health concern worldwide. Synthetic anthelmintics are most commonly used to control CE, however, prolonged use of these drugs may result in many adverse effects. This study aims to discuss the in vitro/in vivo scolicidal efficacy of different medicinal plants and their components used against Echinococcus granulosus. Google Scholar, ScienceDirect, PubMed and Scopus were used to retrieve the published literature from 2000–2020. A total of 62 published articles met the eligibility criteria and were reviewed. A total of 52 plant species belonging to 22 families have been reported to be evaluated as scolicidal agents against E. granulosus worldwide. Most extensively used medicinal plants against E. granulosus belong to the family Lamiaceae (25.0%) followed by Apiaceae (11.3%). Among various plant parts, leaves (36.0%) were most commonly used. Essential oils of Zataria multiflora and Ferula asafetida at a concentration of 0.02, and 0.06 mg/ml showed 100% in vitro scolicidal activity after 10 min post application, respectively. Z. multiflora also depicted high in vivo efficacy by decreasing weight and size while also causing extensive damage to the germinal layer of the cysts. Plant-based compounds like berberine, thymol, and thymoquinone have shown high efficacy against E. granulosus. These plant species and compounds could be potentially used for the development of an effective drug against E. granulosus, if further investigated for in vivo efficacy, toxicity, and mechanism of drug action in future research. [ABSTRACT FROM AUTHOR]

Toxoplasma gondii (T. gondii) is a protozoan parasite that infects all warm-blooded animals including domesticated birds and humans. Birds normally get infected by ground feeding and human beings contract the disease by consumption of undercooked chicken meat. This study aimed to analyze seroprevalence and DNA of T. gondii in chickens (domesticated and broiler) and to assess possible transfer to humans by review of available literature from Pakistan. Blood from and tissues from domesticated and broilers chickens were analyzed for Toxo-IgM/IgG and Toxoplasma DNA through ELISA and PCR respectively. Furthermore, research articles published during 1990–2019 on the prevalence of T. gondii in humans from Pakistan, were analyzed to assess the possible infection burden in the area in connection to transmission from chickens. The overall prevalence of IgM and IgG for T. gondii was 17.83% and 8.8% respectively in the study areas. Significant seroprevalence was found in domesticated chickens than broilers. In domesticated chickens, the prevalence was high in age ≥ 2 years. Toxoplasma DNA was detected in tissues with an overall prevalence of 10.84%. Higher prevalence was observed in liver (10.50%) than heart (9.5%) and muscles (7.11%). Only 4.78% broiler and 2.38% domesticated chickens were positive for both IgM and DNA, 1.2% domesticated and 1.30% broilers were positive for IgG and DNA, while 2.98% domesticated and 2.17% broilers were positive for IgM, IgG, and DNA. Available literature showed that 25.8% of human beings were infected with T. gondii in Pakistan. The prevalence was 20.64% in male and 26.82%in the female. The rate of infections increases with age and high (37.36%) was found in humans of age range 40 to 60 years. A high prevalence of T. gondii is found in both domesticated and broiler chickens in the study area. Moreover, the literature survey indicates that a high seroprevalence of T. gondii is present in human beings of Pakistan. It is concluded that the high prevalence of T. gondii in humans may be associated with the parasite transmission through infected chicken's meat in Pakistan. [ABSTRACT FROM AUTHOR]

Chronic Hepatitis C Virus (HCV) infection is still a major health issue especially in endemic areas where fewer direct-acting virals (DAAs) are treatment options. Some HCV variants are associated with resistance and it reduces DAAs success where pre-existing variants prevail. In this study, we investigated resistance-associated polymorphisms (RAPs) in the HCV NS3 region from DAAs naïve Pakistani patients. 277 chronic HCV treatment naïve patients infected with genotype 1a, 3a and 3b were selected from various clinical centers in the capital city of Khyber Pakhtunkhwa province Pakistan. All the patients were included in this study after taking informed consent. HCV NS3 region was amplified and Sanger sequencing was performed to analyze RAPs to NS3 protease inhibitors. Of the total 29.24% (81/277) patients had detected with known RAPs viz V36A/G/L, T54S, V55A/D/I, Q80K/R, S122G/T/R, R155K/T/I, V158I, D168T/Q, and I170V. Among HCV-1a subjects overall RAPs found were 26.09% (12/46) and most prevalent substitutions were V36A/G (10.87%, 5/46) and R155K/T/I (8.70%, 4/46). Of the total HCV-3a infected patients, 30.95% were observed with RAPS. Ammon these, the most frequent substitutions were Q80R (13.69%, 23/168) followed by V36L (18.33%, 14/168) and V55I (5.95%, 10/168). Among HCV-3b patients, 26.98% were found with RAPs and S122R and Q80R were the dominant variants detected in 17.46 (11/63) and 12.70% (8/63) patients respectively. All these substitutions were associated with Boceprevir, Simeprevir, Telaprevir, and Paritaprevir. Single substitution in one sequence was found in 18.77% (52/277) and multiple in 10.46% (29/277). More than one RAP was frequent in HCV-3a sequences. Natural RAPs are common in chronic HCV patients infected with genotype 1a, 3a and 3b, the most prevalent subtypes in Pakistan. High prevalence of HCV NS3 RAPs suggested a large scale study of the NS3 gene before the introduction of NS3 protease inhibitors in Pakistan. [ABSTRACT FROM AUTHOR]

• A deep learning-based framework is proposed for the classification of breast cancer in breast cytology images. • Three different deep learning architectures (GoogLeNet, VGGNet, and ResNet) have been analysed. • The proposed framework gives a high level of accuracy in the classification of breast cancer. Breast cancer is among the leading cause of mortality among women in developing as well as under-developing countries. The detection and classification of breast cancer in the early stages of its development may allow patients to have proper treatment. In this article, we proposed a novel deep learning framework for the detection and classification of breast cancer in breast cytology images using the concept of transfer learning. In general, deep learning architectures are modeled to be problem specific and is performed in isolation. Contrary to classical learning paradigms, which develop and yield in isolation, transfer learning is aimed to utilize the gained knowledge during the solution of one problem into another related problem. In the proposed framework, features from images are extracted using pre-trained CNN architectures, namely, GoogLeNet, Visual Geometry Group Network (VGGNet) and Residual Networks (ResNet), which are fed into a fully connected layer for classification of malignant and benign cells using average pooling classification. To evaluate the performance of the proposed framework, experiments are performed on standard benchmark data sets. It has been observed that the proposed framework outclass all the other deep learning architectures in terms of accuracy in detection and classification of breast tumor in cytology images. [ABSTRACT FROM AUTHOR]

Background: Rheumatoid arthritis (RA) is an immune-mediated, polyarthritis linked with various genetic and environmental causative agents. Among environmental triggers, Epstein-Barr Virus (EBV) is considered the most potent etiological agent. Objective: This study aimed to investigate the prevalence of EBV and its genotypes in RA patients and to investigate their association with clinical and laboratory parameters of RA. Methodology: This study included blood samples of RA and control healthy individuals (100 each). Blood samples along with clinical and laboratory parameters were collected from patients after consent in the Department of Rheumatology, at Lady Reading Hospital, in Peshawar Pakistan. Blood samples were processed for DNA extraction followed by PCR amplification for EBV detection and genotype discrimination. Results: RA patients were 85 females and 15 males with a mean age of 40.13±14.05 years. EBV Type-1 was detected in 45% of RA and 9% of control cases. The mean disease duration of RA patients was 6.61±6.23 years. Out of 100 diseased patients, 43% were seropositive rheumatoid arthritis (SPRA) and showed a significant correlation with a family history of RA in EBV-positive individuals (P = 0.017). The demographic, clinical, and laboratory parameters of RA patients showed a non-significant association with EBV. Moreover, only a family history and Serum creatinine of RA patients showed a significant association with EBV (P = 0.0001 and P = 0.022 respectively). Conclusion: It is concluded that EBV-1 is prevalent and associated with RA. Further investigation is required for detailed genetic analysis of EBV to determine its possible role in modulating the immune system in RA. [ABSTRACT FROM AUTHOR]

Despite a very large number of bacterial exopolysaccharides have been reported, detailed knowledge on their molecular structures and associative interactions with proteins is lacking. Small-angle X-ray scattering, dynamic light scattering and analytical ultracentrifugation (AUC) were used to characterize the interactions of six lactic acid bacterial heteroexopolysaccharides (HePS-1–HePS-6) with β-lactoglobulin (BLG). Compared to free HePSs, a large increase in the X-ray radius of gyration R G , maximum length L and hydrodynamic diameter d H of HePS-1–HePS-4 mixed with BLG revealed strong aggregation, the extent of which depended on the compact conformation and degree of branching of these HePSs. No significant effects were observed with HePS-5 and HePS-6. Turbidity and AUC analyses showed that both soluble and insoluble BLG–HePS complexes were formed. The findings provide new insights into the role of molecular structures in associative interactions between HePSs and BLG which has relevance for various industrial applications. [ABSTRACT FROM AUTHOR]

Alginate is an anionic polysaccharide capable of forming insoluble particles with proteins. Hence, alginate has potential as a protein carrier. However, the role of physical properties of the polysaccharide, such as degree of polymerization (DP n ) and mannuronic/guluronic acid ratio, remains to be fully explored. Particle formation of a high and a low molar mass alginate (ALG) with β-lactoglobulin (BLG) at pH 2–8 depends on the average DP n (HMW-ALG: 1.59·10 3 ; LMW-ALG: 0.23·10 3 ) and the mannuronic/guluronic acid ratio (1.0; 0.6) as supported by using ManA 6 and GulA 6 as models. Dynamic light scattering (DLS) showed that particles of BLG with either of the two ALGs have essentially the same hydrodynamic diameter ( D H ) at pH 3 and 2, while at pH 4 particles of LMW-ALG/BLG have larger D H than of HMW-ALG/BLG. At pH 5–8 no significant particle formation was observed. ManA 6 did not form insoluble particles at pH 2–8, while GulA 6 formed insoluble particles, albeit only at pH 4. K d was approximately 10-fold higher for LMW-ALG/BLG than HMW-ALG/BLG and 3 orders of magnitude higher for an alginate trisaccharide/BLG complexation as determined by isothermal titration calorimetry (ITC). The alginate trisaccharide did not form insoluble particles with BLG at pH 3 and 4, though interaction still occurred. Δ H app and molar stoichiometry of BLG in the complexes with the two ALGs differed by a factor of 7, as did their DP n , which thus affected the interaction strength, but not the BLG content. At pH 4 the BLG content doubled in the particle due to BLG dimerization. The findings emphasize the importance of DP n , mannuronic/guluronic acid ratio and pH in formulations containing alginate/whey protein particles. [ABSTRACT FROM AUTHOR]

Molecular structures of exopolysaccharides are required to understand their functions and the relationships between the structure and physical and rheological properties. Small-angle X-ray scattering and dynamic light scattering were used in conjunction with molecular modeling to characterize solution structures of three lactic acid bacterial heteroexopolysaccharides (HePS-1, HePS-2, and HePS-3). Values of radius of gyration RG, cross-sectional radius of gyration RXS, approximate length L, and hydrodynamic diameter were not directly proportional to the molar mass and indicated the HePSs adopted a compact coil-like rather than an extended conformation. Constrained molecular modeling of 15000 randomized HePS-1 conformers resulted in five best-fit structures with R factor of 3.9-4.6% revealing random coil-like structure. Φ and Ψ angle analysis of glycosidic linkages in HePS-1 structures suggests Galf residues significantly influence the conformation. Ab initio scattering modeling of HePS-2 and HePS-3 gave excellent curve fittings with χ² of 0.43 and 0.34 for best-fit models, respectively, compatible with coil-like conformation. The findings disclose solution behavior of HePS relevant for their interactions with biomacromolecules, for example, milk proteins. [ABSTRACT FROM AUTHOR]

[Display omitted] • Removal of lindane was studied by visible and simulated solar light-assisted S-TiO 2. • Efficiency of S-TiO 2 photocatalysis dramatically increased in the presence of HSO 5 −. • Operational parameters such as pH, concentration of lindane and HSO 5 − were optimized. • Degradation mechanism was proposed based on identified intermediates and final products. • S-TiO 2 photocatalysis is an effective AOP to treat lindane contaminated waters. Organochlorine pesticides (OCPs) are toxic and the most potent endocrine disrupting chemicals in the environment. Most OCPs are resistant towards oxidation by OH due to presence of electron-withdrawing chlorine group in their molecular structures. Here, we investigated a visible and simulated solar light-assisted sulfur doped TiO 2 (S-TiO 2)/peroxymonosulfate (HSO 5 −) process to eliminate a selected OCP, lindane. Initially, visible and simulated solar light-assisted S-TiO 2 photocatalysis resulted in 31.0 and 63.4% removal of lindane (C 0 = 1.0 μM), respectively in 6 h. The photocatalytic activity of S-TiO 2 was dramatically increased in the presence of 0.2 mM HSO 5 −, leading to 68.2 and 99.9% lindane removal under visible and simulated solar light illumination, respectively in 6 h. The observed pseudo first-order rate constant for simulated solar light-assisted S-TiO 2 /HSO 5 − decreased with increasing initial concentration of lindane, corresponding to 8.98 × 10−1, 6.58 × 10−1 and 3.84 × 10−1 h−1 at [lindane] 0 of 0.5, 1.0 and 2.0 μM, respectively. The degradation kinetics were significantly affected by solution pH, leading to 88.2, 99.9 and 71.4% removal of lindane in 6 h at pH 4.0, 5.8 and 8.0, respectively. S-TiO 2 film exhibited a high mechanical strength with only 3.3% loss of efficiency after four repeated cycles. Based on the detected reaction intermediates, a possible reaction mechanism was proposed, suggesting dechlorination, dehydrogenation, and hydroxylation via OH, SO 4 − and O 2 − attack. The results suggest that visible and simulated solar light-assisted S-TiO 2 /HSO 5 − is a promising alternative for treatment of water contaminated with most OCPs. [ABSTRACT FROM AUTHOR]

The 2S albumins are a group of seed storage proteins that have recently attracted considerable attention in the field of allergen science due to their allergenic potential. A new 2S albumin from seeds ofNelumbo nucifera(Nn-2S alb) was purified to electrophoretic homogeneity by the combination of ammonium sulfate fractionation, gel filtration, and ion exchange chromatography. The protein has a molecular mass of about 12 kDa estimated by SDS–PAGE, in good agreement with 12.5 ± 0.01 kDa determined by ESI–MS. Circular dichroism data showed that protein contained about 66% α-helices as estimated by K2D3, indicating that the protein was predominantly helical. The sedimentation coefficient (s°20,w) of the predicted model was 1.72 ± 0.21 S. The predicted 3-dimensional structure of the Nn-2S alb revealed that the protein has a region of 12 amino acids which largely corresponds to the conserved immuno-dominant epitope of 2S allergens. Surface and ribbon representations of Nn-2S albumin model, showing hydrophobic cavity in gray (A), and hypervariable region (yellow in B) and the amino acids residues (sticks) that constitute hydrophobic cavity (B). [ABSTRACT FROM PUBLISHER]

Toxoplasmosis is the major cause of abortion and stillbirths among women of childbearing age. The aim of this study is to determine chronic Toxoplasma gondii infection at various trimesters of pregnancy and to identify various possible routes of transmission and contamination in North-West Pakistan. A total of 733 blood samples were randomly obtained from antenatal/maternity centres. A detail questionnaire was designed to analyse the clinical history of the subjects tested for specific anti-Toxoplasma IgG antibodies by using immunofluorescence assay. Overall toxoplasmosis was detected in 18.41% of the studied population. Anti-Toxoplasma IgG was found 7.17% in first trimester with highest prevalence 31.28% in third trimester. Increase in the prevalence of parasite was seen with rise in age highest found in higher age group (P ˂ 0.05). As compared to district Lower Dir and Swat, Upper Dir had high rate 33.03% of chronic infection. Consumption of undercooked meat was also found 45.22% related with the prevalence of infection. A significant relation was observed with level of education (P ˂ 0.05) and prevalence of toxoplasmosis. An association was observed between prevalence of T. gondii infection and various risk factors, i.e. consumption of raw eggs, vegetables, contact with cats, cattle, soil, water sources and use of unpasteurized milk. This study shows high prevalence of the parasite in the studied area. Pregnant women in contact with cats were found more at risk. Education of childbearing age women, personal hygiene and contact with soil was also found important possible risk factors in the spread of infection. [ABSTRACT FROM AUTHOR]

Degradation of lindane, a highly persistent and potentially carcinogenic pesticide, by iron (II) activated peroxymonosulfate (Fe 2+ /HSO 5 − ) was investigated. The efficiency of this process was found to increase with UV light irradiation, probably due to an improved regeneration of Fe 2+ for a fast generation of highly reactive OH and SO 4 − . A greater mineralization and dechlorination efficiency was also observed by UV/Fe 2+ /HSO 5 − , with a 92.2% total organic carbon removal and 96.4% chloride ion release after 180 min UV illumination. Removal of lindane by such a photochemical process was further promoted with increasing the initial concentration of either Fe 2+ (10–1000 μM) or HSO 5 − (50–1000 μM). The initial degradation rate of lindane increased while the observed pseudo first - order rate constant ( k obs ) decreased with increasing the initial concentration of lindane. Higher pH (>4) resulted in a lower efficiency of UV/Fe 2+ /HSO 5 − , attributable to the complexation or precipitation of Fe 2+ /Fe 3+ . A Fe 2+ level of 50 and 500 μM showed a comparable effect on lindane mineralization, probably due to the scavenging of SO 4 − and OH or the faster decomposition of the oxidant by excess Fe 2+ . Additionally, potential activation of Fe 2+ /HSO 5 − by fluorescence light was evaluated. Despite an enhanced degradation of lindane, no significant mineralization of lindane was observed. The results indicate that UV/Fe 2+ /HSO 5 − is effective and has a strong application potential for the degradation of lindane and other chlorinated pesticides. [ABSTRACT FROM AUTHOR]

Objective: To describe the perioperative and postoperative complications related to cataract surgery performed by phacoemulsification technique at Khyber Institute of Ophthalmic Medical Sciences (KIOMS), Hayatabad Medical Complex Peshawar. Methodology: One hundred consecutive cataract operations using phacoemulsification were performed from January 2011 to December 2011 at the KIOMS. After thorough examination and investigations, patients were operated. Most were operated using peribulbar anesthesia. First examination was done on the first post-operative day and then patients were followed after three weeks and eight weeks. Their per-operative and postoperative complications were analyzed and compared with complication rates reported in other studies. Results: Total 100 cases were included in the study with 30 patients having bilateral and 40 patients having unilateral cataract. The mean age of patients was 57.4 ± 9.3 years. Posterior capsular rupture in 19 (19%) patients was the most common intraoperative complication. Corneal edema in 49 (49%) patients on first postoperative day was most common post operative complication. After three weeks the vision was 6/12 or better in 80 (80%) of cases. Conclusion: Posterior capsular rupture and corneal edema were most common intraoperative and postoperative complications respectively. Majority of patients had 6/6-6/12 vision by the end of first three weeks of cataract surgery. [ABSTRACT FROM AUTHOR]

The highly sulfated polysaccharides heparin and heparan sulfate (HS) play key roles in the regulation of physiological and pathophysiological processes. Despite its importance, no molecular structures of free HS have been reported up to now. By combining analytical ultracentrifugation, small angle x-ray scattering, and constrained scattering modeling recently used for heparin, we have analyzed the solution structures for eight purified HS fragments dp6-dp24 corresponding to the predominantly unsulfated GlcA-GlcNAc domains of heparan sulfate. Unlike heparin, the sedimentation coefficient s20,w of HS dp6 - dp24 showed a small rotor speed dependence, where similar s20,w values of 0.82-1.26 S (absorbance optics) and 1.05-1.34 S (interference optics) were determined. The corresponding x-ray scattering measurements of HS dp6 - dp24 gave radii of gyration RG values from 1.03 to 2.82 nm, cross-sectional radii of gyration RXS values from 0.31 to 0.65 nm, and maximum lengths L from 3.0 to 10.0 nm. These data showed that HS has a longer and more bent structure than heparin. Constrained scattering modeling starting from 5,000 to 12,000 conformationally randomized HS structures gave best fit dp6 - dp24 molecular structures that were longer and more bent than their equivalents in heparin. Alternative fits were obtained for HS dp18 and dp24, indicating their higher bending and flexibility. We conclude that HS displays bent conformations that are significantly distinct from that for heparin. The difference is attributed to the different predominant monosaccharide sequence and reduced sulfation of HS, indicating that HS may interact differently with proteins compared with heparin. [ABSTRACT FROM AUTHOR]

FH (Factor H) with 20 SCR (short complement regulator) domains is a major serum regulator of complement, and genetic defects in this are associated with inflammatory diseases. Heparan sulfate is a cell-surface glycosaminoglycan composed of sulfated S-domains and unsulfated NA-domains. To elucidate the molecular mechanism of binding of FH to glycosaminoglycans, we performed ultracentrifugation, X-ray scattering and surface plasmon resonance with FH and glycosaminoglycan fragments. Ultracentrifugation showed that FH formed up to 63% of welldefined oligomers with purified heparin fragments (equivalent to S-domains), and indicated a dissociation constantKd of approximately 0.5 µM. Unchanged FH structures that are bivalently crosslinked at SCR-7 and SCR-20 with heparin explained the sedimentation coefficients of the FH-heparin oligomers. The X-ray radius of gyration, RG, of FH in the presence of heparin fragments 18-36 monosaccharide units long increased significantly from 10.4 to 11.7 nm, and the maximum lengths of FH increased from 35 to 40 nm, confirming that large compact oligomers had formed. Surface plasmon resonance of immobilized heparin with fulllength FH gave Kd values of 1-3 µM, and similar but weaker Kd values of 4-20 µM for the SCR-6/8 and SCR-16/20 fragments, confirming co-operativity between the two binding sites. The use of minimally-sulfated heparan sulfate fragments that correspond largely to NA-domains showed much weaker binding, proving the importance of S-domains for this interaction. This bivalent and co-operative model of FH binding to heparan sulfate provides novel insights on the immune function of FH at host cell surfaces. [ABSTRACT FROM AUTHOR]

The study of the relationship between the complex structures and numerous physiological functions of the glycosaminoglycans (GAGs) heparin and heparan sulfate (HS) has continued to thrive in the past decade. Though it is clear that the monosaccharide sequences of these polysaccharides must determine their ability to modulate the action of growth factors, morphogens, chemokines, cytokines, and many other extracellular proteins, the exact details of this dependence still prove elusive. Sequence determines the 3D structure of GAGs at more than one level; detailed sequences of highly sulfated regions may influence affinity for specific proteins in some cases, but in addition attention has been called to the importance of the length and spacing of these highly sulfated sequences, which are separated by unsulfated domains. Within the sulfated "S-domains", the internal dynamics of the conformationally flexible iduronate pyranose ring have continued to interest NMR spectroscopists and molecular modelers. New studies of the relative degrees of flexibility of sulfated and unsulfated domains lead to an overall model of heparin/HS in which protein-binding, highly sulfated S-domains with well-defined conformations are separated by more flexible NA-domains. [ABSTRACT FROM AUTHOR]

The highly sulfated polysaccharides heparin and heparan sulfate (HS) play key roles in the regulation of physiological and pathophysiological processes. Despite its importance, no molecular structures of free HS have been reported up to now. By combining analytical ultracentrifugation, small angle x-ray scattering, and constrained scattering modeling recently used for heparin, we have analyzed the solution structures for eight purified HS fragments degree of polymerization 6-18 (dp6- dpl8) and dp24, corresponding to the predominantly unsulfated GIcA-GIcNAc domains of heparan sulfate. Unlike heparin, the sedimentation coefficient s20,w of HS dp6 - dp24 showed a small rotor speed dependence, where similar 520,w values of 0.82-1.26 S (absorbance optics) and 1.05-1.34 S (interference optics) were determined. The corresponding x-ray scattering measurements of HS dp6 - dp24 gave radius of gyration (RG) values from 1.03 to 2.82 nm, cross-sectional radius of gyration (RXS) values from 0.31 to 0.65 nm, and maximum lengths (L) from 3.0 to 10.0 nm. These data showed that HS has a longer and more bent structure than heparin. Constrained scattering modeling starting from 5000-8000 conformationally randomized HS structures gave best fit dp6 - dpl6 molecular structures that were longer and more bent than their equivalents in heparin. No fits were obtained for HS dpl8 or dp24, indicating their higher flexibility. We conclude that HS displays an extended bent conformation that is significantly distinct from that for heparin. The difference is attributed to the different predominant monosaccharide sequence and reduced sulfation of HS, indicating that HS may interact differently with proteins compared with heparin. [ABSTRACT FROM AUTHOR]

Background: Hepatitis B Virus (HBV) may progress to serious consequences and increase dramatically beyond endemic dimensions that transmits to or from health care workers (HCWs) during routine investigation in their work places. Basic aim of this study was to canvass the safety of HCWs and determine the prevalence of HBV and its possible association with occupational and non-occupational risk factors. Hepatitis B vaccination coverage level and main barriers to vaccination were also taken in account. Results: A total of 824 health care workers were randomly selected from three major hospitals of Peshawar, Khyber Pakhtunkhwa. Blood samples were analyzed in Department of Zoology, Kohat University of Science and Technology Kohat, and relevant information was obtained by means of preset questionnaire. HCWs in the studied hospitals showed 2.18% prevalence of positive HBV. Nurses and technicians were more prone to occupational exposure and to HBV infection. There was significant difference between vaccinated and non-vaccinated HCWs as well as between the doctors and all other categories. Barriers to complete vaccination, in spite of good knowledge of subjects in this regard were work pressure (39.8%), negligence (38.8%) un-affordability (20.9%), and unavailability (0.5%). Conclusions: Special preventive measures (universal precaution and vaccination), which are fundamental way to protect HCW against HBV infection should be adopted. [ABSTRACT FROM AUTHOR]

Background: Hepatitis C virus (HCV) genotype 3a is known to show comparatively better response to combination therapy than genotype 1 and 4. Mutations within NS5A gene of HCV have earlier been implicated with response to interferon (IFN) therapies in chronic HCV patients among various populations. As response to therapy are available in different populations because of the ethnic and viral factors and there was no study available on the phenomenon of resistivity to IFN. Results: Chronic HCV 3a infected Pakistani patients were kept on IFN-α and ribavirin therapy for six months. NS5A gene of HCV was amplified and sequenced in the case of all the patients prior to therapy and the sequences were analysed for mutations. Out of the total 27 patients, 20 (74.07%) were observed with sustained virological response (SVR), 4 (14.81%) patients were non responder (NR) while 3 (11.11%) patients exhibited in end of treatment response (ETR). Three (3/20) (15%) SVR patients and two (2/3) ETR patients had mutations (ranging from I-V amino acids) within the NS5A ISDR regions. While the rest of the SVR patients (85%) and the NR had no mutations at ISDR region when compared with HCV K3a ISDR. Conclusions: Mutations within the NS5A gene of HCV 3a genotype may not influence the outcome of combination therapy in Pakistani populations. [ABSTRACT FROM AUTHOR]

There is a notable dearth of data about Hepatitis B Virus (HBV) and Hepatitis C Virus(HCV) prevalence in Afghanistan. Awareness program and research capacity in the field of hepatitis are very limited in Afghanistan. Number of vulnerabilities and patterns of risk behaviors signal the need to take action now. Thirty one studies dating from October 2003 to 2011 were included, consisting the data of 1,32,981 individuals for HBV and 1,32,500 individuals for HCV. Percentage prevalence was 1.9% for HBV and 1.1% for HCV in all available Afghanistan population. Most at risk population to hepatitis include injecting drug users who share needles and female sex workers, while truck drivers, prisoners and homosexual men needs attention, as their statistical figure are missing. Data suggests that high incidence of intravenous drug use, sexual activities, unsafe blood transfusion procedures and mobility are major risk factors for hepatitis transmission. This review is based on analysis of the limited available data in Afghanistan. Although there are many underlying vulnerability factors, it appears that Afghanistan remains at an early epidemic phase. Further research is required to determine the seroprevalence and prevalent genotype(s) of HBV and HCV in all provinces in Afghanistan. This article provides some key insights into the potential and likely future transmission dynamics of Hepatitis which will serve as a guide in the identification of priority areas in term of high risk groups and risk behaviours in the country and will assist to develop urgent strategic plans to combat the future burden of Hepatitis in Afghanistan. [ABSTRACT FROM AUTHOR]

Background: Studies of the molecular epidemiology and risk factors for hepatitis C virus (HCV) in health care workers (HCWs) of Peshawar, Khyber Pakhtunkhwa region are scarce. Lack of awareness about the transmission of HCV and regular blood screening is contributing a great deal towards the spread of hepatitis C. This study is an attempt to investigate the prevalence of HCV and its possible association with both occupational and nonoccupational risk factors among the HCWs of Peshawar. Results: Blood samples of 824 HCWs, aged between 20-59 years were analysed for anti-HCV antibodies, HCV RNA and HCV genotypes by Immunochromatographic tests and PCR. All relevant information was obtained from the HCWs with the help of a questionnaire. The study revealed that 4.13% of the HCWs were positive for HCV antibodies, while HCV RNA was detected in 2.79% of the individuals. The most predominant HCV genotype was 3a and 2a. Conclusion: A program for education about occupational risk factors and regular blood screening must be implemented in all healthcare setups of Khyber Pakhtunkhwa province in order to help reduce the burden of HCV infection. [ABSTRACT FROM AUTHOR]

Abstract: The anionic polysaccharides heparin and heparan sulphate play essential roles in the regulation of many physiological processes. Heparin is often used as an analogue for heparan sulphate. Despite knowledge of an NMR solution structure and 19 crystal structures of heparin–protein complexes for short heparin fragments, no structures for larger heparin fragments have been reported up to now. Here, we show that solution structures for six purified heparin fragments dp6–dp36 (where dp stands for degree of polymerisation) can be determined by a combination of analytical ultracentrifugation, synchrotron X-ray scattering, and constrained modelling. Analytical ultracentrifugation velocity data for dp6–dp36 showed sedimentation coefficients that increased linearly from 1.09 S to 1.84 S with size. X-ray scattering of dp6–dp36 gave radii of gyration R G that ranged from 1.33 nm to 3.12 nm and maximum lengths that ranged from 3.0 nm to 12.3 nm. The higher resolution of X-ray scattering revealed an increased bending of heparin with increased size. Constrained molecular modelling of 5000 randomised heparin conformers resulted in 9–15 best-fit structures for each of dp18, dp24, dp30, and dp36 that indicated flexibility and the presence of short linear segments in mildly bent structures. Comparisons of these solution structures with crystal structures of heparin–protein complexes revealed similar ranges of phi (φ) and psi (ψ) angles between iduronate and glucosamine rings. We conclude that heparin in solution has a semi-rigid and extended conformation that is preformed for its optimal binding to protein targets without major conformational changes. [Copyright &y& Elsevier]

Examines the development of electrospray LC/MS/MS method for determination of omapatrilat and metabolites in human plasma. Stabilization of sulfhydryl-containing analytes in blood; Procedure for the safe collection of blood samples; Quantification of omapatrilat and the metabolites.

Casein-casein interactions can be very useful for tuning structural and physical properties of mixed casein micelles for food and biotechnology applications, particularly in the dairy industry. The present work focuses on the structures of mixed micelles formed by stepwise addition of a micellar β-casein solution to either 0.05 or 0.3 mM κ-casein, i.e. below or above the critical micellar concentration (CMC) of κ-casein, respectively. Insight into the thermodynamics of this mixed micellization was achieved using isothermal titration calorimetry (ITC), which indicated a less favorable enthalpy of formation and a downward shift of the CMC of mixed micelles with 0.3 mM κ-casein. Hydrophobic interactions are the main driving force behind the mixed micellization as probed by using pyrene, a hydrophobic fluorophore. Structural characterization by dynamic light scattering (DLS) and small angle X-ray scattering (SAXS) revealed that addition of micellar β-casein to 0.05 mM κ-casein oligomers caused strong perturbation and formation of smaller micelles compared to when added to 0.3 mM κ-casein in micellar state. Thus, association of β-casein with κ-casein in these two different physical forms of loosely interacting oligomers and micelles, respectively, can modulate formation of mixed micelles with regard to structural properties such as shape, size and molecular packing (compactness). Image 1 • β-/κ-casein interactions observed by thermodynamic and structural characterization. • Critical micelle concentration β-/κ-casein mixed micelles was determined. • Addition of β-casein changed β-/κ-casein mixed micelles compactness. • Tunable size and shape of β-/κ-casein mixed micelles. • Microenvironment polarity changes indicated different types of micelles was formed. [ABSTRACT FROM AUTHOR]

Studies the decomposition of the effects of pH and ionic strength of the high-performance liquid chromatography (HPLC) mobile phase on the chromatographic resolution and the retention times of the positional isomeric glucuronides. Method used in the study; Indications of the findings.

This study is designed to monitor the rapid virological response (RVR) for 8 weeks and sustained virological response (SVR) for 12 weeks during Sofosbuvir therapy in chronic hepatitis C patients in Peshawar, KPK, Pakistan. A total of 162 hepatitis C positive patients were enrolled in this study. After RNA isolation, Quantitative PCR was done to get viral load, and Ohn et al., 1997 protocol were used for hepatitis virus different genotypes. Statistical analysis was performed using SPSS. A Sample t-test was applied to compare gender and age. Chi Square test was applied to compare the RVR and SVR. In total 162 positive hepatitis C patients, 90 were male and 72 were female. High rate 153(94%) of RVR and 158(97%) SVR were achieved during 8 and 12 weeks of sofosbuvir therapy. High SVR and RVR were achieved in the <30 and 31-40 age groups. High EVR 125(99%) by genotype 3 were achieved at 8 weeks of therapy and high SVR 126(100%) by genotype 3 and 28(93%) by genotype 1 were achieved at 12 weeks of sofosbuvir therapy. The current study reveals that high RVR and SVR rates were obtained by shortening the SOF therapy's treatment time up to 8 and 12 weeks. We got a 98.7% response rate at the end of the treatment. [ABSTRACT FROM AUTHOR]

• Degradation of lindane by UV/persulfate based AOPs was investigated. • Mechanism involved H-abstraction by SO 4 •− accompanied by C-Cl bond cleavage via UV-C. • Both less and more toxic by-products than lindane were produced, but vanished at high UV dose. • Natural organic matter and inorganic ions considerably affect degradation efficiency. • H 2 O 2 had significant synergistic effects on UV/persulfate process. Sulfate radical-advanced oxidation processes (SR-AOPs) are emerging technologies for decomposing organic pollutants in water. This study investigated the efficiency of UV/persulfate (UV/S 2 O 8 2−) process to degrade lindane in water, showing 93.2% lindane removal ([lindane] 0 = 3.43 μM, [S 2 O 8 2−] 0 = 100 μM) at a UV fluence of 720 mJ/cm2. The lindane degradation followed first order kinetics and mechanistic studies suggested H-abstraction by SO 4 •− and Cl removal via C-Cl bond cleavage by UV-C light. Toxicity assessment using ECOSAR program showed toxicity gradually decreased and eventually no significant toxicity remained when all by-products vanished at high UV dose. Removal efficiency of lindane decreased from 93.2% to 38.4, 45.5, 56.0, 84.3 and 88.6%, by adding 1.0 mg/L humic acid or 1.0 mM CO 3 2−, HCO 3 −, Cl− or SO 4 2−, respectively. Coupling of H 2 O 2 with UV/S 2 O 8 2− showed a significant synergistic effect with 99.0% lindane removal at a UV fluence of 600 mJ/cm2, using [S 2 O 8 2−] 0 = [H 2 O 2 ] 0 = 50 μM while UV/H 2 O 2 resulted in only 36.6% lindane removal ([lindane] 0 = 3.43 μM, [H 2 O 2 ] 0 = 100 μM) at a UV fluence of 720 mJ/cm2. The results indicate that SR-AOP has potential for consideration as a remedial technology to treat persistent chlorinated pesticides such as lindane in contaminated water. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study is to present six cases of cervical lymphadenopathy, diagnosed as Kikuchi's disease and raise the index of suspicion for this disease. Study Design: Case Series. Setting: Histopathology and Otolaryngology/Head & Neck Surgery Department at Rehman Medical Institute (RMI) Peshawar. Period: July 2016 to March 2021. Material & Methods: Records of patients for cases diagnosed as "histiocytic necrotising lymphadenitis" were retrieved, their corresponding patient files accessed from the archive, and case notes analyzed. Results: In this series, a total of six cases of Kikuchi's disease are presented. A female predominance is evident from the present data (2:1 female to male ratio). All patients presented with palpable lymph nodes in the neck, predominantly on the left (66.7%). Majority (66.7%) presented with neuralgic pain (on/off). Only one patient did not show weight loss and night sweating, the remaining had all the symptoms. All of the patients recovered spontaneously within 6 months (range 2 to 6 months) with symptomatic treatment for neuralgic pain. Conclusion: Kikuchi's disease should be kept in the differential diagnosis in young females with persistent neck masses, palpable lymph nodes and suspicious fine needle aspiration cytology (FNAC). [ABSTRACT FROM AUTHOR]

Medicago denticulata is commonly used as a leafy vegetable, salad, and food ingredient. In this study, different doses of leaves aqueous extract of M. denticulata (MD) were fed to intoxicated rabbits with paracetamol (100, 200, and 300 mg/kg) for regular 21 days. The aqueous extract was evaluated for phenolic composition using HPLC‐DAD. Serum biochemical and hematological parameters were studied to check its activity. The liver was examined histologically and for antioxidant status. Results revealed that paracetamol led to a significant alteration in all the hematological (RBC, WBC, Hb, PLT, and HCT), and serum lipid parameters (TC, HDL, LDL, and TG) while MD at the dose rate of 300 mg/kg had a curative effect on the stabilization of the affected parameters. The high dose of MD ameliorated different antioxidant parameters such as reduced glutathione (GSH), DPPH radical scavenging activity (RSA), and thiobarbituric acid reactive substances (TBARS) of the liver on day 21st of the treatment. Histological studies revealed significant paracetamol‐induced toxicity of the liver, whereas the MD had positive effects on induced toxicity. Improvement in all these alterations confirms the curative potential of Medicago denticulata extract. Practical applications: Paracetamol is a well‐known antipyretic and analgesic medicine. However, it has been found to cause toxicity including hepatotoxicity. Synthetic drugs such as statins, antibiotics, and anti‐viral are used for curing hepatic diseases also cause severe side effects. Thus, nutraceuticals from plant foods are used to reduce the side effects of different hepatotoxic medicine are continuously researched. This study reported for the first time that aqueous extract of the plant leaves was protective against the hepatotoxicity induced by paracetamol. [ABSTRACT FROM AUTHOR]

Simple Summary: Livestock herding is an essential and time-honored practice in Balochistan, playing a pivotal role in the region's economy, culture, and way of life. The livestock sector is of utmost important in the province, catering to nearly 20% of the national stock. Over centuries, large predators and their prey species, including livestock, have coexisted in these mountainous landscapes. Consequently, large carnivores are more likely to interact with humans due to their extensive home ranges. This research aims to explore the impact of livestock depredation by large predators on livelihoods and conservation efforts in two districts of Balochistan, Pakistan. A human–carnivore conflict survey was conducted from July to September 2019, gathering data from 311 residents in the selected study area. Large predators in the region preyed on a total of 876 livestock over a year, comprising 560 goats, 292 sheep, 19 cows, and 5 donkeys. The gray wolf emerged as the primary predator, accounting for 66.3% of livestock depredation, which was followed by the caracal (24.3%), Asiatic jackal (8.9%), and striped hyena (0.6%). The economic loss totaled USD 78,694. Notably, 80% of respondents held negative perceptions toward wolves compared to 24.4% for caracals. Only 20.6% of respondents were aware of the importance of conserving carnivores. Livestock depredation by carnivores has fostered negative perceptions among locals toward these animals. There exists a lack of awareness regarding the significance of conserving carnivore species and their ecological roles. It is crucial to raise awareness among communities about the ecological importance of predators like the gray wolf, caracal, Asiatic jackal, striped hyena, and Balochistan black bear through community meetings and educational seminars. Furthermore, providing basic education to herders on effective livestock guarding practices is recommended to mitigate human–carnivore conflicts and promote coexistence between wildlife and local communities in Balochistan. Livestock herding is a vital practice in Balochistan, contributing to the economy and culture. The livestock sector is significant in Balochistan, providing 20% of the national stock. Large predators and their prey species, including livestock, have coexisted in these mountainous landscapes for centuries. The aim of the present research is to investigate the impacts of livestock depredation by large predators on livelihoods and predator conservation in two districts of Balochistan, Pakistan. A human–carnivore conflict survey was conducted from July to September 2019, collecting data from 311 residents in a selected study area. Large predators in the study area preyed on a total of 876 livestock during a one-year period, including 560 goats, 292 sheep, 19 cows, and 5 donkeys. The gray wolf is the leading predator, responsible for 66.3% of livestock depredation, followed by the caracal (24.3%), Asiatic jackal (8.9%), and striped hyena (0.6%). The total economic loss was USD 78,694. Overall, 80% of respondents had a negative perception of wolves compared to 24.4% for caracals. Only 20.6% of respondents knew about the importance of conserving carnivores. Livestock depredation by carnivores in the study area created a negative perception of these animals among people. There is a lack of awareness about the importance of conserving carnivore species and their role in the ecosystem. This lack of understanding has ultimately led to detrimental effects on predator populations. It is imperative to raise awareness among people about the ecological significance of carnivores through community meetings, seminars in educational institutions, and providing basic education to herders about effective livestock guarding practices. [ABSTRACT FROM AUTHOR]

Organochlorine compounds (OCs) are very toxic, highly persistent, and ubiquitous contaminants in the environment. Degradation of lindane, a selected OC, by simulated solar light-activated TiO2 (SSLA-TiO2) photocatalysis was investigated. The film types of the TiO2 photocatalyst were prepared using a dip-coating method. The physical properties of the films were investigated using X-ray diffraction, transmission electron microscopy, and environmental scanning electron microscopy. The SSLA-TiO2 photocatalysis led to a lindane removal of 23% in 6 h, with 0.042 h−1 of an observed pseudo first-order rate constant (kobs). The SSLA-TiO2 photocatalysis efficiency was greatly enhanced by adding hydrogen peroxide (H2O2), persulfate (S2O82−), or both combined, corresponding to a 64%, 89%, and 99% lindane removal in the presence of 200 µM of H2O2, S2O82−, or equimolar H2O2-S2O82−, respectively. The hydroxyl and sulfate radicals mainly participated in lindane degradation, proven by the results of a radical scavenger study. The degradation kinetics were hindered in the presence of the water constituents, indicated by a 61%, 35%, 50%, 70%, 88%, and 91% degradation of lindane in 6 h, using a SSLA-TiO2/S2O82−/H2O2 photocatalysis system containing 1.0 mg L−1 humic acid (HA), or 1 mM of CO32−, HCO3−, NO3−, SO42−, and Cl−, respectively. The TiO2 film demonstrated high reusability during four runs of lindane decomposition experiments. The SSLA-TiO2/S2O82−/H2O2 photocatalysis is very effective for the elimination of a persistent OC, lindane, from a water environment. [ABSTRACT FROM AUTHOR]

Background: Cystic echinococcosis (CE) is one of the principal causes of economic loss to the livestock industry because of its morbidity and mortality of food-producing animals and condemnation of important visceral organs. Pakistan being an agricultural country having an extensive livestock sector, is mostly practiced by poor people, which has a fundamental role in the economy. The present study was aimed to conduct a cross-sectional survey and PCR based confirmation of Echinococcus granulosus in sheep, goats, cows, and buffaloes from southern regions (three districts: Lakki Marwat, Bannu, and Karak) of Khyber Pakhtunkhwa, Pakistan. During the study, a total of 2833 animals were examined randomly including; sheep (n = 529), goats (n = 428), cows (n = 1693), and buffaloes (n = 183). Hydatid cysts were collected and examined for the presence of protoscoleces using microscopy. Detection of DNA was performed by using PCR and two mitochondrial genetic markers namely; NAD-1 and COX-1 were amplified. Results: The overall prevalence of CE was found to be (9%) among the examined animals. The hydatid cyst infection was highly prevalent in buffaloes (12%), followed by sheep (10%), cows (9%), and goats (5.1%). Cystic echinococcosis was more prevalent (10%; 96/992) in district Lakki Marwat followed by district Bannu (9%; 112/1246) and Karak (7%; 39/595). Female animals were more likely to be infected with CE (11.6%) than male animals (5.3%) (p = 0.001). Similarly, the infection was higher in the older group of animals as compared to younger (p = 0.001). Mostly (52.2%; n = 129) of hydatid cysts were found in the liver, while (64.4%; n = 159) cysts of the infected animals were infertile. PCR based identification confirmed the presence of E. granulosus sensu stricto (s.s) in the study area. Conclusion: Cystic echinococcosis was found to be highly prevalent in southern regions of Khyber Pakhtunkhwa and could be a potential threat to human health. Moreover, molecular sequencing and phylogenetic analyses should be carried out in future to identify the prevailing genotype (s) of E. granulosus s.s. [ABSTRACT FROM AUTHOR]

Interactions of exopolysaccharides and proteins are of great importance in food science, but complicated to analyze and quantify at the molecular level. A surface plasmon resonance procedure was established to characterize binding of seven structure-determined, branched hetero-exopolysaccharides (HePSs) of 0.14–4.9 MDa from lactic acid bacteria to different milk proteins (β-casein, κ-casein, native and heat-treated β-lactoglobulin) at pH 4.0–5.0. Maximum binding capacity (RU max ) and apparent affinity ( K A,app ) were HePS- and protein-dependent and varied for example 10- and 600-fold, respectively, in the complexation with native β-lactoglobulin at pH 4.0. Highest RU max and K A,app were obtained with heat-treated β-lactoglobulin and β-casein, respectively. Overall, RU max and K A,app decreased 6- and 20-fold, respectively, with increasing pH from 4.0 to 5.0. K A,app was influenced by ionic strength and temperature, indicating that polar interactions stabilize HePS–protein complexes. HePS size as well as oligosaccharide repeat structure, conferring chain flexibility and hydrogen bonding potential, influence the K A,app . [ABSTRACT FROM AUTHOR]

The Helicobacter pylori have ancestral relation with the family of Proteobacteria, order Campylobacterales, family Helicobacteraceae. It is the first and most important cause of gastric carcinoma along with peptic ulcer and dyspepsia carcinoma. H. pylori is also responsible for mucosa associated with lymphoid tissue (MALT) and Known Hodgkin Lymphoma. It is assessed that patients having H. pylori are a 30% to 40% possibility of evolving gastric ulcer and a 10% to 20% possibility of developing distal gastric cancer. It causes chronic inflammation and significantly increases the risk of duodenal, gastric ulcer, and cancer. It is the second leading cause of cancer-related deaths in the world. In the current study, a total of 210 gastric biopsy specimens were collected from the patient with a history of gastritis from Chughtai Lab in 10% NBF. All tissue size was measured and gross examined these samples were processed in an automated tissue processor Tissue-Tek VIP VI (Japan). After processing, the embedding of tissues was done in paraffin wax at Tissue-Tek TEC. 2- 3 µm sections were prepared using rotary microtome Leica 201 USA. A comparison was carried out between H&E and IHC. Helicobacter pylori were detected in 88 cases out of 200 while 09 samples were either poorly preserved or autolyzed that's why further processing and diagnosis were not possible. One case was diagnosed as poorly differentiated adenocarcinoma; the sample was collected from a female patient of 56 years. Out of 88 positive cases, 66 (75%) were initially screened as positive for H.pyloriby H&E staining due to the presence of mild or moderate colonization while the remaining 25% cases were negative by H&E staining but with suspicion of neutrophils and lymphoid aggregates. All 88 cases were further confirmed by IHC. Our findings confirmed that IHC is a batter reliable and more accurate method in the diagnosis of H.pylori and it should be considered the gold standard. [ABSTRACT FROM AUTHOR]

The removal of water pollutants by photocatalysis is a promising technique, mainly due to its environmentally friendly and sustainable nature. In this study, the degradation of a recalcitrant organic pollutant, malachite green (MG), was investigated in water by a microstructured silver oxide photocatalyst. The silver oxide (Ag2O) microparticles (MPs) were synthesized by a low-cost, green method, mediated by green tea leaves extract. The surface, morphological and optical properties of the synthesized Ag2O MPs were determined by scanning electron microscopy (SEM), energy dispersive X-ray (EDX) analysis, X-ray diffraction (XRD) analysis, Fourier transform infrared (FTIR) spectroscopy, and ultraviolet-visible (UV-visible) spectrophotometry. The synthesized Ag2O MPs showed good photoactivity, represented by 83% degradation of malachite green (MG) ([C]0 = 0.4 mM, Ag2O loading = 0.1 g L−1) at neutral pH, in 3 h. Persulfate ions (PS) showed a strong synergistic effect on the efficiency of solar/Ag2O photocatalysis, represented by complete MG removal in 15 min, in the presence of 1.6 mM PS. The results revealed that solar/Ag2O, particularly solar/Ag2O/PS photocatalysis is a promising method for the elimination of toxic organic pollutants, such as malachite green, from the water environment. [ABSTRACT FROM AUTHOR]

In protein misfolding, protein molecule acquires wrong tertiary structure, thereby induces protein misfolding diseases. Protein misfolding can occur through various mechanisms. For instance, changes in environmental conditions, oxidative stress, dominant negative mutations, error in post-translational modifications, increase in degradation rate and trafficking error. All of these factors cause protein misfolding thereby leading to diseases conditions. Both in vitro and in vivo observations suggest that partially unfolded or misfolded intermediates are particularly prone to aggregation. These partially misfolded intermediates aggregate via the interaction with the complementary intermediates and consequently enhance oligomers formation that grows into fibrils and proto-fibrils. The amyloid fibrils for example, accumulate in the brain and central nervous system (CNS) as amyloid deposits in the Parkinson’s disease (PD), Alzheimer’s disease (AD), Prion disease and Amylo lateral Sclerosis (ALS). Furthermore, tau protein shows intrinsically disorder conformation; therefore its interaction with microtubule is impaired and this protein undergoes aggregation. This is also underlying cause of Alzheimers and other neurodegenerative diseases. Treatment of such misfolding maladies is considered as one of the most important challenges of the 21st century. Currently, several treatments strategies have been and are being discovered. These therapeutic interventions partly reversed or prevented the pathological state. More recently, a new approach was discovered, which employs nanobodies that targets multisteps in fibril formation pathway that may possibly completely cure these misfolding diseases. Keeping the above views in mind in the current review, we have comprehensively discussed the different mechanisms underlying protein misfolding thereby leading to diseases conditions and their therapeutic interventions. [ABSTRACT FROM AUTHOR]

Photocatalysis is a promising process for decomposing harmful organic pollutants in water. In this study, solar/photocatalytic degradation of two model azo dyes, i.e., methylene blue (MB) and methyl red (MR), in water usinga nanostructured chitosan-modified nickel magnetite (CS-NM) bio-composite was investigated. The CS-NM bio-composite was synthesized through a co-precipitation method and characterized by Fourier transform infrared (FTIR), scanning electron microscopy (SEM), energy dispersive X-ray (EDX), thermogravimetry (TGA), and UV-Vis spectroscopy. FTIR analysis showed the uniform incorporation and conjugation of nickel magnetite (NM) into the chitosan (CS) polymer matrix. SEM showed that the average particle size was 0.5 μm. The TGA results revealed the good thermal stability of the prepared bio-composite at 300 °C. The point of zero charge was calculated as 7.5. The effect of water quality and process parameters, such as concentration of dyes, catalyst dose, solution pH, and temperatures, was investigated, for application purposes. The solar/CS-NM photocatalysis resulted in 99 and 96% degradation of individual MB and MR (C0 = 50 ppm), respectively, in 90 min. The degradation of MB and MR by solar/CS-NM photocatalysis followed pseudo-first-order kinetics, with observed rate constants (k) of 0.077 and 0.072 min−1, respectively. The CS-NM photocatalyst showed high recyclability, represented by only a 4–6% loss in the photocatalytic efficiency, after four cycles. The results showed that solar/CS-NM photocatalysis is an efficient technique for degrading recalcitrant organic pollutants, such as azo dyes, in water environments. [ABSTRACT FROM AUTHOR]

Tick infestation is a major public and animal health concern causing significant financial losses, especially in tropical and subtropical regions of the world. This study aimed at investigating the epidemiologic profile of ticks infesting cattle and molecular identification of R. microplus in the centrally ignored part of Khyber Pakhtunkhwa, Pakistan. A total of 600 cattle from 20 farms were examined for the tick infestation, among them 358 (59.7%) cattle were infested with ticks. A total of 2118 nymph, larvae and adult tick stages were collected and morphologically identified followed by molecular confirmation of Rhipicephalus microplus. Host-based demographic and ecological parameter analysis revealed significantly higher tick infestation in adult, female, exotic, freely grazing, and with irregular/no acaricides treated cattle. The univariate logistic analysis showed that host age, gender, breed, acaricides use, and feeding method were significantly (P < 0.05) associated, whereas multivariate analysis revealed only host breed and feeding method were potential risk factors (P < 0.05) for tick infestation. Microscopy-based examination identified four different species of ticks including R. microplus (44.5%), Hyalomma anatolicum (38.5%), and Hyalomma marginatum (10.5%) and Hyalomma excavatum (6.5%). Tick infestation pattern showed that 55.9% of cattle was found co-infested with R. microplus and H. anatolicum followed by R. microplus and H. anatolicum and H. marginatum (29.3%) then R. microplus, H. anatolicum, H. marginatum, and H. excavatum (11.2%). Sequencing of the second internal transcribed spacer (ITS2-) and 16S rRNA gene fragments also confirmed the molecular identification of Rhipicephalus microplus. Phylogenetic analysis of ITS-2 revealed all sequences clustered in single clade of the R. microplus while the 16S rRNA nucleotide sequences showed that R. microplus in this study was clustered together in clade A along with other isolates from Pakistan, China, and India. The high tick infestation suggests the need for designing strategic and integrated control measures for ticks in order to ensure good health of domestic animals in this region of Pakistan. [ABSTRACT FROM AUTHOR]

Background: Plasmodium vivax is one of the widespread human malarial parasites accounting for 75% of malaria epidemics. However, there is no baseline information about the status and nature of genetic variation of Plasmodium species circulating in various parts of Pakistan. The present study was aimed at observing the molecular epidemiology and genetic variation of Plasmodium vivax by analysing its merozoite surface protein-3α (msp-3α) and merozoite surface protein-3β (msp-3β) genes, by using suballele, species-specific, combined nested PCR/RFLP detection techniques. Methods: A total of 230 blood samples from suspected subjects tested slide positive for vivax malaria were collected from Punjab, Sindh, Khyber Pakhtunkhwa, and Balochistan during the period May 2012 to December 2013. Combined nested PCR/RFLP technique was conducted using Pvmsp-3α and Pvmsp-3β genetic markers to detect extent of genetic variation in clinical isolates of P. vivax in the studied areas of Pakistan. Results: By PCR, P. vivax, 202/230 (87.82%), was found to be widely distributed in the studied areas. PCR/RFLP analysis showed a high range of allelic variations for both msp-3α and msp-3β genetic markers of P. vivax, i.e., 21 alleles for msp-3α and 19 for msp-3β. Statistically a significant difference (p ≤ 0.05) was observed in the genetic diversity of the suballelic variants of msp-3α and msp-3β genes of P. vivax. Conclusion: It is concluded that P. vivax populations are highly polymorphic and diverse allelic variants of Pvmsp-3α and Pvmsp-3β are present in Pakistan. [ABSTRACT FROM AUTHOR]

Background: Nasal bone fractures are the commonest type of the bony facial injuries seen in emergency department. The objectives of the present study were to determine the age and gender distribution, etiology, symptoms, signs and complications of simple nasal bone fractures and complications of their closed reduction. Material & Methods: This cross-sectional study was conducted at Departments of ENT, Mardan Medical Complex, Mardan & MMM Teaching Hospital, D.I.Khan, Pakistan from July 2012 to Jun 2013. All patients with simple nasal bone fracture of any age and gender were included. All patients were treated by closed reduction. Data regarding gender, age in years, age grouping, etiology, symptoms, signs and complications were analyzed as frequency and percentage. Results: A total of 120 patients with simple nasal bone fractures were included in the study. Males 90 (75%) out-numbered females 30 (25%) with a ratio of 3:1. The mean age of the patients was 20.66±14.86 (2-60) with a range of 58 years. The most frequent etiology, symptom, sign and complication was road traffic accident in 65 (54.15%), epistaxis in 85 (70.80%), external nasal deformity in 92 (76.65%) and septal hematoma in 24 (20%) cases respectively. Persistent postoperative nasal deviation was a complication in seven (5.80%) patients with closed reduction. Conclusion: Road traffic accident is the most common cause of nasal trauma. Closed reduction for simple nasal bone fracture generally produces acceptable cosmetic results. By knowing the etiology of nasal trauma, the risk of nasal injuries can be reduced by taking safety measures and precautions. [ABSTRACT FROM AUTHOR]