19 results on '"Shehzad I"'
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2. Influence of Mass Injection/Suction and Stefan Blowing in Thermophysical Flow of Viscous Fluid Above a Stretching/Shrinking Disk
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Rauf, A., primary, Mushtaq, T., additional, Shehzad, S. A., additional, Shehzad, I., additional, and Abbas, Z., additional
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- 2022
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3. Corrigendum: Plants in vitro propagation with its applications in food, pharmaceuticals and cosmetic industries; current scenario and future approaches
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Ammarah Hasnain, Syed Atif Hasan Naqvi, Syeda Iqra Ayesha, Fatima Khalid, Manahil Ellahi, Shehzad Iqbal, Muhammad Zeeshan Hassan, Aqleem Abbas, Robert Adamski, Dorota Markowska, Alaa Baazeem, Ghulam Mustafa, Mahmoud Moustafa, Mohamed E. Hasan, and Mohamed M. A. Abdelhamid
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plant tissue culture ,explants ,secondary metabolites ,industry ,pharmaceuticals ,medicines ,Plant culture ,SB1-1110 - Published
- 2023
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4. Biological control of Root-knot nematode (Meloidogyne javanica) by potential antagonism of endophytic fungi isolated from Taify roses
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Alaa Baazeem, Mohammed Alorabi, Hadeer Darwesh, Saqer S. Alotaibi, Ahmed Nour El-Deen, Shehzad Iqbal, and Syed Atif Hasan Naqvi
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Obligate parasites ,Small animals ,Bio-control ,Meloidogyne javanica ,Bioactive compounds ,Science (General) ,Q1-390 - Abstract
Objectives: Plant-parasitic nematodes are a serious threat to global agricultural production worldwide. To avoid synthetic chemistries toxicity there is a dire need of the hour to develop innovative nematode control strategies. Biological control using the antagonistic fungi of the plants is considered very economical and environment friendly. Methods: Efficacy of different fungal filtrate concentrations was estimated towards the mortality and clutching of Meloidogyne javanica. To determine the antagonistic potential of Penicillium citrinum (MN518391), time of disclosure was assessed in the laboratory with the result “exposure to 8% filtrate for a clock (24 hrs.), expressively reduced the viable juveniles and hatched eggs. Results: Exposition to aforementioned filtrate of P. citrinum for a clock (24 hrs.) revealed that juvenile body turned into straight stature leading to reduction in viability of nematodes. Contrary to it most of nematodes exhibited bent body when exposed to Aspergillusniger (MK713445), or (MN513383) its filtrates. Among the various isolated antagonistic fungi, GC–MS analysis revealed 22 unique compounds e.g., quinazoline and its derivatives as the most prevalent and squalene as least occurring possess significant nematicidal properties against the rootknot nematodes. Conclusion: Hence, using antagonistic fungus from the described plans as BCAs in agriculture against plant-parasitic nematodes is a viable long-term biocontrol technique and provide future avenues in this area of research.
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- 2022
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5. Plants in vitro propagation with its applications in food, pharmaceuticals and cosmetic industries; current scenario and future approaches
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Ammarah Hasnain, Syed Atif Hasan Naqvi, Syeda Iqra Ayesha, Fatima Khalid, Manahil Ellahi, Shehzad Iqbal, Muhammad Zeeshan Hassan, Aqleem Abbas, Robert Adamski, Dorota Markowska, Alaa Baazeem, Ghulam Mustafa, Mahmoud Moustafa, Mohamed E. Hasan, and Mohamed M. A. Abdelhamid
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plant tissue culture ,explants ,secondary metabolites ,industry ,pharmaceuticals ,medicines ,Plant culture ,SB1-1110 - Abstract
Plant tissue culture technique employed for the identification and isolation of bioactive phytocompounds has numerous industrial applications. It provides potential benefits for different industries which include food, pharmaceutical and cosmetics. Various agronomic crops i.e., cereals, fruits, vegetables, ornamental plants and forest trees are currently being used for in vitro propagation. Plant tissue culture coupled with biotechnological approaches leads towards sustainable agricultural development providing solutions to major food security issues. Plants are the rich source of phytochemicals with medicinal properties rendering them useful for the industrial production of pharmaceuticals and nutraceuticals. Furthermore, there are numerous plant compounds with application in the cosmetics industry. In addition to having moisturizing, anti‐ageing, anti‐wrinkle effects; plant-derived compounds also possess pharmacological properties such as antiviral, antimicrobial, antifungal, anticancer, antioxidant, anti-inflammatory, and anti-allergy characteristics. The in vitro propagation of industrially significant flora is gaining attention because of its several advantages over conventional plant propagation methods. One of the major advantages of this technique is the quick availability of food throughout the year, irrespective of the growing season, thus opening new opportunities to the producers and farmers. The sterile or endangered flora can also be conserved by plant micro propagation methods. Hence, plant tissue culture is an extremely efficient and cost-effective technique for biosynthetic studies and bio-production, biotransformation, or bioconversion of plant-derived compounds. However, there are certain limitations of in-vitro plant regeneration system including difficulties with continuous operation, product removal, and aseptic conditions. For sustainable industrial applications of in-vitro regenerated plants on a large scale, these constraints need to be addressed in future studies.
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- 2022
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6. Corrigendum: Role of Promising Secondary Metabolites to Confer Resistance Against Environmental Stresses in Crop Plants: Current Scenario and Future Perspectives
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Delai Chen, Bismillah Mubeen, Ammarah Hasnain, Muhammad Rizwan, Muhammad Adrees, Syed Atif Hasan Naqvi, Shehzad Iqbal, Muhammad Kamran, Ahmed M. El-Sabrout, Hosam O. Elansary, Eman A. Mahmoud, Abdullah Alaklabi, Manda Sathish, and Ghulam Muhae Ud Din
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PR proteins ,polyamines ,compatible solutes ,antioxidants ,stresses ,Plant culture ,SB1-1110 - Published
- 2022
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7. Role of Promising Secondary Metabolites to Confer Resistance Against Environmental Stresses in Crop Plants: Current Scenario and Future Perspectives
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Delai Chen, Bismillah Mubeen, Ammarah Hasnain, Muhammad Rizwan, Muhammad Adrees, Syed Atif Hasan Naqvi, Shehzad Iqbal, Muhammad Kamran, Ahmed M. El-Sabrout, Hosam O. Elansary, Eman A. Mahmoud, Abdullah Alaklabi, Manda Sathish, and Ghulam Muhae Ud Din
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PR proteins ,polyamines ,compatible solutes ,antioxidants ,stresses ,Plant culture ,SB1-1110 - Abstract
Plants often face incompatible growing environments like drought, salinity, cold, frost, and elevated temperatures that affect plant growth and development leading to low yield and, in worse circumstances, plant death. The arsenal of versatile compounds for plant consumption and structure is called metabolites, which allows them to develop strategies to stop enemies, fight pathogens, replace their competitors and go beyond environmental restraints. These elements are formed under particular abiotic stresses like flooding, heat, drought, cold, etc., and biotic stress such as a pathogenic attack, thus associated with survival strategy of plants. Stress responses of plants are vigorous and include multifaceted crosstalk between different levels of regulation, including regulation of metabolism and expression of genes for morphological and physiological adaptation. To date, many of these compounds and their biosynthetic pathways have been found in the plant kingdom. Metabolites like amino acids, phenolics, hormones, polyamines, compatible solutes, antioxidants, pathogen related proteins (PR proteins), etc. are crucial for growth, stress tolerance, and plant defense. This review focuses on promising metabolites involved in stress tolerance under severe conditions and events signaling the mediation of stress-induced metabolic changes are presented.
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- 2022
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8. Taxonomy, distribution, epidemiology, disease cycle and management of brown rot disease of peach (Monilinia spp.)
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Shehzad IQBAL, Aqleem ABBAS, Iqra MUBEEN, Manda SATHISH, Zarafshan RAZAQ, Mustansar MUBEEN, Muhammad KAMRAN, Muhammad HAROON, Sartaj-Alam SYED, Syed-Atif-Hasan NAQVI, and Mohamed A. A. AHMED
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brown rot ,distribution ,epidemiology ,management ,peach ,symptomology ,Forestry ,SD1-669.5 ,Agriculture (General) ,S1-972 - Abstract
Peach is a temperate fruit and is grown in various edaphoclimatic settings worldwide. Brown rot, caused primarily by Monilinia spp. is one of the most destructive peach diseases. The disease results in severe pre-harvest and post-harvest losses. More than half of the world’s post-harvest losses of peach can be attributed to brown rot disease. Despite the widespread adoption of management strategies such as pruning, removing fruit mummies, eliminating wild plums, chemical control remains an effective strategy for managing brown rot disease. However, environmental and human health impacts of chemical control and fungicides resistance consequences, these management tactics tend to be re-evaluated. The aim of this review is to comprehensively sum up the available information on the taxonomy, distribution, epidemiology, symptomology, molecular and morphological characterization of brown rot disease, and to date management approaches. However, fast paced current research on brown rot disease of peach management should be carefully updated for the full-proof control of the fungi. Nevertheless, more research and review of the information regarding various aspects of diseases management exclusively biocontrol agents are needed to exploit their actual potential, which is the salient objective of this review. This review will open new avenues giving future prospects and research agenda to the scientists working on this serious pathosystem of peach.
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- 2022
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9. Phytohormones Trigger Drought Tolerance in Crop Plants: Outlook and Future Perspectives
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Shehzad Iqbal, Xiukang Wang, Iqra Mubeen, Muhammad Kamran, Iqra Kanwal, Gonzalo A. Díaz, Aqleem Abbas, Aasma Parveen, Muhammad Nauman Atiq, Huda Alshaya, Tarek K. Zin El-Abedin, and Shah Fahad
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phytohormones ,drought stress ,microorganisms ,tolerance mechanisms ,genes ,Plant culture ,SB1-1110 - Abstract
In the past and present, human activities have been involved in triggering global warming, causing drought stresses that affect animals and plants. Plants are more defenseless against drought stress; and therefore, plant development and productive output are decreased. To decrease the effect of drought stress on plants, it is crucial to establish a plant feedback mechanism of resistance to drought. The drought reflex mechanisms include the physical stature physiology and biochemical, cellular, and molecular-based processes. Briefly, improving the root system, leaf structure, osmotic-balance, comparative water contents and stomatal adjustment are considered as most prominent features against drought resistance in crop plants. In addition, the signal transduction pathway and reactive clearance of oxygen are crucial mechanisms for coping with drought stress via calcium and phytohormones such as abscisic acid, salicylic acid, jasmonic acid, auxin, gibberellin, ethylene, brassinosteroids and peptide molecules. Furthermore, microorganisms, such as fungal and bacterial organisms, play a vital role in increasing resistance against drought stress in plants. The number of characteristic loci, transgenic methods and the application of exogenous substances [nitric oxide, (C28H48O6) 24-epibrassinolide, proline, and glycine betaine] are also equally important for enhancing the drought resistance of plants. In a nutshell, the current review will mainly focus on the role of phytohormones and related mechanisms involved in drought tolerance in various crop plants.
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- 2022
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10. Green Chemistry Based Synthesis of Zinc Oxide Nanoparticles Using Plant Derivatives of Calotropis gigantea (Giant Milkweed) and Its Biological Applications against Various Bacterial and Fungal Pathogens
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Ammara Farooq, Umair A. Khan, Haider Ali, Manda Sathish, Syed Atif Hasan Naqvi, Shehzad Iqbal, Iqra Mubeen, Muhammad Bilal Amir, Walid F. A. Mosa, Alaa Baazeem, Mahmoud Moustafa, Sulaiman Alrumman, Ali Shati, and Sally Negm
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nanotechnology ,intelligent agriculture ,green synthesis ,Calotropis gigantea ,Ak-plant ,Biology (General) ,QH301-705.5 - Abstract
Nanotechnology is a burning field of scientific interest for researchers in current era. Diverse plant materials are considered as potential tool in green chemistry based technologies for the synthesis of metal nanoparticles (NPs) to cope with the hazardous effects of synthetic chemicals, leading to severe abiotic climate change issues in today’s agriculture. This study aimed to determine the synthesis and characterization of metal-based nanoparticles using extracts of the selected plant Calotropis gigantea and to evaluate the enzyme-inhibition activities and antibacterial and antifungal activity of extracts of metal-based zinc nanoparticles using C. gigantea extracts. The crystal structure and surface morphology were characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM). C. gigantea was examined for antimicrobial activity against clinical isolates of bacteria and fungi. The water, ethanolic, and acetone extracts of C. gigantea were studied for their antagonistic action against bacterial strains (E. coli, S. aureus, P. multocida, and B. subtilis) and selected fungal strains (A. paracistic, F. solani, A. niger, S. ferrugenium, and R. nigricans). In vitro antimicrobial activity was determined by the disc diffusion method, where C. gigantea was tested for AChE and BChE inhibitory activity using Ellman’s methodology. The kinetic analysis was performed by the proverbial Berthelot reaction for urease inhibition. The results showed that out of all the extracts tested, ethanolic and water extracts possessed zinc nanoparticles. These extracts showed the maximum zone of inhibition against F. solani and P. multocida and the lowest against S. ferrugenium and B. subtilis. A potential source of AChE inhibitors is certainly provided by the abundance of plants in nature. Numerous phyto-constituents, such as AChE and BChE inhibitors, have been reported in this communication. Water extract was active and has the potential for in vitro AChE and BChE inhibitory activity. The urease inhibition with flower extracts of C. gigantea revealed zinc nanoparticles in water extracts that competitively inhibited urease enzymes. In the case of cholinesterase enzymes, it was inferred that the water extract and zinc nanoparticles have more potential for inhibition of BChE than AChE and urease inhibition. Furthermore, zinc nanoparticles with water extract are active inthe inhibition of the bacterial strains E. coli, S. aureus, and P. multocida and the fungal strains A. paracistic, F. solani, and A. niger.
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- 2022
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11. Quantitation of Multipartite Banana Bunchy Top Virus Genomic Components and Their Transcripts in Infected Tissues of Banana (Musa acuminata)
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Sana Bashir, Sumaira Farrakh, Tayyaba Yasmin, Aish Muhammad, Tasmia Bashir, Hakim Manghwar, Freddy Mora-Poblete, Shehzad Iqbal, Alaa Baazeem, and Muhammad Zeeshan Hyder
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multipartite DNA virus ,Banana Bunchy Top Virus ,qPCR assay ,Babuvirus ,Nanoviridae ,Agriculture - Abstract
Banana bunchy top disease (BBTD), caused by a Banana Bunchy Top Virus (BBTV), is the most devastating viral disease of bananas. The genome of multipartite BBTV is about 1 Kb in size and comprises six circular single-stranded (ss) DNA components, namely DNA-R, C, S, M, U3, and N. Gene expression in multipartite DNA viruses is highly flexible due to variations in the copy number and transcript levels of individual genomic components. This enables them to adapt to changing conditions and maintain optimal fitness. In the current study, the copy number of each genetic component of BBTV and its transcript level were determined in the leaf, midrib, and root tissue of the infected banana plant. The results of the study showed that DNA copies (copies/ng) were higher in midrib (11,105 ± 10,704.42), followed by leaf (6902.91 ± 1651.14), and were lowest in root (23.49 ± 9.21) tissues. In contrast, the transcript level was highest in the root (312.45 ± 106.69) and lowest in the midrib (0.72 ± 0.16). This suggests that BBTV independently regulates the transcriptional level of each DNA component. The distribution of BBTV in different tissues assists the identification of significantly higher viral load tissues for early and sensitive disease diagnosis, which will be beneficial for better disease management.
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- 2022
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12. Role of WRKY Transcription Factors in Regulation of Abiotic Stress Responses in Cotton
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Xiaoqiang Guo, Abid Ullah, Dorota Siuta, Bożena Kukfisz, and Shehzad Iqbal
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abiotic stresses ,cotton ,hormones ,signaling pathway ,WRKY ,Science - Abstract
Environmental factors are the major constraints in sustainable agriculture. WRKY proteins are a large family of transcription factors (TFs) that regulate various developmental processes and stress responses in plants, including cotton. On the basis of Gossypium raimondii genome sequencing, WRKY TFs have been identified in cotton and characterized for their functions in abiotic stress responses. WRKY members of cotton play a significant role in the regulation of abiotic stresses, i.e., drought, salt, and extreme temperatures. These TFs either activate or repress various signaling pathways such as abscisic acid, jasmonic acid, salicylic acid, mitogen-activated protein kinases (MAPK), and the scavenging of reactive oxygen species. WRKY-associated genes in cotton have been genetically engineered in Arabidopsis, Nicotiana, and Gossypium successfully, which subsequently enhanced tolerance in corresponding plants against abiotic stresses. Although a few review reports are available for WRKY TFs, there is no critical report available on the WRKY TFs of cotton. Hereby, the role of cotton WRKY TFs in environmental stress responses is studied to enhance the understanding of abiotic stress response and further improve in cotton plants.
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- 2022
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13. Evaluation of Bacterial Perpetuation Assays and Plant Biomolecules Antimicrobial Activity against Cotton Blight Bacterium Xanthomonas citri subsp. malvacearum; An Alternative Source for Food Production and Protection
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Syed Atif Hasan Naqvi, Shehzad Iqbal, Hafeez-ur-Rehman, Umar Farooq, Muhammad Zeeshan Hassan, Muhammad Nadeem Shahid, Adnan Noor Shah, Aqleem Abbas, Iqra Mubeen, Ammara Farooq, Rehab Y. Ghareeb, Hazem M. Kalaji, Abdulwahed Fahad Alrefaei, and Mohamed A. A. Ahmed
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Gossypium hirsutum ,bacterium ,pathology ,infection ,biological control ,in vitro ,Botany ,QK1-989 - Abstract
Cotton (Gossypium hirsutum) is a global cash crop which has gained importance in earning foreign exchange for each country. Bacterial blight caused by Xanthomonascitri subsp. malvacearum (Xcm) has been a seriousdisease in Pakistan’s cotton belt on multiple occasions. Bacterium was isolated and identified through various biochemical and diagnostic tests wherehypersensitivity reaction, Gram staining, KOH (potassium hydroxide), catalase, starch hydrolysis, lecithinase and Tween 80 hydrolysis tests confirmed bacterium as Gram-negative and plant pathogenic. Xcm perpetuation assays wereevaluated on various cotton varieties under glasshouse conditions in completely randomized design by three different methods, wherein the scratch method proved to be the best upon CIM-496 and showed 83.33% disease incidence as compared with the other two methods, where Bt-3701 responded with 53.33% incidence via the spray gun method, and 50% with the water splash method on CIM-616, as compared with the control. Similarly, for disease severity percentage, Bt-3701 was pragmatic with 47.21% through scratch method, whereas, in the spray gun method, 45.51% disease severity was noted upon Bt-802, and 31.27% was calculated on Cyto-179 through the water splash method. Owing to the unique antibacterial properties of aqueous plant extracts, the poison food technique showed Aloe vera, Mentha piperita, Syzygiumcumini and Azadirachta indica with 17.77, 29.33, 18.33 and 20.22 bacterial colonies counted on nutrient agarmedium petri plate, respectively, as compared with the control. Measurement of the inhibition zone by disk diffusion technique showed Mentha piperita, Syzygiumcumini, Citrus limon, Moringa oleifera and Syzygium aromaticum to present the most promising results by calculating the maximum diameter of the inhibition zone, viz., 8.58, 8.55, 8.52, 8.49 and 8.41 (mm), respectively, at the highest tested concentration (75 ppm, parts per million) compared with the control. It is probable that the decoction’s interaction with the pathogen population on the host plant will need to be considered in future experiments. However, at this moment, more research into the effective management of cotton bacterial blight by plant extracts in terms of concentration determination and development of biopesticides will provide future avenues to avoid environmental pollution.
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- 2022
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14. HEAVY METALS TOXICITY ASSESSMENT IN DIFFERENT TEXTURED SOILS HAVING WASTEWATER IRRIGATION.
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MANZOOR, M. Z., SARWAR, G., IBRAHIM, M., LUQMAN, M., GUL, S., and SHEHZAD, I.
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HEAVY metal toxicology , *HEAVY metals , *SEWAGE , *IRRIGATION , *SOIL pollution , *SOIL moisture , *SOIL sampling - Abstract
Farmers are using municipal wastewater--either treated or untreated--for irrigation because of limited freshwater resources. The current study conducted a detailed survey of areas using consistent irrigation with wastewater. Soil and water samples collected from the selected sites include the suburbs of Sargodha, i.e., Chak No. 79, Raza Garden, Chak. No. 50Nb, Hameed Town, Istaqlalabad Colony, and underwent laboratory analysis. The maximum EC (3.64 dS m-1) resulted in wastewater samples collected from Raza Garden and the highest SAR (7.04) and RSC (2.28 me L-1) came from wastewater samples collected from Chak No. 79. Maximum lead, nickel, and arsenic analysis were 2.52, 0.15, and 0.06 mg L-1, respectively, from wastewater samples collected from Chak. No. 50Nb, with a uniform concentration of cadmium (0.01 mg L-1) in wastewater samples collected from all five mentioned sites e. The maximum pH (8.25), SAR (13.69), organic matter (0.68%), lead (11.56 mg kg-1), cadmium (1.71 mg kg-1), nickel (12.85 mg kg-1), and arsenic (4.62 mg kg-1) emerged from soil samples collected from the Raza Garden site. On the other hand, the highest EC (4.12 dS m-1) occurred in soil samples of the Istaqlalabad Colony. Based on these results, an urgent advisory should reach the farming community not to use wastewater for irrigation in untreated form because it has ill effects on soil health, contaminating the plants. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Preliminary investigation of MMP8 (rs11225395) and MMP9 (rs3787268) polymorphisms association with breast cancer risk in pashtun women of Pakistan.
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Khan S, Khan NU, Khan Y, Shehzad I, Alanzi AR, and Chen T
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- Humans, Female, Pakistan, Middle Aged, Adult, Case-Control Studies, Genotype, Risk Factors, Matrix Metalloproteinase 9 genetics, Breast Neoplasms genetics, Polymorphism, Single Nucleotide genetics, Genetic Predisposition to Disease genetics, Matrix Metalloproteinase 8 genetics, Gene Frequency genetics, Alleles
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Background: Single Nucleotide polymorphisms (SNPs) in MMP8 and MMP9 have been widely associated with breast cancer risk in different ethnicities with inconsistent results. There is no such study conducted so far in the Pashtun population of Khyber Pakhtunkhwa, Pakistan. Therefore, this study was conducted to check MMP8 (rs11225395) and MMP9 (rs3787268) polymorphism with breast cancer risk in the selected population., Methods: This study, consisting of 300 breast cancer patients and 168 gender and age-matched healthy controls was subjected to confirm MMP8 and MMP9 polymorphisms. Clinicopathological data and blood samples were taken from all the participants. DNA was extracted and SNPs were confirmed using the T-ARMS-PCR protocol., Results: Based on our study results, significant associations were observed between the MMP8 rs11225395 risk allele (G) and increased breast cancer risk, with the G allele frequency higher in patients (65%) compared to controls (51%) (OR = 1.752, 95% CI = 1.423-3.662, p = 0.002). Genotypes GG (OR = 4.218, p = 0.005) and AG (OR = 7.286, p = 0.0001) of MMP8 rs11225395 were also significantly associated with elevated breast cancer risk. Similarly, MMP9 rs3787268 exhibited a higher frequency of the risk allele (A) in breast cancer cases (81%) compared to controls (41%), correlating strongly with increased risk (OR = 6.320, p = 0.0001). Genotypes AA (OR = 14.500, p = 0.0001) and AG (OR = 2.429, p = 0.077) of MMP9 rs3787268 containing the risk allele showed significant associations with heightened breast cancer risk. Subgroup analyses based on age, disease progression, tumor size, and grade revealed noteworthy associations for both MMP8 rs11225395 and MMP9 rs3787268. MMP8 rs11225395 genotypes displayed significant correlations with age (p = 0.066), disease progression (p = 0.0001), larger tumor size (p = 0.005), and higher tumor grade (p = 0.006). Similarly, MMP9 rs3787268 genotypes were significantly associated with age (p = 0.001), disease progression (p = 0.010), larger tumor size (p = 0.018), and higher tumor grade (p = 0.037). Logistic regression analyses further underscored these genetic variants' potential role as biomarkers in breast cancer, particularly in relation to specific hormone receptor statuses such as estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) positivity., Conclusion: The results revealed significant associations between the mutant alleles and genotypes of MMP8 (rs11225395) and MMP9 (rs3787268) with increased breast cancer risk in the Pashtun population of Khyber Pakhtunkhwa, Pakistan. However, more investigation will be required on large data sets to confirm the selected SNPs and other SNPs in the selected and other related genes with the risk of breast cancer., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)
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- 2024
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16. Variations and National Perspectives on Evaluation and Management of Ventilator-Associated Pneumonia in Neonatal Intensive Care Units: An In-Depth Survey Analysis.
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Shehzad I, Raju M, Manzar S, Dubrocq G, Sagar M, and Vora N
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Introduction Infants in the neonatal intensive care unit (NICU) are vulnerable to ventilator-associated pneumonia (VAP), which increases their morbidity and mortality. There is a significant overlap of clinical features of neonatal VAP with other pulmonary pathologies, particularly in preterm infants, which can make the definitive diagnosis and management of VAP challenging. Objective Our study surveyed NICU providers across the United States to understand the perspectives and variations in neonatal VAP diagnostic and management practices. Methods The REDCap survey was distributed to the actively practicing members of the Section on Neonatal-Perinatal Medicine (SoNPM) of the American Academy of Pediatrics (AAP). We used descriptive statistics to analyze the data from the respondents. Results Of 254 respondents, the majority (86.6%, 220) were neonatologists and had a relatively even geographical distribution. Most (75.9%, 193) stated that they would perform a gram stain and respiratory culture as part of a sepsis workup irrespective of the patient's duration on invasive mechanical ventilation (IMV); 224 (88.2%) of providers preferred the endotracheal aspiration (ETA) technique to collect specimens. In cases where a positive respiratory culture was present, VAP (52.4%, 133) was the predominantly assigned diagnosis, followed by pneumonia (27.2%, 69) and ventilator-associated tracheitis (VAT) (9.8%, 25). Respondents reported a prescription of intravenous gentamicin (70%, 178) and vancomycin (41%, 105) as the initial empiric antibiotic drugs, pending final respiratory culture results. Most respondents (55.5%, 141) opted for seven days of antibiotics duration to treat VAP. The reported intra-departmental variation among colleagues in acquiring respiratory cultures and prescribing antibiotics for VAP was 48.8% (124) and 37.4% (95), respectively, with slightly more than half (53.5%, 136) of providers reporting having VAP prevention guidelines in their units. Conclusion The survey study revealed inconsistencies in the investigation, diagnostic nomenclature, choice of antibiotic, and treatment duration for neonatal VAP. Consequently, there is a pressing need for further research to establish a clear definition and evidence-based criteria for VAP., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Baylor Scott & White Health Research Institute Review Board issued approval 022-188. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Shehzad et al.)
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- 2024
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17. Successful Weaning From Veno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) After Initiation of Inhaled Epoprostenol in a Neonate With Refractory Persistent Pulmonary Hypertension of the Newborn (PPHN).
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Shehzad I, Banker A, Das B, Humayun A, Wills H, Raju M, and Vora N
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Despite improvements in the medical management of persistent pulmonary hypertension of the newborn (PPHN), a significant number of patients persist with inadequate gas exchange and are treated with extracorporeal membrane oxygenation (ECMO). Prolonged time to weaning ECMO can increase mortality risk. Therefore, multiple therapies are utilized for pulmonary hypertension treatment, including pharmacotherapy with pulmonary vasodilators, to improve the prognosis of these critical patients. We report a case of a 37 2/7-week neonate with severe PPHN refractory to triple pulmonary vasodilator therapy (inhaled nitric oxide (iNO), sildenafil, and milrinone) and required veno-venous (VV)-ECMO support to improve oxygenation. Our patient was successfully weaned from ECMO after the addition of inhaled epoprostenol (iEPO) therapy. This report indicates that inhaled prostacyclin therapy effectively helps refractory PPHN patients off extracorporeal life support (ECLS) and should be considered a valuable treatment., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Shehzad et al.)
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- 2023
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18. Evaluation of Autism Spectrum Disorder Risk in Infants With Intraventricular Hemorrhage.
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Shehzad I, Raju M, Jackson I, Beeram M, Govande V, Chiruvolu A, and Vora N
- Abstract
Background This study evaluates the long-term risk of autism spectrum disorder (ASD) in infants with intraventricular hemorrhage (IVH) using the Modified Checklist for Autism in Toddlers-Revised with Follow-Up (M-CHAT-R/F) screening tool. Methods This retrospective cohort study compared IVH (exposed) infants across all gestational age groups with no-IVH (non-exposed) infants admitted to level IV neonatal intensive care unit (NICU). The M-CHAT-R/F screening tool was used to assess the ASD risk at 16-30 months of age. Discharge cranial ultrasound (CUS) findings also determined the ASD risk. Descriptive statistics comprised median and interquartile range for skewed continuous data and frequencies and percentages for categorical variables. Comparisons for non-ordinal categorical measures in bivariate analysis were carried out using the χ 2 test or Fisher exact test. Results Of the 334 infants, 167 had IVH, and 167 had no IVH. High ASD risk (43% vs. 20%, p = 0.044) and cerebral palsy (19% vs. 5%, p = 0.004) were significantly associated with severe IVH. Infants with CUS findings of periventricular leukomalacia had 3.24 odds of developing high ASD risk (odds ratios/OR: 3.24, 95% confidence interval/CI: 0.73-14.34), and those with hydrocephalus needing ventriculoperitoneal (VP) shunt had 4.75 odds of developing high ASD risk (OR: 4.75, 95% CI: 0.73-30.69). Conclusion Severe IVH, but not mild IVH, increased the risk of ASD and cerebral palsy. This study demonstrates the need for timely screening for ASD in high-risk infants. Prompt detection leads to earlier treatment and better outcomes., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Shehzad et al.)
- Published
- 2023
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19. Acute acalculous cholecystitis in an infant after gastroschisis closure.
- Author
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Shehzad I, Nelson N, Vora N, Wills H, Birkemeier K, and Govande V
- Abstract
Gastroschisis is a common type of congenital anterior abdominal wall defect with intraabdominal organs exposed outside the abdominal cavity. With modern neonatology and surgical practices, the overall prognosis for infants with gastroschisis is excellent. However, a subset of infants with gastroschisis will develop complications, requiring repeat surgical interventions. We present a case of a female infant with complicated gastroschisis who developed acute perforated acalculous cholecystitis, which was accurately diagnosed with abdominal ultrasound and successfully treated with medical management and a percutaneous cholecystostomy tube., Competing Interests: The authors report no funding or conflicts of interest. The parent of the patient gave written informed consent for the publication of this case report., (Copyright © 2022 Baylor University Medical Center.)
- Published
- 2022
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