The purpose of the study was to calculate the effects of urban untreated wastewater irrigation on the heavy metals accumulation in vegetable samples consisting turnip (Brassica rapa), radish (Raphanus sativus), spinach (Spinacia olerácea), pumpkin (Cucúrbita moschata), cabbage (Brassica oleracea capitata), onion (Allium cepa), smooth luffa (Luffa aegyptiaca), coriander (Coriandrum sativum), vegetable gourd (Lagenaria siceraria) and carrot (Daucus carota subsp. sativus). This was accomplished by monitoring waste as well as fresh water-irrigated agricultural fields of Lakki Marwat, Pakistan. Flame atomic absorption spectrometer (FAAS) was used to assess the concentrations of these heavy metals. The concentration of a total of six metals including iron (Fe), zinc (Zn), copper (Cu), nickel (Ni), lead (Pb), and cadmium (Cd) were detected and quantified in vegetable samples. Concentration of Pb was very low, while Fe concentration was higher in all the samples under investigation in the waste water-irrigated vegetables. The highest concentrations of Zn were observed in onion (441.3±2.7 mg.kg-1), and smooth luffa (293.1±0.5 mg.kg-1). Onion (361.95±2.3 mg.kg-1), turnip (292.15±5.6 mg.kg-1) and Spinach (280.25±4.8 mg.kg-1) showed exceedingly higher concentrations of Fe. Daily intakes of metals (DIM) were calculated for both adults as well as children. The DIM values for Ni and Cd exceeded the recommended value. The concentration of Fe and Zn was higher in wastewater-irrigated area samples as compared to fresh water-irrigated vegetables. The data obtained displayed a trend of heavy metal Fe>Zn>Cu>Ni>Cd>Pb. Our findings have demonstrated the accumulation of heavy metals in the vegetables irrigated by the wastewater as confirmed by flame atomic absorption spectroscopy.

ABSTRACT Poliomyelitis is a contagious disease that still remains in Pakistan, despite efforts to ensure full vaccination coverage, but, in counterpart, refusal is prevailing. Therefore, the present study was conducted to assess refusal factors to polio vaccination. A cross-sectional approach was followed for the present study which was conducted in the North Waziristan Tribal District (polio endemic area) between January 2023 to July 2023. Data were collected on a self-developed questionnaire. The study participants were from the general public and were recruited through simple random sampling. The data were analyzed using Statistical package for social sciences SPSS. A total of 387 respondents completed the survey, amongst which most of the respondents were male (90.7%), living in a joint family (87.1%), and had primary education (48.3%). Most of the respondents showed poor knowledge regarding polio disease (58.7%). Religious extremism, poor knowledge regarding the disease and joint family culture were the significant predictors of the refusal of polio vaccination. This refusal may cause the re-emergence of polio outbreaks.

RESUMEN La poliomielitis es una enfermedad contagiosa que aún persiste en Pakistán, a pesar de los esfuerzos que se realizan para garantizar una cobertura de vacunación completa, pero, en contrapartida, prevalece el rechazo. El presente estudio se realizó para evaluar factores de rechazo a la vacunación contra la poliomielitis. Se llevó a cabo un estudio de corte transversal, en el distrito tribal de Waziristán del Norte (zona endémica de poliomielitis) entre enero de 2023 y julio de 2023. Los datos se recogieron mediante un cuestionario. Los participantes en el estudio procedían del público en general y se reclutaron mediante muestreo aleatorio simple. Los datos se analizaron con el paquete estadístico para ciencias sociales SPSS. Completaron la encuesta 387participantes, la mayoría de los cuales eran varones (90,7%), vivían en una familia conjunta (87,1%) y tenían estudios primarios (48,3%). La mayoría de los encuestados tenían escasos conocimientos sobre la poliomielitis (58,7%). El extremismo religioso, los escasos conocimientos sobre la enfermedad y la cultura de familia conjunta fueron los factores predictivos significativos del rechazo a la vacunación antipoliomielítica. Este rechazo puede provocar la reaparición de brotes de polio.

SUMMARY OBJECTIVE: The aim of the study was to examine the expression profile of genes (APOE, FTO, and LPL) associated with metabolic syndrome (MetS) in subjects with concomitant atrial fibrillation (AF). METHODS: A total of 690 subjects were categorized into control, AF without MetS, and AF with MetS. RESULTS: The expression profiles of the APOE, FTO, and LPL genes were decreased in AF subjects and AF subjects with MetS as compared to the controls. In AF without the MetS group, an inverse relationship was found between the expression of the LPL gene with body mass index (BMI) and a positive relationship with creatine kinase-MB, whereas expression of the FTO gene was inversely associated with fasting blood glucose and positively with cardiac troponin I in AF suffering from MetS. Expression of the LPL gene was directly linked with systolic blood pressure (SBP) and high-density lipoprotein-cholesterol (HDL-C), whereas an inverse correlation with heart rate and expression of the FTO gene in AF with MetS were shown. The expression of the LPL gene was inversely related to BMI in subjects with AF. The expression of the LPL gene was positively correlated with SBP and HDL-C and negatively correlated with heart rate, while the expression of the FTO gene was an important predictor of AF with MetS. CONCLUSION: The decreased expression of APOE, FTO, and LPL genes in AF with and without MetS indicates their potential contributing role in the pathogenesis of AF. OBJECTIVE APOE (APOE (MetS . (AF) METHODS 69 control RESULTS controls group (BMI kinaseMB, kinaseMB kinase MB, MB kinase-MB (SBP highdensity high density lipoproteincholesterol lipoprotein cholesterol HDLC, HDLC HDL C , (HDL-C) shown CONCLUSION (AF 6 (HDL-C

Resumo Introdução: A traqueostomia é um procedimento cirúrgico comumente feito na prática otorrinolaringológica. O cuidado pós-operatório é o aspecto mais importante para alcançar bons resultados para o paciente. A indisponibilidade de diretrizes padrão para o manejo da traqueostomia e o treinamento inadequado podem tornar complexa essa prática básica. A equipe de enfermagem e os médicos desempenham um papel muito importante no manejo à beira do leito, tanto na enfermaria quanto na unidade de terapia intensiva (UTI). Portanto, é crucial que todos os profissionais de saúde diretamente envolvidos na prestação de cuidados pós-operatórios a esses pacientes possam fazer isso de forma eficiente. Objetivo: Avaliar o conhecimento sobre a identificação e manejo de emergências relacionadas à traqueostomia e complicações precoces entre os profissionais de saúde, a fim de melhorar a prática e sua padronização. Método: Estudo observacional transversal que incluiu 254 médicos e enfermeiras de quatro grandes hospitais terciários. As perguntas foram simples e diretas em relação à aspiração da traqueostomia, cuidados com o cuff, manejo do cuff, obstrução da cânula e manejo da alimentação em pacientes traqueostomizados. Resultado: Com base nas evidências de nosso estudo, o nível de conhecimento sobre os cuidados com a traqueostomia varia de 48% a 52%, com escores de conhecimento acima de 50% considerados satisfatórios. Existem lacunas significativas no conhecimento em vários aspectos dos cuidados e manejo da traqueostomia entre os profissionais de saúde. Conclusão: Nossos achados demonstraram um nível de conhecimento adequado entre os profissionais de saúde, variação de 48% a 52%, com escores de conhecimento acima de 50% considerados satisfatórios e revelaram que ainda existem lacunas no conhecimento em vários aspectos do tratamento e manejo do paciente traqueostomizado.

Abstract Introduction: Tracheostomy is commonly performed surgical procedure in ENT practice. Postoperative care is the most important aspect for achieving good patient outcomes. Unavailability of standard guidelines on tracheostomy management and inadequate training can make this basic practice complex. The nursing staff and doctors play a very important role in bedside management, both in the ward and in the intensive care unit (ICU) setup. Therefore, it is crucial that all healthcare providers directly involved in providing postoperative care to such patients can do this efficiently. Objectives: The objective of this study is to assess the knowledge regarding identification and management of tracheostomy-related emergencies and early complications among healthcare professionals so as to improve practice and further standardization. Methods: Cross-sectional observational study included two hundred and fifty-four doctors and nurses from four large tertiary care hospitals. The questions used were simple and straightforward regarding tracheostomy suctioning, cuff care, cuff management, tube blockage, and feeding management in patients with tracheostomy. Results: Based on evidence from our study, knowledge level regarding tracheostomy care ranges from 48% to 52% with knowledge scores above 50% being considered satisfactory. Significant gaps in knowledge exist in various aspects of tracheostomy care and management among healthcare professionals. Conclusion: Our findings demonstrated an adequate knowledge level among health care professionals ranging from 48% to 52% with knowledge scores above 50% being considered satisfactory and revealed that gaps in knowledge still exist in various aspects of tracheostomy care and management.

The study was designed to compare low and high levels of protein, namely 90 and 147 g/kg of dietary dry matter, and to evaluate the effect of concentrate proportions on the in situ digestion kinetics of neutral detergent fibre in buffaloes and cows fed a low protein diet at maintenance intake level. In the first experiment, heifers and lactating females were offered a high protein diet. In the second, the performances of buffaloes and cows were compared when fed diets with low and high proportions of concentrate at low dietary protein level. At higher protein supply, the heifers showed a 6% unit increase in neutral detergent fibre degradability (NDFD) compared with lactating animals. Similarly, at a higher level of concentrate proportion, an 8% unit increase was observed in NDFD. In both experiments the comparison of buffaloes and cows was non-significant for NDFD. Those data that were pooled against the stage of development of both experiments for protein levels depicted a 13% unit increase in NDFD at high protein level compared with low level. At maintenance intake level, a high dietary crude protein or concentrate supply improved the in situ NDFD of tropical forages in buffaloes and cows, owing to the enhanced intake of NDF from concentrate and better synchronization of protein and energy availability in the rumen.

Abstract Antioxidants are the body's defense system against the damage caused by reactive oxygen species, formed naturally during many physiological activities. In vegetables and fruits, various antioxidant compounds such as vitamin C, polyphenols, flavonoids, and carotenoids have been identified. Because fruits and vegetables are the primary antioxidant sources in our daily diet, it is necessary to determine their antioxidant capacity. Citrus fruit consumption per capita has steadily increased over the world over the last 30 years. Citrus fruits are high in vitamin C as well as other active ingredients like phenols and flavonoids that are beneficial to human health. Using carotenoid complement and pigmentation genetic diversity, the objective of this research was to see how vitamin C and carotenoids contributed to the capacity of hydrophilic antioxidants of the citrus fruits’ pulp. Six citrus cultivars were chosen for this purpose: two sweet orange genotypes, Valencia Ruby and Valencia Late; two grapefruit genotypes, Star Ruby and Marsh; and two mandarin genotypes, Nadorcott and Clemenules. In proportion to their color singularity, total carotenoid composition and content in fruit pulp differed dramatically. A good and clear connection was found between hydrophilic antioxidant capacity and vitamin C concentration in the pulp of various fruit species, as measured by DPPH and ABTS tests. The proportion of vitamin C to the total HAC was calculated to be between 15% and 30%. bodys body s species activities polyphenols identified diet 3 years health diversity purpose genotypes Late Marsh Clemenules singularity dramatically tests 15 30% 1

Abstract Milk is an excellent source of nutrients. It is a balanced diet. Cheeses are fermented milk product. There are hunderds of cheese types. Cottage cheese is fermented dairy product made by the coagulation of milk. It is nutritionally most suitable diet for lactose intolerant people. It contains all essential nutrients. Recently cottage cheese was made with the use of tatri and lemon juice. The use of tatri and lemon do not produce good quality end product. This project was aimed to standardize cottage cheese using food grade coagulants. Cottage cheese was analyzed for physicochemical, textural, functional and sensorial analysis. The use of food grade organic acids produced strong results. The increase in acid level increases the yield but it is not remains good organolaptically. Sensory results reveals that the use of acetic acid has a bitter aftertaste. The use of citric acid at the level of 0.4% was found best on all aspects.

Abstract Pesticides have emerged as a global threat to human health, especially in developing countries. In this study, we examined nine major types of pesticide residues in the food commodities (8 groups) and serum samples (n = 80) of people living in the region of Southern-Punjab, Pakistan. Pesticide residues quantification was performed using gas chromatograph coupled with electron capture detector (GC-ECD). The estimated daily intakes of the selected pesticide residues through consumption of food were also calculated. The concentration of analyzed pesticide residues in food was found below the EU maximum permissible limits except for α-HCH, and β-HCH. The highest risk of cancer was found to be associated with the consumption of HCHs contaminated cereals than other products. The incidence rate of pesticide residues in the serum samples of studied subjects was 96.25%. Pearson correlation test showed no significant correlation between thyroid hormone levels of the studied population group and the analyzed pesticide residues in the food commodities (p>0.05). Findings of this study indicate that people of Southern-Punjab, Pakistan are exposed to pesticides via food chain although non-significant health implications were recorded, the levels of a few pesticides need to be curtailed.

ABSTRACT Objectives of the present study were to assess the hatchery based interventions and their impact on hatching traits and subsequent performance of broilers. In total, 3000 eggs of Hubbard broiler breeders were equally divided into Small (50-55 g), Medium (56-61 g) and Large (62-70 g) eggs. The eggs from each category were distributed into 20 trays each containing 50 eggs. Each tray was considered as a replicate. At the end of the 18th day of incubation, the eggs of each weight category were divided into four different patio strategies i.e. P0, P3, P5 and P7 where feed and water were provided to the chicks for 0, 3, 5 and 7 days in the hatcher followed by conventional rearing. Data were collected for hatch window, hatching traits, growth, physical asymmetry, welfare and blood profile in broilers. Statistical analysis showed that the smaller eggs had significantly (P<0.05) shorter hatch window compared to larger and medium eggs. Hatching traits were significantly (p<0.05) better in medium eggs but the embryonic mortalities did not differ (p>0.05). The post-hatch performance was significantly (p<0.05) better in P3 birds from medium eggs. Physical asymmetry and scores of feather and gait were not affected by both treatments (p>0.05). Blood profile was also significantly (p<0.05) better in P3 birds from medium-size eggs. It was recommended that the eggs of 56-61g should be selected for better hatchability and the chicks should be provided with feed and water within the hatcher for at-least three days for optimum performance on rearing facility.

Abstract The wheat variety NIA-Shaheen (CIM-04-10) has high grain yield and modern plant architecture. It has wide adaptability, increased tiller production, bold grains, high starch and protein content, and good tolerance to disease and environmental stresses, particularly water stress. NIA-Shaheen has high yield potential (7184 kg ha-1).

ABSTRACT The present study aimed to evaluate the influence of various levels of synbiotics on growth performance and intestinal morphology of fast-growing broilers during different phases. A total of 720, one-day-old straight run broilers (Ross 308) were randomly divided into 12 treatment groups according to a completely randomized design having three supplemented diets of synbiotics (a combination of probiotics and prebiotics) (0.5, 1, and 1.5%) reared at four phases [starter (1-11 days), grower (12-22 days), finisher (23-35 days), whole life (1-35 days)]. Every treatment was replicated six times with ten birds each. The parameters were evaluated in growth performance (feed intake, body weight, feed conversion ratio, and mortality) and intestinal morphology (Villus height, Crypt depth and Villus to Crypt ratio). Results of the present study revealed that growth performance, feed intake (p=0.0029), body weight (p=0.0001) and feed conversion ratio (p=0.0001) were improved with 1 percent synbiotics diet supplementation,while1.5 percent synbiotics level showed lower body weight. Crypt death (p=0.0529) has been marginally greater in the whole life. It can be inferred that a 1 % synbiotics supplemented diet has had a beneficial impact on growth and gut health throughout life.

Resumo Justificativa: Náusea e vômito no pós-operatório é a segunda queixa pós-operatória mais frequente após a dor. Sem profilaxia antiemética, a incidência de náusea e vômito no pós-operatório foi de 60−80% após cirurgia do ouvido médio. Dada a alta incidência relatada de náusea e vômito no pós-operatório, nosso objetivo foi avaliar o efeito da combinação de palonosetrona-dexametasona e ondansetrona-dexametasona na prevenção de náusea e vômito no pós-operatório em pacientes submetidos a cirurgia do ouvido médio. Método: Sessenta e quatro pacientes programados para cirurgia de ouvido médio foram aleatoriamente divididos em dois grupos. Um recebeu a combinação de palonosetrona-dexametasona (grupo P) e o outro ondansetrona-dexametasona (grupo O) por via intravenosa antes da indução anestésica. A técnica anestésica foi padronizada em todos os pacientes. No pós-operatório, foram registradas incidência e gravidade das náuseas e vômitos, necessidade de antiemético de resgate, efeitos colaterais e índice de satisfação dos pacientes. Resultados: As características demográficas foram semelhantes nos grupos estudados. A diferença na incidência de náusea foi estatisticamente significante entre os grupos O e P apenas no intervalo de tempo entre 2 e 6 horas (p = 0,026). A incidência e gravidade de vômito não foram estatisticamente significantes entre os grupos O e P durante todo o período do estudo. A incidência geral de náusea e vômito no pós-operatório (0−24 horas de pós-operatório) foi de 37,5% no grupo O e de 9,4% no grupo P (p = 0,016). A combinação palonosetrona-dexametasona associou-se com redução do risco absoluto de 28%, redução do risco relativo de 75%, e o número necessário para tratar foi 4. O escore de satisfação do paciente foi maior no grupo P (p = 0,016). A frequência da medicação de resgate foi mais comum no grupo O (p = 0,026). Conclusão: A combinação de palonosetrona-dexametasona é superior à ondansetrona-dexametasona na prevenção da náusea e vômito no pós-operatório após cirurgia de ouvido médio.

Abstract Background: Postoperative nausea and vomiting is the second most common complaint in the postoperative period after pain. The incidence of postoperative nausea and vomiting was 60-80% in middle ear surgeries in the absence of antiemetic prophylaxis. Because of this high incidence of postoperative nausea and vomiting, we aimed to assess the effect of palonosetron-dexamethasone and ondansetron-dexamethasone combination for the prevention of postoperative nausea and vomiting in patients of middle ear surgery. Methods: Sixty-four patients, scheduled for middle ear surgery, were randomized into two groups to receive the palonosetron-dexamethasone and ondansetron-dexamethasone combination intravenously before induction of anesthesia. Anesthesia technique was standardized in all patients. Postoperatively, the incidences and severity of nausea and vomiting, the requirement of rescue antiemetic, side effects and patient satisfaction score were recorded. Results: Demographics were similar in the study groups. The incidence difference of nausea was statistically significant between groups O and P at a time interval of 2-6 hours only (p = 0.026). The incidence and severity of vomiting were not statistically significant between groups O and P during the whole study period. The overall incidence of postoperative nausea and vomiting (0-24 hours postoperatively) was 37.5% in group O and 9.4% in group P (p = 0.016). Absolute risk reduction with palonosetron-dexamethasone was 28%, the relative risk reduction was 75%, and the number-needed-to-treat was 4. The patient’s satisfaction score was higher in group P than group O (p = 0.016). The frequency of rescue medication was more common in group O than in group P patients (p = 0.026). Conclusion: The combination of palonosetron-dexamethasone is superior to ondansetron-dexamethasone for the prevention of postoperative nausea and vomiting after middle ear surgeries.

Abstract In the fields of mathematical chemistry and chemical graph theory, a topological index generally called a connectivity index is a kind of a molecular descriptor that is calculated in perspective of the molecular graph of a chemical compound. Topological indices are numerical parameters of a graph which depict its topology and are graph invariant up to graph isomorphism. Topological indices are used for example in the progression of quantitative structure-activity relationships (QSARs) in which the common activity or distinctive properties of atoms are connected with their molecular structure. There are in excess of 140 topological indices but none of them totally describe the molecular compound completely so there is dependably a space to characterize and register new topological indices. Benzenoid Systems are utilized basically as an intermediate to make different synthetic compounds. In this report we aim to compute redefined Zagreb indices for Zigzag, Rhombic, triangular, Hourglass and Jagged-rectangle Benzenoid systems.

ABSTRACT The purpose of this study was to evaluate the effect of fat sources and emulsifier supplementation in different phases on growth performance of broilers. Treatments were; (T1) basal ration (BR) which contained soy oil (SO) and had inclusion of emulsifier for whole life, (T2) BR which contained poultry fat (PO) and had inclusion of emulsifier for whole life, (T3) BR which contained oxidized oil (OO) and had inclusion of emulsifier for whole life, (T4) BR which contained SO and had inclusion of emulsifier during starter phase (T5) BR which contained PO and had inclusion of emulsifier during the starter phase, (T6) BR which contained OO and had inclusion of emulsifier during the starter phase, (T7) BR which contained SO and had inclusion of emulsifier during the starter phase (T8) BR which contained PO and had inclusion of emulsifier during the grower phase, (T9) BR which contained OO and had inclusion of emulsifier during the grower phase, (T10) BR which contained SO and had inclusion of emulsifier during the finisher phase, (T11) BR which contained PO and had inclusion of emulsifier during the finisher phase (T12) BR which contained OO and had inclusion of emulsifier during the finisher phase. The Basal ration which contained SO and supplemented emulsifier during the grower phase and throughout life increased the body weight gain. The supplementation of emulsifier in the finisher phase and throughout life in a diet which contained SO had better feed conversion ratio. The supplementation of emulsifier in the finisher phase and throughout life in SO based diet increased the dry matter and crude fat digestibility. We recommend emulsifier supplementation in the finisher phase for the economic point of view.

ABSTRACT The current study was planned to investigate the influence of soy oil, oxidized soy oil, poultry oil single refined and poultry oil double refined on the performance of broilers chicken. A total of two hundred and forty, day-old broiler chicks were divided into 4 treatments in such a way that each treatment had six replicates and each replicate had ten chicks. The experimental treatments were separated with the usage of single refined poultry oil, double refined poultry oil, oxidized soy oil and soy oil in the diet of broilers. In both starter and overall periods average body weight was higher (p<0.05) for birds which were on a basal diet containing soy oil as compared to other diets. Similarly, feed intake was higher (p<0.05) for birds which were on a basal diet containing soy oil in the starter phase. In the overall phase, average body weight was less in oxidized oil as compared to other dietary treatments (p<0.05). Similarly, birds showed poor feed conversion ratio in the basal diet that contained oxidized oil (p<0.05) in the overall phase of the experiment. The birds showed better digestibility (p<0.05) for crude fat on a basal diet containing vegetable oil and double refined poultry oil as compared to other diets. Results showed no effects of experimental treatments on the meat quality and carcass parameters (p>0.05). Therefore, it can be concluded that poultry single refined and double refined oil could be a possible substitute for fresh soy oil for better performance as compared to oxidized soy oil.