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ABSTRACT: The current article looks at the effects of climate change on agriculture, especially crop production, and influence factors of agricultural development in terms of their rational use in Pakistan. Due to the dependence of economic development, and agriculture in the South Asian region on access to renewable national resources and the associated vulnerability to climate change, the limited financial and professional resources of the Islamic Republic of Pakistan require a clear definition of national priorities in this area. In the preparation of this article, general scientific cognition methods, in particular, empirical-theoretical methods were used. Grouping and classification methods have been used to process and systematize the data. The ability to change productivity, depending on the variation of the average annual air temperature and the average annual precipitation rate, was considered using a two-factor regression model. The main finding of the study is that temperature and precipitation have a negative impact on agricultural production. This study can provide a scientific justification for the specialization of agricultural production in the regions of Pakistan as well as the execution of the necessary agricultural activities.

Objective: This study aimed to investigate the impact of post-thoracotomy analgesia with dexmedetomidine and morphine on immunocytes., Methods: A total of 118 patients with post-thoracotomy Patient-Controlled Intravenous Analgesia (PCIA) in our hospital from March 2016 to July 2018 were randomly selected and divided into the Composite (COM) Group (57 patients administered with dexmedetomidine [1.0 μg.kg -1 body weight] and morphine [0.48 mg.kg -1 body weight]) and the Morphine (MOR) Group (61 patients administered with morphine [0.48 mg.kg -1 ]). The values of lymphocyte subsets (CD3+, CD4+, and CD8+) and Natural Killer cells in the peripheral blood of these two groups were detected by FACSCalibur flow cytometry at different time points (before anesthesia induction [T0], immediately after tracheal extubation [T1], 12 hours after surgery [T2], 24 hours after surgery [T3], 48 hours after surgery [T4], 72 hours after surgery [T5], and 7 days after surgery [T6]). The doses of morphine at T3 to T5 and the adverse reactions between the two groups were also recorded and compared., Results: The CD3+ level and the CD4+/CD8+ ratio at T2 to T5 and the CD4+ level and NK cells at T3 to T5 were significantly higher in the COM Group than in the MOR Group (p < 0.05). The postoperative morphine dose and the incidence of postoperative itching, nausea, and vomiting were significantly lower in the COM Group than in the MOR Group (p < 0.05)., Conclusions: Dexmedetomidine combined with morphine for post-thoracotomy PCIA can improve the function of immunocytes, reduce morphine consumption, and reduce the adverse reactions during analgesia induction., (Copyright © 2020 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.)