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Abstract Concrete, as a cornerstone of modern construction, heavily relies on the quality of its constituent materials, particularly aggregates. Among the critical factors contributing to high-quality concrete are proper gradation, absence of clay particles, and angular shape of aggregates. Adhering to these standards typically results in concrete with superior strength. However, aggregates sourced from riverbeds often possess a natural gradation, contain clay particles, and have rounded shapes. This study delves into a comparative analysis of aggregates sourced from two widely utilized riverbed regions, namely Hari-River and Kamar-Kalaq, situated within Herat province, Afghanistan. Given that over 90% of concrete in Herat province is sourced from these two riverbeds, the findings of this study carry immense significance. The research meticulously examines key parameters, including clay content, gradation, aggregate shape, and compressive strength, to determine the optimal choice for concrete production. Methodologically, samples were acquired following ASTM standards, and rigorous testing procedures were conducted, encompassing clay particle analysis, sieve analysis, and strength testing. The results reveal significant disparities between the two regions, with Hari-River demonstrating superior characteristics across various metrics. Particularly noteworthy is Hari-River’s lower clay content of 2.7% compared to Kamar-Kalaq’s 3.7%. The gradation of Hari-River for both coarse and fine aggregates is superior to that of Kamar-Kalaq when compared to size 67 aggregate range. Additionally, the average 28 days concrete compressive strength of Hari-River aggregates is 27.8 MPa, while that of Kamar-Kalaq is 23.4 MPa.

Abstract The aim of the present research was to investigate the presence of heavy metals such as lead (Pb), copper (Cu), chromium (Cr), and cadmium (Cd) in blood samples from cows raised with irrigated wastewater, as well as in the wastewater itself, in the North-western region of Pakistan. A total of 60 blood samples were collected from five different locations in Kohat, namely Tappi Road (TR), Pindi Road (PR), Gul Malik Road (GMR), Markaz Road (MR), and a control group. The samples of both i.e. cow blood and wastewater were analyzed for the concentrations of heavy metals. The highest concentration of Cd was detected in the MR site with a mean value of 0.03 mg/L, and the highest concentration of Cu (0.04 mg/L) was recorded in the TR site, while the lowest level was found in the control group with a mean of 0.002 mg/L in blood samples. The highest Cr and Pb concentrations were found at the PR site, with mean values of 0.03 and 0.07 mg/L, respectively, whereas the control group had the lowest concentrations, with mean values of 0.002 and 0.01 mg/L. Similarly, heavy metal concentrations were analyzed in wastewater used for irrigation in the study area. Results indicated elevated concentrations of Cu and Cr in wastewater, although they remained below the World Health Organization (WHO) recommended values except for Cr (0.13 mg/L) in the GMR site, which exceeded permissible limits. Cd and Pb concentrations in wastewater were relatively low, but Cd concentration surpassed WHO limits, particularly with a mean concentration of 0.08 mg/L in the TR site. Comparison between heavy metal concentrations in blood and wastewater revealed higher values of Cd and Pb in blood samples than in wastewater, while Cu and Cr concentrations were higher in water compared to blood. Additionally, elevated levels of Super Oxide Dismutase (SOD), antioxidant enzyme Catalase (CAT), and oxidative stress marker malondialdehyde (MDA) were detected in blood samples. Cluster and principal component analyses were employed to assess heavy metal toxicity among the groups, indicating potential long-term adverse health effects on animals, transfer to humans, and toxicity in living organisms.

Abstract Background Salivary gland-type lung carcinomas are uncommon neoplasms of the lung, representing less than 1% of all lung tumors. The two most common among them are adenoid cystic carcinoma and mucoepidermoid carcinoma. Although they usually have an indolent behavior, adenoid cystic carcinomas can be more aggressive, with 5-year survival as low as 55%. Very few cases are reported in literature. We report a similar rare case of salivary gland type lung carcinoma that presented for the first time with unilateral opacification of left hemithorax. Case presentation A 38-year-old man of North Indian origin, who was a a nonsmoker, presented with complaints of shortness of breath and cough for 1 year, which has increased in the last 2 months and was associated with significant weight loss. A frontal radiograph of the chest and computed tomography of the chest were performed, which showed a mass in the left upper lobe of the lung with its epicenter in the left main bronchus. A bronchoscopic guided biopsy was performed, and histopathology confirmed the diagnosis of lung carcinoma of salivary gland type (adenoid cystic carcinoma). There was invasion of major vessels, hence the patient was offered and started on palliative management instead of surgical treatment. In spite of palliative management of two cycles of chemotherapy and radiotherapy, the patient succumbed to the disease within 2 months from the time of diagnosis. Conclusion Lung carcinoma of the salivary gland type (especially adenoid cystic carcinoma) usually presents at a later stage. The resectability of the tumor depends on the involvement of the surrounding major vessels. Interestingly, these cancers have no association with smoking. The prognosis depends on the extent of the disease at the time of diagnosis. Hence, imaging plays a major role in deciding the further plan of management.

Diamer Basha Dam is an under-construction, 272-meter-high, roller compacted concrete (RCC) dam on the Indus River in Pakistan. Once constructed, it will be the world's highest RCC gravity dam with a 105-kilometer-long reservoir. Most of the reservoir lies in unstable moraine deposits with steep slopes. Events like saturation during reservoir filling, alternate wetting, drawdown during reservoir operation, or a seismic event could trigger a large mass movement of these slopes into the reservoir to disrupt the dam functionality. This work identified the 15 most vulnerable slide areas using digital slope maps, elevation maps, and satellite imagery. Deterministic slope stability analysis was carried out on the identified sections under various stages of reservoir operation for static and seismic loading, using pseudo-static and dynamic analysis approaches. Probabilistic analysis was then performed using Monte Carlo simulation. The findings showed that most moraine deposits would collapse under reservoir filling, rapid drawdown, or seismic activity. Following the assessments, landslide susceptibility maps were generated, and an assessment of potential impacts, including the generation of dynamic waves, reservoir blockage, increased sediment loads, and reduced reservoir storage capacity, was also performed.

Abstract Purpose The primary objective of our study is twofold. First, we assessed nontechnical skills (NTSs), such as the cognitive, social, and personal skills of postgraduate residents (PGRs), from paediatric caregivers’ perspectives in a paediatric emergency department (PED) of a tertiary care hospital. Second, we evaluated the reliability and validity of the ‘Parents’ Assessment of Residents Enacting Non-Technical Skills’ (PARENTS) instrument in its Urdu-translated version, ensuring its applicability and accuracy in the Pakistani context. Materials and methods This mixed-method study used an instrument translation and validation design. We translated an existing instrument, PARENTS, into Urdu, the national language of Pakistan, and administered it to paediatric caregivers in the PED of a tertiary care hospital. We collected data from 471 paediatric caregivers and coded them for analysis in AMOS and SPSS. Results The Urdu-translated version of the PARENTS demonstrated reliability and internal validity in our study. The findings from the assessment revealed that paediatric caregivers expressed satisfaction with the knowledge and skill of residents. However, there was comparatively lower satisfaction regarding the residents’ display of patience or empathy towards the children under their care. Conclusion The study findings support the validity and reliability of the PARENTS as an effective instrument for assessing the NTS of PGRs from the perspective of paediatric caregivers. With its demonstrated efficacy, medical educators can utilize PARENTS to pinpoint specific areas that require attention regarding the NTS of PGRs, thus facilitating targeted interventions for enhanced patient care outcomes.

Due to inadequate treatment, diabetes mellitus, which is characterized by hyperglycemia, is a global health challenge that requires creative management techniques. This study explores the therapeutic potential of Abelmoschus esculentus L. Moench fruit extracts in diabetes, offering an ample approach includes phytochemical analysis, qualitative and quantitative assessments, antidiabetic efficacy, antioxidant potential, and in vivo and in vitro investigations. Thin-layer chromatography (TLC), high-performance liquid chromatography (HPLC), and gas chromatography–mass spectrometry (GC–MS) were utilized to disclose the phytochemical profile of the fruit extracts, which indicated a diverse range of bioactive compounds. Four polyphenolic compounds including chlorogenic acid, quercetin, rutin, and morin were confirmed by HPLC fingerprinting, with rutin being the most prevalent. Qualitative analysis reveals the presence of carbohydrates, emodin, terpenoids, lignin, glycosides, and anthraquinones, while indicating the absence of amino acids, anthocyanins, phlobatannins, lactones, and leucoanthocyanins. Quantitative analysis reveals total phenolic, tannin, and flavonoid. In vitro assessments demonstrate the ability of the extracts to inhibit alpha amylase. Radical scavenging activities were evaluated through DPPH assay, underscoring their antioxidant capacity with high effect in methanol extracts. Additionally, the methanol extract decreased the blood glucose level of Type 2 diabetic mice. Notably, test samples stabilized blood glucose levels, reversed deviations in blood profile parameters, blood biochemistry, and regulated organ weight. Based on its antioxidant and antidiabetic effects, as well as positive effects on the physiology of Type 2 diabetic mice, A. esculentus emerges as an important nutraceutical vegetable. As an important nutraceutical vegetable, it holds promise for diabetes management. A. esculentus can be incorporated into dietary interventions for individuals with diabetes, harnessing its natural antioxidant and antidiabetic properties. Our findings validate the traditional use of A. esculentus in green therapeutics. In conclusion, A. esculentus emerges as a valuable ally in the fight against diabetes, bridging the gap between ancient wisdom and modern science. Further research and practical implementation are warranted to fully realize its potential.

The present study emphasizes the importance of documenting ethnomedicinal plants and herbal practices of the local rural communities of Tehsil Hajira (Pakistan). The aim was to document, explore and quantify the traditional ethnomedicinal knowledge. Ethnobotanical data were collected using semi-structured questionnaires and analyzed using various quantitative indices. The results showed that 144 medicinal plant species from 70 families and 128 genera play an important role in herbal preparations. The most common type of preparation was powder (19.0%), followed by paste (16.7%), aqueous extract (15.7%), decoction (14.7%) and juice (11.0%). Fragaria nubicola (0.94) and Viola canescens (0.93) had the highest relative frequency of mention (RFC), while Berberis lycium (1.22) and Fragaria nubicola (1.18) had the highest use value (UV). Geranium wallichianum (85.5), Ligustrum lucidum (83) and Indigofera heterantha (71.5) were the most important species in the study area with the highest relative importance (RI) value. The diseases treated were categorized into 17 classes, with diseases of the digestive system and liver having the highest Informant Consensus Factor (ICF) value, followed by diseases of the oropharynx and musculoskeletal system. Important plants mentioned for the treatment of various diseases of the gastrointestinal tract are Zanthoxylum alatum, Berberis lycium, Mentha longifolia, Punica granatum, Rubus ellipticus and Viola canescens. New applications of rarely documented plants from this area are: Oxalis corniculata paste of the whole plant to treat vitiligo, Carthamus tinctorius flowers to treat chicken pox, Dioscorea deltoidea tuber powder to treat productive cough, Inula cappa root decoction to treat miscarriage, Habenaria digitata tuber juice for the treatment of fever, Viola canescens leaves and flowers for the treatment of sore throat and Achillea millefolium root and leaf juice for the treatment of pneumonia. These plants may contain interesting biochemical compounds and should be subjected to further pharmacological studies to develop new drugs. Traditional medicinal knowledge in the area under study is mainly limited to the elderly, traditional healers and midwives. Therefore, resource conservation strategies and future pharmacological studies are strongly recommended.

Abstract Background The mountainous territory of Kohistan shelters diverse food plant species and is considered one of the important hotspots of local plant knowledge. In the era of globalization and food commodification, wild food plants (WFPs) play an important role in supporting local food systems and related local knowledge is one of the important pillars of food sustainability across the region. Since the area is populated by different cultural groups and each culture has retained particular knowledge on the local plant species, therefore, to make a cross-culturally comparison, the study was planned to record and compare the local plants knowledge among three linguistic groups viz Gujjar, Kohistani and Shina in order to not only protect the local knowledge but to determine the food cultural adaptations among these groups looking through the lens of their food ethnobotanies. Methods Field ethnobotanical survey was carried out in 2020–2021 to gather the data on wild food plants. We used semi-structured interviews. Use reports were counted, and the results were visualized through Venn diagrams. Results In total, 64 plant species belonging to 45 botanical families were documented. Among these Ajuga integrifolia, Barbarea verna, Clematis grata, Impatiens edgeworthii, Ranunculus laetus (vegetables), Parrotiopsis jacquemontiana (fruit), Indigofera tinctoria (flower), Juniperus excelsa, Primula elliptica, P. macrophylla (flavoring agent), Leontopodium himalayanum (Chewing gum), and Juniperus excelsa (snuff) were reported for the first time. The highest use reports (≥ 90) were recorded for Mentha longifolia, Amaranthus hybridus, Quercus semecarpifolia, Solanum miniatum, Oxalis corniculata, Ficus palmata, and Urtica dioica. Maximum number of wild food plant species (WFPs) were reported by Kohistani, followed by Shinaki and Gujjari linguistic groups. The percentage overlap of traditional knowledge on WFPs was highest among Kohistani and Shinaki (56.0%), followed by Shinaki and Gujjars (17.0%), and Kohistani and Gujjars (15.0%). Kohistani and Shinaki groups exhibited maximum homogeneity in traditional knowledge. However, Gujjars had more knowledge on WFPs compared to Kohistani and Shinaki. In addition, some dairy products viz. Bhorus, Bagora, Bak, Cholam, Kacha, Gurloo and Poyeen were reported also reported that are consumed orally and used in traditional cuisines. Conclusions The study indicates that Kohistan is one of the important spots of biocultural diversity and could be recognized as biocultural refugia. WFPs have been an integral part of the traditional food systems among the studied groups, particularly the Gujjars have reported more distinct plant uses which could be referred to their distinctive ecological experiences among others. However, social change is one of the challenges that might lead to the erosion of local plant knowledge. Moreover, intercultural negotiations among the studied groups are also a matter of concern which could homogenize the local knowledge among them. Therefore, we suggest solid policy measures to protect the local knowledge and celebrate diversity across this mountain territory.

In this paper, the Half-Duplex Relay Channel (HDRC) is thoroughly investigated. Even though this channel model is widely studied, the capacity is not yet fully understood and particularly has not been tightly expressed. In this work, a new capacity expression of the discrete memoryless HDRC is explicitly established. In particular, a new expression of the achievable rate is derived by taking advantage of the well-known capacity results of both the degraded broadcast channel and the multiple access channel. Specifically, in order to obtain the achievable rate, the transmission from the source to destination is operated over two phases. In the first phase, the broadcast phase, the source broadcasts to both relay and destination. In the second phase, both source and relay transmit to destination to form multiple access channel. Then, we prove that the new achievable rate meets the cut-set outer bound such that the capacity of the discrete memoryless HDRC is attained. Next, the new derived capacity result is extended to the case of additive Gaussian channel. Further, the attained capacity is analytically and then numerically shown to encompass all well-known available findings in the literature. Additional numerical examples are also shown to present the cases in which the relay is beneficial and how the achievable capacity varies with the source-relay and relay-destination channel gains.

Energy conversion has become an important technology for meeting energy production and consumption in the modern era. Water splitting and solar cell technologies are projected to close the gap between demand and consumption. Therefore, XGaO3 (X = Ba and Cs) compounds having characteristics i.e., electrical, optical, mechanical, and structural are depicted by using a density functional theory (DFT) based CASTEP software with ultrasoft pseudo-potential plane-wave and Generalized Gradient Approximation and Perdew Burke Ernzerhof exchange correlation functional (GGA-PBE). According to the findings, all of these compounds have a cubic “pm3m” structure with space group 221. The CsGaO3 and BaGaO3 have direct and indirect band gaps, with respect to electronic band-structure recreations. Density of states like total density of states (TDOS) and partial density of states (PDOS) commend the extent of localization of electrons in numerous bands. The optical properties of these compounds are explored by adjusting dispersion curve/relation for theoretical dielectric function (DF) scale to the corresponding peaks. As a result, these materials could be used to consume light in the visible zone via photo catalysis. CsGaO3 in combination with BaGaO3 can produce effective results, so these compounds have a remarkable potential application for sensing and water splitting.

Land Surface Temperature (LST) affects exchange of energy between earth surface and atmosphere which is important for studying environmental changes. However, research on the relationship between LST, Land Use Land Cover (LULC), and Normalized Difference Vegetation Index (NDVI) with topographic elements in the lower Himalayan region has not been done. Therefore, the present study explored the relationship between LST and NDVI, and LULC types with topographic elements in the lower Himalayan region of Pakistan. The study area was divided into North-South, West-East, North-West to South-East and North-East to South-East directions using ArcMap 3D analysis. The current study used Landsat 8 (OLI/TIRS) data from May 2021 for LULC and LST analysis in the study area. The LST data was obtained from the thermal band of Landsat 8 (TIRS), while the LULC of the study areas was classified using the Maximum Likelihood Classification (MLC) method utilizing Landsat 8 (OLI) data. TIRS collects data for two narrow spectral bands (B10 and B11) with spectral wavelength of 10.6 μm–12.51 μm in the thermal region formerly covered by one wide spectral band (B6) on Landsat 4–7. With 12-bit data products, TIRS data is available in radiometric, geometric, and terrain-corrected file format. The effect of elevation on LST was assessed using LST and elevation data obtained from the USGS website. The LST across LULC types with sunny and shady slopes was analyzed to assess the influence of slope directions. The relationship of LST with elevation and NDVI was examined using correlation analysis. The results indicated that LST decreased from North-South and South-East, while increasing from North-East and South-West directions. The correlation coefficient between LST and elevation was negative, with an R-value of −0.51. The NDVI findings with elevation showed that NDVI increases with an increase in elevation. Zonal analysis of LST for different LULC types showed that built-up and bare soil had the highest mean LST, which was 35.76 °C and 28.08 °C, respectively, followed by agriculture, vegetation, and water bodies. The mean LST difference between sunny and shady slopes was 1.02 °C. The correlation between NDVI and LST was negative for all LULC types except the water body. This study findings can be used to ensure sustainable urban development and minimize urban heat island effects by providing effective guidelines for urban planners, policymakers, and respective authorities in the Lower Himalayan region. The current thermal remote sensing findings can be used to model energy fluxes and surface processes in the study area.

Due to environmental problems by the use of synthetic fibers in composite materials, researchers are more concerned with searching for eco-friendly materials. Consequently, the use of reinforcing fibers of natural origin is the best option that promotes the obtaining of materials that do not harm the environment. This paper presents characterization of Cortaderia selloana grass (Pampas) fibers by physical-chemical analysis, FTIR, XRD, thermogravimetric analysis, single fiber tensile test and SEM analysis. Diameter (372.6 µm), density (1261 kg/m3), cellulose content (53.7 wt.%), crystallinity index (22%), tensile strength (20 ± 1.0 MPa), Young’s modulus (8.88 GPa), and thermal stability (320°C) properties were identified in the Cortaderia selloana grass (Pampas) fibers. Overall properties of these fibers showed that it could be an alternative source as reinforcement material for the manufacture of composite materials.

Abstract Background Little is known about the medical material and practices of tribes in the western border areas of Pakistan. The local population has inhabited this remote and isolated area for centuries, and gained medicinal knowledge with personal experiences and knowledge learned from forefathers. Due to the geographical isolation of the communities in the Sulaiman hills of Pakistan and their unique culture, the area is of importance for exploration and assessment. Methods A total of 116 informants were interviewed in five foothill villages and the associated migratory mountain villages during 2010–2012 and 2015. Information was gathered mainly through semi-structured interviews and freelisting. Local diseases were categorized based on symptoms and affected organs. Descriptive statistics were used for data analysis. Results Depending on the type of illness, typically a pulse diagnoser or a religious specialist is consulted. Medicinal plant knowledge and use is mostly known and advised by elders within the family. A total of 44 plant species from 32 families (588 use reports), 7 animal species and 6 minerals and other sources (384 use reports) were documented as materia medica. Among the plants, the Lamiaceae is the most dominantly used plant family, followed by Pinaceae. The most frequently reported single species was Teucrium stocksianum. The most often mentioned diseases and treatments fall into the categories of gastrointestinal, ritual, and musculoskeletal diseases. The use of goat and sheep skin as medicine was pivotal in the local medicinal system. Remedies from animal parts and other biological and non-biological sources were mainly used for musculoskeletal ailments and ritual treatments. Overall, people rely on both traditional and biomedical medication and treatments and combination of these systems. Conclusion This paper provides insight into the pluralistic medication system of rural communities of northwest Pakistan. It highlights the materia medica most commonly in use. A considerable part of the documented materia medica and local practices is part of an oral tradition and cannot be found in written sources or scientific articles. The gaining of new medicinal knowledge in the area was the good sign of continuation of traditional medicinal practices.

Background: Multi-drug resistance organisms (MDRO) often cause increased morbidity, mortality, and length of stays (LOS). However, there is uncertainty whether the infection of MDRO increase the morbidity, mortality, and ICU-LOS. Objective: This study was performed to determine the prevalence of MDRO in the ICU, the site of infection, and the association of MDRO or site of infection with mortality. The secondary outcome was determined by ascertaining the association of MDRO or site of infection with ICU-LOS. Methods: A retrospective cohort study was performed with adult sepsis patients in the ICU. Univariate and multivariate (MVA) logistic regression with cox regression modeling were performed to compute the association of MDRO with ICU mortality. MVA modelling was performed for ICU-LOS predictors. Results: Out of 228 patients, the isolated MDRO was 97 (42.5%), of which 78% were Gram-negative bacteria. The mortality rate among those with MDRO was 85 (37.3%). The hospital acquired infection (HAI) was a significant predictor for ICU-LOS in univariate linear regression (R2 = 0.034, p = 0.005). In MVA linear regression, both Enterococcus faecalis infection and Acinetobacter baumannii (AC)-MDRO were predictors for ICU-LOS with (R2 = 0.478, p < 0.05). In the univariate cox regression, only the infection with AC-MDRO was a risk factor for ICU-mortality with [HR = 1.802 (95% CI: 1.2–2.706; p = 0.005)]. Conclusions: Identifying risk factors for MDRO addresses the appropriate administration of empirical antibiotics and allows to effectively control the source of infection, which would reduce mortality and ICU-LOS. The usage of broad-spectrum antibiotics should be limited to those with substantial risk factors for acquiring MDRO.

Abstract Background Being an isolated locality and having a tough mountainous terrain, strong ethnomedicinal practices still prevail in Dhirkot and its allied areas, which have been rarely explored yet. The present study was intended with the aim to document and compare the traditional knowledge of local communities on botanical taxa of Dhirkot, Azad Jammu, and Kashmir. Methodology Ethnomedicinal data were collected from 74 informants using a semi-structured questionnaire in addition to field observation and group discussion. Various indices were also used to evaluate the ethnomedicinal data. Furthermore, the present findings were compared with previous reports to assess data novelty. Result A total of 140 medicinal plant species belonging to 55 families were recorded, which are used by local communities to treat 12 disease categories. Asteraceae was dominating with 20 species, followed by Poaceae, Lamiaceae, and Rosaceae (14, 11, and 10 species, respectively). Herbs were leading with 66% contribution, whereas leaves were the most utilized plant part with 29% utilization and decoction was the common mode of administration. Viola canescens depicted the highest use value and relative frequency of citation (1.7 and 0.92, respectively). Maximum informant consensus factor (0.88) was calculated for digestive and liver disorders. Five plant species including Berberis lycium Mentha arvensis Pyrus malus, Taraxacum officinale, and Viola canescens had 100% fidelity level. Conclusion Dhirkot and its allied areas harbor rich botanical and cultural diversity because of its unique geography and diverse climatic conditions. However, mostly, traditional ethnobotanical knowledge is restricted to healers, midwives, and older people, and could be extinct in the near future. Therefore, such documentation not only conserves traditional knowledge but may also contribute significantly to novel drug resources.

Background: Colonoscopy is considered the gold standard for most currently established screening programs for colorectal carcinoma (CRC), but due to its invasive nature, there were several emerging needs for the use of a substitutive, sensitive, non-invasive triaging modalities, such as utilizing immunochromatographic fecal occult blood tests (IFOBT) or molecular stool based tests such as Glycolytic M2-Pyruvate Kinase (M2-PK). Objectives: Firstly, to evaluate the sensitivity of a molecular stool based (M2PK) test, as a non-invasive, screening modality for detecting CRC and other colorectal disease (CRD). Secondary, to insight the current prevalence of CRC precursors in the Kingdom of Bahrain and recommend a customized age of enrollment in National Screening Program for CRC, once established and Thirdly, to compare the sensitivity of this fecal tumor marker based M2-PK test, as a potential replacement for the currently used IFOB test, in an attempt to promote for the need to establish a National Screening Program for Colorectal Cancer (NSPCC) based on such molecular based test or a similar platform in the kingdom, much comparable to the currently established international screening programs. Design: Prospective, cross sectional study. Duration and Place of Study: July 2012-December 2016, King Hamad University Hospital (KHUH), Bahrain. Sample Size: 2,100 (Based on Bahrain Population statistics: 1,248.348. Materials and Methods: The stool samples were collected shortly after launching a nationwide public awareness campaign against CRD in all major governmental and private sector hospitals and clinics. Out of the intended 2100 target samples, 1074 individuals managed to go through the well-structured distributed questioner and have been selected according to the inclusion/exclusion criteria and submitted their stools' samples for the detection of any CRD. A combined (molecular M2-PK and IFOBT) stool tests were used to detect any CRD in all examined stool samples. A total of 105 M2-PK' positive and 85 M2-PK'negative individuals underwent a subsequent specialist consultation and a fast track colonoscopy. Results: Out of the intended 2100 study sample, 1552 Participants were obtained during the study period and out of those, 1199 have been selected based on the inclusion and exclusion criteria. The no-show selected participants were 624 and only 575 individuals have submitted their Stool samples along with fully completed questioners. Out of those 575, only 287 stool samples were positive with M2-PK test, while 197 of the same stool samples were positive with IFOBT. Among these positive cases, only 105 of participants agreed after their medical consultation to undergo for full colonoscopies and biopsies for microscopic examination. These 105 successful full colonoscopies reveled 85 (81%) individuals negative for any neoplastic lesion and only 20 individuals (19%) showed neoplastic lesion. These 20 neoplastic findings included, 17 (85%) adenomatous polyps, 02 (10%), adenocarcinomas, and 01 (5%) was neuroendocrine carcinoma. The 17 adenomatous polyps were 09 tubular adenomas, 01 villous adenoma, and 07 tubulovillous adenomas. The colonoscopy findings in those (85) negative cases for neoplastic lesion were (6) hemorrhoids, (13) hyperplastic polyps, (10) normal mucosae with normal biopsies, (9) diverticulosis, (1) angiodysplasia, (1) inflammatory bowel disease and (1) solitary rectal ulcer. Conclusion: The screening of CRC by Stool Based molecular test such M2-PK showed high sensitivity for the detection of neoplastic Colorectal lesions compared to IFOBT. The study also found that stool based molecular (M2-PK) test, is a rapid, non-invasive, and convenient technique, which can be used as a platform for a forthcoming CRC National Screening Program in the Kingdom of Bahrain.

Alteration in Land Use/Cover (LULC) considered a major challenge over the recent decades, as it plays an important role in diminishing biodiversity, altering the macro and microclimate. Therefore, the current study was designed to examine the past 30 years (1987–2017) changes in LULC and Land Surface Temperature (LST) and also simulated for next 30 years (2047). The LULC maps were developed based on maximum probability classification while the LST was retrieved from Landsat thermal bands and Radiative Transfer Equation (RTE) method for the respective years. Different approaches were used, such as Weighted Evidence (WE), Cellular Automata (CA) and regression prediction model for the year 2047. Resultantly, the LULC classification showed increasing trend in built-up and bare soil classes (13 km2 and 89 km2), and the decreasing trend in vegetation class (−144 km2) in the study area. In the next 30 years, the built-up and bare soil classes would further rise with same speed (25 km2 and 36.53 km2), and the vegetation class would further decline (−147 km2) until 2047. Similarly for LST, the temperature range for higher classes (27 -< 30 °C) increased by about 140 km2 during 1987–2017, which would further enlarge (409 km2) until 2047. The lower LST range (15 °C to 2) and would further decline to (−20 km2) until 2047 if it remained at the same speed. Prospective findings will be helpful for land use planners, climatologists and other scientists in reducing the increasing LST associated with LULC changes.

Traditional diets exist in all cultures and geographic regions, and they often represent healthy eating options. Traditional culinary preparations have, however, often undergone profound change, even in the isolated Himalayan region. Therefore, we adapted methods to identify traditional plant foraging activities to better understand their significance in food system sustainability, as well as to promote innovative local gastronomies. Information on wild food and foraging practices was gathered from varied ethnic groups such as Kashmiri, Gujjars, Pahari, Dogra, Bakarwal, Balti, Beda and Brokpa through interviews (n = 716) and group discussions (n = 67) in four bio-geographic regions of the Jammu and Kashmir Himalayas (J&KH). The data were subjected to ordination techniques (Principal Component Analysis) via R software Ver. 4.0.0. We documented 209 food species, of which 73% were plants and 27% animals, used by the inhabitants of four bio-geographic regions of J&KH. The highest number of food plant species was recorded in Indian Kashmir, followed by Jammu, Azad Kashmir and Ladakh (81, 65, 60 and 27 species, respectively), and the maximum number of animal species was reported in Indian Kashmir, followed by Azad Kashmir, Ladakh and Jammu (33, 21, 19 and 17 species, respectively). The Azad Kashmir and Indian Kashmir regions showed greater similarity, whereas the least overlap was observed between Kashmir and Ladakh. The PCA showed considerable variation between different regions, and specific groups of species were more related to one specific region than others. The reported uses of Abies pindrow, Acacia modesta, Bergenia ciliata, Bergenia stracheyi and Juglans regia among plants, and Jynx torquilla, Streptopelia orientalis and Tadorna ferruginea among animals, are novel for the gastronomy of this part of the Himalayan region. We also recorded for the first time from this region seven unique food preparations of wild animals. This study documented extensive traditional knowledge on the usage of wild species, and is the first scientific description of wild food species and their vernacular names in the Western Himalayas, Jammu and Kashmir. Our findings can contribute significantly to combating food insecurity by revitalizing and reconsidering the rich bio-cultural food heritage around which local traditional communities have developed their food systems.

Wild vegetables can contribute to people’s food security and health. In northwest Pakistan, almost 40% of the households are classified as food insecure, due to increasing population and natural and man-made catastrophes. There is an urgent need to get an overview of still existing practices of wild vegetable use and to incorporate such knowledge into agricultural policies. The present study, therefore, aims to collect and analyze information on the most widely and commonly used wild vegetables in northwest Pakistan. Semistructured interviews were performed with 126 informants (26–78-year old) from all 24 districts of the Khyber Pakhtunkhwa Province. Information on culinary and medicinal use, cooking methods, and growing and harvest season were collected. A rating scale was used to get the opinion on quality, abundance, and use frequency of wild vegetables. Information on trading was gathered on local and regional markets. Transect walks were done with key informants for specimen collection. A total of 25 wild vegetable species (21 genera, 13 families) were documented. Most of them are herbs (22 spp.). One third of the species needs processing or detoxification prior to cooking. Taste and food quality as perceived by the local people are the main driver for use frequency and commercialization. Length of availability varies from 2 to 7 months with Rumex dentatus and Vicia faba also available during the winter season. Overall, 21 spp. are also used medicinally, mainly for gastrointestinal diseases. Leaves are the preferred plant part for both vegetables and medicines. Nine species are sold in markets, Bauhinia variegata and Caralluma tuberculata throughout the whole province. Local communities in northwest Pakistan have a broad knowledge of local plant use, especially on wild vegetables and their adequate processing. The present study suggests that the most commonly used wild vegetables should be promoted to reinforce food safety and most of them may also be commercialized. Conservation priority has to be given to the commercially harvested Caralluma tuberculata, which is presently overexploited.

Objective: This study aimed to examine the effect of overdenture over vital and nonvital abutment teeth on teeth stability (teeth mobility and attachment loss). Materials and Methods: An experimental, parallel design was used and the study was conducted over a 12-month period (December 2013 to November 2014). Thirty patients who voluntarily opted to participate in this study were recruited; the first group received overdenture over vital abutment teeth while the second group received overdenture over nonvital abutment teeth. Attachment loss and teeth mobility were periodically evaluated after 3 months, 6 months, and 12 months. The data were then analyzed by a computerized method [Statistical Package for Social Sciences (SPSS) version 20]. Results: Overdenture over vital abutment teeth showed lower attachment loss and teeth mobility, compared to the overdenture over nonvital abutment teeth. These differences were statistically significant. Conclusion: It was concluded that the overdenture over vital abutment teeth was more stable, with a lower incidence of tooth mobility and less attachment loss than overdentures placed on nonvital teeth.

Zootherapy is accepted all around the globe not only in ancient cultures but different animal derived medicines are also part of the practice in the modern health care systems. The present study assessed the traditional ethnozoological usage of wild animals by local inhabitants in Ladakh region, India, and the reference data for scientific approaches for protection of faunal diversity in trans-Himalayas. The ethnozoological documentation of the animals in Ladakh was carried out through semistructured and close-ended questionnaire surveys and interviews. Multivariate ecological community analysis was used to elucidate the relationship between ethnozoological usage and animal species. Our results showed three animal usage clusters with 32% similarity. Moreover, the similarity in animal usage between digging tools, trophy, handle of tools, decoration, and matting, showed less than 32% of similarity. The highest priority of local people was for food followed by decoration and medicinal usage. The most frequently used animal parts were meat followed by fur and horn. Medicinal uses of 48% of the reported species, i.e., Alectoris chukar (chukar), Cuon alpinus (Asiatic wild dog), Lepus oiostolus (hares), Marmota himalayana (marmots), Ovis aries vignei (Ladakh urial), Pantholops hodgsonii (Tibetan antelope), Procapra picticaudata (Tibetan gazelle), Pseudois nayaur (blue sheep), Tetraogallus himalayensis (Himalayan snow), Tetraogallus tibetanus (Tibetan snow cock), and Lutra lutra (common otter) were reported for the first time from this region. Our study provides innovative information regarding the ethnozoological knowledge in the Ladakh region and reference data for policymakers, researchers, land managers, common public, and the other stakeholders to develop logical and scientific approaches for sustainable use of faunal diversity in hotspot regions like trans-Himalayas and other similar biodiversity-rich sites.

The study aims at analyzing the epidemiological, clinical and entomological characteristics of Darfur yellow fever epidemic. It is a descriptive, cross-sectional study. According to operational case definition, suspected yellow fever cases are included in case spread sheet with variables like age, sex, locality, occupation, status of vaccination, onset of symptoms, presenting symptoms, date of blood sampling and confirmation of diagnosis either by laboratory results or epidemiological link. Data about important entomological indices were collected by surveys conducted in 17 localities of 3 Darfur states (Central, West and south Darfur). All Darfur states (especially Central Darfur) have been affected by Yellow Fever outbreak. There is a need to review the non-specific case definition of Yellow Fever which seems to overwhelm the system during outbreaks with cases of other endemic diseases. The significant risk factors of this outbreak included male sex, adult age, outdoor occupation and traditional mining. The fatality rate was significantly associated with vaccination status. The highest fatality rate was recorded by children less than 2 years old (42.9%). Generally, increase in certain entomological indices was followed by increase in number of reported cases 7 days later. Central Darfur state was significantly higher in most studied entomological indices.

Reports of natural disasters and injuries have increased in recent years in both low and high-income regions. Household emergency preparedness can limit the effects of not only natural disasters but also simple injuries. Little is known regarding the level of emergency preparedness in Sudan households. Method: A cross sectional community based survey was conducted in the Alemtidad region of Sudan between September 2012 and December 2012. A random selection of 89 households was done from 3200 in the region as per power calculation. Data were collected using a structured designed questionnaire and analysed using the statistical package for social science (SPSS) program version 20 and demographics were presented accordingly. Result: Less than half of households surveyed had any first aid supplies and most of these supplies were incomplete. Only 66% of housewives demonstrated knowledge about first aid for burns and falls, 88% took preventive measures against burns and falls and 51% had an action plan in case serious injury occurred. Knowledge levels of housewives reflect unacceptable levels of preparedness. Education is a significant predictor of preparedness. Conclusion: Household emergency preparedness is poor. It can be encouraged by community based outreach and education programmes focused on prevention and treatment of common injuries.

Abstract In this study, the activated carbon has been prepared from sawdust and this was done by carbonization of sawdust at temperature of 350º C for 3 hours, after that treated with KOH at various ratios ranging from (0.5:1), (1:1), (1:2), (KOH: Carbonized materials) using microwave radiation at power of (90, 180, 270, 360, 450, 540, 630, 720) watt and at period of (6, 8, 10, 12, 14, 16, 18, 20) minutes, many tests have been conducted on of prepared activated carbon samples such as determining the activity of the samples through adsorption of iodine and methylene blue from aqueous media. The density, ash content and humidity were measured and all the properties were compared with commercial one from B.D.H.

This work presents a theoretical analysis for the prediction of refrigerant saturation temperature inside a typical solar two-phase loop. This loop may be incorporated in any solar heating system for transporting heat between the solar collector and storage tank. The procedure takes into account all influencing parameters such as:- solar irradiance, ambient temperature, heat transfer coefficients in the source (collector) and sink (condenser), collector fill ratio and the geometric parameters of the solar collector and condenser.The trend of change of saturation temperature was studied over a typical daytime period extending 8 hours. Mathematical models were formulated for the collector and condenser to take into account the most influencing parameters. The models are highly interrelated which required an iterative procedure. A computer program was built to implement the iterative procedure and simulate the change of saturation temperature during the studied period. The period was divided into small time intervals of 10 seconds.Results reveal a significant influence of condenser area, collector fill ratio and the working conditions on the calculated saturation temperature.

The Sense of Security faculty members in Jordanian Public Universities and its Relationship to their Job Performance from their Department Heads` Perspectiveabstract: This study aimed to identify the degree of the Sense of security among faculty members in Jordanian public universities, and clarify its relation to their job performance from their department heads` perspective. The study population consisted of (314) department heads, (85) of whome were selected randomly as study a sample. To achieve the goal of the study, a Sense of security questionnaire, and job performance questionnaire which were developed by the researcher were used. The results revealed that the degree of Sense of security by the participants was high (4.0505 out of 5). The job performance level for the board in their units was also high (3.77 out of 5). There was also a significant statically relation between sense of security and job performance (Coefficient = 0.54), Which is a significant statically relation. Keywords: universities, sense of security, job performance.