Hepatitis C virus infection in garbage pickers of different districts of Khyber Pakhtunkhwa, Pakistan.

Hepatitis C Virus (HCV) is a significant health problem worldwide, especially in developing countries. Medical municipal waste pickers are at higher risk of exposure to infectious viral diseases. The current study aimed to explore HCV infection in different waste collectors.

Comparison of artificial intelligence algorithms and their ranking for the prediction of genetic merit in sheep.

As the amount of data on farms grows, it is important to evaluate the potential of artificial intelligence for making farming predictions. Considering all this, this study was undertaken to evaluate various machine learning (ML) algorithms using 52-year data for sheep. Data preparation was done before analysis.

Poliovirus Immunity among Children Aged 6-11 and 36-48 Months in 14 Polio High-Risk Provinces of Afghanistan: A Health-Facility-Based Study.

Afghanistan is one of two countries where wild poliovirus (WPV) type 1 remains endemic. We conducted a facility-based cross-sectional survey of antipoliovirus antibodies in children in 14 provinces of Afghanistan. The provinces were selected based on programmatic priorities for polio eradication.

and binding studies of phytochemical isochroman with calf thymus DNA using multi-spectroscopic and computational modelling techniques.

A wide range of therapeutic molecules uses deoxyribonucleic acid (DNA) as an intracellular target. The interaction of small molecules to DNA is a key feature in pharmacology and plays a vital role in the development of novel and more efficient drugs with increased selective activity and enhanced therapeutic effectiveness. Isochroman (IC) is a constituent of plant, which has been shown to exhibit several beneficial pharmacological activities.

Intracranial hypotension due to ventral thoracic dural tear secondary to osteophyte complex: resolution after transdural thoracic microdiscectomy with dural repair. Illustrative case.

Background: Intracranial hypotension (IH) manifests with orthostatic headaches secondary to cerebrospinal fluid (CSF) hypovolemia. Common iatrogenic etiologies include lumbar punctures and spinal surgery. Although much rarer, structural defects such as osteophytes and herniated calcified discs can violate dural integrity, resulting in CSF leak.

Evaluation of the Diagnostic Potential of Liver Aminotransferases and Alkaline Phosphatase in Patients with Cardiovascular Diseases.

Background Cardiovascular diseases (CVDs) are the major cause of morbidity and mortality, particularly in developing countries. Early diagnosis with the best diagnostic marker is highly desired for the prevention and timely treatment of CVDs. However, there is still a dearth of an ideal marker for the detection of CVDs.

Congenital Heart Disease and Its Association in Children With Down Syndrome.

Objective The objective is to determine the frequency of different congenital heart diseases and their association in children with Down syndrome (DS). Methodology This cross-sectional observational study was conducted in the pediatric department of Peshawar Institute of Cardiology, Peshawar, Pakistan from August 2021 to July 2022. A total of 123 children with DS and congenital heart disease (CHD) were included in this cross-sectional study.

Proprioception and Exteroception of a Soft Robotic Finger Using Neuromorphic Vision-Based Sensing.

Equipping soft robotic grippers with sensing and perception capabilities faces significant challenges due to their high compliance and flexibility, limiting their ability to successfully interact with the environment. In this work, we propose a sensorized soft robotic finger with embedded marker pattern that integrates a high-speed neuromorphic event-based camera to enable finger proprioception and exteroception. A learning-based approach involving a convolutional neural network is developed to process event-based heat maps and achieve specific sensing tasks.

Titanium versus polyetheretherketone versus structural allograft in anterior cervical discectomy and fusion: A systematic review.

Introduction: Anterior cervical discectomy and fusion (ACDF) is a common procedure to address cervical spine pathology. The most common grafts used are titanium, polyetheretherketone (PEEK), or structural allograft. Comparison of fusion rate is difficult due to non-standardized methods of assessment.

Potential of Alkali-Silica Reactivity of Unexplored Local Aggregates as per ASTM C1260.

Alkali-silica reaction (ASR) is one of the major durability issues that affect the material degradation and structural performance, compromising the service life of concrete structures. Therefore, this study was planned to investigate the potential of ASR for locally available unexplored and vastly used aggregates, as per ASTM C1260. Aggregates from five different sources (Shalozan, Abbotabad, Orakzai, Swabi and Sada) were procured from their respective crusher sites.

Estimation of Shipping Emissions in Developing Country: A Case Study of Mohammad Bin Qasim Port, Pakistan.

Transportation has the highest dependence on fossil fuels of any sector and accounts for 37% of carbon dioxide (CO) emissions. Maritime transportation is responsible for around 940 million tons of CO and approximately 3% of global emissions annually. The significant increase in shipping activities around the globe has magnified the generation of toxic pollutants.

Ten-Step 3-Dimensional-Navigated Single-Stage Lateral Surgery With Microtubular Decompression: A Case Series.

Background: Single-stage lateral lumbar interbody fusion is a safe and effective procedure that relies on indirect decompression and fusion to treat various lumbar pathologies. This technique, however, has an overall 9% rate of indirect decompression failure, which may require additional surgery to achieve adequate direct decompression. To address this concern, we modified this technique by adding a minimally invasive, direct tubular decompression in lateral position when indicated.

Effects of combination treatment with tezepelumab and allergen immunotherapy on nasal responses to allergen: A randomized controlled trial.

Background: Thymic stromal lymphopoietin (TSLP) has been shown to play a central role in the initiation and persistence of allergic responses.

Objective: We evaluated whether tezepelumab, a human monoclonal anti-TSLP antibody, improved the efficacy of subcutaneous allergen immunotherapy (SCIT) and promoted the development of tolerance in patients with allergic rhinitis.

Methods: We conducted a double-blind parallel design trial in patients with cat allergy.

SARS-CoV-2 Vaccines: Types, Working Principle, and Its Impact on Thrombosis and Gastrointestinal Disorders.

In the current scenario of the coronavirus pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), considerable efforts have been made to control the pandemic by the development of a strong immune system through massive vaccination. Just after the discovery of the genetic sequences of SARS-CoV-2, the development of vaccines became the prime focus of scientists around the globe. About 200 SARS-CoV-2 candidate vaccines have already been entered into preclinical and clinical trials.

Augmented Reality to Improve Surgical Workflow in Minimally Invasive Transforaminal Lumbar Interbody Fusion - A Feasibility Study With Case Series.

Objective: Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a highly reproducible procedure for the fusion of spinal segments. We recently introduced the concept of "total navigation" to improve workflow and eliminate fluoroscopy. Imageguided surgery incorporating augmented reality (AR) may further facilitate workflow.

Safety and Feasibility of Augmented Reality Assistance in Minimally Invasive and Open Resection of Benign Intradural Extramedullary Tumors.

Objective: Surgical resection of benign intradural extramedullary tumors (BIETs) is effective for appropriately selected patients. Minimally invasive surgical (MIS) techniques have been described for successful resection of BIET while minimizing soft tissue injury. Augmented reality (AR) is a promising new technology that can accurately allow for intraoperative localization from skin through the intradural compartment.

Animal- and Human-Inspired Nanostructures as Supercapacitor Electrode Materials: A Review.

Human civilization has been relentlessly inspired by the nurturing lessons; nature is teaching us. From birds to airplanes and bullet trains, nature gave us a lot of perspective in aiding the progress and development of countless industries, inventions, transportation, and many more. Not only that nature inspired us in such technological advances but also, nature stimulated the advancement of micro- and nanostructures.

Long-term antibody production and viremia in American mink (Neovison vison) challenged with Aleutian mink disease virus.

Background: Selecting American mink (Neovison vison) for tolerance to Aleutian mink disease virus (AMDV) has gained popularity in recent years, but data on the outcomes of this activity are scant. The objectives of this study were to determine the long-term changes in viremia, seroconversion and survival in infected mink. Mink were inoculated intranasally with a local isolate of Aleutian mink disease virus (AMDV) over 4 years (n = 1742).

Distance-quality trade-off and choice of family planning provider in urban Pakistan.

Background: There is limited evidence between contraceptive use, availability of commodities and distance to the facility in developing countries. Distance to the facility is an essential determinant of contraceptive use. Still, women may not seek family planning services from the nearest facility and may be prepared to travel the farthest distance to receive quality family planning services.

Impact of the COVID-19 pandemic on a respiratory physiology department and the patient's perception of rapid service change.

Background: Originating as a cluster of unexplained cases of pneumonia in Wuhan, China, a novel coronavirus disease, officially named as COVID-19 by WHO, has now reached a pandemic level. In the wake of this global health crisis, stringent public health measures were implemented to curtail the spread of COVID-19. At a local level, the University Hospitals of North Midlands National Health Service Trust suspended all elective and outpatient activity, primarily to address the current potential implications of the COVID-19 outbreak.

A review on the clinical pharmacokinetics of hydralazine.

Introduction: Hydralazine is a vasodilator used to treat hypertension, pre-eclampsia, and heart failure. The current article reviews the clinical pharmacokinetics (PK) of hydralazine, which can be useful for clinicians in optimizing its dose and dosing frequency to avoid adverse effects and unexpected interactions that could risk patients' lives.

Areas Covered: This review has summarized the PK parameters for hydralazine after performing an extensive literature search.

On the Critical Heat Flux Assessment of Micro- and Nanoscale Roughened Surfaces.

The boiling crisis or critical heat flux (CHF) is a very critical constraint for any heat-flux-controlled boiling system. The existing methods (physical models and empirical correlations) offer a specific interpretation of the boiling phenomenon, as many of these correlations are considerably influenced by operational variables and surface morphologies. A generalized correlation is virtually unavailable.

Health-related quality of life in patients with advanced melanoma treated with ipilimumab: prognostic implications and changes during treatment.

Background: We have previously reported that the safety and efficacy of ipilimumab in real-world patients with metastatic melanoma were comparable to clinical trials. Few studies have explored health-related quality of life (HRQL) in real-world populations receiving checkpoint inhibitors. This study reports HRQL in real-world patients receiving ipilimumab and assesses the prognostic value of patient-reported outcome measures.

In-vivo () and in-vitro Assimilation and Toxicity of Zinc Oxide Nanoparticles in Food Materials.

Purpose: Recent advances in nanotechnology have given rise to the potential utilization of nanoparticles as food, nano-medicine/biomedicines.

Patient: The study aimed to investigate the effects of nano-zinc oxide (nano-zinc) on the bio-assimilation of mineral (Zn) in mice, aged 3-6 weeks.

Methods: ZnO nanoparticles were added to the basal diet as a supplement at amounts of 0.

Microsurgical Tubular Resection of Intradural Extramedullary Spinal Tumors With 3-Dimensional-Navigated Localization.

Background: The safety and efficacy of minimally invasive spine surgical (MISS) approaches have stimulated interest in adapting MISS principles for more complex pathology including intradural extramedullary (IDEM) tumors. No study has characterized a repeatable approach integrating the MISS surgical technique and 3-dimensional intraoperative navigated localization for the treatment of IDEM tumors.

Objective: To describe a safe and reproducible technical guide for the navigated MISS technique for the treatment of benign intradural and extradural spinal tumors.