Comparison of Soft Tissue Chin Thickness in Adult Patients With Various Mandibular Divergence Patterns.

Objective This study aimed to compare the soft tissue chin (STC) thickness at different levels in patients presenting for orthodontic treatment with different vertical facial types. Materials and methods This comparative cross-sectional study was conducted at Sharif Medical & Dental College, Lahore, Pakistan, on 195 subjects. Patients presenting for orthodontic treatment, both genders, aged from 18 to 32 years, and Pakistani nationals were included.

Hypobaric hypoxia modulated structural characteristics of circulating cell-free DNA in high-altitude pulmonary edema.

The utility of cell-free (cf) DNA has extended as a surrogate or clinical biomarker for various diseases. However, a more profound and expanded understanding of the diverse cfDNA population and its correlation with physiological phenotypes and environmental factors is imperative for using its full potential. The high-altitude (HA; altitude > 2,500 m above sea level) environment characterized by hypobaric hypoxia offers an observational case-control design to study the differential cfDNA profile in patients with high-altitude pulmonary edema (HAPE) (number of subjects, = 112) and healthy HA sojourners ( = 111).

Association of transient mitochondrial functional impairment with acute heat exposure in children from Muzaffarpur region of Bihar, India.

Over the past several years, the Muzaffarpur district of Bihar (India) has witnessed recurrent outbreaks of acute encephalitis illness of unknown etiology, called acute encephalitis syndrome (AES) among young children, especially during the peak-summer season. Pesticide exposure, viral encephalitis, and litchi toxin intake have all been postulated as potential sources of the ailment. However, no conclusive etiology for AES has been identified in the affected children.

Respiratory tract infection: an unfamiliar risk factor in high-altitude pulmonary edema.

The dramatic changes in physiology at high altitude (HA) as a result of the characteristic hypobaric hypoxia condition can modify innate and adaptive defense mechanisms of the body. As a consequence, few sojourners visiting HA with mild or asymptomatic infection may have an enhanced susceptibility to high-altitude pulmonary edema (HAPE), an acute but severe altitude sickness. It develops upon rapid ascent to altitudes above 2500 m, in otherwise healthy individuals.

Expansion of Shishper Glacier lake and recent glacier lake outburst flood (GLOF), Gilgit-Baltistan, Pakistan.

Shishper lake is an ice-dammed lake in northern Pakistan that has drained twice within one (1) year. The parameters evaluated in this paper are the lake's area, volume, peak discharge, and its outburst events using various satellite images from November 2018 to June 2020. Based on satellite imagery and empirical approaches, the lake formed in November 2018 and reached a maximum of 0.

Proteus syndrome and hypothyroidism. An unusual association.

We present a case of a 3½-year-old girl diagnosed as Proteus syndrome with severe cosmetic disfigurement-macrodactyly, hemi-hypertrophy of the face and limbs, megalencephaly, lymph edema of both hands and feet along with severe global developmental delay. She was found to have severe recalcitrant epilepsy and also primary hypothyroidism; the association of which is not mentioned in the previous literature.

Determination of the risk associated with the natural and anthropogenic radionuclides from the soil of Skardu in Central Karakoram.

The radioactivity levels were determined in 39 soil samples from six towns of Skardu using gamma-ray spectrometry. The samples were collected at an average altitude of 2293 m above sea level in Central Karakoram. The activity concentration data were analysed by principal component analysis for outlier detection and data structure elucidation and for frequency distributions.

Soil radioactivity levels and radiological risk assessment in the highlands of Hunza, Pakistan.

This paper deals with the determination of (226)Ra, (232)Th, (40)K and (137)Cs in 42 soil samples collected from eight towns of Hunza district, at an average altitude of 2267 m, using gamma-ray spectrometry. The activity concentration data were analysed for frequency distribution and other descriptive measures. Risk assessment was done by calculating the hazard indices, air absorbed dose rate and external annual effective dose rate due to cosmic radiations, terrestrial radionuclides and (137)Cs deposited on the surface of the earth.

Mitral annuloplasty using a cardiac resynchronization device.

Percutaneous Transvenous Mitral Annuloplasty for mitral regurgitation is in early stages of development and involves a complex intervention which can not be done in patients with left ventricular leads. Since functional mitral regurgitation is common in low ejection fraction states, we propose a device which can serve for annuloplasty in addition to cardiac resynchronization therapy and simplifying the intervention.

Determination of the natural and anthropogenic radioactivity in the soil of Gilgit--a town in the foothills of Hindukush range.

The activity concentration of terrestrial (226Ra, 232Th, and 40K) and anthropogenic gamma-emitting radionuclide (137Cs) have been analyzed in 48 soil samples collected from Gilgit, a famous city for mountaineers and tourists in northern Pakistan, at an average altitude of 1,550 m, using gamma-ray spectrometry. The data analysis includes descriptive statistics, radium equivalent activity and its principal component analysis, air absorbed dose rate, annual effective dose rate, and collective effective dose equivalent. It is found that the level of cosmic exposure is high in Gilgit relative to the world average values, but the average outdoor annual effective dose rate from terrestrial radionuclides is lower as compared to its value in the soil of Punjab, Pakistan, and the world average values found in United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) for the general public.

A novel way of repair of insulation breaks during pacemaker generator replacement.

Minor abrasions can occur while mobilising old lead during pacemaker generator replacement necesittating placement of additional lead adding to the financial burden and junk in heart. We describe a novel way of repair of old pacemaker lead preventing additional lead placement.