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Biomedical subjects

A Wahid

Publications and source records attributed to A Wahid.

At least 19 recordsLinked to original sources

Influence of atmospheric pollutants on agriculture in developing countries: a case study with three new wheat varieties in Pakistan.

The performance of three wheat varieties (Inqilab-91, Punjab-96, Pasban-90) was investigated in open-top chambers with charcoal-filtered air (FA), unfiltered air (UFA) and unchambered field plots (AA) during the 2003-2004 season at a semi-urban site in Lahore, Pakistan. The 8-h daily mean O(3), NO(2) and SO(2) concentrations in UFA and AA remained 72, 28 and 15 ppb, respectively. Plants grown in UFA and AA showed stunted growth and accelerated rate of leaf senescence with pronounced reductions in stomatal conductance (7-24%), net photosynthetic rate (20-22%) and photosynthetic efficiency (9-17%) compared with FA plants. A mid-season harvest of 10-week-old plants revealed reduced plant fresh (14-37%) and dry weights (15-43) in UFA compared to FA counterparts. Grain yield recorded after a full season of growth was drastically reduced in UFA with 43% for Pasban-90, 39% for Punjab-91 and 18% for Inqilab-91 compared with FA control plants. Nutritional quality of seeds was also significantly reduced in UFA and AA with respect to starch, but not in protein and vitamin-E contents when compared with FA plants. This investigation carried out in a major developing country of southeast Asia has shown alarming effects of atmospheric pollutants on both yield and nutritional quality of an important cereal crop that needs urgent attention to maintain the agricultural systems with parallel efforts to reduce the emissions in the region.

Agriculture↗

Radiation protection aspects of shallow land disposal of low and intermediate level liquid and solid radioactive waste at PINSTECH.

Operation of Pakistan Research Reactors 1 and 2, radioisotope production plants, and allied laboratories at the Pakistan Institute of Nuclear Science & Technology (PINSTECH) generates radioactive waste effluents of low and intermediate level. These waste materials are managed in a way to keep the human health and the environment free of radiation associated hazards. The prime practice has been of shallow ground or near-surface disposal type. Different measures and operational procedures at the institute, in step with the international norms for the management of low and intermediate level waste, have been adopted. To ensure the safe disposal practices and radiation safety of the workers and of the general public, radiological safety related routines are practiced with due concern. Some safety aspects of the prevailing practices are discussed in this presentation.

Humans↗

Relapsing polychondritis in an elderly male.

A 65 years patient presented with left ear swelling, swelling of the nasal bridge with congestion of the eyes. Clinically there was evidence of left auricular chondritis, nasal chondritis and conjunctivitis with a history of multiple similar episodes in the past, features suggestive of relapsing polychondritis. The patient improved with oral prednisolone.

Age Factors↗

Effects of oxidants on soybean growth and yield in the Pakistan Punjab.

Plants of soybean (Glycine max L.) were grown with and without the ozone protectant EDU (N-[2-(2-oxo-1-imidazolidinyl)ethyl]-n2 phenylurea) at a suburban site, a remote rural site and a rural roadside site around the city of Lahore, Pakistan. The development and yield of the plants was determined in two experiments--one immediately post-monsoon and one in the following spring (pre-monsoon). Concentrations of nitrogen dioxide and photochemical oxidants were measured at each site. The effect on yield of EDU at the suburban site (47 and 113% increase in seed weight per plant relative to the untreated plants in the post- and pre-monsoon experiments, respectively) was similar to the effects of filtration on yield on soybean in a parallel open-top chamber study at the same site (77% increase relative to plants subjected to unfiltered air for the pre-monsoon experiment). Effects of EDU on yield were greater at both rural sites than at the suburban site in both experiments, and greater in the spring experiment (182% at the remote rural site and 285% at the rural roadside site) than in the post-monsoon experiment (94% at the remote rural site and 170% at the rural roadside site); oxidant concentrations were also greater at the rural sites than at the suburban site, and greater in the spring experiment than the post-monsoon experiment. The results imply that ozone may be causing significant crop losses in rural areas around Lahore; however, the geographical extent of the problem, and the implications for peri-urban agriculture around other cities of south Asia are uncertain.

Agriculture↗

Regional expression of inducible nitric oxide synthase in the kidney in dogs with unilateral ureteral obstruction.

PURPOSE: In the early stage of unilateral ureteral obstruction total renal blood flow increases but medullary blood flow decreases, exacerbating medullary tissue hypoxia. We examined the expression of inducible nitric oxide synthase, a product of a hypoxia sensitive gene, in the cortex and medulla in dogs with unilateral ureteral obstruction for 21 hours. MATERIALS AND METHODS: Hemodynamic and clearance experiments were performed after release of ureteral obstruction in 6 dogs with unilateral ureteral obstruction, followed by Western blot analysis of nitric oxide synthase and immunohistochemistry. RESULTS: Ureteral obstruction raised mean ureteral pressure plus or minus standard error to 35.0 +/- 7.2 mm. Hg. In dogs with unilateral ureteral obstruction mean renal blood flow was 116 +/- 10 ml. per minute, lower than the 213 +/- 22 ml. per minute in sham operated dogs (p <0.01). After unilateral ureteral obstruction release the mean glomerular filtration rate was 9.5 +/- 2.1 ml. per minute, lower than the 27.3 +/- 1.8 ml. per minute in the contralateral unobstructed kidney (p <0.01). Western blot analysis showed that mean nitric oxide synthase/beta-actin in the cortex of the obstructed kidney was 0.04 +/- 0.01 densitometry units, lower than 0.11 +/- 0.02 densitometry units in the unobstructed contralateral kidney (p <0.05). In contrast, mean nitric oxide synthase/beta-actin in the medulla of the obstructed kidney was 1.29 +/- 0.33 densitometry units, greater than the 0.34 +/- 0.03 densitometry units in the unobstructed kidney (p <0.05). Immunohistochemistry revealed that the increased expression of nitric oxide synthase protein was localized to the endothelium of the vasa recta. CONCLUSIONS: Unilateral ureteral obstruction enhances nitric oxide synthase expression in the medulla but not in the cortex. This increased expression in the medulla may be the result of increased medullary hypoxia in unilateral ureteral obstruction, possibly contributing to medullary hyperemia after unilateral ureteral obstruction release.

Animals↗

CT in pulmonary hydatid disease: unusual appearances.

OBJECTIVE: To study the CT features of pulmonary hydatid disease. PATIENTS: Thirty-two consecutive patients with surgically proven pulmonary hydatid cysts. SETTING: SheriKashmir Institute of Medical Sciences, Srinagar, Kashmir, India, a tertiary-care referral center. INTERVENTIONS: CT of the chest was obtained in all cases on Somatom DR double rotate CT scanner (Siemens; Erlangen, Germany). RESULTS: Forty cysts of different size and shapes were encountered, 34 of them being ruptured. CT density of the cysts varied from - 42 to 160 Hounsfield units (HU; median, 15.5 HU). Apart from the classically described features of pulmonary hydatid disease, a crescent-shaped rim of air at the lower end of the cyst (inverse crescent sign) was seen in three cysts, and a bleb of air in the wall of two as-yet unruptured cysts (signet ring sign). Thick wall (>10 mm) was observed in four cysts, and each of them had associated evidence of infection. CONCLUSIONS: Inverse crescent sign, signet ring sign, high CT density, and thick wall should be recognized as features of pulmonary hydatid cysts on CT.

Adolescent↗

The foam mattress-back syndrome.

BACKGROUND: Many medical residents used to sleeping on cotton mattresses at home complain of mild to moderate back pain after sleeping on foam mattresses provided in the hospital and hostel rooms. OBJECTIVE: To determine the relationship of sleeping on foam mattress with the appearance of back pain in a 500 bedded multispecialty tertiary care hospital. METHODS: One hundred medical residents were interviewed for the appearance of backache after sleeping on 10 cm thick foam mattress provided to them in the hostels. Pain was scored over a visual analog scale of 10 cm. Effect of sleeping on a regular cotton mattress was assessed. RESULTS: Sixty-three (5 female residents) developed back pain on the morning of a night of sleep over the foam mattress. The pain was mostly of lower back and was not associated with any objective neurodeficit. Four residents on account of the backache reported thirteen episodes of absenteeism. Sixty-one residents had a relief of the pain on going home where they would sleep on regular cotton mattresses, only to recur after sleeping again on the foam mattress in the hospital/hostel. CONCLUSION: Sleeping on foam mattress is associated with the appearance of backache in medical residents which is reproducible and gets relieved after using regular cotton mattresses.

Absenteeism↗

Hypocomplementemic urticarial vasculitis and lower cranial nerve palsies.

A 55 years post menopausal lady presented with puffiness of face, and a pruritic urticarial rash over face and upper trunk of one week duration with accompanying dysphagia. Clinical examination revealed an urticarial rash over face and upper trunk, two small ulcers over floor of mouth and evidence of bilateral VIII, IX and Xth cranial nerve palsies. Hypocomplementemia, negative immune profile and evidence of vasculitis on skin biopsy suggested a diagnosis of hypocomplementemic urticarial vasculitis. The patient responded to a course of steroids.

Complement C3↗

Mepacrine therapy in niclosamide resistant taeniasis.

OBJECTIVE: To evaluate the efficacy of mepacrine (quinacrine) in patients with niclosamide resistant Taenia saginata infection. METHODS: Eighty six cases with niclosamide resistant Taenia saginata (unresponsive to 2-8 courses of niclosamide) were treated with quinacrine (1 g) administered orally or via a nasogastric tube, and followed at 2, 4, 8 and 12 weeks for recurrence of passage of proglottids and presence of Taenia eggs in the stool examinations. Pre and post-therapy egg counts were obtained and egg viability was tested by staining with methylene blue. RESULTS: Eighty-one (94.2%) patients responded promptly with passage of the worm within 4-72 hours. The egg counts showed a drastic fall in 79 cases and a fall in viability from a median of 100% to 0% was observed. Only one patient demonstrated a relapse at 4 weeks. Gastrointestinal side effects occurred in 9 cases but were controlled easily by symptomatic therapy. CONCLUSION: We conclude that quinacrine is a safe, inexpensive, effective and generally well tolerated drug for the treatment of niclosamide resistant Taenia saginata infestations.

Adolescent↗

Lead exposure in papier mâché workers.

Lead exposure was assessed in a random cohort of 70 male papier mâché workers and compared with 35 age and sex matched controls. Blood-lead levels in workers were significantly higher than in controls (Mean 68.07 +/- 44.64 ug/dl vs 25.52 +/- 16.56 ug/dl respectively; P < 0.001). Urinary lead was also higher in workers (128.53 +/- 52.61 ug/l) compared to controls (91.18 +/- 27.06, P < 0.001), but excretion of urinary coproporphyrin in the two groups was not significantly different (102.78 +/- 153.42 vs 70.03 +/- 27.06 ug/l, P > 0.05). Blood levels bore a significant correlation with age but did not bear any correlation with the duration of exposure. Various modes of exposure to lead included hand mixing of paints, skin application of the paint to match shades and making point of the brush using lips and the tongue.

Adolescent↗

Transvaginal colpo-urethropexy with fibrin sealant: 4 years-follow up in 23 cases.

A method of transvaginal colpo-urethropexy, using fibrin sealant was studied clinically. After a fingertip vaginal retropubic dissection, fibrin sealant is instilled in the retropubic space with the intent of inducing fibrosis between the elevated urethro-vesical junction and the retropubic periosteum. Twenty-three patients with urinary stress incontinence underwent this procedure with 82% of satisfactory results and 18% failure. Complications were minimal. In the future, this technique could be useful for ambulatory surgery.

Adult↗

Effects of air pollution on rice yield in the Pakistan Punjab.

A study using open-top chambers ventilated with ambient or charcoal filtered air in the vicinity of Lahore, Pakistan demonstrated reductions of 42% and 37% in the grain yield of two cultivars of rice (Oryza sativa L.). This yield reduction was primarily due to the reduction in mean panicle number per plant, although significant effects of filtration on 1000 grain weight and the number of filled grains per panicle were also detected. The 6-h daily mean O(3) concentrations were only 10-20 nl litre(-1) during the monsoon season, but increased to 30-55 nl litre(-1) later in the growing season, while the mean NO(2) concentration during the experiment was 12 nl litre(-1). On the basis of experience in North America and Japan, the reductions in yield in the present study are substantially greater than might be predicted. The reasons for this discrepancy are discussed, together with the implications for effects on rice yield in other regions of south and south-east Asia.

Journal Article↗

Air pollution and its impacts on wheat yield in the Pakistan Punjab.

A study using open-top chambers ventilated with ambient or charcoal-filtered air in the vicinity of Lahore, Pakistan, has demonstrated a reduction of 46.7% and 34.8% in the grain yield for two cultivars of winter wheat (Triticum aestivum L.). The 6-h daily mean O(3) concentrations were 25-45 nl litre(-1) and on the basis of experience in North America and Europe, reductions in yield in the present study are substantially greater than might be predicted. The reasons for this discrepancy are discussed, together with implications for the suitability of a simple, relatively cheap, open-top chamber system for developing-country studies on the effects of air pollution on crops.

Journal Article↗

Haemostatic abnormalities in multidrug-resistant enteric fever.

Twenty-five consecutive patients with multidrug-resistant enteric fever were evaluated and followed for haemostatic abnormalities. Twenty-one (84%) of the patients had evidence of disseminated intravascular coagulation (DIC) and 12 (48%) also had evidence of associated fibrinolysis. Clinical bleeding was observed in 3 (12%) cases, and did not bear any correlation with clotting abnormalities. Protein C activity was found to be decreased in 11 of the 15 cases with DIC, and a block in its activation, as previously postulated, could not be substantiated. DIC was reversed in most cases within 8 days of the institution of specific antibiotic therapy.

Adolescent↗