Exploration of the Wild Edible Plants Used for Basic Health Care by Local People of Bahawalpur and Adjacent Regions, Pakistan.

The current study aimed to explore the traditional knowledge and practices of indigenous communities in Bahawalpur and adjacent regions, Pakistan, to treat a variety of diseases with a particular focus on the usage of ethnomedicinal wild plants. The objective of the study was to collect and evaluate local and indigenous knowledge regarding the quantity, variety, use and management of resources by the people. Data were gathered using Rapid Appraisal Approach (RAA), which involved in-person interviews. The data were analyzed using descriptive statistics methods as well as common ethnobotanical analytical techniques viz. use value (UV), relative frequency of citation (RFC), informant consensus factor (ICF), fidelity level (FL), relative importance (RI), frequency index (FI), family use value (FUV), family importance value (FIV), popular therapeutic use value (POPUT), plant part value (PPV), preference ranking (PR), cultural significance index (CSI), rank order priority (ROP) and Jaccard index (JI). A total of 158 plant species from 49 families were identified. The perennial herbs made up 72% of the documented species of therapeutic plants. There were 21 different species in each of the two major plant families i.e., Fabaceae and Poaceae. The maximum ICF were calculated for gonorrhea and paralysis (1.0) and maximum POPUT was calculated for skin disorders (0.088) and cough (0.077), respectively. The maximum UV was found for Rumex crispus (0.57) and RI for Leucaena leucocephala (4.38). Heliotropium crispum had the highest FL value (83%) and is used to treat kidney diseases. Alhagi maurorum had the greatest RFC (0.009) and FI (0.93). Arecaceae (0.45) and Fabaceae (13.39%) had the greatest FUV while Poaceae and Fabaceae had the highest FIV (13.29 for each). Leaves were the most frequently used plant part (35%). Alhagi maurorum (4.0) and Rumex crispus (32.57) had the highest CSI and ROP, respectively. The maximum JI (28.31) was calculated for Cholistan desert. These results showed the local population's reliance on herbal remedies to treat prevalent illnesses. To demonstrate the viability of species, it's crucial to emphasize both the use and conservation of these species. Adopting innovative applications, enhancing their value, and prioritizing the protection of multipurpose wild plants in inhabited environments is vital.

The need for neonatal jaundice screening awareness in the Pakistani population: short communication.

Neonatal jaundice is a common illness that affects around 80% of preterm and 50-60% of full-term newborn infants. It is one of the most common causes of neonatal death. Neonatal jaundice may be physiological or pathological. Physiologic jaundice is far more common than pathologic jaundice and accounts for most hyperbilirubinemia. Physiologic jaundice in neonates is due to greater hemoglobin breakdown compared to bilirubin clearance. While pathological jaundice occurs due to various infections, drug toxicity, inborn enzyme deficiencies, Rhesus fetal-maternal incompatibility, hypothyroidism, and congenital biliary duct obstruction diseases. In many parts of the world, midwives, and nurses perform spontaneous vaginal deliveries and they only rely on visual screening for neonatal jaundice. However, this is not reliable, especially for newborns having darker skin. Educating the mothers on screening for early detection of neonatal jaundice and seeking medical treatment in a country like Pakistan, which is considered a high-risk population, is crucial. Also, as most females give birth at home, hence, midwives' knowledge about neonatal jaundice also needs to be improved.

Effects of myo-inositol vs. metformin on hormonal and metabolic parameters in women with PCOS: a meta-analysis.

OBJECTIVE: Polycystic Ovary Syndrome is the most prevalent hormonal disorder in females. Over the years, metformin (MET) has become the first-line choice of treatment; however, due to its gastrointestinal side effects, a more recent drug, myo-inositol (MI), has been introduced. We aim to conduct a systematic review and meta-analysis to compare the effects of MET and MI on hormonal and metabolic parameters. MATERIALS AND METHODS: Authors extensively searched PubMed, Scopus, Cochrane Library, Google Scholar, and Web of Science for randomized clinical trials (RCTs) until August 2021. Eight (n = 8) articles were included, with a total sample size of 1088, of which 460 patients received MET, 436 received MI, and 192 received a combination of both. Standard mean differences (SMDs) and Confidence Intervals (CIs) were used for data synthesis, and forest plots were made using Review Manager 5.4 for Statistical Analysis using the random-effect model. RESULTS: The meta-analysis indicates that there is no significant difference between MET and MI in terms of their effects on BMI (SMD = 0.16, 95% CI: - 0.11 to 0.43, p = 0.24), fasting insulin (SMD = 0.00, 95% CI: - 0.26 to 0.27, p = 0.97), fasting blood sugar (SMD = 0.11, 95% CI: - 0.31to 0.53, p = 0.60), HOMA index (SMD = 0.09, 95% CI: - 0.20 to 0.39, p = 0.50), and LH/FSH (SMD = 0.20, 95% CI: - 0.24 to 0.64, p = 0.37). BMI, fasting blood sugar, and LH/FSH ratio reported moderate heterogeneity because of the varying number of study participants. CONCLUSION: Our meta-analysis comparing hormonal and metabolic parameters between MET and MI did not show much significant difference, indicating both drugs are equally beneficial in improving metabolic and hormonal parameters in patients with PCOS.

Role of Molecular Biology in Cancer Treatment: A Review Article.

BACKGROUND: Cancer is a genetic disease and mainly arises due to a number of reasons include activation of onco-genes, malfunction of tumor suppressor genes or mutagenesis due to external factors. METHODS: This article was written from the data collected from PubMed, Nature, Science Direct, Springer and Elsevier groups of journals. RESULTS: Oncogenes are deregulated form of normal proto-oncogenes required for cell division, differentiation and regulation. The conversion of proto-oncogene to oncogene is caused due to translocation, rearrangement of chromosomes or mutation in gene due to addition, deletion, duplication or viral infection. These oncogenes are targeted by drugs or RNAi system to prevent proliferation of cancerous cells. There have been developed different techniques of molecular biology used to diagnose and treat cancer, including retroviral therapy, silencing of oncogenes and mutations in tumor suppressor genes. CONCLUSION: Among all the techniques used, RNAi, zinc finger nucleases and CRISPR hold a brighter future towards creating a Cancer Free World.