An atypical presentation of small bowel adenocarcinoma; a case report.

Small bowel malignancy (SBM) is a rare malignancy in the gastrointestinal tract. Duodenum is the most commonly involved segment and the most common histological subtype is adenocarcinoma (40%). Due to a lack of screening tools and vague symptoms, its clinical detection is very challenging. A 27-year-old man presented at the surgical emergency of Lahore General Hospital in February 2019 with non-specific gastrointestinal symptoms (vomiting, abdominal pain), for which he had previously visited the hospital multiple times. Later, on further workup, he had been diagnosed as a case of intussusception on CT scan. On exploration, he had an impassable stricture in the jejunum. Resection anastomosis of the jejunum was done, but later, on histopathology it turned out to be adenocarcinoma. Adenocarcinoma of the small bowel is a rare entity, and, particularly in Pakistan, the available literature is limited. SBM should be included in the differentials of patients with vague abdominal symptoms. Future studies for the evaluation of new investigations and treatment modalities should be encouraged to improve the overall outcome of the patients.

Integrated Approach to Hydrogeochemical Assessment of Groundwater Quality in Major Industrial Zone of Punjab, Pakistan.

Groundwater contamination with arsenic (As) is a significant concern in Pakistan's Punjab Province. This study analyzed 69 groundwater samples from Faisalabad, Gujranwala, Lahore, and Multan to understand hydrogeochemistry, health impacts, contamination sources, and drinking suitability. Results revealed varying as concentrations across districts, with distinctive cation and anion orders. Faisalabad exhibited Na+ > Mg2+ > Ca2+ > K+ > Fe2+ for cations and SO42- > Cl- > HCO3- > NO3- > F- for anions. Gujranwala showed Na+ > Ca2+ > Mg2+ > K+ for cations and HCO3- > SO42- > Cl- > NO3- > F- for anions. In Lahore, demonstrated: Na+ > Ca2+ > Mg2+ > Fe > K+ for cations and HCO3- > SO42- > Cl- > NO3- > F- for anions. Multan indicated K+ > Ca2+ > Mg2+ > Na+ > Fe for cations and HCO3- > SO42- > Cl- > F- > NO3- ) for anions. Hydrochemical facies were identified as CaHCO3 and CaMgCl types. Principal Component Analysis (PCA), highlighted the influence of natural processes and human activities on groundwater pollution. Water Quality Index (WQI) result reveal that most samples met water quality standards. The carcinogenic risk values for children exceeded permissible limits in all districts, emphasizing a significant cancer risk. The study highlights the need for rigorous monitoring to mitigate (As) contamination and protect public health from associated hazards.

Fabrication and characterization of a novel Ba2+-loaded sawdust biochar doped with iron oxide for the super-adsorption of SO42- from wastewater.

Biochar is a low-cost adsorbent used in the treatment of contaminated wastewater. We investigated the potential of an Fe-impregnated, Ba2+-loaded biochar (Fe-(Ba-BC)) for the removal of SO42- from aqueous solutions. The Ba2+-loaded biochar was synthesized from sawdust impregnated with iron oxide via pyrolysis at 600 °C. The porous structure of the Fe-(Ba-BC) was identified by scanning electron microscopy before sulfate was adsorbed onto the adsorbent. Functional groups were determined by energy-dispersive spectrophotometry and Raman spectrometry.. The Fe-(Ba-BC) Raman peaks before the experiment were higher than after, suggesting the precipitation of BaSO4. The presence of BaCl2 on the surface of the biochar was confirmed by X-ray diffraction. Batch sorption results showed that Fe-(Ba-BC) strongly adsorbed aqueous SO42- with a removal efficacy of 96.7% under the optimum conditions of 0.25 M BaCl2, a contact time of 480 min, a pH of 9 and an adsorbent dose of 2 g. The optimum condition for removal and reaction rate kinetics analysis indicated that adsorption curve fitted well with PSO, k2 0.00015 confirmed the removal of SO42- via chemisorption. Thus, Fe-(Ba-BC) was found to be a favorable adsorbent for removing SO42-.