Resilience, coping and Personal Factors of medical students at a Public University; Karachi, Pakistan.

OBJECTIVE: To assess resilience levels of medical students, identify factors associated with it, and explore association between coping styles and resilience level among medical students. METHODS: The analytical, cross-sectional study was conducted at the Dow Medical College, Dow University of Health Sciences, Karachi, from February to June 2022, and comprised medical students regardless of gender and the academic year. Data was collected using self-administered socio-demographic form, Brief Resilience Scale and Brief Cope. Data was analysed using SPSS 28. RESULTS: Out the 301 participants, 197(65.4%) were females and 104(34.6%) were males. The overall mean age was 20.7±1.849 years. Of the total, 132(43.9%) students had low resilience, with males having better resilience compared to females (p<0.001). Higher resilience was seen in year 1 students compared to those of clinical years (p=0.029). There was a significant positive correlation between high resilience and problem-focussed coping, while a significant negative correlation was found between resilience and avoidant and emotionally focussed strategies (p<0.05). There was a significant negative correlation between resilience levels and age (p<0.025). There was a significant difference in resilience scores with respect to the last grade point average, sleep hours, and hours spent studying (p<0.05). CONCLUSIONS: More than one-third medical students demonstrated low resilience, and the majority reported adopting emotion-focussed coping style.

Room-Temperature Ferromagnetism in Mn-Doped ZnO Nanoparticles Synthesized by the Sol-Gel Method.

In the current work, pure ZnO and Mn-doped ZnO nanoparticles were synthesized by the sol-gel autocombustion method. Structural analysis and phase determination were done by X-ray diffraction, and a hexagonal wurtzite structure was exhibited with disparate microstructures for all samples. Mn2+ ions were well composed, as evidenced by the fluctuation of lattice parameters, dislocation density, and lattice strain. Crystallite size decreases from 38.42 to 27.54 nm by increasing the doping concentration. Field emission scanning electron microscopy results shows the combination of evenly distributed spherical-like and hexagon-like structures. Fourier transform infrared spectra revealed that when Mn content increased, the absorption bands red-shifted. The drop in the energy band gap from 3.25 eV for ZnO to 2.99 eV for Zn0.96Mn0.04O was predicted by ultraviolet-visible absorption spectra. This red shift in the energy band gap can be explained by the sp-d exchange interaction between the band electrons of ZnO and localized d electrons of Mn. A study of magnetic properties revealed the change of the diamagnetic attribute for pure ZnO to the room-temperature ferromagnetic attribute of doped samples. In the current study, room-temperature ferromagnetism was achieved for Mn-doped ZnO nanoparticles, which can serve as a desirable option for practical applications in the future.

Optimization of carboxylated graphene oxide (C-GO) content in polymer matrix: Synthesis, characterization, and application study.

Carboxylated graphene oxide (C-GO) embedded in polysulfone (PSF) membrane composites were prepared with different wt. % (i.e., 0.2% M - 1, 0.3% M - 2, 0.4% M - 3, and 0.5% M - 4) using non-solvent induced phase separation (NIPS) method and ultrafiltration assembly was applied for the removal of dye effluents. The optimization of C-GO content into polymer matrix was found influencing factor in determining the composite membranes efficiency and application in various research fields. The membranes were characterized in terms of surface morphology (SEM), crystallinity (XRD), and functional groups identification (FTIR). The water permeability of the developed membranes was analyzed, and it is observed that increasing the content of C-GO in PSF membranes imposed a positive impact on permeation performance. M - 3 was found to be a potential candidate among all the membranes with a maximum water flux of about 183 LMH which is considerably higher as compared to the pristine PSF membrane's water flux (i.e., 27 LMH). Moreover, contact angle measurements of membranes were also checked to assess the hydrophilicity of PSF membranes. The results of contact angle also support the water permeability and efficient correlation was observed as contact angle decreases with increasing the content of C-GO. The minimum contact angle with excellent hydrophilicity was shown by the M - 3 membrane and it was found of about ±58.19° and this value is close to the M - 4 membrane having maximum C-GO content. The photocatalytic performance of the M - 3 membrane was checked under UV-254 nm using methylene blue dye and 97% dye removal was achieved within 220 min of reaction time under neutral pH conditions. The M - 3 membrane having C-GO content of 0.4% was found to be the best membrane with high pure water flux (183 LMH) and efficient dye rejection (82%) capability.

Room-Temperature Ferromagnetism in Cu/Co Co-Doped ZnO Nanoparticles Prepared by the Co-Precipitation Method: For Spintronics Applications.

In current work, pure ZnO and Zn0.96-x Cu0.04Co x O (0 ≤ x ≤ 0.05) nanoparticles were synthesized by the co-precipitation method. Structural analysis and phase determination of the formed nanoparticles was carried out using X-ray diffraction (XRD) and Williamson-Hall plots. The hexagonal wurtzite structure was manifested by all the samples with divergent microstructures. The change in lattice parameters, bond length, dislocation density, and lattice strain indicates that Cu and Co were successfully incorporated. Average crystallite size was found to be in the range of 32.16-45.42 nm for various doping concentrations. Field emission scanning electron microscopy results exhibited that the surface morphology is an amalgam of spherical-like and hexagon-like structures. Spherical-shaped grains were homogeneous and evenly distributed all over the structure. Fourier transform infrared spectra indicated that the absorption bands were blue-shifted with increasing Co concentration. The UV-visible absorption spectra showed high absorption in the UV region and weak absorption in the visible region. An increase in the energy band gap for the maximum absorption peak was observed from 3.49 eV for ZnO to 3.88 eV for Zn0.91Cu0.04Co0.05O. The Burstein-Moss effect explained the noticed blue shift in absorption spectra and energy band gaps. The vibrating sample magnetometer study revealed the change in the diamagnetic behavior of pure ZnO to the ferromagnetic behavior of the prepared nanoparticles at room temperature for different doping concentrations. In the current study, we have developed the room-temperature ferromagnetism (RTFM) for Cu and Co co-doped ZnO nanoparticles. Since RTFM is the key objective for dilute magnetic semiconductors, therefore it can be served as the desirable expectant for spintronics applications with improved functionalities and device concepts.

Optimization of chitosan for microencapsulation of flaxseed oil through spray drying.

The study is aimed to characterize the wall material chitosan in combination with maltodextrin for microencapsulation of flaxseed oil to enhance the delivery of polyunsaturated fatty acids in functional foods. Four formulations of water-based oil emulsions containing flaxseed oil were prepared, homogenized, and analyzed in terms of stability and viscosity. Resulting emulsions were spray dried and further evaluated physicochemically. Results revealed that total moisture content of spray dried microcapsules was in range of 3.1 ± 0.01-3.32 ± 0.04, while highest microencapsulation efficiency found for spray dried powder was 88.8 ± 1.45. Peroxide and anisidine value revealed high oxidative stability of dried powders during storage at room temperature as compared to bulk FO. Among the four formulations, formulation 3 was found to be highly efficient with high encapsulation efficiency and lower PV (3.93 ± 0.13) and AV (2.93 ± 0.21) value. Fatty acid profile was stable after 30 days and slight change observed in composition. Formulations with different concentration of chitosan has significant (p <0.05) impact on emulsion properties and oxidative stability values. It is concluded that spray dried flaxseed oil microcapsules prepared using chitosan as coating material enhance the stability and delivery of omega-3 fatty acids.

Reduction-Sensitive Dextran-Paclitaxel Polymer-Drug Conjugate: Synthesis, Self-Assembly into Nanoparticles, and In Vitro Anticancer Efficacy.

Delivery systems that can encapsulate a precise amount of drug and offer a spatiotemporally controlled drug release are being actively sought for safe yet effective cancer therapy. Compared to polymer nanoparticle (NP)-based delivery systems that rely on physical drug encapsulation, NPs derived from stimuli-sensitive covalent polymer-drug conjugates (PDCs) have emerged as promising alternatives offering precise control over drug dosage and spatiotemporal drug release. Herein, we report a reduction-sensitive PDC "Dex-SS-PTXL" synthesized by conjugating dextran and paclitaxel (PTXL) through a disulfide bond-bearing linker. The synthesized Dex-SS-PTXL PDC with a precise degree of substitution in terms of the percentage of repeat units of dextran covalently conjugated to PTXL (27 ± 0.6%) and the amount of drug carried by the PDC (39 ± 1.4 wt %) was found to self-assemble into spherical NPs with an average size of 110 ± 34 nm and a ζ-potential of -14.09 ± 8 mV. The reduction-sensitive Dex-SS-PTXL NPs were found to release PTXL exclusively in response to the reducing agent concentration reflective of the intracellular reducing environment of the tumor cells. Challenging BT-549 and MCF-7 cells with Dex-SS-PTXL NPs revealed significant cytotoxicity, while the IC50 values and the mode of action (mitotic arrest) of Dex-SS-PTXL NPs were found to be comparable to those of free PTXL, highlighting the active nature of the intracellularly released drug. The developed PDC with its unique ability to self-assemble into NPs and stimuli-responsive drug release can enhance the success of the NP-based drug delivery systems during clinical translation.

Biosynthesis of Graphene and Investigation of Antibacterial Activity of Graphene-parthenium hysterophorous Nanocomposite

Abstract There is a great interest to use carbon-based material like graphene and graphene oxide in biomedical applications due to its flexibility to be functionalized with bio-active molecules. Herein, graphene and graphene-based nanocomposites were biosynthesized by liquid-phase exfoliation of graphite using aqueous extract of Parthenium hysterophorous (P-H) as a surfactant. A set of five thin film samples of graphene was prepared from graphene suspension by vacuum filtration method. Samples were characterized by UV-vis spectroscopy, Raman spectroscopy, SEM, and XRD, which revealed successful synthesis of graphene. Graphene/P-H(G/P-H) nanocomposites comprising varied ratios of graphene and P-H were prepared and their antibacterial activity was investigated by agar well diffusion method. The experimental results indicated that G/P-H nanocomposite have higher antibacterial activity than graphene alone, and bioactivity of G/P-H nanocomposite was found to be controlled by the fraction of graphene in the composite.

Relationship of Nutritional Status and Functional Capacity in Elderly Patients Visiting Outpatient Clinics of a Tertiary Care Hospital.

OBJECTIVE: To determine the correlation of functional and nutritional status of elderly patients (equal to and more than 60 years of age) visiting family medicine clinics of tertiary care hospital in Karachi. STUDY DESIGN: Cross-sectional, descriptive study. PLACE AND DURATION OF STUDY: Family medicine clinics of Aga Khan University Hospital, in Karachi, from August 2014 to February 2015. METHODOLOGY: A total of 200 participants (60 years and above), Family medicine outpatient clinics, were recruited via non-probability consecutive sampling. Katz scoring and MNA scale were used for the evaluation of functional and nutritional status, respectively. Spearman's rank correlation coefficient was applied to assess the correlation between nutritional status and functional status of elderly. RESULTS: Out of 200 participants, 35 % (n=70) were of 60-64 years of age. Most of them (54%, n=109) were males as compared to 46% (n=91) females; 33.5% were at risk of malnutrition and 35.5% were dependent. Spearmen correlation between functional and nutritional status was rho = -0.675, with p-value of p<0.001. CONCLUSION: There is a negative correlation between nutritional and functional status. As good nutritional status is essential for older persons to become functionally active; hence, this issue needs to be dealt in a developing country like Pakistan.

Diversity in Family Medicine: The Art of Thinking Independently Together - Reflections on the RCGP exchange 2016.

This narrative summarizes the reflections of a UK conference exchange experience of four young general practitioners (GPs) from Peru, Portugal, Italy, and Pakistan. This article was written after participating in a RCGP exchange program in October 2016. This consisted of 2 days of observation in a GP practice in Liverpool followed by attendance at the RCGP preconference and annual conference. The exchange was organized by the RCGP Junior International Committee, which links to the Vasco da Gama Movement, a European network of new and future GPs.

Osteoid Osteoma of acetabulum, a rare presentation.

The case of a relatively frequent benign osteoblastic tumour, osteoid osteoma at an atypical site is presented. It was in a 20 year old man who attended the outpatient department of Aga Khan University Hospital, Karachi with pain in left groin since last 6 months which often occurred at night and was relieved by taking NSAIDs. X-ray failed to reveal the cause. CT scan showed central radiolucent nidus with surrounding sclerosis suggestive of osteoid osteoma in the left acetabulum. Acetabulum is a rare site for osteoid osteoma, the usual sites are diaphysis of long bones. Hence, the diagnosis is often difficult and delayed in such cases. CT scan, Bone scan and MRI, helped in diagnosing the condition. Resection of the lesion by open technique under fluoroscopic control was performed and histopathology confirmed the diagnosis.

Fulvic acid mediates chromium (Cr) tolerance in wheat (Triticum aestivum L.) through lowering of Cr uptake and improved antioxidant defense system.

Chromium (Cr) stress is one of the most adverse environmental factors that affect plant growth and food chain contamination. Fulvic acid (FA) is known to enhance the growth and production of crops, but the studies are scare regarding the application of FA on metal tolerance in plants. The effects of FA application on alleviating Cr phytotoxicity in wheat plants were investigated in a pot experiment conducted in sand- and soil-grown plants. Three Cr (0, 0.25, and 0.50 mM) treatments in the form of K2Cr2O7 were applied in both soils with or without foliar application of 1.5 mg L(-1) FA. Plants were harvested after 4 months of treatments, and data regarding growth characteristics, biomass, photosynthetic pigments, and antioxidant enzymes were recorded. FA application increased plant biomass, photosynthetic pigments, and antioxidant enzymes while it decreased Cr uptake and accumulation in plants as compared with Cr treatments alone. We conclude that FA application contributes to decreased Cr concentrations in wheat grains and could be used as an amendment when aiming for decreased metal concentration in plants.