Long COVID syndrome: psychological and sexual dysfunction among survivors of COVID-19 infection.

Background: To explore the neuropsychiatric symptoms, sleep disturbances, and sexual dysfunction in patients with long COVID syndrome, which can help in building better follow-up strategies for coronavirus disease 2019 (COVID-19) survivors. Material and methods: A cross-sectional research was undertaken at the premises of a psychiatry unit at a tertiary care unit in Karachi, Pakistan, between August 2022 and April 2023. All individuals aged 18 years or older, who had a history of contracting COVID-19 infection in the last 12 months presented to the department of Psychiatry with neuropsychiatric symptoms were recruited. Using a predefined questionnaire, data was collected from the participants. A linear logistic regression was used to find the impact of age, sex, hospitalization, and duration of home isolation on the likelihood of persistent neuropsychiatric symptoms or sexual dysfunction. Results: A total of 457 patients were included. It was found that individuals were less likely to experience neuropsychiatric symptoms as age increased (OR=0.968, 95% CI: 0.949-0.986, P=0.001). Females were 4.8 times more likely to experience neuropsychiatric symptoms than males, and the association was extremely significant (OR=4.851, 95% CI: 3.085-7.626, P<0.0001). An increase in age raised the odds of having sleep disturbances among the survivors by 2.7 times (OR=2.672, 95% CI: 2.654-2.684, P<0.0001). The odds of having sleep disturbances were three times more likely in female participants as compared to male participants (OR=3.00, 95% CI: 1.771-5.094, P<0.0001). Conclusion: The majority of the COVID-19 survivors are presenting with persistent neuropsychiatric and sexual symptoms in our setting. Therefore, it is necessary to maintain proper follow-up with the survivors of COVID-19 and counsel the patients to inform the family physician if these symptoms persist for longer than a month. Increasing such practices of regular follow-ups with COVID-19 survivors can help in detecting early neuropsychiatric and sexual changes.

Effectiveness of Injected Platelet-Rich Plasma in the Treatment of Diabetic Foot Ulcer Disease.

Objectives Platelet-rich plasma (PRP) has become quite a popular course of treatment and has tremendous healing properties. Our research question inquired about the effectiveness of injected formula of PRP as the cure for diabetic foot ulcer in comparison to the conventional dressing. Methodology  A prospective observational study was conducted at the Department of Diabetes and Endocrinology, Lady Reading Hospital, Peshawar, Pakistan, between July 2020 to January 2021. Patients' data were collected from the department's database after taking approval from the department. In our study, the selected patients were categorized into two equal groups - i.e. 80 cases in each group and were randomized by using randomization allocation software. In group I (study group) patients received PRP (1 ml /1 cm2) around the wound edges and in the base of the ulcer, while group II (control group) patients were treated with conventional dressing. Each patient was inspected for wounds on days 0, 14, 28, 90, and 180 on the basis of Wagner's classification of wounds to assess efficacy. A proforma was used to collect the required data and then utilized electronically for research analysis. Results The mean ± SD of age was 54.4±8.56 and 57.7±10.1 years in the injected PRP (study) and conventional dressing (control) groups, respectively. Of the 30 patients, 13 (43.3%) males and 17 (56.7%) females were enrolled in the study group, while 14 (46.7%) males and 16 (53.3%) females were included in the control group. The PRP was found effective in reducing the wound in about 64 (80%) patients, while wound dressing was effective in 37 (46.25%) patients (p<0.0001). In female patients, the wound healing was significantly better in the study group as compared to the control group (p<0.0001). Moreover, in patients aged above 55 years, frequently higher rates of wound reduction were observed in the study group as compared to the control group (p<0.0001).  Conclusion The study concluded that injected PRP was significantly better than conventional dressing in the management of diabetic foot ulcer. More clinical trials are necessary to evaluate the effectiveness of injected PRP to validate the current findings.

Assessing climate change impacts on pearl millet under arid and semi-arid environments using CSM-CERES-Millet model.

Climate change adversely affects food security all over the world, especially in developing countries where the increasing population is confronting food insecurity and malnutrition. Crop models can assist stakeholders for assessment of climate change in current and future agricultural production systems. The aim of this study was to use of system analysis approach through CSM-CERES-Millet model to quantify climate change and its impact on pearl millet under arid and semi-arid climatic conditions of Punjab, Pakistan. Calibration and evaluation of CERES-Millet were performed with the field observations for pearl millet hybrid 86M86. Mid-century (2040-2069) climate change scenarios for representative concentration pathway (RCP) 4.5 and RCP 8.5 were generated based on an ensemble of selected five general circulation models (GCMs). The model was calibrated with optimum treatment (15-cm plant spacing and 200 kg N ha-1) using field observations on phenology, growth and grain yield. Thereafter, pearl millet cultivar was evaluated with remaining treatments of plant spacing and nitrogen during 2015 and 2016 in Faisalabad and Layyah. The CERES-Millet model was calibrated very well and predicted the grain yield with 1.14% error. Model valuation results showed that there was a close agreement between the observed and simulated values of grain yield with RMSE ranging from 172 to 193 kg ha-1. The results of future climate scenarios revealed that there would be an increase in Tmin (2.8 °C and 2.9 °C, respectively, for the semi-arid and arid environment) and Tmax (2.5 °C and 2.7 °C, respectively, for the semi-arid and arid environment) under RCP4.5. For RCP8.5, there would be an increase of 4 °C in Tmin for the semi-arid and arid environment and an increase of 3.7 °C and 3.9 °C in Tmax, respectively, for the semi-arid and arid environment. The impacts of climate changes showed that pearl millet yield would be reduced by 7 to 10% under RCPs 4.5 and 8.5 in Faisalabad and 10 to 13% in Layyah under RCP 4.5 and 8.5 for mid-century. So, CSM-CERES-Millet is a useful tool in assessing the climate change impacts.

Effects of temperature and storage on the antioxidant potential, polyphenols and Vitamin-C contents of azadirachta indica leave aqueous extract.

The aim of the study was to investigate the effects of effects of storage and temperature on the antioxidant potential, vitamin-C contents, total as well as selected individual phenolic acids and flavonoids of fresh aqueous leaves extract of Azadirachta Indica. The antioxidant activity of Azadirachta Indica leaves aqueous extract was determined by scavenging of DPPH free radical, while the phenolic compounds and vitamin-C contents by HPLC method. The analyses were carried out on crude extract of fresh leaves and after storage time of 1, 2 and 3 month at temperature of 20, 30 and 50°C. Storage for longer duration and rise in temperature caused decreasing the phenolic acids and vitamin C contents as well as antioxidant potential. Vitamin C contents were decreased up to 91% upon storage for 3 months at 50°C, while the anti-oxidant potential was decreased 29 %. The effect of storage time and temperature on individual phenolic acid and flavonoids were also remarkable, except ferulic acid which increased upon storage and rise in temperature.