Influence of polyvinyl chloride microplastic on chromium uptake and toxicity in sweet potato.

The extensive use of plastic products and rapid industrialization have created a universal concern about microplastics (MPs). MPs can pose serious environmental risks when combined with heavy metals. However, current research on the combined effects of MPs and hexavalent chromium [Cr(VI)] on plants is insufficient. Herein, a 14-day hydroponic experiment was conducted to investigate the impact of PVC MPs (100 and 200 mg/L) and Cr(VI) (5, 10, and 20 µM) alone and in combination on sweet potato. Results showed that combined Cr(VI) and PVC MPs affected plant growth parameters significantly, but PVC MPs alone did not. The combined application of PVC MPs and Cr(VI) resulted in a decrease in plant height (24-65%), fresh biomass per plant (36-71%), and chlorophyll content (16-34%). Cr(VI) bioaccumulation increased with the increase in its doses, with the highest concentration of Cr(VI) in the leaves (16.45 mg/kg), stems (13.81 mg/kg), and roots (236.65 mg/kg). Cr(VI) and PVC MPs-induced inhibition varied with Cr(VI) and PVC MPs doses. Osmolytes and antioxidants, lipid peroxidation, and H2O2 contents were significantly increased, while antioxidant enzymes except CAT were decreased with increasing Cr(VI) concentration alone and mixed treatments. The presence of PVC MPs promoted Cr(VI) accumulation in sweet potato plants, which clearly showed severe toxic effects on their physio-biochemical characteristics, as indicated by a negative correlation between Cr(VI) concentration and these parameters. PVC MPs alone did not significantly inhibit these parameters. The findings of this study provide valuable implications for the proper management of PVC MPs and Cr(VI) in sweet potato plants.

Abundance, spatial distribution, and characteristics of microplastics in agricultural soils and their relationship with contributing factors.

Agro-ecosystem contamination with microplastics (MPs) is of great concern. However, limited research has been conducted on the agricultural soil of tropical regions. This paper investigated MPs in the agro-ecosystem of Hainan Island, China, as well as their relationships with plastic mulching, farming practices, and social and environmental factors. The concentration of MPs in the study area ranged from 2800 to 82500 particles/kg with a mean concentration of 15461.52 particles/kg. MPs with sizes between 20 and 200 µm had the highest abundance of 57.57%, fragment (58.16%) was the most predominant shape, while black (77.76%) was the most abundant MP colour. Polyethylene (PE) (71.04%) and polypropylene (PP) (19.83%) were the main types of polymers. The mean abundance of MPs was significantly positively correlated (p < 0.01) with all sizes, temperature, and shapes except fibre, while weakly positively correlated with the population (p = 0.21), GDP (p = 0.33), and annual precipitation (p = 0.66). In conclusion, plastic mulching contributed to significant contamination of soil MPs in the study area, while environmental and social factors promoted soil MPs fragmentation. The current study results indicate serious contamination with MPs, which poses a concern regarding ecological and environmental safety.

Assessing the suitability of municipal sewage sludge and coconut bran as breeding medium for Oryza sativa L. seedlings and developing a standardized substrate.

The utilization of organic solid waste (OSW) for preparing standardized seedling substrates is a main challenge due to its temporal and spatial variability. This study aims to form models based on data from the literature and validate them through experiments to explore a standardized seedling substrate. The typical OSW in Hainan Province, including municipal sewage sludge (MSS), coconut bran (CB), seaweed mud (SM), and municipal sewage sludge biochar (MSSB), was used as raw material. A series of six mixing ratios was tested, namely: T1 (0% MSS: 90% CB), T2 (10% MSS: 80% CB), T3 (30% MSS: 60% CB), T4 (50% MSS: 40% CB), T5 (70% MSS: 20% CB), and T6 (90% MSS: 0% CB). SM and MSSB were added as amendment materials at 5% (w/w) for each treatment. The physicochemical properties of substrates, agronomic traits of rice seedlings and microbial diversity were analyzed. The results showed that the four kinds of OSW played an active role in providing rich sources of nutrients. The dry weight of the above-ground part was 2.98 times greater in T3 than that of the commercial substrate. Furthermore, the microbial analysis showed a higher abundance of Actinobacteria in T3, representing the stability of the composted products. Finally, the successful fitting of the results with the linear regression models could establish relationship equations between the physicochemical properties of the substrate and the growth characteristics of seedlings. The relevant parameters suitable for the growth of rice seedlings were as follows: pH (6.46-7.01), EC (less than 2.12 mS cm-1), DD (0.13-0.16 g cm-3), and TPS (65.68-82.73%). This study proposed relevant parameters and models for standardization of seedling substrate, which would contribute to ensuring the quality of seedlings and OSW resource utilization.

Rhizosphere effect on the relationship between dissolved organic matter and functional genes in contaminated soil.

Arsenic contamination in a mining area is a potential threat to the local population. In the context of one-health, biological pollution in contaminated soil should be known and understandable. This study was conducted to clarify the effects of amendments on arsenic species and potential threat factors (e.g., arsenic-related genes (AMGs), antibiotic resistance genes (ARGs) and heavy-metal resistance genes (MRGs)). Ten groups (control (CK), T1, T2, T3, T4, T5, T6, T7, T8, and T9) were set up by adding different ratio of organic fertilizer, biochar, hydroxyapatite and plant ash. The maize crop was grown in each treatment. Compared with CK, the bioavailability of arsenic was reduced by 16.2%-71.8% in the rhizosphere soil treatments, and 22.4%-69.2% in the bulk soil treatments, except for T8. The component 2 (C2), component 3 (C3) and component 5 (C5) of dissolved organic matter (DOM) increased by 22.6%-72.6%, 16.8%-38.1%, 18.4%-37.1%, respectively, relative to CK in rhizosphere soil. A total of 17 AMGs, 713 AGRs and 492 MRGs were detected in remediated soil. The humidification of DOM might directly correlate with MRGs in both soils, while it was influenced directly on ARGs in bulk soil. This may be caused by the rhizosphere effect, which affects the interaction between microbial functional genes and DOM. These findings provide a theoretical basis for regulating soil ecosystem function from the perspective of arsenic contaminated soil.

Human Health and Ecological Risks Associated with Total and Bioaccessible Concentrations of Cadmium and Lead in Urban Park Soils.

This study investigated the total and bioaccessible concentrations of cadmium (Cd) and lead (Pb) in urban soils and their associated human health and ecological risk. Total and bioaccessible metal concentrations were found within the safe limits except for Cd, surpassing the State Environmental Protection Administration (SEPA) China limit in 9.5% of parks. Bioaccessible concentrations were higher in the gastric (G) phase than the intestinal (I) phase, while Cd showed more bioaccessibility compared to Pb. Bioaccessible concentrations reduced Hazard Quotient (HQing) values by 2-22 times and 0-2 times for children and adults, respectively, while hazard index (HI) declined by 1.7 times, and the mean total bioaccessible risk of Pb decreased by 20.8 times. Further, the study revealed a low level of contamination factor (CF < 1) and a low degree of contamination (CD < 6), and Potential Ecological Risk Index (PERI) values for all the cities were less than 150, indicating low ecological risk.

Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas.

BACKGROUND: Hospital waste management (HWM) practices are the core need to run a proper health care facility. This study encompasses the HWM practices in teaching hospitals of Peshawar, Pakistan and examine the enforcement of Pak HWM (2005) rules and risks through transmission of pathogens via blood fluids, air pollution during waste incineration and injuries occurring in conjunction with open burning and dumping. METHODS: A questionnaire based on World Health Organization (WHO) recommendations was used to survey the selected private and public teaching hospital (n = 16). Site visits and personnel observations were also included in the data. It was spatio-statistically analyzed using descriptive statistics, Krushkal-wallis and Fisher's exact tests. RESULTS: The findings revealed that the lack of HWM practices in all surveyed hospitals (p > 0.05), besides statistical difference (p < 0.017) in waste generation/day. No proper segregation of waste from generation point to final disposal was practiced. However, the performance of private teaching hospitals (50%) was found better in terms of HWM personnel and practices. In surveyed hospitals, only nine hospitals (56.3%) were found with the incinerator facility while rest of the hospitals (43.7%) practiced open dumping. Moreover, operational parameters of the incinerators were not found satisfactory and located in densely populated areas and emitting hazardous gases. CONCLUSION: Proper HWM practices are not being followed in the light of WHO guidelines. Hospital waste impose serious menace to healthcare workers and to nearby population. WHO issued documents for improving HWM practices but triggered no change in Pakistan. To improve the situation, insights in this context is need for enforcement of rules.

Association of Inflammatory Markers/Cytokines with Cardiovascular Risk Manifestation in Patients with Endometriosis.

This study is aimed at determining the association of inflammatory markers and proinflammatory cytokines with cardiovascular risk manifestation in women with endometriosis as compared to healthy controls. A total of 181 females of reproductive age with the absence of other inflammatory or autoimmune disorders and a lack of hormonal therapy for at least 6 months voluntarily participated in this investigation. Patients were 81 females, laparoscopically diagnosed with endometriosis, while the control group comprised 80 healthy females without any pelvic pathology. All subjects were 20-40 years of age. Exclusion criteria were diabetes, obesity, hypertension, metabolic diseases, cardiovascular, and renal disorders. C-reactive protein, fibrinogen, homocysteine, interleukin-17, and interleukin-33 were analyzed using commercially available ELISA kits. For statistical interpretation, the unpaired Student "t" test was used. All inflammatory markers and cytokines demonstrated elevated levels (P < 0.001) in endometriosis patients as compared to healthy controls. The results of the study revealed that the patients with endometriosis demonstrate a hypercoagulable status due to inflammation, which initiates atherosclerosis and associated complications. Hence, endometriosis can cause a risk of cardiovascular disorders in these patients.

Concentrations, dietary exposure, and human health risk assessment of heavy metals in market vegetables of Peshawar, Pakistan.

The present study was carried out to assess heavy metal concentrations in ready-to-eat vegetables (RTEs) collected from open markets. Samples of RTEs including lettuce, coriander, and carrot were collected from five different local markets of Peshawar, Pakistan including Industrial estate, Board, Agriculture University, Firdos, and Hashtnaghri on four different dates, i.e., 21st March, 04th April, 19th April, and 05th May, 2016. The samples were analyzed through atomic absorption spectrophotometer to see the amount of heavy metals present in them. The elements studied were cadmium (Cd), chromium (Cr), copper (Cu), nickel (Ni), and lead (Pb). Maximum Cd, Cr, Cu, Ni, and Pb concentrations in samples collected from different markets were 0.68, 5.28, 12.31, 7.61, and 25.04 mg kg-1, respectively, whereas maximum Cd, Cr, Cu, Ni, and Pb concentrations in RTEs collected at different dates were 0.59, 4.08, 14.85, 7.23, and 21.97 mg kg-1, respectively. The mean Cd, Cr, and Pb concentrations exceeded the permissible limits, while Cu and Ni were found within the limits set by FAO/WHO in all studied RTEs. The daily dietary intake and hazard quotient (HQ) showed great variations. The HQ was found > 1 for Pb in all studied vegetables, while it was < 1 for Cd, Cr, Cu, and Ni with few exceptions. It can be concluded from the study that heavy metal concentrations were above the permissible toxicity levels and their continuous consumption may cause several health issues.

Radiologic Improvement After Early Medical Intervention in Localised Facial Morphea.

We report the case of a young girl who presented with hemiparesis, seizures, and subtle features consistent with a linear form of facial morphea (en coup de sabre). She was treated with pulsed parenteral steroids and oral steroids and started on methotrexate. Magnetic resonance imaging results and neurologic problems improved after 6 months. Switching off inflammation early in the course of disease seemed to reverse some of the central nervous system changes. Assessment of children with unexplained hemiparesis and seizures should include careful examination of the face and scalp, looking for subtle signs of skin change and asymmetry. This is one of the few reported cases of neuroradiologic improvement after immunosuppressive treatment in a child with en coup de sabre.

Eventration of diaphragm in adults: eleven years experience.

BACKGROUND: Eventration of diaphragm is a congenital condition in which there is absence of muscle fibers in the diaphragm while maintaining all the anatomical attachments normally. Surgical treatment is warranted in symptomatic patients so as to reduce the abnormal ascent of diaphragm. The present study was conducted to analyse the perioperative outcome of thoracotomy in adult patients with diaphragmatic eventration. METHODS: This descriptive case series was carried out in Cardiothoracic Surgery-Unit, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan. Medical records of patients operated upon for eventration from June 2002 to June 2013 were reviewed. Patients of either gender, above 16 years who were operated for symptomatic eventrtaion were included in study. All the demographic data, presenting complaints, baseline and post-postoperative dyspnea grade, forced expiratory volume at 1 second (FEV1) and forced vital capacity (FVC) were recorded on predesigned pro forma and analysed using SPSS-16. RESULTS: A total of 38 adult patients underwent surgery for diaphragmatic eventration over the past 11 years in our unit out of which 29 (76%) were males and rest of 9 (24%) were females. Mean age of patients was 41.6±13.84 years. In 31 (81.5%) patients left side was involved. Majority of patients had a dyspnea grade-3 on presentation. Preoperative dyspnoea score (MRC), FEV1 and FVC values were 2.6±0.73, 63.5±13.3 and 67.2±14.6 respectively. Pre-operative and 6-months follow-up values of dyspnoea grade, FEV1 and FVC values showed statistically significant improvement. CONCLUSION: Our study showed that adult patients with symptomatic unilateral eventration of diaphragm significantly benefit from diaphragmmatic plication.

Performance analysis of high voltage disc insulators with different profiles in clean and polluted environments using flashover, withstand voltage tests and finite element analysis.

Severe pollution-induced flashovers on insulators present a pressing challenge to power system safety. The frequent failure of high-voltage insulators, particularly in the polluted environments of Pakistan, poses a critical concern. This paper investigates the impact of insulator profile on reducing pollution flashovers, testing two designs as per IEC standard 60383 and simulated using the Finite Element Method in COMSOL Multiphysics®. The test results revealed that deep under-ribs insulators exhibited a 5.008% reduction in flashover voltage, while alternating shed insulators experienced a 3.233% decrease in polluted conditions compared to clean conditions. Notably, under both clean and polluted conditions, alternating shed insulators consistently outperformed deep under-ribs insulators, with a 25.377% higher flashover voltage in clean conditions and a 27.400% superiority in polluted conditions. Computational analysis through the Finite Element Method in COMSOL Multiphysics shows a consistent pattern in potential distribution with increasing insulator count, but the presence of a pollution layer introduces spikes in the electric field distribution, validating experimental results. These findings highlight the superior performance of alternating shed insulators, especially in polluted environments.

Vermi-remediation impacts on growth and metals bioaccumulation in tomato irrigated with wastewater.

Due to their persistence in the environment, and their highly toxic and bioaccumulative nature, heavy metals are well known to the environment. Vermicompost has gained popularity because it improves soil properties and, most importantly, remediates and immobilizes heavy metals. The present study assessed vermicompost effects on heavy metal bioaccumulation in tomato plants irrigated with wastewater. A plastic bag experiment was carried out with 5 kg of growing media in each bag. Growing media contain garden soil with four levels of vermicompost mixed at 0%, 5%, 15%, and 25%. The pots were irrigated with wastewater from different industries and tap water, which was taken as control. Wastewater was collected from the pharmaceutical industry, plastic industry, and sewage water of Hayatabad Industrial Estate, Peshawar. Vermicompost application significantly affected all tomatoes' growth attributes and heavy metals concentration. Results revealed that minimum Cd (2.48 mg kg-1), Cr (1.27 mg kg-1), Cu (4.10 mg kg-1), and Pb (0.62 mg kg-1) concentrations were recorded in tomatoes cultivated in 25 % vermicompost amended soil, while, maximum Cd (5.23 mg kg-1), Cr (2.29 mg kg-1), Cu (8.84 mg kg-1) and Pb (2.18 mg kg-1) concentrations were reported in sewage water irrigated plants., Overall, vermicompost applied at 25% significantly enhanced plant growth and yield, reducing the bioavailability and bioaccumulation of heavy metals. From the finding of this study, it is observed that wastewater irrigation of plants should be avoided because of the high level of heavy metals; in contrast, the application of vermicompost is highly recommended as compost reduces heavy metals bioaccumulation and enhances productivity.

Potential Application Performance of Hydrochar from Kitchen Waste: Effects of Salt, Oil, Moisture, and pH.

The surge in kitchen waste production is causing food-borne disease epidemics and is a public health threat worldwide. Additionally, the effectiveness of conventional treatment approaches may be hampered by KW's high moisture, salt, and oil content. Hydrothermal carbonization (HTC) is a promising new technology to convert waste biomass into environmentally beneficial derivatives. This study used simulated KW to determine the efficacy of hydrothermal derivatives (hydrochar) with different salt and oil content, pH value, and solid-liquid ratio for the removal of cadmium (Cd) from water and identify their high heating value (HHV). The findings revealed that the kitchen waste hydrochar (KWHC) yield decreased with increasing oil content. When the water content in the hydrothermal system increased by 90%, the yield of KWHC decreased by 65.85%. The adsorption capacity of KWHC remained stable at different salinities. The KWHC produced in the acidic environment increases the removal efficiency of KWHC for Cd. The raw material was effectively transformed into a maximum HHV (30.01 MJ/kg). HTC is an effective and secure method for the resource utilization of KW based on the adsorption capacity and combustion characteristic indices of KWHC.

Temporal variation of the coupling relationship between methanogens and biogeochemical process in soil-microbes-rice system.

Microbial community were most resilient option for methane associated mitigation strategies. Biogas slurry provides plant nutrition and affects microbial community. However, little is known about the changes of the functional guilds (methanogen and methanotroph) in the geochemical context after addition biogas slurry. For this purpose, a pot experiment was conducted. Six treatment groups were included in this study, four with biogas slurry: water ratio (1:4, T02; 2:3, T04; 3:2, T06; 4:1, T08), one with a chemical fertilizer (F), and a control (CK). The effective tiller and biomass significantly increased by 1.9 times and 2.1 times in T02 relative to CK. The relative abundance of Bacteroidetes in the biogas slurry treatments was 31.5%, while that in CK was 11.4%. The dominant methanogens in CK, F and treatments were different at heading and mature stages. CK and F were hydrogenotrophs with relative abundance of 0.09% and 0.06%, and the treatment group was acetotrophs with mean value of 1.21% at heading stage. Compared with CK, the number of methanotrophs in the treatments at heading stage increased by 4.1 times, while that at mature increased by 10.3 times. The methanogenic community in the treatments may be shaped by the amount of biogas slurry applied rather than by biogeochemical processes at heading stage. Nevertheless, there may be existed synergistic interaction in the soil-microbes-rice system at mature stage. These findings may provide a better understanding of regulating soil respiration in agricultural land.

Dissolved organic matter (DOM) was detected in MSWI plant: An investigation of DOM and potential toxic elements variation in the bottom ash and fly ash.

The content of dissolved organic matter (DOM) and potentially toxic elements (PTEs) were investigated in the bottom ash (BA) and fly ash (FA) of different sections of the municipal solid waste incineration (MSWI) plant. BA and FA were collected from the dry (BA1-BA2), burn (BA3-BA4), and burn-out (BA5) sections of the grate incinerator; FA was collected after denitration (DNFA), and from the deacidification tower (FA1) and bag-type dust remover (FA2), respectively. The DOM concentration in BA was higher than that in FA, the highest concentration was in BA3 (556.18 mg/kg), while the lowest concentration was in DNFA (17.53 mg/kg). DOM in BA was mainly composed of protein-like, fulvic-like, tryptophan-like, and humic-like substances, of which humic-like substances accounted for more than 40%. DOM in FA consisted of tryptophan-like and humic-like substances, of which humic-like substances accounted for more than 80%. DOM still existed in BA which may be related to the incomplete combustion, and the influence of microbes, while DOM was increased in FA1, which might be due to the addition of lime slurry. PTEs were analyzed by the Tessier extraction method, Fe-Mn hydroxide-bound fraction of PTEs increased in FA1 in which DOM concentration (137.22 mg/kg) was 7.83 times that in DNFA. The increase of DOM may lead to a higher risk of PTEs in FA. FTIR results indicated that DOM can bond to PTEs in BA and FA. The contents of humus-like substances in DOM were positively correlated with the effective fraction of As, Cu, Pb, Cr, and Cd. This paper investigated the risk of DOM existing in BA and FA in MSWI plant, which can provide a new perspective on how to deal with BA and FA, and reduce their environmental risks.

Ecological circular agriculture: A case study evaluating biogas slurry applied to rice in two soils.

In the context of carbon peak, neutrality, and circular agricultural economy, the use of renewable resources from agricultural processing for plant cultivation still needs to be explored to clarify material flow and its ecological effects. Paddy-upland rotation is an effective agricultural strategy to improve soil quality. This study evaluated the effects of biogas slurry application against those of chemical fertilisers in these two typical Chinese cropping soils. The application of biogas slurry increased total carbon content in paddy soil by 73.4%, and that in upland soil by 65.8%. Conversely, application of chemical fertiliser reduced total carbon in both soil types. There were significant positive correlations between total carbon and Zn, Cu, and Pb in rice husks grown in paddy soil (R2 = 0.95, 0.996, 0.95; p < 0.05). The content of amylose in biogas slurry treatment of paddy soil increased by 35.9%, while that in upland soil decreased by 19.2%. After biogas slurry was applied, the contents of fulvic acid- and humic acid-like substances in paddy soil average increased by 40.9% and 45.6%, while the contents of protein-like components were enhanced by 46.8% in upland soil. This result was consistent with predictions of microbial community function. Microorganisms in paddy soil generally preferred carbon fixation, while those in upland soil preferred hydrocarbon degradation and chemoheterotrophy. Understanding the changes in soil carbon stock and microbial function after biogas slurry application will contribute to sustainable agricultural development and food security.

EVALUATION OF INFECTION PREVENTION AND CONTROL TRAINING WORKSHOPS USING KIRKPATRICK'S MODEL.

OBJECTIVES: To evaluate infection prevention and control (IPC) training workshops using Kirkpatrick model level 1 and 2 regarding satisfaction of trainees and improvement of their knowledge and skills. METHODS: A cross-sectional study was conducted on 353 healthcare workers from January 2020 to March 2020, at four hospitals in Islamabad, Pakistan. Training feedback questionnaires and pre and post tests were employed for data collection. The authors analyzed data using SPSS version 25. RESULTS: The majority (52%) of participants rated the trainings as "Excellent", 44% rated "Good" while 2% graded "Average". Pre and post-tests mean scores demonstrated statistically significant improvement in knowledge and skills (p< 0.001). CONCLUSION: The training workshops significantly improved healthcare workers' knowledge and skills regarding Infection Prevention and Control and earned high satisfaction scores from the trainees.

Dissolved organic carbon drives nutrient cycling via microbial community in paddy soil.

Microbial mediated iron cycling drives the biogeochemical cycling of carbon, nitrogen, sulfur, and phosphorus. However, the fate of the microbial community and the relative metabolic pathways in paddy soil after the addition of biogas slurry are poorly understood. In this study, the response of functional genes was investigated by growing one-season rice in paddy soils in a pot experiment. Seven treatments were prepared: 1) control (CK); 2) organic carbon (OC); 3) fertilizer (F); 4) 5% of biogas slurry (B05); 5) 10% of biogas slurry (B10); 6) 15% of biogas slurry (B15); 7) 20% of biogas slurry (B20). In the biogas slurry treatments, Geobacter increased more than in the other treatments during rice growth, which were structured by TOC. Particularly, in the B10 treatment, the relative abundance of Geobacter was 1.6 and 14.8 times higher than that of CK at the heading and mature stages, respectively. At the heading stage, the addition of biogas slurry and OC shifted the microbial phosphorus-transformation communities differently. There were no significant differences in the carbon, nitrogen, and sulfur metabolic pathways between the two treatments. At the mature stage, the carbon: nitrogen: phosphorus balance was significantly influenced by the regulation of functional gene expression and metabolic activities. These findings provide insight into the key factors affecting carbon, nitrogen, sulfur, phosphorus, and iron during rice growth after carbon inputs.

Maternal factors associated with intrauterine growth restriction.

BACKGROUND: Intrauterine growth restriction is a major neonatal health issue. Maternal factors have been found to have greater impact on IUGR. Studying these factors can help in reducing the mortality and morbidity associated with IUGR. METHODS: This case-control study was conducted at the department of Paediatrics Post-graduate medical institute Lady Reading Hospital Peshawar from March 2008-April 2009. Small-for-gestational age (SGA, i.e., IUGR cases and n = 200) live born babies were compared with appropriate-for-gestational age (AGA, i.e., controls and n = 200) babies. Information regarding socio-demographics of mothers, gestational age and birth weight of baby, maternal clinical characteristics, and medical and obstetric complications during pregnancy was recorded on a pre-designed proforma. Data analysis was done through SPSS-16. To find the maternal factors associated with the intrauterine growth restriction, multivariable logistic regression was used. We also did two different sets of logistic regression analysis for Symmetric and Asymmetric SGA babies as Cases. RESULTS: After adjusting for other variables in the multivariable model we found that the mothers of IUGR babies were of younger age (OR = 0.8, CI = 0.7-0.9), were poor (OR = 2.5, CI = 1.4-4.4) and underweight (OR = 3.5, CI = 1.1-5.7) and had anaemia (OR = 2.7, CI = 1.3-5.4) in the index pregnancy, and had history of Previous IUGR birth (OR = 9.7, CI = 3.3-18.3) and placenta previa (OR = 3.2, CI = 1.1-6.6). There was an interaction between pregnancy induced hypertension and parity of mother with a primary-para mother with pregnancy induced hypertension (PIH) having an increased risk for IUGR babies (OR = 10.1, CI = 1.0-23.2). CONCLUSION: The studied factors need special attention in hospital based settings in order to improve the perinatal outcome in IUGR babies.

Determination of Gender from Various Measurements of the Humerus.

Objective To study different measurements of the humerus for the determination of sex Study design A cross-sectional study Place and duration of study The Anatomy Department of Nishtar Medical University and Hospital from June 1, 2018, to May 31, 2019. Methodology Six measurements, including maximum length of the humerus (MLH), maximum diameter of the head of the humerus (MDH), vertical diameter of the head of the humerus (VDH), transverse diameter of the head of the humerus (TDH), epicondylar breadth (EB), and condylar breadth (CB) were calculated for 122 male humeri and 52 female humeri. These variables were compared between both genders using the student's t-test. Wilks' lambda test was applied. The demarking point of all these variables was defined as the average of the means of male and female measurements. Correctly identified cases were calculated in the male group, the female group, and the whole study group. Data analysis was done in SPSS v.23.0 (IBM Corp, Armonk, NY). P>0.05 was statistically insignificant. Results The differences of MLH, MDH, VDH, TDH, EB, and CB were statistically significant between both the genders (p<0.001). The accuracy of MLH was 85% in the total population. The accuracy of MDH, VDH, and TDH was 76%, 85%, and 76% in the total population, respectively. EB and CB correctly identified 75% and 78% of all the bones. Conclusion This study shows that maximum humeral length and the vertical diameter of the humeral head are the two most important measurements with the highest accuracy for the determination of gender from the skeletal remains of the human body in the South-East Asian population.