Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?

Transfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (though infrequent) adverse affects. Transradial route has taken the interventional cardiology domain by storm and is staring now at other vascular domains especially neurointervention. It has shown better outcomes than the transfemoral route in many aspects. The current article discusses the vascular access perspectives with an exhaustive overview of the transradial route concerning its historical perspectives, its requirement in the current clinical scenario, the procedure per se including the adverse effects and whether it has the real world charm to displace the transfemoral route into the backseat. Transradial access in neurointervention is here to stay, however it would require training, certain modifications in the standard catheters that one currently uses for cerebral procedures and constant practice by the operator to cross the learning curve and attain a certain level of competence before he becomes comfortable with the technique.

Protective Effects of Edible Plants against Nicotine Induced Reproductive Toxicity –A Review

Numerous examinations have announced that the Nicotine present in tobacco smoke adverse affects sperm parameters, fundamental plasma, and different other richness factors. These harms are because of the natural finding that smoking expands the degree of free radicals, consequently bringing about oxidative pressure. Accordingly, an increment of free radicals, DNA harm and lipid peroxidation in human sperm may happen to bring about impedance of sperm quality. nicotine organization in trial creatures was initiate to influence spermatogenesis, epididymal sperm count, motility and treating capability of sperms. Huge quantities of restorative herbs have been recorded in siddha framework that improve spermatogenesis and increment the nature of sperm. The present review gives an outline on the relationship between male richness incited by nicotine and defensive impacts of different natural plants on it. The paper additionally features the dynamic, common standards, and rough concentrates of plants, which have been valuable in improving nicotine instigated testicular harms and supportive in spermatogenesis and multiplication. Despite the fact that the discoveries of this survey propose numerous herbs are extremely viable against nicotine actuated male barrenness still increasingly clinical preliminaries are prescribed to show their viability on nicotine instigated male infertility

LEGAL ASPECTS OF PROTECTION AND RATIONAL USE OF LANDS IN THE REPUBLIC OF TAJIKISTAN

The article focuses on the legal aspects underlying protection and rational use of lands in the Republic of Tajikistan. Subject to analysis are ways of perfection of legal instruments with a view to protection and rational use of lands. The author describes the dehkan (farmer) state of affairs as characterized by the existence of small plots of land which were inefficient in terms of their use and economy. In order to do away with such a situation the legislators of the Republic of Tajikistan suggested to set the minimum size of land plots to be allocated for agricultural purposes. Sanction alone would not prevent irrational land use and adverse affects thereof. For, the objective of rational use and protection of land can be achieved through economic incentives of farmersstakeholders. Particularly, to get the land users interested in exploitation of unused land and make them willing to invest into agricultural development of said lands they should be given these plots and be freed from taxes for the period of first few years.

Determinants of Employees Intention to Leave: A Study from Pakistan

In Organizations productivity is a very important issue. There are several factors that determine productivity of an organization. Nowadays Employee turnover is one of those who are considered to be one of the difficult issues in business. The effect of intension to leave has received huge attention from top management(senior executives), human resource professionals and other industrial psychologists has proven it to be one of the most costly and apparently difficult human resource challenges faced globally by different organizations in the whole world. The main purpose of this research is to discover the real causes behind the turnover and its harmful effects on the productivity of many industries. We (the authors) of this document have studied and visited numerous local organizations in both government and private sectors in Bahawalpur, Punjab, Pakistan, and observed the causes of turnover. The real aim of this research paper was to discover the existing reasons of turnover, adverse affects, and possible results that could be useful for their productivity and market shares for local industries.

WARFARIN VS ASPIRIN;

Objectives: to determine the patient compliance with the use of blood thinners.Design: Randomized controlled trial comparing the use of warfarin and aspirin. Setting: Farooqteaching hospital Lahore, Fatima Memorial Teaching Hospital, Lahore and Allied teachinghospital Faisalabad. Period: October 2012 to March 2013. Results: Warfarin is a better drug interms of patient compliance as compared to aspirin. Conclusion: Warfarin is actively used incardiovascular problems and is well tolerated by the patients as compared to aspirin which is alsowidely used but the incidence of adverse affects limits its use.

Mobile Communication and its Adverse Effects

Mobile phone became almost essential part of daily life for all generation of people. It functions with the help of transmission of electromagnetic waves from towers to the cell phones in the micro wave frequency region. The energy carried by the waves is not only useful for mobile communication but also produce adverse affects on the users' health as well as to all living beings which are in the radiation area. The paper aims to discuss some of the possible dark side of health concern by the usage of cell phone and radiation from the towers. It also aims to suggest the possible remedies to minimize the health problems.The Himalayan Physics Vol. 4, No. 4, 2013 Page: 51-59 Uploaded date: 12/23/2013

Modeling Study Incorporating Depth-Dependent Transverse Reinforcement due to Variation in Collagen Lamellae Interweaving in Corneal Tissue

The cornea is crucial for maintaining refraction and focusing ability of the eye. Small alterations in mechanical behavior of the tissue can cause changes in curvature and structure of the cornea, having adverse affects on visual acuity. Since the corneal stroma makes up 90% of corneal thickness and contains a majority of the tissue’s collagen content, it is considered the dominant contributor to the tissue’s mechanical strength and stiffness, which originates from a complex fiber-reinforced structure [1]. It has been shown that collagen lamellae (comprised of type I collagen fibrils) within a dense, proteoglycan-rich matrix, are highly interwoven in the anterior third of the cornea and the degree of interweaving decreases significantly through the thickness with relatively no interweaving observed in the posterior third [1]. The interwoven structure also varies within the plane of the tissue, gradually increasing from a planar arrangement in the central cornea to a highly interwoven arrangement near the limbus [2].