Reasons for Patient's Delay in Diagnosis of Breast Carcinoma in Pakistan

Memon, Zahid Ali,Shaikh, Anum Nizamuddin,Rizwan, Sundus,Sardar, Maimoona Batool Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.12

Background: Delay in diagnosis of breast cancer is associated with a poorer survival and a pivotal contribution to this delayed diagnosis comes from patient delay in presenting at a clinic. Reasons involved must be evaluated in order to decrease this reducible delay. Objectives: i) To evaluate the reasons for patient delay in diagnosis of breast cancer; ii) to investigate any association with other variables. Materials and Methods: A 6 month cross sectional study (from July 2012 to Dec 2012), was carried out in Surgical and Oncology Units of Civil Hospital, Karachi. A total of 100 females diagnosed with breast cancer of any histological type were interviewed after informed consent and relevant data were collected. Due ethical clearance was obtained. Results: Mean age was $47.5{\pm}12.1$ years with a range from 25-77 years. Mean duration of delay was $5.13{\pm}4.8$ months, from shortest 1 month to longest 36 months. Duration of delay was observed to be no delay (<1 month) in 28%, short delay (1-3 months) in 30% and long delay (>3 months) in 42% of patients. Considering the symptoms as "harmless" (39%) was the most frequent reason of delay followed by "temporary" (20%) and the "use of traditional methods" (12%). Most common reason for later approaches was an increase in the size of the lump (41%). Statistically significant association (p-value <0.05) of longer patient delay was obtained with being single, being illiterate, painless breast lump as the first symptom, negative family history of breast cancer and vague attribution of the symptoms. Conclusions: Significant delay in approach to health care facility was observed in our study due to variable reasons given by women. Sufficient awareness regarding breast cancer, its symptoms and favorable effects of a timely diagnosis on prognosis must be imparted to our general population.

Risk of Breast Cancer among Young Women and Importance of Early Screening

Memon, Zahid Ali,Kanwal, Noureen,Sami, Munam,Larik, Parsa Azam,Farooq, Mohammad Zain Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.17

Background: Breast cancer is the most common type of cancer in women throughout the world. However, in comparison with Western women, it presents relatively early in women of Asian ethnicity. Early menarche, late menopause, use of OCP's, family history of benign or malignant breast disease, exposure to radiation and BMI in the under-weight range are well known risk factors for the development of breast cancer in premenopausal women. Early detection with the use of breast self-examination (BSE) and breast cancer screening programs can lead to a reduction in the mortality rates due to breast cancer. The aim of our study was to assess the risk factors for breast cancer among young women and to emphasize the importance of early screening among them. Materials and Methods: We conducted a cross-sectional study among women aged 18 to 25 using a self-administered questionnaire. Data was collected over a period of 6 months from June to December, 2014. A total of 300 young women selected randomly from Dow Medical College and various departments of Karachi University successfully completed the survey. Results: Respondents were 18-25 years of age (mean age=21.5). Out of the 300 young females, 90 (30%) had at least one risk factor, 90 (30%) had two, 40 (13%) had three, 8 (2.7%) had four, 2 (0.7%) had five while one female was found to have six positive risk factors for breast cancer. Some 66 women (22%) experienced symptoms of breast cancer such as non-cyclical pain and lumps. While 222 women (74%) had never performed breast self-examination, 22 (7.3%) had had a breast examination done by a health professional while 32 (10.7%) had participated in breast screening programs. A total of 223 (74.3%) women considered breast cancer screening important for young women. Conclusions: The percentage of young women with risk factors for breast cancer was found to be alarmingly high. Therefore, screening for breast cancer should start at an early age especially in high risk groups. Awareness about breast self-examination should be emphasized. Moreover, screening programs should be started to ensure early detection and reduction of mortality rates caused by breast cancer also in young Pakistani females.

Clinical Presentation and Frequency of Risk Factors in Patients with Breast Carcinoma in Pakistan

Memon, Zahid Ali,Qurrat-ul-Ain, Qurrat-ul-Ain,Khan, Ruba,Raza, Natasha,Noor, Tooba Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.17

Background: Breast cancer is known to be one of the most prevalent cancers among women in both developing and developed countries. The incidence of breast cancer in Pakistan has increased dramatically within the last few years and is the second country after Israel in Asia to have highest proportional cases of breast cancer. However, there are limited data for breast cancer available in the literature from Pakistan. Objectives: The study was conducted to bring to light the common clinical presentation of breast cancer and to evaluate the frequency of established risk factors in breast carcinoma patients and furthermore to compare the findings between premenopausal and postmenopausal women in Pakistan. Materials and Methods: A 6 months (from July 2012 to Dec 2012) cross sectional survey was conducted in Surgical and Oncology Units of Civil Hospital, Karachi. Data were collected though a well developed questionnaire from 105 female patients diagnosed with carcinoma of breast and analyzed using SPSS version 17. Institutional ethical approval was obtained prior to data collection. Results: Out of 105 patients, 43 were premenopausal and 62 were postmenopausal, 99 being married. Mean age at diagnosis was $47.8{\pm}12.4years$. A painless lump was the most frequent symptom, notived by 77.1%(n=81). Some 55.2% (n=58) patients had a lump in the right breast and 44.8%(n=47) in the left breast. In the majority of cases, the lump was present in upper outer quadrant 41.9% (n=44). Mean period of delay from appearance of symptoms to consulting a doctor was $5.13{\pm}4.8months$, from the shortest 1 month to the longest 36 months. Long delay (> 3 months) was the most frequent figure 41.9%. Considering overall risk factors most frequent were first pregnancy after 20 years of age (41%), physical breast trauma (28.6%), lack of breast feeding(21.9%), and early menarche <11 years (19%), followed by null parity (16.2%), consumption of high fat diet (15.2%), family history of breast cancer or any other cancer in first degree relatives (9.5% and 13.3%, respectively). Some of the less common factors were late menopause >54 years (8.6%), use of oral contraceptive pills (10.5%), use of hormone replacement therapy (4.7%),smoking (4.7%) and radiation (0.96%). Significant differences (p<0.005) were observed between pre and post menopausal women regarding history of physical breast trauma, practice of breast feeding and parity. Conclusions: A painless lump was the most frequent clinical presentation noted. Overall age at first child > 20 years, physical breast trauma, lack of breast feeding, early menarche <11 were the most frequent risk factors. Physical breast trauma, lower parity, a trend for less breast feeding had more significant associations with pre-menopausal than post-menopausal onset. Increase opportunity of disease prevention can be obtained through better understanding of clinical presentation and risk factors important in the etiology of breast cancer.

Synthesis of solution processed f-CNT@Bi₂S₃ hybrid film coated linen fabric as a free-standing textile structured photo catalyst

Memon, Anam Ali,Arbab, Alvira Ayoub,Patil, Supriya A.,Mengal, Naveed,Sun, Kyung Chul,Sahito, Iftikhar Ali,Jeong, Sung Hoon,Kim, Hak Sung Elsevier 2018 Applied catalysis. A, General Vol.566 No.-

<P><B>Abstract</B></P> <P>A unique metallic carbon hybrid film, synthesized with synchronized distribution of bismuth sulfide (Bi<SUB>2</SUB>S<SUB>3</SUB>) and exfoliated multiwall carbon nanotubes (MWCNTs), has been proposed for use as freestanding textile electrodes in photo catalysts. The defect-rich morphology of Bi<SUB>2</SUB>S<SUB>3</SUB> nanowire decorated MWCNT hybrid enhances the photocatalytic activity, electronic properties, cyclic stability, and electron pathways. The proposed f-CNT@Bi<SUB>2</SUB>S<SUB>3</SUB>-hybrid linen fabric electrode demonstrated a defect-rich morphology synchronized with high electrical conductivity. These properties greatly enhanced the photocatalytic activity and electron transfer. The high photocatalytic activity is attributed to the synergistic effect of the high electron affinity of MWCNTs and the structural distortion caused by Bi<SUB>2</SUB>S<SUB>3</SUB> nanowires. Degradation of methylene blue dye was accelerated owing to the elevated activity of Bi<SUB>2</SUB>S<SUB>3</SUB> nanowires, which provides fast absorption of contaminants and reduction of oxidative species. Our proposed system of metallic carbon freestanding textile electrode opens the broad applications of textile-based photochemical devices.</P> <P><B>Highlights</B></P> <P> <UL> <LI> A flexible and highly conductive linen fabric is fabricated. </LI> <LI> The fabric is coated with carbon metallic films by doctor blade technique. </LI> <LI> The electrode is durable and highly photocatalytic active. </LI> <LI> The electrode is stable at various bending positions, against water and electrolyte. </LI> <LI> The surface resistance of the carbon metallic films coated fabric is only 19 Ω sq<SUP>−1</SUP>. </LI> </UL> </P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>

Synthesis of highly photo-catalytic and electro-catalytic active textile structured carbon electrode and its application in DSSCs

Memon, Anam Ali,Arbab, Alvira Ayoub,Sahito, Iftikhar Ali,Sun, Kyung Chul,Mengal, Naveed,Jeong, Sung Hoon Elsevier 2017 SOLAR ENERGY -PHOENIX ARIZONA THEN NEW YORK- Vol.150 No.-

<P><B>Abstract</B></P> <P>Due to the growing need of portable smart devices, textile based solar cells have gained widespread attention in the field of wearable electronics. Here, we have demonstrated facile fabrication of metal free DSSCs by printing cotton, polyester and linen fabric counter electrodes with highly photo catalytic and electro catalytic active mesoporous carbon composite composed of highly conductive acid functionalized multi-walled carbon nanotubes decorated with mesoporous activated charcoal. Different mesoporous carbon structures were formulated by varying the concentration of activated charcoal intercalated in the acid functionalized MWCNT matrix. The mesoporous carbon composite with high level of porosity and oxygen rich surface exhibits low charge transfer resistance and excellent electro-catalytic activity for the reduction of tri-iodide ions. The mesoporous carbon composite exhibited 52% higher photo catalytic activity than the acid modified MWCNT. Besides that, in-depth comparison was carried out in between different kinds of textile fabrics coated with the carbon composite. The slight variation in the microporous structures and surface characteristics of cotton, polyester and linen fabrics led to marginal difference in the electrochemical and photovoltaic performance of DSSCs. High mobility of gel electrolyte within the porous structure of mesoporous carbon and textile fabrics assembly demonstrated low R<SUB>CT</SUB> of 0.82Ω, 0.77Ω and 1.37Ω for cotton, polyester and linen respectively. The obtained photovoltaic conversion efficiency of cotton, polyester and linen based DSSCs using gel electrolyte were 6.06%, 6.26% and 5.80% respectively. The suggested TCO and Pt free DSSC assemblies paved a way to the facile fabrication of textile based DSSC.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Photocatalytic and conductive textile counter electrodes (CEs) were synthesized. </LI> <LI> Cotton, Polyester and Linen fabrics were used as CEs substrate. </LI> <LI> CEs were coated with mesoporous Activated Charcoal intercalated carbon composites. </LI> <LI> Flexible CEs showed a very low charge transfer resistance of 0.77Ω. </LI> <LI> Flexible CEs exhibited a highest conversion efficiency of 6.26%. </LI> </UL> </P>

Look-up Data Tables-Based Modeling of Switched Reluctance Machine and Experimental Validation of the Static Torque with Statistical Analysis

Ali Asghar Memon,Muhammad Mujtaba Shaikh,Syed Sabir Hussain Bukhari,Jong-Suk Ro 한국자기학회 2020 Journal of Magnetics Vol.25 No.2

The look-up data-based modeling of switched reluctance machine and the procedure of validation of experimentally obtained static torque with statistical analysis is presented in this paper. First, the experimental setup for data collection of flux linkage and static torque is established and data is collected at an unequally spaced current and rotor position so that computation of instantaneous phase current and torque can be achieved. Second, the experimental data of static torque is compared with computed data. The computation is done in MATLAB software. Third, for numerical simulations, finite difference approximations and numerical integration schemes are used to compute co-energy and static torque profiles, respectively. The comparison is carried out in terms of different statistical parameters, including absolute and relative error distributions of the measured and computed torque profiles. A correlational study, to observe the extent to which both profiles exhibit a similar trend is also carried out. Finally, the influence of computed torque is carefully analyzed by running machine in single pulse mode and current chopping mode separately. The comparison with experimental data and the statistical analysis of results show the time efficiency, accuracy, and validity of the numerically simulated torque profiles.

A Visualization Based Analysis on Dynamic Bandwidth Allocation Algorithms for Optical Networks

Kamran Ali Memon,Khalid Husain Mohmadani,Saleemullah Memon,Muhammad Abbas,Noor ul Ain International Journal of Computer ScienceNetwork S 2023 International journal of computer science and netw Vol.23 No.8

Dynamic Bandwidth Allocation (DBA) methods in telecommunication network & systems have emerged with mechanisms for sharing limited resources in a rapidly growing number of users in today's access networks. Since the DBA research trends are incredibly fast-changing literature where almost every day new areas and terms continue to emerge. Co - citation analysis offers a significant support to researchers to distinguish intellectual bases and potentially leading edges of a specific field. We present the visualization based analysis for DBA algorithms in telecommunication field using mainstream co-citation analysis tool-CiteSpace and web of science (WoS) analysis. Research records for the period of decade (2009-2018) for this analysis are sought from WoS. The visualization results identify the most influential DBA algorithms research studies, journals, major countries, institutions, and researchers, and indicate the intellectual bases and focus entirely on DBA algorithms in the literature, offering guidance to interested researchers on more study of DBA algorithms.

Facile fabrication and comparative exploration of high cut resistant woven and knitted composite fabrics using Kevlar and polyethylene

Anam Ali Memon,Mazhar H. Peerzada,Iftikhar Ali Sahito,Sadaf Abbassi,정성훈 한국의류학회 2018 Fashion and Textiles Vol.5 No.1

Composite materials offer a number of distinct advantages in a wide range of low and high technology engineering applications. Considering the fact, in this study, a facile fabrication method of highly cut resistant composite fabrics using Kevlar and polyethylene is reported. 100% Kevlar, 100% Polyethylene and 50% Kevlar/50% Polyethylene composite fabrics are fabricated by weaving and knitting techniques. These fabrics were tested for cut index, abrasion, and puncture resistance for comparative exploration. Owing to higher mechanical strength and greater number of interlacements; the woven fabrics demonstrated twice cut resistance in contrast to knitted fabrics. The surface morphology of deformed samples investigated by Scanning Electron Microscopy (SEM) also proved that the woven fabrics of all types offered much resistance towards cutting than the knitted fabrics. Moreover, it is found that greater thickness of fabrics leads to intensification of the cut resistance. Furthermore, the effect of fiber type on cut resistant property of the fabrics was also measured and it was found that the composite fabric exhibited double cut resistance than 100% Kevlar and 100% Polyethylene fabrics. The 50% Kevlar/50% Polyethylene composite woven fabric resisted up to 35 consecutive strokes of sharp steel cutter whereas the knitted fabric completely torn apart at 20 strokes only. Thus, the as synthesized 50% Kevlar/50% Polyethylene composite woven fabric exhibiting superior cut resistance property offer a judicious choice for the preparation of efficient cut resistant fabric for industrial and domestic applications.

Initiation, proliferation, and improvement of a micropropagation system for mass clonal production of banana through shoot-tip culture

Allah Jurio Khaskheli,Muharam Ali,Syad Zakir Hussain Shah,Zohra Fatima Memon,Saleem Awan,Muhammad Ibrahim Khaskheli,Mohsin Ali Khaskheli,Bilqees Magsi,Zareen Qambrani,Asad Ali Khaskheli 한국식물생명공학회 2021 JOURNAL OF PLANT BIOTECHNOLOGY Vol.48 No.2

The present study aimed to evaluate the initiation, proliferation potential, and mass clonal production ability of a micropropagation system for banana through tissue culture. A total of 60 explants were cultured on basal media supplemented with various concentrations of BAP and NAA. Banana plants regenerated on MS basal medium (control) without the addition of BAP + NAA showed a significantly (P < 0.05) lower survival rate with no signs of shoots up to the end of the experimental period. The results further revealed that the performance in MSS-XI medium was almost 89%, followed by MSS-IX and MSS-X media, both of which showed performance up to 88%. In contrast, the performance in the MSS-XVI medium was less than 60%, at the less duration of time and highly shoot induction detected at MSS-XIII medium. The maximum number of shoots (4.9) was observed in the medium supplemented with growth adjuster MSS-XI, followed by the MSS-XII medium (4.5). Surprisingly, the best performance was observed for the MSR-VII medium approximately 16 days after initiation, while the lowest performance was observed with MSR-XI (approximately 31 days). The maximum rooting percentage (98%) was observed in the MSR-V to MSR-VIII media (98%), while the minimum rooting percentage was observed in MSR-XI (approximately 45%)

An evidence for an organic N-doped multiwall carbon nanotube heterostructure and its superior electrocatalytic properties for promising dye-sensitized solar cells

Arbab, Alvira Ayoub,Memon, Anam Ali,Sahito, Iftikhar Ali,Mengal, Naveed,Sun, Kyung Chul,Ali, Mumtaz,Jeong, Sung Hoon The Royal Society of Chemistry 2018 Journal of materials chemistry. A, Materials for e Vol.6 No.18

<P>A novel organic heteroatom doping technique is proposed for the synthesis of N-doped multiwall carbon nanotube (MWCNT) heterostructures. The approach involves the effective doping of MWCNTs with nitrogen <I>via</I> a cationised bovine serum albumin (cBSA) protein complex. The cationization of BSA releases an exceptional number of activated nitrogen species present in localized amino groups, which are further embedded into the MWCNT framework. The amino groups present in BSA act as nitrogen donors and surface stabilizing agents to generate a highly conductive and functionalized carbon heterostructure. The doped nitrogen was present in the form of pyridinic and pyrrolic states, as evidenced by XPS analysis. Organic N-doped MWCNTs with predominant pyridinic N atoms displayed superior charge transfer (<I>R</I>CT = 0.06 Ω) owing to their superior electrocatalytic activity. A DSSC fabricated with organic N-doped MWCNT heterostructures exhibited a high conversion efficiency of 9.55%, which was similar to that of a Pt cathode, with an efficiency of 9.89%. The superior electrochemical performance of organic N-doped MWCNT heterostructures is due to the high charge polarization arising from the difference in electronegativity between nitrogen and carbon as well as the structural strain caused by the cationic BSA protein complex. Our proposed system provides new routes for the synthesis of organic heteroatom-doped nanomaterials for promising energy storage devices.</P>