CORRELATION OF MYOFASCIAL TRIGGER POINTS WITH UPPER LIMB DISABILITY IN POST MASTECTOMY FEMALES IN PAKISTAN

Aims of Study: The objective was to correlate myofascial trigger points and upper limb disability in post-mastectomy females. Methodology: This six-month duration study included 45 participants aged 18 or older, using non-probability convenience sampling, who had undergone mastectomy at least six months prior. Numeric pain rating scale, Simon’s trigger point criteria and a disability questionnaire were used to assess disease complications. Results: A study involving 45 female participants (mean age 42.8±6.754) found that 33.3% had mild pain, 55.6% had moderate pain, and 11.1% had severe pain. Additionally, 46.7% had mild disability and 53.3% had moderate disability. There was a significant correlation between myofascial trigger points and upper extremity disability. Limitations and Future Implication: The limitations include the small sample size used in study and limited generalization of findings due to cultural and contextual factors. Further research is needed to explore interventions and understand the long-term impact of myofascial trigger points on upper limb function. Originality: This research is original in its focus on the correlation between myofascial trigger points and post-mastectomy upper limb disability. Conclusion: This study concluded that there is a highly significant relation between trigger points in muscles and disability of upper extremity in female patients after mastectomy.

Effect of Mixed Industrial Wastewater on Soil, Tree Biomass Production and Trace Metal Uptake

Although the agricultural use of wastewater raises some environmental and human health concerns, irrigation with wastewater is usually carried out by smallholders in dry areas. The present study reports on the physiological effect of several dilutions of the raw wastewater of the Hudiara drain on Dalbergia sissoo and Eucalyptus camaldulensis plants. Six-month old seedlings were established in pots and irrigated for 18 months with: tap water (control, T 0 ); 25% wastewater (T 1 ); 50% wastewater (T 2 ); 75% wastewater (T 3 ); and 100% wastewater (T 4 ). Results showed that the plant growth parameters decreased as the percent of wastewater increased. At T 4 the shoot length, number of leaves, leaf fresh weight, and leaf oven dry weight were reduced by 17%, 72%, 72%, and 70% in Dalbergia sisoo and 5%, 17%, 23%, and 29% in Eucalyptus camaldulensis plants respectively, compared to the control (T 0 ). The content of chlorophyll a, chlorophyll b and total chlorophyll increased in Dalbergia sissoo plants treated with wastewater at 25%, but decreased in the T 2 , T 3 , and T 4 treatments. Whereas chlorophyll a, chlorophyll b and total chlorophyll increased up to T 2 in E. camaldulensis, in treated pots beyond that percentage, a decline in chlorophyll was observed. As the percentage of wastewater in the treatments increased, the accumulation of Na, Cd and Cr in tissues increased, while the concentration of K, P, Mg, and Fe decreased. Similarly, Eucalyptus camaldulensis and Dalbergia sissoo plants were irrigated with synthetic wastewater containing Cd and Cr for 18 months. Treatments were T 0 = Tap water (control); T 1 = 0.05+1.0 mg L -1 conc. of Cd(II)+ Cr(VI); T 2 = 0.10+2.0 mg L -1 conc. of Cd(II)+ Cr(VI); T 3 = 0.20+4.0 mg L -1 conc. of Cd(II)+ Cr(VI) and T 4 = 0.40+8.0 mg L -1 conc. of Cd(II)+ Cr(VI). Results showed that plants at T 1 grew more compared to the control, but beyond that level, a gradual decline in growth was recorded with a maximum reduction in T 4 treated plants. Cd and Cr accumulation in tissues increased (roots>shoot>leaves) as external metal concentration increased, while nutrient accumulation (K, P, Mg, Fe) and chlorophyll content declined. However, the application of synthetic wastewater containing various concentrations (0, 10, 20, 40 and 80 mg L -1 ) of Cd and Cr on the growth of Dalbergia sissoo at the seedling stage for four weeks under controlled conditions in a growthii chamber (300 μmol m -2 s -1 of photosynthetically active radiation with 16:8 hours photoperiod) revealed a decline in growth after 10 mg L -1 and 40 mg L -1 for Cr and Cd, respectively. A combined application of Cd and Cr wastewater showed a growth reduction at doses above 20 mg L -1 . Results showed that Cr was more toxic to Dalbergia sissoo plants at the seedling stage than Cd. The present study suggests that wastewater from the Hudiara drain diluted to 25% and 50% with tap water is a feasible option for the growth of D. sissoo and E. camaldulensis plants in Lahore, Pakistan. A phytosociological survey using the Braun-Blanquet’s approach was undertaken to investigate the influence of the Hudiara drain wastewater on the surrounding vegetation. Multivariate analysis of vegetation data classified the vegetation into two major communities including, Cynodon dactylon and Boerhaavia diffusa, and Parthenium hysterphorus and Xanthium strumarium groups. The fervent growth of these species designated the area as wasteland. The patterns of floral diversity exhibited considerable variation. Canonical Correspondence Analysis (CCA) revealed that the distribution of vegetation correlates with environmental variables, but their role in the grouping of species was not significant. However, soil EC played a role in the grouping of Stellaria media and Fagonia cretic. Similarly, some species, namely Riccinus communis, Boerhaavia diffusa and Phragmites karka showed a correlation with Fe and Cr respectively, suggesting Phragmites karka as a suitable candidate for chromium contaminated sites.