Twenty-nine species belonging to twenty-one genera representatives of six tribes viz., Smerinthini, Sphingulini, Acherontiini, Dilophonotini, Macroglossini, and Choerocampini of three subfamilies viz., Smerinthinae, Sphinginae and Macroglossinae of the family Sphingidae with fifteen newly recorded species from different areas of Pakistan and Azad Kashmir are described in detail with special reference to their head, wing venations, fore and hind wings and male and female genital complex where available. In subfamily Smerinthinae, two tribes, the tribe Smerinthini includes seven genera with seven species viz. Smerinthus kindermannnii Lederer, Marumba dyras Walker, Sataspes infernalis Westwood, Leucophlebia lineata Westwood, Clanis deucalion Walker, Clanidopsis exausta Butler, and Polyptychus dentatus Cramer, In tribe Sphingulini only one genus and one species presented, Dolbina grisea Staudinger. The second subfamily Sphinginae includes only one tribe Acherontiini, with two genera, Agrius and Acherontia. In the genus Acherontia two species included A. lachesis (Fabricius), and A. styx Westwood, while in genus Agrius only one species Agrius convolvuli (Linnaeus), presented. The third subfamily Macroglossinae contains three tribes with eleven genera and eighteen species. In five genera having one species of each, Cephonodes hylas (Linnaeus), Nephele hespera (Fabricius), Daphnis nerii (Linnaeus), Gnathothlibus erotus (Cramer), and Pergesa acteus (Cramer). In remaining six genera, Macroglossum with three species M. belis (Linnaeus),M. nycteris Kollar, and M. stellatarum (Linnaeus), Acosmeryx with two species A. anceus Rothschild & Jordan, A.sericeus (Walker), Deilephila with two species D. elepenor (Linnaeus), D. rivularis (Biosduval), Hyles with two species Hyles gallii (Von Rottemburg), Hyles livornica (Esper), Hippotion with two species Hippotion celerio (Linnaeus), Hippotion rosetta (Swinhoe), Theretra with also two species Theretra alecto (Linnaeus),and Theretra oldenlandiae (Fabricius). All the taxa including new records are compared with their closest allies and a key to the subfamilies, genera and species are formulated on the basis of reliable characters, which help readily identify the taxa. The cladistic analysis of the representatives of the family Sphingidae is also attempted using their apomorphic characters. The biodiversity of all the included taxa is also discussed and a map of Pakistan is given to show the distributional range and diversity of the above taxa.
During Zulfiqar Ali Bhutto's term as Prime Minister, the law and order situation deteriorated throughout the country in general, and in the provinces of NorthWest Frontier Province (now Khyber Pakhtunkhwa) and Balochistan in particular. For multiple reasons, the mutual distrust between Zulfiqar Ali Bhutto and the political leaders of the respective provinces never allowed them to overcome their personal and party interests and establish a harmonious working relationship. Accusations of conspiracy, worsening law and order, and political assassinations, were the dilemmas that agitated the whole country. One of the victims of the political assassination was Hayat Muhammad Khan Sherpao, a leading activist of the Pakistan People's Party and former Governor of Khyber Pakhtunkhwa. The incident of his murder commenced the series of legal disputes and cases of treason filed against the opposition leaders in courts and tribunals, which marred the political scenario of the country till the very end of the Bhutto era. The lack of research on political assassinations in Pakistan is a crucial oversight, especially considering the frequency of the phenomenon and its implications. This study attempts to highlight the main theoretical and political implications of assassinations and identifies some promising directions for further research, in the hope that this unique type of political violence will be better understood in the future.
Background: Head injury is the most common cause of childhood morbidity and mortality worldwide. Mild head injury comprises 90% of cases of head injury in children. Head CT scans are few, expensive and have the side effect of ionizing radiation whose effect is potentiated in children and also associated risk of sedation that is often required when doing CT scans in young children. The decision to order CT scans of the head is thus made on the basis of clinical decision rules of which the PECARN CT head rule has been found to be most sensitive and useful.
Objectives: Primary: To determine the proportion of head CT scans done for children with mild head injury after the introduction of PECARN head CT rules compared to the period before.
Secondary: To determine disposition of patients from casualty after introduction of the PECARN head CT rules as compared to the period before and to determine the probability of neurosurgical intervention in patients under 18 years with mild head injury at AKUH (N).
Methodology: Study design: A before and after quasi experimental study with a study population including all children under 18 years presenting to the AKUH (N) with mild head injury and a Glasgow coma scale of 14 and above on presentation. Sample size was 85
Results: A total of 42 patients files were analyzed in the before study while 43 patients were selected for the after study. The median age was 5 years. The proportion of head CT scans reduced from 56% in the before group to 33% in the after group with no missed clinically significant traumatic brain injury. More patients were discharged home after evaluation in the after group (81%) than in the before group (58%).
Conclusions: The number of head CT scans ordered for children with mild head injury reduced after the introduction of the PECARN head CT rule, without missing any clinically significant traumatic brain injury.