Ul Hassan

Background: Cervical dystonia (CD) is a chronic neurological disorder characterized by involuntary neck muscle contractions, leading to abnormal head postures, pain, and functional impairment. Botulinum toxin type A (BoNT-A) remains the treatment of choice, but its efficacy is highly dependent on injection accuracy. Various techniques, including palpation-guided, ultrasound-guided, and electromyography-guided (EMG), have been developed to optimize delivery, each with distinct advantages and limitations. Methods: A systematic search of PubMed and Scopus was conducted up until December 30, 2024, using defined keywords related to BoNT-A, CD, and injection techniques. Studies were included if they reported clinical outcomes of BoNT-A injection methods in adult CD patients. Data on efficacy, safety, accuracy, and muscle targeting were extracted and synthesized. Results: Seven studies comprising 239 patients were included: two randomized controlled trials, one retrospective study, one cohort study, one systematic review, one literature review, and one cadaveric study. The most common CD subtype was torticollis/torticaput (49.79%). Frequently targeted muscles included the trapezius (56.9%), levator scapulae (51.7%), and splenius capitis (48.3%). Ultrasound guidance consistently demonstrated superior injection accuracy and reduced adverse effects due to real-time anatomical visualization. EMG-guided techniques showed advantages in identifying dystonic muscles, especially when anatomy was unclear. In contrast, palpation-guided injections were less accurate and suitable only for superficial muscles. Dosing varied by product, with mean doses of 117–118 units for onabotulinumtoxinA and incobotulinumtoxinA, and 405 units for abobotulinumtoxinA. Adverse events were generally mild, including local discomfort, dysphagia, and transient muscle weakness. Conclusions: Ultrasound- and EMG-guided injections enhance the precision, safety, and efficacy of BoNT-A therapy for CD compared to anatomy-guided techniques. While ultrasound guidance improves anatomical accuracy, EMG remains valuable for functionally identifying dystonic muscles. Integration of both may offer optimal outcomes. However, further high-quality, standardized trials are needed to definitively establish best practices.

This study focuses on the analysis of soliton solutions within the framework of the time-fractional cubic–quintic nonlinear Schrödinger equation (TFCQ-NLSE), a powerful model with broad applications in complex physical phenomena such as fiber optic communications, nonlinear optics, optical signal processing, and laser–tissue interactions in medical science. The nonlinear effects exhibited by the model—such as self-focusing, self-phase modulation, and wave mixing—are influenced by the combined impact of the cubic and quintic nonlinear terms. To explore the dynamics of this model, we apply a robust analytical technique known as the sub-ODE method, which reveals a diverse range of soliton structures and offers deep insight into laser pulse interactions. The investigation yields a rich set of explicit soliton solutions, including hyperbolic, rational, singular, bright, Jacobian elliptic, Weierstrass elliptic, and periodic solutions. These waveforms have significant real-world relevance: bright solitons are employed in fiber optic communications for distortion-free long-distance data transmission, while both bright and dark solitons are used in nonlinear optics to study light behavior in media with intensity-dependent refractive indices. Solitons also contribute to advancements in quantum technologies, precision measurement, and fiber laser systems, where hyperbolic and periodic solitons facilitate stable, high-intensity pulse generation. Additionally, in nonlinear acoustics, solitons describe wave propagation in media where amplitude influences wave speed. Overall, this work highlights the theoretical depth and practical utility of soliton dynamics in fractional nonlinear systems.

Arid and semi-arid regions show distinctive bacterial groups important for the sustainability of ecosystems and soil health. This study aims to investigate how environmental factors across five Qatari soils influence the taxonomic composition of bacterial communities and their predicted functional roles using 16S rRNA amplicon sequencing and soil chemical analysis. Soil samples from five different locations in Qatar (three coastal and two inland) identified 26 bacterial phyla, which were dominated by Actinomycetota (35–43%), Pseudomonadota (12–16%), and Acidobacteriota (4–13%). Species-level analysis discovered taxa such as Rubrobacter tropicus, Longimicrobium terrae, Gaiella occulta, Kallotenue papyrolyticum, and Sphingomonas jaspsi, suggesting the presence of possible novel microbial families. The functional predictions showed development in pathways related to amino acid metabolism, carbohydrate metabolism, and stress tolerance. In addition, heavy-metal-related taxa, which are known to harbor genes for metal resistance mechanisms including efflux pumps, metal chelation, and oxidative stress tolerance. The presence of Streptomyces, Pseudomonas, and Bacillus highlights their roles in stress tolerance, biodegradation, and metabolite production. These findings improve the understanding of microbial roles in dry soils, especially in nutrient cycling and ecosystem resilience. They highlight the importance of local bacteria for sustaining desert soil functions. Further research is needed to validate these relationships, using metabolomic approaches while monitoring microbial-community-changing aspects under fluctuating environmental conditions.

The incorporation of Camelina sativa and its by-products (oil, meal, seeds, and expellers) into ruminant diets improves feed efficiency and reduces environmental impacts. This systematic review and meta-analysis, conducted in line with PRISMA guidelines, identified 79 studies, of which 8 met strict inclusion criteria, yielding 23 comparisons. Data were analyzed using random-effects models in R with additional meta-regression and sensitivity analyses. Camelina supplementation significantly reduced dry matter intake (DMI; MD = −0.63 kg/day, p = 0.0188) with high heterogeneity (I2 = 98.6%), largely attributable to product type and dosage. Although the pooled effect on daily milk yield was non-significant (MD = −1.11 kg/day, p = 0.1922), meta-regression revealed a significant positive dose–response relationship (β = 0.3981, p < 0.0001), indicating higher milk yield at greater Camelina inclusion levels. Camelina oil and its mixtures reduced rumen pH and methane emissions, consistent with polyunsaturated fatty acid (PUFA)-mediated suppression of methanogenesis. Impacts on milk fat and protein are inconsistent, but improvements in unsaturated fatty acid profiles, including omega-3 and conjugated linoleic acid (CLA), have been reported. Camelina also lowered milk urea (MD = −1.71 mmol/L), suggesting improved nitrogen utilization. Despite promising outcomes, substantial variability and limited sample sizes restrict generalizability, underscoring the need for standardized, long-term trials.

Background: Long-bone non-unions complicated by osteomyelitis remain a major reconstructive and healthcare challenge, particularly in resource-limited settings with a high prevalence of multidrug-resistant (MDR) pathogens. Conventional staged management is associated with a prolonged treatment burden, repeated procedures, and delayed functional recovery. This study evaluated the clinical, radiological, functional, and short-term safety outcomes of a single-stage approach using custom-threaded antibiotic-coated locking nails (TACLNs) in a high-resistance cohort. Methods: This prospective single-center cohort study enrolled 30 adults with osteomyelitis-associated femoral or tibial nonunion at a tertiary hospital in Peshawar, Pakistan. All patients underwent radical debridement and single-stage stabilization with a chest tube mold TACLN loaded with vancomycin and gentamicin, with culture-directed adjunctive antibiotics for resistant organisms. Outcomes were assessed at baseline, Weeks 3 and 6, and Month 6 using inflammatory markers, RUST score, VAS pain, EQ-5D-5L, ASAMI criteria, and return to work or usual activity. No formal sample size calculation was performed, and this study was exploratory in nature. Results: The cohort (mean age 44.9 ± 9.9 years) had a challenging microbiological profile, with 40.0% MDR and 13.3% extensively drug-resistant (XDR) infections. By Month 6, short-term infection control was achieved in 96.7% of patients, with significant reductions in ESR and CRP (both p < 0.001). Radiographic union was achieved in 90.0% of cases at a mean of 18.6 weeks, and the mean RUST score improved from 4.87 to 10.43 at the final follow-up. The VAS pain decreased from 5.23 at week 3 to 0.73 at month 6, EQ-5D-5L improved from 0.39 to 0.84, and 90.0% returned to work or usual activity by month 6. No cement debonding, implant failure, or nephrotoxicity was noted. Conclusions: In this single-arm exploratory cohort, TACLNs were associated with favorable short-term infection control, radiographic union, and functional recovery in osteomyelitis-associated long-bone nonunion, including in an MDR/XDR setting. The independent contribution of the threaded core design cannot be established. Larger multicenter comparative studies with longer follow-ups are needed to confirm the durability and implementation feasibility.