Introduction 3. Epithelial-Mesenchymal Transition: Molecular and structural changes during the process 3.1. EMT in development 3.2. Transcriptional regulation of EMT: EMT-TFs as master regulators 3.3. EMT and CTCs in cancer: A starting point for invasion and metastasis 4. EMT, cellular plasticity and metastasis: an intermediate state is the key 5. EMT and cancer stemness 5.1. Overview of cancer stem cells 5.2. Plasticity and reversibility of normal and CSC 5.3. EMT and CSCs: Two sides of the same coin 6. Regulation of EMT by cell signaling 6.1. Wnt signaling and EMT 6.2. TGF-β signaling and EMT 6.3. Notch signaling and EMT 7. Current status and therapeutic potential 8. Perspectives 9. Acknowledgments 10. References
Dengue fever (DF) is a national health problem in Pakistan. It has become endemic in Lahore after its recent reemergence in 2016. This study investigates the impacts of climatic factors (temperature and rainfall) on DF transmission in the district of Lahore through statistical approaches. Initially, the climatic variability was explored using a time series analysis on climatic factors from 1970 to 2012. Furthermore, ordinary and multiple linear regression analyses were used to measure the simulating effect of climatic factors on dengue incidence from 2007 to 2012. The time series analysis revealed significant annual and monthly variability in climatic factors, which shaped a dengue-supporting environment. It also showed a positive temporal relationship between climatic factors and DF. Moreover, the regression analyses revealed a substantial monthly relationship between climatic factors and dengue incidence. The ordinary linear regression of rainfall versus dengue showed monthly R2 = 34.2%, whereas temperature versus dengue presented R2 = 38.0%. The multiple regression analysis showed a monthly significance of R2 = 44.6%. Consequently, our study shows a substantial synergism between dengue and climatic factors in Lahore. The present study could help in unveiling new ways for health prediction modeling of dengue and might be applicable in other subtropical and temperate climates.
The spatial–temporal assessment of vector diseases is imperative to design effective action plans and establish preventive strategies. Therefore, such assessments have potential public health planning-related implications. In this context, we here propose an integrated spatial disease evaluation (I-SpaDE) framework. The I-SpaDE integrates various techniques such as the Kernel Density Estimation, the Optimized Hot Spot Analysis, space–time assessment and prediction, and the Geographically Weighted Regression (GWR). It makes it possible to systematically assess the disease concentrations, patterns/trends, clustering, prediction dynamics, and spatially varying relationships between disease and different associated factors. To demonstrate the applicability and effectiveness of the I-SpaDE, we apply it in the second largest city of Pakistan, namely Lahore, using Dengue Fever (DF) during 2007–2016 as an example vector disease. The most significant clustering is evident during the years 2007–2008, 2010–2011, 2013, and 2016. Mostly, the clusters are found within the city’s central functional area. The prediction analysis shows an inclination of DF distribution from less to more urbanized areas. The results from the GWR show that among various socio-ecological factors, the temperature is the most significantly associated with the DF followed by vegetation and built-up area. While the results are important to understand the DF situation in the study area and have useful implications for public health planning, the proposed framework is flexible, replicable, and robust to be utilized in other similar regions, particularly in developing countries in the tropics and sub-tropics.
Dengue and its impacts are growing environmental, economic and health concerns in Lahore. Disease pattern is important to know for better control and effective management, GIS is one of the tested tools and quite efficient for this purpose. In this study, firstly month-wise dengue cases mapping for seven consecutive years (2007-2013) is performed in order to reveal temporal or seasonal pattern of dengue disease in Lahore district. Then a composite analysis was conducted using Inverse Distance Weighted (IDW) technique in order to show dengue most affected locations (towns) and in this analysis, all cases of the study period (2007-2013) were appended and visualized by IDW. Temporally, September (6548 cases) was the most dengue affected month of all years whereas February (4 cases) was marked as least affected throughout the dengue incidence period. Endemic Foci is noticed in 2011 most affected months. This cluster of disease is agglomerated near Ravi River and Densely Populated Towns, which further aggravated the incidence of dengue in economically deprived areas. Data Gunj Baksh town was the most affected town and IDW results showed that this town is composite endemic foci where cases were agglomerated most frequently. The reason of prevalence in this town would possibly be due to its more density of population and proximity of Ravi River.
Introduction: Karachi, a city of unique terrain and moderate tropical climate, is home to several mosquito species. The geographical distribution and density of these species may vary within the city, owing to their interaction with an ever-increasing population and urban settings. As a consequence, the prevalence of vector-borne diseases is unpredictable within the geographical limits of Karachi city. In this spatiotemporal study, 1,156 mosquito samples were collected from 50 study sites with unique ecological characteristics within the city and a taxonomical exercise was conducted to investigate different vector species thriving in different months and seasons of the year. The main genera of mosquitoes were identified and categorized using a pictorial key based on the standard guidelines of the Walter Reed Biosystematics Unit, substantiated with ancillary literature. Results: Three important genera were found in Karachi: Anopheles, Aedes and Culex. Important subgenera were subsequently identified, based on their susceptibility to major vector-borne diseases. January had the highest concentration of adult mosquitoes, as the colder weather conditions were suitable for breeding. May recorded the lowest number, owing to excessively hot weather when most of the breeding pockets had dried out; less vegetation (in pre-monsoon conditions) prevented mosquito growth. Conclusions: Slum areas showed an abundance of malaria and dengue vectors, owing to poor hygiene conditions caused by open sewage drains. Hence, a major precaution is to raise awareness among people about mosquito-borne diseases. The breeding habitats of these vectors should be studied using geospatial technologies to improve spatial and temporal coverage.
Purpose
Rural building practices, especially in developing communities, are often plagued by inadequate local construction knowledge and a limited understanding of the best building practice guidelines. This has contributed significantly to compounding the effect of significant catastrophic events. The purpose of this paper is to examine the potential impact of disaster knowledge management (DKM) on improving housing resilience and makes particular reference to the 2005 earthquake in rural Pakistan.
Design/methodology/approach
Our research uses a comprehensive literature review that involves a qualitative approach to research aimed at understanding the 2005 earthquakes, their impacts, reconstruction challenges and DKM. Conventional published journals, articles, previous case studies and books were included. But importantly, to take in relevant local information, the review also took in published government reports, disaster mitigation policy documents, national and international NGOs publications, conference proceedings and news articles. More than 80 research papers and conference proceedings over 21 years, from 2001 to 2021, were analyzed in eight major online databases. These include Google Scholar, Science Direct, Research Gate, Scopus, Jstor, Springer, Emerald and Semantic Scholar.
Findings
The investigation identified that DKM has an important role to play in capacity building and technical knowledge transmission relating to seismic guidelines aimed at improving housing resilience. Consequently, a theoretical framework was developed, focused primarily on the post-2005 rural reconstruction mechanism and the identification of key challenges to disseminating seismic guidelines effectively in relation to rural construction practices.
Originality/value
This paper makes an original contribution by developing a DKM framework via the identification of key challenges that need to be addressed, in relation to rural construction practices, generally, but particularly in the Pakistan context.
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