Background: Digital health is well-positioned in low and middle-income countries (LMICs) to revolutionize health care due, in part, to increasing mobile phone access and internet connectivity. This paper evaluates the underlying factors that can potentially facilitate or hinder the progress of digital health in Pakistan. Objective: The objective of this study is to identify the current digital health projects and studies being carried out in Pakistan, as well as the key stakeholders involved in these initiatives. We aim to follow a mixed-methods strategy and to evaluate these projects and studies through a strengths, weaknesses, opportunities, and threats (SWOT) analysis to identify the internal and external factors that can potentially facilitate or hinder the progress of digital health in Pakistan. Methods: This study aims to evaluate digital health projects carried out in the last 5 years in Pakistan with mixed methods. The qualitative and quantitative data obtained from field surveys were categorized according to the World Health Organization’s (WHO) recommended building blocks for health systems research, and the data were analyzed using a SWOT analysis strategy. Results: Of the digital health projects carried out in the last 5 years in Pakistan, 51 are studied. Of these projects, 46% (23/51) used technology for conducting research, 30% (15/51) used technology for implementation, and 12% (6/51) used technology for app development. The health domains targeted were general health (23/51, 46%), immunization (13/51, 26%), and diagnostics (5/51, 10%). Smartphones and devices were used in 55% (28/51) of the interventions, and 59% (30/51) of projects included plans for scaling up. Artificial intelligence (AI) or machine learning (ML) was used in 31% (16/51) of projects, and 74% (38/51) of interventions were being evaluated. The barriers faced by developers during the implementation phase included the populations’ inability to use the technology or mobile phones in 21% (11/51) of projects, costs in 16% (8/51) of projects, and privacy concerns in 12% (6/51) of projects. Conclusions: We conclude that while digital health has a promising future in Pakistan, it is still in its infancy at the time of this study. However, due to the coronavirus disease 2019 (COVID-19) pandemic, there is an increase in demand for digital health and implementation of health outcomes following global social distancing protocols, especially in LMICs. Hence, there is a need for active involvement by public and private organizations to regulate, mobilize, and expand the digital health sector for the improvement of health care systems in countries.

Globally, universities are evaluating and targeting to reduce their carbon emissions and operate on a sustainable basis. The overall aim of this study revolves in addressing the following three questions: (1) How to calculate carbon footprint, including indicators selection, criteria, and measurement, for higher education institutions? (2) How to evaluate impact and effectiveness of various mitigation strategies in context of a higher education institution? (3) What are the possible limitations of approach selected for carbon footprint calculation. This paper presents estimation of the carbon footprint of NED University using a carbon calculator along with the identification of sources with maximum contribution to its carbon footprint. The carbon footprint of the NED University main campus for 2017 was calculated to be approximately 21,500 metric tons of equivalent CO₂ and carbon footprint per student was 1.79 metric tons of equivalent CO₂. Scope 1 and Scope 2 emissions each contributed nearly 7% of the carbon footprint, while Scope 3 emissions accounted for 85.6% of the carbon footprint. Major interventions such as switching to renewables, usage of energy efficient appliances, electric vehicles, and massive tree plantation inside and outside the campus were identified as the most effective mitigation strategies.

To a great extent, Pakistan and Turkey rely on imported fossil fuels to meet their energy demands. Pakistan is moving in the right direction, placing focus on renewable energy resources in its current infrastructure in order to address the energy shortage. Several projects (e.g., wind power and solar PV (photovoltaic) technologies) are operational or under development; they are intended to reduce energy challenges in Pakistan. The new government in Pakistan aims to increase the share of renewable energy in total power generation to 30% by 2030. On the other hand, Turkey surpasses Pakistan in renewable energy resources; for example, there are 186 operational wind energy power plants across the country. In addition, Turkey utilizes solar energy—mainly for residential usage. Turkey’s Vision 2023 energy agenda aims to supply 30% of their power demands from modern renewable energy resources. Turkey has implemented solar PV, solar buildings, wind power plants, geothermal energy resources, and biomass technology for heating, cooling and electricity generation. At present, Turkey’s supply to meet energy demands in the country is 56% fossil fuel energy resources and 44% renewable energy, including hydropower. Accessible details reveal that geothermal energy resources have been continuously neglected in Pakistan by the Ministry of Energy (power division); this is in contrast to the Turkish case, in which utilization of geothermal energy resources for heating and cooling purposes is efficient. With all the facts and figures under consideration, in this paper, comparative analyses are performed which reveal that the production of electricity from geothermal energy technologies is lower than the massive potential in both countries. Recommendations are made for important policies to promote renewable energy technologies, which could effectively support energy decentralization by providing electricity to rural areas and the national grid.

Background: Pakistan’s immunization uptake rates are still significantly lower than anticipated despite several initiatives. Lack of awareness, forgetting about vaccination schedule, and vaccine misconception/misinformation are a few of the major drivers that mitigate the rates of immunization. The current COVID-19 pandemic emphasizes the importance of immunization. The significant reductions in regular childhood vaccination during pandemic have increased the risk of outbreaks of vaccine-preventable diseases. Concerns among parents over possibly exposing their children to COVID-19 during child visits may have contributed to the reported declines. Innovative and cost-effective mHealth interventions must be implemented in order to address the problem of inadequate immunization rates. In addition, it is also critical to understand the end user needs in order to reflect on the highly relevant essence of the customized healthcare experience. Objective: The aim of this study was to learn about caregivers’ attitudes toward the usability and acceptability of behavior-change smartphone applications (mobile phones) for improving immunization coverage in Pakistan. Methods: A mixed-method design was employed for this study. The study was conducted at Aga Khan University, Hospital. Parents visiting the Community Health Center for 6-week vaccination of their children were recruited. The study was conducted in two stages. Stage 1 consisted of qualitative interviews that grasped the parent’s attitudes and challenges to immunization, as well as their acceptability and accessibility of the smartphone-based behavior-change application to increase vaccine uptake. Stage 1 was followed by stage 2, in which data were collected through a questionnaire designed by using data from qualitative interviews. Results: The majority of participants agreed that immunization serves an important role in protecting their child from illnesses that cause morbidity and mortality. Almost all of them emphasized the importance of using a pre-appointment method at vaccination center in order to reduce the waiting time. Furthermore, participants were also interested in AI-based behavior modification applications related to immunization. They also wanted to have applications in their native language for better understanding and communication of related information. In our study, approximately 95.2 percent of participants agreed to accept SMS immunization updates, which was also reasonably high. Lastly, the majority of them identified forgetfulness as a significant contributor to regular immunization. Conclusion: To enhance the uptake of childhood vaccines, overall vaccination rates, and overcome barriers related to vaccination coverage, cost-effective and user-friendly mHealth AI-based smart phone applications are required to raise awareness regarding the continuation of vaccination service and the importance of timely vaccination. Parents’ experiences and attitudes must be considered while designing and evaluating the efficacy of mHealth-based interventions.

This paper presents an edge-deployable, real-time adaptive traffic light control system designed for complex and undisciplined urban traffic environments. The system integrates computer vision and Internet of Things (IoT) technologies to enable smart traffic management. A robust dataset was developed to capture diverse traffic conditions, including occlusions and unstructured vehicle movement. A lightweight vehicle detection model, based on (You Only Look Once) YOLO and deployed on a Jetson Xavier NX-powered roadside edge node (RSEN), enables real-time traffic monitoring with a mean Average Precision (mAP) of 90% and 74 frames per second (FPS). To improve traffic flow representation, we introduce a traffic density estimation method that incorporates Passenger Car Equivalent (PCE) factors, considering the varying impact of different vehicle types. The estimated density is used by an adaptive traffic light control (ATLC) algorithm, deployed on a resource-constrained Portenta H7 board, which dynamically adjusts signal timings using real-time data, starvation prevention, and tie-breaking mechanisms. The proposed system reduces traffic congestion at intersections by up to 33% and waiting times by 23% compared to traditional fixed-time controls. The proposed framework is cost-effective, scalable, and fully operational on edge devices, offering a practical solution for real-world smart city deployments.

The usage of BLDC motors in the low-power range is increasing rapidly in home appliances such as ceiling fans. This has necessitated the development of reliable, compact and efficient AC-DC power supplies for motor drive circuitry. This paper presents a power supply design consisting of an AC-DC isolated PFC Cuk converter with integrated magnetics that supplies a single-shunt voltage source inverter for the sensorless drive of the BLDC fan motor. The proposed power supply design is comprised of an integrated magnetics structure in which the two inductors and the transformer windings share the same core. The zero input and output ripple current conditions have been derived from the reluctance model of the magnetic assembly. Smooth operation of the motor by minimizing the motor torque ripples is evident from the results. The Cuk converter operates in continuous conduction mode (CCM), employing the current multiplier method. The CCM-based current multiplier control loop ensures a near-unity power factor as well as low total harmonic distortion in the supply current. The current loop also provides over-current protection, enhancing reliability of the system. Moreover, the speed of the BLDC motor is controlled by the field oriented control (FOC) algorithm, which enables direct operation with alternate energy sources such as batteries and solar photovoltaic panels. The performance of the proposed supply is validated: motor torque ripple is reduced to only 2.14% while maintaining 0.999 power factor and only 4.72% THD at full load. Failure modes analysis has also been performed through software simulations, using the PLECS simulation environment. Due to the reliable power supply design with low ripples, it is well suited for low-power BLDC motors in home appliances and small power tools, in addition to ceiling fans.