205 research outputs found
Prevalence, reasons, and consequences of pre-marriage disclosure or concealment of epilepsy disorder in the marital lives of women in Karachi, Pakistan
No full textGlobally, epilepsy is the third most common neurological disorder in primary health care settings. Its prevalence rate is higher among females, as compared to males, in Pakistan. Epilepsy has severe implications on women\u27s social domain of life especially in matrimonial affairs. They face hurdles, discrimination, and rejection, due to the negative perception and social stigma attached to this disease. Therefore, female patients and their parents are apprehensive whether to disclose or conceal the diagnosis at the time of marriage negotiations. Objective:The purpose of this study was to identify the rate of prevalence, reasons, and consequences of disclosure or concealment of epilepsy diagnosis at the time of women\u27s marriage negotiations. Methodology:This descriptive cross-sectional study included 381 married women with epilepsy. from a tertiary healthcare setting in Karachi, Pakistan. A purposive sampling method was used for the study. A self-reported questionnaire was administered to collect the data. Descriptive and inferential statistics were implied for data analysis. Results:The present study shows that 64% of the participants disclosed the epilepsy diagnosis to their prospective spouse and in-laws, at the time of marriage negotiations. The three key reasons for the pre-marriage disclosure of epilepsy identified in this study include anticipating disruption in the matrimonial relationship, trustworthiness in the marital relationship, and acceptance from the prospective spouse after knowing the history of the disease. Whereas respondent have reported four major reasons for the concealment of epilepsy: to prevent proposal rejection, stigma, pressurized by their own family to hide, and myths and misperceptions regarding epilepsy. Study findings also revealed that married epileptic women who have disclosed or concealed are suffering from deleterious consequences. Furthermore, the study has shown a significant association of the socio-economic factors with the pre-marriage disclosure of epilepsy. Conclusion:This study concludes that pre-marriage disclosure of epilepsy is a crucial and a complex decision because it carries numerous benefits as well as harms for women in the different domains of life. However, honestly sharing the history of epilepsy at the time of marriage negotiation is more helpful, as epilepsy requires follow-up in the clinic and compliance to medication for a prolonged period. Moreover, disclosure helps to get financial support, physical assistance, and affectionate support
ڈاكٹر ریاض مجید كی پنجابی نعت گوئی
No full textRiaz Majeed is a renowned contemporary poet, author, researcher, critic and an active literary personality. He has mastery of ghazel, poem, Naat, Manqabat and other literary genres of both Urdu and Punjabi languages. He regularly composes glorifying verses showing esteemed reverence for the Holy Prophet (PBUH). A number of his books on Naat have been published so far. The article deals with the Punjabi Naat writing of Dr. Riaz Majeed
Vernacular Imperialism, Vedic Nationalism: Listening for Disparate Accents in the Linguistic Survey of India Colonialism and Knowledge in Grierson?s Linguistic Survey of India. By Javed Majeed. London: Routledge, 2018.266 pages. ISBN 9781138320086.?115 (hbk).:Listening for Disparate Accents in the Linguistic Survey of India
No full textThis is a review essay focussed on two books by Javed Majeed, 'Colonialism and Knowledge in Grierson's Linguistic Survey of India' and 'Nation and Region in Grierson's Linguistic Survey of India' (Routledge, 2019).© 2019, The Author. The attached document (embargoed until 16/04/2021) is an author produced version of a paper published in INTERVENTIONS: INTERNATIONAL JOURNAL OF POSTCOLONIAL STUDIES uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at the link. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it
Business process improvement using multi-objective optimisation
No full textBusiness process redesign and improvement has become an increasingly attractive subject in the wider area of business process intelligence. Although there have been many attempts to establish a business process redesign framework, there is little work on the actual optimisation of business processes with given objectives. Furthermore, most of the attempts to optimise a business process are manual and do not involve a formal automated methodology. This paper proposes a process improvement approach for automated multi-objective optimisation of business processes. The proposed framework uses a generic business process model that is formally defined. The formal definition of business processes is necessary to ensure that the optimisation will take place in a clearly defined, repeatable and verifiable way. Multi-objectivity is expressed in terms of process cost and duration as two key objectives for any business process. The business process model is programmed and incorporated into a software optimisation platform where a selection of multi-objective optimisation algorithms can be applied to a business process design. This paper outlines a case study of business process design that is optimised by the state-of-the-art multi-objective optimisation algorithm NSGA2. The results indicate that, although business process optimisation is a highly constrained problem with fragmented search space, a number of alternative optimised business processes that meet the optimisation criteria can be produced. The paper also provides directions for future research in this area
Assessment of Nurses' Knowledge toward Urinary Incontinence in Al-Hilla City
No full textPurpose: to assess nurses' knowledge toward urinary incontinence, to find out the association between nurses' knowledge and demographic characteristics.
Methods: A descriptive quantitative study design has been dependent in the conducted data at the city of Hilla/Babil Health Directorate/ Imam Al-Sadiq hospital, Al-Hilla teaching hospital, and Merjan teaching hospital during the period December 19th, 2021 to March, 1st 2022. A non-probability (purposive) sample of (60) nurses those who were working in the medical ward, surgical ward and dialysis unit. The main tool used to nurses’ knowledge assessment and data collection was needs questionnaire, and it is consist of two parts: Part 1 included socio-demographic data and Part 2 include (43) items related to nurses' knowledge. The validity of study tool is determined by a panel of (14) experts and reliability of the questionnaire is determined through the use of test and re-test.
Results: revealed that majority of nurses had moderate knowledge regarding urinary incontinence. There was non-significant association between the nurses’ knowledge toward urinary incontinence and their age, gender, educational level, workplace, years of services, training courses.
Conclusion: The most of the nurses whose took part in this study had insufficient information about urine incontinence.Corresponding Author
Dergham Majeed Hameed: Department of adult nursing, College of nursing, Al- Muthanna University, Iraq
Email:
[email protected]
Efficacy of PECS Block In Perioperative Period For Pain Management In Patients Undergoing Elective Breast Surgery
No full textObjective: To compare the effectiveness of intraoperatively performed PECS block (without the ultrasound guidance) and no regional blocks in controlling postoperative pain and opioid use among patients undergoing elective modified radical mastectomy (MRM) and Mastectomy.Methodology: Study Design: Randomised controlled trial.Duration and Place of Study: This study was conducted from Oct 2024 to march 2025 in Pakistan Institute of Medical Sciences, Islamabad. A randomized, controlled prospective study will be a study of 60 female (ASA I- II) patients who are to undergo MRM and Mastectomy. The patients were randomized into two groups, Group P (PEC group): Received PECS block intraoperatively under directview (surgeon assisted) and Group C (Control group): Received standard general anesthesia without block. Primary outcome: Requirement of Analgesia. Secondary outcomes: Total Opioid use in 24 hours, Mean time to first rescue analgesic request,Visual Analogue Scale (VAS).Results : The average time to first rescue analgesia was similar between the PECS block groupand control group (70.04 + 44.01 vs. 54.44 + 31.01 minutes; p =0.118). There was nosignificant difference in the total intraoperative tramadol intake (104.14 ± 15.02 mg vs.96.82 ± 30.62 mg; p = 0.244). The Tramadol requirement postoperative rescueanalgesia and the percentage of the patients rescued by the analgesia remained similar in the groups (p > 0.05). The mean VAS pain scores of the two groups in all the time points assessed (1, 2, 4, 6, 12, and 24 hours after the operations) were significantly lower and no differing VAS pain scores between the two groups were found to be statistically significant.Conclusion: PECS block, when used intraoperatively, is safe and effective as a supplement togeneral anesthesia among patients that undergo elective modified radical mastectomy.It was proven to be more effective in terms of postoperative pain scores measured withthe Visual Analog Scale (VAS) at pre-specified postoperative intervals and cumulativeopioid consumption at 24 hours post operation significantly reduced compared topatients who received no block. Safety was measured using the incidences ofperioperative and postoperative complications associated with the block and no adverseevents associated with the blocks. It was also related to the decreased incidence ofopioid-related adverse effects when PECS block was used, which contributes to theeffectiveness of multimodal analgesia with PECS block in breast cancer surgery
Initiating a Flourishing City: Creating a safe environment for young urban families in M4H, Rotterdam
No full textAccording to Dutch Deputy Prime Minister, Kajsa Ollongren, the Netherlands is faced with a massive task of creating one million homes before 2030. Big cities are characterized by the steady sub-urbanization of young middle-class families. Households often leave the city as soon as they want to have children, or shortly after their child is born. In the Netherlands this steady trend of out-migration has occurred since the 1960s, and will certainly continue in the 21st century (Wouden, 2001). CBS Netherlands reported in 2018 that, in the case of the four largest cities (Amsterdam, Rotterdam, Utrecht, Den-Haag), some 30% to 40% of families with young children leave the city within four years of the birth of their first child (CBS, 2018). The reason these families leave the city is because the available housing is either too expensive or doesn’t meet their needs. Therefore, they are forced to move to the suburbs, leaving behind their job, family and friends in the city. Meanwhile, the city loses this middle class workers and the social cohesion that families provide. Living in a city like Rotterdam is beneficial for the development of the child since cities offer children exposure and better opportunities to experience public spaces (museum, cinema, etc.) and interact with a diverse range of people. Living in a city is beneficial for parents since they can live near their work, family, social life. Reasons why young families are leaving the city is because their housing needs are not met. By translating the needs of children (space to play, learn and living) and parents (work, leisure, peace of mind and living) into a design proposal, families will stay in the city.Architecture, Urbanism and Building Science
Achieving an optimum slowing-down energy distribution functions and corresponding reaction rates for the (D+3He and T+3He) fusion reactions
No full textDietary polyphenols mediated regulation of oxidative stress and chromatin remodeling in inflammation
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