46 research outputs found
Cloward Procedure Outcome using Hashmi Cage for Anterior Cervical Discectomy and Fusion Experience in Pakistan
No full textAbstract: Background: We aim to focus on ACDF patients treated with Hashimi cage filled with autologous bone. We will assess the safety of this approach based on the specific surgical level and its outcome.
Objective: Study aims to evaluate the results of the Hashmi cage used in the Cloward Procedure while using odom’s based criteria for the outcome.
Materials and Methods: This was a descriptive study researched at the Neuro Spinal Cancer Care Institute in Karachi, time duration from 16 June 2016 to 31 June 2022. The study included patients with a single-level prolapsed intervertebral cervical disc. During the surgery. Bony Fusion was assessed using movement ? 1 mm in flexion and extension cervical X-rays, was required.
Result: We had 162 patients; among them males were 102 (62.96%) and female patient were 60 (37.03%). The median range for the age was from 23 to 63 years with mean 48 years ± 3.6 age. Clinically the patients presented with radiculopathy, commonly of the C6 level which was patients (63.73%). Odom’s based criteria were used to evaluate the results of the procedure. Among the patients, 92.84% showed excellent outcomes, 4.9% had good results, 1.8% had fair outcomes, and 1.23% had a poor outcome.
Conclusion: ACDF with the Hashmi cage and plate application is a highly effective treatment option. This approach not only ensures better removal of the problematic discs but also significantly increases the likelihood of successful fusion and better radiological outcomes
Investigation of Corporate Healthcare Strategies Administered by Board of Directors Intended for Greater Employees’ Productivity: Designing Cost Effective Wellness Plans
No full textThe research is conducted with a view to bring into attention the current global concern of healthcare. This study draws the attention towards the contribution in healthcare of individuals employed in the firm from the perspective of board of directors. The purpose of this study is to investigate the modern healthcare strategies that are influenced by the board of directors in the corporation for attaining better productivity of workforce while controlling and monitoring the cost of wellness. The strategies reviewed and recommended aid the apprehension for rising healthcare cost and provision of employee health insurance coverage. The conclusions and recommendations are supportive for the board of directors, decision makers and corporations. However, the selection of strategy should be made with further investigation of organization structure, size and employee preferences. Keywords: Corporate governance, Healthcare Strategies, Employee Productivity, Cost of Wellness
خطوط بنام رئیس احمد جعفری
No full textThis article presents a selection of letters written to Syed Raees Ahmad Jafri, author of more than 150 books. These letters were written by different scholars such as Syed Abu al-Hasan Ali Nadvi, Moinuddin Ahmad Nadvi, Saeed Ahamd Akbarabadi, Abdul Quddoos Hashmi and Ghulam Jilani Barq. The letters not only shed light on Jafri's academic interests but also highlight important facts about his life
Atrioventricular block after acute myocardial infarction and its association with other clinical parameters in Pakistani patients: an institutional perspective
No full textImplications of the Improvement of Teaching Quality for Professional Development (PD) of Academics at the Colleges of Applied Sciences (CASs) in the Sultanate of Oman
No full textThe Oman Accreditation Council (OAC), which is called later the Oman Academic Accreditation Authority (OAAA), designed a higher education institution (HEI) Quality Assurance (QA) framework for Omani public and private Higher Education Institutions (HEIs), starting with a quality audit process in 2008. The Colleges of Applied Sciences (CASs), as a public HEI, are required to ensure the quality of all services and activities to meet particular national standards (specified in the framework) in order to gain a HEI and programme certificate. In line with a quality audit scope, the quality of the fields of PD and related teaching quality should be ensured and enhanced by the promotion and contribution of the former field to the maintenance and improvement of the latter one.
The chief purpose of this study was to identify the uptake and implications of the growing requirement to improve teaching quality and the PD of academics at the CASs in the Sultanate of Oman especially in the context of the application of the QA framework. The study focused on examining the academics’ participation in professional development programmes (PDPs) and current perceptions of PD with respect to the improvement of teaching quality improvement at these colleges. The current study also dealt with a reorganization and prioritization of academics’ PD needs, barriers to effective PD, and factors to enhance PD of academics regarding teaching quality improvement in the colleges.
Based on the purpose and research objectives, the current study adopted both positivist (quantitative) and interpretive (qualitative) research paradigms. Because the study perused quantitative and qualitative data regarding certain variables, it chose a mixed-research design. The researcher designed survey questionnaire to collect quantitative data and a semi-structured interview and a focus group discussion to probe and interpret quantitative findings. After fulfillment of the validity and reliability measurements, a self-completion questionnaire was distributed to a stratified random sample of academics (170) over the six CASs. A total of 150 questionnaires (out of 170) were completed and returned and the response-rate reached 88.2%. The quantitative data was analyzed by appropriate analysis using the Statistical Package for Social sciences (SPSS), while the qualitative data was analyzed by appropriate qualitative analysis.
The findings of the study showed that the level of academics’ participation in PDPs to improve teaching quality in the last two years in the CASs seems to be unsatisfactorily low. The current perceptions of the PD situations in the colleges, relating to teaching quality improvement, signified a shortage in the number of available PDPs and/or a discouragement of academics’ participation in these programmes in the last two years. The study also revealed all the 22 PD needs of academics regarding the improvement of teaching quality are significantly demanded by participants; the higher rated needs focused on a development of ‘student centred’ skills, such as critical thinking and problem-solving skills.
Furthermore, the study illustrated that the highest significant perceived barriers to effective PD in the CASs, as related to teaching quality improvement, focus on a lack of a clear institutional PD policy and a lack of appropriately systematic PD plans. The study also revealed all 10 perceived factors to enhance PD regarding teaching quality improvement are very important. The most significant factors represented and stressed particular problematic issues (the high rated barriers) and a reduction of a heavy workload to enhance academics’ participation in PD regarding the improvement of teaching quality.
Conclusions drawn from the discussion of the findings of study include a lack of a clear PD policy at national and institutional levels and absence of a particular authority/unit concerning PD issues in Omani HEIs. The two problematic issues resulted in a lack of systematic and realistic PD plans in the CASs, involving a lack of academics’ involvement in PD plans, a misconnection of academics’ PD needs to PD, inappropriate facilities and resources allocation, and inappropriate evaluation processes of PD. In addition, the conclusions also include that PD of academics regarding the improvement of teaching quality in the colleges requires more attention and focus to manage particular significant issues perceived by participants as both barriers and potential facilitators relating to PD of academics.
Based on identified conclusions, particular implications for policy and practice to enhance PD to improve teaching quality were set at three levels: governmental, institutional, and individual. Moreover, achievements of the current study according to the research questions were identified and contributions of the study to the fields of PD, teaching quality, and the context of QA and quality audit in HE were addressed. Based on the findings and conclusions, particular directions and recommended issues were suggested to be studied by further research to benefit the enhancement of PD and related teaching quality improvement
Hijab Imtiaz Ali’s Letters: An Example of Non-Fictional Prose: حجاب امتیاز علی کے مکتوبات، غیر افسانوی نثر کی ایک مثال
No full textHijab Imtiaz Ali is a well-known figure in Urdu literature's fiction genre. Her most well-known works are novels and short stories, but her non-fiction writing, which includes essays, travelogues, letters, diaries, and beautiful prose, is equally captivating. Only a segment of this collection was published in 2006 under the title "Hijab Kitaab" from Lahore city; her letters have not yet been collected into a book. Her character and the period are accurately reflected in these letters. Letters typically reflect a person's private life and experiences. These letters give us a glimpse into the writers' social relationships as well as her society and the times she lived in. These letters have a straightforward and aesthetically pleasing style. The spotlight she gives to her novels and short stories is absent from her letters.
References
Hijab Imtiaz Ali, Lail-o-Nihar, Lahore: Sang-e-Meel Publications, 2015, p: 36
Shadani, Andaleeb, Dr., Foreword to Makatib-e-Jameel, Lahore: Maktaba Jadeed, 1956, p: 14
Hashmi, Naseeruddin, included in Makatib-e-Jameel, Lahore: Maktaba Jadeed, 1956, pp: 20–21
Hijab Imtiaz Ali, Tasveer-e-Butan, Lahore: Sang-e-Meel Publications, 2011, p:159
Tahir, Naeem, Meeting with the Author, Lahore: Model Town, December 25, 2021
Hijab Imtiaz Ali, Lail-o-Nihar, p: 37
Ibid., p: 49
Hijab Imtiaz Ali, Hijab Kitab, Lahore: Sang-e-Meel Publications, 2006, p: 346
Ibid., p; 347
Ibid., p: 350
Ibid., p: 355
Ibid., p: 349
Ibid., p: 365
Ibid., p: 343
Ibid., p: 346
Ibid., p: 352
Ibid., p: 35
In-hospital mortality of patients with cardiogenic shock after acute myocardial infarction; impact of early revascularization
No full textAbstract Objectives The purpose of this study was to determine the frequency of in-hospital mortality in 351 patients who developed cardiogenic shock after acute myocardial infarction and by determining this; we might find that how efficiently we could manage this serious condition in our population by knowing the factors which are associated with high mortality after cardiogenic shock. Moreover impact of early revascularization like thrombolytic therapy or angioplasty was also evaluated. Results Mean age was 65.41 ± 7.78 years in our study. In-hospital mortality with cardiogenic shock after acute myocardial infarction was found to be 44.73%. Significant association of in-hospital mortality was noted with age, hypertension, diabetes mellitus and BMI. Patients receiving early revascularization were noted to have lower in-hospital mortality compared to those in whom revascularization was not done due to delayed presentation. This study concluded that there is a high frequency (44.73%) of in-hospital mortality in patients with cardiogenic shock after acute myocardial in our population. So, we recommend that for achieving a good outcome and to reduce in-hospital mortality; in addition to rapid diagnosis of this condition, underlying risk factors like hypertension and diabetes should be evaluated and managed accordingly and early revascularization should be done when possible
ChemInform Abstract: Synthesis of Hydantoins, Thiohydantoins, and Glycocyamidines under Solvent-Free Conditions.
No full textSynthesis of Hydantoins, Thiohydantoins, and Glycocyamidines Under Solvent-Free Conditions
No full textLatent membrane protein 1 (LMP1) expression in Hodgkin lymphoma and its correlation with clinical and histologic parameters
No full textAbstract Background Hodgkin lymphoma is one of the most prevalent lymphoproliferative disorders in Pakistan; however, no risk factors for this disease have yet to be established in our population. Epstein–Barr virus (EBV) is a well-known risk factor for Hodgkin lymphoma in endemic regions of the world; however, frequency of its association in our population has not been widely studied. Latent membrane protein 1 (LMP1) expression by immunohistochemistry (IHC) is a surrogate marker of EBV in Hodgkin lymphoma. Therefore, we aimed to evaluate the frequency of expression of LMP1 in cases of Hodgkin lymphoma at our institute and its correlation with other clinical and histologic parameters. Methods The study included 66 cases of Hodgkin lymphoma diagnosed at Liaquat National Hospital over a duration of 2 years from January 2014 to December 2015. The slides and blocks of all cases were retrieved, and representative blocks were selected for LMP1 by IHC. LMP1 expression of >10% of cells was considered as positive expression and correlated with histologic subtypes and clinical parameters like age, gender, and site of involvement. Results The mean age of patients was 35.11 (+20.22). LMP1 expression was found in 68.1% (45/66) of cases of Hodgkin lymphoma. Mean age of the patients with LMP1 expression was 32.04 (+21.02). LMP1 expression was found in 40% cases of lymphocyte-rich, 66.7% of lymphocyte-depleted, 73.9% of mixed cellularity, 66.7% of nodular sclerosis, and 73.7% of classic Hodgkin lymphoma, NOS. No significant correlation of LMP1 expression with any clinical or histological parameter could be established in our studied patient population. Conclusions A high frequency of expression of LMP1 is seen in cases of Hodgkin lymphoma at our setup comparable to endemic regions of the world; therefore, preventive and treatment protocols should be designed accordingly
