101 research outputs found
Doing Pre-operative Investigations in Emergency Department; a Clinical Audit
Introduction: Pre-operative investigations for emergency surgical patients differ between centers. Following established guidelines can reduce unnecessary investigation, cost of treatment and hospital stay. The present audit was carried out to evaluate the condition of doing pre-operative investigations for three common surgical emergencies compared to National Institute for Health and Care Excellence (NICE) guidelines and local criteria.Methods: A retrospective clinical audit of acute-appendicitis, abscess and hernia patients admitted to the emergency department was carried out over a one-year period from July 2014 to July 2015. Data of laboratory investigations, their indication, cost and duration of hospital stay was collected and compared with NICE-guidelines.Results: A total of 201 patients were admitted to the emergency department during the audit period. These included 77(38.3%) cases of acute-appendicitis, 112 (55.7%) cases of abscesses, and 12 (6%) cases of hernia. Investigations not indicated by NICE-guidelines included 42 (20.9%) full blood counts, 29 (14.4%) random blood sugars, 26 (12.9%) urea tests, 4 (2%) chest x-rays, 13 (6.5%) electrocardiographs, and 58 (28.9%) urine analyses. These cost 25,675 Rupees (245.46 Dollars) in unnecessary investigation costs and 65.7 days of additional hospital stay.Conclusions: Unnecessary investigations for emergency surgical patients can be reduced by following NICE-guidelines. This will reduce workload on emergency services, treatment costs and the length of hospital stay.</h2
Varietal performance against sucking insect pest of cotton (Gossypium hirsutum L.) under Multan ecological conditions
The ten cotton varieties were screened for resistance against whitefly, jassid and thrips at the experimental farm of Cotton Research Institute (CRI), Multan. Among the selected genotypes, SLH-284 exhibited relative resistance to whitefly, while VH-156 showed low susceptibility to thrips (0.7/Leaf). Notably, SLH-284 displayed greater resistance to whitefly attack. In August, a high jassid population (5.6/Leaf) was observed. Cotton genotypes BH-167, FH-113, and VH-148 were found to be susceptible to high infestations of insect pests, resulting in reduced cotton yield. In addition, jassid indicated peak population during August. The result indicated that VH-156 showed the resistance against thrips. From this experiment, it was observed that low infestation of whitefly and thrips occurred on SLH-284 and VH-156 cultivars. So, the overall results showed that VH-156 and SLH-284 can be used in IPM program. The study aimed to explore the impact of varied spacing and abiotic factors such as temperature, rainfall, and relative humidity on the population dynamics of sucking insect pests (specifically Bemisia tabaci, Thrips tabaci, and Amrasca devastans) within unsprayed conditions. A simple correlation analysis was employed to discern the relationships between these variables. The results of the analysis revealed that rainfall and temperature had a significant and positive impact on jassid populations, whereas relative humidity showed a non-significant effect. Similarly, temperature exerted a positive influence on both thrips and whitefly populations, while relative humidity and rainfall did not exhibit a significant impact on thrips. For whitefly, a significant and positive correlation was observed with relative humidity, but rainfall did not show a significant impact. To further quantify the relationships, Multivariate Regression Analysis computed the coefficient of determination (R2). The results indicated that temperature, humidity, and rainfall collectively influenced 53 %, 36.8 %, and 66.4 % of the population fluctuation of jassid, thrips, and whitefly, respectively. These findings underscore the intricate interplay of abiotic factors in shaping the dynamics of sucking insect pests, providing valuable insights into the environmental determinants of their populations under unsprayed conditions. © 2018 The Author(s
Environmental Elements in Urdu Afsana....A Review
The tradition of Urdu fiction has always reflected human life as well as nature and the environment. The fiction writer has presented the social, cultural and natural problems of his era in the form of art. If we examine the environmental elements, then natural landscapes, changing seasons, forests, rivers, fields, animals, birds and the conditions of the air and atmosphere are prominent in fiction literature on both symbolic and real levels. In the 21st century, the environment has been presented as a serious issue. Pollution, deforestation, overuse of the earth\u27s natural resources, population pressure in cities and climate change have become part of the themes of fiction writers. Fiction writers like Intizar Hussain, Hassan Manzar, Rafiq Hussain, Siddique Alam, Muhammad Hameed Shahid, Tahira Iqbal and Nayyar Iqbal have highlighted these issues in an artistic manner. In these stories, on the one hand, the beauty of nature and its deep connection with human life are shown, on the other hand, the consequences of environmental degradation and exploitation of natural resources are also highlighted. The short Urdu story, in addition to reflecting human relationships and social problems, also highlights the importance of environmental awareness and connection with nature. This article will examine the environmental elements in Urdu stories
Varietal performance against sucking insect pest of cotton (Gossypium hirsutum L.) under Multan ecological conditions
The ten cotton varieties were screened for resistance against whitefly, jassid and thrips at the experimental farm of Cotton Research Institute (CRI), Multan. Among the selected genotypes, SLH-284 exhibited relative resistance to whitefly, while VH-156 showed low susceptibility to thrips (0.7/Leaf). Notably, SLH-284 displayed greater resistance to whitefly attack. In August, a high jassid population (5.6/Leaf) was observed. Cotton genotypes BH-167, FH-113, and VH-148 were found to be susceptible to high infestations of insect pests, resulting in reduced cotton yield. In addition, jassid indicated peak population during August. The result indicated that VH-156 showed the resistance against thrips. From this experiment, it was observed that low infestation of whitefly and thrips occurred on SLH-284 and VH-156 cultivars. So, the overall results showed that VH-156 and SLH-284 can be used in IPM program. The study aimed to explore the impact of varied spacing and abiotic factors such as temperature, rainfall, and relative humidity on the population dynamics of sucking insect pests (specifically Bemisia tabaci, Thrips tabaci, and Amrasca devastans) within unsprayed conditions. A simple correlation analysis was employed to discern the relationships between these variables. The results of the analysis revealed that rainfall and temperature had a significant and positive impact on jassid populations, whereas relative humidity showed a non-significant effect. Similarly, temperature exerted a positive influence on both thrips and whitefly populations, while relative humidity and rainfall did not exhibit a significant impact on thrips. For whitefly, a significant and positive correlation was observed with relative humidity, but rainfall did not show a significant impact. To further quantify the relationships, Multivariate Regression Analysis computed the coefficient of determination (R2). The results indicated that temperature, humidity, and rainfall collectively influenced 53 %, 36.8 %, and 66.4 % of the population fluctuation of jassid, thrips, and whitefly, respectively. These findings underscore the intricate interplay of abiotic factors in shaping the dynamics of sucking insect pests, providing valuable insights into the environmental determinants of their populations under unsprayed conditions
A Comprehensive Update of Anti-COVID-19 Activity of Heterocyclic Compounds
Muhammad Shahid Nazir,1 Matloob Ahmad,1 Sana Aslam,2 Ayesha Rafiq,1 Sami A Al-Hussain,3 Magdi EA Zaki3 1Department of Chemistry, Government College University, Faisalabad, Pakistan; 2Department of Chemistry, Government College Women University, Faisalabad, Pakistan; 3Department of Chemistry, Faculty of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi ArabiaCorrespondence: Matloob Ahmad; Magdi EA Zaki, Email [email protected]; [email protected]: The Coronavirus disease 2019 (COVID-19) pandemic is one of the most considerable health problems across the world. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the major causative agent of COVID-19. The severe symptoms of this deadly disease include shortness of breath, fever, cough, loss of smell, and a broad spectrum of other health issues such as diarrhea, pneumonia, bronchitis, septic shock, and multiple organ failure. Currently, there are no medications available for coronavirus patients, except symptom-relieving drugs. Therefore, SARS-CoV-2 requires the development of effective drugs and specific treatments. Heterocycles are important constituents of more than 85% of the physiologically active pharmaceutical drugs on the market now. Several FDA-approved drugs have been reported including molnupiravir, remdesivir, ritonavir, oseltamivir, favipiravir, chloroquine, and hydroxychloroquine for the cure of COVID-19. In this study, we discuss potent anti-SARS-CoV-2 heterocyclic compounds that have been synthesized over the past few years. These compounds included; indole, piperidine, pyrazine, pyrimidine, pyrrole, piperazine, quinazoline, oxazole, quinoline, isoxazole, thiazole, quinoxaline, pyrazole, azafluorene, imidazole, thiadiazole, triazole, coumarin, chromene, and benzodioxole. Both in vitro and in silico studies were performed to determine the potential of these heterocyclic compounds in the fight against various SARS-CoV-2 proteins. Keywords: COVID-19, SARS-CoV-2, heterocyclic nucleus, in vitro, in silico, molecular docking studie
ENHANCING SERVICE EFFICIENCY IN UTILITY ORGANIZATIONS THROUGH QUALITY FUNCTION DEPLOYMENT
Quality Function Deployment (QFD) is a powerful approach for establishing a strong relationship between a product or service and customer needs. It focuses on capturing the voice of the customer to enhance their satisfaction. In today’s competitive landscape, organizations must meet customer needs to thrive. This research focuses on utility-imparting organizations and aims to enhance customer satisfaction and service efficiency through the development of a correlation matrix. The study proposes an inductive framework and evaluates it using typical QFD techniques. Specifically, the research utilizes the House of Quality (HOQ) to improve organizational efficiency and customer satisfaction. The HOQ identifies key quality indicators by analyzing the relationship between customer needs (WHATs), and technical solutions (HOWs), as well as between different HOWs. The results of the HOQ analysis highlight the most crucial factors for improving service efficiency: effective customer service, a competitive and focused organization, accurate billing meters and methods, precise meter readings and billing, and prioritization of emergency response. The findings provide valuable guidelines for improving the efficiency of utility energy services
Enhancing Service Efficiency in Utility Organizations through Quality Function Deployment
Quality Function Deployment (QFD) is a powerful approach for establishing a strong relationship between a product or service and customer needs. It focuses on capturing the voice of the customer to enhance their satisfaction. In today’s competitive landscape, organizations must meet customer needs to thrive. This research focuses on utility-imparting organizations and aims to enhance customer satisfaction and service efficiency through the development of a correlation matrix. The study proposes an inductive framework and evaluates it using typical QFD techniques. Specifically, the research utilizes the House of Quality (HOQ) to improve organizational efficiency and customer satisfaction. The HOQ identifies key quality indicators by analyzing the relationship between customer needs (WHATs), and technical solutions (HOWs), as well as between different HOWs. The results of the HOQ analysis highlight the most crucial factors for improving service efficiency: effective customer service, a competitive and focused organization, accurate billing meters and methods, precise meter readings and billing, and prioritization of emergency response. The findings provide valuable guidelines for improving the efficiency of utility energy service
Earliness index deters Pectinophora gossypiella incidence on advanced cultivars of Bt cotton
High Resolution Computed Tomography Chest Findings Among Post-COVID Patients
Background: HRCT chest has proven to be a helpful radiological modality to assess the course of disease. The main objective of the study was to analyze the pattern of lung involvement on HRCT chest among post-Covid patients.
Methodology: This cross-sectional study was carried out in the post Covid patients (30 days after discharge) from Nov 2020 to July 2021 in Sahiwal Teaching Hospital, Pakistan. Total 180 patients were selected through non probability consecutive sampling technique. Whole body Multi Slice CT scan 128 Slices by GE discovery was used to get HRCT of chest and to document various patterns and stages of pulmonary fibrosis in the post-COVID patients. The data was analyzed using the IBM SPSS 28.0.0 2021. Various radiological findings were expressed in percentages.
Results: A total of 77.8% patients had bilateral lung involvement, while 22.2% had unilateral lung involvement after one month of disease.
Ground Glass Haze was the commonest radiological pattern, found in 140 (77.8%) cases. Other radiological patterns were Air Space Opacification (47.2%), Septal Thickening (20%) and Fibrotic Bands (26.1%). Traction Bronchiectasis (10%) and Honey Combing (7.8%) were among the lesser ones reported. About 62% patients had mixed findings on HRCT Chest. Diagnosis of Organizing Pneumonia was made in 166 (92.22%) patients while 14 (7.78%) patients were labelled as UIP (Usual Interstitial Pneumonia) with honey-combing in HRCT chest. The involvement of Right Lower Lobe was in 165 (91.7%) of cases. Right Middle Lobe remained fairly spared and was seen in 120 (66.7%) cases.
Conclusion: Patchy ground glass haze seen bilaterally in lower lung lobes are the commonest abnormalities in HRCT chest of post-COVID patients.
Keywords: Covid-19, Pneumonia, Radiolog
Comparative Analysis of Skill-Based Education in Developed and Developing Countries
Workforce readiness and inclusive growth are based on skill-based education, commonly implemented in the form of technical and vocational education and training (TVET). It is review that compiles comparative evidence in the context of selected developed (USA, Russia, China, Japan, Finland, Germany, France, Turkey, UK, Malaysia, Singapore) and developing (Pakistan, India, Sri Lanka, Bangladesh, Afghanistan, Indonesia, Nepal, Maldives, Iran) country contexts. It analyses the models of governance, employer engagement, curriculum and pedagogy, inclusiveness, digitalization, and outcomes. Results demonstrate the usefulness of dual-apprenticeship models using detailed upper-secondary progressions in stimulating literacy/numeracy enhancements and easy school-to-employment transitions, whilst blended models encounter issues with esteem and compliance. The construction of systems often encounters skills gaps associated with shortages, introduction of inequalities in quality, and digital inequality; systemic changes in teacher instruction, competency-oriented instruction, and digital infrastructures are essential. Policy options that are adjusted with regard to system type and capacity are made at the end of the paper.
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