Fluorides in the ground waters of Amravati district (M.S), India

India is one of the important country on the world map and ranks 3rd for its water reservoirs. Although it is blessed with these reservoirs ground water constitutes the main reliable source for drinking water. The concentration of elements is of great concern. Keeping in mind the dilema of fluoride and its impact the present study carried out for Amravati district where major portion of population rely on the ground water source. Consumption of excessive fluorides in drinking water causes dental decay and physiological deformities. In the present study it is observed that some glimpses of Nimbhi and Daryapur are above the prescribed limits. A variation in concentration is seen with the change in season. Some spots like Mullapua, Amravati are approaching the verge of contamination. Need for continuos and recurrent monitoring of water will be helpful for betterment.Â

Bleeding complications in patients on warfarin undergoing joint injection/aspiration: systematic review and meta-analysis

Steroid injections in joints are commonly administered for the management of inflammatory or degenerative conditions. There is substantial controversy as to whether to continue warfarin when undertaking joint injection or aspiration. To assess the rate of bleeding complications in patients on warfarin undergoing joint injection/aspiration. Systematic review and meta-analysis. A literature search of 3 online databases was conducted by 2 reviewers using the Cochrane methodology for systematic reviews. Eligibility criteria were any study that reported bleeding complication rates in adult patients on warfarin undergoing a joint injection/aspiration whilst taking warfarin anticoagulation. Studies reporting on less than 5 patients were excluded. Meta-analysis was conducted using a random effects model. The search of databases resulted in a total of 1547 articles. After screening, 8 articles were deemed suitable for inclusion in the analysis, involving 871 injection/aspiration procedures. There were only 5 reported cases of bleeding. On meta-analysis the estimated bleeding complication rate was 1.5% (95% CI 0.5–4.5%). This meta-analysis shows that it is safe to perform joint injection and aspiration in patients on warfarin without routine prior testing of INR

Comparative ambient and indoor particulate matter analysis of operation theatres of government and private (trust) Hospitals of Lahore, Pakistan

The link between infection and indoor air quality (IAQ) in operating theatres is well established. The level of airborne particulate matter (PM) in operating theatres in Pakistan has not yet been studied comprehensively. Monitoring of both indoor (operating theatre) and outdoor concentrations of PM in both activity and non-activity time periods was done using a DUSTTRAK Aerosol Monitor (TSI Model 8520) and DRX Aerosol Monitor (TSI Model 8533) for 24 hours. Two hospitals in Lahore were selected: Services Hospital (government – site 1) and Shalamar Hospital (private – site 2). The highest concentration of PM was observed in the orthopaedic operating theatre at site 1 during working hours with an average concentration of 757(±540), 809(±58), 824(±585), 875(±586) and 970(±581) μg/m3 of PM1,PM2.5, PM4, PM10 and PMTotal respectively while the average PM2.5 outdoor concentration was 294 μg/m3. The minimum average PM concentration was found in the orthopaedic operating theatre at site 2 during working hours: 18(±8), 19(±8), 20(±9), 26(±9) and 39(±9) μg/m3 for PM1, PM2.5, PM4, PM10 and PMTotal respectively. The use of vertical laminar air flow ventilation strategy was found to be an effective measure in reducing PM levels and it might be possible to predict the air quality of operating theatres by determining PM dust load. Factors such as ventilation system, door opening /closing rates, building age, possible sources of infiltration, number of people present in the operating area all play a role in influencing PM concentrations in operating theatres

Globalisation and MA TESOL programs in the UK

This article reports the results of a mixed-methods approach to investigating the association between globalisation and MATESOL in UK universities. Qualitative and quantitative data collected from academic staff through eight emails, four interviews and 41 questionnaires indicate that the globalised context of higher education have affected these programmes in a number of ways including an increasing interest in recruiting more international students and a growing awareness about the need for curriculum and content modifications. The analysis of the data suggests that although change has been an inherent characteristic of these MAs over the past decade, it has been implemented gradually and conservatively, often relying on a dialectic relationship between academic staff and universities’ policies. The results imply that factors other than globalisation have also been at work. Many of the participants contend that globalisation has not lowered the quality of these MAs or standards of good practice

The psychometric characteristics of the revised depression attitude questionnaire (R-DAQ) in Pakistani medical practitioners: a cross-sectional study of doctors in Lahore

BACKGROUND: Depression is common mental health problem and leading contributor to the global burden of disease. The attitudes and beliefs of the public and of health professionals influence social acceptance and affect the esteem and help-seeking of people experiencing mental health problems. The attitudes of clinicians are particularly relevant to their role in accurately recognising and providing appropriate support and management of depression. This study examines the characteristics of the revised depression attitude questionnaire (R-DAQ) with doctors working in healthcare settings in Lahore, Pakistan. METHODS: A cross-sectional survey was conducted in 2015 using the revised depression attitude questionnaire (R-DAQ). A convenience sample of 700 medical practitioners based in six hospitals in Lahore was approached to participate in the survey. The R-DAQ structure was examined using Parallel Analysis from polychoric correlations. Unweighted least squares analysis (ULSA) was used for factor extraction. Model fit was estimated using goodness-of-fit indices and the root mean square of standardized residuals (RMSR), and internal consistency reliability for the overall scale and subscales was assessed using reliability estimates based on Mislevy and Bock (BILOG 3 Item analysis and test scoring with binary logistic models. Mooresville: Scientific Software, 55) and the McDonald's Omega statistic. Findings using this approach were compared with principal axis factor analysis based on Pearson correlation matrix. RESULTS: 601 (86%) of the doctors approached consented to participate in the study. Exploratory factor analysis of R-DAQ scale responses demonstrated the same 3-factor structure as in the UK development study, though analyses indicated removal of 7 of the 22 items because of weak loading or poor model fit. The 3 factor solution accounted for 49.8% of the common variance. Scale reliability and internal consistency were adequate: total scale standardised alpha was 0.694; subscale reliability for professional confidence was 0.732, therapeutic optimism/pessimism was 0.638, and generalist perspective was 0.769. CONCLUSIONS: The R-DAQ was developed with a predominantly UK-based sample of health professionals. This study indicates that this scale functions adequately and provides a valid measure of depression attitudes for medical practitioners in Pakistan, with the same factor structure as in the scale development sample. However, optimal scale function necessitated removal of several items, with a 15-item scale enabling the most parsimonious factor solution for this population

Prenegotiation public commitment in domestic and international bargaining

We use a formal bargaining model to examine why, in many domestic and international bargaining situations, one or both negotiators make public statements in front of their constituents committing themselves to obtaining certain benefits in the negotiations. We find that making public commitments provides bargaining leverage, when backing down from such commitments carries domestic political costs. However, when the two negotiators face fairly similar costs for violating a public commitment, a prisoner's dilemma is created in which both sides make high public demands which cannot be satisfied, and both negotiators would be better off if they could commit to not making public demands. However, making a public demand is a dominant strategy for each negotiator, and this leads to a suboptimal outcome. Escaping this prisoner's dilemma provides a rationale for secret negotiations. Testable hypotheses are derived from the nature of the commitments and agreements made in equilibrium

Mutual optimism as a rationalist explanation of war

argued that crises are more likely to end in war when two nations disagree about their relative power. claim that this widely used "mutual optimism" explanation is theoretically incoherent. Their criticism neglects the need to specify a behavioral causal mechanism that links beliefs to the outbreak of war. We show how the rationalist game-theoretic work on the causes of war provides such mechanisms-the risk-return trade-off and costly signaling-and demonstrate that these models are immune to Fey and Ramsay's critiques. We also show that the class of models Fey and Ramsay propose make the substantively unwarranted assumption that an actor can unilaterally impose peace on an opponent who strictly prefers war. Their finding that war does not occur in equilibrium has nothing to do with mutual optimism. We conclude that the mutual optimism explanation can be grounded on firm rationalist foundations. © 2010, Midwest Political Science Association