Practice Management & Patient Health Record System

General Physicians or Specialists who has less number of patients often cannot afford to buy high end Practice management software which often costs thousands of dollars. Online Personal health record (PHR) sharing system is an emerging patient oriented model created for health information exchange following all HIPAA regulations, Using this application patient can share his/her health record with organizations (Hospitals, Health insurance firms.. etc.). It is an application which helps connect doctors and billers together and provides hassle free experience and it does not need any additional plugins or hardware and can be accessed from any device like personal computer, laptop or tablets instantly. In this application we are providing two registration forms, one for Patient and another for organization, unless patient or organization registers they will not be able use this application. If patient wants to share information with a third person who is not registered with the application they can do it so without any fright of exploitation of their record as the files would be encrypted and can only be accessed by the key. This key is system generated and it is generated at the time of patient sending his/her Health Record. For the patients, it gives the pleasure of staying at ease about their scheduled appointments with the doctor also providing them a platform to save their medical history at one organized easily accessible place to share, study and review. For the medical billers, PHR is a boon which saves the staff a lot of time to access the record and bill the patients’ insurances effectively complying with HIPAA norms

Factors Leading to Acute Pancreatitis in Tertiary Care Hospitals in Pakistan – A Multicenter Study

Background: To determine the prevalence,etiological spectrum and outcomes of acutepancreatitis patients .Methods: In this was descriptive, observational,study patients presenting with clinical features ofacute pancreatitis, increased serum amylase and/orlipase levels and/or CT scan abdomen with featuressuggestive of acute pancreatitis were included.Ranson’s scoring was done over the first 48 hours.Contrast- enhanced CT scan abdomen withpancreatic protocol was done in selected patients.Cochrane-Armitage trend test was used to determinesignificance of correlation between complicationsand severity indices.Results: Out of 154 patients 59.1% were female.Gall stones (74%) was the commonest aetiology,followed by idiopathic ( 13%). Same admissioncholecystectomy was done in 44.7% of patients withgallstone pancreatitis. On admission, 14.9% of serumamylase and 18.8% (n=29) of serum lipase levelswere within 3 times the upper limit of normalvalues. Higher Ranson’s score and modified CTseverity index were associated with highercomplication and mortality rates. The complicationrate was 21.4 % and mortality was 7.1 % .Conclusion: Gallstone pancreatitis was found tobe the most common cause. The higher rate ofidiopathic pancreatitis in our study, along withhigher mortality in this subgroup, could be partiallyexplained due to lack of advanced diagnostics suchas MRCP and EUS. Overall complication andmortality rate was higher for which healthcareinfrastructure needs to be improved

Impact Of Job Status And Demographic Trends On Quality Education: A Case Study Of Private Universities In Pakistan

The major purpose of this paper was to examine the quality of various aspects of higher education in the private sector of Pakistan by adopting a descriptive method of research. The population of the study constituted 270 administrators, 6,180 teachers and 61,108 students in existing 54 private universities and degree-awarding institutions of Pakistan. The method of cluster sampling was used to select the study sample of 840 people, which was carried out in two stages. In the first stage, 12 clusters of universities were randomly chosen out of the total population of private universities. In the second stage, 60 administrators, 180 teachers and 600 students were selected through a random sampling procedure with five administrators, 15 teachers and 50 students from each selected cluster. Three questionnaires, developed and refined through pre-testing, were used as measuring instruments to collect data. The researcher personally visited each university and collected data from the sample. The collected data was tabulated, analyzed and interpreted by using ANOVA and t test techniques

Bifurcation analysis and chaos in a discrete Hepatitis B virus model

In this paper, we have delved into the intricate dynamics of a discrete-time Hepatitis B virus (HBV) model, shedding light on its local dynamics, topological classifications at equilibrium states, and pivotal epidemiological parameters such as the basic reproduction number. Our analysis extended to exploring convergence rates, control strategies, and bifurcation phenomena crucial for understanding the behavior of the HBV system. Employing linear stability theory, we meticulously examined the local dynamics of the HBV model, discerning various equilibrium states and their topological classifications. Subsequently, we identified bifurcation sets at these equilibrium points, providing insights into the system's stability and potential transitions. Further, through the lens of bifurcation theory, we conducted a comprehensive bifurcation analysis, unraveling the intricate interplay of parameters that govern the HBV model's behavior. Our investigation extended beyond traditional stability analysis to explore chaos and convergence rates, enriching our understanding of the dynamics of the understudied HBV model. Finally, we validated our theoretical findings through numerical simulations, confirming the robustness and applicability of our analysis in real-world scenarios. By integrating biological and epidemiological insights into our mathematical framework, we offered a holistic understanding of the dynamics of HBV transmission dynamics, with implications for public health interventions and disease control strategies

Numerical investigation of the slope stability under the rainfall infiltration of different intensities and duration using finite element code

This research presents a numerical analysis using the two-dimensional finite element code, PLAXIS 2D, to explore the impact of rainfall infiltration on slope stability through a fully coupled deformation flow analysis. In the numerical model, the soil is represented as an elastic-perfect plastic material, and its shear strength is modeled using the Mohr-Coulomb model. Using the 2D finite element method, the study explores the combined effects of varying rectilinear slope geometries, soil types, rainfall intensities, and durations on slope stability. Diverse slope configurations with significant variations in slope height and angle were considered. The results imply that the stability of the slope is significantly influenced by both the rainfall intensity and duration. Moreover, the influence of rainfall duration and intensity on slope stability is more pronounced for clayey soil and slopes with a steep angle. The findings of this study will provide guidelines to engineers in assessing the potential risk of slope failure under varying rainfall intensities and durations

Alternative sources of proteins in farm animal feeding

The global demand for protein is on the rise owing to the exponential increase in the world population and to meet the global protein requirements, it is imperative to seek alternative sources of proteins in farm animal feeding. Recognizing the importance of proteins and the fact that a major portion of human protein requirements is derived from livestock in the form of meat, milk, and eggs, the available protein-feeding stuff in the form of soybean meal cannot be regarded as sufficient for feeding to livestock. Oil seeds such as rapeseed meal and canola meal have a crude protein content of 30%-40% and are widely used and hence a potential alternative protein source to soybean meal. Going forward, Grain legumes such as peas, faba beans, and lupins, another alternative source of proteins have the potential to replace traditional protein feeds completely or partially such as bone and fish meals. Duckweed with a protein content of 20%-45% is another plant-based potential protein source that can be employed in livestock feeding particularly pigs owing to its huge potential as a growth promoter as evidenced by studies in pigs and piglets. Because of their nutritional qualities and possible environmental advantages, insects represent another class of alternative protein sources that have enormous potential to function as sustainable protein sources. Several insect species have been assessed for use as animal feeds; the most promising ones include the yellow mealworm (Tenebrio molitor, TM), the common house fly (MD), and the black soldier fly (Hermetia illucens, HI). Byproducts from aquaculture and fisheries are abundant in macro- and micronutrients, and their utilisation can provide fishmeal and fish oil, which can then be further adapted for use as a source of protein in animal nutrition. Employing microalgae as an alternative source of protein in animal feeding is somehow a new concept. Many nutritional and toxicological studies have demonstrated the potential of algae biomass as a valued feed supplement or substitute for conventional protein sources such as soybean meal. While these alternative protein sources in livestock feeding may serve as useful tools, parameters such as feed safety and acceptability should be monitored based on feed safety regulations.O