Teaching Methodology and Performance of Private and Government School Teachers: A Comparative Analysis

The study tries to seek the teaching methodology between private and government schools by using mediating variable that put influence directly on overall performance of both the sectors. In this study, primary data are used through questionnaires. The study indicates the difference of quality of education in private and government schools in Pakistan’s education system. Findings of the study show that private schools show better performance as compare to government schools. The study suggests government schools to improve the quality of education. Keywords: Private and Government School, Teaching Methodology, Teaching Quality, Teaching Responsibilities, Teacher Efficacy. DOI: 10.7176/JEP/11-16-02 Publication date:June 30th 202

Association between perioperative hypothermia and surgical site infection after elective abdominal surgery: A prospective cohort study

Introduction: Surgical site infections (SSIs) account for 14-16% of nosocomial infections and are one of the major causes of increased morbidity, hospital stay, cost of care, and even mortality. Hypothermia as a risk factor for SSI is debated but there is lack of conclusive evidence. The present study explores the association of hypothermia with SSI.Methodology: This is a prospective cohort study conducted on adult patients who underwent elective laparotomy. Patients were divided into two cohorts, the Hypothermia Cohort and the Normothermia Cohort, based upon episodes of hypothermia of \u3c360C in the perioperative period. SSI was diagnosed based upon criteria defined by the Center for Disease Control and Prevention (CDC). Postoperative follow-up to detect SSI was done until 30 days after the operation.Results: A total of 183 patients met the selection criteria and were included in the study. Ninety patients (49%) had perioperative hypothermia and were followed in the Hypothermia Cohort, while 93 patients (51%) who remained normothermic in the perioperative period were followed in the Normothermia Cohort. Mean age of the patients was 49.77 +/- 14.82 years. Almost two-thirds of the participants were females (63.9%). Patients who developed hypothermia were significantly older and had lower BMI. Also the proportion of female patients was significantly higher in the Normothermic Cohort.Rate of SSI was similar in both groups (10% versus 10.8%) with p-value of 0.867. Multivariable regression analysis also failed to show any significant association between hypothermia and SSI.Conclusion: Our study failed to show any statistically significant association between hypothermia and surgical site infection

Simulation-based thermal analysis and validation of clothed thermal manikin

Human thermal comfort within various environmental conditions is of paramount importance in a wide range of industries, including clothing design, indoor climate control, and occupational safety. Researchers are always in search the sophisticated tools and techniques that simulate the thermal regulation of human body under different environmental conditions. The present research aims to present a precise methodology for the simulation of clothed thermal manikin in controlled environmental conditions. A comprehensive method is recommended that consists of the use of 3D body scanning technology, different 2D and 3D CAD as well as thermal simulation software. The results of the simulations are very satisfactory, which are later validated with the wear trials with the help of the same clothed thermal manikin and under the same environmental conditions. The comparative analysis shows some deviations that are discussed thoroughly and the need for further research is highlighted in the papers as well. Furthermore, the present research gives us a digital platform to understand the clothing's thermal comfort and the parameters that affect it with the consideration of the draping behavior of the clothing, microclimate, thermal properties, and surrounding environmental conditions

Clinical practice guidelines on the management of variceal bleeding

Gastroesophageal variceal bleeding occurs in 30 - 50% of patients of liver cirrhosis with portal hypertension, with 20-70% mortality in one year. Therefore, it is essential to screen these patients for varices and prevent first episode of bleeding by treating them with β-blockers or endoscopic variceal band ligation. Ideally, the patients with variceal bleeding should be treated in a unit where the personnel are familiar with the management of such patients and where routine therapeutic interventions can be undertaken. Proper management of such patients include: initial assessment, resuscitation, blood volume replacement, vasoactive agents, prevention of associated complications such as bacterial infections, hepatic encephalopathy, coagulopathy and thrombocytopenia, and specific therapy. Rebleeding occurs in about 60% patients within 2 years of their recovery from first variceal bleeding episode, with 33% mortality. Therefore, it is mandatory that all such patients must be started on combination of β-blockers and band ligation to prevent recurrence of bleeding. Patients who required shunt surgery/TIPSS to control the acute episode do not require further preventive measures. These clinical practice guidelines (CPGs) have been jointly developed by Pakistan Society of Hepatology (PSH) and Pakistan Society of Study of Liver Diseases (PSSLD)

National guidelines for the diagnosis and treatment of hilar cholangiocarcinoma

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.Peer reviewe

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Dandelion Optimizer-Based Combined Automatic Voltage Regulation and Load Frequency Control in a Multi-Area, Multi-Source Interconnected Power System with Nonlinearities

Frequency, voltage, and power flow between different control zones in an interconnected power system are used to determine the standard quality of power. Therefore, the voltage and frequency control in an IPS is of vital importance to maintaining real and reactive power balance under varying load conditions. In this paper, a dandelion optimizer (DO)-based proportional-integral-proportional-derivative (PI-PD) controller is investigated for a realistic multi-area, multi-source, realistic IPS with nonlinearities. The output responses of the DO-based PI-PD were compared with the hybrid approach using artificial electric field-based fuzzy PID algorithm (HAEFA), Archimedes optimization algorithm (AOA)-based PI-PD, learning performance-based behavior optimization (LPBO)-based PI-PD and modified particle swarm optimization (MPSO)-based PI-PD control schemes in a two-area network with 10% step load perturbation (SLP). The proposed strategy was also investigated in a two- and three-area IPS in the presence of different nonlinearities and SLPs. The simulation results and the comprehensive comparison between the different control schemes clearly confirm that the proposed DO-based PI-PD is very effective for realistic, multi-area multi-source IPS with nonlinearities

Load Frequency Control and Automatic Voltage Regulation in Four-Area Interconnected Power Systems Using a Gradient-Based Optimizer

Existing interconnected power systems (IPSs) are being overloaded by the expansion of the industrial and residential sectors together with the incorporation of renewable energy sources, which cause serious fluctuations in frequency, voltage, and tie-line power. The automatic voltage regulation (AVR) and load frequency control (LFC) loops provide high quality power to all consumers with nominal frequency, voltage, and tie-line power deviation, ensuring the stability and security of IPS in these conditions. In this paper, a proportional integral derivative (PID) controller is investigated for the effective control of a four-area IPS. Each IPS area has five generating units including gas, thermal reheat, hydro, and two renewable energy sources, namely wind and solar photovoltaic plants. The PID controller was tuned by a meta-heuristic optimization algorithm known as a gradient-based optimizer (GBO). The integral of time multiplied by squared value of error (ITSE) was utilized as an error criterion for the evaluation of the fitness function. The voltage, frequency, and tie-line power responses of GBO-PID were evaluated and compared with integral–proportional derivative (GBO-I-PD), tilt integral derivative (GBO-TID), and integral–proportional (GBO-I-P) controllers with 5% step load perturbation (SLP) provided in each of the four areas. Comprehensive comparisons between GBO-PID and other control methodologies revealed that the proposed GBO-PID controller provides superior voltage, frequency, and tie-line power responses in each area. The reliability and efficacy of GBO-PID methodology were further validated with variations in the turbine time constant and speed regulation over a range of  ± 25%. It is evident from the outcomes of the sensitivity analysis that the proposed GBO-PID control methodology is very reliable and can successfully stabilize the deviations in terminal voltage, load frequency, and tie-line power with a shorter settling time in a four-area IPS