Service Delivery Innovation in Health Sector – Micro-Hospital

This is a theoretical paper presenting the concept of Micro-hospitals for service delivery innovation in hospitals. Micro-Hospital is in news for the past few years; however, it lacks the empirical evidence with regard to their economic feasibility, patient satisfaction or the role of information communication technology. This research will take a holistic view on, what factors drive service delivery innovation in health services provided by Micro-hospitals and how developed and emerging nations are dealing with the health services issues and how ICT innovations act as an enabler for health services’ provision. This specific paper makes a case for Micro-hospitals as a service delivery innovation, strategy in an emerging country

1,3-Diphenyl-1H-pyrazole-4-carbaldehyde

There are four mol­ecules in the asymmetric unit of the title compound, C16H12N2O. The dihedral angle between the phenyl rings in the mol­ecules are 22.2 (2), 22.4 (2), 25.1 (3) and 41.9 (2)°. In the crystal, mol­ecules form dimers due to inter­molecular C—H⋯O hydrogen bonds, which result in one R 2 2(10) and two R 2 1(7) ring motifs. Weak aromatic π–π stacking [centroid–centroid separation = 3.788 (3) Å] and C—H⋯π inter­actions may also consolidate the packing

Immediate Procedural Success of Primary Percutaneous Intervention in Patients with Acute ST Segment Elevation Myocardial Infarction

Objective: To determine the frequency of immediate procedural success of Primary PCI in patients with Acute ST segment elevation Myocardial infarction. Methodology: This observational study was conducted at Cardiology unit of P.I.M.S, Islamabad from April 2018 to October 2018. Study included 43 patients with STEMI. All of them had primary PCI. The main outcome variable was frequency of procedural success which was described as frequency distribution table. Results: Procedural success was achieved among all (100%) patients.  There were 16.3% patients who developed contrast induced nephropathy (recovered), they all were diabetics. There were 4.6% patients who developed hematoma. No other complications seen Conclusions: Immediate procedural success of primary PCI is high (almost successful in every case) and should be offered to the patients with STEMI whenever the facility is available. Keywords: ST-segment elevation myocardial infarction; primary percutaneous coronary intervention

The future of artificial intelligence in neurosurgery: a narrative review

Background: Artificial intelligence (AI) and machine learning (ML) algorithms are on the tremendous rise for being incorporated into the field of neurosurgery. AI and ML algorithms are different from other technological advances as giving the capability for the computer to learn, reason, and problem-solving skills that a human inherits. This review summarizes the current use of AI in neurosurgery, the challenges that need to be addressed, and what the future holds. Methods: A literature review was carried out with a focus on the use of AI in the field of neurosurgery and its future implication in neurosurgical research. Results: The online literature on the use of AI in the field of neurosurgery shows the diversity of topics in terms of its current and future implications. The main areas that are being studied are diagnostic, outcomes, and treatment models. Conclusion: Wonders of AI in the field of medicine and neurosurgery hold true, yet there are a lot of challenges that need to be addressed before its implications can be seen in the field of neurosurgery from patient privacy, to access to high-quality data and overreliance on surgeons on AI. The future of AI in neurosurgery is pointed toward a patient-centric approach, managing clinical tasks, and helping in diagnosing and preoperative assessment of the patients

Does ureteral stenting prior to shock wave lithotripsy influence the need for intervention in steinstrasse and related complications?

Objective: To analyze factors affecting steinstrasse (SS) and study the impact of pre-shock wave lithotripsy (SWL) stenting in the prevention of SS and related complications.Patients and methods: The cohort included 4,644 patients with renal stones treated by SWL. Three hundred and twenty-six (7%) developed SS. Initially, all patients were managed conservatively (group 1); interventions were reserved for those in whom conservative treatment failed (group 2). The 2 groups were further analyzed to identify factors influencing the need for intervention. The impact of pre-SWL stenting on the development of SS and the need for intervention was also assessed.Results: Expectant management was successful in 176 (54%) patients, while 150 (46%) required intervention for SS. The size of the stones had a significant association with the number of sessions required (p \u3c 0.01) and the development of SS. The placement of a stent prior to SWL decreased neither the sessions of SWL (p \u3c 0.01) nor the interventions required for SS and related complications.Conclusions: SWL for larger stones is a potentially significant complication of SWL and is associated with significant morbidity. Ureteral stents decrease the acute presentations of patients with SS; however, it does not decrease the ultimate need for intervention in the management of SS

Optimising the yield of silicon carbide synthesised from indigenous biomass husk using different catalysts

Biomass husk is a cost effective source to produce silicon based ceramics. Present work deals with the catalytic synthesis of silicon carbide from biomass husk of indigenous rice as raw materials. Rice husk samples were treated with different concentrations of sodium silicate, 40 % hydrochloric acid and a mixture of 40 % HCl and 2 gl-1 Na SiO . Treated husk were pyrolysed at 13500C in argon atmosphere and then 2 3 oxidised to eliminate unreacted carbon. Products were characterised by XRD, SEM and EDS techniques in order to confirm the carbide formation, to identify carbide morphology and to conduct elemental analysis respectively. Maximum yield was obtained in case of catalytic treatment with 2 gl-1 Na SiO . Acid treatment, although showed no considerable 2 3 increase in yield, fostered whiskers formation instead of particles

Generalization of Bateman Polynomials

In this paper, generalize the Bateman polynomials in terms of generalized hypergeometric function of the type pFp. Establish different forms of extended polynomials such as series expansion, generating functions and recurrence relations

Gender differences in medical students\u27 perception of neurosurgery: A cross-sectional study from Pakistan

Background: Despite 15,000 annual medical graduates, few choose neurosurgery, especially women. The scarcity of female neurosurgeons is a global concern, particularly in resource-limited settings such as Pakistan. This study focuses on gender-based differences in medical student perceptions of neurosurgery in Pakistan.Methods: A nationwide cross-sectional study was conducted from March 6 to April 20, 2023, using a Web-based survey. Data collectors were recruited through an ambassadorship program, distributed evenly across all provinces. A questionnaire was used after a pilot study. Data analysis was performed using SPSS version 26 and STATA 15.Results: A total of 2353 medical students participated in the study, of which 63.4% were female and 36.5% were male. Around 40.3% of women strongly agreed to the existence of potential gender bias in neurosurgery, in contrast to their corresponding male students, at 17.3%. Some of the highlighted deterring factors in pursuing neurosurgery as a career according to women include longer training duration (44.6%), poor work-life balance (41%), limited residency slots (50.6%), and limited exposure to neurosurgery (45.1%). Other factors included the high-intensity nature of training (33.6%), perceived gender bias (31.4%), competitive work environment (29.1%), complex surgical skills (38.6%), required level of medical knowledge (29.6%), and financial burden (33.9%).Conclusions: Our study shows that female students are more likely to believe in the existence of potential gender bias in the field compared with their counterpart male participants, which highlights the graveness of the situation in view of the evident paucity of female neurosurgeons in the country