Comparative Analysis of Public and Private Educational Institutions: A case study of District Vehari-Pakistan.

Education is necessary for the personality grooming of individual. There are different types of institutions available like private and public institutions, technical institutions, and madrasas (religious institutions). These institutes are having the triangle of three main pillars; consisted of Teachers, Students, and Curriculum. There are two main types of schools in Pakistan and all over the world. One is public and other is private school system. Now a days private schools are becoming more favorite and attractive for majority of the students due to their better education systems, test criteria and knowledge creation vis-a-vis  public schools, which comparatively very cheap but inefficient  are losing their attraction. Parents prefer to send their children in private schools and avoid public schools. The main objective of this study is to investigate why people prefer high charging private schools over free public schools (That charge nothing)? We use primary data collected through constructed questionnaire and survey method was applied for collection of data from the target respondents of private and public schools located in District Vehari, Pakistan. The results show that five main factors emerge as important determinants of private school choice. These include the socioeconomic status of the household, the degree of a school’s accessibility, the cost of schooling, parents’ perceptions of school quality, and their perceptions of the available employment opportunities in the region. Keywords: School choice, private, public, perceptions, school quality, employment, wealth, access, cost of schoolin

Mortality in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease with Lower and Higher Decaf Scores

Background: To determine diagnostic accuracy of DECAF score in predicting mortality in patients with acute exacerbation of chronic obstructive pulmonary disease having DECAF score <4 and within 7 days of hospital admission keeping actual mortality as gold standard. Methods: In this cross sectional validation study, 146 Patients with COPD were selected from emergency and OPD of Fauji Foundation Hospital Rawalpindi presenting with signs and symptoms of acute exacerbation of COPD from 15 may 2017-15 Nov. 2017.The procedure began after taking informed consent of the patients. Clinical features documented and investigations were sent. The expense of all the tests was borne by the hospital administration and not the patient. A specially designed Performa was used for data collection. RESULTS: Mean age (years) in the study is 64.90+0.93. Patients with DECAF score of 1, 2 and 3 are (2.7+26+35.6 =64.3) are 64 %. The cases with DECAF score of 4 are 26.7% and the cases with DECAF score of 5 and 6 are 8.9%. DECAF score versus mortality with different age groups and duration of smoking gave reasonably high values of sensitivity and, specificity. Also the PPV and NPV values are appropriate. The minimum diagnostic accuracy is 71.23% indicating that this test is appropriate in predicting the true status of the cases.CONCLUSION: The study concludes that DECAF score is a useful predictor of mortality in patients admitted with acute exacerbation of COPD. Patients admitted in hospital with high DECAF score of should be admitted in intensive care unit because they may require invasive ventilation due to respiratory failure and high mortality. KEYWORDS: Chronic obstructive pulmonary disease, acute e

The Macroeconomic Determinants of Stock Price Volatility in Pakistan: An Empirical Investigation

Stock price volatility has been a source of prime interest in the capital markets because stock markets are crucial in any economy in terms of their implications. This study empirically investigates the factors influencing stock price volatility in Pakistan using monthly data (January 2015 to December 2021). This study uses the three-month moving standard deviation method to compute stock price volatility. The ARDL technique is used to analyze the factors of stock price volatility. In the long run, a significant and positive relationship exists between the exchange rate, supply of money, interest rate, and stock price volatility. Whereas, the industrial production index and money supply have a statistically significant and positive association with stock price volatility in the short run. However, the consumer price index, exchange rate, and rate of interest exhibit a significant and inverse association with stock price volatility in the short run. The diagnostic check of estimated coefficients is also done to ensure the best, most linear, and unbiased estimates. To check the sensitivity of the estimated coefficients concerning significance, sign, and magnitude the volatility of the stock prices is also calculated using the ARCH model. The empirical findings on average are moderately robust. It is strongly recommended that the central bank and government develop monetary and fiscal policies focused on exchange rate stability and monetary expansion stability

Measuring Multidimensional Poverty and Inequality in Pakistan

The key development objective of Pakistan, since its existence, has been to reduce poverty, inequality and to improve the condition of its people. While this goal seems very important in itself yet is also necessary for the eradication of other social, political and economic problems. The objective to eradicate poverty has remained same but methodology to analysing this has changed. It can be said that failure of most of the poverty strategies is due to lack of clear choice of poverty definition. A sound development policy including poverty alleviation hinges upon accurate and well-defined measurements of multidimensional socio-economic characteristics which reflect the ground realities confronting the poor and down trodden rather than using some abstract/income based criteria for poverty measurement. Conventionally welfare has generally been measured using income or expenditures criteria. Similarly, in Pakistan poverty has been measured mostly in uni-dimension, income or expenditures variables. However, recent literature on poverty has pointed out some drawbacks in measuring uni-dimensional poverty in terms of money. It is argued that uni-dimensional poverty measures are insufficient to understand the wellbeing of individuals. Poverty is a multidimensional concept rather than a unidimensional. Uni-dimensional poverty is unable to capture a true picture of poverty because poverty is more than income deprivatio

Comparison of High Intensity Non-Invasive Ventilation With Low Intensity Non-Invasive Ventilation In Patients With Acute Copd Exacerbation

Objective: To determine the outcome of high intensity non-invasive positive pressure ventilation (HI-NPPV) as compared to low intensity non-invasive positive pressure ventilation (LI-NPPV) in patients with acute COPD exacerbations. Methodology: This Randomized controlled trial Department of PulmonologyFauji Foundation Hospital Rawalpindi from  31st December 2016 to 30thJune 2017. Arterial blood gases will be taken at admission. If values of pH and paCO2 meet the criteria for non-invasive ventilation then patients will be enrolled in the study. Patients will be randomly divided into two groups by lottery method. GROUP A and GROUP B. GROUP A will receive high intensity NIV (HI-NPPV) and GROUP B will receive low intensity NIV (LI-NPPV) by TRIOLOGY machine. Expiratory positive airway pressure (EPAP) will remain between 4 to 6 cmH2O.  Arterial blood gases (ABGs) will be done at baseline and then 72 hours after admission. Improvement in PaCO2, HCO3, and FEV1 will be recorded 72 hours from baseline and collected on proforma (attached). Results: Mean age (years) in the study was 55.54+3.81. There were 08 male patients included the study meeting the inclusion criteria. Of these, 05 and 03 male patients among both the groups respectively. Similarly, there were 92 female patients included the study meeting the inclusion criteria, of these, 45 and 47 female patients among both the groups respectively. Outcome of the study was assessed in terms of mean PaCO2 (mmHg), HCO3 (mmol/L) and FEV1 at baseline and after 72 hours. Mean PaCO2, HCO3 and FEV1 at baseline was 64.87+5.22, 33.75+4.17 and 0.66+0.04 respectively. After 72 hours, mean PaCO2 (mmHg) , HCO3(mmol/L), and FEV1 among both the groups was 63.98+6.58 vs 41.46+2.40, 33.10+4.81 vs 23.12+2.01, 0.66+0.05 vs 0.72+0.04 with following P value of (0,000, 0.000, 0.000) respectively. Conclusion: High intensity non-invasive positive pressure ventilation (HI-NPPV) has no different outcome as compared to low intensity non-invasive positive pressure ventilation (LI-NPPV) in patients with acute COPD exacerbations

Comparison of sampling adequacy between OPD based pipelle biopsy and in- patient conventional D&C, presented with abnormal uterine bleeding

Objective: To determine agreement on adequacy of sample by pipelle biopsy and conventional dilatation and curettage in patients with abnormal uterine bleeding. Study design: Cross sectional studySetting and Duration of Study: Department of Obstetrics and Gyneacology, Islamic International Medical College Trust, Railway Hospital Rawalpindi. Study was carried out over a period of six months (11-07-2012 to 14-01-2013). Patients and Methods: 84 patients presented with abnormal uterine bleeding age 45 years and older, attended Gynecology department of Railway Hospital Rawalpindi. Who qualified the inclusion criteria were enrolled in this study by non-probability consecutive sampling technique. The diagnostic intervention for endometrial sampling was by pipelle device and by conventional D&C. Both procedures were performed in the OT at the same time.First the pipelle sample was taken and was labeled as “A” then conventional D&C was performed and was labeled as “B”. Both samples were sent to the pathologist, who was blinded as to the method of sample collection for histopathology assessment. Adequacy of the sample was assessed as per operational definition. A data base was made in SPSS version 17. Kappa statistics was applied to assess the agreement. Results: Out of 84 patients, 80 (98.8%) of the patients had adequate sample with Pipelle Biopsy as compared to conventional curettage and dilatation (D & C). We therefore recommend the use of pipelle biopsy as a first line tool for endometrial assessment for our setups instead of D&C. Conclusion: Our study concluded that the Pipelle biopsy is a useful and convenient method to the patients and physicians as ompared to D&C performed in the operating theatre. It is useful in obese and high-risk patients with minimum chances of perforation of uterus due to its soft flexible tip

Metabolic syndrome in type 2 diabetes: comparison of WHO, modified ATPIII & IDF criteria

OBJECTIVES: To determine the frequency of metabolic syndrome in type 2 diabetes according to three commonly used operational definitions {World Health Organization (WHO), National Cholesterol Education Program Adult Treatment Panel (NCEP ATP III) and International Diabetes Federation( IDF)}. To evaluate the agreement between these classifications in the Pakistani cohort. METHODS: Data was collected retrospectively of 210 patients with type 2 diabetes visiting outpatient clinics of one of the large tertiary care hospitals at Karachi, Pakistan between June 2008 to November 2008. RESULTS: The prevalence of metabolic syndrome was found to be 81.4% (WHO), 86.7 % (IDF) and 91.9 % (NCEP ATPIII). The degree of agreement (kappa statistic) was found to be highest among IDF & NCEP ATPIII (0.728) as compared to (0.436 & 0.417) between WHO & ATP and WHO & IDF respectively. The most significant predictors for metabolic syndrome were found out to be female gender OR= 8.74 95% CI 1.51-50.53, low HDL cholesterol levels OR = 0.89 95% CI 0.84-0.94 and high systolic blood pressure OR= 1.06 95% CI 1.009-1.11. CONCLUSION: Our study results suggested that NCEP ATPIII and IDF are the most reliable criteria for diagnosing metabolic syndrome in type 2 diabetic patients, with NECP capturing more patients in comparison to IDF definition. The alarmingly high frequency of metabolic syndrome in type 2 diabetes found in this study suggests that primary prevention strategies should be initiated earlier and early in this ethnic group and our health care system should be geared up to cope with this deadly quartet

Exploring the Linkages Among Economic Growth, Openness, Income Inequality, Education and Health in Pakistan

The present study is an attempt to investigate empirical linkages among economic growth, openness, income inequality, education and health in Pakistan during 1974-2009 by using annual time series data. Phillips-Perron (PP) unit root test is utilized to check stationarity of the variables. Long-run relationship is confirmed through Johansen and Juselius cointegration test. VECM is proposed to check short-run and long-run dynamics. Toda-Yamamoto causality test is utilized for observing the causality. Diagnostic tests are utilized to confirm the validity of the model. The results support strong positive impact of openness of trade, education and health on economic growth in the long-run whereas income inequality is negatively associated with economic growth. The study finds significant five uni-directional causalities and two bi-directional causalities among variables. For achieving higher economic growth in Pakistan attention must be directed towards decisive economic policies related to liberalizing trade, provision of education and health facilities and to reduce income inequality.JEL Classification: F43, F13, I19, I29Key words: Economic Growth; Openness; Income Inequality; Education; Healt