The Direct Method: A Good Start to Teach Oral Language

Language of oral is always important role in the politics and journalism foreign is used to describe people, jobs and activities to countries that are not the country of the person or government concerned process of learning. Oral proficiency in something that you show ability or skill at it are also a basic role in the language of foreign. The strategy of communication is important to oral ability. This study focus the students to communicate with each other using the target or result that you are trying to achieve in the classroom. This research focus the advantage of Direct Method to give instruction how to communicate in the language of target. Keywords: Speech, Direct Method, Target Language, Communicatio

Impact of Recruitment and selection of HR Department Practices

Recruitment and selection that is a basic role in HRM something that people do regularly as a practices and also the honest in your moral principles to do work or some other activity that you do as part of your job and not for pleasure that is extremely important to get the task of organizational position where it will be most useful or have the most effect that you hope to achieve especially when much time and effort will be needed. That article help to try to find out what happened or  is the truth in the recruitment and selection that people do it regularly honest with their particular area of work or activity in which the aim is to make a profit with different levels which are presence on the organizational task with different organizations. Through questionnaire we analyze the data through the SPSS that give the result of this research. In organization development it is most important to better HRM performance

Stylistic Analysis of Alfread Tennyson's Poem Tears Idle Tears

This research paper is about the stylistic analysis of Tennyson’s poem “Tears, Idle Tears”. For analysis of this poem the stylistics devices are used and analysis is made under the aspects of phonological, semantic and Lexical Pattern. The analysis would be helpful in understanding the basic concepts of the poem, which had some past memories, impact at the present. The purpose of this study is to find out the poetic techniques which poet used to enhance the emotions of the reader. This study is also helpful to analyse the structure and style of the Tennyson and his views. Key Words : Stylistic analysis, Tennyson’s poem, Tears, idle tears, Poetic Devices

Severity Index and Outcome of Hospitalized COVID-19 Patients in Capital Hospital, CDA, Islamabad

Objective: To assess clinical characteristics and outcome of patients with Covid-19 infection. Study design: Descriptive cross-sectional study.Place and duration of study: Department of Medicine, Capital Hospital Islamabad from February 01, 2021 to April 25, 2021.Methodology: A manual medical record of total of 221 patients was conducted, more than 18 years of age, both genders, who presented with features suggestive of Covid-19 infection were included. Patients were tested for COVID-19 PCR, blood complete picture and inflammatory markers. The data was analyzed by using SPSS version 42.Results: Among 221 patients, there were 125(56.6%) males and 96(43.4%) females. Mean age was 57.20+13.17 years. Total 155(70%) cases were Covid PCR +ve and 66(30%) –ve. 86(38.9%) cases had mild, 91(41.2%) had moderate and 44(19.9%) had severe covid-19 infection. Lymphopenia was observed in 154(69.7%) cases. C-reactive protein was positive in 178(80.5%) cases. Serum ferritin was raised in 114(51.5%) cases, D-dimers in 139(66.9%), lactic dehydrogenase in 167(75.5%) cases with significant association with disease severity. Serum interleukin, performed in moderate and severe cases only, had mean value of 54.1+105.94pg/ml. Diabetes mellitus was found significantly associated with mortality (p=0.007) as well as hypertension (p<0.0001). 207 cases were managed and discharged, 14 cases expired (6.33%). Mortality was significantly associated with disease severity (p<0.001). Remdesivir was given to symptomatic patients and 94.4 % patients were discharged vs 5.6 % expired. Remdesivir and tocilizumab was given in combination in severe/critical patients and 76.5% patients were discharged vs 23.5% expired.Conclusion: Covid-19 is a disease with variable presentations. Severity of Covid-19 infection is directly related to lymphopenia as well as inflammatory markers. IL-6 levels, raised in more severe cases, signify immune response to Covid-19. Disease is more severe in patients with comorbids. In moderate to severe disease remdesivir and in severe covid disease with high IL-6 levels combination of antiviral and tocilizumab may help to improve outcome

Early Versus Interval Cholecystectomy in Mild Acute Biliary Pancreatitis. A Retrospective Study in Tertiary Care Hospital

Objective: The objective is to determine the adequacy of early cholecystectomy (EC) versus interval cholecystectomy (IC) in terms of recurrence, duration of hospital admission, and perioperative complications after mild acute biliary pancreatitis (MABP). Methodology: After endorsement from the ethical committee, clinical data and files of all the admitted patients having MABP in the general surgery department of Holy Family Hospital, Rawalpindi, was collected retrospectively from August 2017 to July 2020. The patients’ demographic profile, clinical findings, diagnostic investigations, timing of cholecystectomy, operating surgeons, operative time, biliary complications, intraoperative bleeding, conversion rate, duration of admission, and recurrence were reviewed. Patients presented with abdominal pain, vomiting, jaundice, or fever. The diagnosis was confirmed on the basis of a CT scan of the abdomen showing an inflamed pancreas and stones in the gallbladder. Outcomes were compared and reviewed between the two groups. Results: In this research proposal, 263 patients admitted were analyzed. EC was performed were discharged after conservative management and followed up after 12 weeks for interval laparoscopic cholecystectomy (IC). It was observed in patients of IC (EC 2 [1.2%] vs IC 7[7%]; p value <0.01) while duration of hospitalization was prolonged as compared to patients of EC (EC 5.53+0.58days vs IC 5.82+0.78days; p value <0.001). lar in both EC and IC. Conclusion: EC performed after MABP is associated with shorter duration of hospitalization and reduced recurrence with similar rate of perioperative complications

Knowledge, attitudes and experiences of self-harm and suicide in low-income and middle-income countries: protocol for a systematic review.

From Europe PMC via Jisc Publications RouterHistory: ppub 2021-06-01, epub 2021-06-22Publication status: PublishedIntroductionOver 800 000 people die due to suicide each year and suicide presents a huge psychological, economic and social burden for individuals, communities and countries as a whole. Low-income and middle-income countries (LMICs) are disproportionately affected by suicide. The strongest risk factor for suicide is a previous suicide attempt, and other types of self-harm have been found to be robust predictors of suicidal behaviour. An approach that brings together multiple sectors, including education, labour, business, law, politics and the media is crucial to tackling suicide and self-harm. The WHO highlights that evaluations of the knowledge and attitudes that priority groups, not only healthcare staff, have of mental health and suicidal behaviour are key to suicide prevention strategies. The aim of this systematic review is to examine the knowledge, attitudes and experiences different stakeholders in LMICs have of self-harm and suicide.Methods and analysisMEDLINE, Embase, PsycINFO, CINAHL, BNI, Social Sciences and Cochrane Library will be searched. Reviewers working independently of each other will screen search results, select studies for inclusion, extract and check extracted data, and rate the quality of the studies using the Strengthening the Reporting of Observational studies in Epidemiology and Critical Appraisals Skills Programme checklists. In anticipation of heterogeneity, a narrative synthesis of quantitative studies will be provided and metaethnography will be used to synthesise qualitative studies.Ethics and disseminationEthical approval is not required. A report will be provided for the funding body, and the systematic review will be submitted for publication in a high-impact, peer-reviewed, open access journal. Results will also be disseminated at conferences, seminars, congresses and symposia, and to relevant stakeholders.Prospero registration numberCRD42019135323

Identifying Grammatical Errors in Job Applications: A Comprehensive Analysis of Potential Employees' English Writing Skills

This study investigates grammatical errors through an analysis of potential employees’ written job applications. The researchers have collected a total of 25 written compositions as a target sample from 5 different schools of Multan. The researchers identified lexical, syntactic and punctuation errors in each application and then compared the frequency of occurrence in the selected writing samples. Results show that syntactic errors have the highest frequency of occurrence (42%) followed by punctuation and lexical errors (29%) which have the same percentage. The study concludes that these errors arise due to learners’; insufficient inter-lingual competency, the effect of the applicant’s first language, lack of grammatical knowledge and underdeveloped writing skills. The present research recommends investigating spoken errors during job interviews and also investigating the errors committed by potential employees who have completed 18 years of education