Health related quality of life assessment in patients with hepatitis: a case of Pakistan

The intention of this study is to dig out the demographic, medical, economic and psychosocial factors that affect the health related quality of life of the hepatitis B and C patient in district Sargodha. 120 patients of hepatitis B and C virus were interviewed. WHOQOL-BREF questionnaire was followed for the construction of health-related quality of life (HRQOL) instrument. Age of the patient, disease severity, use of drug, pain, depression, financial hindrance and threat of death negatively affect the HRQOL of the hepatitis patient while, vaccination, income, education, sleep, opportunity of leisure and better living condition affect HRQOL positively.HRQOL, HBV, HCV, Pakistan

Returns to schooling, ability and cognitive skills in Pakistan

This study investigates the economic outcomes of education for wage earners in Pakistan. This is done by analysing the relationship between schooling, cognitive skills and ability on the one hand, and economic activity, occupation, sectoral choice and earnings, on the other. In Pakistan, an important question remains largely unaddressed: what does the coefficient on 'schooling' in conventional earnings function estimates measure? While human capital theory holds that the economic return to an extra year of schooling measures productivity gains acquired through additional schooling, the credentialist view argues that it represents a return to acquired qualifications and credentials while a third, the signalling hypothesis, suggests that is captures a return to native ability. This paper seeks to adjudicate between these theories using data from a unique purpose-designed survey of more than 1000 households in Pakistan, collected in 2007. The paper also examines the shape of the education-earnings relationship in Pakistan as a way of testing the poverty reducing potential of education in Pakistan

Impact of Financial Crisis on Textile Industry in Pakistan

The aim of study is to analyze the performance of Textile sector in Pakistan covering the pre–crisis period, post crisis period and period of crisis as well. For this purpose data were collected from overall textile sector from available sources for the period of five years. According to the most of the analysts, financial crisis 2008-09 is serious one after the world wide great depression of 1930’s. The analyses have been conducted on the basis of financial ratios (Profitability, liquidity and activity). The profitability ratios such as returns on assets were affected by financial crisis because returns on asset were decreased in crisis period as compared to cover pre and post crisis and same is the situation of return on equity that was also affected by financial crisis. The earnings per share are also reduced in financial crisis period because before and after crisis earning per share was positive but negative in crisis. The liquidity of this sector was also affected by financial crisis. Turnover of the assets also proved that assets were poorly managed by textile sector in financial crisis period. The results showed that the performance of textile sector had been better in pre-crisis and post-crisis while it was bad during crisis period

HUBUNGAN KOORDINASI MATA-TANGAN DAN KELINCAHAN DENGAN KEMAMPUAN PASSING BAWAH DALAM PERMAINAN BOLAVOLI PADA MURID SD INPRES RAPPOCINI MAKASSAR

Muhammad Aslam Faisal, 2019. Hubungan Koordinasi mata-tangan dan Kelincahan Dengan Kemampuan passing bawah dalam permainan bolavoli pada murid SD Inpres Rappocini Makassar. Skripsi Fakultas Ilmu Keolahragaan, Universitas Negeri Makassar. Penelitian ini bertujuan untuk mengetahui hubungan koordinasi mata-tangan dengan kemampuan passing bawah dalam permainan bolavoli, hubungan kelincahan dengan kemampuan passing bawah dalam permainan bolavoli, hubungan secara bersama-sama koordinasi mata-tangan dan kelincahan dengan kemampuan passing bawah dalam permainan bolavoli pada murid SD Inpres Rappocini Makassar. Jenis penelitian adalah deskriptif dengan melibatkan variabel bebas yaitu koordinasi mata-tangan dan kelincahan sedangkan variabel terikat adalah Kemampuan passing bawah dalam permainan bolavoli Populasi penelitian adalah murid SD Inpres Rappocini Makassar dengan sampel sebanyak 30 orang yang diambil secara acak undian (random sampling). Teknik analisis data yang digunakan adalah koefisien korelasi produck moment. Hasil penelitian menunjukkan bahwa 1). Ada hubungan yang signifikan koordinasi mata-tangan dengan kemampuan passing bawah dalam permainan bolavoli pada murid SD Inpres Rappocini Makassar 2) Ada hubungan yang signifikan kelincahan dengan kemampuan passing bawah dalam permainan bolavoli pada murid SD Inpres Rappocini Makassar, 3Ada hubungan yang signifikan secara bersama-sama koordinasi mata-tangan dan kelincahan dengan kemampuan passing bawah dalam permainan bolavoli pada murid SD Inpres Rappocini Makassar

Effective Utilization of Supervised Learning Techniques for Process Model Matching

The recent attempts to use supervised learning techniques for process model matching have yielded below par performance. To address this issue, we have transformed the well-known benchmark correspondences to a readily usable format for supervised learning. Furthermore, we have performed several experiments using eight supervised learning techniques to establish that imbalance in the datasets is the key reason for the abysmal performance. Finally, we have used four data balancing techniques to generate balanced training dataset and verify our solution by repeating the experiments for the four datasets, including the three benchmark datasets. The results show that the proposed approach increases the matching performance significantly

Congenital bilateral choanal atresi

Congenital choanal atresia (CCA) is the developmental failure of the nasal cavity to communicate with nasopharynx. Surgical repair is recommended in the first weeks of life in bilateral cases because this is a life-threatening situation in newborns. This is a case report of a full-term, healthy newborn baby presenting with intermittent attacks of cyanosis and respiratory distress soon after birth. On examination, alternating cyanosis and normal colour was observed in the infant. The insertion of nasal catheters in both the nares revealed the diagnosis of bilateral CCA. For this rare condition, conservative management was followed with elective transnasal endoscopic repair to relieve the life threatening nasal obstruction at the tenth day of life

Predictors of serious findings on bi-directional endoscopy in young patients with anemia and GI symptoms

Background: Iron deficiency anemia (IDA) has been cited as the most common cause of anemia globally. Gastrointestinal (GI) lesions are amongst the common cause of IDA. Endoscopic evaluation is the most effective way to investigate the IDA. The aim of this study was to show the association of alarming GI symptoms with abnormal endoscopic findings and to cut off the burden and cost of unnecessary endoscopies. Methods: This is cross sectional study of anemic patient who underwent upper and lower GI endoscopies in Aga Khan University Hospital, Karachi between July-December 2016. Results: Total 243 patients were identified after excluding ineligible patients. The mean age of subjects was 31.9 ± 6.1 years with a slight over-representation of females (57.4%). 149 (61.31%) patients underwent only upper GI endoscopic evaluation, and 83 (34.15%) patients on whom bi-directional endoscopy was performed (upper and lower). The remaining 11 (4.52%) patients underwent colonoscopy only. 16 (6.6%) subjects had negative findings on evaluation, while gastritis and serious findings were observed in 175 (72.0%) and 52 (21.4%) patients respectively. We found that patients with alarm features such as dysphagia (aOR: 2.07, 95%CI: 0.12-34.1), altered bowel habits (aOR: 1.64, 95%CI: 0.44-6.09) and weight loss (aOR: 1.25 95%CI: 0.54-2.85) demonstrated higher odds of serious findings on endoscopic evaluation as compared to the reference category, however they were not independently associated. Conclusion: Most of our patients had non-malignant pathologies, while alarm features were not found to be useful predictors of serious findings

The Impact of Marketing Mix and Market Orientation on Export Performance

The study focuses on the marketing mix and market orientation on export performance due to the significance of foreign businesses. Theory posits that marketing mix and market orientation have a positive impact on export performance. Although the paper is conceptual base and the model proposed is required to check their reliability that firm with size, information system, and commitment with availability of market mix and market orientation formally. However, with the modification of technology enhances the export performance in a better way. The authors concluded that the practical implementation of export’s marketing strategies identically facilitated the companies for future success

Frequency of worsening liver function in severe dengue hepatitis patients receiving paracetamol: A retrospective analysis of hospital data.

Objective: To determine the frequency of worsening liver function among hospital in-patients with severe dengue hepatitis receiving paracetamol. Methods: This retrospective study was conducted at the Department of Medicine, Aga Khan University Hospital, Karachi, and comprised records of dengue patients with severe hepatitis who received paracetamol for control of fever between June 2007 and December 2014. Alanine aminotransferase at baseline and following paracetamol administration was noted, as well as dosage and duration of paracetamol, along with participants\u27 demographic details. Frequency of patients who developed worsening or improvement of alanine aminotransferase was also noted. SPSS 19 was used for data analysis. Results: Of the 113 subjects, 73(64.6%) were male and 40(35.4%) were female. Overall improvement was observed in subsequent alanine aminotransferase levels (491 units per litre, IQR 356.5 TO 775 vs 151 units per litre, IQR 49.5 to 299.5). Most commonly prescribed dose of paracetamol was 2g (IQR 1 to 5 grams), which was taken for a median duration of 1 day (IQR 1 to 3 days). Moreover, 100(88.5 %) patients showed improvement in alanine aminotransferase. Only 13(11.5 %) patients developed worsening of alanine aminotransferase. Of those with worsening liver function, 8(61.5 %) were discharged home with no clinical deterioration and 5(38.5 %) deaths were observed. However, causes of deaths were unrelated to liver dysfunction. Conclusion: The frequency of worsening liver function following paracetamol administration in patients with severe dengue hepatitis was relatively low