Hematological changes in patients of chronic renal failure and the effect of hemodialysis on these parameters

Background: Chronic kidney disease (CRD) is a global public health problem, where slowly progressive deterioration in kidney function lead to numerous hematological and biochemical dysfunction which further make the patients vulnerable to cardiovascular morbidity and mortality if appropriate measures is not taken for their control. The aim of present study was to find out the common hematological dysfunction that may occur in the patients of chronic renal failure (CRF) and in the process of dialysis and suggest appropriate measures for their management.Methods: Forty-two patient with CRF and on regular maintenance dialysis and 40 healthy adults were recruited into the study. Hemoglobin concentration, total red cell count, total white blood cell count and platelet count and ESR were assessed for the subjects and controls. Results were analyzed using SPSS 21.0 version.Results: showed that the RBC count, hemoglobin levels and platelets counts are significantly reduced in the patients of chronic renal failure and the process of hemodialysis further decreases the level of all the above mentioned hematological parameters whereas there is slight increase in total leucocyte count but significant increase in ESR was detected.Conclusions: Chronic renal failure is associated with different degrees of abnormality in hematological parameters that needs careful evaluation and management

Do individual disposition and occupational self-efficacy work? Threat of COVID-19 on banks frontline employees’ performance: An emerging market context

This study aims to analyze the divulgence of COVID-19 on individuals, institutions and institutional setups, evidence taken from banking sector of an emerging market of Pakistan. The study used, structured Questionnaire for the data collection purpose. The questionnaire was administered from the employees of banking sector of Pakistan. Total of 500 questionnaires were distributed having a 97% response rate. Analysis of the data was done using SPSS Process macro. Results show occupational self-efficacy positively affects the relationship of perceived threat of COVID-19 and employee performance. As the healthy work environment reduces the stress factor and helps in maximizing the performance outcome. Individual disposition further add the incremental factor as individual characteristics improve the employee performance specially and organizational performance generally. Current research provides input to the organizations like Banks; as to how they can minimize the perception of threat to improve the working of employees. It also provides useful human resource management practices to banking sector to control and decrease the effect of COVID-19 and such events. To the best of the author’s knowledge, this study is the first attempt to analyze the divulgence of COVID-19 on individuals, institutions and institutional setups and therefore provides a significant contribution to the occupational self-efficacy, individual disposition and COVID-19 literature

PERSONALITY TRAITS PREDICT IN SPORTS PERFORMANCE AMONG UNIVERSITY ATHLETES

The present study aims to investigate the personality traits predict in sports performance among university athletes. The sample was comprised of 232 (male=148 and Female = 84), aged between 18 to 30 years (M/SD; 25.11/1.60) of university athletes. The data were gathered from three universities of Punjab, Pakistan through purposive sampling technique. The present research was quantitative in nature and cross-sectional research design was applied. Two research instruments were used to measure the quantify data; Revised NEO personality inventory (NEO-PI-R) and Coach's Ratings Scale. The results of correlation clearly identified that neuroticism personality trait was significantly and negatively correlated with coach ability,, athletic ability, game performance, team playerness, work ethic and overall sports performance among university athletes. While, extraversion, agreeableness, conscientiousness, and openness personality traits were significantly and positively correlated with coach ability, athletic ability, game performance, team playerness, work ethic and overall sports performance among university athletes. Whereas, the results of multiple regression analysis revealed that agreeableness, conscientiousness, and openness were found to be the significant predictors of sports performance

PERSONALITY TRAITS PREDICT IN SPORTS PERFORMANCE AMONG UNIVERSITY ATHLETES

The present study aims to investigate the personality traits predict in sports performance among university athletes. The sample was comprised of 232 (male=148 and Female = 84), aged between 18 to 30 years (M/SD; 25.11/1.60) of university athletes. The data were gathered from three universities of Punjab, Pakistan through purposive sampling technique. The present research was quantitative in nature and cross-sectional research design was applied. Two research instruments were used to measure the quantify data; Revised NEO personality inventory (NEO-PI-R) and Coach's Ratings Scale. The results of correlation clearly identified that neuroticism personality trait was significantly and negatively correlated with coach ability,, athletic ability, game performance, team playerness, work ethic and overall sports performance among university athletes. While, extraversion, agreeableness, conscientiousness, and openness personality traits were significantly and positively correlated with coach ability, athletic ability, game performance, team playerness, work ethic and overall sports performance among university athletes. Whereas, the results of multiple regression analysis revealed that agreeableness, conscientiousness, and openness were found to be the significant predictors of sports performance

Short-Term Complications of Microscopic Trans Nasal Transsphenoidal Pituitary Adenomectomy

Background/Objective:   The commonest of pituitary gland tumors is pituitary adenoma which may be excised transcranially or trans nasal trans sphenoidal using either microscope or endoscope, in this study, the microscope was used. The objective was to see the short-term outcome of patients after microscopic transnasal trans-sphenoidal pituitary adenomectomy. Material & Methods:  This was a descriptive prospective study carried out from July 2019 to July 2021. 80 cases were included. All patients were investigated by contrast brain MRI, hormonal assay for pituitary gland & visual perimetry. Patients were evaluated for complications at 48 hours and 7 days. Results:  Mean age of the study population was 41.78 ± 11.75 years. There were 61 (76%) men & 19 (24%) women. 55 (68.8%) patients had functioning and 25 (3.3%) patients had nonfunctioning adenoma. Among 33 (41.3%) patients size of the adenoma was < 0.9 cm and 47 (58.8%) patients had adenoma > 1.0 cm. 12 patients had CSF leaks within 48 hours of surgery and 5 had a persistent leak on the 7th day. No statistically significant association was seen between age, gender, and size of adenoma and persistent CSF leak (P > 0.05). Diabetes insipidus was found in 9 patients. 3 had post-operative hematoma, 01 patient had meningitis and 2 patients died. Conclusion:  microscopic transnasal trans-sphenoidal surgery is a safe procedure yet associated with significant complications

Prevalence of depression, anxiety and Quality of life among North Indian Polycystic ovary syndrome Women: Evidence from a prospective observational study

Background: Polycystic ovary syndrome (PCOS) is a common heterogeneous gynaecological endocrine disorder characterized by clinical features including oligo-amenorrhea/ovulatory dysfunction, hyperandrogenism and polycystic ovarian morphology. PCOS increases the risk of depression and anxiety which leads to poor quality of life. Aim of the study were to determine the prevalence of anxiety and depression among women suffering from PCOS and to determine the quality of life (QOL) in PCOS women.Methods: The study was prospective, observational, non-interventional and questionnaire-based. 192 women with PCOS voluntarily helped in filling the questionnaires consisting of questions using PHQ-9 for depression, GAD-7 for anxiety, SF-12 for general health and PCOSQ-50 for disease-specific domains. All data were recorded in pre-designed case record forms and analysis of data was done using different statistical methods.Results: Majority of PCOS women were either overweight or obese. Based on PHQ-9 20% of women was suffering with major depression and based on GAD-7, 25% with major anxiety. It is found that psychosocial and emotional domain and coping domain of PCOSQ-50 is significant in patients with major depression and major anxiety. Significant effects were seen on their general health as per SF-12 domain. Lack of physical exercise was found in 83% of women.Conclusions: PCOS is a complex disease which decreases the overall quality of life. Therefore, treatment of PCOS women should include psychological counselling along-with with medication, especially in obese PCOS women. Women should be educated with the benefits of lifestyle modification in PCOS

Improved Recursive DV-Hop Localization Algorithm with RSSI Measurement for Wireless Sensor Networks

Abstract: Please refer tp full text to view abstrac

Assessment of knowledge, preventive behaviours and risk perception related to Covid-19 among medical students of Rawalpindi

Objectives: The study was conducted to determine the knowledge, preventive behaviours and perception of risk related to Covid-19 among the medical students who are the front line workers and are more susceptible to be infected. Methodology: This analytical cross sectional study was conducted in medical students of 1st, 2nd and 3rd year MBBS of various medical institutions of Rawalpindi. Study duration was 5 months (March 2020 to July 2020). The sample size was 425. Age ranging from 18 to 21 and 273 (64.2%) comprised of females. The inclusion criteria were those students who gave consent and filled out the questionnaire and the exclusion criteria was who didn't concede. The data was analysed on SPSS. Confidence interval was set to be 95% with 5% margin of error. Results: Most of the students were aware of the basic Covid-19 related knowledge like common symptoms, incubation period, transmission and the basic preventive measures which was on average higher than the previous studies conducted on medical students and on health care workers. Students were also having high level of performance in preventive behaviours in perspective of Covid-19 but risk perception is of moderate level. Conclusion: Participants were found to have high levels of knowledge related to Covid-19 except use of N95 masks and use of anti-viral drugs for treatment. Among self-reported preventive behaviours section, lowest score is related to frequency of cleaning and disinfecting items that can be easily touched with hands (i.e. door handles and surfaces). Participants had moderate risk perception despite having high levels of knowledge and high performance in self-reported behaviours. Keywords: Covid-19, medical students, risk perceptio