Mediating Role of Customer Trust in Predicting Customer Commitment Through Automated Service Quality in Commercial Banking

The automated service quality is a critical decider to scale customer commitment in commercial banking industry. Customer trust mediates the direct relationship among automated service quality and customer commitment. Customer trust in banking can be a competitive advantage for a service firm to compete in the market. Customer trust creates customer commitment and helps a bank to have new customers and sustain the existing ones. Current study explains the mediating role of customer trust while describing the relationship among automated service quality and customer commitment. Survey technique is used to collect data using an adopted questionnaire. Data analysis is done using Preacher and Hayes mediation method to prove the deducted hypothesis. The results demonstrate that features of online banking services create customer trust. Customer commitment of banking customers is mediated by the elements of customer trust, built on automated service quality features. These results have managerial and research implications for operations and strategy formulation in the banking industry. Results are valuable to smooth the provision of online services in the banks and financial institutions where information technologies are being used

A crisis within a crisis: Role of COVID-19 pandemic in poor compliance of Community-based Management of Severe Acute Malnutrition among children younger than five years in Pakistan

IntroductionIn order to attain Sustainable Development Goal 2 (SDG-II) of eradicating malnutrition among children by 2030, Pakistan has initiated a Community-based Management of Severely Acute Malnutrition (CMAM) program. This program has been established at the public level to detect and treat uncomplicated Severely Acute Malnourished (SAM) children at an early stage. However, during the outbreak of COVID-19, very poor compliance with the CMAM program was observed. Consequently, the nutritional quality of children’s diets has deteriorated, with malnutrition rates expected to rise. Therefore, this study has been set up to evaluate the effect of the COVID-19 lockdown on the health of SAM children and compliance with the CMAM program.MethodologyThis study used a multicenter cross-sectional design in District Dera Ghazi Khan’s rural areas located in the Southern Province of Punjab. Data were collected from the parents/guardians of SAM children through the researcher-administrated questionnaire. The sample size was 196, and data were analyzed through SPSS version 25.ResultsThe majority of the children enrolled were males (52.5%), had fathers aged between 41 and 50 years (52.0%), mothers aged between 21 and 30 years (52.5%), had illiterate fathers (40.1%), illiterate mothers (73.8%) and had a monthly household income of PKR <15,000 (91.1%). All of the respondents mentioned that COVID-19 affected them in one way or the other (100.0%), with a majority of them did not visit the hospital during COVID-19 for their SAM child (52.5%) as they were afraid of COVID-19 (63.2%) and/or they lacked access to transport for visiting a hospital (93.4%). Bivariate analysis revealed that the father’s age (P = 0.02) and income (P = 0.00) is associated with the perceived effect of COVID-19 on income. In contrast, only the gender of the child (P = 0.00) is related to the visit to the hospital, and the gender of the child (P = 0.01) and mother’s literacy (P = 0.00) is associated with the choice of treatment from any other setup, including Hakeem and Peer.ConclusionThis study concludes that health emergencies like the COVID-19 pandemic pose a significant barrier to access to healthcare services and subject a more vulnerable state to already vulnerable groups like SAM children. To lessen their vulnerability, initiatives like mobile health care services should be introduced, especially for socially disadvantaged communities, localities, and groups on regular basis and for future emergencies

Clinicopathological Spectrum of COVID-19

Objective: To analyse the clinicopathological spectrum of COVID-19 among 2000 patients. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Abbottabad Pakistan, from Apr to Jun 2020. Methodology: The study included 2000 patients who came to CMH Abbottabad to seek medical attention during the first wave of the COVID-19 pandemic. Age, gender, contact history, history of foreign travel, clinical features, comorbid conditions and results of SARS-CoV-2 PCR were observed. Results: From 2000 cases, 1442(72%) were males, and 558(28%) were females. The mean age was 35.02±13.00 years, and 1275(63.8%) cases were from the 3rd to fourth decade of life. 900(45%) of the cases had a contact history with a COVID-19 patient, whereas only 4(0.2%) had a history of foreign travel. 1854(93.0%) of the cases were asymptomatic, whereas only 48(2.4%) presented with fever and cough, the most common symptoms. Only 26(1.3%) cases had associated comorbid conditions, and 263(13.0%) cases showed positive PCR results. The statistical association was found to be significant among age groups, gender, contact history and results of SARS-CoV-2 PCR,(p-value< 0.001). Conclusion: This study provides an overall view of the COVID-19 pandemic, which has grasped the globe within no time.Efficient preventive and control measures are mandatory, in addition to early identification and diagnosis, to overcome the infection

Knowledge and practice of menstrual hygiene management among women living in a low-income neighbourhood, Karachi, Pakistan

Background: The aim of the study was to determine the degree of awareness and practice of proper menstrual hygiene management among women living in low-income neighbourhood in Karachi, Pakistan.Methods: A cross-sectional study was conducted at the Bizerta Lines, Karachi between January and June 2019. All women of reproductive age were included in the study. Amenorrheic, menopausal, or women on birth control were excluded from the study. Degree of awareness and current practices pertaining to menstrual hygiene management were assessed through pro-forma. The study tool collected the participant’s knowledge, awareness, and misconceptions about menstruation. The factors affecting the quality of life during menstruation of women living in poor socio-economic conditions were also observed. Statistical Package for Social Sciences (SPSS v.23) was used to analyze the collected data.Results: Of the 338 participants, 82.5% had no knowledge of menstruation prior to their first menstrual period. Only a minority of the women knew that the source of menstrual blood was the uterus while 41.4% of the women incorrectly claimed that the menstrual blood and urine were expelled from the same orifice. More than half of the participants used disposable sanitary napkins (55.5%). 65% of the participants changed the absorbent at least 1 to 3 times a day.Conclusions: Most of the participants used disposable sanitary napkins. However, the basic knowledge of female anatomy and physiology behind menstruation was poor among women

Fungal systematics and evolution : FUSE 6

Fungal Systematics and Evolution (FUSE) is one of the journal series to address the “fusion” between morphological data and molecular phylogenetic data and to describe new fungal taxa and interesting observations. This paper is the 6th contribution in the FUSE series—presenting one new genus, twelve new species, twelve new country records, and three new combinations. The new genus is: Pseudozeugandromyces (Laboulbeniomycetes, Laboulbeniales). The new species are: Albatrellopsis flettioides from Pakistan, Aureoboletus garciae from Mexico, Entomophila canadense from Canada, E. frigidum from Sweden, E. porphyroleucum from Vietnam, Erythrophylloporus flammans from Vietnam, Marasmiellus boreoorientalis from Kamchatka Peninsula in the Russian Far East, Marasmiellus longistipes from Pakistan, Pseudozeugandromyces tachypori on Tachyporus pusillus (Coleoptera, Staphylinidae) from Belgium, Robillarda sohagensis from Egypt, Trechispora hondurensis from Honduras, and Tricholoma kenanii from Turkey. The new records are: Arthrorhynchus eucampsipodae on Eucampsipoda africanum (Diptera, Nycteribiidae) from Rwanda and South Africa, and on Nycteribia vexata (Diptera, Nycteribiidae) from Bulgaria; A. nycteribiae on Eucampsipoda africanum from South Africa, on Penicillidia conspicua (Diptera, Nycteribiidae) from Bulgaria (the first undoubtful country record), and on Penicillidia pachymela from Tanzania; Calvatia lilacina from Pakistan; Entoloma shangdongense from Pakistan; Erysiphe quercicola on Ziziphus jujuba (Rosales, Rhamnaceae) and E. urticae on Urtica dioica (Rosales, Urticaceae) from Pakistan; Fanniomyces ceratophorus on Fannia canicularis (Diptera, Faniidae) from the Netherlands; Marasmiellus biformis and M. subnuda from Pakistan; Morchella anatolica from Turkey; Ophiocordyceps ditmarii on Vespula vulgaris (Hymenoptera, Vespidae) from Austria; and Parvacoccum pini on Pinus cembra (Pinales, Pinaceae) from Austria. The new combinations are: Appendiculina gregaria, A. scaptomyzae, and Marasmiellus rodhallii. Analysis of an LSU dataset of Arthrorhynchus including isolates of A. eucampsipodae from Eucampsipoda africanum and Nycteribia spp. hosts, revealed that this taxon is a complex of multiple species segregated by host genus. Analysis of an SSU–LSU dataset of Laboulbeniomycetes sequences revealed support for the recognition of four monophyletic genera within Stigmatomyces sensu lato: Appendiculina, Fanniomyces, Gloeandromyces, and Stigmatomyces sensu stricto. Finally, phylogenetic analyses of Rhytismataceae based on ITS–LSU ribosomal DNA resulted in a close relationship of Parvacoccum pini with Coccomyces strobi.http://www.sydowia.at/index.htmpm2021Medical Virolog

Golden proportion and golden standard assessment of maxillary anterior teeth among undergraduate students

Objective: Dental esthetics is a prime consideration for all patients. While restoring teeth, high importance should be given to the size and shape of teeth for better esthetic results. Various proportions have been recommended to describe the relationship between maxillary anterior teeth. Golden Proportion and Golden Standard are two ratios most commonly used. The purpose of this study was to evaluate the golden proportion and golden standard in maxillary anterior teeth among Pakistani undergraduate students.Methodology: A cross sectional study, conducted in the department of Operative Dentistry at Dental Section of Dow International Medical College (Dow University of Health Sciences). One hundred students (28 males and 72 females) meeting the inclusion criteria were selected, their dental casts were analyzed for actual width and length and apparent width by digital caliper. From these measurements golden standard and golden proportion were calculated.Results: Mean value of golden standard was found to be 0.82 (82%, p=0.04) as compared to the ideal standard value of 80%. Mean value of golden proportion was found to be 1.67 (p=2.09X10-7)Conclusion: Within the confines of this study, Golden Proportion and Golden Standard were not found to exist in the sample Pakistani population

Analysis of Covid-19 data using discrete Marshall–Olkinin Length Biased Exponential: Bayesian and frequentist approach

Abstract The paper presents a novel statistical approach for analyzing the daily coronavirus case and fatality statistics. The survival discretization method was used to generate a two-parameter discrete distribution. The resulting distribution is referred to as the "Discrete Marshall–Olkin Length Biased Exponential (DMOLBE) distribution". Because of the varied forms of its probability mass and failure rate functions, the DMOLBE distribution is adaptable. We calculated the mean and variance, skewness, kurtosis, dispersion index, hazard and survival functions, and second failure rate function for the suggested distribution. The DI index demonstrates that the proposed model can represent both over-dispersed and under-dispersed data sets. We estimated the parameters of the DMOLBE distribution. The behavior of ML estimates is checked via a comprehensive simulation study. The behavior of Bayesian estimates is checked by generating 10,000 iterations of Markov chain Monte Carlo techniques, plotting the trace, and checking the proposed distribution. From simulation studies, it was observed that the bias and mean square error decreased with an increase in sample size. To show the importance and flexibility of DMOLBE distribution using two data sets about deaths due to coronavirus in China and Pakistan are analyzed. The DMOLBE distribution provides a better fit than some important discrete models namely the discrete Burr-XII, discrete Bilal, discrete Burr-Hatke, discrete Rayleigh distribution, and Poisson distributions. We conclude that the new proposed distribution works well in analyzing these data sets. The data sets used in the paper was collected from 2020 year

Cervical Thymic Cyst in an Adult

Cervical thymic cysts (CTCs) are unusual lesions, representing only 1% of cystic cervical masses. Diagnosis of this condition in adults is even rarer. We report a 34-year-old female who presented with asymptomatic progressively growing left-sided neck swelling. Neck ultrasound (US) showed a large cystic lesion with septation, compressing the ipsilateral vessels. Magnetic resonance imaging (MRI) confirmed the US findings. Surgical excision was performed which subsequently showed findings consistent with CTC. CTC in adult is extremely rare, with few reported cases identified in the literature. Thymic gland anomalies in the neck are the consequences of an arrest in the descent of the gland, sequestration of the thymic tissue, or failure of involution. The diagnosis of this condition is rarely done prior to surgical excision. The clinical presentation, radiologic imaging, surgical findings, and histologic appearance are all essential components to make the correct diagnosis of this very rare differential diagnosis of cystic lateral neck swelling