Geo-Political Checkmate in the Indian Ocean Region: 21st Century Maritime Silk Road, Energy Security and Indo-US Nexus

The study intends to explore the connection between China’s energy security, 21st Century Maritime Silk Road (MSR), and its anticipated impacts on Indo-US strategic perception in the Indian Ocean region. China’s economic prosperity and industrial boom is fomenting different variables to upset the U.S. led world order. In the back drop of energy security as core national interest, Chinese leadership has exceptionally focused the maritime domain. In addition to this, for uninterrupted industrial growth, China   largely relies on energy imports that have turned its attention to the strategic value of the Sea lines of communication (SLOCs). However, China’s newly emerged interests and subsequent investment in different sea ports along the oceanic supply chain of Indian Ocean is fuelling Indo-US strategic distrust in the region. The study concludes that China’s carefully craftedMaritime Silk Road (MSR) is to challenge the status quo to protect its (China) core national interests in Indian Ocean The divergence of strategic interests in Indian Ocean is heralding a new multipart strategic competition that will transform the Indian Ocean into breeding ground for naval arm race. To understand the shifting geo political realities, the researchers used the Power Transition theory

Haemodynamics During Induction with Sevoflurane Versus Propofol Using Laryngeal Mask Airways in Forearm Orthopaedic Surgeries in Older Children

Background: To compare the hemodynamicchanges during induction of anesthesia withpropofol and sevoflurane in children undergoingforearm orthopedic surgeries.Methods: In this descriptive study 60 pediatricpatients, scheduled for forearm orthopedic surgicalprocedure under general anesthesia requiring LMAinsertion were included. The selected patients wereallocated into two groups; A (Propofol) and B(Sevoflurane) of 30 each. Group A was induced withIV Propofol 2mg/kg while Group B was induced bysevoflurane 6-8%. Anesthetic induction wassupposedly achieved after loss of eyelash reflex.Results: Compared with base line, both groupsshowed a statistically significant decline in meanarterial pressure after induction. Propofol group (A)showed a larger transient decrease in MAP comparedto sevoflurane group (B) (p<0.001). There was astatistical significant overall greater decline in MAPand heart rate after induction with propofol whencompared with sevoflurane.Conclusion: Sevoflurane provides slightly betterhemodynamic stability compared to propofol duringanesthetic induction

Sistem Pengelolaan Rekam Medis

Rekam medis adalah berkas yang berisikan catatan dan dokumen tentang identitas pasien, pemeriksaan, dan pengobatan. Permasalahan rekam medis di Puskesmas Tamalate yaitu adanya kesulitan dalam pengolahan data seperti berkas rekam medis yang tercecer karena semakin menumpuk berkas rekam medis dan terkadang salah penempatan berkas rekam medis pada tempatnya, sehingga menyebabkan petugas kesulitan untuk mencari berkas rekam medis. Penelitian ini bertujuan untuk mendapatkan informasi mendalam tentang Sistem Pengelolaan Rekam Medis di Puskesmas Tamalate Makassar Tahun 2019, yang terdiri dari sistem penamaan, sistem penomoran, sistem penyimpanan, dan sistem pengangkutan rekam medis. Penelitian ini menggunakan penelitian kualitatif yang dilakukan di Puskesmas Tamalate Makassar pada bulan Mei tahun 2019. Berdasarkan hasil penelitian diperoleh bahwa pengelolaan rekam medis di Puskesmas Tamalate Makassar, sistem penamaannya menggunakan dua suku kata dan ditulis sesuai dengan identitas pasien. Sistem penomorannya dilakukan secara unit (Unit Numbering System) yang dimana pasien hanya diberikan satu nomor untuk kunjungan seterusnya. Sistem penyimpanan rekam medis menggunakan sistem sentralisasi yaitu adanya penggabungan antara rekam medis rawat jalan dan gawat darurat. Sistem pengangkutan rekam medis dilakukan oleh petugas rekam medis dengan menggunakan tangan, troli, dan kardus. Perlunya penambahan ruangan untuk tempat penyimpanan rekam medis serta rak penyimpanan perlu ditambahkan agar petugas rekam medis tidak mengalami kesulitan dengan ruangan yang terlalu sempit dan memberikan fasilitas yang baik kepada petugas rekam medis untuk melakukan pengangkutan berkas rekam medis agar tidak menggunakan tangan

Integrated Hazard Identification (IHI): A Quick Accident Analysis and Quantification Method for Practitioners

There are many techniques for hazard identification and are divided into shortcut, standard and advanced techniques. Among these, HAZOP and What-If techniques are mostly engaged by practitioners in the chemical process industry. Both of these have certain advantages and limitations, i.e., HAZOP is structured, and what-if covers broad range of scenarios. There is no hazard identification method, which can cover a broad range of scenarios and is structured in nature. For this purpose, a new technique namely integrated hazard identification (IHI) is proposed in this article that integrates HAZOP and What-If. The methodology is demonstrated via hazard identification study of urea synthesis section. Risk ranking is used to sort out the worst-case scenario. This worst-case scenario is further studied in detail for quantification that is performed using the ALOHA software. This quantification has assisted to detect ammonia concentrations in nearby control room and surroundings for worst-case scenario. It is revealed that if ammonia pump is not stopped within 10 minutes, concentration inside and outside the control room may reach to 384 ppm and 2630 ppm, compared to 1100 ppm (AEGL-3). Thus the proposed method would be easy, time saving and covers more details and would be handy for practicing engineers working in different chemical process industries

Non-linear control law for articulated serial manipulators: Simulation augmented with hardware implementation

The performance of a robotic arm includes accuracy, repeatability and reliability to accomplish a task. These parameters, in turn, are function of associated control law. Multi-Degree Of Freedom (DOF) robotic arms, because of their inherent highly non-linear dynamics, demand sophisticated control laws. Trivial control strategies fail to cope with disturbances and uncertainties that are common in today's plants. This paper presents the design, simulation and physical implementation of a non-linear control technique Variable Structure Control (VSC) for a 6 DOF arm. Based on the derived dynamic model of the arm and designed control law, simulations have been conducted in MATLAB/Simulink. The controller parameters have been tuned for optimal response. Various desired trajectories characterize the tracking performance of the control law. The simulation results have been then validated by implementing the law on a customdeveloped novel AUTonomous Articulated Robotic Educational Platform (AUTAREP). Coupling effects between various joints of the robot have also been investigated. Results of this research find potential in industrial control of robotic manipulators to perform complex tasks

PICTORIAL REVIEW OF EXTRAOSSEOUS EWING’S TUMOUR: A SINGLE CENTER EXPERIENCE

Purpose: Ewing’s family tumour is an extremely rare tumour, with annual incidence rates amongst Caucasian children <21 years being in the range of 2–3 cases per million in the U.S. There are mainly three subtypes including Ewing’s sarcoma (ES) of bone, extraosseous (EO) Ewing’s tumour and Peripheral primitive neuroectodermal tumour. Although extremely rare, this study represents a review of various types of cases and the significance of imaging including its baseline and post-treatment response radiological characteristics. There are a very few cases of EO ES in the current literature with variable spectrum of tumour site and their imaging characteristics.Materials and Methods: Electronic records were retrospectively reviewed from 1 May 2011 to 1 May 2016 with patients who were diagnosed as histologically proven ES. A number of patients, gender and base line computed tomography (CT)/magnetic resonance imaging findings for staging were reviewed.Results: A total of 568 patients with diagnosed ES were analysed, of which 15 patients had EO type of ES. Of these only 8 patients had baseline imaging available which included tumours arising from the occipital region, orbit, anterior mediastinum, anterior abdominal wall, mesentery, kidney, prostate gland and presacral region.Conclusion: EO ES is a rare entity and can involve a wide array of soft tissue organs. A cross-sectional imaging with CT and MR has a key role in pre- and post-treatment assessment.Key words: Computed tomography, Ewing’s sarcoma, extraosseous Ewing’s, magnetic resonance imaging, peripheral primitive neuroectodermal tumou

EFFICACY OF METHODOLOGICAL PRACTICES UNDERTAKEN BY SAUDI ENGLISH TEACHERS IN PUBLIC SCHOOLS DURING THEIR FORMATIVE PHASE

The main focus of this article is to evaluate the practices involving various approaches and methods that the novice Saudi English Teachers (SETs) employ in classrooms, and to see how far these are successful in attaining the desired results. It also takes into cognizance the chasm between the measures taken by Saudi Ministry of Education to modify the curriculum to develop communicative competence and the actualization these measures in the classroom pedagogy. The dichotomy eventually brings to bear upon the learning outcomes of the students who fail to achieve the required proficiency in communicative skills. The study necessitated a qualitative approach (grounded theory) in which previous literature was ransacked. Data was gathered through structured interviews, surveys and documents analysis. The rudimentary results showed that SETs rely more on conventional teaching methods despite the States thrust on Communicative Language Teaching (CLT) that tends to be more student-centered, cooperative and collaborative

PSYCHOSOCIAL ILLNESS IN CHILDREN WITH THALASSEMIA: A CASE-CONTROL STUDY

INTRODUCTION: Thalassemia is the most common hemolytic autosomal recessive disorder. Pakistan has significant number of thalassemic children .The children with chronic disorders like thalassemia are prone to develop psychosocial illness including depression, anxiety, intellectual and behavioral issues.  OBJECTIVE: To assess the psychosocial illness in children with thalassemia and to compare these problems in children with and without Thalassemia   PLACE & DURATION: The Children’s Hospital and the institute of child health, Multan. From January to September 2021.  STUDY DESIGN: Case-control  MATERIAL AND METHOD:   In this study 50 children with Thalassemia and 50 normal children were enrolled as case & control according to inclusion and exclusion criteria. After approval from institutional ethical committee, detailed history ,Socioeconomic status, educational status of parent and child, age of diagnosis of disease, and whether thalassemia is well controlled or not and complications were noted. A Pediatric Symptom Checklist was used for psychosocial problems in all children. Data was analyzed by using SPSS version 22. Mean and standard deviation for quantitative data, while frequencies and percent for qualitative data was calculated. P-value was calculated by Chi square test. Prevalence ratio (ODDS ratio) with 95%confidence interval of all variables were calculated.  RESULTS: Out of 100 patients 50 were in case group (Thalassemia) and 50 control (non-thalassemic.Male female ratio was 1.2:1. 60 %( n=30) cases, 78 %( n=39) control patients were age ranges between 5 to 10 years. Educational level of parents of 40%(n=20),and 56%(n=28) was below matric,42%(n=21) and 90%(n=45) patients were going to school in case and control group respectively.82%(n=41) patients belonged to low socioeconomical status in each group. Regarding characteristics of thalassemia 74 %( n=37) patients were diagnosed within 1st year of life, while 26 %( n=13) after 1st year.64 %( n=32) had well controlled and 36 %( n=18) poor controlled disease. 20%(n=10) had developed Diabetes mellitus,2%(n=1) heart failure,74%(37) growth failure,76%(n=38) hemolytic facial features and 72%(n=36)skin discoloration. Psychosocial problems were statistically significant in children with Thalassemia as compared to healthy ones (p-value<0.001).Poorly controlled thalassemia and complications of heart and growth failure were found statistically significant risk factors.  CONCLUSION: Psychosocial problems are common in children with thalassemia as compared to healthy ones. So these patients must be referred for detailed psychological evaluation and management along with medical treatment.

ORGANIZATIONAL POLITICS AND PERFORMANCE OUTCOMES: INVESTIGATING THE BUFFERING EFFECT OF ORGANIZATIONAL JUSTICE

In current study, it was theorized that perceived fairness reduces the detrimental effects of perception of organizational politics on performance outcomes of organizations i.e. organizational commitment, managerial effectiveness and organizational performance. To test this exposition, data of 243 managerial employees of banking sector have been obtained and used to find out the moderating effect of organizational justice on perception of organizational politics and performance outcomes. The findings reached at the conclusion that distributive and procedural dimensions of the organizational justice safeguard the damaging effects of perception of organizational politics on performance but interactional justice has not verified as moderator. This study extends the fairness theory and recommends management to flourish fairness culture in organizations to reduce the injurious effects of organizational politics in the workplace