VARIABILITY OF EMOTIONAL QUOTIENT AMONG MALE AND FEMALE MEDICAL STUDENTS OF PUNJAB: A COMPARATIVE CROSS-SECTIONAL STUDY

Introduction: Emotional Quotient (E.Q) is the capacity of the individuals to concede their own emotions, discriminate between various feelings and label them, make use of emotional information to guide thinking and attune the emotions to adopt environment. All researches proved the difference of EQ between males and females. Females are considered cooperative and expressive. Meanwhile, males are considered independent and instrumental. Material & Methods: A comparative cross-sectional study was directed on 566 students of different medical colleges of Punjab, Pakistan. The data was collected through a validated questionnaire containing sections of consent, demographic data and the questions for E.Q based on emotional intelligence scale (EIS). This questionnaire was shared in the google form among medical students out of which 566 completed their form and came under the inclusion criteria of our study. The data analysis was done by using SPSS v22.0. Results were recorded through independent T test. Results: On result analysis, we found that males scored higher in most variables of EQ than females. Males had more self-awareness, empathy, emotional stability, self-motivation and can manage relation well with p-value of 0.011, 0.004, 0.01, 0.365 and 0.205 respectively. Females were on higher side concerning integrity and value orientation with p-value of 0.483 and 0.395 respectively which was not statistically significant. Females also prevailed in altruistic behaviour and fulfilling commitment with p-value of 0.008 and 0.036 respectively. Conclusion: Males were having higher emotional quotient than females

Enhancing the Mechanical Properties of Concrete and Self-Healing Phenomena by adding Bacteria, Silica fume and Fibres

Concrete which is the most useable material in the world after the water has flaws, it is susceptible to cracking over time. These cracks occur in the form of shear cracks, flexural cracks, tension cracks, shrinkage cracks etc. With these cracks, some hair-like cracks also occur in concrete which are not visible during the visual inspection. The propagation of these cracks in concrete allows the water and many other chemicals to seep inside the concrete and leads to a decrease in its properties. Such properties include decreasing durability, erosion of rebars, and progressive failure in the concrete strength. Therefore, the repair of hair-like cracks is also essential for the long-term safety of structures. In the present study the Silica fume, and Polypropylene fibres are added to a rich concrete along with the bacteria named Bacillus Subtilis and Calcium Lactate for enhancement of its mechanical properties and self-healing phenomena. The effect of bacteria in the healing phenomenon and other properties is compared to normal concrete by casting the cylinders and beams. The slump, compressive strength, tensile strength, and self-healing phenomena are tested and found the increase in mechanical properties of concrete. The self-healing phenomena of cracks is observed by the Scanning Electron Microscope (SEM)

Meta-analysis of the diagnostic performance of stress perfusion cardiovascular magnetic resonance for detection of coronary artery disease

<p>Abstract</p> <p>Aim</p> <p>Evaluation of the diagnostic accuracy of stress perfusion cardiovascular magnetic resonance for the diagnosis of significant obstructive coronary artery disease (CAD) through meta-analysis of the available data.</p> <p>Methodology</p> <p>Original articles in any language published before July 2009 were selected from available databases (MEDLINE, Cochrane Library and BioMedCentral) using the combined search terms of magnetic resonance, perfusion, and coronary angiography; with the exploded term coronary artery disease. Statistical analysis was only performed on studies that: (1) used a [greater than or equal to] 1.5 Tesla MR scanner; (2) employed invasive coronary angiography as the reference standard for diagnosing significant obstructive CAD, defined as a [greater than or equal to] 50% diameter stenosis; and (3) provided sufficient data to permit analysis.</p> <p>Results</p> <p>From the 263 citations identified, 55 relevant original articles were selected. Only 35 fulfilled all of the inclusion criteria, and of these 26 presented data on patient-based analysis. The overall patient-based analysis demonstrated a sensitivity of 89% (95% CI: 88-91%), and a specificity of 80% (95% CI: 78-83%). Adenosine stress perfusion CMR had better sensitivity than with dipyridamole (90% (88-92%) versus 86% (80-90%), P = 0.022), and a tendency to a better specificity (81% (78-84%) versus 77% (71-82%), P = 0.065).</p> <p>Conclusion</p> <p>Stress perfusion CMR is highly sensitive for detection of CAD but its specificity remains moderate.</p

Genetic modifiers and phenotypic variation in hypertrophic cardiomyopathy

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The prognostic value of markers of right ventricular dysfunction in pulmonary embolism: a meta-analysis.

International audienceINTRODUCTION: In pulmonary embolism (PE) without hemodynamic compromise, the prognostic value of right ventricular (RV) dysfunction as measured by echocardiography, computed tomography (CT) or biological (natriuretic peptides) markers has only been assessed in small studies. METHODS: Databases were searched using the combined medical subject headings for right ventricular dysfunction or right ventricular dilatation with the exploded term acute pulmonary embolism. This retrieved 8 echocardiographic marker based studies (n = 1249), three CT marker based studies (n = 503) and 7 natriuretic peptide based studies (n = 582). A meta-analysis of these data was performed with the primary endpoint of mortality within three months after pulmonary embolism, and a secondary endpoint of overall mortality and morbidity by pulmonary embolism. RESULTS: Patients with PE without hemodynamic compromise on admission and the presence of RV dysfunction determined by echocardiography and biological markers were associated with increased short-term mortality (odds ratio (OR) ECHO = 2.36; 95% confidence interval (CI): 1.3-43; OR BNP = 7.7; 95% CI: 2.9-20) while CT was not (ORCT = 1.54-95% CI: 0.7-3.4). However, corresponding pooled negative and positive likelihood ratios independent of death rates were unsatisfactory for clinical usefulness in risk stratification. CONCLUSIONS: The presence of echocardiographic RV dysfunction or elevated natriuretic peptides is associated with short-term mortality in patients with pulmonary embolism without hemodynamic compromise. In contrast, the prognostic value of RV dilation on CT has yet to be validated in this population. As indicated both by positive and negative likelihood ratios the current prognostic value in clinical practice remains very limited

EGFR-1 Expression in Meningioma: Insights into Gender Distribution and Grade

Objective:  Meningioma is the most common primary brain. Histopathological grading (from I to III) is essential for prognostication and therapeutic decisions. EGFR-1 overexpression has been implicated in tumor progression and poor outcomes in various cancers. However, its role in meningioma pathophysiology and gender disparities remains unclear. This study aimed to determine the expression of EGFR-1 in grade I and grade II meningioma and explore associations with clinicopathological parameters. Materials &amp; Methods:  This cross-sectional study was conducted at Ayub Teaching Hospital in collaboration with the Neurosurgery Department, Histopathology Laboratory of Ayub Medical College, and Health Diagnostic Laboratory. Non-probability consecutive sampling technique was used to include meningioma patients aged 23-54 years after obtaining ethical approval. Data was collected from medical records, and histopathological examination and immunohistochemical analysis were performed on meningioma tissue samples. Statistical analysis was conducted using SPSS Version 25, and associations between clinicopathological parameters and EGFR-1 expression were evaluated using appropriate tests. Results:  We included 39 meningioma patients, with a female predominance of 22 (56.4%). The majority had grade I tumors (89.7%). EGFR-1 expression was observed as severe 30 (76.9%), moderate 7 (17.9%), and mild 2 (5.1%). No significant association was found between gender and meningioma grade or EGFR-1 expression. However, a significant association was observed between meningioma grade and EGFR-1 expression in grade I tumors (p = 0.049), but not in grade II tumors (p = 0.248). Conclusions:  A significant correlation between meningioma grade and EGFR-1 expression in Grade I meningioma suggests that EGFR expression could serve as a prognostic biomarker

Initial Findings From the North American COVID-19 Myocardial Infarction Registry

The coronavirus disease 2019 (COVID-19) pandemic has impacted many aspects of ST-segment elevation myocardial infarction (STEMI) care, including timely access to primary percutaneous coronary intervention (PPCI). The goal of the NACMI (North American COVID-19 and STEMI) registry is to describe demographic characteristics, management strategies, and outcomes of COVID-19 patients with STEMI. A prospective, ongoing observational registry was created under the guidance of 3 cardiology societies. STEMI patients with confirmed COVID+ (group 1) or suspected (person under investigation [PUI]) (group 2) COVID-19 infection were included. A group of age- and sex-matched STEMI patients (matched to COVID+ patients in a 2:1 ratio) treated in the pre-COVID era (2015 to 2019) serves as the control group for comparison of treatment strategies and outcomes (group 3). The primary outcome was a composite of in-hospital death, stroke, recurrent myocardial infarction, or repeat unplanned revascularization. As of December 6, 2020, 1,185 patients were included in the NACMI registry (230 COVID+ patients, 495 PUIs, and 460 control patients). COVID+ patients were more likely to have minority ethnicity (Hispanic 23%, Black 24%) and had a higher prevalence of diabetes mellitus (46%) (all p < 0.001 relative to PUIs). COVID+ patients were more likely to present with cardiogenic shock (18%) but were less likely to receive invasive angiography (78%) (all p < 0.001 relative to control patients). Among COVID+ patients who received angiography, 71% received PPCI and 20% received medical therapy (both p < 0.001 relative to control patients). The primary outcome occurred in 36% of COVID+ patients, 13% of PUIs, and 5% of control patients (p < 0.001 relative to control patients). COVID+ patients with STEMI represent a high-risk group of patients with unique demographic and clinical characteristics. PPCI is feasible and remains the predominant reperfusion strategy, supporting current recommendations. [Display omitted