Food Culture in Pakistan Since 1979-80:Composite Vs Split

Abstract: The paper is about change in food culture in Pakistan. Food availability per capita per annum in Pakistan increased from 298.1 kg in 1979-80 to 414.8 kg in 2007-08 at a rate slower than Population growth (from 85.09 million to 163.8 million over the same period). Food consumption pattern in Pakistan are exception and changing by weight nearly three quarters of the diet is made up of cereals and milk product. The food production (Cereals, Gram, Pulses, Vegetables, Potatoes, and Fruits, Animal product Poultry Product, Sugar and Veg. Ghee) was increased by 52 percent in 1990-2000 over the 1979-90 and by 34.9 percent in 2000-2010 over the nineties. The annual rate of growth in overall food production rose to 3.9, 4.2 and 2.8 per cent in the eighties, nineties and last recent decade against 3.1, 2.4 and 1.9 per cent growth of population in same time period. Food grain production was increased by 32.8 to 29.5 per cent during last thirty years. Key words: Food culture; Composite; Splitv; Food consumption pattern Résumé: Le document étudie le changement dans la culture alimentaire au Pakistan. La disponibilité alimentaire par habitant et par an au Pakistan a passée de 298.1 kg en 1979-80 à 414.8 kg en 2007-08 dans un taux plus lent que celui de la croissance démographique (de 85.09 millions à 163.8 millions sur la même période). Le modèle de la consommation alimentaire au Pakistan est changé. Près de trois quarts de l'alimentation est composé de céréales et de produits laitiers. La production alimentaire (céréales, pois chiches, légumes secs, légumes, pommes de terre, fruits, produits d'origine animale, produit volaille, sucre et beurre) a été augmentée de 52% en 1990-2000 par rapport à 1979-90 et de 34.9% en 2000-2010 par rapport aux années quatre-vingt-dix. Le taux annuel de croissance de la production alimentaire globale est de 3.9%, 4.2% et 2.8% dans les années quatre-vingt, quatre-vingt-dix et la dernière décennie contre un taux de croissance démographique de 3.1%, 2.4% et 1.9% sur la même période. La production de céréales alimentaires a augmenté de 32, 8% à 29.5% au cours des trente dernières années. Mots clés: Culture alimentaire; Composition; Portion; Modèle de consommation alimentair

Correlating CT Chest with RT-PCR in Diagnosing COVID-19: Experience at a Tertiary Health Care Hospital in Pakistan

Objective: To establish the accuracy of computed tomography(CT) chest in the diagnosis of COVID-19 pneumonia by taking reverse transcriptase-polymerase chain reaction(RT-PCR) as a reference standard and to analyze discordant CT chest and RT-PCR results. Materials and Methods: A retrospective cross-sectional study of patients presented to a tertiary health care hospital in Punjab, Pakistan for CT examination with suspicion of COVID-19 from April 1, to June 30, 2020. Each CT chest was categorized as positive/negative for COVID-19 pneumonia and the results were compared with the RT-PCR test. Discordant CT chest and PCR results were also investigated. Results: The study population had a mean age of 48 years ± 6.6 years with 54.5% males and 45.4% females. Sensitivity(Sn), specificity (Sp), positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy of CT in diagnosing COVID-19 pneumonia taking RT- PCR as the gold standard was 92.5%, 46.6%%, 82.2%, 70%, and 80% respectively. Conclusion: CT chest has high sensitivity but modest specificity in the diagnosis of COVID-19 pneumonia. It can be employed as an adjunctive screening and diagnostic test for early diagnosis of disease in places where disease prevalence is high

Human-modified biogeographic patterns and conservation in game birds: The dilemma of the black francolin (Francolinus francolinus, Phasianidae) in Pakistan

The ever-increasing human-mediated wildlife reshuffling is raising concern for the conservation of biodiversity. The loss of biological distinctiveness among regions lessens the genetic diversity and consequently the evolutionary potential of local biotas to tackle present-day global change and human disturbance. This process may be sometimes cryptic unless investigated by means of a molecular approach. In this respect, game birds are a paradigmatic case. The black francolin (Francolinus francolinus, Phasianidae) is a medium-sized galliform whose distribution range stretches from Cyprus to the Gulf of Bengal. Six morphologic subspecies are known, with three of which occurring in Pakistan, where the species is heavily hunted and used as pet for chirping competitions. We genotyped 98 samples (feathers) at both the entire mitochondrial DNA Control Region gene and nine microsatellite loci to get a deeper insight into the genetic diversity of the black francolin in Pakistan in order to offer cogent recommendations for its conservation management. We identified several mtDNA lineages that were consistent with the currently described subspecies/taxonomy whose pattern of co-occurrence is compatible with the geological history and the faunal movement routes of the region under study. However, the biparentally inherited microsatellites returned a quite discordant picture of an extensive, sex-biased genetic mixing due to the intensive relocations of already overharvested male individuals for chirping competitions. Our results indicated that the genetic integrity of the black francolin in Pakistan could be seriously at risk and call for monitoring and limiting its trade other than enhancing the public awareness of the importance of local biodiversity resource

Students’ perceptions of the role of pharmacists in the healthcare system in Lahore, Pakistan

Purpose: To explore the role of pharmacists in the healthcare system of Lahore, Pakistan; and to determine association between students’ socio-demographic indicators and the likelihood of consulting with a pharmacist.Methods: In this exploratory study, data were collected from 589 students at a private sector university in Lahore, Pakistan, using a convenient sampling design. Information was collected using a semistructured questionnaire. Descriptive statistics (i.e., mean, standard deviation, percentages) and chi square were employed.Results: Of 621 questionnaires, a total of 589 were returned, giving a response rate of 94.85 %. The results showed that 289 students (49.06 %) have interacted with pharmacists; however, the majority of the students (98.64 %) agreed there is a strong need for pharmacists who can provide guidance on medication safety. Furthermore, there was a statistically significant association between family system (x2 (1) = 4.046, p = 0.004), age of family head (x2 (1) = 11.755, p = 0.001), education level of family head (x2 (1) = 10.473, p = 0.001), and consulting a pharmacist.Conclusion: There are important roles for pharmacists to play in order to improve the healthcare system of Lahore, Pakistan. Some social demographics affect the likelihood that a person will seek professional counseling from a pharmacist.Keywords: Medication safety, Healthcare system, Pharmacist consultation, Students’ perceptio

Self-care Practices of Type 2 Diabetes Patients by Socio-demographic and Clinical Factors: An Ordered Probit Model

Background: Diabetes prevalence has risen more rapidly in middle- and low-income countries and has emerged as the seventh highest cause of death in such countries. Socio-demographics, patient knowledge and clinical factors, such as family history of diabetes, have a vital effect on the disease outcomes. This study assessed self-care practices among patients with type 2 diabetes to determine the probability of self-care by predictor variables, including socio-economic and clinical factors, and quantify the marginal effects of these independent variables on different self-care practices among diabetic patients. Methods: This exploratory study collected data from 200 type 2 diabetes patients at a branch of private pharmacy in Pakistan using a convenient sampling technique and a semi-structured questionnaire. An ordered probit regression model was used to analyze the different self-care practices among diabetic patients. With self-practices ordered in four classes from poor to good, the marginal effects of each socio-economic and clinical factors were also calculated on the likelihood of aforesaid self-care practices among diabetic patients. Results: Results showed that the relationships of household income, patient’s choice of private or public hospital for treatment, and patient’s weight with self-care probability were statistically significant. These socio-demographics and clinical indicators significantly influenced each category of self-care practices. Conclusion: Socio-demographic and clinical factors played a decisive role in the healthcare practices among type-2 diabetes patients. Monthly household income, patient’s choice of private or public hospital for treatment, and patient’s weight influenced different levels of self-care practices. Income had a negative contribution in poor and fair self-care levels of practices, whereas it had a positive role in average and good self-care levels of practices. Keywords: type 2 diabetes; self-care practices; socio-economic factors; developing countr

Efficiency measurement of Islamic and conventional banks in Saudi Arabia:an empirical and comparative analysis

Saudi Arabia, beside Malaysia and many other Muslim countries, is one of those countries where Islamic and conventional banking operate in parallel. Over the last decade, the country’s banking industry is growing at rapid pace that accounts for the largest share in GCC. The present study measures and compares the performance of Saudi conventional and Islamic banking industry and identifies the areas where the strategic measures are required to improve the banking performance. It applies non-parametric Data Envelopment Analysis (DEA) for the data from 2008-2016 of Saudi banking industry and provides comprehensive empirical results at individual bank vis-a-vis industry levels. The empirical results demonstrate a mix trend among the banks in achieving technical, pure technical and scale efficiency. It is observed that with the common pledge to expanding market share and performance, both conventional and Islamic banks have been successful in improving their levels of efficiency. At individual bank level, Al-Rajhi is the only bank that has achieved the highest score in terms of technical, pure technical and scale efficiency, while in the conventional banking group, both Saudi Hollandi and National Commercial banks are found on the top position. Despite the growth of incomes and deposits of entire banking industry in Saudi Arabia, this study particularly recommends for the Islamic banks to redirect their short term and long-term marketing strategies and to focus on improving their management skills at the branch level

Self-management practices among type 2 diabetes patients attending physicians and pharmacists: An exploratory study from Lahore, Pakistan

Background: Globally, Pakistan is among the top 10 countries in terms of the proportion of the population living with diabetes. Type 2 diabetes cannot be cured permanently, but complications and premature deaths can be prevented by adopting healthy lifestyles. Self-management is the key to controlling diabetes. Besides rational therapeutic approaches, patient counseling by physicians and pharmacists is crucial because self-management practices are generally influenced by the patient’s knowledge of their disease. Objectives: The objectives of this study were to explore self-management practices among type 2 diabetes patients visiting physicians and pharmacists, and to assess the differences in the self-management practices of patients who visit physicians and those who visit pharmacists concerning type 2 diabetes in the past two years. Methods: This exploratory study recruited 363 established type 2 diabetes patients using a simple random sampling technique. The patients had consulted either a physician or pharmacist (but not both) over the past two years in relation to their type 2 diabetes, and physically visited a branch of a private-chain retail pharmacy in Lahore, Pakistan. Face-to-face interviews and structured questionnaires with a few open-ended questions were adopted as methods of data collection, focusing on socio-demographic and clinical factors, and the standard self-management practices of patients. Data were analyzed using frequencies, percentages, means and standard deviations. The difference between categorical variables, i.e. self-management practices and visits to healthcare professionals, were determined using chi-square tests. Results: The results showed that none of the standard diabetes self-management practices were fully adhered to by the patients. The use of the HbA1C test to monitor diabetes was the least used test among diabetic patients visiting a physician (29.60%) or pharmacist (25.70%). Patients visiting pharmacists adhered to medication use (88.50%, p<0.001), eating a well-balanced diet (75.22%, p=0.050), blood glucose level check (88.50%, p<0.001) and regular blood pressure monitoring (81.42%, p<0.001), whereas patients visiting physicians adhered better to daily feet checking (69.20%, p<0.001) and regular exercise (74.80%, p<0.001). Conclusions: Our study indicates that there is a significant fluctuation in adherence to key self-management practices among type 2 diabetes patients who visit physicians and those who visit pharmacists. Increasing the numbers of pharmacists in the healthcare system who have a special focus on diabetes may improve self-management practices among diabetic patients. [Ethiop. J. Health Dev. 2020; 34(3):165-170] Key words: Pharmacists, physicians, consultation, type 2 diabetes, self-managemen

Global change impacts on bird biodiversity in South Asia: potential effects of future land-use and climate change on avian species richness in Pakistan

Evaluating the impact of future changes in land-use and climate on species communities, especially species richness, is one of the most important challenges of current research in ecology and conservation. The impact of environmental changes on species richness depends on its sensitivity (i.e., how strongly a given level of change influences the ecological community) and its exposure (i.e., the amount of change that occurs). To examine the sensitivity, exposure, and potential impact of future environmental conditions on bird communities, we compiled data on bird species richness for Pakistan—a neglected region in macro- or country-scale studies. Since bird species richness strongly varies across seasons due to the seasonal occurrence of migratory species in winter, we compared both wintering (migratory plus resident species) and breeding (resident species only) bird richness. We found breeding and wintering species richness to be sensitive to temperature, precipitation and rainfed cropland by being positively related to these factors. Exposure varied regionally, with projected temperature changes being most profound in northern regions while the strongest projected precipitation changes occurred in central and southern regions. The projected impact of future environmental change were highly heterogeneous across the country and differed between the wintering and breeding communities. Overall, the most negatively impacted region was projected to be the Khyber Pakhtunkha province in the North of Pakistan, due to reductions in precipitation and rainfed cropland, resulting in a projected negative impact, especially on wintering species richness. By highlighting the regional and seasonal bird communities most at risk, our findings provide useful information for policy makers to help devise new policies for mitigating negative impacts of future environmental changes on birds within Pakistan

Influence of risk factors on construction firm project success in Pakistan

The main objective of the present study is to investigate the risk factors influencing on construction firm’s project success in Pakistan. The study uses the partial least square structural equation modelling technique to analyse the data collected from 61 construction firms. The study finds positive impacts of design risk, financial risk, technical risk and labour risk on the success of the project. Alternatively, the current study finds no relationship between external risk factors and the success of the project. Furthermore, the current study suggests government and construction firms to consider the risk factors during the decision making for project implementation