Impact of Customer Satisfaction, Service Quality, Brand Image on Purchase Intention

The main purpose of this study is to investigate the impact of customer satisfaction and brand image on purchase intention of consumers. The main variable of the study are purchase intention, customer satisfaction, brand image and service quality. Mobile devices are becoming progressively more trendy with enhanced networks, charge less, and they have turn into extremely simple to consume. In this study data was collected with the help of structured (self administered) questionnaire with the sample size of 120 from IUB DMS student Ranger campus Bahawalpur. The questionnaire was created on 5 Point likert-type scale. Different tests like Frequency analysis were applied to check the effects of demographics (Age, Gender and occupation). Reliability analysis was used in this study to find out consistency of the scale. The current study consists of four main variables purchase intention, customer satisfaction, service quality and brand image. Purchase intention contains 3 items, service quality consists of 5 items, customer satisfaction has 2 items and brand image has 5 items. The findings of the study shows that Customer satisfaction has direct impact on purchase intention. Customers tend to make purchase if they are satisfied with the quality of the brand. Also brand image has a favorable impact on purchase intention. Therefore mobile phone companies and marketers have to focus on generating positive brand image and higher service quality to satisfy customers then they will intend to make purchase decisions

The Impact of Financial Leverage on Firm Performance in Fuel and Energy Sector, Pakistan

This research is finds the effect of financial leverage on firm performance of the fuel and energy sector in Pakistan. For this purpose 10 listed public limited firms out of 16 form fuel and energy sector listed at Karachi Stock Exchange (KSE). The main objective of the study is investigate the financial leverage has an effect on financial performance of the firm by taking evidence from listed fuel and energy companies of Pakistan. There is a positive relationship between the financial leverage and financial performance or not?  The main plan of this study is to examine the simplification that the firms get work with high profits may choice high leverage by using different statistical tools. Keywords: Financial leverage, Firm Performance, Financial ratio, Fuel and Energy Sector in Pakistan Paper type: Research pape

Impact of workplace safety on employee retention using sequential mediation: evidence from the health-care sector

Purpose This study aims to examine the impact of workplace safety (WPS) on employee retention (ER) in the health-care sector in Azad Jammu and Kashmir (AJ&K), Pakistan. At the same time, a mediation relationship through job satisfaction (JS) and employee loyalty (EL) was also tested. Design/methodology/approach Structured questionnaires were used to collect the data from 300 doctors, using purposive sampling technique analysed using partial least squares (Smart-PLS 3). Findings This study’s findings supported all hypotheses, such as WPS has a significant positive relationship with ER. In addition, a mediation relationship between JS and EL was also confirmed. Furthermore, a serial mediation effect of JS and EL between WPS and ER was also confirmed in this study. Research limitations/implications This study might not fit organisations from other regions due to regional norms. In the future, this study’s model may be tested on other regions and segments of the health-care sector, such as nurses, management staff and support staff. Practical implications The present study is unique because it is based on a newly formulated framework, WPS → JS → EL → ER, under the social exchange theory, which has not been tested before. Social implications In a safe environment, doctors will feel relaxed, stay longer and provide better services; resultantly, patients will get better treatment. Originality/value This study tested the sequential mediation effect through JS and EL for the first time in ER, which was missing previously, to the best of the authors’ knowledge. This will add more insights to the safety-retention literature in health-care settings. Furthermore, this study is also the first attempt to explore the relationship between WPS and ER in the health-care sector in AJ&K

Reversible Dementia in victims of Chronic Subdural Hematomas

Objective: The objective of this joint study was to offer the prompt surgical treatment to all diagnosed victims of Reversible dementia with chronic subdural hematomas in our population. Evaluation was based upon comparison of their Pre and Postoperative MMS scoring and HDS-R grading.Materials and Methods: This study started in June 2013 and is currently ongoing at the Services Institute of Medical Sciences with its allied Services Hospital, Lahore as a joint venture principally between the departments of Neurosurgery and Neurology. We included 30 cases in this study.Results: Out of 30 cases there were 25 (83.3%) males and 05 (16.66%) females patients. Twenty five out of 30 victims (83.3%) were suffering from dementia pre operatively. Twenty out of these patients (80%) recovered fully and three patients (10%) partially. 02 patients (6.6%) neither improved nor deteriorated. Twenty eight out of 30 victims underwent surgical evacuation by burr holes with closed drainage system under general anesthesia (91.1%) and 2 under went under local anesthesia (6.6%) due to their co-morbid conditions.Complications: There was no noticeable mortality. One patient complained of post operative pyrexia with convulsions (%) and was managed satisfactorily by conservative treatment. Another patient complained of head-ache for 3 days which was also managed conservatively pie diagram – II. There was no intracranial wound infection in our study.Conclusion: It was concluded that there was marked post operative improvement in patient’s memory, behavior and neurological status. This was established by proper recording, documentation and comparison of their pre and post operative MMS scoring and HDS-R grading system. It is recommended that the victims of chronic subdural hematomas should be offered prompt evacuation to improve their neurological status

Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients

Background: Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect.Case description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery.Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving

Incidence of COVID-19 in random trauma patients at DHQ Teaching Hospital, Rawalpindi, measures to prevent its spread among patients and health care workers

Background: The objective of the study was to see the incidence of COVID-19 positive, in random trauma patients received in the emergency of abdomen or chest may be penetrating or blunt. Materials and Methods: This study was conducted in the Accident and Emergency department of District Head Quarter Hospital, Rawalpindi. All trauma patients of abdomen or chest either penetrating or blunt admitted from 1-3-20 to 10-6-20 were included, irrespective of age, gender, comorbidities, and COVID-19 status at the time of admission to hospital. Also to see steps of preventive measures taken in the emergency department, operation theatres, and inwards. Results: Total number of trauma patients received in the emergency department of District Headquarter Hospital Rawalpindi during this period was 163. Total male patients: 116. Total female patients:47. Penetrating injuries (firearm or stab wounds): 93. Blunt injuries: 70. All the penetrating injuries were operated as an emergency. Among blunt injuries, 51 were operated 19 were treated conservatively. Preoperatively none of the patients’ COVID-19 test was performed because none of them showed any symptoms likely of COVID-19 such as chest infection, flue, malaise, or fever. After the second postoperative day, 12 of the patients developed respiratory distress and their COVID-19 test was sent. Out of 12 patients, 7 turned out to be COVID-19 positive. Other on the second or third postoperative day 7 patients had fever without chest symptoms and underwent COVID-19 testing. 3 turned out to be COVID-19 positive. So a total of 11 patients were found to be positive for COVID-19. The percentage became 6.7% which is quite high. Conclusion: From this study, its clear in acute trauma patients where you can’t go for the COVID-19 test even then we have to operate may be positive. So every trauma patient should have suspected COVID-19 positive and preventive measures should be taken starting from the emergency department till operation theatres

Resolution of symptomatic secondary empty sella syndrome following lumbar-peritoneal shunt.

Background: Post‑surgical empty sella is related to the removal of pituitary tumors either from the transcranial or transphenoidal route, rendering diaphragma sellae incompetent at the end of the procedure. This subsequently leads to herniation of the third ventricle and optic apparatus into the empty sella. Studies have shown that in 50% of the cases, individuals with primary and secondary empty sella syndrome have developed defects in the visual fields. Benign increased intracranial pressure, cerebrospinal rhinorrhea, papilledema, and abnormalities affecting visual acuity may also occur as a result of empty sella. Case Description: This case report discusses a rare treatment option for the symptomatic secondary empty sella syndrome. Patient underwent lumbar drain placement and that resulted in astonishingly significant improvement in vision. Keeping in view the beneficial effect of lumbar drain, lumbar–peritoneal (LP) shunt was inserted which showed drastic improvement in vision. Conclusion: The surgical outcome of symptomatic cases of ESS is favorable. Various common surgical options were reported in literature; however, we have discussed an unconventional surgical option with an impressive outcome