Amplification of Environmental Appraisal Coordination at General Hospital Lahore and its Implications to Evaluate Management Review

Quality standards have been a significant achievement for organizations worldwide. Environmental standards should be established in hospitals by coding ISO14001. Hospital water pollution can cause health issues in nearby urban areas and settlements. The study was aimed to estimate, characterize, use, and response to water quality parameters on amplification of environmental coordination at General Hospital Lahore (GHL), and their implications for evaluation in management reviewing. For these purposes, the drinking water samples were collected from different locations in the study area. All these samples were analyzed for different water quality parameters namely, pH, TDS, turbidity, and chloride, and compared with national environmental quality standards (NEQS). All the results and management processeswere also compared with ISO 14001:2015, which indicated the weakness in the general administration framework and Environmental Management System (EMS). The results show that pH 8.6, TDS 1100 mg/l, turbidity 5.5 NTU, and chloride 260 mg/l were exceeding the maximum permissible limits. The present study recommended that GHL water should be treated before its use/ disposal. In the end, an EMS (a policy with protocol) manual was developed for continual improvement of water use. Drinking water quality assessment and EMS framework offer assistance to oversee the water quality and environment in health centers. Drinking water quality management under the guidelines of the environment management system manual developed in this study will greatly help to manage the environment, particularly water pollution in local hospitals of Pakistan

Prevalence and Purpose of Medical App Usage In Pakistan: A Cross-Sectional Study

Objective: To determine the prevalence and purpose of medical app usage in Pakistan. Methodology: A cross-sectional study was conducted using a pretested form, distributed via Google Forms. Convenience sampling was used to select a sample of 357 MBBS, BDS, Allied Health, and Nursing students of CMH Lahore Medical College. Data was analyzed using “SPSS version 23.0”. Descriptive statistics were calculated as frequencies. A “p-value” of less than 0.05 was deemed statistically significant. Results: Out of all the participants (357), 40.3% were males, and 59.7% were females, with an average age of20.89 ± 1.61. 95.5% of the participants used intelligent devices, and 86.6% were aware of the medical apps available for use on mobiles. A majority (64.1%) of the students had various medical apps installed on their phones. Almost half of these students (45.1%) were advised by medical educators to use different medical apps for their studies. Most of the students made use of medical apps to search for medical information (49.7%), followed by exam preparations (37.6%), Revision (34.6%), and preparation of presentations (26.4.%). The use of general clinical textbooks and clinical skills guide apps were 22.2% and 23.9%, respectively. 20.5% of the participants did not use Medical Apps for any purpose. A Likert scale showed that students think that Medical Apps are easy to obtain, and many of them frequently use them too. They believe that these apps save time during clinical practice. Medscape was the most common app being used (29.3%), followed by Gray’s Anatomy (25%) and Pharmapedia (23.9%). Conclusion: The common usage of medical apps was recurrent amongst medical student

Covid-19 vaccines status, acceptance and hesitancy among maintenance hemodialysis patients : a cross-sectional study and the implications for Pakistan and beyond

COVID-19 vaccine hesitancy continues to be a widespread problem in Pakistan due to various conspiracy beliefs, myths and misconceptions. Since the hemodialysis population is at higher risk of contracting infections, we sought to investigate the current COVID-19 immunization status and reasons for any vaccine hesitancy among these patients in Pakistan. This cross-sectional study was conducted among maintenance hemodialysis patients at six hospitals of Punjab Province of Pakistan. Data were collected anonymously using a questionnaire. 399 hemodialysis patients took part in the survey, the majority of them were male (56%) and aged 45 – 64 years. 62.4% of the patients reported receiving at least one dose of COVID-19 vaccine. Of those vaccinated (249), 73.5% had received two dose and 16.9% had received a booster dose. The most common reasons for vaccination were “being aware they were at high risk” (89.6%), “fear of getting infected” (89.2%) and “willingness to fight against COVID-19 pandemic” (83.9%). Of the 150 patients who had not yet been vaccinated, only 10 showed willingness to take the COVID-19 vaccine. The major reasons for refusal included “COVID-19 is not a real problem” (75%), “corona vaccine is a con-spiracy (72.1%)” and “I don’t need the vaccine” (60.7%). Our study revealed that only 62% pa-tients receiving hemodialysis were partially or completely vaccinated against COVID-19. Con-sequently, there is a need to initiate aggressive approaches to educate this high-risk population in order to address their vaccine safety and efficacy concerns and correct current myths and mis-conceptions to improve the COVID-19 immunization status in this population

THE IMPACT OF MONITORING (IMU) ON GOVERNMENT SCHOOLS TEACHER’S PUNCTUALITY IN MALAKAND-PAKISTAN

                The present study was conducted with the aim to know about the impact of Monitoring on teachers’ punctuality in district Malakand of Khyber Pakhtunkhwa. A sample size of 565 teachers was selected from three tehsils of the district through multi-stage sampling method which was proportionally allocated to all tehsils. Interview schedule was used as tool of data collection. The link between the Independent Monitroing Unit (IMU) and teacher’s punctuality was examined through chi-square test and Pearson Co-relation which demonstrates how independent and dependent variables are associated. The value of chi-square test (0.000) shows that a highly significant association was found between IMU and punctuality. The substantial association between the two variables is depicted by the value of Gamma (0.556) and its value of significance (0.000). The score of monitoring and punctuality moves from low to high, R=0.0 to R= 12.1 and finally to R= 22.4, which shows that when monitoring increases from low to high, the punctuality of teachers increases by almost three times. This confirms the study hypothesis i.e. monitoring influences teacher’s punctuality. Pearson Correlation between demographic variables, punctuality and teacher’s performance shows a negative and significant relationship between the variables; area of residence and monitoring (r= -0.089 and Sig. 0.035), a highly positive and significant relationship between professional qualification and monitoring (r= 0.100 and sig. 0.018), and a positive & significant relationships were found between the level of education and punctuality (r=0.108 & sig. 0.010) & number of trainings and punctuality (r= -0.132 & sig. 0.002),  while relationship with all other variables were found non-significant. The study recommended that by appreciating teachers for their regular attendance and giving rewards in the form of allowances, increments, awards, certificates etc. & by taking strict action against those teachers who remain absent from duties without genuine reasons, the punctuality of teachers can be improved as well as the quality of education

Evaluating the health risks of potentially toxic elementsthrough wheat consumption in multi-industrial metropolisof Faisalabad, Pakistan

Potentially toxic elements (PTEs) pollution is the fastest growing concern around the entire globe especially in developing countries. Rapid industrialization and urbanization are the dominant sources of anthropogenic soil-food chain contamination with PTEs. The intent of current study was to investigate the interactive levels of Cu, Fe, Mn, Ni, Pb, and Zn in soil and their accumulation in wheat (Triticum aestivum L.) samples collected from 96 sites including industrial, urban, and peri-urban areas of a leading multi-industrialized center (Faisalabad) of Pakistan. According to results obtained from present study, non-carcinogenic (HQ) and life-time carcinogenic risks (CR) of the PTEs to the local inhabitants were estimated following the risk assessment modals proposed by the US-EPA. With respect to estimated HQ for chronic non-carcinogenic risk of Mn, Ni, and Pb, higher potential hazards were observed as compared to Cu, Fe, and Zn. Meanwhile, the carcinogenic risk of Ni marginally exceeded the limit described by US-EPA for adults. Overall, the health risks of PTEs with the consumption of wheat were lower than the limits described by US-EPA except for Ni. However, continuous consumption of this PTEs contaminated food may result the potential buildup of poisonousness and various disorders in humans. Therefore, long-term monitoring and gastrointestinal bio-accessibility studies are requisite for the safety of humans under such conditions