The Long Term Impact of Health on Economic Growth in Pakistan

The paper investigates the impacts of different health indicators on economic growth in Pakistan. Cointegration and Error Correction techniques have been applied on the time series data of Pakistan for the period of 1972-2006. We find that per capita GDP is positively influenced by health indicators in the long run and health indicators cause per capita GDP. However, in short run the health indicators fail to put significant impact on per capita GDP. It reveals that health indicators have a long run impact on economic growth. It also suggests that impact of health is only a long run phenomenon and in the short run there is no significant relationship exists between health variables and economic growth. The major policy implication of the study is that if we desire high levels of per capita income, we can achieve it by increasing and improving stock of health human capital, especially when current stocks are at lower end. Moreover, study also points out a rather diminutive role of public health expenditure in determining the per capita GDP.Health Human Capital; Economic Growth; Cointegration, Error Correction

Assessing farmer’s Pesticide Safety Knowledge in cotton growing area of Punjab, Pakistan

A pesticide safety knowledge test was developed to assess farmer’s knowledge related to pesticide safety. Yes-No (true-false) type 25 item, test, was constructed and used in a sample of 162 pesticide applicator in two districts of southern Punjab Pakistan. The overall mean score was 17.2(72%). More educated and adult respondents performed better than younger and illiterate. Similarly large land holder scored higher than small landholders, indicating their more access to information and extension. Overall ten Items received less than 50% correct response. The result shows that farmers have reasonably good knowledge but it still has to see, to what extent that knowledge is being used practically. It could possibly be the future research topic.Health cost, Environmental cost, Pesticide knowledge, pesticide safety

The Impact of Tax Policies on Economic Growth: Evidence from South-Asian Economies.

The public policy instruments, such as tax rate changes, have different implications in exogenous (neoclassical) and endogenous growth theories. The neoclassical theory predicts that changes in a country’s tax structure should have only transitory impact on its long-run economic growth while endogenous growth theory argues that such changes may have an effect impact on the growth. This study tests whether tax policies conducted by Pakistan, India and Sri Lanka have transitory or permanent effect on their economic growth. The study finds transitory and negative effect of tax rate on the growth only for short-term but has no effect in the long-term. The tax rates in all these countries are low as compared to developed countries. Due to low tax rates these countries heavily depend on bond financing and foreign debt. In view of the findings of this study most important policy implication of the study is that to finance the budget and most of their revenue requirements should be financed with tax increases and if necessary bond financing should be contingent providing a guard against transitory shocks to the budget. JEL classification: H10, E62, O40 Keywords: Neoclassical Growth; Endogenous Growth; Fiscal Policy; Tax Smoothin

The Long Term Impact of Health on Economic Growth in Pakistan

Human capital plays pivotal role for sustainable economic Growth. As different growth theories suggest the role of human capital as a significant for growth process. The concept of human capital in economic literature defined broadly by including education, health, training, migration, and other investments that enhance an individual’s productivity. However, the growth economists that have incorporated human capital in the growth studies, paid greater attention on analysing the impact of education on economic growth, while ignoring the role of health human capital. It is only in very recent times that studies have started looking at health and tried to estimate the relationship between health status and economic growth. There exists a two-way relationship between improved health and economic growth. Health and other forms of human and physical capital increases the per capita GDP by increasing productivity of existing resources coupled with resource accumulation and technical change. Furthermore, some part of this increased income is spent on investment in human capital, which results in further per capita growth. According to Fogel (1994), approximately one third of GDP of Britain between 1790 and 1980 is the outcome of improvements in health especially improvement in nutrition, public health, and medical care facilities and these improved health facilities should be considered as labour enhancing technical change

Surgical outcome of benign intracranial hypertension in terms of improvement in vision

To know about surgical outcome of benign intracranial hypertension in terms of improvement of vision.METHODOLOGY ; This Prospective observational study was conducted at of 22 patients operated in neurosurgery unit lady reading hospital Peshawar from Jan 2011 to Jun2014. Written consent was obtained from all the patients or their relatives All patients of either age and sex with Diagnosed cases of BIH were included in the study, Patients with depressed conscious level, malignant hypertension, space occupying lesion in brain on MRI and those Patients unfit or unwilling for surgery were excluded from the study. Patients particulars like age ,gender , and post operative outcome was documented on predesigned proforma . All the results were analyzed by spss version 16 and represented in the form o graphs/charts and tables. RESULTS;- Total 22 patients of BIH were studied which were all females (100%) having age range of 18 to 58 years with mean of 38 ± 5 years SD. Headache was present in all (100%) patients followed by visual deterioration having 20(90.90%) cases. CSF manometery showed opening pressure from 28cm of H2O to 50 cm of H2O, with mean of 39. 19. Post operatively headache improved in 16(72%) patients, Papilledema in 18(81.81%) caseswhile 4(18%) patients did not improved. In 2(9.09%) cases there was and CSF leak was in 1(4.54%) case.CONCLUSION; BIH has good surgical outcome in terms of improvement in vision, if managed before advanced stage of Papilledem

Intracranial Low Grade Glioma: a Clinical Study of 35 Cases in a Teaching Institute

Objective: To determine the clinical manifestation and surgical outcome of patients with low grade Glioma.Material and Methods: This descriptive (cross sectional) study was done at the Neurosurgery Department, Mardan Medical Complex Mardan. The study period was March 2017 to February 2018. Patient of any age and gender presented to outpatient department or referred from some other medical facility and diagnosed as low grade Glioma on clinical and radiological grounds and later confirmed by histopathology were included. Results: Out of 35 patients, 20 (57%) were male and 15 (42%) were female. 20 to 80 years was the age range and mean age was 46.36 ± 17.11 years. Frontal lobe was the most frequent area of location, followed by parietal 9 (25%) and temporal 8 (22%) lobe. Pre-operativeKarnofsky score was 90 in 16 (45%), 80 in 8 (22%), 70 in 6 (17%) and 60 in 5 (14%) of patients. Gross total resection was achieved in 13 (37%), radical subtotal resection in 10 (28%), subtotal resection in 10 (28%) and biopsy taken in 02 (5%) patients. histopathology revealed Astrocytoma in 15 (42%), mixed Oligoastrocytoma in 12 (34%) and Oligodendroglioma in 8 (22%) number of patients. Post operatively surgical outcome was measured by improvement in symptomatology, Karnofsky score and seizure control. Conclusion: Conscious level, Karnofsky Performance score, seizure control are important parameters for surgical outcome in patients with low grade Gliomas. Gross total resection of the tumor is a better option for good surgical outcome

Early Outcome of Ventriculoperitoneal (VP) Shunt in Terms of Improvement and Complications

Objective:  To analyze the outcome of ventriculoperitoneal (VP) shunts in terms of improvement and complications. Material and Methods:  This retrospective observational study is done in MTI Mardan medical complex and Prime teaching hospital from September 2017 to March 2020. The hospital record of all patients who underwent ventriculoperitoneal shunts was reviewed for improvement and complications. Patients undergoing ventriculoperitoneal shunt for normal pressure hydrocephalus were excluded from this study. Revision of ventriculoperitoneal shunt was the primary endpoint of the study. Results:  A total of 167 patients were operated on for ventriculoperitoneal shunts with males 106 (63.47%) and females 61 (36.52%). Age ranged from 1 month to 75 years with a mean of 14 years. The most common indication for surgery was congenital hydrocephalus in 102 patients (61.1%) while brain tumors caused hydrocephalus in 25 (15%) patients. Common presenting symptoms were the increase in head size in 75 (44.9%), and headaches in 84 (50.2%) patients. Symptomatic (headache, vomiting, and increase in OFC) improvement occurred in 145 patients (86.82%). Shunt revision was needed in 50.29% (84 patients) in one year. Conclusion:  VP shunt is a life-saving procedure and is an effective treatment of hydrocephalus but is not risk-free. Almost half of the shunted patients will need revision surgery in one year period. Keywords:  Hydrocephalus, Ventriculoperitoneal Shunt, Occipitofrontal Circumference (OFC)

Outcome of Retinaculotomy for Carpal Tunnel Syndrome

Objective: To evaluate the results of a minimally invasive technique performed for the most prevalent diseasewhich is not dependent on sophisticated instrumentation and results in early return to work.Material and Methods: A total of 52 patients was operated and included in the study. The record of thesepatients was collected on specified proforma.We used the retinaculotomy method performed by 3 surgeons of the same competence level.Results: Total number of patients operated was 52 Male 8 (15%) Female 44 (85%). A total of 48 (92%) patientsimproved (by 4th week in terms of VAS from 6 to 1 or 0). 9% of patients had scar tenderness which improved by 4th week in 100 % patients. Almost all the patients resumed their daily life activities by 4th week.Conclusion: It was concluded from this study that using the mini technique of retinaculotomy the complicationsassociated with the use of the classic open technique can be avoided and patients successfully treated can have an early return to their normal daily life activities

A theory of capitalist co-optation of radical alternatives: the case of Islamic banking industry

In this article, we use the critical theory literature to describe the processes of co-optation by which capitalism engages with its radical alternatives in order to subvert their emancipatory potential. We chose the global Islamic banking industry as our empirical context, which represents bold efforts to build a radical alternative embedded in Islamic moral precepts. However, we observed that the performative intent of capitalist discourse, reflected in a strong preoccupation with effectiveness and efficiency, has come to dominate all economic claims in the Islamic banking industry. The oppositional ideas that were intended to disturb the economic status quo now reproduce it along with its privileges, despite the vaulted rhetoric about establishing a genuine alternative. The article ends by mapping out some implications of re-introducing co-optation in the critical theory literature