USE OF DIGITAL RESOURCES BY MEDICAL STUDENTS

21st century is considered as the “era of technology”. Technology has modernized the field of education. Modern students prefer to use digital resources in their routine studies. The study was conducted to find the “Use of Digital Resources by Medical Students of Services Institute of Medical Sciences Lahore”. The descriptive data analysis technique was used in this research work to answer the research questions for the fulfillment of research objectives. A group of 276 students was selected among which a total of n=126 respondents were male with a total percentage of 45.7% whereas the total number of female respondents who participated in the study were 150 in number with a cumulative percentage of 54.3%. The results revealed that majority of students (160 out of 272) was aware with the use of both types of resources like electronic and print. Moreover 38% responded that subscribed e-journals/database were available in the library of their medical colleges. Overall awareness regarding use of e-resources among medical students of services institute of medical was good. Medical students are highly depending on information technology; although the electronic resources have not completely replaced the hard form of books but still utilization of electronic resources by medical student and residents is very high, even the result of research demonstrates that more than half students like to use the internet- resources rather than print resources. The findings of this study showed that students were aware with the use of both type of resources

Effect of Conflict Handling Approaches on Team Performance: A Study on Higher Educational Institutes of Pakistan

Educational Institutions intend to undergo multiple transformational alterations, hence, it is important to recognize and hold a grip specifically on those organizational factors that impact an employee’s performance. The purpose of this study is to develop a model of conflict handling approaches and its impact on team performance. By specifically focusing on education sector employees of Pakistan, the present study attempts to analyze the how team members mingle with the conflict through appropriate conflict handling approach and how the particular approach employed by team members effect the overall team performance. Data and individuals’ opinions collected from 240 employees in public and private education sector of Pakistan were analyzed. The sampling technique used is available sample approach. Findings show that conflict handling approaches in public and private education sector has a great influence on team performance and it shakes the performance of employees at a significant level. Key Words: Conflict Handling approaches, Team Performance, Higher Educational Institutes

Media Exposure Regarding Terrorist Events And Posttraumatic Stress Disorder In Youth

Throughout its history Pakistani citizens are bearing the losses resulting from terrorism. After 9/11, 2001, there is a rise in suicide attacks on public places in Pakistan especially in major cities. Media give massive coverage to these attacks and highlight all aspects in detail which create a great sense of fear in general public particularly in youth. These threats and fears can become serious psychological problems if not met with proper treatment. In this experimental study of media exposure regarding terrorist events and posttraumatic stress disorder in youth, depression level and posttraumatic stress disorder are assessed by using intervention among the 150 undergraduate students of three universities of Faisalabad, using the technique of cluster sampling. “Self-rating Inventory Posttraumatic Stress Disorder of 22 items” and Beck’s Inventory Depression were used to measure the posttraumatic Stress Disorder in students. It showed 79% reliability while inter-items reliability was observed .807. Before using the intervention Mean score of Total Pretest Posttraumatic Stress Disorder was 14.31 which increased after intervention (14.86 - 14.32) = .54. It means there was significant psychological effect of exposure of terrorist events , which is really a sign of contemplate for media policy makers, owners and practitioners for telecasting terrorist event on screen because the psychiatrists recommend the prescription and coping strategies if the person score 10 on the Self-rating Inventory for Posttraumatic Stress Disorder. The findings also reveals that the total mean score of Posttraumatic Stress Disorder after intervention was 15.89 in female students which was higher than male students 13.96. Beck’s Inventory Depression finds that the depression among female undergraduate students was higher than male undergraduate students after the usage of intervention. Both posttraumatic Stress Disorder and depression increase after the exposure of terrorist events which is a point of serious concern for media monitors in Pakistan

EXPLORING SUSTAINABLE TOURISM IN NIGERIA FOR DEVELOPMENTAL GROWTH

Tourism has become a major source of economic diversification for many countries, underpinning the service sector and forging effective backward and forward linkages with the rest of the economy, allowing new employment and income earning opportunities. Although, the developed countries account for a higher proportion of global tourism, many developing countries are beginning to take advantage of the huge opportunities offered by tourism. However, only developing countries with effective natural and man-made tourism supporting and enhancing infrastructure have been able to develop their tourism sector and seize the attendant advantages. The need for economic diversification in most developing countries is overwhelming because of their defining mono-cultural economic characteristics where only one or two commodities dominate exports and provides the bulk of foreign exchange from which these countries could reconcile their internal and external balances. Nigeria is one such country seeking to diversify its economy away from crude oil production to maximize employment and income generating opportunities. Nigeria has huge tourism potentials, especially given its natural and diversified landscapes but lacks effective and tourism supporting and enhancing infrastructure. While tourism affords huge employment and income generating opportunities, its impact on bio-physical environment is well acknowledged hence the emphasis on sustainable tourism. Indeed, most of Nigeria’s natural landscapes are eco-sensitive areas and exploring them as tourist destinations must be sustainably conducted to enhance the carrying-capacity or regenerative capacity of these landscapes. This paper critically analyses Nigeria’s tourism potentials, focusing on the impacts on the wider economy. By appealing to the qualitative method of research, the paper concludes that the tourism sector has huge potentials yet unexplored, which if fully supported, can contribute significantly to the economic diversification and poverty alleviation efforts of the government

Evaluation of Toxicity on Ctenopharyngodon idella Due to Tannery Effluent Remediated by Constructed Wetland Technology

Aquatic pollution caused by industrial effluents is an environmental issue, imposing deleterious impacts on the overall environment, specifically, on humans, by disrupting the balance of the ecosystem. Among all the industries, tanneries are considered some of the most polluting due to heavy use of toxic organic and inorganic compounds during leather processing, most of which find their way into rivers, lakes, and streams, thus exerting adverse effects on aquatic life, particularly on fish. Considering the huge concentrations of pollutants present in tannery effluents, toxicity evaluation is of prime importance. Therefore, bioassays are usually employed to assess the acute toxicity of industrial effluents and efficiency of effluent clean-up technologies as they provide a thorough response of test species to the substances present in the tested media. In the present study, the toxic effects of tannery effluent on common grass carp (Ctenopharyngodon idella) were studied for 96 h in laboratory conditions. The effluent was added at different concentrations, before and after treatment by constructed wetlands (CWs). During this period, mortality data was collected to calculate the 96 h-LC50 (lethal concentration inducing 50% mortality) and acute toxicity of C. idella. In addition to this, observations on change in morphological, physiological, and behavioural patterns were also made every 24 h. The present toxicity assay revealed that the raw tannery effluent changed the morphology, physiology, and behavioural response of fish. Moreover, fish exposure to raw/untreated effluent caused high acute toxicity and 100% mortality, due to the presence of high concentrations of salts and chromium (Cr) metal. While treatment of tannery effluent by CWs vegetated with different plants (B. mutica, L. fusca, and T. domingensis) significantly reduced its toxicity and fish mortality as well, and inoculation of salt and Cr-tolerant endophytic bacteria (Enterobacter sp. HU38, Microbacterium arborescens HU33, and Pantoea stewartii ASI11) further reduced (up to 90%) its toxicity level. Hence, the use of CWs for tannery effluent treatment can be recommended to favour public health and promote the overall safety of the environmentThis research was conducted under the grant number, No. 20-3854/R&D/HEC/14., of the Higher Education Commission (HEC), PakistanS

Comparative Evaluation of Biomarkers of Inflammation Among Indian Women With Polycystic Ovary Syndrome (PCOS) Consuming Vegetarian vs. Non-vegetarian Diet

Background: Sub-inflammation and insulin resistance characterize women with PCOS. Data on dietary modulation of inflammation among PCOS women is scant, particularly from Indian subcontinent. The present study aimed to assess the effect of plant based vs. animal origin diets on serum markers of inflammation (primary outcome measure).Methods: This observational case-control study compared age and BMI matched PCOS and apparently healthy women from two populations following different dietary practices. The vegetarian women from New-Delhi (n = 82 PCOS and n = 179 healthy) and non-vegetarian women from Srinagar (n = 62 PCOS and n = 141 healthy) formed the groups. Using a uniform methodology, detailed clinical, biochemical, hormonal, and inflammatory marker assessment was undertaken.Results: The mean age of the overall cohort was 26.23 ± 4.59 years with a mean BMI of 24.39 ± 3.72 kg/m2. Overall pro-inflammatory markers (TNF-α, IL-6, IL-1β, hs-CRP and serum resistin) were significantly higher (p ≤ 0.05) and anti-inflammatory markers (IL-10 and adiponectin) were lower among women with PCOS than healthy subjects. On comparing vegetarian women with non-vegetarians, higher daily calorie intake (1895.46 ± 258.19 vs. 1860.13 ± 323.96 Kcal) with a higher protein and fat and lower carbohydrate intake was recorded in the latter, although the percent energy derived from carbohydrates was higher among vegetarians. Clinical and biochemical parameters were comparable among the groups except mFG score, total serum testosterone and serum lipid levels which were higher among non-vegetarian women as compared to their vegetarian counterparts from both categories (PCOS and healthy). Interestingly, vegetarian women with PCOS and healthy women had higher serum pro-inflammatory and lower anti-inflammatory markers compared to their non-vegetarian counterparts.Conclusion: Women with PCOS consuming Indian vegetarian diet have higher pro-inflammatory and lower anti-inflammatory marker levels than their age and BMI matched healthy non-vegetarian counterparts. This interesting observation can be attributed to the dietary composition, among other factors and needs confirmation from well-designed randomized studies on a larger cohort

Clinical Profile of Mortality and Treatment Profile of Survival in Patients with COVID-19 Pneumonia Admitted to Dubai Hospital

Background: Most COVID-19 studies conclude old age and coexisting illnesses as mortality determinants owing to different populations or methodologies, or omitting factors affecting outcomes. Methods: We analyzed COVID-19 patients’ data (N = 391) of Dubai Hospital between January 1, 2020 and June 30, 2020. Results: Only 19 patients (4.8%) were UAE nationals, while 372 (95.2%) were expatriates. Median age was 48 (interquartile range, 40–56) years; 22% were <40 years, and only 16.6% were female. Cough was the most common symptom (78.7%), fever was 77.4%, and gastrointestinal symptoms were least common (13.8%). Approximately 95% had elevated C-reactive protein (CRP) and D-dimers (79%), lymphocytopenia 47.3%, and thrombocytopenia 13.8%. Mortality was 30% for the total sample and 50% in ICU patients. ICU patients were older than non-ICU (age; 49.6 ± 10.9 vs. 46.7 ± 12.7 years, p = 0.04). Eighty-five percent of ICU patients required invasive mechanical ventilation, 78% vasopressors, 88% sedation, 84% muscle paralysis, while none require any of these in the medical group. Survivors had fewer patients with sedatives (p = 0.01). The median length of stay in the hospital was 19 days, ICU stays 14 days, and ventilator 11 days. The Mann-Whitney test showed that survivors spent more days in the ICU (median [IQR] 18 [6.5–29.5] vs. 11 [4–18], p value 0.003) and the hospital (32 [14.5–49.5] vs. 14 [7–21], p value 0.001) than nonsurvivors. Ferritin and D-dimers were higher in nonsurvivors, but CRP was lower in nonsurvivors (ferritin (ng/mL) median (IQR) 1,434 (661.5–2206.5) versus 1,362 (630–2,094), p value = 0.017, CRP (mg/L) 118.7 (53.4–184) versus 134.9 (66.5–203.2), p value 0.001 and D-dimer (µg/mL) 1.54 (0–3.13) versus 1.09 (0–2.51), p value = 0.001). Multiple logistic regression analysis determined age, fever on admission, use of oxygen, mechanical ventilation, and steroids as predictors of survival. Conclusions: COVID-19 patients were young males with pre-existing conditions. Ferritin, CRP, and D-dimers were higher in nonsurvivors. Treatment with chloroquine, antivirals, and anticoagulation was not different between survivors and nonsurvivors. Steroid use was a survival predictor

The Pakistan risk of myocardial infarction study: A resource for the study of genetic, lifestyle and other determinants of myocardial infarction in south Asia

The burden of coronary heart disease (CHD) is increasing at a greater rate in South Asia than in any other region globally, but there is little direct evidence about its determinants. The Pakistan Risk of Myocardial Infarction Study (PROMIS) is an epidemiological resource to enable reliable study of genetic, lifestyle and other determinants of CHD in South Asia. By March 2009, PROMIS had recruited over 5,000 cases of first-ever confirmed acute myocardial infarction (MI) and over 5,000 matched controls aged 30-80 years. For each participant, information has been recorded on demographic factors, lifestyle, medical and family history, anthropometry, and a 12-lead electrocardiogram. A range of biological samples has been collected and stored, including DNA, plasma, serum and whole blood. During its next stage, the study aims to expand recruitment to achieve a total of about 20,000 cases and about 20,000 controls, and, in subsets of participants, to enrich the resource by collection of monocytes, establishment of lymphoblastoid cell lines, and by resurveying participants. Measurements in progress include profiling of candidate biochemical factors, assay of 45,000 variants in 2,100 candidate genes, and a genomewide association scan of over 650,000 genetic markers. We have established a large epidemiological resource for CHD in South Asia. In parallel with its further expansion and enrichment, the PROMIS resource will be systematically harvested to help identify and evaluate genetic and other determinants of MI in South Asia. Findings from this study should advance scientific understanding and inform regionally appropriate disease prevention and control strategies