Trade Opportunities, Competitiveness, and Trade Potential in Pakistan: An Analysis of GCC Regional Countries

Pakistan and GCC region share a common religion and cultural characteristics, increasing their importance to Pakistan regarding trade policy. To promote economic, cultural, and technical cooperation with GCC members, Pakistan is committed to signing a free trade arrangement with GCC. This paper aims to examine Pakistan's trade opportunities, competitiveness, and trade potential in the GCC region during 2003-2017. The result shows that Pakistan has the maximum comparative and competitive advantage with Bahrain, Saudi Arabia, and UAE amongst GCC countries. PPML shows that the main trade indicators responsible for Pakistan’s bilateral trade enhancement are GDP in both countries and partner country trade openness. Amongst the GCC countries, Pakistan has the highest trade potential with Bahrain, Kuwait, and Qatar. In contrast, with UAE and Saudi Arabia, Pakistan has a lower trade potential than the rest of the countries. Therefore, Pakistan needs to sign FTA with GCC before boosting their mutual trade and cooperation

EFFECTIVENESS OF VARIOUS TEACHING METHODOLOGIES IN DEVELOPING CLINICAL REASONING SKILLS IN UNDERGRADUATE FEMALE MEDICAL STUDENTS

ABSTRACT OBJECTIVE: To compare the effectiveness of “summarize, narrow, analyze, probing, management plan, select a topic” (SNAPPS) model, one-minute preceptor (OMP) and traditional clinical teaching in developing clinical reasoning skills of final year undergraduate female medical students in pediatrics clinical setting. METHODS: This randomized control trial was conducted at Department of Pediatrics, Peshawar Medical College from February to July 2016. Students were randomly distributed in three groups i.e. SNAPPS, OMP and traditional teaching with 20 students in each group. All 60 students were exposed to pre-test including 4 Key Feature Problems (KFPs). Students were then taught on pre-identified 4 topics with one topic /week by respective teaching methodology. Each topic was followed by post-test using 4 KFPs. The pre-test and post-test results were recorded and analyzed on SPSS-20. ANOVA was used as test for finding significance. RESULTS: All 60 female students of final year completed the study and none dropped out. The mean marks of pretest of three groups were 12.50±0.15 with minimum number of 4±1 marks and maximum of 23±1. There was no significant difference in pre-test among the groups using ANOVA (p = .984). However, significant difference (p< 0.001) was observed in post-test among groups after intervention. There was statistically significant difference (p<0.001) in favor of SNAPPS as compared to traditional teaching methodology. There was no significant difference between OMP and traditional method. CONCLUSION: SNAPPS is significantly more effective in improving clinical reasoning than OMP and traditional teaching method in female undergraduate medical students in pediatrics clinical setting

An Assessment of the Consumption Function for Iran

In this study, the real private consumption model for Iran was estimated by applying yearly data from 1990 to 2018. The ARDL method is used to assess short-term and long-term relationships between private consumption, labor income, interest rate, wealth, and unemployment rate. According to long-term estimates, income and wealth determine the actual consumption in Iran. However, in the short run, current incomes, wealth, real interest rates, and the unemployment rate are the key determinants of private consumption in Iran. The dynamic of the consumption function shows that all the factors of consumption i.e. real disposable income, wealth, and unemployment rate, real interest rate, have a noteworthy effect on aggregate consumption. The minor and significant coefficient of wealth indicates that the consumption decision is weakly affected by wealth. It provides evidence of the validity of AIH for Iran

An Assessment of the Consumption Function for Iran

In this study, the real private consumption model for Iran was estimated by applying yearly data from 1990 to 2018. The ARDL method is used to assess short-term and long-term relationships between private consumption, labor income, interest rate, wealth, and unemployment rate. According to long-term estimates, income and wealth determine the actual consumption in Iran. However, in the short run, current incomes, wealth, real interest rates, and the unemployment rate are the key determinants of private consumption in Iran. The dynamic of the consumption function shows that all the factors of consumption i.e. real disposable income, wealth, and unemployment rate, real interest rate, have a noteworthy effect on aggregate consumption. The minor and significant coefficient of wealth indicates that the consumption decision is weakly affected by wealth. It provides evidence of the validity of AIH for Iran

Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center

Objective:&nbsp;to investigate the role of CT and MRI in diagnosis of Arnold chiari malformation of hydrocephalus and its treatment with VP shunt along with complications. Study Design:&nbsp;Prospective study Place and duration:&nbsp;Department of Neurosurgery, DG Khan Medical College from May 4, 2018 to May 4, 2019. Methodology:&nbsp;Fifty patients of congenital hydrocephalus who were not treated previously were selected. Detailed history about disease and clinical examination of patients was performed. Follow ups were done at neurosurgery OPD. SPSS software for data analysis was used and mean ± SD, frequency and percentages were calculated for variables. P value ≤0.05 was considered as significant. Results:&nbsp;Treatment in case of congenital hydrocephalus as VP shunt, intra-aneurysmal coiling, excision of meningomyelocele with VP shunt and suboccipital craniectomy + upper cervical laminectomy (scucl) were observed as 10%, 6%, 8% and 8% respectively.&nbsp; Twelve percent of patients were not treated. Conclusion:&nbsp;CT and MRI are the main diagnostic tools for diagnosis of Arnold chiari malformation and VP shunt is the treatment of choice. Among complications of VP shunt infection of shunt and shunt block are the main complications

Environmental Changes in the Hindu Raj Mountains, Pakistan

Global Environmental Change among the world’s mountains has become a field of interest for researchers and this issue has been widely studied in many parts of the world. This exploratory research aims to study the changes that have occurred and are still occurring in the Hindu Raj Mountains of northern Pakistan, which is an unexplored region with a wide potential for research. To study the changes in various aspects of physical and social setup, five villages/sub-valleys were selected at varying altitudes above mean sea level. Changes in the bio-physical environment were explored using remote sensing technology. It was found that drastic changes have taken place and are still going on in the natural environment as well as the socio-economic setup of the study area since 1970. The population of the study area has increased by manifold resulting in changes in the household and family structure. Moreover, the land use land cover of the study area has changed considerably. Forest cover has decreased drastically with an increase in both the built up and barren land areas

ASSESSMENT OF RISK FACTORS AND COMPLICATIONS OF DIABETES MELLITUS IN DIFFERENT STAGES OF HYPERTENSION: A RETROSPECTIVE COHORT STUDY FROM A MAJOR METROPOLITAN CITY OF PAKISTAN

Diabetes mellitus is a group of metabolic disorders clinically manifested by hyperglycemia. Diabetic patient having hypertension has more chances of heart diseases, peripheral vascular disease, nephropathy and retinopathy. The aim of the study was to evaluate the prevalence of risk factors and related complications in diabetic patients having hypertension. This retrospective observational study was conducted by enrolling 250 patients for study. Results have indicated that there was higher percentage of female diabetics (60.16%) as compared to males due to more prevalence of obesity in females. Patients in pre-hypertensive stage were having more risk factors; salt intake (66.42%), fat intake (67.8%), aerobic exercise &lt;30 minutes (70.2%) and even 50% were not exercising. They were experiencing more symptoms and complications such as thirst (63.1%), dryness of mouth (60.33%), loss of appetite (59.2%), abdominal pain (67.1%), nausea and vomiting (56.3%), frequent urination (56.7%) and high blood sugar level (56.33%). About 92.30% patients were satisfied with the treatment and were following the instructions by the doctors. The study inferred that the risk factors and complications related to diabetes were more prevalent in pre-hypertensive stage which could progress the disease to advanced stages

The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019

Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe