Diagnostic Accuracy Of Acromioaxillosuprasternal Notch Index For Prediction Of Difficult Airway Taking Cormack And Lehane Grading System As Gold Standard

Background: General anesthesia is still needed for several surgical interventions and requires endotracheal intubation. The difficult airway is a well-known entity, and a long list of predicting scores is present, yet a high degree of diagnostic accuracy still needs to be improved. Acromioaxillosuprasternal notch index (AASI) has shown some excellent results in recent times. Objective: Its objective is to determine the diagnostic accuracy of acromioaxillosuprasternal notch index for predicting difficult airways and to take the Cormack and Lehane grading system as the gold standard. Methodology:   In this study, adults of both genders aged 20 to 70 years undergoing any surgery under general anesthesia having ASA class I to IV were included. AASI score of equal or less than 0.49 was taken as difficult airway while on Cormack and Lehane grade; it was labeled as yes where grade III or IV was seen. Results: The total number of cases were 350 cases, out of which 218 (62.29%) were males, and 132 (37.71%) were females. The mean age was 40.20±12.86 years, and the mean BMI was 24.71±3.13 (table 17). There were 294 (84%) cases in ASA Class I and II and 56 (14%) in class III and IV. Difficult intubation on AASI was seen in 54 (15.43%) and 57 (16.29%) cases on Cormack and Lehane grading.  The diagnostic accuracy of AASI for prediction of difficult intubating a difficult was 96.29% with sensitivity of 90.74%, specificity of 97.30%, PPV of 85.96%, NPV of 98.29% with p= 0.001. This difference was also statistically significant with all the confounding variables like age, gender, ASA class, and BMI.  Conclusion: The acromioaxillosuprasternal notch index is a significant predictor for tubing a difficult airway and taking Cormack and Lehane's grading as the gold standard. This difference is considerably better regarding age, gender, BMI, and ASA class.&nbsp

Gender pay gap: A mediating agent of compassion, self-esteem, mindfulness, personal sense of uniqueness and racial socialization for psychological well being

The study measures the impact of compassion on psychological well-being of employees in educational institute of the southern Punjab, Pakistan with mediating role of gender pay gap. The objective of this study is to find out the relationship of compassion, self-esteem, mindfulness, personal sense of uniqueness and racial socialization with psychological well-being of employee and to find indirect relationship using gender pay gap as mediator. A sample of 400 teachers was utilized to find out results of study through Likert scale. Structural Equation Modelling and Multiple Regression analysis have been applied using Smart PLS3. Results found that compassion, mindfulness and racial socialization have significant impact on psychological wellbeing of employee. Mediation effect of gender pay gap has been identified between compassion, self-esteem, personal sense of uniqueness and racial socialization with psychological well-being. This study contributes well to the existing literature by highlighting the influence of the relationship between gender pay gap and psychological wellbeing. According to the findings of this study, it is important to increase compassion, mindfulness, self-esteem, personal sense of uniqueness to improve the welfare of employees, enable them to better deal with gender pay gap and make them psychological well

Local combats global: simulação de personalidade de marca para marcas de té

Brand Personality is the simulacrum of human traits used to describe the personality of brands. In the arena of marketing, firms are struggling hard to impinge their brand image as a person in the minds of its customers. The idea behind is that when a customer perceives its favorite brand as a personality, it will develop certain associations and belongingness for that brand. Customers more affinity to personality of brand leads towards more loyalty and ultimately fruitful for the generic firm who introduced the brand and brand personality for its product. The study empirically assesses the impact of brand personality in the mind of customers for two famous tea brands of Pakistan. Both brands have nearly equal share in the market but one is local and other is global. The data was collected from the territory of Islamabad, Pakistan by taking the sample of 436 in total. By employing the area sampling, data was equally divided into two equal halves of 218 samples respectively. First half of the respondents were the user of local tea brand while the second half of the respondents were the user of global tea brand. Aaker scale of brand personality was employed to measure the personality of tea brands. An independent sample t test was utilized to check the customers differentiation. It was observed that customers perceived the both brands as more rugged and sincere. These characteristics are important and relevant for any tea brand to be successful in the market. That why, both brands are sharing almost equal share in the market. However, global tea brand is perceived more sophisticated, competent and with full of excitement as compared to local brand. At the moment, the disparity of these personality characteristics are not affecting the market share of local brand but it is urged that for long lasting and sustainability competition, the local brand should also focus on the dimensions of brand personality of sophistication, competence and excitement.La personalidad de la marca es el simulacro de los rasgos humanos utilizados para describir la personalidad de las marcas. En el ámbito del marketing, las empresas están luchando mucho para afectar su imagen de marca como persona en la mente de sus clientes. La idea detrás es que cuando un cliente perciba su marca favorita como una personalidad, desarrollará ciertas asociaciones y pertenencias para esa marca. La afinidad de los clientes con la personalidad de la marca conduce a una mayor lealtad y, en última instancia, fructífera para la empresa genérica que introdujo la marca y la personalidad de la marca para su producto. El estudio evalúa empíricamente el impacto de la personalidad de la marca en la mente de los clientes de dos famosas marcas de té de Pakistán. Ambas marcas tienen una participación casi igual en el mercado, pero una es local y la otra es global. Los datos se obtuvieron del territorio de Islamabad, Pakistán, tomando la muestra de 436 en total. Al emplear el muestreo de área, los datos se dividieron por igual en dos mitades iguales de 218 muestras respectivamente. La primera mitad de los encuestados eran usuarios de la marca local de té, mientras que la segunda mitad de los encuestados eran usuarios de la marca global de té. Se utilizó la escala Aaker de la personalidad de la marca para medir la personalidad de las marcas de té. Se utilizó una prueba t de muestra independiente para verificar la diferenciación de los clientes. Se observó que los clientes percibían las dos marcas como más resistentes y sinceras. Estas características son importantes y relevantes para que cualquier marca de té tenga éxito en el mercado. Por eso, ambas marcas comparten una participación casi igual en el mercado. Sin embargo, la marca global de té se percibe más sofisticada, competente y llena de emoción en comparación con la marca local. Por el momento, la disparidad de estas características de personalidad no está afectando la cuota de mercado de la marca local, pero se recomienda que para una competencia duradera y sostenible, la marca local también debe centrarse en las dimensiones de la personalidad de la marca de sofisticación, competencia y entusiasmo.Personalidade da marca é o simulacro das características humanas usadas para descrever a personalidade das marcas. Na arena do marketing, as empresas estão se esforçando bastante para impingir sua imagem de marca como uma pessoa nas mentes de seus clientes. A idéia por trás disso é que, quando um cliente percebe sua marca favorita como uma personalidade, ele desenvolve certas associações e pertencimento a essa marca. Os clientes, mais afinidade com a personalidade da marca, levam a mais lealdade e, finalmente, frutíferos para a empresa genérica que introduziu a marca e a personalidade da marca em seu produto. O estudo avalia empiricamente o impacto da personalidade da marca na mente dos clientes para duas famosas marcas de chá do Paquistão. Ambas as marcas têm participação quase igual no mercado, mas uma é local e a outra é global. Os dados foram coletados no território de Islamabad, Paquistão, levando a amostra de 436 no total. Empregando a amostragem de área, os dados foram igualmente divididos em duas metades iguais de 218 amostras, respectivamente. A primeira metade dos entrevistados era usuário da marca local de chá, enquanto a segunda metade dos respondentes era usuário da marca global de chá. Uma escala de personalidade da marca Aaker foi empregada para medir a personalidade das marcas de chá. Um teste t de amostra independente foi utilizado para verificar a diferenciação dos clientes. Observou-se que os clientes percebiam as duas marcas como mais robustas e sinceras. Essas características são importantes e relevantes para que qualquer marca de chá seja bem-sucedida no mercado. Por isso, ambas as marcas estão compartilhando uma participação quase igual no mercado. No entanto, a marca global de chá é percebida como mais sofisticada, competente e cheia de emoção em comparação com a marca local. No momento, a disparidade dessas características de personalidade não afeta a participação de mercado da marca local, mas é recomendável que, para uma competição duradoura e de sustentabilidade, a marca local também se concentre nas dimensões da personalidade da marca, como sofisticação, competência e entusiasmo

PERFORMANCE ASSESSMENT AND JOB SATISFACTION OF SUPPORT STAFF IN ACADEMIC LIBRARIES

The purpose of current study was to investigate about the job performance and job satisfaction of support staff working in academic libraries of Lahore. Supporting staff is performing many imperative duties in academic libraries and their role in libraries is very important. The objective of current study was to investigate the job performance through job satisfaction, to test relationship between job performance and job satisfaction and to investigate the moderating effect of hurdles in work between job satisfaction and job performance. Quantitative approach was adopted and survey method was used to achieve the objective of the study. Questionnaire with Urdu translation was prepared to collect the data. Data was collected by visiting personally, through email and google form was also developed to collect the data. Higher Education Commission recognized academic universities of Lahore offering higher education programs was the population of current research. Participant of this study was supporting staff including “data entry operators, library assistants, library clerks, junior assistants, computer operators and shelvers etc.” those were performing their duties in government, semi-government and private sector universities main libraries of Lahore. Data was analyzed by using SPPS 22 version. The findings of this study revealed that supporting staff performing the duties in many major areas of library, like, Circulation, Technical, Cataloguing, Serial Management etc. The results showed positive impact of job satisfaction on job performance, but relationship between job satisfaction and performance found weak. The moderator like, low connectivity, down of computer, domestic issue, office environment effects the job performance of support staff

Effect of Salinity on Cotton Seed Germination and Seedling Survival

Salinity is a major threat in Pakistan due to use of low quality water. Present study was conducted   to evaluate MNH-886 at different salinity levels by using 3 different experiment. In first experiment seed of MNH-886 was grown in Petri dishes and data of germination was taken by applying 23 NaCl treatments from 0-1300 mM. Results showed that germination is get hampered by high salt concentration. Even at the concentration of 100 mM it lowered to 80% and become zero at 700 mM NaCl solution. In second and third experiment seedling survival was tested  in MS media and hydroponic. From both of these experiment it was found that survival rate decrease greatly with increase in salt concentration. On the basis of hydroponic results it is assumed that MNH-886 is not good performer under salinity stress Keywords: MNH-886, Germination, survival, hydroponic medi

Hepatic, periportal, retroperitoneal, and mesenteric neurofibromatosis in von recklinghausen\u27s disease

We present a rare case of histologically proven neurofibromatosis of the liver, hepatic hilum, retroperitoneum, and mesentery. An adult male who had been diagnosed with neurofibromatosis (NF) type 1 underwent a computed tomography (CT) scan for abdominal pain and vomiting. The CT scan showed a large low-attenuating lesion in the region of porta hepatis which was infiltrating along portal tracts into the liver, encasing the major vessels, and extending into the retroperitoneum and mesentery. Based on the radiological findings, a differential diagnosis of plexiform neurofibroma was given, although sarcomatous transformation could not have been entirely excluded from imaging alone. The tumor was subsequently biopsied, and the histopathological analysis confirmed the diagnosis of neurofibroma. This case highlights the importance and diagnostic dilemmas in the presence of this tumor at atypical locations in this disease spectru

Durability of Mortars Modified with Calcined Montmorillonite Clay

This study aims to evaluate the performance of mortars containing locally available Pakistani montmorillonite (Mmt) clay mineral as partial replacement of cement in various curing environments. The local montmorillonite clay in “As is” (20°C) and “heated” (100°C, 200°C, 300°C, 400°C, 500°C, 600°C, 700°C, 800°C, 900°C & 1000°C) conditions was incorporated in mortar cubes as partial replacement of cement. Montmorillonite clay of all the temperatures was replaced by 15%, 20%, 25%, 30% and 35% of cement mass in mortar cubes. The Strength Activity Index (SAI) was calculated to determine the optimum activation temperature for the clay. Compressive strengths of the controlled mix and montmorillonite modified mortars were evaluated under the Sodium Sulfate (SS) (5% solution) and mixed (Sodium Sulfate + Sodium Chloride (SCS)) (5% +3.5% solution) curing environments to study its durability performance. Upon thermal treatment montmorillonite clay showed maximum activation at 800°C temperature. Mortar containing (800°C) calcined montmorillonite clay with 25% cement replacement exhibit competent compression results. Moreover, up on exposure to aggressive environments, montmorillonite clay mortars performed better than the control samples. The mortar cubes exposed to Sulfate environment (SS) were more damaged in compression than that exposed to mixed environment (SCS), for all replacement levels and time exposures

Eisenstein field BCH codes construction and decoding

First, we will go through the theory behind the Eisenstein field (EF) and its extension field. In contrast, we provide a detailed framework for building BCH codes over the EF in the second stage. BCH codes over the EF are decoded using the Berlekamp-Massey algorithm (BMA) in this article. We investigate the error-correcting capabilities of these codes and provide expressions for minimal distance. We provide researchers and engineers creating and implementing robust error-correcting codes for digital communication systems with detailed information on building, decoding and performance assessment

Generalization of RSA cryptosystem based on 2n primes

This article introduced a new generalized RSA crypto-system based on $2n$ prime numbers called generalized RSA (GRSA). This is a modern technique to provide supreme security for the computer world by factoring the variable$N$, where its analysis process has become much easier nowadays with the development of tools and equipment. $2n$ primes (prime numbers) are used in the GRSA crypto-system to provide security over the network system. This includes encryption, key generation, and decryption. In this method we used $2n$ primes which are not easily broken, $2n$ primes are not comfortably demented. This method provides greater performance and fidelity over the network system