The Role of Organizational Climate on Employee Performance: An Empirical Study of Government Hospitals of Lahore, Pakistan

The main intention of the study was to examine the effects of organizational climate on employee performance in hospitals.  The said sector was opted as population of the study. Different Govt. Hospitals of Lahore were selected as a sample by using simple random sampling methodology. 200 questionnaires were distributed to the hospital’s staff. 170 questionnaires were filled by employees and used for further interpretation. The response rate of overall study was 85%. Pearson’s correlation analysis, multiple regression analysis and reliability analysis were used for analysis on collected data. The results of Pearson’s correlation analysis showed that there is positive relationship between organizational climate, innovative climate, and cooperative climate with employee performance. The practical point of view gives clear clue to Hospitals administration must understand the significance of Climate i.e. innovative climate and cooperative climate to improve the employee performance. For future studies, data may be collected on same variables to other sectors like education zone, telecom industry, textile industry, services sector etc. for generalizing the results

Academic Stress Levels in Annual & Semester System: A Cross-Sectional Comparative Study on Students of Physiotherapy in Lahore, Pakistan

Physical Therapy in Pakistan has not yet been considered amongst the reputed professions due to the lack of awareness among the public. This being the very reason of the higher stress among the students studying physiotherapy is kept under consideration in this study. The main purpose of this study was to determine if the students of Annual system endure stress levels higher than those of Semester system. Also the aim was to determine which assessment system was more conducive for an effective learning & to acknowledge the major stressors among the DPT students along with their coping strategies. This study was a Comparative Cross-Sectional Study conducted in duration of 8 months. Data was collected from both male and female students of DPT who had completed 50% of their credit hours of the curriculum. The sample size calculated was found to be 343 (n=343). Exposure assessment included the International Stress Questionnaire which is most commonly used instrument for the evaluation of stress levels among students. The International Stress Questionnaire was administered into a group of 70 students from Public and Private Institutes for validation purpose. Thus 560 questionnaires were distributed among students amongst which only 384 were fully completed and thus included for the statistical analysis. Mean age of the students was found to be 21±1.34 years. Amongst 384 students, 292 were females and 92 were males.190 students were from Annual system i.e. Pass/Fail system and 194 had GPA system as their assessment system. Interpretations were done according to the standard way i.e. a score of 4 or less was supposed to be mild, 5-13 was moderate and 14 or more was severe. Amongst those from Annual system, 17 had mild, 139 had moderate and 34 had severe stress. Amongst 194 students from GPA system, 122 had mild and 72 had moderate stress whereas none of those reported to fall in the category of severe stress. Independent t test was applied to identify if there were significant differences between the two groups and the p value was found to be 0.00 i.e. highly significant. A forum should be developed to register all the students enrolled in Doctor of Physiotherapy every year encompassing all Institutes to prevent the biasness due to non-probability sampling method used to recruit sample

Relationship between Kinesiophobia, Fall Risk and Activity Level among Elderly Females after Total Knee Arthroplasty

Objective: To determine the effect of Mulligan’s Mobilization on unilateral tibiofemoral osteoarthritis. The objective of the study was to evaluate co-relation between fall risk, kinesiophobia, and physical- activity level among elderly females after one year of TKA. Methodology: This study was a cross-sectional survey conducted on females who had their Total Knee arthroplasty from Ghurki Trust & Teaching Hospital and Punjab Medical Centre, Lahore. Data was collected from 200 (n) elderly females who had undergone their Total Knee Arthroplasty at least one year before the study was conducted. Fall risk (Berg Balance Scale), fear of movement (Tampa Scale of Kinesiophobia), and physical activity (IPAQ) were the key outcome measures. Results: Pearson correlation determined higher levels of association between fall risk, fear of movement and physical activity. Higher the berg balance score, lower the score of Kinesiophobia i.e. negatively significant correlation; r (198) = -.54, p=0.00. Higher berg balance scores were also found to be positively related to higher minutes of low, moderate and vigorous exercise per week. Kinesiophobia was found to be negatively significant for physical activity of low, moderate and vigorous intensity i.e. r (198) = -.11, p= .01, r (198) = -.03, p=.00 and r (198) = -.07, p= .02 respectively.   Conclusion: A significant negative correlation was observed between fall risk and Kinesiophobia. Moreover, a significant positive correlation was observed between fall risk and physical activity in elderly females who have had TKA. Key words: Berg balance scale, fall risk, kinesiophobia, Total Knee Arthroplast

Virtual Reality in Space Technology Education

The simplification of space science and technology for students K–12 is a challenging task for educators. Virtual reality and augmented reality are educational techniques that introduce the concept of educational games. Moreover, those techniques have a stunning effect on students. This work presents the utilization of virtual reality models to teach students about the satellite types, satellite subsystems, the satellite assembly and integration process, watching the rocket launch carrying the satellite and observing the satellite in its orbit in virtual space laboratories. A 10-min mission in virtual laboratories will effectively improve the learning outcomes. In addition to the VR feature, a set of activities and short movies are considered to be beneficial for use by students to enrich the teaching results. Finally, the VR model results confirmed that the students’ knowledge about the space technology cycle is boosted

Combined parecoxib and I.V. paracetamol provides additional analgesic effect with better postoperative satisfaction in patients undergoing anterior cruciate ligament reconstruction

Background : Adequacy of postoperative analgesia is one of the most important factors that determine early hospital discharge and patients′ ability to resume their normal activities postoperatively. The optimal non-opioid analgesic technique for postoperative pain management would reduce pain and enhance patient satisfaction, and it also facilitates earlier mobilization and rehabilitation by reducing pain-related complications after surgery. The aim of this study was to evaluate the analgesic efficacy of intravenous paracetamol and parecoxib when used alone, or in combination. Methods : Sixty American Society of Anesthesiology (ASA) physical status I and II adult patients who were scheduled for anterior cruciate ligament reconstruction were included in this study. Patients were allocated into three groups: group I patients received 1g intravenous paracetamol after induction and another 1 g 4 h later, group II received 40 mg parecoxib after induction, while group III received combination of both drugs (paracetamol 1 g and parecoxib 40 mg). Pain during rest and mobility was assessed in the immediate postoperative period, 2 h and 8 h successively using visual analog scale (VAS). Patient satisfaction was rated according to satisfaction score. Results : Total morphine requirements were lower in group III patients (6.9±2.7 mg) in comparison to group I patients (12.6±3.6 mg) or group II patients (9.8±2.8 mg). The least VAS scores were recorded during knee movement (3.8±1.1) in group III patients compared to group I (6.0±1.8) and group II patients (4.8±1.9). Eight hours postoperatively, group III patients were more satisfied regarding the postoperative pain management. Conclusion : Combination of intravenous paracetamol and parecoxib provided better analgesia and higher patient satisfaction than each drug when used separately

The Effect of Dietary <i>Saccharomyces cerevisiae</i> on Growth Performance, Oxidative Status, and Immune Response of Sea Bream (<i>Sparus aurata</i>)

The objective of this study was to evaluate the beneficial effect of Saccharomyces cerevisiae (SC) on growth, intestinal morphometric characteristics, blood indices, redox balance, expression of immune-related genes, and their involvement in disease resistance in sea bream (Sparus aurata). Three hundred healthy sea bream fingerlings were allocated into equal four groups (15 fish per hapa). The first group was served as a control and received a basal diet, while the other three groups were fed diets containing 1, 2, and 4 g/kg diet SC, respectively. At the end of week 16, the daily weight gain, specific growth rate, and feed utilization were significantly higher in the SC2 and SC4 groups than the control (p p HSP70, IGF1, and IL-1β genes. In addition, the 4 g/kg SC-supplemented diet was the most effective in protecting the fish against Vibrio parahaemolyticus challenge. In conclusion, SC-enriched diet improved growth performance, intestinal morphology, redox homeostasis, and immune response of S. aurata with the 4 g/kg concentration as the most effective

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research