Pancreatic Involvement in Hermansky–Pudlak Syndrome- A Case Report

Hermansky-Pudlak Syndrome (HPS) is a rare autosomal recessive disorder that presents with oculocutaneous albinism, bleeding disorders, and immunodeficiency. Granulomatous colitis and pulmonary fibrosis are two major complications of this syndrome. On rare instances, HPS can involve the heart and lungs. This report discusses a 32-year-old man who presented with oculocutaneous albinism and immunodeficiency along with renal, pulmonary, and pancreatic complications. Pancreatic atrophy is a unique finding in our patient, which has not been reported in the literature. The purpose of our case report is to bring into light unusual complications of HPS so that timely action could be taken to avoid the progression of complications.&nbsp

Impact of peer review in the radiation treatment planning process: Experience of a tertiary care university hospital in Pakistan

Purpose: To evaluate and report the frequency of changes in radiation therapy treatment plans after peer review in a simulation review meeting once a week.Materials and Methods: Between July 1 and August 31, 2016, the radiation plans of 116 patients were discussed in departmental simulation review meetings. All plans were finalized by the primary radiation oncologist before presenting them in the meeting. A team of radiation oncologists reviewed each plan, and their suggestions were documented as no change, major change, minor change, or missing contour. Changes were further classified as changes in clinical target volume, treatment field, or dose. All recommendations were stratified on the basis of treatment intent, site, and technique. Data were analyzed by Statistical Package for the Social Sciences and are presented descriptively.Results: Out of 116 plans, 26 (22.4%) were recommended for changes. Minor changes were suggested in 15 treatment plans (12.9%) and a major change in 10 (8.6%), and only one plan was suggested for missing contour. The frequency of change recommendations was greater in radical radiation plans than in palliative plans (92.3% v 7.7%). The head and neck was the most common treatment site recommended for any changes (42.3%). Most of the changes were recommended in the technique planned with three-dimensional conformal radiation therapy (50%). Clinical target volume (73.1%) was identified as the most frequent parameter suggested for any change, followed by treatment field (19.2%) and dose (0.08%).Conclusion: Peer review is an important tool that can be used to overcome deficiencies in radiation treatment plans, with a goal of improved and individualized patient care. Our study reports changes in up to a quarter of radiotherapy plans

Public Library Online Information Resources to Library Patrons during COVID-19 Pandemic: A Case of Higher Education Institutions

The main purpose of this paper is to examine online library resources during the COVID-19 pandemic situation at higher educational institutions in Pakistan. During the current pandemic situations, all the educational activities have been postponed and transformed into online latterly. A cross-sectional study consisting of a sample of 2378 from library patrons of public sector universities in Pakistan. A structured questionnaire has been administered based on different parts using an attitudinal scale of (dis)agreement has been used and pre-tested randomly with the reliability value ranging from .03 to .842. It is pertinent here to mention that during the COVID-19 pandemic, all the educational activities were shifted to online mode and it was not possible to collect information physically. Hence, an online method was opted and the questionnaire was shared through emails and WhatsApp numbers of public sector university library users. The study findings reveal that COVID-19 outbreak, fear of infection, and social distancing have favorable effects on online library information resources. Similarly, the results also support the argument that accessibility of manuscripts, accessibility of periodicals, and accessibility of books have favorable effects on online library resources. The study suggested that similar nature of the study may be conducted using mixed-method research and a different set of variables in the future

Plotting the Literature on Learning Outcomes and Academic Performance in Higher Education from 2001 to 2020: A Scientometric Analysis

This paper aims to evaluate the teaching skills, learning skills, learning outcomes, and academic performance using scientometrics analysis from 2001 to 2020. The scientometrics method and a total of 7536 published documents were found. The results reveal that the topic of academic performance and article as a type of published document was highly used. The high majority of these published documents are published in the English language and gradually increased in the number of published documents in terms of the year. Further, the author Chamorro-Premuzic T is the top author with 1139 citations and Univ. Grandada at top of twenty organizations with 52 published documents. The United States (US) is the top country, academic performance is the top keywords and the name of FASEB Journal is the top source of the published documents from 2001 to 2020. Furthermore, the trend of data is described in tables and figures to conclude

اقبال کا تصور خودی ۔ نمایاں شارحین کی نظر میں

Allama Dr.Muhammad Iqbal's poetry combines a wide variety of thoughts that serves to be the beacon of light for a diverse cross section of society. philosophical thoughts that Iqbal gave, "Khudi" has come to be known as the pride of his philosophy. Khudi, to Iqbal, is inseparable soul and spirit of humanity. Some sources translate "khudi"as ego and other as self."Self" may or may not be an equivalent word but i think this word as more appropriate to refer Khudi. In this article discuss about famous expositor of "Khudi" and Kalam-i-Iqbal