Contemporary Issues in Current Account Operations in Pakistani IBs - Sharia Compliant Solution

Contemporary Sharia scholars have three stances about the Current Account Operations in Pakistani Islamic Banks (IBs) i.e., (i) Ijarah based contract (ii) Wadi'ah based contract, and (iii) Qard based contract. This paper is an attempt to delve into the root causes of the differences of scholars and to find the Sharia-compliant solution acceptable for all. Descriptive as well as applied approaches are used in this paper. Clearing of ambiguity on this issue may result in twofold benefits: from the public point of view, it would satisfy practising Muslims which may result in form of huge deposits in this account (ii) from IBs viewpoint the Current Account is a bonus deposit

Achieving hip fracture surgery within 36 hours: an investigation of risk factors to surgical delay and recommendations for practice

BACKGROUND: The UK hip fracture best practice tariff (BPT) aims to deliver hip fracture surgery within 36 h of admission. Ensuring that delays are reserved for conditions which compromise survival, but are responsive to medical optimisation, would help to achieve this target. We aimed to identify medical risk factors of surgical delay, and assess their impact on mortality. MATERIALS AND METHODS: Prospectively collected patient data was obtained from the National Hip Fracture Database (NHFD). Medical determinants of surgical delay were identified and analysed using a multivariate regression analysis. The mortality risk associated with each factor contributing to surgical delay was then calculated. RESULTS: A total 1361 patients underwent hip fracture surgery, of which 537 patients (39.5 %) received surgery within 36 h of admission. Following multivariate analyses, only hyponatraemia was deduced to be a significant risk factor for delay RR = 1.24 (95 % CI 1.06-1.44). However, following a validated propensity score matching process, a Pearson chi-square test failed to demonstrate a statistical difference in mortality incidence between the hypo- and normonatraemic patients [χ (2) (1, N = 512) = 0.10, p = 0.757]. CONCLUSIONS: Hip fracture surgery should not be delayed in the presence of non-severe and isolated hyponatraemia. Instead, surgical delay may only be warranted in the presence of medical conditions which contribute to mortality and are optimisable. LEVEL OF EVIDENCE: III

H1-antihistamines for primary mast cell activation syndromes: a systematic review

Background Primary mast cell activation syndromes (MCAS) are a group of disorders presenting with symptoms of mast cell mediator release. Objectives To assess the effectiveness and safety of orally administered H1-antihistamines in the treatment of primary MCAS compared with placebo and other pharmacologic treatments. Methods We systematically searched five databases and three trial repositories and contacted an international panel of experts to identify published and unpublished trials. Results A total of 36 potentially relevant studies were identified. Of these, five crossover trials, enrolling a total of 71 patients (63 adults), met the eligibility criteria. All five of these studies were judged to be at moderate or high risk of bias. Two studies compared an H1-antihistamine with placebo, two compared two different H1-antihistamines, and one study compared H1- and H2-antihistamines with oral cromolyn sodium. Four of the five randomized controlled trials were historic (reported from 1983–1993), small (enrolling 8–15 patients), and used agents and/or dosing regimens that are now less commonly used in clinical practice (i.e. azelastine, chlorpheniramine, hydroxyzine, and ketotifen). The fifth trial, which enrolled 33 adults with cutaneous and systemic mastocytosis found 4 weeks of treatment with the second-generation H1-antihistamine rupatadine, compared with placebo, resulted in significant improvements in quality of life, symptom control (itching, wheals and flares, flushing, tachycardia, and headache, but not gastrointestinal symptoms), and reduction in itching and whealing after standardized skin provocation to elicit Darier's sign. Conclusions There is an urgent need for large, well-designed, double-blind, placebo-controlled randomized trials investigating the effectiveness, cost-effectiveness, and safety of second-generation H1-antihistamines in treatment of primary MCAS

Seismic assessment of hollow core concrete bridge piers

Hollow core concrete bridge piers are traditionally believed to be vulnerable to seismic action. However, the seismic vulnerability of such piers has not been investigated fully. In this paper, an analytical model to assess seismic vulnerability of hollow core concrete bridge pier is developed. The model is validated with available experimental results. Code recommendations for hollow core bridge piers are evaluated. It is shown that confinement reinforcement requirements in the codes are sometimes highly conservative and sometimes non-conservative. However, the recently developed confinement reinforcement equations for solid bridge piers at Sherbrooke University can be applied for economic and safe design. It is demonstrated that hollow core bridge piers are not as vulnerable as it is traditionally believed. Such piers can attain expected ductility, if designed properly

A note on bosonic open strings in constant B field

We sketch the main steps of old covariant quantization of bosonic open strings in a constant $B$ field background. We comment on its space-time symmetries and the induced effective metric. The low-energy spectrum is evaluated and the appearance of a new non-commutative gauge symmetry is addressed.Comment: 13 pages, Latex, important comments added, to appear in PR