Evaluation of ‘English for Undergraduates’- a course-book for English Language Teaching at University of Sindh, Jamshoro, Pakistan from Teachers' Perspectives

English language course-books are inevitable in English language classes. Teachers often find English language course-books very helpful. The evaluation of English language course-books will make the course-books more effective. This study evaluates ‘English for Undergraduates’- a course-book prescribed for English language classes at University of Sindh, Jamshoro, Pakistan (UOSJP). The framework of Alan Cunningsworth (1995) is partially adapted to evaluate the book on the criteria of reading skill, writing skill, representation of culture and the organization of its contents.This research study is exploratory, based on survey research design using quantitative method. This study performs post-use evaluation of ‘English for Undergraduates’ using checklist method. Questionnaire based on adapted criteria checklist is used as a data-collecting instrument. Twenty-seven (27) English language teachers of University of Sindh, Jamshoro, Pakistan (UOSJP) are the sample of this study. Data obtained is analyzed through SPSS (version 23.0) and interpreted through descriptive statistics technique. The findings of this study reveal that ‘English for Undergraduate’ meets the low degree of evaluation on the criteria of reading, culture and organization; however, criteria of writing skill meets the moderate degree of evaluation. Keywords: Textbook Textbook Evaluation Criteria for Textbook Evaluation DOI: 10.7176/RHSS/10-22-08 Publication date: November 30th 202

Case report: Navigating the challenges: successful mechanical thrombectomy in a case of persistent primitive hypoglossal artery

Persistent primitive hypoglossal artery (PPHA) is a highly uncommon abnormal connection between the internal carotid artery (ICA) and vertebral artery (VA), with reported incidences ranging from 0.027 to 0.26%. Attempting endovascular intervention in such cases presents a considerable challenge as it carries a higher risk of embolization and other procedure-related complications that may affect a wide area of the brain. We present a case study involving the utilization of mechanical thrombectomy (MT) to treat an ischemic stroke in the M1 segment of the middle cerebral artery (MCA) despite the presence of PPHA. Performing mechanical thrombectomy in an anomalous vascular connection is feasible; however, it necessitates heightened vigilance, thorough knowledge of the anatomy, and utmost caution

One-year major adverse cardiovascular events among same-day discharged patients after primary percutaneous coronary intervention at a tertiary care cardiac centre in Karachi, Pakistan: a prospective observational study

Objective Knowledge regarding the short-term outcomes after same-day discharge (SDD) post primary percutaneous coronary intervention (PCI) is lacking. In this study, we evaluated 1-year major adverse cardiovascular events (MACE) among SDD patients after primary PCI.Design 1-year follow-up analysis of a subset of patients from an existing prospective cohort study.Setting Tertiary care cardiac hospital in Karachi, Pakistan.Participants Consecutive patients, from August 2019 to July 2020, with ST segment elevation myocardial infarction who had undergone primary PCI with SDD (within 24 hours) after the procedure by the treating physician and with at least one successful follow-up up to 1 year.Outcome measure Cumulative MACE during follow-up at the intervals of 1 week, 1 month, 6 months and 1 year.Results 489 patients were included, with a gender distribution of 83.2% (407) male patients and a mean age of 54.58±10.85 years. Overall MACE rate during the mean follow-up duration of 326.98±76.71 days was 10.8% (53), out of which 26.4% (14/53) events occurred within 6 months of discharge and the remaining 73.6% (39/53) occurred between 6 months and 1 year. MACE was significantly higher among patients with a Zwolle Risk Score (ZRS) ≥4 at baseline, with an incidence rate of 21.9% (16/73) vs 8.9% (37/416; p=0.001) in patients with ZRS≤3 (relative risk 2.88 (95% CI 1.5 to 5.5)).Conclusion A significant burden of short-term MACE was identified among SDD patients after primary PCI; most of these events occurred after 6 months of SDD, mainly among patients with ZRS≥4. A systematic risk assessment based on risk stratification modalities such ZRS could be a viable option for SDD patients with primary PCI

Data_Sheet_1_Case report: Navigating the challenges: successful mechanical thrombectomy in a case of persistent primitive hypoglossal artery.PDF

Persistent primitive hypoglossal artery (PPHA) is a highly uncommon abnormal connection between the internal carotid artery (ICA) and vertebral artery (VA), with reported incidences ranging from 0.027 to 0.26%. Attempting endovascular intervention in such cases presents a considerable challenge as it carries a higher risk of embolization and other procedure-related complications that may affect a wide area of the brain. We present a case study involving the utilization of mechanical thrombectomy (MT) to treat an ischemic stroke in the M1 segment of the middle cerebral artery (MCA) despite the presence of PPHA. Performing mechanical thrombectomy in an anomalous vascular connection is feasible; however, it necessitates heightened vigilance, thorough knowledge of the anatomy, and utmost caution.</p