Evaluating Factors of CRM on Customer Satisfaction – Managerial Perspective of PTCL (Telecommunication Giant of Pakistan)

The aim of the study is to evaluate the factors of CustomerRelationship Management on Customer Satisfaction from the managerialperspective of PTCL employees (CRM users) to check the CRM is increasingcustomer satisfaction through this study. The research is quantitative bases inwhich the research is conducted through primary data received fromquestionnaire from the respondents of PTCL managerial level. Total populationis included in the research since it was small population. Total 78 populationsis forwarded online survey out of which 60 respondents submitted thequestionnaire and research is the results of 60 respondents receive. Theresearch is limited to Karachi bases due to having term paper report and it isalso limited to respondent CRM users only and managerial level is only BPS – 17and above is called managerial level as per definition of PTCL employees. Theresearch finds that the customer satisfaction is increasing due to CRM factorsof focusing key customers, organize around CRM, managing knowledge andincorporating CRM technology and results are contributing positively to thisstudy where majority of CRM users and managerial level have either remarkedwith strongly agree and agree which is showing mean greater than 3.0. The studyis followed by the research which is already conducted earlier and pastresearch shows that it can further be extended for evaluating sales growth andcustomer retention.Keywords: Customer Relationship Management, CustomerSatisfactio

Breast reconstruction at The Aga Khan University - a 10 year audit

Abstract Considering the high incidence of breast cancer and the subsequent need for a mastectomy, the number of patients having breastreconstruction remains relatively low the world over. Most studies from the west show that anywhere between 5% to around 50% of women proceed to reconstruction following a complete mastectomy. There is a great paucity of literature on the subject in Pakistan. Anecdotal and unofficial accounts would suggest that less than a fraction of 1% of women in Pakistan undergo reconstruction following a mastectomy.We reviewed our cases retrospectively over a 10 year study period from January 2005 to December 2014 with the objective to assess our results and to learn from them as well as to attempt to raise the profile of this important reconstructive manoeuver. Our numbers are low when compared internationally. However on a national level it would seem that the numbers currently exceed most institutions in the country. The overall results appear to be acceptable though the low numbers preclude definitive conclusions

Grammatical and Syntactical Functions of Auxiliaries in English and Urdu

The current study investigates grammatical and syntactical functions of auxiliaries in Urdu and English to draw certain distinctions regarding the behavior, syntactic representation and semantic content auxiliaries add to the main verbs (Vs) through the X-bar theory as a theoretical framework within the minimalist program (MP). The data of the current research were collected from authentic sources (Urdu and English text books and grammars) to consider a diverse range of possible usage of Urdu and English auxiliaries. 200 sentences extracted from textbooks and grammars were analyzed grammatically in terms of morphology, and syntax (through tree-representation and their movement). The findings indicate sharp differences related to the syntactic position of auxiliaries in Urdu and English. In Urdu, auxiliaries always occupy their position after the main verbs in a sentence and their position is fixed and also have the ability to mark number (singular & plural) and gender (masculine & feminine). In contrast, English auxiliaries can only mark number. Another sharp difference is observed in the question formation process. In Urdu, unlike English, auxiliaries cannot be moved from its latent position towards the specifier position at the beginning of the sentence to construct question structures, because, if it happens, the sentence is considered ungrammatical which may result in the violation of MP. The findings of the study would prove helpful for understanding the semantic, grammatical and syntactical nature and behavior of auxiliaries comparatively in Urdu and English

One Pot Synthesis and Characterization of Mono and Di-Substituted Azo-Containing Amides

Azo-containing amides and their derivatives were synthesized by the reaction of 4-(phenyldiazenyl)aniline with different substituted benzoyl chlorides. The characterization of these synthesized compounds were based on their IR, 1H NMR spectra and elemental analysis with excellent yields

Knowledge and practices among male medical students regarding smoking and its hazards

Background: Tobacco use is the leading preventable cause of death worldwide, and according to the latest estimates, by year 2030, 10 million annual tobacco-attributable deaths worldwide, 70% of which will be in low-middle-income countries. The purpose of study was too assess the knowledge and practices regarding cigarette smoking among male medical students in Allama Iqbal Medical College, Lahore, Pakistan and to assess the awareness of students regarding smoking related health hazards.Methods: A Cross-Sectional Study was conducted From May 2009 - September 2009 in Allama Iqbal Medical College, Lahore, Pakistan. The male students enrolled in Allama Iqbal Medical College Lahore, were selected by non-probability convenient sampling.Results: In present study 47.3% respondents were smokers, 94.1% were knowledgeable about hazards of smoking, 85.9% were aware about passive smoking, and 19.1% started consuming tobacco below 17 years of age. Only 19.1% tried to quit smoking but none of them succeeded. 25% have no family association of smoking. There were 18.2% who’s mostly close friends were smokers only 13.2% smokes more than 15 cigarettes daily. 43.6% said they would smoke cigarette if one of their close friends offer them. 30.5% believe cigarette smoking help to relax and 25% want to quit smoking among them 10% want to quit due to its hazards while 5.9% due to family pressure.Conclusions: Present study concluded that high proportion male medical students smoke cigarette. Most of them were unaware about tobacco consumption hazards, and passive smoking.

Fat embolism syndrome: a case series and review of literature

Fat embolism and fat embolism syndrome (FES) is a clinical spectrum characterized by dissemination of fat emboli into the systematic circulation usually as a result of orthopedic trauma and related surgical procedures. we present a case series of three patients who had FES of variable presentation and severity. In our first case patient initially developed FES pre operatively which was complicated by acute pulmonary thromboembolism in the post operative period. In our third case patient developed FES after intra medullary nail fixation of femoral shaft fracture. Fat embolism is relatively rare but fatal complication in orthopedic trauma and during long bone fracture manipulations. In addition, fat embolism is a risk factor for pulmonary thromboembolism as was evident in our first case. So, patients of fat embolism should be closely monitored for the later. Gurd and Wilson are the most commonly used criteria for the diagnosis of FES. Treatment is largely supportive and some preventive measures include early fixation of long bone fractures. Prophylactic use of steroids in a meta-analysis has been found to prevent occurrence of FES in nearly two third of patients. There is no proven role of hypertonic dextrose infusion, heparin or corticosteroids in the treatment of FES and therefore are not routinely recommended. In case of fulminant FES steroids should be considered

Development of Threshold Levels and a Climate-Sensitivity Model of the Hydrological Regime of the High-Altitude Catchment of the Western Himalayas, Pakistan

Water shortages in Pakistan are among the most severe in the world, and its water resources are decreasing significantly due to the prevailing hydro-meteorological conditions. We assessed variations in meteorological and hydrological variables using innovative trend analysis (ITA) and traditional trend analysis methods at a practical significance level, which is also of practical interest. We developed threshold levels of hydrological variables and developed a non-parametric climate-sensitivity model of the high-altitude catchment of the western Himalayas. The runoff of Zone I decreased, while the temperature increased and the precipitation increased significantly. In Zone II, the runoff and temperature increased but the precipitation decreased. A two-dimensional visualization of the Pardé coefficient showed extreme drought events, and indicated greater sensitivity of the hydrological regime to temperature than to precipitation. The threshold levels of runoff for Zones I and II were 320 and 363 mm using the Q80 fixed method, while the mean runoff amounts were estimated to be 79.95 and 55.61 mm, respectively. The transient threshold levels varied by month, and the duration of droughts in Zones I and II ranged from 26.39 to 78.98 days. The sensitivity of the hydrological regime was estimated based on a modified climate-elasticity model (εp = 0.11–0.23, εt = −0.04–2.39) for Zones I and II, respectively. These results highlight the sensitivity of the hydrological regime to temperature, which influences the melting process. However, it is important to establish thresholds for hydrological variables and understand the climate sensitivity of the hydrological regime of the entire basin, so that policy makers and water managers can make sustainable water-resource-management decisions for this region

Genomic analysis of tyrosine hydroxylase gene sequence variations and its association with D-9- tetrahydrocannabinol dependence in addicts

Purpose: To elucidate the genetic basis of drug addiction by conducting a genetic analysis of TH (tyrosine hydroxylase) gene and the novel polymorphisms that might help in understanding addiction and its molecular basis. Methods: Forty-two subjects were recruited into three groups for this study. DNA was isolated from the individuals. PCR amplification of TH gene was carried out and amplicons were sequenced. Genomic characterization of TH gene provided five polymorphic loci – TH 1, TH 2, TH 3, TH 4 and TH 5 which were found among all the groups. Results: According to Shannon’s diversity index, the studied population was between 0.0762 and 0.6032. Heterozygosity index depicted that TH 1 locus was less heterozygous (0.3288), followed by TH 5 (0.3152). TH 1 (0.1462) was the least heterozygous. Genotypic analysis predicted that among these five loci, TH 4 (p = 0.039898) and TH 2 (p = 0.851716) were non-significant (p > 0.05) and obeyed Hardy Weinberg Equilibrium (HWE) law. There are few genetic changes in the studied population that can statistically be associated with drug addiction. Still, their genotypic distribution in the gene pool was very low. Conclusion: On the basis of these findings, drug addiction in the studied population is more likely a social issue rather than a genetic one. Keywords: Tyrosine hydroxylase, SNP, Drug dependenc