IMPACT OF INTERPERSONAL JUSTICE ON ORGANIZATIONAL CITIZENSHIP BEHAVIOUR, TURNOVER AND ORGANIZATIONAL COMMITMENT WITH MODERATING ROLE OF PERCEIVED ORGANIZATIONAL SUPPORT

Abstract This paper aims at investigating the causal as well as correlational relationship between interpersonal justice (independent variable) and organizational citizenship behavior, turnover and organizational commitment (criterion variables). It also examines the moderating role of perceived organizational support. To do this data was collected from a large public healthcare organization having 3000 employees. 180 close ended questionnaires were administered to randomly selected employees and 103 questionnaire perfectly filled in from all respects were selected for analysis. Apart from descriptive statistics, correlational and regression analysis were made using SPSS.Data substantiated the existence of significant positive relationship of interpersonal justice with perceived organizational support, organizational citizenship behavior and turnover. However, its’ relationship with organizational commitment appeared insignificant. The results of this study are quite consistent with the literature.Key words: interpersonal justice perceived organizational support (POS), organizational citizenship behavior (OCB), turnover and organizational commitment.Â

Diagnostic Validity Of Low Dose CT KUB In Demonstration Of Genitourinary Tract Calculi Compared To Normal Dose Ct Kub: A Provisional Study

Objective: Renal colic is a common clinical condition. Our objective is to evaluate the diagnostic accuracy of low dose CT KUB for detection of urinary stones, to minimize radiation dose to the patients, and to analyze diagnostic accuracy of LDCT KUB in comparison to standard dose CT KUB. We speculate the LDCT KUB may reduce patient radiation dose while maintaining diagnostic value. Materials and Methods: This comparative cross sectional validation study was conducted at Department of Radiology in Benazir Bhutto Hospital, Rawalpindi June 2021 to Feb 2022. After approval of hospital ethical committee, a sample of 49 kidneys of 31 patients was collected by non-probability consecutive sampling technique. Included were the patients diagnosed with renal calculi referred from other departments. All the included patients were scanned by Toshiba Aquilion 16 slices, using automated tube current modulation, without any oral or IV contrast. CT scan started from diaphragm down to pubic symphysis with standard dose CT (SDCT) followed by low dose CT (LDCT). After the data was recorded, statistical package for social sciences, version 20.0 (SPSS Inc., Chicago, Illinois, USA) was used to analyse the data and generate results. Mean + standard deviation was calculated for qualitative data while frequency and percentage for qualitative variables. The means were compared by independent sample t test while the agreement between standard and low dose was depicted by kappa value. Results: A total of 49 kidneys of 31 patients with renal stones was included in this study. The mean age of the patients ranged from 27 years to 48 years with a mean of 36.42 + 9.97 year. In gender distribution, 75.5 % (37) were male while 24.5 % (12) were females. More than half 59 % (29) were right while 41 % (20) were left kidneys. Conclusion: This study demonstrated that LDCT was a productive and effective technique in the detection of urothelial stones despite considerable reduction in radiation dose and exposure as seen in SDCT

Providers’ Perception of Alert Fatigue After Implementation of User-Filtered Warnings

Alert fatigue is a complex problem that many health institutions face when using an electronic health record (EHR). The addition of user-filtered warnings (UFW) is a physicians’ proposed intervention at Inova Health System (IHS), a large 5-hospital health system in Northern Virginia, that allows prescribers to filter out specific drug-drug interactions and pregnancy and lactation medication alerts for a 30-day period. This study aims to determine the impact of UFW on physicians’ perception of alert fatigue and to calculate the reduction of medication alerts. It was hypothesized that the reduction in alerts will significantly impact physicians’ perception of alert fatigue in a positive manner. Physician perception of alert fatigue was assessed using online surveys before and after the implementation of UFW. Data from Medications Warnings Statistics reports were used to assess the reduction of alerts fired post-implementation of UFW. For the primary outcome, there was no significant difference in the overall perception of alert fatigue before and after the implementation of UFW. For the secondary outcome, the number of medication alerts was decreased by 16.7% post UFW implementation. Overall, the data does not support UFW to reduce alert fatigue

IMPACT OF INTERPERSONAL JUSTICE ON ORGANIZATIONAL CITIZENSHIP BEHAVIOUR, TURNOVER AND ORGANIZATIONAL COMMITMENT WITH MODERATING ROLE OF PERCEIVED ORGANIZATIONAL SUPPORT

Abstract This paper aims at investigating the causal as well as correlational relationship between interpersonal justice (independent variable) and organizational citizenship behavior, turnover and organizational commitment (criterion variables). It also examines the moderating role of perceived organizational support. To do this data was collected from a large public healthcare organization having 3000 employees. 180 close ended questionnaires were administered to randomly selected employees and 103 questionnaire perfectly filled in from all respects were selected for analysis. Apart from descriptive statistics, correlational and regression analysis were made using SPSS.Data substantiated the existence of significant positive relationship of interpersonal justice with perceived organizational support, organizational citizenship behavior and turnover. However, its’ relationship with organizational commitment appeared insignificant. The results of this study are quite consistent with the literature.Key words: interpersonal justice perceived organizational support (POS), organizational citizenship behavior (OCB), turnover and organizational commitment.

Perceptions of Fellowship Trainees in Public and Private Tertiary Care Hospitals of Karachi

Background: The issues pertaining to postgraduate medical education have been debated for long but there has been little contribution to this literature from developing countries. Therefore, a need to make an accurate assessment regarding current status of postgraduate training in Pakistan was felt and feedback from residents is the cornerstone of such an assessment. The objective of our study was to document perceptions of FCPS trainees of medical and surgical disciplines in private and public tertiary care hospitals of Karachi, Pakistan.Material and Methods: This was a cross sectional survey of the medical and surgical FCPS trainees in three hospitals (1 public and 2 private) of Karachi Pakistan, conducted over a period of two months (1st November 2018 to 31st December 2018). A total of 325 participants selected by convenient sampling technique were included in the study. Data was collected through structured self-developed questionnaire and analyzed by SPSS version 16.0.Results: The percentage of postgraduate trainees in private hospitals working for more than 80hours/week is higher than those working in public sector hospitals (59.4% versus 42.4%). Topic presentation and Academic meetings (Conferences, Workshops and CMEs) were the most preferred teaching strategies in Postgraduate training (77.4% and 77.5%). About 62.7% of the residents believed that their program was in line with CPSP guidelines. Public sector hospitals were better in terms of medical benefits giving partial cover (62.8%) than private sector (P-value <0.001). Majority of trainees at private sector hospitals seemed satisfied with their working environment than at public hospital (77.5% versus 12.5%) (P-value <0.001). Trainees perceived that the security arrangements at both public and private hospitals were not adequate, but in case of emergency private hospitals seemed to have better security response as compared to public hospitals (89% versus 23%) with a significant difference of <0.001.Conclusions: Perception of most of the postgraduate trainees is that they are being adequately trained for the challenges of an independent physician or surgeon.Key words: Postgraduate training programs, Medical education, Trainees perception &nbsp

Trade Liberalization and Economic Welfare: A Case of Pakistan

Trade liberalization has now become the main focus of the literature as it is considered as the contributor of economic growth and welfare. The previous literature showed an overall positive impact of trade liberalization on the economy except for few studies; recommend adopting trade liberalizing policies. Whereas in case of developing country like Pakistan, major part of the literature showed positive impact of trade liberalization on the economy. This study examines the impact and relationship of trade liberalization and economic welfare in case of Pakistan. The variables used in the study are; gross domestic product recorded in millions of rupees as a dependent variable, whereas balance of trade is taken as a proxy of trade liberalization as an independent variable along with foreign direct investment, worke

Comparison of post-dural puncture headache incidence among patients undergoing spinal anaesthesia for elective caesarean section by using quincke 25-G and 29-G spinal needles

Background: Multiple complications including hypotension, nausea, vomiting, urinary retention, transient neurological symptoms and headache have been associated with spinal anaesthesia. Importantly, post dural puncture headache (PDPH) varies with the type and size of spinal needle employed for inducing anaesthesia. Here, we aimed to compare the frequency of PDPH in patients underwent spinal anaesthesia for elective caesarean section using 25-gauge (G) and 29-G Quincke spinal needle.Methods: We designed a randomized control trial at Obstetrics and Gynecology Operation Theatres, Jinnah Hospital, Lahore. A total of 152 patients having age 30.28±8.21 years were enrolled in the study and divided into two groups each comprising of 76 patients. In group 1, spinal anaesthesia was performed using 25-G Quincke spinal needle while in group 2 spinal anaesthesia was administered employing 29-G Quincke spinal needle. A standard dose of 10.5-12.0 mg (1.4-1.6 ml) of 0.75% bupivacaine is infiltrated in subarachnoid space at lumber region L3-L4 or L4-L5 following aseptic measures. The patients were evaluated for PDPH during the follow up period.Results: The previous history of PDPH was observed in 20.39% patients. The comparative study showed that the PDPH was observed in 12 (15.7%) patients in group 1 while the group 2 revealed PDPH in only 2 (2.6%) patients.Conclusions: Thus 29-G spinal needle can be regarded as a better option to reduce PDPH in patients subjected to spinal anaesthesia for elective cesarean in contrast to the use of 25-G Quincke spinal needle

Effects of Microwave and Light Emitting Diode as Disinfection Methods on the Dimensional Stability of Polymethyl Methacrylate and Polyamide Denture Base Resin

Objective: To compare the effects of microwave and light emitting diode disinfection on the dimensional stability of two denture base materials; polymethyl methacrylate and polyamide. Study Design: In-vitro study Place and Duration of Study: Peshawar Dental College and Material Research Laboratories, University of Peshawar from 10 June 2021 to 8 December 2021. Materials and Methods: Fifteen specimens each for polymethylmethacrylate and polyamide were divided into three groups, control, microwave & light emitting diode. The specimens for microwave group were irradiated at 1000W for 3 minutes, thrice a week. The specimens for light emitting diode group were disinfected in a device for 30 minutes, thrice a week. The control group specimens were placed in distilled water for 4 weeks. Dimensions were measured before disinfection, and four weeks after the assigned disinfection. The mean and the standard deviation of the differences between three groups were statistically analyzed using one-way ANOVA and after obtaining significant values, through post hoc Tukey HSD. Results: For polymethylmethacrylate highest dimensional difference (-9.02mm) was noted for microwave disinfected group while the control group showed the lowest value (-6.99mm). For polyamide, the highest dimensional changes were recorded for light emitting diode group (8.66mm) and the lowest (-7mm) for the control group. Statistical analysis showed that the differences were significant for both polymethylmethacrylate and polyamide when compared with the control (p0.05) Conclusion: No significant difference in dimensional stability of both the denture base resins was observed after disinfection with microwave and light emitting diode

An Unbiased Lipid Phenotyping Approach To Study the Genetic Determinants of Lipids and Their Association with Coronary Heart Disease Risk Factors.

Direct infusion high-resolution mass spectrometry (DIHRMS) is a novel, high-throughput approach to rapidly and accurately profile hundreds of lipids in human serum without prior chromatography, facilitating in-depth lipid phenotyping for large epidemiological studies to reveal the detailed associations of individual lipids with coronary heart disease (CHD) risk factors. Intact lipid profiling by DIHRMS was performed on 5662 serum samples from healthy participants in the Pakistan Risk of Myocardial Infarction Study (PROMIS). We developed a novel semi-targeted peak-picking algorithm to detect mass-to-charge ratios in positive and negative ionization modes. We analyzed lipid partial correlations, assessed the association of lipid principal components with established CHD risk factors and genetic variants, and examined differences between lipids for a common genetic polymorphism. The DIHRMS method provided information on 360 lipids (including fatty acyls, glycerolipids, glycerophospholipids, sphingolipids, and sterol lipids), with a median coefficient of variation of 11.6% (range: 5.4-51.9). The lipids were highly correlated and exhibited a range of associations with clinical chemistry biomarkers and lifestyle factors. This platform can provide many novel insights into the effects of physiology and lifestyle on lipid metabolism, genetic determinants of lipids, and the relationship between individual lipids and CHD risk factors

Genome-wide analysis of blood lipid metabolites in over 5000 South Asians reveals biological insights at cardiometabolic disease loci.

The authors would like to thank Michael Inouye for his helpful comments on an earlier version of the manuscript.Peer reviewe