Investigating the connection between consumer unethical behaivour and birthplace: Evidence from Pakistan

Few consumers are developed plans to cheat or by-pass the given systems as well as bought items and returned those items after using few days. The major objective of this research study is to investigate the relation between individual birthplace ( i.e. rural birthplace, urban birthplace) and the consumer unethical behavior. The study also aims to determine the relationship among consumer unethical behavior, moral ideology, and urban birthplace. To meet the objectives of study, data have been obtained from 355 respondents that are living in Lahore and Gujranwala. The results reveal that moral ideology is influenced by rural birthplace as well as urban birthplace. However, the results also exhibit thatconsumers of rural birthplace are found more ethical than urban birthplace. The results show that the role of individual birthplace is not influenced byconsumer unethical behaviour(CUB)but has a statistically significant relationship with moral ideology

Impact of Academic Procrastination on Self-esteem among Dental and Medical Undergraduate Students

Objective: The purpose of current study was to investigate the prevalence of academic procrastination among medical and dental students and examine the relationship between academic procrastination and self-esteem status in this populationT. Study setting and duration: A cross-sectional study was conducted among 312 medical and dental undergraduates in Army Medical College Rawalpindi and Armed Forces Institute of Dentistry Rawalpindi from February 2022 to April 2022. Methodology: This cross-sectional study was conducted on 312 students of Army Medical College Rawalpindi. Data were collected through questionnaire using the Rosenberg self-esteem scale and the Procrastination Assessment Scale-Student (PASS).The data collected were analyzed using SPSS software version 24.0.Descriptive tests, t-test, ANOVA, and Pearson’s correlation test were performed. Results: The results indicated that a weak positive correlation (r = 0.022, P < 0.64) existed between academic procrastination scores and self-esteem scores. The mean difference of self-esteem scores (p=0.59) and academic procrastination scores (p=0.75) among males and females does not prove to be significant. The mean self-esteem score of the MBBS students was higher than BDS students. Similarly, the mean academic procrastination score of BDS students was higher than MBBS students. Conclusion:The current study concluded that academic procrastination leads to low self-esteem among undergraduate students

An Analysis of Employee Capabilities to Develop the Talent Management Strategies

Abstract: The objective of this study is to analyze employees' competencies and to develop the talent management strategies for private sector banks in Pakistan. This study would also explore the significance of talent management strategies for improving the performance of employees in private sector banks. This study provides benefits to the banking sector for enhancing their innovation and creativity and ultimately organization performance increases. Customer satisfaction increases through innovate and quality products. Talent management and HR practices affect the employee's capabilities in the organization. It is clear that continuous supports from the talent management will be a key strategic requirement for facilitating the knowledge management activities in the firm. Efficiency of the organization can increase when organization has proper check and balance system. On the basis of their assessment, they receive reward, which enhances their loyalty and effectiveness. This will ultimately give benefits to performance of the banks

Water quality management using hybrid machine learning and data mining algorithms: An indexing approach

One of the key functions of global water resource management authorities is river water quality (WQ) assessment. A water quality index (WQI) is developed for water assessments considering numerous quality-related variables. WQI assessments typically take a long time and are prone to errors during sub-indices generation. This can be tackled through the latest machine learning (ML) techniques that are renowned for superior accuracy. In this study, water samples were taken from the wells in the study area (North Pakistan) to develop WQI prediction models. Four standalone algorithms, i.e., random trees (RT), random forest (RF), M5P, and reduced error pruning tree (REPT), were used in this study. In addition, 12 hybrid data-mining algorithms (combination of standalone, bagging (BA), cross-validation parameter selection (CVPS), and randomizable filtered classification (RFC)) were also used. Using the 10-fold cross-validation technique, the data were separated into two groups (70:30) for algorithm creation. Ten random input permutations were created using Pearson correlation coefficients to identify the best possible combination of datasets for improving the algorithm prediction. The variables with very low correlations performed poorly, whereas hybrid algorithms increased the prediction capability of numerous standalone algorithms. Hybrid RT-Artificial Neural Network (RT-ANN) with RMSE = 2.319, MAE = 2.248, NSE = 0.945 and PBIAS = -0.64, outperformed all other algorithms. Most algorithms overestimated WQI values except for BA-RF, RF, BA-REPT, REPT, RFC-M5P, RFC-REPT, and ANN- Adaptive Network-Based Fuzzy Inference System (ANFIS)

S. Cheema et al .

Objectives Oral health is a crucial determinant of quality of life. We aimed to determine oral health condition and factors associated with poor oral status in the adult national population of Qatar. Methods We used data from the World Health Organization supported STEPS (STEPwise approach to Surveillance) Survey conducted by the Supreme Council of Health, Qatar in 2012. A total of 2,496 Qataris (1,053 men, 1,443 women) answered the national survey. The Rao-Scott Chi-Square test was used to analyze oral health characteristics and multinomial logistic regression to assess risk factors. Results The self-perceived oral status of approximately 40 percent of respondents was either "average" or "poor" rather than "good." Poor oral status was more often reported by women (OR = 1.93; 95%CI = 1.30-2.80), by older (OR = 3.38; 95%CI = 1.59-7.19) and less educated respondents (OR = 3.58; 95%CI = 2.15-5.96). Other risk groups included people with diabetes (OR = 1.87; 95%CI = 1.24-2.81), smokeless tobacco users (OR = 3.90; 95%CI = 1.75-8.68), or ever tobacco users (OR = 1.66; 95%CI = 1.03-2.67). Oral health status appeared to be independent of diet, BMI status, and history of hypertension. Difficulties and behaviors related to oral health were more frequently reported by women than by men. These included pain (P < 0.001), difficulty chewing (P < 0.001), and discomfort over appearance of teeth (P < 0.001). Participants used toothbrushes, toothpicks, dental floss, and miswak to maintain oral hygiene. Conclusion Our results provide evidence that oral health remains a public health concern in Qatar

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase&nbsp;1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation&nbsp;disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age&nbsp; 6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score&nbsp; 652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc&nbsp;= 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N&nbsp;= 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in&nbsp;Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in&nbsp;Asia&nbsp;and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P &lt; 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P &lt; 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Causes, nature and toxicology of fentanyl-analogues associated fatalities: a systematic review of case reports and case series

Objective: Mortalities due to fentanyl derivatives are on the rise with novel fentanyl analogues and still emerging on the global illicit drug market. They are highly potent and very fatal in low doses, yet there has been a lack of systematic research surrounding this subject. This review aims to assess the causes, nature, and toxicology of fatalities associated with fentanyl analogues. Methods: Five databases: Scopus, Embase, Medline, PubMed and Google Scholar were searched from inception to October 2020 to identify case studies and case series reporting fentanyl analogue-related fatalities. Two independent reviewers screened and selected the articles followed by the data extraction from each article, which included demography, route of administration, causes and nature of death, and the fentanyl analogue implicated. All articles were then subject to quality assessment tools developed by the Joanna Briggs Institute (JBI). A narrative synthesis was undertaken. Results: The initial data search yielded 834 articles, only 14 of which met the inclusion criteria – this included nine case reports and five case series. Of the 1079 fentanyl-analogue related deaths reported, the majority of them occurred in the US (n=1044, 96.8%). The majority of fatalities were male (n=766, 71%), white (n=884, 87%) and in the age ranges 25– 34 and 35– 44 years (30.5% and 29.6%, respectively). The most common route of administration was intravenous (n=319, 66%) and the manner of death was almost exclusively accidental (99.7%). The predominant cause of death was fentanyl-analogue toxicity (n=292, 85.4%) and involved mixed drug toxicity (n=47, 13.7%). The mean post-mortem fentanyl analogue concentration was 31.6 ng/mL. Conclusion: Most fatalities were reported in the US involving young white males. Overdose through intravenous administration and by mixed drug toxicities with other opioids were the major causes of death. Deaths reported in peer-reviewed literature were relatively less than those reported by real-world data