Need of Counselor for the Assessment of Psychological Problems of the Students’ at University Level

The aim of the present study is to investigate the need of counselor for the assessment of the psychological problems of students at university level. The study was descriptive in nature. The population of the study was all the public-sector universities of Rawalpindi and Islamabad. The study was delimited to undergraduate students and faculty of social science. The total 343 students from Rawalpindi and Islamabad universities were selected through stratified random sampling technique. One self-developed questionnaire were constructed which include four areas, i.e. educational, vocational, social, personal problems of the students. The data was collected through questionnaire they were tested and validated before a well- designed test and interview is conducted on Head of Department(HOD).  The collected data were analyzed with the help of SPSS were interpreted through frequency, mean, standard deviation and chi- square. The finding revealed that students have counseling needs in all area of life. The results of this study show that students face more problem related to vocational and educational process at university stage. So, they need counseling more in vocational and educational areas. Students need a professional counsellor’s guidance to develop their career. Student services should be available on campus to help them develop self-awareness (personal interests, skills, potentials, weaknesses) and assess occupational opportunities such as, employment trends, expected competencies in the field, requirements for employment and job descriptions related to the area. Keywords: need of counselor, psychological problems, university student

The Impact of Psychological Empowerment of Project-Oriented Employees on Project Success: A Moderated Mediation Model

In the current era of accelerated economic growth, project success – successful completion of the final product for which the project was initiated – is the ultimate goal of every organisation. It is essential for organisations to keep project-based employees motivated and focused on successfully accomplishing the project objectives. This research examined the association between psychological empowerment of project-based employees and project success. We explored the mediating role of knowledge sharing to explain the intervening mechanism between psychological empowerment and project success. We also tested the moderating role of employee creativity along with conditional indirect effects by performing a moderated mediation analysis. Using a time-lagged research design, multiple-source field data (N¼327) were collected from employees of project-based organisations in Pakistan. The findings of the study showed a positive association between psychological empowerment and project success and significant mediation of knowledge sharing. Project employees with high creativity are likely to achieve project success when they possess higher psychological empowerment too. Results concluded that psychological empowerment is positively associated with project success directly as well as indirectly through its impact on knowledge sharing. The study has its importance and implications for management specialists and project employees at all levels

Relationship of Nucleated Red Blood Cells with Severity of Perinatal Asphyxia and its Short-Term Outcome

Objective: To compare the nucleated red blood cell (NRBC) counts of healthy and asphyxiated newborns as a key clinical indicator of the severity of birth asphyxia and short-term outcome. Methodology: This case control study was conducted at the department of neonatology of Recep Tayyip Erdogan Hospital Muzaffargarh from June 2020 to November 2020. Study A total of 112 term newborns, including 56 cases (with birth asphyxia) and 56 controls (normal babies) aged <24 hours, were included. After obtaining informed consent, blood samples were taken immediately after birth for the measurement of the NRBC count. All the enrolled cases were admitted to the NICU as per indication and observed for the severity of birth asphyxia. The relationship between the cord blood NRBC count and the severity of birth asphyxia was assessed. All the information was recorded using a self-structured study proforma, and SPSS version 26 was used for the purpose of data analysis. Results: The overall average age of the neonates was 6.18+2.66 hours. Mean age, birth weight, and gestational age were statistically insignificant in accordance to cases and controls. Males were in the majority (75.0%), and females were 25.0% of the case group. The mean NRBCs in the cases were 16.62 + 17.10, which was significantly higher than the controls at 1.69 + 2.42 (p- 0.0001). The neonatal NRBs average was statistically insignificant according to gender in both cases and controls, while it was significantly associated with the severity of perinatal hypoxia (p 0.0001). The average NRBC count was also significantly higher in cases of cardiomegaly, those having ventilation needs and respiratory distress. Conclusion: The mean NRBC was observed to be significantly higher in cases compared to controls. The NRBC was considered to be a non-invasive, simple prognostic marker for neonatal asphyxia, may indicate substantial severity of perinatal hypoxia and its related complications

Comparison of Fully Deflated with Partially Inflated Technique for Ease of Insertion of Laryngeal Mask Airways in Adults

Objective: To compare the frequency of ease of insertion of the laryngeal mask airway (LMA) between fully deflated and partially inflated laryngeal mask airway, in anesthetized mechanically ventilated adult patients undergoing different non-emergency short-term surgical and gynecological procedures. Methodology: A total of 104 patients were recruited in this RCT. Using computer generated random numbers, patients were allocated to two groups: fully deflated LMAs in A and partially inflated LMAs in B. Pre-operative assessment was done and informed consent was taken. All subjects were 20–40 years of age, ASA-I and ASA- II, planned for short surgical and gynaecological cases (elective) that required general anaesthesia with mechanical ventilation. Premedication with 2 mg midazolam IV was done 30 minutes before the start of the operation. Monitors were attached. One 18G cannula was maintained. IV fluids were administered to each patient as per patient’s and procedure's requirements. Pre-oxygenation was done with 100% oxygen with a face mask for three minutes. Glycopyrrolate IV 0.2mg/kg and nalbuphine IV 0.15mg/kg were given to all at induction by an anesthetist. Results:  In Group A, 98% of patients had ease of insertion while 2% of patients didn’t have ease of insertion, whereas in Group B 90% of patients had ease of insertion and 10% of patients didn’t. Ease of insertion was measured by the number of attempts (first attempt insertion – ease of insertion). Conclusion: Our study concludes that the fully deflated technique is superior as compared to the partially inflated technique in terms of easier insertion in Laryngeal mask airways

Impact of Endoscopic Retrograde Cholangiopancreatography on Laparoscopic Cholecystectomy

Background: For Common Bile Duct (CBD) stones an Endoscopic Retrograde Cholangiopancreatography (ERCP) is done prior to cholecystectomy. However, the ideal timing of cholecystectomy following ERCP is still a matter of debate. The aim of the present study was to observe the possible impact of ERCP on subsequent laparoscopic cholecystectomy.Material and Methods: This case control study was carried out in the Department of Surgery Unit 1, Holy Family hospital, Rawalpindi, from January 2018 to March 2019. A total number of 300 patients of symptomatic gallstones presenting to outpatient department were enrolled. Two groups, A (control group) and B (case group) were made on the basis of absence or presence of CBD stones, respectively. Group A underwent laparoscopic cholecystectomy within three working days of admission. In group B, ERCP was performed prior to cholecystectomy. Primary operating surgeon filled structured questionnaires for each patient immediately after surgery to compare operative differences between both groups. The baseline demographic details, clinical characteristics, laboratory investigations and peri-operative findings of both groups were recorded. Means and percentages were calculated with P value <0.05 regarded as statistically significant.Results: Majority of patients in this study were females (81%) of middle age group (42.5+15 years). Biliary colic was most common presenting complaint in both groups (33%). Dissection in triangle of Calot (P=0.00) and removal of gallbladder from liver bed (P=0.00) was significantly more difficult in group B than A. Intra-abdominal lavage was also done more often in post ERCP group (P=0.00). However procedural time did not vary between the two groups (P=0.19).Conclusions: Preoperative ERCP increases difficulty in laparoscopic cholecystectomy but does not prolong procedural time.Key words: Choledocholithiasis, Endoscopic retrograde cholangiopancreatography, Laparoscopic cholecystectom

Green project management practices, green knowledge acquisition and sustainable competitive advantage: empirical evidence

Purpose: This study aims to envisage the impact of green project management (GPM) practices on sustainable competitive advantage (SCA). Moreover, this study also accessed the mediating role of green knowledge acquisition (GKA) as a mechanism between GPM and SCA. Design/methodology/approach: Using a quantitative field survey, the data were collected from the multi-sector manufacturing enterprises (n = 265) in Pakistan. The measurement and structural model were tested through Analysis of Moment Structure by conducting a covariance structure analysis. Findings: The findings suggest that GPM practices are positively related to SCA. In addition to this direct effect, GKA play a significant role in explaining the associations between GPM practices and SCA. The findings bring essential insights for the enterprises, policymakers, practitioners and project managers to promote GPM practices for low-carbon projects to achieve SCA. Research limitations/implications: The data used in this study is cross-sectional in nature. The geographic location is limited to firms in Pakistan, while well-validated subjective measures are used to make the survey more convenient for participants. Practical implications: The practitioners in general, while project managers in particular, are recommended to implement GPM practices and GKA to achieve high performance of SCA. Originality/value: To the best of the authors’ knowledge, this is one of the first studies to examine GPM practices and its effect on SCA directly and via GKA in a single model

Comparison of Garden Soil with Nitrogen and Potassium for Growing Lettuce (Lactuca sativa L.) in Glass House.

The experiment was conducted during the year 2019-20 by Vegetable Section, Agriculture Research Station (ARS) Baffa Mansehra to compare garden soil with nitrogen (Urea) and potassium (Murate of Potash) for lettuce production in glass house. Lettuce is an important summer off-season and high valued crop cultivated at District Mansehra in the months of July-August. The produce is transported to other metropolises with handsome earning,  but excessive use of minerals and synthetic fertilizers may render the produce less profitable in one or another way. Hence this experiment was designed to compare garden soil with  nitrogen and potassium doses.  It is evident from the statistical analysis that garden soil has a significant effect on  number of leaves, leaf area, seed per plant, yield per plant and yield per acre. Seed production is noticeable for garden soil when the prevailing temperature during seed formation was 250C.  In terms of leaf area maximum leaf area 576.10 cm2was recorded for garden soil while minimum leaf area 303.43 cm2 was recorded with nitrogen applied @ 200 kg ha-1 and potassium applied @ 100 kg ha-1 respectively. Maximum number of leaves 28.03 was recorded for garden soil while the minimum number 21.96 was recorded for nitrogen applied @ 200 kg ha-1 and potassium applied @ 100 kg ha-1. Seed formation was successful with mean temperature 250C in glass house for 30 days, here again garden soil surpassed nitrogen and potassium with 4.03gm plant-1. Yield per plot 3.69 kg was recorded for garden soil and the minimum value 1.1843 kg was recorded for nitrogen and potassium applied @ 200 kg ha-1 nitrogen while potassium applied @ 100 kg ha-1. Garden soil gives maximum yield of 13600 kg acre-1 compared with the lowest production 6070.5 kg acre-1 of nitrogen and potassium applied @ 200 kg ha-1 nitrogen while potassium applied @ 150 kg ha-1.  Keywords:, Lettuce, garden soil, leaf area, seed production, glass house DOI: 10.7176/CEIS/14-2-06 Publication date:May 31st 202

Revamping of Chronic Respiratory Diseases in Low- and Middle-Income Countries

Low- and middle-income countries (LMICs) endure an asymmetrically high burden of worldwide disease and death caused by chronic respiratory diseases (CRDs), i.e., asthma, emphysema, bronchiectasis, and post-tuberculosis lung disease (PTLD). CRDs are firmly related with indigence, infectious diseases, and other non-communicable diseases (NCDs) and add to complex multi-disease with great impact on the lives and livelihood of those affected. The pertinence of CRDs to health and demographic wellbeing is relied upon to increment in the long time ahead, as expectations of life rise and the contending dangers of right on time youth mortality and irresistible infections level. The WHO has distinguished the counteraction and control of NCDs as an earnest improvement issue and crucial for the sustainable development goals (SDSs) by 2030. In this review, we center on CRDs in LMICs. We examine the early life roots of CRDs, challenges in their avoidance, identification and administration in LMICs, and the pathways to resolve for accomplish valid widespread wellbeing inclusion