Brain Drain: Post Graduation Migration Intentions and the influencing factors among Medical Graduates from Lahore, Pakistan

<p>Abstract</p> <p>Background</p> <p>The increasing migration of health professionals to affluent countries is not a recent phenomenon and has been addressed in literature. However the various facets of physician migration from Pakistan, the third leading source of International medical graduates has not been rigorously evaluated. The objective of the current study was to survey final year students and recent medical graduates in Lahore, Pakistan about their intentions to train abroad, their post training plans as well as to identify the factors responsible for their motivation for international migration.</p> <p>Method</p> <p>A self administered structured questionnaire was developed to collect respondents' demographic and educational characteristics, intention to train abroad, their preferred destination & post training intentions of returning to Pakistan. Various influencing factors which impact on medical graduate's motivation to train abroad or stay in Pakistan were explored using a 10 point scale. SPSS software was used for data entry and analysis.</p> <p>Results</p> <p>Of the 400 eligible respondents, 275 responded (response rate 68.7%). One hundred and sixty six respondents (60.4%) intended to train abroad either for a specialty (54.9%) or a subspecialty (5.5%) The United States and United Kingdom were the most preferred destination. While 14.2% intended to return to Pakistan immediately after training, a significant percentage (10%) never intended to return to Pakistan or wished to stay abroad temporarily (37%). Professional excellence and establishing quickly in the competitive market were the most important goal to be achieved by the respondents for intention for postgraduate training abroad. The most common reasons cited for training abroad were the impact of residency training on future career (mean score 8.20 ± 2.3), financial conditions of doctors (mean score 7.97 ± 2.37) and job opportunities (mean score7.90 ± 2.34).</p> <p>Conclusion</p> <p>An alarming percentage of medical graduates from Lahore, Pakistan intend to migrate for post graduate training, mainly to United States. A significant proportion wished to stay in the host country either temporarily or indefinitely. Impact of residency abroad on future career, financial conditions of doctors, job opportunities and better working conditions were some of the motivating factors behind the migration.</p

New Eco-Friendly Polymeric-Coated Urea Fertilizers Enhanced Crop Yield in Wheat

[EN] Presently, there is a growing interest in developing new controlled-release fertilizers based on ecological raw materials. The present study aims to compare the efficacy of two new ureic-based controlled-release fertilizers formulated with water-soluble polymeric coatings enriched with humic acids or seaweed extracts. To this end, an experimental approach was designed under controlled greenhouse conditions by carrying out its subsequent field scaling. Different physiological parameters and crop yield were measured by comparing the new fertilizers with another non polymeric-coated fertilizer, ammonium nitrate, and an untreated 'Control'. As a result, on the microscale the fertilizer enriched with humic acids favored a better global response in the photosynthetic parameters and nutritional status of wheat plants. A significant 1.2-fold increase in grain weight yield and grain number was obtained with the humic acid polymeric fertilizer versus that enriched with seaweed extracts; and also, in average, higher in respect to the uncoated one. At the field level, similar results were confirmed by lowering N doses by 20% when applying the humic acid polymeric-coated produce compared to ammonium nitrate. Our results showed that the new humic acid polymeric fertilizer facilitated crop management and reduced the environmental impact generated by N losses, which are usually produced by traditional fertilizers.This research was funded by the Spanish Ministry of Economy and Competitiveness, grant number RTC-2014-1457-5, with the project entitled "Los CRFs como alternativa a los fertilizantes tradicionales: buscando una mayor proteccion del medio ambiente".Gil-Ortiz, R.; Naranjo, MÁ.; Ruiz-Navarro, A.; Caballero-Molada, M.; Atares, S.; García, C.; Vicente, O. (2020). 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Barriers to colorectal cancer screening in Asia: A systematic review

Purpose: Colorectal cancer (CRC) is among the top five cancers afflicting both men and women globally. Once predominantly a Western disease, it has begun to rise in Asian countries as well. This systematic review aims to compile and analyze the various barriers towards colorectal cancer screening in Asia, and to determine if the barriers are consistent throughout the continent.Methods: Article Inclusion criteria for based on year of publication from year 2008 till 2015, has been conducted in Asia, and written in English language. A total of 23 studies were included in this review, chosen via primary search of journal websites and databases, and a secondary search through the reference lists of eligible articles.Results: It was found that major barriers of colorectal cancer screening are; poor education/knowledge, negative perceptions towards screening, aversion to test results, financial constraints, time constraints, lack of physicians’ recommendation, limited/difficult access to screening locations, fatalistic beliefs, low perceived risks, language barriers, confidence in traditional medicine/distrust in Western medicine,ignorance and old age.Conclusion: Lack of knowledge/education is the most critical barrier that is linked to a majority of other barriers that can hinder a person from undergoing CRC screening for early prevention, detection and treatment. Majority of these barriers encountered regarding the poor rates of CRC screening are similar across countries in Asia.Keywords: Colorectal cancer screening, Barrier, Knowledge, Criteria for eligibilit

Space‐time analysis of TIMED Doppler Interferometer (TIDI) measurements

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95273/1/grl12774.pd

Stanley's conjecture for critical ideals

Let S=K[x_1,x_2,...,x_n] be a polynomial ring in n variables over a field K. Stanley's conjecture holds for the modules I and S/I, when I is a critical monomial ideal. We calculate the Stanley depth of S/I when I is a canonical critical monomial ideal. For non critical monomial ideals we show the existence of a Stanley ideal with the same depth and Hilbert function.Comment: 5 page

Natural gas consumption and economic growth: cointegration, causality and forecast error variance decomposition tests for Pakistan

This paper examines the relationship between natural gas consumption and economic growth in Pakistan using a multivariate model by including capital and labor as the control variables for the periods of 1972-2009. The results of the ARDL bounds testing indicate the presence of cointegration among the variables. The estimated long-run impact of gas consumption (0.49) on economic growth is greater than other factor inputs suggesting that energy is a critical driver of production and growth in Pakistan. Furthermore, the results of causality test and variance decomposition analysis suggest a unidirectional causality running from natural gas consumption to economic growth. Gas being the primary source of energy in Pakistan, the implications of this study is that natural gas conservation policies could harm growth and, therefore, requires the policy makers to improve the energy supply efficiency as well as formulate appropriate policy to attract investment and establish public-private partnership initiatives

Big data issues and processing techniques: a comprehensive survey

Big data and its analysis are in the focus of current era of big data. The main production sources of big data are social media like Facebook, twitter, emails, mobile applications and the migration of manual to automatic of almost every entity. Currently, there is a need to investigate and process complex and huge sets of information-rich data in all fields. This paper provides a survey of big data issues and the effectual and efficient platforms and technologies which are needed to deal and process the remarkable amount of data. It revolves around two important areas namely: clustering and scheduling

Chronic hypoxemia increases myocardial cytochrome oxidase

ObjectiveCyanotic patients have potentially decreased tissue oxygen tension. Cytochrome oxidase catalyzes the reduction of oxygen and is integral to adenosine triphosphate production. Cytochrome oxidase subunit I, the active site, is encoded by mitochondrial DNA. Using a newborn swine model of chronic hypoxemia, we evaluated ventricular cytochrome oxidase subunit I mRNA and protein expression and assessed cytochrome oxidase activity.MethodsThirty-two newborn piglets underwent thoracotomy and placement of a pulmonary artery–to–left atrium shunt or sham operation. Two weeks later, partial pressure of arterial oxygen, hematocrit, and left ventricular shortening fraction values were compared with baseline values. Northern blot hybridization and protein immunoblotting for ventricular cytochrome oxidase subunit I were performed. Cytochrome oxidase kinetic activity was measured. Heme a,a3 content and turnover number were determined. Significance was assessed with a t test.ResultsBaseline partial pressure of arterial oxygen and hematocrit values were similar. Hypoxemic piglets had a lower partial pressure of arterial oxygen of 38 ± 10 mm Hg (P < .001) and higher hematocrit value of 31.4% ± 2.9% (P < .001) compared with a partial pressure of arterial oxygen of 140 ± 47 mm Hg and hematocrit value of 24.6% ± 3.9% after the sham operation. Baseline and postprocedure left ventricular shortening fraction were similar within and between groups. Chronic hypoxemia increased right ventricular and left ventricular cytochrome oxidase I mRNA and protein by more than 1.4-fold. Cytochrome oxidase activity increased significantly in hypoxemia by 2.5-fold compared with that seen after the sham operation. Heme a,a3 content and turnover number increased by 1.5-fold during hypoxemia.ConclusionsChronic hypoxemia increases cytochrome oxidase I message, protein expression, and activity. The increase in kinetics was due to increased enzyme content and catalytic activity. This is a possible adaptive mechanism that might preserve organ function during chronic hypoxemia