Systematic Review of COVID Spillover and Online Education Pedagogy

This paper has touched one of the most critical area affected due to pandemic situation created by the COVID-19 and its powerful spillover effect on education sector by customizing education pedagogy. Earlier researchers have studied online education separately, whereas this paper discussed the natural transition and systematic review of upsurge of e-learning. The objective of this paper is to make the systematic review of COVID spillover and transition towards e-learning education pedagogy through theoretical framework. The study makes systematic review of switchover towards e-learning and spillover effect of COVID-19 and customization of the education pedagogy. In this study, past literature has been utilized to make critical analysis of spillover effect of COVID-19 and impact on education pedagogy by creation of prepositions. The findings of the study reveal that in the exceptional circumstances of COVID-19, e-learning transition has taken place from conventional to e-learning modules. All over the world, countries have shifted towards online education by schooling out but classes in campaign ignited by Chinese government. The same has also been replicated in other countries of the world during COVID-19

Classification and Clinical Features of Headache Disorders in Pakistan: A Retrospective Review of Clinical Data

Background: Morbidity associated with primary headache disorders is a major public health problem with an overall prevalence of 46%. Tension-type headache and migraine are the two most prevalent causes. However, headache has not been sufficiently studied as a cause of morbidity in the developing world. Literature on prevalence and classification of these disorders in South Asia is scarce. The aim of this study is to describe the classification and clinical features of headache patients who seek medical advice in Pakistan. Methods and Results: Medical records of 255 consecutive patients who presented to a headache clinic at a tertiary care hospital were reviewed. Demographic details, onset and lifetime duration of illness, pattern of headache, associated features and family history were recorded. International Classification of Headache Disorders version 2 was applied. 66% of all patients were women and 81% of them were between 16 and 49 years of age. Migraine was the most common disorder (206 patients) followed by tension-type headache (58 patients), medication-overuse headache (6 patients) and cluster headache (4 patients). Chronic daily headache was seen in 99 patients. Patients with tension-type headache suffered from more frequent episodes of headache than patients with migraine (p,0.001). Duration of each headache episode was higher in women with menstrually related migraine (p = 0.015). Median age at presentation and at onset was lower in patients with migraine who reported a first-degree family history of the disease (p = 0.003 and p,0.001 respectively). Conclusions/Significance: Patients who seek medical advice for headache in Pakistan are usually in their most productive ages. Migraine and tension-type headache are the most common clinical presentations of headache. Onset of migraine is earlier in patients with first-degree family history. Menstrually related migraine affects women with headache episodes of longer duration than other patients and it warrants special therapeutic consideration. Follow-up studies to describe epidemiology and burden of headache in Pakistan are needed

Accounting Discretion, Loan Loss Provision in Financial Distress: Evidence from Commercial Banks

This study explores the association between earning management practices and financial distress in commercial banks. Earning management is measured through discretionary loan loss provisions and non-discretionary loan loss provisions. Modified Altman’s Z-score has been used as a proxy for financial distress. Panel regression with fixed and random effect has been employed for empirical analysis. The study finds a significant positive association between DLLP, NDLLP and financial distress in terms of the Altman Z-score. In the case of NDLLP, liquidity reduces the probability of financial distress. Whereas, a bank’s SIZE, LEVG and AQ enhance the likelihood of financial distress. The robustness tests were applied to find the association between NDLLP and FD using logistic regression to validate baseline estimates results of the random effect model. The findings of this study have implications for the policymakers, regulators and internal stakeholders to devise effective regulatory measures for well-informed investment decisions

Comparative Analysis of Trace Elements Found in Commonly Used Vegetables Irrigated By Fresh And Waste Water in Karachi, Pakistan

Use of municipal waste water (both treated and untreated) has now become a common practice in urban and peri-urban areas. Mostly vegetables in urban cities like Karachi are being irrigated by sewerage water. In this study a comparison of sewage and fresh water-irrigated vegetables has been made with respect to trace metals. Among commonly used vegetables, green onion, cabbage, pumpkin, eggplant, bird’s eye chili and okra were selected. Two sets of these vegetables were collected, one from local farm where irrigation was done with well water and other set of samples was collected from Malir, Karachi where irrigation was done with waste water. Samples were analyzed for heavy metals i.e. K, Na, Pb, Zn, Cu, Cd, Fe, and As by Atomic Absorption Spectroscopy. It showed that both sets of samples were found to contain metal concentrations beyond the limits set by WHO/EU. Apart from tomato, the concentration of only Cd was near the standard value for both sets. Similar results were obtained for K except for pumpkin in which the concentration for waste water irrigated samples was fairly high. Amount of Cu and Fe were moderately higher than the standard in both samples. Arsenic in all the samples was considerably high while maximum concentration was obtained for Pd against the limits. These findings suggest waste water irrigated vegetables pose high risk to human health. The concentrations of As and Pb were high in fresh water samples possibly, the well water may contain metals, therefore it is important to know the source

The nomadic bug: a case report of salmonella septic arthritis of the sternoclavicular joint

Septic arthritis of the sternoclavicular joint is extremely rare in an otherwise healthy adult. It is reported to affect less than 0.5 % of all bone and joint infections. It usually affects immunocompromised patients or patients with a history of intravenous drug abuse. Septic arthritis of the sternoclavicular joint requires immediate treatment to prevent morbidity and mortality. Serious complications from this condition include osteomyelitis, chest wall abscess and mediastinitis. We present a rare case of sternoclavicular septic arthritis caused by Salmonella sp. in a healthy 49-year-old lady complicated with lung empyema and mediastinitis. With early detection, her condition improved with antibiotics and aspiration of the lung empyema. To our knowledge, only two previous cases of Salmonella septic arthritis of the sternoclavicular joint were reported in the literature

Compact Optical Filter Based On Microring Resonator

Optical filter that utilizes silicon micro-ring resonator (MRR) has been proposed as a solution in order to provide high-bandwidth, low power consumption and small size. MRR is the promising basic element of future optical integrated circuits due to its various applications such as wavelength filter, modulator and sensor. In this paper, we investigate the trade-off between ring radius, gap size and width of core variations to the MRR performance

Characterization of alar ligament on 3.0T MRI: a cross-sectional study in IIUM Medical Centre, Kuantan

INTRODUCTION: The main purpose of the study is to compare the normal anatomy of alar ligament on MRI between male and female. The specific objectives are to assess the prevalence of alar ligament visualized on MRI, to describe its characteristics in term of its course, shape and signal homogeneity and to find differences in alar ligament signal intensity between male and female. This study also aims to determine the association between the heights of respondents with alar ligament signal intensity and dimensions. MATERIALS & METHODS: 50 healthy volunteers were studied on 3.0T MR scanner Siemens Magnetom Spectra using 2-mm proton density, T2 and fat-suppression sequences. Alar ligament is depicted in 3 planes and the visualization and variability of the ligament courses, shapes and signal intensity characteristics were determined. The alar ligament dimensions were also measured. RESULTS: Alar ligament was best depicted in coronal plane, followed by sagittal and axial planes. The orientations were laterally ascending in most of the subjects (60%), predominantly oval in shaped (54%) and 67% showed inhomogenous signal. No significant difference of alar ligament signal intensity between male and female respondents. No significant association was found between the heights of the respondents with alar ligament signal intensity and dimensions. CONCLUSION: Employing a 3.0T MR scanner, the alar ligament is best portrayed on coronal plane, followed by sagittal and axial planes. However, tremendous variability of alar ligament as depicted in our data shows that caution needs to be exercised when evaluating alar ligament, especially during circumstances of injury

Experimental Performance Analysis Of Macrobending Loss Characteristics In Polymer Optical Fiber

An investigation of bending loss characteristics of a Polymer Optical Fiber is presented experimentally. Loss of optical power in an optical fiber due to bending has been investigated for a wavelength of 650 nm. Variations of bending loss with different lengths have been measured, with a number of radii of curvature. Bending Loss equations for short length POF is proposed, which shows the dependence of bending loss on the curvature radii. The equations can be an initial reference or aid in predicting the loss contributes by the polymer optical fiber