ANALYSIS OF URDU LANGUAGE COLLECTION IN UNIVERSITY LIBRARIES OF LAHORE, PAKISTAN

Mother language and national language play pivotal role in the educational developments of the nations. Much importance is being awarded for the promotion of these languages all over the world as well as inPakistan. National languages are considered as official languages in many of the countries. In this regard recently the Government of Pakistan and courts ruled out the implementation of Urdu as official language. Quantitative research method followed by survey was opted for the completion of this study. Two separate questionnaires were used to get the relevant data from the respondents (Librarians and Students). This study explored library collection (including Urdu language collection) which is in total 1299384 books, 497 journals, 76 magazines, 89 newspapers, 34504 thesis/ dissertations/ projects, 13211 audio/ video (CDs/DVDs) and 18000 other types of collections available cumulatively in the public sector university libraries of the Lahore and also explored that majority of public sector libraries in Lahore have collection in Urdu language on various subjects but a very little in numbers. Change of curricula in English medium; lack of enough space in libraries and availability of similar information in other languages are pointed out as major hurdle for acquisition of the material in Urdu language. Regarding users’ perception it was revealed that they consider the books in Urdu language as more useful for the better understanding of concepts. Regarding satisfaction the users it is found they are satisfied with the availability of collection in Urdu language in their university libraries. The majority of respondents read books in Urdu language for leisure reading while books in English language for their course work

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

Population‐based cohort study of outcomes following cholecystectomy for benign gallbladder diseases

Background The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all‐cause 30‐day readmissions and complications in a prospective population‐based cohort. Methods Data were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all‐cause 30‐day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two‐level hierarchical structure with patients (level 1) nested within hospitals (level 2). Results Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications. Conclusion Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

ANALYSIS OF URDU LANGUAGE COLLECTION IN UNIVERSITY LIBRARIES OF LAHORE, PAKISTAN

Mother language and national language play pivotal role in the educational developments of the nations. Much importance is being awarded for the promotion of these languages all over the world as well as inPakistan. National languages are considered as official languages in many of the countries. In this regard recently the Government of Pakistan and courts ruled out the implementation of Urdu as official language. Quantitative research method followed by survey was opted for the completion of this study. Two separate questionnaires were used to get the relevant data from the respondents (Librarians and Students). This study explored library collection (including Urdu language collection) which is in total 1299384 books, 497 journals, 76 magazines, 89 newspapers, 34504 thesis/ dissertations/ projects, 13211 audio/ video (CDs/DVDs) and 18000 other types of collections available cumulatively in the public sector university libraries of the Lahore and also explored that majority of public sector libraries in Lahore have collection in Urdu language on various subjects but a very little in numbers. Change of curricula in English medium; lack of enough space in libraries and availability of similar information in other languages are pointed out as major hurdle for acquisition of the material in Urdu language. Regarding users’ perception it was revealed that they consider the books in Urdu language as more useful for the better understanding of concepts. Regarding satisfaction the users it is found they are satisfied with the availability of collection in Urdu language in their university libraries. The majority of respondents read books in Urdu language for leisure reading while books in English language for their course work

Users’ Perceptions and Expectations of Quality Services in Libraries of Punjab Group of Colleges, Lahore

This research is an attempt to investigate the gap between perceptions and expectations of library users regarding the quality services of college libraries. To measure the quality of Punjab Group of Colleges libraries from students’ perceptions and expectations, the survey method was used. The population consisted on the students of 14 Punjab Group of Colleges of Lahore. There were about 100,000 students that were enrolled in Punjab Group of Colleges. The students of intermediate, bachelors and masters were participants of the study. The convenient sampling technique was used for the selection of participants. A sample size of 383 was drawn from the total population. SERVQUAL instrument was utilized for measurement of service quality through customers’ perceptions and expectations. The instrument of the survey was distributed among respondents with the permission of Punjab Group of Colleges, Lahore for data collection. There were 383 questionnaires that were distributed among students. 304 duly filled questionnaires were received back from the participants. The response rate was 79.37%. Gathered data were analyzed by the researchers using SPSS. Results of the study show that respondents have very high expectations regarding quality library services. The overall mean perception score remained low as compared to expectations. The difference between expectations and perceptions showed on average the low service quality of college libraries. The overall results showed that the gap between users\u27 expectations and perceptions is from 0 to -1. The gap indicates that respondents have a positive view of the library staff\u27s courteous and caring attitude. They are also satisfied with the staff\u27s ability to provide services at the promised time and performing services immediately. The findings of the study suggest that a congenial atmosphere should be provided in libraries to enhance the good image of the libraries among the users