Determinants of competitiveness in textile industry of Pakistan

This study investigated the determinants of competitiveness in textile industry of Pakistan. Both financial (leverage, liquidity, investment, productive asset and firm size) and nonfinancial factors (exporting and market share) were collectively studied from 2002 to 2012 for 84 textile firms. Balanced panel data used for analysis. Hausman test confirmed fixed effect panel data regression model as appropriate research technique. Results proven that leverage, productive asset and firm size had negative significant relationship with competitiveness of firm while market share had positive significant relationship. Extraordinary use of debt financing, inefficient asset management and improper usage of productive asset were the point of main concern for further improvement of firm competitiveness. For capturing large market share firm desired to achieve economies of scale and economies of scope. Exporting and liquidity had positive but insignificant relationship while investment had negative insignificant relationship with competitiveness

Assessment of a novel computer aided learning tool in neuroanatomy education

Impaired understanding of intricate neuroanatomical concepts and structural inter-relationships has been associated with a fear of managing neurology patients, called neurophobia, among medical trainees. As technology advances, the role of e-learning pedagogies becomes more important to supplement the traditional dissection / prosection and lecture-based pedagogies for teaching neuroanatomy to undergraduate students. However, despite the availability of a myriad of e-learning resources, the neuro (-anatomy-) phobia – neurophobia nexus prevails. The focus of the PhD was to investigate the difficulties associated with learning neuroanatomy and to develop and assess the efficacy of a novel e-learning tool for teaching neuroanatomy, in the context of the strengths and pitfalls of the currently available e-learning resources. Firstly, we sought to provide direct evidence of the medical and health science students’ perception regarding specific challenges associated with learning neuroanatomy. The initial results showed that neuroanatomy is perceived as a more difficult subject compared to other anatomy topics, with spinal pathways being the most challenging to learn. Participants believed that computer assisted learning and online resources could enhance neuroanatomy understanding and decrease their neurophobia. Next, in the context of the significance of e-learning for supplementing traditional pedagogies, we identified features of neuroanatomy web-resources that were valued by students and educators with regards to learning neuroanatomy of the spinal pathways. Participants identified strengths and weaknesses of existing neuroanatomy web-resources and ranked one resource above the others in terms of information delivery and integration of clinical, physiological and medical imaging correlates. This provides a novel user perspective on the influence of specific elements of neuroanatomy web-resources to improve instructional design and enhance learner performance. Finally, considering the data acquired from students and educators, a novel, interactive, neuroanatomy learning e-resource was developed to support teaching of the neuroanatomy of the spinal pathways. The instructional design included a discussion of the clinical interpretation of basic neuroanatomical facts to aid in neurological localization. The e-learning tool was assessed and evaluated by undergraduate medical and neuroscience students using neuroanatomy knowledge quizzes and Likert-scale perception questionnaires and compared to the previously identified best-ranked neuroanatomy e-resource. Participants’ opinion regarding the usefulness of various components of the tools was also gauged. The results showed that usage of the UCC e-resource led to a significant increase in participants’ knowledge of the neuroanatomy of the spinal pathways compared to students’ who did not use e-resources. Moreover, the participants reported a greater interest in learning neuroanatomy with the novel tool, showing a greater appreciation for it while learning clinical neurological correlates compared to those using the best available e-resource identified earlier. In summary, the prevailing problem of neurophobia could be addressed by enhancing student-interest. Technological e-learning pedagogies, with intelligently designed interactive user-interface and clinical correlation of basic neuroanatomical facts can play a pivotal role in helping students learn neuroanatomy and breaking the nexus between neuro (-anatomy-) phobia and neurophobia

Quasi experimental analysis to evaluate the effects of educational sessions in improvement of Knowledge Practice regarding Food hygiene among women in rural community.

Care Introduction: Food is a vital need for a human being it's a source of energy that provides important ingredients for body growth. According to the European Food Safety Authority food composition affecting 69553 individuals, with the domestic kitchen as a second-most typically reported setting for food contamination. Food handlers (women) play an important role in the incidences of food spoilage. By health education knowledge of food, hygiene can be improved. Methods: Quasi-experimental study design was used in this study by using pre and post-test phase, conducted among women in rural community Ali Raza Abad Lahore, to determine the effectiveness of health education on knowledge and practice of food hygiene in women. The sample size was 60 that calculated by using convenient sampling technique in which those participants selected who were conveniently available to participate in the study. SPSS version 21 statistical software was used for data analysis at 95% of confidence interval and P-value was 0.05 Results: Results showed that the total mean of knowledge before intervention was 15.75 but after intervention, the total mean of knowledge was 27.93 similarly the total mean of practice before the intervention was 16.23 but after interventions mean of practice was 34.95 that showed the significant increase in knowledge and practice of women regarding food hygiene. Conclusions: This study described the effectiveness of health education for knowledge and practice of food hygiene among women in the rural community. The mean knowledge and practice score on food hygiene increased significantly after health education. Keywords- Effectiveness. Health education. Food hygiene. Knowledge. Practice.

An Efficient and Intelligent Recommender System for Mobile Platform

Recommender Systems are valuable tools to deal with the problem of overloaded information faced by most of the users in case of making purchase decision to buy any item. Recommender systems are used to provide recommendations in many domains such as movies, books, digital equipment’s, etc. The massive collection of available books online presents a great challenge for users to select the relevant books that meet their preferences. Users usually read few pages or contents to decide whether to buy a certain book or not. Recommender systems provide different value addition factors such as similar user ratings, users past history, user profiles, etc. to facilitate the users in terms of providing relevant recommendations according to their preferences. Recommender systems are broadly categorized into content based approach and collaborative filtering approach. Content based or collaborative filtering approaches alone are not sufficient to provide most accurate and relevant recommendations under diverse scenarios. Therefore, hybrid approaches are also designed by combining the features of both the content based and collaborative filtering approaches to provide more relevant recommendations. This paper proposes an efficient hybrid recommendation scheme for mobile platform that includes the traits of content based and collaborative filtering approaches in addition of the context based approach that is included to provide the latest books recommendations to user.Objective and subjective evaluation measures are used to compute the performance of the proposed system. Experimental results are promising and signify the effectiveness of our proposed hybrid scheme in terms of most relevant and latest books recommendations

Neuroanatomy of the spinal pathways: evaluation of an interactive multimedia e-learning resource

Introduction: A diminished number of young doctors opt for specialty neurology training and show reduced confidence in managing neurology patients and interlink difficulties in managing neurology patients with impaired understanding of neuroanatomy and associated clinical correlates. Aim: To evaluate an interactive e-resource for the neuroanatomy of the spinal pathways based on cognitive theories of multimedia learning in aiding medical students learn neuroanatomy. Methods: Using a single-blinded controlled experimental design, knowledge of the spinal pathways was assessed prior and after usage of the novel e-resource compared to control web resource. The perceived usefulness of the tool used was gauged using Likert-scale questionnaires. Results: Performance in the second assessment improved for all users but the learning gain of participants in the experimental groups was higher compared to participants who did not use e-resources. Likert-scale ratings revealed a significantly higher appreciation for the novel tool compared to the control tool when learning clinical correlates. Conclusions: Stronger correlations between the studentsâ perception of the tool used and their second assessment scores suggest that students favored the instructional design of the novel e-tool which shows promising results in bridging the gap between neuroanatomy knowledge and its clinical application

Graphene oxide incorporated polyether sulfone nanocomposite antifouling ultrafiltration membranes with enhanced hydrophilicity

In this study, the polyether sulfone (PES) based membranes containing various concentrations of graphene oxide (GO), polyvinylpyrrolidone (PVP), and polyethylene glycol (PEG) were synthesized via the phase immersion method. This study aims to evaluate the effect of GO addition on the structural properties and performance of the membranes. The membranes were analyzed by x-ray diffraction (XRD), scanning electron microscopy (SEM), and Fourier transforms infrared spectroscopy (FTIR). The FTIR-ATR spectra indicated the presence of hydroxyl and carboxylic acid groups on the surface of GO-incorporated membranes, which improved their dispersion in the polymeric matrix and hydrophilicity. The SEM analysis of the GO-containing PES membranes confirmed the formation of a well-defined finger-like porous structure presenting adequate water flux (95 l.m(-2).h(-1)) and salt rejection (72%) compared to the pristine PES membranes (46 l.m(-2).h(-1) and similar to 35%, respectively). In addition, the significantly large wettability and considerably improved antibacterial characteristic (against S. aureus and E. coli strains) of the GO-PES membranes are considered impressive features.National University of Sciences and Technology (NUST) Research Directorate; HEC; NRPU [6020]6020; Higher Education Commission, Pakistan, HEC; National University of Sciences and Technology, NUS

Comparison of Catheter Related Blood Stream Infections in Hemodialysis Patients Treated With Trisodium Citrate as Catheter Locking Solution vs Heparin as Conventional Locking Method

Objective: To compare the frequency of temporary catheter related blood stream infections using sodium citrate as catheter locking solution with heparin as standard in hemodialysis patients. Methods: A comparative randomized control trial was conducted at hemodialysis unit of nephrology department, Pakistan Institute of Medical Sciences (PIMS) Islamabad between August 2022 and February 2023. Total 110 patients included consecutively with end stage renal disease, aged above 18 years undergone hemodialysis using temporary central venous catheter as vascular access irrespective of etiology of renal failure. Patients were divided into two groups: Group-I (Trisodium citrate) was administrated with lock solution of trisodium citrate 46.7%, whereas Group-II (Heparin) was administrated with lock solution of heparin 2000 U/ml (as control). The primary endpoint of this study is catheter-related bloodstream infection (CRBSI), measured as the number of observed episodes per 1000 catheter days between the two groups. Secondary endpoints were the number of catheters with thrombosis, catheter infection, and bleeding episodes. Results: The average age of patients in both groups was 51.98±13.57 years. The average duration of dialysis in both groups was 4.01±3.1 months and mean catheter time in group-I was 13.65±8.29 days and in group-II was 13.40±8.33 days with statistically insignificant (p ≥ 0.05). The rate of CRBSI per 1000 catheter days was 3.12 days for group I and 5.14 days for group II (p = 0.001). The cumulative mean infection-free catheter survival in the trisodium citrate group was lower than the heparin group (log rank = 2.31, p = 0.128). Cox regression survival analysis between two groups; the difference in group I & II was insignificant (HR = 1.6, CI = 0.49–1.17, p = 0.201). Practical implication: is that the determination of catheter related blood stream infections and comparing two methods i.e., trisodium citrate and heparin in hemodialysis patients. Conclusion: There is insignificant difference between trisodium citrate 46.7% and heparin as a catheter lock solution in the survival rate of tunneled hemodialysis catheters in end-stage renal disease

The Synergistic Effect of Polystyrene/Modified Boron Nitride Composites for Enhanced Mechanical, Thermal and Conductive Properties

Thermal conductivity (TC) and thermal stability are the basic requirements and highly desirable properties in thermal management, heat storage and heat transfer applications. This work is regarding the fabrication of polystyrene/boron nitride composites and melt extruded to produce good thermal stability, increased thermal conductivity and enhanced mechanical properties. Our strategy is potentially applicable to produce thermally conductive composites of low cost over large scale. Boron nitride powder is bath sonicated in 10% NH3 solution to avoid its agglomeration and tendency toward entanglement in a polymer matrix. An approximately 67.43% increase in thermal conductivity and 69.37% increase in tensile strength as well as 56 multiple increases in thermal stability of the optimum samples were achieved. The developed polymeric composites are potentially applicable in the electronic industry, especially in electronic devices used for 5G, heat sink and several other aviation applications

Virtual Machine Placement via Bin Packing in Cloud Data Centers

With the increasing size of cloud data centers, the number of users and virtual machines (VMs) increases rapidly. The requests of users are entertained by VMs residing on physical servers. The dramatic growth of internet services results in unbalanced network resources. Resource management is an important factor for the performance of a cloud. Various techniques are used to manage the resources of a cloud efficiently. VM-consolidation is an intelligent and efficient strategy to balance the load of cloud data centers. VM-placement is an important subproblem of the VM-consolidation problem that needs to be resolved. The basic objective of VM-placement is to minimize the utilization rate of physical machines (PMs). VM-placement is used to save energy and cost. An enhanced levy-based particle swarm optimization algorithm with variable sized bin packing (PSOLBP) is proposed for solving the VM-placement problem. Moreover, the best-fit strategy is also used with the variable sized bin packing problem (VSBPP). Simulations are done to authenticate the adaptivity of the proposed algorithm. Three algorithms are implemented in Matlab. The given algorithm is compared with simple particle swarm optimization (PSO) and a hybrid of levy flight and particle swarm optimization (LFPSO). The proposed algorithm efficiently minimized the number of running PMs. VM-consolidation is an NP-hard problem, however, the proposed algorithm outperformed the other two algorithms

Surgical site infection after gastrointestinal surgery in children : an international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45 center dot 1%) children were from high HDI, 397 (34 center dot 2%) from middle HDI and 239 (20 center dot 6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12 center dot 8% (51/397) in middle HDI and 24 center dot 7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.Peer reviewe