1,029 research outputs found

    Extraocular Muscle Imbalance and Outcomes of Scleral Buckling Surgery for Primary Rhegmatogenous Retinal Detachment

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    Objective: The objective was to study the muscle imbalance, restrictive motility in unlike gazes and the outcomes of the scleral buckling surgery for rhegmatogenous retinal detachment. Study design: Prospective follow-up study Settings and duration: The study was conducted at Al-Shifa Trust Eye Hospital Rawalpindi from Aug 2015 to Jan 2016. Methodology: The patients were checked prior to surgery and two follow up visits were done afterwards. Thorough history was taken along with full orthoptic assessment and ocular motility in all four main gazes including elevation, depression, adduction and abduction. Vision, type and position of explants, site of detachment, and risk factors of detachment were also observed. Results: A total of 48 eyes of 46 patients were taken. Mean age of the study participants was 37.16±20.37 years. Horizontal, vertical and combined deviations were observed in study population. Exo deviation was most common deviation among patients. Most reported risk factors of retinal detachment included trauma, pseudophakia, aphakia and myopia. Motility limitations of all four gazes was observed and it was found out that after buckling the squint and restriction is been increased up till two months. Conclusion: Ocular restriction among the patients was observed over a period of 2 months and it depicted that encircling with sclera buckling elicited an increase in restrictive ocular motility from pre-operative to 1 week and 2 months after surgery

    Kangaroo mother care: Opportunities and implications for rural Pakistan

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    Neonatal mortality comprises 40% of total under-5 mortality, globally. Kangaroo mother care (KMC) is one of the most cost-effective interventions to reduce neonatal mortality. KMC does not require highend equipment, intensive care facilities or technical knowledge. A recent meta-analysis reported that KMC may reduce neonatal mortality in preterm and low birth weight neonates up to 36%. A review of enablers and barriers of KMC suggests that KMC can be integrated in maternal health care system by giving awareness, involving family and giving ownership of the intervention to the community. If supported with minimal incentives it would reduce the cost of health care substantially, reduce patient burden on hospitals by reducing hospital stay in postnatal period. It will reduce financial burden, time strain and help eliminate social taboos regarding preterm and low birth weight neonates. Hospital and community based KMC interventions should be tested in Pakistan

    Unethical Practices in Pakistani Construction Industry

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    Construction Industry plays a substantial role in a country’s national economy, regardless of the level of economic development. It is beyond any doubt that this sector is an important employer of a nation’s workforce as it employs between 2 to 10 percent of the total workforce in most of countries. Same is the case with Pakistani Construction Industry. The industry has never been explored and exploited to its fullest capacity. Unfortunately the industry is seriously infected with corrupt and unethical practices which lay major obstacles towards growth and productivity of the industry. This research has been undertaken with a view to find out the most occurring unethical practices in Pakistan. To achieve this objective, a survey questionnaire was designed and disseminated to the respondents. A total of 150 questionnaires were distributed, out of which total 125 responses were received, which is a good response for this study. The data was analyzed by using Statpro software. The major findings are; lack of training in ethics, corruption and bribery, bid shopping, and fraud and unfair conduct. These can be addressed by evolving codes of ethics, imparting high quality training in ethics and above all setting personal examples by the top management. Keywords: Unethical, Construction, Practices, Pakista

    5-[(E)-(2-Fluoro­benzyl­idene)amino]-2-hy­droxy­benzoic acid

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    In the title compound, C14H10FNO3, the dihedral angle between the two benzene rings is 32.66 (14)°. An S(6) ring motif is formed due to an intra­molecular O—H⋯O hydrogen bond between the hy­droxy and carbonyl groups. In the crystal, mol­ecules are consolidated into dimers with R 2 2(8) ring motifs by pairs of O—H⋯O hydrogen bonds

    2-Hy­droxy-5-[(E)-(1H-indol-3-yl­methyl­idene)aza­nium­yl]benzoate

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    The zwitterionic title compound, C16H12N2O3, was obtained as a result of the condensation of 5-amino­salicylic acid and 1H-indole-3-carbaldehyde. The whole mol­ecule is roughly planar: the 4-hy­droxy­anilinic group and the 1H-indole-3-carbaldehyde moieties are only slightly twisted, making a dihedral angle of 7.77 (11)°, whereas, the carboxyl­ate group makes a dihedral angle of 3.34 (45)° with the parent 4-hy­droxy­anilinic group. S(6) ring motifs are formed due to intra­molecular O—H⋯O hydrogen bonding. In the crystal, inter­molecular N—H⋯O and C—H⋯O hydrogen bonds build up pseudo-rings with R 1 2(4), R 2 1(7) and R 2 2(14) ring motifs. These pseudo-dimers are further linked by N—H⋯O hydrogen bonds into a chain extending along [101]. C—H⋯π inter­actions also occur, along with offset π–π inter­actions between the anilinic phenyl and the heterocyclic five-membered rings with a centroid–centroid distance of 3.5716 (19) Å

    5-[(E)-(5-Bromo-2-hy­droxy­benzyl­idene)amino]-1,3,4-thia­diazole-2(3H)-thione

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    In the title mol­ecule, C9H6BrN3OS2, the dihedral angle between the benzene ring and the five-membered ring is 5.5 (3)°. An intra­molecular O—H⋯N hydrogen bond forms an S(6) ring motif. In the crystal, N—H⋯S hydrogen bonds link mol­ecules into centrosymmetric dimers creating R 2 2(8) ring motifs. In addition, there are inter­molecular S⋯S [3.430 (2) Å] contacts. The crystal used was a non-merohedral twin with a ratio of 0.113 (3):0.887 (3) for the components
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